HomeMy WebLinkAbout26-3389 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
CASE#r` 26-3389 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4'I00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 05 - 1-- 2026 1155 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RENTON CENTER WAY SW BLOCK ST e✓
MILEPOST 300
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FEET MILES e S B W e SW 3RD PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064465427 0 11
30
6� LAST NAME RUTHRUFF FIRSTNAME RONALD MIDDLE A 1 2 31
INITIAL
STREET ❑, 5115 S OTHELLO ST CITY SEATTLE ST WA 2jp, 98118 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10 2❑ I P1 ATNES# CLG6151 sTAr WAu N# 2HKYF18493H522650
IT STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR. 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2003 HOND PILOT UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO SAFECO H779455 4
INEFFECT I SUR N# TOPVEHCLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:9097162740
16 a
LAST NAME OTERO FIRST NAME JA-ELLE MIDDLE IN
INITIAL
17❑ STREET ❑', 10705 DES MOINES MEMORIAL DR APT A4 CITY SEATTLE ST WA ZIP 98168 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER #
INJURY 7 NATURE OF INJURIES 40
20 F1 ON DUTY STATUS AIRBAG,4 RESTR 4 EJECT 1 USE CLASS PAIN IN LEFT LEG
21❑ LICENSE I CPD4267 TAre WA VIN# 1HGCR2F86FA062275
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
T
23❑ VIN 43
IN##. IN RLR
' #.
GI
VEH YEAR 2015 MAKE yOND MODEL ACCORD STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU&PORGY#E CO FARMERS 189731775IN I 5
VE LEGwcLE ❑ ,J� CITATION# CHARGE
25 GQ
ALLY YES N`L J
s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
R.ON/SHl 5738 WA0171300
PART A PAGE 01 OF C7
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG99481
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3389
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,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Collision occurred in Fred Meyer parking lot (private property). Unit 1 northbound on driveway in
parking lot just north of SW 3rd PI/Renton Center Way SW. Unit 2 eastbound, crossing driveway
from intersecting parking aisle. Driver 1 Ruthruff told me that he stopped for the stop sign on the
south side of the intersection with Renton Center Way SW, then drove through the intersection. At the
first parking aisle beyond Renton Center Way SW, unit 2 suddenly drove into his path from his left.
Driver 2 Otero told me that she stopped at the stop sign controlling the traffic in her parking aisle at
the driveway. There was a car stopped southbound at the stop sign controlling Renton Center Way
SW, and Otero did not see any cross traffic northbound. Otero started to cross Renton Center Way
Sthe driveway, and was struck by unit 1, which she believed was travelling at a high rate of speed.
Otero complained of left leg pain from impact with her driver's door; Otero was checkd by Fire and
released.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 05-02-26 01:27 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 5/3/2026 4:11:30 AM
BADGE OR ID# 5738 OR]# ! WA0171300 TIME POLICE DISPATCHED; 11:57 AM TIME POLICE ARRIVED 12:01 PM
PART I PAGE IT]OF 3�
REPORT NO. EG99481 CASE# ' 26-3389 DATE AND TIME 05/02/26 11:55
OF COLLISION
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