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Home My WebLink About25-4308 ("7— STATE.w,-" .:.. TcN 5 27cRaFFi O EF92070 ,one COLLISION REP F 1591971 CASE# 25-4308 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 2 STATE ROUTE OTHER VFHICIF LOCAL AGENCY 41UU 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 05 - 15 - 2025 1455 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK S 3RD ST 8✓ .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.= FEET e S e WHI RIS AVE S 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET E /NoUNIT 01 VEHICLE CYCLE Yes IPHON D:2063044926 0 11 30 g LAST NAMED/NH FIRST NAME QUANG MIDDLE' T 1 2 31 INITIAL STREET E:1 24713 117TH PL SE CITY WA NEwADDR>yss KENT S7 ZIP 980309215 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALNO TRANSPORTED 3 INTERLOCKYEs No INTERLOCKYEs No YES Na 8❑ LDICENS STATE WA SEX'M MM,:B 06 - 11 - 1992 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASRS 1 NATURE OF INJURIES 2 LICEN st CHR8439 sTArE WA WIN# JFIZNBB13P9762566 3 10 1❑ RAILER TRAILER 11 2 5 PLATE# _I I STATE PLATE# STATE FROM - TRLR TRLR. 7 3 33 12 2 5 VIN#' VIN# FROM TO 13 1 VEH.YEAR2023 MAKE TOYT MODEL GR86 STYLE VEHICLDAMAGE TOWED Ft1 T02fBLIN TOWED BY GOVT.VEHIICLNOF✓ 1 5 34 ❑ REGISTERED OWNER INFO OWNED BY DRIVER II—ll VEHICLE cNIIQ—.II 1 SHADE 1N DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO TRAVELERS 6152832052031 4 IN EFFECT &POLICY# 4TOP _ vtwc�t 5 ecAl,� Yes❑No� CITATION# 5A0512642 CHARGE ❑ 36 FAIL TO OBEY TRAFFIC CONTROL Io BOTTOM 15❑ nomc a 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE OWNER � YES NO D:4253510346 16� LAST NAME SMILEY FIRST NAME 1 CHELSEA MIDDLE N INITIAL 17❑ STREET 1:1 33059 41 ST PL S CITY FEDERAL WAY I ST', WA I ZIP 980012651 37 NEW ADDRESS I ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESEIJT MEDfCALTRANSPORTED ❑ 38 1NTERLOCKYEs No INTERLOCK YES NO vEs NO 19❑ DRIVER'# ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H�SET INJURY 1 NATURE OF INJURIES ❑ 40 CLASS I 21❑ LICENSE,B8254C TArE,WA vtN# 16ABNBCA1JF337540 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN#. '[N#, GO HI 44 VEH.YEAR 201$ MAKE BLUE MODEL SCHOOL STYLE DAMIACLE GE TOWED YES NOO✓ BLIN TOWED BY YES NO 24 REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300SW 7TH ST RENTON WA 98057 VEHICLE NO.2 SHADE..J,p!DAMAGED AREA 4� 3 4 LIABILITY INSURANCE INSURANCECO SCHOOLS INSURANCEASSOCIATION OF WASH SIAW242534033 IN EFFECT &POLICY# t 4TOP 5 venue YES❑ N J .1-1 CITATION# CHARGE tOBOTTOM �ecns�v 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PART A . PAGE 01 OF 14 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) ANAHI RUSTAM ADDRESS&PHONE# FEDERAL WAY SEXi U M pDDYBVYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME Lgsr FIRs7 MIDDLE INITIAL) VIVAS GALLARDO ISABELLA ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) BUENROSTRO HERNANDEZ MARIA (LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 1 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(Brute) PAGE 0 OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PEREZ ASRIL ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) { RAMOS JAVEON ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) RATHER JAXON (LOST,FIRST, AooREss&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 1 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345-160(R1Vt8) PAGE 3�OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST FIRST,MIDDLE INITIAL) HAMID►AYSHA ADDRESS&PHONE# FEDERAL WAY SEXi U M pDDYBVYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME Lnsr FIRs7 MIDDLE INITIAL) MANNING AIDEN ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 SOS 11 AIRBAG 2 RESTR. g EJECT 1 USE CLASS 7 MINOR BRUISING NAME MIDDLE INITIAL) VICTERINO MASON (LOST,FIRST, AooREss&PHONE# FEDERAL WAY SEX U _ -= MMDDYYYY D.O.Y. PASSENGER Z WITNESS UNIT# 2 SEAT 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 5/16/2025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(RIVM) PAGE 4�OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PASCNAL NEHEMIAS ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) { HAMID ARINA ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) LEBRII DE'MIA (LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 1 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(R1Vt8) PAGE 0 OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) WATE EVO ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. : 11 2 9 1 USE CLASS 1 ----� :NAME Lgsr FIRs7 MIDDLE INITIAL) ORTIZ LUNA JONATHAN ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) AZ/MI SANA (LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 1 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(Brute) PAGE 6�OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PEREZ NATHAN ADDRESS&PHONE# FEDERAL WAY SEXi U M pDDYBVYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE GLASS 1 ----� :NAME Lnsr FIRs7 MIDDLE INITIAL) GARLICK TEWAN ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 PEA 11 AIRBAG 2 RESTR. 