HomeMy WebLinkAbout25-80513 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-80513 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION.. 12 — 08 — 2025 1725 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e $43RD ST
0 3 29
UNIT MOTOR
VEHICL PI PEDALCLE- ElDDAMYESA✓NOESHOLDMET PHONE 0 11
30
6❑ LAST NAME CLAROS GOMEZ FIRST NAME NICOL MIDDLE V 1 1 2 31
INITIAL
STREET ❑, UNKNOWN CITY KENT
NEW ADDRESS ST WA ZIP', 98032 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYES NO INTERLOCK YES NO✓ YES ✓ NO
8❑ DRIVERS STATE SEX'F I D.O.B. 09 1- 04 - 2008 2 32
LICENSE# MMDI3YY
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET CLASSY 6 [NATUR OF INJURIES
NECK AND BACK PAIN z❑
3
10 99 P1 ATNES# CKG7437 sTAr WAV N# WBAPH5G56ANM35628
IT STATE TRAILER STATE
11 0 0 PLATE# I PLATE# I I FROM To
TRLR. TRLR. 3 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 2 2010 BMW 328 SD DAMAGE vE5 0NO f �LII� RS vEs❑ No✓
REGISTERED OWNER INFO NICOL CLAROS GOMEZ UNKNOWN KENT WA 98032 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO NONE 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN,DIING 6
UNIT U2 vEHIMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME SINGH FIRST NAME MEHAKDEEP MIDDLE
INITIAL
17❑ STREET ❑', 11023 SE 204TH ST.APT 3 CITY KENT ST WA ZIP 98031 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK vEs It I NOF YES
t l NOF,/
19 LICENSE# STATE I WA SEX M MMDDW 10 _ 20 _ 2001 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CPK2934 TAre WA VIN1t 3VW7M7BU4RM094063
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
TOWED By Gov HI 44
VEH YEAR 2024 MAKE VOLK MODEL,IETTA STYLE $D —FEHICLE
TOWED✓ NOO BLIN BANKERS YES No✓
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE 8 POINSURGY#E CO pROGRESSIVE861032368IN STOP 5
VEHICLE ❑ C[:] CITATION# CHARGE
25 io BOTTOM
LEGALLY YES N
e
O
F
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG58493
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80513
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ 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.
TYLER EDIGER 12-09-25 12:26 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1211312025 10:37:40 PM
BADGE OR ID# ( 12807 ORI#' WA0171300 TIME POLICE DISPATCHED'; 5:25 PM TIME POLICE ARRIVED 5:31 PM
PART I PAGE IT]OF 4�
REPORT NO. EG58493 CASE# 25-80513 OF COLLISION
12/08/25 17:25
OF CbLLI510N
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. 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 was operating a fully marked Police Tahoe #320 which was equipped with
overhead emergency lights and sirens. I was also wearing my department issued Renton Police
uniform which clearly identifies me as a Police Officer.
Case Number 25-80513
On 12/08/2025 at approximately 1725 hours I was dispatched to an injury collision on Talbot Rd S
just south of S 43rd St, within the City of Renton, King County, Washington.
I identified unit 1 in this as a 2010 BMW 328 (WA/LIC: CKG7437 VIN#WBAPH5G56ANM35628).
The driver and sole occupant of unit 1 identified herself as Nicol V Claros Gomez (DOB 09/04/2008).
Unit 1 has no drivers license or US issued ID and had no passport, so I was never able to confirm her
identity. Unit 1 complained of neck and back pain and was transported by fire to VMC for further
evaluation. Unit 1 sustained significant front-end damage along with airbag deployment, unit 1 was
towed by Bankers. Unit 1 did not remember much but stated that another vehicle had waved her
along in traffic and that's all she could remember.
I identified unit 2 as a 2024 Volkswagen Jetta (WA/LIC CPK2934 VIN# 3VW7M7BU4RM094063).
The driver and sole occupant of unit 2 was identified as Mehakdeep Singh (DOB 10/20/2001). Unit 2
had no known injuries. Unit 2 sustained significant front-end damage and was also towed by Bankers.
Unit 2 advised me that he was traveling northbound on Talbot Rd S towards S 43rd St in the lane
nearest center. Unit 2 stated that as he was traveling northbound Unit 1 pulled out in front of him
causing the vehicles to collide.
Based on the statements from both parties 1 am led to believe that a vehicle in lane 1 (nearest the
curb) had waved along unit 1 however unit 1 failed to yield to Unit 2 who was already occupying lane
2. The proximate cause of this collision was unit 1 failing to yield to unit 2.
Pictures of the vehicles were uploaded through Axon.
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 by Officer T. Ediger#12807 12/08/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG58493 CASE# ' 25-80513 DATE AND TIME 12/08/25 17:25
OF COLLISION
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