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Home My WebLink About25-6317 )STATE T �cN 0 5 27i 1 Oc� RA EG14948 COLLISION REPRT 1591971 CASE# 25-6317 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL UN TS#OF 02 SOTRUCK 0 5 28 RESERVATION I 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 07 - 22 - 2025 1926 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. EDMONDS AVE NE 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET S 8 W e NE 12TH ST 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255853695 0 1 30 5 LAST NAME GARCIA MALDONADO FIRST NAME ALEX MIDDLE J 1 1 2 31 INITIAL STREET ❑ 270 BRONSON WAY NE APT 11 CITY RENTON ST I WA ZIP 98056 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO Z/ INTERLOCKYES NO�/ YES No�/ 8 DCIENS # STATE WA SEX M MM➢CSYY' 10 1 2 32 9 ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 N U SET 2 INJURY ASS 1 NAruRE of NJURIEs 2 LICENSE, CMA1474 srArE WA VN# 1NXBR30E66Z758062 3 10� PI ATP rt TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# FBOM TO TRLR TRLR 7 3 33 12 0 0 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE 13 4 2006 TOYT COROL SD DAMAGE YES NO ✓ ves❑ No 5 1 34 REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 9TOP _ srgNOLNG ❑NO❑ CITATION# 5A0698050 CHARGE OP MOT VEH W/OUT INSURANCE s o eoTrob 36 Yes 15 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 Q ❑ PEDESTRIAN ❑ D:4257388744 VEHICLE CYCLE OWNER YES NO 16� LAST NAME VELEZ CORTEZ FIRST NAME ESMERALDA MIDDLEI N INITIAL STREET ❑ 37 ❑ 17 ' 2317 S FERRY ST CITY TACOMA ST, WA ZIP 984052812 4 NEW ADDRESS 18❑ CDL IGNITION REQUIRED fGNfTION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs X YES No rEs NO 19 DRIVER'S STATE WA SEX F I D.0.8. 02 14 1998 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40 21 LICENSE BUY8315 TATE WA VIN# 3VWDP7AJXDM350300 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2013 MAKE VOLJ( MODEL,IETTA STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO MA..VELEZ 2441 SW 316TH ST FEDERAL WAY WA 98023 D:4255245856 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO USAA USAA 0521152437103 IN EFFECT &POLICY#Ve — ,lAtLr ❑ N`.L J,.I—I CITATION# CHARGEUR 25 YES OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TIMOTHY NGUYEN 13182 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG14948 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6317 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. TIMOTHY NGUYEN 07-23-25 01:02 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 7/31/2025 10:54:18 PM BADGE OR ID# 13182 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:28 PM TIME POLICE ARRIVED 7:35 PM PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47 REPORT NO.` EG14948 CASE# 25-6317 O COLLI COLLISION TIME OF 07/22/25 19:26 COLLI NARRATIVE 25-6317 This incident was recorded with video and audio. Refer to this video for any exact quotations or for an exact sequence of events. The following is a summary of the events: On 07/22/2025 at approximately 1929 hours, 1 was dispatched to a collision at the intersection of Edmonds Ave NE and NE 12th St, within the city of Renton, King County, state of Washington. While enroute to the incident, the involved parties advised that they moved out of the intersection. Upon arrival, 1 observed Vehicle 1 with moderate damage to both of its right doors and its right-side airbags deployed. I observed Vehicle 2 with moderate damage to its front-end and its front airbags deployed. I interviewed Driver 1 while an assisting Officer interviewed Driver 2. In summary, Driver 1 was driving eastbound on NE 12th St, stopped at the four-way stop intersection, and proceeded driving eastbound. Driver 2 was driving northbound on Edmonds Ave NE, stopped at the four-way stop intersection, and proceeded driving northbound. Vehicle 2's front end collided with Vehicle 1's right side in the middle of the intersection. Both drivers claimed that they had the right of way. However, no independent witnesses were available to corroborate one narrative or the other. Driver 1 complained of a sore arm but was ultimately medically cleared by Renton Fire Authority (RFA). RFA stated that Driver 1 was likely just sore and had no reason to go to the hospital. The vehicles were still operable despite having airbags deployed. Both drivers felt comfortable with driving their vehicles home without the assistance of a tow. Driver 1 did not have proof of insurance for their vehicle. Driver 2 provided proof of insurance for their vehicle. I exchanged information for both drivers. 1 also issued Driver 1: Infraction #5A0698050 for RCW 46.30.020 - OPERATING MOTOR VEHICLE W/O INSURANCE. This ends my involvement on today's date. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT. Signature: Officer T. Nguyen #13182 Date, Time, and Place: 07/23/2025 at approximately 0101 hours in the city of Renton, King County, state of Washington PAGE 3 OF 4 REPORT NO. EG 14948 CASE# 25-6317 DATE AND TIME i 07/22/25 19:26 OF COLLISION ANA 3N3AVsaN0NO3 .......... ..... ......... 1? A z z 0 0 0) 0 3 i fq I 4 � J PAGE 4 OF 4