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Home My WebLink About25-80149 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG53617OLCERA COLLISION REPORT 1591971 CASE# 25-80149 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LdCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 11 - 25 - 2025 1844 17 =.[� S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 4TH ST BLOCK NO. e 400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.� FEET e S 8 W e BURNETTAVES 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257387152 0 3 30 6 LAST NAME MIRANDA FIRST NAME LESLIE MIDDLE A 1 1 2 31 INITIAL STREET ] 11625 SE 163RD ST UNIT B CITY; RENTON ST I WA ZIP; 98058 2 NEW ADDRESS 7� +COL IGN(TIUN REQUIRE[? IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs No INTERLOCICvEs E YES NO 8❑ DRIVER # STATE WA SEXI F MMDDYY' 09 - 18 - 2005 1 2 32 -NJUR 9� ON DUTY STATUS' AIRBAG 1 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, CJK7140 STATE WA VIN#; JM3TB3BV1C0359645 3 10 Fl I as ATF rt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR TRLR. 3 1 7 33 12 0 o VIN#' VIN# FROM TO VEH.YEAR 2012 MAKE MAZD MODEL CX9 STYLE UT VEHICLE TOWED[n TO ZBE TOWED BY GOVT VEHICLE 3 1 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE ElNSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP vEnic�E 5 36 LEGALLY YES❑NO❑ CITATION# CHARGE t a 80TTOM 15❑ STANDING 8 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2063350161 16� LAST NAME SINGH FIRST NAME BALWINDER MIDDLE INITIAL 17 F1 STREET ❑ ❑ 11408SE 218TH PL CITY KENT ST, WA ZIP 98031 q 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED' 38 CDL INTERLOCKYEs No INTERLOCK YES NOF YES Nal 19 DRIVER'S STATE WA SEX M DO.a. 12 20 1979 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY 1 NATURE OF INJURIES 40 21 LICENSEPLATE# CS W5209 rare WA vIN# 7SAYGAEE9NF341918 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2022 MAKE TESL MODEL MODEL Y STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 194.8835-A24.47E IN EFFECT &POLICY# t STOP VEHICLE ❑ CITATION11 CHARGE to BOTTOM LEGALLY YES N 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 KEITH PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG53617 COLLISION REPORT III III III III III 111 1591972 CASE# 25-80149 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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. KEITH PETTY 11-25-25 08:17 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE CASEYPROCTER 12123 1112912025 6:47:29 PM BADGE OR ID# 12809 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:44 PM TIME POLICE ARRIVED i 6:53 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EG53617 CASE# 25-80149 O OF COLLI 510N TIME 11/25/25 18:44 COLLISION NARRATIVE 25-80149 On 11/25/2025 at approximately 1844 hours, I was dispatched to the 400 block of Burnett Ave S in the City of Renton, County of King, State of Washington for a non-injury, non-blocking collision. Upon arrival I contacted the unit 2 driver Balwinder Singh (12-20-1979) who was driving is white 2022 Tesla Model Y (CSW5209/WA) VIN 7SAYGAEE9NF341918 and (unit 1) Leslie Alejandra Miranda (DOB 09/18/2005) driving her gray 2012 Mazda CX-9 (CJK7140/WA) VIN/JM3TB3BV1C0359645. Both parties were identified by their WADL's Unit 2 stated that he was heading west on S 4th St and had stopped at the Burnett Ave S intersection. He was waiting for a pedestrian to cross the road before attempting to make a right-hand turn onto Burnett Ave S. While waiting unit 1 had collided into the back of his vehicle cause over$1000 in damage. Unit 1 stated she was driving west bound on S 4th St and as she approached the Burnett Ave S intersection, she did not see unit 2 stopped and collided into the rear end of unit 2 causing approximately $1000 in damage to both cars. I cited the driver of Unit#1 for violating RCW 46.30.020 -Liability Insurance as no person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation must be provided on the request of a law enforcement officer in the format specified under RCW 46.30.030. The citation was mailed to unit 1 at the address provided. Based on the above statements, I determined that the Driver of Unit #1 (Miranda) is the proximate cause for the collision due to inattention causing a collision. Miranda should have been paying closer attention to the movement of traffic in front of her. provided an exchange of information to both parties listing the case number. This incident was captured on my body-worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized "I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct." Electronically signed: K.Petty, Date: 11/25/25at 1939 hours, Place: Renton, King County, WA PAGE 3 OF 5 REPORT NO. EG53617 CASE# 25-80149 O OF COLLI 510N TIME 11/25/25 18:44 COLLISION NARRATIVE PAGE 4 OF 5 REPORT NO. EG53617 CASE# 25-80149 DATE AND TIME 11/25/2518:44 OF COLLISION �t } ,tiff, �a i y u t�. y {{ S 2, 7ri 4�n t � t 6 X U s t PAGE 5 OF 5