HomeMy WebLinkAbout25-2677 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF76869 170
27
COLLISION REP FIT 1591971
CASE 25-2677 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 2 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 0903 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068060940 0 11
30
6� LAST NAME LESKOVETS FIRSTNAME ANATOLII MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 25110 111 TH AVE SE APT 4 CITY KENT ST I WA 2jp, 980306577 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
❑10 9❑ Pi aT�S� BWN6020 sTArI WWAvIN# JM1CR29L280308570 3
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM ro
TRLR. YRLR. 5 1 33
12 3 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 ZOO8 MAID MAZDAS DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO DMYTRO 061JK1 111458TH AVE NE TACOMA WA 98422 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# � 9TOP 5
VEHlcl.e CHARGE 10 BOTTOM 36
LEGALLY YEs❑NO❑ CITATION# 5A0333548,5A0333548 IMPROPER LANE USAGE,OP MOT
15❑ STANDING 7 6
MOTOR PEDAL PEDESTRIAN OWNER
D THR PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ OWNER ❑ YAM V
16 No OLD M ET D:2064911446
a
LAST NAME WELLER FIRST NAME TRINH MIDDLE I T
INITIAL
17❑ STREET ❑', 1137 E SEATTLE ST CITY KENT ST WA ZIP 980306011 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑No� YES❑NO❑
19 DRIVER'S STATE WA ]SEX IF D.C... 07 21 1985 39
LICENSE# MMDDYY
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE BPX9190 TAre WA vIN1t 5TDDZ3DC6KS226606
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2019 MAKE TOYT MODEL SIENNA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO TRINH WELLER 1137 E SEATTLE ST KENT WA 980306011 D:2064911446 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE I PORGY#E CO PROGRESSIVE 9522811764IN 1GQI
VE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF76869
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2677
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.
M.LEVERTON 03-25-25 11:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 312512025 2:57:08 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED! 9:05 AM TIME POLICE ARRIVED',9:08 AM
PART I PAGE IT]OF 4]
REPORT NO. EF76869 CASE# 25-2677 OF COLLISION
03/25/25 09:03
OF CbLLI510N
NARRATIVE
blue nb lane 3 grn/1 lane to changed into side
CC
Within the city limits of Renton/King/Wa I responded to a 2 car blocking crash just north of NE 3rd St
on Sunset Blvd N.
I contacted the driver of unit 2 who told me she was northbound lane 3 on Sunset Blvd N when unit 1
changed lanes into the side of her car. She did not complain of injury. Warning lights came on
showing something was wrong after the collision on her dash. She made arraignments to have her
car towed on her own.
I contacted the driver of unit 1 Id'd by picture WADL. He did not speak English and did not provide
his account of how the crash took place. 1 think he spoke Ukrainians. Not Confirmed. He provided
me a registration by using unit 2 as an example, gave me his license and did not provide valid proof
of insurance. He did not complain of injury and damages did not require a tow truck.
I cited unit 1 ref RCW 46.61.140 Improper lane use/2 vehicle crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/25/2025
PAGE 3 OF 4
REPORT NO. EF76869 CASE# 25-2677 DATE AND TIME 03/25/25 09:03
OF COLLISION
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