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
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