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HomeMy WebLinkAbout25-7187 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG21447OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET❑ FIRE ❑ CASE�# 25-7187 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER VEHICLE LOCAL A`GENC'Y 4150 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TOTAL 1 TRIBAL UNITS#OF 03 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 GOLL.ISION'. 08 - 17 - 2025 1939 17 =.�� S WE IN OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION RAINIER AVE S BLOCK NO. e 520 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 352 00 FEET e✓ S 8 W e S 4TH PL 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO 1 4 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31 INITIAL STREET NEW ADDRESS CITY RENTON ST ZIP 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYEs No YEs NO LICIENSE# STATE SEX U MMDDYY'. —=— t 32 8❑ VERS 9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASS 0 NATURE OF INJURIES 2 10❑ LI ENSrtEI D52482E STATE WA VIN# 1FTRF12545NBO2982 3 TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# FROM TO TRLR rRLR 7 3 33 12 0 0 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO 13 BLIN TOWED By GO VEHICLE 4 2005 FORD F150 PK DAMAGE YES ✓ YES No m 34 REGISTEREDOWNERINFO JDANP.R.D.,11.L4455.12TH,T,23-12 RENTON WA98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 4 IN EFFECT &POLICY# 9TOP CHARGE 5 36 Lemur yes❑NO❑ CITATION# 7 o BOTTOM 15❑ sTnNowc B 7 e UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE. nWNFR YES NO 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE' INITIAL 17❑ STREET CITY RENTON ST ZIP 37 NEW ADDRESS — IGNITION CDL IGNITION REQUIRED (GNTION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs NO JNTERLOCKYES0-001 Es NO 19 LICIENSE# STATE SEX U MMDDYY —� 39 HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY� STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑ 21 LICEN� BYHO472 rare WA vIN# USE 41 PLATE 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2010 MAKE FORD MODEL ECONOLI STYLE VN VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO LETICIA VARGAS GARCIA 1781397THAVE S RENTON WA 98055 D:2535278628 VEHICLE NO.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCE CO ALLSTATE 807.337.863 IN EFFECT &POLICY# t 9TOP 5 vewae ❑ ,.I—I CITATION# CHARGE tO BOTTOM EEGnEEv YES N`.LJ 25 a 7 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY JAMAAL KEARSE 26 12994 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EG21447 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7187 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME PHAN PHUONG (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# DOB 5165 S 160TH ST TUKWILA WA 98188 2067717216 SEX' F MMDDYYYY 12 — 31 1— 2001 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD -F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : 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 r— ----� 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 08-18-25 12:59 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 1 8/22/2025 4:25:38 AM BADGE OR ID# 12994 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:40 PM TIME POLICE ARRIVED 7:41 Pm PART B 3 Do-3mx-,aR(Burls) PAGE 27 OF 57 REPORT NO.` EG21447 CASE# 25-7187 O COLLI COLLISION TIME OF 08/17/25 19:39 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 8/17/2025, at approximately 1940 hours I was dispatched to a report of a vehicle vs pedestrian collision at Baskin Robbins located at 520 Rainier Ave S. Dispatch advised it was a vehicle vs pedestrian and the vehicle fled the scene. At approximately 1941 hours I arrived on scene. I located the pedestrian identified as Roberto M. Hernandez DOB 11/15/2011. Roberto advised the following. He had just arrived at Baskin Robbins with his family. He was waiting in front of the store next to a white van when the back of the white van swung into him causing him to fall to the ground scraping his left shoulder and left knee. He did not see what happened as it all happened so fast. I spoke with an employee at Baskin Robbins, identified as Phuong N. Phan DOB 12/31/2001 via WADL, who had video footage of the incident. In the video a black 2005 Ford F150 (WA LIC D52482E) exits the parking lot onto Rainier Ave S. The truck the turns right making a U-turn jumping over the curb and accelerating into a white 2010 Ford Econoline (WA LIC BYH0472). The Ford Econoline swings out hitting Roberto who was standing near the rear of the van. The truck then backs up and takes off northbound on Rainier Ave S. Officer Kauppila found the suspect vehicle utilizing Flock cameras which was last seen eastbound on NE 4th St from Monroe Ave NE. Officer Kauppila took photos of the scene and the Ford Econoline. See his report for more information. According to DOL the registered owner of the vehicle is a Juan P. Pedroza Diaz Leal DOB 9/16/1994. The address of the registered owner is: 4455 NE 12TH ST, APT 23-12, RENTON WA, 98059-4076. Officer Smith went to the address and located the vehicle with heavy front-end damage. Officer Smith attempted to contact the residents of the unit and got no answer at the door. Officer Smith took pictures. See her report for more information. The Ford Econoline belonged to the business next door, La Rancherita. Sgt. Tibeau spoke to an employee from that business who also had video. In the video there were three occupants of the suspect vehicle one male is seen getting into the driver seat. The driver: Hispanic male, heavy build, medium length hair, black t-shirt sleeves cut off, logo on the back of the shirt, black shoes, possible tattoos on left arm. If the driver can be identified there is probable cause for the crime of Hit and Run. 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 8/17/2025 2356 Hours Renton, King County, Washington PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG21 447 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE#+ 25-7187 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 NAME # PLACARD GWVR NO NUMBER SOURCE' AXLES ' + NAME IF 4a ❑ ADDITIONAL UNITS 'J ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE ❑ CYCLE ❑ PEDESTRIAN OWNER ❑' YES NO D:4259008117 MIDDLE 29 LAST NAME HERNANDEZ FIRST NAME ROBERTO INITIAL M STREET 30 NFW ADnRFS.,P 2812 NE 12TH ST CITY RENTON ST WA ZJP 98056 6 ❑ PRESENT MEDICALTANSPORTED.. 1 31 CDL IGNITION REQUIRED .IGNITION INTERLOCK YES[]NO[]...INTERLOCK YES Na YES N.... A DRIVER'S STATE SEX M MD 'g 11 - 15 - 2011 LICENSE: 7 HELMET ,INJURY NATURE ODINJURIES ON DUTY STATUS: 3 AIRBAG RESTR. EJECT USE 2 GLASS 6 PAIN AND SCRAPES ON LEFT SHOULDER/KNEE 8 ❑ 1 32 LICENSE rAr' VIN# PLATE# 9 TRAILER TRAILER 2 PLATE#; STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL I STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFH'("E FROM TO DAMAGE YES N01 I I YES nNO 9 9 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO TO IN EFFECT &POLICY# 34 13 ❑ vEnic�E YES NO CITATION CHARGE 108C)1`lOM ecauv sTnNoiNc MOTOR PEDAL_ ' PROPERTY DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST ZIP NEW ADDRESS GDL IGNITION REDD RED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YE5 No INTERLOCK YE N(5 17 YES No ❑ '. 4 37 LLIRIVERS ICENSE# STATE SEX MDDowY' -� C---� 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 LICENSE TAT VIN# ❑ 39 PLATE#' 20 ❑ TRAILER' TRAILER ❑ 40 PLATE#. STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN#: UIN#'. 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 G REGISTERED OWNER INFO. SHADE DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# i ..IDIG K-99 S 44 24 VES❑ O CITATION# CHARGE STW�N 3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JAMAAL KEARSE 08-18-25 12:59 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE ORID# 12994 O#RI WA0171300 APTIBEAU 8122212025 PAGE F OF 3000-345-013(R 11l18) REPORT NO. EG21447 CASE# 25-7187 DATE AND TIME i 08/17/25 19:39 OF COLLISION l W Y nx9N i f` ra p YP W h trN� 2 t i } L y� }Y ° i { e, PAGE 5 OF 5