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HomeMy WebLinkAbout25-929 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF60459oc� RA COLLISION REPORT 1591971 ❑ 0 RESULTED ❑ CASE# 25-929 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LQCCO A`CENC'Y 4100 3 COUNTY RD INVOLVED COOING PRIVATE WAY 2❑ TRIBAL UNITS TOTAL#OF TRUCK BJECT 1 28 01 TREE OR STUMP RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E cOLLIsfoN' 01 - 29 - 2025 0748 17 =.= S 8 W E IN 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION OAKESDALE AVE SW BLOCK MILE POST ST e 4a Y800 .� ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 400 00 FEET e✓ S 8✓ W e SW 27TH ST 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO D:2062801111 30 6 LAST NAME SUBUYUJ PAREDES FIRST NAME ADDY MIDDLE A 1 2 31 INITIAL STREET 1140 EDMONDS AVE NE APT 108 CITY RENTON ST WA ZIP 980568704 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No INTERLOCK YES N YES D NO. 8 DRIVER'S # STATE WA SEX F MMOr YY' 02 32 9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 NELM USE ET INJURY CLASS 7 NECKE OF INJURIES 2 LICENSE, CNZ4189 STATE WA VN# 2C3CDZKG2LH139535 3 10 PI ATF tt TRAILER STATE TRAILER ..STATE 11 3 5 PLATE# PLATE# ROM TO rRLR TRLR 1 5 33 12 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 v GOVT VEHICLE m 34 13 2 2020 DODO CHALLE DAMAGE YES ONO 69WgMEYER YEs� No REGISTERED OWNER INFO ADDY SUBUYUJ PAREDES 1140 EDMONDS AVE NE APT 108 RENTON WA 980568704 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 3 14 LIABILITY INSURANCE INSURANCE CO AM FAM 4 IN EFFECT &POLICY# 4TOP CHARGE 5 36 Lemur yes❑NO❑ CITATION# 7 o BOTTOM 15❑ STM ING e �y MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT©2 PEDESTRIAN VEHICLE CYCLE' OWNER YES NO 16❑ LAST NAME FIRST NAME MIDDLE' INITIAL 17❑ STREET D CITY ST ZIP ❑ 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs No INTERLOCK YES0-001 Es NO' 19 DRIVER'S # STATE SEY MMODYY' —= 39 HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASSLICENSE ❑ 21 PLATE# TATE VIN# 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vemae A r CHARGEYES❑ N`— tO BOTTOM CITATION 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF60459 COLLISION REPORT III III III III III 111 1591972 CASE# 25-929 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS El UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j NARRATIVE green/ice RTF Within the city limits of Renton/King/WA I responded to a single vehicle off the road and into a tree at about the 2800 block of Oakesdale Ave SW. I contacted the driver of unit one who told me she was going about 35 mph (between 30-40) when she car just starting sliding and spinning out. She went up and over the sidewalk spinning out and into the bushes coming to rest with the front of her car into a tree. She was checked on scene by Renton Fire. Her vehicle was towed for damages. Information/insurance only I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 1/29/2025 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 01-29-25 08:29 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 1/29/2025 9:06:34 AM BADGE OR ID# 2517 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:51 AM TIME POLICE ARRIVED 7:53 AM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37 REPORT NO. E F60459 CASE# 25-929 DATE AND TIME 01/29/25 07:48 OF COLLISION ,m e r m T PAGE 3 OF 3