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HomeMy WebLinkAbout25-9205 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44854OLCERA COLLISION REPORT 1591971 CASE# 25-9205 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3[--� COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 03 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 10 - 24 - 2025 0748 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION MAPLE VALLEY HWY MILE POST e 2000 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 2 0 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4259059006 0 1 30 6 LAST NAME LAMBRO FIRST NAME CANNON MIDDLE I W 1 1 2 31 INITIAL STREET ❑ 27929 215TH PL SE CITY MAPLE VALLEY ST WA ZIP 98038 2 NEW ADDRESS 7 CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKYEs NO INTERLOCK YES NO YES NO DRIVER'S JJ8❑ LICENSE# STATE WA SEX U MMor YY' 10 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY CLASS 1 NAruRE of INJURIES 2 LICENSE, CLU7357 STATE WA VIN# WBA4J5C51KBM66429 3 10[9� PI ATP tt 11[-� TRAILER STATE TRAILER ,STATE 11 4 0 PLATE# PLATE# ROM TO TRLR TRLR 5 1 33 12 4 0 VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN pyEN�I GOVT VEHICLE g 1 13 2 2019 BMW 440I DAMAGE YES�NO� �"-"'"-�RS 34 YES NO REGISTERED OWNER INFO TELL Y LAMBRO 27929215TH PL SE MAPLE VALLEY WA 98038 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ ❑ NSURANCE CO 3 4 LIABILITY INSURANCE IN EFFECT &POLICY# 4TOP v `LE CHARGE 10 BOTTOM 5 36 15 srn Lyc YES❑NO❑ CITATION# 5A0608041,5A0608041, INATTENTIVE DRIVING,OP MOT VEH 7 e UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE. nWNFR YES NO 16� LAST NAME BRACKEN FIRST NAME TAYLOR MIDDLE J INITIAL 17 F1 STREET ❑❑ 15150 140TH WAY SE UNIT A102 CITY RENTON ST, W 37q ZIP 980585805 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs ND fNTERLOCK YES No YEs NO 19 DRIVER'S STATE WA SEXI M I D.O.E. I 10 — 17 1994 39 LICENSE# MMDDYY — HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN� BKG1369 TATE WA VIN# 4S3GKAK69J3613282 � 41 PLATE 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 201$ MAKE SUBA MODEL IMPREZA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO TAYLORBRACKEN 1115014011 WAYSE U1I1A102 RENTON WA 98058 D:2533509634 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SAME. IN EFFECT &POLICY# t 9TOP veeiae ❑ ,J—I CITATION# CHARGE i060TTOM LecnLLY YES N`[ 25 s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG44854 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9205 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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 10-24-25 12:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 111412025 12:01:54 PM BADGE OR ID# Y517 ORI#' f WA0171300 TIME POLICE DISPATCHED'; 7:48 AM TIME POLICE ARRIVED 7:52 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT NO.` EG44854 CASE# 25-9205 O COLLI COLLISION TIME OF 10/24/25 07:48 COLLI NARRATIVE wht/1 lane from 2 to 1 hit blu/2 bounces off hits unit 3 stopped in lane 2 CC On 10-24-2025 at about 0748 hours within the city limits of Renton/King/Wa I responded to a 3 vehicle blocking crash near the 2000 block of Maple Valley Hwy. I contacted the driver of unit 3 who told me she was stopped for heavy commuter traffic when she was hit by unit 1 from behind. She was in lane 2 northbound Maple Valley Hwy. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who told me he was in the northbound lanes of Maple Valley Hwy lane 1. He told me that unit 1 swerved into the driver side of his vehicle and then swerved back or bounced off his car and unit 1 rear ended unit 3. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1, clearly upset and crying. He told me he was going along on Maple Valley Hwy and went to change lanes so he could keep going around other traffic when he contacted unit 2. He said unit 2 pushed him back into unit 3. He told me he did not have any form of ID on his person and verbally provided his name and DOB, Lambo, Cannon W 10-03-2006. He did not provide any form of valid insurance, rather he threw papers around inside his glove box. I suggested he contact his mom or dad and have them text a copy of the insurance because if was a large ticket and he did not. A WACIC/DOL check of Cannon via Dispatch reveled he was DWLS 3rd, it also confirmed with a DOL his identity. The DOL picture matched the driver of unit 1. His suspension release date is listed as indefinite. Cannon told me he did not know he was suspended. He asked me why he was suspended and I told him I dont know, but driving while suspended is a arrestable offense. He was not booked. I cited Cannon Lambo ref RCW 46.20.342 DWLS 3rd via the Renton Prosecutors Office and Ref RMC 10-12-25 Driver Inattention and Ref RCW 46.30.020 No valid proof of insurance via complaint. Cannon vehicle was impounded by Bankers Towing. 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 10-24-2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG44854 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE#+ 25-9205 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD. GWVR NO NUMBER SOURCE AXLES1:1 + NAME IF 4a ❑ ADDITIONAL UNITS ,µ MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT ' 3 PEDESTRIAN �', YES NO 5 VEHICLE CYCLE OWNER H 29 I NITIA LAST NAME NGO FIRST NAME BRANDY INITIA L E; N STREET 30 NFW ADDRFs 1222 S 273RD PL CITY DES MOINES ST I WA ZJP 981989362 6 CDL GNITIt7N RECJUIRED PRESENT MEC7ICALTANSP©RTED 1 1 2 31 I IGNITION INTERLOCK YES NO '.INTERLOCK YES NO YES N DRIVERS D,O,B 7 LICENSE STATE SEX F MMDDVY 10 - 15 - 1993 ON DUTY STATUS: AIRBAG 2 RESTR. 12 EJJEC7 g HELMET INJURY 1 NAruREofINJURIEs USE GLASS LICENSE CTD9344 A VIN 2TBBMCA4SC092295PLATE# 9 Fq] STATE TRAILER TRAILER 2 PLATE#i PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.R4 11 0 0 VEH.YEAR2025 MAKE LEXS MODELRX STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO ✓ YES NO ROY PATTERSON 15451 SE 143RD PL RENTON WA 98059 D:2069819712 9 9 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 � ' FROM TO INSURANCE CO LIABILITY INSURANCE SAME. IN EFFECT &POLICY# i JZOp___.5 m 34 13 ❑ vEnICEE YES NO CITATION# CHARGE 108C)1`IOM ecauv sTANOINc � MOTOR PEDAL_ ' PROPERTY DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST! ZIP NEW ADDRESS" GDL IGNITIC7N RE(]UIRED IGNITION PRESENT MEDICAL TAN SPORTED INTERLOCK YES NO INTERLOCK YES NO YES NO 17 37 LDRIVERS ICENSE STATE SEX M�DDWY - 18 ❑ HELMET NJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE GLASS 19 ❑ ❑ 39 LICENSE viN PLATE# TAT # 20 ❑ TRAILER TRAILER ❑ 40 PLATE#. STATE PLATE# STATE 21 ❑ TRLR TRLR 41 V1N#7 VIN#i 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE[—] INSURANCE CO IN EFFECT &POLICY# t.K-99 5 44 vEHICEE ❑ ❑ CITATION# CHARGE 24 IEGALLY VES NO3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 10-24-25 12:02 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE 1 OR ID# 2517 O#RI WA0171300 APJACOBS 111412025 PAGE OF � 3000-345-013(R 11l18) REPORT NO. EG44854 CASE# 25-9205 DATE AND TIME i 10/24/25 07:48 OF COLLISION n 4a v. z ti F i U1.F t yy S �ti J ti 4' f 4�nt c 4, ' rtas t PAGE 5 OF 5