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HomeMy WebLinkAbout25-1926 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF71437oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-1926 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 03 - 01 - 2025 2030 17 =.= S 8 W e OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINEIR AVE S BLOCK NO. e 300 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�. FEET e S 8 W e S 3RD ST 2 0 29 MOTOR PEDAL- DAMAG THRESHOLD MET E UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO ✓ PHON Q 1 30 6 LAST NAME UNK FIRST NAME MIDDLE 1 1 2 31 INITIAL STREET ❑' UNK CITY ST ZIP 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKYEs No✓ YEs NO;✓ $❑ DCIENSE# SRVERSTTATE SEX.U MMDDYY' —=—ll 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 9 N USE ET 9 IN CLASSY 0 NATURE of INJURIES 2 LICENSE, 3 1 O PI ATF# STATE V(N# UNK TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# 11ROM To TRLR TRLR 1 1 5 33 vIN# 12 3 5 VIN# FROM TO VERYEAR MAKE UNKN MODEL UNK STYLE PK VEHICLE TOWED fnTOZBUN TOWED By GOVT VEHICLE 1 $ 34 13 DAMAGE YES II_II NO ✓ YESII_I) NO✓ REGISTERED OWNER INFO (NEW] VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE El CO 3 4 IN EFFECT &POLICY# __4_TO_P_ vEnicLe CHARGE S ❑ 36 YES ecnur ❑NO❑ CITATION# 7 0 BOTTOM 15❑ T NDING s 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2065669348 16� LAST NAME FOSTER FIRST NAME EMMETTE MIDDLE ,/ INITIAL 17 F1 STREET ❑❑ 31500-STAVE S APT 23-303 CITY FEDERAL WAY ST, yyq ZIP 37 980035283 $ NEW ADDRESS 1$❑ CDL IGNITION REQUIREa fGNI710N PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYES N©✓ jNTERLOCKYEs 0No✓ YEs Noj✓ 19� DRIVER'S STATE WA SEXM I D.O.B. 1 06 18 1991 39 LICENSE# MMDOYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40 USE CLASS COMPLAINTS OF PAIN/N RIGHT WRIST 21 LICENSE I PATE# BZR9079 rare WA VIN# 2C3CDXCTOHH641998 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2017 MAKE aDD(�' MODEL CHARGE STYLE SD VEHICLE TOWED✓ No BLIN BANKERS ves No✓ 24 REGISTERED OWNER INFO EMMETTE FOSTER 3?5001STAVESAPT 23-303 FEDERAL WAY WA 98003 VEHICLE NO.2 SHADE DEGED AREA 4 LIABILITY INSURANCE[Z INSURANCE CO PROGRESSIVE 984527842 IN EFFECT &POLICY# 9TOP vewaE YES❑ N.I—I, CITATION11 CHARGE C7�I EOTTOM EEGnEEY 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JAMAAL KEARSE 12994 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF71437 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1926 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) FOSTER BROOKLYN M ADDRESS&PHONE# D� 315001STAVES APT 23-303 FEDERAL WAY WA98003 SEXi F MMDDYYYY 04 — 06 — 2015 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS['UNIT# 2 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS ;6 PAINTO RIGHT SIDE OF HEAD/EAR AND LIP :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: 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 INJURY 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. JAMAAL KEARSE 03-01-25 10:20 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 1 3/6/2025 4:08:14 AM BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:32 PM TIME POLICE ARRIVED i 8:35 PM PAST B 3 Do-3mx—attar gt 1Mff) PAGE 2�OF 4 REPORT NO. EF71437 CASE# 25-1926 O OF COLLISION TIME 03/01/25 20:30 NARRATIVE 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 3/1/205, at approximately 2032 hours I was dispatched to a report of an accident at Renton Center Way SW and Rainier Ave S. Dispatch advised one vehicle hit a divider and is stuck blocking westbound lanes and won't start. At approximately 2035 hours I arrived on scene. When I arrived, Unit 2 was up on the curb facing west bound on Renton Center Way SW in front of the Chick-Fil-A. I contacted the driver of Unit one identified as Emmette J. Foster DOB 6/18/1991 via WADL. Emmette advised that his daughter identified as Brooklyn M. Foster DOB 4/6/2015, was in the front passenger seat. Emmette stated that his right wrist was hurting. Brooklyn stated the right side of her head near her ear and her lip were hurting. Renton Fire responded and evaluated them both and they were medically cleared. Emmette advised the following. The collision took place at the intersection of Rainier Ave S and S 3rd St. Emmette was driving southbound in lane 3 of 3 on Rainier Ave S approaching the intersection of S 3rd St. Unit 1, a dark colored older model pickup truck, was driving directly next to him in lane 2 of 3. Unit 1 sped up and swerved over into Emmette's Lane. This cause Emmette to swerve to his left when he noticed the divider next to him. Due to the truck cutting into the lane directly in front of him he did not see the divider in time and drove up and over the divider causing significant damage the bottom of Unit 2 and to the mechanics underneath Unit 2. Emmette was able to steer back into his lane, but the car was no longer working. Emmette utilized the cars momentum to steer the car to Renton Center Way SW and off the main road. Emmette walked me up to where the collision took place. There was no damage to the divider. Emmette did not get a license plate of the truck or see the driver. The only information he was able to provide was it was a dark colored older model pickup truck. Brooklyn did not wish to speak about the collision. There were no other witnesses to the incident. 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 J. Kearse #12994 3/1/2025 0938 Hours Renton, King County, Washington PAGE 3 OF 4 REPORT NO. EF71437 CASE# 25-1926 DATE AND TIME 03/01/25 20:30 OF COLLISION W.R g t.� 15, h � r, 5 U { :t e ; t _ n ti i. PAGE 4 OF 4