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HomeMy WebLinkAbout25-9475 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 25-9475 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ H F ❑ LOCAL AOENC 3 HIT IT&RUN � CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ DawsloN 11 - 01 - 2025 1305 17 ❑. S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINER AVE S BLOCK NO. e✓ 400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTU '�01 VEHtOR Z CLE CYDCLE. El �ESAGE NHORE✓LD MET PHONE O 7 30 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 :NTERLOCKYEs NO INTERLOCK YES NO YES No 8 DRIVER'S STATE SEX O.B. 1 2 32 ❑ :LICENSE# MMDDYY U D. -� 9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 HELMET USE 9 CLAY 0 NATURE OF INJURIES 2❑ 3 10❑ PI ATNE 14 g53968X sTATe WAu N# 1 FTCR10AOVPA57380 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# Rom ro TRLR. A'RLR. 1 5 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 9 9 34 13 A 1997 FORD RANGE TR DAMAGE vE5 0NO f �LII� RS ves❑ No REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 A LIABILITY INSURANCE❑ INSURANCE CO < _3 4 LI EFFECT I POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLv res❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2066010198 16 a LAST NAME HARRIS FIRST NAME KEVIN MIDDLE H INITIAL 17❑ STREET ❑', 16915 144TH AVE SE CITY RENTON ST WA ZIP 98058 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑NO� INTERLOCK vEs❑NOF YES ❑NOF,/ 19[—] DRIVER'S STATE WA SEX M D.C.B. 08 _ 05 _ 1978 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 21❑ LICENSE I CEN9423 TATE I WA VIN# 1G1FY6S01N4130218 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' G HI 44 VEH YEAR 2022 MAKE CHEV MODEL BOLT STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED By ov yES NO 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU PORGY#ECO STATE FARM 580427OD2447IN 1 9TOP VEHICLE CITATION# CHARGE i o BOTTOM LEGALLY YES N� 25❑ s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 BLAKE BOWIE 12105 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG43886 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9475 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HARRIS ANNABELLE (I.P.ST FIRST, ADDRESS&PHONE# D O.B. ' 16915 144TH AVE SE RENTON WA 98058 2069992047 SEXi F MMDovyry 11 - 08 - 1974 PASSENGER I�I WITNESS R UNIT# 2 POS. 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS ' NATURE of INJURIES L�!1 USE 2 CLASS I O NAME (LAST,FIRST,MIDDLE INITIAL) TRINH WENDY H ADDRESS&PHONE# D O B 3900 NE 11TH PL RENTON WA 98056 2067790300 SEX IF MMDovvvv 05 _ 13 _ 2000 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 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. SLAKE BOWIE 11-01-25 02:38 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 111212025 4:01:57 AM BADGE OR ID# 12105 OR]# ! WA0171300 TIME POLICE DISPATCHED; 1:10 PM TIME POLICE ARRIVED:1:14 PM PART I PAGE IT]OF 5� REPORT NO. EG43886 CASE# 25-9475 OF COLLISION 11101/25 13:05 OF CbLLI510N NARRATIVE On 11-1-2025 at 1310 hours I was dispatched to the area of Rainer Ave S / S 4th PL, in the City of Renton, County of King, State of Washington, for a reported three car collision with possible injuries. While enroute, dispatch advised that the driver of a white Ford Ranger (WA LIC: B53968X) was trying to leave the scene. Upon arrival, the fire department advised me that the two occupants of the Ranger climbed up onto the railroad tracks and ran away on foot. Both subjects were described as Hispanic males. I contacted the driver of Unit 2 and he stated he was stopped in traffic waiting for the light to turn green. He heard a long screeching sound like tires sliding and eventually he was rear ended by Unit 3. The occupants of Unit 1 were trying to get the truck to drive but ended up just running away onto the railroad tracks. Both subjects were described as short Hispanic males wearing baseball hats, sweatshirts, and jeans. He was able to get some partial picture's of the subjects and he will be emailing me those photos. See photos for further information. Unit 3 did not complain of injuries nor did his passenger. They were able to leave the scene in their vehicle as it was still drivable. I contacted the driver of Unit 3 and he stated he was stopped in traffic behind Unit 2 while waiting for the light to turn green. He heard tires screeching and was rear ended by Unit 1 which pushed him into Unit 2. Unit 2 had some neck and head pain which the fire department looked at while his passenger did not complain of any injuries. They were able to leave the scene in their vehicle as it was drivable. Additional officers conducted an area check for the suspects in Unit 1 but they were unable to find them. I provided both Unit 2 and Unit 3 with my business card which contained the case number for their records. Unit 1 was towed from the road as the driver left on foot. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electrically signed by Officer B. Bowie / 12105 on 11-1-2025 at 1429 hours in the City of Renton. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG43886 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-9475 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2068904656 0 7 29 LAST NAME MARTINEZ FIRST NAME : JASE MIDDLE'.. M INITIAL STREET 30 ❑ NEW AnDRFSP 429 S 189TH ST CITY BURIEN ST WA ZIP 98148 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTE6 1 1 2 31 INTERLOCK YEs NO NTERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 11 - 24 - 2004 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 NECK&HEAD PAIN 8 ❑ 1 32 LICENSE 9084R52 TAT NV VIN# WDDZF4JB0HA021956 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 0 0 VEH.YEAR2017 MAKE MERZ MODELS CLASS STYLE SO VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1O P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA j FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 5444491BO747A q"i"Olx IN EFFECT &POLICY# v—EL. 10 BOTTOM 34 A CITATION# CHARGE 13 LEcnuv YES NO01 gg�@ STANDING } l:9 7 14 ❑ UNIT# Vd 1 RE O CYCLE � OWNERRTY YE SAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL 36 MIDDLE ❑ STREET 16 NEW An "[-] CITY ST ZIP CDL IGNITION REdUiRrD IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LERICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LecALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BLAKE BOWIE 11-01-25 02:38 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OI BADGE 12105 O#I',WA0171300 APSKELTON 111212025 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EG43886 CASE# ' 25-9475 DATE AND TIME 11/01/25 13:05 OF COLLISION r } � t e� 3 7 z rz �Z PAGE 5 OF 5