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HomeMy WebLinkAbout25-6458 TFFiNouCERA II I III 1 III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 25-6458 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 07 - 1-- 2025 1922 17 ❑.= S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HWY BLOCK NO. e✓ 15200 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 152ND AVE SE OF,1 29 MOTOR PEDAL- DAMETHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ElYES AG�/No D:3054508251 0 1 30 6❑ LAST NAME ZLOCHOWER FIRSTNAME SHELDON MIDDLE M 1 2 31 INITIAL STREET ❑ 2304 SW 19TH AVE CITY BOYNTON BEACH ST FL ZIP 33426 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NOWINTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE FL SEXI M MM D Y' 08 - 28 - 1964 1 2 32 9❑ ON DUTY❑ STATUS' AIRBAG 6 RESTR I [NATURE OF 4 EJECT 1 HU SE 2 INJCLASSY'6 GENERALIPAINES z❑ 3 10 1❑ �i aE'r�S� 246JJK sTATe FL vN# 5XXGT411XGG059003 TRAILER STATE TRAILER STATE 11 4 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 3 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 5 34 2012 KIA OPTIMA SD DAMAGE YES NO YES[:] No✓ 13 4 REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI INSURANCE U INSURANCE CO GEICO 609768385101026 <�3 4 IN EFFECT &POLICV#VEHICLE CHARGE36 LABILLv Yes❑NO CITATION# TTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:9095189186 LAST NAME MEZA FIRST NAME CAEZAR MIDDLE INITIAL 17❑ NEW STREETR 15300 S 7 E 155TH PL UNIT A206 CITY RENTON ST WA ZIP 98058 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK yEs I I NOF YES t l NOF,/ 19 DRIVER # ❑ ON DUTY STATUS I AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40 ❑21❑ 41 LICENSE I PLA E# CKD8944 TATE WA VIN# JTME6RFV1PJ038238 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GI VEH YEAR 2023 MAKE 7'Oy7- MODEL RA V4 STYLE 4D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEd DAG�AGE$AREA LIABILITY INSURANCE &PORGY#E CO COMMERCE WEST INSURANCE ACPA-001319405 4� L3� �d IN EFFECT VEwcLE ❑ ,J� CITATION# CHARGE <E�D LEGALLY YES N`L J 25 s 7 e =TURNER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12650 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF WASHINGTO POLICE TRAFFIC N CORRECTION REPORT NO. EG 13510 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6458 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) VALDEZ JONATHAN S (LAST FIRST, ADDRESS&PHONE# 25708 207TH AVE SE COVINGTON WA 98042 2069143002 SEX i M MMDOYyry 08 - 24 - 1983 PASSENGER WITNESS UNIT# SEAT : AIRBAG I RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYY - PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ 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. JASON TURNER 07-28-25 12:35 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 1 712812025 2:48:39 AM BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 7:22 Pry] TIME POLICE ARRIVED i 7:Y9 pry] PART B PAGE IT]OF 4� REPORT NO. EG 13510 CASE# 25-6458 OF LNa 07/27/25 19:22 F coy�isI©�ON u NARRATIVE Unit 1 was traveling eastbound on Maple Valley Hwy in the number 1 lane approaching a red light at the intersection of 152nd AVE SE. Unit 2 was traveling south bound on 152nd AVE SE approaching a green light at the intersection of Maple Valley Hwy. Unit 2 proceeded into the intersection, Unit 1 ran through the red light and tboned the passenger side of unit 2 at approximately 45mph. Both vehicles were disabled with a combination of airbags deployed, both vehicles required tows. The driver of Unit 1 complained of chest pain and back pain. Unit 1 was evaluated by fire and it was determined no transport to the hospital was necessary. Unit 2 had no complaints of pain. Speaking to Unit 1 he reported that he wasnt; sure what happened, he believed he had a greenlight but wasn't certain. Unit 2 reported that he had a green light and proceeded through the intersection. Unit 1 ran through the light at approximately 45mph tboning the passenger side of his vehicle. A witness collaborated Unit 2's story. Jonathan S. Valdez (DOB: 08/24/1983) reported that he was stopped in the eastbound lanes of Maple Valley Hwy at the intersection of the collision. Jonathan stated that he had a red light when he witnessed Unit 2 run through the red light without an attempt at stopping. I find that the proximate cause of the collision was Unit 1's disregard of the traffic signals. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Turner 12650 on 07/28/2025 at 0007 hours. PAGE 3 OF 4 REPORT NO. EG 13510 CASE# 25-6458 DATE AND TIME 07/27/25 19:22 OF COLLISION y4� 5 tit i{ y� t� (zJ t t h a t gi 1 t, t PAGE 4 OF 4