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HomeMy WebLinkAbout26-3782 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c COLLISION REP FIT 1591971 CASE 26-3782 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 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# ❑ COLLISION: 05 — 1—— 2026 0701 17 ❑. S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LAKE WASHINGTON BLVD BLOCK NO. e✓ 30TH 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e N 30TH ST 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4254106808 0 11 30 6❑ LAST NAME MARINO NAVA FIRST NAME OSWALDO MIDDLE N 1 2 31 INITIAL STREET ❑, 4609 148TH AVE NE#11-303 CITY BELLEVUE ST WA 2jp, 980077872 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'M MID ELOB 01 1— 26 — 2004 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� CNK3743 sTArr WAurN# 3N1AB6APXCL692324 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR. 3 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR N MAKE NISS MODEL SENTRA STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 DAMAGE YES NO YES[:] NO✓ 13❑ REGISTERED OWNER INFO JUAN..4DNAVA4513148THAVENEAPTMM203 BELLEVUEWA98007 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO NONE NONE 4 IN EFFECT &POLICY# 9TOP vEHICLE CHARGE 5 36 LEGALLv res❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a : OWNER ❑ YES 1/ NO D:4257382312 LAST NAME SYTNIUK FIRST NAME VIKTOR MIDDLE I N INITIAL 17❑ STREET ❑', 3625 MONTEREYCT NE CITY' RENTON ST WA ZIP 980562002 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCK YEs❑NOR INTERLOCK YYEEsI❑NoF YES❑NO❑ 19 D IVE STATE WA SEX M M.C.B. 08 _ 10 _ 1972 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE AZW9865 TAre WA VIN1t 2T2BGMCA7GC003585 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2016 MAKE LEXS MODEL RX STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV 44 24 DAMAGE YES NO GENE MEYERS YES NOHI REGISTERED OWNER INFO ALLA GORSHCHUK 7829 CENTER BLVD SE APT 231 SNOQUALMIE WA 98065 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE INSU&PORGY#E CO FARMERS INSURANCE 6156804572031 STOP 5 IN EFFECT VEHICLE ❑ ,.I—I CITATION# CHARGE to BOTTOM LEGALLY YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 SULIASI TAMAIVENA 12788 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH03454 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3782 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. SULIASI TAMA/VENA 05-16-26 08:33 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 5/16/2026 4:32:38 PM BADGE OR ID# 1Y788 OR]# ! WA0171300 TIME POLICE DISPATCHED 7:09 AM TIME POLICE ARRIVED 7:08 AM PART I PAGE IT]OF 4� REPORT NO. EH03454 CASE# 26-3782 OF COLLISION 05/16/26 07:01 OF CbLLI510N NARRATIVE On 05/16/2026, at approximately 0701 hours, I was dispatched to an accident at Lake Washington Boulevard N and N 30th St, in the City of Renton, while I was employed as a uniformed Patrol Officer for the City of Renton, County of King, State of Washington. I spoke with Unit#1, and he advised that he was traveling westbound on N 30th ST, attempting to make a right onto Lake Washington BLVD N, where a red stop sign is visible. Unit#1 said he was poking his vehicle a little too far out into Lake Washington Boulevard N to see if any other vehicles were driving by. The driver said he continued pushing his vehicle further into the street until Unit#2's vehicle collided with his. He advised that he was at fault for the collision because he extended his vehicle into the street. Unit#1 claimed no injuries, and his vehicle was undriveable. The vehicle had heavy damage to the front and sides. The vehicle was towed to Bankers because the driver was unable to pay for it to be dropped off at a different location. An officer spoke with Unit#2, who advised he was traveling northbound on Lake Washington Boulevard N. While passing N 30th st, he advised that Unit#1 disregarded the stop sign and tried to enter the street he was traveling. Unit 2's action was the cause of the accident. Unit#2 advised that he was uninjured and that his vehicle was undrivable. The vehicle had heavy damage to the front bumper and the right side. The vehicle was towed by Gene Meyers at the request of his location. Based on this information, I believe the proximate cause of the accident was Unit#1 failing to stop completely at the stop sign and not giving the right-of-way to the flow of traffic. Unit#1 will receive a traffic citation for failing to provide insurance and failing to stop at a stop sign. His ticket will be sent through the mail. An exchange of information was provided to both Units. This concludes my report. My Axon camera was on for this call. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788, 05/16/2026, at 0825 hours, Renton, WA. PAGE 3 OF 4 REPORT NO. EH03454 CASE# 26-3782 DATE AND TIME 05/16/26 07:01 OF COLLISION 711 i �z � � y � dK }� }Z �z�A,..'s�h'�,��Z��?!""��''fi' V`�i``������� .,�z�.rr�t`a ^'',c©z`z��i������ ��S isA�`z'Zst�LLt�������,<l�u��c�?.���'���Ur"`•�54+�i. ss t li 1J� 3 i}fnjt i t PAGE 4 OF 4