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HomeMy WebLinkAbout25-8098 TFF' NoucERA II I !�� I III I III I IIII III II I O 0 27c . COLLISION REP FIT 1591971 SASE 25-8098 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#pF OBJECT 1 F 1 8 28 TRIBAL UNITS OZ RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 09 - 1-- 2025 1555 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. e✓ ❑ ❑ MILEPOST 4a DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e MAPLE AVE SW 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2066730859 0 11 30 6� LAST NAME LINDEN FIRSTNAME CODY MIDDLE R 1 1 2 31 INITIAL STREET ❑1 11003 184TH AVE E CITY BONNEY LAKE ST I WA 2jp, 983916048 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑ 3 LICENSE C89843U sTArI WAvIN# 1NKZX4EX9GJ128062 10❑ PI ATE 94 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FR.. To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO 7 3 34 13 3 2016 KW CONST YES❑ NO✓ REGISTERED OWNER INFO KRS INC DBA MCNEL SEPTIC S PO BOX 486 HOBART WA 98025 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 INSURANCE CO 3 4 14 IN EF IT INSURANCE OHIO SECURITY INSURANCE COMPANY SAS 57166021 IN EFFECT &POLICY# 9TOP VEHICLe 15❑ EC 5 36 LALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6269448469 16 a LAST NAME WANG FIRST NAME DAFEI MIDDLE N INITIAL 17❑ STREET ❑', 16012 47TH AVE S CITY TUKWILA ST WA ZIP 981882719 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 D IVEW # STATE WA SEX M M .C... 04 12 _ 1984 El 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE I CRD1457 TAre WA VIN# KMHLM4DJ2SU153434 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2025 MAKE HYUN MODEL ELANTRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DAFEI WANG 1601247TH AVE S TUKWILA WA 98188 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 860363657IN 1 9TOP 5 vE""LE ❑ Nu,J CITATION# CHARGE LEG i o BOTTOM ALLY YES 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. COLLISION REPORT III III III III III 111 1591972 CASE# 25-8098 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SHERWOOD LIPING N (LAST FIRST, ADDRESS&PHONE# D O.B. ' 21215 NE 35TH LN SAMMAMISH WA 980746306 SEXi F MMDOYyry 07 - 04 - 1958 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&PHONE# D 0.11 SEX' MMDDYYYV PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. 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. C.CATALAN 09-22-25 05:50 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 1011012025 1:21:04 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 3:55 PM TIME POLICE ARRIVED',3:55 PM PART I PAGE IT]OF 5� REPORT NO. CASE# 25-8098 OF COLLISION 09/17/25 15:55 OF CbLLI510N NARRATIVE On September 17, 2025, at approximately 1555 hours, I approached an unknown-if-injury vehicle collision at the intersection of Lind Ave SW and SW Grady Way, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, 1 confirmed there were no complaints of injury requiring immediate medical response at the time of report. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit#1, identified as Cody Linden, said he was at fault and explained he attempted to switch lanes and failed to see Unit#2 in his blind spot. Cody said he was traveling eastbound on SW Grady Way and approaching Maple Ave SW when he attempted to change lanes. He was in lane 2 of 2 and intended to move into lane 1 of 2. While merging, Unit#1 and Unit#2 collided in lane 1 of 2 causing minor damage to his front right wheel and bumper. The driver of Unit#2, identified as Dafei Wang, said he was accomapined by his front passenger and was also traveling eastbound and had just passed Lind Ave SW. Dafei he was intending to continue straight when Unit#1 changed lanes from lane 2 of 2 and into lane 1 of 2 which he was occupying. Dafei said he was unable to avoid the collision and Unit#2 suffered significant damage to the driver's side of his vehicle. Based on the above statements, 1 determined that the Driver of Unit#1 (Cody) is the proximate cause for the cause of collision as he violated RCW 46.61.140(1) which states that a vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. Cody made a lane change into Unit#2's lane of travel which had the right of way and was underway. I gave Cody a verbal warning for Improper Lane Usage causing a collision. An exchange of information was provided to all involved parties. Both vehicles were driven away without further incident. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 09/22/2025 Renton PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. r` POLICE TRAFFIC 1 27 COLLISION REPORT CASE#' 25-8098 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 1 USDOT 2126654 ICC# 991 VEHICLE TYPE 2 CARGO BODY 5 TYPE 2 ❑ 1 28 CARRIER NAME KRS SERVICES ....... 3 CARRIER ADDRESS 26822 SE 236H ST CITY MAPLE VALLEY ST WA ZIP 98038 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI64000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No INTERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 09-22-25 05:50 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12007 O#I',WA0171300 JACOBS 10/10/202 PAGE�OF 3000-345-013(R 11118) REPORT NO. CASE# k 25-8098 DATE AND TIME 09/17/2515:55 OF COLLISION v: �n e Fu 3 ` d f a� ,E�G I } rs � i tS vs� ;±s a~z3 r srrt�� �g z ti ix. S PAGE 5 OF 5