HomeMy WebLinkAbout25-516 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF58479 170
27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE 25-516 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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# ❑
cowsloN 01 - 1-- 2025 1535 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 7TH ST BLOCK NO. e✓ 150
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 225 00 FMILES N EET e S ❑ E e HARDIEAVESW
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068504281 0 11
30
6� LAST NAME GEREZGHER FIRSTNAME LETAY MIDDLE H 1 1 2 31
INITIAL
STREET El 11424 WOODLEY AVE S CITY SEATTLE ST WA 2jp, 981783156 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES N.F—j YES NO
8❑ LRIIVER # STATE WA SEX'F MID
.O B 01 — 01 — 1965 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 AT 14 ANV4629 STATE WA VIN# JTEHP21A370209546
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM ro
TRLR. TRLR 7 3 33
12 3 0 VIN#' VIN#I
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2007 TOYT HIGHLA DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO LETAY GEREZGHER 11424 WOODLEYAVE S SEATTLE WA 981783156 D:2068504281 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PEMCO CA 1946714 4
IN EFFECT &POLICY# 9TOP
veHlcLe CHARGE 1 5 36
LEGALLv res�No M CITATION# 5A0151253 IMPROPER LANE USAGE )o eorroM
15❑ NDING 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:2064274558
16 a
LAST NAME NGUYEN FIRST NAME MY MIDDLE L
INITIAL
17❑ STREET ❑', 925 S 32ND ST CITY' RENTON ST WA ZIP 980555308 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 11
19 DRIVER'S STATE WA SEX M D.C.B. 03 _ 01 1940 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE AON2839 TATe WA vIN# 2T3RFREV9DW081208
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2013 MAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO MY NGUYEN 925 S 32ND ST RENTON WA 980555308 D:2064274558 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#ECO STFARM414201BE1247IN 1UQ,
5VE""LE ❑ ,J� CITATION# CHARGELEGALYYES N`L J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF58479
COLLISION REPORT III III III III III 111
1591972 CASE# 25-516
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ 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.
M.LEVERTON 01-15-25 04:26 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 112212025 2:10:24 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 3:35 PM TIME POLICE ARRIVED',3:38 PM
PART I PAGE IT]OF 4�
REPORT NO. EF58479 CASE# 25-516 OF COLLISION
0111 5/25 1 5:35
OF CbLLI510N
NARRATIVE
slv/1 "in hurry" changed lanes inti unit 2 grn/2
CC
Within the city limits of Renton/King/Wa I responded to a 2 car blocking crash at about the 150 block
of SW 7th St.
Both vehicles were stuck together and blocking lane 1 eastbound. Both vehicles were able to move
into a nearby parking lot clearing the roadway.
I contacted the driver of unit 2 who told me he was just going east on SW 7th St when unit 1 seemed
to just turn into the side of his vehicle. He did not complain of injury and damages did require a tow
truck.
I contacted the driver of unit 1 ID'd by picture WADL. She told me she was in a hurry and was trying
to get over into lane 1 from lane 2. She said she believed had the right of way even though she was
changing lanes. She did not complain of injury and damages did not require a tow truck.
I cited unit 1 ref RCW 46.61.140 Improper lane use/lane change 2 car crash via complaint.
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 1/15/2025
PAGE 3 OF 4
REPORT NO. EF58479 CASE# ' 25-516 DATE AND TIME 01/15/25 15:35
OF COLLISION
, s
40,
oil
E
vt
L
d
t< tr
a
y
y
c \
i
PAGE 4 OF 4