HomeMy WebLinkAbout25-8821 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG36793OLCERA
COLLISION REPORT 1591971
CASE�# 25-8821 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4150 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TOTAL 1
TRIBAL UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION'. 10 - 11 - 2025 1841 17 =.= S 8 W E OF IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SE 192ND ST BLOCK NO. e 1100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 W e 110TH PL SE
0 1 29
PEDAL- DAMAG THRESHOLD MET E
UNIT 01 VEHICLMOTtlRE PHON
❑ CYCLE' ❑ YES NO ✓ O 1 30
5 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST ZIP' 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs Nb YEs NO
8 LICIENSE# STATE SEX U MMDDYY+ -=-MOS. 1 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 HELM
USEET 9 CLASS 0 NATURE OF INJURIES 2
10 LI ENSE' D05807J STATE WA VIN# 1FTRX12W07KD65934 3
TRAILER STATE TRAILER ..STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 3 7 33
12 3 5 VIN# vIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GO VEHICLE
4 2007 FORD F150 PK DAMAGE YES ✓ YES❑ No 3 7 34
ED OWNER INFO CRIST/AN RIVERA MARTlNEZ 312182ND AVE
13 REGISTER
SW FEDERAL WAY WA 98023 VEHICLE RI4. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE ElNSURANCE CO 3 4
IN EFFECT &POLICY# __4_TO_P_
LEH LE CHARGE t 5 ❑ 36
`Ly YES❑NO❑ CITATION# 10 BOTTOM
15❑ T Nowc B 7 e
rL�# MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE ❑ ❑ nWNFR YEs No �/ D:5127368814
16�
LAST NAME PATEL FIRST NAME PRATIK MIDDLE I A
INITIAL
17 F1 STREET I�I ❑
' 17565 NE 67TH CT APT 345 CITY REDMOND ST, WA ZIP 98052 g 37
NEW ADDRESS ':
18� CDL IGNITION REQUIRED IGNTION PRESENT MEDICALTRANSPORTED' 38
INTERLOCKYEs No INTERLOCK YES Nis YEs NC
19 DRIVER' # STA E WA SEx M mMDtivY 10 10 1999 ❑ 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 CLAY 1 NATURE OF INJURIES 40
21 PATE# CPW5002 rareII WA vIN# WAIF2AFYXR2077199 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2024 MAKE gUDI MODEL Q5 STYLE $V VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2
SHADE IN DAMAGES2AREA
2 3 �d
LIABILITY INSURANCE INSURANCE CO METROMILE LCP9017154622
IN EFFECT &POLICY# t 9TOP
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
Lecnlly YES N`[
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
ROBIN SMITH 12986 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG36793
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8821
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME BAROT AKSHAYS
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE#
19312 112TH PL SE KENT WA 98031 9144343791 SEX' M MMooYYYv 03 - 27 - 1993
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Q' 2 POS. 3 2 4 1 USE 2 CLASS 11 NATU
'NAME
LAsr F RST,MIDDLE INITIAL) ARZOOBEN SHAH N
ADDRESS&PHONE# D C,B
19312 112TH PL SE KENT WA 980314094661190 SEX' F MMDDVVYv 11 -F
17 _ 1994
RE OF NJUR
SEAT HELMET INJURY NATU IIES
PASSENGER WITNESS UNIT# i 2 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
NAME MIDDLE INITIAL) PATEL SHREYA M
',(LAST,FIRST,
AODREss a PHONE# 17565 NE 67TH CT APT 345 REDMOND WA 98052 2134317852 SEX F D•O•� 04 _ 03 _ 2000
MMDDYYYY
PASSENGER WITNESS UNIT# 2 SEAT 9 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES
QPOS. USE GLASS HEAD PAIN ---�
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.
ROBIN SMITH 10-11-25 09:59 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 10/12/2025 7:48:41 PM
BADGE OR ID# 12986 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:44 PSI TIME POLICE ARRIVED 7:56 PM
PART B 3 Do-3mx-,ao(R11Y1s) PAGE 27 OF 57
REPORT NO.` EG36793 CASE# 25-8821 O COLLI COLLISION TIME
OF 10/11/25 19:41
COLLI
NARRATIVE
25-8821
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 10-11-2025 at approximately 1944 hours I was dispatched to a non-injury hit and run collision
that occurred at Fred Meyer located at 17801 108th AVE SE. Dispatch advised the suspect vehicle
was gone and the reporting party was also leaving. I called the reporting party, and they advised the
collision occurred on SE 192nd ST just east of 108th AVE SE and that they had followed the suspect
vehicle to Fred Meyer. She was waiting at the 76-gas station located at 19044 108th AVE SE for
contact.
