HomeMy WebLinkAbout26-1106 )STATE
TFcN 2 0 27i t
Oc� RA EG75835
COLLISION REPRT 1591971
CASE# 26-1106 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 02 - 07 - 2026 1106 17 =.�� S W e IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
TALBOT RD S BLOCK NO. e 900 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1 MILES N FEET e S 8✓ W e S GRADYWAY
0 5 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES �/No D:2063764641 0 1 30
6❑ LAST NAME VANDENBROEK FIRST NAME STEFAN MIDDLE M 1 2 31
INITIAL
STREET ❑ 16613 148TH A VE SE CITY RENTON ST WA ZIP; 980588267 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES D ND I INTERLOCKYE! NO YES D NO
8� LICIENS# STATE WA SEX M MMor YY' 12 — 16 — 1997 1 2 32
NATURE OF
9 ON DUTY STATUS AIRBAG 3 RESTR 9 EJECT,. 1 HELM U SET CLASS ,.7 LEFT HAND JURIES 2
LICENSE, CUV6460 STATE WA VN# JTJHKCEZ7T2072633 3
10[9� PI ATF#
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 0 0 PLATE# PLATE#
TRLR TRLR 1 1 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEV�{"(g GOVT VEHICLE 1 1 34
13 4 2026 LEXS NX ZOOT UT DAMAGE YES "'"' RS YES NO
REGISTERED OWNER INFO STEFAN VANDENBROEK 16613148THAVE SE RENTON WA 980588267 D:2063764641 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO GENERAL INSURANCE UNKNOWN �g_
IN EFFECT &POLICY# 68`SOP
VEHICLE ❑ ❑ 6AO119736 CHARGE PROHIBITED U TURN ooTrom ❑ 36
Yes NO CITATION#
15❑ owc
III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE: OWNER YES 1/ NO D:2064029002
16�
LAST NAME CEBAN FIRST NAME CATALINA MIDDLE I N
17 F1 INITIAL I
STREET ❑ 37
'NEW ADDRESS❑ 1200 GRANT AVE S APT U101 CITY I RENTON ST, WA ZIP 980556040
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYES NO INTERLOCK YES NOR yEs NDi
19 DRIVER'S STATE WA SEXIF MDDY 12 _ 18 1998 39
LICENSE# MD D02. -
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 7 ❑
USE CLASS LAND HAND AND RIGHT HAND
21 LICENSLATE E CBK6267 rarE WA vIN# 5J6RW2H26LA005803 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2020 MAKE HOND MODEL CR-V EX STYLE UT IVE DAMIAGE TOWED No BLIN BANKERS YES No�/
24
REGISTERED OWNER INFO CATALINA CEBAN 1200 GRANT AVE SAPT U101 RENTON WA 980556040 D:2064029002 VEHICLE NO.2
SHAD DAGED AREA
4
LIABILITY INSURANCE INSURANCE CO GEIC04610268312
IN EFFECT &POLICY# 9TOP
vewaE ❑ ,.I—I CITATION CHARGE 1060TTOM
LEGAlL,v YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG75835
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1106
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
SULIASI TAMAIVENA 02-07-26 01:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 2/8/2026 3:57:53 AM
BADGE OR ID# 12788 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:07 AM TIME POLICE ARRIVED 11:10 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57
REPORT NO.` EG75835 CASE# 26-1106 COLLI SICiN TIME OF 02/07/26 11:06
COLLI
NARRATIVE
On 02/07/2026, at approximately 1107 hours, I was dispatched to an injury accident at Talbot RD S
and S Grady Way 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.
spoke with Unit#1, and he advised that he was on Talbot Rd S, facing southbound, in the middle-
shared lane for both traffic. The driver of Unit#1 said he was trying to make a U-turn into oncoming
traffic to proceed north. He advised that he saw Unit#2 coming but believed he had enough time to
turn. As he made a U-turn onto a two-lane street traveling North on Talbot RD S, he was hit in the
rear by Unit#2, which caused him to spin out and stop on top of the sidewalk. The driver claims Unit
#2 was speeding when he was hit.
