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HomeMy WebLinkAbout25-961 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67724OLCERA COLLISION REPORT 1591971 ❑ 0 El $ 25-961 2 INTERSTATE CITY STREET STATE ROUTE OTHER LdCAI-A`NG 4250 3 C©dIN6COUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 01 - 29 - 2025 1800 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a SE CARR RD MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e 105TH PL SE 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 9 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑) CITY', ST ZIP 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKVEs NO YES NO 8❑ LCEENSE# SRVERISTTATE SEX U MMDDYY' -=- 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 H USEET 9 CLASSY 0 NATURE of INJURIES 2 LICENSE, 3 10� PI ATF# STATE V(N TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR TRLR 7 3 33 12 3 5 VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34 13� DAMAGE YES�NO� YES❑ NO REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 4TOP V""' CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 70 BOTTOM 15❑ STANDING e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2065797037 16� LAST NAME ZYLSTRA FIRST NAME LAUREN MIDDLE O INITIAL STREET ❑ 17 ❑ 28320 S37TH AVE E CITY MAPLE VALLEY ST, WA ZIP 98038 g 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIREd IGNITION I PRESENT MEDICAL TRANSPORTEd ❑ 38 INTERLOCK YES No INTERLOCK YEs NO YES NO' 19[� DRIVER'S STATE WA SEX F I D.0.8. 07 18 2002 39 LICENSE# MMDDYY - HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21[ LICENSE I PLATE# CGT2653 rare WA vIN# V 4� 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2023 MAKE $UBA MODEL LEGACY STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO JEFFREY ZYLSTRA 28320237TH AVE SE MAPLE VALLEY WA 98038 VEHICLE NO.2 SHADE IN DAMAGFAREA 2 3 LIABILITY INSURANCE INSURANCE CO SAFECO INSURANCE#H2454069 IN EFFECT &POLICY# I STOP VEHICLE ,.I—I CITATION11 CHARGE to BOTTOM LEGALLY YES N 25 7 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF67724 COLLISION REPORT III III III III III 111 1591972 CASE# 25-961 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES PC& I 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. C.CATALAN 01-29-25 06:44 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 212112025 1:44:58 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:09 PM TIME POLICE ARRIVED i 6:10 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF67724 CASE# 25-961 O OF COLLI 510N TIME 01/29/25 18:00 COLLISION NARRATIVE On January 29, 2025, at approximately 1800 hours, I was dispatched to a hit and run two-vehicle collision at Fred Meyer, 17801 108th Ave SE, within the City Limits of Renton, County of King, State of Washington. I contact the driver of Unit 2 via phone. The driver, identified by her WADL as Lauren O. Zylstra, stated she was the sole occupant of her vehicle and was traveling eastbound in about the 10500 block of S Carr Rd just east of the intersection of 105th PI S. While Unit 2 was stopped for queued traffic, Unit 1 collided with the rear of Unit 2 causing moderate damage to the rear bumper of Unit 2. Unit 1 then fled the scene and was last seen going eastbound on S Carr Rd. Unit 1 was described as a possible tan colored Toyota Corolla, but Lauren was unsure. I checked Renton's Flock cameras, but I was unable to identify a vehicle matching the description. Lauren was unable to see the driver, so she cannot identify the driver if seen again. The driver of unit 1 violated Renton Municipal Code (RMC) 10-12-25-Inattentive Driving which is defined as any person to drive a motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11). The driver of unit 1 also committed hit and run when he failed to provide the required documentation after a collision. They also fled the scene. Laurens vehicle sustained moderate damage but was able to be driven away without further incident. I provided Lauren with my contact information and case number. PAGE 3 OF 4 REPORT NO. E F67724 CASE# 25-961 DATE AND TIME 01/29/25 18:00 OF COLLISION ,�� s s NOW uF t � Tt b ib t } a� � t a } Wj n l� �� ;,:, {t��s4t tc.� � gt��➢`rs1�;,}� `� V� �� *�� 54 �s } 'a PAGE 4 OF 4