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HomeMy WebLinkAbout25-1481 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EF67550 COLLISION REPRT 1591971 CASE# 25-1481 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO AGENCY 4100 3 COUNTY RD NVOLVED CODING 2❑ TOTAL 1 PRIVATE WAY 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 GDUISION' 02 - 15 - 2025 1809 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. ❑ MILE POST e 4a ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET H S 8 W e OAKESDALE AVE SW 0 4 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2066139406 0 1 30 6 LAST NAME RAMIREZ FIRST NAME JESUS MIDDLE 1 1 2 31 INITIAL STREET ❑ 4618 S RYAN WAY CITY TUKWILA ST WA ZIP 98178 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No✓ INTERLOCKYEs NO✓ YES No�/ 8❑ LICIENS# STATE WA SEX M MMOCSYY' 12 1 2 32 —NATURE OF 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT '.. 1 N U EET 2 CLASS 7 BLOODYMOUTHS 2 10 LI ENSE BVX5743 STATE WA VN# 1GNEK13Z54R211798 3 TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# ROM TO TRLR TRLR 7 1 33 1 3 FROM TO 2 5 VIN# vI. VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 Y GOVT VEHICLE 3 7 34 13 8 2004 CHEV TAHOE SD DAMAGE YES ✓ONo MEYERS Yes❑ No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 <�Q, 14 LIABILITY INSURANCE� INSURANCE CO pECOIN EFFECT &POLICY#v `LE CHARGE 36 Lemur YES❑NO❑ CITATION# 515 STM ING MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE' ❑ ❑ nWNFR YEs�/ No D:3604614551 16� LAST NAME KUEBLER FIRST NAME RYAN MIDDLE' M INITIAL STREET I�I ❑ 17 -- 432 MONROE AVE NE#115 CITY RENTON ST, Wq ZIP 98057 4 37 NEW ADDRESS ': 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSFORTED' 38 INTERLOCKYEs No✓ INTERLOCK YES ONOFZ1 vEs No✓ 19 DRIVER'S STATE WA II SEX M D.O.B. 09 01 1995 39 LICENSE# MMDC3YY — 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 5 HELMET 2 INJURY NATURE OF INJURIES 40 USE CLASS LAC TO FACE,BLOOD HAND,FOSS FX HAND 21[ LICENSLATE E CEB1997 rarE WA vIN# 3VW3L7AJ6CM464901 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2012 MAKE VOLK MODEL JETTA STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YEs�/ No GENE MEYERS YES No✓ REGISTERED OWNER INFO RYAN KUEBLER432 MONROEAVENE#115 RENTONWA98057 D:3604614551 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 4T01 YES vem1-1— ❑ N J ,.I—I CITATION11 CHARGE t08OTTOM ECAr 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 NICHOLAS GOODWIN 12884 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF67550 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1481 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME CEDENO LILITHJ (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# 432 MONROE AVE NE#115 RENTON WA 98057 SEX' F MMooYYvv 02 - 14 - 2019 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT 2 Sp EAT 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 2 CLASS 6 SEATBELTRASH ON RIGHT COLLARBONE 'NAME (LAST ,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -F L----------� MDDYYYY PASSENGER ❑WITNESS D 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 POS USE CLASS �____ ---- 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. NICHOLAS GOODWIN 02-16-25 04:41 AM INVESTIGATING OFFICER'S SIGNATURE UNIT ORDISTDET DATED PLACESIGNED APPROVED BY DATE CASEY PROCTER 12123 212112025 12:21:13 AM BADGE OR ID# 9Y884 ORI#' f WA0171300 TIME POLICE DISPATCHED'; 6:11 PM TIME POLICE ARRIVED 6:12 PM PART B 3 Do-lmx-,ao(R11YIs) PAGE 27 OF 47 EAN REPORT NO.` EF67550 CASE# 25-1481 O OF COLLI COLLISION TIME 02/15/25 18:09 COLLI NARRATIVE 25-1481 Unless otherwise noted, the following took place within the city limits of Renton, County of King, WA. On 02/15/2025 at approximately 1811 hours, I was dispatched to an unknown injury accident at the intersection of SW Grady Way and Oakesdale Ave SW. Dispatch advised "LANGUAGE BARRIER* MULTIPLE VEH ACC, LINK INJ, LINK BLOCKING". I arrived at the intersection and observed two vehicles with significant damage in the northwest corner of the intersection. I positioned my patrol vehicle just north of the collision site on Oakesdale Ave SW to assist with traffic control. Briefly observing the vehicles, I observed heavy front-end damage to both vehicles, along with airbag deployment in both. I contacted the driver of the Volkswagon Jetta, identified as Ryan M. Kuebler (09/01/1995) and later identified as Unit 2. Ryan was sitting on the northwest curb with his girlfriend's daughter, identified as Lilith J. Cedeno (02/14/2019). Ryan was the driver and sustained a laceration to the left side of his face along his left eye and eyebrow. Ryan also had blood on the top of his left hand and was complaining of significant pain to his right hand/wrist area. Lilith was emotionally upset and scared but appeared without injury. Later it was determined she sustained seatbelt rash along her right collar bone. RRFA was on scene quickly and evaluated both Ryan and Lilith. Ryan was transported to Valley Medical Center by Trilled. Lilith remained on scene and was taken home by her father after being cleared by RRFA. Lilith was in the rear passenger side of the vehicle in a booster seat that was seat belted. Ryan was in the driver's seat of the vehicle wearing his seat belt. There was airbag deployment in the driver's compartment of the vehicle. Other officers contacted the driver of the Chevy Tahoe, identified as Jesus Ramirez (12/25/1973) and later identified as Unit 1. Jesus was evaluated by RRFA and was relatively uninjured. Jesus had blood around his mouth, but likely due to airbag deployment. Jesus was wearing his seatbelt and was in the driver's seat. No other occupants in the Chevy Tahoe. After gathering information from both parties, I gathered the following: Unit 1 was traveling eastbound on SW Grady Way and was preparing to turn left and head northbound onto Oakesdale Ave SW. Unit 1 was in the left turn lane and had a flashing yellow light, indicating to turn when there was an opening. Unit 1 observed Unit 2 approaching the intersection, but believed he had sufficient time and space to make the turn successfully. Unit 1 attempted his left turn and was struck by Unit 2 in the intersection. Unit 2 was traveling westbound on SW Grady Way with the intention of continuing westbound through the intersection. Unit 2 entered the intersection and struck Unit 1, as Unit 1 was navigating his turn onto Oakesdale Ave SW. Neither party received citations. Gene Meyer's Towing arrived and transported both vehicles. Impound form was completed for Unit 2, as the driver was transported to Valley Medical Center prior to the tow leaving the scene. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer N. Goodwin 12884 at 0159 hours on 02/16/2025 in Renton, WA. PAGE 3 OF 4 REPORT NO. EF67550 CASE# 25-1481 DATE AND TIME i 02/15/25 18:09 OF COLLISION SS��krt"e �S k t ty tli t 1� 1 y �P rw r S' t� �St�st8' s 1 t r t k PAGE 4 OF 4