HomeMy WebLinkAbout26-1634 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-1634 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4'I00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 02 - 1-— 2026 0235 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e✓ 650
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 400 00 FEET MILES e S B W e NE 6TH ST
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES
NO ,/ D:4255453435 0 11
30
6❑ LAST NAME BUI FIRSTNAME LINH MIDDLE T 1 1 2 31
INITIAL
STREET ❑, 650 DUVALL AVE NE APT G732 CITY RENTON ST WA 2jp, 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LICENS
DRIVER # STATE WA SEX'F MID
.O B 12 - 30 - 1974 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE BWN3953 sTArr WAVIN#' 2T2BK1BA16C088897
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#'
;.... FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 A 2011 LEXS RX UT DAMAGE YES NO YES[:] No✓
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 UABILI INSURANCE INSURANCECO STATE FARM 4813048-E19.47A 3 4
IN EFFECT &POLICY# 9TOP
LEwcLe CHARGE 1 5 36
LEcnLLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ ......G 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068806286
16 a
LAST NAME MUNOZ FIRST NAME ZEUS MIDDLE
INITIAL
17❑ STREET NEW ADOREs7 3512 ALWON PL N APT 104 CITY SEATTLE ST' WA ZIP 98103 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C... 01 17 1975 0 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H EET 2 NJAU EY 7 PAIN IN RIGHT LEG,LOWERBACK F—NATURE OF INJURIES 40
❑21❑ PLATE# CUS3674 TArE WA VIN# 41
JTKKT604X65002414 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov H 44
VEH YEAR 2006 MAKE 7'Oy7- MODEL $CIONXA STYLE 4H DAMAGE TOWED✓ NOO BLIN GENE MEYER YES N.7
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO pROGRESSIVE 949614679IN STOP 5
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 io BOTTOM
ALLY YES ' a
7.1 -F NAME(PRINT) OFFICER PHONE BADGE OR ID# FENCY
26
Y NGUYEN 13182 A0171300
PART A PAGE 01 OF
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG85923
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1634
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GIURFA CACERES JORGE L
(LAST FIRST,
ADDRESS&PHONE# D O.B.
3904 MARTIN LUTHER KING JR WA APT D21 SEATTLE WA 98108 2069459329 SEX M MMDOYyry 10 - 10 - 1948
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS❑'UNIT# 2 POS 3 AIRBAG 2 RESTR, 4 EJECT I USE 1 2 CLASS 17 PAIN IN LEGS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Id DOB
E MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 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.
TIMOTHY NGUYEN 02-28-26 03:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 1 3/15/2026 2:46:06 AM
BADGE OR ID# 13182 OR]# WA0171300 TIME POLICE DISPATCHED 2:40 AM TIME POLICE ARRIVED:2:47 AM
PART I PAGE IT]OF 4�
REPORT NO. EG85923 CASE# 26-1634 OF COLLISION
02/28/26 02:35
OF CbLLI510N
NARRATIVE
26-1634
Unless stated otherwise, this incident occurred in the City of Renton, County of King, State of
Washington. During this incident, I was on duty as a Police Officer for the city of Renton. I was
wearing a fully marked uniform and driving a fully marked vehicle. This incident was recorded with
video and audio. It is important to note that the camera may have captured things that I did not
perceive, and I may have perceived things not captured by the camera. The following is a summary of
the events:
On 02/28/2026 at approximately 0241 hours, I was dispatched to an injury collision in the parking lot
of Forestview Apartments, 650 Duvall Ave NE.
Upon arrival, I observed Vehicle 1 facing westbound in the parking lot. Vehicle 1 had very minor
damage to the front left side of its bumper. Vehicle 2 was facing eastbound in the parking lot with
moderate to heavy damage to the front-end.
I proceeded to interview Driver 1. In summary, Driver 1 was driving through a bend in the parking lot,
and she claimed to have not seen Vehicle 2 because it had its headlights turned off. Vehicle 1
ultimately collided nearly head-on with Vehicle 2. Driver 1 did not make any complaints of pain.
Officer A. lurco interviewed Driver 2. In summary, Driver 2 was driving eastbound through the parking
lot when Vehicle 1 began veering into Vehicle 2's "lane." Note, that there were no lanes in the parking
lot. Vehicle 1 and Vehicle 2 then collided nearly head-on. Driver 2 and Passenger 1 of Vehicle 2 both
complained of leg/back pain. Renton Fire Authority (RFA) medically cleared them and did not note
any obvious injuries.
Vehicle 2 was deemed undrivable and required a private tow.
I exchanged information for all parties involved. I then took photos of the scene and uploaded them to
Evidence.com.
This concludes my involvement on today's date.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT
I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT.
Signature: Officer T. Nguyen #13182
Date, Time, and Place: 02/28/2026 at approximately 0348 hours in the City of Renton, County of
King, State of Washington
PAGE 3 OF 4
REPORT NO. EG85923 CASE# 26-1634 DATE AND TIME 02/28/26 02:35
OF COLLISION
aolw*%.
0 >
�Wd3d0l�Jd
W -oz
0
gm
q,Ivl�
4
9 '
d
a
d
r
y�, v
PAGE 4 OF 4