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
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PAGE 4 OF 4