HomeMy WebLinkAbout25-8454 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 25-8454 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 2$
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 09 - 1-- 2025 2005 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
KIRKLAND AVE NE BLOCK NO. e✓ 1421
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
UNIT 01 VEHICLE
MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 1 4 30
6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVERS. STATE SEX.U D.Q.B. 1 32
❑ :LICENSE# MMDDYY -=
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10 Pi ATE 14 BYS3674 sTATe WAV N#
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 1 5 33
12 0 0 VIN If VIN#
2011 CHRY 200 SD Z pL ❑ FROM 34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
DAMAGE YES ✓ NO YES NO✓
13 REGISTERED OWNER INFO NATASHAWALLACE1311N36THST RENTON VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4
14❑ LIABILITY INSURANCE❑ INSURANCE CO 3
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LECALLv res❑NO❑ CITATION# 1 o BOTTOM
15❑ STAIN,DIING 6
UNIT U2 VEHIMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP $
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑NO� INTERLOCK YEs I I No� YES t l NO❑
19 LLIICENS RIVEWS# STATE SEX U MMDDYY -�_ 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLATE# D72352G TATE WA VIN# 41
4TAVL52NXYZ642246 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2000 MAKE TOYT MODEL TACOMA STYLE pK VEHICLETOWED TO BLIN TOWEDBY GOV!TN
44
24❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO GILBER ORELLANA 122 NIX RD CHEHALIS WA 98532 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#E CO pROGRESSIVE04301876-3IN 1 STOP
VE—LE ❑ CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES Nu
$
=LATRONICO
O NAME(PRINT) FFICER PHONE BADGE OR ID# AGENCY
26
13151 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG37514
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8454
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.
GLENN LATRONICO 09-29-25 08:53 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1011412025 2:39:43 PM
BADGE OR ID# 13151 ORI# WA0171300 TIME POLICE DISPATCHED 8:08 PM TIME POLICE ARRIVED',8:16 PM
PART I PAGE IT]OF 4�
REPORT NO. EG37514 CASE# 25-8454 OF COLLISION
09/29/25 20:05
OF CbLLI510N
NARRATIVE
25-8454
At about 2008 hours on 09/29/2025 1 responded to motor vehicle accident at 1421 Kirkland Ave NE,
in the city of Renton, King County, Washington.
I arrived on scene at approximately 2016 hours and observed a black Chrysler 200 (Unit 1 -
BYS3674/WA) with heavy front end damage crashed into the rear end of a red Toyota Tacoma (Unit
2 - D72352G/WA) with heavy rear end damage. Both units were parked on the west side of the street
facing southbound. The Toyota was pushed up onto the front lawn of 1421. There were no occupants
on scene.
I was advised by the reporting party (RP) identified verbally as Beverly Mora (425-529-7585) that she
observed someone running across to the street and into 1420 Kirkland Ave NE. The Toyota was
registered to that address. I attempted contact at the address with negative results.
Registered owner of the Toyota advised the vehicle was parked unoccupied on the west side of the
road at the time of the crash.
Both vehicles were towed by Banker's Towing.
This concludes my involvement with this case.
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe which was equipped with
overhead emergency lights and sirens.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by G. Latronico #13151 on 09/29/2025 at 2045 Renton, WA
PAGE 3 OF 4
REPORT NO. EG37514 CASE# 25-8454 DATE AND TIME 09/29/25 20:05
OF COLLISION
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PAGE 4 OF 4