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HomeMy WebLinkAbout25-3876 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89346OLCERA COLLISION REPORT 1591971 CASE# 25-3876 2 INTERSTATE ❑ CITY STREET El STATE ROUTE OTHER LOCALANG 4200 3 C©DIN6COUNTY RD PRIVATE WAY 87 2 03❑ TRIBAL UN TS#OF SOTRIJCK 1 8 28 METAL SIGN POST i RESERVATION : 2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s on' 05 - 02 - 2025 0923 17 =.= S 8 W❑ OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 3RD ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e EDMONDS AVE NE 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252156889 2 0 30 5❑ LAST NAME VAZQUEZ MERINO FIRST NAME SALBADOR MIDDLE t 1 2 31 INITIAL STREET ] 566 INDEX AVE NE CITY; RENTON ST WA ZIP; 98056 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No✓ INTERLOCKVES Nb✓ YES F NO✓ 8 DCIENSE# STATE WA SEXI M MMDDYY' 08 - 10 - 1974 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2❑ LICENSE, C62119D STATE WA VIN#; 1GTW7FCA2E1904706 3 10 Fl I as ATP rt 11❑ TRAILER STATE TRAILER STATE 3 5 PLATE# PLATE# FROM To TRLR TRLR 3 1 7 33 12 3 5 VIN# vIN# FROM TO 13 4 VEH.YEAR2014 MAKE GMC MODEL SAVANA STYLE UT VEHICLE TOYED NO�iS46LIN T�VyED.6LRS CLE 5 1 34 DAMAGE IIII._IIII HHttVVii((tt REGISTERED OWNER INFO WHEELS LT LSR 666 GARLAND PL DES PLA/NES IL 60016 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO GREENWICH INSURANCE RAD943762011 3 4 IN EFFECT &POLICY# 9TOP _ VEHICLE Yes❑NO❑ CITATION# 5AO407472 CHARGE FAIL TO OBEY TRAFFIC CONTROL t a oorrob z 36 15❑ MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHiGLE CYCLE nWNRR : YES�/ NO D:2067080599 16� LAST NAME SINGH FIRST NAME GURDEN MIDDLE INITIAL 17 F1 STREET ❑ 2232 SE 3RD ST,RENTON WA CITY RENTON ST, yyq ZIP 98056 4 37 NEW ADDRESS ❑ 18❑ IGNITION REQUIRED IGN1710N PRESENT MEDICAL TRANSPORTED 38 CDL INTERLOCKYES NO✓ INTERLOCK YESEl NO✓ YES NO✓ 19 DRIVER'S STATE WA SEX M I D.O.B. 04 02 1970 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSE CAZ2248 rarE WA vIN# JTDKN3DU6D5612401 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2013 MAKE TOYT MODEL PR/US STYLE 4D VEHICLE TOWED✓ No BLIN BANKERS ves No✓ 24❑ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADFY DAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM JTDKN3DU6D5612401 IN EFFECT &POLICY# 9TOP "Hine ❑ ,J—I CITATION CHARGE t080TTOM �,EI�Y YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 LACY SMITH 12613 WA0171300 ❑ PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF89346 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3876 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) MERINO CRUZ ADELAIDA ADDRESS&PHONE RENTON SEXi F MMDooYBYYY 08 - 17 - 1994 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 POS. 3 9 4 1 USE CLASS i 1 ----� :NAME LAsr EIRST,MIDDLE INITIAL) t MEHENI GURLEEN ADDRESS&PHONE# RENTON SEX' U D O e 03 MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ D.O.B. - MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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. LACY SMITH 05-02-25 05:20 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 51712025 12:26:44 PM BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 9:29 Aryl TIME POLICE ARRIVED i 9:34 AM PAST B 3 Do-3mx-attar gt 1Mffp PAGE 2�OF F5 REPORT NO. EF89346 CASE# 25-3876 OF COLLI 510N TIME 05/02/25 09:23 COLLISION NARRATIVE On 05/02/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 0929 hours I was dispatch to NE 3RD ST/EDMONDS AVE NE for a 2 vehicle collision. This incident occurred in the City of Renton, County of King, State of Washington. Unit 1-WA/C62119D Unit 2- WA/CAZ2248 arrived on scene and observed Unit 1, off the roadway, on the Northwest side of the intersection, and on top of the Brighton Ridge Apartments sign. I contacted the driver