HomeMy WebLinkAbout25-10012 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG50143OLCERA
COLLISION REPORT 1591971
CASE# 25-10012 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 11 - 17 - 2025 1821 17 =.= S 8 W E OF M 1070 a
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
TALBOT RD S MILE POST
9❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S PUGET DR
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252822910 0 8 30
g LAST NAME HERNDON FIRST NAME STEFFAN MIDDLE E 1 [; 2 31
INITIAL
STREET ] 16416 126TH AVE SE CITY; RENTON ST, WA ZIp; 980585556 2
NEW ADDRESS
7 CDL IGN ✓ITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKVEs No✓ YES NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 02 - 14 - 1994 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CFV2845 STATE WA VIN#; 1GKKVRKD2EJ210930 3
10 Fl I as ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 3 1 1 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR ZOI4 MAKE GMC MODEL ACAD/A STYLE SV VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE 1 9 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO STEFFAN HERNDON 16416126TH AVE SE RENTON WA 98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# Q�Q
srgNOLNG ❑ ❑ 5AO838621 CHARGE OPMOTVEHW/OUTINSURANCE 36
Yes NO CITATION#
15
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2064029923
16�
LAST NAME GRANILLO FIRST NAME AARON MIDDLE' G
INITIAL
17 F1 STREET ❑
❑ 2012 JONES C/R SE CITY RENTON ST, yyq ZIP 98055 4 37
NEW ADDRESS
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
CDL INTERLOCKYES NO INTERLOCK YES No✓ YES NO✓
19 DRIVER'S ' STATE WA SEX M I D.O.B. 03 04 1988 � 39
LICENSE# MMODYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40
21 LICENSE BRC0518 TATE WA VIN# 7SAYGDEE5RF199381 41
22❑ PLAILER TE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2016 MAKE MAID MODEL (,`J(_5 STYLE $V VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO AARON GRANILLO 2012 JONES CIR SE RENTON WA 98055 D:2064029923 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO ALLSTATE 817463696
IN EFFECT &POLICY# t �LEGALLY
VEHICLE I—I CITATION11 CHARGE YES N
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
ROBIN SMITH 12986 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG50143
COLLISION REPORT III III III III III 111
1591972 CASE# 25-10012
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) ADAMS NAQUAIA K
ADDRESS&PHONE#
16416 126TH AVE SE RENTON WA 980585556 SEXi F MMDDD B. 01 — 17 — 1989
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 1 2 4 1 USE 2 GLASS 1 ---�
:NAME
(LAST FIFS7 MIDDLE INITIAL)
ADDRESS R PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY: NATURECFINJURIES
POS. USE 0,SS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE GLASS
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.
ROBIN SMITH 11-18-25 12:26 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 1111912025 2:41:09 AM
BADGE OR ID# 12986 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:23 PM TIME POLICE ARRIVED i 6:24 PM
PAST B 3DDo-345—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG50143 CASE# 25-10012 O OF COLLI 510N TIME 11/17/25 18:21
COLLISION
NARRATIVE
25-10012 TA 3 Veh
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 11-17-2025 at approximately 1823 hours I was dispatched to an unknown injury blocking collision
that occurred in the intersection of Talbot RD S and S Puget DR.
Upon arrival, I contacted the involved parties and determined that no one was injured. While on
scene, I collected the involved parties driving documents and their independent recollection of events
leading up to the collision.
The driver of Unit#1 was traveling westbound on S Puget DR approaching Talbot RD S when they
had a green light to turn northbound onto Talbot RD S. As he made his turn, he noticed a single traffic
cone was positioned in lane 1 of 2, so he swerved wide to avoid the cone. When he swerved wide, he
collided with Unit#2 and Unit#3. Unit#1 sustained damage around the driver side front tire.
The driver of Unit#2 was stopped at a red light facing southbound on Talbot RD S waiting to turn
eastbound onto S Puget DR. The driver of Unit#1 was traveling westbound on S Puget DR and made
a wide turn northbound onto Talbot RD S, colliding with the driver side of Unit#2. He then saw Unit
#1 collide with Unit#3, behind him. Unit#2 sustained damage to the area around the driver side rear
door.
