HomeMy WebLinkAbout25-5660 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG06296OLCERA
COLLISION REPORT 1591971
ASE#I 25-5660 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL CO A`NG 4150 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TOTAL 1
TRIBAL 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 - 30 - 2025 0810 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
SW 41ST ST MILE POST
❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ C------�. FEET e S 8 W e LINO AVE SW
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO Q 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 LCEENSE# STATE SEX U MMDDYY+ —=— 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 HELM
USEET 9 CLASS 0 NATURE OF INJURIES 2
LICENSE, 3
1 O PI ATF# STATE V(N
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FBOM TO
TRLR TRLFt 1 5 33
12 3 5 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED By GOVT VEHICLE
13 4 SD DAMAGE YES f n O Z YES❑ NO 34
REGISTERED OWNER INFO UNKNOWN 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❑ STM ING 1 7 e
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:3603041779
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME PETERSON FIRST NAME NATHANIAL MIDDLE G
INITIAL
STREET ❑ 37
17 '❑ 239 CLINTON RD CITY CHEHALlS ST, WA ZIP 985329361 g
NEW ADDRESS
18❑ CDL ...; IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. ❑ 38
INTERLOCKYEs NO INTERLOCYEB No YEs No
19 DRIVER'S STATE WA SEXI M D.O.B. 04 10 1992 39
LICENSE# MMDDYY
HELMET INJURY' NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT '1 7 ❑
USE CLASS MINOR PAIN AND BRUISING
21 LICENSLATE E D411526 TATE WA 11N# 1FT7W2B62NEE95466 41
22❑ PLATE# STATE PATE# 42
AILER ILER STATE ❑
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2022 MAKE FORD MODEL FZSQ STYLE IVEHDAMIAGE TOWED No BLIN BANKERS ves No V
24
REGISTERED OWNER INFO BNSF RAILWAY COMPANY 4001 LEADENNALt RD MOUNT LAUREL NJ 08054 VEHICLE N0.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCECO OLD REPUBLIC INSURANCE COMPANY MWTB-313468.24
IN EFFECT &POLICY# 9TOP
vew1— ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGnLLv YES N`LJ
25 a 6
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. EG06296
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5660
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} ELSWICK ZACHARYJ
(LAST,FIRST
ADDRESS&PHONE# D O
2633 WILDERNESS DR SE APT D OLYMPIA WA 985016205 3604964506 SEX' M MMooYYYv 03 - 18 - 1997
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS Q UNIT# 2 POS 3 AIRBAG i 6 RESTR. 4 EJECT 1 USE GLASS 6 [NATURE
PAIN/POSSIBLE
DISLOCATION
'NAME
LAsr F RST,MIDDLE INITIAL) WHITE MICHAEL E
ADDRESS&PHONE# D 0 B
257 ALPHA WAY ONALASKA WA 985709640 3608805727 SEX' M MMDDVVYv 12 - 22 _ 1982
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER F,-/1 SS� UNIT i 2 POS. 7 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS MUSCLE PAIN
'.NAME
(LAST, ,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEATPOS. AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q PO USE GLASS
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 06-30-25 11:06 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 7/3/2025 10:03:14 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:14 AM TIME POLICE ARRIVED 9:24 AM
PART B 3 Do-3mx-,ao(R11Y1s) PAGE 27 OF 47
REPORT No.` EG06296 CASE# 25-5660 O COLLI COLLISION TIME
OF 06/30/25 09:10
COLLI
NARRATIVE
CC 25-5660
On 6/30/2025 at 0914 hours I was dispatched to a motor vehicle collision at the intersection of SW
41 st St and Lind Ave SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling West on SW 41 st St in the #2 lane approaching the intersection
of SW 41st St and Lind Ave SW. Driver 2 stated that he saw Unit 1 approaching from the #1 lane of
Lind Ave SW proceeding South towards the intersection.
Driver 1 fled the scene and was unable to provide comment.
Collision
Driver 2 stated that as he proceeded through the intersection, Unit 1 entered the intersection against
a red light and the front bumper of Unit 1 collided with the front and rear passenger side door area of
Unit 2, causing substantial damage.
Driver 1 fled the scene and the vehicle was described as a silver sedan with an unkwon make and
model. Driver 1 was described as a light skin female, unknown race, with dark colored hair.
Injuries
Driver 1 and the LR Passenger complained of soreness and some minor bruising. The RF passenger
complained of shoulder pain and based upon his range of motion, it appears that his right shoulder
has a subluxation.
Vehicle Disposition
Unit 2 was rendered inoperable and was towed from the scene. Unit 1 fled and was apparently
operational.
Final Disposition
Driver 1 did commit the crime of hit and run attended (RCW 46.52.020) because a driver of any
vehicle involved in an accident resulting in the injury to or death of any person or involving striking the
body of a deceased person shall immediately stop such vehicle at the scene of such accident or as
close thereto as possible but shall then forthwith return to, and in every event remain at, the scene of
such accident until he or she has fulfilled the requirements of subsection (3) of this section; every
such stop shall be made without obstructing traffic more than is necessary.
Subsection 3 states:
Unless otherwise provided in subsection (7) of this section the driver of any vehicle involved in an
accident resulting in injury to or death of any person, or involving striking the body of a deceased
person, or resulting in damage to any vehicle which is driven or attended by any person or damage to
other property shall give his or her name, address, insurance company, insurance policy number, and
vehicle license number and shall exhibit his or her vehicle driver's license to any person struck or
injured or the driver or any occupant of, or any person attending, any such vehicle collided with and
shall render to any person injured in such accident reasonable assistance, including the carrying or
the making of arrangements for the carrying of such person to a physician or hospital for medical
treatment if it is apparent that such treatment is necessary or if such carrying is requested by the
injured person or on his or her behalf. Under no circumstances shall the rendering of assistance or
other compliance with the provisions of this subsection be evidence of the liability of any driver for
such accident.
The LR Passenger provided the description of Driver 1 but is unsure if he will be able to identify her if
seen again.
Driver 2 and both passengers are willing to assist in prosecution.
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 09:49 on 6/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG06296 CASE# 25-5660 DATE AND TIME i 06/30/25 09:10
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PAGE 4 OF 4