HomeMy WebLinkAbout26-5489 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-5489 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 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# ❑
GawsloN 07 - 1-- 2026 1358 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S GRADY WAY BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FMILES EET e S ❑ W e SHATTUCKAVES
0 1 29
UNIT 01 VEHtOCLE PEDAL-
❑ YESAGE NHORE✓LD MET PHONE 0 8 30
6� LAST NAME UNK FIRSTNAME UNK MIDDLE 1 2 31
INITIAL
STREET NEW
❑ CITY ST 21P z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITIt)N PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICIENSE# STATE SEX u MMDOB. —=—� 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 9 H USEET 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE UNK sTATI urN#
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 vIN# VIN#
FROM TO
❑ VEH.YEAR MAKE O7.H MODEL WHITE STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 3 DAMAGE YES NO YES❑ NO✓
REGISTEREDOWNERINFO UNKUNK VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE 5 36
LE—Lft Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4253061697
16 a
LAST NAME SANTOS FIRST NAME MANUEL MIDDLE I C
INITIAL
17❑ STREET ❑', 2905 MILLAVES CITY RENTON ST WA ZIP 980555074 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED 38
INTERLOCK YES�NO� INTERLOCK YES It1 I NoF t YES l NO / 11
19[� LDI IVEW # STATE WA SEX M M MD D.O.B.B. 11 01 1952 El 39
H USE ET NJAURSY [NATURE.1 INJURIES COMPLAINT OF MINOR PAIN TO NECK/BACK 40
20 F ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 2 7
21❑ LICENSE AMH0291 TATe I WA vIN# JTMRFREV8DD012961
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2013 MAKE TOYT MODEL RAV4 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ANGELITA SANTOS 2905 MILL AVE S RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO FIRST NATIONAL H2338820IN I GD
vE""LE CITATION# CHARGE
LEG
25
ALLY YES Nu
❑ s a
=ON
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 12421 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH24204
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5489
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'
26-5489 ACCHR
On 7/14/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a hit and run collision that had just occurred near the intersection
of S Grady Way and Shattuck Ave S Renton/King/WA. The caller reported that he had pulled off the
roadway to a nearby business.
I arrived on scene and found Manuel C Santos DOB: 11/1/1952 sitting in his 2013 Toyota Rav4
WA/AMH0291. I asked Manuel if he was injured and he said his neck and back were sore, but he did
not want to RRFA to respond.
Manuel explained that he was driving eastbound on S Grady Way in the #2 lane. He said that he
stopped for a red traffic signal and while he was stopped, he was struck from behind by the suspect
vehicle. Manuel said that the vehicle struck his rear bumper and then fled north on Shattuck Ave S.
Manuel showed me to minor damage to his trunk lid just above the rear bumper.
Manuel said the suspect vehicle was a white SUV, but he was unable to get a license plate or see the
driver. Manuel likened the suspect vehicle to a Chevrolet Tahoe.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 7/14/2026 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 07-16-26 04:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 7/27/2026 10:18:18 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 2:09 Pry] TIME POLICE ARRIVED',Y:05 PM
PART I PAGE IT]OF 3�
REPORT NO. EH24204 CASE# ' 26-5489 DATE AND TIME 07/14/26 13:58
OF COLLISION
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