HomeMy WebLinkAbout26-2336 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG90697OLCERA
COLLISION REPORT 1591971
CASE# 26-2336 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 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
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�Is[oN' 03 - 25 - 2026 1635 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e 1923 .�
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:2066771808 0 1 30
5 LAST NAME SULTANI FIRST NAME AHMAD MIDDLE O 1 1 2 31
INITIAL
STREET ❑ 1923 TALBOT RD S CITY; RENTON ST I WA Zlp; 980554230 2
NEW ADDRESS
7 CDL IGN RES IGNITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED'. 3
INTERLOCKYEs No INTERLOCKYEs NO YES F NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 01 - 01 - 1986 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASSY 1 [NATURE of INJURIES 2
10 PI ENSttEI BJN6972 STATE WA VIN# 4T1BF1FK9HU318284 3
TRAILER STATE TRAILER STATE ROM To 11 2 5 PLATE# PLATE#
TRLR zRLR 0 0 33
12 2 5 VIN#' vIN#
FROM TO
VEH.YEAR 2017 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 $ 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO AHMAD SUL TANI 1923 TALBOT RD S RENTON WA REIVTONWA98055 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE� NSURANCECO STATE FARM 592 9034 D22 47 3
IN EFFECT &POLICY#VEHICLE 4TOP _
srgNOLNG ❑ ❑ CITATION# 6A0200665 CHARGE FAIL YIELD PRIVATE RD MOTOR s o ooTrofi 36
Yes NO
15
MOTCSR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2539515066
16�
LAST NAME CH►EDU FIRST NAME ANDREW MIDDLE E
INITIAL
17 F1 STREET ❑❑ 5518 ELIZABETH LOOP SE CITY AUBURN ST, WA ZIP 980923856 37
NEW ADDRESS
18� IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38
CDL INTERLOCKYEs No INTERLOCK YEs No vEs ND
19 DRIVERS ' STATE I WA SEX M I D.O.B. Fol 22 1953 � 39
LICENSE# MMDDYY —
HELMET INJURY: URE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 NAT ❑
21 LICENSE I PATE# CRT3319 raTE WA vIN# WMZ23GA01 S7R97351 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2025 MAKE MNNI MODEL COUNTR STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYERS TOWING
REGISTERED OWNER INFO BMW NORTHWEST 4011 20TH ST E FIFE WA 98424 VEHICLE NO.2
SHADDAMAGEDAREA
3 4
LIABILITY INSURANCE[Z INSURANCE CO ALL STATE 979 434 913
IN EFFECT &POLICY# 9TOP
L'E L ❑ ,J—] CITATION 11 CHARGE l---TTOM
VEHICLE YES N
25 a e
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. EG90697
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2336
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.
C.CATALAN 03-27-26 07:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 41112026 11:43:49 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:41 PM TIME POLICE ARRIVED i 4:41 Pry
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG90697 CASE# 26-2336 DATE OF COLLI r�510NN + 03/25/26 16:35
L1
NARRATIVE
On March 25, 2026, at approximately 1635 hours, I was dispatched to a two-vehicle collision at 1923
Talbot Rd S, 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 Ahmed Sultani, said he was slowly reversing out of his driveway.
Ahmed said he looked both ways on Talbot Rd S but never saw any vehicles approaching. As he
backed, he struck Unit#2's front right wheel, causing damage to his rear bumper.
The driver of Unit#2, identified as Andrew Chiedu, said he was traveling southbound on Talbot Rd S
and approaching the area where Ahmed was exiting. While approaching Unit#1, Ahmed failed to see
his vehicle and drove straight into his front right wheel. The impact caused damage to the front right
fender and wheel, disabling it.
Unit#2 sustained a damaged wheel which caused it to become undrivable. The vehicle was partially
in the roadway causing a safety hazard, so I impounded the vehicle. 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 03/27/2026 Renton
PAGE 3 OF 4
REPORT NO. EG90697 CASE# 26-2336 DATE AND TIME 03/25/2616:35
OF COLLISION
z �s
1
t
� z
1
y..
I
+V
> ? hp M u
PAGE 4 OF 4