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26-1784
IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87210OLCERA COLLISION REPORT 1591971 CASE# 26-1784 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL CODING 4100 3 HIT&RUN ❑ C©DING COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2 3❑ TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION : 2 3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# BOLL s oN' 03 - 05 - 2026 1755 17 =.[� S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ HOQUTAM AVE NE BLOCK ST e 1101 .= 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3143976822 1 4 30 6 LAST NAME HU FIRST NAME LINGZHI MIDDLE N 1 1 2 31 INITIAL STREET ❑ 14116 SE 46TH ST CITY; BELLEVUE ST I WA Zlp; 980063046 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No INTERLOCK VEs No YES NOF 8 DCIENSE# STATE WA SEXI M MMDDYY' 11 — 05 — 1986 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2 LICENSE, CMV3647 STATE WA VIN# 7SAYGDED4SF280126 3 10 F1 as ATP rt 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR zRLR. 1 1 5 33 12 0 0 VIN#' vIN# FROM TO 13 2 VEH.YEAR2025 MAKE TESL MODEL MODEL STYLE UT VEHICLE TOYED NO�iS46LIN T�VyED.6LRS �ESEENp m 34 DAMAGE IIII._IIII HHttVVii((tt I_I REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE / INSURANCE CO GEICO 4556372433 < 34IN EFFECT &POLICY#V""' CHARGE 36 LEGALLY YES❑NO❑ CITATION# t15 STANDING MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2064326914 16❑ LAST NAME LIAO FIRST NAME MU MIDDLE' C INITIAL STREET ❑ 37 17 ❑ 630 VASHON PL NE CITY RENTON ST, WA ZIP 980595712 NEW ADDRESS 1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 CDL INTERLOCKYES No INTERLOCK YES No YEs Na 19 DRIVER'S ' STATE WA SEX M I D.O.B. 12 30 1960 � 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 LATEI 20❑ ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 USE 9 CLASS 0 ❑ 21 LICEN E BZV2630 raTE WA vIN# 7FARW2H24ME020173 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE HOND MODEL CR_V STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO MU LIAO 630 VASHON PL NE RENTON WA 98059 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 494 0294 F15 47A IN EFFECT &POLICYVEHICLE # 9TOP E—Y YES LEGALL ❑ N.I—I, CITATION# CHARGE to BOTTOM L 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG87210 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1784 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST 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. C.CATALAN 03-10-26 11:11 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 3/19/2026 3:22:45 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:56 PM TIME POLICE ARRIVED i 6:02 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG87210 CASE# 26-1784 GATE OF COLLI r�510NN + 03/05/26 17:55 L1 NARRATIVE On March 5, 2026, at approximately 1755 hours, I was dispatched to a 4-vehicle collision at a parking lot located at Hazen High School, 1101 Hoquiam Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed no one sustained any serious injuries requiring immediate medical attention. Unit 2 was parked and unoccupied at the time of the collision and its front bumper was sideswiped by Unit#1. The driver of Unit#3, identified as Elizabeth Griggs, said she was the sole occupant of her vehicle and was parked in a stall at the time of the collision. While sitting, Unit#1 struck her rear left quarter panel, causing her neck to whiplash against the driver's window. Elizabeth didn't see the collision, but her vehicle sustained moderate damage. Elizabeth said she felt pain to her head and neck and mentioned she would visit a clinic later. I then spoke with the driver of Unit#3, identified as James Grossnickle. James told me he was stopped in the aisle facing southbound. James was having a conversation with a friend who stood