HomeMy WebLinkAbout25-9000 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 25-9000 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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 N E IN CITY# ❑
cawsloN 10 - 1-- 2025 1832 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 2725
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2069193694 0 11
30
6❑ LAST NAME EASTMAN FIRSTNAME MARJORIE MIDDLE I R 1 2 31
INITIAL
STREET ❑ 1433 LINCOLN AVE NE CITY 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❑ LICENSE# STATE yyq SEX'F I D.MM0 B 02 - O6 - 1950 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 3 H U EET CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� SH02111 sTArI WAVIN# JTDKN3DU9A5126144
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2010 TOYT PRIUS SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34
13 4 DAMAGE YESNo YES[:] NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PEMCO MUTUAL CA 0158496 4
LI EFFECT I SUR N# TOPVEHCLE CHARGE 36
LEGALLY YEs❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO ,/ D:2062800046
16 a
LAST NAME SIMPSON FIRST NAME SHARIKA MIDDLE IN
INITIAL
17❑ STREET ❑' 9315 51 STAVES CITY SEATTLE ST WA ZIP 98118 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19 DRIVER'S STATE WA ]SEX IF I D.Q.B. 07 16 _ 1977 39
LICENSE# MMDDYY
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CMU9537 TAre WA VIN1 1GNERMKWXLJ260514
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
GI
VEH YEAR 2020 MAKE CHEV MODEL TRAVERS STYLE UT DEHICLE AMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ I PORGY#E CO PROGRESSIVE 994206489IN 1 VE."Le ❑ ,J� CITATION# CHARGEUR
LGALYYESN
25 =LATRONICO
NAME(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 13151
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG38747
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9000
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WALKER JEREMIAH
(LAST FIRST,
ADDRESS&PHONE# D O.B.
$EATTLE SEX M MMDDYYYY 05 - 10 - 2018
PASSENGER I�I WITNESS� UNIT# 2 SEAT 7 AIRBAG'2 RESTR. 4 EJECT ? HEL SET INJURY 1 NATURE OF INJURIES
U CLASS
NAME L�1
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE GLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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 10-17-25 07:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 1011712025 11:25:49 PM
BADGE OR ID# 13151 ORI# WA0171300 TIME POLICE DISPATCHED 6:37 PM TIME POLICE ARRIVED 6:40 PM
PART I PAGE IT]OF 4]
REPORT NO. EG38747 CASE# 25-9000 OF COLLISION
10/17/25 18:32
OF CbLLI510N
NARRATIVE
25-9000
At about 1837 hours on 10/17/2025 1 responded to a two vehicle collision with injuries at 2725 NE
Sunset Blvd, in the city of Renton, King County, Washington. Dispatch advised that "NON
BLOCKING, VEH'S PULLED INTO SAFEWAY PLOT*, PT C/O SHOULDER PAIN ."
I arrived on scene at approximately 1840 hours and observed a red Toyota Prius (SH02111/WA) with
minor front end damage parked in the Safeway parking lot. I also observed a white Chevrolet
Traverse (CMU9537/WA) with heavy drivers side damage parked in the Safeway parkingn lot.
Driver of Unit 1 stated while pulling out of the parking lot onto NE 10th St the front end of Unit 1 struck
the drivers side of Unit 2 as Unit 2 was driving on northwest on NE 10th St.
Driver of Unit 2 stated while driving northwest on NE 10th St. the drivers side of Unit 2 was struck by
the front end of Unit 1 as Unit 1 was exiting the parking lot.
Photos uploaded via AXON.
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 10/17/2025 at 1020 Renton, WA
PAGE 3 OF 4
REPORT NO. EG38747 CASE# 25-9000 DATE AND TIME 10/17/2518:32
OF COLLISION
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