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HomeMy WebLinkAbout25-6016 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG09345 STATE OF COLLISION REPORT 1591971 CASE# 25-6016 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO AGENCY 4100 3 COUNTY RD NVOLVED CODING 2❑ TOTAL 1 PRIVATE WAY 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 coulsloN' 07 - 12 - 2025 1210 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a N 3RD ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 FEET e S 8 W e MEADOWAVEN 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:4252468249 0 1 30 5 LAST NAME LE FIRST NAME TIMOTHY MIDDLE 1 1 2 31 INITIAL STREET ❑ 14527 SE 243RD PL CITY KENT ST WA ZIP 98042 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3 INTERLOCKYEs NO✓ INTERLOCKYEs NO✓ YES D NO✓ 8❑ LICIENS# STATE WA SEX M MMor YY' 07 - 03 - 1970 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NAruRE of INJURIES 2 10 LICENSE ALA1773 STATE WA VN# 4T1BD1FK3EU122441 3 11[—j— TRAILER STATE TRAILER ,STATE ROM TO 11 2 5 PLATE# PLATE# TRLR TRLR 3 3 33 12 2 5 VIN# VIN# ( FROM TO VERYEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEN�{"(g GOVT VEHICLE 3 3 34 13 1 2014 TOYT CAMRY P4 DAMAGE YES ONO I WI&RS YES❑ NO✓ REGISTERED OWNER INFO TIMOTHY LE 14527 SE 243RD PL KENT WA 98042 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 1 LIABILITY INSURANCE INSURANCE CO 3 4 14 ALLSTATE 964117135 IN EFFECT &POLICY# 4TOP vEnic�E CHARGE 5 36 Lemur YES❑NO❑ CITATION# 7 0 80TTOM 15❑ sTnNowc e MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 Q ❑ PEDESTRIAN ❑ D:2062318961 VEHICLE CYCLE (7WNFR YES✓ NO 16� LAST NAME ESPANA FIRST NAME EMANUEL MIDDLE' 17 F1 INITIAL I STREET 37 'NEW ADDRESS❑ 300 VUEMONT PL NE Q204 CITY I RENTON ST, WA ZIP 98056 18� CDL IGNITION REQUIRED3 IGNTION PRESENT MEDICALTRANSPORTEDI 38 INTERLOCKYEs X YES 11NO✓ vEs No;✓ 19 DRIVER'S STATE WA SEXI M D.O.B. 01 29 1999 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS HEAD AND NECK PAIN REPORTED 21 LICENSE I PLATE# CPB6884 TaTE I WA VIN# JT2AE94A6N0297482 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. TOWED BY GOV HI 44 VEH.YEAR 1992 MAKE TOYT MODEL COROLL STYLE P4 IVE DAMIAGETowED�/ No BLIN BANKERS YES NO✓ 24 REGISTERED OWNER INFO EMANUEL ESPANA 300 VUEMONT PL NE 0204 RENTONWA 98056 D:2062318961 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE❑ INSURANCE CO NO INSURANCE NO INSURANCE IN EFFECT &POLICY# 9TOP VEH10LE YEs� NC❑ CITATION# 5AO571185 CHARGE OP MOT VEH W/OUT INSURANCE OQ�o BOTTOM ecnLLr 25 s a OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# AGENCY RAYMOND WATSON 13127 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EG09345 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6016 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. — [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. — L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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. RAYMOND WATSON 07-13-25 05:11 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 7/13/2025 6:14:42 PM BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED'; 12:11 PM TIME POLICE ARRIVED 12:16 PM PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47 REPORT NO.` EG09345 CASE# 25-6016 O COLLI COLLISION TIME OF 07/12/25 12:10 COLLI NARRATIVE 25-6018 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 07/12/2025 at approximately 1213 hours, myself, Officer R. Watson, was dispatched to accident with injuries, at the intersection of N 3rd ST and Meadow AVE N, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated that there was a two vehicle MVA, and that the driver of the red vehicle was having head pain. I arrived on scene and saw a two-vehicle collision in the number two and three lanes of N 3rd ST at the intersection of Meadow AVE N. Unit#1 a Black 2014 Toyota Camry WA plate #ALA1773, driven by Timothy Le (DOB 07/03/1970) verified by WADOL photo, had significant front-end damage. Timothy said that he was traveling eastbound on N 3rd ST in the number 2 lane when he attempted to get into the number three lane and collided with Unit#2. Timothy declined to have Renton Fire Department (RFD) assess him on scene and said no one in his vehicle was hurt. Timothy provided his license, registration, and insurance when asked. Unit#2 a Red Toyota Corolla WA plate #CPB6884, driven by Emanuel Espana (01/29/1999) verified by WADOL photo, had significant front-end damage. Emanuel said that he was traveling eastbound on N 3rd ST in the number 3 lane when a vehicle collided with his. He was unable to recall further details. Emanuel said that he had pain to his head and was assessed by RFD on scene but declined to go to the hospital. Emanuel provided me with his license information and registration but said that he did not have insurance on the vehicle. An exchange of information was given to both parties. Both vehicles were also towed from the scene by Banker's towing. Emanuel was cited for not having valid insurance on his vehicle at the time of the collision. 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 R. Watson #13127 07/13/2025 1701 hours, Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG09345 CASE# 25-6016 DATE AND TIME i 07/12/25 12:10 OF COLLISION S(( 4 �r v�,ir,�z1s n t`tl�Ysv F S u 5�1� 5Y 1 \ 4 PAGE 4 OF 4