9 EJECT 1 USE GLASS 1 T ----� NAME(LOST,FIRST,MIDDLE INITIAL) DONG HAU AooREss&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER Z WITNESS UNIT# 2 SEAT 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(Brute) PAGE 7=OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) DONG X/AO ADDRESS&PHONE# FEDERAL WAY SEXi U M pDDYBVYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME Lgsr FIRs7 MIDDLE INITIAL) VEGA MATTHEW ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) MARTINEZ KARLA (LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 1 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(Brute) PAGE 8�OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) ARMAH JEROME ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 11 2 9 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) WILLIAMS KHALON ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. MMDDYYYY SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 PEA 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 T ----� NAME MIDDLE INITIAL) JOHNSON RYKER (LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER Z WITNESS UNIT# 2 SEAT 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(R1Vt8) PAGE F9 --]OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) RAMOS SAID ADDRESS&PHONE# FEDERAL WAY SEXi U M pDDYBVYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS, II 11 2 9 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) { MACRI GABR►EL ADDRESS&PHONE# FEDERAL WAY SEX' U D.O.B. _ _C-------� MMDDYYYY ST JURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 EAT POS 11 AIRBAG 2 RESTR. 9 EJECT 1 HELME IN USE CLASS 1 ----� NAME MIDDLE INITIAL) MCQUEEN CHRISTOPHER (LOST,FIRST, AooREss&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-345.160(R1Vt8) PAGE 10 OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) TOLBERN ALEXIS ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - SEAT HELMET INJURY NATURE OF INJURIES PASSENGER�WITNESS❑ UNIT# ; 2 POS. 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 7 MINOR BRUISING :NAME Lgsr FIRs7 MIDDLE INITIAL) DASARO MICHAEL ADDRESS&PHONE# FEDERAL WAY SEX' U D.D'B. _ MMDDYYYY SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 PEA 11 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 T ----� NAME MIDDLE INITIAL) BLACK JAYDEN :(LOST,FIRST, ADDRESS&PHONE# FEDERAL WAY SEX U D.O.B. _ -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 11 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID If 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-34S-160(R1Vt8) PAGE 11 OF 14 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92070 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4308 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PHILLIPS SKYLAR ADDRESS&PHONE# FEDERAL WAY SEXi U MMDDDYBYYY - - SEAT HELMET NJURY NATURE OF INJURIES PASSENGER WITNESS❑;UNIT# ; 2 POS 11 AIRBAG;2 RESTR. 9 EJECT 1 USE CLASS 7 MINOR BRUISING :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYYYY D.O.B. - PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ MMDDYY D.O.B. YY 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. C.ARNOLD 05-15-25 04:46 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 511612025 3:55:47 PM BADGE OR ID If 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:56 Pry/ TIME POLICE ARRIVED i 2:58 PM PART B 3000-34S-160(R1Vt8) PAGE 12 OF 14 REPORT NO. EF92070 CASE# 25-4308 OF DATE CbLLISISIOtJON 05/15/25 14:55 < NARRATIVE CC 25-4308 On 5/15/2025 at 1456 hours I was dispatched to a motor vehicle collision at the intersection of Morris Ave S and S 3rd St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was driving a school bus South on Morris Ave S approaching S 3rd St in the #1 lane. Driver 2 stated that she had a green light and was proceeding through the intersection to continue South on Morris Ave S. Driver 1 stated that he was traveling East on S 3rd St in the #2 lane approaching Morris Ave S. Driver 1 stated that there were transients on bicycles that were in the roadway and traveling in the wrong direction on S 3rd St. Driver 1 said that he had to swerve to avoid the bikers. Collision Driver 2 stated that as she entered the intersection, Unit 1 proceeded through a red light and the front bumper of Unit 1 collided with the front passenger side bumper of Unit 2. Driver 1 stated that after he maneuvered around the bicyclists he saw that the light was red but was unable to stop in time. Driver 1 stated that he entered the intersection of S 3rd St and Morris Ave S against the red light and the front bumper of Unit 1 collided with the front passenger side bumper of Unit 2. Injuries 3 children on the bus reported minor bruising, otherwise no injuries reported. Vehicle Disposition Unit 1 was towed from the scene, Unit 2 remained operational. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because the driver of any vehicle, a person operating a bicycle, and every pedestrian shall obey, and the operation of every personal delivery device shall follow, the instructions of any official traffic control device applicable thereto, and as specified in this chapter, placed in accordance with the provisions of this chapter, unless otherwise directed by a traffic or police officer, subject to the exception granted the driver of an authorized emergency vehicle in this chapter. Driver 1 was cited per RCW 46.61.050. 1 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 C. Arnold #12509 at 16:00 on 5/15/2025 in the City of Renton, King County, Washington. PAGE 13 OF 14 REPORT NO. EF92070 CASE# 25-4308 DATE AND TIME 05/15/2514:55 OF COLLISION s o Ix s � � Yt 7 �3 z i 4 m. y. u t,. t � PAGE 14 OF 14