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HomeMy WebLinkAbout26-1341 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG79767OLCERA COLLISION REPORT 1591971 CASE# 26-1341 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 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 IN cDLLISION' 02 - 16 - 2026 1753 17 =.= S 8 W e OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOSIN GRADYWAY MILE POST e 1100 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5092931178 0 8 30 5❑ LAST NAME FELIPE RODRIGUEZ FIRST NAME MARLON MIDDLE B 1 2 31 INITIAL STREET ❑ 1800 SUNSET HWY UNIT 52 CITY; EAST WENATCHEE ST I WA ZIP; 988024192 2 NEW ADDRESS 7 CDL IGNITION REOUIREfl IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NOW] INTERLOCKVEe Na�/ YES NO[,/ 8 DCIENSE# STATE WA SEXI M MMDDYY' 01 — 20 — 2000 1 2 32 9� ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2= LICENSE, CLB2560 STATE WA y 5TDGBRCH5LS507167 3 10� as ATP tt IN# TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR TRLR 7 1 3 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2020 MAKE TOy. MODEL HIGHLA STYLE UT VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO MEDARDA RODRIGUEZSOLIS 1800 SUNSET HWY N UNIT 52 EAST WENATCHEE WA 98802 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 STATEFARM 556 0640 C21478 IN EFFECT &POLICY# 9TOP vEn ' CHARGE t 5 36 IALLY yes❑NO❑ CITATION# t a 80TTOM 15❑ STM ING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4253058528 16� LAST NAME MORTENSEN FIRST NAME SAMSON MIDDLE INITIAL STREET ❑ 17 ❑ 3219 S GRAHAM ST CITY SEATTLE ST, WA ZIP 98118 q 37 NEW ADDRESS 18❑ CDL IGNITION REGtUJRED IGNITION PRESENT MEDTCAL TRANSPORTED'. 38 INTERLOCKYES CK YES DNo YES NO j� 19� DRIVER'S STATE WA SEXIM I D.O.B. 01 04 1990 39 LICENSE# MMDDYY — 20❑ ON DUTY-:1 STATUS AIRBAG 2 RESTR 1 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40 21[ LICENS CMX4982 raTE WA vIN# 1N4BZ1CP4LC311159 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 202Q MAKE NI$$ MODEL LEAF STYLE HB VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO GEICO 6033178309 IN EFFECT &POLICY# t STOP ­1— ,J—I CITATION# CHARGE to BOTTOM L,—LY YESZ N 25 s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 BRYAN GROZAV 12489 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG79767 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1341 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GOMEZ DAVIDEA ADDRESS&PHONE# D� 2060 SE 8TH PL RENTON WA 980553947 2068528965 SEXi M MMDDYYYY 09 — 13 — 2002 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT HELMET INJURY NRE OF INJURIES �, POS. I USE :CLASS � ATU ----� :NAME (LAST EIRS7 MIDDLE INITIAL} ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 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. BRYAN GROZAV 02-17-26 02:04 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE STEVEN FAJARILLO 12847 212112026 11:56:07 PM BADGE OR ID# 12489 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:57 PM TIME POLICE ARRIVED i 6:05 PM PAST B a Do-lmx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG79767 CASE# 26-1341 DATE OF COLLI r�510NN + 02/16/26 17:53 L1 NARRATIVE CASE 26-1341 This incident was captured on my body worn video camera and/or in-car dash camera. This report is a summary of events that occurred and is not an exact sequencing of events. On Monday February 16th, 2026, at approximately 17:57, 1 responded to a 911 call regarding a two- vehicle collision in the area of Southwest Grady Way and Oakesdale Ave Southwest within the City of Renton, King County, Washington. ***CALL REMARKS: JWO INTERSECTION APPROX 200 FT FROM LIGHT. 2 MVA. LINK INJS. BLOCKING CENTER TURN LANE. Upon arriving on scene, I noticed the vehicles involved were in the Shell gas station parking lot located at 1120 Southwest Grady Way. I contacted the driver of unit one identified as Marlon B. Felipe Rodriguez (DOB: 1.20.2000). Marlon reported he was traveling east on Southwest Grady Way, he attempted to switch lanes to enter the left turn lane but did not see there was a vehicle in turn lane traveling next to him. Upon entering the turn lane, he sideswiped the vehicle already in the turn, over corrected which caused him to crash into unit two. Marlon was operating a white 2020 Toyota Highlander with Washington license CLB2560. Marlon's vehicle sustained damage to the driver side and the front right corner but was still drivable. Marlon had a valid driver's license and valid vehicle insurance. Marlon did not report any injuries. After speaking to Marlon, I contacted the driver of unit two, identified as Samson J. Mortensen (DOB: 1.04.1990). Samson indicated he was stopped in traffic for the red light when he was hit by unit one. Samson was operating a black 2020 Nissan Leaf with Washington license CMX4982. Unit two sustained minor damage to the rear left quarter panel door but was drivable. Marlon had a valid driver's license and valid vehicle insurance. Samon did not report any injuries. A witness on scene identified as Davide A. Gomez (DOB: 9.13.2002) reported similar circumstances. I provided Samon and Marlon a SECTOR exchange of information form. This concludes my involvement in this case. I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Grozav#12489 on 02.17.2026 at 02:00 hours in Renton, WA. PAGE 3 OF 4 REPORT NO. EG79767 CASE# 26-1341 DATE AND TIME 02/16/2617:53 OF COLLISION la �i. t`, u r� } } 7� t a n I ai f `j i. P t Y 141 }i L k? i t t„ r ni *t PAGE 4 OF 4