HomeMy WebLinkAbout25-9470 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44034OLCERA
COLLISION REPORT 1591971
CASE# 25-9470 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'Y 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDL�ISION' 11 - OF, - 2025 1034 17 =.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 7TH ST BLOCK NO. e 100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e HARDIE AVE SW
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252608059 0 1 30
6 LAST NAME MULLER FIRST NAME MASS/MILIANO MIDDLE t 1 2 31
INITIAL
STREET ] 351 VUEMONT PL NE APT 205 CITY; RENTON I ST WA ZIP; 98056 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YEs No✓ INTERON KYEs No✓ YES F NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 09 - 19 - 1951 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE �JAU SY 1 [NATURE of INJURIES 2
10 PI ENSttEI BWR3887 STATE WA VIN# 1N4BL4BV2KC221204 3
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM To
TRLR TRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2019 MAKE N/SS MODEL ALTIMA STYLE 40 VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 5 34
13� DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO MASSIMILIANO MULLER 351 VUEMONT PL NE APT 205 RENTON WA 98056 D:4252608059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 ✓ AMERICAN FAMILY 2331-8516-01-62-FPPA-WA
IN EFFECT &POLICY# 4TOP
vEnic�E CHARGE 5
Lemur yes❑NO❑ CITATION# 36 7 0 80TTOM
15❑ STMDING s 7 e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:2067797451
16�
LAST NAME DAVIS FIRST NAME IMANI MIDDLE' /
INITIAL
STREET ❑
17 ❑ 6118 ALEXANDER PL SE CITY AUBURN ST, WA ZIP 98092 4 37
NEW ADDRE SS
18❑ CDL IGNITION REQUIRED IGNITION INTERLOC PRESENT MEDICAL TRANSPORTED. 38
INTERLOCKYES NO✓ K YES No✓ YEs No✓
19 DRIVER'S STATE WA SEX F MDDY 03 08 1995 39
LICENSE# MDCiYY —
20❑ ON DUTY STATUS AIRBAG'6 RESTR 4 EJECT 1 R UET SE CLAY 1 NATURE OF INJURIES 40
SS
21 LICENSLATE E CAK3025 rare WA vIN# 5XXG64J25NG111993 41
22 [TILER TAILER
❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE /(/A MODEL/(5 STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE[Z INSURANCE CO ALLSTATE 817776687
IN EFFECT &POLICY# I STOP
VEHICLE ❑ CITATION# CHARGE to BOTTOM
L'—LY YES N
25 --J
a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
P.LANTAGNE 12575 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG44034
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9470
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) DAVIS ill CHRIS
ADDRESS&PHONE#
6118 ALEXANDER PL SE AUBURN SEXi M MMDDD B. 08 - 15 - 2024
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z F 2 POS. 9 6 11 1 USE CLASS ;1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) PEREZ SERRANO ITZEL
ADDRESS R PHONE# D�B
3767 S 170TH ST SEA TAC WA 98188 2067106799 SEX'' F MMQavvvr 07 _ 11 _ 1987
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 3 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 6 LEG AND SHOULDER PAIN
NAME MIDDLE INITIAL) DAVIS CHRIS L
(LAST,FIRST,
AQQREss a PHONE# 6118 ALEXANDER PL SE AUBURN WA 98092 2069542523 SEX} M MDD.OD YY.B.YY 10 _ 05 _ 1994
M
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT HELMET INJURY NATURE CFINJURIES
�' 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.
P.LANTAGNE 11-02-25 02:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 111212025 3:32:15 PM
BADGE OR ID# 12575 ORI# WA0171300 TIME POLICE DISPATCHED 10:35 AM TIME POLICE ARRIVED i 10:39 AM
PART IS 3 Do-3mx-attar gt 1Mff) PAGE F2 --]OF
REPORT NO. EG44034 CASE# 25-9470 DATE OF COLLI r�510NN + 11/01/25 10:34
L1
NARRATIVE
25-9470
On 11/01/2025 at approximately 1034 hours, 1, Officer Lantagne, responded to a blocking, injury
collision at the intersection of SW 7th ST and Hardie AVE SW, which is located in the City of Renton,
County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing
my patrol uniform.
I arrived on scene and observed Unit#1, a 2019 Nissan Altima with license plates BWR3887 issued
out of Washington State, Unit#2, a 2022 Kia K5 with license plates CAK3025 issued out of
Washington State, and Unit#3, a 2014 Ford F-150 with license plates C83776W issued out of
Washington State, blocking the southbound lanes of Hardie AVE SW. I was advised the passenger of
Unit#3 had leg and shoulder pain. The Renton Fire Department responded and she was transported
to Valley Medical Center.
