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HomeMy WebLinkAbout25-3079 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF80148oc� RA COLLISION REPORT 1591971 FIRE CASE# 25-3079 2 INTERSTATE � CITY STREET ❑RESULTED 1 1 STATE ROUTE OTHER STOLEN ❑ � VEHICLE ❑ LOCAL AGENCY 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED TOTAL 1 2❑ TRIBAL UNITS#OF 03 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E cbLLISION' 04 - 06 - 2025 0707 17 =.= S 8 W e IN OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION MAPLE VALLEY HWY MILE POST e 2500 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S 8 W 2 3 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5104181944 0 1 30 6❑ LAST NAME AVELLANEDA-CARMONA FIRST NAME IRWING MIDDLE p INITIAL 1 2 31 STREET ❑ 16700 31 ST AVE S APT150 CITY SEATAC ST; WA ZIP 98188 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO�/ INTERLOCKYEs N �/ YES�/ NO 8� LICIENS# STATE WA SEX M MMor YY' 04 - 16 - 1992 1 2 32 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT, 1 HELMET 2 INJURY 6 NATURE of N SE&S 2 USE CLASS BLOODY NOE&SODYPAIN 10 9 LI ENSE', A8125566 sTArE WA vrN# 5YJ3E1EBOKF437600 3 TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# RON To rRLR TRLR 3 7 33 1 0 '.....: FROM TO 2 Q VIN# VIN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT VEHICLE 7 3 34 13 2 2019 TESL MODEL SD DAMAGE YESONo �MEYERS Yes No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ ANCE CO 14 �/ DA/RYLAND AUTO 11410023136 IN EFFECT &INSURPOLICY# 9TOP vEnicLE CHARGE S 36 Lemur YES[:]NO[:] CITATION# 7 o BOTTOM 15❑ STMDwc 7 e III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES,/ NO D:5202802771 16� LAST NAME LINCOLN FIRST NAME DEVIN MIDDLE I M 17 F1 INITIAL I STREET ❑ 'NEW ADDRESS❑ 2607 NE 4TH ST APT 228 CITY I RENTON ST, WA ZIP 98056 4 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIOAL TRANSPORTEDI 38 INTERLOCKYEs No INTERLOCK YES NO YEs No 19 DRIVER'S STATE WA SEX NI D.O.e. 03 13 2004 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY' 6 NATURE OF INJURIES 40 USE CLASS BLOODY NOSE&LEG PAIN 21 LICENSLATE E CFH8191 TATE WA VIN# 1HGCR6F74FA010545 � 41 42 22❑ PLATE# STATE PATE# STATE 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2015 MAKE HOND MODEL ACCORD STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE vEs�/ No GENE MEYER REGISTERED OWNER INFO DEVIN LINCOLN 2607 NE 4TH ST APT 228 RENTON WA 98056 D5202802771 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO UNKNOWN UNKNOWN IN EFFECT &POLICY# 9TOP vemae ❑ CITATION11 CHARGE to BOTTOM LEGnllr YES N 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 BLAKE BOWIE 12105 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF80148 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3079 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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. BLAKE BOWIE 04-06-25 11:21 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 4/6/2025 3:33:39 PM BADGE OR ID# 12105 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:09 AM TIME POLICE ARRIVED 7:14 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT No.` EF80148 CASE# 25-3079 COLLI SICiN TIME OF 04/06/25 07:07 COLLI NARRATIVE On 04-06-2025 at 0709 hours I was dispatched to Maple Valley Hwy/ SE 5th St, in the City of Renton, County of King, State of Washington, for a reported three vehicle collision with injuries. While enroute, dispatch advised that three vehicles were in a collision and they were blocking all lanes of Maple Valley Hwy. The three vehicles included a Tesla, Tahoe, and sedan. The reporting party stated the Tesla involved in the collision was going 80-90 MPH. The next update was that a subject was trapped in a white sedan. Upon Arrival, the Renton Fire Department was already on scene evaluating the three drivers. All three vehicles has significant damage and blocked all lanes of traffic. I contacted Dale R. Thurman (DOB: 11-21-1962) which was the driver of the white 2021 Chevy Tahoe (WA LIC: CPY0957). He stated he was in the left lane going eastbound on Maple Valley Hwy through the "S" curves when the Tesla going westbound drifted into the eastbound lanes at a high rate of speed. The Tesla hit the front side of the white sedan, spun and hit the front of his Tahoe. Dale tried to turn out of the way but it was to late. Dale had minor injuries to hit finger but his back/neck was hurting so he was transported to Valley Medical Center for further evaluation. 