HomeMy WebLinkAbout26-1616 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG82515 STATE OF
COLLISION REPORT 1591971
CASE# 26-1616 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 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 - 27 - 2026 1536 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION ❑
BRONSON WAY N BLOCK NO.
❑
MILE POST e
4a
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e SUNSET BLVD N
0 1 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No F/ D:4253776508 0 4 30
6 LAST NAME DEVINE FIRST NAME ROWAN MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 9917 2ND PL NE CITY LAKE STEVENS ST WA ZIP 982581656 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYES No YES No
8 LICIENS# STATE WA SEX F Mpmo S Y' 11 — 14 — 2007 1 2 32
9� ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CHW1975 STATE WA VN# JHMCG660XIC010293 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 0 PLATE# PLATE# ROM TO
TRLR TRLR 7 3 33
1 3
( FROM TO
2 Q VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 2 2001 HOND ACCOR DAMAGE YES DNO ✓ YEs❑ No 7 1 34
REGISTERED OWNER INFO MELISSA ROHR 99172ND PL NE LAKE STEVENS WA 98258 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 3 4
14 USAA 0569255577107
IN EFFECT &POLICY# 4TOP
vEnic�E 7 o BOTTOM 36
LEGALLY YES❑NO❑ CITATION# CHARGE
1
15❑ STMDNG B 7 e
OLD PHONE
MET MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR
UNIT 02 VEHIC6E ❑ CYCLE' ❑ ❑ nWNFR YEs No �/ D:4254307500
16�
LAST NAME VANDERHOEK FIRST NAME JESSE MIDDLE' q
INITIAL
STREET I�I ❑
17 9 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98056 37
NEW ADDRESS ':
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTE6 38
INTERLOCKYES No jNTERLO RYES Na YEs ND
19 DRIVER'S STATE WA SEXI M D C B 03 22 1989 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY❑✓ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LLCANS E 74610D TATE WA VIN# 1 GNSKLED2PR137423 41
22❑ [TILER TILER PLATE# STATE P ATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2023 MAKE CHEV MODEL TAHOE STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO CITYOFRENTON1055SORADYWAY RENTONWA98056 11:4254307500 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO SELF INSURED CITY OF RENTON
IN EFFECT &POLICY#VEHICLE
I 9TOP
EIAIL LEGALLY YES❑ N CL J CITATION# CHARGE tO BOTTOM
L
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
K.LANE 10008 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG82515
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1616
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME ROHR ROBIN D
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE# DOB
9917 2ND PL NE LAKE STEVENS WA 98258 4252730545 SEX' M MMDDYYYY 10 - 30 - 2012
PASSENGER Z WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' 1 Sp EAT
3 2 4 1 USE 2 CLASS 1 ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD —F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M —F L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NAT URE OF INJURIES
❑ Q' POS. USE CLASS r— ----�
NARRATIVE
Unit 1 was in the #4, far left of 4 lanes, of eastbound Bronson Way N at the intersection with Sunset
BLVD N. Unit 2 was in the #3, lane to the right of Unit 1, of eastbound Bronson Way N at the
intersection with Sunset BLVD N. Both lanes #4 and #3 are marked as left turn only lanes from
eastbound Bronson Way N to northbound Sunset BLVD N.
As both units began to travel into the intersection, Unit 2 began the left turn onto northbound Sunset
BLVD N. Driver 1 stated that she was following her GPS which advised her to go straight, and she
was unaware of what lane she was in. Unit 1 entered the intersection and continued traveling straight
(eastbound).
The front passenger side of Unit 1 impacted the driver's side of Unit 2 causing minor damage to both
vehicles. Photographs of both vehicles were taken and uploaded into Axon Evidence.
This report is to document the collision as Unit 2 is a marked Renton Police Department vehicle. At
the time of this collision, Unit 2 was responding to a call but did not have any emergency equipment
activated and was driving under normal driving conditions obeying all traffic laws and rules of the
roadway. This collision was captured by Unit 2's in car video system.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
K.LANE 02-27-26 04:42 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 3/3/2026 10:03:15 AM
BADGE OR ID# 10008 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 3:36 PM TIME POLICE ARRIVED 3:36 PM
PART IS 3 Da-3mx-,aR(Rtrras) PAGE 27 OF 37
REPORT NO. EG82515 CASE# 26-1616 DATE AND TIME 02/27/26 15:36
OF COLLISION
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