HomeMy WebLinkAbout25-8718 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-8718 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;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 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION'. 10 — 08 — 2025 0614 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 250 00 FMILES EET e S ❑ W e SHATTUCKAVES
2 0 29
R PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES
,/No D:2536325782 0 11
30
6� LAST NAME ESPIRITUSANTO FIRSTNAME THOMAS MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 1408 31ST ST SE CITY AUBURN ST WA 2jp, 980028114 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER # STATE WA SEX'M MD.
I B Y' 05 - 19 1- 1988 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9� P1 ATE 14 AZA0862 STATE WA u N# 2HGFC2F75GH527153
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 3 7 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 1 2016 HOND CIVIC DAMAGE YES NO YES❑ No✓
REGISTERED OWNER INFO THOMAS MATTSON 140831ST ST SE AUBURN WA 98002 D:2536325782 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO STATEFARM 534 5049-D21.47A 3 4
IN EFFECT &POLICY# 9TOP
VEHICLe CHARGE 1 5 36
LEGALLY
Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067193291
16 a
LAST NAME AUMOEUALOGO FIRST NAME JOLYNN MIDDLE N
INITIAL
17 STREET❑ NEW ADDREss❑' 55 WILLIAMS AVE S APT 402 CITY RENTON ST WA ZIP 980572179 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19[ LDICENIVERS STATE WA ]SEX IF MMDDW 02 _ 16 _ 1955 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# BTC7954 TATE 41
WA VIN# 2HKRW2H97HH641990 1
42
22❑ PLATE# STATE TILER PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2017 MAKE HOND MODEL CR-V STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JOLYNN AUMOEUALOGO 55 WILLIAMS AVE S APT 402 RENTONWA98057 D:2067193291 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO H870192IN 1 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY YES N
25 s a
7PLANTAGNE
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
12575 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG35867
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8718
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.
P.LANTAGNE 10-08-25 04:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 10/9/2025 3:52:37 AM
BADGE OR ID# 12575 OR]# ! WA0171300 TIME POLICE DISPATCHED; 6:20 AM TIME POLICE ARRIVED 6:29 AM
PART I PAGE IT]OF 4�
REPORT NO. EG35867 CASE# 25-8718 OF COLLISION
10/08/25 06:14
OF CbLLI510N
NARRATIVE
25-8718
On 10/08/2025 at approximately 0614 hours, I, Officer Lantagne, responded to a blocking, non-injury
collision which occurred in approximately the 300 block of S 2nd ST, which is located in the City of
Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle,
wearing my patrol uniform and body worn vehicle.
I arrived on scene and observed Unit#1, a 2016 Honda Civic with license plates AZA0862 issued out
of Washington State, and Unit#2, a 2017 Honda CR-V with license plates BTC7954 issued out of
Washington State, parking in the Safeway lot, 300 S 2nd ST. I was advised there were no injuries.
I contacted the driver of Unit#1, Thomas J. Espiritusanto (DOB 05/19/1988), who told me the
following: Espiritusanto was driving westbound on S 2nd ST. After passing the lane divider to the
west of Shattuck AVE S, Espiritusanto changed lanes to his left and the left side of his vehicle was
struck by Unit#2.
1 contacted the driver of Unit#2, Jolynn Aumoeualogo (DOB 02/16/1955), who told me the following:
Aumoeualogo was driving westbound on S 2nd ST. As Aumoeualogo's vehicle continued past
Shattuck AVE S, Unit#1 merged into her lane suddenly and Aumoeualogo was not able to stop her
vehicle. The front right side of Aumoeualogo's vehicle struck Unit#1.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both parties. Unit#1 had significant crumple damage to the left rear door and
quarter panel. Unit#2 had cracks and paint scrapes to the front right bumper.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Espiritusanto and Aumoeualogo.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1544 hours on 10/08/2025 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EG35867 CASE# 25-8718 DATE AND TIME 10/08/25 06:14
OF COLLISION
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