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HomeMy WebLinkAbout25-9441 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44863OLCERA COLLISION REPORT 1591971 CASE# 25-9441 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 OBJECT 1UNITS#OF 02 TRUCK 1 0 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION'. 10 - 31 - 2025 0830 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION AIRPORT WAY BLOCK NO. e 100 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 50 00 FEET e✓ S 8 W e RAINIER AVE N 0 1 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO D:4256520669 2 0 30 6 LAST NAME FRANK FIRST NAME BARBARA MIDDLE J 1 1 2 31 INITIAL STREET 1:1 201 UNION AVE SE UNIT 233 CITY RENTON ST WA ZIP 980595180 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No✓ INTERLOCK YEs N©✓ YES D NoF,/ $ DRIVER'S # STATE WA SEX F MMDCSYY' 01 — 12 — 1950 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NAruRE of INJURIES 2 10 LICENSE ti� AXL9637 STATE WA VN# 5NPDH4AEOFH571866 3 11[-j- TRAILER STATE TRAILER ,STATE ROM TO 11 3 5 PLATE# PLATE# TRLR TRLR 3 7 33 12 3 5 VIN# vI. ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 13 4 2015 HYUN ELANTR SD DAMAGE YES DNo ✓ YEs_ No✓ 3 7 34 REGISTERED OWNER INFO BARBARA FRANK 201 UNION AVE SE UNIT 233 RENTON WA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 2 3 4 14 GEICO 4250 22 42 37 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE I 5 36 Lemur YES❑NO❑ CITATION# 7 0 80TTOM 15❑ sTANowc s rL� MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE' ❑ ❑ nWNFR D:2069139585 16� LAST NAME HAZRAT FIRST NAME YAMAH MIDDLEI M INITIAL STREET ❑ 17 -- 11728 40TH AVE S CITY TUKWILA ST, WA ZIP 98168 37 NEW ADDRESS 1$ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs No✓ INTERLOCK YES No✓ yEs No l✓ 19 LICIENSE# STATE SEX U MMDDYY � ❑ 39 HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑ 21 LICENSE I PLATE# UNKNOWN TATE WA VIN# 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. GOV H 44 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY I 24 DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO YAMAHHAZRAT1172840THAVES TUKWILAWA98168 D:2069139585 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vewae ❑ ,.I—I CITATION CHARGE AI 1060TTOM �EE �Y YES N`LJ 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY WA0171300 26 D.NELSON 12421 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG44863 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9441 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. D.NELSON 10-31-25 04:31 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE 11/4/2025 11:53:10 AM C.JACOBS 1953 BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:30 AM TIME POLICE ARRIVED 9:30 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EG44863 CASE# 25-9441 OLI?TIME OF 10/31/25 09:30 COLLISION NARRATIVE 25-9441 ACC On 10/31/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a two-vehicle collision that had occurred around 0930 hours near the intersection of Rainier Ave S and Airport Way Renton/King/WA. Barbara J Frank DOB: 1/12/1950 was at the station to complete a report. I met Barbara and she explained that she was driving west in the #2 lane on Airport Way, she said that as she approached the intersection with Rainier Ave S a vehicle turned out of the left-turn only lane and collided with her. Barbara said that she was not injured and showed me damage to her driver side rear door and quarter panel. Barbara said that the other driver pulled over with her and gave his name as Yamah M Hazrat along with his address of 11728 40th Ave S Tukwila WA and his phone number. She said that he told her he did not have insurance. Barbara said they exchanged information and both left the scene. She said that the damage to his vehicle would be on the passenger side front bumper or quarter panel. She believed his vehicle was possibly white in color but did not know a make or model. Barbara said that she did not get his license plate or photographs before he left the scene. I tried to call the number for the other driver and did not get an answer. Barbara described him as being 5-10 tall, medium build, salt and pepper hair, and 50-60 years old. I located a possible driver in local records as Yamah M Hazrat 12/12/1975 at 1300 N 20th St D3013. A WADOL check showed that Yamah matched the description provided by Barbara, his driving status showed as No Valid License -Eligible. Nothing further, this report is for documentation purposes only. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 10/31/2025 Renton WA PAGE 3 OF 4 REPORT NO. EG44863 CASE# 25-9441 DATE AND TIME i 10/31/25 09:30 OF COLLISION ti } 2 m k � a r b t M �v. t b }Y t ti i 3�. } r 3 Y 3 yi Y PAGE 4 OF 4