The URL can be used to link to this page

Home My WebLink About25-768 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67169OLCERA �, N,... COLS-'J'®N RERT 1591971 FIRE I CASE 2sass 2 Q 7 INTERSTATE CITY STREET � RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-A`CENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 01 - 24 - 2025 1339 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. RAINIER AVE S 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e S 7TH ST 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2539045138 0 8 30 6 LAST NAME KENNAR FIRST NAME WALTER MIDDLE M 1 2 31 INITIAL STREET ] 10306 20TH ST EAPT G207 CITY; EDGEWOOD ST WA ZIP; 983721440 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 - 17 - 1994 t 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASSY 1 NATURE of INJURIES 2= 10 1� LI ENSE' BXF3209 STATE WA VrN 2C3CA5CG8BH514682 3 TRAI STATE TRAILER LER STATE 11 3 5 ,LATE# PLATE# FROM To TRLR rRLR 5 1 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2011 MAKE CHRY MODEL 300 STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES NO REGISTERED OWNER INFO NATASSIAFUALAAU210OS260THSTAPTB301 DES MOINES WA 98198 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 3 4 14 4 LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 4TOP vEnicLE CHARGE 7o 80TTOM 5 36 15 STANDING yes❑NO❑ CITATION# 5A0151264,5A0151264 OP MOT VEH W/OUT INSURANCE, s 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2088094100 16� LAST NAME AL DOORI FIRST NAME SOHAIB MIDDLE' T INITIAL STREET ❑ 37 17 ❑ 18885 109TH AVENUE CT E CITY PUYALLUP ST, WA ZIP 983743050 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 INTERLOCKYEs No INTERLOCK YES yo YEs No' 19� DRIVER'S STATE WA SEXI M D.O.B. 07 20 1996 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 7 HELMET INJURY NATURE OF INJURIES ❑ 40 USE CLASS NECK 21 LICENSE,LATE# BJY5819 rare WA VIN# 1 FADP3K28FL357579 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2015 MAKE FORD MODEL FOCUS STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO SOHAIB AL DOORI 18885109TH AVENUE CT E PUYALLUP WA 983743050 D:2088094100 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO AMFAM41025-47228-69 IN EFFECT &POLICY#-1— 'GALLYES N, I CITATION# CHARGE <E�Da L 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF67169 COLLISION REPORT III III III III III 111 1591972 CASE# 25-768 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. 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 01-24-25 02:44 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 211912025 1:51:05 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1:40 Pry] TIME POLICE ARRIVED i 1:49 Pry PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF REPORT NO. EF67169 CASE# 25-768 O OF COLLI 510N TIME 01/24/25 13:39 COLLISION NARRATIVE blk/1 rear blue /2 blue/1 CC Within the city limits of Renton/King/Wa I responded to a 3 car blocking crash at the intersection of Rainier Ave S at S 7th St. I contacted the driver of unit 3 who told me she was stopped at the red light lane 3 northbound Rainer Ave S when unit 2 hit by unit 1 bumped into the back of her car. She complained of a sore neck, checked and released on scene by Renton Fire. Damages did not require a tow truck. I contacted the driver of unit 2 who told me he was very sore from being hit from behind by unit 1. He told me he was stopped and unit 1 drove into the back of him forcing him into unit 3. Renton Fire checked and was going to transport him for his complaint of injury. He chose to take himself as to not lose possession of his vehicle. Damages did not require a tow truck. I contacted the driver of unit 1 ID'd by picture WADL. Unit 1 told me they spaced out or something and didnt realize anything until they hit the car/unit 2 in front of them. I asked about drugs and/or alcohol and was told they took some Tylenol earlier in the day but nothing else. There was no obvious signs of impairment, just wasnt paying attention to notice the light was red and traffic was stopped in front of them. Unit 1 did not complain of injury and damages did not require tow truck. Unit 1 was unable to provide valid proof of insurance. cited unit 1 ref RCW 46.30.020 No insurance and ref RMC 10-12-25 Driver Inattention 3 car injury 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 1/24/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF671 69 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE# 25-768 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS 'J MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER '.� YES NO D:2065811371 0 7 29 LAST NAME BENTLEY FIRST NAME MALASIA MIDDLE. M INITIAL STREET CITY 30 NFW AMSRFs 4210 S MYRTLE ST SEATTLE ST WA ZIP 981183828 6 ❑ CDL GNITION REQUIRED .:I PRESENT MEDICALTANSPORTEDI 1 1 2 31 I IGNITION :: INTERLOCK YES. NO NTERLOCK YEs Nd I YES[:]NO. DRIVER'S D.O.B 2 LICENSE.: wq SEX F MMDavY 06 - 29 - 2004 7 HELMET I INJURY NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 7 SORE NECK LICENSE PLATE# CFU7243 TAT WA VIN 1FADP3F26HL246378 9 TRAILER TRAILER L PLATE#i STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2017 MAKE FORD MODELFOCUS STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI F FROM To DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOMALASIA BENTLEY4210 S MYRTLE ST SEATTLE WA 981183828 D:2 6 5 8113 71 SHADE IN DAMAGED AREA 9 9 33 0 12 2 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2020098763 GQ0 IN EFFECT &POLICY# 34 13 vewc�e YES NO CITATION# CHARGE ecauv s-rnNoiNc � MOTOR PEDAL- ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YEEF-1 NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST' ZIP NEW ADDRESS" CDL IGNITION RE6UIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES[]NO INTERLOCK YEs NO YES NO ❑ 17 : 37 LLIRIVERSICENSE# STATE SEX MMDD 18 ❑ ❑ HELMET NJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER' TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# w� ) E 44 24 vIece YES❑ NO CITATION# CHARGE OM STF_ G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 01-24-25 02:44 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 GRID# 2517 O#RI WA0171300 APJACOBS 2119/2025 PAGE OFF 3000-345-013(R 11/18) REPORT NO. E F67169 CASE# 25-768 DATE AND TIME 01/24/25 13:39 OF COLLISION> ' } y 1 a k Yt 4t l r * t„ PAGE 5 OF 5