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HomeMy WebLinkAbout26-1810 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG86614OLCERA COLLISION REPORT 1591971 CASE# 26-1810 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LdC CODING 4200 3 HIT&RUN C©DIN6 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 o v' 03 - 06 - 2026 2033 17 =.= S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITSKY RD BLOCK NO. e 11800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e 118TH AVE SE 1 5 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:5054060261 0 9 30 6 LAST NAME MAZAR/EGOS SALAZAR FIRST NAME DANI MIDDLE J 1 1 2 31 INITIAL STREET ❑✓ 3203 E 33RD ST45 CITY; VANCOUVER ST WA ZIP; 98661 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKVES NO✓ YES ND Z 8� DCIENSE# STATE WA SEXIM MMDDYY' 11 — 10 — 1995 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR CLASSY 14 NATURE of INJURIES 2 10 LI ENSE 3798137 STATE IN VIN# 3HAEUMMLXTL300492 3 TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE# TRLR zRLR 0 0 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2026 MAKE INTL MODEL 4000 STYLE TR VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE g 9 34 13 DAMAGE YES ✓ YES❑ NO✓ REGISTERED OWNER INFO DANI MAZARIEGOS SALAZAR 3203 E33RD ST45 VANCOUVER WA 98661 D:5054060261 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 2 3 4 14 PENSKE RENTAL INSURANCE IN EFFECT &POLICY# GQ, VEHICLE CHARGE ❑ 36 YES❑NO❑ CITATION# 15❑ T Nowc s 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:2067785425 16� LAST NAME TORRES-FERNANDEZ FIRST NAME JUSTIN MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 11936 SE 168TH ST CITY RENTON ST, WA ZIP 98058 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES NO✓ INTERLOCK YES no✓ YES NO✓ 19� DRIVER'S STATE WA SEX M D.O.B. 04 19 2005 39 LICENSE# MMDRYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R UET SE CLAY 1 NATURE OF INJURIES 40 SS 21 ILICENSE PLATE# BZP1072 rare WA vIN# 1 HGCM66827AO18040 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2007 JAKE HOND MODEL ACCORD STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO JUSTINTORRES-FERNANDEZ 11936 SE 168TH ST RENTON INA 98058 D:2067785425 VEHICLE NO.2 SHADE IN DAMAGE,D,AREA 2 3 �4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &.POLICY# I STOP 1—CLE � ,.I—I CITATION# CHARGE to BOTTOM EEGAEEY YES N 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ST FAJARILLO 12847 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG86614 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1810 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 NJURY 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 26-1810 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 03-06-2026 1 was working as a police officer in the city of Renton. At approximately 2033 hours 1 was dispatched to the report of a blocking collision at SE Petrovitsky Rd/ 118th Ave SE, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera. According to the notes in the call, two vehicles were blocking the turn lane. I arrived on scene and contacted the driver sole occupant of Unit 1. He advised he was travelling west on SE Petrovitsky and missed his turn onto 118th Ave SE. He was already in the turn lane and reversed into Unit 1, which had since merged into the turn lane and was waiting to turn north. Unit 1's rear bumper collided with Unit 2's rear bumper. Unit 2 also only had one occupant. No injuries, both units drivable. I provided both parties with a case number. 1 photographed the scene and uploaded the pictures to Evidence.com. According to the facts regarding this case, Unit 1 was improperly backing and this action was the proximate cause of the collision. There is no further information available at this time. 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 S. Fajarillo #12847 on 03/07/2026 @ 1701 hours in Renton WA. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. STEVEN FAJARILLO 03-07-26 05:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.BRAUN 2194 3/17/2026 11:28:09 PM BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:35 PM TIME POLICE ARRIVED i 8:42 PM (PART B a Da-3mx-attar(txIMR) PAGE 2�OF F3 REPORT NO. EG86614 CASE# 26-1810 DATE AND TIME 03/06/26 20:33 OF COLLISION t a °s` t hk, tt r, fir.. t t t r i st r t� S $�h j 1,t j PAGE 3 OF 3