HomeMy WebLinkAbout26-1270 )STATE
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Oc� RA EG79874
COLLISION REPRT 1591971
INTERSTATE CITY STREET FIRE ❑
CASE�# 26-1270 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAL AGENCY 4250 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TOTAL 1
TRIBAL 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
COLL.ISION'. 02 - 13 - 2026 2045 17 �.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
140TH WAY SE BLOCK NO. e 15500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e✓ S 8 W e SE 156TH ST
2 3 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ✓NO 2 3 30
6 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31
INITIAL
STREET F-1 CITY ST ZIP' 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs Nb YEs NO
8 LCEENSE# STATE SEX U MMDDYY+ —=— 1 2 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 HELM
USEET 9 CLASS 0 NATURE OF INJURIES 2
LICENSE, UNKNOWN 3
10� PI ATF# STATE V(N
11[—� TRAILER STATE TRAILER ,STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR TRLR 3 7 33
12 4 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GO VEHICLE
4 UNKN UNKNO DAMAGE YES ✓ YES No 7 3 34
REGISTERED OWNER IN
13 FO UNKNOWN VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO NONE 3 4
IN EFFECT &POLICY# 4TOP
v `LE CHARGE 5 36
Lec Ly YES❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING 7 e
III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES V/ NO D:2066390002
16F
LAST NAME MCLOUGHLIN FIRST NAME KATELYN MIDDLE I M
INITIAL
17 F1 STREET ❑' 14212 SE FA/RWOOD BLVD CITY RENTON ST, W 37q ZIP 980588538
NEW ADDRESS
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs No �NTERLOCKYES No vEs NO
19 DRIVER' #
INJURY' NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 PATE# CKE0162 rare W/a vIN# 1 YVHZ8BH9A5M49766 41
22❑ PLATE# STATE[TILER I PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH,YEAR 2010 MAKE MAID MODEL 6 STYLE DAMIAGE TOWED No BLIN BANKERS ves NI �/
24
REGISTERED OWNER INFO KATELYN MCLOUGHLtN 15150140TH WAY SE UNIT S102 RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO GEICO 6151802342
IN EFFECT &POLICY# t 9TOP
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
LecnLLY YES N`,LJ
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
HANSEN HSU 12651 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG79874
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1270
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS El 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
Unit 1 traveling westbound along 15500 block of 140th Way SE. Unit 2 traveling eastbound along
15500 block of 140th Way SE. Unit 1 lost control and veered into oncoming lanes, striking Unit 2.
Unit 1 sustained unknown non disabling front end damages. Unit 1 hit and run. No actionable suspect
or suspect vehicle information. Unit 2 sustained disabling rear end damage and was spun around
180 degrees and came to rest in the center turn lane. No injuries reported. Area check for Unit 1
yielded negative results.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
HANSEN HSU 02-13-26 09:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 2/22/2026 10:55:19 AM
BADGE OR ID# 12651 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:46 PM TIME POLICE ARRIVED 8:54 PM
PART IS 3 Da-3m5-,aa(R11ras) PAGE 27 OF 37
REPORT NO. EG79874 CASE# 26-1270 DATE AND TIME 02/13/26 20:45
OF COLLISION
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