HomeMy WebLinkAbout25-6460 )STATE
TFC 0 5 27I
OICERAF EG13511
COLLISION REPRT 1591971
CASE# 25-6460 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 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
coulsloN' 07 - 27 - 2025 2221 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e N 6TH ST
0 4 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255031099 0 1 30
5 LAST NAME NORMAN FIRST NAME NICHOLAS MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 23051 64TH ST CT E CITY BUCKLEY ST WA ZIP 98321 2
NEW ADDRESS
7 CDL IGN �/ITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs No INTERLOCKYEs NO�/ YEs NoF,/
8 DCIENS # STATE WA SEX M MMOCSYY' 06 — 10 — 1994 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N U EET 6 INJURY
ASS 1 NAruRE of INJURIES 2
10 1❑ LICENSE
D77621D STATE WA VN# 3C6UR5SL7NG203358 3
TRAILER STATE TRAILER ..STATE
11 0 0 PLATE# PLATE# ROM TO
rRLR TRLR 1 3 33
1 0 0 VIN# VIN#
( FROM TO
2
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 v GOVT VEHICLE g 1 34
13 4 2022 DODG RAM PK DAMAGE YES TO
6MMEYER YEs❑ No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO
14 SAFECO H2424287
IN EFFECT &POLICY# 5
v `LE CHARGE <14,
36
Lec Ly YES❑NO❑ CITATION# 515 STM ING
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT(� Q ❑ PEDESTRIAN ❑ D:3322822228
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME CHEN FIRST NAME ZIQING MIDDLE'
INITIAL
STREET ❑
17 ' 5❑ 232 122ND PL SE CITY BELLEVUE ST, WA ZIP 98006 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT NEDICALTRANSP6RTED: 38
INTERLOCKYES No INTERLOCK YES "Ohl YEs No
19 DRIVER'S STATE WA SEX M I D,O.B. 06 18 1989 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE W INJURIES 40
USE CLASS UNKNOWN
21 LICEN# CSG7496 rarE W/a vIN# 2T2BZMCA1KC195444 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2019 MAKE LEXS MODEL RX 300 STYLE SV VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s�/ NO GENE MEYER YES No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO GENERAL 2023305138
IN EFFECT &POLICY# 4TOP
vewaE ❑ ,.I—I CITATION# CHARGE t08OTTOM
A Y YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JUSTIN KAUPPILA 12883 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG13511
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6460
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDVYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF 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 �____ ----j
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.
JUSTIN KAUPPILA 07-28-25 12:10 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 7/28/2025 2:42:48 AM
BADGE OR ID# 12883 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:24 pM TIME POLICE ARRIVED 10:31 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG13511 CASE# 25-6460 O COLLI COLLISION TIME
OF 07/27/25 22:21
COLLI
NARRATIVE
On 07/28/2025, 1 was working as a uniformed police officer for the city of Renton. At approximately
2224 hours, I was dispatched to an unknown if injury accident at the intersection of N 6th St and
Logan Ave N. Portions of my involvement were captured on my department-issued body-worn
camera.
I arrived at the call location and was able to locate the involved vehicles partially blocking the
intersection.
I went to speak to the driver of Unit 1. My conversation with him is summarized as follows:
Unit 1 explained that he was traveling south on Logan Ave N. When approaching the intersection, he
set up to turn left (east) on N 6th St. He could not remember whether he had a green light or not to
proceed; however, he did in fact continue to make his turn and subsequently struck unit 2.
Officer Turner spoke to the driver of Unit 2. The following is a summary of their conversation as
relayed to me:
He was traveling north on Logan Ave N in lane 2 of 3. As he approached the intersection at N 6th St,
he remained in the lane to continue north. Once he began to proceed through the intersection, the
driver's side of Unit 2 was struck by the front of Unit 1.
The driver of unit 2 and its one additional passenger complained of head, chest, and neck pains.
Renton Regional Fire Authority arrived a short time later and evaluated them. They both chose to go
to the hospital voluntarily.
Gene Meyer tow later arrived and took possession of the two vehicles from the location as they were
blocking and undriveable.
I captured photos on scene and later uploaded them to evidence.com. I provided both drivers a copy
of my business card with the case number inscribed on the back of it.
Based on the totality of circumstances, I believe that Unit 1 is the proximate cause of the collision.
Nothing further.
PAGE 3 OF 4
REPORT NO. EG 13511 CASE# 25-6460 DATE AND TIME i 07/27/25 22:21
OF COLLISION
OL
w
y k:'
� � v
4 t ((k l
a
k;
} iy
� 4
.1
"u 5.
I " I
k � i
S,
;r=
0
PAGE 4 OF 4