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HomeMy WebLinkAbout25-6731 ("7— STATETFF' "CERA II I ��� III I I III I IIII III II I 0 27c . COLLISION REP F 1591971 FIRE CASE# 25-6731 2 5 1 INTERSTATE CITY STREET RESULTED STOLEN 1 1 STATE ROUTE OTHER VEHICLE ❑ LOCAL AGENCY 4250 3 HIT&RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED Lz- 2 TOTAL OBJECT TRIBAL UNITS#OF05 STRUCK 1 8 28 RESERVATION 1 ", z 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 08 - 03 - 2025 2313 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ GLENNWOOD AV NE BLOCK ST 8 1100 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET e✓ S e W 8 HARR/NGTON AV NE 0 1 29 ♦� MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YES NO 1 4 30 6 LAST NAME : UNKNOWN FIRST NAME MIDDLE 1 2 31 INITIAL STREET NEW ADDRESS CITY RENTON S7 ZIP 2 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES LINOZINTERLOCK YES No YES NO 8❑ LLIICENSE# STATE SEX'U MMDDW -�-[----------� 1 32 9 RY NATURE OF I ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 HELMET 9 CLASS 0 UNKNOWN JURIES 2 10❑ LIC NSE VIN UNK 3 STATE #: FTRAILER TRAILER 11 # STATE 2 5 PLATE PLATE# STATE FROM To rRLR TRLR 5 1 33 12 0 0 VIN#' ulN# FROM TO VEH,YEAR MAKE LNDR MODEL UNK STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT,VEHICLE m 34 13 DAMAGE YES NO ✓ YES❑ NO REGISTERED OWNER INFO UNKNOWN RENTON VEHICLE NO. 1 SHADE 1N DAMAGED AREA ❑ 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 4 IN EFFECT &POLICY# 9TOP VEHICLECHARGE 5 ❑ 36 EGnu v YES❑NO❑ CITATION# 10 BOTTOM 15❑ GT—NG 6 UNIT . MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE: OWNER YES NO 16❑ LAST NAME NONE FIRST NAME MIDDLE INITIAL STREET {I��I CITY RENTON ST' ZIP 37 17 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YES No INTERLOCKYEs NO✓ YES NO,,/ 19 LICENSE# S1A7E SEX U MMDDYY _ 39 20 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 H ELM g Ct�ASS 0 NATURE OF INJURIES 40 21❑ LICENSE,BAJ0906 rare,WA v1N1€ WMWMF735X9TW81096 ❑ 41 PLATE# 42 22 PRLATE# STATE PLATE#AILER TRAILER STATE 23 TRLR 43 RLR VIN# IN# VEH.YEAR 2009 MAKE MNNI MODEL COOPER STYLE HB DAMAGE TOWED YES NO✓O BLIN TOWED BY YES N GO HIO 44 24 REGISTERED OWNER INFO NICOOL DUENAS JAlMES 1131 GLENNWOOD AVE NE RENTON WA 980563015 D:4255258448 VEHICLE NO.2 SHADE IN DAMAGAREA LIABILITY INSURANCE INSURANCE CO USAA 0089763157104 E B IN EFFECT � &POLICY# 4TOP venue ❑ .1-1 CITATION# CHARGE tOBOTTQM LEG YES N J 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HANSEN HSU 12651 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG16955 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6731 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. - MMDDYYYY PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES 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 Unit 1 causes two separate but related collisions along Glennwood Av NE, the first in front of 1133 Glennwood Av NE, careering into Units 2 and 3, as they were parked along the west side of the street as Unit 1 traveled northbound causing non disabling reportable front end damage to Unit 1, disabling reportable