HomeMy WebLinkAbout25-5387 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG60673 170
27
COLLISION REP FIT 1591971
CASE 25-5387 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 06 - 1-— 2025 1629 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
DUVALL AVE NE
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 8TH ST
1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064809052 0 11
30
6� LAST NAME MANUEL FIRSTNAME SARAH MIDDLE Z 1 1 2 31
INITIAL
STREET ❑ 4106 NE 11TH ST CITY RENTON ST WA ZIP 980594408 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CHM9374 sTArI WAvIN# JTJHW31 U372011669
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2007 MAKE LEXS MODEL RX STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13� DAMAGE YES NO ✓ YES[:] No
✓
REGISTERED OWNER INFO SARAH MANUEL 4f06 NE 11TH ST RENTON WA 980594408 D:2064809052 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14LIABILITY INSURANCE INSURANCE CO ST FARM 541 8928 F28 47 3
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE 5 36
LECALLv YEs❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN.D'ING 8 7 6
UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWN AMOTO RTY ❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME SOLANO SANTIAGO FIRST NAME VALERIANO MIDDLE N
INITIAL
17❑ STREET ❑', 216 DUVALL AVE SE CITY RENTON ST WA ZIP 980595069 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX M D.C.B. 12 _ 16 _ 1997 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 JJ
HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS TBD
21❑ LICENSE I BXU0888 TArE WA VIN# 3N16C11E29L451532
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2009 MAKE NIS5 MODEL VERSA STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES✓ NO GENE MEYER YES NO✓
REGISTERED OWNER INFO VALERIANO SOLANO SANTIAGO 216 DUVALL AVE SE RENTON WA 980595069 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES Nu
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#
26
M.LEVERTON 2517 [V7�ENCY
A0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG60673
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5387
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'
GRY 2 LANE 2 NB SIL MERGE FROM TL TO LANE 2 REARED BY UNIT 2
Rtf
Within the city limits of Renton/King/Wa I responded to a collision N 8th St at Duvall Ave NE.
I contacted the driver of unit 2 who said they were northbound lane 2 when unit 1 merged from the left
turn lane into his lane without room to avoid contact. Unit 2 did complain of injury but did not list for
what. Damages required a tow truck.
I contacted the driver of unit 1 ID'd by picture WADL. who said they were only merging into traffic and
was hit from behind by unit 2. Unit 1 did not complain of injury and damages did not require a tow
truck.
Information/Issuance 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/2517 City of Renton/King/Wa 12/16/2025
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 06-24-25 10:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 12/19/2025 12:31:31 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 4:29 Pry TIME POLICE ARRIVED!4:35 PM
PART I PAGE IT]OF 3�
REPORT NO. EG60673 CASE# ' 25-5387 DATE AND TIME 06/20/25 16:29
OF COLLISION
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