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HomeMy WebLinkAbout25-5755 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG0808OLCERA COLLISION REPORT 1591971 CASE# 25-5755 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCLson' 07 - 02 - 2025 1417 17 =.= S 8 W e IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BLVD N BLOCK NO. e 200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1001.1 00 FEET e✓ S 8✓ E e N 3RD ST 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257613895 0 1 30 6 LAST NAME LAI FIRST NAME MONICA MIDDLE N 1 1 2 31 INITIAL STREET ❑ 1306 REDMOND PL NE CITY; RENTON ST I WA ZIp; 980563382 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCK VEs N©✓ YEs NO✓ 8 DRIVER # STATE WA SEXI F MMDDYY' 09 - 07 - 2006 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, CKR9092 STATE WA VIN# WBY73AWOORFR72922 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM To TRLR zRLR 1 1 5 33 12 3 0 VIN#' vIN# FROM TO VEH.YEAR 2024 MAKE BMW MODEL 14 STYLE P4 VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 $ 34 13 DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO KIMPHAM1306REDMONDPLNE RENTONWA98056 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE NSURANCE CO 3 4 14 STATE FARM 558 6589-Et0-47A IN EFFECT &POLICY# 4TOP V""' CHARGE t 5 36 LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM 15❑ STANDING e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ THR NO D:9493048642 16� LAST NAME NGANGA FIRST NAME CAROLINE MIDDLE N INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 12424 NE 145TH ST APT C15 CITY KIRKLAND ST, WA ZIP 980341221 4 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs No✓ INTERLOCK YES NO✓ vEs NO✓ 19 DRIVER'S STATE WA SEX F D.o.e. 09 03 1988 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY 1 NATURE OF INJURIES 40 21 LICENSE I PATE# CGY7486 raTE WA vIN# 3C4NJCAB4JT287111 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE JEEP MODEL COMpA$ STYLE p4 VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO✓ REGISTERED OWNER INFO CAROLINENGANGA 12424 NE 145TH ST APT C15 KIRKLAND WA 98034 VEHICLE NO.2 SHADE DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2022466H2O IN EFFECT &POLICY# t VEHICLE ❑ J—I CITATION11 CHARGEUR LEGALLY YES N25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG08058 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5755 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES 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. D.NELSON 07-03-25 05:27 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY E DAT M.LEVERTON 2517 71912025 7:43:51 AM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:22 Pry TIME POLICE ARRIVED i 2:36 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG08058 CASE# 25-5755 DATE OF COLLI r�510NN + 07/02/25 14:17 L1 NARRATIVE 25-5755 ACC On 7/2/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. 1 was dispatched to a report of a three-vehicle collision without injury in the 200 block of Sunset Blvd N Renton/King/WA. I arrived on scene and located all three vehicles, the driver of the blue 2024 BMW 14 EDrive WA/CKR9092 was identified by her WADL as Monica Lai DOB: 9/7/2006. Monica said that she was driving south in the #1 lane and was struck by a black car causing damage to her driver side front quarter panel and door. Monica originally stated that she was not involved with this other collision and hers was a hit and run. 1 looked at her damage and could see black paint transfer in the markings. Monica said that the black car had a right hand turn signal activated and pulled out in front of her. She said that she did not know where this vehicle went. I then spoke with the driver of the black 2018 Jeep Compass WA/CGY7486, identified by her WADL as Caroline N Nganga DOB: 9/3/1988. Caroline said that she was driving south in the #2 lane when she was struck in the front passenger side bumper which caused her to collide with Unit 1 that was stopped for traffic. There was damage to Caroline's front passenger side bumper/quarter panel and front driver side bumper/quarter panel. I then spoke with the driver of the red 2015 Chrysler 200 WA/CCN4165, identified by his WADL as Jess B Nault DOB: 10/20/1969. Jess said that he was stopped for traffic in the #2 lane facing south when he was struck from behind by the Jeep. There was damage to the rear passenger side bumper/quarter panel of the Chrysler. All vehicles were drivable. Based on the damage to all vehicles it appears as if the BMW collided with the front of the Jeep which knocked it into the Chrysler. 1 was not able to determine if the Jeep was attempting to change lanes or of the BMW drifted lanes. I took photographs of all vehicles and uploaded them to Axon Evidence. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 7/2/2025 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG08058 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE# 25-5755 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN vps No D:4254639371 5 VEHICLE CYCLE OWNER 0 7 29 LAST NAME NAULT FIRST NAME JESS MIDDLE. B INITIAL STREET 30 NFW AnnRFG 15447 SE 20TH PL CITY BELLEVUE I ST Wq ZIP 980076333 6 ❑ 1 1 2 31 CDL IGNITION REOUIREb IGNITION PRESENT ME DICALTANSPORTED' INTERLOCK YES NO�/ INTERLOCK YES Nd�/ YES N.,�/ L DRIVER'S WA SEX M D.O.B 10 LICENSE; MMDDvvv - 20 - 1969 7 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET 2 INJURY 1 NAruRE of INJURIEs USE CLASS 8 ❑ 1 32 LICENSE CCN4165 TAT WA VIN 1C3CCCBBOFN732861 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 3 0 VEIL YEAR201 Jr I MAKE CHRY MODFL200 I STYLE P4 VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI E FROM TO DAMAGE YES NO ,/ YES NO REGISTERED OWNER INFO✓ESS NAULT 15447 SE 20TH PL BELLEVUE WA 98007 9 9 33 12 � SHADE IN DAMAGED AREA � FROM TO INSURANCE CO LIABILITY INSURANCE ALLSTATEA17972698 IN EFFECT &POLICY# I JTt1P--_ 5 m 34 13 V"'�e YES NO 1:11CITATION# CHARGE 1080TTOM ecaLLv sTnNoiNc � 5.. 7 6.. MOTOR PEDAL_ ' 1:1PROPERTY DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST ZIP NFW ADDRESa CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YES[:]NO .YES NO 17 4 37 LLIRIVER'SICENSE# STATE SEX MMODW - 18 ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS,: 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 TRAILER' TRAILER 40 PLATE#. STATE PLATE# - STATE ❑ 21 ❑ ❑ 41 TRLR TRLR VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA � 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q y. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..TF_ YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 07-03-25 05:27 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 12421 O#RI WA0171300 APPROVED BY 719912025 PAGE�OF� 3000-345-013(R 11/18) REPORT NO. EG08058 CASE# 25-5755 DATE AND TIME 07/02/2514:17 OF COLLISION 3 ` om k b.: P4f � 4v' 9 r 1 i �d�{��tgit�ltrr uav�x { sl � t, { y t � Y PAGE 5 OF 5