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HomeMy WebLinkAbout25-5640 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG05002OLCERA COLLISION REPORT 1591971 CASE# 25-5640 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LQCAI-A`NG 4100 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 2 TOTAL#OF OBJECT 1 8 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 - 29 - 2025 1430 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ TALBOT RD S BLOCK NO. e 1200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.1 FEET e S 8 W e S RENTON VILLAGE PL 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064955069 0 4 30 6 LAST NAME SINGH FIRST NAME SATVIR MIDDLE N 0 1 31 INITIAL STREET Q 31500 33RD PL SW CITY; FEDERAL WAY ST WA ZIP; 98023 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANa�PQRTED 3 INTERLOCKYEs No W/ INTERLOCKY NO�/ YES No�/ 8❑ DCIENSE# STATE WA SEXI NI MMDDYY' 02 - 20 - 1999 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2= 10 1� PI ENSrtEI D9597OG STATE WA VrN 1B7KF2360YJ112788 3 TRAILER STATE TRAILER STATE 11 3 5 ,LATE# PLATE# 1ROM To TRLR rRLR 5 1 33 12 O O VIN#' vIN# FROM TO VEH.YEAR 2000 MAKE DODG MODEL RAM STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT V Q $EHICLE 34 13� DAMAGE YES II_II NO `/ YESII_] NO REGISTERED OWNER INFO GUY WASHINGTON 1425 E WALNUT ST KENT WA 98030 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE ElNSURANCE CO IQ 4 IN EFFECT &POLICY# 11 VEn" 5 36 Lec Ly YES❑NO❑ CITATION# CHARGE t 11 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2062807984 16� LAST NAME GEBRESELASSIE FIRST NAME HANNA MIDDLE H INITIAL 17 STREET 37 ❑ 9846 NE 190TH ST APT K104 CITY BOTHELL ST, WA ZIP 980112973 NEW ADDRESS I I I I I I [I 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 CDL INTERLOCK YEs NO INTERLOCK YES STATEWA EXF No 19 DRIVER'S a YES NO 01 1974 � 39 LICENSE# MMDOYY - 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS SORNESS 21 LICENSLATE E CHW7210 TATE WA VIN# 1 N4AL 11 D16N386416 41 22❑ PLATE# STATE PLATE# STATE E 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2006 MAKE NISS MODEL ALTIMA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS REGISTERED OWNER INFO MATIHAS HAGOS 913 S JACKSON ST UNIT 228 SEATTLE WA 98104 VEHICLE NO.2 SHADFjy DAMAGED AREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &.POLICY#1-1— YES❑ NCOCITATION# CHARGEUR 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.STEED 8770 WA0171300 PART A PAGE 01 OF 1 3000-348-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EGO5002 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5640 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) FIDE BROCKL ADDRESS&PHONE# D� 6701 139TH PL SW EDMONDS WA 98026 2064955069 SEXi M MMDDYYYY 12 — 10 — 1962 PASSENGER WITNESS UNIT# SEAT ;AIRBAG RESTR. EJECT HELMET INJURY ' NRE OF INJURIES �' POS. USE :CLASS ' � ATU ----� :NAME (LAST EIRS7 MIDDLE INITIAL} ADDRESS R PHONE# SEX MMDDYYYY D.O.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.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE On 06/29/25 at about 1433 hrs I was traveling SB on Talbot Rd S approaching S Renton Village PI which is controlled by signals, in the City of Renton, County of King, and State of Washington. All involved were identified by their WADL. I observed Unit#2 was smoking, heavily damaged, and up on the sidewalk island for the crosswalk across the off ramp from SB 1-405 to Talbot RD S. I contacted the driver of Unit#2 who said she had been first at the red light in the center left turn lane. When the light turned green, she proceeded into the intersection where she was struck by a truck on the front driver's side of her vehicle. She said the truck must have run the red light since her light was green. The driver of Unit#1 had parked in the center lane about 200 feet south of the accident. He said he was traveling SB in the inside lane on Talbot Rd S when his brakes failed at the red light for S Renton Village PI. He said he started honking his horn to warn people and tried to swerve to avoid hitting Unit #2. The driver of Unit#2 was treated by Renton Fire for soreness from the accident and later transported to VMC for further care. Unit#2 was towed by Gene Meyers Towing. This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. The video was uploaded to evidence.com. 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 Steed on 06/29/25 1539 hrs, Renton Washington Cassidy Steed/8770 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.STEED 06-29-25 03:42 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 6/29/2025 4:08:27 PM BADGE OR ID# ; 8770 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:33 PM TIME POLICE ARRIVED i 2:33 PM PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. EG05002 CASE# 25-5640 DATE AND TIME 06/29/2514:30 OF COLLISION tt 1 I&W9 l qq � z G s �qty 4� II t��W uro\tire t t PAGE 3 OF 3