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HomeMy WebLinkAbout25-80636 TFG " 27auCERA c REPORT NO. EG60204 ..q.n ;. COLLISION REPORT 1591971 'O CASE 25-80636 z INTERSTATE CITY STREET FIRE ❑ RESULTED 1 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE L: OCALAGENCI 4200 3 HIT&RUN CODING ❑ COUNTY RD PRIVATE WAY INVOLVED 23 1 1 828 TRIBAL ' UNITS 03 STRUCK' UTILITY POLE TOTAL#OF OBJECT RESERVATION _ z 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# CDLC1510N.. 12 - 12 - 2025 1320 17 =.= S 8 E e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 3RD ST BLOCK NO. 8✓ 2000 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FMILES N EET e S 8 E e BRONSON WAY NE 1 9 29 MOTOR ✓ PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE 2 ' cvcLE' � YEs No �/ D:2068222118 0 1 30 6 LAST NAME f WY FIRST NAME JED MIDDLE C 1 1 2 31 INITIAL STREET El27844 242ND PL SE CITY MAPLE VALLEY WA NEW ADDRESS ST ZIP 98038 z ]❑ CDL IGNITION REQUIRED GNITION : PRESENT MEDICAL TRANSPORTED: 3 INTERLOCKYes NO✓ INTERLOCKYEs No✓ Y15S NO✓ 8 LICENSE# STATE WA SEX M MMD�YY' 07 — 13 — 1993 1 2 32 EEON DUTY STATUS! AIRBAG 2 RESTR 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES 2 9 9❑ USE CLASS 3 10 9❑ LICENS BNR5991 sTAT' WA VIN# JT3HN86R120376741 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO FT TRLR 7 3 33 12 3 5 VIN# VIN# FROM TO VEH.YEAR2002 MAKE TOYT MODEL 4RUNNE STYLE 4H VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE ] $ 34 13 DAMAGE YES NO ✓ YE NO✓ REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 4 LIABILITY INSURANCE INSURANCE CO 2 3 14❑ ❑✓ PROGRESSIVE 956493056 IN EFFECT &POLICY# 9TOP �""Y YES❑NO❑ CITATION# CHARGE I t0 BOTTOM 5 36 15❑ STANDING s 7 e MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE �UNIT02 �✓ ❑ PEDESTRIAN ❑ D:4252836419 VEHICLE CYCLE OWNER YES✓ NO 16 LAST NAME PAGE FIRST NAME ANGELA MIDDLE' M INITIAL 17❑ STREET ❑; 334 WELLS AVE S CITY: RENTON ST WA ZIP 98057 ❑ 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 fNTER,LOCKYEs Nc ✓ INTERLOCK YEs No✓ YEs Nol✓ 19 DRIVE # ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H L ET SS 1 NATURE OF INJURIES 40 21❑ LICENSE''CGJ6626 TATE WA VINu 4S48SAFC4H3336590 ❑ 41 PLATE# 42 TRAILER 22❑ PRR # STATE PLATE# STATE TRLR 23� YIN# 43 RLR . IN#. VEH.YEAR 2017 MAKE SUBA MODEL OUTBAC STYLE qD VEHICLE TOWED TO BLIN TOWED BY GO HI 44 24= DAMAGE YES✓ NO BANKERS YES No✓ REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2 SHADEd DAMAGEDAREA 4� 3 4 LIABILITv INSURANCE INSURANCE CO FARMERS 195356613 IN EFFECT &POLICY# �W6 ....... ❑ ,J—I CITATION# CHARGEYES N`"L_1 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 LACY SMITH 12613 WA0171300 PAGE 01 OF 5 PART A 3000-345-159(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG60204 COLLISION REPORT III III III III III 111 1591972 GASE# ' 25-80636 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST fIflST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. MMDDYYYY. ' HELMET INJURY' PASSENGER WITNESS ,UNIT# SEAT AIRBAG RESTR. EJECT NATURE OF INJURIES POS. USE 'CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS k PHONE# DOB SEX M _F MDDYYYY PASSENGER [-]WITNESS❑''UNIT# SEAT : AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS '.NAME (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYY PASSENGER [-i WITNESS j 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. LACY SMITH 12-13-25 09:45 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 12/18/2025 9:59:21 AM BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 1:22 PM TIME POLICE ARRIVED 1:22 PM PART B�wDa-345-100(R11118) PAGE F27 OF DATE AND REPORT NO. EG60204 CASE# 25-80636 OF COLLISION 12/12/25 13:20 OF COLLISION NARRATIVE On December 12, 2025, 1 was assigned to District 22 as Unit 1 R22. At approximately 1322 hours, was traveling westbound on NE 3rd Street conducting routine patrol. During this time, I observed a gold Subaru off the roadway that had collided with an unmarked utility pole. Approximately 50 feet east of this collision, a silver Toyota 4Runner was stopped on the roadway. This incident occurred within the City of Renton, County of King, State of Washington. I activated my emergency lights and notified dispatch of the collision. Unit 2 (WA/CGJ6626) was identified as the gold Subaru. I contacted the driver and sole occupant of Unit 2, who was later positively identified as Angela Page via her Washington State driver's license. Page denied any injuries but requested a medical evaluation by the Fire Department. Renton Fire