HomeMy WebLinkAbout26-2690 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG96439 170
27
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET FIRE ❑
CASE 2s-2sso 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 04 - 1-- 2026 1418 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
NE 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MONROE AVE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:7077613088 0 11
30
6� LAST NAME NGUYEN FIRSTNAME TON MIDDLE D 1 2 31
INITIAL
STREET ❑, 13401 DUMAS RD APT D302 CITY MILL CREEK ST WA 2jp, 980125510 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 7 TBo RE OF INJURIES 2❑
3
10❑ P1 aT�S� BXH7280 sTAr� WAvIN# 4S46TADC8M3176790
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 3 ] 34
13 2 2021 SUBA OUTBA DAMAGE YES NO MEYER YES[:] NO✓
REGISTERED OWNER INFO TON NGUYEN 13401 DUMAS RD APTD302 MILL CREEK WA 980125510 D:7077613088 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 946908380 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 6AO095388 FAIL YIELD LEFT TURN MOTOR )o eorroM
15❑ STANDING
MOTOR PEDAL- :PEDESTRIAN ❑ PROPERTY DAM THR OLD MET PHONE
YE
UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ S 1/ NO D:2069094476
16 a
LAST NAME DICKENS FIRST NAME ELZIE MIDDLE I L
INITIAL
17❑ STREET ❑', 2329 SE 2ND PL CITY' RENTON ST WA ZIP 980568874 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 D IVEW #
INJURY0 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CPR1123 TAre WA vIN# JN8AY26B4M9791582
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2021 MAKE NISS MODEL ARMADA STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO GENE MEYER YES NO
REGISTERED OWNER INFO ELZIE DICKENS 2329 SE 2ND PL RENTON WA 980568874 D:2069094476 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE &POINSURGY#E CO FARMERS 188131203IN STOP 5
'E""LE ❑ N,J� CITATION# CHARGE
LEG to BOTTOM
ALLY YES 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG96439
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2690
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
POS. 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.
M.LEVERTON 04-15-26 11:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
RAYMOND GORAJEWSKI 12399 4/21/2026 3:32:31 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED! 2:16 Pry TIME POLICE ARRIVED]2:20 PM
PART I PAGE IT]OF 4�
REPORT NO. EG96439 CASE# 26-2690 OF COLLISION
04/07/26 14:18
OF CbLLI510N
NARRATIVE
gry 1 It on yellow slv 2 lane 2 wb yellow
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection
of NE 4th St at Monroe Ave NE.
When I arrived I located a vehicle in the grass over the sidewalk on the north side of NE 4th St and
another vehicle on its side blocking west bound traffic on NE 4th St at Monroe Ave NE. The driver
was still inside the rolled over vehicle.
I contacted the driver of unit 2 who told me he was in lane 2 crossing the intersection as the light
turned yellow. He said traffic was clear as he proceeded when unit 1 turned left in front of him with no
space to avoid contact. Post collision unit 2 veered over the sidewalk and came to rest in the grass.
He did not complain of injury and damages did require a tow truck.
I contacted the driver of unit 1 ID'd by his picture WADL. The told me he was waiting to make a left
turn with one car in front of him. He told me he snuck in behind the car in front of him to make his turn
but the car in front of him seemed to be going too slow or slowed for no reason leaving him in the
intersection. He was stuck by unit 2 who was lawful upon the roadway. This caused his vehicle to
roll onto its side. Unit 1 remained inside his vehicle until Renton Fire could stabilize it and assist him
on getting out. He was checked and did not seem to have any chief complaints of injury. Damages
required a tow truck.
I cited unit 1 Ref RCW 46.61.185 FTYROW Left turn 2 vehicle roll over collision via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 4/15/2026
PAGE 3 OF 4
REPORT NO. EG96439 CASE# ' 26-2690 DATE AND TIME 04/07/26 14:18
OF COLLISION
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