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HomeMy WebLinkAbout25-5855 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG08233oc� RA COLLISION REPORT 1591971 CASE# 25-5855 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDL�Is[oN' 07 - 05 - 2025 2211 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 116TH AVE SE BLOCK NO. e 16800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e SE 168TH ST 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066988951 0 1 30 5 LAST NAME BARRAGAN LOPEZ FIRST NAME FERMIN MIDDLE D 1 1 2 31 INITIAL STREET ❑✓ 3201 S 192ND ST#E104 CITY; SEATAC ST I WA ZIP, 98188 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCKYEs N©✓ YES NO✓ 8 DCIENSE# STATE WA SEXI M MMDDYY' 04 — 20 — 2005 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2 USE CLASS RIGHT ARM/HAND PAIN LICENSE, CMV6760 STATE WA VIN# 2G1FE1E35D9174624 3 10 Fl I PI ATP tt TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# 11ROM TO TRLR TRLR 5 7 33 12 3 5 VIN# VIN# FROM TO HICLE 13 a VEH.YEAR2013 MAKE CHEV MODEL CAMAR STYLE SD DAMAGE TOYED NO�iS46LIN T(QiMYMEYERS GOS❑ENO✓ 1 5 34 DAMAGE IIII._IIII REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 s LIABILITY INSURANCE INSURANCE CO 3 4 14 STATE FARM 5441515C0947D IN EFFECT &POLICY# 9TOP vewc�e CHARGE t a 80TTOM Lemur yes❑NO❑ CITATION# 5 36 15❑ sTnNowc 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:9782378055 16� LAST NAME KARIUKI FIRST NAME HENRY MIDDLE' M INITIAL 17 F1 STREET ❑ 910 140TH ST S CITY TACOMA ST, WA ZIP 98444 37 NEW ADDRESS I I I I I I ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK vEs ✓NO INTERLOCK YES ✓ ND Yes ✓ N) 19 DRIVER'S STATE WA SEXIM I DOs. 08 09 1969 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40 USE CLASS HEAD PAIN,HEAD LACERATION,SWELLING 21 LICENSE PLATE# BXG4223 rare WA vIN# 4T1BF3EK1BU209628 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2011 MAKE TDyT MODEL CAMRY STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS vEs NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADFjy DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO AMERICAN FARMERS UNK IN EFFECT &POLICY#25 LE —Ly YES 9TOP v ❑ NJ—I, CITATION CHARGE t080TTOM GnEE e 7NH 'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 LAS GOODWIN 12884 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG08233 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5855 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 CLASS 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. NICHOLAS GOODWIN 07-06-25 12:15 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE P.SUMMERS 888 1 71912025 4:18:12 PM BADGE OR ID# ; 1Y884 ORI#s WA0171300 TIME POLICE DISPATCHED 10:12 PM TIME POLICE ARRIVED i 10:14 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG08233 CASE# 25-5855 DATE OF COLLI r�510NN + 07/05/25 22:11 L1 NARRATIVE 25-5855 Unless otherwise noted, the following took place within the city limits of Renton, County of King, WA. On 07/05/2025 at approximately 2212 hours, I was dispatched to a motor vehicle accident with unknown injuries at the intersection of 116th Ave SE / SE 168th St. Dispatch advised "2 MVA, UNK INJS" and "MVA, HEAD ON, 1 DRIVER BLEEDING". I arrived on scene and observed a red Chevy Camaro and gray Toyota Camry, both with heavy front- end damage, stuck in the center of the intersection. The Chevy Camaro had collided with the Toyota Camry and was facing approximately northwest in the intersection. The Toyota Camry had collided with the Chevy Camaro and was facing southbound. The Chevy Camaro was identified as Unit 1. 1 contacted the driver of Unit 1, identified and verified via WADL as Fermin D. Barragan Lopez (04/20/2005), who was sitting in the driver's seat of the vehicle. The airbags around Fermin had deployed and speaking with him, he explained he had pain in his right hand/arm. Speaking with Fermin, I gathered that he was traveling northbound on 116th Ave SE and was in the left turn lane, preparing to turn left and continue westbound on SE 168th St. He had a flashing yellow light and believed the oncoming lane of traffic was clear. He started to turn left and struck Unit 2, who was traveling southbound. The Toyota Camry was identified as Unit 2. 1 contacted the driver of Unit 2, identified and verified via WADL as Henry M. Kariuki (08/09/1969), who was sitting in the driver's seat of his vehicle. Henry also had the airbags surrounding him deploy, which caused him injury to his face. Henry sustained a laceration above his left eye, which was actively bleeding. There was also swelling starting to build around his eye. Henry appeared very dazed, which was consistent with his head trauma. Due to Henry's condition, it was difficult to get his side of the story, but eventually it was determined he was driving southbound on 116th Ave SE and struck Unit 1 as he was crossing through the intersection. RRFA responded and evaluated both drivers. Henry was transported to Valley Medical Center for further evaluation, but Fermin opted not to go the hospital. Both vehicles were towed by Gene Meyers. I did not observe any signs of either driver being under the influence of drugs or alcohol. Neither party received citations. An exchange of information was provided to both drivers. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Electronically signed by Officer N. Goodwin 12884 at 2355 hours on 07/05/2025 in Renton, WA. PAGE 3 OF 4 REPORT NO. EG08233 CASE# 25-5855 DATE AND TIME 07/05/25 22:11 OF COLLISION> ' t�. t i t � g t rcM l f A t r f s 1 a t c , t PAGE 4 OF 4