of Unit 1 and positively identified him as, Salbador Vazquez Merino DATE OF BIRTH: 08-10-1974, via his Washington State Driver's License. Vazquez Merino stated that he was traveling Westbound on NE 3rd St. At the intersection of NE 3RD ST/EDMONDS AVE NE he ran the red light and hit Unit 2. Unit 1 had a passenger who verbally identified herself as Adelaida Merino Cruz. Both occupants of this vehicle were medically evaluated by Renton Fire and both denied injuries. I contacted the driver of Unit 2 and positively identified him as, Gurden Singh DATE OF BIRTH: 04-02 -1970, via his Washington State Driver's License. Singh stated he was traveling Northbound on EDMONDS AVE NE. At the intersection of NE 3RD ST/EDMONDS AVE NE, he had the green light, while passing through the intersection he was hit by Unit 1. Unit 2 had a passenger who verbally identified herself as, Gurleen Meheni. Both occupants of this vehicle were medically evaluated by Renton Fire and both denied injuries. The staff at Brighton Ridge Apartments were contacted and provided this case number for their property damage. Staff member Ben Castell estimated the damage to the sign to be approximately $4,000. Both Unit 1 and Unit 2 had significant damage to the front of their vehicles. Both vehicles were privately towed by Banker Towing. Based on the statements made by each driver and the evidence on scene it appears unit one was traveling Westbound on NE 3RD ST and failed to stop for a red traffic signal at the intersection of NE 3RD ST/EDMONDS AVE NE thus colliding into the front right side of unit 2. Unit 2 had had the right of way at this time. I issued the Driver of Unit 1, Salbador Vazquez Merino DATE OF BIRTH: 08-10-1974, a citation for RCW 46.61.050 Obedience to and required traffic control devices. INFRACTION #5A0407472. Due to the fact Vazquez Merino disobeyed a traffic control device and collided into Unit 2 at NE 3RD ST/EDMONDS AVE NE. I 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 L. Smith 12613 on 05/02/2025 in Renton. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF89346POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE# 25-3876 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE { PEDESTRIAN �/ D:2068300823 N:4254345207 5 UNIT# 3 VEHICLE CI CYCLE C) C� OWNER :� YES NO MIDDLE' 29 LAST NAME CASTELL FIRST NAME BEN INITIAL STREET 30 ❑ NFW AnnRFs 2307 NE 4TH ST BUILDING F CITY RENTON I ST WA ZIP 1 98056 6 ENT ME DICALTANSPORTED. 1 31 CDL I ONO[:] REOUIRE6 I{iNiTION :: PRESENT INTERLOCK YES NO ..INTERLOCK YES 0- YES N L DRIVER'S STATE I SEX U MMDDYBYY -F-1- LICENSE; 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE TAT VIN. PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 VEIL YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVr.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO 7t)P IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 1080TTOM ecauv sTnNoiNc MOTOR PEDAL_ ' PROPERTY : DAMAGE THRESHOLD MET 35 1:1PHONE 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST ZIP NEW ADDRESa CDL IGNITION REZu;y IGNITION PRESENT MEDICAL TAN SPORTED INTERLOCK YES NO INTERLOCK YES[:]NO .YES N. 17 37 LLIICENSE#RIVER'S - STATE SEX MMODW - �...� 18 ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.: 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE PLATE# - STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 1 .. K-99 5 44 24 YES❑ NO CITATION# CHARGE SWG 3 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. LACY SMITH 05-02-25 05:20 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE ORI APR 5 �0 �26 ORID# 12613 # WA0171300 TADER n/22 PAGE 3OF -013(R 11t18) REPORT No•' E F89346 CASE# 25-3876 DATE AND TIME 05/02/25 09:23 OF COLLISION z t 4, Z rid s 1, �P �x x i P � xz 4 > ix i C1 S fl � r l�yr i4 a d i 4, x PAGE 5 OF 5