HomeMy WebLinkAbout25-2744 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 25-2744 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CawsloN 03 - 1-- 2025 0747 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
TALBOT RD S BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e S RENTON VILLAGE PL
0 1 29
UNIT 01 MOTOOR Z PEDDAL ❑ YESAGE NHORE✓LDMET PHONE 0 $ 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYES NO INTERLOCK YES NO YES No
8❑ LICIENSE#
STA fE I
SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE sTATI urN#'
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 0 0 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 TOWED BY GOVT.VEHICLE J 9 34
13 2 CHEV MALIBU SD DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
VE"'c' CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
UNIT 02
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
❑VEHICLE ❑ CYCLE ❑ : OWNER ❑ YES NO ,/ D:2069196926
16 a
LAST NAME ALI FIRST NAME KHALID MIDDLE A
INITIAL
17❑ STREET I 405 S 7TH ST 204 CITY RENTON ST WA ZIP 98057 37
ADORE55❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF t YES l NO❑
19 LDIIVE STATE WA SEX M M .O.B. 02 _ 14 2000 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE ❑21❑ PLA E# B60301Y TATE 41
WA vIN# 3C7 79 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
YEAR 2012 MAKE DODG MODEL RAM STYLE TT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
VEH
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO GENE MEYER TOWING 225 RAINIER AVE S RENTON WA 98057 D:4252264343 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE I PORGY#E CO PIONEER SPEACIALTYINS CPP1064991 I STOP 5
IN EFFECT
VEHICLE CITATION# CHARGE i o BOTTOM
LEGALLY YES[Z NC[:]25❑ s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
STEVEN FAJARILLO 12847 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF79927
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2744
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'
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.
STEVEN FAJARlLLO 04-04-25 10:32 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 41512025 3:17.58 AM
BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 7:89 AM TIME POLICE ARRIVED',8:01 AM
PART I PAGE IT]OF 5�
REPORT NO. EF79927 CASE# 25-2744 OF COLLISION
03/27/25 07:47
OF CbLLI510N
NARRATIVE
25-2744
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 03-27-2025 1 was working as a police officer in the city of Renton. At approximately 0759 hours I
was dispatched to the report of a collision at Talbot Rd S/S Renton Village Pl, City of Renton, County
of King, WA. This incident was captured on my department issued Axon body camera.
According to the notes in the call, a tow driver called and advised a white Chevrolet Malibu rear
ended a vehicle he was towing and then drove away.
I arrived on scene and contacted the driver of Vehicle 2, Khalid A Ali (DOB: 02-14-2000). He was
towing Vehicle 3, identified as a 2020 Toyota Corolla (WA/BTD6473), from a previous collision. There
was no damage to Vehicle 2, Khalid was not injured, and Vehicle 3 was unoccupied. Khalid advised
he was facing north stopped at the stop light on Talbot Rd S/S Renton Village Place when Vehicle 1
collided with Vehicle 3 at a slow speed. He signaled the driver of Vehicle 1 to move off the road, but it
continued northbound.
I could see a small dent and white paint transfer on the rear of Vehicle 3. Notably, Vehicle 3 appeared
totaled prior to this collision. Khalid said he would not recognize the driver of Vehicle 1. 1 did not
locate a vehicle matching the description in the area.
I photographed the vehicle's and uploaded the pictures to Evidence.com. 1 provided Khalid with a
case number, and he continued his tow of the vehicle to the Gene Meyer tow yard.
Based on the facts regarding this case, there is not enough information to establish probable cause
for a suspect in this hit and run.
There is no further information available at this time.
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 S. Fajarillo #12847 on 04/04/2025 @ 1031 hours in Renton WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EF79927
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 25-2744
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES NO
0 8 29
LAST NAME : UNOCCUPIED FIRST NAME MIDDLE
INITIAL
STREET 30
NEW AnDRFS CITY RENTON ST ZIP
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YES[:]NO zERLOCK YES❑N0� YEs N
DRIVER'S STATE I SEX U M��DYSYv' -� 2
LICENSE
7F-ION DUTY STATUS AIRBAG 2 RESTR. 1 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE BTD6473 TAr WA VIN# JTDP4RCE3LJ047312
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2020 MAKE TOYT I MODEL COROLL STYLE SD I VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFONANCY DO 17402125TH AVE SE RENTONWA98058 J 9 33
12 � SHADE IN DAMAGED AREA
3 4 FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# t 9 1"01?
VEHICLE 34
13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM
STANDING } 8 7
14 ❑ UNIT Tr Vd 1 RE O CYCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
El PEDESTRIAN
15 LAST NAME FIRST NAME IDIAL
❑ 36
STR
16 STREETEETAnnR"[-] CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
STEVEN FAJARILLO 04-04-25 10:32 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12847 O#I',WA0171300 APSKELTON 4/5/2025 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. EF79927 CASE# 25-2744 DATE AND TIME 03/27/25 07:47
OF COLLISION
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PAGE 5 OF 5