HomeMy WebLinkAbout25-1805 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF70616oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-1805 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
EDGEson' 02 - 26 - 2025 1210 17 =.= S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e 200 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1001.1 00 FEET e✓ S 8✓ E e NE 3RD ST
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067681472 0 7 30
5 LAST NAME WILY FIRST NAME PENETITO MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 13530 LINDEN AVE N APT 501 AP CITY; SEATTLE ST WA ZIP; 981337554 2
NEW ADDRESS
7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES NL %/ INTERLOCICVES No�/ YES �/ NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 03 - 22 - 1966 1 2 32
9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2
USE CLASS BACK PAIN/MEDICAL ISSUE
10 LI ENSttEI BWP9597 STATE WA VIN#, 5NPE24AF5HH443446 3
TRAILER
11 2 5 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR zRLR 1 5 33
12 2 5 VIN#' VIN#
FROM TO
13 4 VEH.YEAR 2017 MAKE HYUN MODEL SONATA STYLE P4 VEHICLE TOWED TO fjl4 N TgAWIJ�RS TOWING GOS�VEHICLE
Ho� 9 9 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO pENET/TO WILY 13530 LINDEN AVE NAPT 501 AP SEATTLE WA 981337554 D:2067681472 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO NONE 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑ ❑ 5AO109120 CHARGE OP MOT VEH W/OUT INSURANCE a ooTroEm z 36
Yes NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:4256383388
16�
LAST NAME HUANG FIRST NAME JOSEPHINE MIDDLE W
INITIAL
17 F1 STREET ❑❑ 6509 148TH AVE SE CITY BELLEVUE ST, WA ZIP 980065032 g 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTEI2LOCKYES NO [NTERLOCK YES No YES NO
19 DRIVER'S STATE WA SEX F D.O.B. 12 20 1991 39
LICENSE# MMDDYY -
20❑ ON DUTY[:]I I STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJ 6Y 1 NATURE OF INJURIES 40
CLA
21 LICENSEBIT3418 TATE I WA VIN# 4T1B11HK4JU526414 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2018 MAKE TOYT MODEL CAMRY STYLE P4 DAMIAGE TOWED V No BLIN BANKERS TOWING ves No�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2
SHADE IN DAMAGWREA
2 3 �A
LIABILITY INSURANCE INSURANCE CO FARMERS 199674532
IN EFFECT &POLICY# t STOP
VEHICLE ,.I—I CITATION11 CHARGE to BOTTOM
LEGALLY YES[Z N
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF70616
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1805
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) ABDI EGLAN B
ADDRESS&PHONE# D�
14775 SE 187TH CT#14775 RENTON WA 980589310 2066976127 SEXi F M D,O B.Y 01 — 01 — 2004
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ 3 POS. 3 2 4 1 USE 2 CLASS 1 ----�
:NAME
Lnsr EIPST,MIDDLE INITIAL) i TIBBILS-RILEY JESSICA
ADDRESS R PHONE#
2064986880 SEX IF M DD evY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET LASS : NATURE OF INJURIES
❑ ❑✓ 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
❑ POS. 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.
D.NELSON 02-26-25 01:42 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 31312025 10:08:56 AM
BADGE OR ID# 12421 ORI#s WA0171300 TIME POLICE DISPATCHED 12:11 PM TIME POLICE ARRIVED i 12:11 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EF70616 CASE# 25-1805 OF DATE AND r�N + 02/26/25 12:10
O�COLLISION
NARRATIVE
25-1805 COLL
On 2/26/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I located a three-vehicle collision in the 200 block of Sunset Blvd N Renton/King/WA
facing southbound in the middle lane. I checked with all involved occupants and determined that one
driver needed medical attention, I called RRFA to respond and evaluate the subject.
The driver of Unit 1, a green 2017 Hyundai Sonata WA/CMW6060, was identified by his WADL as
Penetito Wily DOB: 3/22/1966. Pentito said that he was driving south on Sunset Blvd N in the middle
lane and fell asleep at the wheel, he provided me with all paperwork except insurance, he advised he
had let his insurance lapse recently. Penetito said he had back pain and told me that he was diabetic
and took medications or diabetes and various other medical issues. Penetito believed he was in Fife
and had a hard time answering questions. RRFA personnel arrived on scene and evaluated Penetito,
they concluded that he was suffering a serious medical issue and needed to be further evaluated at
VMC. RRFA personnel advised they did not believe this issue was alcohol or medication induced and
believed it to be a result of his diabetes or some other brain or neurological issue. The Sonata had
damage to the front bumper and was not drivable, Bankers Towing removed the vehicle from the
scene.
