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COLLISION REP FIT 1591971
CASE 25-8520 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 10 - 01 - 2025 1340 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
N
BLOCK NO.
FACTORY AVE e✓ '-- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 3RD ST
0 1 29
UNIT MOTOR
VEHICL Z CYCLE ElDDAMYESA✓THRESHOLD PHONE 0 1 30
6� LAST NAME GOODWIN FIRSTNAME JEFFERY MIDDLE T 1 2 31
INITIAL
STREET ❑, 15009 WESTMORE DR E CITY PUYALLUP ST WA 2jp, 983743404 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
LRIIVER # STATE WA SEX'M MI MIT Y
8❑ ' 04 — 21 — 1969 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI ATFBit BPF0127 sTArI WA urN#' 2HGF62F94Fy532511
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 $ VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO 1 $ 34
13 2 201$ HOND CIVIC YES❑ NO✓
REGISTERED OWNER INFO JEFFERY GOODWIN 15009 WESTMORE DR E PUYALLUP WA 98374 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO ALL STATE 987 654 4
LI EFFECT I SUR N# TOPVENICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4258910130
16 a
LAST NAME CHU FIRST NAME VU MIDDLE I T
INITIAL
17❑ STREET ❑', 308 FACTORYAVE N CITY' RENTON ST WA ZIP 980575527 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX M D.C... 01 01 1978 El 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' A{RBAG,4 RESTR 4 EJECT '1 USE 2 CLASS ❑
21❑ LICENSE I LH0866 TAre WA vIN1t 2HKYF186X6H527958
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2006 MAKE HOND MODEL PILOT EX STYLE (/T DAMAGE TOWED TOO✓ BLIN YES!TN
-
REGISTERED❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSURANCE
#E CO NATIONAL GENERAL 29742IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG33741
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8520
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.
C.CATALAN 10-01-25 03:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 101212025 8:34:33 AM
BADGE OR ID# 12007 OR]4$ WA0171300 TIME POLICE DISPATCHED 1:44 PM TIME POLICE ARRIVED:1:45 PM
PART I PAGE IT]OF 4�
REPORT NO. EG33741 CASE# 25-8520 OF COLLISION
10/01/25 13:40
OF CbLLI510N
NARRATIVE
On October 1, 2025, at 1340 hours dispatch requested that I respond to a two vehicle collision that
occurred at N 3rd St and Factory Ave N, in the city of Renton, County of King, and State of
Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
I spoke with the driver of Unit#1, identified as Jeffery Goodwin, who explained that prior to the
collision he was traveling eastbound on N 3rd St and approaching the intersection of Factory Ave N.
Jefferey intended to continue eastbound through the intersection in 2 of 4 and believed he had a
green light. As he entered the intersection, both Unit#1 and Unit#2 collided in the roadway. Unit#1
sustained severe damage to the front. Jefferey declined any injuries and contacted his own private
tow.
I spoke with the driver of Unit#2, identified as Vu Chu. Vu explained he was traveling southbound on
Factory Ave N and approaching the intersection of N 3rd St. Vu also believed he had a green traffic
signal as he intended to continue southbound through the intersection. He proceeded through the
intersection, but both vehicles collided in the middle of the roadway. The damage could be
considered minor but due to the location of the impact, it caused the passenger airbags to deploy. Vu
declined any injuries and decided to drive his vehicle home. Vu lives at 308 Factory Ave N.
I checked with a resident that lives just south of the intersection. It appeared they had a camera
facing the roadway. After speaking with the residents, they stated that the camera only took
photographs of subjects near the front porch, but not the roadway.
I was unable to determine who committed the traffic violation. I provided both drivers with an
exchange of information.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 10/01/2025 Renton
PAGE 3 OF 4
REPORT NO. EG33741 CASE# ' 25-8520 DATE AND TIME 10/01/25 13:40
OF COLLISION
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