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Home My WebLink About25-2526 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF76866oc� RA COLLISION REPORT 1591971 CASE# 25-2526 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2❑ TRIBAL UN TS#OF 1 04 STRUCKCK 1 1 0 28 STREET LIGHT POLE i RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E E IN eOLLISION' 03 - 20 - 2025 1124 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINIER AVE S BLOCK NO. e 600 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1501.1 00 FEET e✓ S 8 E e S 7TH ST 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 2 0 30 6 LAST NAME LUC FIRST NAME KIM-PHUNG THI MIDDLE 1 1 2 31 INITIAL STREET ❑ 4300 NE SUNSET BLVD APT M1 CITY; RENTON ST WA ZIP; 98056 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCK YEs NO✓ INTERLOCKVEs NO✓ YES ✓ NDF g DRIVER # STATE WA SEXI F MMDOYY' 08 — 20 — 1954 1 2 32 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES 2 USE CLASS CHEST PAIN FROM AIRBAG 10 LI ENSE' ALW0659 STATE WA VIN# 5J6RM4H32DL054349 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# 11ROM TO TRLR TRLR 1 5 33 12 3 5 VIN#'. VIN#: FROM TO 13 3 VEH.YEAR2013 MAKE HOND MODEL CRV STYLE UT VEHICLETOWEDNO�iS46LIN Tv4EBYMEYER GOSr IENp✓Fl-11 1 5 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 3 4 14 PEMC01438275 IN EFFECT &POLICY# 9TOP vEnic�E CHARGE 5 36 Lemur yes[:]NO[:] CITATION# t a 80TTOM 15❑ sTnNowc e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHIOLE ❑ CYCLE ❑ ❑ nWNRR vEs✓ No D:5037374709 16� LAST NAME BAKARI FIRST NAME ZAHRA MIDDLE' j INITIAL 17 F1 STREET ❑ 7443 ROCKERY DR S CITY' SEATTLE ST, yyq ZIP 98118 37 NEW ADDRESS I I I I I 1 ❑ 18❑ CDL IGNITION REt�UIRED IGNITION PRESENT MEDICALTRANSPORTED. 38 INTERLOCKYEs NO✓ INTERLOCK YES No✓ yEs N0 1I 19[� DRIVER'S STATE WA SEX U D,O.e. 01 01 1986 39 LICENSE# MMDRYY - : 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS I1 ❑ 21 LICENSE BVA9885 TATe WA VIN# JTDKARFU9G3008546 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2016 MAKE TOYT MODEL PR/US STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24� DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO ZAHRA BAKARI 633030TH AVE SW SEATTLE WA 98126 VEHICLE NO.2 SHADFY DAGEAREA LIABILITY INSURANCE INSURANCE CO GEICO 6181.66.21.38 IN EFFECT &POLICY# 9TOP vewae ❑ ,J—I CITATION# CHARGE t080TTOM L','—LY YES No 25 a e OFFICER'S NAME(PRINT) PHONE BADGE OR ID# AGENCY 26 T77 D.MYERS 10433 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF76866 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2526 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE I responded to a traffic collision in the 600 block of Rainier Ave S. When 1 arrived on scene, I observed what appeared to be three vehicles in the roadway involved in the collision. There was also a downed street light on the sidewalk. The driver of Unit#2 told me she was traveling southbound on Rainier Ave S and stopped for traffic in lane #2 when she was hit by Unit#1. She did not know where Unit#1 came from and does not know how the accident ahead of her happened. The driver of Unit#1 stated Unit#2 pulled out in front of her and then she hit the street light and Unit #3 trying to avoid hitting Unit#1. Unit#3 driver stated she was traveling southbound on Rainier Ave S and stopped for traffic in lane #2 when she was hit by Unit#1. Employee's from Brown Bear Car Wash did not witness the collision but provided me with video of the collision. After watching the video it became clear the Unit #2 was stopped in lane #2 for traffic and then entered lane #1 in front of Unit#2. Unit#2 then hit the street light and then crashed into Unit #3. The street light pole is owned by the City of Renton who responded to remove the damaged pole. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 03-20-25 06:34 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 312512025 2:54:10 PM BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED 11:25 AM TIME POLICE ARRIVED 11:25 AM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF 4 SUPPLEMENTAL REPORT No. EF76866 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE# 25-2526 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER ',� YES NO 0 7 29 LAST NAME CORBIN FIRST NAME MARIA MIDDLE' C INITIAL STREET 30 NEW ADORFS 3046210TH AVE S CITY SEATTLE I ST Wq ZiP gg003 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED ;IGNiTiON PRESENT MECiICALTANSPORTED INTERLOCK YES O NO�/ ;INTERLOCK YES NOR DRIVER'S D.O.B LICENSE WA SEX F MMDDYYY 06 - 03 - 1971 7 ❑ HELMET 'INJURY NATURE OFINJURIES ON DUTY❑ STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 7 HEAD AND NECK 8 ❑ I ,. 1 32 LICENSE CGH0448 TAT WA VIN 1C4RJYB61N8756238 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 3 5 VEIL YEAR2022 MAKE JEEP MODEL GRAND STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI E FROM TO DAMAGE YES�/ NO YES NO REGISTERED OWNER INFOMARIA CORBIN 3046210TH AVE S FEDERAL WAY WA 98003 D:2532698838 SHADE IN DAMAGED AREA R 9 33 12 FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 190 9921-F28-47G IN EFFECT &POLICY# I `?TOP`-- 5 m 34 13 ❑ vEn'A" YES 11001CITATION# CHARGE 10 E#OTTOM ecaLLY srnNoiNc ✓. 4 MOTOR ❑ PEDAL- ❑ PF20PERTY .. T C DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 C►TY OF RENTON MIDDLE' LAST NAME FIRST NAME INITIAL 16 ❑ STREET ❑' 1055 S GRADY WAY CITY; RENTON ST WA ZIP 98057 NEW ADDRFSa CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 17 ❑ INTERLOCK YES[]NO INTERLOCK YEs Nt;i 'YES NO ❑ DRIVER'S STATE SEX U D.O.B — 37 18 ❑ LICENSE# MMODYYY HELMET INJURY NATURE OF INJURIES 38 ON DUTY❑ STATUS' AIRBAG RESTR. EJECT USE CLASS.: 19 ❑ ❑ 39 LICENSE TAT AN# PLATE# 20 TRAILER' TRAILER 40 PLATE#. STATE PLATE# - STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#:' 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT ❑ &POLICY# ).c;Q E. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..TF" YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 03-20-25 06:34 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 10433 O#RI WA0171300 APPROVED BY 3122512025 PAGE OF 3000-345-013(R 11t18) REPORT NO. EF76866 CASE# 25-2526 DATE AND TIME 03/20/2511:24 OF COLLISION a e n Z� kk 4r � z 4 YA S w } PAGE 4 OF 4