HomeMy WebLinkAbout25-8688 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 25-8688 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 10 - 1-- 2025 0800 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON RD S BLOCK NO. e✓ 1000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 500 00 FEET MILES e S B W e S GRADYWAY
0 1 29
R PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:2069636094 30
6� LAST NAME MOYA FIRSTNAME CYNTHIA MIDDLE R 1 1 2 31
INITIAL
STREET ❑, 16421 160TH PL SE CITY RENTON ST WA ZIP' 980588241 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
10� P1 aT�S� 113YOC srATe WA vIN# 5FNRL38498B075803
F_ TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TREK. YRLR. 5 1 33
12❑ VIN#j UIN#
2008 HOND ODYSSE OIIF nIG FROM 34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED If TO❑BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO YES[:] NO
REGISTERED OWNER INFO CYNTHIA MOYA 1.21160TH PL SE RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO FARMERS 187658775 4
LI EFFECT &SUR N# TOPVE—LE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254307500
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
17❑ NEW STREETR 1055 S 7 GRADY WAY CITY RENTON ST WA ZIP 98057 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 LLIICENS # STATE SEX rJ MMODYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE vIN# 41
1
PLATE#
42
22❑ PR TRAILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=ON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12421 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EG35532
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8688
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) FILIPP/DIS YANNA
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
18814 124TH AVE SE RENTON WA 98058 6166335920 SEXi F MMDDYyry 02 - 14 - 1991
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ; POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEXI MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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'
25-8688 ACC
On 10/7/2025 at 0800 hours I 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 single-vehicle collision into bushes in
the 1000 block of Benson Rd S Renton/King/WA. A witness was reporting that a vehicle swerved
from the roadway and had crashed into some bushes.
I arrived on scene and located the 2008 Honda Odyssey WA/113YOC off the roadway on the
eastside of Benson Rd S. The Odyssey had left the roadway while travelling northbound, it crossed a
gravel pull-off struck approximately 3-4 fenceposts and came to a rest in blackberry bushes.
The driver, identified by her WADL as Cynthia R Moya DOB: 4/11/1965, was still in the driver seat.
Cynthia said that she was driving north on Benson Rd and suddenly became very hot and had an
urge to vomit. She said that she knew the gravel pull-off was ahead and decided to pull over. She
said that she blacked out and the next thing she knew was she was stopped in the bushes. Cynthia
was not injured.
There was damage to the front bumper and undercarriage of the Odyssey.
Cynthia said that she did not take any medications this morning, I did not observe any signs of
impairment.
Cynthia was evaluated by RRFA on scene and cleared.
The Odyssey was removed from the scene by Gene Meyers Towing.
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 10/7/2025 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 10-08-25 08:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 1 101812025 8:35:39 AM
BADGE OR ID# 12421 OR]# WA0171300 TIME POLICE DISPATCHED; 8:09 AM TIME POLICE ARRIVED'8:02 AM
PART I PAGE IT]OF 3�
REPORT NO. EG35532 CASE# 25-8688 DATE AND TIME 10/07/25 08:00
OF COLLISION
Y;
4 y
tt ye,
3?
WY,
V\vv 4{
1dJ�
r7�
v
PAGE 3 OF 3