HomeMy WebLinkAbout25-80093 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG56187 170
27
COLLISION REP FIT 1591971
CASE 25-80093 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 11 - 1-- 2025 0757 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAIN AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e HOUSER WAYS
0 8 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2533323735 0 11
30
6� LAST NAME STANFORD-CHICAS FIRSTNAME MARTHA MIDDLE 1 2 31
INITIAL
STREET ❑✓ 1412E 29TH ST CITY TACOMA ST WA Zjp, 98404 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO,/ INTERLOCKYEs NO�/ YEs No�/
8❑ DRIVERS
# STATE WA SEX'F MIDI Y' 08 - 09 - 1971 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE
C21981 U sTArI WAurN#' 1 N6ADOEV5KN711189
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. RLR 1 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 3 2019 NISS FRONTI PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO ALLSTATE 942520461 3
IN EFFECT &POLICY# STOP
vewCLE 5 36
LECALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UN�T 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNER [:]EA.
YEs NO ,/ D:4252044448
16 a
LAST NAME SMILEY FIRST NAME CHELSEA MIDDLE I N
INITIAL
17❑ NEW ADDRE STREET —, 33059 41 ST PL S CITY FEDERAL WAY ST WA Zip 98001 37
18� CDL . IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[ LICENSE# STATE WA SEX IF MMODY
.B. 01 12 _ 1989 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLATE# B8254C TArE 41
WA VIN1 1BABNBCA1JF337540 1
42
22❑ PILER LATE# STATE pLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
%
'I
VEH YEAR 2018 MAKE BLUE MODEL SCHOOL/ STYLE BU VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,� YES NO
REGISTERED OWNER INFO CHELSEA SMILEY 3305941ST PL S FEDERAL WAY WA 98001 D:4252044448 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#ECO SIAWSIAW242534033IN I STOP 5
VEHICLE YES❑ N,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
STEVEN FAJARILLO 12847 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG56187
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80093
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.
STEVEN FAJARlLLO 11-24-25 02:51 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 121812025 3:45:47 AM
BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 7:58 AM TIME POLICE ARRIVED:8:03 AM
PART I PAGE IT]OF 4�
REPORT NO. EG56187 CASE# 25-80093 OF COLLISION
11/24/25 07:57
OF CbLLI510N
NARRATIVE
25-80093
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 1 1-24-2025 1 was working as a police officer in the city of Renton. At approximately 0759 hours I
was dispatched to the report of a blocking collision at the intersection of Main Ave S/Houser Way S,
City of Renton, County of King, WA. This incident was captured on my department issued Axon body
camera.
According to the notes in the call, a Renton School bus and another vehicle were involved. No
injuries.
I arrived on scene and contacted the driver of Vehicle 1. She was stopped behind Vehicle 2 at the
railroad tracks. She noticed Vehicle 2 had its flashers on and assumed it was not going to move
forward. She used the inside lane to try and make a right-hand turn in front of Vehicle 2. Vehicle 2
started moving forward and the rear passenger wheel of Vehicle 1 impacted the front driver side
bumper of Vehicle 2.
The driver of Vehicle 2 advised she was stopped in front of the railroad tracks with flashers on and
the door open as they are trained to do in a school bus.
There were no injuries. Both vehicles were drivable. 1 facilitated an exchange of information.
I educated the driver of Vehicle 1 on why the school bus stopped at the tracks. She was not aware.
Based on the facts regarding this case, Vehicle 1 took a right-hand turn from the inside lane and this
action was the proximate cause of the collision.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by S. Fajarillo #12847 on 11/24/2025 @ 1450 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. EG56187 CASE# ' 25-80093 DATE AND TIME 11/24/25 07:57
OF COLLISION
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