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26-1130
IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG84698OLCERA COLLISION REPORT 1591971 CASE# 26-1130 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 02 - 08 - 2026 1233 17 =.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HWY BLOCK NO. ❑ MILE POST e 4a ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e 140TH AVE SE 0 3 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067786901 0 3 30 6 LAST NAME SYMENS FIRST NAME BRENT MIDDLE I W 1 1 2 31 INITIAL STREET ] 15150 140TH WAY SE UNIT C104 CITY; RENTON ST WA ZIP; 980585805 2 NEW ADDRESS 7� +COL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO INTERLOCKYEs NO YES NO 8❑ DRIVER # STATE WA SEXI M MMDDYY' 04 - 07 - 1965 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 JHELM USEET 2 CLASSY 1 NATURE of INJURES 2 10 PI ENSrtEI AVE0394 STATE WA VIN# JF2GPAMCOF8252332 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR zRLR 5 3 33 12 0 o VIN#' VIN# FROM TO VEH.YEAR 2015 MAKE SUBA MODEL xv STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE g 3 34 13� DAMAGE YES�NO� YES❑ NO REGISTERED OWNER INFO BRENT SYMENS 15150140TH WAY SE UNIT C104 RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 14 STAE FARM 2971454 A24 47P IN EFFECT &POLICY#V""' CHARGE 36 LEGALLY YES❑NO❑ CITATION# <14, 15 STANDING MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2069303983 16� LAST NAME CURTIS FIRST NAME THOMAS MIDDLE B INITIAL 17 F1 STREET ❑ 17334 SE 185TH PL CITY RENTON ST, WA ZIP 98058 37 NEW ADDRESS I I I I I I ❑ 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 CDL INTERLOCKYES No INTERLOCK YES No YEs No 19 DRIVER'S STATE WA SEX M I D.O.B. 10 20 1952 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R U ET 2 INJURY 1 NATURE OF INJURIES 40 SS 21 LICENSE CPW5335 rare WA vIN# JTDACAAJ3S3013996 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2025 MAKE TOYT MODEL CROWN STYLE GA VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADE IN DAMAGEAREA 2 3 LIABILITY INSURANCE INSURANCECO USAA002160413U71057 IN EFFECT &POLICY# I STOP LY—ve ❑ ,J—I CITATION# CHARGE to BOTTOM LEGALL YES N`[ 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 KEITH PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG84698 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1130 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M :.(LAST,FIRST,MIDDLE INITIAL) LINCECUM REBECCA ADDRESS&PHONE RENTON SEX: U MMDooYBYYv 02 — 11 — 1952 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 POS. 1 2 4 1 USE 2 GLASS 11 ----� :NAME (LAST EIFS7 MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CIASS ----� :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 GLASS 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. KEITH PETTY 02-08-26 02:33 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.TRADER 4553 1 311112026 11:31:35 AM BADGE OR ID# 1Y809 ORI#s WA0171300 TIME POLICE DISPATCHED 12:33 PM TIME POLICE ARRIVED i 12:39 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG84698 CASE# 26-1130 DATE OF COLLI r�510NN + 02/08/26 12:33 L1 NARRATIVE 26-1130 On 02/08/2026 at approximately 1233 hours, I was dispatched to the intersection of 140TH Way SE and SE Maple Valley Hwy in the City of Renton, County of King, State of Washington for a collision with unknown injuries. Upon arrival I was informed there were no injuries to either party. I had both vehicles move to the shoulder to free up the lanes of travel. Unit 1: gray 2015 Subaru Cross trek (AVE0394/WA) VIN/JF2GPAMCOF8252332 driven by the registered owner Brent William Symens (DOB 04/07/1965), and his front passenger Rebecca Linecum (DOB 02/11/1952) Unit 2: cream 2025 Toyota Crown Signia (CPW5335/WA) VIN/JTDACAAJ3S3013996 driven by the registered owner Thomas Bruce Curtis (DOB 10/20/1952). Both drivers were identified by their WADL's. Unit 1 stated he was stopped at the intersection of SE 140th Way and Se Maple Valley Hwy behind unit 2. When the signal turned green both vehicles proceeded to make a right-hand turn onto Maple Valley Hwy. Unit 2 stopped as he saw a vehicle moving at a high rate of speed and didn't appear to be stopping for the light. When unit 2 stopped unit 1 was also looking to the left for oncoming traffic and didn't see unit 2 stop. Unit 1 collided into the back of unit 2 causing over$1000 in damage. I provided an exchange of information for both parties. This incident was captured on my body-worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized "I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct." Electronically signed: K.Petty, Date: 02/08/26at 1400 hours, Place: Renton, King County, WA PAGE 3 OF 5 REPORT NO. EG84698 CASE# 26-1130 OATS OF COLLI r�510NN + 02/08/26 12:33 L1 NARRATIVE PAGE 4 OF 5 REPORT NO. EG84698 CASE# 26-1130 DATE AND TIME 02/08/2612:33 OF COLLISION> ' L k t { k ilY � yytV� (jf• lil1V P �l 14 �k Y k L L; t PAGE 5 OF 5