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HomeMy WebLinkAbout25-80834 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 25-80834 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ 1 1 8 28 OF TOTAL# i TRIBAL ': UNITS 03 OBJECT STRUCK FENCE RESERVATION' z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ CowsloN 12 - 18 - 2025 1212 17 ❑.❑ N E IN S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ HARRINGTON AVE NE BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ �.❑ FEET ❑ S ❑ W❑ NE 12TH ST OF,1 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES �/No D:2144581144 0 1 30 6 LAST NAME TRAN FIRSTNAME DUNG MIDDLE T 1 1 2 31 INITIAL STREET ❑ 12008 SE 193RD PL CITY KENT ST WA 2jp, 980310300 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'M MID LOB 12 — 25 — 1949 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS ICNLJAURY 1 NATURE OF INJURIES 2❑ 3❑ 10 2❑ PI ATF 14 AHJ7221 STATE WA u N# 5J6RM4H5XCL039324 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM ro TRLR. YRLR. 5 1 33 12 0 0 VIN#j VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 7 34 13 2 2012 HOND CRV DAMAGE vEsNo � �MEYER vEs❑ No REGISTEREDOWNERINFO ,UNGTRAN12008SE193RDPL KENTWA980310300 D:2144581144 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 rI LIABILITY INSURANCE U INSURANCE CO ST FARM 564 6622-D20.47 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLv Yes❑NO CITATION# 5A0900805 FAIL STOP AT STOP <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2535458207 16 a LAST NAME SUKNIYOM FIRST NAME CHUTIKARN MIDDLE N INITIAL 17❑ STREET ❑', 9824 S 236TH ST CITY KENT ST WA ZIP 980313141 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NO❑ 19 LDIIVEW # STATE WA ]SEX IF MMDDW 11 16 _ 1973 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CSZ6047 TATE WA VIN# 4T1BD1FKOCU054547 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24❑ DAMAGE YES✓ NO GENE MEYER YES NO REGISTERED OWNER INFO CALVIN KARBOWSKI 9824 S 236TH ST KENT WA 98031 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME I 9TOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES Nu 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG72206 COLLISION REPORT III III III III III 111 1591972 CASE# 25-80834 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES PM USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. 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. M.LEVERTON 12-23-25 04:05 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 1/26/2026 2:45:15 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 12:13 PM TIME POLICE ARRIVED',12:15 PM PART B PAGE IT]OF 5� REPORT NO. EG72206 CASE# 25-80834 FC LNaoy L isI©�ON O 12/18/25 12:12 F cu NARRATIVE red/2 wb tan/1 nb ran stop in field CC Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash causing additional property damage at the intersection of Harrington Ave NED at NE 12th St. When I arrived I located a small sedan partially blocking both north and south lanes of Harrington north of 12th. I located a SUV than had gone over the NW sidewalk and through a chain link fence into the play ground area of a local school. I contacted the driver of unit 2. She told me she was westbound on NE 12th, had come to a stop at Harrington and was proceeding when at the last minute she noticed unit 1 NB at what appeared to her to be at a high rate of speed. She told me she turned her vehicle to try and void contact but unit 1 hit her car. She was checked and released on scene by Renton Fire. Damaged required a tow truck for her vehicle. I contacted the driver of unit 1 ID'd by his picture WADL. He did not speak English. I used Google translator for Vietnamese. Using translator he told me he went to get some groceries and on his way back got in a crash. When I asked him how it happened he shrugged and did not provide much information. He would only point to unit 2. He did not complain of injury and damages required a tow truck, When unit 1 family members arrived and I explained to them what I was told about the crash and my observations, unit 1 began yelling at me in English insisting that he did not run a stop sign and that unit 2 caused the crash. I tried to explain what my findings were and that unit 1 was the causing driving. The family accepted that, however, unit 1 continued to yell back and forth in Vietnamese and English. Based on my training and experience, the obvious deflection from impact and comparing both drivers statements I cited unit 1 Ref RCW 46.61.190 Fail to stop at stop sign 2 vehicle crash via complaint. I notified Renton School Secularity of the collision and provided them a copy of the information exchange for damages to the fence and field. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 12/23/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG72206 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 25-80834 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` —1 I CITY ST ZIP' 4 ❑ NAME # PLACARD: :❑ GINAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs NO D:4252044444 MIDDLE.. 29 LAST NAME DISTRICT FIRST NAME RENTON SCHOOL INITIAL STREET 30 NEW AnDRFSP' 320 SW 7TH ST CITY RENTON ST WA ZIP 98057 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE GLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NEW AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 12-23-25 04:05 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 2517 O#I',WA0171300 JACOBS 1/26/2026 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. EG72206 CASE# 25-80834 DATE AND TIME 12/18/2512:12 OF COLLISION ��,, 1 11 4 t tin q I I r� f I tI� I t wX tcy ch Y X it w Yt �4 c t, rt ft. �k 4 i 6 r ? r ; I, 1' 1 Y' tr PAGE 5 OF 5