The driver of Unit#3 was stopped at a red light facing southbound on Talbot RD S waiting to turn
eastbound onto S Puget DR. Unit#3 was positioned behind Unit#2. The driver of Unit#1 was
traveling westbound on S Puget DR and made a wide turn northbound onto Talbot RD S. The driver
of Unit#3 saw Unit#1 collide with Unit#2 and then collided with Unit #3. Unit#3 sustained damage
to the area around the driver side front tire.
Before I arrived, the driver of Unit#2 removed the traffic cone that was in the roadway. The area this
collision occurred had signs and cones staged on the east side of Talbot RD S that are used for the
occasional work that occurs to shut down the northbound 1-405 onramp. At the time of the collision,
the ramp was not closed and there was no construction occurring.
The driver of Unit#1 did not have insurance. 1 cited him for RCW 46.30.020 operating motor vehicle
without insurance. The RCW states, "No person may operate a motor vehicle subject to registration in
this state unless the person is insured under a motor vehicle liability policy." They violated this by
operating a vehicle without insurance.
I determined Unit#1 to be the proximate cause of the collision when they swerved out of their lane of
travel and collided with Unit#2 and Unit#3. It is unknown why the traffic cone was placed in the
roadway, causing the confusion.
An exchange of information was provided to all involved parties. Unit#3 was removed from the scene
by Bankers Towing.
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 Robin Smith #12986 on 11/17/2025 @ 2332 hours in Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG50143
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE# 25-10012
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWVR NAME IF NO NUMBER
SOURCE AXLES ' +
4a ADDITIONAL UNITS
'J MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# $ �✓ PEDESTRIAN ❑', YES� NO D:4252696872
5 VEHICLE CYCLE OWNER
0 8 29
FIRST NAME MIDDLE'.
LAST NAME CHHEAN CHHOEUN INITIAL
STREET CITY 30
NEW ADDRFjZj 2044 SE 8TH PL RENTON ST Wq ZiP gg055
6 ❑ 1 1 2 31
CDL IGNITION REQUIRE6 1{iNiTION :: PRESENT MECiICALTANSPORTED'.
INTERLOCK YES No�/ INTERLOCK YES 0NdZ
L
DRIVER'S 1 I WA SEX F D.O.B 01
LICENSE MMDDYYY — 12 — 1977
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATUREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE CNL0331 TAT WA VIN JM3KE4CYOG0622652
PLATE#
L 9 TRAILER I I TRAILER
PLATE# STATE PLATE STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 3 5 VEIL YEAR2024 MAKE TESL MODELMODEL Y STYLE Sy VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI F FROM To
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFO.VINCENTCHHEAN2044 SE8THPL RENTONWA98055 9 33
12 � SHADE IN DAMAGED AREA
4 FROM TO
INSURANCE CO
LIABILITY INSURANCE ALLSTATE 820979503
IN EFFECT � &POLICY# � J7t1P--` S m 34
13 ❑ vewcEe YES NO CITATION# CHARGE 1080TTOM ..
ecauv
s-rANolNc � (� 7 C+.
MOTOR PEDAL- ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET CITY ST ZIP
NFW ADDRESS"
CDL IGNITION REQUIRED IGNITION PRESENT ME 'CA INTERLOCK YES NO INTERLOCK YES NO 'YES NO'
17 4 37
RIVERSLLIICENSE# STATE SEX M M.
18 ❑ —
❑
HELMET INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ LICENSE I TAT VJN# 39
PLATE#
20 TRAILER TRAILER 40
PLATE# STATE PLATE# STATE ❑
21 ❑ ❑ 41
TRLR TRLR
VIN# VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 7c;Q
5. 44
vewcEe ❑ ❑ CITATION# CHARGE
24 I..EGALLY YES NO
STIWDING 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
ROBW SMITH 11-18-25 12:26 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 OR DD# 12986 O#RI WA0171300 APTIBEAU 11/19/202
PAGE OF�
3000-345-013(R 11/18)
REPORT NO. EG50143 CASE# 25-10012 DATE AND TIME 11/17/2518:21
OF COLLISION
5
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PAGE 5 OF 5