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HomeMy WebLinkAbout26-3565 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 26-3565 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# GawsloN 05 - OS - 2026 1552 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. e✓ ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e OAKESDALE AVE SW 0 1 29 UNIT MOTOR Z PEDAL- CYCLE ❑ YESA,GEE NHORESHOLD MET PHONE 0 4 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ LICIENSE# STA fE I SEX u MMDOBYY '❑- 1 1 2 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES zLICENSE I ❑ 3 10[1 PI P1 ATE 14 LAST 3#541 sTAT V N# 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 3 5 VIN If VIN# FROM TO ❑ VEH.YEAR MAKE KIA MODEL SOUL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 1 3 34 13 2 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO [NEW] VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICV# 9TOP vEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE �NiT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255669066 16 a LAST NAME LEUELU FIRST NAME JUNIOR MIDDLE I F INITIAL 17 STREET❑ NEW ADDRESS❑' 5114 S CRESTON ST CITY SEATTLE ST WA ZIP 981782110 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑ 19 DRIVER'S STATE WA SEX M I D.C.B. 07 30 _ 1993 39 LICENSE# MMDDYY HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑ LICENSE I ❑21❑ PLA E# CJR3932 TATE 41 WA VIN# 4S3BWAC62L3032948 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2020 MAKE SUBA MODEL LEGACY STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV!TN 44 24❑ DAMAGE YES NO BANKER YES NO REGISTERED OWNER INFO JUNIOR LEUELU 5114 S CRESTON ST SEATTLE WA 981782110 D:4255669066 VEHICLE NO.2 SHADE DAGELLAREA LIABILITY INSURANCE I POLICY#E CO SAFECO H2603975IN IGQVE""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH03719 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3565 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' 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. M.LEVERTON 05-11-26 01:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 511812026 7:57:10 AM BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED; 3:52 PM TIME POLICE ARRIVED 3:58 PM PART I PAGE IT]OF 5� REPORT NO. EH03719 CASE# 26-3565 OF COLLISION 05/08/26 15:52 OF CbLLI510N NARRATIVE grn 1 h/r wb lane 2 wht/2 It broad pass door spun out backwards hits 3 blk RTF Within the city limits of Renton/King/Wa I responded to a 3 vehicle blocking crash at the intersectio of SW Grady Way at Oakesdale Ave SW. I contacted the driver of unit 2 who told me on his green light he was making a left turn from Oakesdale Ave SW from the north to the east when he was hit in the paassegner side by a green Kia. The driver of unitl/green Kia fled the area without providing the information required by RCW. Unit 2 explained that after impact from unit 1 his vehicle spun around and backed into unit 3 who was stopped in lane 1 northbound Oakesdale. He did not complain of injury and damages did require a tow truck. I contacted the driver of unit 3 who told me that he was stopped in lane 1 northbound Oakesdale Ave SW when unit 1 hit unit 2 spinning unit 2 out and causing him to make contact with his vehilce. He did not provide any additional information. He did not complain of injury and damages did not require a tow truck. There were no other witnesses to provide additional information for unit 1/hit and run suspect vehicle. 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 5/11/2026 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EH0371 9 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-3565 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2067975888 OF 8 29 LAST NAME CASTRO MARQUEZ FIRST NAME : DANIEL MIDDLE A INITIAL STREET 30 NEW AnDRFrtP 17806 32ND AVE S APT 56 CITY SEA TAC ST WA ZIP 981884250 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 01 - 14 - 1991 7 ON DUTY� STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CNL6845 TAr WA VIN# JTDKN3DU8B1391338 PLATE# 9 2] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2011 MAKE TOYT I MODELPRIUS STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vFH1G P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOJESUSMEDINA SANDOVAL 227SW110THST SEATTLE WA 98146 J 9 33 SHADE IN DAMAGED AREA 12 7 j FROM TO INSURANCE CO LIABILITY INSURANCE SAME. 1 1"01 0 34 IN EFFECT &POLICY# 13 ❑ LEGALLY LE ❑ CITATION# CHARGE 0 BOTTOM LEcnuv YES NO STANDING �} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 05-11-26 01:48 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID 2517 O#I',WA0171300 JACOBS 5/18/2026 PAGE�OF F 3000-345-013(R 11118) REPORT NO. EH03719 CASE# ' 26-3565 DATE AND TIME 05/08/26 15:52 OF COLLISION 4 �rY F ;} s F� 4, l 1 b s fv t y` a { FF ti� F � r p uY s a ti PAGE 5 OF 5