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HomeMy WebLinkAbout25-7906 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG2902OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET El CASE# 25-7906 2 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# eaCL s o v' 09 - 10 - 2025 1641 17 =.= S 8 W e IN OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e 4800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR PEDAL- DAM AG TSHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NHREO ✓ 0 7 30 5❑ LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑ CITY', ST ZIP 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKY NO YES NO 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 10 at ENSttEI D42384A STATE WA VIN# 3TYSZ5AN8MT048553 3 TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE# TRLR TRLR. 3 1 7 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 2021 MAKE TO yT MODEL TA COM STYLE PK VEHICLE TOWED TO BLIN 3 9 TOWED By GOVT VEHICLE 34 13 DAMAGE YES NO ✓ YES NO✓ REGISTERED OWNER INFO RICHARD RAMIREZ 14422156TH A VE SE RENTON WA 98059 VEHICLE NO. 1 SHADE IN DAMAGED AREA 11 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 4TOP ic CHARGE 5 36 Lemur yes❑NO❑ CITATION# HARE 7 0 80TTOM 15❑ sTnNowc s 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE PROPSnWNr YES NO ✓ D:3605102032 16� LAST NAME DAVIS FIRST NAME ADAM MIDDLE I P INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 578 ROSARIO AVE NE CITY RENTON ST, WA ZIP 980594553 g 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 INTERLOCKYEs NO✓ INTERLOCI£YEs NO✓ YEs NO'✓ 19 DRIVER'S ' STATE WA SEXI M D.O.B. 05 13 1980 � 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR g EJECT 1 USE CLASS 1 ❑ 21 LICENSE WSU752C TATE WA VIN# 5XYAFFS59SGO01739 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2025 MAKE IpA MODEL EV9 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO KRISTIN DAVIS 578 ROSARIO AVE NE RENTON WA 98059 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO AMICA 95114620ZJ IN EFFECT &POLICY# t STOP vemae E VEHICLE YES� NCO CITATION# CHARGE to BOTTOM V 25 s s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SHAWN CROW 12618 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG29025 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7906 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES 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 09/10/2025 at about 1644 hours I was dispatched to a non-injury two motor vehicle hit and run collision in the 4800 block of NE 4th St within the city limits of Renton, King County, Washington. I met Adam P. Davis (Driver 2) in a nearby parking lot. Adam was not injured, and his vehicle was drivable. Adam was driving his vehicle (Unit 2-black colored 2025 Kia EV9 with Washington state specialty license plate WSU752C) westbound (lane 2) on NE 4th St when he stopped for traffic in the 4800 block of NE 4th St. While stopped, the rear bumper of Unit 2 was struck by the front bumper of Unit 1 (gray colored 2021 Toyota Tacoma pickup truck with Washington state license plate D42384A). Adam motioned for the driver of Unit 1 to pull over in the nearby Jack In The Box parking lot. Adam pulled into the parking lot, but Unit 1 remained stopped on NE 4th Street. Adam noticed the windows of Unit 1 were rolled down, and he yelled at the driver of Unit 1 to meet him in the parking lot. The driver of Unit 1 shrugged his shoulders and hands upward before driving off westbound on NE 4th St. The driver of Unit 1 did not appear to make any attempt to pull over or exchange information with Adam. Unit 2 had minor damage to the rear bumper, and it was drivable. I took photos of the damage to Unit 2 and uploaded those photos to Axon. Adam described the driver of Unit as follows: white male, late 30s to early 40s in age, medium build, shaggy style blonde colored hair, clean shaven wearing a green colored shirt. Adam may be able to identify the driver of Unit 1 if he saw him again. Unit 1 was registered to Richard M. Ramirez (DOB: 05/07/1968). Adam used his cellphone to take photographs of Unit 1 as it drove off, but no pictures were taken of the driver. I sent Adam an Axon link to upload the photos. I gave Adam a Renton PD business card with the case number. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SHAWN CROW 09-15-25 01:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY E J.TRADER 4553 DAT 911812025 6:52:06 AM BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:44 PM TIME POLICE ARRIVED i 4:52 PM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. EG29025 CASE# 25-7906 DATE AND TIME 09/10/2516:41 OF COLLISION QL Ufic �. 4y t t. WSJ, 171 in � t l � S l t t4k 1 j f£ {y� P• `t t r s � 1t h PAGE 3 OF 3