HomeMy WebLinkAbout25-9934 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG53874OLCERA
COLLISION REPORT 1591971
CASE# 25-9934 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`OENC'Y. 4200 3
COUNTY RD INVOLVED
CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
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
GDUISION' 11 - 15 - 2025 1716 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NON INTERSECTION ❑
RAINIER AVE S BLOCK NO.
❑
MILE POST e
4a
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�. FEET S 8 W e S GRADYWAY
2 0 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE' ❑ YES NO �/ D:2067973885 0 8 30
6❑ LAST NAME MANZANZA FIRST NAME CRISTINA MIDDLE J 1 2 31
INITIAL
STREET ❑ 935 GOLF DR S UNIT 228 CITY SEATTLE ST I WA ZIP 981444034 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs Ne YES F No
8 DRIVER'S
STATE WA SEX F MMoCSYY' 01 - 17 - 2004 1 2 32
9� ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of NJURIEs 2=
LICENSE
A8839080 STATE WA VN# JMIBMIW79E1193905 3
10 1❑
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# ROM TO
rRLR TRLR 1 5 33
1 0
( FROM TO
2 0 VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34
13 3 2014 MAZD 3 SD DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO EXODE MANZANZA 935 GOLF DR S UNIT 228 SEA TTLE WA 981444034 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 3 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# 11 4TOP 5
v `LE CHARGE 10 BOTTOM 36
srn Ly c YES[:]NO❑ CITATION# 5A0878567,5AO878567 OP MOT VEH W/OUT INSURANCE,
15 B 7 e
UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE. nWNFR YES NO
16�
LAST NAME MULLINS FIRST NAME ERNEST MIDDLE J
INITIAL
4
17 STREET'❑ 08 SW ❑144TH ST CITY BUR►EN ST, yyq ZIP 37
981661546 4
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs ND INTERLO'K YES NO vEs NO'
19 F DRIVER'S STATE WA SEY M I D.0.6. 12 03 1953 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE I PATE# BXV2778 TATE WA VIN# W1KWJ6EB2MG072065 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2021 MAKE MERZ MODEL C-CLASS STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO ERNEST 4ULLINS408 SW 144TH ST BURIEN WA 98166 D:2062448585 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO CONNECT A102975146
IN EFFECT &POLICY# t 9TOP
vewaE ,.I—I CITATION11 CHARGE i060TTOM
A Y YESZ N J
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
CASEY PROCTER 12123 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EG53874
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9934
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME JOANA ANA M
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE# D O
935 GOLF DR S#228 SEATTLE WA 98144 2067302271 SEX' F MMoovvvv O6 - 25 - 1972
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' 1 POS. ' 3 I2 4 1 USE 2 CLASS ;1
'NAME
LAsr F RST,MIDDLE INITIAL) SMITH KIMBERLY
ADDRESS&PHONE#
UNKNOWN BURIEN 2066875644 SEX' F D.O.B. 03 _ 16 _ 1971
MMDDYYYY
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT i 2 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 9 CLASS WASGOA.DRIVERSAIDS"EW S�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M _T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
CASEY PROCTER 11-15-25 07:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 12/1/2025 1:07:43 AM
BADGE OR ID# 12123 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:27 PM TIME POLICE ARRIVED 5:41 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG53874 CASE# 25-9934 O COLLI COLLISION TIME
OF 11/15/25 17:16
COLLI
NARRATIVE
On 11-15-2025 at approximately 1727 hours I was dispatched to 500 SW Grady Way in the City of
Renton, County of King, State of Washington to a collision.
The involved vehicles were a gray Mazda 3 with WA plate #A8839080 (unit#1) and a gray Mercedes
C Class with WA plate #BXV2778 (unit#2).
Upon my arrival I contacted the driver of unit#1, identified by her WADL as Cristina J. Manzanza
(DOB 01-17-2004). Utilizing a Portuguese interpreter from Language Line Solutions she advised she
was traveling south in the 700 block of Rainier Ave S in lane 3. She attempted to change lanes into
lane 2 and struck unit#2. She said she checked before changing lanes and did not see unit#2.
Cristina advised she did not have insurance.
I spoke with the driver of unit#2, identified by his WADL as Ernest J. Mullins (DOB 12-03-1953). He
advised he was stopped facing south bound on Rainier Ave S in lane 2. He said unit 1 was in lane 3
an struck him in the driver side.
I observed damage to the passenger side front fender (forward of the steer tire) on unit 1. 1 observed
damage to the driver side (just rear of driver door) on unit 2.
Based on the statements of the drivers as well as my observations of where the damage was on both
vehicles, I believed unit 1 to be the proximate cause of the collision.
All involved parties advised they were not injured. The passenger of unit 2 was no longer on scene
when I arrived. However, Ernest advised she was not injured.
I cited Cristina for operating a motor vehicle without insurance as well as improper lane usage. I
requested the citation be court mailed to violator.
During this incident, I was equipped with a body-worn camera, which records both audio and video.
This report is merely a summary of the incident and is not intended to be an exact transcription of the
entire investigation or what may have been captured with the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by C. Procter/#12123 at 1949 hours on 11-15-2025 in Renton, WA
PAGE 3 OF 4
REPORT NO. EG53874 CASE# 25-9934 DATE AND TIME i 11/15/25 17:16
OF COLLISION
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