HomeMy WebLinkAbout25-9457 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG45705OLCERA
COLLISION REPORT 1591971
CASE#I 25-9457 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4250 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TOTAL 1
TRIBAL UNITS#OF 02 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
coLLISION' 10 - 31 - 2025 2131 17 =.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SUNSET BLVD N BLOCK NO. e 1500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e BRONSONWAYN
0 3 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO O 1 30
5❑ LAST NAME UNKNOWN FIRST NAME MIDDLE 1 2 31
INITIAL
STREET
NEW ADDRESS CITY RENTON ST ZIP' 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs No YEs NO
8 LCEENSE# STATE SEX U MMDDYY+ —=—VER'S MOS. 1 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 HELM
USEET 9 CLASS 0 NATURE OF INJURIES 2
LICENSE, 3
10 PI ATF# STATE V(N
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR TRLR 1 7 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE V 1 $ 34EHICLE TOWED TO BUN TOWED By GOVT VEHICLE
13� DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# __4_TO_P_
LEn LE CHARGE t 5 ❑ 36
`Lr YES❑NO❑ CITATION# 10 BOTTOM
15❑ STM ING 1 7 6
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:5096388613
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME SOLIS-SANTOS FIRST NAME MAYRA MIDDLE I C
INITIAL
STREET ❑
17 '❑-T 11523 SE 189TH LN CITY RENTON ST, yyq ZIP 98055 $ 37
NEW AbbRESS
18❑ CDL IGNITION REQUIREfl fGNfTION PRESENT MEDIGALTRANSPORTED 38
INTERLOCKYEB NO INTERLOC( YES NO ves NO
19 DRIVER'S STATE WA SERIF D.O.B. 03 21 1991 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 6 ❑
USE CLASS COMPLAINT OF BACK/NECK PAIN
21 LICENSE I PATE# BUZ9888 TATE I WA VIN# 1 FM5K8F8XGGC94385 41
22❑ PLATE# STATE PATE# 42
AILER ILER STATE ❑
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q16 MAKE FORD MODEL EXPLORE STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO MAYRA SOLIS-SANTOS 11523 SE 18911 LNAPT L-24 RENTONWA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO STATE FARM 473 6472-A27.47A
IN EFFECT &POLICY# t Ve — ❑ I—I CITATION# CHARGEU�o
,1A1Ly YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JOSEPH MELLO 13020 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG45705
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9457
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE IN GILLING HAMISHA
(LAST,FIRST ITIAL)
ADDRESS&PHONE# D O
2100 NW HARVEST PL UNIT E115 ISSAQUAH WA 980277517 SEX' M MMooYYYv 05 — 05 — 1994
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' 2 POS. 3 2 4 1 USE CLASS 11 ---�
'NAME
LAsr F RST,MIDDLE INITIAL) DAVILA JACOB
ADDRESS&PHONE#
11523 SE 189TH LN RENTON WA 98055 SEX' M D•O.B. 11 _ 04 _ 2010
MMDDYYYY
RE OF NJUR
SEAT HELMET INJURY NATU IIES
PASSENGER WITNESS UNIT# i 2 POS. 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 ----�
NAME MIDDLE INITIAL) VENEGAS CHASITY
',(LAST,FIRST,
AODREss a PHONE# 11523 SE 189TH LN RENTON WA 98055 SEX F D.O.B. 07 _ 20 _ 2014
MMDDYYYY
PASSENGER Z WITNESS UNIT# 2 SEAT 8 AIRBAG 2 RESTR. 4 EJECT 1 HELMET :JURY 1 NATURE OF INJURIES
Q 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.
JOSEPH MELLO 10-31-25 11:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 11/6/2025 9:34:57 AM
BADGE OR ID# 13020 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:31 PM TIME POLICE ARRIVED 9:34 PM
PART B 3 Do-345-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG45705 CASE# 25-9457 OLI?TIME
OF 10/31/25 21:31
COLLISION
NARRATIVE
25-9457
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 10-31-2025 1 was working as a police officer in a fully marked, department issued uniform,
patrolling in a marked police vehicle for the city of Renton. At approximately 2131 hours I was
dispatched to a non-injury hit and run at 108 Factory Ave N, City of Renton, County of King, State of
Washington.
I gathered from the call notes, there was a hit and run that occurred on the freeway and the female
patient had complained of back pain.
I arrived on scene and observed a 2016 Ford Explorer (license plate#BUZ9888/WA) parked just east
of the Big Foot Java with obvious driver side vehicle damage. The driver's side of the vehicle had a
large indent on the front driver's side door along with multiple scratches.
I met with the driver who I later positively identified as Mayra C. Solis-Santos (DOB 03-21-1991) via
WADOL photo. Mayra was with Renton Fire Authority (RFA) because she had complained of back
pain/neck pain from the collision.
Mayra advised the following occurred: Mayra was in lane three at the intersection of Sunset Blvd
N/Bronson Way N. Mayra drove southbound to continue onto southbound 1-405. As Mayra drove
southbound into the intersection, she was struck on her driver's side by an unknown black Hyundai.
After the collision Mayra did not see where the unknown black Hyundai went, but believed that it fled
westbound onto Bronson Way N.
When 1 asked Mayra where she thought the unknown black Hyundai came from, she sounded
unsure. Mayra believed that the unknown black Hyundai possibly drifted into her lane from lane one
for southbound traffic on Sunset Blvd N.
Mayra was in the vehicle with her boyfriend and two children, and Mayra was the only one who
described having pain. Mayra advised she would check into Valley Medical Center after she broke
contact with me.
Mayra advised that she wanted to be a victim and press charges.
If a suspect is identified, I have probable cause to believe that they have committed the crime of Hit
and Run Attended (RCW 46.52.020), by being involved in a motor vehicle collision and failing to stop
and exchange information.
I collected Mayra's vehicle registration, insurance, and contact information. I gave Mayra a copy of
the case number to reference this incident.
This concludes my involvement in this case.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by J. Mello #13020 on 10/31/2025 @ 2310 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. EG45705 CASE# 25-9457 DATE AND TIME i 10/31/25 21:31
OF COLLISION
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