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HomeMy WebLinkAbout26-517 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG70175oc� RA COLLISION REPORT 1591971 ❑ 0 RESULTED I $ 26-517 z INTERSTATE CITY STREET FIRESTATE ROUTE OTHER STOLEN vEwCLE LOCALANG 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY INVOLVED 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 eDL�ISION' 01 - 18 - 2026 1504 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION �✓ SE CARR RD BLOCK NO. e 10700 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1131.1 00 FEET e✓ S 8 W e 106TH PL SE 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YES ✓NO D:2068198016 0 1 30 5 LAST NAME DOUCOURE FIRST NAME IBRAHIM MIDDLE t 1 2 31 INITIAL STREET Q 8334 RAINIER AVE S APT 202 CITY; SEATTLE ST WA ZIP; 98116 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYEs NO YES NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 04 - 23 - 2001 t 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURES 2 LICENSE, CUY1383 STATE WA V(N# JTDKB22U553034911 3 10 Fq I as ATP tt TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR zRLR. 1 3 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2005 MAKE TOY. MODEL PRlUS STYLE 4H VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 7 34 13� DAMAGE YES II_II NO `/ YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE ElNSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP vEnic�E 5 36 Lemur YES❑NO❑ CITATION# CHARGE t a 80TTOM 15❑ STM ING 8 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES'/ NO D:2063711908 16� LAST NAME GONZALEZ FIRST NAME RUDY MIDDLE' P INITIAL STREET ❑ 17 21225 NE 12TH ST CITY SAMMAMlSH ST, WA ZIP 98074 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED': ❑ 38 INTERLOCKYEs Nd INTERLO,KY. NO YES Nd 19 DRIVER'S ' MMDDYY : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE CNG5572 TATe WA VIN# 4T1BF3EK9BU746554 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2011 MAKE TOYT MODEL CAMRY STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADDAMAGEDAREA 3 4 LIABILITY INSURANCE[Z INSURANCE CO GEICO IN EFFECT &POLICY#YES❑ NJ—I CITATION11 CHARGEUR 25 OFFICER'S NAME(PRINT) PHONE BADGE OR ID# AGENCY 26 T77 D.MYERS 10433 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG70175 COLLISION REPORT III III III III III 111 1591972 CASE# 26-517 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 01-18-2026 at approximately 1504 hours, I was dispatched to a non-injury traffic collision in the 10600 block of SE Carr Rd in the City of Renton, County of King, State of Washington. I arrived on scene at approximately 1520 hours. I contacted the driver of Unit#1 who told me he was making a left turn from the parking lot of the CVS onto SE Carr Rd. He did not see Unit#2 traveling westbound in the left lane and pulled out in front of the vehicle. The front of his vehicle hit the front of Unit#1. I contacted the driver of Unit#2 who told me he was traveling westbound in the left lane when Unit#1 pulled out in front of him. He was not able to stop in time and the front of his vehicle hit Unit#1. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 01-18-26 06:26 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 1/19/2026 6:02:54 PM BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED'; 3:12 Pry] TIME POLICE ARRIVED i 3:20 PM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. EG70175 CASE# 26-517 DATE AND TIME 01/18/2615:04 OF COLLISION S ti t S S � t a t , 4 f, 3 t i } tr` t tFyt� j r 4 a xst � e tY r``v.,fir l;::t%i .'r• i PAGE 3 OF 3