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Home My WebLink About25-702 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF63081oc� RA COLLISION REPORT 1591971 ❑ 0 RESULTED I $ 25-702 2 INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDL�ISION' 01 - 22 - 2025 0814 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 43 RD ST BLOCK NO. e 400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e DAVIS AVE S 2 0 29 MOTOR PEDAL- DAM G THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:4252608574 0 1 30 5 LAST NAME KERSTEN FIRST NAME DAKOTA MIDDLE C 1 2 31 INITIAL STREET ❑ 4818 DAVIS PL S UNIT D CITY; RENTON I ST WA ZIP 980557991 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKVEs No YES NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 04 - 07 - 1996 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2 LICENSE, CHM6908 STATE WA V(N#; JMIGJ1W62E1140050 3 10 Fq I PI ATP rt 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IE.M To TRLR rRLR 7 1 3 33 12 3 5 VIN# vIN# FROM TO 13 2 VEH.YEAR2014 MAKE MAZD MODEL 6 STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LRS GES❑END 7 3 34 DAMAGE IIII._IIII HHttVVii((tt REGISTERED OWNER INFO DAKOTA KERSTEN 4818 DAVIS PLS UNIT D RENTON WA 980557991 D:4252608574 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE NSURANCE CO USAA 0088802 30C IN EFFECT &POLICY#VEHICLE YES OUR, srgNOLNG ❑ ❑ SA0151259 CHARGE IMPROPER LANE USAGE 36 NO CITATION# 15 UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR 16� LAST NAME SUG/MOTO FIRST NAME DENNIS MIDDLE G INITIAL 17 F1 STREET ❑❑ 16728 SE 173RD ST CITY RENTON ST, WA ZIP 980589580 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. ❑ 38 INTERLOCKYEs NO INTERLOCK YE NO vEs NO 19 DRIVERS ' MMDDYY — : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT I HELMET INJURY NATURE OF INJURIES 40 USE CLASS I ❑ 21 LICENSLATE E AOD6059 TATe WA VIN# JTJHA31 U540050687 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2004 MAKE LEXS MODEL RJ( STYLE VEHICLE TOWED✓ No BLIN BANKERS 24 REGISTERED OWNER INFO DENNIS SUGiM0T016728 SE 173RD ST RENTON WA 98058 D:2064985625 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO SAME. IN EFFECT &POLICY# 9TOP VEHIE ,J—I CITATION11 CHARGE t080TTOM CLE L' L YES❑ N 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF63081 COLLISION REPORT III III III III III 111 1591972 CASE# 25-702 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) DANCI DANIUL ADDRESS&PHONE 2532667757 SEXi U MMDppYBYYy 01 — 01 — 1995 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS -- —� :NAME (LAST EIFS7 MIDDLE INITIAL) { FISHCHUK KATE A ADDRESS&PHONE# 2066889552 SEX' U MMDo BYr 02 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ �✓ POS. USE INJURY ---� SS :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX I D.O.B. — MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES PCS 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. M.LEVERTON 01-22-25 02:40 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE 2/6/2025 12:39:51 PM C.JACOBS 1953 BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 9:14 Aryl TIME POLICE ARRIVED i 9:20 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EF63081 CASE# 25-702 O OF COLLI 510N TIME 01/22/25 09:14 COLLISION NARRATIVE wht/1 Ig into blu/2 lane 3 crossed onto sidewalk unit 3/gold slowed blk/4 reared CC Within the city limits of Renton/King/Wa I responded to a 4 vehicle blocking crash near the intersection of Davis Ave S at S 43rd St. While enroute Dispatch advised one vehicle left the roadway and crashed into a fence or railing. When I arrived I located a vehicle across the sidewalk and resting close to a fence. Other cars were stopped in the roadway eastbound lane 1 but one was a witness vehicle. I contacted the drivers of unit 3 who told me she was east on S 43rd St when there was a crash near her so she slowed to a avoid contact with unit 1 and as she did she was hit from behind by unit 4. She told me unit 1 had hit another car in lane 3 and then swerved back across two lanes of traffic going over the sidewalk. