HomeMy WebLinkAbout25-2728 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF77339 170
27
COLLISION REP FIT 1591971
CASE 25-2728 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 03 - 1-- 2025 1603 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4259022544 0 11
30
6❑ LAST NAME KIM FIRSTNAME THI MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 16623 133RD PL SE CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 12 1— 20 — 2002 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CNF6680 sTArI WAurN# 19XFC1F91HE203589
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 0 0 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 7 34
13 1 2017 HOND CIVIC 4D DAMAGE YES NO YES❑ NO✓
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO BRISTOL WEST G01364161400 3 4
IN EFFECT &POLICY#LEwoL CHARGE 36
LEIF" YES❑NO CITATION# U�,
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:2064348520
16 a
LAST NAME GARRETT FIRST NAME DAMANI MIDDLE M
INITIAL
17❑ STREET ❑', 241 FERNDALE AVE NE CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] DRIVER'S STATE WA SEX M D.C.B. 01 29 _ 2007 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CNP7500 TAre WA VIN# JN1DA31D32T432409
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2002 MAKE jyl$$ MODEL MAXIMA STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6170-44-00-82IN 9TOP 5
VEHICLE ❑ C—I CITATION CHARGE io BOTTOM
LEGALLY YES N
25 e
7TyLER
S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF77339
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2728
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) RIVERA OCTAVIO
(LAST FIRST,
ADDRESS&PHONE#
15320 33RD AVE S,APT S509 SEATAC WA 98188 2063761142 SEX M MMDOYyry 05 - 07 - 2004
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX: MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
TYLER EDIGER 03-26-25 08:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 312612025 10:03:55 PM
BADGE OR ID# ( 12807 ORI#' WA0171300 TIME POLICE DISPATCHED 4:05 Pry] TIME POLICE ARRIVED',4:05 PM
PART I PAGE IT]OF 4�
E AND
REPORT NO. EF77339 CASE# 25_2728 OF COLLISION 03/26/25 16:03
OF COLLISION
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe #320 which was equipped with
overhead emergency lights and sirens.
Case Number 25-2728
On 03/26/2025 at approximately 1604 hours, I was dispatched to a blocking collison at the
intersection of S 2nd St and Shattuck Ave S, within the City of Renton, King County, Washington.
I identified unit 1 in this collison as a 2017 Honda Civic (WA/Lic: CNF6680 VIN#
19XFC1 F91 HE203589). The driver and sole occupant of unit 1 was identified as Thi A Kim (DOB
12/20/2002). Unit 1 sustained damage to the driver's side and side airbag deployment, unit 1 was
towed by Gene Meyer.
Unit 2 was identified as a 2002 Nissan Maxima (WA/Lic: CNP7500 Vin# JN1 DA31 D32T432409). The
driver of unit 2 was identified as Damani M Garrett (DOB 01/29/2007) Unit 2 sustained minor front-
end damage and was able to leave under its own power.
Unit 1 advised me she was in the far-left lane on S 2nd St and turned left to travel southbound on
Shattuck Ave S. Unit 2 believed that unit 1 was in the right-hand lane when she made the turn. There
was an uninvolved witness who I identified as Octavio Rivera (DOB 05/07/2004). Octavio had dash
cam footage which showed that unit 1 was in the right-hand lane when she made the left turn,
meaning she made an improper turn, cutting off unit 1 causing the collison. This video was uploaded
through Axon. No injuries were reported. The proximate cause of this collision was unit 1 making an
improper turn.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer T. Ediger#12807 03/26/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF77339 CASE# ' 25-2728 DATE AND TIME 03/26/25 16:03
OF COLLISION
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