HomeMy WebLinkAbout26-1714 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87205OLCERA
COLLISION REPORT 1591971
CASE# 26-1714 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`GENC'Y 4100 3[--�
COUNTY RD E:] INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL 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
COLLISION'. 03 - 03 - 2026 1022 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
116TH AVE SE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 W e SE 160TH PL
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063758059 0 9 30
6 LAST NAME AL MUDHFAR FIRST NAME MOHAMEDSAED MIDDLE K 1 2 31
INITIAL
STREET ❑ 3000 SE ROYAL HILLS DR APT 39 CITY RENTON ST I WA ZIP 980583869 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYES NO YES NO
8� LICIENSE# STATE WA SEX M MMOCSYY' 10 1 2 32
URY NATURE
9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT '.. 1 N U EET ASS 6 BROKENFWRIST INJURIES 2
10� P1 ATr ti, BZR7216 STATE WA vN# 5NPET46C99H446282 3
TRAILER STATE TRAILER ,STATE
11 3 0 PLATE# PLATE# ROM TO
TRLR TRLR 5 1 33
1 0
FROM TO
2 0 VIN# VIN
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 Y GOVT VEHICLE 9 9 34
13 2 2009 HYUN SONATA DAMAGE ves ✓ No � g MEYER Yes❑ No
REGISTERED OWNER INFO MOHAMEDSAED AL MUDHFAR 3000 SE ROYAL HILLS DR APT39 RENTON WA 980583869 D:2063753059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GE/CO 6124-32-50-41 3 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG Yes❑NO❑ CITATION# 6AO095362 CHARGE FLO TO DRIVE ON RIGHT SIDE OF o ooTrofi 36
15
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YE:
No D:2535338687
16�
LAST NAME ALLEN FIRST NAME JORDAN MIDDLE L
INITIAL
STREET ❑ 37
17 '❑ 7818 196TH STREET CT E CITY SPANAWAY ST, WA ZIP 983875098 4
NEW ADDRESS
18❑ CDL ...; IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSV'QRTED ❑ 38
INTERLOCKYES NO INTERLOCK YES NO YES No
19 DRIVER'S
MMDDYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE D80364G rarE WA vIN# 3BPDX2OX9SF753276 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2025 MAKE PTRB MODEL 52Q STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
�/ No GENE MEYER ves No�/
REGISTERED OWNER INFO RABANCOLTD2201076THAVES KENTWA98032 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO ACEISAH1137119A
IN EFFECT &POLICY# 9TOP
VEHICLE � ,.I—I CITATION# CHARGE to BOTTOM
LE—LY YES N 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG87205
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1714
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.
M.LEVERTON 03-10-26 11:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
3/19/2026 3:44:49 PM
C.JACOBS 1953
BADGE OR ID# Y517 ORI#' f WA0171300 TIME POLICE DISPATCHED'; 10:22 AM TIME POLICE ARRIVED 10:31 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57
REPORT NO.` EG87205 CASE# 26-1714 O COLLI COLLISION TIME
OF 03/03/26 10:22
COLLI
NARRATIVE
gry/1 crossed loc unkn head on with stopped garbage truck
CC
Within the city limits of Renton/King/Wa I responded to a car v garbage truck blocking crash at the
intersection of 116th ave SE at SE 160th PL.
I contacted the driver of unit 2/garbage truck driver. He was on his route and had just finished
collecting some cans on the west side of 116th Ave SE. His truck was facing southbound in the
southbound lanes. He told me he had just got back in the cab when unit 1 crossed the double yellow
lane divider and crashed into his truck head on. He did not complain of injury and damages to unit 2
required a tow truck. Unit 2 had significant damage from being hit by a sedan.
I contacted the driver of unit 1 holding his left arm. It was obvious he had some displacement in the
left wrist. Fire was already enroute. He said he saw the truck and no traffic in front of him and for
some unknown reason he veered into the front of unit 1. Unit 1 was transported to VMC-ED for
further treatment for wrist and leg complaint. Damage to his vehicle was significant and required a
tow truck.
I cited unit 1 Ref RCW 46.61.100 fail to drive on correct side of roadway 2 vehicle injury crash via
complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/3/2026
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG87205POLICE TRAFFIC
1 27
COLLISION REPORT CASE# 26-1714
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓
UNIT# 2 USDOT ICC# VEHICLE TYPE 1 3 1 CARGO BODY 8
TYPE
2 ❑ 1 28
CARRIER NAME RABANCO
3 CARRIER L
ADDRESS 1 22010 76TH AVE S
CITY KENT ST WA ZIP 1 98032
4 ❑ NAME # PLACARD
NAME IF NO NUMBER
SOURCE 1 AXLES 04 GWVR 58000 +
4a ❑ ADDITIONAL UNITS
5 ❑ UNIT# V°HDRE ❑ CPEDAL-YCLE CI PEDESTRIAN OWNERRTY '..❑ YESDAMAGENOHRESHOLD MET PHONE
MIDDLE; 29
LAST NAME FIRST NAME INITIAL`.
STREET 30
NEW ADDRFG CITY ST ZIP
6 PRESENT MEDICAL TANSPORTED 1 31
CDL IGM7ION REfJUIRED iGNi71ON
INTERLOCK YES NO (INTERLOCK YES[]NO[] YES[]NDRIVERS
LICENSE STATE SEX MMDD8 Y -�
7
ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIEs
USE CLASS
8 ❑ LICENSE VIN 1 32
PLATE# TAT
9 TRAILER TRAILER 2
PLATE#; STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.# VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VPHICI F FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 � SHADE IN DAMAGED AREA
4 FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# �GQI
34
13 vewc�e YES NO CITATION# CHARGEsT7 t
MOTOR PEDAL_ ' PROPERTY � DAMAGE THRESHOLD MET PHONE 1:1
35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
15 LAST NAME FIRST NAME ❑INITMIDDL
ALE 36
16 ❑ STREET CITY ST ZIP
NEW ADDRESS
GDL 1ONI719N REZIUIRED 1GNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES[]NO INTERLOCK YES N(6 YEs NOD 1 17 37
LICENSE#RIVERS — STATE SEX MMDDwY
18 ❑ ❑
HELMET :INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS
19 ❑ ❑ 39
LICENSE TAT viN
PLATE# I
#
20 ❑ TRAILER TRAILER ❑ 40
PLATE#. STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# VIN#+.
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# t.K-99
5 44
vEHic�E ❑ ❑ CITATION# CHARGE 24 IEG_ VES NOSTIWDING3 3 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 03-10-26 11:36 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 2517 O#RI WA0171300 APJACOBS 3119/2026 PAGE OFF
3000-345-013(R 11/18)
REPORT NO. EG87205 CASE# 26-1714 DATE AND TIME i 03/03/26 10:22
OF COLLISION
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PAGE 5 OF 5