outside his driver's window. While stationary, James heard the collision behind him and subsequently felt the jolt of Unit#1 impacting his vehicle from behind. James told me he felt pain on his neck and shoulders. He told me he would visit a hospital later. The driver of Unit#1, identified as Mu Liao, said he recently dropped off his child at Hazen High. His vehicle (a Tesla) was programmed in self-drive mode. While requesting it to park, the vehicle lost control and side Unit#2's front bumper, struck Unit#3's rear quarter panel, and rear-ended Unit#4. Mu could not explain what happened, but said the collision happened "so fast." Based on the above statements, I determined that the Driver of Unit #1 (Mu) is the proximate cause for the collision due to inattention causing a collision. Mus should have been paying closer attention to his vehicle. Most of involved vehicles were driven away without further incident. Unit#1 sustained severe damage, so it was towed by Banker Towing. An exchange of information was provided to all involved parties. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 03/09/2026 Renton PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG8721 0 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-1784 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 1 $ 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR � NAME IF NO NUMBER S SOURCE AXLE + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN ❑, YEs� No D:4255033388 5 VEHICLE CYCLE OWNER 1 3 29 LAST NAME GRIGGS FIRST NAME ELIZABETH MIDDLE W INITIAL STREET 30 NEW ADDRFs pj 913 N 36TH ST CITY RENTON ST WA ZiP gg0561974 6 ❑ PRESENT MEC7ICALTANSPORTED. 1 31 CDL IGNITION REQUIRED ,IGNiTILO INTERLOCK YES NO INTERLOCK YES N0 YES N L DRIVER'S STATE : WA SEx F MMDDw LICENSE 10 - 04 - 1985 7 ❑ HELMET 'INJURY NATURE OFINJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 NECK AND HEAD PAIN 8 ❑ : 1 1 2 32 LICENSE AMS7716 TAT WA VIN 3VWPP7AJ7DM669991 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2013 MAKE VOLK MODELJETTA STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI E FROM TO DAMAGE YES NO ✓ YES NO INFOELIZABETH GRIGGS 913 N 36TH ST RENTON WA 98056 m 33 REGISTERED OWNER SHADE IN DAMAGED AREA INSURANCE CO LIABILITY INSURANCE USAA 011015801 7103 4 FROM TO IN EFFECT &POLICY# i --"TfC;J0 9 9 34 13 vEnICEE YES NO[jj CITATION# CHARGE 1080TTO ecauv sTANoINc 3 7 DAMAGE THRESHOLD MET PHONE 35 14 UNIT# 4 MOTOR � PEDAL- ❑ PEDESTRIAN ❑ OWNER PROPERTY YES NO VEHrcLE I-- OWNER �/ D:2062768366 15 ❑ GROSSNICKLE JAMES MIDDLE' 36 LAST NAME FIRST NAME A INITIAL 16 STREET ❑' 6050 114TH PL SE CITY BELLEVUE ST WA ZIP 980060000 NFW ADDRFSS CDL IGNITION REQUIR {GNITION PRESENT MEDICALTANSPORTED' 17 ❑ INTERLOCK YES[]NED INTERLOCK YES NO '.YES NO ❑ DRIVER'S STATE WA SEX M D,O.B 37 ❑ LICENSE# MMDDY 07 - 24 - 1971 18 4 HELMET INJURY NATURE OF INJURIES 38 ON DUTY❑ STATUS AIRBAG 2 RESTR. EJECT 1 USE 2 CLASS 7 HEAD,SHOULDERS,AND NECK PAIN 19 ❑ CSE1372 TAT LICENSE' ❑ PLATE# WA vIN# JTMEB3FV7RD225123 39 20 TRAILER' TRAILER 40 PLATE# STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 2024 TOYT RAV4 UT DAMAGE YES NO YES NO IV 23 REGISTERED OWNER INFOJAMES GROSSNICKLE 6050 114TH PL SE BELLEVUE WA 980060000 D:2062768366 SHADE IN DAMAC ED AREA � 43 2 3 4 LIABILITY INSURANCE INSURANCE CO PEMCOINSURANCE.CA 0732583 I _9)(7P_._ 44 ❑ &POLICY# •_"_ _ vewcEe ❑ CITATION# CHARGE 70 BOTiC?M 24 I..EGALLY YES NO STIWDING 3� 3 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 03-10-26 11:11 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 12007 O#RI WA0171300 APJACOBS 31119/2026 PAGE�OF 3000-345-013(R 11/18) REPORT NO. EG87210 CASE# 26-1784 DATE AND TIME 03/05/2617:55 OF COLLISION> ' � 4 �uS., �iittr 4, i i f � SS ,ri� l i fr 3 i�i �2{i rz aW i. l y � II i V, v y§ y Y i d di t r PAGE 5 OF 5