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HomeMy WebLinkAbout25-6789 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 SASE 25-6789 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 08 - 1-- 2025 1017 17 ❑.❑ S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BLVD N BLOCK NO. e✓ 333 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 3001. 00 FEET MILES e S B W e N 3RD ST 1 5 29 MOTOR PEDAL- DAMA THRESHOLD MET PHONE NIT 01 VEHICLE ❑ CYCLE. ElYES N GEO F,/ D:2066181550 0 3 30 6 LAST NAME SANE FIRSTNAME IBRAHIMA MIDDLE N 1 1 2 31 INITIAL STREET ❑, 1814 WHITMAN CT NE CITY RENTON ST WA ZIP' 980593930 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑ 3 10 9❑ P1 ATNFS14 C07347W STATE WA u N# 1 GCPCRECOHF125165 C.... 0� TRAILER STATE TRA{LEIS STATE 11 3 PLATE# PLATE# IR.. ro TRLR. TRLR Moo 33 12 3 0 VIN#' VIN# :: FROM TO VEH.YEAR MAKE CHEV SILVER MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 7 34 13 4 2017 DAMAGE vesNo ves❑ No REGISTEREDOWNER WFO IBRAHIMA SANE 1814 WHITMAN CTNE RENTON INA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14� LIABILI INSURANCE I INSURANCE CO STATE FARM 5818465 E09 47 2 3 IN EFFECT &POLICY# 9TOP VEHICLe 1 5 LEGALLY res�No� CITATION# 5A0723004 CHARGE UNSAFE OR IMPROPER BACKING 1 o eorrom 36 15❑ �ITA"" G MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET 16 a PHONE 8 7 6 UNIT VEHICLE ❑ CYCLE. ❑ ❑ : OWNFR ❑ YES NO ,/ D:2069627625 LAST NAME ARMSTRONG FIRST NAME LORRAINE MIDDLE IN INITIAL 17❑ STREET ❑', 5501 S LEO ST CITY' SEATTLE ST WA ZIP 981782262 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NoF,/ 19 DRIVERS # STATE WA SEX F Mr D.C.B. 03 _ O6 _ 1960 39 HELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I CBL6802 TATE I WA VIN# 1C4RJFAG1MC771896 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2021 MAKE JEEP MODEL GRAND STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO LORRAINE ARMSTRONG 5501 S LEO ST SEATTLE WA 981782262 D:2069627625 VEHICLE NO.2 SHADE IN DAMAGED AREA 4 LIABILITY INSURANCE❑ &POINSULICY#E CO NONE NONEIN 1GQVE""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG22246 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6789 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES PM USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. 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. D.NELSON 08-08-25 03:30 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 8/25/2025 9:58:40 AM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 10:21 AM TIME POLICE ARRIVED 10:27 AM PART B PAGE IT]OF 4� REPORT NO. EG22246 CASE# 25-6789 F LNa O 08/05/25 10:17 F coy�isI©�ON u NARRATIVE 25-6789 ACC On 8/5/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a two-vehicle collision which occurred near the 300 block of Sunset Blvd N Renton/King/WA. An involved party was calling to report the collision and advised there was no injuries. I arrived on scene and located both parties parked near Darwin's Tire Shop located at 333 Sunset Blvd N. I spoke with the driver of the white 2017 Chevrolet Silverado WA/C07347W, identified by his WADL as Ibrahima N Sane DOB: 10/22/1971. Ibrahima said that he was reversing out of the tire shop parking lot onto Sunset Blvd N so he could head southbound. He said that as he was reversing onto Sunset Blvd, Unit 2 tried to turn into the tire shop and struck him. Ibrahima was not injured and there was no airbag deployment. The Silverado had damage to the rear passenger side fender. I then spoke with the driver of the 2021 Jeep Grand Cherokee WA/CBL6802, identified by her WADL as Lorraine K Armstrong DOB: 3/6/1960. Lorraine said that she was driving south on Sunset Blvd N in the #1 lane attempting to turn into the tire shop parking lot. She said that she was still in the #1 lane as Unit 1 backed out of the parking lot and struck her. Lorraine said that she did not see any reverse lights on the Silverado. Lorraine was not injured and there was no airbag deployment. There was damage to the front passenger side door and front quarter panel. Both vehicles were drivable. I completed Sector Citation #5A0723004 for RCW 46.61.605.1 Unsafe or Improper Backing for Ibrahima. This citation should be mailed to him at his DOL address. RCW 46.61.605.1 states: (1) The driver of a vehicle shall not back the same unless such movement can be made with safety and without interfering with other traffic. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 8/5/2025 Renton WA PAGE 3 OF 4 REPORT NO. EG22246 CASE# 25-6789 DATE AND TIME 08/05/2510:17 OF COLLISION s t 4 l l "�ilai y a �k pp �\ s �iN l 1 it E g i UY� 4. S1i S PAGE 4 OF 4