Department was requested to respond. Page stated that she was traveling eastbound on NE 3rd Street in lane two. At approximately the 2000 block of NE 3rd Street, Unit 1, which was traveling in lane one, abruptly merged into her lane, striking the front driver's side of her vehicle. As a result, Unit 2 left the roadway and collided with an unmarked utility pole located on the side of the road. Unit 2 had damage to the front and front drivers side of the vehicle. I then contacted the driver and sole occupant of Unit 1 (WA/BNR5991), who was positively identified as Jed Wy via his Washington State driver's license. Wy stated that he was traveling eastbound on NE 3rd Street when an unidentified vehicle abruptly cut him off. Wy reported that he merged into lane two in an attempt to avoid a collision with that vehicle, at which time Unit 1 collided with Unit 2. Unit 1 had minor damage to the rear passenger side of his vehicle. The Renton Fire Department arrived on scene and medically cleared both drivers. Unit 2 was no longer operable and was privately towed from the scene. I completed an Origami report regarding damage to the unmarked wooden utility pole. Based on statements from both drivers and observed vehicle damage, it appears that Unit 1 was traveling eastbound on NE 3rd Street when it was cut off by an unidentified vehicle. Unit 1 then abruptly merged into lane two, which was already occupied by Unit 2. Unit 1 collided with Unit 2, causing Unit 2 to leave the roadway and strike an unmarked utility pole. Body-Worn Camera Statement During this incident, I was equipped with a body-worn camera that recorded both audio and video. Portions of the incident were captured on the recording. This report is a summary and is not intended to serve as a verbatim transcript of the recording or the investigation. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by: Officer L. Smith #12613 Date: 10/28/2025 Location: Renton, Washington. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Action Code: LANE CHANGE TO AVOID DIFFERENT COLLISION **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG60204 1 27 POLICE TRAFFIC COLLISION REPORT 013797 CASE# 25-80636 2 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# usDOT ICC# VEHICLE TYPE CARGO BODY' 3 .:TYPE 2 ❑ 1 28 CARRIER NAME 2 3 CARRIER. ADDRESS a CITY ST ZIP 4 ❑ NAME # PLACARo ❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ADDITIONAL UNITS MOTOR ((''�� PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT.. 3 VEHICLE IJ CYCLE PEDESTRIAN OWNER YES NO ✓ D:4254307500 29 LAST NAME CITY OF RENTON FIRST NAME MIDDLE INITIAL STREET 30 NEW EETADDRERP 1055 S GRADYWAY CITY RENTON ST WA ZIP 98057 6 ❑ 1 31 CDL IGN1TItJN REQUIRED IGNITION PRESENT MEDIC AL TANSPORTED INTERLOCK YES[]NO[-].INTERLOCK YES NO YES NOD 7 LIICIENSE VERS STATE SEX U MMDD s '= ❑ HELMET INJURY NATURE OF INJURIES ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 8 ❑ 1 32 LICENSE TAT: VIN. PLATE# 2 9 TRAILER TRAILER PLATE# STATE PLATE# STATE a 10 ❑ TRLR TRLR VIN.# VIN# 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VEHICLE FROM TO DAMAGE VES NO YES NO REGISTERED OWNER INFO. m 33 12 � SHADEINDAMAGEDAREA. � 3 � FROM TO LIABILITY INSURANCE❑ d POLICY#E CO 9 TOP IN EFFECT ( m 34 13 VEHICLE YES NO CITATION# CHARGE 10 k30LTOM GAILY STANDING ❑ ❑ S 7 G M©TOR PEDAL- El PROPERTY DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT� VEHICLE CYCLE PEDESTRIAN OWNER YES NO 15 LAST NAME FIRST NAME MIDDLE ❑ 36 ❑ TREET {F I� 16 STREETEss CITY ST ZIP NEWADDRCDL IGNITION REQUIRED IGNITION P SENT MEDICALTANSPORTED INTERLOCK YES N INTERLOCK YES No .YES NO ❑ 17 - I i 37 DRIVER'S STATE SEX D.0.6 18 ❑ LICENSE# MMDD, ❑ HELMET I INJURY NATURE OF INJURIES 38 ON DUTY STATUS; AIRBAG RESTR, EJECT USE CLASS: 19 LICENSE'. TAT UIN# 39 PLATE# 20 ❑ TRAILER TRAILER 1:1 40 PLATE#.' STATE PLATE# STATE 21 TRL 41R TRLR VIN#: VIN#I 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOUT.VEHICLE DAMAGE YES f NO VES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO . IN EFFECT &POLICY# 1 9 IOP_.__ 44 24 venue LLy YE5❑ NO❑ CITATION# CHARGE 74 B011UM Le NC owG & 7 ti I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASH INGTON THAT THE FOREGOING IS TRUE AND CORRECT, LACY SMITH 12-13-25 09:45 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED ©#I APPROVED 1226 OR O# 12613 WA0171300 TDER /1 PAGE F47 OF 0 3000-345-013(R 11/18) REPORT NO. EG60204 CASE# 25-80636 DATE AND TIME 12/12/25 13:20 OF COLLISION # z �u stt. z}. 2 � i �c�t 1q i t V, S Z• 1; t t j i Y PAGE 5 OF 5