HomeMy WebLinkAbout25-9431 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 25-9431 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 28
6 0
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 10 - 31 - 2025 0607 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e S 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2067854191 N:2069533555 0 4 30
6� LAST NAME DHANDA FIRSTNAME RANJODH MIDDLE S 1 2 31
INITIAL
STREET ❑ 23903 118TH PL SE CITY KENT ST WA 2jp, 98031 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]No✓ INTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CFW2932 sTArI WAurN# 1GYS4JKJ9GR403418
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 ] 34
13 3 2016 CADI ESCALA UT DAMAGE YES NO ✓ YES[:] No✓
REGISTERED OWNER INFO SUPINDERJl.lJR 11112 SE 265TH CT COVINGTON WA 98042 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 202 5766 150 3 4
IN EFFECT &POLICY# 9TOP
ve'CLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STAMOTOIND'ING 8 6
UNIT a2 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRPROPERTY ❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME ADEN FIRST NAME ANAB MIDDLE JA
INITIAL
17❑ STREET ❑', 12107 SE 174TH LN APT 11102 CITY' RENTON ST WA ZIP 98058 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
F, NO❑
19 D IVEW #
INJURY 6 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 USE CLASS RIGHT ARM PAIN
21❑ LICENSE BQX1063 TAre WA VINI KMHEC4A40EA115278
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
T
23❑ 43
IN# IN RLR
#.UIN#. '
24❑ DVEH YEAR 2014 MAKE HYUN MODEL SONATA STYLE SD VEHICLE TOWED TO BLIN TOWEDeY GOV!TN-
REGISTERED 44
AMAGE YES✓ NO BANKERS YES
OWNER INFO ELMI ADEN 12107 SE 174TH LN APT U102 RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 042303755IN
VEDICLE res� NE] CITATION# 5AO730335 CHARGE FAIL TO OBEY TRAFFIC CONTROL C�Q
LEcnLLv `LJ
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
R.ON/SHl 5738 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EG43455
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9431
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ADAN AMRANA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
RENTON SEX F MMDDYYYY 03 - OS - 2005
PASSENGER Z WITNESS 'UNIT# j 2 POS USE CLASS 3 AIRBAG 3 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES
' '1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D Q E4
SEX MMDDYYYY
PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Unit 1 southbound Rainier Ave S, unit 2 turning from northbound Rainier Ave S to westbound SW
Sunset Blvd. Unit 2 turned left, disregarding red left turn arrow, striking left side of unit 1. Driver 1
Dhanda told me that he had a green light southbound, driver 2 Aden told me that she had green turn
arrows and started her turn. Traffic cameras showed that Aden turned while her signals were still red.
I recontacted Aden, who now believed she might have confused the green signals for northbound
through traffic with the signals for her turn lane. Aden cited via complaint for Failure to Obey Traffic
Control Device.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 10-31-25 08:58 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 1013112025 1:11:04 PM
BADGE OR ID# 5738 OR]# ! WA0171300 TIME POLICE DISPATCHED 6:10 AM TIME POLICE ARRIVED'6:13 AM
PART I PAGE IT]0F 3�
REPORT NO. EG43455 CASE# 25-9431 DATE AND TIME 10/31/25 06:07
OF COLLISION
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