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HomeMy WebLinkAbout26-931 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG77608oc� RA COLLISION REPORT 1591971 FIRE CASE# 26-931 2 INTERSTATE CITY STREET RESULTED ❑ 1 STOLEN r STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3 COUNTY RD PRIVATE WAY ❑✓ IT&RUN CODING INV2❑ TRIBAL UN TS#OF 02 SOT RUCK 1 8 LVED 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulSloN' 02 - 01 - 2026 1730 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION RAYMOND AVE SW BLOCK NO, e 1905 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 0 1 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E UEHiCLE ❑ CYCLE ❑ YES No �/ D:4253495383 N:4259483462 =30 6 LAST NAME KASSA FIRST NAME ABEL MIDDLE N t 1 2 31 INITIAL STREET ❑ 14333 32ND AVE NE#7 CITY SEATTLE ST WA ZIP 98125 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No✓ INTERLOCKYEs No✓ vEs No�/ SEXMMMDC - 078 DI STATE WA 32 LICENSE# 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET 2 CLASS 1 NAruRE of INJURIES 2 LICENSE, CTV4261 STATE WA VIN# JTKKU10468JO02551 3 10[9� PI ATP rt TRAILER STATE TRAILER ..STATE 11 Q 0 PLATE# PLATE# FROM TO TRLR TRLR 1 5 33 12 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 13 A 200$ TOYT SCION 3P DAMAGE YES DNO ✓ YES NO✓ 7 3 34 REGISTERED OWNER INFO ABEL KASSA 1433332ND AVE NE#7 SEATTLEWA98125 D:4253495383 N:4259483462 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 ✓ sa-n 860999797 IN EFFECT &POLICY# VEHICLE CHARGE t 5 36 Lemur YES❑NO❑ CITATION# 7 o BOTTOM 15❑ sTANowc B 7 e M©TOR PEDAL-:. 'PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE' OWNER YES,/ NO D:2394080110 16� LAST NAME CUELLAR HERRERA FIRST NAME LIZKEILA MIDDLE I D INITIAL STREET ❑ 17 ' 2❑ 5937113TH AVE SE#6203 CITY KENT ST, Wq ZIP 98030 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 INTERLOCKYES No INTERLOCKYEs No ves No 19 DRIVER' # STATE SEX'F M LO.B v 11 23 1993 39 6 3 20❑ ON DUTY HELMET INJURY NATURE OF INJURIES 40 STATUS 3 AIRBAG RESTR EJECT 2 6 ❑ USE CLASS CAR RAN OVER FOOT 21 1 PLATE# rare vIN# 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 43 23 TRLR UIN#. ''NIN#. VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 Q 5 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP VEHICLE ❑ ,.I—I CITATION# CHARGE tO BOTTOM LEEAILY YES N`LJ 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 R.PHILLIPS 11649 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG77608 COLLISION REPORT III III III III III 111 1591972 CASE# 26-931 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 FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----J NARRATIVE On 02-01-2026 at 1730 hours I was dispatched to a traffic accident at 1905 Raymond Ave SW in the city of Renton, King County WA. I arrived on scene and spoke with both parties. The driver of unit 1, Abel Kassa informed me he was driving through the parking lot when he heard a bang. He thought maybe he broke the women's leg. He parked and returned to check on her. I spoke with the reporting party, Liz Cuellar-Herrera who told me the following: Liz was walking between two cars and began to cross the parking lot when unit 1 drove over her foot. Liz was visibly in pain but declined medical attention on scene. Info was exchanged between the parties and the case number was given. My body camera was on for this call. Liz stated she was going to seek medical attention on her own. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer R. PHILLIPS #11649, February 13th, 2026 Renton, WA. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. R.PHILLIPS 02-13-26 04:58 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE R.PHILLIPS 11649 2/13/2026 5:00:46 PM BADGE OR ID# 11649 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:30 PM TIME POLICE ARRIVED 5:40 PM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37 REPORT NO. EG77608 CASE# 26-931 DATE AND TIME 02/01/26 17:30 OF COLLISION N fill" �t �s as a; t i PAGE 3 OF 3