HomeMy WebLinkAbout26-2238 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG90692OLCERA
COLLISION REPORT 1591971
CASE# 26-2238 2
INTERSTATE CITY STREET❑ FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 42QQ 3
HIT&RUN CODING
❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED
2 1 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 03 - 21 - 2026 1218 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
N 10TH ST BLOCK NO. e 1205 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
1 5 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063217951 0 1 30
6 LAST NAME CHRISTIANSEN FIRST NAME DIANE MIDDLE S 1 2 31
INITIAL
STREET ❑ 2938 KENNEWICK PL NE CITY; RENTON ST WA ZIP; 980562284 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YEs No INTERLOCKYEs NO YES No
8 DRIVER # STATE WA SEXI F MMDDYY' 03 — 31 — 1960 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 CLASSY 0 NATURE OF INJURIES 2
10 at ENSttEI AFW9412 STATE WA VIN# 1FAHP36N25W180708 3
TRAILER STATE TRAILER STATE ROM To 11 0 0 PLATE# PLATE#
TRLR zRLR 0 0 33
12 O O VIN#' vIN#
FROM TO
VEH.YEAR ZOOS MAKE FORD MODEL FOCUS STYLE VEHICLE TOWED[n TO ZBUN TOWEDBY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO DIANE CHRISTIANSEN PO BOX 27351 SEATTLEWA98165 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3
14 PEMCO CA 0577992
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur YES❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2066177489
16�
LAST NAME SAHOTA FIRST NAME HARPREET MIDDLE K
INITIAL
17 F1 STREET ❑❑ 1133 N 33RD PL CITY RENTON ST, WA ZIP 980561931 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES NO INTERLOCK YES NO vEs NO
19 DRIVERS STATE WA SEX F I D.0.6. 1 11 28 1977 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE CKH9145 rarE WA vIN# USE
41
22❑ [TILER TAILER PLATE# STATE PLATE# STATE E El 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2023 MAKE TESL MODEL MODEL X STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO HARPREET SAHOTA 1133 N 33RD PL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAGE,D,AREA
z add
LIABILITY INSURANCE INSURANCE CO LIBERTY MUTUAL AOS-261.408488.90.5 6
IN EFFECT &POLICY# 9TOP
HICL
LEEIL YES❑ NJ—I, CITATION 11 CHARGE to BOTTOM
VEE
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG90692
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2238
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 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.
C.CATALAN 03-24-26 04:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 41112026 12:16:39 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 12:25 PM TIME POLICE ARRIVED i 12:42 PM
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG90692 CASE# 26-2238 O OF COLLISION TIME 03/21/26 12:18
NARRATIVE
On March 21, 2026, at approximately 1218 hours, I was dispatched to a two-vehicle collision at
Mattress Firm, 1205 N 10th St, within the City Limits of Renton, County of King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit#1, identified as Diane S. Christiansen, said she was slowly reversing out of a
parking stall. As she backed, she struck Unit#2's passenger doors, causing substantial damage rear
bumper.
The driver of Unit#2, identified as Harpreet Sahota, said she was traveling northbound through the
parking lot of Mattress Firm. While approaching Unit#1 which was parked closer to the Mattress
Firm, Diane failed to see her vehicle and drove straight into her passenger side doors. The impact
caused damage to the doors, rear quarter panel, and rear wheel, disabling it.
Unit#1 were driven away without further issues. Unit#2 sustained a flat tire which caused it to
become undrivable. An exchange of information was provided for all parties involved.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/24/2026 Renton
PAGE 3 OF 4
REPORT NO. EG90692 CASE# 26-2238 DATE AND TIME 03/21/26 12:18
OF COLLISION> '
' j
x t
r,�� F,
,srr
4
4
t k 4 i
t.� t )4 sl Ft ytfi
3z
� St
S
'
t
� s
t
{ {t
�l
tbt
4a
PAGE 4 OF 4