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HomeMy WebLinkAbout25-7739 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25-7739 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� TOTAL#OF OBJECT 1 1 8 2$ TRIBAL UNITS 04 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 09 - 05 - 2025 1026 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ EAST VALLEY HIGHWAY BLOCK NO. e✓ 4300 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV a SW 43RD ST 0 1 29 MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 4 30 6� LAST NAME ANDERSON FIRSTNAME FRANK MIDDLE A 1 1 2 31 INITIAL STREET ❑ 405 S 7TH ST,APT 304 CITY RENTON ST WA 21p 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO�/ I INTERLOCK YES NO YES �/ NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 INJURY 5 HELMET 2 NATURE OF INJURIES 2❑ USE CLASS UNKNOWN AMOUNT OF INJ AT THIS TIME 3 10❑ Pl ATE 14 D45342F STATE WA ,r,#' 4TAVL52N6WZ058245 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IR.. ro TRLR. YRLR. 5 1 33 12 3 5 VIN#j VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 $ 34 13 4 1998 TOYT TACOM YES NO � �MEYERS TOWING YES[:] No✓ DAMAGE REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE❑ INSURANCE CO UNK UNK <�3 4 IN EFFECT &POLICY#'E"CL' CHARGE36 LEGALLY YES❑NO❑ CITATION# TTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ NO D:2067537798 16 a LAST NAME SHARIF FIRST NAME FOAD MIDDLE I J INITIAL 17❑ STREET ❑', 4225 NE 9TH CIR CITY' RENTON ST WA ZIP 980594570 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDI IVEW # STATE WA SEX M M D.O.B. 04 20 _ 1999 El 39 HELMET {NJURY 6 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 USE 2 CLASS ABRASIONS TO FACE 21❑ LICENSE I BXU7224 TATe I WA VIN# JTMRFREVXFD124907 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. N#. 43 RLR 'I VEH YEAR 2015 MAKE TOYT MODEL RAV4 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO FOADSHARIF4225NE9THCIR RENTON WA 980594570 D:2067537798 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO GEICO 4119 18 36 57IN 1 STOP 5 'E""LE ❑ N`L J ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG36328 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7739 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SAHOTA SANDEEP S (LAST FIRST, ADDRESS&PHONE# D O.B. ' 5213 SKYLER CT CONCORD CA 94521 5106854986 SEX M MMDOYyvv 01 - 16 - 1976 PASSENGER WITNESS❑'UNIT# q POS 3 AIRBAG 2 RESTR. q EJECT ? H USEET 2 `CLASS ,1 NATURE OF INJURIES NAME (LAST,FIRST,MIDDLE INITIAL) GRASNAN MICHAEL A ADDRESS&PHONE# D O B 2539063223 MM6DYvvv 05 _ 09 _ 1995 SEX M PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIRST,MIDDLE INITIAL) PARATA RODOLFO AooREss&PHONE# 2537091291 M M 12 01 _ 1997 SEX. MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ POS. 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. D.NELSON 09-05-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 1 1011012025 1:30:49 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED! 40:27 AM TIME POLICE ARRIVED',10:29 AM PART I PAGE IT]OF 5� REPORT NO. EG36328 CASE# 25-7739 OF COLLISION 09/05/25 10:26 OF CbLLI510N NARRATIVE 25-7739 ACCINJ On 9/5/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a multiple vehicle collision with injury in the intersection of Easy Valley Highway and SW 43rd St Renton/King/WA. Multiple callers were reporting a blocking collision with injury in the intersection. RRFA was dispatched as well for possible extrication from vehicle. I arrived on scene and located RRFA personnel rendering aid to a male on the ground. He was slightly combative with firefighters and had to be restrained for treatment. The driver of the 1998 Toyota Tacoma WA/D45342F (Unit 1), was identified by his WADL as Frank A Anderson DOB: 10/18/1966. Frank was being tended to by RRFA personnel. The Toyota had extensive front-end damage and was resting against both Units 3 and 4. As fire personnel treated Frank, they advised that it appeared her was suffering from an unknown medical event, they advised there was no sign of impairment. Frank was transported to Harborview Medical Center for further treatment. There was no airbag deployment in the Toyota and there was extensive damage to the front and driver side of the Toyota. I completed a Sector Impound Form and Gene Meyers Towing removed the vehicle from the scene. I was not able to locate any form of insurance for the Toyota. Since Frank was transported to Harborview for treatment, I was not able to return his license, this was placed in RPD Inmate Property Storage. Officer Fajarillio advised me that he had spoken to the driver of the 2015 Toyota Rav4 WA/BXU7224 (Unit 2), identified