HomeMy WebLinkAbout24-13157 STATE OF I !�� I III I III I IIII III II I . 6 27c REPORT NO EF50040
COLLISION REP FIT
1591971
CASE 24-13157 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. 12 - 1-- 2024 2035 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE PETROVITSKY RD BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 116THAVE SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2065789770 0 4 30
LAST NAME PENA PINEDA FIRST NAME LILIBETH MIDDLE
6 INITIAL 1 2 31
STREET ❑ 17650 134TH AVE SE APT N201 CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES 1/ NO
8❑ DRIVERS
E# STATE WA SEX'F MM DAY' 01 1- 31 - 1991 2 32
LICEN [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 . EJECT 1 H USE 2 CLASS ,6 UNK TRANSPORTED TO VMC zICENS1 ❑
3
10 1❑ P1 ATE 14 CMP5975 STATE WA v N# 3GNKBERSXLS693295
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT.VEHICLE 34
13 8 2020 CHEV TRAIL AT DAMAGE YES 0NO agW�MEYERS TOW IYES[:] H 1 3
REGISTERED OWNER INFO LILIBETH PENA PINEDA 17110134TH AVE SE APT N201 RENTON WA 98058 D:2065789770 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3
14 ❑ FOREMOST INS CO.G01473599100
IN EFFECT &POLICY# 9TOP
VEHlcl.e
15 5 36
LEGALLY YES❑NO❑ CITATION# CHARGE 10 BOTTOM
❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES NO ,/ D:4252214390
16 a
LAST NAME CISNEROS FIRST NAME JUAN MIDDLE C
INITIAL
17❑ NEW STREETR 7 12107 SE PETROVITSKY RD CITY RENTON ST WA ZIP 98058 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19 LICENSE# STATE WA SEX M MMDDYY 01 03 _ 1978 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# D35400A TATE 41
WA vIN 1N6EDOEB7LN721036 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED ev Gov HI 44
VEH YEAR 2020 MAKE jyl$$ MODEL FRONTIE STYLE 4P DAMAGE TOWED TOO✓ BLIN yES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 5237290EOS47AIN STOP 5
VE—LE ❑ CITATION# CHARGE
25 to BOTTOM
LEGALLY YES Nu
e
=LATRONICO
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 13151 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF50040
COLLISION REPORT III III III III III 111
1591972 CASE# 24-13157
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SALMERON DE CISNEROS MARIA D
(LAST FIRST,
ADDRESS&PHONE# D O.B.
12107 SE PETROVITSKY RD RENTON WA 98058 SEX F MMDDvyvv 10 - 21 - 1978
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑' 2 POS. 3 2 4 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) CHOE VICTORIA
ADDRESS&PHONE# DOB
816 NE 43RD ST,APT 101 SEATTLE WA 98105 4253931050 SEX' F MMDDYVvv 10 _ 02 _ 2002
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.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.
GLENN LATRONICO 12-25-24 11:23 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 12/26/2024 4:29:17 AM
BADGE OR ID# 13151 OR]# WA0171300 TIME POLICE DISPATCHED 8:37 Pry/ TIME POLICE ARRIVED',8:43 PM
PART I PAGE IT]OF❑
REPORT NO. EF50040 CASE# 24-13157 OF COLLISION
12/25/24 20:35
OF CbLLI510N
NARRATIVE
24-13157
On 12/25/2024 at approximately 2037 hours I responded to an unknown injury crash involvin 4
vehicles blocking traffic at the intersection of 116th Ave SE and SE Petrovitsky RD, in the City of
Renton, WA, King County. Dispatch advised me there was airbag deployment and that the reporting
party believed there to be injuries.
At approximately 2043 hours I arrived on scene and observed a silver 2003 Chevrolet Trailblazer
(ABE1359/WA-Unit 3) in the left turn lane of the E/B facing lanes of SE Petrovitsky RD (to go N/B on
116th Ave SE) with front end damage. I further observed a red 2020 Chevrolet Trailblazer
(CMP5975/WA-Unit 1) in front of the silver Chevrolet facing N/B with heavy damage to the driver's
side and rear passenger side. I finally observed a black 2020 Nissan Frontier (D35400A/WA-Unit 2)
with front end damage just east of the intersection on SE Petrovitsky Rd.
I spoke with the driver of Unit 2, identified via WADOL as Juan C. Cisneros (01/03/1978) and front
passenger identified as Maria D. Salmeron De Cisneros (10/21/1978). Juan stated he was travelling
S/B on 116th Ave SE at the green light and was making a left hand turn to go E/B on SE Petrovitsky
RD when Unit 1 disregarded a red light and drove through the intersection. This caused the rear
passenger side of Unit 1 to sideswipe the front end of Unit 2.
1 attempted to speak to the driver of Unit 1, identified via WADOL as Lilibeth Pena Pineda
(01/31/1991) but she was unable to speak with me due to her injuries.
I spoke with the driver of Unit 3, identified via WADOL as Gregory J. Best (09/12/1959) and he stated
he was stopped in the left turn lane on SE Petrovitsky RD when he observed Unit 1 disregard a red
light and side swipe the front end of Unit 2 with the rear passenger side of Unit 1. This caused Unit 1
to lose control and spin and strike the front end of Unit 3 with the drivers side of Unit 1.
Units 1 and 3 were towed by Gene Meyers Towing.
Driver of Unit 1 was transported to Valley Medical Center with apparent minor injuries.
I observed security cameras on a utility pole on the N/W corner of 116th Ave SE & SE Petrovitsky Rd.
but was unable to obtain footage. Photos of all vehicles were taken and uploaded via AXON.
This concludes my involvement with this case. Please see other officer's primary reports for further
information.
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe which was equipped with
overhead emergency lights and sirens.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by G. Latronico #13151 on 12/25/2024 at 2245 Renton, WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EF550040
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-13157
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO
D:2067691959
rFO 8 29
LAST NAME BEST FIRST NAME GREGORY MIDDLE' ''I J
INITIAL
STREET 30
NEW AnDRFSP' 13203 SE 164TH ST CITY RENTON ST WA ZIP 98058
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 09 - 12 - 1959
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE ABE1359 [TAT WA VIN# 1GNET16S132145446
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2003 MAKE CHEV I MODEL TRAIL STYLE AT VEHICLETOWE ET SABLI T�'M_-''ERS TOW GnVT VFHICP FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO GREGORY BEST 13203 SE 164TH ST RENTON WA 98058 D:2067691959 J 9 33
12 � SHADE IN DAMAGED AREA
J 4 FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# 91C7I'
VEHICLE 10 B(.7Tr0M` m 34
13 ❑ Lecnuv YES NO❑ CITATION# CHARGE
STANDING S} & j
14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNER YE
YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME INITIALI
MIDDLE ❑ 36
STREET"[-]
16 NEW nnR CITY ST ZIP
CDL IGNITION REdUiREE7 IGNITtGN PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK 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 TAr 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 LEFICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LecALLv
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.
GLENN LATRONICO 12-25-24 11:23 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 13151 O#I',WA0171300 APTHIELMAN 12126/202 PAGE I OF F
3000-345-013(R 11118)
REPORT NO. EF50040 CASE# 24-13157 DATE AND TIME 12/25/24 20:35
OF COLLISION
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