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Home My WebLink About25-6842 ("7— STATETFFiN27CERAc REPORT NO. EG16956 COLLISION REP F 1591971 CASE# 25-6842 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHERF-I VFHICI F LOCAL AGENCY 4200 3[� HIT 8 RUN ❑ 2 CODING ❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED 1 OBJECT 1 TRIBAL NI75#OF02 STRUCK' BUILDING 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 08 - O6 - 2025 1508 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE SUNSET BLVD BLOCK ST M4a MILEPOST 2725 ❑ .� ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.= FEET e S e W B 1 1 29 MOTOR PEDAL- DAM THRESHOLD MET E /NoUNIT 01 VEHICLE CYCLE Yes IPHON D:4252822925 30 6❑ LAST NAME SONG FIRST NAME JIN MIDDLE M 1 1 2 31 INITIAL STREET F-1' 3151 NE 16TH ST#206 CI7y RENTON WA NEW ADDRESS S7 ZIP 98056 z 7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES LINOZINTERLOCK YES No YES NOW 8❑ LICENSE STATE �yA SEX'M MM flYY 03 - 12 - 1952 1 32 9 F] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 2 CLASS 1 NATURE OF INJURIES 2 10❑ LICn NSte BSS9218 STATE WA WIN# JTDBE32K230154935 3 11 0 0 PLATE# STATE PLATRAITE# STATE ROM To TRLR TRLR. 7 3 33 12 VIN# VIN# FROM TO 13 9 VEH.YEAR2003 MAKE TOYT MODEL CAMRY STYLE VEHICLETOWEEDFtl T02fBLIN TOWED BY GO VT.VENOCL✓ m34 ❑ REGISTERED OWNER INFO OWNEDBYDRIVER IIIL—llll VEHICLE ccNJO..'II 1 SHADE 1N DAMAGED AREA ❑ 35 14❑ LIABILITY INSURANCE NSURANCE CO TRAVELERS 614188084 203 1 4 IN EFFECT &POLICY# STOP VEHICLE YES CHARGE 5 ❑ 36 EGALl v ❑NO❑ CITATION# 10 ftOTTOM 15❑ GT—N. 6 MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE UNIT PEDESTRIAN D:4252285700 VEHICLE CYCLE OWNER YES NO 16❑ LAST NAME SAFEWAY FIRST NAME MIDDLE INITIAL 17 STREET El 2725 NE SUNSET BLVD ATTN:DENNIS JOHNSON CITY RENTON ST, WA ZIP 98056 4 ❑NEW ADDRESS 37 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 3$ 1NTERLOCKvEs No INTERLOCKYEs uo YES NO 19❑ DRIVER'# STATE SEX M MMDayv 02 19 _ 195 9 39 ❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET INJURY NnruRE of INJURIES ❑ 40 USE CLASS 21 LICENSE❑ PLATE# TATE' VIN# 41 ❑ 42 22 TRAILER TRAILER PLATE# STATE PLATE S7A7E 23 43 TRLR RLR VIN#. '[N#, VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GO HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO E 3 4 IN EFFECT &POLICY# t 4TOP 5 —1-1 ❑ .1-1 CITATION# CHARGE 25 tOBOTTQM LEGALLY YES N`'L J � s 7 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 WILLIAM RIDGEWAY 12500 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG16956 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6842 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) SOKOL DAR►A ADDRESS&PHONE# 425 S 150TH ST BURIEN WA 98148 2064837108 SEXi F MMDD'yYYYY 11 - 18 - 1988 PASSENGER WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS ----� :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 ❑ ❑ PC& 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. WILLIAM RIDGEWAY 08-07-25 06:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 8/7/2025 5:28:25 PM BADGE OR ID# 12500 ORI#' i WA0171300 TIME POLICE DISPATCHED 1 3:08 Pry/ TIME POLICE ARRIVED i 3:17 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF F5 REPORT NO. EG16956 CASE# 25-6842 OF COLLI ION 08/06/25 15:08 OF COLLISION NARRATIVE 25-6842 At about 1509 hours on 08/06/2025, 1 was dispatched to a motor vehicle into a building, unknown injuries at Safeway, located at 2725 NE Sunset Blvd in the City of Renton, King County, Washington. While enroute, the call updated with the vehicle hitting the building twice, with the driver now outside of the vehicle confused and uninjured. Upon arrival, I observed a gray 2003 Toyota Camry (BSS9218/WA) -UNIT 1 facing the west side of the listed Safeway