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Home My WebLink About24-1513 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 24-1513 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION.. 02 — 11 — 2024 1659 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE S BLOCK NO. e✓ 400 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1,❑ FEET e S ❑ W e S 3RD PL 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255727803 0 81 30 6 LAST NAME SAMAYOA GUARDADO FIRST NAME KEVIN MIDDLE A 1 1 2 31 INITIAL STREET ❑✓ 310 BRONSON WAY NE#33 CITY RENTON ST WA 2jp, 980562864 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑ 3 10 1❑ P1 ATE 14 BWW0923 STATE WA uN# 1G1JE6SH9C4114483 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IR.. ro TRLR. TRLR 6 2 33 12 3 5 VIN#j VIN#' :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2012 CHEV SONIC 4H DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO SAMAYOA GUARDAD0311 BRONSON WAYNE#33 RENTON WA 98056 D:4255727803 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 <53 4 14 3 LIABILITY INSURANCE INSURANCE COIN EFFECT &POLICY# TOPvewcLE CHARGE OTTOM 5 36 LEGALLY YES No CITATION# gg0001165,4A0001167 FOLLOWING TOO CLOSELYAND 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES NO ,/ D:9173407000 16 a LAST NAME MANJIT FIRST NAME NONE MIDDLE INITIAL 17❑ STREET ❑', 15801 4TH AVE S APT 8 CITY BURIEN ST WA ZIP 981481269 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYEs❑No� INTERLOCK ves No� YEs NoF 19 F] DRIVER'S STATE WA SEX M D.C.B. 04 � 17 1971 39 LICENSE# MMDDYY WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I BPD4250 TATe I WA VIN# 5YJ3E1EA9KF310562 ❑ 41 PLATE# 42 22❑ PLATE# STATE TILER PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2019 MAKE TESL MODEL MODELS STYLE qD VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO MANJITMANJIT12621 OCCIDENTAL AVE S SEATTLEWA98168 D:9173407000 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU POLICY#E CO SAFECO H2440756 1 STOP IN vewGLELEGALLY YES N CITATION# CHARGE i o BOTTOM � 25❑ JAGENCY s 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 C.PAGET 8660 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE50822 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1513 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SAMAYOA/VARRA JULIO C (LAST FIRST, ADDRESS&PHONE# 310 BRONSON WAY NE APT 33 RENTON WA 980563699 4255727803 SEX M MMDOYyvv 12 - 15 - 1986 PASSENGER{�WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE of INJURIES L� �; 1 POS. ! 3 2 4 1 USE 2 CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) SAMAYOA ESCOBAR MARCUS R ADDRESS&PHONE# D O B 310 BRONSON WAY NE APT 33 RENTON WA 980563699 4255727803 SEX M 1; 310 10 _ 03 _ 2010 SEAT HELMET NJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME LAST FIRST,MIDDLE INITIAL) GUARDADO DE SAMAYOA GRISELDA E AooREss&PHONE# 310 BRONSON WAY NE APT 33 RENTON WA 980562864 4255727803 SEX F D.O MMDD•B. 11 _ 01 _ 1985 YYYY PASSENGER WITNESS UNIT# ! 1 SEAT 1 9 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. C.PAGET 02-11-24 07:05 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 2/15/2024 7:51:23 PM BADGE OR ID# 8660 ORI# WA0171300 TIME POLICE DISPATCHED 5:04 PM TIME POLICE ARRIVED',5:14 PM PART I PAGE IT]OF 4� TIME REPORT NO. EE50822 CASE# 24-1513 OF COLLISIONO2/11/24 16:59 NARRATIVE 24-1513 Non-injury collision Axon: Axon body cam available Narrative: On 02.11.2024 at 1714 hours, I arrived at a non-injury, non-blocking collision which occurred at 1659 hours. The collision occurred on Rainier AVE S at the intersection with S 3rd PL (aka Renton Center Way SW). Both vehicles pulled in the parking lot at Fred Meyer located at 365 Renton Center Way SW. Rainier AVE S at this point on Rainer travels Southeast to Northwest. When I arrived, all the occupants of the cars were outside the cars. I advised everyone that our contact was recorded. I contacted driver Kevin Alexander Samayoa Guardado DOB/07.04.2003 who was driving a black 2012 Chevrolet Sonic Hatchback WA/BWW0923. This vehicle has a report of sale to GUARDADO, SAMAYOA M and is expired 01.16.2024. Initially we spoke in my limited Spanish and Samayoa Guardado used google translate, but I later verified all information using Flavio #429388. Samayoa Guardado had a photo WAID card and his DOL status is Not Licensed- Eligible. Samayoa Guardado told me that he was northwest on Rainer AVE S in the left turn lane to turn on S 3rd PL (aka Renton Center Way SW). Samayoa Guardado believed the light turned green and the man was still stopped. Samayoa Guardado told me that he was distracted and hit the car. The front passenger was identified by photo WAID as Samayoa Ivarra, Julio Cesar DOB/12.15.86. The left rear passenger was identified by photo WAID as Samayoa Escobar, Marcus R DOB/10.03.2010, The right rear passenger was identified as photo WAID as Guardado de Samayoa, Griselda E DOB/11.01.1985. No one in the car was injured and all were wearing lap and shoulder belts at the time of collision. Samayoa Ivarra told me that he does not have insurance for the car and the reason that Samayoa Guardado was driving was that he was practicing for his driving test, which is tomorrow. I spoke with Manjit (No first name) DOB/04.17.1971. He was driving a white 2019 Tesla Model 3 WA/BPD4250. Manjit was identified by photo WADL and has a valid DOL status. Manjit provided a registration and proof of insurance. Manjit told me that he was in the left turn lane on Rainer AVE S at S 3rd PL (aka Renton Center Way SW) waiting for the light when he was struck from behind by the black Chevrolet Sonic WA/BWW0923 driven by Samayoa Guardado. Manjit was uninjured and was wearing his lap and shoulder belt at time of collision. I issued Sector Infraction #4A0001165 to Samayoa Guardado for Following too closely and Operating a Motor Vehicle without liability insurance. I requested the infraction to be mailed by the court. I issued Sector Infraction #4A0001167 to Samayoa Guardado for No valid license with ID to be mailed by the court. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer C. Paget/8660 2/11/2024 7:02 PM Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EE50822 CASE# ' 24-1513 DATE AND TIME 02/11/24 16:59 OF COLLISION A 1 a l ' v� � at ' z PAGE 4 OF 4