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HomeMy WebLinkAbout24-2894 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-2894 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 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# cawsloN 03 - 1-- 2024 2343 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 180TH ST BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e EAST VALLEYHWY 0 1 29 UNIT MOTOR PI PEDAL- CYCLE El DAYESMAGE NHORESHOLD MET PHONE 01 0 8 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 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8 DRIVER'S. STATE SEX.U D.Q.B. 1 1 2 32 ❑ :LICENSE# MMDDYY —❑ 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR m 33 12 0 0 VIN If VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE R 9 34 13❑ DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLe 1 5 36 LECALLv 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 %/ RO 2069460766 16 a LAST NAME FERNANDEZ FIRST NAME MARIA MIDDLE It INITIAL 17 STREET ADORE66❑' 16808 106TH AVE SE CITY RENTON ST WA ZIP 98055 37 � CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF t l YES NO 19[—] DRIVER'S STATE WA ]SEX IF I D.O.B. 11 07 1979 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑21❑ PLATE# CKW5139 TATE WA VIN# 41 JTNKHMBX8K1057669 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2019 MAKE TOYT MODEL C-HR STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO MARIA FERNANDEZ 16808106TH AVE SERENTONWA98055 D:2069460766 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP vE""LE CITATION# CHARGE i o BOTTOM LEGALLY YES N� 25❑ s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 N AAH G/RELLO 12607 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE61839 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2894 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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. NOAH GIRELLO 03-18-24 01:51 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 3/23/2024 4:11:45 PM BADGE OR ID# 12607 ORI# WA0171300 TIME POLICE DISPATCHED 11:45 PM TIME POLICE ARRIVED',11:50 PM PART Ei PAGE IT]OF REPORT NO. EE61839 CASE# 24-2894 OF COLLISION 03/16/24 23:43 OF CbLLI510N NARRATIVE 24-2894 At about 2345 hours on 03/16/2024 1 was dispatched to a hit and run accident at, S 180TH ST/ East Valley HWY, in the city of Renton, King County, Washington. Dispatch advised me that about five minutes prior to the time of call there was a three-motor vehicle accident and one driver involved was complaining of neck pain. Upon may arrival, Renton Fire Department was already on scene doing an evaluation with the driver complaining of neck pain. When I arrived all involved had pulled into a nearby gas station. Both drivers still on scene advised that the at fault driver, unit 1 had fled the scene after figuring out that the other units involved were calling the police. Both units 2 and 3 described the vehicle that took off as an older blue chevy sedan, driven by a black male wearing a black beanie. The driver of unit 2 took a photo of the vehicle before it left and captured a paper temporary plate in the window. That plate was LIC/A5911436, which came back to a 2012 jeep compass and was definitely not the vehicle the temp plate belonged on. The following is a summary of what unit 2 said happened. The driver of unit 2 was the sole occupant of the vehicle when she was stopped at a red light in the #1 lane, east bound on S 180th ST. The driver of unit 2 advised she did not see unit 1 coming before unit 1 hit her from behind as she was stopped. After being unit 2 said that unit 1 pulled over to the gas station to exchange information. Unit 2's vehicle had very minor, suspected cosmetic only damage to the rear passenger side of the vehicle. The drive of unit 1 was the driver complaining of neck pain. Renton Fire Department evaluated the driver and cleared her of any injuries requiring immediate attention. The following is a summary of what unit 3 said happened. The driver of unit 3 was the sole occupant of the vehicle when he was stopped at a red light in the #2 lane, set up to go east bound on S 180TH ST. The driver of unit 3 advised after unit 1 hit unit 2 first, unit 1 veered off clipping unit 3 on the rear driver's side of the vehicle. Unit 3's vehicle had very minor damage and the driver had no complaints of pain or injury. Both drivers were able to driver their vehicles away after the incident and there was no further information on the suspect or his vehicle. There were no other witnesses to the accident and other then the traffic cameras I did not observe any security cameras. Unit 2 and 3 did not have proof of insurance at the time of the accident. This incident was captured by my body worn video camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been summarized and paraphrased. This concludes my involvement with this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by N. GIRELLO #12607 on 03/17/2024 at 2000 Renton, WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE61839 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2894 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE _) PEDESTRIAN � OWNER � YES NO D:2533918584 rFO 8 29 LAST NAME CHILDS FIRST NAME KEVYN MIDDLE' L INITIAL STREET 30 NEW AnDRFSP 23312 112TH AVE SE CITY KENT ST WA ZIP 98031 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs NO NTERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 12 - 17 - 1979 7 ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE C30036Y TAr Wq VIN# 1GCGK13UO3F166405 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2003 MAKE CHEV I MODELSILVERA STYLE VEHICLE TOVVE ET SABLIN TOWED BY anvi vEH1CP FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOKEVYN CHILDS 23312112TH AVE SE KENT WA 98031 D:2533918584 J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# 1 9 1"01? VEHICLE 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 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 "F ' CITY ST ZIP NEW CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO 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 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGAtty 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. NOAH GIRELLO 03-18-24 01:51 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 12607 O#I',WA0171300 SCOTT 3/23/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE61839 CASE# 24-2894 DATE AND TIME 03/16/24 23:43 OF COLLISION 4 w�,9`h� r c a t„ att t PAGE 5 OF 5