HomeMy WebLinkAbout26-2122 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87638OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 26-2122 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 03 - 17 - 2026 2043 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MONROE AVE NE BLOCK ST e 400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.F--1 FEET e S B W
OF 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255180971 0 8 30
6 LAST NAME SMITH FIRST NAME JADEN MIDDLE D 1 1 2 31
INITIAL
STREET ❑✓ 2950 NE 11TH ST#529 CITY; RENTON ST I WA ZIp; 98056 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEflIGAL TRANSPORTED 3
INTERLOCK YEs NO✓ INTERLt)CKYES NO✓ YES No✓
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 09 - 02 - 2006 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CCW0000 STATE WA VIN# JN1CA31A41T112063 3
10 Fl I PI ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR rRLR 3 1 1 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2001 MAKE NISS MODEL MAXIMA STYLE SD VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34
13 DAMAGE YES ✓ YES) NO✓
REGISTERED OWNER INFO JADEN SMITH 2950 NE 11TH ST#529 RENTON WA 98056 D:4255180971 VEHICLE NO. 1
SHADE IN DAMAGED AREA 11
35
4 LIABILITY INSURANCE INSURANCE CO 4
14 PROGRESSIVE 867359090
IN EFFECT &POLICY# 9TOP
vEnic�E CHARGE 5
Lemur yes❑NO❑ CITATION# 36 t a 80TFOM
15❑ STM ING s 7 6
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHiC1.E CYCLE nWNFR YES'I
NO
16�
LAST NAME MARTIN FIRST NAME CHARLES MIDDLE R
INITIAL
17 F1 STREET ❑
❑ 9820 140TH ST CT E CITY PUYALLUP ST, WA ZIP 98373 q 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED (GNI"i'ION PRESENT MEDICAL TRANSPORTED. 38
INTERLOCKYES NO✓ INTERLOCK YES No✓ YES No✓
19� DRIVER'S STATE WA SEX M fl.o.B. 11 20 1959 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY
1 NATURE OF INJURIES 40
21[ LICENSLATE E C06033X rare WA vIN# 2GCEC19T811186540 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
43
23 VfN RLR
UIN#. 'IN#
VEH.YEAR 2001 MAKE CHEV MODEL SIlVERA STYLE pl( VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO ALLSTATE 969 426 681
IN EFFECT &POLICY# I STOP
VEHICLE ,.I—I CITATION# CHARGE to BOTTOM
L'—LY YES N
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
JASON TURNER 12650 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG87638
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2122
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 CLASS 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 CLASS ----�
: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 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.
JASON TURNER 03-18-26 12:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 3/21/2026 1:28:15 AM
BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:43 PM TIME POLICE ARRIVED i 8:46 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG87638 CASE# 26-2122 DATE OF COLLI r�510NN + 03/17/26 20:43
L1
NARRATIVE
Unit 1: 2001 Gold Nissan Maxima (WA LIC: CCW0000) operated by Jaeden D. Smith (DOB:
09/02/2006)
Unit 2 2001 Chevrolet Silverado (WA LIC: C06033X) operated by Charles R. Martin (DOB:
11/20/1959)
Unit 1 was driving westbound in the 3200 block of NE 4th ST approaching a green light at Monroe
Ave NE. Unit 2 was stopped at a red light at the intersection of Monroe Ave NE and NE 4th ST facing
southbound on Monroe Ave NE in the left lane. Unit 1 was attempting to make a right turn at NE 4th
ST and Monroe Ave NE to proceed northbound on Monroe Ave NE. It was actively raining and the
roads were wet and slick. While Unit 1 made their right turn they lost control of the vehicle, causing
the vehicle to skid westbound. While skidding Unit 1's passenger side front bumper struck Unit 2's
rear driver's panel.
No injuries were reported from either party. Unit 1 had significant damage to the front end of their
vehicle. Unit 2 had minor damage to the rear driver's side panel of their vehicle. Both vehicles were
still operable after the collision.
I find that the proximate cause of the collision was Unit 1 driving to fast for conditions. Unit 1 lost
control of their vehicle while making a right turn. The roads were wet and slick indicating that Unit 1
made the turn at a speed that caused the vehicle to lose traction.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 03/18/2026 at 0019 hours.
PAGE 3 OF 4
REPORT NO. EG87638 CASE# 26-2122 DATE AND TIME 03/17/26 20:43
OF COLLISION
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PAGE 4 OF 4