HomeMy WebLinkAbout25-5645 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68600OLCERA
COLLISION REPORT 1591971
CASE# 25-5645 2
INTERSTATE CITY STREET FIRE I
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAI-A`NG 4200 3
COUNTY RD NT&RUN CODING
PRIVATE WAY
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK BUILDING
RESERVATION : 1 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 06 - 29 - 2025 1643 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION �✓
GRANDEYWAYNE BLOCK NO. e 401 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 4 29
MOTOR ✓ PEDAL- F DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES NO ✓ 1 4 30
g❑ LAST NAME NGO FIRST NAME ANH MIDDLE D 1 2 31
INITIAL
STREET Q 401 GRANDEYWAYNE CITY; RENTON ST WA ZIP; 98056 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO✓ INTERLOCKVEs NO✓ YES NO✓
8 DRIVER # STATE WA SEX I M MMD4YY' 10 - 20 - 1959 t 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 2 EJECT 1 H USEET 2 CLASSY 1 NATURE of INJURIES 2
10 PI ENSttEI D97448F STATE WA VIN# 1GCEK19T24E280791 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM TO
TRLR zRLR 3 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2004 MAKE CHEV MODEL SILVER STYLE pK VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE m 34
13 DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO ANHNGO401GRANDEYWAYNERENTONWA98056 VEHICLE NO. 1
❑ SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO UNKOWN
IN EFFECT &POLICY#
V""' CHARGE 5 36
LE,,ALLY YES❑NO❑ CITATION# <14,
15❑ STANDING
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLDMET PHONE
1 VEHICLE CYCLE nWNFR YES NO f/
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17❑ STREET F-1 CITY, RENTON ST ZIP 4❑ 37
NEW ADDRESS
1$ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES No INTERLOCK YES R N.Fj YEs NO
19 LICENS# STATE SEX U MMDDYY —� 39
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSE I PATE# C99557P TATE WA VIN# 4TAWN172N7WZ080350 41
22❑ [TILER TRAILER
PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 999$ MAKE TOYT MODEL TiIICOMA STYLE pl( VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO✓
REGISTERED OWNER INFO ADRIAN MURIAS 404 GRANDEY WAY NE RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO UNKNOWN
IN EFFECT &POLICY# I STOP
VEHICLE ❑ CITATION# CHARGE to BOTTOM
LEGALLY YES N
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MICAH BATTLE 12049 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68600
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5645
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 NJURY 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
25-5645
On 6/29/25 at 1647 hours, I was dispatched to a collision at 401 Grandey Way NE, in the City of
Renton, County of King, Washington.
Dispatch advised that a truck ran into a house and there is now a suspected gas leak.
Upon arrival 1 observed a vehicle WA-D97448F had ran into the car park structure of 401 Grandey
Way NE. The driver, Anh D. Ngo (10/20/59, verified by WAID Photo) was being evaluated by the
Renton Fire Department, there was no apparent injuries.
Through a Vietnamese translator, Ngo stated he was coming west down Grandey Way NE turning
into his house (401 Grandey Way NE) when he mistaked the break pedal for the gas padel losing
control of the vehicle.
The neighbor, Adrian Murias (6/27/80) who lives at 404 Grandey Way NE stated that his vehicle WA-
C99557P was legally parked on Grandey Way NE. The vehicle had sustained minor damage on the
rear driver bumper. Likely from Ngo striking the vehicle as he was turning into his house.
No obvious injuries. The Renton Fire Department secured the gas leak.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed, M. Battle 12049, 11/16/25, 1943
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAH BATTLE 11-16-25 07:44 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
1/14/202612:45:04AM
CASEYPROCTER 12123
BADGE OR ID# 12049 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:47 PM TIME POLICE ARRIVED i 4:51 PM
PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG68600 CASE# 25-5645 DATE AND TIME 06/29/2516:43
OF COLLISION
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