HomeMy WebLinkAbout25-80441 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG59420 170
27
COLLISION REP FIT 1591971
CASE 25-80441 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 12 - 1-- 2025 1549 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAIN AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a HOUSER WAYS
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066876107 0 11
30
6� LAST NAME ABDALLH FIRSTNAME SALIH MIDDLE B 1 2 31
INITIAL
STREET ❑ 2023 24TH AVE S CITy SEATTLE ST WA ZIp, 981444629 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
-O B 01 1- 25 - 1981 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
LICENSE CLZ3497 STATE WA vIN# 5TDYRKEC4MS024926
10 9❑ PI ATE 1i
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 7 3 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 2021 TOYT SIENNA DAMAGE YES NO ✓ YES❑ No✓
REGISTERED OWNER INFO SALIH ABDALLH 202324TH AVE S SEATTLE WA 981444629 D:2066876107 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILI INSURANCE INSURANCE CO NY MARINE AND GENERALAU2025TLP16314 3 4
IN EFFECT &POLICY# Q�,Q,
VE—LE CHARGE 36
LEGALLY YEs No clTAnoN# IMPROPER LANE USAGE15❑ STAIN.D'
UNIT a2 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNER
❑ DYES✓ NO OLDMET PHONE
16 a
LAST NAME LIE SE FIRST NAME SOPHIA MIDDLE A
INITIAL
17❑ STREET ❑', 470 2ND AVE S APT 216 CITY KIRKLAND ST WA ZIP 980336652 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK yEEsl I I NOF YES t l No❑
19 DRIVER # STATE WA ]SEX IF M.C... 03 _ 21 2003 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I S7286Y TATE UT VIN# KM8HBCA69SU337322
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2025 MAKE HYUN MODEL PONY STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO EANLLC HOLDING 71"S STATEST MIDVALE UT84 04 71 5 5 9 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE INSU&PORGY#E CO SELF INS 8337 EAN HOLDINGIN IGQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG59420
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80441
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 12-09-25 02:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 12/16/2025 1:03:11 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 3:50 PM TIME POLICE ARRIVED',3:55 PM
PART I PAGE IT]OF 4�
REPORT NO. EG59420 CASE# 25-80441 OF COLLISION
12/05/25 15:49
OF CbLLI510N
NARRATIVE
unit 2/gry lane 2 rt from main to houser unit 1 yellow rt turn lane 1 merged into lane 2
CC
Within the city of Renton/King/Wa I responded to a 2 vehicle crash at the intersection of Main Ave S
at S 3rd St.
I contacted the driver of unit 2 who told me she was in the inside right turn/through lane and making a
right turn onto S 3rd St from Main which turns into Houser Way. She described to me that she made
her turn completely inside her lane and that her experience is that people making the right turn from
the outslide lane will drift into lane 2 or merely make an improper turn. Unit 2 told me she was driving
a company vehicle. She did not complain of injury and damages did not require a tow truck.
I contacted unit 1 ID'd by his picture WADL. He told me he made his turn from NB Main Ave S to EB
S 3rd St and unit 2 swerved into his lane and hit him. He did not offer any additional information and
only argued that he was not at fault. I explained the "at fault" which was not the answer he wanted.
He wanted unit 2 listed at causing the crash.
Based on my own experience of driving this intersection and responding to collisions here, unit 2
version is what I have experienced over the years here.
I cited unit 1 Ref RCW 46.61.140 Improper lane usage 2 vehicle crash via complaint.
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 12/9/2025
PAGE 3 OF 4
REPORT NO. EG59420 CASE# ' 25-80441 DATE AND TIME 12/05/25 15:49
OF COLLISION
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