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HomeMy WebLinkAbout25-7366 )STATE TFcN 5 6 27i t Oc� RA EG21828 COLLISION REPRT 1591971 CASE# 25-7366 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOt'ALNENO'Y. 4200 3 COUNTY RD INVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 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 CDLL.ISION'. 08 - 23 - 2025 1831 17 =.= S 8 W E IN OF M 1070 a 4�] ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION BLO❑ BRONSON WAY N MILE POST T e 0000 4a .� fl MILE PO DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ . FEET e S 8 W e SE MAPLE VALLEY HIGH 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ vEs Vl No D:4254307541 0 1 30 6 LAST NAME TURNER FIRST NAME JASON MIDDLE L 1 1 2 31 INITIAL STREET ❑✓ 1055 S.GRADY WAY CITY RENTON ST WA ZIP 98057 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3 INTERLOCKYEs ✓NO INTERLOCKYEs NO✓ YEs NO r✓ 8 LICIENS# STATE WA SEx MMOCSYY' 03 1 2 32 9 ON DUTY❑✓ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 1 INJURYCLASS 1 NAruRE of NJURIEs 2= 10 LICENSE ti� 67611D STATE WA vN# 1GNLCDEC6KR356098 3 TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# ROM TO rRLR TRLR 7 3 33 12 3 5 VIN# vI. ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 13 3 2019 CHEV TAHOE UT DAMAGE YES DNO ✓ YEs❑ No✓ 7 3 34 REGISTERED OWNER INFO CITY OF RENTON CITY OF RENTON 3555 NE 2ND ST RENTON WA 98056 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE❑ INSURANCE CO 14 ✓ CITY OF RENTON-SELF INSURED CITY OF RENTON-SELF INSURED IN EFFECT &POLICY# 9TOP 5 VEHICLE CHARGE 36 15 srnrrowc YES❑NO❑ CITATION# NONE NIA B 76 BOTTOM MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 PEDESTRIAN ❑ D:4257867978 VEHICLE CYCLE (7WNPR YES✓ NO 16� LAST NAME NIBLOCK FIRST NAME HANNAH MIDDLEI N INITIAL STREET ❑ 17 ❑ 16139 SE 146TH PL CITY RENTON ST, WA ZIP 98059 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38 INTERLOCKYEs No✓ INTERLOCKYEs NQ✓ vEs No'✓ 19 DRIVER' # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJCLA 1 RY NATURE OF INJURIES � 40 21 LLCANS E AIT1029 TATE WA vIN# 2T3BK4DV4CW077051 41 22❑ PLATE# STATE PAAILER TE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2012 MAKE TOYT MODEL RAV4 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO✓ REGISTERED OWNER INFO HANNAH NIBLOCK 16139 SE 146TH PL RENTON WA 98059 D:4257867978 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO MARSH AND MCLENNA M2015680 IN EFFECT &POLICY# 9TOP vewae YES NC❑ CITATION# NONE CHARGE NIA 10 BOTTOM n Y 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.CHRISTIANSEN 10437 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG21828 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7366 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : 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 �____ ----j 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. I CHRISTIANSEN 08-23-25 11:38 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 8/23/2025 11:41:37 PM BADGE OR ID# 10437 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:33 PM TIME POLICE ARRIVED 7:35 PM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT NO.` EG21828 CASE# 25-7366 O COLLI COLLISION TIME OF 08/23/25 19:31 COLLI NARRATIVE RENTON PD CASE#: 25-7366 *RECORDED ON AXON* 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. On 08.23.2025, at approximately 1933 hours, Renton Police Officers were dispatched to a multi- vehicle, blocking collision with injuries in the area of 151 Sunset Blvd N., in the City of Renton, WA, the County of King. At the time of this incident, 1 was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. 1 was operating a fully marked Renton Police Silverado Pickup #314, equipped with "POLICE" markings, overhead interior lights, and audible siren. 1 was wearing my department-issued uniform, including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton Police badge affixed to the left breast. 1 was also wearing my department- issued jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious to any reasonable person I was a police sergeant. I was assigned as the graveyard patrol sergeant for the north end of the city, 6r20. Officer Jason Turner, who was operating Renton Police Vehicle #313, was one of the first responding units to this collision. At approximately 1933 hours, Officer Turner aired to dispatch he was involved in a collision with another vehicle in the area of the Maple Valley "Y", which is Bronson Way N. and Maple Valley Highway, just west of Sunset Blvd N. responded to the location and met with Officer Turner, and the driver of Unit 02, later positively identified by her WADL as NIBLOCK, HANNAH NOEL (DOB: 08.31.2000; 425/786-7978). Unit 01 was identified as a black/white in color Renton Police Vehicle #313, a Chevy Tahoe bearing WA Exempt Plate/ 61611 D. Unit 01 had moderate damage to the front passenger side bumper, 1/4 panel and passenger door but it was operable. I asked Officer Turner what transpired prior to the collision, and he stated he was traveling eastbound on Bronson Way N., approaching the intersection with Sunset Blvd N., when he viewed the previous collision and was attempting to change lanes from the middle/straight lane to the far-right hand lane. Officer Turner changed lanes and didn't see Unit 02, which was operated by NIBLOCK. Officer Turner confirmed he was not operating with his emergency equipment activated so this is not a fail to yield to emergency vehicle collision. Unit 02 was identified as a dark green in color Toyota Rav4 bearing WA/AIT1029. Unit 02 had extensive damage to the front driver's side bumper, '/ panel and front driver's side tire axel was broken. Unit 02 was inoperable and impounded by Bankers towing. I took photographs of the damage to both vehicles and the photographs were uploaded to AXON evidence under this case number. Further, I completed the damage to City property form via Origami under Incident Report Number: I- 2025-255. All photos have been uploaded into Axon Evidence. 1 emailed Commander Swain and Officer Turner a copy of the report. No injuries were reported. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Sergeant J. Christiansen #10437, on August 23, 2025, at approximately 2327 hours, in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET **** END OF AUTO-POPULATED SECTION `* PAGE 3 OF 5 REPORT NO.` EG21828 CASE# 25-7366 O COLLI COLLISION TIME OF 08/23/25 19:31 COLLI NARRATIVE PAGE 4 OF 5 REPORT NO. EG21828 CASE# 25-7366 DATE AND TIME i 08/23/25 19:31 OF COLLISION ft sl �� 04 1 a Y ¢. j J WO i £ r c i It 11*4 4 1 5 lfil t PAGE 5 OF 5