HomeMy WebLinkAbout25-4760 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF98966OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-4760 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 7 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' 06 - IN
01 - 2025 1327 17 �.[� S 8 W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON DR S BLOCK NO. e 17100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1001.1 00 FEET e✓ S 8 W e S 172ND ST
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2064590719 0 1 30
5 LAST NAME GREEN FIRST NAME JASON MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 1810 NE 27TH ST CITY; RENTON ST WA ZIP; 98056 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED 3
INTERLOCKYES No✓ INTE VEsRESRLOCK NO✓ YES NOZ
8 DCIENSE# STATE WA SEXI M MMDDYY' 05 — 08 — 1972 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 NATURE of INJURIES 2
LICENSE, C85122R STATE WA VIN#; 1FT8W3DT3KEE84498 3
10 Fq I as ATP rt
TRAILER
11 4 0 STATE TRAILER STATE ROM To
PLATE# PLATE#
TRLR zRLR. 1 5 33
12 4 0 VIN#' vIN#
FROM TO
VEH.YEAR 2019 MAKE FORD MODEL F350 STYLE PK VEHICLE TOWED,DLt�TOBLWED By GOVT VEHICLE 1 5 34
13 DAMAGE YES II_II NO ✓ IN TO YESII_] NO✓
REGISTERED OWNER INFO OWNEDBYDR/VER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
2 LIABILITY INSURANCE INSURANCE CO
14 Z SAFECO H2380993
IN EFFECT &POLICY# 4TOP
CHARGE t S 36
VEHICLE
Lemur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc s 7
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE PROPSnWNr YES�/ NO D:2068221209
16�
LAST NAME FOSTER FIRST NAME COREY MIDDLE L
INITIAL
17 F1 STREET ❑ 9400 RAINIER AVE S APT 264 CITY SEATTLE ST, WA ZIP 98118 37
NEW ADDRESS I I I I I I [I
18❑ CDL IGNITION REQUIRED fGNfTION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYES NO✓ INTERLOCK YES R No✓ YES NO✓
19� DRIVERS STATE WA SEX M D.O.B. 05 30 1989 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN E LATEICDX6086 rare WA vIN# 3CZRM3H34EG715193 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2014 MAKE HOND MODEL CR-V EX STYLE LIT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO HOA DANG 718 N 143RD STAPT307 SEATTLE WA 98133 D:2064291461 VEHICLE NO.2
SHADE IN DAGE,�,AREA
z add
LIABILITY INSURANCE INSURANCE CO TRAVELERS 1R571635-TXS-25
IN EFFECT &POLICY# 9TOP
wcLE CHARGE
L'vEeGnLY YES❑ NL] CITATION 11
to BOTTOM
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
R.ONISHI 5738 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF98966
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4760
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
:.(LAST,FIRST,MIDDLE INITIAL) WARD OLIVIA L
ADDRESS&PHONE
SEATTLE SEX: U MMDooYBYYv 08 - 06 - 1992
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 3 2 4 1 USE CLASS i 1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) i FOSTER CASHMERE L
ADDRESS&PHONE#
SEATTLE SEX' MMDD Y M D.O.B.YYY 08 _ 21 - 2023
SEAT JU
PASSENGER a WITNESS UNIT# : 2 POS. 9 AIRBAG 1 RESTR. 10 EJECT 1 USE HELMET CLASNRY RE OF INJURIES
S NATU
1 � ----�
NAME MIDDLE INITIAL) FOSTER CORTEZL
(LAST,FIRST,
ADDRESS&PHONE# SEATTLE M 09 _ 15
SEX D.O.B. _ 2014
MMDDYYYY
PASSENGER WITNESS UNIT# 2 SEAT 8 AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY 1 NE OF INJURIES
a ATUR
POS. USE CLASS
NARRATIVE
Unit 1 and unit 2 both southbound on Benson Dr S. Driver 2 Foster stated that he was behind unit 1,
with both vehicles traveling in lane 1. Foster said that unit 1 then moved to lane 2, but that when
Foster passed, driver 1 Green flipped him off and then sped past him, cut him off, and slowed
suddenly. Foster said that he then swerved to avoid unit 1 and honked at Green; but after he passed,
Green again sped past him and started swerving back and forth. Foster told me that he moved to
pass unit 1 on the left again; but as he did, Green swerved and the left side of unit 1 struck the right
side of unit 2. This pushed unit 2 into oncoming lanes of traffic. Unit 1 then U-turned to face north
before turning left onto SE 172nd St, with Foster following and ultimately pulling ahead of unit 2 to
prevent Green from leaving. Green told me that he was driving south on Benson Dr S, when Foster
sped past him; Green told me that he "gestured" at Foster to express, "what the hell"? Green said that
everyone in the car started gesturing at him and he felt that he had to flee, so he sped past and then
swerved to keep unit 2 from passing. At some point, the two vehicles collided, and then Green U-
turned and pulled onto SE 172nd St.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 06-05-25 08:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 6/9/2025 7:55:54 AM
BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 1:29 Pry/ TIME POLICE ARRIVED i 1:37 PM
PAST B 3 Da-3mx-attar(txIMR) PAGE 2�OF 4
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF98966
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4760
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) NEWTON DHANI A
ADDRESS&PHONE
SEATTLE SEXi M MMDooYBYYY 11 — 16 — 2014
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 7 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: NATURECFINJURIES
POS. USE CLASS ----�
: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
Unit 1 and unit 2 both southbound on Benson Dr S. Driver 2 Foster stated that he was behind unit 1,
with both vehicles traveling in lane 1. Foster said that unit 1 then moved to lane 2, but that when
Foster passed, driver 1 Green flipped him off and then sped past him, cut him off, and slowed
suddenly. Foster said that he then swerved to avoid unit 1 and honked at Green; but after he passed,
Green again sped past him and started swerving back and forth. Foster told me that he moved to
pass unit 1 on the left again; but as he did, Green swerved and the left side of unit 1 struck the right
side of unit 2. This pushed unit 2 into oncoming lanes of traffic. Unit 1 then U-turned to face north
before turning left onto SE 172nd St, with Foster following and ultimately pulling ahead of unit 2 to
prevent Green from leaving. Green told me that he was driving south on Benson Dr S, when Foster
sped past him; Green told me that he "gestured" at Foster to express, "what the hell"? Green said that
everyone in the car started gesturing at him and he felt that he had to flee, so he sped past and then
swerved to keep unit 2 from passing. At some point, the two vehicles collided, and then Green U-
turned and pulled onto SE 172nd St.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 06-05-25 08:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 6/9/2025 7:55:54 AM
BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:29 PM TIME POLICE ARRIVED i 1:37 PM
PAST B 3 Da-3mx—attar(txIMR) PAGE 0 OF 4
REPORT NO. E F98966 CASE# 25-4760 DATE AND TIME 06/01/25 13:27
OF COLLISION
9
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