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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 i' Hti s� t;. a Y t x 3� ti ?tip r PAGE 5 OF 5