HomeMy WebLinkAbout25-7868 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 2sass8 2
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
CawsloN' 09 - 09 - 2025 1005 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S GRADY WAY BLOCK NO. e✓ 901
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 1 9 29
UNIT VEHICLE
MOTORCYCCLE. El �ESAGE NHORE✓LD MET PHONE 1 9 30
6 LAST NAME AGABO RAMIREZ FIRSTNAME BRIAN MIDDLE A 1 1 2 31
INITIAL
STREET ❑✓ 2114 MONTEREY CT SE C{TY RENTON ST WA 2jp, 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYES NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 HELMET
9 CLASS 0 NATURE OF INJURIES z❑
3
10 9� P1ATE14 D67901D STATE WA VIN# 1GCEK14T5YZ123147
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR. TRLR 5 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE CHEV MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 A 2000 SILVER DAMAGE YES NO YES❑ NO
REGISTERED.WNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# � STOP
VEwcLE CHARGE 1 o BOTTOM 36
ALLY YES NO CITATION# 5A0625741,5A0625741, HIT/RUN UNATTENDED VEHICLE, 5
15❑ STANDING 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
(SNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2062772000
VEHICLE CYCLE '. OWNER YES NO 1/
16 a
LAST NAME DODD FIRST NAME ANTHONY MIDDLE C
INITIAL
17❑ STREET ❑' 2421 S UNION AVE CITY' TACOMA ST WA ZIP 98405 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES❑NO❑
19 LDI IVEW # STATE WA SEX M M D.O.B. 11 03 _ 1982 El 39
NATURE OF INJURE
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 9 USE HELMET 9 INJURY S 40
CLASS 0 ❑
21❑ LICENSE C23896C TATE 41
GOV vIN USE
❑
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE DODG MODEL RAM 1500 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO EVERGREEN ENTERPRISES 2421 S UNION AVE STE LI TACOMA WA 98405 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO FEDERAL GOV.SLEF INSUREDIN CQl
VE""LE ❑ ,J� CITATION# CHARGE i o
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG36323
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7868
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
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.
C.ARNOLD 09-09-25 12:03 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1011012025 1:41:29 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 10:54 AM TIME POLICE ARRIVED',10:54 AM
PART I PAGE IT]OF 6�
REPORT NO. EG36323 CASE# 25-7868 OF COLLISION
09/09/25 10:05
OF CbLLI510N
NARRATIVE
CC 25-7868
On 9/9/2025 at 1054 hours I was dispatched to a hit and run collision at the Home Depot located at
901 S Grady Way in the City of Renton, King County, Washington.
Pre-Collision
Driver 3 is a uniformed Federal Agent and was attempting to serve an arrest warrant on Driver 1 at
the time of incident. Driver 3 positioned Unit 3 in front of Unit 1 to block him and prevent his escape
within the parking lot of Home Depot.
Driver 2 is a uniformed Federal Agent and was attempting to serve an arrest warrant on Driver 1 at
the time of incident. Driver 2 positioned Unit 2 behind Unit 1 to block him and prevent his escape
within the parking lot of Home Depot.
Driver 1 fled the scene and was unable to provide comment.
Collision
Driver 3 stated that he was outside of his vehicle and challenging the suspect while attempting to
effect an arrest. Driver 3 stated that Driver 1 placed his vehicle in reverse, proceeding to back up and
the rear bumper of Unit 1 collided with the front bumper of Unit 2. Driver 3 stated that following this,
Driver 1 placed the vehicle in drive and drove around the drivers side of Unit 3. Driver 3 stated that
the front passenger side bumper of Unit 1 collided with the rear drivers side bumper of Unit 3.
Driver 2 stated that while attempting to arrest Driver 1, Driver 1 placed Unit 1 in reverse and the rear
bumper of Unit 1 collided with the front bumper of Unit 2. Driver 2 then stated that Driver 1 placed
Unit 1 into drive and maneuvered Unit 1 around the drivers side of Unit 3. In doing so, the front
passenger side bumper of Unit 1 collided with the rear drivers side bumper of Unit 3.
Driver 1 fled the scene.
Injuries
None reported.
Vehicle Disposition
All vehicles were operational.
Proximate Cause
I determined there to be probable cause to arrest Driver 1 for the crime of Hit and Run Unattended x2
because the operator of any vehicle which collided with any other vehicle which is unattended shall
immediately stop and shall then and there either locate and notify the operator or owner of such
vehicle of the name and address of the operator and owner of the vehicle striking the unattended
vehicle or shall leave in a conspicuous place in the vehicle struck a written notice, giving the name
and address of the operator and of the owner of the vehicle striking such other vehicle.
I also determined there to be probable cause to arrest Driver 1 for the crime of Reckless Driving
because any person who drives any vehicle in willful or wanton disregard for the safety of persons or
property is guilty of reckless driving. Driver 1 did this by intentionally driving with a willful and wanton
disregard for the safety of persons (Driver 2 and 3) and property (Unit 2 and 3).
1 also determined there to be probable cause to arrest Driver 1 for the crime of Malicious Mischief in
the 3rd Degree x2 because Driver 1 knowingly and maliciously causes physical damage to the
property of another, under circumstances not amounting to malicious mischief in the first or second
degree.
Driver 1 was cited per RCW 46.52.010, RCW 46.61.500, and RCW 9A.48.090.
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 Officer C. Arnold #12509 at 11:24 on 9/9/2025 in the City of Renton, King
County, Washington.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
PAGE 3 OF 6
REPORT NO. EG36323 CASE# 25-7868 OF COLLISION
09/09/25 10:05
OF CbLLI510N
NARRATIVE
Motor Vehicle Unit 1
Action Code: FLEEING LAW ENFORCEMENT
Motor Vehicle Unit 2
Action Code: BLOCKING SUSPECT
Motor Vehicle Unit 3
Action Code: BLOCKING SUSPECT VEHICLE
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EG36323
r`) POLICE TRAFFIC 1 1 7 27
COLLISION REPORT CASE# 25-7868
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 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 tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:2062772000
1 9 29
LAST NAME SERNA FIRST NAME ONOFRE MIDDLE' ',, G] r:j INITIAL
STREET 30
NEW AnDRFSP' 2421 S UNION AVE CITY TACOMA ST WA ZIP 98405
6
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YES[:]NO[:] YES N
DRIVER'S D.O.B
LICENSE STATE I TX SEX M MMDDYYv', 09 TO]
- 1985
7
ON DUTY STATUS AIRBAG 2 RESTR. g EJECT g HELMET INJURY 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE AUT0965 TAT GOV VIN# 1FM5K8AR1GGA97573
PLATE#
9 TRAILER TRAILER
191 PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1Ci F FROM TO
2015 FORD EXPLORE DAMAGE vEs NO �/ YES NO
REGISTERED OWNER INFO.EVERGREEN ENTERPRISES 2421 S UNION AVE STE L1 TACOMA WA 98405 § 1 33
12 � SHADE IN DAMAGED AREA
3 4 FROM TO
((ABILITY INSURANCE INSURANCE CO FEDERAL GOV SELF INSURED RTOIx
IN EFFECT &POLICY# 1 ________
VEHICLE 34
13 A LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 8 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F1' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YES NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ 39
LICENSE rnr vIN#
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P _ 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLY
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 09-09-25 12:03 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 12509 O#IL WA0171300 JACOBS 10/10/202 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO. EG36323 CASE# ' 25-7868 DATE AND TIME 09/09/25 10:05
OF COLLISION
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PAGE 6 OF 6