Upon arrival, I contacted the involved parties and determined that no one was complaining of injuries.
While on scene, I collected the involved parties driving documents and their independent recollection
of events leading up to the collision.
The driver of Unit#2 said he had three passengers in his vehicle. He was headed northbound out of a
neighborhood in the 11200 block of SE 192nd ST when he merged into westbound traffic on SE
192nd ST. As he continued driving westbound, he was passing the 11000 block of SE 192nd ST
when his vehicle was rear ended by Unit#1. After being rear ended, he pulled to the shoulder on the
north side of SE 192nd ST and Unit#1 pulled up beside him. The driver of Unit#1 did not exit the
vehicle, and after briefly stopping next to Unit#2, they drove through the parking lot of the 76-gas
station located at 19044 108th AVE SE. As the vehicle proceeded through the parking lot, its rear
license plate fell off. The driver of Unit#2 followed Unit#1 until he lost sight of it in the parking lot of
CVS Pharmacy located at 10712 SE Carr RD. The driver of Unit#2 was advised by dispatch to
discontinue following. The driver of Unit#2 then returned to the 76-gas station and called 911.
The occupants of Unit#2 did not see the driver of Unit#1 and would not be able to identify them.
While on scene with the parties from Unit#2, the rear right passenger started to complain of head
pain and requested to evaluated. I requested Renton Regional Fire Authority (RRFA) respond to the
scene. RRFA arrived and evaluated her, releasing her at the scene.
The driver of Unit#2 thought that Unit#1 was possibly involved in another collision just prior to his,
but he was unable to confirm. There were no other victims or witnesses at the scene.
The driver of Unit#2 described Unit#1 as a black 2 door Ford F150. There was a vacuum standing
up right in the truck bed and a large metal grate that rests back against the cab. Unit#2 sustained
minimal damage to two light sensors on the rear of the vehicle. Based on the damage to Unit#2, 1 do
not suspect Unit#1 would have any damage.
The Washington license plate that fell off Unit#1 was still on scene. I ran it through WACIC/NCIC and
it returned to a black 2007 Ford F150 pick-up truck registered to Cristian Benjmain Rivera Martinez
DOB: 06-18-1988. The vehicle registration returned to 5711 S 152nd ST, Apt 712, Tukwila. Cristian's
Department of Licensing address returned to 31218 2nd AVE SW, Federal Way. Cristian's
Department of Licensing mailing address returned to 11919 SE 236th PL, Kent. I requested each of
these agencies check the parking lots and driveways for the vehicle in attempt to contact the
registered owner. The vehicle was not located. I checked local police databases for a phone number
for Cristian and was unable to locate one.
If the driver of Unit#1 can be identified, I have probable cause to arrest for RCW 46.52.020 hit and
run. The RCW states, "(3) Unless otherwise provided in subsection (7) of this section the driver of any
vehicle involved in an accident resulting in injury to or death of any person, or involving striking the
body of a deceased person, or resulting in damage to any vehicle which is driven or attended by any
person or damage to other property shall give his or her name, address, insurance company,
insurance policy number, and vehicle license number and shall exhibit his or her vehicle driver's
license to any person struck or injured or the driver or any occupant of, or any person attending, any
such vehicle collided with and shall render to any person injured in such accident reasonable
assistance, including the carrying or the making of arrangements for the carrying of such person to a
physician or hospital for medical treatment if it is apparent that such treatment is necessary or if such
carrying is requested by the injured person or on his or her behalf." The driver of Unit#1 violated this
PAGE 3 OF 5
REPORT NO.` EG36793 CASE# 25-8821 O COLLI COLLISION TIME
OF 10/11/25 19:41
COLLI
NARRATIVE
when they failed to remain at the scene of the collision and exchange information with the driver of
Unit#2.
1 certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by Robin Smith #12986 on 10/11/2025 @ 2136 hours in Renton, WA.
PAGE 4 OF 5
REPORT NO. EG36793 CASE# 25-8821 DATE AND TIME i 10/11/25 19:41
OF COLLISION
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