Unit#1's vehicle was heavily damaged all around and not drivable. The vehicle was towed by
Bankers. The driver claimed he had minor injuries to his left hand. He advised that he had General
insurance but was unable to get the policy. I provided him with my email and stated that when he
does, he should email me.
Unit#2 advised she was traveling northbound on Talbot RD S in lane #2 (lane #1 being the nearest to
the sidewalk). While traveling, she saw Unit#1 make a left turn from the middle lane and assumed he
was turning into a street or business. As she proceeded to drive in her lane, she then hit the rear right
bumper of Unit#1 vehicle. The driver said she was unaware the vehicle was making a U-turn.
Unit#2 had damage to the front bumper of her vehicle. Her vehicle was not drivable and was towed
by bankers. She claimed injuries on both her wrists and had a scratch mark on her left hand.
Both drivers were provided with a case number and exchanged information. Fire was dispatched, and
both were medically cleared. Photos of both vehicles were taken and submitted as evidence.
The driver of Unit#1 will receive a traffic ticket (6A0119736) for making an unsafe U-turn. RCW
46.61.295 (Prohibited U-Turn) states that you cannot make a U-turn in the opposite direction if it's not
safe or would interfere with other traffic. Because Unit#1 did not ensure the road was clear and safe,
he would receive a ticket. If Unit#1 had cleared the road and made sure it was safe before making a
U-turn, this accident would not have occurred.
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,
02/07/2026, at 1330 hours, Renton, WA.
On 02/07/2026, at approximately 1107 hours, I was dispatched to an injury accident at Talbot RD S
and S Grady Way 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.
spoke with Unit#1, and he advised that he was on Talbot Rd S, facing southbound, in the middle-
shared lane for both traffic. The driver of Unit#1 said he was trying to make a U-turn into oncoming
traffic to proceed north. He advised that he saw Unit#2 coming but believed he had enough time to
turn. As he made a U-turn onto a two-lane street traveling North on Talbot RD S, he was hit in the
rear by Unit#2, which caused him to spin out and stop on top of the sidewalk. The driver claims Unit
#2 was speeding when he was hit.
Unit#1's vehicle was heavily damaged all around and not drivable. The vehicle was towed by
Bankers. The driver claimed he had minor injuries to his left hand. He advised that he had General
insurance but was unable to get the policy. I provided him with my email and stated that when he
does, he should email me.
Unit#2 advised she was traveling northbound on Talbot RD S in lane #2 (lane #1 being the nearest to
the sidewalk). While traveling, she saw Unit#1 make a left turn from the middle lane and assumed he
was turning into a street or business. As she proceeded to drive in her lane, she then hit the rear right
bumper of Unit#1 vehicle. The driver said she was unaware the vehicle was making a U-turn.
Unit#2 had damage to the front bumper of her vehicle. Her vehicle was not drivable and was towed
by bankers. She claimed injuries on both her wrists and had a scratch mark on her left hand.
Both drivers were provided with a case number and exchanged information. Fire was dispatched, and
PAGE 3 OF 5
REPORT NO.` EG75835 CASE# 26-1106 O COLLI COLLISION TIME
OF 02/07/26 11:06
COLLI
NARRATIVE
both were medically cleared. Photos of both vehicles were taken and submitted as evidence.
The driver of Unit#1 will receive a traffic ticket (6A0119736) for making an unsafe U-turn. RCW
46.61.295 (Prohibited U-Turn) states that you cannot make a U-turn in the opposite direction if it's not
safe or would interfere with other traffic. Because Unit#1 did not ensure the road was clear and safe,
he would receive a ticket. If Unit#1 had cleared the road and made sure it was safe before making a
U-turn, this accident would not have occurred.
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,
02/07/2026, at 1330 hours, Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Light Condition: CLOUDY
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EG75835 CASE# 26-1106 DATE AND TIME i 02/07/26 11:06
OF COLLISION
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PAGE 5 OF 5