Loading...
HomeMy WebLinkAbout25-2573 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF76868OLCERA COLLISION REPORT 1591971 CASE# 25-2573 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOC'AI-AGENC'Y 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2� TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDLLISION' 03 - 21 - 2025 1432 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOPRIVATE DRIVE MILE POST e 3200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 5 . FEET e✓ S 8 W e✓ NE SUNSET BLVD 1 51 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2065876540 N:2065816540 0 7 30 5 LAST NAME CLEMENTE FIRST NAME RICARDO MIDDLE S 1 2 31 INITIAL STREET ❑ 1701 EAST VALLEY RD 334 CITY; RENTON ST I WA ZIP 98055 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO INTERLOCKVEs N© YES ]NO 8 DCIENSE# STATE WA SEXI M MMDDYY' 01 — 04 — 1995 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEET 9 INJUR CLASSY 14 NATURE of INJURIES 2 LICENSE, CRT4082 STATE WA VIN#; 1G1PH5S93B7185891 3 10 Fq I PI ATE# TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM To TRLR zRLR 0 0 33 12 0 0 VIN#' vIN# FROM TO VEH.YEAR 2011 MAKE CHEV MODEL CRUZE STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO RICARDO CLEMETE 3118 S 140THJ ST TUKWILA WA 93168 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ NSURANCE CO 3 IN EFFECT &POLICY# i 4TOP vEnic�E CHARGE 36 LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM 15❑ STANDING s 7 UNIT 02 MOTCSR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE OWNRR YES✓ NO 16� LAST NAME MATTESON FIRST NAME DIANE MIDDLE C INITIAL 17 STREET ❑ 2027 NE 25TH PL CITY RENTON ST, WA ZIP 37 980562214 NEW ADDRESS I I I I I I [I 1$ 1 IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED' 38 CDL INTERLOCKYEs NO INTERLOCK YES No Fc DL YES NO 19 DRIVER'S MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSEC48162J TATE WA VIN# 1D7RV1GT1BS624479 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2011 MAKE ODD(' MODEL RAM 1500 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO JOHN MATTESON 32003 SE LAKE WALKER RD ENUMCLAW WA 98022 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SAME. IN EFFECT &POLICYVEHICLE # 9TOP E—Y YES LEGALL � N.I—I, CITATION# CHARGE to BOTTOM L 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF76868 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2573 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 2:56:07 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 2:36 PM TIME POLICE ARRIVED i 2:42 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF76868 CASE# 25-2573 O OF COLLISION TIME 03/21/25 14:32 NARRATIVE wht/2 stop slv backed up maybe h/r RTF Within the city limits of Renton/King/Wa I responded to what was reported as a hit and run near the 3200 block of NE Sunset Blvd. I contacted the driver of unit 2 in the parking lot of Plum Delicious. I could see fresh plastics in the driveway still on private property where the two cars contacted. She told me unit 1 was stopped in front of her and she was stopped too. She said unit 1 reversed under throttle into the front of her truck. Them seemingly did it again. She said when she tried to contact the driver the other 3 occupants in unit 1 car got out also and she was uncomfortable. She took a few pictures to help ID the vehicle and the driver. She did not complain of injury and damages did not require a tow truck. A young male pulled up to unit 2, later ID'd as unit 2 son. He said he located unit 1 by Walgreen's. Although from where unit 2 was located you could not see unit 1 it was technically in the same parking lot. I drove over to unit 1. I contacted unit 1 ID'd by his picture WADL. There was a strong language barrier and required a Portuguese translater. However, the language accent was so strong for unit 1 driver that even the language line translator had a hard time assisting. The basics of unit 1 version was that he was hit from behind by unit 2 that he did not roll backwards. He tried his best to communicate with unit 2. Even believed unit 2 told him to leave so he did. Upon request he provided all the required documents and said once he was told he could leave from unit 2 he did. Based on the location of the collision, the strong language barrier, limited damages and no injury this will be filed for information/insurance only. 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 F76868 CASE# 25-2573 DATE AND TIME 03/21/25 14:32 OF COLLISION> ' i z �t }n r sri 'tt� tl ary a �e PAGE 4 OF 4