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HomeMy WebLinkAbout25-5689 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG08319OLCERA COLLISION REPORT 1591971 ❑ El �A$E 25-5689 2 0 7 INTERSTATE CITY STREET ✓STATE ROUTE OTHER LOCALAGENCY 4250 3 CODIN6COUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 06 - 30 - 2025 2315 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 4TH ST BLOCK NO. 4a❑ MILE POST e ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e MAIN AVE S 0 2 29 MOTOR PEDAL- DAM AG TSHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NHREO ✓ 0 1 30 6❑ LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE 1 2 31 INITIAL STREET F� NEW ADDRESS CITY', RENTON ST: ZIP: 2 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs NO INTERLOCKYEs No YES NO 8❑ LCEENSE# SRVERSTTATE SEX M MMDDYY' -=- 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 9 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 10 PI ENSttEI D00278A STATE WA VIN# 1N6AA07F88N311764 3 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM To TRLR TRLR 5 1 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 2008 MAKE NISS MODEL TITAN STYLE TR VEHICLE TOWED[n TO ZBUN TOWED By GOVT VEHICLE g 1 34 DAMAGE YES II_II NO YESII_I) NO✓ 13 REGISTERED OWNER INFO MARK SOLIVEN 8815 S 132ND ST RENTON WA 98057 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# vewcLe t S ❑ 36 ecnur yes❑NO❑ CITATION# CHARGE 7 0 80TTOM 15❑ STM ING s 7 e MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4256256670 16� LAST NAME SANDOVAL-GARCIA FIRST NAME JUAN MIDDLE M INITIAL STREET ❑ 17 ❑ 1820 PIERCE AVE NE CITY RENTON ST, WA ZIP 98056 37 NEW ADORE SS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs No INTERLOCK YES NO vEs NO 19 DRIVER'S STATE WA SEX M D.O.e. 09 - 12 1990 39 LICENSE# MMODYY — : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE PATE# BPY1981 TATE I WA VIN# 19XFC2F78JE200604 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE HOND MODEL CIVIC STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ NO✓ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE DEGE AREA LIABILITY INSURANCE[Z INSURANCE CO SAFECO P5812857 IN EFFECT &POLICY# IU�o L,—Le ❑ J—I CITATION# CHARGE LEGALLY YES N 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 N.ODALOV►C 11628 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG08319 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5689 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) REED COOPER ADDRESS&PHONE RENTON 3179897795 SEXi M MMDoovBVyY 03 - 25 - 2001 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Q Q I 2 POS. 3 2 4 1 USE CLASS j 1 ----� :NAME (LAST EIFS7 MIDDLE INITIAL) { BAUER ALYSSA N ADDRESS&PHONE# MMDDY Y RENTON 3179897795 SEX' U D C'e•YY 04 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 P1:11OB. 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CJU:R 1 ----� NAME MIDDLE INITIAL) BAUER JASPER O (LAST,FIRST, AQQREss&PHONE# RENTON SEX 03 _ 31 _ 2025 . U DA.B. MM DDYYY PASSENGER I WITNESS UNIT# 2 SEAT 6 AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY' 1 NATURECFINJURIES a POS. 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. N.ODALOVIC 07-01-25 08:03 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE HANSEN HSU 12651 711012025 12:27:20 AM BADGE OR ID# j 11628 ORI# WA0171300 TIME POLICE DISPATCHED 11:21 PM TIME POLICE ARRIVED i 11:28 PM PART B 3 Do-3mx-attar gt 1Mffp PAGE F2 --]OF F REPORT NO. EG08319 CASE# 25-5689 DATE OF COLLI r�510NN + 06/30/25 23:15 L1 NARRATIVE 25-5689 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. On 06-30-2025 at approximately 2321 hours I was dispatched to a collision that occurred at S 4th St/ Main Ave S. Upon arrival, I only observed unit 2 on scene who was being evaluated by the Renton Fire Authority. The driver of unit 2, Juan, stated that he was traveling north on Main Ave S driving at approximately 23 miles per hour in lane 1. Unit 2 came up behind Jose's vehicle and was flashing headlights behind them. Unit 1 has some sort of intercom system and the occupants of unit 2 heard a male voice while the vehicle was behind them, but they could not tell what he was saying. No one was able to visually see the driver of unit 1. As the vehicles approached S 4th St, unit 1 tried to pass unit 2, but there was a median in the roadway and subsequently side-swiped unit 2. Unit 2 followed unit 1 for a short distance but then returned to the original collision scene. Unit 1 did not stop to exchange information with unit 2. Unit 2 then collided with an unknown description semi-truck who also did not stay on scene of the collision. Unit 2 was drivable with no airbag deployment. There was an infant in the vehicle who was evaluated but otherwise no occupants sustained any injuries. I provided Jose with the case number. Photographs of unit 2 were uploaded to evidence.com. After the incident, Jose uploaded two videos of the suspect vehicle to evidence.com which I reviewed. Police went to the registered address for unit 1 but were unable to locate the vehicle. During this incident it is likely my in-car camera and/or body-worn camera was recording audio and video. 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 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by N. Odalovic#11628 on 07-01-2025 at 2000 hours in Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG0831 9 POLICE TRAFFIC 1 1 7 27 µ ^'� COLLISION REPORT CASE# 25-5689 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS 'J MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER :❑ YES NO 0 1 29 LAST NAME UNKNOWN FIRST NAME MIDDLE'. INITIAL 30 -CITY RENTON ST ZiP NFW ArinRFfi . 6 CDL GNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 I O 1{iNiTION INTERLOCK PREQUIRED ES ONO[:] YES NO I YES N DRIVER'S I STATE I SEX U MMDQ 8 Y L LICENSE' 7 OENSE STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY;O NATURE DF INJURIES USE CLASS 8 ❑ 1 32 LICENSE TAT VIN. PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEH.YEAR MAKE UNKN MODEL SEMI STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHIOI F FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO.UNKNOWN RENTON 5 1 33 12 � SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TP IN EFFECT &POLICY# 1cl) __`-'_.5 m 34 13 vewc�e YES NO[jj CITATION# CHARGE 0TFOM ecauv sTnNoiNc 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 NEW ADDRESS CDL IGNITION RE6UIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YEs Net .YES NO 17 5 37 LLIICENSE# STATE SEX MD.r3D.6 18 ❑ ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS,: 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE STATE PLATE# - ❑ 21 ❑ [4 41 TRLR TRLR VIN#�, VIN#Y 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUE T ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO El 23 REGISTERED OWNER INFO. SHADE IN DAMACED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q S. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EG_ 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. N.ODALOVIC 07-01-25 08:03 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 11628 O#RI WA0171300 APPROVE HSU D BY 7/11 OF 0/2025 PAGE � 3000-345-013(R 11/18) REPORT NO. EG08319 CASE# 25-5689 DATE AND TIME 06/30/25 23:15 OF COLLISION �svt, v' v } 1 1 n i t1 d s, L d �D 1. c t � F w, f PAGE 5 OF 5