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HomeMy WebLinkAbout25-8513 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25-8513 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 RESERVATION STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 10 - 01 - 2025 1212 17 �. S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ MAIN AVE S MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ MILES�.❑ FEET e S ❑ W e S 3RD ST OF,1 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO F D:4257376828 0 1 30 6 LAST NAME MOLINA MATIZ FIRST NAME BRAYAN MIDDLE A 1 1 2 31 INITIAL STREET ❑1 650 DUVALL AVE NE APT Q1712 CITY RENTON ST WA ZIP 980594775 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO I INTERLOCKYEs NO I YES R NO 8❑ LDRIVER # STATE WA SEX'M MID -O B 12 - 04 - 1993 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10❑ Pi aT�S� BUB5307 sTATe WAurN# 4T18E32KX3U153861 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE## FROM ro TRLR. TRLR 1 5 33 12 2 5 vIN#' VIN# >;. FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 2003 TOYT CAMRY DAMAGE YES NO ves❑ No✓ REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILI INSURANCE I INSURANCE CO BRISTOL WEST GO1 0259504 05 2 3 IN EFFECT &POLICY# 9TOP VEwcLe 1 5 36 LEGALLY Yes[:1 NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNFR ❑ YES 1/ NO D:2068871298 16 a LAST NAME LEONIUK FIRST NAME ANTONINA MIDDLE INITIAL 17❑ STREET ❑', 10129 SE 270TH ST CITY KENT ST WA ZIP 980305399 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑ 19 DRIVER'S STATE WA SEX F D.C.B. 04 � 07 1976 39 LICENSE# MMDDYY HELMET INJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CER1707 TATE WA vIN# KNADM4A39C6088003 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE KIA MODEL RIO STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO IGOR CHELBAIEV 10129 SE 270TH ST KENT WA 98030 VEHICLE NO.2 SHADEd DAMAGEDAREA 4� 3 4 LIABILITY INSURANCE INSU&PORGY#E CO STATE FARM 23 6752-CO6-47AIN 1 9TOP 5 VE""LE LEGAL ❑ N`L J ,J� CITATION# CHARGE 25 U oBOTTOM LY YES s 7 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG33738 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8513 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 10-01-25 02:16 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 101212025 8:37:12 AM BADGE OR ID# 12509 OR]4$ WA0171300 TIME POLICE DISPATCHED ?Y:17 PM TIME POLICE ARRIVED:12:19 PM PART B PAGE IT]OF 4� REPORT NO. EG33738 CASE# 25-8513 F LNa O 10/01/25 12:12 F coy�isI©�ON u NARRATIVE RTF 25-8513 On 10/1/2025 at 1217 hours I was dispatched to a motor vehicle collision at the intersection of Main Ave S and S 3rd St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was traveling East on S 3rd St approaching Main Ave S in the #1 lane. Driver 1 stated that he was traveling South on Main Ave S approaching S 3rd St in the #1 lane. Collision Driver 2 stated that as she crossed into the intersection facing a green light, Unit 1 entered the intersection and she did not have time to stop. Driver 2 stated that the front passenger side bumper of Unit 2 collided with the rear passenger side wheel and quarter panel of Unit 1. Driver 1 stated that he crossed into the intersection of Main Ave S and S 3rd St facing a green light. Driver 1 stated that Unit 2 emerged from the West side of the intersection and he did not have time to react to slow or move to avoid a collision. Driver 1 stated that the front passenger side bumper of Unit 2 collided with the rear passenger side wheel and quarter panel of Unit 1. Injuries None reported. Vehicle Disposition Both vehicles were operational Proximate Cause I am unable to determine the proximate cause of this collision due to the fact that there are no independent witnesses and both drivers claim to have had a green light. I checked a nearby business for video footage and there was none that showed the cycle of the lights. There are no city traffic cameras at this intersection. 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 14:12 on 10/1/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG33738 CASE# 25-8513 DATE AND TIME 10/01/2512:12 OF COLLISION 211 1 q UA k ?{ a( o d t C l MAIN AVE S t � k J{ t PAGE 4 OF 4