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Home My WebLink About26-493 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG85922oc� RA COLLISION REPORT 1591971 ❑ 0✓ RESULTED I CASE 26-493 2 INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOO`CODIOENC'Y 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 0 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN cDLLISION' 01 - 17 - 2026 2019 17 =.= S 8 W e OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a E VALLEY RD MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e S 180TH ST 0 4 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4252097371 0 4 30 6❑ LAST NAME GREEN FIRST NAME MICHELLE MIDDLE N 1 2 31 INITIAL STREET ] 18232 153RD AVE SE CITY; RENTON ST I WA Zlp; 980589633 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No✓ INTERLOCKvEs No✓ YES NO✓ 8 DRIVER # STATE WA SEXI F MMDDYY' 01 - 03 - 1979 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 LI ENSE' AXC6587 STATE WA VIN# 5J6RM4H51FLO96578 3 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR zRLR 1 1 3 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR ZOIS MAKE yOND MODEL CRV5D STYLE U�- VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 3 34 13� DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO MICHELLE GREEN 18232153RD AVE SE RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 STATE FARM 5142567-E04-47 IN EFFECT &POLICY# 9TOP ve ' CHARGE t S 36 IALLY yes❑NO❑ CITATION# t a 80TTOM 15❑ STM ING s 7 e MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES NO �/ D:4252898108 16� LAST NAME FORGE FIRST NAME BRANDON MIDDLE E INITIAL 17 F1 STREET ❑❑ 2820 164TH ST NE APT C105 CITY MARYSVILLE ST, WA ZIP 982717248 4 37 NEW ADDRESS 1$❑ CDL : IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYES ND✓ NTERLOCKYEs NO✓ yes Noi✓ 19 DRIVER'S' STATE WA SEXI M I D.O.B. 01 01 1990 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40 21 LICEN� A9009750 raTE WA vIN# JF2SJGDC7GH488234 41 PLATE22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2016 MAKE $Ugq MODEL FORESTS STYLE UT 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 DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO GEICO 6153465924 IN EFFECT &POLICY# t STOP 1— ,—LY YES❑ N,.I—J I CITATION# CHARGE to BOTTOM `.L 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TIMOTHY NGUYEN 13182 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG85922 COLLISION REPORT III III III III III 111 1591972 CASE# 26-493 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GREEN JAFARI L ADDRESS&PHONE 18232 153RD AVE SE RENTON WA 980589633 SEXi M MMDooYBYYY 01 - 16 - 1975 PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES �, 1 POS. 3 2 4 1 USE 1 2 CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) FORGIE SANDRA E ADDRESS&PHONE# D�B 2820 164TH ST NE APT C105 MARYSVILLE WA 982717248 SEX F MMDavvvr 02 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 1 2 POS. ' 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� NAME MIDDLE INITIAL) FORGIE ALLISON (LOST,FIRST, AQQREss&PHONE# MARYSVILLE SEXF 06 _ 04 _ 2016 D.O.B. MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT g AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY' 7 NATURECFINJURIES aPOS. USE CLASS soRE tE rARM 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 01-18-26 02:31 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 1 311512026 2:42:33 AM BADGE OR ID# j 13182 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:22 Pry/ TIME POLICE ARRIVED i 8:25 PM PART B 3€Do-345-attar(R1Mff) PAGE F2 --]OF F STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG85922 COLLISION REPORT III III III III III 111 1591972 CASE# 26-493 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) FORGIE AMBER ADDRESS&PHONE# MARYSVILLE SEXi F MMDooYBVYv 10 - 08 - 2017 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1:11I 2 POS. 8 2 4 1 USE 1 2 CLASS 1 ----� :NAME (LAST EIFS7 MIDDLE INITIAL) { FORGIE AIDEN ADDRESS&PHONE# I. YY MARYSVILLE SEX' M D 0B•YY 10 _ 22 _ 2012 SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ D.O.B. - MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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 01-18-26 02:31 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE CASEY PROCTER 12123 311512026 2:42:33 AM BADGE OR ID# j 13182 ORI# WA0171300 TIME POLICE DISPATCHED 8:22 Pry/ TIME POLICE ARRIVED i 8:Y5 PM PAST B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F5 REPORT NO. EG85922 CASE# 26-493 O OF COLLI 510N TIME 01/17/26 20:19 COLLISION NARRATIVE 26-493 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 01/17/2026 at approximately 2022 hours, I was dispatched to an injury collision at the intersection of E Valley Rd and S 180th St. Upon arrival, I observed Vehicle 1 with minor damage to the right side of the front bumper. I observed Vehicle 2 with minor damage to its driver door and left passenger side door. Passenger 2 of Vehicle 2 complained of pain to the left arm. Everyone else advised that they were okay. Renton Fire Authority (RFA) responded and medically cleared Passenger 2 of Vehicle 2. They advised that they did not observe any obvious injuries. I interviewed the occupants of Vehicle 1. In summary, Vehicle 1 was southbound on E Valley Rd and turned left (eastbound) onto S 180th St in the far left-turn lane. Vehicle 2 was also turning left (eastbound) onto S 180th St but in the center left-turn lane. The occupants of Vehicle 1 reported that Vehicle 2 made an improper turn and drove into the far left-turn lane ultimately causing the collision. interviewed the occupants of Vehicle 2. They reported a similar narrative. In summary, Vehicle 2 was southbound on E Valley Rd and turned left (eastbound) onto S 180th St in the center left-turn lane. Vehicle 1 was also turning left (eastbound) onto S 180th St but in the far left-turn lane. The occupants of Vehicle 2 reported that Vehicle 1 made an improper turn and drove into the center left- turn lane ultimately causing the collision. There were no independent witnesses to the collision. Based upon the totality of the circumstances, I was unable to determine who made the improper turn. The occupants of Vehicle 2 advised that they would be taking their Passenger 2 to Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle for a full evaluation. I exchanged information for the parties involved. I also took photos of the damage 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: 01/18/2026 at approximately 0218 hours in the City of Renton, County of King, State of Washington PAGE 4 OF 5 REPORT NO. EG85922 CASE# 26-493 DATE AND TIME 01/17/2620:19 OF COLLISION ............... ........ ........... ..... . . ..... .. . ................. .. ...... a�J A311VA 3 ... ...... ......... co sz. i PAGE 5 OF 5