HomeMy WebLinkAbout26-699 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG73009OLCERA
COLLISION REPORT 1591971
❑ ❑ FIRE I
�A$E$ 26-699 2 0 6
INTERSTATE CITY STREET RESULTED
STOLENSTATE ROUTE OTHER VEHICLE LOCALAGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2❑ TRIBAL i UNITS TRUCK
#OF 02 SO"" CONCRETE/JERSEY BARRIER 1 1 8 28
RESERVATION : 2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 01 - 25 - 2026 1214 17 =.= S 8 W❑ OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOMAPLE VALLEY HWY MILE POST
e 2400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1001.1 00 FEET e✓ S 8 W e BLAINE DR SE
0 2 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067752804 0 1 30
6 LAST NAME BENTON FIRST NAME WILLIAM MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 6012 NE 1ST PL CITY; RENTON ST I WA ZIP; 980598553 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO INTERLOCKVEs No YEs NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 10 - 12 - 2008 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2❑
LICENSE, 223YWJ STATE WA VIN# JT3GP10V4Y0047835 3
10 Fq I PI ATP rt
TRAILER TRAILER
11 0 0❑ STATE STATE
PLATE# PLATE# FROM To
TRLR TRLR 7 3 33
12 O O VIN#' VIN#
FROM TO
VEH.YEAR ZOOO MAKE TO�. MODEL RAV4 STYLE UT VEHICLE TOWED fn TO ZBUN TOWEDBY GOVT VEHICLE 7 3 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO SARAH BENTON 6012 NE 1STPL RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 996715662 4
IN EFFECT &POLICY# 9TOP _
srnNowc ❑ ❑ CHARGE IMPROPER PASSING ON RIGHT SIDE t a oorrob z 36
Yes NO CITATION#
15❑
EDAL-
MOTOR P PEDESTRIAN PROPERTY DAM THR OLD MET HOE
PN
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs�/ No D:5096431855
16�
LAST NAME OFFICER FIRST NAME ANGELA MIDDLE M
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 25922 99TH AVE SW CITY VASHON ST, WA ZIP 980708404 4
18❑ CDL IGNITION REQUIRED fGNI710N PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYES NO INTERLOCK YES NO vEs NO
19 DRIVER'S STATE WA SEX F D.O.e. 10 27 1999 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS HEAD AND KNEE
21 LICENSE PLATE# 0216143 rare GOV vIN# 1CBS10A4M2915597 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE FEDL MODEL MAIL STYLE VN VEHICLE TOWED TO --
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO ANGELA OFFICER 2592299TH AVE SW VASHONWA980708404 D:5096431855 VEHICLE NO.2
SHADE DAMAGFAREA
3
LIABILITY INSURANCE INSURANCE CO MAIL TRUCK
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,— CITATION# CHARGE t080TTOM
�'—�Y YES NL]`
25 a e
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. EG73009
COLLISION REPORT III III III III III 111
1591972 CASE# 26-699
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 CIASS ----�
: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.
KEITH PETTY 01-25-26 04:30 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 1/29/2026 9:14:06 AM
BADGE OR ID# 1Y809 ORI#s WA0171300 TIME POLICE DISPATCHED 12:15 PM TIME POLICE ARRIVED i 12:19 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57
REPORT NO. EG73009 CASE# 26-699 O OF COLLI 510N TIME 01/25/26 12:14
COLLISION
NARRATIVE
26-699
On 01/25/2026 at approximately 1215 hours, I was dispatched to the 2400 block of Maple Valley Hwy
in the City Limits of Renton, County of King, State of Washington for an unknown injury accident.
Upon arrival I confirmed the injury status of the drivers. RRFA was dispatched to the scene for
complaint of head and knee pain from unit 2 driver.
Unit 1 driver was identified as William Charles Benton (DOB 10/12/2008) by his WADL. William was
driving a black 2000 Toyota Rav 4 (223YWJ/WA) VIN/JT3GP10V4Y0047835 registered to his mother
Sarah Beth Benton (DOB 05/07/1977).
Unit 2 driver was identified as Angela Marie Officer (DOB 12/27/1999) by her WADL.
Angela was driving a USPS delivery truck (#0216143) VIN 1CBS10A4M2915597.
Unit 1 stated he was in lane 2 heading east on maple Valley Hwy in the 2400 block. As unit 1
approached traffic in front of him in lane 2 he attempted to pass traffic on the right in lane 1. Unit 1
failed to maintain a safe speed and as he changed lanes unit 2 was in front of him and he collided
into the right rear side. The collision caused unit 2 to veer right and collide into the jersey barrier and
then spin out. The damage was estimated over$1000.
Unit 1, after colliding into the back of unit 2, also veered right into the jersey barrier and collided head
on causing over $1000 in damage.
The jersey barrier had significant damage caused from the collision.
I cited unit 1 with RCW 46.61.115 for failing to overtake a vehicle on the right under permitted
circumstances. The citation was mailed to unit 1's listed residence.
Unit 1 refused any medical treatment. Unit 2 had complaint of head pain and knee pain. She was
evaluated and cleared at the scene.
Pictures of the vehicles were uploaded to Axon.
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: 01/25/26t 1606 hours, Place: Renton, King County, WA
PAGE 3 OF 5
REPORT NO. EG73009 CASE# 26-699 O OF COLLI 510N TIME 01/25/26 12:14
COLLISION
NARRATIVE
PAGE 4 OF 5
REPORT No• EG73009 CASE# 26-699 DATE AND TIME 01/25/26 12:14
OF COLLISION
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