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HomeMy WebLinkAbout25-4989 ("7— STATE.w, TFFiNCERA �I I ��� III I I Iil I I�I1 II{ II I 1 27c . ,one COLLISION REP F 1591971 CASE# 25-4989 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[� HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION z 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 06 IN - 08 - 2025 1458 17 a. S e W 8 OF 8 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ FACTORYPL N BLOCK NO. 8 200 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ FEET e S e W 8 N MARION ST 2 0 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE ����0� VEHICLE CYCLE Yes ,/No D:2063800038 0 1 30 6❑ LAST NAME PA/ZGUARCHAJ FIRST NAME LUIS MIDDLE A 1 2 31 INITIAL STREET E:1' 24032 16TH AVE S A NEW ADDRESS CITY DES MOINES S7, WA 21p 98198 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALNO TRANSPORTED 3 INTERLOCKYEs No INTERLOCKYEs No YES Na 8❑ LDICENS STATE WA SEX'M MM flYY 04 - 10 - 1988 1 2 32 9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H USE CLASS 7 BACK AND SHOULDER z 10 LICnNS3e BZP3494 srArE WA WIN# ML32A3HJ6FH054355 3 RAILER TRAILER 11 0 0 PLATE# _I I STATE PLATE# STATE FROM TO TRLR TRLR. 3 7 33 12 0 0 VIN#' VIN# FROM TO 13 1 VEH.YEAR2015 MAKE MIT$ MODEL MIRAGE STYLE SD VEHICLDAMAGE TOWED Ftl T02fBLIN TOWED BY GOVT.VEHIICLNOF✓ 3 7 34 ❑ REGISTERED OWNER INFO OWNED BY DRIVER IIIL—llll VEHICLE ccNJIIOO..'II 1 SHADE 1N DAMAGED AREA ❑ 35 14 NSURANCECO 2 4 LIABILITY INSURANCE IN EFFECT &POLICY# I 9-Lop5 ❑ vtwct CHARGE tOftOTTOM ❑ 36 15 2 sTANo Nc YES❑No CITATION# 5A0354731,5A0354731 IMPROPER LANE USAGE,OP MOT e MOTOR PEDAL PEDESTRIAN 0 PROPERTY E]JDAM THR OLD MET I PHONE UNIT 02 VEHICLE CYCLE OWNER YES fVj NO D:4255914211 16� LAST NAME CANDLAND FIRST NAME CANDLAND MIDDLE' C INITIAL 17❑ STREET El 345 PELLYAVE N 6 CITY RENTON I ST WA ZIP 98057 37 NEW ADDRESS I I I ❑ 18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED ❑ 38 W7ERLOCKvEs No INTERLOCkCvEs no ves NoF 19 DRIVER'# ON DUTY STATUS AIRBAG'2 RESTR 4 EJECT 1 N U MEET INJAURY 1 NATURE of INJURIES 40 21❑ LICENSE gV61830 TATf'WA vIN# KNDMB5C18H6265299 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN#. '[N#, 44 VEH.YEAR 2017 MAKE K/A MODEL SEDONA STYLE VN DAMIAGE ✓TOWED NOO BLIN TOWED BY GO BANKER TOWING YES N HI O Ct 24 REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2 SHAD DAGED AREA LIABILITY INSURANCE INSURANCE CO GEICO 6103737182 4 IN EFFECT &POLICY# I STOP 5 venue ❑ .1-1 CITATION# CHARGE tO BOTTOM �ecn�Lv YES N J 25 s e OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# AGENCY SITIVEN/TAMA/VENA 12812 WA0171300 PART A . PAGE 01 OF 3000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG02679 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4989 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) NUNEZ SANDOVAL LESTER A ADDRESS&PHONE# 2212 S 234TH ST F204 DES MOINES WA 98198 SEXi M MMD,O B.Y 11 - 26 - 1994 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z ❑ 1 POS. 7 5 4 1 USE CLASS 1 ----� :NAME (LAST FIFS7 MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. - MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NA7URECFINJURIES 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 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. SITIVENI TAMAIVENA 06-12-25 10:33 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 612112025 4:31:02 AM BADGE OR ID# 12812 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:01 PM TIME POLICE ARRIVED i 3:07 PM PART B 8800-845.160(R1Vt8) PAGE 0 OF 47 TIM REPORT NO. EG02679 CASE# 25-4989 OF COLLI ION 06/08/25 14:58 OF COLLISION NARRATIVE On 06/08/2025, at approximately 0654 hours, while employed as a uniformed Patrol Officer for the City of Renton, I was dispatched to an injury accident at Factory PL N and N Maron St, within the City of Renton, County of King, State of Washington. The Driver of Unit 2 is Candland, Nicolle C (DOB 07-02-1994). Juliet was the driver of a 2017 Kia Sedona with license plate WA/BVB2938. Candland was the only occupant of the Kia. The Driver of Unit 1 is Paiz-Guarchaj, Luis A (DOB 04-10-1988). Paiz-Guarchaj is the registered owner of a Mitsubishi Mirage with license plate WA/BZP3494. Also involved in the Mitsubishi, Nunez- Sandoval, Lester A (DOB 11-26-1994). 1 arrived on the scene and observed the Kia on the sidewalk close to lane 1. The Mitsubishi was partially in lane 1 and on the sidewalk. I checked on the Kia, where I observed Candland as the driver. Candland was having a panic attack. I then checked on the Mitsubishi and noticed two occupants sitting on the ground of the sidewalk. I spoke with Paiz-Guarchaj, who stated he was the driver of the Mitsubishi. Nunez-Sandoval was sitting in the rear driver's seat of the Mitsubishi. Nunez-Sandoval stated he was not injured. Paiz- Guarchaj stated that he was feeling pain in his shoulder and back. The Renton Fire Department was called due to an airbag deployment from Mitsubishi and a complaint of pain from the involved parties. Renton FD medically cleared all involved parties. Paiz-Guarchaj stated that he was traveling on Factory PL N going eastbound in lane 2. He was changing lanes into lane 1 when he collided with another vehicle. He said he did not see a vehicle there. Candland stated she was behind the Mitsubishi in lane 2 going westbound. She then changed lanes into lane 1 so she could prepare to make a left turn onto Williams. Candland was in lane 1 going westbound when all of a sudden, the Mitsubishi turned into her lane and collided with her vehicle. I believe the approximate cause of this collision was Paiz-Guarchaj for changing lanes and colliding with another vehicle. Paiz-Guarchaj was cited for (RCW 46.61.140) Driving on roadways laned for (1) 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 and operating a motor vehicle without liability insurance (RCW 46.30.020). Paiz-Guarchaj understood that he would receive his ticket by mail. My Axon camera was on for this call. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812, June 12, 2025, at 0600 Renton, WA. PAGE 3 OF 4 REPORT NO. EG02679 CASE# 25-4989 DATE AND TIME 06/08/25 14:58 OF COLLISION 1, v bus i t it t , 1�?5 t s � } ti, t 2 t �t? 1 tt 1T' t F� iy4J t F v ! i t tzyi t a. PAGE 4 OF 4