HomeMy WebLinkAbout24-4949 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 24-4949 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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#
cawsloN 05 - 08 - 2024 2131 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 192ND ST BLOCK NO. e✓ 10700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 108THAVESE
0 1 29
UNIT 01 VEHICLE
MOTPI PEDAL-ORCYCLE ElDESA✓NHORESHOLD MET PHONE 0 8 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY PACOIMA ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICIENSE#
STA fE I
SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET U E 2 CLAY S:R0 NATURE OF INJURIES z❑
3
10[1P1 ATNES# 5FPU135 sTAT CA v N# 2G1 WH52K239398426
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34
13 4 2003 CHEV BTM SD DAMAGE YES NO YES
❑ NO✓
REGISTERED OWNER INFO DAVID MARTINEZ 13611 OTTOMAN ST PACOIMA CA 91331 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VENICLE CHARGE 5 36
LEGALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069627767
16 a
LAST NAME WANG FIRST NAME SHOO MIDDLE
INITIAL
17❑ NEW STREETREs7 14440 SE 41 ST ST CITY' BELLEVUE ST WA ZIP 98006 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX M M D.C.B. 01 10 _ 1989 39
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES ❑ 40
USE CLASS ISOREBACK
LICENSE I ❑21❑ PLA E# CFZ2805 TATE 41
WA VIN# WBA536J04MWX07478 4
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
Gov HI
VEH YEAR 2021 MAKE BMW MODEL 540 STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY 44
YES
NO
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POLICY#E CO SAFECO H2527260IN 1 9TOP
VEHICLE CITATION# CHARGE i o BOTTOM
LEGALLY YES N�
25❑ J s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
BENJAMIN FLICK 12825 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE76313
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4949
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
POS. 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.
BENJAMIN FLICK 05-08-24 11:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 511212024 10:37:10 PM
BADGE OR ID# 12825 OR]#' WA0171300 TIME POLICE DISPATCHED 9:33 PM TIME POLICE ARRIVED',9:44 PM
PART I PAGE IT]OF 4�
REPORT NO. EE76313 CASE# 24-4949 OF COLLISION
05/08/24 21:31
OF CbLLI510N
NARRATIVE
24-4949
On 05-08-2024 at approximately 2131 hours I was working a Renton Police Department patrol in full
uniform in the city of Renton, King County, Washington. I responded to a motor vehicle collision in the
10700 block of SE 192nd ST. Prior to my arrival, the suspect vehicle driver failed to provide any
information and then drove away from the scene.
The victim/reporting party of unit 02 was as follows:
Unit 2: (WA/CFZ2805) driver Shuo Wang (DOB: 01-10-1989 via WADL)
The suspect vehicle was as follows:
Unit 1: Two different plates were affixed to the suspect vehicle. The rear plate was CA/5FPU135 and
the front plate was CA/8PWX889. The rear plate belonged on a 2003 Chevrolet sedan with VIN:
2G1 WH52K239398426. The front plate belonged on a 2000 Chevrolet sedan with VIN:
2G 1 WH55K4Y9328638.
Unit 02 was facing eastbound on SE 192nd ST, waiting at the red light to turn north onto 108th AVE
SE. Unit 01 drove up behind unit 02 and rear-ended unit 02. The collision was captured on the
victim's in car video recording. I observed that unit 01 very obviously rear-ended unit 02. Unit 02 had
been sitting stationary for some time before unit 01 hit the rear bumper.
Victim Wang contacted the driver of unit 01 who did not speak English. He believed the driver spoke
only Spanish. The driver kept waving his hands and trying to leave. Wang tried to stop him from
leaving but he kept lurching the car forward so Wang stepped out of the way. The suspect did not
provide any information to victim Wang, and then left southbound on 108th AVE SE into Kent.
I immediately alerted Kent for the PC for hit and run of the driver of that vehicle.
Victim Wang took a photo of the suspect and suspect vehicle which I later uploaded via Axon
Capture.
I provided Wang with a business card which contained the case number.
I observed that the damage to the vehicle was minor, but Wang told me that his back was sore as a
result of the collision. I asked him if he wanted medical attention, he told me he did not.
I believed that there was PC for felony hit and run for the unidentified driver of the suspect vehicle,
since victim Wang complained of soreness in his lower back. At the time this report was written, the
suspect had not been located, nor identified.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 05-08-2024 in Renton, WA.
PAGE 3 OF 4
REPORT NO. EE76313 CASE# 24-4949 DATE AND TIME 05/08/24 21:31
OF COLLISION
co
> Not to scale
Unit 01 Unit ',
PAGE 4 OF 4
