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HomeMy WebLinkAbout25-9697 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG48298OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-9697 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 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCLson' 11 - 07 - 2025 1802 17 =.= S 8 W e IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NO. BENSON RD SOUTH 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 50 1.1 00 FEET e✓ S 8✓ W e SOUTH GRADY WAY 0 3 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4252822770 0 8 30 5❑ LAST NAME LEI FIRST NAME MEI MIDDLE Y 1 2 31 INITIAL STREET ❑ 2701 LAKE YOUNGS CT SE CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NOR] INTERON Km Na�/ vEs ND�/ 8 DRIVER # STATE WA SEXI F MMDDYY' O6 - 22 - 1939 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 PI ENSttEI BFP7866 STATE WA VIN# JT2BF22KOY0273428 3 STATE STATE TRAILER TRAILER 11 0 0 PLATE# PLATE# FROM To TRLR TRLR. 7 1 5 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2000 MAKE 7.0y- MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE NSURANCE CO 3 4 14 STATE FARM 506 8084-Af0-47 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE t 5 36 15 Lemur yes❑NO❑ CITATION# 7 0 60TTOM ❑ sTnNowc 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:2069725947 16� LAST NAME NGO FIRST NAME TONY MIDDLE' INITIAL 17 F1 STREET ❑ 37 4034 NE 9TH PL. CITY RENTON ST, WA ZIP 98056 NEW ADDRESS 18❑ CDL IGNITION REQUlREO IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYES NO INTERLOCK YES N. YES NO 19 DRIVERS ' STATE WA SEX M D.O.B. 03 16 2003 � 39 LICENSE# MMDI7YY - 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R U ET 2 INJURY 1 NATURE OF INJURIES 40 SS 21 LICENSEPLATE# BNW7250 rare WA vIN# 2T2BZMCAXGC005812 41 22 [TILER TAILER ❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2016 MAKE LEXS MODEL RX 330 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO HONG-TRUC NGO 4034 NE 9TH PL.RENTON WA 98056 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO STATE FARM 561 8873-F30.47A IN EFFECT &POLICY# I YwcLE CITATION CHARGE L,EI�Y YE N 25 UOo OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 BRYAN GROZAV 12489 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG48298 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9697 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST FIRST,MIDDLE IINITIAL) JOHNSON JULIA M ADDRESS&PHONE# D� 12677 SE 306TH CT AUBURN WA 98092 2065087082 SEXi F MMDDYYYY 09 — 04 — 2001 PASSENGER WITNESS[:] UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. ( 3 2 4 1 USE 2 CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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. BRYAN GROZAV 11-08-25 01:46 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.BRAUN 2194 11/13/2025 11:44:04 PM BADGE OR ID# 12489 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:07 PM TIME POLICE ARRIVED i 6:13 PM PAST B 3 Do-3mx—attar gt 1Mfft PAGE 2�OF 4 REPORT NO. EG48298 CASE# 25-9697 DATE OF COLLI r�510NN + 11/07/25 18:02 L1 NARRATIVE CASE 25-9697 This incident was captured on my body worn video camera and/or in-car dash camera. This report is a summary of events that occurred and is not an exact sequencing of events. On Friday November 7th, 2025, at approximately 18:07, 1 responded to a 911 call regarding a blocking two-vehicle collision at Benson Road South and South Grady Way within the City of Renton, King County, Washington. ***CALL REMARKS: 2 MVA.. NI.. BLKING NB LN... GOING TO ATTEMPT TO MOVED VEHS OUT OF RDWY AND EXCHANGE INFO. I arrived on scene and noticed the involved vehicles stopped near the entrance of Renton City Hall. I contacted the involved drivers and passengers and checked for injuries. No one complained of pain or injuries, and no one had any visible signs of injuries. contacted the driver of unit one identified as Mei Y. Lei (DOB:6.22.1939) who was standing in the road on Benson Road South behind her vehicle which was stopped in the roadway. Mei appeared confused and shaken up, so I helped walk her over to the sidewalk while 1 moved her vehicle out of the roadway. 1 had Mei sit back in her vehicle since she used a cane to walk and appeared flustered/shaken up. It was determined Mei spoke Cantonese, so 1 contacted an interpreter for Cantonese utilizing the language line. Mei did not provide any details on how the collision occurred and appeared flustered and confused. Due to Mei's behavior requested aid respond to examine Mei. After being examined, Mei refused to go to the hospital and indicated she was fine. Mei's vehicle sustained minor damage to the front driver side but was still drivable. Due to Mei's behavior, her age, and being shaken up from the crash, I did not believe it would be safe for Mei to drive her vehicle home, so I transported her home. Renton Fire personnel parked her vehicle at City Hall. Once Mei was at home, I requested the Renton Care's unit respond and offer Mei some resources since she expressed she lived alone, did not have any friends nor family around, and no one that could help her. contacted the driver of unit two, identified as Tony Ngo (DOB: 3.16.2003) who was also outside of his vehicle. Tony reported the following; he was stopped at the red light at Benson Road South and South Grady Way when Mei hit his vehicle while she was attempting to turn right on Benson Road South from South Grady Way and took the turn to wide. Tony and his front passenger Julia M. Johnson (DOB:9.04.2001) were not injured. Tony's vehicle sustained damage to the driver side but was still drivable. Both involved drivers had valid driver's licenses and vehicle insurance. 1 provided both drivers a copy of the SECTOR exchange of information form. This concludes my involvement in this case. I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Grozav#12489 on 11.08.2025 at 01:36 hours in Renton, WA. PAGE 3 OF 4 REPORT NO. EG48298 CASE# 25-9697 DATE AND TIME 11/07/25 18:02 OF COLLISION t d � l c li r, 4 I 4 q ° b � }t i 1 t �Y t t� � t .tt= ��...a,jC txcw�'t .. .., ,,. � ��ia'�'�t�"�ti'��U.�i�c��"��tn��"��3�� ..��'��t«��S�t"•�§`��tt� PAGE 4 OF 4