HomeMy WebLinkAbout25-2212 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF75719OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-2212 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�ISION' 03 - 11 - 2025 1538 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e 3800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066092508 0 9 30
5 LAST NAME HUYNH FIRST NAME THI MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 715 ROSARIO PL NE CITY; RENTON ST WA ZIP; 980594588 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSP6RTED 3
INTERLOCK YES NO INTERLOCKVEs ,E YES No
8 DRIVER # STATE WA SEXI F MMDDYY' 10 - 18 - 1977 t 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CNJ1004 STATE WA VIN#; 1HGCG56742AO41353 3
10 Fq I as ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 7 1 3 33
12 0 0 VIN#' VIN#
FROM TO
13 2 VEH.YEAR2002 MAKE yOND MODEL ACCOR STYLE VEHICLETOWED2TOIyS46LIN ajWgYMEYERS VEHICLE 9 9 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO THIHUYNH715ROSARIOPLNE RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 PROGRESSIVE 988501561
IN EFFECT &POLICY# 9TOP
V""' CHARGE 5 I < 36
LEGALLY YES❑NO❑ CITATION# t a 80TTOM
15❑ STM ING 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063138838
16�
LAST NAME DANG FIRST NAME JENNY MIDDLE N
INITIAL
17 F1 STREET ❑
❑ 5025 NE 9TH PL CITY RENTON ST, WA ZIP 98059 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES NO INTERLOCK YES NO vEs NO
19 DRIVER'S STATE WA SEX F D.O.e. 03 28 1967 39
LICENSE# MMDdYY -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE
PLATE# B30888V TATE I WA VIN# 4JGAB75E92A295409 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2002 MAKE MERZ MODEL ML500 STYLE UT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO WILLIE VONG 5025 NE 9TH PL RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO pEMCO CA 0599924
IN EFFECT &POLICY# t STOP
LVEHICLE
'—LY YES N CL] CITATION# CHARGE to BOTTOM
LEGALL
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF75719
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2212
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 CLASS 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
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 03-11-25 04:38 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 312112025 9:38:22 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:40 PM TIME POLICE ARRIVED i 3:40 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF75719 CASE# 25-2212 O OF COLLISION TIME 03/11/25 15:38
NARRATIVE
On March 11, 2025, at approximately 1538 hours, I was dispatched to a non-injury and non-blocking
two-vehicle collision at the 4800 block of NE 4th St, within the City Limits of Renton, County of King,
State of Washington.
Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring
immediate medical response at the time of report. There, I collected the involved parties driving
documents and their independent recollection of events leading up to the collision.
The driver of Unit#1, identified as Thi Chi Thao, said she was traveling eastbound in about the 4800
block of NE 4th St. Thi stated she was traveling behind Unit#2 and saw as Unit#2 came to a stop for
eastbound traffic. Thi stated that instead of pushing on the brake, she accidentally pushed on the
accelerator. Thi was unable to stop and subsequently collided with the rear of Unit#2 causing
significant damage to the front of Unit#1.
The driver of Unit#2, identified as Jenny Dang, said she was the sole occupant of her vehicle and
traveling eastbound in about the 4800 block of NE 4th St just west of the intersection of Union Ave
NE. The driver of Unit #2 stated she was stopped in the roadway when Unit#1 collided with the rear
of Unit#2 causing moderate damage to the rear of Unit#2.
Based on the above statements, I determined that the Driver of Unit #1 (Thi) is the proximate cause
for the collision due to inattention causing a collision.
I gave Thi a verbal warning for Inattention.
Unit#1 had extensive damage and had to be towed from the scene. Unit#2 was able to be driven
away without further incident. An exchange of information was provided to all involved parties.
Information only. No citation.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/11/2025 Renton
PAGE 3 OF 4
REPORT NO. EF75719 CASE# 25-2212 DATE AND TIME 03/11/2515:38
OF COLLISION
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