HomeMy WebLinkAbout25-80138 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG55508OLCERA
COLLISION REPORT 1591971
CASE# 25-80138 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UMTS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E E IN
eDLLIs[oN' 11 - 25 - 2025 1419 17 =.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BREMERTON AVE NE BLOCK MILE POST ST e
4a 300 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 2501.1 00 FEET e✓ S 8 W e NE 3RD LN
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254441461 0 1 30
6 LAST NAME I RAMIREZ ESQUEDA FIRST NAME BAUDELIA MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 222 222ND AVE NE
'NEW ADDRESS CITY I $AMMAMISH ST WA ZIP, 980747120 2
7 CDL IG 1/ INITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED: 3
INTERLOCKYEs NO NTERLOCKYESRES No�/ YES NO.✓
8❑ DRIVERCENS # STATE WA SEXI F MMDDYY' 09 — 08 — 1974 1 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 NATURE of INJURIES 2❑
10 LI ENSE' AXP4979 STATE WA vIN# 1HGCM66824AO43886 3
TRAILER TRAILER
11 2 5❑ STATE STATE PLATE# PLATE# ROM To
TRLR rRLR 7 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT VEHICLE
13 2004 HOND ACD4D SD DAMAGE YES NO ajW MEYERS TOWN
G Yes❑ H 1 5 34
REGISTERED OWNER INFO MOISES RAMIREZ RUBALCAVA 222222ND AVE NE SAMMAMISH WA 98074 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3
14❑ LIABILITY INSURANCE❑ INSURANCE CO ALLSTATE 917 981 466 4
IN EFFECT &POLICY# 9TOP _
Lrn Lyc ❑ ❑ 5AO882642 CHARGE FA►L YIELD PRIVATE RD MOTOR Iaoorrob z 36
ves NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063319772
16�
LAST NAME WOMACK FIRST NAME CARLOS MIDDLE' /
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 375 UNION AVE SE UNIT 115 CITY RENTON ST, WA ZIP 980595171
18
❑ CDL IGNITION REQUIRED iGNfTION PRESENT MEaIeALTRANsaoRTEDi 38
INTERLOCKYEs NO INTERLOCK YES ryo yEs No
19 DRIVER'S' STATE WA SEX M D.O.e. 01 24 1976 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# CCW9181 TATE I WA vIN# 1C4RJFBGSNC121804 41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
44
VEH.YEAR 2022 MAKE JEEPEp MODEL GRAND STYLE VEHICLE TOWED TO BLIN GOV HI TOWED BY
24 DAMAGE YES �/ NO GENE MEYERS TOWING
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 998367435
IN EFFECT &POLICY#
Yma
HARGE
25 LE—Y YES❑ N`0 CITATION GQ
a 7 e
7DNE
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26❑ SON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG55508
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80138
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 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 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 GLASS
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.
D.NELSON 11-25-25 04:29 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 121512025 11:24:24 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:19 Pry] TIME POLICE ARRIVED i 2:30 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG55508 CASE# 25-80138 O OF COLLI 510N TIME 11/25/25 14:19
COLLISION
NARRATIVE
25-80138 ACC
On 11/25/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a non-injury, blocking collision in the 300 block of Bremerton Ave
NE Renton/King/WA. An involved party was calling to report that it was a two-vehicle accident
blocking a lane of travel.
I arrived on scene and located both vehicles blocking both lanes of travel, I confirmed there was no
injury and was able to have one vehicle moved from the roadway.
The driver of the 2004 Honda Accord WA/AXP4979 was identified by her WADL as Baudelia Ramirez
Esqueda DOB: 9/8/1974. Baudelia said that she was exiting the driveway from Kiddie Academy to
turn north onto Bremerton Ave NE. She said that she pulled out to cross the southbound lane and
was struck by Unit 2. There was damage to the front bumper of the Accord and no airbag
deployment. Baudelia was not injured, and Gene Meyer Towing removed her vehicle from the scene.
The driver of the 2022 Jeep Grand Cherokee WA/CCW9181 was identified by his WADL as Carlos J
Womack DOB: 1/24/1976. Carlos said that he was driving south on Bremerton Ave NE when Unit 1
pulled out in front of him. There was damage to the passenger side front tire and axle. It appeared as
if the Honda struck the Jeep mainly on the wheel rendering it undrivable. There was very minor body
damage. Carlos was not injured and there was no airbag deployment in the Jeep. The Jeep was
removed from the scene by Gene Meyer Towing.
I completed Sector citation #5A0882642 for Failure to Yield Private Road Motor Vehicle RCW
46.61.205.1 for Baudelia. This citation should be mailed to her DOL address.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 11/25/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG55508 CASE# 25-80138 DATE AND TIME 11/25/2514:19
OF COLLISION
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