HomeMy WebLinkAbout25-1487 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67280OLCERA
COLLISION REPORT 1591971
CASE# 25-1487 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN COLLISION' 02 - 15 - 2025 2058 17 =.= S 8 W❑ OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
108TH AVE SE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �.� FEET e S 8 W e SEPETROVITSKYRD
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063592725 0 5 30
5 LAST NAME VASQUEZ CERRATO FIRST NAME RENE MIDDLE N 1 1 2 31
INITIAL
STREET ] 15117 SE 276TH PL CITY; KENT ST I WA ZIP 980429128 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No�/ INTERLOCKYEs NO�/ YES NaF,/
8 DCIENSE# STATE WA SEXI M MMDDYY' 01 — 30 — 1968 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2❑
LICENSE, C24582S STATE WA VIN# 3GNEK13T32G276013 3
10 Fl I PI ATP rt
STATE STATE
❑ TRAILER TRAILER
11 0 0 PLATE# PLATE# ROM To
TRLR zRLR 1 5 33
12 0 0 VIN#' vIN#
FROM TO
13 4 VEH.YEAR2002 MAKE CHEV MODEL AVALAN STYLE PK VEHICLE TOWED TO�iS46LIN Tv4 EBYMEYER VEHICLE
5 5 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO DEAN SLAUGHTER 19103 SE 295TH ST KENT WA 98042 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3
14❑ LIABILITY INSURANCE❑ INSURANCE CO ALLSTATE 964867625 4
IN EFFECT &POLICY# 9TOP _
srnNowc ❑ ❑ CHARGE FAIL TO OBEY TRAFFIC CONTROL t a oorrob z 36
Yes NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2069531403
16�
LAST NAME TRAN FIRST NAME JOHNY MIDDLE N
INITIAL
17 STREET ❑ 11058 SE 201ST ST CITY' KENT ST, WA ZIP 9803115 37
95
NEW ADDRESS I I I I I 1
❑
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTEDI 38
CDL INTERLOCKYEs NO INTERLOCK YES No
FcDL YES ND
19 DRIVER'S ' STATE WA SEX M D.D.a. 01 19 1990 � 39
LICENSE# MMDOYY —
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 7 HELMET 2 INJURY NATURE OF INJURIES ❑ 40
USE CLASS RIGHT LEG PAIN
21 LICENSE BKE7473 rarE WA vIN# 2HNYD28258H524450 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2008 MAKE ACUR MODEL MDX STYLE $�/ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER
REGISTERED OWNER INFO MELISSA SENGVILAY 11058 SE 201ST ST KENT WA 98031 D:2069531403 VEHICLE NO.2
SHADFY DAGED AREA
4
LIABILITY INSURANCE INSURANCE CO SAFECO H2358306
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE t080TTOM
L'—LY YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
ROBIN SMITH 12986 WA0171300
❑
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF67280
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1487
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) CRINGEAN CANDICE B
ADDRESS&PHONE# D 0
10809 SE 186TH ST RENTON WA 98055 4255293228 SEXi F MMDDYYYY 02 — 02 — 1976
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYYYY D.O.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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.
ROBIN SMITH 02-16-25 01:19 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 212012025 2:01:01 AM
BADGE OR ID# 12986 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:58 PM TIME POLICE ARRIVED i 9:01 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF67280 CASE# 25-1487 OF DATE AND r�N + 02/15/25 20:58
O�COLLISION
NARRATIVE
25-1487
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 02-15-2025 at approximately 2058 hours, I was dispatched to a two-vehicle collision with
unknown reports of injury at the intersection of 108th AVE SE and SE Petrovitsky RD.
Upon arrival, I contacted the involved parties and determined that the driver of Unit#2 was
complaining of right leg pain. The Renton Regional Fire Authority (RRFA) later arrived on scene and
treated the involved driver. RRFA released all involved parties at the scene. While on scene, I
collected the involved parties driving documents and their independent recollection of events leading
up to the collision.
The driver of Unit#1 said he was traveling southbound through the intersection on 108th AVE SE
when he failed to stop at the red light. The driver of Unit#1 was not injured and his passenger
confirmed he failed to stop at the red light. Unit#2 was facing northbound in the turn lane, had a
green light, and was in the process of making a legal U-Turn to head southbound on 108th AVE SE
when it was struck by Unit#1.
The driver of Unit#2 said that he was traveling northbound on 108th AVE SE at SE Petrovitsky RD
when he had a green light and was attempting to make a legal U-Turn to head southbound on 108th
AVE SE. As he was turning, Unit#1 collided with the front end of his vehicle.
A witness on scene (Cringean), said that she saw Unit#1 was traveling southbound on 108th AVE
SE through the intersection at SE Petrovitsky RD when it had a red light. Cringean saw Unit#2 had a
green light and was making a legal U-Turn from northbound 108th AVE SE to southbound. Cringean
said that Unit#1 collided with Unit#2 because it failed to stop at the red light.
Based on the above statements, I determined that the Driver of Unit#1 is the proximate cause for the
collision for failing to obey traffic control legend. This occurred when the driver of Unit#1 did not stop
at their red light and proceeded through the intersection.
I cited the Driver of Unit#1 via mail for failure to obey traffic control legend. SECTOR #5A0255391.
Both involved vehicles were impounded to Gene Meyer towing. The tow truck driver spoke with the
involved parties and advised they did not need impound forms. I provided an exchange of information
to both involved parties.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by Robin Smith #12986 on 02/16/2025 @ 0116 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. EF67280 CASE# 25-1487 DATE AND TIME 02/15/25 20:58
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