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Home My WebLink About26-2375 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG94442OLCERA COLLISION REPORT 1591971 CASE# 26-2375 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 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 COLLISION'. 03 - 26 - 2026 1723 17 =.�� S WE IN OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION 140TH WAY SE BLOCK NO. e 15400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 20 00 FEET e✓ S 8 W e SE 154TH PL 0 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064538359 0 1 30 6 LAST NAME NGUYEN FIRST NAME HOAN MIDDLE B 1 1 2 31 INITIAL STREET ❑ 12506 SE 164TH PL CITY RENTON ST WA ZIP 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No INTERLOCKYEs Na YES NO 8� LICENSE# STATE WA SEX F MMor YY' 11 - 23 - 1961 1 2 32 9 NATURE OF INJURIES ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT,. 1 HELM U SET 2 .CLASS 6 BACK AND HEAD 2 LICENSE, CAJ3108 STATE WA VN# 2HGFB2F57EH533096 3 10[9� PI ATP rt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To rRLR TRLR 3 5 33 12 0 Q VIN# VIN# '.....: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 4 2001 HOND CIVIC SD DAMAGE YES�No ✓� Yes No� 5 1 34 REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 4TOP vEnic�E 5 36 LEGALLY YES❑NO❑ CITATION# CHARGE 7 0 80TTOM 15❑ srlNowH e III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE OWNER YES NO D:4255782058 16� LAST NAME NESTOR FIRST NAME JULIUS MIDDLEI N INITIAL ❑ 17 F1 STREET' 3809 NE 4TH ST CITY RENTON ST, WA ZIP 98056 37 NEW ADDRESS❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYEs No jNTERLOCK YES 11--hl Es ND 19 DRIVER' # STATE WA SEXIM MMDDYY 09 17 1958 39 20❑ ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 6 11 NATURE OF INJURIES ❑ 40 USE CLASS UNKOWN 21 LICENSLATE E C78590Y TATE WA vIN# 1GTCS146248116934 41 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2002 MAKE GNj(,' MODEL CANYON STYLE pl( VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO JULR/S NESTOR 3809 NE 4THST RENTON WA 98056 D:4255782058 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP LE-IL ❑ ,J—I CITATION# CHARGE t08OTTOM VEHICLE YES N`[ 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 KE17H PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG94442 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2375 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} JOHNSEN MARGARETE (LAST,FIRST, ADDRESS&PHONE# DOB 12407 SE 172ND ST RENTON WA 98058 SEX' F MMDDYYYY 06 - 02 1- 1984 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER z WITNESS UNIT# 2 POS. 3 AIRBAG±3 RESTR. 4 EJECT 1 USE 2 CLASS 6 UNKOWN 'NAME LAsr F RST,MIDDLE INITIAL) CLARKSON BUENAVENTURA F ADDRESS&PHONE# 10428 169TH AVE SE RENTON WA 98059 SEX' LI MMDDYYYY —F 25 _ 2018 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER z WITNESSEj UNIT# i 3 POS 3 AIRBAG 1 RESTR. 10 EJECT 1 USE 2 CLASS 1 '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -F-1-1 � 1I MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF wJURIEs ❑ Q PEA USE GLASS �----� 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. KEITH PETTY 03-26-26 08:14 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY E J.TRADER 4553 DAT 411412026 4:12:14 PM BADGE OR ID# 12809 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:24 Pry TIME POLICE ARRIVED 5:32 PM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 67 REPORT NO.` EG94442 CASE# 26-2375 O COLLI COLLISION TIME OF 03/26/26 17:23 COLLI NARRATIVE 26-2375 On 03/26/2026 at approximately 1724 hours, I was dispatched to the intersection of SE 154th PI and 140th Way SE Renton Center Way in the City of Renton, County of King, State of Washington for an accident with injuries. Unit 1 was a gray 2014 Honda Civic (CAJ3108/WA) VIN/2HGFB2F57EH533096 driven by the registered owner Hoan B Nguyen (DOB 11/28/1961). Language line needed as Hoan only speaks Vietnamese. Unit 2 was a bronze 2004 GMC Canyon (C78590Y/WA) VIN/1GTCS146248116934, registered to a JOHNSEN, MARGARET ELEANOR (DOB 06/02/1984) as the front passenger and Julius Albert Nestor (DOB 09/17/1958) as the