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Home My WebLink About24-10193 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF32088OLCERA COLLISION REPORT 1591971 CASE# 24-10193 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 09 - 29 - 2024 1744 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON RD S BLOCK NO. e 16600 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e SE 166TH ST 0 1 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4255283622 0 4 30 LAST NAME DEMETRIO ANDRES FIRST NAME CARLOS MIDDLE E 5 INITIAL 1 2 31 STREET ❑ 17550 152ND PL SE CITY; RENTON ST WA ZIP 98058 2 NEW ADDRESS 7 +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3 INTERLOCKYES NOW] INTERLOCK YES Nb�/ YES F NoF,/ 8 DCIENSE# STATE WA SEXI M MMDDYY' 03 — 03 — 1993 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES 2 USE :CLASS HEADACHE 10 PI ENSrtEI D16268D STATE WA VIN#, 2GCEC13J781120448 3 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# 11R.M To TRLR TRLR. 8 1 4 33 12 3 5 VIN# vIN# ' FROM TO VEH.YEAR 2008 MAKE CHEV MODEL SILVER STYLE PK VEHICLE TOWED TO BUN TOWEDBY GOVT VEHICLE $ $ 34 13 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 4TOP _ STANDING YES❑NO❑ CITATION# CHARGE OP MOT VEH W/OUT INSURANCE, s o ooTro6 36 15 VEHICLE MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT CYCLE nWNFR D:4255989146 16� LAST NAME AVALOS FLORES FIRST NAME GUSTAVO MIDDLE INITIAL 17 F1 STREET ❑ ❑ 12616 NE 118TH ST APT 1 CITY KIRKLAND ST, WA ZIP 98034 q 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs No WTERLOCKYES NO ves No 19� DRIVER'S STATE WA SEX M D.O.B. 10 05 1987 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R U ET INJURY NJ I Y 1 NATURE OF INJURIES 40 21[ LICENSE CCN3826 rATE WA VIN 5FNYF4H94BB084131 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2011 MAKE HOND MODEL PILOT STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO GUSTAVO AVALOS FLORES 12616 NE 118TH ST APT I KIRKLANDWA98034 D:4255989146 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO FARMERS 515230318 IN EFFECT &POLICY# I STOP ve w1— ❑ ,J—I CITATION11 CHARGE to BOTTOM L','—�Y YES N 25 s s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 STEVEN FAJARILLO 12847 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF32088 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10193 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GARCIA EDWIN ADDRESS&PHONE 17550 152ND PL SE RENTON WA 98058 SEXi M MMDooYBYYY 11 - 01 - 2008 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z Q I 1 POS. 3 2 4 1 USE CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) i REMIJIO GOMEZ EFRAIN ADDRESS&PHONE# RENTON SEX' M D.o.B. 06 _ O6 _ 2005 MMDDYYYY Y JUR T SEA NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 1 PEA 7 AIRBAG 2 RESTR. 4 EJECT 1 USE HELMET INJURY CLAS 1 [— ----� NAME MIDDLE INITIAL) LUCAS ADILENA R (LOST,FIRST, AQQREss&PHONE# KIRKLAND SEX F I D.0.8. 11 _ 01 _ 2013 MMDDYYYY PASSENGER WITNESS UNIT# 1 2 1 SEAT g AIRBAG 2 RESTR. 4 EJECT 1 HELMET 9NJURY 1 NATURE OF INJURIES a 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. STEVEN FAJARILLO 11-04-24 06:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 111512024 12:37:34 AM BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 5:49 PM TIME POLICE ARRIVED i 6:00 PM PART B 3 Do-3mx-attar gt 1Mffp PAGE F2 --]OF F STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF32088 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10193 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GARCIA KIRSTEN N ADDRESS&PHONE# L KIRKLAND SEXi F MMDooYBVYv 05 - 24 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 3 2 4 1 USE CLASS 1 ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { AVALOS JAVIER ADDRESS&PHONE# KIRKLAND SEX' M D.o.B. 01 _ OS - 2024 MMDDYYYY 1:11SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 POB. 10 AIRBAG 2 RESTR. 11 EJECT 1 USE CJU:R 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ D.O.B. - MMDDYYYY 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. STEVEN FAJARILLO 11-04-24 06:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 111512024 12:37:34 AM BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 5:49 PM TIME POLICE ARRIVED i 6:00 PM PAST B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F6 REPORT NO. EF32088 CASE# 24-10193 OF DATE AND r�N + 09/29/24 17:44 O�COLLISION NARRATIVE 24-10193 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 09-29-2024 1 was working as a police officer in the city of Renton. At approximately 1749 hours I was dispatched to the report of a non-blocking collision at 16600 Benson Rd S, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera. According to the notes in the call, a collision occurred with more than $1000 dollars damage. I arrived on scene and contacted the driver of Vehicle 1. He said he was travelling south at the 16600 block of Benson Rd S when the driver of Vehicle 2 slammed on his brakes. Driver of Vehicle 1 was unable to brake in time. Vehicle 1's front bumper collided with the rear bumper of Vehicle 2. Driver of Vehicle 1 did not have valid proof of insurance. The driver of Vehicle 2 had a similar story but advised he came to a stop prior to attempting a left hand turn onto SE 166th St. I provided both drivers with a case number. Both of their vehicle's were in drivable condition. Officer Danilyuk photographed the vehicles and uploaded them to Evidence.com. According to the facts regarding the case the driver of Vehicle 1 was the proximate cause of the collision as it was unable to come to a complete stop before it collided with Vehicle 2. There is no further information available at this time. 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 S. Fajarillo #12847 on 10/03/2024 @ 1913 hours in Renton WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Seat Position (Passenger JAVIER AVALOS): HELD IN CARSEAT BY KIRSTEN **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 6 REPORT NO. EF32088 CASE# 24-10193 DATE AND TIME 09/29/24 17:44 OF COLLISION> ' b 24 j Y } i 3 i o � V �Y us, axar ec noe jet" PAGE 5 OF 6 REPORT NO. EF32088 CASE# 24-10193 DATE AND TIME 09/29/24 17:44 OF COLLISION CL aw 3 PAGE 6 OF 6