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COLLISION REP FIT 1591971
CASE 24-11369 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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.. 11 — 01 — 2024 1830 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e✓ 600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 6TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO 1/ D:2067766235 0 11
30
6 LAST NAME TORRES REA FIRST NAME STIVEN MIDDLE A 1 1 2 31
INITIAL
STREET ❑✓ 2324 S 117TH ST CITY SEATTLE ST WA 2jp, 98168 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO 1/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 12 1— 29 — 1985 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑
3
LICENSE CM00090 STATE WA V N# JA3AJ26E84UO20672
10 1❑ PI ATE�
11[-jTRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. A'RLR. 1 5 33
12 0 0 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE ] $ 34
13 3 2004 MITS LANCER SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2
14 3 LIABILI INSURANCE❑ INSURANCE CO NONE
IN EFFECT &POLICY# STOP 5
vecLE 10 BOTTOM 36
LE�ALwLv YES�No M CITATION# 4g0846811,4A0846811 CHARGE NO VALID OPER LICENSE WITH 5
15❑ �STA"'
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:20693
16 03309
a
LAST NAME JOHNSON FIRST NAME NATHAN MIDDLE T
INITIAL
17 STREET❑ NEW ADDRESS❑' 21930 SE 358TH ST CITY AUBURN ST WA ZIP 98092 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK yEs❑NOF YES
❑NoF,/
19 LDIIVERS STATE WA SEX M M .C.B. 05 _ 25 _ 1998 39
20❑ ON DUTY STATUS I
AIRBAG 1 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# CK65168 TATE WA VIN# 41
JM3ER293370123247 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY GOV HI 44
VEH YEAR 2007 MAKE IlggZp MODEL CX-] STYLE $D DAMAGE TO WED NOO✓ BLIN yES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO DIRECT 2024435085IN STOP 5
VE."LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' a
7NICH
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
AS GOODW/N 12884 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF31335
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11369
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
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.
NICHOLAS GOODWIN 11-01-24 11:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 11/2/2024 4:10:39 PM
BADGE OR ID# ! 12884 OR]# WA0171300 TIME POLICE DISPATCHED 6:30 PM TIME POLICE ARRIVED]6:36 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EF31335 CASE# 24-11369 OF COLLISION11/01/24 18:30
NARRATIVE
24-11369
Unless otherwise noted, the following took place within the city limits of Renton, County of King, WA.
On 11/01/2024 at approximately 1835 hours, I was dispatched to a non-injury, blocking accident at
the intersection of Logan Ave N and N 6th St.
As I approached the scene, I observed a single vehicle, a small white sedan blocking the number one
south bound lane on Logan Ave N, sitting perpendicular in the lane. The front end of the vehicle was
facing eastbound. It was determined a short time later, the other involved vehicle had continued and
parked in a parking lot nearby to get out of the roadway.
Neither party was complaining of injury.
I identified Unit 1 as a white 2004 Mitsubishi Lancer bearing WA/CM00090 and driven by owner
Stiven A. Torres-Rea (12/29/1985). Unit 1 had significant damage to the passenger side of the
vehicle. It appeared that both passenger side front and rear doors were caved in. There was no
airbag deployment that I observed. Stiven advised he was traveling southbound on Logan Ave N and
had a green light as he approached the intersection of N 6th St. Stiven said he was proceeding
through the intersection, southbound, when Unit 2 struck his vehicle on the passenger side.
I identified Unit 2 as a blue 2007 Mazda CX-7 bearing WA/CKB5168 and driven by Nathan T.
Johnson (05/25/1998). Unit 2 had moderate damage to the front bumper and no interior intrusion.
Nathan advised he was traveling eastbound on N 6th St. and had a green light as he approached the
intersection of Logan Ave N. Nathan advised as he entered the intersection traveling eastbound, he
struck Unit 1 who was already in the intersection.
I was unable to determine who had a green light at the time of the collision, as both parties said they
had the right of way. There were no witnesses to interview.
The driver of Unit 1, Stiven, was cited for driving without insurance (RCW 46.30.020) and driving
without a license (RCW 46.20.105).
1 certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Officer N. Goodwin 12884 at 2102 hours on 11/01/2024 in Renton, WA.
PAGE 3 OF 4
REPORT NO. EF31335 CASE# ' 24-11369 DATE AND TIME 11/01/24 18:30
OF COLLISION
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