HomeMy WebLinkAbout25-4864 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG00206OLCERA
COLLISION REPORT 1591971
CASE# 25-4864 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`NG 4250 3
COUNTY RD INVOLVED&RUN CODING
PRIVATE WAY
2❑ TOTAL OBJECT 1
TRIBAL UNITS#OF 02 STRUCK 1 $ 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
GDLLISION' 06 - 04 - 2025 1250 17 =.= S 8 W E IN OF M ?070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
108TH AVE SE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 W e SE?92ND ST
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO O 1 30
6 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST ZIP' 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYEs Nb YEs NO
8 LICIENSE# STATE SEX U MMDDYY+ —=— 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT ? HELM
USEET 9 CLASS 0 NATURE OF INJURIES 2
10 LI ENSE BXD0070 STATE WA VIN# JTHCK262X82022288 3
11[-j- TRAILER STATE TRAILER ,STATE FROM TO
11 3 5 PLATE# PLATE#
rRLR TRLR 1 5 33
12 3 5 VIN# vIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By G. VEHICLE
13 4 200$ LEXS IS-F DAMAGE YES ✓ YES❑ NO 5 1 34
REGISTERED OWNER INFO LEANNAHERNANDEZ3506ALMIRAOR BREMERTON WA 98310 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP
v `LE CHARGE 5 36
Lec Ly YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTANowc 7 e
rL� MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE' ❑ ❑ nWNFR YEs No �/ D:4257574370
16�
LAST NAME ✓OHNSON FIRST NAME DARRON MIDDLE I A
INITIAL
STREET ❑ 37
17 '❑ ?1215 SE 190TH PL CITY RENTON ST, WA ZIP 980557?47 g
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38
INTERLOCKYES No INTERLOXYES 0No YEs NO
19 DRIVER' # STATE WA SEX M MMDLSYY 04 22 ?98? 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG 2 RESTR 4 EJECT ? USE CLASS ? ❑
21 LICENSE 64355D rare WA vIN# 1 GCVKNEC9JZ228267 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR ZQ?$ MAKE CHEV MODEL SILVERA STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO CITY OF RENTON 3555 NE 2ND ST RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGAREA
2 3
LIABILITY INSURANCE INSURANCECO WASHINGTON CITY INSURANCE AUTHORITY NONE
IN EFFECT &POLICY# t 9TOP 5
vEHiae ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGALLv YES N J
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EGO0206
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4864
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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 06-04-25 01:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/12/2025 3:06:08 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:52 PM TIME POLICE ARRIVED 1:05 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EGO0206 CASE# 25-4864 O COLLI COLLISION TIME
OF 06/04/25 12:50
COLLI
NARRATIVE
RTF 25-4864
On 6/4/2025 at 1252 hours I was dispatched to a hit and run motor vehicle collision at the intersection
of 108th Ave SE and SE 192nd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling South on 108th Ave S in the 2-way center turn lane preparing to
perform a lefthand turn to proceed East on SE 192nd St.
Driver 1 fled the scene and did not provide comment.
Collision
Driver 2 stated that as he was going straight ahead, Unit 1 emerged from the #2 lane of Southbound
108th Ave SE and into the 2 way center turn lane. In doing so, Driver 1 stated that the front bumper of
Unit 1 collided with the rear passenger side tire and quarter panel of Unit 2.
Driver 1 stopped momentarily and fled the scene prior to exchanging information. Driver 1 told Driver
2 that he was taking a female that was in Unit 2 to a doctors appointment. Driver 1 then fled the scene
East on SE 192nd St which notably, there is no hospital in that direction.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because a vehicle shall be driven as
nearly as practicable entirely within a single lane and shall not be moved from such lane until the
driver has first ascertained that such movement can be made with safety.
I was unable to cite Driver 1 for RCW 46.61.140 because he fled the scene.
Driver 2 was unsure about his willingness to assist in prosecuting for the crime of hit and run
attended. I provided Driver 1 with my card to email me at a later date with his decision.
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 C. Arnold #12509 at 13:41 on 6/4/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EGO0206 CASE# 25-4864 DATE AND TIME i 06/04/25 12:50
OF COLLISION
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