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HomeMy WebLinkAbout25-81048 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 25-81048 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION'. 12 - 1-— 2025 2014 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LIND AVE SW BLOCK NO. e✓ 1900 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e SW 19TH ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:3604810362 0 11 30 6❑ LAST NAME TAYLOR FIRSTNAME TORT MIDDLE J 1 1 2 31 INITIAL STREET ❑ 158 HERITAGE PL APT250 CITY BURLINGTON ST WA 2jp, 98233 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 11 1— 17 — 1976 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CKU3328 sTArI WAurN# 1FMJK1JT8LEA40522 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. RLR 1 3 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 2 2020 FORD EXPEDI UT DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 863202410 35 IN EFFECT &POLICY# 9TOP 15❑ vewCLE 5 36 LECALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:8084431788 16 2 LAST NAME CHEN FIRST NAME SHIHUI MIDDLE INITIAL 17❑ STREET ❑' 11620 RAINIER AVE S APT 105 CITY' SEATTLE ST' WA ZIP 98178 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA ]SEX IF D.C.B. 05 _ 25 _ 1990 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CNJ4622 TAre WA VIN# 4T1BF1FK1CU187134 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. TOWED BV Gov HI 44 VEH YEAR 2012 MAKE 7'Oy7' MODEL CAMRY STYLE 4D —FEHICLE TOWED✓ NOO BLIN GENE MEYER YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO pROGRESSIVE 98761762IN STOP 5 VEHICLE ❑ C—I CITATION# CHARGE io BOTTOM LEGALLY YES N 25 a 7TyLER S NAME(PRINT) OFFICER PHONE B 26 ADGE OR ID# AGENCY EDIGER 12807 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG64300 COLLISION REPORT III III III III III 111 1591972 CASE# 25-81048 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BERRY TAYLOR A (LAST FIRST, ADDRESS&PHONE# D O.B. ' BURLINGTON 3604887024 SEXi F MMDOYyry 01 - 23 - 2007 PASSENGER Z WITNESS❑'UNIT# 1 SOS 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES USE CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) IRVING PRINCESSRAYAUNA ADDRESS&PHONE# D O B. BURLINGTON 2533376941 SEX: F MI MODYYYY 05 _ 29 _ 2006 SEAT HELMET I INJURY NATURE of INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 4 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) IRVING ELIZEO A AooREss&PHONE# BURLINGTON M M 10 17 _ 2023 SEX. D.O.B. _ MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 5 AIRBAG 2 RESTR. 4 EJECT 1 HELMET NJURY 1 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. TYLER EDIGER 12-27-25 12:56 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEYPROCTER 12123 1 1213112025 12:21:33 AM BADGE OR ID# 12807 OR]# WA0171300 TIME POLICE DISPATCHED' 8:14 PM TIME POLICE ARRIVED',8:19 PM PART I PAGE IT]OF 6� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG64300 COLLISION REPORT III III III III III 111 1591972 CASE# 25-81048 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) DAVIS KATORI P (LAST FIRST, ADDRESS&PHONE# D O.B. ' BURLINGTON SEX' M MMDDYYYY 01 - 22 - 2012 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES ❑✓ 1 POS. 9 2 4 1 USE CLASS +1 NAME (LAST,FIRST,MIDDLE INITIAL) IRVING PRINCESS C ADDRESS&PHONE# D O B 2014 32ND ST ANACORTES WA 98221 3604218782 SEX: F MMDDvvvv 10 _ 28 _ 2007 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) IRVING PRINCE C AooREss PHONE# 2014 32ND ST ANACORTES WA 98221 3604451186 SEX M D.O.B. 02 _ 07 _ 2009 MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 7 AIRBAG 2 RESTR, 4 EJECT 1 HELMET NJURY 1 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. TYLER EDIGER 12-27-25 12:56 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEYPROCTER 12123 1 1213112025 12:21:33 AM BADGE OR ID# 12807 OR]# WA0171300 TIME POLICE DISPATCHED' 8:14 PM TIME POLICE ARRIVED',8:19 PM PART I PAGE 3�OF 6� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG64300 COLLISION REPORT III III III III III 111 1591972 CASE# 25-81048 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) JIN QUANXIU (LAST FIRST, ADDRESS&PHONE# SEATTLE SEX M MMDDYYYY 09 - 01 - 1990 PASSENGER I�I WITNESS� UNIT# 2 SEA ! 3 AIRBAG'2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES L�!1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B 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.Q.B. MMDDYYYY. - 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. TYLER EDIGER 12-27-25 12:56 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEYPROCTER 12123 1213112025 12:21:33 AM BADGE OR ID# 12807 OR]#' WA0171300 TIME POLICE DISPATCHED' 8:14 PM TIME POLICE ARRIVED',8:19 PM PART I PAGE 4�OF 6� REPORT NO. EG64300 CASE# 25-81048 OF COLLISION 12/26/25 20:14 OF CbLLI510N NARRATIVE During this incident, I was equipped with a body-worn camera, which records both audio and video. Portions of this incident were recorded. This report is merely a summary of the incident and is not intended to be an exact transcription of the entire investigation or what may have been captured with the recording system. I was operating a fully marked Police Tahoe #309 which was equipped with overhead emergency lights and sirens. I was also wearing my department issued Renton Police uniform which clearly identifies me as a Police Officer. Case Number 25-81048 On 12/26/2025 at approximately 2014 hours I was dispatched to a motor vehicle collision at Lind Ave SW and SW 19th St, within the City of Renton, King County, Washington. I identified unit 1 as a 2020 Ford Explorer (WA/LIC: CKU3328 VIN# 1 FMJKIJT8LEA40522) which was driven by Tory J Taylor (DOB 11/17/1976). Unit 1 sustained significant passenger side damage but was able to leave under its own power. No injuries were reported in unit 1. I identified unit 2 as a 2012 Toyota Camry (WA/LIC: CNJ4622 VIN#4T1 BF1 FK1 CU187134) which was driven by Shihui Chen (DOB 05/25/1990). No injuries were reported in unit 2 however it needed to be towed. Unit 2 sustained significant front-end damage. After speaking with both parties, it was determined that as unit 1 was traveling southbound on Lind Ave SW they prepared to turn left to travel eastbound on SW 19th St. Unit 1 began making the left turn and failed to see unit 2 who was blocked by another vehicle turning left. Unit 2 was traveling northbound through the intersection. Unit 1 turned in front of unit 2 causing the vehicles to collide. The proximate cause of this collision was unit 1 failing to yield the right of way as both parties had a green light. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer T. Ediger#12807 12/27/2025 Renton, King County, WA. PAGE 5 OF 6 REPORT NO. EG64300 CASE# 25-81048 DATE AND TIME 12/26/25 20:14 OF COLLISION ti ; o a 1. ��1 t s y�: Alt �§ t �•�4vv� �} � a S t �. zt rrr�47 4;; q t { l:l 3f, 4 �tttt e� 4. SQL PAGE 6 OF 6