HomeMy WebLinkAbout25-81038 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG72332oc� RA
COLLISION REPORT 1591971
CASE# 25-81038 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOL`CODIGENC'Y 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#
ear soe' 12 - 26 - 2025 1008 17 =.= S 8 W e IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 10 00 FEET e✓ S 8✓ W e N 3RD ST
2 0 29
F
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:6166346347 0 1 30
6 LAST NAME PHAM FIRST NAME TRINH MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 13233158THAVESE CITY; RENTON ST WA ZIP; 980596805 2
NEW ADDRESS
7� +CDL IGNITION REQUIRED lIGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO✓ INTERLOCK YES NO✓ YES NO✓
8 DRIVER # STATE WA SEXI F MMDDYY' 12 - 31 - 1988 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
10 LI ENSE' AZW7403 STATE WA VIN# 5TDXK3DC3GS715683 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# 11ROM To
TRLR zRLR 5 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2016 MAKE To YT MODEL SIENNA STYLE VN VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE g 1 34
13 DAMAGE YES II_II NO YESII_] NO
REGISTERED OWNER INFO TERRY NGUYEN 13233158TH AVE SE RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 TRAVELERS 616455076 203 1
IN EFFECT &POLICY# 4TOP
V"" CHARGE t S 36
LEcgiL.� YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STM ING 7 e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063075639
16�
LAST NAME NGUYEN FIRST NAME KATHERINE MIDDLE M
INITIAL
STREET ❑ 37
17 ❑ 152 LYONS AVE NE CITY RENTON ST, WA ZIP 980594874 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs NO✓ INTERLOCK YEs NO✓ YES NO✓
19 DRIVER'S
MMDDYY —
20❑ IIPOLNA
DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40
21 LICEN E ANT3298 rare WA vIN# 19XFB2F55DE257140 41
22❑ PLATE# STATE PLATE# STATE 42
23= TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 201$ MAKE HOND MODEL CIVIC STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO LINH NGUYEN 152 LYONS AVE NERENTONWA98059 VEHICLE NO.2
SHADFjy DAd%GE,5AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 865475064
IN EFFECT &POLICY# 9TOP
ve w1— ❑ ,J—I CITATION11 CHARGE t080TTOM
L','—LY YES N
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG72332
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81038
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 GLASS 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 0,SS ----�
: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 GLASS
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.
RAYMOND WATSON 01-18-26 08:15 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 112712026 4:45:03 AM
BADGE OR ID# j 13127 ORI# WA0171300 TIME POLICE DISPATCHED 10:10 AM TIME POLICE ARRIVED i 10:17 AM
PAST B 3 Do-lmx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG72332 CASE# 25-81038 DATE OF COLLI r�510NN + 12/26/25 10:08
L1
NARRATIVE
25-81038
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 12/26/2025 at approximately 1010 hours, myself, Officer R. Watson, was dispatched to a blocking
accident with no injuries, at 311 Sunset BLVD N, within the City Limits of Renton, County of King,
State of Washington.
Dispatch notes stated that there were two vehicles involved, no injuries and they were blocking the
center lane.
When 1 arrived on scene, 1 saw both vehicles in the center turn lane out of the flow of traffic.
Unit#1 driven by Trinh T. Pham (DOB 12/31/1988) verified by WA DOL photo, stated she was driving
a White 2016 Toyota Sienna, WA plate AZW7403. There were two other children who Trinh said were
hers, but they were not identified. Trinh said that she was in the number 2 lane on Sunset BLVD N,
traveling northbound when she merged into the number 3 lane. She said that unit#2 must have been
in her blind spot when she merged over because she collided with it. Trinh said that neither her or her
children had any injuries and declined aid. When I asked for Trinh's license, registration and
insurance she was able to provide me with all documentation. Unit#1 had moderate damage to the
front of the vehicle, no airbag deployment and was able to be driven from the scene.
Unit#2 driven by Katherine M. Nguyen (DOB 06/07/1997) verified by WA DOL photo, stated she was
driving a Red 2013 Honda Civic, WA plate ANT3298. There were no other occupants in the vehicle.
Katherine said that she was traveling northbound on Sunset BLVD N when unit#1 merged over into
colliding with her vehicle. Katherine said she had no injuries and declined aid. Unit#2 had moderate
right side damage, no airbag deployment and her vehicle was able to be driven away from the scene.
An exchange of information was completed and provided to each party. Pictures of each vehicle were
taken and uploaded to evidence.com.
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 by Officer R. Watson #13127 01/18/2026 0813 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EG72332 CASE# 25-81038 DATE AND TIME 12/26/25 10:08
OF COLLISION
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