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Home My WebLink About25-0629 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 25-0629 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 O 7 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cawsloN 01 - 19 - 2025 1853 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE PETROVITSKY RD BLOCK NO. e✓ 12000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ FEET e S ❑ W V 120TH LN SE ❑ 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2066376942 0 11 30 6� LAST NAME MUSE FIRSTNAME HUBI MIDDLE G 1 1 2 31 INITIAL STREET ❑, 17410 127TH PL SE CITY RENTON ST WA ZIP' 98058 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ pl ATFBit BND8912 sTAr� WA urN# JHtRM4H70CCO26981 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# ROM TO VEH.YEAR 2012 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 HOND CR-V SV DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO GRANGE INSURANCE 5104440109315 3 IN EFFECT &POLICY# 9TOP VE—LE CHARGE 36 LEGALLY, YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069303983 16 a LAST NAME CURTIS FIRST NAME THOMAS MIDDLE INITIAL 17❑ NEW STREETR 17334 S 7 E 185TH PL CITY RENTON ST WA ZIP 98058 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK yEs I I NOF YEs t l NOF,/ 19 LICENSE# STATE WA SEX M M .C... 10 �_ 20 _ 1952 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 LICENSE I ❑21❑ PLA E# CBM6627 TArE WA VIN# 41 JTEAAAAHXNJ091481 4 42 22❑ PLATE# STATE PLATE ILER# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BY Gov HI 44 VEH YEAR 2022 MAKE 7'Oy7' MODEL VENZA STYLE $V DAMAGE TOWED NOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE I PORGY#ECO US AUTOMOBILE ASSN 002160413U71057 STOP IN EFFECT —ILLE ❑ ,J CITATION# CHARGE 25 io BOTTOM LEGALLY YES Nu ' =AS NAME(PRINT) OFFICER PHONE BADGE OR ID# 771�NCY 26 SWAN 7 12965 0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF60043 COLLISION REPORT III III III III III 111 1591972 CASE# 25-0629 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) OSMAN HODO (LAST FIRST, ADDRESS&PHONE# D O.B. 17410 127TH PL SE RENTON WA 98058 2064806044 SEXi F MMDovyvv 07 - 11 - 2008 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 1 POS. 7 AIRBAG 2 RESTR. q EJECT 1 USE 2 CLASS 7 STATED HEAD HURT NAME (LAST,FIRST,MIDDLE INITIAL) OSMAN MARDIA ADDRESS&PHONE# D O E4 17410 127TH PL SE RENTON WA 98058 4255294278 SEX IF MMDovvvv 05 _ 12 _ 2010 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 HEADACHE NAME (LAST FIRST,MIDDLE INITIAL) HENDRICKS JAHLIL AooREss&PHONE# RENTON WA 7149689951 M I. 09 01 _ 2004 SEX. MDDYYYY PASSENGER WITNESS UNIT# ! 3 SEAT 3 AIRBAG 3 RESTR. 4 EJECT 1 HELMET 2 NJURY 7 NATURE OF INJURIES POS. USE :GLASS RIGHT HAND 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. NICHOLAS SWAN 01-20-25 04:33 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 1 112812025 3:03:08 AM BADGE OR ID# 12965 OR]# WA0171300 TIME POLICE DISPATCHED 6:53 PM TIME POLICE ARRIVED i 6:53 PM FART I PAGE IT]OF 6� REPORT NO. EF60043 CASE# 25-0629 OF COLLISION 01/19/25 18:53 OF CbLLI510N NARRATIVE #25-629 Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 01/19/2025 at approximately 1856 hours I was dispatched to the 12000 block of SE Petrovitsky Rd in the city of Renton, King County, WA, for a three vehicle, blocking collision with unknown injuries. Unit#1 was a green 2012 Honda CRV with WA LIC: BND8912 (VIN: JHLRM4H70CCO26981) Unit#2 was a blue 2022 Toyota Venza with WA LIC: CBM6627 (VIN: JTEAAAAHXNJ091481) Unit#3 was a grey 2015 Nissan Sentra with WA LIC: CMW7195 (VIN: 3N1AB7AP1 FY278068) I arrived on scene and found that all three vehicles had collided with one another while traveling east bound in the 12000 block of SE Petrovitsky Rd in front of the Grammercy Apartments. The area of roadway where the collision occurred has a double yellow line and no center turn lane. Driver 1 of Unit 1 was traveling east on SE Petrovitsky Rd in lane 2. The