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
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PAGE 4 OF 4