HomeMy WebLinkAbout25-81097 )STATE
TFcN 5 6 27i t
Oc� RA EG64979
COLLISION REPRT 1591971
CASE# 25-81097 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 12 - 28 - 2025 1802 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO.
❑
MILE POST e
4a
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e BRONSONWAYNE
0 1 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3142821165 1 6 30
6 LAST NAME TSANG FIRST NAME YIN TING MIDDLE E 1 1 2 31
INITIAL
STREET ❑✓ 1741 LARKIN ST CITY SAN FRANCISCO ST CA ZIP 94109 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES ✓NO INTERLOCK YES NO✓ YES NOFJ
8 DRIVE E# STATE CA SEX F MMOCSYY' 01 — 21 — 1985 t 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELM
USEET 2 CLASS 1 NAruRE of INJURIES 2
I INJURY
10� P1 AT5� 748QBZ STATE OR y1N# ✓TDKAMFU8N3156235 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 5 1 33
12 3 5 VIN# vIN
FROM TO
VEH.YEAR MAKE MODEL 7 GOVT VEHICLE 1 5 34
13 3 2022 TOYT PRIUS STYLE VEHICLE TOWED TO SD DAMAGE YES ✓ BLIN NO �Y MEYERS YE No✓
REGISTERED OWNER INFO HK AUTO SALES 5555 NE CULLY BLVD PORTLAND OR 97218 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 3 4
14 ✓ TRAVELERS 1R571635-TXS-25
IN EFFECT &POLICY# 4TOP
V""' CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STM ING 7 e
rL� MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:2063805885
16�
LAST NAME ✓OVEL RENDEROS FIRST NAME CLAUDIA MIDDLE I M
INITIAL
17
STREET ❑ 37
'❑ 404 TERRY AVE APT 606 CITY SEATTLE ST, WA ZIP 981043904 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPDRTED' 38
INTERLOCKYEs No✓ INTERLOCK YEs NO✓ YEs NO✓
19 DRIVERS STATE I WA SEX F I D,O,B. 09 09 1993 � 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSE I PLATE# CKL1947 TATE WA YIN# 1G11A5SA2GU136792 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2016 MAKE CHEV MODEL MAUBU STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO ANTONIO MALAGON 21120124TH AVE SE KENTWA98031 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT 8.POLICY# 9TOP
VEHICLE YES❑ NCO,.I—I CITATION# CHARGE t08OTTOM
LEGALLY
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
JAMAAL KEARSE 12994 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG64979
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81097
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
JAMAAL KEARSE 12-28-25 11:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
J.CHRISTIANSEN 10437 11112026 7:33:30 PM
BADGE OR ID# 12994 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:02 Pry TIME POLICE ARRIVED 7:09 Pb1
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG64979 CASE# 25-81097 O COLLI COLLISION TIME
OF 12/28/25 19:02
COLLI
NARRATIVE
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 12/28/2025, at approximately 1902 hours I was dispatched to a report of a blocking collision at
Sunset Blvd NE and Bronson Way NE. Dispatch advised 2 vehicle collision near 1405 on ramp.
At approximately 1909 hours 1 arrived on scene. I contacted all occupants and confirmed there were
no injuries. Unit 1 was in the southbound lane of Sunset Blvd NE facing north. Unit 2 was in the
southbound lane of Sunset Blvd NE facing southbound. Both vehicles had heavy front-end damage.
Unit 1 had airbag deployment. Unit 2 did not have airbag deployment.
I contacted the driver of Unit 1 and she advised the following. She was driving northbound on Sunset
Blvd NE approaching the northbound 405 on ramp. She turned to get on the 405 on ramp but
somehow missed the turn and ended up northbound on Sunset Blvd NE in the southbound. Unit 2
was driving southbound on Sunset Blvd NE. She struck the front end of Unit 2 with Unit 1. Man Tsun
Wong DOB 5/11/1987 was in the front passenger seat of Unit 1. He confirmed the details provided by
the driver of Unit 1. Unit 1 had to be towed.
I contacted the driver of Unit 2 and she advised the following. She was driving southbound on Sunset
Blvd NE. She noticed Unit 1 driving right at her. Unit 1 then struck the front of her car. She did not
have enough time to react and avoid the collision. Unit 2 had to be towed.
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 Officer J. Kearse #12994 12/28/2025 2246 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG64979 CASE# 25-81097 DATE AND TIME i 12/28/25 19:02
OF COLLISION
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