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HomeMy WebLinkAbout26-2628 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG92760OLCERA COLLISION REPORT 1591971 INTERSTATE ❑ CITY STREET FIRE CASE# 26-2628 2 ❑ RESULTED 1 ❑STATE ROUTE OTHER STOLEN❑ VEHICLE ❑ LOCAL AGENCY 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 04 STRUCK ❑ RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 04 - 05 - 2026 1249 17 =.= S 8 W❑ OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE CARR RD BLOCK NO. 4a❑ MILE POST e ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e 106TH PL SE 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:7025287990 0 1 30 6 LAST NAME CORDERO ROMAN FIRST NAME LINDSEY MIDDLE R 1 1 2 31 INITIAL STREET ] 13960 SE 173RD PL APT 4 CITY; RENTON ST WA ZIP; 980587056 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCK YEs NO�/ INTERLOCKVEs NO YES NO 8❑ DRIVER # STATE WA SEXI F MMDDYY' 03 — 22 — 2007 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE LA SY 1 [NATURE of INJURIES 2❑ LICENSE, CEP7029 STATE WA VIN# 3VWDP7AJ2DM422509 3 10 Fl I as ATP rt ❑ TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR TRLR 3 7 33 12 2 $ VIN#' VIN# FROM TO VEH.YEAR 2013 MAKE VOLK MODEL JE7.1-A STYLE 4D VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 $ 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO KARIMEROMAN 11960 SE 173RD PL APT4 RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO PROGRESSIVE 980840383 IN EFFECT &POLICY# 9TOP _ VEHICLE Yes❑NO CITATION#❑ 6A0251335 CHARGE NO VALID OPER LICENSE WITH- t000rro�m s 36 15❑ MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2063272530 16� LAST NAME HAMPSON FIRST NAME SUSAN MIDDLE' M INITIAL 17 F1 STREET ❑ ❑ 6812 S 124TH ST CITY SEATTLE ST, WA ZIP 98178 37 NEW ADDRESS 18❑ CDL IGNITION REGtUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES NO INTERLOCK YES R NO YES NO 19 DRIVERS STATE I WA SEX F I D.O.B. 07 16 1967 � 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN E LATEIU574918 rare WA vIN# KNDMC5C16F6050188 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE KIA MODEL SEDONA STYLE qp VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24❑ DAMAGE YES NO VES NO REGISTERED OWNER INFO WENDELL LECROY 6812 S 124TH ST SEATTLE WA 98178 VEHICLE NO.2 SHADE DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO AARP 55PHS694688 IN EFFECT &POLICY# 9TOP vewaE ❑ ,J—I CITATION11 CHARGE t080TTOM EEGnEEY YES N 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ROGER RANAN 13156 WA0171300 ❑ PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG92760 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2628 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) CAMPOS JULIAN D ADDRESS&PHONE# 17657 111TH AVE SE RENTON WA 98055 SEXi M MMDDD B. 11 — 14 — 2000 PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES El 4 POS. : 1 6 4 1 USE CLASS 11 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE 0,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. ROGER RANAN 04-05-26 03:50 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE D.SKELTON 9139 r 4/8/2026 4:06:03 AM BADGE OR ID# j 13156 ORI# WA0171300 TIME POLICE DISPATCHED'; 12:49 PM TIME POLICE ARRIVED i 12:54 PM PAST B 3 Do-3mx—attar gt 1Mffp PAGE 2�OF 57 REPORT NO. EG92760 CASE# 26-2628 DATE OF COLLI r�510NN + 04/05/26 12:49 L1 NARRATIVE Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not necessarily an exact sequencing of events. On 04/05/2026 at approximately 1249 hours, 1 was dispatched to a report of a multiple-vehicle collision with injuries at the intersection of SE Carr Rd and 106th PI SE. Upon my arrival, initial responding officers had already completed interviews with each of the involved drivers. The following information was relayed: The driver of Unit#1, who was identified as Lindsey Cordero-Roman DOB 03/22/2007 (verified WADL), was traveling westbound on SE Carr Rd in the #2 lane. Unit#1 failed to stop at the red traffic signal while entering the intersection at 106th PI SE and was subsequently struck on the right side by Unit#2. The driver of Unit#2, who was identified as Susan M. Hampson DOB 07/16/1967 (verified WADL), reported she was traveling southbound on 106th PI SE and had a green traffic signal while proceeding through the intersection at SE Carr Rd. As unit#2 entered the intersection, the front