HomeMy WebLinkAbout26-488 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG69762OLCERA
COLLISION REPORT 1591971
❑ 0 RESULTED I
CASE# 26-488 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-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#
DATE OF N E
eOL�ISION' 01 - 17 - 2026 1601 17 =.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e 400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 30 1.1 00 FEET e✓ S 8 W e NE 4TH ST
0 5 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:7327187412 0 1 30
5 LAST NAME HO FIRST NAME THACH MIDDLE t 1 2 31
INITIAL
STREET ❑ 14519 SE 196TH PL CITY; RENTON ST I WA ZIP 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No✓ INTERLOCKYEs NC ✓ YES ND�/
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 09 — 22 — 1950 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 PI ENSttEI BVB1878 STATE WA VIN# WDBJF65J42B492044 3
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
rRLR zRLR. 1 1 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2002 MAKE MERZ MODEL E STYLE SD V Y EHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 1 1
13� DAMAGE YES II_II NO ✓ YESII_] N 34O✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
4 LIABILITY INSURANCE INSURANCE CO
14 Z AARP 55PHG463475
IN EFFECT &POLICY# 4TOP
CHARGE t S 36
VEHICLE
Lemur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ srnNowc s
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2063219592
16�
LAST NAME CORWIN FIRST NAME RYDAN MIDDLE P
INITIAL
STREET ❑
17� ❑ 14259 142ND AVE SE CITY' RENTON ST, WA ZIP 98059 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38
INTERLOCKYEs NO✓ INTERLOCK YES No✓ YES NO✓
19 DRIVERS STATE WA SEX M D.O.e. 08 2008 � 39
LICENSE# MMDDYY 30 —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJURY 1 NATURE OF INJURIES 40
21 LICENSE CPY5118 TATE WA VIN# JTHCF1D25F5018890 41
22❑ [TILER TAILER PLATE# STATE PLATE# STATE E 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE LEXS MODEL IS STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
NQ.2
SHADFY DAGED AREA
4
LIABILITY INSURANCE INSURANCECO STATE FARM 5782421-C17.47
IN EFFECT &POLICY# 9TOP
HICLE EEILe L YES❑ N,J—I CITATION11 CHARGE t080TTOM
VE
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
JASON TURNER 12650 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG69762
COLLISION REPORT III III III III III 111
1591972 CASE# 26-488
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) HO NGA
ADDRESS&PHONE# D 0
14519 SE 196TH PL RENTON WA 98058 7327187629 SEXi F MMDDYYYY 02 — 27 — 1955
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS 'UNIT# 1 POS. 3 AIRBAG'2 1 RESTR. 4 EJECT 1 USE 2 CLASS ;6 LOWERBACKPAIN
:NAME
(LAST EIFS7 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
Unit 2 was traveling northbound in the 400 block of Duvall Ave NE in the left lane. Unit 1 pulled out of
a nearby business parking lot in the 400 block Duvall Ave NE into the right and began driving
northbound. Unit 1 attempted to make a U-turn from the right lane and crossed into the left lane.
While performing the U-turn, Unit 1 turned directly into Unit 2's vehicle, striking his front bumper with
his rear driver's side tire.
Unit 1's driver reported no injuries, Unit 2's passenger reported pain to her lower back. She was
evaluated by fire and cleared at the scene. Unit 1's vehicle was disabled due to damage sustained
during the collision.
Unit 2 reported that he had no injuries and his vehicle was still in drivable condition. Unit 2 had minor
damage to the front bumper of his vehicle.
I find that the proximate cause of the collision was due to Unit 1 performing an improper U-turn. While
performing the U-turn Unit 1 turned directly into Unit 2's vehicle.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 01/17/2026 at 1653 hours.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JASON TURNER 01-17-26 04:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEYPROCTER 12123 1/18/2026 2:11:06 AM
BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:01 Pry] TIME POLICE ARRIVED i 4:03 PM
PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG69762 CASE# 26-488 DATE AND TIME 01/17/26 16:01
OF COLLISION
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