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HomeMy WebLinkAbout24-8633 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 24-8633 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 2$
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#
COLLISION'. OS - 1-— 2024 1423 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
NE 7TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e EDMONDS AVE NE
0 1 29
MOTUNIT O1 VEHIOR Z PEDAL-CLE CYCLE ElYYESA�NO GE THRESHOLD MET PHONE 0 11
30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST 21P 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVERS. STATE SEX.U D.Q.B. 1 1 2 32
❑ :LICENSE# MMDDYY —❑
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE STATE VIN#'
10 2❑ Pr ATF�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
rRLR. TRLR. 1 5 33
12 2 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE R 7 34
13 2 HOND PRELUD SO DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO [NEW] VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT
VEHICLE ❑ ❑CYCLE ❑ OWNER ❑ YES 1/ NO D:4252690998
16 a
LAST NAME MIRAMONTEZ FIRST NAME DARLENE MIDDLE G
INITIAL
17❑ NEW STREETREs7 655 DAYTON AVE NE CITY RENTON ST WA ZIP 980563643 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT tSENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NoR INTERLOCK YES It1 I NOF YES l NO❑
19[—] DRIVER'S STATE WA ]SEX IF I D.O.B. 07 03 _ 1981 39
LICENSE# MMDDYY
WELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS 1 ❑
❑LICENSE I 21❑ PLATE# CLC TATE WA vIN# JF2(BTAPC2MH686336 41
4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2021 MAKE SUBA MODEL CROSST STYLE SD VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DARLENE MIRAMONTEZ 655 DAYTON AVE NE RENTON WA 980563643 D:4252690998 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 902372035IN 1 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 s a
7CATALAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12007 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF10934
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8633
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
POS. 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'
On August 16, 2024, at 1423 hours dispatch requested that I respond to a hit and run collision that
occurred at the intersection of Edmonds Ave NE and NE 7th St, in the City of Renton.
Upon my arrival I spoke with the driver of unit 2 who explained she was going westbound on NE 7th
St and mentioned she planned to continue straight through the intersection. Once they made their
stop, and proceeded through the intersection, they looked north and noticed that unit 1 was not
slowing down. The driver of unit 2 canted their vehicle to face south but was subsequently struck by
unit 1. Unit 2 sustained substantial damage to their right quarter panel, and unit 1 had severe damage
to their front bumper.
The driver of unit 1 stepped out of their vehicle and was described as a white male in his early 20's.
He inspected his vehicle but then stepped back inside and proceeded to flee the scene. He was last
seen going westbound on NE 4th St from Edmonds Ave NE.
Several witnesses described the vehicle as a white sedan. Some said it was Honda Prelude, A
Honda Accord, and a Toyota Camry.
Although a trail of radiator fluid was seen, I was unable to locate unit 1. 1 checked all the side roads,
back alleys, and parking lots nearby.
I provided the driver of unit 2 with my contact information and case number.
Unit 2 was disabled, but the driver stated they would attempt to drive their vehicle back home since
they lived 2 blocks away.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 08-20-24 03:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 9/2/2024 11:54:44 AM
BADGE OR ID# 1Y007 OR]#' ' WA0171300 TIME POLICE D18PATCHEDi 2:24 Pry TIME POLICE ARRIVED f 2:30 PM
PART I PAGE IT]OF 3�
REPORT NO.! EF10934 CASE# ' 24-8633 DATE AND TIME 08/16/24 14:23
OF COLLISION
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