end of Unit#2 collided with the right side of Unit #1. The driver of Unit#4, who was identified as Jorge C. Rivero-Torres DOB 10/09/1973 (verified WADL), was stopped in the left-turn lane on SE Carr Rd, awaiting a green signal to turn northbound onto 106th PI SE. Following the initial collision between Unit#1 and Unit#2, Unit#1 collided with the front end of Unit#4. Unit#4 had a passenger onboard sitting in the front-left passenger seat. The impact pushed Unit#4 approximately 50 feet south into the westbound #1 lane of SE Carr Rd. Airbags deployed in both Unit#1 and Unit#4 as a result of the collision between the two. The driver of Unit#3, who was identified as Ibrahima N. Sow DOB 08/10/1996 (verified WADL), was traveling eastbound in the #2 lane of SE Carr Rd. Unit#3 sustained minor damage after Unit#1 collided with its rear bumper during the chain reaction of events. The driver of Unit#4 complained of injuries and was evaluated on scene by fire personnel. He was subsequently transported to Valley Medical Center for further medical evaluation. Based on the aforementioned, 1 determined the proximate cause of the collision was the actions of the driver of Unit#1. Unit #1 failed to stop at the red traffic signal, resulting in Unit #2 colliding with Unit#1. This initial collision caused a chain reaction in which Unit #1 struck Unit#4 and subsequently caused minor damage to Unit#3. An exchange of information was provided to all involved drivers. Unit #1 and Unit#4 were towed from the scene by Bankers Towing. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Ranan #13156 04/05/2026 at 1515 Hours in Renton, King County, Washington PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG92760 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#1 26-2628 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 $ 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS { MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT�T 3 VEHICLE CYCLE C) PEDESTRIAN :.. OWNER YES NO D:2069816729 0 1 29 LAST NAME sow FIRST NAME IBRAHIMA MIDDLE' N INITIAL 0 $STREET 30 NEW AnnR" 222 S 152ND ST APT 29 CITY BURIEN ST WA ZiP gg1481046 6 PRESENT MEDICALTANSPORTED: 1 1 2 31 CDL IGNITION REOUIREb 1{iNiTiON INTERLOCK YES O NO�/ INTERLOCK YES 0 - YES N L DRIVER'S STATE D-O.E3 LICENSE p►/q SEX M MMDDYYY OS - 10 - 1996 7 ❑ ONDUTY1:1 STATUS AIRBAG 2 RESTR. ¢ EJECT 9 HELMET INJURY 1 NAruREofINJURIEs USE ;CLASS ; LICENSE PLATE# CNV6984 TAT WA VIN JTDBCMFE9RJ026937 9 � TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 3 5 VEIL YEAR2024 MAKE TOYT MODELCOROLL STYLE 4D VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI E FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOALPHA SOW222 S 152ND STAPT29 BURIEN WA 98148 7 3 33 12 3 5 SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE OEICO 4234-52-89-85 IN EFFECT � &POLICY# i J7t1P 34 1080TTOM 13 vEnICEE YES NO[jj CITATION# CHARGE 6 ecauv sTANoINc 3 7 DAMAGE THRESHOLD MET PHONE 35 14 UNIT# 4 MOTOR PEDAL- ❑ PEDESTRIAN ❑ PF20pERTY YES NO uEHrCLE CYCLE OWNER �/ D:2068593077 15 LAST NAME FIRST NAME C RIVERO TORRES JORGE MIDDLE' 36 INITIAL 16 STREET ❑' 4702 DAMS AVE S APT DD201 CITY; RENTON S7 WA zip 980558242 NFW A[)DRESS" CDL IGNITION RE()UIREb IGNITION PRESENT MEDICALTANSPORTED. 17 ❑ INTERLOCK YES NO�I :INTERLOCK YES NO :YES NO. ❑ DRIVER'S STATE WA SEX M D.O.B 37 ❑ LICENSE# MMDDyn 10 - 09 - 1973 18 4 HELMET .INJURY NATURE OF INJURIES 38 ON DUTY❑ STATUS' AIRBAG 6 RESTR. EJECT 1 USE CLASS 7 MISC.COMPLAINTS OF PAIN 19 ❑ LICENSE' ,. ❑ PLATE#: CPR1012 TAT WA vIN# 2T3S1RFV3RW482453 39 20 TRAILER I I TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 2024 TOYT RAV4 UT DAMAGE YES NO YES NO 23 REGISTERED OWNER INFOJORGE RiVERO TORRES 4702DAVIS AVES APT DD201 RENTONWA980558242 D:2068593077 SHADE IN DAMAC ED AREA 43 3 4 NA EFFIECTNSURANCE INSURANCE CO ALLSTATE#817024661 _`�-OI'._._ � 44 &POLICY# vew.Ee ❑ CITATION# CHARGE crT 70 BOTi6) 24 I..EGALLY YES NO STIWDING 0 0 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. ROGER RANAN 04-05-26 03:50 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 13156 O#RI WA0171300 APSKELTON 418812026 PAGE --7 OF� 3000-345-013(R 11/18) REPORT NO. EG92760 CASE# 26-2628 DATE AND TIME 04/05/2612:49 OF COLLISION> ' t�S b 1 � c Ott t t �w� s 3 ne, t, sYFe � c. y v v $� l � e L � 1 sr t 3 l � rrr� �+Y 4 PAGE 5 OF 5