HomeMy WebLinkAbout26-3664 oucE WASHING ON II I f I) 11�1ll�111�111�INf( I I REPORT NO. 1 0 27
COLLISION REP FIT 1591971
CASE 26-3664 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#pF OBJECT 1 F
1 8 28
TRIBAL UNITS OZ
RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CtLLISION' 05 - 1-- 2026 1414 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BL N BLOCK NO. e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 20 ❑ FEET e S B W e N 3RD ST 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069302730 0 11
30
6� LAST NAME TANTICO FIRSTNAME JUANILLO MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 13602 AMBUAM BLVD SW 1 CITY BURIEN ST WA 2jp, 98166 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 2 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CNB6920 sTATI WAvIN# 3N1AB8CV5RY255009
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR 2024 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 4 NISS SENTRA SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO TEARA DORRIS 13602 AMBAUM BLVD SW I BURIEN WA 98166 D:2069302730 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO NATIONAL GENERAL 2023164552 3 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vECALLv HICLe 1 5 36
res❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4256478771
16 a
LAST NAME SALINAS SANCHEZ FIRST NAME ANGELITA MIDDLE
INITIAL
17 STREET❑ NEW ADOREss❑' 509 WINDSOR PL NE CITY RENTON ST WA ZIP 98056 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 D IVEW #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# CSY9754 TATE 41
WA VIN# KNDJP3A55G7297246 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE KIA MODEL SOUL STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ANGELITA SALINAS SANCHEZ 509 WINDSOR PL NE RENTON WA 98056 D:4256478771 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO NATIONWIDE 2023164552IN 1 9TOP 5
vE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG i o BOTTOM
ALLY YES
25 7TRADER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 4553 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO.
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3664
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'
On 05-12-2026 at approximately 1421 hours, I was dispatched to a non-injury collision in the 200
block of Sunset BL N, in the City of Renton, County of King.
I arrived and located the vehicle in the parking lot of 233 Sunset BL N.
The driver of Unit 1 Tantico, Jaunillo J 01-13-1985 was driving vehicle license CN136920. Unit 1 was
in the middle lane and had just turned onto Sunset BL N from NE 3rd ST. He said the traffic was
congested so he tried to change lanes and hit Unit 2. Unit 1 had damage on the passenger side front
fender consistent with his account of the collision.
The driver of Unit 2 Salinas Sanchez, Angelita 10-02-1964 said she was driving her vehicle license
CSY9754 SB in the curb lane in the 200 block of Sunset BL N. She said Unit 1 turned into her lane
causing damage from the front driver side bumper all the way to the rear of her vehicle.
There were no injuries and all occupants were wearing their seat belts.
The driver of Unit 1 Tantico, Jaunillo J 01-13-1985 WA Photo ID made an unsafe lane change and
was the proximate cause of the collision. 1 did not issue any citations at the scene.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
SGT J Trader 4553
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 05-12-26 03:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 5/13/2026 1:41:55 PM
BADGE OR ID# 4553 OR]#' WA0171300 TIME POLICE DISPATCHED 2:21 Pry TIME POLICE ARRIVED';2:26 PM
PART I PAGE IT]OF 3�
REPORT NO. CASE# + 26-3664 DATE AND TIME 05/12/26 14:14
OF COLLISION
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