HomeMy WebLinkAbout25-9167 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG40599OLCERA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 25-9167 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCAI-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 10 - 22 - 2025 1850 17 =.= S 8 W❑ OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
SR-169 MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e 154TH PL SE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9713365799 0 1 30
6❑ LAST NAME ROMERO FIRST NAME ALEJANDRO MIDDLE t 1 2 31
INITIAL
STREET ] 15300 SE 155TH PL UNIT A308 CITY; RENTON ST I WA Zlp; 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO✓ INTERLOCKVEs I ✓ YES F NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 - 04 - 2003 1 2 32
-NJUR
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY',1 [NATURE of INJURIES 2❑
LICENSE, CNL1713 STATE WA VIN# 1HGCR2F3XDA208470 3
10 Fl I PI ATP tt
❑ TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM To
TRLR TRLR 5 1 7 33
12 0 0 VIN#' vIN#
FROM TO
LE
13 4 VEH.YEAR2013 MAKE HOND MODEL ACCOR STYLE SD VEHICLE TOYED NOjyS46LIN Tv4iW9YMEYER YESr`-IVT ENp✓ 1 5 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO NORMA REYES MENDOZA 15300 SE 155TH PL UNIT A308 RENTON WA 98058 D:5037500494 VEHICLE RED 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO THE GENERAL WA8315990 4
IN EFFECT &POLICY# 9TOP _
VEs
srnAoiNc ❑NO❑ CITATION# 5A0862817 CHARGE FAIL YIELD LEFT TURN MOTOR s t a oorrob z 36
15❑
EDAL-
MOTCYR ✓ P PEDESTRIAN PROPERTY PHONE
DAM THR OLD MET NE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs✓ No D:2064539253
16�
LAST NAME KRAYNGELTSAR FIRST NAME NATALYA MIDDLE'
INITIAL
17 F1 STREET ❑❑ 22654 128TH AVE SE CITY KENT ST, yyq ZIP 980313975 4 37
NEW ADDRESS
18❑ CDL IGNITION REtYUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO✓ (NTERLOCKYES NO✓ YES NO✓
19 DRIVE #
❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 I USE CLASS
EJECT 1 H ET 2 INJURY 1 NATURE OF INJURIES 40
21 LICEN� 191YEX rare WA vIN# JTJBT20X680164340 41
PLATE 22❑ TILER PLATE# STATE PLATE#TAILER STATE 42
23 TRLR RLR 43
UIN It 'IN#
TOWED BY GOV HI 44
VEH.YEAR 200$ MAKE LEXS MODEL GX STYLE DAMIAGE
24 TOWED✓ NO BLIN PRIVATE TOW ves No✓
❑ REGISTERED OWNER INFO ROMAN KRAYNGELTSAR 22654128TH AVE SE KENT WA 98031 VEHICLE NQ.2
SHADFjy DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCECO GREAT AMERICAN ASSURANCE COMPANY CAP F18798402
IN EFFECT &POLICY# 9TOP
NJ—I
vewaE ❑ , CITATION11 CHARGE
25 t080TTOM
EEGnEEY YES e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TIMOTHY NGUYEN 13182 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG40599
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9167
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME REYES MENDOZA NORMA Y
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D�
15300 SE 155TH PL UNIT A308 RENTON WA 98058 5037500494 SEXi F MMDD.0 B. 06 — 28 — 1977
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS ;UNIT# 1 POS. 3 AIRBAG;2 RESTR. 4 EJECT 1 USE 2 CLASS i 7 "PAIN"ALL OVER BODY
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS R PHONE#
SEX MMDDYYYY D.D.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYY D.D.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. 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.
TIMOTHY NGUYEN 10-23-25 12:40 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1012312025 1:45:12 AM
BADGE OR ID# j 13182 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:55 PM TIME POLICE ARRIVED i 7:10 PM
PAST B 3 Do-3mx—attar(R1Mff) PAGE 2�OF 4
REPORT NO. EG40599 CASE# 25-9167 DATE OF COLLI r�510NN + 10/22/25 18:50
L1
NARRATIVE
25-9167
This incident was recorded with video and audio. Refer to this video for any exact quotations or for an
exact sequence of events. The following is a summary of the events:
On 10/22/2025 at approximately 1900 hours, I was dispatched to an injury collision at the intersection
of SR-169 and 154th PI SE, within the city of Renton, King County, state of Washington.
Upon arrival, I observed Vehicle 2 facing southbound in the intersection with heavy front-end
damage. I observed Vehicle 1 facing westbound in the intersection with heavy damage to the front
right passenger side. Both vehicles were deemed inoperable and later towed. No airbags were
deployed.
Passenger 1 of Vehicle 1 was stuck in the front passenger seat and had to be extricated by Renton
Fire Authority (RFA). RFA advised that they did not observe any obvious injuries, but Passenger 1
was ultimately transported to Overlake Medical Center, 1035 116th Ave NE for a precautionary
evaluation. I was unable to interview her.
I interviewed Driver 1. In summary, Driver 1 was turning left (westbound) from 152nd Ave SE onto SR
-169 and ultimately collided with Vehicle 2 in the intersection. At first, Driver 1 stated that he observed
a green arrow to turn left. Driver 1 then stated that he may have had a flashing yellow arrow to turn
left.
An assisting Officer interviewed Driver 2. In summary, Driver 2 was driving southbound on 154th PI
SE and approaching SR-169. Driver 2 observed a solid green light and continued driving southbound
through the intersection. Driver 2 then observed Vehicle 1 turn left (westbound) from 152nd Ave SE in
front of her. Driver 2 was unable to stop in time and ultimately collided into Vehicle 1.
The assisting Officer also interviewed a witness. Witness 1 did not have any new details to provide.
We took photos of the scene and later uploaded them to Evidence.com.
I later reviwed the camera at the intersection, but it did not capture the incident.
Based upon the totality of the circumstances, Driver 1 failed to yield while turning left in the
intersection. Driver 1 believed that he may have turned left on a flashing yellow. I am issuing Driver 1:
Infraction #5A0862817 for RCW 46.61.185.1 - FAIL TO YIELD ON A LEFT TURN TO A MOTOR
VEHICLE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT
I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT.
Signature: Officer T. Nguyen #13182
Date, Time, and Place: 10/23/2025 at approximately 0014 hours in the city of Renton, King County,
state of Washington
PAGE 3 OF 4
REPORT NO. EG40599 CASE# 25-9167 DATE AND TIME 10/22/25 18:50
OF COLLISION
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PAGE 4 OF 4