HomeMy WebLinkAbout25-2227 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF75720OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-2227 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LdCCODICENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT o 5 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 eDLLIs[oN' 03 - 12 - 2025 0857 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
S 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET e S 8 W e SHATTUCKAVES
OF 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066192553 0 1 30
5 LAST NAME TRUONG FIRST NAME LOWE MIDDLE T 1 1 2 31
INITIAL
STREET ] 2118 BURNETT PL S CITY; RENTON ST WA ZIP; 980555042 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCK YEs ND INTERLOCKVEs NO YES NO
8 DRIVER # STATE WA SEXI F MMDDYY' 11 - 21 - 1973 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 2] at ENSttEI BIH2480 STATE WA VIN# WBA3B9G54ENR91210 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM TO
TRLR zRLR 3 5 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2O14 MAKE BMW MODEL 335 STYLE VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO LONIE TRUONG 2118 BURNETT PL S RENTON WA 98055 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 3 4
14 PROGRESSIVE INSURANCE 966907044
IN EFFECT &POLICY# 9TOP
CHARGE 5 36
LvEnemur yes❑NO❑ CITATION# t a 80TTOM
15❑ STMDwc s 7 e
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2538809814
16�
LAST NAME SMITH FIRST NAME GARY MIDDLE' E
INITIAL
17 F1 STREET ❑❑ 11315 208TH AVENUE CT E CITY BONNEY LAKE ST, yyq ZIP 983916645 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCK YEs No INTERLOCK YES NO YES No
19 DRIVER'S STATE WA IIj
SEX M D.O.e. 01 17 1964 39
LICENSE# MML7DYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E CKD3087 rare WA vIN# USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2013 MAKE HOND MODEL ACCORD STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO GARY SMITH 11315208TH AVENUE CT E BONNEY LAKE WA 98391 VEHICLE NO.2
SHADE IN DAGAREA
2
LIABILITY INSURANCE INSURANCE CO TRAVELERS INSURANCE 604487169 203 1
IN EFFECT &POLICY# 9TOP
vemae
E VEHICLE
YES❑ N.I—I, CITATION11 CHARGE to BOTTOM
V
25 a e
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. EF75720
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2227
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 03-12-25 12:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 312112025 9:37:18 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:01 Aryl TIME POLICE ARRIVED i 10:06 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO.` EF75720 CASE# 25-2227 OF DATE AND r�N + 03/12/25 09:57
O�COLLISION
NARRATIVE
On March 12, 2025, at approximately 0957 hours, I was dispatched to a blocking vehicle collision at
the intersection of Shattuck Ave S and S 4th St, within the City Limits of Renton, County of King,
State of Washington.
While on scene, I was able to collect each involved party's information and independent summary of
the events leading up to the collision.
The driver of Unit 2, identified as Gary Smith, said he was the sole occupant of his vehicle and was
traveling northbound on Shattuck Ave S approaching the intersection of S 4th St. Gary stated he was
intending to continue straight through the controlled intersection for his direction of travel. After
coming to a stop at the stop sign, he noticed unit 1 doing the same. Gary proceeded forward but upon
reaching the intersecting driveway, Unit 1 failed to yield to his vehicle at the intersection. Gary tried to
avoid the collision but was unable to and subsequently collided into Unit 1 causing significant damage
to the rear right wheel of Unit 2. The collision caused his side airbags to deploy.
The driver of Unit 1, identified as Lonie Truong, said she was traveling westbound on S 4th St and
had approached the stop-sign controlled intersecting roadway of Shattuck Ave S. Lonie stated that
she was intending to make a left turn at the intersection to proceed southbound onto Shattuck Ave S.
Lonie stated that she stopped at the intersection to yield to approaching traffic. Lonie stated that she
stopped and began to turn out into the roadway. As she approached the intersecting driveway, Unit 2
failed to yield and appeared right in front of her. She believed the driver of Unit 2 failed to come to a
complete stop, and subsequently collided with Unit 2's rear right wheel. Unit 1 sustained moderate
damage to the front bumper.
Based on the above statements, I was unable to determined who caused the traffic violation.
Both Unit 1 and Unit 2 were driven away without further issues. Unit 2 had its side airbags deployed,
but Gary's shop, 308 S 3rd, was located a block away. I followed Gary to his shop and made sure he
arrived safely.
An exchange of information was provided to all involved parties.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/20/2025 Renton
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REPORT NO. EF75720 CASE# 25-2227 DATE AND TIME 03/12/2509:57
OF COLLISION
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