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HomeMy WebLinkAbout26-2422 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG89945OLCERA COLLISION REPORT 1591971 CASE# 26-2422 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOL`CODIGENC'Y 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCLson' 03 - 28 - 2026 1339 17 =.= S 8 W e IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINIER AVE S BLOCK NO. e 700 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 140 00 FEET e✓ S 8 W e S GRADYWAY 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 7 30 6 LAST NAME ULRICH FIRST NAME ADAM MIDDLE J 1 1 2 31 INITIAL STREET ❑ 22305 230TH ST SE CITY; MONROE ST WA ZIP; 98272 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NOW] INTERLOCKYEs NO�/ YES NOZ 8 DRIVER # STATE WA SEX M MD.03. 10 — 25 — 1999 t OF 11 32 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE of INJURIES 2 USE CLASS MINOR LEG LICENSE, CPY0570 STATE WA VIN#, JF1GPAB69G8251134 3 10 19� as ATP rt TRAILER STATE TRAILER STATE ROM TO 11 3 5 PLATE# PLATE# TRLR zRLR. 5 1 33 12 3 5 VIN# vIN# FROM TO VERYEAR 2016 MAKE SUBA MODEL IMPREZ STYLE 4D VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 LIABILITY INSURANCE INSURANCE CO 14 PROGRESSIVE 978871332 IN EFFECT &POLICY# V""' CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# <14, 15❑ STANDING MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES NO �/ D:2069305635 16� LAST NAME TEPP FIRST NAME JOEL MIDDLE E INITIAL 17 F1 STREET ❑ ❑ 7745 39TH AVE NE Din SEATTLE ST, WA ZIP 98115 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERI OCKYEs ND INTERLOCK YES NO yEB No 19 DRIVER'S ' STATE WA SEXI M D.O.B. F07 06 1948 � 39 LICENSE# MMDDYY I — : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 3 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE DGDGBD TATe WA VIN# 5NPET46C79H481211 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2009 MAKE HYUN MODEL SONATA STYLE qp VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SAFECO H1935298 IN EFFECT &POLICY# VEHICLEL'—LY YES[Z NI—] CITATION11 CHARGE <EODa 25 a s OFFICER'S NAME(PRINT) PHONE BADGE OR ID# AGENCY 26 T77 D.MYERS 10433 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG89945 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2422 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 On 03-28-2026 at approximately 1339 hours, I was dispatched to a traffic collision near the intersection of Rainier Ave S and S Grady Way in the City of Renton, County of King. I was already on scene for a previous traffic collision that had occurred on SW Grady Way. I contacted the driver of Unit#1 who told me he was traveling northbound in the far left lane of Rainier Ave S. He was looking down SW Grady Way to try and see why are the emergency vehicles were on SW Grady Way. He did not realize the traffic travel ahead of him had stopped after he drove through the intersection and hit the rear of Unit#2. 1 contacted the driver of Unit#2 who told me he was traveling northbound on Rainier Ave S and stopped for traffic in the far left lane. Unit#1 hit the rear of his vehicle pushing him into Unit#3. 1 contacted the driver of Unit#3 who told me she was traveling northbound on Rainier Ave S and stopped for traffic in the far left lane. Unit#2 hit the rear of her vehicle. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 03-29-26 09:20 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 1 3/29/2026 5:42:36 PM BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:39 PM TIME POLICE ARRIVED i 1:39 PM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF 4 SUPPLEMENTAL REPORT No. EG89945 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#i 26-2422 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS 'J MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN ❑', YES� NO D:2062003071 5 VEHICLE CYCLE OWNER 0 29 LAST NAME MITCHELL FIRST NAME CATHERINE MIDDLE' L INITIAL STREET 30 NEW AnnRFG 16414 39TH ST CT E CITY LAKE TAPPS I ST WA ZIP 1 98391 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED .IGNITION PRESENT ME DICALTANSPORTED'. INTERLOCK vEs O NO INTERLOCK YES Nt3+/ YEs N.,.� DRIVER'S STATE WA SEX F D`©'� ' 01 11 1979 L LICENSE; MMDD, 7 ON DUTY STATUS AIRBAG 2 RESTR. 2 EJECT 9 HELMET INJURY 1 NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE CWB6060 TAT WA VIN 5FNRL6H95TBO15359 PLATE# 9 TRAILER I I TRAILER 2 PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 3 5 VEH.YEAR2026 MAKE HOND MODELODYSSEY STYLE VN VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI E FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOOWNED BYDRIVER 9 9 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE FARMERS 899387289-0 IN EFFECT &POLICY# I "�:0-flo, -" 34 13 ❑ YES NO CITATION# CHARGEM ecauv sTnNoiNc � MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YEEF-1 NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST ZIP NEW AnDRFS9 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES[]NO INTERLOCK YES NO .YEs No 17 5 37 DRIVER'S STATE SEX M DDY 18 ❑ ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.: 19 ❑ AN# ❑ 39 LICENSE TAT PLATE# 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 DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q S. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..TF_ YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 03-29-26 09:20 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 10433 O#RI WA0171300 APPROVED BY 3/229/2026 PAGE OF � 3000-345-013(R 11/18) REPORT NO. EG89945 CASE# 26-2422 DATE AND TIME 03/28/2613:39 OF COLLISION f hh? y v z xfi ' Wr��y v} � 4x �M 1 N,I Y �f ( �•, �Y�� ��1tv � rYtii W yy x } k4 �x jx ✓ } 3 }tS zW t t � PAGE 4 OF 4