HomeMy WebLinkAbout26-2768 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG97679 170
27
COLLISION REP FIT 1591971
SASE 26-2768 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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 CITY#
cowsloN 04 - 09 - 2026 1813 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON DR BLOCK NO. e✓ 2700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 27TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2535319691 0 11
30
6� LAST NAME GERLING FIRSTNAME SHARON MIDDLE V 1 1 2 31
INITIAL
STREET ❑ 3308 138TH ST E CITY TACOMA ST I WA Zjp, 984461720 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aTES� BLS0669 sTArI WAurN# 5TDKZ3DCOJS949194
TRAILER STATE TRAILED STATE
11 4 0 PLATE# PLATE# FR.. ro
TRLR. YRLR. 3 5 33
12 4 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2018 TOYT SIENNA MAKE MODEL STYLE VEHICLE TOWED TO BLIN TLI I� RS GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES No � YES[:] No
REGISTERED OWNER INFO SHARON GERLING 3308 138TH ST E TACOMA WA 98446 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO FARMERS 193875918
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254447946
16 2
LAST NAME SO FIRST NAME TAYLONI MIDDLE I T
INITIAL
17 STREET❑ NEW ADOREss❑' 7927 S 125TH ST CITY SEATTLE ST WA ZIP 981784814 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK v�Esl I I NOF YES
t l NO�
19 DRIVER'S STATE WA SEX F D.C... 07 O6 _ 2005 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS CHEST PAIN
❑ 41
21❑ PLATE# C45451S TArE WA VIN# USE
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1994 MAKE GMC MODEL SIERRA STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO VUTHYBUTH 7927 S 125TH ST SEATTLE WA 98178 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 e
=RSE
PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12994 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG97679
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2768
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CHORN DOUNGCHANN T
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
7927 S 125TH ST SEATTLE WA 981784814 4254730284 SEXi F MMDDvyry 02 - 16 - 2000
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# 2 POS 3 AIRBAG 6 RESTR. q EJECT 1 USE 2 CLASS 17 CHEST PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) GUZMAN MIGUEL A
ADDRESS&PHONE# D O B
1142 MISSOURI ST FAIRFIELD CA 94533 7076894254 SEX' M MMDDvvvv26 _ 2001
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS. 5 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 LEG PAW
NAME
(LAST FIRST,MIDDLE INITIAL) HORSMAN RYAN E
ADDREss&PHONE# 16605 BENSON RD S RENTON WA 98055 3609516558 SEX U D•o g 12 _ O6 _ 1981
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.
JAMAAL KEARSE 04-09-26 08:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 1 411712026 3:36:11 AM
BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED; 6:16 PM TIME POLICE ARRIVED 6:24 PM
PART I PAGE IT]OF 4�
REPORT NO. EG97679 CASE# 26-2768 OF COLLISION
04/09/26 18:13
OF CbLLI510N
NARRATIVE
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 4/9/2026, at approximately 1813 hours I was dispatched to a report of a collision at the
intersection of Benson Dr S and S 27th PI. Dispatch advised 2 vehicle collision blocking the entrance
to neighborhood.
At approximately 1824 hours I arrived on scene. Unit 1 was in the southbound lanes facing west. Unit
1 had damage to the driver side. Unit 2 was in the northbound lane facing west. Unit 2 had damage to
the front bumper. Unit 2 had 3 occupants during the collision. I asked all parties if anyone was injured.
The driver of Unit 1 stated she was uninjured. The driver of Unit 2 stated she had complaints of chest
pain. The front passenger of Unit 2 had complaints of chest pain. The rear passenger had complaints
of pain to his left leg. Renton Fire responded and evaluated all parties involved.
I contacted the driver of Unit 1 and she advised the following. She was driving west bound on S 27th
PI. She came to a stop at the stop sign at Benson Dr S. She entered the intersection to turn
southbound on Benson Dr S and the front driver side of her vehicle was struck by the front of Unit 2.
She advised she didn't know where the vehicle came from. Unit 1 had airbag deployment and needed
to be towed.
I contacted the driver of Unit 2 and she advised the following. She was driving northbound on Benson
Dr S in lane 1 of 2. She was approaching S 27th PI when Unit 1 pulled out in front of her from the east
on S 27th PI. She did not have enough time to brake and struck the driver side of Unit 1 with the front
of her vehicle. Unit 2 had airbag deployment and needed to be towed.
The passengers of Unit 2 advised the following. They were driving northbound on Benson Dr S in
lane 1 of 2. Unit 1 suddenly pulled out in front of them. There was no time to break.
A witness provided the following information. He was stopped facing southbound on Benson Dr S in
the left turn lane. He saw Unit 2 driving northbound on Benson Dr S in lane 1 of 2 when Unit 1 pulled
out from S 27th PI to turn southbound onto Benson Dr S. Unit 2 was approximately 15-20 ft from Unit
1 when it pulled out in front of Unit 2.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Kearse #12994 4/9/2026 1947 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG97679 CASE# ' 26-2768 DATE AND TIME 04/09/26 18:13
OF COLLISION
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