HomeMy WebLinkAbout26-316 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG70172oc� RA
COLLISION REPORT 1591971
❑ 0✓ FIRERES ED I
CASE# 26-316 2
INTERSTATE CITY STREET FIRE STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 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
eDLLISION' 01 - 12 - 2026 0741 17 =.= S 8 W E INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MONSTER RD SW BLOCK NO. e 500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 6501.1 00 FEET e✓ S 8 W e MONSTER RD SW
1 2 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5155257507 0 1 30
5 LAST NAME DELDAR FIRST NAME NESAR MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 4750AUBURN WAYN,APT R-304 CITY;AUBURN ST WA ZIP; 98002 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYES NO INTERLOCKVEs Na YES F NO
$ DRIVER # STATE WA SEX M MMDDY
0,13. 01 — 23 — 1984 t 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET CLASSY 1 NAruRE of INJURIES 2
LICENSE, CTA3816 STATE WA VIN# JTDKBRFU3H3049091 3
10 Fq I PI ATF#
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR TRLR. 4 8 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2017 MAKE TOYT MODEL PRIUS STYLE SD VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE Q $ 34
13� DAMAGE YES II_II NO `/ YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 NATIONAL GENERAL 2029950408
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc s
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2063063592
16�
LAST NAME REYES SUAREZ FIRST NAME PRESCILIANO MIDDLE'
INITIAL
17 F1 STREET ❑
❑ 32 60TH PL SE CITY EVERETT ST, WA ZIP 98203 37
NEW ADDRESS
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCI, NO INTERLOCK YES No YES No:
19 DRIVERS STATE WA SEX M I D.O'B Tio 22 1975 � 39
LICENSE# MMDDYYj I —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE D15062G TATE WA VIN# 1M2MDBAA7RS013530 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2024 MAKE MAC/( MODEL MD STYLE f;,G VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24� DAMAGE YES NO� VES NO
REGISTERED OWNER INFO TRANSCO LEASING COMPANY 5959 PACIFIC HWY E FIFE WA 98424 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE[Z INSURANCE CO ALASKA NATIONAL INSURANCE 24GAS13382
IN EFFECT &POLICY# 9TOP
veHiaE ❑ ,J—I CITATION# CHARGE t080TTOM
L'EGn�LY YES No
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.MYERS 10433 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG70172
COLLISION REPORT III III III III III 111
1591972 CASE# 26-316
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
On 01-12-2025 at approximately 0744 hours, I was dispatched to a non-injury traffic collision in the
500 block of Monster Road SW in the City of Renton, County of King, State of Washington.
I arrived on scene and contacted the driver of Unit #2 who told me he was traveling north/west in the
500 block of Monster Road SW when Unit #1 hit the front passenger side wheel of his truck. The
driver told me he did not see Unit#1 until he felt the impact on his right front tire. Unit#1 was driving
on the shoulder and was not in a legal lane of travel when the collision happened.
I spoke to the driver of Unit#1 while using language line to translate for me. Driver of Unit#1 felt that
he was not at fault since the rear tire area of his vehicle was hit by Unit#2. Driver of Unit#2 could not
understand that he was driving on the shoulder and that his right lane had already came to an end
approximately 250 feet earlier on the roadway.
Both parties agreed that the collision happened at the same spot on the roadway. The spot where the
collision happen is a single lane road after the merge point in the 500 block area of Monster Road
SW.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.MYERS 01-13-26 03:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 111912026 6:09:39 PM
BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED 1 7:44 AM TIME POLICE ARRIVED i 7:54 AM
PAST B a Da-3m5-attar(txIMR) PAGE 2�OF F3
REPORT NO. EG70172 CASE# 26-316 DATE AND TIME 01/12/2607:41
OF COLLISION
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