HomeMy WebLinkAbout25-2565 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF76867oc� RA
COLLISION REPORT 1591971
CASE# 25-2565 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-A`NG 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
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 03 - 21 - 2025 1135 17 =.[� S 8 W❑ OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
SUNSET BlVD NE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 F--1 MILES. FEET e S 8 W e ON RAMP 1-405 NB
OF 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2065138732 0 1 30
5 LAST NAME MUCHEKE FIRST NAME ESTHER MIDDLE I W 1 1 2 31
INITIAL
STREET ❑ 1108 27TH ST NW CITY; PUYALLUP ST WA ZIP; 983716650 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLt)CKYES NO YES NO
8 DRIVER # STATE WA SEX I F MMD4YY' 07 — 17 — 1987 1 2 32
9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE of INJURIES 2❑
USE CLASS CHESTAIRBAG
10 LI ENSttEI BYP9334 STATE WA VIN#, KM8J33AL4MU407691 3
TRAILER TRAILER
11 3 0 STATE STATE PLATE# PLATE# ROM To
TRLR TRLR. 7 1 33
12 3 0 VIN#' vIN#
FROM TO
VEH.YEAR ZO21 MAKE HYUN MODEL TUCSD STYLE VEHICLE TOWED 2 TO fIBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES NO II_II YESII_I) NO
REGISTERED OWNER INFO ESTHER MUCHEKE 110827TH STNW PUYALLUP WA 983716650 D:2065138732 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO NATIONWIDE7246J 070959 4
IN EFFECT &POLICY# 9TOP _
Lrn Lyc ❑ ❑ 5A0333547 CHARGE FA►L YIELD LEFT TURN MOTOR t a oorrob z 36
Yes NO CITATION#
15❑
MOTGR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2067590541
16�
LAST NAME REZA REZA FIRST NAME SAMUEL MIDDLE G
INITIAL
STREET ❑ 37
17 ❑ 4811 S 124TH ST CITY' SEATTLE ST, WA ZIP 981783453
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNfT10N PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES Nfl WTERLOCKYEs R NO YES No
19 DRIVER'S STATE WA SEX M I D.O.B. 1 02 19 2005 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG'6 RESTR 4 EJECT 1 HELMET INJURY', 7 NATURE OF INJURIES ❑ 40
USE CLASS ' LEG
21 LICENSE CHT4824 rare OVA vIN# JH4CL968X6C015715 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2006 MAKE ACUR MODEL T$X STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER E
REGISTERED OWNER INFO ERIK REZA REZA 48115124TH 57 SEATTLE WA 98178 VEHiCrLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# t STOP
1-1— YES❑ N,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
M.LEVERTON 2517 WA0171300
26❑
PART A PAGE 01 OF
3000-348-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF76867
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2565
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 GLASS 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
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.
M.LEVERTON 03-25-25 11:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 312512025 2:54:22 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 11:38 AM TIME POLICE ARRIVED i 11:40 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF76867 CASE# 25-2565 O OF COLLISION TIME 03/21/25 11:35
NARRATIVE
red It/1 sil/2 wb
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at Sunset Blvd Ne
at NB 1-405 on ramp.
I contacted the driver of unit 2 who told me he was westbound on Sunset Blvd when unit 1 turned left
directly into the side of his car, forcing him off the roadway and causing heavy damage to his car. He
did complain of injury and was checked by Renton Fire. Renton Fire released him onscene.
Damages to his vehicle required a tow truck.
I contacted the driver of unit 1 who was on her phone almost the entire time I was onscene. She did
not offer much information other than she was turning towards NB 1-405 when she was in a crash. It
took multiple tries to gain her compliance in ref to collecting her documents for her car. She did
complain of injury from the airbag. Unit 1 was up and walking around for a while, seemingly
untroubled about the crash. She did not appear to have trouble standing walking or leaning into her
vehicle to collect belongings. Damages to her vehicle did require a tow truck.
I cited unit 1 ref RCW 46.61.185 FTYROW-Left Turn 2 car crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/25/2025
PAGE 3 OF 4
REPORT No•' E F76867 CASE# 25-2565 DATE AND TIME 03/21/25 11:35
OF COLLISION
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PAGE 4 OF 4