The driver of Unit 2, a white 2018 Toyota Camry WA/BIT3418, was identified by her WADL as
Josephine W Huang DOB:12/20/1991. She said that she was not injured. The Camry had damage to
the rear bumper and front bumper where it collided with Unit 3, a white 2021 Hyundai Elantra
WA/BZF5198. Josephine said that she was stopped in the middle lane from traffic when she was
struck by Unit 1. Bankers Towing removed Unit 2 from the scene.
The driver of Unit 3, identified by her WADL as Naima A Abdikarani DOB: 6/30/2003, said she was
not injured. She said that she was stopped in the center lane waiting for traffic when she was struck
from behind by Unit 2. There was damage to the passenger side rear bumper of Unit 3. The
passenger of Unit 3, identified by her WADL as Eglan B Abdi DOB: 1/1/2004, also advised she was
not injured. Unit 3 was drivable and left the scene without issue.
All involved were evaluated by RRFA personnel on scene.
Based on Pentito's admission of not having any insurance I completed Sector citation #5A0109120
for RCW 46.30.020 Operating a Motor Vehicle Without Insurance.
This citation should be mailed to Pentito's DOL address.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 2/26/2025 Renton WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF7061 6
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-1805
t113197
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 # PLACARa
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT 3 VEHICLE ( CYCLE ❑ PEDESTRIAN OWNER ❑'. YES NO
D:2063054795
0 7 29
LAST NAME ABDIKARANI FIRST NAME NAIMA MIDDLE: q
INITIAL
STREET 30
NFw AnnRFs 31831 47TH AVE S CITY AUBURN ST �yq ZiP gg0013722
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED :1GNi71ON PRESENT MEDICALTANSPORTED
INTERLOCK YES[.]No�/ .INTERLOCK YESO NO
DRIVER'S D.O.B 2
LICENSE ' STATE wq SEx F MMDDYY 06 - 30 - 2003
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET 2 INJURY 1 NAruRE of INJURIEs
USE :CLASS
8 ❑ : 1 32
LICENSE'BZF5198 TAT WA VIN 5NPLS4AGOMHO36614
PLATE#
9 Fq] STATE TRAILER TRAILER L
PLATE#i PLATE# STATE
10 ❑ TRLR TRLR
_VIN.# VIN.#.
11 2 5 VEH.YEAR2021 MAKE HYUN MODFLELANTRA STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT.VFHICI E FROM TO
DAMAGE YES NO YES NO
ABDIRAHMAN ABDIKARAN131831 47TH AVE S AUBURN WA 98001 g g 33
REGISTERED OWNER INFO. SHADE IN DAMAGED AREA.
12
� ' FROM TO
LIABILITY INSURANCE INSURANCE CO ALLSTATE 987417845
IN EFFECT &POLICY# ' _JTt1P___.. m 34
13 vewc�e YES NO CITATION# CHARGE
1080TTOM
ecauv
sTnNoiNc
MOTOR PEDAL_ ' PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET �' CITY ST ZIP
NEW ADDRBsa
CDL IGNITION REQUIRED IGNITION PRESENT ME 'CA INTERLOCK YES NO INTERLOCK YES NO 'YES NO'
17 4 37
LIRIVERSLICENSE# STATE SEX Moog
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 ❑ TRLR TRLR ❑ 41
VIN# VIN#::
42
22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 7c;Q
5. 44
vece ❑ ❑ CITATION# CHARGE
24 I..TF_ YES NO
STIWDING 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 02-26-25 01:42 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR 1b# 12421 O#RI WA0171300 APTRADER 313312025
PAGE OF 7
3000-345-013(R 11/18)
REPORT NO. EF70616 CASE# 25-1805 DATE AND TIME 02/26/2512:10
OF COLLISION
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PAGE 5 OF 5