driver of Unit 1 stated that a vehicle in front of them had turned on it's left hand turn signal and started to come to a stop to wait for oncoming traffic. As Driver 1 applied her brakes, she stated that she felt Unit 2 hit her from behind. Driver 2 of Unit 2, stated that he was traveling behind Unit 1 in lane 2 on SE Petrovitsky Rd and saw Unit 1 applying it's brakes. He stated he applied his brakes and started to slide, which caused him to collide with the rear of end of Unit 1 and was then hit from behind by Unit 3. Driver 3 of Unit 3, stated that she was traveling east bound in lane 2 on SE Petrovitsky Rd. She saw Unit 2 apply it's brakes and she too quickly applied hers, but skidded and collided with the rear end of Unit 2. The airbags of Unit 3 were deployed. Both the driver and front seat occupant were medically cleared by Renton Fire at the scene. Renton Fire checked out the driver of Unit 2, driver of Unit 1 and it's two passengers as well. All were medically cleared. Unit 3 was blocking the roadway and unable to move under it's own power. It was towed away from the scene by Gene Meyer's towing. The driver and owner of Unit 3 signed a tow form. All other vehicles were able to move from the scene under their own power. I took pictures of the vehicles and uploaded them to Axon Evidence. An exchange of information was emailed to the drivers of all three vehicles involved. At the conclusion of my investigation, I determined that the proximate cause of the collision is due to Unit 2 and Unit 3, following the vehicles in front of them too closely. Additionally, there was an unknown vehicle making an illegal left hand turn into the Grammercy Apartments, by turning left over a double yellow line causing the vehicles behind them needing to stop or slow down in an area of roadway that one would not expect someone to be making a left hand turn. If the drivers of Units 2 and 3 would have left more distance between themselves and the cars in front of them then this collision would not have occurred. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer N. Swan #12965 on 1/28/2025 at 0154 hours in the City of Renton. PAGE 3 OF 6 REPORT NO. EF60043 CASE# 25-0629 OF COLLISION 01/19/25 18:53 OF CbLLI510N NARRATIVE PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EF60043 r` POLICE TRAFFIC 1 0 ] 27 COLLISION REPORT CASE# 25-0629 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST' ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO D:2064653145 0 1 29 LAST NAME WALKER FIRST NAME NEVAEH MIDDLE' M INITIAL STREET 30 NEW AnnRFSP 17650 134TH AVE SE#K308 CITY RENTON ST WA ZIP 98058 6 ❑ 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 09 - 16 - 2005 7 ON DUTY� STATUS AIRBAG' $ RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CMW7195 [TAT WA VIN# 3N1AB7AP1FY278068 PLATE# 9 9] TRAILER TRAILER PLATE If STATE PLATE If STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR201 Jr MAKE NISS MODELSENTRA STYLE SD I VEHICLE TOWS E T SABLI T�'W,6y'ERS GnVT VFHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 3 33 SHADE IN DAMAGED AREA 12 4 FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 533.8346-B31.47B gl"OI' IN EFFECT &POLICY# VEHICLE 70 BDrroM 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE pp�� ❑ STANDING dRDD PROPERTY NOHRHOLD MET g 7 6 ❑ 35 VEHICLE CYCLE OWNER YESG PHONE 14 UNITr AL - PEDESTRIAN 15 LAST NAME FIRST NAME N!I IAL MIDDLE ❑ 36 STRE 16 ET NEW ETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE If 21 ❑ [441 TRLR TRLR 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 C=DLv STANDING 8 7 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. NICHOLAS SWAN 01-20-25 04:33 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12965 O#IL WA0171300 TIBEAU 1/28/2025 PAGE OF 6 3000-345-013(R 11118) REPORT NO. EF60043 CASE# ' 25-0629 DATE AND TIME 01/19/25 18:53 OF COLLISION �y V d t r z f r s ` t fi 1 w 2 t �) Rf� i 1 a t bf� tis 4 � v. r t V PAGE 6 OF 6