HomeMy WebLinkAbout26-3773 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3773 z
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 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# ❑
cawsloN 05 - 1-- 2026 1532 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
AIRPORT WAY BLOCK NO. e✓ p ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00 FEET MILES e S ❑ W e LOGAN AVE N
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2392319917 0 81
30
6� LAST NAME PIERRE FIRSTNAME VANEL MIDDLE 0 3 31
INITIAL
STREET ❑, 3240 S 152ND ST APT 10 CITy SEATAC ST WA 2jp, 98188 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 CUR6927 STATE WA u N# JTDBE32K620134332
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34
13 4 2002 TOYT CAMPY SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 865591251 3 4
IN EFFECT &POLICY# 9TOP
vECALLv HIa.E 5 36
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ LE STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2062883215
16 a
LAST NAME CAO FIRST NAME HUNG MIDDLE
INITIAL
17❑ STREET ❑', 10862 S 218TH ST CITY' KENT ST WA ZIP 98031 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] LDI IVEW # STATE WA SEX M MMDDW 01 02 _ 1974 39
WELMET INJURY1 NATURE OF INJURIES 40
20F1 ON DUTY STATUS' AIRBAG RESTR 4 EJECT '1 USE CLASS
21❑ LICENSE AOC3886 TATe WA vIN1 2T2BK16A3AC040056
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GoI
VEH YEAR 2010 MAKE LEX$ MODEL RX 350 STYLE UT DAMAGE TOWED NOO✓ BLIN TOWED BY vHyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 466-1786-CO6-47IN I STOP
vE""LE CITATION# CHARGE
i o BOTTOM
LEGALLY YES Nu
25❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
R.ON/SHl 5738 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EH03453
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3773
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'
Unit 2 and unit 1 are in traffic, eastbound on Airport Way approaching signal controlled intersection at
Logan Ave N. Unit 2 is in lane 1, unit 1 attempting to move from lane 2 to lane 1. Unit 1 initiates lane
change to move into small gap between unit 2 and the vehicle behind unit 2, just as traffic ahead of
unit 2 stops for red light at Logan Ave N. Unit 2 stops as well, and unit 1 strikes rear of unit 2. Minor
damage to bumper skin of unit 2, no damage on unit 1 attributable to this collision. Driver 1 Pierre
claimed that unit 2 was travelling at excessive speed, cutting off Pierre's attempt to move to lane 1
and forcing him to cut in behind unit 2, but traffic video does not show any speed above posted 35
mph limit.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 05-16-26 05:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 5/16/2026 4:29:47 PM
BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED! 3:44 PM TIME POLICE ARRIVED 3:52 PM
PART I PAGE IT]OF 3�
REPORT NO. EH03453 CASE# ' 26-3773 DATE AND TIME 05/15/26 15:32
OF COLLISION
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