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HomeMy WebLinkAbout24-2383 ouCE OF ASHINGcN I� I �I) , II� I I I (III I�I I) SUPPLEMENTALREPORT NO. EE56219 1 7 27
COLLISION REPOFIT 1591971
SASE# 24-2383 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ STOLE F ❑ LOCAL AGENCY 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ 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 CITY# ❑
cawsloN 03 - 1-- 2024 1301 17 ❑.❑ S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
GLENNWOOD AVE NE BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 130 00 FMILES EET e S ❑ W e HARRINGTON AVE NE
0 1 29
UNIT 01 VEHtOCLE PEDAL ❑ YESA,GEE NHORESHOLD MET PHONE 1 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No,/ INTERLOCKYEs No✓ YEs No
8❑ LIRCIENSRE# STATE SEX u MMDOBYY - 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EET 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE. CCY5189 sTATI WA urN# KM8J3CA48GU161404
10❑ PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. YRLR. 5 1 33
12 0 0 VIN#' VIN#
2016 HYUN TUCSO SV ❑ RO�34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO ✓ YES NO✓
REGISTERED OWNER INFO DEVIN BLACK 1332 DUVALL AVE NEAPT D41 RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# Q9TOP
VEwcLE CHARGE 5 36
LECALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN.D'ING 6
UNIT 02 VE IMOTOCLE CYCLE PEDAL- ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP $
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YES It1 I Noll t l YES NO
19 LLIICENS # STATE SEX U MMDDYY �—❑— 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
❑LICENSE 21❑ PLA E# CGK9682 TATe WA VIN# JTMBK31V 41
786046612 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2008 MAKE TOYT MODEL RAV4 STYLE SV VEHICLE TOWED TO BLIN TOWEDey GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO WENDYCASTANEDA PERAZA 3710 A STSE TRLR 22 RENTON WA 98002 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I�wl
vE""LE ❑ ,J� CITATION# CHARGELEGALLYYES N J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE56219
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2383
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.
MATTHEW NUGENT 04-15-24 05:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 411712024 2:10:09 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 4:09 Pry TIME POLICE ARRIVED 1 1:01 PM
PART I PAGE IT]OF 5�
REPORT NO. EE56219 CASE# 24-2383 OF COLLISION
03/04/24 13:01
OF CbLLI510N
NARRATIVE
***04/15/2024 at 1700 hours. Unit#3 had incorrect damage shaded in. Supplemental report
submitted for correctly shaded area for damage on Unit#3.
24-2383
On 03/04/2024 at approximately 1318 hours, I was dispatched to assist Officer R. Phillips at a hit-and
-run vehicle collision that occurred in the 1100 block of Glennwood Ave NE (JWO Harrington Ave
NE), within the city limits of Renton, County of King, Washington.
While en route, Officer Phillips advised that all vehicles remained at the scene, but that the occupant
of one of the vehicles (Unit#1) had fled westbound from the scene on foot. The other involved
vehicles were parked and unoccupied at the time of collision.
Upon my arrival, I contacted Officer Phillips who stated that he had been called to the above-
mentioned location regarding suspicious activity. Upon Officer Phillips arriving in the area, he
observed Unit#1 traveling northbound in the 1100 block of Glennwood Ave NE prior to the collision.
While Officer Phillips was traveling southbound on Glennwood Ave NE, U1 approached Officer
Phillips' location. Officer Phillips was in a marked Renton Police patrol car. Upon the driver of Unit#1
seeing Officer Phillips' patrol car, the male driver got out of Unit#1 while it was still moving and in
gear.
While now unoccupied, Unit#1 collided into the drivers side doors of Unit#2 which was parked and
unoccupied along the north shoulder of the roadway. Following the initial impact between Unit#1 and
Unit#2, Unit#2 then continued rolling and collided into the front drivers side of Unit#3 which was
also parked and unoccupied. Minor damage to both Unit#2 and #3 were observed.
Per a WACIC/NCIC check, Unit#1 returned as a stolen vehicle. Officer D. Scott responded to the
scene and processed the stolen vehicle recovery.
The driver of U1 committed two (2) counts of Hit-and-Run Unattended by being involved in an
accident with another vehicle, which is unattended, and failing to stop and remain at the scene until
fulfilling all statutory duties (provide name, address, insurance company, policy, vehicle license,
exhibit driver's license and render reasonable assistance to any person injured).
The driver of U1 committed one (1) count of possession of a stolen vehicle by possessing a vehicle
that was confirmed to be stolen out of the Renton Police Department (OCA#24-2373).
U1 was blocking the roadway and was therefore impounded from the scene. An exchange of
information was placed inside of the vehicle for the owner of Unit#1 upon retrieval from the impound
lot. A business card and case number were left on the windshields of U2 and U3.
Officers Scott and Phillips recovered the stolen vehicle and later had it processed for latent fingerprint
examination. See their supplemental reports for further details. Please correlate this collision with
Renton Police Case #24-2382.
1 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 M. Nugent#11498 3:29 PM 3/4/2024 Renton, King County, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE556219
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-2383
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET 30
NEW AnDRFS CITY RENTON ST ZIP
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES NO NTERLOCK YES❑N0� YEs N
DRIVER'S STATE I SEX U M��DVSYv' -� 2
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE BPE9891 [TAT WA VIN# JHMFA36286SO30246
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO
2006 HONO CIVIC 40 DAMAGE YES NO YES NO
REGISTERED OWNER INFOJUSTO GONZALEZ HERRERA 1177 HARRINGTON AVE NE#106 RENTON WA 98056 m 33
12 � SHADE IN DAMAGED AREA
3 4 FROM TO
((ABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# R 701x
VEHICLE 1 o BarroM 34
13 ❑ Lecnuv YES❑ NO❑ CITATION# CHARGE gg�@
STANDING S} l:9 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNER YE
YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME INITIALMDDLE 36
ITIAL
❑
STRE
16 NEW ETETnnR"� CITY ST ZIP
CDL IGNITION REdUiREE7 IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YEs NO YEs NO ❑
17 5 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ [441
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 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEHIcLE 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.
MATTHEW NUGENT 04-15-24 05:02 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
RD O#I' APPROVED DATE
11498 WA0171300 BS 4 �OF26 F
3000-345-013(R 11118)
REPORT NO. EE56219 CASE# ' 24-2383 DATE AND TIME 03/04/24 13:01
OF COLLISION
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PAGE 5 OF 5