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HomeMy WebLinkAbout25-5363 )STATE TFcN 0 5 27i t Oc� RA EG05771 COLLISION REPRT 1591971 CASE# 25-5363 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y. 4250 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION' 06 - 19 - 2025 2015 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ SW SUNSET BLVD BLOCK NO. e 500 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET H S 8 W e STEVENS AVE SW 0 4 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064510530 0 1 30 6❑ LAST NAME OMAR FIRST NAME NAJMA MIDDLE M 1 2 31 INITIAL STREET ❑ 11465 SE 195TH PL CITY KENT ST WA ZIP 98031 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES ✓NO INTERLOCKYEs NO✓ YES No✓ 8 DRIVERCENS # STATE WA SEX F MMoo :lr YY' 01 — 01 — 1973 1 2 32 —NATURE OF I URY 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USE ET ASS 6 ARM PA/NINJURIES 2 10 LICENSE ti� BSG4160 STATE WA VN# 1G1125S30EU130310 3 TRAILER ,STATE 0 TRAILER STATE 11 0 0 PLATE# PLATE# ROM TO rRLR TRLR 5 7 33 1 0 ( FROM TO 2 0 VIN# VIN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 2 2014 CHEV IMPALA 4D DAMAGE YES�No ✓� Yes❑ No✓ 1 5 34 REGISTERED OWNER INFO HAMZA ALI 11465 SE 195TH PL KENT WA 98031 D:2064510530 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 3 4 14 GEICO 4600564605 IN EFFECT &POLICY# 4TOP vEnic�E 5 36 LEGALLY YES[:]NO[:] CITATION# CHARGE 7 o BOTTOM 15❑ STANDING 7 e III MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT O2 VEHICLE CYCLE nWNFR YES,/ NO D:2062266822 16� LAST NAME ROSS FIRST NAME JANIS MIDDLE' A INITIAL STREET ❑ 17 ❑ 5610 E K ST CITY TACOMA ST, WA ZIP 98404 4 37 NEW ADORE 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES No✓ INTERLOCK YES Nio✓ YEs No;✓ 19 DRIVER'S STATE WA SEX F I D.O.B. 05 27 1958 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H EL SE CLA 1 Y NATURE OF INJURIES 40 21 LICENSLATE E CCH9031 TATE WA VIN# 1HGCM56363A108025 41 22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2003 MAKE HOND MODEL ACCORD STYLE qp VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24= DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO DARRALITA TAYLOR 5610 EKST TACOMA WA 98404 D:2062266822 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT 8.POLICY# 9TOP VEHICLE ❑ NCO,.I—I CITATION# CHARGE 25 a tO BOTTOM ALLY OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TYLER EDIGER 12807 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EGO5771 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5363 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME ROBINSON LENNOX (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# TACOMA SEX M MMooYYvv 06 — 29 — 2023 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Ej 2 POS 8 2 4 1 USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD —F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -T L----------� MDDYYYY PASSENGER WITNESS UNIT# PO SEAT AIRBAG RESTR. EJECT HELMET INJURYSS rNATURE OF INJURIES ❑ QPOS. USE GLA — ----� 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. TYLER EDIGER 06-20-25 02:07 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 1 71112025 9:56:42 PM BADGE OR ID# 12807 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:15 PM TIME POLICE ARRIVED 8:Y5 PM PART B 3 Do-lmx-,aR(Rtrras) PAGE 27 OF 47 REPORT NO.` EG05771 CASE# 25-5363 O COLLI COLLISION TIME OF 06/19/25 20:15 COLLI NARRATIVE During this incident, I was equipped with a body-worn camera, which records both audio and video. Portions of this incident were recorded. This report is merely a summary of the incident and is not intended to be an exact transcription of the entire investigation or what may have been captured with the recording system. I was operating a fully marked Police Tahoe #237which was equipped with overhead emergency lights and sirens. I was also wearing my department issued Renton Police uniform clearly identifies me as a Police Officer. Case Number 25-5363 On 06/19/2025 at approximately 2027 hours I was dispatched to a collision that occurred in the intersection of SW Sunset Blvd and Stevens Ave SW, within the City of Renton, King County, Washington. I identified Unit 1 in this collision as a 2014 Chevy Impala (WA/LIC: BSG4160 VIN# 1G1125S30EU130310). The driver of sole occupant of unit 1 was identified as Najma M Omar (DOB 01/01/1973). Unit 1 sustained significant damage to the front end and a combination of airbag deployment. Unit 1 complained of wrist pain but was evaluated and cleared by fire. Unit 1 advised that she did not have much recollection of how the collision occurred but knew she was on Stevens Ave SW turning left to go westbound on SW Sunset Blvd. Unit 1 was unable to leave under its own power and required a tow. I identified Unit 2 in this collision as a 2003 Honda Accord (WA/LIC: CCH9031 VIN# 1 HGCM56363A108025). The driver of unit 1 was identified as Janis A Ross (DOB 05/27/1958) and the rear middle passenger was identified as Lennox Robinson (DOB 06/29/2023. Unit 2 sustained front end damage but was able to leave under its own power after the bumper was taped. No injuries were reported in unit 2. Unit 2 advised me that she had a green light to continue southbound on Stevens Ave SW across SW Sunset Blvd. She stated that unit 1 had a phone to her ear and failed to grant the right of way which caused the two vehicles to collide in the intersection. Unit 1 denied being on her phone but based on the stories from both parties I am led to believe the proximate cause of this collision was unit 1 failing to grant the right of way to unit 2. 1 uploaded images of the damaged vehicles through Axon. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer T. Ediger#12807 06/20/2025 Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG05771 CASE# 25-5363 DATE AND TIME i 06/19/25 20:15 OF COLLISION s 7 t X ; I t r { }tt S 4 VS` t{ y S 0 � , s � i 14 � 3 � PAGE 4 OF 4