HomeMy WebLinkAbout26-660 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG72219oc� RA
COLLISION REPORT 1591971
❑ 0 RESULTED I
$ 26-660 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOL'AI-A`CENC'Y 4200 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#
eaCL s on' 01 - 23 - 2026 0929 17 =.= S 8 W❑ OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
M NE
BLOCK NO.
ONROE AVE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES�.� FEET e S 8 W e NE4THST
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064761632 0 1 30
5 LAST NAME MBOYA FIRST NAME STEPHEN MIDDLE B 1 1 2 31
INITIAL
STREET ❑ 12513 SE 172ND ST CITY; RENTON ST I WA ZIP; 980586112 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs NO YES F NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 03 - 17 - 1996 t 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2❑
LICENSE, CSE2546 STATE WA VIN# 2T2ZK1BA1ACO22217 3
10 Fq I PI ATE#
11 3 0 TRAILER STATE TRAILER STATE
PLATE# PLATE# ROM To
TRLR TRLR 3 1 5 33
12 3 0 VIN#' vIN#
FROM TO
VEH.YEAR 2010 MAKE LEXS MODEL RX350 STYLE VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE 1 $ 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO STEPHEN MSOYA 12513 SE 172ND ST RENTON INA 980586112 D:2064761632 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 86555,1412 4
IN EFFECT &POLICY# 9TOP _
YEs
srnALLY ❑NO❑ CITATION# 6A0095329 CHARGE FAIL YIELD PRIVATE RD MOTOR s taoorrob z 36
15❑
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:2532501806
16�
LAST NAME ZUNIGA GALDAMEZ FIRST NAME JUAN MIDDLE C
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 3313 NE 10TH ST CITY' RENTON ST, WA ZIP 980563404
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED' 38
CDL INTERLOCKYEs No INTERLOCI£YEs N YEs No
19❑ DRIVER'S
MMDDYY I —
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS I1 ❑
21 PLATS# WWO8479 TATE OR VIN# 1GC4YUEY1NF125545 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE CHEV MODEL 3500 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO JUAN ZUNIGA GALDAMEZ 3313 NE LOTH ST RENTON WA 980563404 D:2532501806 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAM 41090-69498.06
IN EFFECT &POLICY# I STOP
VeHICLE
—LY ❑ N,J—I CITATION# CHARGE to BOTTOM
LEGn� YES 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
M.LEVERTON 2517 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG72219
COLLISION REPORT III III III III III 111
1591972 CASE# 26-660
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 GLASS 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 CIASS ----�
: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 GLASS
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 PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1/26/2026 2:42:46 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 9:32 Aryl TIME POLICE ARRIVED i 9:35 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 47
REPORT NO. EG72219 CASE# 26-660 O OF COLLI 510N TIME 01/23/26 09:29
COLLISION
NARRATIVE
wht/2 sb lane 2 blue It from driveway
CC
Within the city limits of Renton/King/Wa I responded to a 2 car blocking crash at about the 500 block
of Monroe Ave NE.
When I arrived I found two drivable vehicles both facing southbound. Unit 1 was stopped in lane 2
northbound left of center and unit 2 was stopped southbound lane 2.
1 contacted the driver of unit 1 ID'd by his matching picture WADL who told me that he was making a
left ouf of the driveway of his apartment complex and hit unit 2. He did not complain of injury and
damages did not require a tow truck.
I contacted the driver of unit 2 who said he was southbound lane 2 when unit 1 pulled out and
crashed into him. He did not complain of injury and damages did not require a tow truck.
I cited unit 1 via complaint ref RCW 46.61.205 FTYROW from private drive.
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. EG72219 CASE# 26-660 DATE AND TIME 01/23/26 09:29
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