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HomeMy WebLinkAbout25-6177 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG15161oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE ❑ CASE�# 25-6177 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAL A`CENC'Y 4250 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL UNITS#OF TRUCK BJECT 1 28 01 UTILITY POLE RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsfoN' 07 - 18 - 2025 0424 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION 5 BLOCK e 500 08 UNION AVE NE .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YES ✓NO 30 6❑ LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE 1 2 31 INITIAL STREET E] UNKNOWN CITY: ST I WA ZIP' 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs NOR] INTERLOCKYEs NO�/ YES F NoF,/ LCEENSE# STATE SEX U MMDDYY'. —=— t 32 8❑ 9 ON DUTY STATUS AIRBAG 3 RESTR 9 EJECT 9 HELM USEET 9 CLASS 0 NATURE OF INJURIES 2 LICENSE, CKS8268 STATE WA vfN# KNAGE123975151667 3 10 PI ATF rt II TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# FROM TO TRLR TRLR 5 1 33 12 VIN# VIN PP:... FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN GOVT VEHICLE m 34 13 4 2007 KlA OPTIMA SD DAMAGE YES ✓ NO {ZRS TOWING YE s� No REGISTERED OWNER INFO RAY-CHELL:GILBERT438 25TH AVE E SEATTLE WA 98112 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 4 IN EFFECT &POLICY# 9TOP v `LE CHARGE 5 36 Lemur YES❑NO❑ CITATION# 7 o BOTTOM 15❑ sTnNowc I e �y M©TOR PEDAL-:. PROPERTYEl DAM THR OLD MET PHONE UNIT©2 PEDESTRIAN VEHICLE CYCLE' nWNFR YES NO 16❑ LAST NAME FIRST NAME MIDDLE' INITIAL 17❑ STREET D CITY ST ZIP ❑ 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPaRTED ❑ 38 INTERLOCKYEs No INTERLOCK YES 0-001 Es No 19 LICEENSE#VER' SEY MMDDYY —= E 39 '. 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT HELMET INJURY NATURE OF INJURIES 40USE CLASSLICENSE ❑ 21 PLATE# TATE 'l # 41 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR RLR 43 UIN#. 'IN#. 44 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vewae 25 YES❑ N J ,.I—I CITATION CHARGE tO BOTTOM �ECA��r s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SITIVENI TAMAIVENA 12812 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG15161 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6177 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER WITNESS 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 On 07/18/2025, at approximately 0424 hours, while employed as a uniformed Patrol Officer for the City of Renton, 1 was dispatched to an unknown injury accident located at Union Ave NE and NE 4th St, within the City of Renton, County of King, State of Washington. Dispatch advised reports of 2 vehicles involved in an accident, and juveniles were running back and forth between the two vehicles. Also reported were juveniles taking items from a red vehicle and transferring them to another vehicle. The red vehicle (crashed) was a 2007 Kia Optima bearing license plate WA/CKS8268 and a 2007 red Dodge Charger (vehicle that fled) bearing license plate WA/BYN6533. Officers arrived on the scene and observed a heavy-set black male wearing a dark sweatshirt and blue shorts loading a gray box into a red Charger, then fled the scene. I arrived on the scene and observed an unoccupied red Optima with a significant amount of damage on the right side of the front bumper. I believe the Optima struck the utility pole, causing minor damage to the utility pole. The optima was towed by Bankers Towing. My Axon camera was on for this call. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812, July 18, 2025, at 1220 Renton, WA. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SITIVENI TAMAIVENA 07-18-25 02:45 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 8/1/2025 2:17:27 PM BADGE OR ID# 12812 ORI# ( WA0171300 TIME POLICE DISPATCHED! 4:28 AM TIME POLICE ARRIVED 4:28 AM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37 REPORT NO. EG15161 CASE# 25-6177 DATE AND TIME 07/18/25 04:24 OF COLLISION s � � � z ti }r;X t � , 5 i r iE✓t ' io}ralt Ws, PAGE 3 OF 3