HomeMy WebLinkAbout26-3183 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG99687 170
27
COLLISION REP FIT 1591971
CASE 26-3183 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
1 0
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CtLLISION' 04 - 24 - 2026 0734 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
ROUSER WAY
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a BRONSON WAYN
0 3 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:2065017475 0 3 30
6� LAST NAME LORENZEN FIRSTNAME SARAH MIDDLE L 1 1 2 31
INITIAL
STREET ❑, 2116 SE 22ND PL CITY RENTON ST WA ZIP 980554559 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10❑ P1 ATE 14 CSJ8561 STATE WA u N# 3MVDMBDM4PM512462
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 5 3 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34
13 2023 MAZD CX-30 DAMAGE YES NO ✓ YES❑ No✓
REGISTERED OWNER INFO SARAH LORENZEN 2116 SE 22ND PL RENTON WA 980554559 D:2065017475 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE U INSURANCE CO GEICO 6226.69.OS•11 3 4
IN EFFECT &POLICY# 9TOP
CHARGE
VEHICL' 1 5 36
LEGALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STAIN.D" 8 6
UNIT VE IOOR CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES,/ FI OLDMET PHONE
16 a
LAST NAME ARROYO CASTRILLO FIRST NAME ANDRES MIDDLE M
INITIAL
17❑ STREET ❑', 3555 E LAKE MEAD BLVD APT 219 CITY LAS VEGAS ST NV ZIP 891157363 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOF INTERLOCK YYEEsI I I NOF YES t l NO❑
19 DRIVER'S STATE NV SEX M I D.C.B. 05 _ 02 _ 1996 39
LICENSE# MMDDYY
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE A9100434 TATE WA VIN# 4T1G11AK8RU847318
❑ 41
PLATE#
42
22❑ PLATILER E# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2024 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,� YES NO✓
REGISTERED OWNER INFO ANDRES ARROYO CASTRILLO 3555 E LAKE BREAD BLVD APT 219 LAS VEGAS NV 891157363 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO NEW SOUTH 2O33854796IN 1UQI
VE""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG99687
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3183
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'
blk/2 gry/1 both right turn bump ins only
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection
of Houser Way at Bronson Way N.
When I arrived I advised both vehicles to move from the roadway. Both had minimal damage.
I contacted the driver of unit 1 who told me they were making a right turn when unit 2 bumped into
them during the 3 lane right turn one way roadway. Unit 1 did not complain of injury and damages did
not require a tow truck.
I contacted the driver of unit 2 who told me they were making a right turn and unit 1 bumped into them
while they were both making the turn. Unit 2 did not complain of injury and damages did not require a
tow truck.
There were no witnesses to confirm either story. Information/insurance only.
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 4/30/2026
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 04-30-26 02:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/4/2026 9:25:21 AM
BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED', 7:34 AM TIME POLICE ARRIVED 7:35 AM
PART I PAGE IT]OF 3�
REPORT NO. EG99687 CASE# 26-3183 DATE AND TIME 04/24/26 07:34
OF COLLISION
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