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Home My WebLink About26-1820 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG90710oc� RA COLLISION REPORT 1591971 CASE# 26-1820 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 4100 3 COUNTY RD NVOLVED CODING 2❑ TOTAL 1 PRIVATE WAY TRIBAL UNITS#OF 03 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 03 - 07 - 2026 1205 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION ❑ NE 4TH ST BLOCK NO. 4a❑ MILE POST e ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 FEET e S 8 W e UNIONAVENE 0 3 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO O 1 30 6❑ LAST NAME ROMAN FIRST NAME ANTONIO MIDDLE 1 2 31 INITIAL STREET ❑ 10730 SE 232ND ST CITY KENT ST WA ZIP 98031 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCKYEs NO✓ YES ND;✓ 8❑ LICIENS# STATE WA SEX M MMOCSYY' 10 1 2 32 9[�] ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 N USEET INJURY CLASS 1 NAruRE of INJURIES 2 10 LICENSE D06123E STATE WA VN# 2GC4YME73N1245166 3 TRAILER STATE TRAILER ..STATE 11 0 0 PLATE# PLATE# FROM TO TRLR TRLR 1 7 33 1 0 0 VIN#' vN# FROM TO 2 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 2022 CHEV S/LVER PK DAMAGE YES NO ✓ YEs❑ No✓ 3 7 34 13 REGISTERED OWNER INFO TONY'S REMODELING&PAINT 10730 SE 232ND ST KENT WA 98031 VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 ✓ PROGRESSIVE 00364516-1 IN EFFECT &POLICY# 4TOP 5 VEHICLE t CHARGE 36 Lemur YES❑NO❑ CITATION# 7 0 80TTOM 15❑ nNowc e MOTOR ❑ PEDESTRIAN PROPERTY DAM THR OLDMET PHONE PEDAL- UNIT VEHICLE CYCLE. nWNFR YES✓ NO 16� LAST NAME KAN►S FIRST NAME LAYLA MIDDLE' R INITIAL STREET ❑ 17 ❑ 1720 S 254 PL CITY DES MO/NES ST, WA ZIP 98198 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRAN3PORTED: 38 INTERLOCKYEs No✓ jNTERLOCKYEs No✓ vEs ✓ No 19 DRIVER'S STATE WA SEKI F D.O.B• 07,. 2009 39 LICENSE# MMDDYY 01 — 20❑ ON DUTY STATUS AIRBAG'6 RESTR 9 EJECT 1 ' 7 HELMET INJURY NATURE OF INJURIES 40 USE CLASS RIGHT SHOULDER PAIN 21 LICEN� AFU2540 TATE WA vIN II JTEBU14R59K037103 41 PLATE 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2009 MAKE TOYT MODEL 4 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO MICHAEL KANIS 1720 S 254 PL DES MOINESWA 98118 D:2066654491 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE INSURANCE CO GEICO JTESU14R59KO37103 IN EFFECT &POLICY# 9TOP veHiaE ❑ ,.I—I CITATION# CHARGE t080TTOM LecALLY YES No 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 YUSUF JIBR/L 12490 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG90710 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1820 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME EASTERN BELLA J (LAST,FIRST MIDDLE INITIAL} ADDRESS&PHONE# D 1927 SW 163RD PL BURIEN WA 98166 2063768512 SEX' F MMoovvvv 09 - 25 - 2008 PASSENGER WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD -F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. 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. YUSUF JIBRIL 03-07-26 05:05 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/1/2026 12:36:40 PM BADGE OR ID# 12490 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:11 PM TIME POLICE ARRIVED 12:19 PM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT NO.