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HomeMy WebLinkAbout24-12033 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 24-12033 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 7 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# ❑
COLLISION'. 11 - 20 - 2024 1719 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 3800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 500 00 FEET e S ❑ W e QUEEN AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066184131 1 2 30
6� LAST NAME OCAMPO FIRSTNAME GESENIA MIDDLE 1 2 31
INITIAL
STREET ❑ 1412 JEFFERSON AVE NE CITY RENTON ST I WA 2jp, 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
✓ I iNTERLOCKYEs NO NTERLOCKYEs NO✓ YES R No
8 LRIIVER # STATE SEX'F MID
.OB 02 1- 15 - 1999 2 32
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 INJURCLASY
I 1 NATURE OF INJURIES z❑
3
10 2❑ I P1 ATNES# C75263V sTAr WAv N# 3TMDZ5BN4MM104636
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 7 33
12 0 0 VIN#' VIN#'
2021 TOYT TACOM 4C I FROM 34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED By GOVT.VEHICLE
13 4 DAMAGE YES NO ✓ YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑ SHADE IN DAMAGED AREA ❑ 35
14 IN EF ITCY INSURANCE❑ INSURANCE CO NONE 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STAIN.D'ING 7 6
UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNERMOTO PEDAL RTY ❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
ESSSTREET CITY RENTON ST ZIP 4
17❑ NEW ADDR ❑• ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NOR INTERLOCK yEs I I NOF YEs t l NO❑
19 LLIICENS RIVERIS# STATE SEX U MMDDYY 39
WELMET 1NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
❑21❑ LICENSE TArE vIN# 41
1
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE pLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
G
VEH YEAR MAKE MODEL STYLE DAMAGE TOWED NOO✓ BLIN TOWEDBY OV YES N HIO✓ 44
24❑ YES
REGISTERED OWNER INFO UNKNOWN UNKNOWN RENTON VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ &POINSULICY#E CO UNKNOWNIN I STOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY YES N`LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JAREN JOKELA 1 12805 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF44866
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12033
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'
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.
JAREN JOKELA 11-24-24 05:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 07691 1 1211112024 3:23:08 PM
BADGE OR ID# ( 12805 OR]# WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',6:08 PM
FART I PAGE IT]OF 5�
REPORT NO. EF44866 CASE# 24-12033 OF COLLISION
11/20/24 17:19
OF CbLLI510N
NARRATIVE
Renton Case #24-12033
On 11/20/2024 at 1755 hours I was dispatched to the 3800 block of NE 4th St in the City of Renton,
King County, Washington. I was responding to a call of non-injury, blocking, hit and run accident. This
incident was captured on my body worn video camera. This report is a summation of events that
occurred and is not an exact sequence of events.
While en route, dispatch advised the following: On road in front of location, hit and run, unknown
injuries, suspect vehicle: gray Toyota Camry. Direction of travel westbound towards 1-405.
At approximately 1808 hours, I arrived on scene and located Unit 1 vehicle, in the Windermere
parking lot (located at 3800 NE 4th St). It that had been removed from the roadway by Bankers
Towing.
I identified Unit 2 as a 2021 Toyota Tacoma (WA LIC # C75263V) being driven by the registered
owners wife, verbally identified as Gesenia Ocampo (DOB 02/15/1999).
As Ocampo did not speak English, all communication was done via language line. Unit 1 driver told
me that she was traveling westbound on NE 4th St in the number 1 lane of travel. As she was
traveling westbound, an unknown make/model vehicle exited the Maplewood Park Apartments from
the south side of NE 4th St. Unit 1 driver said that Unit 2 vehicle entered the roadway and turned
eastbound on NE 4th St into her lane of travel and hit her vehicle head on. Unit 1 driver said that Unit
2 vehicle then quickly backed up, and continued driving westbound on NE 4th St. Unit 1 driver did not
have any description for Unit 2 vehicle.
In the vehicle with Unit 1 driver was her 10-month-old daughter. Unit 1 driver said that the child was
located in the rear seat of Unit 1 vehicle, in a car seat.
While speaking with Unit 1 driver, she complained of being dizzy and having high blood pressure.
Renton Fire was then dispatched to the scene and evaluated Unit 1 driver and her young daughter.
No injuries were noted to either.
I observed a significant front end damage to Unit 1 vehicle, consistent with the series of events as
described by Unit 1 driver.
Unit 1 driver did not have a WA DL or vehicle insurance.
I took pictures of Unit 1 vehicle and later uploaded them to Axon Evidence.
I provided Unit 1 driver with a business card, case number and then cleared the scene.
A family member arrived on scene and removed Unit 1 from location.
There is no further suspect vehicle (Unit 2) description and no noted witness'.
This ends my report.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 11/24/2024 at 1727 hours in Renton, Washington.
PAGE 3 OF 5
REPORT NO. EF44866 CASE# 24-12033 OF COLLISION
11/20/24 17:19
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EF44866 CASE# ' 24-12033 DATE AND TIME 11/20/24 17:19
OF COLLISION
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