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HomeMy WebLinkAbout25-4447 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95172OLCERA COLLISION REPORT 1591971 CASE# 25-4447 2 INTERSTATE CITY STREET El STATE ROUTE OTHER LQCCODICENC'Y 4150 3 C©DING COUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eOCL s o v' 05 - 21 - 2025 0738 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a RENTON EXT MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.1 FEET MILES e S 8 W e TAYLOR AVE NW 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 7 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑) NEW ADDRESS CITY FORT WORTH ST: TX ZIP 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES Np INTERLOCK YES '0 YES NO 8❑ LCEENSE# SRVERISTTATE SEX U MMDDYY' —=— 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 10 LI ENSE' RXX1098 STATE TX VIN# 5YJYGDEE5MF102010 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM TO TRLR TRLR. 7 3 33 12 0 0 VIN#' vIN# FROM TO VEH.YEAR 2021 MAKE TESL MODEL 3 STYLE VEHICLE TOWED TO BUN TOWED By GOVT VEHICLE g g 34 13 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO TARIQ WOOLEN 5108 GEDDES AVE FORT WORTH VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP V""' CHARGE t 5 36 LEGALLY YES❑NO❑ CITATION# t a BOTTOM 15❑ STM ING TY s 7 e MOTOR PEDAL- PEDESTRIAN PROPER DAM THR OLD MET PHONE UNIT VEHIOLE ❑ CYCLE ❑ ❑ nWNRR YEs�/ No D:2533589514 16� LAST NAME BARNETT FIRST NAME JAMES MIDDLE I E INITIAL 17 F1 STREET ❑❑ 415 3RD LN CITY FOX ISLAND ST, WA ZIP 983339755 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIREfl IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYES NO INTERLOCK YES NO YES Np 19[� DRIVER'S STATE WA SEX M D.Q.B. 05 01 1962 39 LICENSE# MMDDYY — HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 ILICENSE PATE# BMV9111 TATE WA VIN# 2GNAXHEV6K6179844 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2019 MAKE CHEV MODEL EQUINOX STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24� DAMAGE YES NO� VES NO REGISTERED OWNER INFO THE BOEING CO PO BOX 3707 SEATTLEWA 98124 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SAME. IN EFFECT &POLICY# t VEHICL L'—LY YESZ N CL] CITATION# CHARGE 25 M OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF95172 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4447 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) VITTORINO MARCELO ADDRESS&PHONE 2064127321 SEX i U MMDDDYBYYY — C--------� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYYYY D.D.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ MMDDYY D.D.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE wht 2 stopped lane two blue/1 hit 2 mirror/fender Within the city limits of Renton/King/WA I responded to a 2 vehicle hit and run near the intersection of Renton Ext and Taylor Ave NW. I contacted unit 2 in the AM/PM parking lot at 251 Rainier Ave N. Unit 2 told me in summary the following. He was stopped west of the intersection in heavy traffic/lane two. While he remained stopped unit 1 swerved from behind and clipped his driver side rear view mirror and driver side front fender. Unit 1 did not slow or stop and fled the scene after striking unit 2 company vehicle. Unit 2 told me he was not able to ID the driver and did provide a license plate out of Texas. He did not complain of injury and damages to his vehicle did not require a tow truck. 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 5/23/2025 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 05-23-25 08:38 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 512712025 9:48:17 AM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:38 AM TIME POLICE ARRIVED i 8:05 AM PART B 3€Da-345—attar(txIMR) PAGE 2�OF REPORT NO. E F95172 CASE# 25-4447 DATE AND TIME 05/21/25 07:38 OF COLLISION e 44= Y s �s s s° L Y.'t4 t a s o Yes 's ti s I� � ss PAGE 3 OF 3