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HomeMy WebLinkAbout25-6601 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG30828OLCERA COLLISION REPORT 1591971 CASE# 25-6601 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LDCAI-AGENCY 4100 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDLLIs[oN' 07 - 31 - 2025 0810 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SGRDAYWAY BLOCK NO. e 800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 1 9 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2067930394 0 1 30 5 LAST NAME EPAMYNONDAS FIRST NAME DAU MIDDLE S 1 2 31 INITIAL STREET ❑ 2902 NE 10TH ST,412 CITY; RENTON ST WA ZIP 98056 2 NEW ADDRESS 7 CDL IGNITION REQUIRED JIGNITION ENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO INTERLOCKVEsPRES- YES Na 8 DRIVERCENS # STATE WA SEX I M MM0,13. 10 — 02 — 1950 t 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM USEET 2 CLASSY 1 NAruRE of INJURIES 2 10 PI ENSrtEI A8564680 STATE WA VIN# 2HKRW2H89HH642291 3 TRAILER STATE TRAILER STATE ROM To 11 0 0 PLATE# PLATE# TRLR TRLR 7 1 3 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2017 MAKE HOND MODEL CRV STYLE UT V Y EHICLE TOWED TO BLIN TOWED By GOVT V 7 $ EHICLE 34 13� DAMAGE YES II_II NO `/ YESII_] NO REGISTERED OWNER INFO DAUEPAMYNONOAS2902NEl0THST,,412 RENTONWA98056 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 A LIABILITY INSURANCE NSURANCE CO 3 4 14 NATIONAL GENERAL 29742 11 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE 5 36 Lemur YES[:]NO[:] CITATION# i o BOTTOM 15❑ sTnNowc s 7 e UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR YES NO �/ 16� LAST NAME TUBERA FIRST NAME YOLANDA MIDDLE R INITIAL STREET ❑ 17 ❑ 18231 150TH AVE SE CITY RENTON ST, yyq ZIP 98058 37 NEW ADDRESS 18� IGNITION REQUIRED IGNITION PRESENT MEDfCALTRANSPORTED. 38 CDL INTERLOCKYES ND INTERLOCK YESFJxz YEs NO 19 DRIVER'S STATE WA SEXI F I D.o.B. T 01 09 1969 39 LICENSE# MMDDYYj I - 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS BACK PAIN 21 ILICENSE PATE# AIA1174 rare WA VIN# 4T3BK3BB5CU070760 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2012 MAKE TOYT MODEL VENZA STYLE LIT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO YOLANDA TUBERA 18231150TH AVE SE RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO GEIC04392-11.03.36 IN EFFECT &POLICY# I STOP VEHICLEEIL ECLe L' YES❑ NJ—I, CITATION11 CHARGE to BOTTOM 25 s s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG30828 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6601 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 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. C.CATALAN 09-15-25 04:43 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 9/23/2025 11:11:08 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 9:12 AM TIME POLICE ARRIVED i 9:14 AM PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG30828 CASE# 25-6601 O OF COLLISION TIME 07/31/25 09:10 NARRATIVE On 07/31/2025 at approximately 0910 hours, I was dispatched to a two-vehicle collision with reports of injury at Brown Bear Carwash 800 S Grady Way, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and determined that the driver of Unit#2 was complaining of back pain. The Renton Regional Fire Authority (RRFA) later arrived on scene and treated the involved driver. RRFA released all involved parties at the scene. While on scene, collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1, identified as Dau S. Epamynondas, said he was the sole occupant of his vehicle and was following Unit#2 into the self-wash carwash bay at Brown Bear Carwash. After placing his vehicle in the carwash tracks, Dau said he failed to place his vehicle in neutral. The vehicle self- propelled forward and struck Unit#2 from behind causing minor damage to the front of Unit#1. The driver of Unit#2, identified as Yolanda Tubera, said she was also in the carwash bay when Unit #1 struck her from behind. Unit#2 sustained minor damage. I did see the imprint of Unit#1's front license plate. Yolonda said she wanted police to report the incident because she felt pain to her neck and back. Based on the above statements, I determined that the Driver of Unit #1 (Dau) is the proximate cause for the collision due to inattention causing a collision. He should have been paying closer attention. Both involved vehicles were able to be driven away without further incident. An exchange of information was provided to all involved parties. 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 Officer C. Catalan 09/15/2025 Renton, King County, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Light Condition: IN CAR WASH STATION Motor Vehicle Unit 1 Roadway Surface: CAR WASH STATION Motor Vehicle Unit 2 Roadway Surface: CARWASH STATION BAY **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. EG30828 CASE# 25-6601 DATE AND TIME 07/31/25 09:10 OF COLLISION 't, Y 7 � `t� 1 �wk Zl � mom x \ c� lfi b��S 4 }t ham. a${ i 2 uw: s t z t� a PAGE 4 OF 4