by his WADL as Foad J Sharif DOB: 4/20/1999. Foad explained that he was turning left onto southbound East Valley Highway from westbound SW 43rd St. He said that as he entered the intersection, he was struck on the driver side by Unit 1 as it ran a red light going north on East Valley Highway in the #1 lane. There was extensive damage to the driver side doors and front and rear quarter panels of the Toyota. There was a combination of airbags deployed in the Toyota and Foad had minor abrasions to his face, he was evaluated by RRFA personnel and cleared at the scene. The Toyota was removed from the scene by Gene Meyers Towing. I spoke with the driver of the 2008 Honda Element WA/CHP9160 (Unit 3), identified by her WADL as Vicki L Malloy DOB: 8/15/1954. Vicki said that she was turning north onto East Valley Highway from eastbound SW 43rd St. She said that she was making her turn through the intersection when she was struck on the passenger side by the black Toyota Tacoma. She said that this impact pushed her into Unit 4 where her vehicle came to a rest. There was a combination of airbags deployed inside the Element. Vicki was evaluated by RRFA for pain in her left knee and cleared at the scene. The Element was removed from the scene by Gene Meyers Towing. The driver of the 2025 Volkswagen Tiguan FL/DQ78FJ (Unit 4), was identified by his CADL as Mandeep S Thiara DOB: 3/4/1962. Mandeep was facing south on East Valley Hwy in the #2 lane stopped for the light. He said that he saw the Tacoma driving northbound in the #1 lane and fail to stop at the red light, after it collided with Unit 2 it collided with Unit 3 and pushed Unit 3 and itself into the Volkswagen. No airbags were deployed in the Volkswagen and neither Mandeep nor his passenger, Sandeep S Sahola DOB: 1/16/1976, were injured. The Volkswagen was able to leave the scene. I attempted to view traffic cameras but was not able to get the cameras to work. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 9/5/2025 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG36328 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-7739 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER ADDRESS `❑ CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE ISJ CYCLE I_) PEDESTRIAN � OWNER �I YES✓ NO D:2537099778 0 4 Zg LAST NAME MALLOY FIRST NAME VICKI MIDDLE'.. L INITIAL STREET NFW AnDRFSP' 19418 SE 170TH ST CITY RENTON ST WA ZIP 980580823 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO✓ zERLOCK YES❑NO❑✓ YEs N ✓ DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 08 - 15 - 1954 7 ❑ HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 3 RESTR. 4 EJECT 1 USE 2 CLASS 6 COMPLAINT OF PAIN LEFT KNEE 8 ❑ 1 1 2 32 LICENSE CHP9160 TAT INA VIN# 5J6YH28738L008168 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2008 MAKE HOND MODELELEMENT STYLE VEHICLE TOWS E T SABLI T ';tALB�'ERS TOWING f�f1VT VFHII' P FROM TO DAMAGE YES✓NO YES NO ✓ REGISTERED OWNER INFORICHARD MALLOY 19418 SE 170TH ST RENTON WA 98058 ] 1 33 12 3 5 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE INSURANCE CO GEIC0414594 70 91 IN EFFECT &POLICY# VEHICLE �M, 9 9 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE pp@@ STANDING gyg 7 b DAMAGE THRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR ❑✓ PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE : CYCLE OWNER ✓ D:5106854986 THIARA MANDEEP MIDDLE S ❑ 36 15 LAST NAME FIRST NAME INITIAL ' 2 STREET 16 ❑ ❑; 2672 AMATCHI CT CITY', TRACY ST CA ZIP 94304 NFn+AnnRFSS CDL IGNITION REdUiREE7 IGNITtGN PRESENT MEDICAL TANSPORTEII 17 ❑ INTERLOCK YES NO✓ INTERLOCK YEs NC7✓ YEs ND./ ❑ DRIVER'S STATE CA SEX M D.O.B 37 LICENSE# MMDDYYY` 03 - 04 - 1962 18 ❑ INJURY 1 ❑ON DUTY� STATUS AIRBAG 2 RESTR, 4 EJECT 1 HELMET 2 ' NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# DQ78FJ TAr WA vIN# 1V2WR2CA5SC533980 39 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41❑ ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2025 VOLK TIGUAN DAMAGE YES NO ✓ YES NO ✓ 23 ❑ REGISTERED OWNER INFO SIXTRENTAL CAR 1501 NW49TH ST UNIT f00 FORT LAUDERDALEFL 33309 SHADE IN DAMAGED AREA F 43 LIABILITY INSURANCE INSURANCE CO EMPIRE FIRE AND MARINE RSF5185385 05 09180 ❑ IN VEHICLE &POLICY# 4��, E:l 44 24 LE LE ALE LLY YESZ NO❑ CITATION# CHARGE .STANDING a 7 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 09-05-25 04:29 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12421 O#I',WA0171300 APJACOBS 10/10/202 PAGE F41 OF❑ 3000-345-013(R 11118) REPORT NO. EG36328 CASE# ' 25-7739 DATE AND TIME 09/05/25 10:26 OF COLLISION s, { 9& � ld } s s i ys � � ~•4 ,;y s tR� l t lea ,f x i Y S'� G 4 F 3 A a PAGE 5 OF 5