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HomeMy WebLinkAbout26-839 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG78232oc� RA COLLISION REPORT 1591971 FIRE CASE# 26-839 2 INTERSTATE CITY STREET RESULTED ❑ 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCALAGENCY 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2� TOTAL#OF OBJECT 1 2 4 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s on' 01 - 28 - 2026 1700 17 =.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVE SE BLOCK NO. e 17422 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5 1❑ 100 00-] MILES 1 FEET e✓ S 8✓ W e SE 174TH ST 1 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062659276 1 5 30 6 LAST NAME MELTON FIRST NAME ULA MIDDLE F 31 INITIAL STREET ❑ 215 S 50TH ST,UNIT C CITY; RENTON ST I WA ZIP; 98055 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEflIQAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCKVEs N©✓ YES NO✓ 8� LCEENSE# STATE WA SEX I F MMDDYY' 05 - 26 - 1970 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 9 HELM USEET 9 CLASSY 0 NAruRE of INJURIES 2 LICENSE, CHR6928 STATE WA VIN# 2T2HZMDA4LC236563 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE ROM To 11 0 0 PLATE# PLATE# TRLR TRLR 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2020 MAKE LEXS MODEL RX 300 STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 0 0 34 DAMAGE YES NO ✓ YESE] NO✓ 13� REGISTERED OWNER INFO ULAMELTON215S51TH ST,UNIT C RENTON INA98055 D:2062659276 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE NSURANCE CO SAFECO H2342145 IN EFFECT &POLICY# 4TOP 11 CHARGE t VEHICLE 5 LEGALLY yes❑NO❑ CITATION# 36 7 0 80TTOM 15❑ sTANowc s 7 UNIT 02 MOTCSR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR 16� LAST NAME UNK FIRST NAME UNK MIDDLE' INITIAL 17❑ STREET I-I ❑ NEW ADDRESS UNK CITY RENTON 5T ZIP 37 1$❑ IGNITION REQUIRED IGNITION PRESENT MED[CALTRANSPORTED: ❑ 38 CDL INTERLOCKYES NO✓ INTERLOCK YES N ✓ Yes NO✓ 19[ DRIVERS # STATE SEX U MMODB, 39 HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 USE 9 CLASS 0 ❑ 21 PLATE#LICENSE I UNK rare WA vIN# UNK 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO UNK UNK UNK RENTON VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &.POLICY# I vewcLE ❑ ,.I—I CITATION CHARGE G�Dl, EEGAEEY YES N`.LJ 25 s s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY WA0171300 26 D.NELSON 12421 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG78232 COLLISION REPORT III III III III III 111 1591972 CASE# 26-839 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET NJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE 26-839 H R On 1/29/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. 1 was dispatched to a report of a hit and run that had occurred prior with a possible location as 17422 108th Ave SE Renton/King/WA. Ula F Melton DOB: 5/26/1970 was calling to report that someone had hit her 2020 Lexus RX WA/CHR6928. I called Ula and she explained that she had recently noticed damage to the driver side of her rear bumper. She said the damage was a small scrape and the bumper was slightly dislodged. Ula said that she was at Renton Technical College on 1/28/2026 from 0800-1200 and Clark Chiropractic from 1700-1800 hours. She said that these were the only two places this could have occurred. Ula did not have any suspect information but said that it appeared as if someone had possibly backed into her. Ula did wish to pursue charges for hit and run if the other driver is identified. I created a Sector Diagram for the incident, this diagram was created based on Ula's speculation as to what happened, the description of damage, and layout of the parking lot. On 2/5/2026 1 went to Clark Chirropractic and was not able to contact anybody. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 1/29/2026 Renton WA I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 02-06-26 03:56 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 2/16/2026 12:14:32 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED'; 3:30 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. EG78232 CASE# 26-839 DATE AND TIME 01/28/26 17:00 OF COLLISION S t a vt ti ti�l zw y t� 5 { PAGE 3 OF 3