HomeMy WebLinkAbout25-8240 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG32268oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-8240 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
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#
eaCL s on' 09 - 22 - 2025 2203 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
LIND AVE SW MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e SW 4IST ST
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4253774037 0 3 30
6 LAST NAME RAMIREZ SIERRA FIRST NAME ARMANDO MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 13216 SE 188TH PL CITY; RENTON ST WA ZIP 980588003 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs Na✓ INTERLOCKYES Nb✓ YES D NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 - 05 - 1978 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2
10 1� LI ENSE BTX2659 STATE WA VIN# KNDJ63AUXL7088959 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 1 5 33
12 3 5 VIN# VIN#
FROM TO
VEH.YEAR 2020 MAKE KIA MODEL SOUL STYLE SV V Y EHICLE TOWED TO BLIN TOWED By GOVT V 7 $
EHICLE 34
13� DAMAGE YES II_II NO ✓ YESII_] NO✓
REGISTERED OWNER INFO ARMANDO RAMIREZ SIERRA 13216 SE 188TH PL RENTON WA 98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
s LIABILITY INSURANCE INSURANCE CO 4
14 PROGRESSIVE 916355122
IN EFFECT &POLICY# 9TOP
11
vew CHARGE t S 36
LEGALLY yes❑NO❑ CITATION# t a 80TTOM
15❑ STANDING s 7 e
MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:9165410371
16�
LAST NAME ANAYA FIRST NAME MONICA MIDDLE Y
INITIAL
17 STREET ❑ 11126 SE 256TH ST APT C303 CITY KENT ST, WA ZIP 980306612 37
4
NEW ADDRESS ❑
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs No✓ CNTERLOCKYES NO✓ YEs NO'✓
19 DRIVE #
❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJ 6Y 1 NATURE OF INJURIES 40
21 LICENSE BTB5530 TATe WA VIN# KMHTC6AE6EU195986 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2014 MAKE HYUN MODEL VELOSTE STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO✓
REGISTERED OWNER INFO MONICA ANAYA 11126 SE 256TH ST APT C303 KENTWA98030 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 953100118
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE t080TTOM
LEGALLY YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
ROBIN SMITH 12986 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG32268
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8240
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) RAMIREZ MONTES HECTOR A
ADDRESS&PHONE#
13216 SE 188TH PL RENTON WA 980588003 SEXi M MMDDD B. 06 - 08 - 1998
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z 1 POS. 3 2 4 1 USE 1 2 CLASS 1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) MONTES LOPEZ DALIA L
ADDRESS R PHONE# D O B
13216 SE 188TH PL RENTON WA 980588003 SEX F MMDDvvvr 08 - 16 _ 1980
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. ' 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
: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
—1 1POS. I USE CLASS
NARRATIVE
25-8240
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 09/22/2025 at approximately 2203 hours, 1 was dispatched to a two-vehicle collision with no
reports of injuries at IKEA located at 601 SW 41st ST.
Upon arrival, I contacted the involved parties and determined that all involved parties were not
injured. While on scene, I collected the involved parties driving documents and their independent
recollection of events leading up to the collision.
The driver of Unit#1 had two passengers in his vehicle. He was traveling southbound on Lind AVE
SW through the intersection at SW 41st ST. As he continued through, his passenger side front end
collided with the front of Unit 2. The driver of Unit#1 could not recall if he had a green or red light.
The owner of Unit#2 said she was traveling eastbound on SW 41st ST approaching Lind AVE SW.
As she approached the intersection to turn southbound onto Lind AVE SW, she had a green light.
When she continued through the intersection, her front end collided with the passenger side front of
Unit#1.
Since I do not have any evidence on who had the green light, 1 am unable to determine proximate
cause of the collision.
An exchange of information was provided to all involved parties.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by Robin Smith #12986 on 09/23/2025 @ 0243 hours in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
ROBIN SMITH 09-23-25 02:53 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 912812025 12:50:15 AM
BADGE OR ID# 12986 ORI# WA0171300 TIME POLICE DISPATCHED 10:05 PM TIME POLICE ARRIVED i 10:07 PM
PART B 3 Da-3mx-attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG32268 CASE# 25-8240 DATE AND TIME 09/22/25 22:03
OF COLLISION
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