Loading...
HomeMy WebLinkAbout26-472 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG72217OLCERA COLLISION REPORT 1591971 ❑ 0 El $ 26-472 2 INTERSTATE CITY STREET STATE ROUTE OTHER LOCAI-A`NG 4250 3 C©DINGCOUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eOLLISION' 01 - 16 - 2026 1447 17 =.= S 8 W E OF M 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 7TH ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.� FEET e S 8 W e SHELTONAVENE 0 3 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO O 4 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑) CITY', ST ZIP 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKVES No YES NO 8❑ LCEENSE# SRVERISTTATE SEX U MMDDYY' —=— 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 LICENSE, 3 10� PI ATP# STATE V(N TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM To TRLR TRLR 3 1 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR MAKE FORD MODEL MUSTAN STYLE VEHICLE TOWED fn TO ZBUN TOWEBBY GOVT VEHICLE 1 3 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO (NEW] VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP ic CHARGE t 5 36 Lemur yes❑NO❑ CITATION# HARE t a 80TTOM 15❑ STM ING s 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES'/ NO D:4254446511 16� LAST NAME MURESAN FIRST NAME DENIS MIDDLE I N INITIAL ❑ 37 17 STREET ❑ 648 FERNDALE AVE NE CITY RENTON ST, WA ZIP 980563742 g NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYEs NO INTERLOCK YES 0NO vEs NO 19 DRIVER'S' STATE WA SEX M I D.O.e. 02 16 1988 39 LICENSE# MMDDYY — HELMET I INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSE DEJ TATe WA VIN# 3C63RRRL9RG122764 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23= TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2024 MAKE RAM MODEL 3500 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO RENTON HIGHLANDS CARE AFH LLC 648 FERNDALE AVE NE RENTON WA 98056 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO AMERICAN FAM 41077-07077.70 IN EFFECT &POLICY# I �, o LE— ❑ ,.I—I CITATION# CHARGE EEGnEEY YES NCO s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG72217 COLLISION REPORT III III III III III 111 1591972 CASE# 26-472 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. M.LEVERTON 01-23-26 11:38 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1/26/2026 2:40:06 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:48 PM TIME POLICE ARRIVED i 3:04 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG72217 CASE# 26-472 O OF COLLI 510N TIME 01/16/26 14:47 COLLISION NARRATIVE blk/2 It slv/1 rt hi spd slid into 2 RTF Within the city limits of Renton/King/Wa I responded to a 2 vehicle hit and run crash at the intersection of NE 7th St at Shelton Ave NE. I contacted the driver of unit 2 who told me he was about to make a left turn from southbound Shelton Ave NE onto eastbound NE 7th St. He said he saw a silver Mustang going too fast westbound on NE 7th. He told me had he not accelerated she young female would have hit his driver door instead of back wheel/fender/bumper area. He told me he could not ID the driver and did not get a license plate from the Mustang. He did not complain of injury and damages did not require a tow truck. Unit 1 as described by unit 1 was driving too fast and after colliding with unit 2 fled the scene failing to comply with the laws ref RCW 46.52. Although the front bumper from the Mustang was left behind it did not have a license plate attached. Information/Insurance 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 1/23/2026 PAGE 3 OF 4 REPORT NO. EG72217 CASE# 26-472 DATE AND TIME 01/16/2614:47 OF COLLISION ti t h S n 4 ti r� e^ u s C it, 5�7 4 3 ;f at �2I C 4 i 4<, PAGE 4 OF 4