front end damage to Unit 2, and non disabling non reportable damage to Unit 3 from the secondary impact of Unit 2. Unit 1 continued north on Glennwood Av NE and then crashed into Units 4 and 5 adjacent to 1167 Glennwood Av NE, causing further reportable non disabling front end damage to Unit 1 and disabling reportable front end damage to Units 4, which then collided with Unit 5, causing secondary reportable disabling rear end damage to Unit 4 and reportable disabling front end damage to Unit 5. No injuries reported. Several residents in the area reported hearing the collisions and observe at a distance Unit 1 drive north on Harrington Av NE and believed that Unit 1 was a silver, possibly white Land Rover/Range Rover type SUV, unknown plate, unknown driver. A check of FLOCK cameras within the vicinity yielded no such matches. No further actionable leads at this time for the suspect or suspect vehicle, Unit 1. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. HANSEN HSU 08-04-25 02:02 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 81712025 5:37:05 PM BADGE OR ID# 12651 ORI#' i WA0171300 TIME POLICE DISPATCHED 11:18 PM TIME POLICE ARRIVED 11:22 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF F5 4( � SUPPLEMENTAL REPORT No. EG16955POLICE TRAFFIC 1 $ 27 }_ COLLISION REPORT CASE#+ 25-6731 1 COMMERCIAL MOTOR CARRIERT INTERSTATE INTRASTATE L UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER ADDRESS CITY ST ZIP 4 NAME ?# .PLACARD. GWVR ❑ NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS 5 ❑ UNIT# 3 MOTOR r`il PEDAL- PEDESTRIAN PROPERTY YE SAGE THRESHOLD MET PHONE VEHICLE �I CYCLE OWNER M l 4 29 DDLE LAST NAME NONE FIRST NAME INITIALI 1 4 30 STREET RENTON CITY ST ZIP NFwAnneF� 6 1 PRESENT MEDICAL TANSPORTED 1 31 COIL IGNITION RECSUIRED IGNITION INTERLOCK YES NO '.INTERLOCK YES NO IEs N' DRIVER'S STATE SEX,U MMD DYYY -� C LICENSE; 7 ONDUTY� STATUS AIRBAG 9 RESTR. g EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D994006 TAT WA WIN 5TETX62N55ZO15010 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE<# :STATE 10 ❑ TRLR TRLR VIN..#. VIN.#. 11 0 0 VEH.YEAR2005 MAKE TOYT- MODELTACOMA S� VEHICLE TOWE E T ABLIN TOWED BY G01 VFHICI F FROM r0 DAMAGE YES NO YES NO LUIS DUENAS FLORES 1133 GLENNWOOD AVE NE RENTON WA 980563015 D:2064076433 m 33 REGISTERED OWNER INFO. SHADE DAMAGED AREA 12 4 ROM TO LIABILITY INSURANCE❑ INSURANCE CO J,O. IN EFFECT &POLICY# 34 13 VEHICLE YHO NOEll CITATION# CHARGE 'ftI BC)Ttl'7M IFGALIY STANDING r—� 7 � 14 ❑ UNIT 4 MOTOR I,/I PEDAL- PEDESTRIAN'. El PROPERTY ❑ DAMAGE THRESHOLD MET PHONE ❑ 35 VEHICLE '- CYCLE OWNER YES NO 36 15 ❑ NONE MIDDLE LAST NAME FIRST NAME INITIAL 16 NFW AnDR ❑ STREET F�s CITY RENTON ST'.. ZIP CDL IGNITION RFOUIRED IGNITION PRESENT MEDICAL 7ANSPGRTED 17 INTERLOCK YES N INTERLOCK YES NO YEs NO'M 5 37 DRIVER'S STATE I SEX U M O.B 18 ❑ LICENSE;# MDDYYY e g 1 HELMET g INJURY 0 NATURE OF INJURIES ❑ 38 ON DUTY STATUS: AIRBAG. RESTR. g : EJECT USE ..CLASS.:` 19 ❑ LICENSE ❑ 39 PLATE#`. CFC1184 TAT WA vIN# 1FADP3K28GL356319 20 TRAILER TRAILER 40 PLATE# STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN#: