HomeMy WebLinkAbout26-1113 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG76027OLCERA
COLLISION REPORT 1591971
CASE# 26-1113 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
OOLLISION' 02 - 07 - 2026 1850 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
S 2ND ST BLOCK NO. e 800 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET e✓ S 8 W e WILLIAMS AVE S
0 1 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254798062 0 1 30
6 LAST NAME XIANG FIRST NAME ENQUAN MIDDLE S 1 2 31
INITIAL
STREET ❑
NEW CITY, RENTON ST WA ZIP 98058 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES ✓NO INTERLOCKYES NO✓ YES NO✓
8 DRIVER'S
# STATE WA SEX M MMDr YY' 12 - 22 - 1994 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NATURE OF INJURIES 2
LICENSE, CTW9948 STATE WA VN# 5UXUJ3C55KLG52932 3
10 Fl I PI ATF#
11[-y- TRAILER STATE TRAILER ,STATE ROM TO
11 2 5 PLATE# PLATE#
TRLR rRLR 3 7 33
12 2 5 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 1 2019 BMW X4 SD DAMAGE YES DNO ✓ YES NO✓ 3 7 34
REGISTERED OWNER INFO ENQUAN XIANG 15902 SE 172ND PL RENTON WA 98058 D:4254798062 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 ✓ TURD UNKNOWN POLICY NUMBER
IN EFFECT &POLICY# 4TOP ❑
VEHICLE CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTnNowc 7 e
MOTOR PEDAL ❑ YEs�/ No PHONE
UNIT PEDESTRIAN PROPERTY D:8 VEHICLECYCLE156937054 nWNFR
16�
LAST NAME MOISES FIRST NAME JAVIER MIDDLE' R
INITIAL
STREET ❑
17 ❑ 1310 N ELSTON AVE CITY CHICAGO ST, IL ZIP 60642 4 37
NEW ADORE SS '.
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSP6RTED 38
INTERLOCKYEs NO✓ INTERLOCK YES NQ✓ YEs No✓
19[ LICEEVER'SNSE# STATE IL SEX M MM ovY 01 28 2002 39
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS STATED HEAD HURT
21 LICENSE CSH4037 TATE WA VIN# JTDBT923771165639 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2007 MAKE TOYT MODEL yARIS STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO DAVID COVA-DELGADO 3118 S 140TN ST TUKWILA WA 98168 D:8156937054 VEHICLE NO.2
SHADE IN DAMAGAREA
2 3
LIABILITY INSURANCE✓ INSURANCE CO PROGRESSIVE-
IN EFFECT &POLICY# I 9TOP
veeicLe ❑ ,J—I CITATION# CHARGE tO BOTTOM
LecALLr YES N`[
25 s 7 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JASON TURNER 12650 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG76027
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1113
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.
JASON TURNER 02-08-26 12:56 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 2/9/2026 3:47:57 AM
BADGE OR ID# 12650 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:54 PM TIME POLICE ARRIVED 7:03 PM
PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG76027 CASE# 26-1113 O COLLI COLLISION TIME
OF 02/07/26 18:50
COLLI
NARRATIVE
Unit 1 and Unit 2 reported two different versions of the collision.
Unit 1 reported they were driving westbound on S 2nd ST approaching the intersection of Williams
Ave S in the middle lane. Unit 1 was driving straight when the light turned yellow at Williams Ave S.
Unit 2 was driving westbound in the left lane just ahead of Unit 1. Unit 2 suddenly merged right into
the middle lane with no blinker directly in front of Unit 1. Unit 2 abruptly stopped and Unit 1 reported
that he had no time to react and rear ended Unit 2.
Unit 2 reported that he was driving westbound in the middle lane of S 2nd ST approaching the
intersection of Williams Ave S. Unit 2 reported that he was suddenly rear ended from behind by Unit
2.
Unit 1 had minor damage to the front driver's side bumper of the vehicle. Unit 2 had minor damage to
the rear passenger side bumper of the vehicle. Both vehicles were still operable.
Unit 1 reported that he had no injuries. Unit 2 reported that he hit his head on the steering wheel and
it hurt, Unit 2 declined to be evaluated by the fire department.
Based upon the damage present it appears that Unit 1's story appears to corroborate with the
damage to both vehicle's. This is because Unit 1 had damage to the left side of the front bumper and
Unit 2 had damage to right side of the rear bumper. This appears like Unit 2 was switching lanes at
the time of the collision.
There is no video footage of the incident so at this time I can not determine any proximate cause.
There is no further information at this time.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 02/08/2026 at 0029 hours.
PAGE 3 OF 4
REPORT NO. EG76027 CASE# 26-1113 DATE AND TIME i 02/07/26 18:50
OF COLLISION
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