Loading...
HomeMy WebLinkAbout25-9464 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG43885OLCERA COLLISION REPORT 1591971 CASE#I 25-9464 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 GOLL.ISION'. 11 - 01 - 2025 0653 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ SGRADYWAY BLOCK NO. e 20 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �. FEET e S 8 W e RAINER AVE S 0 1 29 PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLMOTORE ❑ CYCLE ❑ YES NO ✓ Q $ 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY ST ZIP' 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES ✓NO INTERLOCKYEs No✓ YEs NoF,/ 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, CSF6989 STATE WA VIN# YV4CZ592161230862 3 10 Fl I PI ATP tt TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# FROM TO TRLR TRLR 3 7 33 12 3 5 VIN# vIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34 13 2 2008 VOLV XC90 UT DAMAGE YES L ✓ YE NO✓ REGISTERED OWNER INFO GEORGE NDEGE 16603190TH AVE SE RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 [IIN EFFECT &POLICY# 4TOP v `LE CHARGE t 5 36 Lec Ly YES❑NO❑ CITATION# 7 o BOTTOM 15❑ STM ING 7 e MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE UNIT 02 Q ❑ PEDESTRIAN ❑ D:2066978387 VEHICLE CYCLE PROPSOWNE YES NO ✓ 16� LAST NAME DECKER FIRST NAME NICHOLAS MIDDLE I K INITIAL STREET ❑ 17 '❑ 17834 SE 128TH ST CITY RENTON ST, WA ZIP 98059 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSP©RTED' 38 INTEIRLOCKYES No✓ INTERLOC(£YESrl Nowil vEs No✓ 19[ DRIVER'S STATE WA SEXI M I D 0 B� 09 23 1994 39 LICENSE# MMDDYY - 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET SE CLAY 1 NATURE OF INJURIES 40 SS 21 LICENSLATE E D36837A TATE WA "IN# 1GT121C8XCF149300 41 42 22❑ TRAILER ' ,45019AL STATE WA TRAILER STATE PLATE# PLATE 43 23 ulRlu# 1 WC200E2XY4037674 IN# VEH.YEAR 2012 MAKE GNjC MODEL SIERRA STYLE PK VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 5693666E1547 IN EFFECT &POLICY# 9TOP vew1— ,.I—I CITATION11 CHARGE tO BOTTOM LE—L,,Y YES N 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 STEVEN FAJARILLO 12847 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG43885 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9464 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. STEVEN FAJARILLO 11-01-25 08:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 111212025 4:00:52 AM BADGE OR ID# 9Y847 ORI#' f WA0171300 TIME POLICE DISPATCHED'; 7:05 AM TIME POLICE ARRIVED 7:05 AM PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47 REPORT NO.` EG43885 CASE# 25-9464 O COLLI COLLISION TIME OF 11/01/25 06:53 COLLI NARRATIVE 25-9464 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 11-01-2025 1 was working as a police officer in the city of Renton. At approximately 0705 hours I was dispatched to the report of a recent hit and run at the intersection of S Grady Way/Rainier Ave S, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera. According to the notes in the call, a collision occurred on S Grady Way. The reporting party was gone from location wanting a phone call. I called the reporting party and driver of Vehicle 2. The following is an account of events according to him. He was driving Vehicle 2 in the inside turn lane with a trailer attached. He came to a stop and Vehicle 1's front driver side bumper collided with Vehicle 1's trailer on the passenger side. There were no injuries. He exited Vehicle 2 and approached the driver of Vehicle 1. He advised the driver of Vehicle 1 admitted it was his fault, but when he asked him to pull over to exchange information the driver of Vehicle 1 drove away. The driver of vehicle 1 was described as a black or Indian male, early 50's. Vehicle 2 had no damage, and the trailer had non-disabling damage. I uploaded pictures sent by Driver 2 of the damage to the trailer to Evidence.com. Based on the pictures it was non reportable damage. The driver of Vehicle 2 did not want to pursue criminal charges and just requested a case number. I provided this. There is no further information available at this time. 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 S. Fajarillo #12847 on 11/01/2025 @ 0800 hours in Renton WA. PAGE 3 OF 4 REPORT NO. EG43885 CASE# 25-9464 DATE AND TIME i 11/01/25 06:53 OF COLLISION i 4 s 4 i 4 t�re s 1 J S rr a Y2 ;fli a. } � " tt f h S U , Z }} i }2 v t Y PAGE 4 OF 4