HomeMy WebLinkAbout25-1624 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-1624 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION' 02 - 1-- 2025 1155 17 ❑.= S 8 IN e 1070 3
4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD NE BLOCK e✓ 500
4a 1❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:4258906488 0 11
30
6F] LAST NAME JOHN FIRSTNAME KEVIN MIDDLE 1 2 31
INITIAL
STREET ❑, 3303 NE 7TH ST CITY RENTON ST WA ZIP' 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LICENSE# STATE WA SEX'M I D-MMDDYY 11 - 23 - 1997 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 1 INJURY —, [NATURE OF
H U SE CLASS 7 I SHOULDER PAINS z❑
3
10 9❑ P1 ATNES# CV4617K sTAr WAu N# WDBDA29DOMF832696
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 $ 34
13 $ 1991 MERZ 190 SD DAMAGE YEs No �L kkR'S TOWING YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO STATE FARM 5527984AO147 4
IN EFFECT &POLICY# TOPVEHCLE CHARGE 36
LEGALLY Yes❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255035503
16 a
LAST NAME LOSTON FIRST NAME MYKELLE MIDDLE IL
INITIAL
17❑ STREET ❑', 943 FERNDALE CIR NE CITY' RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 LDI IVERS STATE WA ]SEX IF M D.C.B. 08 _ 10 _ 2005 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BNK9365 TAre WA VIN# 1N4AL3AP3GC152359
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2016 MAKE pJ/$$ MODEL SQL)'/Nj�Q STYLE $D —FEHICLE
TOWED✓ NOO BLIN BANKER'S TOWING YES NO�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 3628403CII47EIN STOP 5
'E""LE ❑ Nu,J CITATION# CHARGE
LEGAL to BOTTOM
LY YES
25 ' a
=KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF71128
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1624
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On Thursday, February 20, 2025 at 1156 hours, I was dispatched to a motor vehicle collision in the
area of the Sunset Blvd N and the Interstate 405 NB on ramp.
The following occurred within the City of Renton, King County; Unit 1 - WA/ CV4617K was being
driven by Kevin John and was traveling north on Sunset Blvd N in the 500 block. Unit 2 - WA/
BNK9365 was driven by Mykelle Loston and was traveling south in the 500 block of Sunset Blvd N.
I spoke with Kevin who stated he was driving straight and began to yield to the other vehicle but then
accelerated but did not have enough room to clear the lane of travel and collided with the front
bumper of Unit 2 causing significant damage to both vehicles.
I spoke with Mykelle who stated she was driving straight, and the vehicle accelerated directly in front
of her without yielding, causing the collision causing significant damage.
Based on all statements it appeared that Unit 1 did not yield properly. Based on the fact of the
descriptions of effects are feasible, without any evidence to prove one way or another, I am unable to
determine proximate cause of the collision.
Both vehicles sustained significant damage and needed to be towed.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Officer J. Wisniewski/#204 02/25/2025 in Renton, WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 02-20-25 01:07 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
S.WOODWARD 11528 31512025 4:44:24 AM
BADGE OR ID# 12598 OR]#' WA0171300 TIME POLICE DISPATCHED; 11:58 AM TIME POLICE ARRIVED',11:59 AM
PART I PAGE IT]OF
REPORT NO. EF71128 CASE# ' 25-1624 DATE AND TIME 02/20/25 11:55
OF COLLISION
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