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 4 who told me basically what unit 3 did but as unit 3 slowed to avoid contact with unit 1 she bumped the back of unit 3. She claimed there was hardly a scratch on her vehicle. She did not complain of injury. I contacted the driver of unit 2 who told me he was in lane 3 eastbound S 43rd St when unit 1 changed lanes into the side of his car. He saw unit 1 then swerve back across the road. He was able to get his car off the roadway but it did require a tow truck for damages. He did not complain of injury. contacted the driver of unit 1 ID'd by his matching picture WADL who said he was trying to get over to his left while eastbound in lane 2 into lane 3. He told me he hit unit 2 and swerved back across lane 2 and lane 1, up and over sidewalk where he came to rest. The back of his car was blocking a portion of lane 1 and the front over the sidewalk. He did not complain of injury and damages required a tow truck. I cited unit 1 ref RCW 46.61.140 Improper lane use 4 vehicle 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 1/22/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF63081 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE# 25-702 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 2 TYPE IF] 1 5 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS �{ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT�T : 3 VEHICLE CYCLE C) PEDESTRIAN C OWNER El YES NO D:3196519791 0 6 29 LAST NAME BHARATI FIRST NAME I SHIKHA MIDDLE' N INITIAL STREET 30 NFW AnnRrRP 5920 S 235TH ST APT S101 CITY KENT ST WA ZIP 980323372 6 PRESENT MEDICALTANSPORTED 1 2 31 CDL IGNITION REQUIRED 1{iNi7ION :: INTERLOCK YES NO :INTERLOCK YES 0-0 1YES N.. L DRIVER'S D.O.B LICENSE WA SEX F MMDDVY 07 - 11 - 1988 7 ❑ ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET INJURY 1 NAruRE of INJURIES USE ;CLASS 8 ❑ 1 1 2 32 LICENSE BVA3090 TAT WA VIN WDCTG4EB3JJ437507 PLATE# 9 9] TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.#. VIN# -------------- 11 3 5 VEH.YEAR2018 I MAKE MERZ MODEL GLA STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO11 REGISTERED OWNER INISCHAL KAFLE 3800636TH PL S AUBURN WA 98001 7 3 33 NFO 12 3 5 SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE COST FARM 490 8042 EOf 47C IN EFFECT � &POLICY# � "�7t1P 34 13 ❑ v...... YES NCEJ CITATION# CHARGE 1080TTOM e ALLY sTnNoiNc 3. 7 G. DAMAGE THRESHOLD MET PHONE 35 14 UNIT# 4 MOTOR � PEDAL- ❑ PEDESTRIAN ❑ OWNER PROPERTY YES NO VEHrCLE CYCLE OWNER ,/ D:8083512508 36 LAST NAME FIRST NAME N 15 EPPERSON TIANA MIDDLE' INITIAL 16 STREET ❑': 6821 UDALL PL SE APT 6207 CITY; AUBURN ST WA ZIP 980929604 NEW A[SDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED 17 INTERLOCK YES NO INTERLOCK YES Nt;i '.YES NO. DRIVER'S STATE WA SEX F D.O.B 37 18 LICENSE# 04 - 05 - 1985 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET .INJURY 1 NATURE OF INJURIES 38 ❑ USE CLASS 19 ❑ LICENSE' ❑ PLATE# CKX9007 TAT WA vIN# 2GNAXUEV7M6118790 39 20 TRAILER I I TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN#�, VIN#Y 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 2021 CHEV EQU/NO DAMAGE YES NO YES NO IV 23 REGISTERED OWNER INFO.TIANA EPPERSON 6821 UDALL PL SE APT B207 AUBURN WA 980929604 D:8083512508 SHADE IN DAMAC ED AREA 43 2 3 4 NA EFFIECTNSURANCE INSURANCE CO CE/C0 417 42 8889 OTI'._._ 44 ❑ &POLICY# ._„_ vewc�e ❑ ❑ CITATION# CHARGE 70 BOTiC?M 24 I..EG_ YES NO STIWDING & 3 G I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 01-22-25 02:40 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED / BADGE OF�26 2517 ORIWA0171300 ACOBS 26/22 PAGE ORID# # 3000-345-013(R 11t18) REPORT NO. E F63081 CASE# 25-702 DATE AND TIME 01/22/25 09:14 OF COLLISION> ' Fay, i z 1scz �5 t' ?r a t yt. Fr z t; F,. b }t � � Y .F .`••i s`nm �� Zt z z ` fi ti >u d i i Ay �y r r � t , PAGE 5 OF 5