HomeMy WebLinkAbout26-987 ITM II I II( I III �I III I I IIII III �� � 27POLCERAC REPORT NO. EG75626
. COLLISION REPORT 1591971
❑ RESULTED ❑ CASE# 26-987 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LDCAL'Ac=ENC 4200 3
HIT&RUN CODING
COUNTY RD ❑ PRIVATE WAY ❑ INVOLVED ❑
TRIBAL
2 1 8 28
TOTAL#OF OBJECT
RESERVATION UNITS 02 STRUCK
2
3 1 M M D D Y Y Y Y TIME(24001 COUNTY# MILES CITY#
03 - 2026 1536 17 =.= S❑ E ❑ I F e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION 0
108TH AVE SE BLOCK NO. 8 19200 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 10 00 FEET e S ❑ W❑MILES SE 192ND ST
0 1 29
MO70R PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs No �/ D:2063832890 OF 7 30
6❑ LAST NAME HUANG FIRST NAME ZHI MIDDLE J 1 2 31
INITIAL
STREET El 19359 113 TH PL SE CITY' KENT WA
NEW ADDRESS ST ZIP 96031 2
7[ICDL IGNITION REOUIREq IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERt OCKYEs No tNTERLOCKYcs No YEs NO
8 LICENSE# STATE , WA SEX U MMDow 11 - 17 - 1957 1 2 32
9SS
ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET CLA1 Y NATURE OF INJURIES 2
�10 1❑ p1ATPs#E AOL9450 STAY' WA WIN# 1NXBR32E46Z632151 3
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE#/ FROM TO
TRLR TRLR 1 5 33
12 4 0 VIN# VIN#
FROM TO
VEH.YEAR2006 MAKE TOYT MODEL COBOL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 9 34
13 F DAMAGE YES NO YE NO✓
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO TRAVLERS 61673308 203 1 a
IN EFFECT &POLICY# El
�ecauY ves❑No CITATION# 6AO119735 CHARGE FOLLOWING TOO CLOSE TO FIRE <,;�3g
36
15❑ sTANOING 6
/�
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16� NIT 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO �/ D:2068160468
LAST NAME BROOKS FIRST NAME BETTY MIDDLE j
INITIAL
17 STREET ❑' 25222 135TH AVE SE CITY KENT ST WA ZIP 980423422 � 37
NEW ADDRESS
18❑ CDL IGNITION REOUtRED IGNITION PRESENT MEDICAL TRANSPORTEq' ❑ 38
INTERLOCKYEs No tNTERLOCK YES No ves NO
19 LDIIVE # STATE WA SEX F M ,O,B. 07 26 _ 1956 39
USE
20 ON DUTY❑ STATUS AIRBAG 2 RESTR y EJECT 1 N L ET INJURY CLASS 1 NATURE OF INJURIES 40
21❑ LICENSE CRV5089 TAB WA VINE€ W1NKJ8H67SF272189
❑ 41
PLATE#
42
TILER
22❑ PLATE# ; STATE PLATE# STATE
❑
23 43
TRLR RLR
VIN#. "IN#.
VEH.YEAR 2025 MAKE MERZ MODEL GLC- STYLE I VEHICLE TOWED TO BLIN TOWED BY GO HI 44
24= DAMAGE YES NO YES NO
REGISTERED OWNER INFO ANTHONY MOORE 25222135TH AVE SE KENTWA 98042 VEHICLE NO.2
SHADE IN DAMAGE$AREA
2 3 �A
LIABILITY INSURANCE INSURANCE CO ALLSTATE 969069005
IN EFFECT &POLICY# 9TOP
venue YES❑ N CZ CITATION# CHARGE 7o BOTTOM
LEGALLY
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SULIASI TAMAIVENA 12788 WA0171300
PART A PAGE 01 OF 0
3000-345-159(R 11f18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG75626
COLLISION REPORT III III III III III 111
1591972 GAS�6-987
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
On 02/03/2026, at approximately 1536 hours, I was dispatched to an accident at 108th Ave SE and
SE 192nd ST in the City of Renton, while I was employed as a uniformed Patrol Officer for the City of
Renton, County of King, State of Washington.
I spoke with Unit 1, and he advised that he was on 108th Ave SE in lane #2 (lane #1 being the
nearest to the sidewalk), traveling south. He admitted to driving too close to Unit#2 and was unaware
when the driver stopped at the red light on SE 192nd ST. However, he was late in coming to a
complete stop and rear-ended unit 1's vehicle. This caused damage to his front bumper. He claimed
no injuries, and his vehicle was still drivable.
spoke with Unit 2, and she advised that she was on 108th Ave SE in lane #2, traveling south. The
driver came to a complete stop at the red light on SE 192nd ST. Unit#2 stated that while stopped at
the red light for a couple of seconds, she was struck from the rear by Unit#1. The vehicle had minor
damage to the rear bumper. She claimed no injuries, and her vehicle was drivable.
Both parties received a copy of the exchange form with a case number. Photos were taken and
uploaded as evidence for damages to both vehicles.
Because Unit#1 admitted he was following Unit#2 too closely, the driver will receive a traffic ticket
for following a vehicle too closely (RCW 41.61.145). This accident could have been prevented if Unit
#1 had not followed too closely.
This concludes my report.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788,
02/03/2026, at 1700 hours, Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
SULIAS/TAMA/VENA 02-03-26 08:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.SKELTON 9139 2/7/2026 3:50:55 AM
BADGE OR ID# 12788 ORI# WA0171300 TIME POLICE DISPATCHED', 3:43 PM TIME POLICE ARRIVED 3:55 PM
PART B�wDa-345-100(R11118) PAGE F27 OF
REPORT NO. EG75626 CASE# 26-987 DATE AND TIME 02/03/26 15:36
OF COLLISION
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