I contacted the driver of Unit#1, Massimiliano Muller (DOB 09/19/1951), who told me the following:
Muller was driving eastbound on SW 7th ST. As Muller drove through the intersection at SW 7th ST,
the front of Muller's vehicle struck the passenger side of Unit#2 which was traveling southbound
through the intersection. Muller stated he had a green light.
I contacted the driver of Unit#2, Imani I. Davis (DOB 03/08/1995), who told me the following: Davis
stated she was driving southbound on Hardie AVE SW. As Davis' vehicle crossed through the
intersection at SW 7th ST, the passenger side of her vehicle was struck by Unit#1. Davis also said
she had a green light. Davis' husband, Chris L. Davis (DOB 10/05/1994) who was following Davis in
his own vehicle also stated the southbound signal to travel through the intersection was green.
I contacted the driver of Unit #3, Alejandro Sanchez Munoz (DOB 02/23/1981), who told me the
following: Sanchez Munoz was stopped at a red light facing northbound on Hardie AVE SW at the
intersection of SW 7th ST. As Sanchez Munoz was waiting for the light to turn green, Unit#1 collided
with Unit#2 in the intersection and the force of the impact pushed Unit#2 into the front end of
Sanchez Munoz's vehicle.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by all drivers. Unit#1 had significant damage to the front end of the vehicle which
was crumpled in through the radiator. Unit#2 had significant crumple damage to both the driver and
passenger sides. Unit#3 had minor damage to the front bumper consisting of dents and scrapes. The
front and side airbags of Unit#1 and Unit#2 deployed.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to all parties. I was not able to determine at the time which
vehicles had the right of way at the intersection.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1641 hours on 11/01/2025 at Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG44034
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-9470
013197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD.
GWVR : NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 �✓ PEDESTRIAN ❑', YES� NO D:2067106799
5 VEHICLE CYCLE OWNER
0 8 29
FIRST NAME MIDDLE
LAST NAME SANCHEZ MUNOZ ALEJANDRO INITIAL
STREET 30
NEW ADDRFS 3767 S 170TH ST CITY SEATAC ST WA ZiP 98188
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED +IGNITION PRESENT MECiICALTANSPORTED'.
INTERLOCK YEs.. NO�/ ..,INTERLOCK YES NoZ
L
DRIVER'S STATE wq SEX U D.O.$ 02
7
LICENSE MMDDYY - 23 - 1981
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY 1 NAruRE of INJURIES
USE CLASS
8 ❑ 1 32
LICENSE C83776W TAT WA VIN 1FTFXlCTlEFA63453
PLATE#
9 Fil STATE TRAILER TRAILER L
PLATE# PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 2 5 VEIL YEAR2014 MAKE FORD MODFLF150 STYLE PK VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI E FROM TO
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFOOWNED BYDRIVER rj 9 33
12 � SHADE IN DAMAGED AREA
4 FROM TO
LIABILITY INSURANCE❑ INSURANCE CO TOE
IN EFFECT &POLICY# ""`-" S m 34
13 venic�e YES NO CITATION# CHARGE
1080TTOM
ecauv
sTnNoiNc � (� 7 G..
MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YEEF-1 NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET CITY ST ZIP
NEW ADDRESS"
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN SPORTED
INTERLOCK YES[]NO INTERLOCK YES NO 'YES No ❑
17 4 37
LICENSE#RIVERS — STATE SEX MD.r3O.6 - l
18 ❑
HELMET NJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ LICENSE TAT AN# 39
PLATE#
20 TRAILER+ TRAILER 40
PLATE#.: STATE PLATE# STATE ❑
21 ❑ ❑ 41
TRLR TRLR
VIN# VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# ).c;Q
3. 44
vece ❑ ❑ CITATION# CHARGE
24 I..TF_ YES NO
STIWDING 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
P.LANTAGNE 11-02-25 02:25 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR Ib# 12575 O#RI WA0171300 APSKELTON 111212025
PAGE OF�
3000-345-013(R 11t18)
REPORT NO. EG44034 CASE# 25-9470 DATE AND TIME 11/01/25 10:34
OF COLLISION
t.s
0 0#
QI
F„
d 1
f
{ 4
Y saU a }I/
}
� S �
t „L
�j
w p
�t
f
S C
PAGE 5 OF 5