HomeMy WebLinkAbout26-2691 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-2691 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENCI 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 5 0 28
TRIBAL 1 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 04 - 1-- 2026 1425 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
156TH AVE SE BLOCK NO. e✓ 12800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET e S B W e NE 4TH ST
0 7 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2533293881 0 4 30
6� LAST NAME HARTMAN FIRSTNAME BENJAMIN MIDDLE T 1 1 2 31
INITIAL
STREET ❑, 25438 114TH AVE SE CITY KENT ST WA 2jp, 980306563 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs 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
10 $❑ P1 aT�S� CPX9413 sTArI WAurN# JFIGPAD60DH821370
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 9 9 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 1 34
13 4 2013 SUBA IMPREZ SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO 1.HARTMAN 25438114THAVE SE KENT WA 98030 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 INSURANCE STATE FARM 4496788 A2747D
IN EFFECT EFFEE CT &POLICY# 9TOP
VE—LE 1060TTOM 5 36
LEGALLY
res NO❑ CITATION# CHARGE 4
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4252769500
16 a
LAST NAME RAMOS FIRST NAME KRISTOPHER MIDDLE M
INITIAL
17 STREET I❑ s❑' 12923 156TH AVE SE CITY RENTON ST WA ZIP 98059 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 D IVEW #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# XMTC9892C TArE 41
WA VIN# 4EN6AAA8XK1002272 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2019 MAKE HEND MODEL HENDERI STYLE FT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RENTONREGIONAL DEPARTMENT 12923156THAVESE RENTON WA 98059 D:4252769500 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#ECO CITY OFRENTON SELF-INSUREDIN 1 9TOP 5
vE"'LE ❑ N`L J
,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG96902
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2691
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SCHROEDER /AN K
(LAST FIRST,
ADDRESS&PHONE#
12923 156TH AVE SE RENTON WA 98059 4252769500 SEX M MMDOYyvv 04 - 29 - 1996
UNIT# 2 POS. 9 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES
PASSENGER Z WITNESS❑'
NAME
(LAST,FIRST,MIDDLE INITIAL) ELLIOT ROBERT P
ADDRESS&PHONE# D O B
12923 156TH AVE SE RENTON WA 98059 4252769500 SEX M MMnDuvvv 12 _ 23 _ 1985
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY URE OF INJURIES
NAT
❑ ❑ 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.
D.NELSON 04-08-26 06:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 4/23/2026 11:30:20 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 2:30 PM TIME POLICE ARRIVED',2:55 PM
PART I PAGE IT]OF 4�
REPORT NO. EG96902 CASE# 26-2691 OF COLLISION
04/07/26 14:25
OF CbLLI510N
NARRATIVE
26-2691 ACC
On 4/7/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle, non-injury, non-blocking collision
involving an on-duty fire truck in front of Station 16 located at 12923 156th Ave SE Renton/King/WA.
I arrived on scene and confirmed with all parties that there was no injury.
The driver of the 2013 Subaru Impreza WA/CPX9413 was identified by his WADL as Benjamin T
Hartman DOB: 11/17/2003. Benjamin said that he was driving south on 156th Ave SE and saw the
fire truck with its emergency lights and sirens activated pull out and begin to turn north on 156th Ave
SE. He said that he stopped on the white line where the fire station apron begins. As the engine
turned onto 156th Ave SE it collided with his driver side front bumper/quarter panel. There was minor
damage and the Subaru was drivable.
I then spoke with the driver of the Hendrickson Mobile Equipment Firetruck WA/XMTC9829C (Engine
316/Renton Regional Fire Authority). The driver was identified by his WADL as Kristian N Ramos
DOB: 3/23/1999 (RRFA). Kristian said that he was exiting the station and turning north onto 156th
Ave SE with his lights and sirens activated. He said that he began his left turn and was trying to avoid
a ditch on the east side of the road, as he did this, he struck Unit 1. There was minor damage to the
running board on the driver's side of Engine 316, it was drivable.
The two RRFA firefighters in the firetruck did not report any injuries. They were identified as:
Robert P Elliot DOB: 12/23/1985 (Front Right Passenger)
Ian K Schroeder DOB: 4/29/1996 (Right Rear Passenger)
Neither driver showed signs of impairment.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 4/7/2026 Renton WA
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: FIRE STATION APRON
Motor Vehicle Unit 2
Traffic Control: FIRE STATION APRON
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EG96902 CASE# ' 26-2691 DATE AND TIME 04/07/26 14:25
OF COLLISION
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PAGE 4 OF 4