HomeMy WebLinkAbout25-6648 ("7-
STATETFF' " 27CERAc REPORT N0. EG16953
COLLISION REP F 1591971
CASE# 25-6648 2
INTERSTATE CITY STREET El
1 1 STATE ROUTE OTHER LOCAL AGENCY 4150 3
CODING
COUNTY RD PRIVATE WAY
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION I z
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 08 - 01 - 2025 1243 17 �. S e W 8 IN
OF 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO.
8 100 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ FEET e S e W 8 HARD/E AVE SW
OF 4 29
♦�
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES NO 0 11
30
6❑ LAST NAME : UNKNOWN FIRST NAME MIDDLE'' 1 2 31
INITIAL
STREET
NEW ADDRESS CITY KENT S;7 ZIP 2
7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES No I INTERLOCK YES No YEs NO
$❑ LLIICENSE# STATE SEX'.U ID
MMDDYY -=-[__________� 1 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 H USEE7 9 CLASS 0 NATURE OF INJURIES z
LICnNSE CRL1357 srnrF WA WIN# 1FMFK18537LA25344 3
10 8❑
11 FTRAILER 0 0 PLATE# STATE PLATE# STATE ROM To
TRLR TRLR. 1 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2007 MAKE FORD MODEL EXPEDI STYLE UT- VEHICLE TOWEED fj NO2fBLIN TOWED BY GOVT..VEHICLE 5 1 34
13❑ REGISTERED OWNER INFO DOLLY REYES 9743 RAINIER AVE S SEATTLEWA98118 II—1 VEHICLE cNO.II 1
SHADE 1N DAMAGED AREA ❑ 35
14❑ ABILITY INSURANCE INSURANCE CO UNKNOWN UNKNOWN 4
IN EFFECT &POLICY#vE FFIE CHARGE36
YES❑NO❑ CITATION# <,�Q
15❑ sranomc 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ OWNER YES NO D:2538939383
16�
LAST NAME RAHMAN FIRST NAME i ABDUL MIDDLE
INITIAL
17 STREET El 9248 S 240TH PL CITY KENT I ST WA ZIP 98030 5
NEW ADDRESS ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKvrs No INTERLOCK YES N YES No
19❑ DRIVER'#
OF INJURIES
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H EE7 CLASSY 7 LEFTARMAND NECK ❑ 40
❑21❑ LICENSE CTD5770 rAre WA VIN# KNDCR3LE9R5121329 41
4
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN# IN#
TOWED BY GO HI 44
VEH.YEAR 2024 MAKE K/A MODEL NlRO STYLE P4 DAMIAGE TOWED✓ NOO BLIN GENE MEYERS YES NO�/
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 928086544 B 4
IN EFFECT � &POLICY# 4TOP 5
venue ❑ „I�1 CITATION# CHARGE ULE
OBOTTOMGALLY YES N 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SULIAS/TAMA/VENA 12788 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG16953
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6648
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) LEWIS TAMARAA
ADDRESS&PHONE# D�
10924 SE 183RD CT RENTON WA 980557170 2063904452 SEXi F MMDDYYYY 07 - 24 - 1973
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NRE OF INJURIES
❑ Z POS. USE CLASS [ATU ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS R PHONE#
SEX MMDDYYYY D.O.B. -
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. I 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.
SULIASI TAMAIVENA 08-02-25 05:32 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 81712025 5:38:28 PM
BADGE OR ID## 12788 ORI#' i WA0171300 TIME POLICE DISPATCHED' 12:43 PM TIME POLICE ARRIVED i 12:49 PM
PART B 98fr 345.160(R1Vt8) PAGE F2 --]OF 47
E AND
REPORT NO. EG16953 CASE# 25-6648 OFCOLLIION 08/01/2512:43
OF COLLISION
NARRATIVE
On 08/01/2025, at approximately 1243 hours, I was dispatched to an injury accident at SW SUNSET
BLVD/HARDIE AVE SW in the City of Renton, while I was employed as a uniformed Patrol for the
City of Renton, County of King, State of Washington.
Unit#1 was not on scene and fled.
I spoke with Unit#2, and he advised that he was on Hardie AVE SW traveling northbound in lane #2
(lane #1 being closer to the sidewalk), attempting to cross SW Sunset BLVD, when he was hit by Unit
#2. He said he did not know where Unit#1 was coming from, but believed the driver was trying to turn
left into SW Sunset BLVD. He was unable to identify the driver of Unit#1.
Fire checked out unit#2 for complaints of his left arm and shoulder pain. He was medically cleared.
Unit#2 vehicle had damage to its left bumper/fender, and the driver's tire was slightly bent towards
the car. Gene Meyers towed the vehicle.
I was able to locate a license plate that appeared to have been torn off from the accident, as it was
situated near Unit#2's vehicle, where his damage was, which I believe belonged to Unit#1's vehicle.
I spoke with Lewis, a witness to the accident, who stated she only saw the accident but does not
know which Units came from which direction. Lewis did mention that she did see Unit 1's vehicle and
gave a similar description of the SUV. She said that after both cars collided, Unit#1 took off and fled
the scene. She described the driver of Unit#1 as a white or Hispanic female, older looking, with
brown hair. Lewis stated she would not be able to identify the driver if she had seen her again.
Currently, it is unclear where Unit#1 was traveling from and to.
If the suspect is identified, Unit#2 wants to press charges.
This concludes my report.
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 S. Tamaivena #12788,
August 2nd, 2025, at 0530, Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 2
Traffic Control: GREEN LIGHT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EG 16953 CASE# 25-6648 DATE AND TIME 08/01/25 12:43
OF COLLISION
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PAGE 4 OF 4