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Home My WebLink About25-7661 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27219OLCERA COLLISION REPORT 1591971 INTERSTATE ❑ CITY STREET FIRE I CASE# 25-7661 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK ❑ RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 09 - 02 - 2025 1739 17 =.= S 8 W❑ OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE4TH BLOCK NO. e 4000 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1501.1 00 FEET e✓ S 8 Nl e✓ JERICHO 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254426689 0 8 30 5 LAST NAME PUDWILL FIRST NAME TREVER MIDDLE J 1 1 2 31 INITIAL STREET ❑ 13243166THAVESE CITY; RENTON ST I WA Zlp; 980596953 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO�/ INTERLOCK YEs NO�/ YES F NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 03 - 02 - 2003 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 CLASSY ? [NATURE of INJURIES 2❑ LICENSE, C30953V STATE WA VIN#; 1FTYR15E34TA14224 3 10 Fl I PI ATP tt ❑ TRAILER TRAILER 11 STATE STATE 3 5 PLATE# PLATE# ROM To TRLR TRLR 3 7 33 12 3 5 VIN# vIN# FROM TO 13 4 VEH.YEAR2004 MAKE FORD MODEL RANGE STYLE PK VEHICLE TOWED TO�iS46LIN Tv4 EBYMEYER VEHICLE 3 9 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO ROGER PUDWILL 18660 SE 216TH ST RENTON WA 98058 D:4254426869 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 14 LIABILITY INSURANCE❑ INSURANCE CO NATIONWIDE 7246JO68229 4 IN EFFECT &POLICY# 9TOP _ Lrn Lyc ❑ ❑ 5A0571196 CHARGE INATTENTIVE DRIVING t a oorrob z 36 Yes NO CITATION# 15❑ MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2063002929 16� LAST NAME LUU FIRST NAME TRUONG MIDDLE q INITIAL STREET ❑ 17� ❑ 13435181STAVESE CITY RENTON ST, WA ZIP 980597147 4 37 NEW ADDRESS 18 IGNITION REQUIREfl IGNITION PRESENT MEDICAL TRANSPORTED.. 38 CDL INTERLOCKvES No� INTERLOCK YEs rWo� ves No� 19 DRIVER'S STATE WA SEX M D.O.B. 07 04 ?982 39 ..LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R USE 2 CLASSY ? NATURE OF INJURIES 40 21 LICENSE I PATE# D99612D rare WA vIN# 3TMLU42N49M028573 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2009 MAKE TOYT MODEL TACOMA STYLE PK VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ NO GENE MEYER YES No REGISTERED OWNER INFO EFFIE CONDIE 13435 181STAVESE RENTONWA98059 D:2063002929 VEHICLE NO.2 SHADE IN DAMAGEAREA 2 3 LIABILITY INSURANCE INSURANCE CO USAA 019817151U IN EFFECT &POLICY# t STOP 1— ❑ CITATION11 CHARGE to BOTTOM ,—LY YES NN"Lv=I1 25 s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 RAYMOND WATSON 13127 WA0171300 ❑ PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG27219 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7661 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. RAYMOND WATSON 09-07-25 06:25 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.TRADER 4553 1 911112025 11:41:49 AM BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:39 PM TIME POLICE ARRIVED i 5:54 PM PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG27219 CASE# 25-7661 OATS OF COLLI r�510NN + 09/02/25 17:39 L1 NARRATIVE 25-7661 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 09/02/2025 at approximately 1744 hours, myself, Officer R. Watson, was dispatched to an accident with unknown details, at the intersection NE 4th ST and Jericho AVE NE, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated that there was a two-car blocking collision in the west bound lanes of NE 4th ST. I arrived on scene and observed three vehicles stopped in the west bound lanes. Two vehicles appeared to have been in a collision due to heavy front and rear end damage. The collision was just west of Jericho AVE NE on NE 4th ST. Unit#1 driven by Trever J. Pudwill (03/02/2003) verified by WADOL photo, stated that he was driving a White 2004 Ford Ranger, WA plate #C30953V. He said that he was traveling west bound on NE 4th ST, looking at his grocery list on his phone and did not notice that