1 provided Dale with my business card which contained the case number for his records. Next, I contacted Devin M. Lincoln (DOB: 03-13-2004) which was the driver of the white 2015 Honda Accord (WA LIC: CFH8191). He was shaken up and not feeling very well so he did not remember much of what happened. He remembered driving eastbound on Maple Valley Hwy when a Tesla came into his lane and hit him. His airbags went off and eventually some people were pulling him out of his vehicle. Devin was bleeding from his nose and his leg hurt so he was transported to Valley Medical Center. I provided his family with my business card which contained the case number for his records. Officer Fajarillo spoke with Irwing D. Avellaneda-Carmona (DOB: 04-16-1992) which was the driver of the gray 2019 Tesla Model 3 (WA LIC: A8125566). Irwing stated he was driving eastbound on Maple Valley Hwy (which seems to be incorrect) after his shift at Amazon. While driving 35 mph, his Tesla drifted into the other lane and he tried to correct it but got in a collision with the other vehicles. He does not know how he got into a collision and did not know where the other vehicles were. See Officer Fajarillo's report for further information. Irwing had minor injuries and was transported to Valley Medical Center for further evaluation. All three vehicles had significant damage so they were all towed. Based on the information gathered from the drivers, looking at the damaged vehicles, and where they ended up, 1 believe the following happened. The Honda and Tahoe were driving eastbound on Maple Valley Hwy when the speeding Tesla was unable to maintain its lane around the curve of the road and came into oncoming traffic. The Honda was hit on the front drivers side corner/door which pinned the driver inside and pushed the Honda to the far south cement barrier. Once the Tesla hit the Honda, the Tahoe was trying to turn out of the way but the Tesla spun and hit its back passenger side straight into the front of the Tahoe. The Tahoe was pushed into oncoming traffic and the Tesla stopped sideways in the middle of the four lanes facing north. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electrically signed by Officer B. Bowie / 12105 on 04-06-2025 at 1050 hours in the City of Renton. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF80148 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 25-3079 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 # PLACARD GWVR NO NUMBER SOURCE AXLES1:1 + NAME IF 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT : 3 �✓ PEDESTRIAN vps No D:2069311029 5 VEHICLE CYCLE OWNER 0 1 29 I NITIAL E LAST NAME THURMAN FIRST NAME DALE I ; R ITCA STREET 30 NEW nDDR s 24211 231 ST AVE SE CITY MAPLE VALLEY ST WA ZIP98038 6 IGNITION REQUIRED iIGNITION PRESENT MEDICALTANSPORTED: 1 1 2 31 CDL INTERLOCK YES; NO�/ INTERLOCK YES NOS/ YES / N G DRIVERS STATE WA SEXM D.O.B 11 LICENSE; MMDD w - 21 - 1962 ATURE 7 HELMET INJURY NIGEIOFINJURIEs ON DUTY STATUS: AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 6 FINGER AND BACK/NECK PAIN LICENSE CPY0957 rar WA VIN# 1GNSKNKD5MR123270 PLATE# 9 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2021 MAKE CHEV MODEL TAHOE I STYLE VEHICLE TOWE�/ E T ABLI �9�Y'ER GO VT AMAGE YES NO S VFHINOCI E PROM TO D YE REGISTERED OWNER INFOOWNED BYDRIVER 7 3 33 SHADE IN DAMAGED AREA 12 3 4 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2027362522 ROM TO ❑ IN EFFECT &POLICY# 34 13 2 vEnic�E YES NO[jj CITATION# CHARGE 1C}80T TC)M ecauv s-rnNoiNc A 6 MOTOR PEDAL_ ' PROPERTY DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIIT ALE MIDDL ❑ 16 ❑ STREET CITY ST! ZIP NEW ADDRESS" GNITION REQUIRED GNITION PRESENT MEDICAL TANS. PORTED NTERLOC O 17 INTERLOCK Y=ESNO YES NO 4 37 LLIICENSE RIVERS STATE SEX MMDD _� 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER TRAILER ❑ 40 PLATE#. STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN#�. VIN#+. 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE[—] INSURANCE CO IN EFFECT &POLICY# t.K-99 5 44 vFHic�F ❑ ❑ CITATION# CHARGE 24 IEG_ VES NOSTIWDING3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BLAKE BOWIE 04-06-25 11:21 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR ID# ! 12105 O#RI WA0171300 APPROVED BY 41612025 PAGE[4 OF 3000-345-013(R 11l18) REPORT NO. EF80148 CASE# 25-3079 DATE AND TIME i 04/06/25 07:07 OF COLLISION eta i uti b }1F a i� Rn �t�Vgp } PAGE 5 OF 5