HomeMy WebLinkAbout25-4085 POLICE TRAM 27iTFFiNc
"i ,one COLLISION REP F 1591971
CASE# 25-4085 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75#OF02 STRUCK TOTAL OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 05 - O8 - 2025 2210 17 a. S e W 8 IN
OF 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓
NE SUNSET BLVD BLOCK ST M4a MILEPOST 2800
❑ .�
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
2 0 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES No �/ D:2064458877 0 1 30
6❑ LASrNaME LEWIS FIRSTNAME AYISHA MIDDLE' M 1 2 31
INITIAL
STREET E:1' 2223 BENSON RD S APT N101 CITY RENTON WA
NEW ADDRESS S7 ZIP 980558817 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 3
INTERLOCK YES No,/ INTERLOCKYES NOW YES Na,/
DRIVE STATE WA SEX'F MM flYY 02 - 25 - 1982 1 1 2 32
$❑ L
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASRS 1 NATURE OF INJURIES 2
LICENStt CRT3445 STATE
WA WIN# JTJHA31 U760100363 3
10 1❑
11 0 0 PLATE# STATE PLATE# STATE ROM To
RA
TRLR TRLR. 3 7 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2006 MAKE LEXS MODEL RX I STYLE IVEHDAMIAGE TOWEED Ftj NO2fBLIN TOWED BY GOVT..VEHICLE 3 7 34
13❑ REGISTERED OWNER INFO RAYLES.ALLEN17112118THLNSEAPTP201 RENTONWA98058 II—ll VEHICLE cNII QD 1
SHADE 1N DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 2 4
IN EFFECT &POLICY# CHARGE i 9TOP 5 ❑ 36
EGAu v YES❑NO❑ CITATION# 10 ftOTTOM
15 vEwcLE❑ nomc a
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ D:2067872767
VEHICLE CYCLE; OWNER YES H
16�
LAST NAME NAZARCHUK FIRSTNAME SVIATOSLAV MIDDLE
INITIAL
17❑ STREET El 742 S DIRECTOR ST CITY SEATTLE ST', WA ZIP 981084658 37
NEW ADDRESS ❑
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 3$
W7ERLOCKYEs ND INTERLOCkCYEs no YES NO,/
19[ DRIVER'#
ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM ET INJ S 1 NATURE of INJURIES 40
21❑ LICENSE,LEM592P TATf WA VIN# 5UXKS4C50FOJ97518
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN# IN#
VEH.YEAR 2015 MAKE BMW MODEL X5 STYLE DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44
O
24 YES
REGISTERED OWNER INFO OLEKSANDR NAZARCHUK 742 S DIRECTOR ST SEATTLE WA 98108 VEHICLE NO.2
SHADDAMAGEDAREA
3 4
LIABILITY INSURANCE� INSURANCE CO PATRIOT GENERAL INSURANCE 11410016734
IN EFFECT &POLICY# t 4TOP 5
venue ❑ .1-1 CITATION# CHARGE tO eOTTQM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
GLENN LATRONICO 13151 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF90811
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4085
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) LUTSIK JANNA A
ADDRESS&PHONE# D 0 B
11344 SE 300TH PL AUBURN WA 980922038 2062273993 SEXi F MI MDDYYYY 03 IT
15 — 2007
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ 2 POS. 3 2 4 1 USE CLASS 1 ----�
: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
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
GLENN LATRONICO 05-08-25 11:16 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 511212025 11:57:56 PM
BADGE OR ID# i 13151 ORI# WA0171300 TIME POLICE DISPATCHED 10:11 PM TIME POLICE ARRIVED i 10:17 PM
PART B 30e0-345.160(R1Vt8) PAGE 0 OF 47
DATE
REPORT NO. EF90811 CASE# 25-4085 OF COLLISION ION 05/08/25 22:10
OF
NARRATIVE
25-4085
At about 2214 hours on 05/08/2025 1 responded to a two car accident at 2800 NE Sunset BLVD., in
the city of Renton, King County, Washington. Dispatch advised me that "2 VEH ACC, 1 PT W/ BACK
PAIN, REQ'ING AID."
I arrived on scene at approximately 2217 hours and observed a white Lexus RX (CRT3445/WA - Unit
1) partially in the roadwa on NE Sunset BLVD and partially into the parking lot driveway of the Shell
Gas Station at the above address. The Lexus had damage to the rear driver's side bumper. I further
observed a black BMW X5 (LEM592P/WA - Unit 2) parked in the Shell gas station parking lot with
damage to the front passenger side bumper/wheel well.
Driver of Unit 1 stated while in the right lane of traffic traveling westbound on NE Sunset Blvd, the
rear driver's side of Unit 1 was struck by the front passenger side of Unit 2 as Unit 1 changed lanes
from the left lane to the right lane.
Driver of Unit 2 stated while in the right lane of traffic, Unit 1 abruptly changed lanes at the last minute
from the left lane to the right lane while attempting to drive into the Shell gas station. Driver of Unit 2
had to quickly change lanes from the right to the left lane to avoid a rear end collision, when the front
passenger side of Unit 2 struck the rear drivers side of Unit 1.
Driver of Unit 1 was cited for no valid insurance at the time of the crash. Driver of Unit 2 provided
dashcam footage of the crash and was advised to provide to their insurance company.
This concludes my involvement with this case.
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe which was equipped with
overhead emergency lights and sirens.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by G. Latronico #13151 on 05/08/2025 at 2300 Renton, WA
PAGE 3 OF 4
REPORTNO. EF90811 CASE# 25-4085 DATE AND TIME 05/08/2522:10
OF COLLISION
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