HomeMy WebLinkAbout26-146 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG6755OLCERA
COLLISION REPORT 1591971
❑ 0✓ FIRERES ED I
CASE# 26-146 2
INTERSTATE CITY STREET FIRE STOLENSTATE ROUTE OTHER VEHICLE LOCAL-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 01 - 06 - 2026 1952 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 12TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e EDMONDS AVE NE
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE
❑ CYCLE ❑ YES No �/ D:2065541081 30
6 LAST NAME TRAN FIRST NAME THO MIDDLE V 1 1 2 31
INITIAL
STREET ; ] 1712 MONTEREY AVE NE CITY; RENTON ST I WA Zlp; 98056 2�
NEW ADDRESS
7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO,/ INTERLOCKYEs --�/ YEs F NO,/
8❑ DCIENSE# STATE WA SE XI M MMDDYY' 10 - 12 - 1940 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
10 2] PI ENSttEI BPW2467 STATE WA VIN# 5J8TB4H56JL012220 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR zRLR 1 3 33
12 VIN#' VIN#
: FROM TO
VEH.YEAR 2018 MAKE ACUR MODEL RDX STYLE SD VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 $ 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO HUANG TRAIN 1712MONTEREYAVENE RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 ECONOMY PREFERRED 6103916350
IN EFFECT &POLICY# 4TOP
v CHARGE t S ❑ 36
ecnewcLeur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ TM LNG s 7 e
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT�' PEDESTRIAN Q✓ D:4257726927
VEHICLE CYCLE OWNER
YES NO
16�
LAST NAME LOPEZ CORTES FIRST NAME SIL VIA MIDDLE D
INITIAL
STREET ❑
17 ❑ 2616 NE 20TH ST CITY RENTON ST, WA ZIP 98056 q 37
NEW ADORE SS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTEtLOCKYES NO (NTERLOC(£YES xz YES NO
19 DRIVER'S
CENSE# STATE SEX F MMDDYY 11 13 1966 39
4 HELMET NATURE OF INJURIES 3 40
INJURY
20❑ ON DUTY STATUS 3 AIRBAG RESTR EJECT 2 6 ❑
USE CLASS RIGHT KNEE PAIN
21 1
LICENSE I PLATE# TATE VIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 1 7 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vemcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HUNTER DEIGHAN 13030 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG67555
COLLISION REPORT III III III III III 111
1591972 CASE# 26-146
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 CLASS 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.
HUNTER DE/GHAN 01-06-26 11:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 1/1012026 12:14:06 AM
BADGE OR ID# j 13030 ORI# WA0171300 TIME POLICE DISPATCHED 1 7:59 PM TIME POLICE ARRIVED i 8:03 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG67555 CASE# 26-146 O OF COLLI 510N TIME 01/06/26 19:52
COLLISION
NARRATIVE
26-146
Unless otherwise noted, the following happened within the City Limits of Renton, County of King,
State of Washington.
On 01/06/26 at approximately 1959 hours I was dispatched to a injury accident at NE 12th St and
Edmonds Ave NE. It originally came out as a 2 motor vehicle accident but was changed to a vehicle
vs pedestrian. Both the driver of Unit#1 and the pedestrian (Unit#2) were on scene. The pedestrian
was injured.
The driver of Unit#1 told me that he was driving southbound on Edmonds Ave NE. He stopped at the
stop sign at NE 12th St and turned east. He did not initially see that someone was walking north to
south in the crosswalk at NE 12th St. He said he slammed on his brakes and came to a complete
stop. He claimed Unit#1 never touched Unit#2. Unit#2 then squatted down and sat down in the
crosswalk. The driver and his wife got out of the vehicle and helped Unit#2 to the sidewalk. Officer J.
Mello spoke with the wife who initially told him that Unit#1 did not hit Unit#2 but then later changed
her story to Unit#1 lightly bumped Unit#2.
Unit#2 told Officer R. Rivera that she was on the sidewalk on the NE corner of the intersection. She
entered the crosswalk to cross NE 12th St from north to south. She said she did not see Unit#1 and it
struck her on her right side as she was in the crosswalk. She had a complaint of general knee pain in
her right knee. She claimed the driver of Unit#1 was drunk but did elaborate at all. She was
transported to VMC but RFD.
I conducted HGN on the driver of Unit#1 with his permission and did not see any clues. Both parties
were given a business card and the case number.
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 H. Deighan 13030 on 01/06/2026 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. EG67555 CASE# 26-146 DATE AND TIME 01/06/2619:52
OF COLLISION> '
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