U[N#; 42 22 VEH.YEAR2016 MAKE FORD MODEL FOCUS STYLE HB VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 4 DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO.SAMWISEMAJCHRZAK 1177 HARRINGTON AVNE 208 RENTON WA 98056 D:8134538319 SHADE IN DAMAGED AREA 43 3 LIABILITY INSURANCE INSURANCE CO IN EFFECT � &POLICY# _4 T()F' _ o 44 vewc`, ❑ ❑ CITATION# CHARGE 7(7 HC)TT061 24 EANH y YES NO srnNDlNc I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT, HANSEN HSU 08-04-25 02:02 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED [-� BADGE AP 8 ORID# WA0171300 APPROVED n/2 PAGE F326 12651 # 025 OF 3000-345-013(R 11/181 4( � SUPPLEMENTAL REPORT No. EG16955POLICE TRAFFIC 1 1 $ 27 }_ COLLISION REPORT CASE#+ 25-6731 1 COMMERCIAL MOTOR CARRIERT '.. INTERSTATE INTRASTATE L UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 'TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS 1 7 CITY ST ZIP 4 NAME # PLACARD GWVR ❑ NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY IDAMAGE THRESHOLD MET PHONE U N IT# 5 PEDESTRIAN YES NO 5 ❑ VEHICLE CYCLE OWNER V/ 1 4 LAST NAME NONE FIRST NAME MIDDLE 29 INITIAL STREET 30 NFW ArmRF.s. CITY RENTON ST ZIP 6 1 COIL IGNITION RFOUIRED IGNITION PRESENT MEDICALTANSFORTED 1 31 INTERLOCK YES NO�/ NTERLOCK YESL_j NO�/ YES N...1I DRIVER'S STATE I SEXU MMD DWY -� C LICENSE; 7 ONDUTY� STATUS AIRBAG 9 RESTR. g EJECT 9 HELMET 9 INJURY 0 NATUREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE CDW5884 FTATJ WA VIN 3N1AB7AP3HY223706 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.II 11 0 0 VEH.YEAR2017 MAKE NISS MODELSENTRA STYLE SD VEHICLE TOWE E T ABLIN TOWED BY G0 VFHIC!F FROM rO DAMAGE Y 1 ES NO YES NO SOPHIE WYNE 1177 HARRINGTON AV NE 205 RENTON WA 98056 D:4252871190 m 33 REGISTERED OWNER INFO. SHADE.IN DAMAGED AREA 12 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO J,O. IN EFFECT &POLICY# m 34 13 ewcLe YES NOEll CITATION# CHARGE 'ft)BOT0.'TM IFGALIY STANDING 7 5 14 ❑ UNIT MO?€7R PEDAL- pEDE5?RIAN. El PROPERTY ❑ DAMAGE THRESHOLD MET PHONE 1:1 35 VEHICLE CYCLE OWNER YES NO 15 LAST NAME FIRST NAME NlIT AL ❑ 30 15 ❑ STREET CITY! ST'.. ZIP NEW A019RFSS CDL IGjf NITION RE.CJUIRE.D IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs N INTERLOCK YES NO YE5 NO 17 5 37 DRIVER'S STATE I SEX D.O.B 18 ❑ LICENSE.# MMDDVYY ON DUTY STATUS AIRBAG RESTR. EJECT HELMET NJURY 38 NATURE OF INJURIES ❑ USE CLASS 19 ❑ ❑ 39 LICENSE. TAT VIN# PLATE# 20 TRAILER TRAILER 40 PLATE# STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# U[N#'. 42 22 VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT � &POLICY# 1 _4 T()P_ _ 5. 44 vewcLe ❑ ❑ CITATION# CHARGE 70 k3CITT061 24 SIAND y YES NO srnNOlNc S L 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT, HANSEN HSU 08-04-25 02:02 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 [-� BADGE OR ID# 12651 #I:WA0171300 APPROVED BY 8n/2025 PAGE F4 OF 3000-345-013(R 11/181 REPORT NO. EG 16955 CASE# 25-6731 DATE AND TIME 08/03/25 23:13 OF COLLISION � r r? y t i� Id i xr ���*ts: �l����I�oib �°� � I,I 9�4 F�r�t•vd� I 7 1 4 z #r v rS s r t �tr > r «� 4 4 PAGE 5 OF 5