HomeMy WebLinkAbout25-9400 )STATE
TFcN 5 6 27i t
Oc� RA EG44861
COLLISION REPRT 1591971
CASE# 25-9400 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y 4100 3[--�
COUNTY RD INVOLVED CODING
2❑ TOTAL 1
PRIVATE WAY
TRIBAL UNITS#OF 02 SOBJECT 7RUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
CDLL.ISION'. 10 - 30 - 2025 0636 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
MAPLE VALLEY HWY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�. FEET S 8 W e 130TH WAY SE
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO Q $ 30
5 LAST NAME STRICKER FIRST NAME HENRY MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 15400 SE 155TH P!UNIT 74 CITY RENTON ST WA ZIP 980586356 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES No INTERLOCKYEs NO YES NO.
8 �CIENSE# STATE WA SEX M MMOCSYY' 08 1 2 32
9� ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USEE7 INJURY
CLASS 1 NAruRE of INJURIES 2
10 LI ENSE' AVE2633 STATE WA VN# 4S3BMBL68E3038235 3
TRAILER STATE TRAILER ,STATE
11 4 0 PLATE# PLATE# ROM TO
TRLR TRLR 5 1 33
1 0 0 VIN# VIN#
FROM TO
2
VERYEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEN�I GOVT VEHICLE
2014 SUBA LEGACY D 9 9 34
13 2 AMAGE YES�NO� �"-"'"-�RS YE NO
REGISTERED OWNER INFO HENRY STRICKER 15400 SE 155TH PL UNIT 74 RENTON WA 98058 D:2069416562 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE[ NSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑ CITATION# 5A0900749 CHARGE INATTENTIVE DRIVING o ooTrob 36
Yes NO
15
UNIT OZ MOTCSR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE. nWNFR YES NO
16�
LAST NAME NGUYEN FIRST NAME 'AMY MIDDLE' N
INITIAL
17 F1 STREET ❑'❑ 15422 141ST P!SE CITY RENTON ST, W 37
q ZIP 980586362
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNfT1ON PRESENT MEDICALTRANSPQRTED' ❑ 38
INTERLOCKYES No jNTERLOCK YES NO vEs ND
19 DRIVER'S STATE WA SEXI F D Q B 08 27 1987 39
LICENSE# MMDDYY -
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET I INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS NECK
21 LICENSECTD2625 TaTE WA VIN# 1GYC3NML6TZ706308 � 41
22❑ PLATE# STATE[TILER I PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2Q26 MAKE CgDI MODEL VISTIQ STYLE DAMIAGE TOWED No BLIN BANKERS YES No�/
24
REGISTERED OWNER INFO AMY NGUYEN 15422141ST PL SE RENTON WA 98058 D:2064898051 VEHICLE NO.2
SHADE IN DAMAGE$AREA
2 3 �4
LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# t 9TOP
veeiae ,J—I CITATION# CHARGE tO BOTTOM
LecnLLY YES N`[
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG44861
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9400
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE IN NGUYEN AADEN L
(LAST,FIRST ITIAL}
ADDRESS&PHONE#
15422 141ST PL SE RENTON WA 980586362 SEX' M MMooYYYv 07 — 02 — 2009
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Ej 2 POS. 3 2 4 1 USE CLASS '1 ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
' D.O.B.
SEX MMDD —F L----------�
YYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# PO
SEAT AIRBAG RESTR. EJECT HELMET INJURYSS rNATURE OF INJURIES
❑ QPOS. USE GLA — ----�
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.
M.LEVERTON 10-30-25 10:44 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 111412025 11:57:37 AM
BADGE OR ID# 2517 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:38 AM TIME POLICE ARRIVED 6:47 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT No.` EG44861 CASE# 25-9400 O COLLI COLLISION TIME
OF 10/30/25 06:36
COLLI
NARRATIVE
ubnit 2 slv stopped Itl red unit 1 rear 'stupidity'
CC
Within the city limits of Renton/King/Wa I responded to a 2 car crash at the intersection of Maple
Valley Hwy and 140th Way SE. Both vehicles were able to clear the intersection but had significant
damages.
I contacted the driver of unit 2 and her passenger. Unit 2 told me she was in the left turn lane from
MVH to 140th Way and had been completely stopped for at least 30 seconds or more when she was
hit from behind by unit 1. She did complain of neck injury but declined to be checked by Renton Fire.
Damaged required a tow truck.
I contacted the driver of unit 1 ID'd by his picture WADL. He told me that unit 2 cut him off and he
attempted to stop but slid on the slick road surface. The road surface was dry. It was not raining and
although cold it was in the mid 40's with no indication of ice conditions. I checked unit 1 tires that
appeared to be well above the required tread depth and in good shape. When I countered his
statement he recanted and told me it was plain stupidity that caused the crash. He did not complain
of injury and damages required a tow truck.
I cited unit 1 ref RMC 10-12-25 Driver Inattention 2 vehicle injury crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 10/30/2025
PAGE 3 OF 4
REPORT NO. EG44861 CASE# 25-9400 DATE AND TIME i 10/30/25 06:36
OF COLLISION
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PAGE 4 OF 4