HomeMy WebLinkAbout25-840 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF65441 170
27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# zs-s4o 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION' 01 - 1-- 2025 1648 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 2001. 00 FMILES EET e S B W e NE SUNSET BLVD
2 0 29
R PEDAL- DAMAGE THRESHOLD NET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES
,/No D:9032413341 0 11
30
6❑ LAST NAME ROBINSON FIRSTNAME BUDDY MIDDLE W 1 1 2 31
INITIAL
STREET El 12443 FM 968 W LOT 36 CITy LONGVIEW ST TX 7jp', 756027643 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8 LDRIVER # STATE TX SEX'M MM DyY' 04 1— 07 — 1993 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 CLASSY 1 NATURE OF INJURIES 2❑
3
10 9❑ P1ATE14 CFE1453 STATE WA VIN# 1GNSKNKD1PR137011
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR 2023 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 4 CHEV TAHOE UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO JOSEPH OGA.I 21730196TH AVE SE COVINGTON IVA 98042 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO TRAVELERS HC2QCAP-1R571635-TXS-23 3 4
IN EFFECT &POLICY# 9TOP
VEHICLe 1 5 36
YES No CITATION# 5A0005658 CHARGE INATTENTIVE DRIVING o eorrom
15❑ STANDING 7 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:4252218105
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME ESPOSITO FIRST NAME LARAINE MIDDLE A
INITIAL
17 NEW STREETR 7' 375 UNION AVE SE UNIT 76 CITY RENTON ST WA ZIP 980595170 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs❑No� INTERLOCK ves No� YEs NoF
19 DRIVER'S STATE WA SEX F D.C... 01 20 _ 1983 39
LICENSE# MMODYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HE
2 INJURY 6 NATURE OF INJURIES 40
USE CLASS SORE RIGHT NECK
❑21❑ PLATE# BRK4406 TATE WA VIN 1 41
2T3DFREV7GW532120 1
42
22❑ PLATE# STATE pLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE TOYT MODEL RAV4 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO JOEL SHOPE 375 UNION AVE SE UNIT 76 RENTONWA98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO FARMERS 195212113IN 1 25VEHICLE ❑ C[ CITATION# CHARGE GQI
LEGALLY YES N
s a
7ECHANG
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 10065 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF65441
COLLISION REPORT III III III III III 111
1591972 CASE# 25-840
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KIMURA TAYLOR
(LAST FIRST,
ADDRESS&PHONE# D O.B.
12443 FM 968 LOT 36 LONGVIEW TX 756022920 9038082675 SEX F MMDDYyry 11 - 25 - 1991
PASSENGER WITNESS[] UNIT# + 1 PEAT OS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE 2 CLASS
11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 01-26-2025 at about 1648 hours, I was sent to a collision which occurred in the 400 block of
Sunset Blvd N, in the City of Renton, King County, Washington.
Upon arrival I spoke with both parties and they had the same account.
Unit 1 was traveling southbound on Sunset Blvd N and just got off Hwy 405. He was traveling about
40 mph. He said he was merging into lane 3 when unit 2 came out of nowhere. He struck unit 2
when he was changing lanes.
Unit 2 was traveling southbound on Sunset Blvd N in lane 3 and just emerged from the Houser Way
Bypass tunnel. She was driving straight when unit 1 merged into her. She said she suffered a sore
right neck after the collision. She went to Overlake Hospital for treatment.
There is a wall which separates lanes 2 and 3 and lane 3 comes out from a tunnel which is much
lower than lane 2.
The driver of unit 1 did not see unit 2 when he merged into lane 3.
Unit 1's lane change is a contributing factor in the collision.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.CHANG 02-05-25 05:01 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 2/13/2025 5:22:25 PM
BADGE OR ID# 10065 ORI#' WA0171300 TIME POLICE DISPATCHED' 4:48 Pry] TIME POLICE ARRIVED',4:57 PM
PART I PAGE IT]OF 3�
REPORT NO. EF65441 CASE# 25-840 DATE AND TIME 01/26/2516:48
OF COLLISION
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