HomeMy WebLinkAbout26-1745 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EG82928
COLLISION REPRT 1591971
INTERSTATE CITY STREET FIRE ❑
CASE# 26-1745 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOCCO A`GENC'Y. 4200 3
COUNTY RD INVOLVED
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
GDLLISION' 03 - 04 - 2026 1243 17 =.= S 8 W E IN 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
TALBOT RD S BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00--1 MILES FEET e✓ S 8 E e SGRADYWAY
0 4 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YES ✓NO D:4066178776 0 1 30
6 LAST NAME RADUCANU FIRST NAME RAUL MIDDLE 1 1 2 31
INITIAL
STREET 21014 109TH PL SE,APT 907 CITY KENT ST WA ZIP 98031 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO�/ INTERLOCKYEs N( �/ YEs No
8� LCEENSE# STATE WA SEx M MMDO
OCSYY' 03 — 11 — 2007 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS E
NAruRE of INJURIES 2
LICENSE, CTC2427 STATE WA VN# 1FMJK1M82SEA26749. 3
10[9� PI ATF#
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 2 5 PLATE# PLATE#
TRLR TRLR 1 3 33
12 2 5 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 8 2025 FORD EXPED/ UT DAMAGE Yes�No ✓� ves_ 5 1 34
REGISTERED OWNER INFO PV HOLDING COMPANY 15820 TUKWILA INTERNATIONAL B TUKWILA WA 98188 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 �I PV HOLDING CORP SELF INSURED
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTINowH e
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2533931923
VEHICLE CYCLE nWNFR YES NO
16�
LAST NAME CAMPBELL FIRST NAME KAYLEIGH MIDDLEI R
INITIAL
STREET ❑
17 7217199TH STREET CT E CITY SPANAWAY ST, WA ZIP 98387 4 37
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYES No INTERLOCK Yes NO vEs ND j�
19 DRIVERS STATE WA SEX,F I D.o.e. 08 20 2004 � 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSEPLATE# CGC2728 TATE I WA VIN# 3FAHPOHA9AR244314 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2010 MAKE FORD MODEL FUSION STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO KAYLEIGH CAMPBELL 1217199TH STREET CT E SPANAWAY WA 98387 D:2533931923 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
LEGA— ❑ ,.I—I CITATION# CHARGE tO BOTTOM
VEHICLE YES N`[
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
R.PHILLIPS 11649 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG82928
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1745
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.
R.PHILL►PS 03-04-26 03:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 3/4/2026 5:11:08 PM
BADGE OR ID# 11649 ORI# ( WA0171300 TIME POLICE DISPATCHED; 12:43 PM TIME POLICE ARRIVED 12:43 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG82928 CASE# 26-1745 O COLLI COLLISION TIME
OF 03/04/26 12:43
COLLI
NARRATIVE
On 03-04-2026 at 1243 hours I was parked at Arco AM/PM located at Talbot Rd S and S Grady Way
in the City of Renton, King County WA. I heard the sound of a vehicle collision and looked up to see a
two vehicle accident between a white Expedition and a grey Fusion at Talbot RD S just north of S
Grady Way.
Unit 1 was a 2025 Ford Expedition bearing WA license plate CTC2427. The vehicle was driven by
Raul Raducanu. Raul stated he was driving south bound on Talbot RD S and attempted to make a
left turn into the Chevron gas station. Raul did not see unit 2 and crashed into them mid turn.
Raul was identified by his WA driver's license photo. Raul was driving a rental car, the Expedition.
The car was owned by PV Holding. I called PV holding and was told the vehicle was insured by the
company.
Unit 2 was a 2011 Ford Fusion bearing WA license plate CGC2728. The driver was Kayleigh
Campbell. Campbell was identified by her WA Identification card. She stated she was northbound on
Talbot Rd S when unit 1 made a left turn in front of her causing the vehicles to collide.
Unit 1 sustained front and front driver's side damage which did not require a tow. Unit 2 sustained
damage to the front and entire passenger side. The wheel was broken so the vehicle needed a tow.
Both parties were given swap card info and the case number. Based on the information above the
approximate cause of the accident was an improper turn by unit 1.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer R. PHILLIPS #11649,
March 4th, 2026 Renton, WA.
PAGE 3 OF 4
REPORT NO. EG82928 CASE# 26-1745 DATE AND TIME i 03/04/26 12:43
OF COLLISION
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PAGE 4 OF 4