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HomeMy WebLinkAbout25-5807 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG20780OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE ❑ CASE# 25-5807 2 RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ VEHICLE ❑ LOCALAGENCY 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 07 - 04 - 2025 0138 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ HOUSER WAY N BLOCK NO. e 100 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2068830530 0 1 30 5❑ LAST NAME LO FIRST NAME ANDREW MIDDLE P 1 2 31 INITIAL STREET ❑ 256 OAKESDALE AVE SW CITY; RENTON ST WA ZIP; 98057 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCKYES NO✓ YES NO�/ 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 11 - 14 - 2001 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 9 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, CCG6053 STATE WA VIN# JTMBK4DV8AD015212 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM To TRLR zRLR 1 1 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2010 MAKE TOYT MODEL RAV4 STYLE 4D VEHICLE TOWED NO�iS46LIN T�VyEp,QLRS GESIT`VEHICLE E ND 1 1 34 DAMAGE II_II HtVi(t u 13 REGISTERED OWNER INFO ANDREW LO 256 OAKESDALE AVE SW RENTON INA 98057 D:2068830530 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE NPOLICY# VEHICLE SURANCE CO ALLSTATE 987775813 3 IN EFFECT & i 4TOP CHARGE 36 Lemur yes[:]NO[:] CITATION# 7 0 60TTOM 1 5❑ STANDING s 7 MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:2533915860 16� LAST NAME OUEDRAOGO FIRST NAME SIMON MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 106 KENSINGTON AVE S,APT 201 CITY KENT ST, WA ZIP 98030 q 37 NEW ADDRESS 18❑ CDL IGNITION RE(2UIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs No✓ INTERLOCK YES NO✓ YEs NO'✓ 19 DRIVE # ❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSLATE E CLX4640 rare WA vIN# YV4062PN7P1991310 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2023 MAKE VOLV MODEL XC90 STYLE UT VEHICLE TOWED✓ No BLIN BANKERS ves No✓ 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2 SHADFY DAMAGEDAREA 3 4 LIABILITY INSURANCE[Z INSURANCE CO TRAVELERS 6154795712031 IN EFFECT &POLICY# 9TOP "Hine ❑ ,J—I CITATION# CHARGE t080TTOM �,EI�Y YES N`.L J 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HUNTER DEIGHAN 13030 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG20780 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5807 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 GLASS 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 CIASS ----� :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 GLASS 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. HUNTER DE/GHAN 07-04-25 03:17 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 8/20/2025 2:35:04 AM BADGE OR ID# j 13030 ORI# WA0171300 TIME POLICE DISPATCHED 1:38 AM TIME POLICE ARRIVED i 1:38 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG20780 CASE# 25-5807 DATE OF COLLI r�510NN + 07/04/25 01:38 L1 NARRATIVE Case #25-5807 Unless otherwise noted, the following happened within the City Limits of Renton, County of King, State of Washington. On 07/04/25 at approximately 0138 hours I was at a separate call at Evergreen Ballet when I heard a loud crash to the east. Myself and other Officers drove to investigate finding a 2 car blocking collision at the 100 block of Houser Way N. Both vehicles had significant damage. There were no injuries. Unit#1 was in lane 4 facing southeast. Its rear tires were flat and touching the curb. The driver of Unit #1 told me he was traveling north on Houser Way N in lane 1. He realized that he needed to be in lane 2 before he turned onto Bronson Way N. He activated his signal and began shifting into lane 2. He said it was at this time that Unit#2 rear ended him causing Unit#1 to spin around and end up in lane 4. According to the driver of Unit#1 the collision occurred in lane 2. Unit#2 was in lane 1 facing north. The driver of Unit#2 told me he was traveling north on Houser Way N in lane 2. He said that Unit#1 changed lanes multiple times, maybe two, between lane 1 and 2. The driver of Unit#2 said that he shifted into lane 1. Unit#1 then shifted into lane 1 in front of Unit #2 and Unit#2 rear ended Unit#1. According to the driver of Unit#2 the collision occurred in lane 1. Based on conflicting accounts from both drivers, I am unable to determine who is the proximate cause in this situation. One or both drivers is mistaken, because both of them dispute which lane the collision occurred in and who was shifting lanes from where. I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Electronically signed by H. Deighan 13030 on 07/04/2025 hours in Renton WA. PAGE 3 OF 4 REPORT NO. EG20780 CASE# 25-5807 DATE AND TIME 07/04/2501:38 OF COLLISION> ' rb C z � t �v 4 4 4 i 4ry�' cl�I S i t � ��. 1 X PAGE 4 OF 4