building parked about 10 feet away from the building. There was extensive front- end damage to the vehicle with the vehicle leaking an unknown fluid. The driver who was the listed registered owner: Jin M. Song (DOB:03/12/1952 -verified by WADOL photo) was standing near the front driver's fender. He said he mixed up the pedals but was okay. Jin provided his valid WADOL, valid insurance information and expired registration, but was valid registration per WADOL return (expires in 2026). Renton FIRE arrived to assess the structural damage to the building. I asked Jin if he wanted to be seen by FIRE as a precaution, he refused multiple times and said he was okay. I did not observe any indications of Jin being under the influence of any intoxicants or substances. Nothing suspicious was observed inside the vehicle. Photos were taken of the scene and uploaded to the case. I asked Jin if he had any medical conditions, I should be aware of, he said no. I asked Jin if he knew where he was, he answered Safeway. He was able to tell me the date and year. From my observations, Jin appeared coherent and understood what had occurred. Jin stated multiple times he got confused and mixed up the pedals. Renton FIRE advised they had a city engineer enroute along with a Safeway building engineer. The severity of the damage of Safeway was unknown. It was not determined the building needed to be evacuated. No injuries were reported from anyone on scene. was contacted by a witness: Daria Sokol (DOB:11/18/1988). She showed me a video recording of the listed vehicle backing up from the front of the store (disabled parking spot) then driving straight into the building, with no observation of the vehicle attempting to turn left to exit the lot. This was the second collision into the building, with the first not being captured on the shown video. I sent Daria an AXON link to upload the video. I spoke with Safeway Director: Dennis R. Johnson (DOB:02/19/1959). He confirmed no injuries. Everyone was just emotionally shook up. I provided him with a business card and case number. He confirmed a Safeway engineer was on their way. I told Dennis, the driver Jin left his phone at home, but I would be calling his son in law to arrange a tow/retrieval of Unit 1. Dennis said no problem. I contacted David McBride-Safeway Asset Protection. He was provided an AXON link to upload any Safeway footage of the incident to the case. I conducted a courtesy transport of Jin to his home at Houser Terrace #206 in Renton. He entered his home and called his son in law: Sung J. Kim (DOB:04/15/1978) #206-883-6762. 1 told Sung of the accident and that Jin was okay. Sung was provided the location of Unit 1 and said he would take care of the retrieval. Sung added that Jin did not have any medical issues and did not take any medications except for vitamins. Sung did say Jin had a stroke years ago, which causes him to lose control of the left side of his body sometimes. I provided Sung with the case number. I told Jin I would leave him a business card on his kitchen table. Based on the obtained information, the proximate cause of the accident appeared to be Jin becoming confused of the pedals and losing control of part of the left side of his body, which contributed to him not being able to turn left to exit the lot and drive towards his listed residence. This concludes my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by W. Ridgeway #12500 on 08/07/2025 at 0626 hours in Renton, Washington. PAGE 3 OF 5 REPORT NO. EG16956 CASE# 25-6842 OF COLLI ION 08/06/25 15:08 OF COLLISION NARRATIVE PAGE 4 OF 5 REPORT NO. EG 16956 CASE# 25-6842 DATE AND TIME 08/06/25 15:08 OF COLLISION r� e M } t' n. u \cl; t l wk t a r to,. n,a i } PAGE 5 OF 5