HomeMy WebLinkAbout25-6924 ("7—
STATE.w,-" .:.. TFFiNCERA �I I ��� III I I Iil I I�I1 II{ II I 0 27c .
,one COLLISION REP F 1591971
CASE# 25-6924 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[�
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 08 - 09 - 2025 1325 17 a. S e W 8 IN
OF 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SWGRADYWAY BLOCK NO.
8 100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FEET e✓ S e W 8 RAINIER AVE S
2 0 29
k, MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEFtICLE CYCLE YES NO 0 7 30
5 LAST NAME LEON GUERRERO FIRST NAME NICHOLAS MIDDLE P 1 2 31
INITIAL
STREET I__I' 210 37TH ST SE TRLR 113 CITY AUBURN WA
NEW ADDRESS S7 ZIP 980028856 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL-1 NOFORTED 3
INTERLOCKYEs No,/ INTERLOCKYES NOW YES Na,/
$❑ LDICENS STATE WA SEX'M MMDDVY 01 - 07 - 2002 1 2 32
9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H USE 2 I INJURY [NATURE OF INIURIES
CLASS 6 CUT TO RIGHT HAND 2
LICEN st CTC3221 srArE WA WIN# JNKCV54E54M816152 3
10 9❑
11 3 5 PLATE# STATE TRAIPLATE# STATE ROM To
RA
TRLR TRLR. 3 7 33
12 3 5 vIN#' VIN#
FROM TO
13 2 VEH.YEAR2004 MAKE INFI MODEL G35 STYLE 2D VEHICLE TOWED 2NOn fBLIN tIHNK RS GOVT,VENIOCL✓ 3 9 34
❑ DAMAGE II1I._IIII tlAlVt(t ccJlll�—III
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ NSURANCE CO 4
IN EFFECT &POLICY# STOP
vtwc�t CHARGE 5 ❑ 36
15❑
i ecnu v YES❑NO❑ CITATION# 10 BOTTOM
sranomc 7 6
MOTOR PEDAL- I--�I PEDESTRIAN Ej PROPERTY I-�I DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE u u OWNER u YES,/ No D:2538867258
16�
LAST NAME PEREZ FIRST NAME CHR/STOPHER MIDDLE p
INITIAL
17 STREET El 29203 140TH AVE SE CITY AUBURN I ST WA ZIP 980922 37
129
NEW ADDRESS ❑
1$❑ CDL . IGNITION REQUIRED IGNITION PRESENT MEDI.CALTRANSPORTED ❑ 3$
WTERLOCKvEs NO INTERLOCK ES N YES NO,�
19[l DRIVER'#
ON DUTY EA STATUS AIRBAG 2 RESTR 4 EJECT 1 IHELM U SET 2 CLASSY 1 NATURE OF INJURIES 40
21❑ LICENSE g8537744 TATf WA v)N# 1FTEW3LP6SKE16043
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
VEH.YEAR 2025 MAKE FORD MODEL F150 STYLE PK DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44
O
24 YES
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NQ.2
SHADE IN DAMAGAREA
LIABILITY INSURANCE INSURANCE CO SAFECO H2576329 E B
IN EFFECT &POLICY# t 4TOP
venue YES F N J
.1-1 CITATION# CHARGE tOBOTTQM
�ecns�v
25 B 7
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.STEED 8770 WA0171300
PARTA 9000-345-159(R 11(181 PAGE 01 OF =
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG17541
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6924
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
On 08/09/25 at about 1328 hrs I arrived in the 200 block of SW Grady Way for an Injury Collision, in
the City of Renton, County of King, and State of Washington. I contacted the driver of Unit#1 who
was bleeding from his left hand from the collision. He stated he had just turn WB on SW Grady from
NB 167 and a truck pulling a trailer he was behind cut him off as he traveled in the outside lane. He
changed lanes into the inside lane and did not notice Unit#2 stopped for traffic to make a left-hand
turn into Sound Ford. Unit#1 collided with the rear of Unit#2. Unit#1 said he did not have insurance
for the vehicle he recently purchased. He was treated by Renton Fire for the hand injury and his
vehicle was towed by Banker's towing. Unit #2 said he was not injured from the collision. Both drivers
were identified by their WADL.
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. The video was uploaded to evidence.com.
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 Steed on 08/09/25 1427 hrs, Renton Washington
Cassidy Steed/8770
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.STEED 08-09-25 02:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 811012025 4:24:24 AM
BADGE OR ID# ; 8770 ORI#1 WA0171300 TIME POLICE DISPATCHED 1 1:27 Pry/ TIME POLICE ARRIVED i 1:28 PM
PART B 8800-845.180(R1Vt8) PAGE 0 OF F3
REPORT NO. EG 17541 CASE# 25-6924 DATE AND TIME 08/09/25 13:25
OF COLLISION
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