HomeMy WebLinkAbout25-5997 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG10562oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-5997 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TRIBAL i UNITS TRUCK
#OF 02 SO"" TRAFFIC SIGNAL POLE 1 28
i RESERVATION : 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDL�ISION' 07 - 11 - 2025 1510 17 =.= S 8 W E IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 3RD ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 10 00 FEET e✓ S 8 W e BRONSON WAY NE
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257667553 30
6 LAST NAME LUONG FIRST NAME QUYEN MIDDLE Q 0 1 31
INITIAL
STREET ❑ 6549 29TH AVE S
'NEW ADDRESS CITY I $EATTLE ST WA ZIP: 98108 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO Z/ INTERLOCKYEs No✓ YES ND�/
8❑ DRIVERCENS # STATE WA SEXI M MMDD YY' 12 - 31 - 1960 32
9� ON DUTY STATUS' AIRBAG 9 RESTR 1 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES 2
USE ,CLASS INJURY TO HEAD
LICENSE, CSD7421 STATE WA VIN# JTDBR38E830039326 3
10 F1 as ATP tt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR TRLR 3 7
2= 33
1 UIN#' VIN#
FROM TO
13 2 VEH.YEAR2003 MAKE TOE MODEL COROL STYLE $D VEHICLETOWED2TOfjBUN T(Qi �YMEYERSTOW GCS❑ENO✓ m 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO Q/NG YANG 654929TH AVE S,SEATTLEWA SEATTLE WA 98108 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE[%/] IN&SURANC POLICY#E CO
IN EFFECT COUNTRY FINANCE P46A4193557 4
9TOP
vEnic�E CHARGE t 5
Lemur yes❑NO❑ CITATION# 36
t a 80TFOM
15 IT] sTnNowc s 7 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ✓ D:4254306400
VEHICLE CYCLE OWNER NO ✓
16❑
LAST NAME CITY OF RENTON FIRST NAME MIDDLE
INITIAL
17 F1 STREET ❑
❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 q 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38
INTERLOCKYEs No INTERLOCK YESFJxz YES NO
19[ DRIVER'S
# STATE SEXjU MD.02.MDDy E:= 39
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE
❑
21 PLATE# TATE VIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vemae ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
LACY SMITH 12613 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG10562
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5997
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
25-5997
On 07/11/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1514 hours I was
dispatched to a vehicle versus pole at NE 3RD ST/BRONSON WAY NE. This incident occurred in the
City of Renton, County of King, State of Washington.
Unit 1- WA/CSD7421
I arrived on scene and observed unit 1 off the roadway on the Northeast side of the intersection with
damage to the front passenger side of the vehicle.
I contacted the driver of unit 1 and positively identified him as, Quyen Luong, via his Washington
State Driver's license.
According to Luong he was traveling Westbound on NE 3rd when his brakes gave out at Bronson
Way NE. Per Luong, there were vehicles stopped at the light and he made the split-second decision
to drive off the roadway in an attempt not to hit them. Luong collided with a power pole on the
Northeast side of this intersection.
The Renton fire department was on scene and medically evaluated Luong. Luong refused to be
transported to the hospital despite the fact that there was significant damage to the windshield where
Luong had hit his head. 1 notified Luong's daughter who he was on the phone with and she stated
she would come pick Luong up and watch over him.
At this time it appeared the brakes of Unit 1 failed causing this collision.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
LACY SMITH 07-13-25 03:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 711312025 6:24:16 PM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 3:13 PM TIME POLICE ARRIVED i 3:36 PM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG 10562 CASE# 25-5997 DATE AND TIME 07/11/25 15:10
OF COLLISION
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