HomeMy WebLinkAbout26-2996 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG99597 170
27
COLLISION REP FIT 1591971
SASE 26-2996 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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#
cowsloN 04 - 1-- 2026 1401 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
PARK AVE N BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 4TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2063342044 0 4 30
6� LAST NAME WHITE FIRSTNAME GLENNA MIDDLE F 1 1 2 31
INITIAL
STREET ❑ 8505 129TH AVE SE CITY NEWCASTLE ST WA ZIP 980561757 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'F MID
.O B 11 1- 28 - 1950 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CGV3054 sTArI WAVrN# JNI6FOBA6PM405234
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM To
TRLR. TRLR 3 5 33
12 3 0 VIN#' VIN#'
ROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 $ 34
13 1 2023 NISS ARIYA SD DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER WFO GLENNA WHITE 8505129THAVESE NEWCASTLE WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO pEMCO CA 2043895 3 4
IN EFFECT &POLICY# 9TOP
LEwcLE CHARGE 1 5 36
F�A�LY YES❑No CITATION# 6AO092340 IMPROPER LANE USAGE o aorroM
El
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:9592104379
16 a
LAST NAME MUSA FIRST NAME NURUDEEN IN DOLE p
IN MIDDLE
17❑ STREET ❑', 3233 NE 12TH ST APT 212 CITY RENTON ST WA ZIP 980563475 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 RRS LDI IVE STATE WA SEX M M .C.B. 11 26 _ 1995 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE BM64555 TAre 41
CT vIN 4T4BF3EK38R093113
❑
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
GI
VEH YEAR 2011 MAKE 7'Oy7' MODEL CARRY STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO pROGRESSIVE870004358IN 1 9TOP 5
"F""LE YEs Nc❑ CITATION# 6AO092341 CHARGE FAIL TO SIGN/CARRY/DISPLAY VEH o aoTroM
25 U _
s � a
=ON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12421 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG99597
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2996
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
PM 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.
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 4/23/2026 1:51:44 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; Y:03 Pry TIME POLICE ARRIVED',Y:07 Pry
PART I PAGE IT]OF 4�
REPORT NO. EG99597 CASE# 26-2996 OF COLLISION
04/17/26 14:01
OF CbLLI510N
NARRATIVE
26-2996 ACC
On 4/17/2026 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 near
the intersection of Park Ave N and N 4th St Renton/King/WA. The caller reported that both vehicles
had pulled off the roadway and there were no injuries.
Another RPD officer stopped by the scene while I was still enroute and was also advised there were
no injuries and RRFA was not needed.
When I arrived on scene I located both drivers and they advised they were not injured and did not
require aid.
I spoke with the driver of the 2023 Nissan Ariya WA/CGV3054 who was identified by her WADL as
Glenna F White DOB: 11/28/1950. Glenna said that she was in the #3 lane of N 4th St and had
started to turn left to go south on Park Ave N when she collided with Unit 2. There was moderate
damage to the driver side quarter panel of the Nissan and no airbag deployment.
N 4th St is a 4-lane one-way street that goes from east to west. The #4 lane which is the farthest
south lane is the only one permitted to turn south on Park Ave N.
The driver of the 2011 Toyota Camry CT/BM64555 was identified by his WADL as Nurudeen O Musa
DOB: 11/20/1995. Nurudeen said that he was in the #4 lane to turn south on Park Ave N, as he was
turning left Unit 1 turned into him. There was damage to the front passenger side quarter panel and
front bumper and no airbag deployment. Nurudeen provided me with valid insurance and a photocopy
of his Washington drivers license, he was not able to provide me with his Connecticut vehicle
registration. He stated he left it at home.
I cited Glenna for Improper Lane Usage RCW 46.61.140 under Sector citation #6A0092340. This
citation should be mailed to her DOL address.
I cited Nurudeen for Failure to Sign/Carry/Display Vehicle Registration RCW 46.16A.180.1 under
Sector citation #6A0092341. This citation should be mailed to his 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 4/17/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EG99597 CASE# ' 26-2996 DATE AND TIME 04/17/26 14:01
OF COLLISION
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