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Home My WebLink About25-9621 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG54939OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-9621 2 RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# EDGE s o v' 11 - 06 - 2025 0554 17 =.= S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON DR S BLOCK NO. e 1700 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR PEDAL- DAMAG THRESHOLD MET E UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO ✓ PHON 0 6 30 5 LAST NAME HU FIRST NAME AIQ/NG MIDDLE N 1 1 2 31 INITIAL STREET ❑ 17829154THAVESE CITY; RENTON ST WA ZIP; 980589033 2 NEW ADDRESS 7❑ +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSSPORTED. 3 INTERLOCK YEs NO INTERLOCKvEs NO YES No 8❑ DRIVER # STATE WA SEXI F MMDDYY' 03 - 28 - 1974 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RE 4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2 LICENSE, CKY6708 STATE WA VIN# 5TDZSKFC2RS128121 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE ROM To 11 4 0 PLATE# PLATE# TRLR rRLR 5 1 33 12 4 0 VIN#' vIN# FROM TO VEH.YEAR ZO24 MAKE TOYT MODEL SIENNA STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34 13� DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO WEI ZHENG 17829154TH AVE SE RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 ❑ INSURANCE CO 2 3 4 14 LIABILITY INSURANCE✓ SAME. IN EFFECT &POLICY# C:;�� VEHICLE CHARGE 36 Lemur YES[:]NO[:] CITATION# 15❑ srnNowc s 7 e UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR 16� LAST NAME ALEMAN MARQUEZ FIRST NAME ANA MIDDLE M INITIAL 17 F1 STREET ❑❑ 26828 119TH AVE SE CITY KENT ST, yyq ZIP 980308601 37 NEW ADDRESS 18❑ CDL IGNITION RE(2UIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES NO INTERLOCK YES NO YES NO 19 DRIVE # INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN� AVN1061 rare WA vIN# JTMRFREV5FD126578 41 PLATE 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2015 MAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO DENNIS ORELLANA MACHADO 26828 119TH AVE SE KENT WA 98030 VEHICLE NO.2 SHADE IN DAMAGE,D,AREA 2 3 �k LIABILITY NSURANCE✓I INSURANCE CO SAME. IN EFFECT &POLICY# t STOP VEHICLE ❑ CITATION# CHARGE to BOTTOM L'EILY YES N 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG54939 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9621 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :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 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. M.LEVERTON 11-06-25 07:23 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1 121312025 3:58:39 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:54 AM TIME POLICE ARRIVED i 5:54 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG54939 CASE# 25-9621 O OF COLLI 510N TIME 11/06/25 05:54 COLLISION NARRATIVE gry/1 rear gray2 gray 3 rear 1 RTF Within the city limits of Renton/King/Wa I onviewed a 3 vehicle blocking crash about the 1700 block of Benson Dr S north bound lane 1. I contacted the driver of unit 2 who said she was slowing or almost stopped when she was hit from behind by unit 2. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 3 who told me he saw unit 1 brake and then contact the back of unit 2. He told me he braked but slid on the wet road and lightly contacted unit 1 in the back. There did not appear to be any damage to his vehicle but a bent license plate and there was an obvious contact spot from his plate onto the bumper of unit 1. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 who did not provide any information in English or via translator for i believe Chinese. I was able to obtain her information by showing the documents from the other drivers. 1 was handed a cell phone with a person who spoke unit 1 language and English and when I asked him to obtain from unit 1 driver what happened unit 1 simply walked away. It wasnt unit unit 1 son arrived on scene and told me that she was hit from behind by unit 3 so hard it "punched" her into unit 2. Unit 2 although her primary language was Spanish disagreed. 1 showed the son of unit 1 the damage or lack there of to unit 3 and asked if that appeared to be the damage consistent with a car that punched another forward causing the rear end damage to unit 2. 1 told him he could explain to his mom and insurance their version but we werent going to have a lengthy discussion while blocking the roadway during heavy commuter traffic time. Unit 1 did not complain of injury and damages did not require a tow truck. Minor damages. Unit 1 did have a passenger who was not ID'd. Information/insurance only 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 11/6/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG54939 POLICE TRAFFIC o 27 COLLISION REPORT CASE# 25-9621 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 S SOURCE AXLE + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT# 3 PEDESTRIAN ❑', YES NO 5 VEHICLE CYCLE OWNER ✓ 0 1 29 LAST NAME POKRYFKE FIRST NAME , MICHAEL MIDDLE' R INITIAL STREET 30 NEW ADDRFs pj 11002 SE PETROVITSKY RD UNIT CITY RENTON I ST WA ZIP 1 980555629 6 [2 PRESENT MEC7ICALTANSPORTED: 1 1 2 31 CDL IGNITION O REQUIRED 1{iNi7ION :: INTERLOCK YES NO INTERLOCK YES0-0 1 YES N DRIVER'S D.O,B 7 LICENSE' STATE WA SEX M MMDD' 06 18 - 1968 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY 1 NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE DV18907 rAT WA VIN KNDAFFS50R6022234 PLATE# 9 9] TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 4 0 VEH.YEAR2024 MAKE KIA MODELEV9 STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT.vFHICI E FROM TO DAMAGE YES NO ✓ YES NO MICHAEL POKRYFKE 11002 SE PETROVITSKY RD UNIT RENTON WA 98055 D:2532503397 5 1 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 4 FROM TO INSURANCE CO LIABILITY INSURANCE SAME. 5 IN EFFECT � &POLICY# _J7t1P_ m 34 13 ❑ vewc�e YES❑ NO❑ CITATION# CHARGE 1080TTOM .. ecALv . STANDING 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 MEDICALTANSPORTED 17 INTERLOCK YES NO INTERLOCK YES NO YES NO. ❑ 37 RIVERSLLIICENSE# STATE SEX M oo g _ 18 ❑ ❑ HELMET INJURY 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. NATURE OF INJURIES 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE# STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 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# ).c;Q 3. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EG_ YES NO STANDING 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. M.LEVERTON 11-06-25 07:23 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE 1 APPROVED 2 �ORIWA0171300 A 1312025PAGE26 2517 OF ORID# # 3000-345-013(R 11t18) REPORT NO. EG54939 CASE# 25-9621 DATE AND TIME 11/06/25 05:54 OF COLLISION � 1 u 0 s ca PAGE 5 OF 5