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HomeMy WebLinkAbout25-295 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF58437 170 27 COLLISION REP FIT 1591971 ❑ ❑ RESULTED ❑ CASE# zs-zss 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 7 28 TRIBAL UNITS 03 STRUCK RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ Ct ELISION' 01 - 09 - 2025 1228 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RENTON AVE EXT BLOCK NO. e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 175 00 FMILES EET e S ❑ W e RAINIER AVE S 0 4 29 MOTOR PEDAL- DAMAGETHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO D:7328740963 0 11 30 6� LAST NAME BLUE FIRSTNAME CARDICAL MIDDLE C 1 2 31 INITIAL STREET ❑, 1201 S CLOVERDALE ST CITy SEATTLE ST WA 2jp, 98108 2= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # STATE WA SEX'M MD. I B Y' 10 - 17 1- 1995 1 2 32 9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 HELMET U E 9 CLASS 0 NATURE OF INJURIES 2❑ 3 LICENSE CDW5649 STATE WA VIN# 2C3CDZAG5JH229230 10 9❑ Pr ATF� TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. A'RL.R. 1 3 33 12 3 5 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 2 2018 DODG CHALLE DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO CARDINAL BLUE 1201 S CLOVERDALE ST SEATTLE WA 98108 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[Z INSURANCE CO GEICO 6142474730 2 3 4 IN EFFECT &POLICY# 9TOP wLE res CHARGE 5 36 LECAvecIIv ❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ NO D:2069816705 16 a LAST NAME GARDUNO MORENO FIRST NAME ELIZABETH MIDDLE N INITIAL 17 STREET❑ NEW ADOREss❑' 321 F ST SE CITY AUBURN ST WA ZIP 980025508 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 F] D IVEW # INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 1 USE CLASS ❑ LICENSE I ❑21❑ PLA E# CLZ4528 TATE 41 WA VIN# 1ZVFT80N755112572 4 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2005 MAKE FORD MODEL MUSTAN STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO ELIZABETH GARDUNOMOREN0321 FSTSE AUBURN WA 980025508 D:2069816705 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 820 823 135IN STOP 5 vewcle ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 s 7 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF58437 COLLISION REPORT III III III III III 111 1591972 CASE# 25-295 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 PM 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. M.LEVERTON 01-10-25 01:59 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 112212025 11:05:40 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 12:28 PM TIME POLICE ARRIVED',12:31 PM PART I PAGE IT]OF 5� REPORT NO. EF58437 CASE# 25-295 OF COLLISION 01/09/25 12:28 OF CbLLI510N NARRATIVE blk/1 It from am/pm wht/3 Itl wb 2/maroon served to miss 1 hit two over over lap RTF Within the city limits of Renton/King/Wa I responded to a 3 car hit and run crash at about the 100 block of Renton Ave Ext. I contacted the driver of unit 3 who told me he was westbound on Renton Ext when unit 1 made a sudden left turn from the south driveway AM/PM parking lot towards the left. Unit 3 said as he crossed traffic unit 2 suddenly swerved to avoid unit 1 and contacted unit 3. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who told me she was in lane 2 when unit 1 pulled across her lane and she swerved to avoid unit 1 but contacted unit 3. She did not complain of injury. Damages did require a tow truck. Information/Insurance only 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 1/10/2025 On 1/10/2025 at about 1135 hours 1 was dispatched for a phone follow up reference the above collision. It was a person who on the phone ID'd themselves verbally as CARDINAL BLUE, the RO and driver of unit 1. He told me that although he did not contact any vehicles he was feeling "heavy" about being a witness to a crash. He told me he was pulling out of the AM/PM and intended on going to the right. However, he noticed unit 2 at the last minute and stopped immediately. He told me he watched as unit 2 swerved to miss his vehicle and crash basically head on with unit 3. He said he went left instead of right and drove away. Unit 1 told me he had never experienced a crash right in front of him and he did not want to be accused of contributing to a crash without providing his version. Unit 1 told me he thinks unit 2 was going to fast. I asked him why would he pull out in front of a speeding vehicle, one he did not initially see because it was clear. I told him both unit 2 and 3 said it appeared he was making a left and did it quickly in front of unit 2. He said he was making a right. Unit 2 told me she was in lane 2 so unit 1 would have made an illegal turn into the path of unit 2 (RCW 46.61.290) and it he was making a left turn then hes still in violation (RCW 46.61.205). Information/Insurance only 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 1/10/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF558437 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-295 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2068598899 0 1 29 LAST NAME ALCANTARA LANUZA FIRST NAME JOSE MIDDLE' A INITIAL STREET 30 NEW AnnRFrtP 1213 S LUCILE ST CITY SEATTLE ST WA ZIP 981082333 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 - O6 - 1998 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE B74566W [TAT WA VIN# 1FTRE14W64HA260025 PLATE# 9 7] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1C P FROM TO 2004 FORD ECONOLI DAMAGE YES NO YES NO REGISTERED OWNER INFO GERALD PELLAND 1027 S SAND DUNE AVE SW#2 OCEAN SHORES WA 98569 ] 3 33 12 � SHADE IN DAMAGED AREA j 4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? vewCLE 10 6QTTUM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YES NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM Lec E STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 01-10-25 01:59 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 2517 O#I',WA0171300 JACOBS 1/22/2025 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EF58437 CASE# 25-295 DATE AND TIME 01/09/2512:28 OF COLLISION r } c I 4 n i` } i g Yi�R� �0 Xt u a y r 4fn � r.a PAGE 5 OF 5