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HomeMy WebLinkAbout26-701 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG72602oc� RA COLLISION REPORT 1591971 ❑ 0 RESULTED I $ 26-701 2 INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 01 - 25 - 2026 1326 17 =.[� S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 3RD ST BLOCK NO. e 800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e WILLIAMS AVE S 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062280254 0 1 30 5 LAST NAME TRAN FIRST NAME THAI MIDDLE H 1 1 2 31 INITIAL STREET ] 18125116THAVESE CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7� +COL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs No✓ INTERLOCKYEs NO✓ YES No�/ 8 DRIVER # STATE WA SEXI F MMDDYY' 04 — 01 — 1978 1 2 32 9� ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASSY 1 NATURE of INJURIES 2= LICENSE, CKT8236 STATE WA v 5J8TB18228AO17960 3 10� as ATP rt rN# TRAI STATE TRAILER LE STATE 11 2 5 ,LATE# PLATE# FROM To TRLR zRLR 3 5 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 20Q8 MAKE ACUR MODEL MDX STYLE UT VEHICLE TOWED 2 TO fIBLIN TOWEDBY GOVT VEHICLE 3 7 34 13� DAMAGE YES NO II_II YESII_I) NO✓ REGISTERED OWNER INFO THAI TRAN 18125116TH AVE SE RENTON WA 98058 D:2062280254 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE� INSURANCE CO STATE FARM 175 2398-E28-47E 3 4 IN EFFECT &POLICY# 4TOP _ Lrg LNG ❑ ❑ 6AO059428 CHARGE PROHAMPROPERTURN 000Trofi 36 Yes NO CITATION# 15 MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2064984101 16� LAST NAME REYES-ARMENGOL FIRST NAME OSMAN MIDDLE D INITIAL STREET ❑ 17 ❑ 8024 S 130TH ST CITY SEATTLE ST, WA ZIP 98178 37 NEW ADORE SS 18❑ CDL IGNITION REGtU1RED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYEB N©✓ INTERLOCK YES No✓ YEs Na'✓ 19� DRIVER'S STATE WA SEXIM D•O.B. 09 14 1970 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSLATE E CHT2510 TATE WA SIN 1ZVBP8EMXB5120342 41 22❑ STATE PLAAILER TE# STATE 42 ,LATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2011 MAKE FORD MODEL MUSTAN STYLE f;,V VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24� DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO OSMAN REYES-ARMENGOL 8024 S 130TH ST SEATTLEWA 98178 D:2064984101 VEHICLE NO.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE INSURANCE CO STATE FARM 554 0906-815-47.001 IN EFFECT &POLICY# 9TOP vewaE ❑ CITATION# CHARGE to BOTTOM LEGALLY YES N 25 a 7 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 R.ONISHI 5738 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG72602 COLLISION REPORT III III III III III 111 1591972 CASE# 26-701 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 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 S 2nd St is one way roadway westbound. Unit 1 westbound on S 2nd St in center lane, unit 2 westbound in left lane. Driver 1 Tran attempted to turn left onto southbound Williams Ave S from center lane, striking overtaking unit 2 driven by driver 2 Reyes-Armengol. Tran told me that she was not familiar with the area, and did not realize that the street was one-way. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. R.ONISHI 01-25-26 02:18 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 112812026 5:23:43 AM BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:28 Pry] TIME POLICE ARRIVED i 1:Y8 PM PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. EG72602 CASE# 26-701 DATE AND TIME 01/25/26 13:26 OF COLLISION A " t Y L A u i t <02 I 1 s k t � t2 Y �¢ �s Y PAGE 3 OF 3