HomeMy WebLinkAbout24-208 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ✓❑ RESULTED ❑ CASE# z4-zos 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 2$
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CawsloN 01 - 1-- 2024 2004 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
EAGLE RIDGE DR S BLOCK NO. e✓ 1503
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
UNIT MOTOR
Z PEDAL El DAYESMAGE NHORESHOLD MET PHONE 01 1 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYE3 NO INTERLOCK YES NO YES No
DRIVERS
STATE SEX D - 328 LICENSE MMDYY❑
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
LICENSE sTATI urN#'
10❑ PI ATE 14
C7
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
rRLR. TRLR 5 1. 33
12 0 0 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE m
13 2 PK DAMAGE YES NO ✓ YES❑ NO✓ 34
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ ABILI V INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STAIN.D'ING 7 6
UNIT VE IMOTOOR CYCLE ❑ PEDESTRIAN ❑ OWNER PEDAL ES❑ DYES✓ NO AM THR OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET
CITY' Sr ZIP 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38
INTERLOCK YES❑No� INTERLOCK YES It1 I NoF t l YES NO
19 LLIICENS RIVERIS# STATE SEX U MMDDYY —�_ 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT '1 USE 9 CLASS 1 ❑
❑ILICENSE 21❑ PLA E# BST0908 TATE 41
WA VIN# 3N1A661E99L672489 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2009 MAKE NIS3 MODEL SENTRA STYLE SD VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO SPENCER WILLIAMS 1300 EAGLE RIDGE DR S D1027 RENTON WA 98055 D:2063269805 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP
VEHICLE YES❑ N,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
STEVEN FAJARILLO 12847 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE37967
COLLISION REPORT III III III III III 111
1591972 CASE# 24-208
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
PM 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.
STEVEN FAJARILLO 01-06-24 10:06 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GREGORY BILLS 12495 11712024 3:49:27 AM
BADGE OR ID# 12847 OR]#' WA0171300 TIME POLICE DISPATCHED 8:07 Pry] TIME POLICE ARRIVED',8:12 PM
PART I PAGE IT]OF 4�
REPORT NO. EE37967 CASE# 24-208 OF COLLISION
01/06/24 20:04
OF CbLLI510N
NARRATIVE
24-208
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 01-06-2024 1 was working as a police officer in the city of Renton. At approximately 2007 hours I
was dispatched to the report of a recent hit and run at 1503 Eagle Ridge Dr S, City of Renton, County
of King, WA. This incident was captured on my department issued Axon body camera.
According to the notes in the call, 2 minutes prior a grey pickup truck (Vehicle 1) hit an unoccupied
red vehicle. The pickup was gone from location towards Benson Rd S. The victim vehicle (Vehicle 2)
was identified as a red 2009 Nissan Sentra (WA/BST0908) registered to Spencer G Williams (DOB:
12-12-1989)
1 arrived on scene and noticed Vehicle 2 legally parked on the east side of the road. There was
significant damage to the rear bumper and trunk. I confirmed it was unoccupied. There was no other
vehicle on scene and nothing of evidentiary value. I photographed the vehicle and uploaded the
pictures to Evidence.com. I notified Spencer of the collision and provided him with a case number.
I called the reporting party who advised he believed Vehicle 1 was a gray pickup truck with black
writing on the side, maybe a logo to a company. He did not know a license plate. There would be
significant damage to the front bumper of the truck. The reporting party could not see the occupants
of the vehicle. I performed an area check for Vehicle 1 with negative results.
According to the facts regarding this case, there was not enough information to establish probable
cause for a suspect in this hit and run.
There is no further information available.
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 S. Fajarillo #12847 on 01/06/2024 @ 2202 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. EE37967 CASE# ' 24-208 DATE AND TIME 01/06/24 20:04
OF COLLISION
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PAGE 4 OF 4