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HomeMy WebLinkAbout25-80667 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 SASE 25-80667 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 12 - 1-- 2025 1713 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAYMOND AVE SW BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e SW 19TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:9454466562 0 81 30 LAST NAME INESTROZA SERRADA FIRST NAME JOHENDRYS MIDDLE D 6 INITIAL 1 2 31 STREET ❑1 6 DOVER ST CITY NORWALK ST CT ZIP 068503204 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO,/ INTERLOCKYEs NO�/ YES No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 INJ gY 1 NATURE OF INJURIES 2❑ 3 10 2❑ PI ATE 14 WHD2981 STATE TX V N#' 1G1PE5S62F7201984 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 1 5 33 12 2 5 VIN#' VIN# >VI FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13 4 2015 CHEV CZT SO DAMAGE YES�NO YES❑ NO✓ J 9 34 REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO STATE FARM 6322009F2043 3 4 IN EFFECT &POLICY# 9TOP vEHA"LE CHARGE 5 36 LEcLLv re3❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2065397510 16 a LAST NAME MORALES FIRST NAME PASCUAL MIDDLE I A INITIAL 17 STREET I❑ s❑' 8854 DELRIDGE WAY SW UNIT 304 CITY SEATTLE ST WA ZIP 981062581 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO INTERLOCK YEs It I NOF YES t l NOF,/ 19[—] STATEWASEXM .CB. _ 39 LICENSE# M . 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 7 COMPLAINTS OF NECK AND BACK PAIN ❑F—NATURE OF INJURIES 40 ❑21❑ PLATE# CT61638 TATE 41 WA VIN# JTDKN3DUOA0132735 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2010 MAKE TOYT MODEL PRIUS STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,� YES NO REGISTERED OWNER INFO PASCUAL MORALES 1403012TH AVE NE APT 213D SEATTLE WA 98125 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO PROGRESSIVE 865407406IN I GD VEHICLELLY ❑ I it CITATION# CHARGE LEGA YES NC 25 s � a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 ROBIN SMITH 12986 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG59577 COLLISION REPORT III III III III III 111 1591972 CASE# 25-80667 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. ROBIN SMITH 12-14-25 02:16 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 1 12/16/2025 10:31:31 PM BADGE OR ID# 9Y988 OR]# WA0171300 TIME POLICE DISPATCHED 5:13 PM TIME POLICE ARRIVED I 5:20 PM FART I PAGE IT]OF 5� REPORT NO. EG59577 CASE# 25-80667 OF COLLISION 12/13/25 17:13 OF CbLLI510N NARRATIVE 25-80667 Unless otherwise stated, the following occurred in the City of Renton, County of King, State of Washington. On 12-13-2025 at approximately 1713 hours I was dispatched to an injury, non-blocking, two vehicle collision at Amazon located at 1905 Raymond AVE SW. Upon arrival, I contacted the involved parties and determined that the collision occurred at the intersection of Raymond AVE SW at SW 19th ST. The driver of Unit#2 had complaints of back and neck pain. The driver of Unit#1 had no complaints of pain. The Renton Regional Fire Authority (RRFA) was on scene evaluating the driver of Unit#2. While on scene, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1 said he was traveling southbound on Raymond AVE SW approaching the stop sign at SW 19th ST. He said he was traveling under 20 MPH and was aware there was an upcoming stop sign. Unit#2 stopped abruptly in front of him at the stop sign and the driver of Unit#1 was unable to stop in time. Unit#1 rear ended Unit#2. Unit#1 sustained a scratch on the front of the vehicle in the center that is approximately 0.5 inches long. The driver of Unit#2 said he was stopped at the stop sign facing southbound on Raymond AVE SW at SW 19th ST. While he was stopped, Unit#1 rear ended him. The driver of Unit#2 said he felt neck and back pain. The RRFA medically cleared him on scene. The driver of Unit#2 said he wanted to be taken to the hospital and after discussing that with members of the RRFA, the driver of Unit#2 decided he would call a friend to come pick him up and transport him to the hospital. Approximately seven minutes after the RRFA cleared the scene, the driver of Unit#2 said he wanted an ambulance to take him to the hospital. The driver#2 had been walking around and did not appear to be incapable of taking himself to the hospital. I requested RRFA and a private ambulance respond. RRFA arrived on scene and after they talked with the driver of Unit#2 again, they advised me that he had changed his mind once he knew how much money it would cost. I asked the driver of Unit#2 to show me the damage on his vehicle. He pointed to his entire rear bumper. There was damage to the driver side rear bumper that appeared to be old because it was rusted. There was also damage to the passenger side of his rear bumper that appeared to be old. asked the driver to clarify if that was old damage and he said he didn't know. He pointed to a couple small scratches in the middle of his rear bumper that were not rusted and would be consist with where the damage would be based on being rear ended by Unit#1. 1 do not believe the damage to the rear driver side corner and rear passenger side corner were caused in this collision because Unit #1 would have had to have been severely angled to hit those areas. If the damage was fresh, there also would be rust. I took photos of all three areas of damage the driver pointed out and uploaded them to Axon. I find Unit#1 to be the proximate cause of the collision for inattentive driving. Renton Municipal Code 10-12-25 states, "It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require." The driver of Unit#1 violated this when he was unable to stop in time when Unit#2 was stopped at the stop sign. I did not cite the driver of Unit#1. An exchange of information was provided to all involved parties. 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 Robin Smith #12986 on 12/14/2025 @ 0215 hours in Renton, WA. PAGE 3 OF 5 REPORT NO. EG59577 CASE# 25-80667 OF COLLISION 12/13/25 17:13 OF CbLLI510N NARRATIVE PAGE 4 OF 5 REPORT NO. EG59577 CASE# ' 25-80667 DATE AND TIME 12/13/25 17:13 OF COLLISION Jul �¢ft f) �r u., '3 Z;= 1� RZ � 3. l$ Z aj 1 PAGE 5 OF 5