HomeMy WebLinkAbout25-770 POLICETRAFF'c" IIIllI111IN II II I REPORT NO. EF59728 5 3 27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# 2sa7o 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 7 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 01 - 1-- 2025 1554 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAIN AVE S BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2069103004 2 2 30
6❑ LAST NAME EVANS FIRSTNAME TODD MIDDLE D 1 1 2 31
INITIAL
STREET ❑, 7265 S 135TH ST TTLE WA
NEW ADDRESS ST 21P', 96178 2
CITY SEA
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 03 - 04 - 1957 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 Fl PI ATE 14 B8254C STATE WA v N#' 1 BABNBCAlJF337540
TRAILER TRAILER STATE
STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 1 5 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 1 34
13 2 ZO18 BLOB SCHOO BU DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO SCHOOL REN101300 SW 7TH ST RENTON WA 98057 D:2069103004 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILI INSURANCE INSURANCE CO SIAWSIAW242534033 3 4
IN EFFECT &POLICY# 9TOP
VEHICLe CHARGE 5 36
LECALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ NDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:2532609731
16❑
LAST NAME DOBBINS FIRST NAME JEFFREY MIDDLE D
INITIAL
17❑ STREET ❑' 3005 S 47TH ST,APT 76 CITY TACOMA ST' WA ZIP 98409 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑
19 LICENSE# STATE WA SEX M M .C.B. 04 10 _ 1984 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 0
CLASS ❑
21❑ LICENSE 1 C74150F TATE WA VIN# 4UZAC3DV6GCHS3135
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE FRHT MODEL CHASSIS STYLE TR VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO PARCEL SERVICE UNITED 7300 PERIMETER RD S SEATTLE WA 98109 D:2069103004 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO LIBERTY MUTUAL AS2-C21-092936-213 1UR
IN EFFECTVEHICLe ❑ ,.I—I CITATION# CHARGELEGALLY YES N25
7TY'LER
S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF59728
COLLISION REPORT III III III III III 111
1591972 CASE# 25-770
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ISLAMOV AGHAZAKI
(IAST FIRST,
ADDRESS&PHONE#
UNK RENTON SEX i U MMDoyyvv 03 - 30 - 2015
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 1 PM 11 2 13 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) PARADEZA ARIA
ADDRESS&PHONE#
RENTON SEX U MMDDYvvv 12 f 6 _ 2014
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# 1 POS 11 AIRBAG 2 RESTR. 13 EJECT 1 USE CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) ALI HAMIMA
AooREss&PHONE# RENTON U I. 05 04 _ 2017
SEX. D.O.B. _
MDDYYYY
PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 2 RESTR. 13 EJECT 1 HELMET NJURY 1 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.
TYLER EDIGER 01-24-25 07:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 112712025 1:19:12 AM
BADGE OR ID# ( 12807 ORI#' WA0171300 TIME POLICE DISPATCHED 3:56 PM TIME POLICE ARRIVED 3:57 PM
PART I PAGE IT]OF❑
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF59728
COLLISION REPORT III III III III III 111
1591972 CASE# 25-770
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KAUR JEEVAL
(LAST FIRST,
ADDRESS&PHONE#
RENTON SEX i U MMDOYyvv 11 - 15 - 2018
-------------------------
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ � 1 POS. 11 2 13 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) KAUR PRUMNEEK
ADDRESS&PHONE# D O B
RENTON SEX U MMODYvvv14 _ 2014
SEAT HELMET I INJURY NATURE OF INJURIES
PASSENGER RV WITNESS UNIT# 1 POS. 11 AIRBAG 2 RESTR. 13 EJECT 1 USE CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) THAPA GRACIE
AooREss&PHONE# RENTON U M 07 14 _ 2019
SEX. D.O.B. _
MDDYYYY
PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 2 RESTR. 13 EJECT 3 HELMET NJURY 1 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.
TYLER EDIGER 01-24-25 07:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 112712025 1:19:12 AM
BADGE OR ID# ( 12807 ORI# WA0171300 TIME POLICE DISPATCHED 3:56 PM TIME POLICE ARRIVED 3:57 PM
PART I PAGE IT]OF
REPORT NO. EF59728 CASE# 25-770 OF COLLISION
01/24/25 15:54
OF CbLLI510N
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe #320 which was equipped with
overhead emergency lights and sirens.
Case Number 25-770
On 01/24/2025 at approximately 1556 hours, I was dispatched a collision at Main Ave S and S 3rd St,
within the City of Renton, King County, Washington.
I identified Unit 1 in this collision as a 2018 Bluebird School Bus (WA/Lic: B8254C Vin#
1BABNBCA1JF337540). The driver of unit 1 was identified as Todd D Evans (DOB 03/04/1957) by
his WADOL photo. Unit 1 also had six children on board, they were identified as Aghazaki Islamov
(DOB 03/30/2015), Aria Paradeza (DOB 12/16/2014), Hamima Ali (DOB 05/04/2017), Jeeval Kaur
(DOB 11/15/2018), Prumneek Kaur (DOB 12/14/2014), and Gracie Thapa (DOB 07/19/2018). Unit
one sustained very minor damage to the passenger mirror and was able to leave under its own
power. There were no reported injuries in unit 1.
Unit 2 was identified as a 2016 Freightliner Chassis UPS truck (WA/Lic: C7415OF Vin#
4UZAC3DV6GCHS3135). Unit 2 was unoccupied at the time of this collision, but its operator was
identified as Jeffrey D Dobbins (DOB 04/10/1984). Unit 2 sustained a cracked driver's side window
and was able to leave under its own power.
At the time of this collision unit 2 was stopped with its hazard lights on, facing southbound on Main
Ave S in the lane nearest to the curb. Unit 1 was traveling southbound on Main Ave S in the lane
nearest center. As unit 1 was passing unit 2, the passenger mirror of unit 1 hit the driver side window
of unit 2. Although unit 2 was blocking traffic, the proximate cause of this collision was unit 1 being
unable to maintain lane. This collision was very minor resulted in no injuries.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer T. Ediger#12807 01/24/2025 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EF59728 CASE# 25-770 DATE AND TIME 01/24/2515:54
OF COLLISION
t.,.t
b
t
ryry t �T.
pa
�a..a
w
I goo,
r ,
of
4t �
ll
k„i
t
zt
PAGE 5 OF 5