HomeMy WebLinkAbout25-3210 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF81592oc� RA
COLLISION REPORT 1591971
CASE# 25-3210 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE � LOCAL AGENCY 4200 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION'. 04 - 09 - 2025 1201 17 =.= S 8 W E IN OF M 1070 3
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
S 43RD ST BLOCK NO. e 400 .�
4a� MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
1 9 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YES ✓NO 1 4 30
6 LAST NAME BEASLEY FIRST NAME BRAN MIDDLE D 1 1 2 31
INITIAL
STREET 7611 E CASINO RD APT B CITY EVERETT ST WA ZIP 98203 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NC INTERLOCK YEs NO YES F NO
SEXMMMOC - 28 DI STATE WA 32
LICENSE#
9 ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET J IN
7 NA S T of AFTs 2
USE ;CLASS WAS NATURE
AFTER INCIDENT
10 LI ENSE', BVY4994 STATE WA VN# 3FA6PORUOKR227368 3
TRAILER STATE TRAILER ..STATE
11 3 5 PLATE# PLATE# RON To
TRLR TRLR 7 3 33
1 0 0 VIN# VIN#
( FROM TO
2
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 v GOVT VEHICLE m 34
13 3 2019 FORD FUSION SD DAMAGE YES ONO 69WgMEYER YEs� No
REGISTERED OWNER INFO KADIN MAILS 2312227TH AVE SE APT 101 BOTHELL WA 98021 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP
v `LE CHARGE 5 36
Lec Ly YES❑NO❑ CITATION# 7 o BOTTOM
15❑ STM INc 7
UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE. nWNFR YES NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17 F1 STREET ❑� 37
CITY LONG BEACH ST ZIP 5
NEW ADDRESS
1$� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES DNO YEs NO
19 LICIENSE# STATE SEX U MMDDYY —� ❑ 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 USE 9 CLASS 0 ❑
21 LICENSLATE E 70469A3 TATE CA VIN# 1FDBF2A65LED10850 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRUR 43
UIN#. 'IN#.
VEH.YEAR 2020 MAKE FORD MODEL F150 STYLE PK VEHICLE TOWED 70 BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO TRAFFIC MANAGEMENT INC 4900AIRPORT PLAZA DR LONG BEACH CA 90815 D:5622769151 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO NAT.UNION FIRE INS.CO.OF PITTSBURG CA4489671
IN EFFECT &POLICY# t
vAaE IL—JI CITATION CHARGE
25 w,Y YES❑ N
M
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF81592
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3210
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
C.ARNOLD 04-09-25 01:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/11/2025 7:23:35 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:02 PM TIME POLICE ARRIVED 12:15 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EF81592 CASE# 25-3210 O COLLI COLLISION TIME
OF 04/09/25 12:01
COLLI
NARRATIVE
RTF 25-3210
On 4/9/2025 at 1201 hours I was dispatched to a motor vehicle collision at the 400 block of S 43rd St
in the City of Renton, King County, Washington.
This collision is a result of a Police pursuit initiated by the Kent Police Department. This pursuit and
arrest information is documented under Kent Case # 25-4004.
Pre-Collision
Unit 2 was unoccupied and parked within a construction zone on S 43rd St in the #1 lane facing
West.
Unit 1 was being pursued by Kent Police and had exited SR 167 NB onto Eastbound S 43rd St from
SR 167 NB at around the 300 block.
Collision
Kent Police advised that Unit 1 crossed from the #1 lane to the #4 lane. After doing so, Unit 1 then
entered the Westbound lanes of travel and proceeded Eastbound in Westbound traffic in the #3 lane.
Unit 1 then moved to the #2 lane of Westbound traffic and proceeded to continue Eastbound until he
was met with an oncoming vehicle, which Unit 1 then swerved to avoid by entering the #1 lane. Unit 1
was then facing head on with Unit 2 which was still parked and unoccupied. The front bumper of Unit
1 collided with the front drivers side bumper of Unit 2, causing substantial damage to Unit 1 and minor
damage to Unit 2. Unit 1 was then boxed in from the rear by a Kent Police vehicle which made
contact with the rear passenger side bumper causing minor damage to Unit 1.
Injuries
The driver of Unit 1 fled the scene and was apprehended later after a taser deployment. It is unknown
at this time if he sustained injuries from the collision. Driver 1 was gone prior to my arrival.
Vehicle Disposition
Unit 1 was towed from the scene and Unit 2 remained operable.
Final Disposition
This report is to document the collision that occurred during a Kent Police pursuit which was
documented under Kent Case # 25-4004.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 13:14 on 4/9/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF81592 CASE# 25-3210 DATE AND TIME i 04/09/25 12:01
OF COLLISION
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