HomeMy WebLinkAbout25-3852 OLICETRAFFIC II I III I III I I III I I IIII III III REPORT NO. EF89266 0 5 27
j COLLISION REPORT 1591971
CASE# 25-3852 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
CDLL.ISION'. 05 - 01 - 2025 1334 17 =.= S 8 W E OF IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
RAINIER AVE S
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e S 3RD PL
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533786733 0 1 30
6 LAST NAME NGUYEN FIRST NAME MCKENZIE MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 2012 DUVALL AVE NE CITY RENTON ST WA ZIP 980593656 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs No INTERLOCKYEs No YES D NO
8 DRIVERS
# STATE WA SEx F MM0DYY' 01 - 05 - 2005 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 CLASS 1 NATURE of INJURIES 2
I INJURY
10 1❑ LICENSE BNW9561 STATE WA VN# JHLRD78575CO35521 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 5 1 33
1 3
FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 2 2005 HOND CRV DAMAGE Yes�No ✓� Yes❑ 5 1 34
REGISTERED OWNER INFO MINH-DU HUYNH 2O12 DUVALL AVE NE RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 3 4
14 FARMERS 187891277
IN EFFECT &POLICY# 4TOP
vE` CHARGE t 5 36
LEcgLLY yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING B 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:2533980045
16�
LAST NAME FLEMING FIRST NAME TANYA MIDDLE' R
INITIAL
❑
17 F1 STREET ❑ 11101 SE 208TH ST APT 1921 CITY KENT ST, WA ZIP 980314112
NEW ADDRESS
❑ ...; 37
IGNITION REQUIRE6 [GNfTION PRESENT MEDICALTRANSI'C7RTED+ ❑ 38
18 CDL
INTERLOCKYES No 1NTERLOCKYES No vEs No
19 DRIVER'S STATE WA SEX,F I D.Q.B. 04 27 1959 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E CHD8048 TATE WA VIN# 2GNFLGEKOF6409207 41
22❑ PLATE# STATE PAAILER TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2015 MAKE CHEV MODEL EQUINOX STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO 1A11,4FLEMING11101SE208THSTAPT1921 KENTWA98031 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 986874852
IN EFFECT &POLICY# t
HICL LEIAIL YES❑ NCLJCITATION# CHARGE
25 U�o
VEE OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF89266
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3852
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME NGUYEN JIMMYD
(LAST,FIRST,MIDDLE INITIAL}
ADDRESS&PHONE#
15601 SE 157TH ST RENTON WA 4159145522 SEX' M MMooYYYv 10 — 27 — 1994
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�', POS. USE CLASS ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q' POS USE CLASS r— ----�
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 05-01-25 02:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 51712025 9:17:41 AM
BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 1:37 PM TIME POLICE ARRIVED 1:39 PM
PART B 3 Do-3mx-,aR(Rtrras) PAGE 27 OF 47
EAN
REPORT NO.` EF89266 CASE# 25-3852 O OF COLLI COLLISION TIME 05/01/25 13:34
COLLI
NARRATIVE
On May 1, 2025 at approximately 1334 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of S 3rd St and Rainier Ave S, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, 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 1, Mckenze Nguyen, said she was traveling northbound in about the 350 block of
Rainier Ave S and approaching the intersection of S 3rd PI in the left turn lane. Mckenze stated that
she needed to get into lane 2 of 3 and mentioned that she did not see Unit 2. While making the lane
change, Unit 1 and Unit 2 collided in lane 2 of 3 causing moderate damage to the driver's side
bumper, fender, and quarter panel of Unit 1.
The driver of Unit 2, Tanya Fleming, said she was the sole occupant of her vehicle and was also
traveling northbound in about the 350 block of Rainier Ave S approaching the intersection of S 3rd PI
in lane 2 of 3. Tanya stated she was intending to continue straight when Unit 1 changed lanes from
the left turn lane and into lane 2 of 3 which Unit 2 was occupying. Tanya waws unable to avoid the
collision and Unit 1 subsequently collided with Unit 2. Unit 2 suffered significant damage to the front
passenger fender and wheel due to the collision.
An independent witness, identified as Jimmy Nguyen, remained at the scene. Jimmy confirmed the
above statements claiming that Unit 1 changed lanes into Unit 2.
Based on the above statements, 1 determined that the Driver of Unit 1 (Mckenze) is the proximate
cause for the cause of collision as she violated RCW 46.61.140(1) which states that a vehicle shall be
driven as nearly as practicable entirely within a single lane and shall not be moved from such lane
until the driver has first ascertained that such movement can be made with safety. Mckenze made a
lane change into Unit 2's lane of travel which had the right of way and was underway.
Both Unit 1 and Unit 2 were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
This is an information report only. No citations were given.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C.Catalan 05/01/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. E F89266 CASE# 25-3852 DATE AND TIME i 05/01/25 13:34
OF COLLISION
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