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HomeMy WebLinkAbout25-7487 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27217OLCERA COLLISION REPORT 1591971 CASE# 25-7487 2 INTERSTATE CITY STREET El STATE ROUTE OTHER LOCAI-A`NG 4250 3 C©DINGCOUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eOCL s on' 08 - 27 - 2025 0918 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD N BLOCK NO. ❑ MILE POST e 4a ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.� FEET e S 8 W e BRONSONWAYN 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 1 30 6❑ LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑' CITY I KENT NEW ADDRESS ST: ZIP: 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NOR] INTERLOCKVEs NO�/ YEs NOW 8❑ LCEENSE# SRVERSTTATE SEX U MMDDYY' -=- 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 LICENSE, 3 10� PI ATP# STATE V(N If TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR zRLR 1 5 33 12 3 5 VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TOj�)�1/.�{��BLIN TOWED By 7 3 GOVT VEHICLE 13 UT DAMAGE YES fn OIL YES❑ NO 34 REGISTERED OWNER INFO UNKNOWNUNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP CHARGE t 5 36 Lemur yes❑NO❑ CITATION# t a 80TFOM 15❑ STM ING s 7 e MO'fCR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES'/ NO D:2068070227 16� LAST NAME CARCAMO MONTES FIRST NAME CLAUDIA MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 10026 SE 238TH ST APT 10 CITY KENT ST, WA ZIP 98031 g 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYEs NO INTERLOCK YES No vEs NO 19� DRIVER'S STATE WA SEx F D.O.g. 04 15 1985 39 LICENSE# MMDDYY — HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG 2 RESTR g EJECT 1 USE CLASS 1 ❑ 21 ILICENSE PATE# A8603223 raTE WA vIN# ZACCJBBB8JPH69751 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE JEEP MODEL RENEGA STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO EDMAR ARMADA RECINOS 3440 S 166TH ST SEATAC WA 98188 VEHICLE NO.2 SHADE DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 860964354 IN EFFECT &POLICY# mIL Y YE N ,J—I CITATION11 CHARGE 25 OUR, OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SHAWN CROW 12618 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG27217 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7487 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) CRUZCARCAMO YERTHYM ADDRESS&PHONE# D� 10026 SE 238TH ST APT 10 KENT WA 98031 2062280636 SEXi F MMDDYYYY B. 08 — 14 — 2005 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 3 2 9 1 USE CLASS 11 ---� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE On 08/27/2025 at about 0918 hours I saw a vehicle (Unit 2-red colored 2018 Jeep Renegade with Washington state temporary license plate A8603223) blocking traffic at the intersection of Sunset Blvd N/Bronson Way N. I contacted the two individuals standing outside the vehicle and discovered they were involved in a hit and run collision. Claudia A. Carcamo Montes was the driver of Unit 2 and Yerthy M. Cruz Carcamo was the front seat passenger of Unit 2. No one reported any injuries, and Unit 2 was not able to be driven from the roadway. Unit 1 (maroon colored small sized SUV with unknown license plate and unknown driver) was the hit and run vehicle. Claudia explained she was on Bronson Way N (lane 2) as she approached the intersection at Sunset Blvd N. Claudia said the traffic light was green in color, and she continued driving straight ahead towards the Maple Valley Highway. As Unit 2 drove into the intersection it was struck by Unit 1 that was traveling southbound on Sunset Blvd N. Unit 1 continued onto the Interstate 405 South on ramp, and the driver of Unit 1 did not appear to make any attempt to stop or contact the driver of Unit 2. Unit 2 had damage to the front end of the vehicle, and it was not able to be driven from the scene. A tow truck responded to the scene and towed Unit 2 from the roadway. The driver and passenger inside Unit 2 did not report any injuries. Unit 1 had damage to the passenger side of the vehicle, and it is unknown if the driver was injured. Photographs were taken of Unit 2 after the tow truck arrived, and those photographs were uploaded to Axon. Claudia described Unit 1 as a maroon colored small sized SUV, but she did not get a look at the driver. The identity of the driver of Unit 1 is unknown. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SHAWN CROW 09-06-25 09:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 911112025 11:44:27 AM BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED 9:18 AM TIME POLICE ARRIVED i 9:18 AM PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. EG27217 CASE# 25-7487 DATE AND TIME 08/27/25 09:18 OF COLLISION t +a q t bl y�M }S L } r t L, 3A 3 UL y 1' \ 4 m b � k3W. 1 4S PAGE 3 OF 3