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HomeMy WebLinkAbout25-8412 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG32849OLCERA COLLISION REPORT 1591971 CASE# 25-8412 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ VEHICLE ❑ LOCALANG 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY ❑ INVOLVED 2 TOTAL#OF OBJECT o q 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s o v' 09 - 29 - 2025 0520 17 =.= S 8 W e IN OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON DR S BLOCK NO. e 1600 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 7 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2066511173 0 1 30 6 LAST NAME WALKER FIRST NAME WESLEY MIDDLE D 1 1 2 31 INITIAL STREET ❑ 24015 SE 380TH ST CITY; ENUMCLAW ST I WA ZIP; 980228841 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No�/ INTERLOCKYES NO�/ YES F NOr,/ 8❑ DRIVER # STATE WA SEXI M MMDDYY' 09 — 23 — 1985 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 9 EJECT 1 HELMET INJURY 6 NATURE of INJURES 2 USE :CLASS SORE NECK 10 LIC.aETNPS�E D84476G srATE WA y(N#, 3GTUUEE81SG247138 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR zRLR 5 9 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2025 MAKE GMC MODEL SIERRA STYLE PK VEHICLE TOWED fj TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34 13 DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO WESLEY WALKER 24015 SE380TH ST ENUMCLAW WA 98022 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 NSURANCE CO 3 4 14 ABILITY INSURANCE SAFECO H2176312 IN EFFECT &POLICY# 4TOP CHARGE t 36 Lemur yes Z NO❑ CITATION# 7 0 80TTOM 15❑ STM ING s 7 e AM EDAL-MOTCYR P PEDESTRIAN PROPERTY D OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs� E / THR HONo D:4583255334 16� LAST NAME MARIA ZAMORANO FIRST NAME LORENZO MIDDLE INITIAL 17 F1 STREET ❑ ❑ 2350111 AVE SE APT F-104 CITY KENT ST, WA ZIP 98031 q 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38 INTERLOCKYEs No INTERLOCKYES No 19 DRIVER'S MMDDYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑ 21 LICEN E LATEICPY6425 rare WA vIN# 5N1AN08W65C648099 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2005 MAKE JyJ$$ MODEL XTERRA STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO SILVIA LEPE GARCIA 23501112TH AVE SE APT F•104 KENT WA 98031 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vemae ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES NIL] 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 JESSE VANDERHOEK 11631 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG32849 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8412 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 Vehicle #2 was stopped for traffick facing north in the outside lane of the 1600 block of Benson Dr S. Vehicle #1 was traveling northbound in the outside lane of the 1600 block of Benson Dr S. As vehicle #1 approached the rear end of vehicle #2, the driver of vehicle #1 applied his brakes, but was unable to stop in time, causing the front end of vehicle #1 to collide with the rear end of vehicle #2. Based on the totality of the circumstances, it appeared vehicle #1 was the proximate cause of the collision. RTF I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JESSE VANDERHOEK 09-29-25 07:09 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 9/30/2025 3:52:17 AM BADGE OR ID# j 11631 ORI# WA0171300 TIME POLICE DISPATCHED 5:36 AM TIME POLICE ARRIVED i 5:38 AM PART B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. EG32849 CASE# 25-8412 DATE AND TIME 09/29/2505:20 OF COLLISION Z> 1 l 1 h lxs e �r i rrr Jl ttc rIS � 34 1 a a,:�r3»tea PAGE 3 OF 3