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Home My WebLink About24-1256 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-1256 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 02 - 1-- 2024 1904 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 3900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 20 00 FMILES N EET e S ❑ E e UNION AVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2062883386 0 11 30 6� LAST NAME NGUYEN FIRSTNAME DUONG MIDDLE T 1 1 2 31 INITIAL STREET ❑, 331 ROSARIO PL NE CITY RENTON ST WA ZIP 98059 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8 LICENSE# STATE Wq SEXI F MM ovY' 11 - 03 - 1988 1 2 32 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 9❑ P1 ATE LICENS 4 AG12619 sTAr WAv N#' 5FNYF4H79CB021039 - TRAILER STATE PL AT Eft STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR 2012 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 4 HOND PILOT P4 DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO C.VU 33 ROSAR/O PL NE RENTON WA 98059 D:2062883386 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STATE FARM 4121.9982-D02.47 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ NO D:4254960059 16 a LAST NAME TORRES-SANCHEZ FIRST NAME ARMANDO MIDDLE INITIAL 17 STREET❑ NEW ADOREss❑' 214 ORCAS PL SE CITY RENTON ST WA ZIP 98059 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDI IVER # STATE WA SEX M M D.C.B. 03 _ 18 _ 1967 39 20 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES 40 USE CLASS SHOULDER PAIN ❑ 41 21❑ ILICENSE PLA E# AYA2302 TArE WA VIN# 4T1BF1FK5GU135091 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' GI VEH YEAR 2016 MAKE 7'Dy7- MODEL CAMRY STYLE P4 DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE❑ INSU POLICY#E CO NONE NONEIN STOP 'E""Le ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE47358 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1256 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) GABEL RONALD K (LAST FIRST, ADDRESS&PHONE# D O.B. 20417 SE 127TH ST ISSAQUAH WA 98027 2532496875 SEX M MMDOYyvv 08 - 22 - 1963 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑, 3 POS, 3 2 4 1 USE 2 CLASS !1 NAME (LAST,FIRST,MIDDLE INITIAL) POFANA JESSICA P ADDRESS&PHONE# D O B 3788 NE 4TH ST,APT C304 RENTON WA 98056 9015629234 SEX IF MMoouvvv 12 _ 13 _ 1979 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIRST MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 02-03-24 08:43 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE BRYAN GROZAV 12489 1 2/4/2024 11:52:54 PM BADGE OR ID# 12421 OR#' WA0171300 TIME POLICE DISPATCHED! 7:10 PM TIME POLICE ARRIVED]7:19 PM PART I PAGE IT]OF 5� REPORT NO. EE47358 CASE# 24-1256 OF COLLISION 02/03/24 19:04 OF CbLLI510N NARRATIVE 23-1256 COLL On 2/3/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of three vehicle collision near the intersection of NE 4th St and Union Ave NE Renton/King/WA. An involved party was calling to advise this was a hit and run collision with the suspect vehicle last seen heading west on NE 4th St. I arrived on scene and located all involved victim vehicles. I spoke with the driver of the 2012 Honda Pilot WA/AG12619. She was identified by her WADL as Duong T Nguyen DOB: 11/3/1988. Duong advised she was uninjured and did not require aid. The Pilot had damage to the front bumper and the front airbag had deployed. The vehicle was still drivable. Duong said she was driving west on NE 4th St. I spoke with the driver of the 2016 Toyota Camry WA/AYA2302, identified by his WADL as Armando Torres-Sanchez DOB: 3/18/1967. He advised that he was in the curb lane driving west on NE 4th St when he was struck from behind and collided with the Lexus. The Toyota had extensive damage to the front bumper and rear bumper/trunk area. There was an imprint of a license plate on his rear bumper that resembled the plate from the Honda Pilot. Armando recently had shoulder surgery and had pain in his shoulder from the collision, he did not want RRFA to respond. I then spoke with the driver of the 2015 Lexus ES, identified by her WADL as Pamela Bellah DOB: 6/15/1965. She advised she was not injured, and her vehicle had been struck from behind while driving west on NE 4th St. The Lexus had minor damage to the rear bumper. A witness, who identified herself as Jessica P Fofana DOB: 12/13/1979, advised she was standing on the north curb of NE 4th St and witnessed the collision. Jessica was adamant that a fourth vehicle that resembled a Honda Pilot was involved in the collision and possibly caused it. She said that the vehicle fled the scene west on NE 4th St and was not able to identify the driver. After hearing all accounts of the collision and looking at the damage 1 believe that the Honda Pilot was the number one vehicle, the Toyota Camry was the number two vehicle, and the Lexus was the number three vehicle. Based on there not being damage to the rear bumper of the Honda Pilot I am not able to confirm that the fourth vehicle was involved. All involved exchanged information at the scene. Nothing further. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE473558 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-1256 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE _) PEDESTRIAN � OWNER � YES NO D:2066192175 rFO 1 29 LAST NAME : BELLAH FIRST NAME PAMELA MIDDLE INITIAL STREET 30 NEW AnDRFSP 20405 SE 127TH ST CITY ISSAQUAH ST WA ZIP 98027 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 06 - 15 - 1965 7 ON DUTYl STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BUZ3525 TAr WA VIN# JTHBWIGG4F2087610 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2015 MAKE LEXS MODELES 250 1 STYLE P4 I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH11' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER 3 ] 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO NATIONWIDE 7246JO51151 q"i"Olx IN EFFECT &POLICY# 1 EwcLE 34 13 4 LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 02-03-24 08:43 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OBADGE RID# 12421 O#I',WA0171300 APPROVED BY 214412024 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. EE47358 CASE# ' 24-1256 DATE AND TIME 02/03/24 19:04 OF COLLISION U y .. Y a d j m l H PAGE 5 OF 5