HomeMy WebLinkAbout25-2625 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF77008OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-2625 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAL-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STR1JCf<'
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCLson' 03 - 23 - 2025 1208 17 =.= S 8 W e IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON RD S BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 4501.1 00-] MILES N FEET e✓ S 8✓ W e S GRADYWAY
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2535692983 0 6 30
5 LAST NAME LE FIRST NAME LOAN MIDDLE Y 1 1 2 31
INITIAL
STREET ❑ 12207 SE 167TH ST CITY; RENTON ST WA ZIP 980585332 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKvEs NO�/ INTERLOCKvEs NO�/ vEs No
8❑ DRIVER # STATE WA SEXI F MMDDYY' 10 - 08 - 1962 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
3
10� ai��5�' AQU6015 STATE WA yIN# 2T3DFREVXEW151665
TRAILER STATE TRAILER STATE FROM TO 11 3 5 PLATE# PLATE#
TRLR TRLR 533 33
12 3 5 VIN# VIN#
FROM TO
VEH.YEAR 2014 MAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED[n TO ZBUN TOWED BY GOVT VEHICLE g 1 34
13 DAMAGE YES I_II NO `/ YESII_I) NO
REGISTERED OWNER INFO HUNG LE 11211 SE 167TH ST RENTONWA 98058 D:2535692983 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 986177876
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑ ❑ 5AO150050 CHARGE FOLLOW VEHICLE TOO CLOSELY o ooTrofi 36
Yes NO CITATION#
15
MOTCYR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2066790142
16�
LAST NAME RANDOLPH FIRST NAME JAMES MIDDLE S
INITIAL
STREET ❑ 37
17 ❑ 419 S 2ND ST APT 264 CITY RENTON ST, WA ZIP 980572229 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED fGNITION PRESENT MEDICAL TRANSPORTED' 38
IGNITION
No INTERLOCK YEs Nt YES NO
19 DRIVER'S STATE WA SEX M D.O.e. 09 1963 39
LICENSE# MMDDYY 04 -
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET I INJURY 7 NATURE OF INJURIES 40
USE CLASS BACKPAIN
21 LICENSECFW4973 TATE I WA VIN# 1G1ZE5ST8GF303492 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2016 MAKE CHEV MODEL MAUBU STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO GLADYS GUTU832 2NDAVENKENTWA98032 D:2066790142 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO FARMERS 200336738
IN EFFECT &POLICY# t STOP
VEHICLE L'—LY YES❑ N,.I—J I CITATION# CHARGE to BOTTOM
`.L
25 a ' s
OFFICER'S NAME(PRINT)
26 OFFICER PHONE BADGE OR ID# --JAGENCY
P.LANTAGNE 12575 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF77008
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2625
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) GUTU GLADYS W
ADDRESS&PHONE#
832 2ND AVE N KENT WA 980323023 SEXi F MMDDD B. 07 — 31 — 1969
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. ! 3 2 4 1 USE CLASS j 1 ----�
:NAME
(LAST FIFS7 MIDDLE INITIAL)
ADDRESS R 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.
P.LANTAGNE 03-23-25 02:03 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 3/26/2025 4:00:38 AM
BADGE OR ID# 12575 ORI# WA0171300 TIME POLICE DISPATCHED 12:12 PM TIME POLICE ARRIVED i 12:14 PM
PAST Ba as-mx-at s gtxtrrasp PAGE 2�OF 4
REPORT NO. EF77008 CASE# 25-2625 OF DATE AND r�N + 03/23/25 12:08
O�COLLISION
NARRATIVE
25-2625
On 03/23/2025 at approximately 1208 hours, 1, Officer Lantagne, responded to a non-blocking, injury
collision which occurred in the 600 block of Benson RD S, which is located in the City of Renton,
County of King, and the State of Washington. I was in my fully marked police vehicle, wearing my
patrol uniform and body worn camera.
I observed Unit#1, a 2014 Toyota Rav-4 with license plates AQU6015 issued out of Washington
State, and Unit#2, a 2016 Chevrolet Malibu with license plates CFW4973 issued out of Washington
State, parked in the Divine Suites parking lot to the north of the intersection.
I contacted the driver of Unit #1, Loan Y. Le (DOB 10/08/1962), who told me the following: Le was
driving northbound on Benson RD S. As Le was driving past the Renton Police Department, Unit#2
began braking in front of her. Le was not able to stop her vehicle in time and the front of her vehicle
collided with the rear bumper of Unit#2. After the initial collision, Le became shook up and
accidentally hit the accelerator pedal instead of the brakes and hit Unit#2 a second time. Unit#2
stopped in front of her on the roadway and Le attempted to drive around the vehicle. As Le was
driving around the right side of Unit#2, the left front bumper of her vehicle scraped against the right
rear quarter panel of Unit#2.
1 contacted the driver of Unit#2, James S. Randolph (DOB 09/04/1963), who told me the following:
Randolph was driving northbound on Benson RD S. As Randolph's vehicle was approaching the
intersection at S Grady Way, he began to brake to slow down, and the rear of his vehicle was struck
by Unit#1. Randolph felt his vehicle get hit a second time by Unit #1. Unit#1 attempted to drive
around Randolph's vehicle and collided with it a third time. Randolph was experiencing back pain but
refused a medical evaluation from the fire department.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both parties. Unit#1 had significant damage to the front bumper which was
dented in and cracked on the driver's side. The rear bumper and right rear quarter panel of Unit#2
was scraped and severely dented.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Le and Randolph. I issued Le a citation for following too
closely to be issued through the court by mail.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1336 hours on 03/23/2025 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EF77008 CASE# 25-2625 DATE AND TIME 03/23/2512:08
OF COLLISION
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