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HomeMy WebLinkAbout26-345 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG6879OLCERA COLLISION REPORT 1591971 Ell CASE# 26-345 2 INTERSTATE CITY STREET STATE ROUTE OTHER LOL'AI-A`OENC'Y 4200 C©DIN6 COUNTY RD PRIVATE WAY 2� TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDLLISION' 01 - 13 - 2026 0757 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOMAPLE VALLEY HIGHWAY MILE POST e Y900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1501.1 00 FEET MILES e✓ S 8 W e SE STH ST 0 1 29 MOTOR PEDAL- DAM G THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:2064308313 0 9 30 6 LAST NAME HURJUI FIRST NAME AUREL MIDDLE N 1 1 2 31 INITIAL STREET ❑ 2901 NE 10TH ST APT 220 CITY; RENTON ST WA ZIP' 980563154 2 NEW ADDRESS 7❑ CDL IGN(TIbN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES NOW INTERLOCKvEs NO�/ YES FNO�/ 8 DCIENSE# STATE WA SEXI M MMDDYY' 03 - 24 - 1951 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 LI ENSE BBX7968 STATE WA VIN# 1HGCG564XWA153120 3 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# ROM To TRLR TRLR 7 1 3 33 12 0 0 VIN#' vIN# FROM TO VEH.YEAR 1998 MAKE HOND MODEL ACD4D STYLE SD VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO AUREL HURJU12911 NE 10TH ST APT 220 RENTON WA 98056 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 PROGRESSIVE 940089283 IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 I < 36 Lec Lr YES❑NO❑ CITATION# t a 80TTOM 15❑ STM ING 7 e MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2068806375 16� LAST NAME MACHADO FIRST NAME JUAN MIDDLE F INITIAL STREET ❑ 37 17 ❑ 5815 S 152ND PL APT 220 CITY', TUKWILA ST, WA ZIP 981887770 NEW ADDRESS 18❑ CDL IGNITION REC3UIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38 INTERLOCK YEs No jNTERLOC(£YES no yEs No;� 19 DRIVER'S STATE I WA SEX M I D.O.g. 06 26 1974 39 LICENSE# MMDOYY - HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSEPATE# CMR2508 rare WA vIN# USE 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2007 MAKE NI$$ MODEL QUEST STYLE VN VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO JUAN MACHADO 5815 S 152ND PL APT 220 TUKWILA WA 98188 VEHICLE NO.2 SHADE IN DAMAGE,5AREA 2 3 �4 LIABILITY INSURANCE[Z INSURANCE CO NATIONAL GENERAL 2029488968 IN EFFECT &POLICY# t STOP YemaE LE—Y YES N`.L J ,.I—I CITATION# CHARGE to BOTTOM 25 7DNE 'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SON 12421 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG68795 COLLISION REPORT III III III III III 111 1591972 CASE# 26-345 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 GLASS 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 CIASS ----� :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 GLASS 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 01-14-26 07:07 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 111412026 1:35:43 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 7:58 AM TIME POLICE ARRIVED i 8:04 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG68795 CASE# 26-345 O OF COLLI 510N TIME 01/13/26 07:57 COLLISION NARRATIVE 26-345 ACC On 1/13/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a two-vehicle collision with unknown circumstances near the 2900 block of Maple Valley Highway Renton/King/WA. While enroute, a KCSO Deputy arrived on scene and advised the collision was blocking and there were no injuries. I arrived on scene and located one vehicle blocking the #1 eastbound lane of Maple Valley Highway. I was able to move the vehicle from the roadway using my patrol vehicle. The driver of the 1998 Honda Accord WA/BBX7968 (Unit 1) was identified by his WADL as Aurel Hurjui DOB: 3/24/1951. Aurel was using his son to translate for him, he said that he was driving east in the #1 lane of Maple Valley Highway negotiating the S-curves. He said that he did not see that Unit 2 was disabled in the roadway and collided with the rear bumper. There was extensive damage to the front bumper/hood of Unit 1, and it was undrivable. The front airbag had deployed and Aurel advised he was not injured and did not require aid. The driver of the 2007 Nissan Quest WA/CMR2508 (Unit 2) was identified by his WADL as Juan F Machado DOB: 6/26/1974. Juan said that his vehicle became disabled in the #1 lane facing east. He said that he was sitting in the driver seat waiting for a tow truck. He said that Unit 1 collided with his rear bumper, there was extensive damage to the rear bumper of Unit 2. Juan advised he was not injured and did not require aid. I provided both drivers with an exchange of information. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 1/13/2025 Renton WA PAGE 3 OF 4 REPORT NO. EG68795 CASE# 26-345 DATE AND TIME 01/13/2607:57 OF COLLISION cr t 1 k Pq t 3t It �^ k c w� 4. lF jt� ti 5�y � s i� {Y q c� 4 V PAGE 4 OF 4