HomeMy WebLinkAbout25-80127 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG55507OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-80127 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOL`CODIOENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 7 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s o v' 11 - 25 - 2025 0729 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
H IN NO.
OUSER WAY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e BRONSONWAYN
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4253519898 0 1 30
5 LAST NAME VAZQUEZ LLAMAS FIRST NAME ELADIO MIDDLE N 1 1 2 31
INITIAL
STREET ] 1614 LAKE YOUNGS WAY SE CITY; RENTON ST WA ZIP' 980583816 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKVEs No YES F NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 01 - 08 - 1966 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
10 at ENSttEI D79711E STATE WA VIN# 1GC4YTE79LF188617 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR zRLR 5 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2020 MAKE CHEV MODEL S/LVER STYLE VEHICLE TOWED[n TO ZBE TOWEDBY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO ELADIO VAZQUEZ LLAMAS 1614 LAKE YOUNGS WAY SE RENTON WA 980583816 D:4253519898 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 3 4
14 GE/C04358-15-OS-08
IN EFFECT &POLICY# 9TOP
vEn ' CHARGE t 5 36
IALL� yes❑NO❑ CITATION# t a 80TTOM
15❑ STANDING s 7 e
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHICLE CYCLE nWNFR
16�
LAST NAME SY FIRST NAME CHEIKH MIDDLE' H
INITIAL
17 STREET ❑ 6940 MILK JR WAYS APT 215 CITY SEATTLE ST 37
, WA ZIP 981183518
NEW ADDRESS I I I I I 1
❑
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSflORTED. El
CDL INTERLOCKYES No INTERLOCK YES No YEs NQ
19� DRIVER'S STATE WA SEX M MDDY 12 26 1967 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21[ LICENSLATE E CTD2320 rArE WA vIN# JTDBDMHE9SJ012200 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2025 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO BASHEER SHEIKH 1170864TH AVE S SEATTLE WA 98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# t STOP
Ve—L ,J—I CITATION# CHARGE to BOTTOM
LEGALLY YES❑ N`[
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG55507
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80127
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 NJURY NATURE OF INJURIES
POS. ' USE GLASS 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 CIASS ----�
: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
blk/2 lane 2 slv/1 lane 3 right turn
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash near the
intersection of Houser Way n art Bronson Way N. I was able to get both vehicles to move out of the
way and stop blocking heavy traffic.
This section of Houser Way is 4 lanes one way. Lanes 1,2 and 3 are right turn only with lane 4 being
straight of left. All lanes are regulated with electronic traffic control devices and posted no turn on red
for lanes 1-3.
1 contacted the driver of unit 2 who told me he was in lane two when unit 1 changed lanes from lane 3
into the side of him. He did not complain of injury and damages did not require a tow truck.
I contacted the driver of unit 1 who told me that unit 2 changed lanes into the side of his elevated
large pick up truck. He told me he did not leave his lane. He did not complain of injury and damages
did not require a tow truck.
There was no debris field last in the roadway and no witnesses to corroborate either drivers story.
Information/Insurance only.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 11-25-25 08:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 121512025 10:59:11 AM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:30 AM TIME POLICE ARRIVED i 7:33 AM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG55507 CASE# 25-80127 DATE AND TIME 11/25/25 07:29
OF COLLISION
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