HomeMy WebLinkAbout26-3744 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-3744 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 05 - 1-- 2026 1612 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
98TH AVE S BLOCK NO. e✓ 17800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S CARR RD
0 4 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES
NO ,/ D:2533342665 30
6� LAST NAME RICKARD FIRSTNAME JERI MIDDLE B 1 1 2 31
INITIAL
STREET ❑ 25612 116TH AVE SE CITY KENT ST I WA 2jp, 98030 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 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10[1P1 ATNES# CKZ6144 sTAr WAu N# WBY1Z4C52FV503659
11[-jTRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR. TRLR. 1 3 33
12❑ VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
2 2015 BMW 13 2H DAMAGE YES NO YES❑ NO
13 ✓
REGISTERED OWNER INFO --RICKARD 25612116TH AVE SE KENT WA 98030 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ALLSTATE 820999964 3 4
IN EFFECT &POLICY# 9TOP
VE'CLE CHARGE 1 5 36
LECAIIv YES❑NO❑ CITATION# 10 BOTTOM
15❑ TANDING MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�Ul
NIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:2148157725
16 a
LAST NAME JONES FIRST NAME KENNETH MIDDLE W
INITIAL
17❑ STREET ❑', 10404 SE 174TH ST D209 CITY' RENTON ST WA ZIP 98055 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK yEEsIII I I NOF YEs t l NO❑
19 LICENSE# STATE SEX M Mr D.O.B. 01 01 1963 39
20❑4 WELMET INJURY NATURE OF INJURIES 4O
ON DUTY STATUS 0 AIRBAG RESTR EJECT 2 USE 7 CLASS 1 ❑
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# J AGENCY
26 5 0 R.ON/SHl 5738 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH03029
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3744
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
POS. 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'
Driver 1 Rickard was on 98th Ave S, making a left turn onto S Carr Rd. Pedalcyclist Jones was on an
ebike, crossing 98th Ave S from east to west in a marked crosswalk. Rickard told me that two car had
entered the intersection ahead of her, and the light was still green for s/b 98th Ave S as she started
forward. Rickard said that as she reached the crosswalk, Jones rode in front of her car; Rickard was
adamant that light was still green for her. Jones told me that he had crossed S Carr Rd from south to
north in the crosswalk, and then waited for a "WALK" light at the pedestrian signal controlling east to
west pedestrian traffic across 98th Ave S. Jones told me that Rickard entered the crosswalk, even
though he had the "WALK" signal. No injuries, and no apparent damage to either automobile or ebike.
City traffic cameras do not have a view of the collision site, and I did not see any private cameras that
would have captured the collision.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 05-14-26 05:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 5/15/2026 4:18:01 AM
BADGE OR ID# 5738 OR]# ! WA0171300 TIME POLICE DISPATCHED 4:97 Pry] TIME POLICE ARRIVED'4:24 PM
PART I PAGE IT]OF 3�
REPORT NO. EH03029 CASE# ' 26-3744 DATE AND TIME 05/14/26 16:12
OF COLLISION
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