HomeMy WebLinkAbout25-8982 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG41006 170
27
COLLISION REP FIT 1591971
SASE 25-8982 2
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 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#
cowsloN 10 - 1-- 2025 0751 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
OAKESDALE AVE SW
e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 ❑ FEET e S ❑ w SW4IST ST
❑
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2533535307 0 11
30
6� LAST NAME KINNEY FIRSTNAME SHAWNA MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 21451 99TH AVE S CITY KENT ST WA ZIP 980312004 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVERS STATE WA SEX'F MID
.O B 01 1- 27 - 1983 1 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CBA3391 sTArI WAurN# 1GNEK13Z02R126025
F_ TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR. 5 7 33
12 3 5 VIN#' VIN#
ROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 $ 34
13� 2002 CHEV TAHOE DAMAGE vE5 0 NO agW�MEYER ves❑ No
REGISTERED OWNER INFO SHAWNAKINNEY2145199THAVES KENTWA980312004 D:2533535307 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
ve'CLE CHARGE 1 o BOTTOM 36
LEGALLY YES No CITATION 5A0608014,5A0608014 FAIL YIELD LEFT TURN MOTOR
15❑ NDING 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2068612783
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME CHAVES DA SILVA FIRST NAME PAOLA MIDDLE N
INITIAL
17❑ STREET ❑', 2201 3RD AVE APT 2304 CITY SEATTLE ST WA ZIP 981212037 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOF INTERLOCK YEs It I NOF YES
t t- l NO❑
19 F] LICENSE# STATE WA SEX F M D.C.B.
03 �_ 14 1994 El 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE BYG9738 TAre WA VIN# 1C4PJLD69KD302634
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE JEEP MODEL CHEROK STYLE I VEHICLE TOWED TO BLIN TOWED ev GOV HI �44
24❑ DAMAGE YES NO (ENE MEYER YES NO
REGISTERED OWNER INFO PAOLA CHAVES DASILVA 12113RDAVEAPT 11.SEATTLE WA 981212037 D:2068612783 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSURANCE
#E CO GE1CO 6088902033IN 9TOP 5
VEwCLE ❑ ,J� CITATION# CHARGE
GAL
25 io BOTTOM
LELY YES Nu
J
' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG41006
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8982
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
POS. 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.
M.LEVERTON 10-17-25 08:46 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1012412025 7:39:59 AM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 7:51 AM TIME POLICE ARRIVED',8:00 AM
PART I PAGE IT]OF 4�
REPORT NO. EG41006 CASE# 25_8982 O COLLOTINIE
OFF CbLLI510N 10/17/25 07:51
NARRATIVE
unit 1 blu It sb to wb unit 2 blk lane 2 sb
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection
of Oakesdale Ave SW at SW 41st St.
I located a black SUV facing west blocking both SB lanes of Oakesdale and a blue SUV that was just
west in a parking lot near the intersection. Both vehicles had significant damage.
I contacted the driver of unit 2 who told me she was southbound Oakesdale when unit 1 turned in
front of her vehicle. She was not able to avoid contact with Unit 1 turning left so late. She did not
complain of injury and damages required a tow truck.
I contacted the driver of unit 1 ID'd by her picture WADL. She told me she had worked "here" for 10
years and when turning left in to the parking lot did not see unit 2. She did not complain of injury and
damages would require a tow truck, she made arraignments via her husband to have the car towed.
Unit 1 told me she just didnt see unit 2 when she turned left into her work area complex. I asked her
several times for her insurance and she told me she was working on it. The last time I asked for it
she admitted she did not have insurance. She told me unit 2 was speeding. I said she told me she
didnt see her, but could tell she was speeding, so she turned left in front of a speeding vehicle. She
said that the damage to the side of her car was bad. Her vehicle was contacted at and above the
frame in the passenger door, a much softer crush area. I confirmed with unit 1 that she was turning
left in front of a speeding vehicle and she said no she didnt see unit 2 and was only speculating on
the damage vs speed.
I cited unit 1 via complaint ref RCW 46.61.185 FTYROW left turn- two vehicle collision and RCW
46.30.020 No Insurance.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 10/17/2025
PAGE 3 OF 4
REPORT NO. EG41006 CASE# 25-8982 DATE AND TIME 10/17/25 07:51
OF COLLISION
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