HomeMy WebLinkAbout26-121 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68742OLCERA
COLLISION REPORT 1591971
❑ 0✓ FIRERES ED I
CASE#I 26-121 2
INTERSTATE CITY STREET FIRE STOLENSTATE ROUTE OTHER VEHICLE LOL'AI-A`OENC'Y 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 0 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
BOLL s oN' 01 - 06 - 2026 0700 17 =.= S 8 W❑ OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SR 167 OFF RAMP BLOCK ST e
4a MILE POST 4300 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 43RD ST
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064036658 0 3 30
5 LAST NAME EVANS FIRST NAME JAYDA MIDDLE M 1 2 31
INITIAL
STREET ] 4600 DAVIS AVE S APT K201 CITY; RENTON ST WA ZIP; 980558264 2
NEW ADDRESS
7❑ +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCK YEs NO�/ INTERLOCKVEs NO�/ YES NO
8❑ DRIVER # STATE WA SEXI F MMDDYY' 05 - 17 - 2006 1 2 32
-NJUR
9❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2❑
LICENSE, CTA7167 STATE WA VIN#; 1N4AL21E79N484398 3
10 Fl I as ATP rt
STATE STATE
❑ TRAILER TRAILER
11 0 0 PLATE# PLATE# ROM To
TRLR zRLR 5 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2009 MAKE NISS MODEL ALTIMA STYLE SD VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE g 3 34
13� DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO FATIMAH STEWARD 2870034TH AVE S UNIT El AUBURN WA 98001 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 988024078 3 4
IN EFFECT &POLICY# 9TOP _
11
YEs
""ALLY ❑NO❑ CITATION# 6A0092286 CHARGE FOLLOW VEHICLE TOO CLOSELY s t a 6orro6 z 36
15❑ STM
MOTCYR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2068162194
16�
LAST NAME KUMAR FIRST NAME DAV►NDER MIDDLE N
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 29821 49TH LN S CITY AUBURN ST, WA ZIP 980012958
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: ❑ 38
INTERLOCKYEs NO INTERLOCK YES NO vEs No
STATE DRIVER'S � 39
LICENSE# MMDDYY —
:
20❑ ON DUTY HELMET INJURY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 7 NATURE OF INJURIES 40
COMPLAINT OF NECKISHOULDER PAIN ❑
21[—] LICENSE CED4874 TATE WA VIN# JTDKAMFU5M3148110 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2021 MAKE TOyT MODEL PR/US STYLE $D VEHICLE TOWED TO BY
BLIN
TOWED GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO DAVINDER KUMAR 2982149TH LN S AUSURNWA98001 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
IAEFFECTNSURANCE[Z INSURINC CO ENCOMPASS 2025423266 9rOP
HICL
L'—L YES❑ NC❑ CITATION# 6AO092285 CHARGE INATTENTIVE DRIVING to BOTTOM
VEE
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68742
COLLISION REPORT III III III III III 111
1591972 CASE# 26-121
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) EVANS JOURDYN
ADDRESS&PHONE# D�
4600 DAVIS AVE S#K201 RENTON WA 98055 2063769535 SEXi F MMDD.0 B. 04 - 17 - 2010
PASSENGER Z WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Q 1 POS. 3 2 4 1 USE 2 CLASS +1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) VAUGHN IB RAYMOND A
ADDRESS R PHONE# D 0 B
4312 65TH AVENUE CT E FIFE WA 984242352 2532211390 SEX'' M MM DDYYvr 04 - 10 _ 2006
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. ' 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
:NAME
:.(L4ST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYYYY D.O.B. -C�
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.
D.NELSON 01-09-26 01:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 111412026 11:44:30 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 7:03 AM TIME POLICE ARRIVED i 7:20 AM
PAST B 3 Do-3m5-attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG68742 CASE# 26-121 O OF COLLI 510N TIME 01/06/26 07:00
COLLISION
NARRATIVE
26-121 ACC
On 1/6/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. 1 was dispatched to a report of a non-injury, non- blocking collision that had just
occurred near the SR 167 off-ramp to eastbound S 43rd St Renton/King/WA. I arrived on scene and
located both vehicles pulled to the shoulder on a nearby side street.
The driver of Unit 2 advised he had a complaint of pain to his neck but did not request aid. The driver
and passengers of Unit 1 did not report any injuries.
The driver of the 2009 Nissan Altima WA/CTA7167 (Unit 1) was identified by her WADL as Jayda M
Evans DOB: 5/17/2006. Jayda said that she was exiting northbound SR 167 to eastbound S 43rd St.
She said that as she began her turn onto 43rd St, Unit 2 stopped in the lane of travel causing her to
collide with the rear bumper. There was damage to the front passenger side bumper/headlight of the
Altima. There was no airbag deployment, and the Altima was drivable. Jayda's driving status showed
as clear and valid WACIC/NCIC/DOL.
The driver of the 2021 Toyota Prius WA/CED4874 was identified by his WADL as Davinder Kumar
DOB: 5/20/1971. Davinder initially said that he was exiting SR 167 and stopped while he waited for
traffic. I confirmed that he was in the lane to turn east onto S 43rd and he said yes. Davinder said that
he was "not driving" and he "was waiting". 1 informed him that this was a merge lane, and he was not
supposed to stop. He then said that he had not stopped, and he was still driving while making his
right turn, he then added that this was before the light. Davinder showed as clear and valid
WACIC/NCIC/DOL.
There was damage to the rear diver side bumper of the Prius. There was no airbag deployment, and
the Prius was drivable.
The roadway was wet, and it was actively raining at the time of the collision, it was dark outside, and
the area of the collision was illuminated by streetlights. The off-ramp exits northbound SR 167 and
splits into 3 lanes. Lanes #2 and #3 turn west or continue back onto NB SR 167. Lane #1 is a turn
lane that turns into its own lane onto eastbound S 43rd St. It is represented by a sign that shows it
turns into its own lane and does not have a yield or stop sign.
Due to the condition of the roadway and nature of the intersection I believe Jayda was following too
closely to avoid the collision. 1 cited Jayda for RCW 46.61.145.1 Following Vehicle Too Closely under
Sector Citation #6A0092286.
Based on Davinder's initial statement that he was stopped in the eastbound turn lane while he waited
for traffic, 1 cited Davinder for RMC 10-12-25 Inattentive Driving under Sector Citation #6A0092285
Both citations should be mailed to Jayda and Davinder's DOL address.
Nothing further.
1 certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 1/6/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EG68742 CASE# 26-121 DATE AND TIME 01/06/2607:00
OF COLLISION
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