HomeMy WebLinkAbout25-7036 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG21440OLCERA
COLLISION REPORT 1591971
❑ FIRE ❑ �/�$E$ 25-7036 2 6 6
INTERSTATE CITY STREET ✓ RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCALAGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
87
2❑ TRIBAL i UNITS#OF 02 SOTRUCK METAL SIGN POST 28
i RESERVATION : 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 08 - 12 - 2025 2340 17 =.= S 8 W e OF IN e 1070 3
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 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:2067789544 30
5 LAST NAME TRAN FIRST NAME KIM MIDDLE Q 1 2 31
INITIAL
STREET ❑ 3432 NE 23RD PL CITY; RENTON ST I WA ZIP; 98056 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YEs NOR] INTERLOCKvEs NO✓ YEs ND✓
g DRIVER # STATE WA SExI F MMDDYY' 12 - 09 - 1969 32
9 ON DUTY STATUS' AIRBAG 2 RE
STR 9 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE', BTD5493 STATE WA VIN# 4T1F31AK9LU523727 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR rRLR 5 1 33
12 VIN#' VIN#
: FROM TO
VEH.YEAR 202D MAKE TOYT MODEL CAMRY STYLE 4D VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE m 34
13� DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO KIM TRAN 3432 NE 23RD PL RENTON WA 98056 D:2067789544 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE� INSURANCE CO STATE FARM 5877778-813-47 4
IN EFFECT &POLICY# <n,
VEn" CHARGE 36
Lec Ly YES❑NO❑ CITATION# FOM15 STMDwc 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ✓ D:2064770934
VEHICLE CYCLE OWNER NO ✓
16❑
LAST NAME KING COUNTY FIRST NAME METRO MIDDLE
INITIAL
17 F1 STREET ❑
❑ 1500 6TH AVE S CITY SEATTLE ST, WA ZIP 98134 g 37
NEW ADDRESS
18F IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38
CDL INTERLOCKYES No INTERLOCK YES No YES NO
19 LICENSE# STATE SEX U MMD YY � 39
20❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET INJURY NATURE OF INJURIES 40USE CLASSLICENSE — ❑
21 PLATE# rare vIN# 4� 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
1-1- ❑ ,.I-I CITATION# CHARGE to BOTTOM
EEGnEEY YES NCO
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
ZOE BIRKBECK 13055 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG21440
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7036
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.
ZOE B/RKBECK 08-14-25 04:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
D.SKELTON 9139 812212025 3:57:26 AM
BADGE OR ID# j 13055 ORI# WA0171300 TIME POLICE DISPATCHED; 7:20 AM TIME POLICE ARRIVED i 7:26 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG21440 CASE# 25-7036 OATS OF COLLI r�510NN + 08/12/25 23:40
L1
NARRATIVE
25-7036
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 08-13-2025 1 was working as a police officer in the city of Renton. At approximately 0715 hours I
was dispatched to the report of a hit and run at the intersection of N 6th ST and Logan Ave N, City of
Renton, County of King, WA. This incident was captured on my department issued Axon body
camera.
According to the notes in the call, a vehicle had run over a Metro bus stop sign. The vehicle had left
the scene, however, the bumper with the license plate was still at the location.
I arrived on scene and spoke with a Metro Transit Supervisor, who verbally identified himself as
Michael Dennis. He stated the following:
Michael had been sent to look at a damaged Metro Transit bus stop sign, that appeared to have been
hit by a vehicle. The vehicle had left the scene. Michael was unsure exactly when this had happened,
but believed it was sometime overnight. Michael stated that in the collision, the driver of the vehicle
had also damaged an ORCA bus pass reader. Michael estimated it would cost approximately $500-
600 to repair the sign and card reader.
The damaged bus stop is #46580. The ORCA card reader displayed serial #401650.
1 ran the plate (WA/BTD5493-grey 2020 Toyota Camry) that was attached to the bumper. It returned
clear and was registered to Kim Quyen Thi Tran (DOB 12-09-1969) out of Renton. As we were driving
to Kim's address to check for the Toyota, Officer Fajarillo spotted the vehicle. It was parked in the
southwest corner of the Top Golf parking lot, located at 780 Logan Ave N.
The vehicle was unoccupied and had extensive front-end damage. At least two of the tires were
popped, and the front passenger rim had dirt inside of it. There was a note on the driver's side
dashboard with the name of the registered owner (Kim) and a phone number.
I spoke with the Top Golf operations manager, who verbally identified herself as Meg Jungbluth. Meg
stated she had seen the vehicle in the parking lot when she arrived at work this morning but hadn't
seen anyone around it. Meg allowed us to view video surveillance from the day prior. At
approximately 11:45PM on 08-12-2025, the Toyota Camry could be seen entering the parking lot
from Logan Ave N. The vehicle parks, and a smaller female with dark hair can be seen exiting the
driver's side of the vehicle. The female can be seen speaking with Top Golf security, before leaving in
another vehicle.
Meg stated she wasn't sure who the female spoke to, and there were no notes from staff the previous
evening. Meg stated she would attempt to figure out who spoke to the female and have them contact
me or dispatch. 1 provide Meg with the case number and sent Meg a Community Request link via text
for her to upload the surveillance footage.
I called the number listed on the paper in the Toyota and spoke with a female who verbally identified
herself as Kim (registered owner). She stated the following:
Kim had been driving on Logan Ave N, and something ran across the road in front of her. Kim
attempted to maneuver around whatever was in the road, which caused her to overcorrect and drive
up onto the curb. Kim pulled into the Top Golf parking lot and spoke with Top Golf security who stated
she could leave her vehicle there. Kim stated she didn't remember hitting the bus stop sign.
I advised Kim that 1 would be writing a collision report which would be sent to her insurance. Kim
stated she'd send me her insurance information later because it was in her vehicle, and she was
currently at work. 1 provided Kim with my email address, along with the case number and our non-
emergency number.
I took photos of the bus stop sign, along with photos of the Toyota, and uploaded those onto Axon
Evidence.
I received confirmation via email on 08-14-2025 that Meg submitted evidence via the provided link. I
PAGE 3 OF 5
REPORT NO. EG21440 CASE# 25-7036 GATE OF COLLI r�510NN + 08/12/25 23:40
L1
NARRATIVE
also spoke with Kim over the phone at approximately 4:30PM on 08-14-2025, who provided me with
her insurance information.
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 Z. Birkbeck#13055 on 08/13/2025 @ 0853 hours in Renton WA.
PAGE 4 OF 5
REPORT NO. EG21440 CASE# 25-7036 DATE AND TIME 08/12/25 23:40
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