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Home My WebLink About25-1120 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 25-1120 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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# ❑ cowsloN 02 - 1-- 2025 0854 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ N 3RD ST BLOCK NO. e✓ 1450 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2062491136 0 11 30 6� LAST NAME BUI FIRSTNAME HONG-HANH MIDDLE T 1 2 31 INITIAL STREET ❑, 620 BLAINE CT NE CITY RENTON ST WA 2jp, 980560000 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 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 1❑ p)aT�S�t 978YX6 sTATe WA urN# JHLRE48579C006747 TRAILER STATE TRAILED STATE 11 3 0 PLATE# PLATE# IRM ro TRLR. TRLR 1 3 33 12 3 0 VIN#' VIN# >;. FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 2 2009 HOND CR-V DAMAGE YES NO YES : NO✓ REGISTERED OWNER INFO HONG BUI 620 BLAINE CT NE RENTON WA 98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE� INSURANCE E CO COUNTRY FINANCIAL P46A4242066 2022 4 LI EFFECTIPOLICY# TOPVEHICL CHARGE 36 LECALLv Yes❑NO CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ PROPSOWNE ❑ YES NO 1/ D:2064308775 16 a LAST NAME LI FIRST NAME YINGYIN MIDDLE N INITIAL 17❑ STREET ❑', 8454 34TH AVE S CITY SEATTLE ST WA ZIP 981184503 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 DRIVERS # STATE WA SEX F M D.C.B. 09 _ 09 _ 1985 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑ 21❑ LICENSE I CPV3573 TATe WA vIN# 7SAYGDEE2SF256805 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2025 MAKE TESL MODEL MODEL Y STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO XABIN HE 4414 SE 4TH ST RENTON WA 98059 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE I PORGY#ECO ECONOMY PREFERRED 38067IN IGQVE""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF64627 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1120 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. C.CATALAN 02-04-25 01:32 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 2/11/2025 11:19:51 AM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED` 8:89 AM TIME POLICE ARRIVED',9:10 AM PART I PAGE IT]OF 5� REPORT NO. EF64627 CASE# 25-1120 OF COLLISION 02/04/25 08:54 OF CbLLI510N NARRATIVE On February 4, 2025, at approximately 0854 hours, I was dispatched to a blocking vehicle collision in the intersection of N 3rd St and Meadow Ave N, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, 1 confirmed there were no complaints of injury. While on scene, I collected each involved party's driving documents and their independent involvement leading up to the collision. The driver of Unit 1, identified by her WADL as Thi B. Hong-Hanh, stated she was the sole occupant of her vehicle and was attempting to exit Meadow Aly N, located at on the northside of the roadway. Thi stated that he was intending to make a left turn out of the aly to proceed eastbound onto N 3rd St following the turn. Thi stated that the roadway was frozen and therefore her vehicle lost traction and was unable to control her vehicle. When he attempted to break, the slid forward. Thi stated that she was unable to avoid the collision after having pulled out into the roadway and that Unit 1 struck the driver's side wheel of Unit 3, causing significant damage. In the processes of striking Unit 3 in lane 1, she slid into unit 2 which was in lane 2. The driver of Unit 3, identified by his WAID as Grayson Maxwell, said he was the sole occupant of his vehicle and was traveling eastbound in about the 1400 block of N 3rd St and in lane 1 of 3. Grayson stated he was intending to continue east on N 3rd St. Upon reaching the location of where Unit 1 was coming out from, Grayson observed Unit 1 pull out into the roadway but was unable to avoid the collision. Both vehicles collided in the roadway (lane 1 of 3) and Unit 1 suffered significant damage to the front driver's side, including the wheel of the vehicle. The driver of unit 2, identified by her WADL as Yingyin Li, reported a similar story as the driver of unit 3. Yingyin stated that unit 1 failed to yield the right of way and struck unit 3's drivers side wheel. After the collision occurred, unit 1 slid into unit 3's rear right bumper, causing minor damage. Based on the above statements, 1 determined that the Driver of Unit 1 (Thi) is the proximate cause for the collision due to inattention causing a collision. Thi should have been paying closer attention to the roadway and weather conditions. I gave the driver of Unit 1 (Luis) a verbal warning for inattention. Unit 3 had to be towed due to extensive damage. Unit 1 and 2 were able to be driven away without issues. An exchange of information was provided to all involved parties. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF64627 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-1120 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO D:4152605419 0 1 Zg LAST NAME MAXWELL FIRST NAME GRAYSON MIDDLE' L INITIAL STREET 30 NFW AnDRFrtP 2910 N 7TH ST APT 6 CITY TACOMA ST WA ZIP 984066701 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YEs�NO� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 10 - 19 - 1982 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE A8047244 [TAT WA VIN# 5YJ3E1EB4PF619243 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 0 VEH.YEAR2023 MAKE TESL MODELMODEL3 1 STYLE SD I VEHICLE TOWS ET SABLI T�f°E TOW/NG Gf1VT VFHIGP FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 3 33 12 � SHADE IN DAMAGED AREA 2 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO USAA 0179514017102 91"OI' IN EFFECT &POLICY# ) LEG LEY m 34 13 ❑ REGALLY YES[:] NO❑ CITATION# CHARGE gg�� 70 OTT M ❑ STANDING dRDD PROPERTY NHREOLD MET 8:9 7 6 ❑ 35 VEHICLE CYCLE OWNER YESGO PHONE 14 UNIT r AL El PEDESTRIAN 1:1 15 LAST NAME FIRST NAME MIDDLE 36 INITIAL I ❑ STRE 16 ET NFW ETnnR".9 CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED 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 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=ELv 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. C.CATALAN 02-04-25 01:32 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#IL WA0171300 JACOBS 21,1/2025 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. EF64627 CASE# 25-1120 DATE AND TIME 02/04/25 08:54 OF COLLISION tre 4M* uply to a f�44 is 1tc i� i sr�a PAGE 5 OF 5