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HomeMy WebLinkAbout26-2962 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 26-2962 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 02 STRUCK' BOULDER RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 04 - 1-- 2026 0821 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LAKE YOUNGS WAY BLOCK NO. e✓ 1600 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e SE 16TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2066696410 0 11 30 6� LAST NAME CAPRON FIRSTNAME HELEN MIDDLE Y 1 1 2 31 INITIAL STREET ❑ 12957 SE 157TH PL CITY RENTON ST WA 21p 980584705 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� AWX1655 sTATe WAvIN# 1FMCU9J9XGUA30270 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 2 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 5 34 13 4 2016 FORD ESCAPE SD YES NO � �MEYERS TOWING YES[:] No✓ DAMAGE REGISTERED OWNER INFO HELEN CAPRON 12957 SE 157TH PL RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 929510160 <1�3 4 IN EFFECT &POLICY# TOPvEHICLE CHARGE 36 EGALLY YEs NO CITATION# 6A0092336 FAIL TO YIELD MOTOR VEHICLE orrom 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:8165165431 16 a LAST NAME SHAHI FIRST NAME SHAKELA MIDDLE N INITIAL 17❑ STREET ❑', 3000 SE ROYAL HILLS DR APT 34 CITY' RENTON ST WA ZIP 980583865 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/ 19 LDI IVER # STATE WA ]SEX IF M D.C.B. 10 _ 04 1987 39 H USE ET LAU SY COMPLAINT OF PAIN RIGHT HAND ❑F—NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 2 7 21❑ LICENSE BWX2292 TATe I WA VIN# 5TDYK3DC6FS589063 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' 24❑ VEH YEAR 2015 MAKE TOYT MODEL SIENNA STYLE VN VEHICLETOWED TO BLIN TOWEDBv GOV HI 44 DAMAGE ves�/ No GENE MEYERS TOWING YES No REGISTERED OWNER INFO NAQIBULLAH SHAHI 3000 SE ROYAL HILLS DR APT 34 RENTON WA 98058 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU POLICY#E CO pEMCO CA 1919048IN 9TOP 5 'E""LE ❑ ,J� CITATION# CHARGE E BOTTOM LEGALLY YES N`L J 25 ' e 7NELSON NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12421 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99595 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2962 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SHAH/ MOHAMED S (LAST FIRST, ADDRESS&PHONE# D O.B. ' 3000 SE ROYAL HILLS DR APT 34A RENTON WA 98058 SEX M MMDDYyry 09 - 16 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE of INJURIES ❑✓ � 2 POS. 10 2 4 1 USE 1 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) GULBAHRI ABDUL ADDRESS&PHONE# D O B 3000 SE ROYAL HILLS DR APT 30C RENTON SEX M MMDDY,, 02 _ 04 _ 2016 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 PGS 10 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) GULBAHRI TIBIB ADDRESS&PHONE# 3000 SE ROYAL HILLS DR APT APT 30C RENTON SEX M I. _ 10 _ 2017 MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT I 10 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. D.NELSON 04-17-26 02:47 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 4/23/2026 1:56:26 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 8:22 AM TIME POLICE ARRIVED',8:Y9 AM PART I PAGE IT]OF 5� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99595 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2962 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY) NAME MIDDLE INITIAL) GULBAHRI SAMAYA (LAST FIRST, ADDRESS&PHONE# 3000 SE ROYAL HILLS DR APT 30C RENTON WA 98058 SEXi F MMDovyvv 03 - 25 - 2019 SEAT ' HELMET INJURY NATURE OF INJURIES PASSENGER�WITNESS� UNIT# 2 POS. 10 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS '7 COMPLAINT OF HEAD PAIN NAME (LAST,FIRST,MIDDLE INITIAL) SHARIFI ASRA ADDRESS&PHONE# D O B 3000 SE ROYAL HILLS DR APT 30C RENTON WA 98058 SEX F MMDD - vvvv SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 PGS 10 AIRBAG 2 RESTR. 13 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) SHARIFI SABAHAT AooREss&PHONE# 3000 SE ROYAL HILLS DR APT 34 30C RENTON SEX MMDDYYYY _ . F D.O.B. - PASSENGER WITNESS UNIT# ! 2 SEAT 10 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES �. POS. USE :CLASS COMPLAINT OF HEAD PAIN 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 04-17-26 02:47 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 4/23/2026 1:56:26 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 8:22 AM TIME POLICE ARRIVED',8:Y9 AM PART I PAGE 3T]OF 5� REPORT NO. EG99595 CASE# 26-2962 OF COLLISION 04/16/26 08:21 OF CbLLI510N NARRATIVE 26-2962 ACCINJ On 4/16/2026 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 blocking accident in the intersection of SE 16th St and Lake Youngs Way SE Renton/King/WA. The caller was reporting no injury, but the vehicles were blocking the intersection. I arrived on scene and located both drivers, the driver of Unit 1 advised she was not injured and did not require aid. The driver of Unit 2 advised he had pain in her right hand. I started RRFA as a precaution. The driver of the 2016 Ford Escape WA/AWX1655 (Unit 1) was identified by her WADL as Helen Y Capron DOB: 8/2/1993. She advised she was driving east on SE 16th St and had stopped at the stop sign to enter the intersection. She said that she began to creep forward and did not see Unit 2, so she proceeded through and was struck by Unit 2. There was heavy damage to the front bumper and driver side quarter panel of the Ford and no airbag deployment. Gene Meyers Towing removed the vehicle from the scene. The driver of the 2015 Toyota Sienna WA/BWX2292 (Unit 2) was identified by her WADL as Shakela N Shahi DOB: 10/4/1987. Shakela said that she was driving south on Lake Youngs Way when Unit 1 pulled out in front of her in the intersection. North to south traffic on Lake Youngs Way does not have a stop sign and has the right of way in the intersection. The Sienna hit a small rock on the southwest corner of the intersection before coming to a stop in the yard of 1603 Lake Youngs Way SE, other than the rock being moved there was no damage to the structure or vehicles of the residence. Shakela was evaluated and cleared by RRFA on scene. There was heavy damage to the front bumper of the Sienna and no airbag deployment. It was removed from the scene by Gene Meyers Towing. Shakela advised she had six children in the vehicle at the time of the collision but had sent them to school prior to PD arrival. I asked if the children had complained of any pain and Shakela said no. A mother of two of the children, identified as Samaya Gulbahri 3/25/2019 and Sabahat Sharifi UNK DOB had complaint of pain to their heads. I advised them to take them to VMC as a precaution if they wished. Since Helen had a stop sign and Shakela had the right of way through the intersection, I cited Helen for RCW 46.61.180.1 Failure to Yield Motor Vehicle under Sector citation #6A0092336. This citation should be mailed to her DOL address. 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 4/16/2026 Renton WA **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Seat Position (Passenger MOHAMED SHAHI): 3RD ROW RIGHT SIDE Seat Position (Passenger ABDUL GULBAHRI): 3RD ROW MIDDLE Seat Position (Passenger TIBIB GULBAHRI): 3RD ROW LEFT SIDE Seat Position (Passenger SAMAYA GULBAHRI): 2ND ROW RIGHT SIDE Seat Position (Passenger ASRA SHARIFI): 2ND ROW MIDDLE Seat Position (Passenger SABAHAT SHARIFI): 2ND ROW LEFT SIDE **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EG99595 CASE# 26-2962 DATE AND TIME 04/16/26 08:21 OF COLLISION DO r � ti t � � 4 r f t+ r' t , PAGE 5 OF 5