driver. Unit 3 was a black 2022 Ford F-150 (C59394Z/WA) VIN/1 FTFW1 ED9NFA17958 driven by the registered owner Robert Dean Clarkson (DOB 10/06/1984) and his son Buenaventura E Clarkson (DOB12/25/2018) who was in a front facing car seat in the back right of the vehicle. The incident was witnessed by Stepan F Kozak (DOB 09/23/1984) who had dash cam video of the accident. I sent Stepan an Axon link where he uploaded the video. On the dashcam Stepan viewed unit 1 heading west on SE 154th PI attempting to turn left onto 140th Way SE. As unit 1 pulls out into traffic, unit 2 can be seen heading north on 140th Way SE and collides into the driver side of unit 1 causing over $1000 in damage to both vehicles. Unit 1 then slides to a stop and rolls back into unit 3. Unit 3 sustains a flat tire from trying to avoid being hit. Unit 2 stated he was heading north on 140th Way SE and as he approached the intersection at SE 154th PI he viewed unit 1 start to enter the roadway at a slow pace. He thought unit 1 was stopping until it was too late and unit 1 entered the roadway causing unit 2 to collide into the side of the vehicle. I was unable to get all of the insurance information from unit 1 and unit 2 as they were both being transported to the hospital. Unit 1 and unit 2 were both towed by Banker's towing. Unit 3 was able to get off the main road and change the tire to drive away. Unit 1 and unit 2 passengers were both transported to Valley Medical center for further evaluation. Unit 3 sustain no injuries. emailed a copy of the exchange of information and the tow forms to the involved parties. This incident was captured on my body-worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. PAGE 3 OF 6 REPORT NO.` EG94442 CASE# 26-2375 O COLLI COLLISION TIME OF 03/26/26 17:23 COLLI NARRATIVE "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: K.Petty, Date: 03/26/26t 1954 hours, Place: Renton, King County, WA PAGE 4 OF 6 SUPPLEMENTAL REPORT No. EG94442 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 26-2375 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY :.TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 NAME # PLAOARD. GWVR NO NUMBER SOURCE' AXLES ' + NAME IF 4a ❑ ADDITIONAL UNITS ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 � UNIT# 3 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑'. YES NO D:4255082418 0 1 29 INITIAL LAST NAME CLARKSON, FIRST NAME ROBERT MIDDLE ; D STREET 30 NFW ADDRF" 10428 169TH AVE SE CITY RENTON ST WA ZJP 98059 6 ❑ PRESENT MEDICAL TANSPORTED 1 1 2 31 CDL IGNITION REflUIREb 'IGNITION INTERLOCK YES NO :INTERLOCK YES Rr3 YES N G DRIVER'S wq SEX M D,O.B 10 LICENSE MMDDYvv - O6 - 1984 7 ON DUTY STATUS: AIRBAG 1 RESTR. 4 EJECT g HELMET 2 INJURY 1 NAruREofINJURIEs USE GLASS 8 ❑ 1 32 LICENSE C59394Z TAT WA VINt 1FTFW1ED9NFA17958 PLATE# 9 TRAILER TRAILER 2 PLATE#r STATE PLATS# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 0 0 VEH.YEAR2003 MAKE FORD MODFLF150 STYLE PK VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOOWNED BYDRIVER 1 5 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE STATE FARM 4574623C0547A IN EFFECT � &POLICY# i =W�, 5 34 13 vewc�e YES NO[jj CITATION# CHARGEM ecauv sTnNoiNc 3 7 DAMAGE THRESHOLD MET PHONE 35 MOTOR PEDAL- ' PROPERTY ❑ 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST ZIP NEW ADDRESa GDL IGN1T19N REZIUIRED 1GNITION PRESENT MEDICALTANSPORTED INTERLOCK YES[]NO 1NTERLt3CK YES NO :YES NO 17 37 LLIRIVERS ICENSE# STATE SEX MMDDY Y' -� II 11 18 ❑ HELMET :INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE TAT viN ❑ 39 PLATE# # 20 ❑ TRAILER' TRAILER ❑ 40 PLATE#. STATE PLATE STATE 21 ❑ TRLR TRLR 41 VIN# VIN#A 42 22 VEH.YEAR MAKE I MODEL I STYLE 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 I &POLICY# tK-99 5 44 vewc�e ❑ ❑ CITATION# CHARGE 24 IEG_ VES NOSTIWDING6 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEITH PETTY 03-26-26 08:14 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORIb# 12809 O#RI WA0171300 APTRADER 41114/2026 PAGE OFF 3000-345-013(R 11/18) REPORT NO. EG94442 CASE# 26-2375 DATE AND TIME i 03/26/26 17:23 OF COLLISION }`s ti rr; tau k � PAGE 6 OF e