HomeMy WebLinkAbout25-3607 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF85259 170
27
COLLISION REP FIT 1591971
CASE 25-3607 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 04 - 1-- 2025 0549 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W HF j GgApyWAy
1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:7169101938 0 11
30
6� LAST NAME SOW FIRSTNAME CHEIKHOUNA MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 600 SW 5TH CT APT E-104 CITY RENTON ST WA 2jp, 980572380 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CKV9440 sTArr~ WAvIN# 1N4At21E97C164220
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 $ 34
13 2 2007 NISS ALTIMA 4D DAMAGE vEs No AW7kkR'S TOWING YES NO
REGISTERED OWNER INFO MA MESOW40171THAVENE SEATTLEWA98105 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3
IN EFFECT &POLICY# 9TOP
VEI" 36
LEGALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES NO ,/ D:2065517749
LAST NAME RODILES CEJA FIRST NAME JESUS MIDDLE A
INITIAL
STREET
17❑ NEW ADOREss❑' 1601 NE 24TH ST CITY RENTON ST WA ZIP 980562266 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑NO INTERLOCK YEs❑NOF YEs❑NOF,/
19 D STATE _ _ 39
# MMo D.C.B.
WELMET INJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
❑ILICENSE 21❑ PLA E# AW6290 TAre 41
WA vIN# 1HGEM21575L066276 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2005 MAKE HOND MODEL CIVIC STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ARCADIO RODILES-LEOS 1601 NE 24TH ST RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JESSE VANDERHOEK 11631 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF85259
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3607
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'
Vehicle #1 was in lane 3 traveling southbound on Rainer Ave S, approaching S Grady Way. Vehicle
#2 was in lane 2 traveling southbound on Rainier Ave S approaching S Grady Way. The driver of
vehicle #1 stated he decided to make a left turn onto S Grady Way, so he merged left into lane 2 in an
attempt to get to the left turn lane, but he had to stop for northbound traffic before he could turn left.
Driver of vehicle #2 stated vehicle #1 merged left directly in front of him (approximately one car's
length in front of him), and then immediately applied its brakes, which did not give the driver of
vehicle #2 enough time to stop his vehicle. The driver of vehicle #1 advised me of the same story,
but told me that the driver of vehicle #2 was distracted on his cell phone. I asked the driver of vehicle
#2 if he was on his cell phone at the time of the collision and he told me he was not. Based on the
totality of the circumstances, it appears the actions of vehicle #1 were the proximate cause of this
collision.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JESSE VANDERHOEK 04-23-25 07:07 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 412412025 3:55:38 AM
BADGE OR ID# 11631 OR]# WA0171300 TIME POLICE DISPATCHED 5:50 AM TIME POLICE ARRIVED 5:50 AM
PART I PAGE IT]OF 3�
REPORT NO. EF85259 CASE# 25-3607 DATE AND TIME 04/23/25 05:49
OF COLLISION
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