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HomeMy WebLinkAbout26-2859 TFG " II I III I III I I III ' I IIII III II I 27auCERA c REPORTNO. EHO1234 ..q.n ;. COLLISION REPORT 1591971 CASE# 26-2859 z INTERSTATE CITY STREET FIRE ❑ RESULTED 1 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCALAGENC 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 8 28 TRIBAL TOTAL#OF OBJECT RESERVATION UNITS 02 STRUCK z� 3 1 M M D D Y Y Y Y TIME(24001 COUNTY# MILES CITY# CDLC1510N.. 04 - 12 - 2026 1325 17 =.= S 8 E e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S GRADY WAY BLOCK NO. 8✓ 200 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FMILES N EET e S 8 E e RAINIER AVE S OF 6 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YEs No �/ D:5642305578 OF 6 30 6 LAST NAME TURNER FIRST NAME ! MARCUS MIDDLE E 1 2 31 INITIAL STREET 125 SW CAMPUS DR APT 19-101 CITY FEDERAL WAY WA NEW ADDRESS ST ZIP' 98023 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYE5 NO INTERLOCKYES NO YES I NO 8 LICENSE# STATE WA SEX M MMD-YY' 03 — 22 — 1990 1 1 2 32 ON DUTY STATUS AIRBAG' 2 RESTR 4 EJECT' 1 1 NA HELMET INJURY [!!RE OF INJURIES 2 9 9❑ � USE 'CLASS 3 10 9❑ LICENSE TZP4358 sTAr' WA VIN# 5NPE34AF8FHO48123 11[-j-- TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM TO TRLR TRLR 3 7 33 12 3 0 VIN# VIN# FROM TO VEH.YEARZOIS MAKE HYUN MODEL ELANTR STYLE 4D VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 7 34 13 DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO OWNED.,DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO 2 3 a IN EFFECT &POLICY# 9TOP LEGALLY YES❑NO❑ CITATION# CHARGE t0 BOTTOM 5 36 15❑ NoiNG s b El MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 �✓ ❑ PEDESTRIAN ves No ,/ HOE 2022325 VEHICLE CYCLE OWNER 16� LAST NAME MOHAMMADI FIRST NAME MOHAMMAD MIDDLE N INITIAL 17❑ STREET 3026 S 220TH ST APT C2 CITY I DES MOINES ST WA ZIP 98198 ❑ 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 CDL INTERt©CKYES NO INTERLOCK YES NO YES NO 19❑ L CIENSE# STATE WA SEX M MMDOYY 04 25 _ 1987 ❑ 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET ET CLASSSE IN Y 7 I NATURE OF INJURIES COMPLAINT OF PAIN ❑ 40 21❑ LICENSE''CPZ0426 rarE WA VINu ✓TDKN3DUOA1037361 ❑ 41 PLATE# 42 TRAILER 22❑ PRLATE# STATE PLLATE# STATE TRLR 23� VIN# IN# 43 RLR VEH.YEAR 2010 MAKE TOYT MODEL PRIUS STYLE HB VEHICLE TOWED TO BLIN TOWED BY GO HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITv INSURANCE INSURANCE CO PROGRESSIVE 995743753 IN EFFECT &POLICY# i 9TOP venue ❑ ,J—I CITATION# CHARGE I O BOTTOM LEGALLY YES N 25 I S 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 D.MYERS 10433 WA0171300 PAGE 01 OF 3 PART A 3000-345-159(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH01234 COLLISION REPORT III III III III III 111 1591972 GAS�6-2859 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST fIflST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. MMDDYYYY. ' HELMET INJURY' PASSENGER WITNESS ,UNIT# SEAT AIRBAG RESTR. EJECT NATURE OF INJURIES POS. USE 'CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS k PHONE# DOB SEX M _F MDDYYYY PASSENGER WITNESS[-] UNIT# SEAT : AIRBAG RESTR. EJECT HELMET NJURY NATURE Of INJURIES POS. USE CLASS '.NAME (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYY PASSENGER [-i WITNESS j UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NARRATIVE On 04-12-2026 at approximately 1328 hours, I was dispatched to a blocking traffic collision near the intersection of Rainier Ave S and S Grady way in the City of Renton, County of King, State of Washington. I contacted the driver of Unit#2 who told me he was traveling westbound on SW Grady Way slowing for traffic near the intersection of Rainier Ave S when the rear of his vehicle was hit by Unit#1. 1 did not observe any significant damage to the rear of his vehicle but there did appear to be paint flakes or paint transfer on the rear of his vehicle from Unit#1. Unit#1 did have significant damage to the front his vehicle that appeared to be old and from a previous collision. I spoke to the driver of Unit#1 who confirmed the damage to the front of his vehicle was from a prior collision. He told me he was slow to stop for traffic but did not think he hit Unit#2. There was no third party witnesses on location who I could interview. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.MYERS 05-09-26 10:58 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT R.PHILLIPS 11649 5/9/2026 11:42:08 AM BADGE OR ID# 10433 ORI# WA0171300 TIME POLICE DISPATCHED', 1:28 PM TIME POLICE ARRIVED 1:32 PM PART B�wDa-345-100(R11118) PAGE F21 OF REPORTNO.', EHO1234 CASE# 26-2859 DATE AND TIME 04/12/2613:25 OF COLLISION 1 � l " t � 7 W u x 1� u � you p 3} l � � t � x 4 a k Tj a, " j �. 4aw, f. e PAGE 3 OF 3