HomeMy WebLinkAbout25-80670 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG62442OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-80670 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDLLISION' 12 - 13 - 2025 1717 17 �.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 164TH ST BLOCK NO. e 12700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 2001.1 00 FEET e✓ S 8 W e 128TH AVE SE
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257659709 0 1 30
5 LAST NAME CASAS FIRST NAME PABLO MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 13504 160TH AVE SE CITY; RENTON ST I WA ZIP; 980596833 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCK YES NO✓ INTERLOCKVEs Nb,/ YES N0✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 04 - 19 - 1979 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEE7 INJUR
CLASS ELMJY',1 NATURE of INJURIES 2
10 PI ENSttEI D82792B STATE WA VIN# 1FTNE14W98DB53444 3
TRAILER
11 2 5 STATE TRAILER STATE ROM To
PLATE# PLATE#
TRLR TRLR 3 7 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2008 MAKE FORD MODEL ECONO STYLE VN VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 7 $ 34
13 DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO BUNKER PAINTING INC 524 PIERCE AVE SE RENTON WA 98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 GEfCO 4197576335
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
Lemur YES[:]NO[:] CITATION# i o 80TTOM
15❑ srnNowc s 7 e
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CVCLE PROPSnwNr YEs✓ No D:5107089991 N:5109363373
16�
LAST NAME QI FIRST NAME WENDUAN MIDDLE N
INITIAL
STREET ❑
17� ❑ 3136813THAVES CITY' FEDERAL WAY ST, WA ZIP 980035313 37
NEW ADDRESS
18❑ IGNITION REQUIREi7 IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCKYEs No✓ ZNTERLOCKYEs NO✓ YEs No
19 DRIVERS ' STATE WA SEX M I DOB 07 18 1972 � 39
LICENSE# MMDDYY -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG'3 RESTR 9 EJECT 1 USE CLASS 6 NECK PAIN,BACK PAIN,LEFT LEG PAIN ❑
21 LICENSE CJC9090 TATE WA VIN# JTDKAMFU4M3150074 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2021 MAKE TOYT MODEL PR/US STYLE 1-JB VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO WENDUAN Of 3136813TH AVE S FEDERAL WAY WA 980035313 D:5107089991 N:5109363373 VEHICLE NO,2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE✓ INSURANCE CO TRAVELERS A9285664BA
IN EFFECT &POLICY# I STOP
VeEHIC
ILE ,J—I CITATION# CHARGE to BOTTOM
LEn��Y YES❑ N`[_
25 a ' s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SHAWN CROW 12618 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG62442
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80670
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 CLASS 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 CLASS ----�
: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
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.
SHAWN CROW 12-23-25 05:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 1212412025 3:40:57 PM
BADGE OR ID# 12618 ORI#' i WA0171300 TIME POLICE DISPATCHED 1 5:43 PM TIME POLICE ARRIVED i 5:52 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG62442 CASE# 25-80670 DATE OF COLLI r�510NN + 12/13/25 17:17
L1
NARRATIVE
On 12/13/2025 at about 1717 hours, a two motor vehicle collision with minor injuries occurred in the
12700 block of SE 164th St within the city limits of Renton, King County, Washington. Toyota
Response called 911 after receiving a crash notification from Unit 2. When I arrived on scene both
vehicles were already pulled off to the side of the residential street, and I contacted both drivers.
Unit 1: white colored 2008 Ford Econoline van with Washington state license plate D8279213.
Driver 1: Pablo A. Casas
Unit 2: silver colored 2021 Toyota Prius with Washington state license plate CJC9090.
Driver 2: Wenduan N. Qi
Driver 2 was headed westbound on SE 164th St (12700 block) when he came to an abrupt stop for a
child who ran out into the street in front of his car (Unit 2). Unit 1 was traveling behind Unit 2 and was
unable to stop in time before colliding into the rear end of Unit 2. Driver 1 did not see the child in the
street, and he was uncertain if a child was involved. Driver 2 said the child ran off after the collision.
Unit 1 had damage to the front end of the vehicle, but Driver 1 was uncertain if it was drivable and
decided he would contact a private tow. Unit 1 was left parked on the side of the road. Driver 1 was
not injured. Driver 1 was given a Renton PD business card with the case number.
Unit 2 had damage to the rear end of the vehicle, and Driver 2's daughter came to drive the vehicle
from the scene. The front driver side airbag deployed in Unit 2. Driver 2 complained of neck pain,
lower back pain, and pain to his left leg. Renton Fire Department Engine 317 responded to the scene
and evaluated Driver 2. Driver 2 was transported to the hospital via ambulance due to his high blood
pressure levels. Driver 2 was given a Renton PD business card with the case number.
I took photographs of both vehicles, and the photographs were uploaded to Axon. It appeared the
child running into the street led to Driver 2 coming to an abrupt stop, and Unit 1 may have been
following too close to Unit 2 which may have also contributed to the circumstances of the collision.
PAGE 3 OF 4
REPORT NO. EG62442 CASE# 25-80670 DATE AND TIME 12/13/25 17:17
OF COLLISION
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