HomeMy WebLinkAbout26-2868 ("7—
STATECE TRAFFicNREPORT NO. EG95208 1 0 5 27
,tat COLLISION REP OF 1591971
CASE# 26-2868 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 2 STATE ROUTE OTHER STOLEN
❑ ❑ VFHICLF ❑ LOCAL AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL f UNITS#OF 02 SOTRIJCK 1 8 28
':.RESERVATION'. `.. 2
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLT s oN 04 - 12 - 2026 1913 17 ❑. S e W❑ OF IN 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION 0 NON INTERSECTION ❑
LIND AVE SW BLOCK NO. 8✓ 3400 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 11,= FEET e S ❑ OF SW 34TH ST
0 1 29
MOTOR ✓ PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs ,/NO D:7866035698 0 1 30
6❑ LAST NAME JUSTAL FIRST NAME JOSE MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 2810 RUDDLE RD SE 10G CITY LACEY WA
ST 21p, 98503 z
NEW ADDRESS
7 CDL fGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No✓ INTERLOCKYEs NC ✓ YEs No'✓
8 LICENSE# STATE WA SEX'M MMD]YY 01 - 30 - 1987 1 1 2 32
9 ON DUTY❑ STATUE AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLA INJURY].,
1 NATURE OF INJURIES z
LI ENSE D46264J srnrE WA VIN# JALC4W?64P7K03349 3
10 9❑
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR 7 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GO VT.VEHICLE
13 2023 /SU NPR TR DAMAGE YES No ✓ vEs❑ No✓ 5 11
34
REGISTERED OWNER INFO JOSEJUSTAL 2810 RUDDLERD SE IOG LACEY WA 98503 D:7866035698 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO
ALASKA NATIONAL 25GAS13382 14
IN EFFECT &POLICY# 9TOP
—1— CHARGE t 10 BOTTOM S 36
15
E nu v YES❑NO❑ CITATION# 5
❑ sTAnomc 8 7 6
MOTOR I�y;'II PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT d PEDESTRIAN VEHICLE CYCLE:. ❑ OWNER ❑ YES✓ NO D:3606600324
16F1
LAST NAME MATTHEWS FIRST NAME SAMUEL JOSEPH MIDDLE' D
INITIAL
17 F] STREET 142 11TH ST SE,AUBURN WA CITY AUBURN ST' WA ZIP 98002 37
NEW ADDRESS
18F] IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
CDL INTERLOCKYEs ✓ I No NTERLOCK YES Na✓ vEs ND;✓
19❑ I DRIVERS LICENSE# STATE I WA SEX M MMODYY 02 39
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT ':1 HELMET 2 IN 1U55 ? NATURE OF INJURIES 40
❑21❑ LICENSE'CTB3479 TArE WA VIN# 1FMCU94188K600609 41
1
PLATE#
42
22 PLATE#TAILER STATE PLATE#TRAILER STATE
23 43
TRLR RLft
UtN#. IN#
44
VEH.YEAR 200$ MAKE FORD MODEL ESCAPE STYLE $V DVEH AMIAGE ✓TOWED NOO BLIN TOWED BY GO BANKERS TOWING YES N HI O✓
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHAD DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO NA NA 3 4
IN EFFECT &POLICY
vEeia.e 25 YES N❑ � CITATION# CHARGE 7060T70M
LEfALLY s
OFFICER'S NAME(PRINT)
26 OFFICER PHONE BADGE OR ID# AGENCY
ALEX IURCO 13169 WA0171300
PARTA 3000-345-159. (R 11(181 PAGE 01 OF
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG95208
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2868
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
POS. ' USE CLASS 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 NJU S' 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.
ALEX IURCO 04-14-26 12:19 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 4/17/2026 3:45:35 AM
BADGE OR ID# j 13169 ORI# WA0171300 TIME POLICE DISPATCHED 1 7:20 PM TIME POLICE ARRIVED i 7:29 PM
PART B 3000.345.1 0(Brute) PAGE F2 --]OF 47
E AND
REPORT NO.i EG95208 CASE# 26-2868 OF COLLISIONS 04/12/26 19:13
OF COLLISION
NARRATIVE
I was working as a fully uniformed City of Renton Police Officer in a fully marked City of Renton
Police Car as unit# 3R13.
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 04/12/2026 at approximately 1920 hours, I was dispatched to a non-injury non-blocking collision
located at SW 34th ST and Lind Ave SW in the City of Renton, King County WA.
Dispatch advised:
2 MVA...NI...NB....SIGNIFICANT DAMAGE TO VEHS
Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring
immediate medical response at the time of report. There, I collected the involved parties driving
documents and their independent recollection of events leading up to the collision.
The driver and sole occupant of Unit#1 (Jose N. Justal DOB 01/30/1987 VIA WADOL) said he was
driving westbound on Lind Ave SW and SW 34th ST. He had a stop sign to enter the intersection. He
believed he had enough time to cross eastbound onto SW 34th ST. As he was entering the
intersection, the driver and sole occupant of Unit#2 (Samuel Joseph D. Matthews DOB 02/14/1971
VIA WADOL) was driving northbound on Lind Ave SW where he had the right of way with no traffic
signals or signs.
Unit#1 crossed over the intersection which caused unit#2 to hit the passenger side of unit#1.
Unit#2 sustained heavy damage to the front of their vehicle.
Unit#1 is the proximate cause of the collision due to them entering the intersection which was not
properly cleared. This in turn caused unit#2 to hit them.
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 A. lurco #13169 on 04/12/2026 at approximately 1946 hours in the
City of Renton, King County WA.
PAGE 3 OF 4
REPORT NO. EG95208 CASE# 26-2868 DATE AND TIME 04/12/26 19:13
OF COLLISION
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PAGE 4 OF 4