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Home My WebLink About23-9859 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-9859 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' META!SIGN POST RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CawsloN 08 - 1-- 2023 2042 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVENUE SE BLOCK NO. e✓ 17600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 0 15 FMILES EET e S ❑B E e SE PETROVTISKYROAD 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:6207019788 0 11 30 6� LAST NAME WU FIRSTNAME YINGXIANG MIDDLE 1 2 31 INITIAL STREET ❑, 18809 132ND PL SE CITY RENTON ST WA Zjp, 98058 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 AT 14 CAR3771 STATE WA VIN# 19XF62F58EE202666 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR. 5 1 33 12 3 5 VIN#' VIN# FROM TO VEH.YEAR 2014 HOND CIVIC SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO GAOXING WU 18809132ND PL SE RENTONWA 98058 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO STATE FARM 510.8742-C21.47A 3 4 IN EFFECT &POLICY# 9TOP EECALLvrIICLE YES CHARGE 5 36 L ❑NO❑ CITATION# 1 o BOTTOM 15❑ v STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES NO ,/ D:2064096448 16 a LAST NAME COOPER FIRST NAME CLINTON MIDDLE I,I INITIAL 17❑ STREET ❑', 10635 SE 199TH STREET CITY' RENTON ST WA ZIP 98055 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑ 19 DRIVER'S STATE WA SEX M D.O.B. O6 _ 24 1974 0 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I BZR2281 TATE WA VIN# 4T1BZ1FBXK0007817 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2019 MAKE TOYT MODEL AVALON STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO CLINTON COOPER 10635 SE 199TH STREET RENTON WA 98055 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO CONNECT BX06326590IN 0( 9TOP 5 LEGA— ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N`[J 25 ' a 7ESAGIAO S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 10339 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED94576 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9859 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) COOPER CANDYR (IAST FIRST, ADDRESS&PHONE# 10635 SE 199TH STREET RENTON WA 98055 2065788064 SEX i U MMDOYyry 08 - 10 - 1976 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 2 POS. 3 2 4 1 USE CLASS 1 NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# D O 8 SEXI MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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. E.SAGIAO 08-26-23 09:56 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 8/31/2023 3:00:30 PM BADGE OR ID# 10339 OR]# WA0171300 TIME POLICE DISPATCHED! 8:50 PM TIME POLICE ARRIVED]8:51 PM PART Ei PAGE IT]OF REPORT NO. ED94576 CASE# 23-9859 OF COLLISION 08/26/23 20:42 OF CbLLI510N NARRATIVE On 8-26-23 at 2050 hours I was dispatched to an unknown if injury collision in the 17600 block of 108th Avenue SE, in the City of Renton, King County, State of Washington. The reporting party advised a white sedan hit the median and knocked over a sign. The subjects driving the vehicle were currently located in the parking lot of Happy Tail Vet in the 17600 block of 108th Avenue SE. There were two Asian males standing outside of the vehicle. I arrived at the vet and observed Unit#1, a white 2014 Honda Civic (WA-CAR3771) with two Asian males standing outside of the vehicle. The driver was identified by his WA DL as Yingxiang Wu. Wu spoke limited English, so his brother advised they were driving northbound on 108th Avenue SE and their lights were not very bright. His brother ran over some plastic barriers, and they went onto the median and hit a sign. There was substantial damage to the front of Unit#1, and it had a cracked windshield. All of this damage appeared recent. There were signs of impairment and it appeared they genuinely turned down the turn lane on the wrong side. Unit#2 was a black 2019 Toyota Avalon (WA-BZR2281). I was driven by the owner Clinton Cooper. Clinton and his passenger Candy relayed they got ice cream and were on 108th Avenue SE driving in the same direction almost parallel with Unit#1. For some reason Unit#1 hit the median launching the vehicle into the air. Unit#1 landed then struck a city sign sending the sign into the front of Unit#2 striking the front of it. A business card with the case number was provided to both drivers. Unit#1 is the at fault driver that deemed the collision to dim headlights. No citation was issued. The incident was captured on my body worn camera. The report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. I certify or declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. E.Sagiao/10339 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED94576 r`I POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-9859 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO D:4254307500 LAST NAME : CITY OF RENTON FIRST NAME MIDDLE.. 29 INITIAL STREET _—] H 30 NEW AnnRFrtP 1055 SOUTH GRADY WAY CITY RENTON ST WA ZIP 98055 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG E FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEn+AnnREs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE ICLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv 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. E.SAGIAO 08-26-23 09:56 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 10339 O#I',WA0171300 SCOTT 8131/2023 PAGE F OF 3000-345-013(R 11118) REPORT NO. ED94576 CASE# ' 23-9859 DATE AND TIME 08/26/23 20:42 OF COLLISION Garr Road SE Petrovit§ky Road ro, N Fred Meyer Entrance®tF 1'08th Avenue SEA 108th Avenue SE(17600 black) PAGE 5 OF 5