HomeMy WebLinkAbout25-6883 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG19657oc� RA
COLLISION REPORT 1591971
CASE# 25-6883 2
INTERSTATE CITY STREET El
STATE ROUTE OTHER LQCAI-AGENCY 4100 3
CQDIN6
COUNTY RD PRIVATE WAY
2 TOTAL#OF OBJECT 1 1 7 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s o v' 08 - 07 - 2025 1752 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e 2500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 10 1.1 00 FEET e✓ S 8 E e EDMONDS AVE NE
0 4 29
MOTOR PEDAL- DAM G THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:2105446358 0 1 30
5 LAST NAME TORRES FIRST NAME EMILY MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 18605 SE 241ST ST
'.NEW ADDRESS CITY I COVINGTON ST, WA ZIP, 98042 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO�/ INTERLOCKYEs NO�/ YES NO�/
8❑ DRIVER # STATE WA SEXI F MMDDYY' 08 — 30 — 1995 1 2 32
9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT,. 1 H U SELMET 2 CLA SY 6 CUT ON ARM RIES 2
LICENSE, CNJ3903 STATE WA VIN# ML32A3HJ8FH048296 3
10 F PI ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 5 7 33
12 3 5 VIN# vIN#
' FROM TO
VEH.YEAR 2015 MAKE MIT$ MODEL MIRAGE STYLE P4 VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 7 $ 34
13 DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO EMILY TORRES 18605 SE 241STST COVINGTON WA 98042 D:2105446358 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 NATIONAL GENERAL 2105446358
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t S 36
LEGALLY yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTANowc s
UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE nWNRR
16�
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17 F1 STREET ❑ CITY, COVINGTON ST ZIP 37
NEW ADDRESS
1$❑ IGNITION REQUIREDGNITION PRESENT MEDICAL TRANSPORTED' 38
CDL INTERLOCKYES ND INTERLOCK YEs No vEs NO
19 DRIVERS
# STATE SEX U MMDDYY —� E 39
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSE UNKNOWN TATE IN# UNKNOWN 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE BMW MODEL $(/V STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO UNKNOWN VEHICLE
NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &.POLICY# 9TOP
YemcLE , CITATION# CHARGE t080TTOM
EEGAEEY YES❑ NJ—I
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MARIA FERNANDES 12848 WA0171300
PART A PAGE 01 OF 1
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG19657
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6883
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) BARNUM SANDRA E
ADDRESS&PHONE#
5723 322ND AVE SE FALL CITY INA 98024 SEXi F MMDDD B. 03 — 23 — 1989
PASSENGER WITNESS UNIT SEAT ' AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z 1 1 POS. 3 4 4 1 USE 1 2 CLASS
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS R 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
Vehicle 1 was making a left turn out of the parking lot (west driveway) of Vantage Point Condos, 2601
NE 4TH ST Renton, WA onto NE 4TH ST. Vehicle 1 observed vehicle 2 approach the intersection of
NE 4TH ST and Edmonds AVE NE from the west, driving eastbound on NE 4TH ST. Driver 1
believed driver 2 would stop at the stop sign at NE 4TH ST and Edmonds AVE NE, but driver 1 sped
through the interesection without stopping at the stop sign. Driver 1 sped up to finish the left hand turn
to avoid getting hit by vehicle 2, but vehicle 2 struck vehicle 1 in the rear driver quarterpanel causing
damage. Vehicle 2 sped away without exchanging information or checking for injuries. Driver 1 had
minor injuries and had airbag deployment. Driver 2 was not identified at the time of this report.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MARIA FERNANDES 08-07-25 11:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 8/16/2025 4:17:34 PM
BADGE OR ID# 12848 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:54 PM TIME POLICE ARRIVED i 5:56 PM
PART B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG 19657 CASE# 25-6883 DATE AND TIME 08/07/25 17:52
OF COLLISION
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