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HomeMy WebLinkAbout26-1682 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 26-1682 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 03 - 1-- 2026 1013 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE 166TH ST BLOCK NO. e✓ 12707 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.❑ FEET e S ❑ W e 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2069539038 1 4 30 6� LAST NAME HATAMl FIRSTNAME SOHILA MIDDLE 1 2 31 INITIAL STREET ❑✓ 12621 SE 166TH ST CITY RENTON ST WA ZIP 98058 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CLX8122 sTArI WAurN# 1 NXBR30E06Z727776 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. A'RLA2 1 3 33 12 0 0 VIN#' VIN#' 2006 TOYT COROL nIG❑ FROM 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13 4 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO HAMED JILANI 12210 SE PETROVITSKYRDAPTH RENTON WA 98058 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILI INSURANCE INSURANCE CO PROGRESSIVE 995822366 3 4 IN EFFECT &POLICY# STOP 15❑ vEHLEGALLY Ia.E 5 36 YEs�No M CITATION# 6A0190245 CHARGE DRIVING WITH WHEELS OFF )o BorroM STANDING 8 7 6 1.' MOTOR PEDAL- PROPERTY DAM THR OLD ME UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN 16❑ ❑ OWNER ❑ YES✓ ETPHON NO LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET 17❑ NEW ADDRESS❑' CITY ST ZIP ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 LLIICENS# STATE SEX U MMDDYY —�_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ 21❑ LICENSE D056756 TAre I WA VIN1i 1FTCR15U1PP674133 ❑ 41 PLATE# 42 22❑ PIR ILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 1993 MAKE FORD MODEL RANGER STYLE VEHICLETOWED TO BLIN TOWEDBY GOV!TN �44 24❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO JACKSON CAPUTO 520428TH AVE SELACEYWA98503 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO I STOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG82588 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1682 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES PM USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� 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. C.ARNOLD 03-02-26 02:04 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 3/3/2026 2:29:48 PM BADGE OR ID# 12509 OR]#` WA0171300 TIME POLICE DISPATCHED 10:19 AM TIME POLICE ARRIVED',10:45 AM PART I PAGE IT]OF 5� REPORT NO. EG82588 CASE# 26-1682 OF COLLISION 03/02/26 10:13 OF CbLLI510N NARRATIVE CC 26-1682 On 3/2/2026 at 1019 hours I was dispatched to a motor vehicle collision at 12707 SE 166th St in the City of Renton, King County, Washington. Pre-Collision Driver 1 stated that she was facing South on SE 165th St preparing to turn left onto SE 166th St. Unit 2 and 3 were parked off of the roadway within their respective driveways and unoccupied. Collision Driver 1 stated that when she began to turn left, a vehicle came from an unknown direction and Driver 1 hit the accelerator instead of the brake. Driver 1 stated that she lost control and took a wide lefthand turn, leaving the roadway and the front passenger side bumper of Unit 1 collided with the rear drivers side bumper of Unit 2, then proceeding East towards Unit 3 where the front bumper of Unit 1 collided with the front drivers side door of Unit 3, causing substantial damage. Injuries None reported. Vehicle Disposition Unit 1 was severely damaged but was able to be driven from the scene. Unit 2 and 3 remained at their respective addresses. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because it shall be unlawful to operate or drive any vehicle or combination of vehicles over or along any pavement or gravel or crushed rock surface on a public highway with one wheel or all of the wheels off the roadway thereof. Had Driver 1 stayed on the roadway, this collision would not have happened. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer C. Arnold #12509 at 11:24 on 3/2/2026 in the City of Renton, King County, Washington. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: PRIVATE DRIVEWAY/YARD **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG825588 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-1682 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnnRFrtP. CITY ST ZIP 6 1 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No INTERLOCK YES❑N0� vES N DRIVER'S STATE I SEX U M��DYSYv' -� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE I CNK1864 [TAT WA VIN# SAJAJ4FX7LCP57754 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2020 MAKE JAGU MODELXE STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1C P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOMARCO WILSON 12707 SE 166TH ST RENTON WA 980585543 D:2069419474 m 33 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# tVEHICLE 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING S} 8 dg 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE TIAL ❑ STREET 16 TRENEW "F ' CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE ICLASS 19 ❑ VIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALIv E:l STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 03-02-26 02:04 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12509 O#I',WA0171300 APPROVED BY 3/33/2026 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EG82588 CASE# ' 26-1682 DATE AND TIME 03/02/26 10:13 OF COLLISION y„s 1 3 �<q F } � a y { �S tY p t PAGE 5 OF 5