HomeMy WebLinkAbout25-3663 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89345OLCERA
COLLISION REPORT 1591971
CASE# 25-3663 2
INTERSTATE CITY STREET FIRE I
RESULTEDLVED
STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
COUNTY RD NT&RUN CODING
PRIVATE WAY
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 04 - 24 - 2025 1644 17 =.= S 8 W e OF IN e 1070 s
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
RAINIER AVE S
4a� MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 2ND ST
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5106044813 0 4 30
5❑ LAST NAME NEEMUCHWALLA FIRST NAME RUXANA MIDDLE N 1 2 31
INITIAL
STREET ] 1684 152ND AVE NE APT 109 CITY; BELLEVUE ST WA ZIP; 980074278 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKVES Na�/ YES �No /
8 DRIVER # STATE WA SEXI F MMDDYY' 02 — 27 — 1946 t 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2=
10 LI ENSE' DP89542 STATE WA V IN# 7MUDAABG2RV083395 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM To
TRLR TRLR 1 5 33
12 2 $ VIN#' VIN#
FROM TO
VEH.YEAR 2024 MAKE TOYT MODEL COROL STYLE 4H VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 $ 34
13� DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO OWNEDBYDR/VER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 STATE FARM 5461069-C15-478
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur yes❑NO❑ CITATION# 7 0 60TTOM
15❑ sTnNowc
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES NO �/ D:3608602598
16�
LAST NAME GARRETT FIRST NAME JASON MIDDLE M
INITIAL
17 F1 STREET ❑❑ 37 19010 196TH AVE SE CITY RENTON ST, WA ZIP 980580300 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO INTERLOCK YES NO YES No
19 DRIVERS STATE WA SEX M I D-OB 10 08 1980 � 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJURY 1 NATURE OF INJURIES 40
21 LICENSE
PATE# CPZ2187 TATE I WA VIN# JTEBU4BF5DKl61178 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 201$ MAKE TOYT MODEL F,/ STYLE TR VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO JASON GARRETT 19010196TH AVE SE RENTON WA 98058 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO USAA 019663831G
IN EFFECT &POLICY# 9TOP
VEHICLE L,EILY YES❑ N,J—J I CITATION# CHARGE t080TTOM
`.L
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
E.CHANG 10065 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF89345
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3663
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME NEEMUCHWALLA NURUDDINA
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D�
1684 152ND AVE NE APT 109 BELLEVUE WA 980074278 9255778612 SEXi M MMDD,O B. 12 - 24 - 1938
PASSENGER Z WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 3 2 4 1 USE 2 CLASS 1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) GARREETT SUZUKA A
ADDRESS R PHONE#
19010 196TH AVE SE RENTON WA 98058 SEX' F D•O.B. 01 _ 09 _ 2013
MMDDYYYY
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 2 POS. ' 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
NAME MIDDLE INITIAL) ARCELAO ROBERT O
(LAST,FIRST,
AQQREss a PHONE# 2011 21ST ST NW AUBURN WA 98001 2068396332 SEX I M I D•O•B• 02 _ 03 _ 1979
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT HELMET INJURY 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.
E.CHANG 04-24-25 06:59 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 5/7/2025 12:27:53 PM
BADGE OR ID# 10065 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:46 PM TIME POLICE ARRIVED i 4:57 PM
PAST B 3 Do-3mx-attar gt 1Mfft PAGE 2�OF 4
REPORT NO. EF89345 CASE# 25-3663 OF DATE AND r�N + 04/24/25 16:44
O�COLLISION
NARRATIVE
RTF
On 04-24-2025 at about 1646 hours, I was dispatched to a collision located at Rainier Ave S and S
2nd St, in the City of Renton, King County, Washington.
Both vehicles were pulled off the road and no injuries reported. Both drivers were identified via a
WADL.
Per unit 2. He was stopped on S 2nd St and Rainier Ave S on a red waiting to make a southbound
turn. He was in lane 3 which was a left turn lane. Lane 3 would merge into lane 1 of southbound
Rainier Ave S. When the light turned green the driver waited a few seconds because there was a bus
in the intersection in lane 2 southbound of Rainier Ave S. The bus did not move so driver of unit 2
made a left turn. When he was merging into lane 1, unit 2 collided into unit 1. The driver of unit 2
said unit 1 ran a stop light and collided with him.
Unit 2 had a scrape to his modified reinforced front bumper.
Per unit 1. She was driving southbound on Rainier Ave S in lane 1 going through the intersection.
She believed she had the green light. As she was going through the intersection, she was struck by
unit 2 in the front driver side fender. Driver of unit 1 said she is a good driver but was not familiar with
the area.
Unit 1 had damage to driver fender, driver door, driver side rear door.
Witness
A witness observed the collision. He was on S 2nd St and Rainier Ave S. He was stopped at the
intersection on the red in lane 4 behind one vehicle. He saw the light on S 2nd St turn green for
himself and unit 2. Unit 2 went through the intersection on the green and collided with unit 1.
It appeared that unit 1 had a contributing factor in the collision. Driver of unit 2 and the witness said
they had a green signal.
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REPORT NO. E F89345 CASE# 25-3663 DATE AND TIME 04/24/25 16:44
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