HomeMy WebLinkAbout25-6341 T �Fi II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG16645 STATE OF
COLLISION REPORT 1591971
CASE# 25-6341 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
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
COLLISION' 07 - 23 - 2025 1819 17 =.= S 8 W E IN OF M ?070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NON INTERSECTION ❑
RAINIER AVE BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�. FEET S 8 W e S GRADYWAY
OF 3 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064326515 0 1 30
5 LAST NAME JARATO FIRST NAME NAJMO MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 7145 38TH AVE S,SEATTLE WA CITY SEATTLE ST WA ZIP 98118 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOR] INTERLOCKYEs NO�/ YES D NOW
8 DRIVECEN STATE WA SEX F MM0,8. 10 — 26 1 2— 1992 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 1 INJURY CLASS 1 NATURE OF INJURIES 2
LICENSE, CBA9575 STATE WA VN# 5TDFZRBH2NS161705 3
10 Fl I PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 $ PLATE# PLATE# ROM TO
TRLR TRLR 1 7 33
12 3 5 VIN# vN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEN�{"(g GOVT VEHICLE
13 4 2022 TOYT 1 $ 34
HIGHLA SV DAMAGE YES 2NO YES❑ NO
REGISTERED OWNER INFO NAJMOJARATO 714538TH AVE S,SEATTLE WA SEATTLEWA98118 D:2064326515 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 4
14 NATIONAL GENERAL 2016290894
IN EFFECT &POLICY# 9TOP
v `LE CHARGE t 5 36
IALL� yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STMDNG B 7 e
THROLD MET MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YES,/ No D:2069311049
16�
LAST NAME GARCIA MORENA FIRST NAME G MIDDLE'
INITIAL
STREET �/ ❑
17 ❑ ?405 N 36TH ST CITY RENTON ST, Wq ZIP 98056 4 37
NEW ADORE SS ':
18❑ CDL IGNITION REQUIRED (GNTION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs X YES NO vEs No;�
19 DRIVER' #
❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS ' LEG,CHEST,ARM PAIN
21 LICENSE
CLY6089 rarE WA VIN# 5YJ3E1EAXKF425462 41
PLATE#22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2019 MAKE TESL MODEL MODEL 3 STYLE SD IVE DAMIAGE TOWED�/ No BLIN BANKERS YES NO�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 987920540
IN EFFECT &POLICY# 9TOP
vemae ❑ ,.I—I CITATION11 CHARGE tO BOTTOM
LEGnLLy YES N 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JAMAAL KEARSE 12994 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG16645
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6341
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.
JAMAAL KEARSE 07-27-25 02:52 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 81612025 8:12:31 PM
BADGE OR ID# 12994 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:20 PM TIME POLICE ARRIVED 7:22 Pm
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG16645 CASE# 25-6341 O COLLI COLLISION TIME
OF 07/23/25 19:19
COLLI
NARRATIVE
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 7/23/2025, at approximately 1920 hours I was dispatched to a report of a collision at the
intersection of S Grady Way and Rainier Ave S. Dispatch advised 2 vehicle collision blocking the
roadway.
At approximately 1922 hours 1 arrived on scene. 1 observed both Units in the intersection. Unit 2 had
significant damage to the front driver side. Unit 1 was located just north of the intersection on Rainer
Ave S. The driver of Unit 2 was still in the driver seat with complaints of pain in her legs, chest and
arms. Unit 1 driver had no complaints of pain. Renton Fire responded and evaluated all parties
involved. Renton Fire advised the driver of Unit 2 should go to the hospital. The driver of Unit 2
declined tri-med and stated she would transport her herself to the hospital.
The driver of Unit 1 relayed the following information. She was southbound on Rainier Ave S in lane 3
of 5 approaching S Grady Way. She realized she needed to turn right onto SW Grady Way and tried
to turn at the last second. She struck the front driver side of Unit 2 with the front passenger side of
Unit 1. She was blocking the road and then panicked trying to move the car out of the road and turned
the car around northbound onto Rainier Ave S and then pulled off on to the shoulder of the road. Unit
1 airbags did not deploy however the vehicle did have to be towed.
The driver of Unit 2 relayed the following information. She was driving southbound on Rainier Ave S
in lane 2 of 5 approaching S Grady Way. She had a green light and entered the intersection to get
onto highway 167. She saw Unit 1 at the last-minute drive up from behind her on the left side in lane 3
of 5. Unit 1 then turned abruptly into her lane and struck the driver side of Unit 2 with the passenger
side of Unit 1. Unit 2 airbags did deploy and the vehicle had to be towed.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Kearse #12994 7/23/2025 0234 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG 16645 CASE# 25-6341 DATE AND TIME i 07/23/25 19:19
OF COLLISION
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