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HomeMy WebLinkAbout24-5218 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-5218 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4250 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 - 15 - 2024 2055 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❑ 100 00 FEET MILES e S B W e 108THAVESE
0 1 29
MOTU '�01 VEHtOC E CYDCLE. El �ESAGE NHORE✓LD MET PHONE 2 O 30
6 LAST NAME LEYVA EUFRASIO FIRST NAME FELIPE MIDDLE A 1 2 31
INITIAL
STREET ❑, 2904 SUNSET DR W CITY UNIVERSITY PLACE ST WA ZIP 98466 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED1/ IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs Z/NO YES �No /
LRIIVER # STATE WA SEX'M MI MIT Y
8❑ ' 01 - 29 - 1974 1 2 32
9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 H U SE 9 I INJURY
CLASS 0 NATURE OF INJURIES z❑
3
LICENSE C12386T STATE WA VIN# 1GCCS136658182308
10 9❑ Pr ATF�
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. A'RL.R. 1 1 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 3 2005 CHEV COLOR DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VENICLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
MOTOR � PEDAL- PEDESTRIAN :. PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6268618447
16 a
LAST NAME ZHEN FIRST NAME ZHAO MIDDLE
INITIAL
17 STREET NEW ADOREs7 251 W VALLEY BLVD APT I CITY SAN GABRIEL ST CA ZIP 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE CA ]SEX IF I D.Q.B. 08 _ 15 _ 1992 El 39
LICENSE# MMDDYY
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
41
21❑ LICENSE 9GAP203 TATe CA VIN1t W1NKM4G89PU017970
❑
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2023 MAKE MERZ MODEL BMT STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ZHAOZHEN251WVALLEYBLVDAPTI SANGABRIELCA D:6268618447 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#E CO UNKNOWN 6139-13-05-92IN I STOP
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
LACY SMITH 12613 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE78734
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5218
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.
LACY SMITH 05-17-24 04:11 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GREGORYBILLS 12495 5120120245:59:31 PM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 9:00 Pry/ TIME POLICE ARRIVED]9:08 PM
PART I PAGE IT]OF 4�
REPORT NO. EE78734 CASE# 24-5218 OF COLLISION
05/15/24 20:55
OF CbLLI510N
NARRATIVE
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.
On 05/15/2024, 1 was assigned to District 11 as the, 3R11. At approximately 2100 hours I was
dispatched to a hit-and-run located south of the intersection of SE Petrovitsky RD and 108th AVE SE.
This is located in the city of Renton, the county of King, and the state of Washington.
I arrived on scene and contacted the driver of Unit 2 -WA/9GAP203. I positively identified the driver of
unit 2 as, Zhao Zhen, via her California driver's license. Zhen stated she was driving southbound on
108th AVE SE when a white pick-up truck rear-ended her and drove off. Per Zhen, she was in the far
right lane traveling about 20 mph due to the vehicle in front of her driving slowly. Unit 2 had a small
amount of damage to the back hatch.
A witness, Igor Chipk, stated he saw a white pick-up truck pulled off to the side a few blocks away
with damage to its front bumper. Igor took a photo of the truck and the male who was attempting to fix
the damage to the front bumper.
Per Zhen, the vehicle WA/C12386T in the picture is the vehicle that hit her. I ran this vehicle and the
male in the photo matches the registered owner of the vehicle, Felipe Leyva Eufrasio.
Per Zhen, she wanted to assist and prosecution.
I cited Felipe Leyva Eufrasio with R.C.W 46.52.020 hit and run of an attended vehicle. Due to the fact
Zhen stated the male, Felipe Leyva Eufrasio, and the vehicle, WA/C12386T from the photo were who
hit her and left the scene without exchanging information. The vehicle WA/C12386T was also seen
via Igor a few blocks from where the accident took place.
PAGE 3 OF 4
REPORT NO. EE78734 CASE# 24-5218 DATE AND TIME 05/15/24 20:55
OF COLLISION
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PAGE 4 OF 4