HomeMy WebLinkAbout26-2822 a POLICETRAFFic" II I f I) 1 Ilf I I ('I I (Illf If( f I I REPORT NO. EG94844 170
27
COLLISION REP FIT 1591971
CASE 26-2822 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 04 - 10 - 2026 2125 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
15211 140TH WAY SE
BLOCK NO. e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:9013191071 0 11
30
6� LAST NAME KA FIRSTNAME CHEIKH MIDDLE 1 2 31
INITIAL
STREET ❑ 2211 S STAR LAKE RD APT 29-20 CITY FEDERAL WAY ST WA Zjp, 980036966 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CPC5699 sTArI WA vIN# M132AUHJ6RH032740
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR 1 7 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TAW/g[ GOVT.VEHICLE 34
13 4 2024 MITS MIRAGE D AMA G 1 5 E YES NO YES❑ No✓
REGISTERED OWNER INFO EAN HOLDINGS LLC 500 NACHESAVE SWSTE300 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO EAN HOLDINGS,LLC SELF INSURED
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
EGALLY YES No CITATION# 6A0048851 PROH/IMPROPER TURN o eorrom
15❑ STANDING 8 7 6
El
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES NO �/ D:6692513489
VEHICLE CYCLE OWNER
16 a
LAST NAME NGUYEN FIRST NAME BECKY MIDDLE
INITIAL
17❑ NEW STREETRE57 16934 SE 182ND PL CITY RENTON ST WA ZIP 980588811 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK vEs I I NOF YEs t l NOF,/
19 DRIVER #
❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE ❑21❑ PLA E# CRK8906 TArE WA VIN# 41
19XF62FSXCE047075 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2012 MAKE HOND MODEL CIVIC STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO HAIDY NGUYEN 16934 SE 182ND PL RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 586 5084-BO1-47IN ICal
'E""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
JAKE GALL 12617 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG94844
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2822
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.
JAKE GALL 04-10-26 11:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
NICOLAS SANGDER 11350 1 4/15/2026 8:03:36 PM
BADGE OR ID# 12617 OR]# ': WA0171300 TIME POLICE DISPATCHED 9:28 Pry TIME POLICE ARRIVED]9:37 PM
PART I PAGE IT]OF 4�
E AND
REPORT NO. EG94844 CASE# 26_2822 OF COLLISION 04/10/26 21:25
OF COLLISION
NARRATIVE
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
The following occurred within the City of Renton, King County WA and was recorded on my body
worn camera.
On 04/10/2026 at 2128 hours, I was dispatched to a blocking collision located at 15211 140th Way
SE.
I arrived on scene and contacted both drivers.
Driver 1 was able to provide all the necessary documents when asked. Vehicle 1 had damage to the
front passenger quarter panel. Driver 1 stated that he was driving South on 140th Way SE, attempting
to turn West (right) into the Preserve at Cedar River Apartments to make a delivery. Driver 1 said he
was in lane 1 of 2, closest to the curb. Driver 1 said Vehicle 2 passed him on his passenger side,
which caused the collision. This did not make sense, as Vehicle 2 would have needed to be driving
on the curb and sidewalk to be passing Vehicle 1 on the passenger side.
Vehicle 2 had large scraping damage to the driver side on both doors. Driver 2 provided all the
necessary documents. Driver 2 stated that she was in lane 1 of 2 closest to the curb. Vehicle 2 was in
lane 2 of 2, slightly ahead of her on her left. Vehicle 2 then turned right, attempting to turn into the
apartment complex, impacting the Vehicle 2 driver's side. She estimated her speed at 35 mph.
Gene Meyers was called to the scene and took possession of vehicle 1.
I provided both drivers with an exchange of insurance information. Neither driver had any questions.
I cited driver 1 with RCW: 46.61.290 improper turn on infraction # 6A0048851. Driver 1 attempted to
make a right-hand turn into an apartment complex to make a delivery, from lane 2 of 2, impacting
Vehicle 2 in lane 1 of 2. Driver 1 failed to make the turn as close as possible to the right-hand curb.
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 J. Gall/12617
04/10/2026 at 2252 hours, Renton, Washington
PAGE 3 OF 4
REPORT NO. EG94844 CASE# ' 26-2822 DATE AND TIME 04/10/26 21:25
OF COLLISION
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