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HomeMy WebLinkAbout24-11425 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-11425 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4150 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# GawsloN 11 - 1-- 2024 2051 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BURNETT AVE S BLOCK NO. e✓ 300 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e S 4TH ST 0 3 29 MOTU '�01 VEHtOCLEZ PEAL-CYMLE. El �ESAGE NHORE✓LD MET PHONE 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY ST ZIP z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ LIRCIENSRE# STATE SEX u MMDOOYY '❑- 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro rRLR. TRLR 1 7 33 12❑ VIN# VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34 13 4 DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLe CHARGE 1 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2136040621 16 a LAST NAME AMAYA FIRST NAME JOSE MIDDLE R INITIAL 17 STREET❑ NEW ADOREss❑' 339 BURNETT AVE S,APT 203 CITY' RENTON ST WA ZIP 98057 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCK YES�NOR INTERLOCK YEs It I NO YES t l NO❑ 19 DCENS# SEX M M D.C.B. 02 1_ 22 _ 1980 39 20 ON DUTY STATUS 3 AIRBAG RESTR EJECT H U MEET CLASINJURS ABRASION 7 NATURE OF INJURIES ABRASION TO LEFT KNEE,PAIN IN FOOT ❑ 40 ❑21❑ LICENSE TATE 41 VIN# `1 PLATE# 42 22 [TRAILER T ❑ PLATE# STATE PLATE#ILER STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 1 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE #E CO IN EFFECT &PO I 9TOP 5 VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM LEGALLY YES N`LJ 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.THOMPSON 10499 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF38793 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11425 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ALMONTE HAYLIE S (LAST FIRST, ADDRESS&PHONE# RENTON 2532408297 SEXi F MMDOYyry 07 - 01 - 2000 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) CHANEY EMILY A ADDRESS&PHONE# DOB 408 SHATTUCK AVE S RENTON WA 98057 2534315706 SEX F MMDDYVYv 02 - 20 - 1994 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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.THOMPSON 11-03-24 10:01 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 1112312024 9:53:20 AM BADGE OR ID# 10499 ORI# WA0171300 TIME POLICE DISPATCHED 8:82 Pry] TIME POLICE ARRIVED',8:54 PM PART Ei PAGE IT]OF 4] REPORT NO. EF38793 CASE# 24-11425 OF COLLISION 11/03/24 20:51 OF CbLLI510N NARRATIVE Case 24-11425 On November 3, 2024, at about 2052 hours I was dispatched to the intersection of Burnett AVE S and S 4th ST in Renton City, King County, Washington State for a hit and run collision involving one vehicle and a pedestrian. Upon arrival I located the pedestrian lying on the NE corner of the intersection on the sidewalk. The pedestrian was know to be deaf and blind. His wife and other witnesess were with him. The wife did not see what happened just heard her husband scream and when she looked back he was lying on the ground with his guide dog. The two witnessess relayed what they observed. The pedestrian was stopped facing east on the NE corner of the intersection. They were stopped facing west on S 4th ST at Burnett AVE S. They were to continue westbound. Their light turned green and as they were entering the intersection a small silver SUV came through the intersection from the north and turned west onto S 4th ST. The vehicle almost hit them and they began honking at it. A person yelled from the Unit 1. They also heard someone scream from where they were almost hit. They turned around and saw the pedestrian on the ground. The pedestrian had a large abrasion to their left knee and relayed their foot hurt. The pedestrian's wife said the pedestrian never exits the crosswalk until he feels the vibration. This conicides with the witnessess stating their light was green. An area check was conducted but Unit 1 was not located. I checked for surveillance cameras but I did not see any that were pointed to the intersection. There is no suspect information at this time. The pedestrian was transported by his wife to the hospital for follow-up. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Officer Thompson, M #10499 PAGE 3 OF 4 REPORT NO. EF38793 CASE# ' 24-11425 DATE AND TIME 11/03/24 20:51 OF COLLISION k U � �. N' k T C � , 1 } } r k ry s k � J } �U k y ky PAGE 4 OF 4