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HomeMy WebLinkAbout25-7669 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c COLLISION REP FIT 1591971 SASE 2sasss 2 INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 09 - 1-- 2025 1645 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ HARRINGTON AVE NE BLOCK NO. e✓ 900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FMILES EET e S B W e NE SUNSET BLVD 0 1 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:2062802653 1 4 30 6� LAST NAME GAINES FIRSTNAME TREYVONN MIDDLE D 1 0 6 31 INITIAL STREET 01 2519 NE 5TH PL C{TY RENTON ST WA ZIP 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YES R No 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CCW4146 sTArI WAurN# KMBSMDHFXHW 67043 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. TRLR. 5 1 33 12 0 0 VIN#' VIN# 2017 HYUN SANTA UTYES[:] ❑ FROM 34 ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13 4 DAMAGE YES NO ✓ YES NO✓ REGISTERED OWNER INFO HOLLI MOLNAR 2519 NE 5TH PL RENTON WA 98056 D:2062802653 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE z INSURANCE CO FIRST NATIONAL M2054740 4 LI EFFECT &SUR N# TOPVEHICLE CHARGE 36 LEGALLv res❑NO❑ CITATION# <1�3 OTTOM 15❑ STAIN,DIING 7 6 UNIT VEHIMOTCCLE CYCLE ❑Z PEDAL- PEDESTRIAN ❑ OWNER ❑ DAM YES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY LACEY ST ZIP 4 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LLIICENS# STATE SEX U MMODYY —�_ 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 1 EJECT 1 USE 2 CLASS I1 ❑ ❑LICENSE 21❑ PLA E# CCL7739 TAre 41 WA VIN# 1C46JWFG7CL139347 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2012 MAKE JEEP MODEL WRANGL STYLE VT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO JOSE ZAMORA 380014TH AVE SE LACEY WA 98503 D:3605614414 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP VE""Le ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N J 25 ' 7NE NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 ON 12327 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG36331 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7669 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. T.NELSON 09-05-25 11:44 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 1011012025 1:27:03 PM BADGE OR ID# 12327 OR]#' WA0171300 TIME POLICE DISPATCHED; 5:12 PM TIME POLICE ARRIVED',5:21 PM PART I PAGE IT]OF 5� REPORT NO. EG36331 CASE# 25-7669 OF COLLISION 09/02/25 16:45 OF CbLLI510N NARRATIVE 25-7660 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. I was dispatched to a collision that occurred in the 900 block of Harrington AVE NE. Dispatch advised: "NO INJUIRES.. SIL VEH HIT 3 PARKED VEHS.." I arrived and located the involved vehicles, all on the east side of the roadway. Unit 1, a silver Hyundai Sante Fe (WA/CCW4146), had sustained significant front-end damage and had airbag deployment. I observed unit 1's rear passenger side tire was completely deflated. Unit 2, a black Jeep Wrangler (WA/CCL7739), had significant rearend damage as well as a cracked rear passenger side rim, and a rear passenger side shock which had separated from the control arm. Unit 2 also had apparent front bumper damage with what appeared to be white paint transfer from unit 3. The front passenger side tire of unit 2 was on the sidewalk but I was led to believe that it was legally parked prior to the collision. Unit 3, a white Silverado (WA/C98060Y), had sustained significant damage to the rear tailgate from being struck by unit 2's bumper. The driver of unit 1, Treyvonn, was a minor. Treyvonn's mother and owner of unit 1, Holli, responded to the scene. After speaking with both Holli and Treyvonn, I gathered the following: Treyvonn was travelling north on Harrington AVE NE when unit 1's steering became unstable. Suddenly unit 1 veered to the right due to the rear passenger side wheel/tire failure and unit 1 struck unit 2 from behind which caused a chain reaction and unit 2 struck unit 3. Treyvonn advised he was travelling approximately 25-30 MPH at the time of the collision. Unit 2 and unit 3 were both unoccupied at the time of the collision. The information relayed to me was consistent with my observations of the scene. Unit 2 & 3 happen to have the same registered owner, Jose. Jose resides in Lacey, WA and was not on location, but Jose's friend who intended to purchase both vehicles responded. I reached Jose by phone, and he was unable to provide insurance information for either vehicle. I provided the involved parties with an exchange of information as well as my card and the Renton Police case number. Unit 1 and unit 2 were both impounded due to them being inoperable and not legally standing. Unit 3 was legally standing before and after the collision. I photographed the scene and uploaded the photos to the case file. Based on my observations of the scene and the information relayed to me, I am led to believe that unit 1's equipment failure was the proximate cause of the collision. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by T. Nelson 12327 on 09-05-2025 at 1131 hours in Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG36331 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-7669 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YEs� NO 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFS CITY LACEY ST ZIP 6 1 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES NO NTERLOCK YES❑N0� vES N DRIVER'S STATE I SEX U M��DYSYv' -� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE C98060Y TAr WA VIN# 1GCNCPEHOEZ138984 PLATE# 9 TRAILER TRAILER TE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEHlci F FROM TO 2014 CHEV SILVERA PK DAMAGE YES NO YES NO REGISTERED OWNER INFOJOSEZAMORA 380014THAVE SE D173 LACEY WA 98503 D:3605614414 m 33 12 � SHADE IN DAMAGED AREA �2� FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tvewFFCLE 34 13 LEGALLY YES N001 CITATION# CHARGE STANDING } MOTOR 8 7 14 ❑ UNIT Tr Vd 1RE O CYCLE 1:1OWNER YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE F� ITIAL ❑ STREET 16 TRE "F-]' CITY ST NEW ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 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 ❑ [441 TRLR TRLR 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 97OP - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 6OTiOM LeGALLv STANDING & 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. T.NELSON 09-05-25 11:44 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12327 O#I',WA0171300 APJACOBS 10/10/202 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EG36331 CASE# ' 25-7669 DATE AND TIME 09/02/25 16:45 OF COLLISION zr 1 4 t S t �Z t �t s, r } zo1. � m , a <�4 R. PAGE 5 OF 5