Loading...
HomeMy WebLinkAbout25-1045 )STATE TFcN 0 4 27i t Oc� RA EF62703 COLLISION REPRT 1591971 CASE# 25-1045 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAL AGENCY. 4100 3 CODING COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2❑ TRIBAL UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E GDLLISION' 02 - 02 - 2025 1043 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION NE 4TH ST BLOCK NO. e 4112 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1 C------�. FEET e S 8 W 1 9 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE CYCLE' YES NO �/ D:2069402249 0 1 30 5 LAST NAME LE FIRST NAME MINH MIDDLE D 1 1 2 31 INITIAL STREET E:1 5202 NE 10TH PL CITY RENTON ST WA ZIP 98059 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3 INTERLOCKYEs NOW INTERLOCKYEs NO�/ YES NDF,/ 8❑ DCIENSE# STATE WA SEX M MMDO OCSYY' 07 - 15 - 1963 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NAruRE of INJURIES 2 LICENSE, 225ZDH STATE WA VN# JTDBR32E130004250 3 10[9� PI ATP rt 11[-j— TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# FROM TO TRLR TRL.R 7 1 33 12 0 o VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 9 2003 TOYT COROL SD DAMAGE YES�NO� YES 1 5 34 REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 9 NSURANCE CO 3 4 14 LIABILITY INSURANCE GEIC04174380015 IN EFFECT &POLICY# Q�,Q, VEHICLE CHARGE 36 LEcgLLY YES❑NO❑ CITATION# 515 sTnowc MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT OZ VEHICLE CYDLE' ❑ ❑ PROPSnWNF YEs No �/ D:2532277823 16� LAST NAME LOPEZ FIRST NAME MICHELEAN MIDDLE I M INITIAL STREET ❑ 17 ' 2307 NE 4TH ST,APT J107 CITY RENTON ST, WA ZIP 98056 4 37 NEW ADDRESS 18 CDL IGNITION REQUIRED3 IGNITION PRESENT MEDICAL TRANSPORTEDI 38 INTERLOCKYES ND [NTERLO'KYES NO vES No;� 19 �CIENSE# STATE WA SEXI M MMDDYY 05 04 1984 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY NATURE A INJURIES 6 40 USE CLASS BACK PAIN 21 LICENSLATE E BXV6154 TATE WA vIN# 3FADP4EJ5GM178991 41 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2016 MAKE FORD MODEL FIESTA STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 931154957 IN EFFECT &POLICY# t 9TOP v ICLE ❑ ,.I—J I CITATION# CHARGE tO BOTTOM LEGnLLY YES N.L` 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 GLENN LATRONICO 13151 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF62703 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1045 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} CLAUSNITZER KRISTINE M (LAST,FIRST ADDRESS&PHONE# DOB 16819 NE 18TH ST BELLEVUE WA 98008 4255998338 SEX' F MMDDYYYv 04 - 25 - 1987 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER z WITNESS UNIT 2 POS. 3 AIRBAG 12 RESTR. 4 EJECT 1 USE 2 GLASS '6 BACKPAIN 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -� MDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -� II MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q PEA USE GLASS �---- I 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 02-02-25 03:21 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 2/5/2025 10:28:08 AM BADGE OR ID# 13151 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:46 AM TIME POLICE ARRIVED 10:50 AM PART B 3 Do-lmx-,ao(R11Y1s) PAGE 27 OF 47 EAN REPORT NO.` EF62703 CASE# 25-1045 O OF COLLI COLLISION TIME 02/02/25 10:43 COLLI NARRATIVE 25-1045 At approximately 1048 hours on 02/02/2025 1 responded to a two vehicle collision with injuries near the Starbucks at 4112 NE 4th St, City of Renton, King County, Washington. Dispatch advised me that "ALL INVLD CONS, 2 PTS IN FORD FIESTA -ADULT MALE AND FEM, BACK PAIN, PARTIALLY BLKING IFO LOC." I arrived on scene at approximately 1050 hours and observed a silver Ford Fiesta (BXV6154/WA - U2) in the driveway entrance of the location parking lot facing S/B (exiting the drive) with minor damage to the middle driver's side of U2. Driver of U2 identified via WADOL photo as Michelean M. Lopez (05/04/1984). Front passenger of U2 identified via WADOL photo as Kristine M. Clausnitzer (04/25/87). 1 also observed a white Toyota Corolla (225ZDH/WA- U1) in the same driveway entrance of the location parking lot facing N/B (entering the drive) with minor damage to the front driver's side of U1. Driver of U1 identified via WADOL photo as Minh D. Le (07/15/63) Driver of U1 stated while traveling W/B in lane 1 of NE 4th St he was turning right (N/B) into the Starbucks parking lot when he lost control of his vehicle on the snow and struck the middle driver's side of U2 with the front driver's side of U1. Driver of U2 stated while traveling S/B through the parking lot entrance/exit the middle driver's side of U2 was struck by the front driver's side of U1 as U1 slid on the snow while attempting to enter the parking lot off of NE 4th St. I obtained all parties information and gave driver of U1 an exchange of information. I emailed driver of U2 the same exchange of information. Both parties have valid insurance. I obtained a medical release form for the driver of U2. Photos uploaded via AXON. The driver of U2 was transported to Valley Medical Center with minor injuries. U2 was relocated into the Starbucks parking lot by Renton Fire Department into a legal parking spot. This concludes my involvement with this case. 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 02/02/2025 at 1215 Renton, WA PAGE 3 OF 4 REPORT NO. EF62703 CASE# 25-1045 DATE AND TIME i 02/02/25 10:43 OF COLLISION t i ;i 1 � I � I of Ir I, a ?" r t i l of aye a� I f gg f PAGE 4 OF 4