HomeMy WebLinkAbout26-2441 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG90972oc� RA
COLLISION REPORT 1591971
ASE# 26-2441 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL ANG 4200 3
COUNTY RD INVOLVED
CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 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
GDLLISION' 03 - 29 - 2026 1159 17 =.�� S WE IN
OF 1070 3
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 10 00 FEET e✓ S 8✓ W e LIND AVE SW
1 2 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063499651 0 1 30
LAST NAME HERNANDEZ HERNANDEZ FIRST NAME ADRIAN MIDDLE
6 INITIAL 1 2 31
STREET ❑' 2223 BENSON RD S B102 CITY RENTON ST I WA ZIP 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO✓ INTERLOCKYEs NO✓ YES No,/
8❑ LICIENS# STATE WA SEX M MMor YY' 05 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CVU6712 STATE WA VN# 3KPF24AD3ME346750 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
rRLR TRL.R 5 1 33
1 3
FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 3 2015 KlA FORTE 4D DAMAGE YES�No ✓� Yes No✓ 5 1 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# 4TOP
v `LE CHARGE t 5 36
Lec LY YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTnNowc 7 e
III MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES✓ NO D:2062358986
16�
LAST NAME YUAN FIRST NAME GUI MIDDLE' H
INITIAL
❑
17 F1 STREET' 1519 DAV/SAVES CITY RENTON ST, WA ZIP 98055 37
NEW ADDRESS❑
18❑ CDL IGNITION REQUIREQ IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYEs CKYES No✓ YEs No'✓
19[ DRIVER'S STATE WA SEX I M I D,013, 09 17 1985 39
LICENSE# MMDQYY —
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN� AVN0583 TATE WA vIN# JTDKN3DU5F1911789 41
PLATE 22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2015 MAKE TOYT MODEL PR/US STYLE 4p/ VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAGAREA
2
LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILYA10 3 6 5 2 114
IN EFFECT &POLICY# I 9TOP 5
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
LecnLLY YES N`[_
25 s 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.MYERS 10433 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EG90972
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2441
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF 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 �____ ----j
NARRATIVE
On 03-29-2026, 1 was dispatched to a traffic collision in the area of Rainier Ave S and SW Lind St in
the City of Renton, County of King, State of Washington.
I arrived on scene and contacted the driver of Unit #2 who told me he was traveling northbound on
Rainier Ave S in the left turn only lane. He was traveling straight and had not entered the intersection
when Unit#1 merged into his lane and hit the passenger side area of his vehicle.
I contacted the driver of Unit#1 who requested a Spanish interpretor. Through the Language Line
interpretor the driver of Unit#1 told me he did not see Unit#2 in the turn when he tried to enter the
lane of travel. The front drivers corner of his vehicle hit the passenger side of Unit#2.
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 06:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
4/1/2026 3:30:15 PM
P.KORDEL 9676
BADGE OR ID# 10433 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:59 AM TIME POLICE ARRIVED 12:08 PM
PART IS 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG90972 CASE# 26-2441 DATE AND TIME 03/29/26 11:59
OF COLLISION
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