` EG90710 CASE# 26-1820 O COLLI COLLISION TIME OF 03/07/26 12:05 COLLI NARRATIVE On 03/07/2026 at approximately 1210 hours, I responded to a three-vehicle collision at NE 4th St and Union Ave NE in Renton. Dispatch advised that one driver was complaining of shoulder pain and that Renton Fire Authority medics were responding. Upon arrival, all involved vehicles were located in a private parking lot at 4020 NE 4th St. Unit 1: A black Chevrolet Silverado (WA-D06123E) sustained damage to the front left bumper and remained drivable. The driver of Unit 1 reported no injuries. Unit 2: A gray Toyota 4Runner (WA-AFU2540.) sustained damage to the right side of the vehicle and the side airbags deployed. The driver complained of right shoulder pain and was transported by medics to Valley Medical Center. Unit 2 was not drivable. Unit 3: A silver Toyota Camry (WA-CKU5662) sustained damage to the driver's side and was drivable. The driver initially reported no injuries. Based on driver and witness statements and evidence observed at the scene, the collision occurred at the signal-controlled intersection of NE 4th St and Union Ave NE. Unit 1 was traveling southbound on Union Ave NE and turning westbound onto NE 4th St. Unit 2 was traveling westbound on NE 4th St. Unit 3 was stopped in the eastbound left-turn lane on NE 4th St waiting for the red turn arrow to change. Unit 1 entered the intersection against a red light while making a right turn onto NE 4th St and collided with Unit 2, which was already traveling through the intersection. Unit 2 then lost control and struck Unit 3, which was stopped in the eastbound left-turn lane. The driver of Unit 2 later reported injuries and was transported to the hospital for evaluation. Vehicle 2 was secured and left in a private lot. All drivers were provided with exchange information, including the case number. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG9071 0 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 26-1820 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT IGG# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 NAME # PLACARD GWVR NO NUMBER SOURCE' AXLES ' + NAME IF 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT 3 PEDESTRIAN YEs� No D:2062406788 5 VEHICLE CYCLE OWNER 0 4 29 LAST NAME VALENCIA FIRST NAME INDIRA MIDDLE' Y INITIAL STREET 30 NFW ADnRFS.,P 2307 NE 4TH L106 CITY RENTON ST I WA ZIP 6 PRESENT MEC7ICAL TANSPORTED 1 1 2 31 CDL IGNITION REQUIRED GNiTION INTERLOCK YES O NO :INTERLOCK YES11-01 A DRIVER' STATE WA SEX p D.O-B 08 LICENSE MMDDYY - 22 - 1984 7 ON DUTY STATUS: AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NAruREofINJURIEs USE GLASS 8 ❑ '. .. ., 1 32 LICENSE CKU5662 rAT WA VIN# 4T1K61BK3NU066825 PLATE# 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 0 0 VEH.YEAR2022 MAKE TOYT MODELCAMRY STYLE SD VEHICLE TOWE E T ABLIN TOWED BY GOVT vEHlcl E FROM To DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOOWNED BYDRIVER 7 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE OE1C0/NS 6190749769 IN EFFECT &POLICY# T(JF'"" m 34 13 ❑ vewcEe YES NO CITATION# CHARGE 108C)1`IOM auv O s-rANolNc 3 MOTOR PEDAL_ ' PROPERTY DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YEsF-1 NO 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST ZIP NEW ADDRESS" GDL IGNITION RE(]UIRED .IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YEs NO .YES NOD 1 17 4 37 LLIICENSE STATE I SEX M�Dfl 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE viN# PLATE# TAT 20 ❑ TRAILER TRAILER ❑ 40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN#; VIN#+. 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE[—] INSURANCE CO IN EFFECT &POLICY# t.K-99 5 44 vFHICEE ❑ ❑ CITATION# CHARGE 24 IEGALLY VES NO3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. YUSUF XBRIL 03-07-26 05:05 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR IGD# 12490 O#RI WA0171300 APPROVED BY 4%1%2026 PAGE OF 3000-345-013(R 11l18) REPORT NO. EG90710 CASE# 26-1820 DATE AND TIME i 03/07/26 12:05 OF COLLISION v z r Y ma it�t i u s� � f vc S s tii .4,r4 1 Ziv a Cisi, PAGE 5 OF 5