HomeMy WebLinkAbout25-6526 j TFCII IIIII III IIIII II IIII IIIII I . 27I 5
OOLICERAF EG144
COLLISION REPRT 1591971
CASE# 25-6526 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 4100 3
COUNTY RD INVOLVED
CI)DING
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 - 29 - 2025 1212 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
SW 5TH PL MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e HARDIE AVE SW
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2068165979 0 1 30
5 LAST NAME HUSEIN FIRST NAME EDIL MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 13445 MARTIN LUTHER KING JR W UNIT M402 CITY SEATTLE ST WA ZIP 981785261 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYES NO YES NO
8❑ LDRIVER'S 1 ICENSE# STATE WA SEX F MMo YY' O6 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATUREof HEADS 2
USE ;CLASg POSSIBLE HEAD INJURY
LICENSE CNG3886 STATE WA VN# 5YFBURHE9GP527231 3
10[9� PI ATP rt'
TRAILER STATE TRAILER ,STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR TRLR 3 7 33
12 3 5 VN# VN#
( FROM TO
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 Y GOVT VEHICLE 1 5 34
13 2 2016 TOYT COROL DAMAGE vE2NO 9MEYERSTOWING ves❑ No
REGISTERED OWNER INFO EDIL HUSEIN 13445 MARTIN LUTHER KING JR W UNIT M402 SEATTLE WA 981785261 D:2068165979 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE NSURANCECO LM GENERAL INSURANCE AOS-268-528980-40 5 2 3 4
IN EFFECT &POLICY# 4TOP _
VEHICLE YesNO❑ CITATION# 5A0638890 CHARGE FAIL STOP AT STOP 000Trob 36
15
MOTOR PEDAL YES 1/ NO PHONE
UNIT PEDESTRIAN PROPERTY D:4258907423 VEHICLE CYCLE58907423 nWNFR
16�
LAST NAME TRAN FIRST NAME HUONG MIDDLE T
INITIAL
17 F1 STREET ❑❑ 4228 S 216TH PL CITY KENT ST, W 37
A ZIP 980322366
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYEs No INTERLOCK YES NO yEs ND
19[ DRIVER'S STATE WA SEX I F D.O,B8 01 14 1948 39
LICENSE# MMDDYY
HELMET 7
INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT '1 2 ❑
USE CLASS HEAD,BACK,AND SHOULDER PAIN
21 ILICENSE PLATE# APR7199 TATE I WA vIN# 5YFBPRHE7EP100781 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2014 MAKE TOYT MODEL COROLL STYLE SO VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE ves�/ No GENE MEYERS TOWIING ves No
REGISTERED OWNER INFO HUONG TRAN 4228S 216TH PL KENT WA 980322366 D:4258907423 VEHICLE NO.2
SHADEd DAMAGEDAREA
4� 3 4
LIABILITY INSURANCE INSURANCE CO SAFECO INSURANCE.X6395828
IN EFFECT &POLICY# 9TOP
Veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
Lecnttr YES N`[
25 e
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. EG14455
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6526
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME JOHNSON MARIOA
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE#
RENTON RENTON WA 98055 9123229275 SEX' M MMooYVVv 11 - 13 - 1980
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' SOS. 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----------�
MMDDVVYY
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 07-29-25 02:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY T DATE
C.JACOBS 1953 1 713012025 11:48:17 AM
BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:12 PM TIME POLICE ARRIVED 12:12 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG14455 CASE# 25-6526 O COLLI COLLISION TIME
OF 07/29/25 12:12
COLLI
NARRATIVE
On July 29th, 2025, at approximately 1212 hours, I was dispatched to a two-vehicle collision near the
intersection of SW 5th PI and Hardie Ave SW, within the City Limits of Renton, County of King, State
of Washington.
Upon arrival, I contacted the involved parties and determined that both vehicles sustained heavy
damage to the front bumper. While on scene, 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 Edil Husein, said she was the sole occupant of her vehicle and was
traveling eastbound on SW 5th PI and approaching the intersection of Hardie Ave SW before the
collision occurred. Edil intended to cross Hardie Ave SW to enter the rear parking lot of Fred Meyer.
Edil stated she was stopped at the intersection yielding for traffic when she remembered seeing Unit
# 2 traveling southbound on Hardie Ave SW. She believed she had enough time to cross the
roadway, so she proceeded forward. While moving ahead, both vehicles collided in the southbound
lane of Hardie Ave SW. Unit#1 sustained severe damage to the front of the vehicle, making it
undrivable. While speaking with Edil, she stated she felt pain to the left of her body.
The driver of Unit#2, identified as Huong Tran, said she was the sole occupant of her vehicle and
was traveling southbound on Hardie Ave SW and approaching the intersection of SW 5th St. While
she intended to continue southbound, Unit#1 crossed in front of her. Huong stated she was unable to
stop in time, so both vehicles collided in the roadway. Unit#2 sustained severe damage to the front
bumper. Huong complained of pain to her upper body.
Renton Fire arrived on scene and cleared the two drivers.
Both vehicles were removed from the scene by Gene Meyers towing and both driver received an
exchange of information.
An independent witness identified as Mario Johnson stated Unit#1 failed to yield and crossed in front
of Unit#2.
Based on the above statements, 1 believe that the driver of Unit#1 (Edil Husein) is the proximate
cause of the collision as Edil is required to comply with RCW 46.61.190(3) which states that every
driver of a vehicle approaching the point nearest the intersecting roadway where the driver has a view
of approaching traffic of the intersecting roadway must stop before entering the roadway, and after
having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on
another roadway so closely as to constitute an immediate hazard during the time when such driver is
moving across or within the intersection or junction of roadways. Unit#2 was already underway in the
roadway and had right of way.
I cited Edil via mail.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 07/29/2025 Renton
PAGE 3 OF 4
REPORT NO. EG 14455 CASE# 25-6526 DATE AND TIME i 07/29/25 12:12
OF COLLISION
t �J
1
t k \�➢ J �
t� L
J
'�1� } t.t '^^`eft{ }`•� '..
1�
t �m
J
tJ�
y
�19,A Jet# ,
1
1 �tm t
17 t
1.
�f ip
t
a �
ti^
�� Js
l�
PAGE 4 OF 4