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HomeMy WebLinkAbout26-281 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG70429OLCERA COLLISION REPORT 1591971 ❑ 0 RESULTED I CASE# 26-281 2 INTERSTATE CITY STREET FIRE STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 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 IN eDLTISION' 01 - 10 - 2026 1725 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ UNION AVE NE BLOCK NO. e 22000 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e NE 22ND ST 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2069601650 0 4 30 6 LAST NAME HOOD FIRST NAME DEAN MIDDLE I 1 1 2 31 INITIAL STREET ❑ 19656 122ND PL SE CITY; KENT ST I WA ZIP; 98031 2 NEW ADDRESS 7❑ CDL IGN(TI{DN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3 INTERLOCKYEs NO INTERLOCKY NO YES NO # STATE SEX I M MMD4YY' 12 — 02 — 1962 t 1 2 32 $❑ 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 IN 6 NATURE of INJURIES 2 USE CLASS CUT FINGER 10 PI ENSE D0876C STATE GOV y IN#, 1FM5K8AB1MGC21887 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM To TRLR rRLR 5 1 33 12 0 0 VIN#' VIN# FROM TO VERYEAR 2021 MAKE FORD MODEL EXPLOR STYLE UT V Y EHICLE TOWED TO BLIN TOWED By GOV2EHICL rj 7 E 34 13� DAMAGE YES II_II NO `/ YES NO REGISTERED OWNER INFO RENTONSCHOOL 300SW7THST RENTON WA 98057 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 S/A W S/A W212234033 IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 36 LEc LT YES❑NO❑ CITATION# t a 60TTOM 15❑ STMDwc 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2063007703 16� LAST NAME HWANG FIRST NAME JAE MIDDLE' W INITIAL 17 F1 STREET ❑ 4017 NE 22ND ST CITY RENTON ST, yyq ZIP 98056 4 37 NEW ADDRESS ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs NO IN7ERLOC(£YES xz YES NO 19 DRIVER'S ' MMDDYY I - 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS WHIPLASH 21 LICENSE B07607Z raTE WA vIN# 1C6RR7LT6ES214201 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2014 MAKE DDDG MODEL RAM 1500 STYLE pl( VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO JAE HWANG 4017 NE 22ND ST RENTON WA 98056 D:2063007703 VEHICLE NO.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 66295734 IN EFFECT &POLICY# t STOP Ve—L ,J—I CITATION# CHARGE to BOTTOM LEGnLY YES❑ N`[ 25 s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 KEITH PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG70429 COLLISION REPORT III III III III III 111 1591972 CASE# 26-281 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 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 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. KEITH PETTY 01-10-26 06:55 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 112012026 1:29:03 PM BADGE OR ID# 12809 ORI#s WA0171300 TIME POLICE DISPATCHED 1 5:26 PM TIME POLICE ARRIVED i 5:31 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EG70429 CASE# 26-281 O OF COLLI 510N TIME 01/10/26 17:25 COLLISION NARRATIVE 26-281 On 01/10/2026 at approximately 1726 hours, I was dispatched to the intersection of Union Ave NE and NE 22nd ST in the City of Renton, County of King, State of Washington for a motor vehicle collision with injuries. Unit 1 was a silver 2021 Ford Explorer (XMT plate#D0876C/WA) VIN/1 FM5K8AB1 MGC21887, owned by the Renton School District. Unit 1 driver was identified as Dean Irvin Hood (DOB 12/02/1962) Unit 2 was a black 2014 Dodge Ram 1500 (B07607Z/WA) VIN/1C6RR7LT6ES214201 driven by Jae Won Hwang (DOB 10/20/1971) Both drivers were identified by their WADL's. Unit 2 stated she was heading north on Union Ave NE and attempting to make a left hand turn onto NE 22nd ST. As she waited for traffic to clear, unit 1 collided into the rear of the truck causing over $1000 in damage. Unit 2 complained of neck and back pain associated with whiplash from the collision. RRFA responded and cleared her at the scene. Unit 1 stated he was heading north on Union Ave NE approaching the NE 22nd St intersection. He did not see unit 2 stopped and collided into the rear end of unit 2. The damage was over $1000 on unit 1 and had to be towed from the scene. Unit 1 stated he was not injured but I observed blood coming from his right fingers. Unit 1 was also cleared at the scene by RRFA. I took pictures of both vehicles and uploaded them to Axon. I provided my business card with the case number to both parties. This incident was captured on my body worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized "I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct." Electronically signed: K.Petty, Date: 01/10/26at 1837 hours, Place: Renton, King County, WA PAGE 3 OF 5 REPORT NO. EG70429 CASE# 26-281 O OF COLLI 510N TIME 01/10/26 17:25 COLLISION NARRATIVE PAGE 4 OF 5 REPORT NO. EG70429 CASE# 26-281 DATE AND TIME 01/10/2617:25 OF COLLISION u t S 1 j r G i 3 y k �3s S r PAGE 5 OF 5