notice the vehicle's stopped in front of him. Trever declined aid and said he had no injuries. When I asked for his license, registration and insurance for the exchange of information he was able to provide me with the proper documentation. Unit#1 had significant front-end damage and had to be towed from the scene by Gene Meyer Towing. Both front air bags were deployed. Unit#2 driven by Truong Q. Luu (07/04/1982) verified by WADOL photo, stated he was driving a Gray 2009 Toyota Tacoma, WA plate #D99612D. He said that his vehicle was stopped, facing west bound, waiting in traffic for the red light at the intersection of NE 4th ST and Hoquiam AVE NE when unit#1 collided with the rear of his vehicle. Truong said he had no injuries and declined aid. When 1 asked for his license, registration and insurance for the exchange of information he was able to provide me with the proper documentation. Unit#2 had significant rear end damage and had to be towed from the scene by Gene Meyer Towing. There was no air bag deployment on unit#2. Unit#3 driven by Robert G. Hearn (DOB 02/18/1966) verified by WADOL photo, stated he was driving a Blue 2024 Kia EV9, WA plate # CPH2519. He said that his vehicle was stopped, facing west bound, waiting in traffic for the red light at the intersection of NE 4th ST and Hoquiam AVE NE when unit #2 collided with the rear of his vehicle. Robert said he had no injuries and declined aid. When I asked for his license, registration and insurance for the exchange of information he was able to provide me with the proper documentation. Unit#3 had minor rear end damage and was able to be driven from the scene. There was no air bag deployment on unit#3. An exchange of information was completed and provided to each party. Pictures were taken of each vehicle and uploaded to evidence.com. The operator of Unit#1, Trever J. Pudwill (03/02/2003) was issued a citation for inattentive driving, cite #5A0571196. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Watson #13127 09/07/2025 1821 hours, Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG2721 9 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-7661 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS { MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT�T 3 VEHICLE CYCLE C) PEDESTRIAN :.. OWNER FsF-1 NO D:7138053092 INITIAL 0 8 29 LAST NAME HEARN FIRST NAME ROBERT MIDDLE. G STREET CITY 30 NEW ArI RFs 12343 210TH PL SE ISSAQUAH ST WA ZiP 980278569 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED I{iNi710N PRESENT MECiICALTANSPORTED INTERLOCK YES O NO INTERLOCK YES NOZ L DRIVER'S STATE WA SEX M D.O.B 02 LICENSE MMDDYYY — 18 — 1966 7 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ : 1 32 LICENSE,CPH2519 TAT WA VIN KNDAFFS52R6045823 PLATE# 9 TRAILER I I TRAILER L PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR _VIN.# VIN.#. 11 3 5 VEH.YEAR2024 MAKE KIA MODELEV9 STYLE Sv VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI F FROM TO DAMAGE YES NO ✓ YES NO LEASING HYUNDAI PO BOX 30205 COLLEGE STATION TX 77842 3 9 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 4 FROM TO INSURANCE CO LIABILITY INSURANCE AMFAM 1955917204 IN EFFECT � &POLICY# � J7t1P .5 m 34 10120TFOM 13 vewc�e YES NO CITATION# CHARGE ecauv sTnNoiNc � 3 7 MOTOR PEDAL- ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST ZIP NFW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YEs NO :YEs NO ❑ 17 4 37 L ICENSE# STATE SEX MMOD — 18 ❑ HELMET '.INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ ❑ 41 TRLR TRLR VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. ) E 44 24 YES❑ NO CITATION# CHARGE OM S _G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. RAYMOND WATSON 09-07-25 06:25 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE APR 11 �ORIWA0171300 2 PAGE 13127 OF ORID# # 3000-345-013(R 11/18) REPORT NO. EG27219 CASE# 25-7661 DATE AND TIME 09/02/2517:39 OF COLLISION> ' r �S �j 7 4 e l7 S� � l 4't t 4 5 d PAGE 5 OF 5