HomeMy WebLinkAbout26-1399 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG91278OLCERA
COLLISION REPORT 1591971
CASE# 26-1399 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCLson' 02 - 19 - 2026 0631 17 =.= S 8 W❑ IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOMAPLE VALLEY HWY MILE POST
e 1700 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FEET e✓ S 8 W e CEDAR RIVER PARK DR
OF11
29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4805166756 0 7 30
6 LAST NAME MCKINNEY FIRST NAME DARRYL MIDDLE I W 1 1 2 31
INITIAL
STREET ❑ 16000 SE 172ND PL CITY; RENTON ST I WA Zip; 980588627 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKVEs No YES NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 07 - 19 - 1974 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2❑
LICENSE, CHP8433 STATE WA VIN#; 2T2BK1BA9ACO28669 3
10 Fq I PI ATP tt
11 4 0 TRAILER STATE TRAILER STATE
PLATE# PLATE# ROM To
TRLR TRLR 3 1 7 33
12 Q 0 VIN#' VIN#
FROM TO
LE
13 $ VEH.YEAR 2010 MAKE LEXS MODEL RX STYLE VEHICLE TO YED NO fiS46LIN diW9YMEYER GESr`-IVT ENp 9 9 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO DARRYL MCKINNEY 16000 SE 172ND PL RENTONWA 980588627 D:4805166756 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO PEMCO CA2067952 4
IN EFFECT &POLICY# 9TOP _
srnNowc ❑ ❑ 6AO095353 CHARGE INATTENTIVE DRIVING ta6orro6 z 36
Yes NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2064022856
16�
LAST NAME WISNIEWSKI FIRST NAME MICHAEL MIDDLE' P
INITIAL
STREET ❑ 37
NEW ADORE SS
17 ❑ 19623 SE 264TH CT CITY COVINGTON ST, WA ZIP 980425034
18 —1CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYES NO INTERLOCK YES NO YES NO
19 DRIVER'S ' STATE WA SEX M D.O.B. 05 1975 � 39
LICENSE# MMDDYY 24 —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSED30781G TATE WA VIN# 1GCGSBEN6N1325309 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE CHEV MODEL �`OLORA STYLE VEHICLE TOWED TO BY
BLIN
TOWED GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO MICHAEL WISNIEWSKI 19623 SE 264TH CT COVINGTON WA 980425034 D:2064022856 VEHICLE NO.2
SHADE IN DA GF AREA
2
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 903654666
IN EFFECT &POLICY# I STOP
VEHICLE ,.I—I CITATION11 CHARGE to BOTTOM
L'—LY YES[Z N
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG91278
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1399
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.
M.LEVERTON 02-19-26 07:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 4/2/2026 1:19:03 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 6:33 AM TIME POLICE ARRIVED i 6:34 AM
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG91278 CASE# 26-1399 DATE OF COLLI r�510NN + 02/19/26 06:31
L1
NARRATIVE
lane 3 wb wht/2 stopped sil/1 rear
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the 1700 block of
Maple Valley Hwy.
When I arrived I located an SUV pushed into the back of a pick up truck blocking lane 3 westbound.
(NB)
I contacted the driver of unit 2 who told me he was stopped for traffic and had been when he saw a
bright flash and felt the impact of unit 1 rear-ending his vehicle. He did not complain of injury and
damages did not require a tow truck.
I contacted the driver of unit 1 ID'd by his matching picture WADL. He told me he was fiddling with
his toast while driving and crashed into the back of unit 2. He did not complain of injury and damages
did require a tow truck.
I cited unit 1 via complaint ref RMC 10-12-25 Driver Inattention 2 vehicle crash.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 2/19/2026
PAGE 3 OF 4
REPORT NO. EG91278 CASE# 26-1399 DATE AND TIME 02/19/2606:31
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PAGE 4 OF 4