HomeMy WebLinkAbout25-9499 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 5 27c
COLLISION REP FIT 1591971
SASE 25-9499 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# ❑
cowsloN 11 - 1-- 2025 1309 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e S GRADYWAY
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2534142265 1 11
30
6� LAST NAME PEREZAPOLO FIRSTNAME FIDEL MIDDLE 1 2 31
INITIAL
STREET ❑ 7211 9TH AVENUE CT E CITY TACOMA ST WA 2jp, 98404 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# D28968G sTAr WAu N# 1 FTFX1 ET1 CF667869
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. RLR 1 5 33
12 3 5 VIN#j VIN#'
FROM TO
VEH.YEAR 2012 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 1 5 TOWED BY GOVT.VEHICLE 34
13 4 FORD F150 PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GEICO 623 1147 098 3 4
IN EFFECT &POLICY# 9TOP
15❑ vEGAEHA"LE 5 36
LLLY YES�No D CITATION# 5A0802671 CHARGE INATTENTIVE DRIVING I o eorrom
STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT�7y ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2068308140
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME RUIZ VILLALPANDO FIRST NAME BRAYAN MIDDLE E
INITIAL
17❑ STREET Is❑' 3001(a 288TH ST TRL 110 CITY' FEDERAL WAY ST' WA ZIP 98003 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YES
❑NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. O6 _ 25 _ 1999 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# CPU8214 TArE 41
WA VIN# 1FA6PSTH2H5334976 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2017 MAKE FORD MODEL MUSTAN STYLE CP VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ELISA CAMINO 3542625TH AVE SWAPT9-202 FEDERAL WAY WA 98023 D:7143312010 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEICO 6169 22 80 01IN IGQO`
VEHICLE ❑ ,.I—I CITATION# CHARGE
LEGALLY YES N`LJ
25 —TA
s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
P.LANTAGNE 12575 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG44035
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9499
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CAMINO ELISA C
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
35426 25TH AVE SW APT9-202 FEDERAL WAY WA 98023 7143312010 SEXi F MMDOYyry 11 - 28 - 1997
PASSENGER Z WITNESS❑ UNIT# + 2 POST 3 AIRBAG 2 RESTR. 4 EJECT ? HELMET NJURY NATURE OF INJURIES
USE 'CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX: MMDDYYYV[ -
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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.
P.LANTAGNE 11-02-25 03:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 111212025 3:30:01 PM
BADGE OR ID# 12575 OR]# ! WA0171300 TIME POLICE DISPATCHED 1:26 Pry] TIME POLICE ARRIVED]1:42 PM
PART I PAGE IT]OF 4�
REPORT NO. EG44035 CASE# 25-9499 OF COLLISION
11/02/25 13:09
OF CbLLI510N
NARRATIVE
25-9499
On 11/02/2025 at approximately 1309 hours, I, Officer Lantagne, responded to a non-blocking, non-
injury collision which occurred in approximately the 700 block of Rainier AVE S, which is located in
the City of Renton, County of King, and the State of Washington. I was in my fully marked police
vehicle, wearing my patrol uniform and body worn vehicle.
I arrived on scene and observed Unit#1, a 2012 Ford F-150 with license plates D28968G issued out
of Washington State, and Unit#2, a 2017 Ford Mustang with license plates CPU8214 issued out of
Washington State, parked on the shoulder of SR167, south of the intersection at S Grady Way.
I contacted the driver of Unit#1, Fidel Perez Apolo (DOB 03/24/1985), who told me the following:
Apolo was driving southbound on Rainier AVE S. As Apolo's vehicle approached the intersection of S
Grady Way, the southbound traffic signal turned green and Apolo continued driving. Apolo was
distracted by the sun in his eyes and did not see the vehicle in front of him had just started driving
from a stopped position. Apolo was not able to stop his vehicle in time and the front of his vehicle
struck the rear end of Unit#2.
1 contacted the driver of Unit#2, Brayan E. Ruiz Villalpando (DOB 06/25/1999), who told me the
following: Ruiz Villalpando was stopped on southbound Rainier AVE S at the intersection of S Grady
Way. The southbound signal turned green and as Ruiz Villalpando began to drive forward the rear of
his vehicle was struck by Unit#1.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both parties. Unit#1 had moderate damage to the front right bumper which was
dented and scraped. Unit#2 had significant crumpling of the rear bumper and trunk.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Apolo and Ruiz Villalpando. I issued an infraction to Apolo
for (RMC) 10-12-25 Inattentive driving to be mailed through the court due to him not paying attention
to the traffic in front of him.
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 1458 hours on 11/02/2025 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EG44035 CASE# ' 25-9499 DATE AND TIME 11/02/25 13:09
OF COLLISION
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