HomeMy WebLinkAbout26-2858 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
SASE 26-2858 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 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 - 1-- 2026 1110 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 43TH ST BLOCK NO. e✓ 200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e E VALLEY RD
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2063759357 0 11
30
6❑ LAST NAME ARELLANO-FLOYD FIRSTNAME GABRIELA MIDDLE K 1 2 31
INITIAL
STREET ❑ 21117MILITARYRDS CITY SEATAC ST WA 2jp, 98198 z�
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 10 1- 12 - 2002 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 CBA5748 STATE WA u N#' JF1 SG636X7H74267
11[-jTRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IRM ro
TRLR. YRLR. 5 1 33
12 0 0 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR y GOVT.VEHICLE 3 7 34
13 2007 SUBA FOREST SW DAMAGE YES NO �MEYERS YES❑ No✓
REGISTERED OWNER INFO GABRIELAARELLANO-FLOYD 21117 MILITARY RD S SEATAC WA 98198 D:2063759357 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 987679054 3 4
IN EFFECT &POLICY# 9TOP
vE EFFECT
CHARGE 5 36
LEGALLY re5 No CITATION# 6A0112358 VEH ENTER INTERSEC STEADY RED o aorrom
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4258297549
16 a
LAST NAME 1 77771AGUIRRE HERNANDEZ FIRST NAME BRENDA MIDDLE C
INITIAL
17 NEW STREETREs7 11520 SE PETROVITSKY RD CITY RENTON ST WA ZIP 98055 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l No/
19 LDI IVERI # STATE WA ]SEX IF M DDY
D.C.B.
01 25 _ 1995 39
F—NATURE OF INJURIES
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 WEB MEET LAU SY ] COMPLAINT OF FACIAL AND LEFT ARM PAIN ❑ 40
❑21❑ PLATE# BDT4186 TATE 41
WA YIN# 2TIBURHE6HC766477. 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
G HI 44
VEH YEAR 2017 MAKE 7'Dy7- MODEL CORO!! STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov YES
NO
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO pROGRESSIVE 955981092IN STOP 5
VEHICLE ❑ C[:] CITATION# CHARGE to BOTTOM
LEGALLY YES N J 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
YUSUF JIBRIL 12490 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG96906
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2858
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HARLE TERRIL
(LAST FIRST,
ADDRESS&PHONE#
21117 M1LlTARY RD S SEATAC WA 98198 2063759357 SEX F MMDOYyry 08 - 17 - 1965
PASSENGER WITNESS❑'UNIT# PEATOS, 3 AREA y RESTR. 9 EJECT ? HELMET INJURY NATURE OF INJURIES
USE CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) HENDERSON PRISCILLA K
ADDRESS&PHONE# DOB
5301 TALBOT RD S APT BB204 RENTON WA 98056 2063722048 SEX' MM
F aDYvvv 02 - 12 - 1967
PASSENGER WITNESSZ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) NESS PATTY E
AooREss&PHONE# 3703 197TH AVE CT E RENTON WA 98058 2537977557 SEX F D.O•B. 11 _ 15 _ 1956
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
YUSUF XBR/L 04-12-26 02:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 4/23/2026 11:33:38 AM
BADGE OR ID# 12490 ORI# WA0171300 TIME POLICE DISPATCHED 11:11 AM TIME POLICE ARRIVED',11:11 AM
PART I PAGE IT]OF 4]
REPORT NO. EG96906 CASE# 26-2858 OF COLLISION
04/12/26 11:10
OF CbLLI510N
NARRATIVE
On 04/12/2026, at approximately 1111 hours, I was on duty when I came upon a two-vehicle collision
at the intersection of E. Valley Road and SW 43rd Street in the City of Renton, King County,
Washington.
Upon arrival, I observed both vehicles had sustained significant front-end damage and were disabled
within the intersection. Unit 1's driver and passenger were out of the vehicle and did not appear to be
injured. Unit 2's driver remained seated inside her vehicle and reported pain to her hand and facial
area.
Renton Fire/Medic responded to the scene and provided medical evaluation and treatment to the
driver of Unit 2.
The driver of Unit 1 stated she had been traveling northbound on E. Valley Road and believed she
entered the intersection on a green traffic signal. The driver of Unit 2 stated she had been traveling
westbound in lane 1 on SW 43rd Street and also reported entering the intersection on a green traffic
signal. Unit 2 struck Unit 1 within the intersection.
Officers contacted a witness, identified as Ness, who stated they were traveling behind Unit 2. Ness
reported that the traffic signal was green for Unit 2 at the time Unit 2 entered the intersection.
Officers also contacted a second witness, identified as Henderson, who stated that Unit 1 entered
the intersection against a red traffic signal.
Based on the statements obtained from two independent witnesses, along with the statement
provided by the driver of Unit 2, 1 determined that Unit 1 entered the intersection against a steady red
signal.
Unit 1's driver was issued a citation for violation of RCW 46.61.055 (Failure to Obey Traffic Control
Signal).
Both vehicles were towed from the scene and impounded at Gene Meyer's lot. Drivers were provided
with the associated case number.
PAGE 3 OF 4
REPORT NO. EG96906 CASE# ' 26-2858 DATE AND TIME 04/12/26 11:10
OF COLLISION
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PAGE 4 OF 4