HomeMy WebLinkAbout26-2557 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG91598OLCERA
COLLISION REPORT 1591971
CASE# 26-2557 2
INTERSTATE CITY STREET❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LdCAI-AGENCY 4100 3
HIT&RUN ❑ CODING
COUNTY RD PRIVATE WAY ❑✓ INVOLVED
2 2❑ TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK BUILDING
RESERVATION 1 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 04 - 02 - 2026 1020 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
41STSTREET BLOCK e 400 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 1❑ 1001.1 00 FEET e✓ S 8 W V EAST VALLEYRD
1 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:8064413627 30
6 LAST NAME DU FIRST NAME XIUJUAN MIDDLE N 1 1 31
INITIAL
STREET ❑ 101 SW41ST ST CITY; RENTON ST WA ZIP 980574932 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO✓ INTERLOCK YESffN N ✓ vEs NO✓
8 DRIVER # STATE WA SEXI F MMDDYY' 07 — 23 — 1963 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 3 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CPN8457 STATE WA VIN# 3VVOB7AX7NM119202 3
10 F1 as ATP tt
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM T.
3
TRLR TRLR 7 3 33
12 II
VIN#' VIN#
FROM TO
VEH.YEAR ZO22 MAKE VOLK MODEL TIGUAN STYLE SD VEHICLE TOWED 2 TO fIBLIN TOWEDBY GOVT VEHICLE m 34
13� DAMAGE YES NO II_II YESII_I) NO✓
REGISTERED OWNER INFO KELLYHALL101SW41STSTSTEB RENTONWA98057 D:8064413627 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE� INSURANCE CO STATE FARM 5728183-F26-47
IN EFFECT &POLICY#
VEn" CHARGE 5 36
Lec , YES❑NO❑ CITATION# <14,
15❑ STM ING
. PROPERTY ✓ R PHONE PEDESTRIAN O D:20 68220026UNIT 02VMEOHTIOCRLE CYCLE OWNER
16❑
LAST NAME MUL/NlX FIRST NAME STEPHANIE MIDDLE B
INITIAL
17 F1 STREET ❑
❑ 203 SW 41ST ST CITY RENTON ST, WA ZIP 98057 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED'. 38
INTERLOCK YES NO INTERLOCK YES No YES NO
19 LICENS # STATE SEX F MMDDYY 10 30 198 6 39
20❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET I INJURY NATURE OF INJURIES 40USE CLASS ❑
21 PLATE# rare vIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JORDAN W/LSON 13310 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG91598
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2557
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) ZOU WENNI
ADDRESS&PHONE# D�
16704 126 AVE SE RENTON WA 98058 2068061278 SEXi F MMDDYYYY 08 — 30 — 1975
NATURE OF INJURIES
PASSENGER WITNESS UNIT# ; 1 POS. 3 AIRBAG',SEAT HELMET INJURY '2 RESTR. 3 EJECT 1 USE 2 CLASS ;6 COMPLAINT OF PAIN TO
NOSE/FOREHEAD
NAME
(LAST EIFS7 MIDDLE INITIAL}
ADDRESS R PHONE#
SEX —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET
NJURYURECFINJURIES
POS. USE CLA : NAT
SS ----�
: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.
JORDAN WILSON 04-02-26 03:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 41312026 10:55:49 AM
BADGE OR ID# j 13310 ORI# WA0171300 TIME POLICE DISPATCHED'; 10:42 AM TIME POLICE ARRIVED i 10:50 AM
PAST B 3 Do-3mx-attar(R11Ylo) PAGE 2�OF 4
REPORT NO. EG91598 CASE# 26-2557 DATE OF COLLI r�510NN + 04/02/26 10:20
L1
NARRATIVE
26-2557
On 4/02/2026 approximately at 1042 hours, I was working as a uniformed patrol officer and driving a
marked patrol vehicle for the City of Renton. I was dispatched to a report of a vehicle crashed into a
business entrance without injury, Located at 203 SW 41 st St, Renton/King/WA. The reporting party
was on scene.
I arrived on scene and found the reporting party and confirmed no injuries.
The driver of the 2022 Volkswagen Tiguan (Plate #CUV6237) was identified by her WADL as Xiujuan
Du DOB: 07/23/1963. Xiujuan spoke little English and had her family member who verbally identified
as Wenni Zou DOB: 08/30/1975 translate. Wenni said she was sitting in the front right passenger seat
of the vehicle during the incident. Xiujuan is new to driving and thought the gas pedal was the break
pedal.
Xijuan and Wenni were parked in front of First Class Tint. After putting the vehicle into drive, Xiujuan
accelerated forward hitting the stair guardrail and colliding with the entrance of First Class Tint. Wenni
had a minor cut on the bridge of her nose and denied medical attention from Renton Fire. Wenni said
they will check themselves in Valley Medical for further medical evaluation. Xiujuan called their own
tow truck to remove the vehicle off property.
The manager of First Class Tint was identified by her WADL as Stephanie B. Mulinix DOB:
10/30/1986. Stephanie said nobody was inside of First Class Tint at the time of the incident.
Stephanie said she was notified about unit#1 crashing into the front entrance by a fellow business.
Both Xiujuan and the manager of First Class Tint received each other's information and went on their
way.
Nothing further
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Wilson #13310 1206 PM 4/2/2026 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG91598 CASE# 26-2557 DATE AND TIME 04/02/2610:20
OF COLLISION> '
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