HomeMy WebLinkAbout26-2493 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-2493 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 RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 03 - 1-- 2026 1030 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
S CARR RD MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e TALBOT RD S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2068326018 0 81
30
6� LAST NAME ACOSTA FIRSTNAME HAIDIE MIDDLE S 1 2 31
INITIAL
STREET ❑ 16533 BENSON RD S CITY RENTON ST WA ZIP 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CUR7533 sTArI WAvIN# 4T3ZF13C63U536775
10❑ PI ATE 14
5 TRAILER STATE TRAILER STATE
11
3—LATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 2003 TOYT SIENNA DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLY HIa.E 5 36
YES�No D CITATION# 6A0244041 CHARGE FOLLOW VEHICLE TOO CLOSELY Io eorrom
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD M PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:20
16 a ET65896123
LAST NAME KILLOUGH FIRST NAME BREANNA MIDDLE M
INITIAL
17❑ STREET ❑', 8631 30TH AVE SW CITY' SEATTLE ST WA ZIP 98126 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I No� YES t l No❑
19[—] LDICENS STATE WA ]SEX IF M D.O.B. 04 01 1993 39
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CEP5324 TAre WA 2HGES15575H620553
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
GI
VEH YEAR 2005 MAKE HOND MODEL CIVIC STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO I GD
25
LEGALLY YES Nu
❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MICHAEL THOMPSON 13311 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH03659
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2493
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'
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.
MICHAEL THOMPSON 03-31-26 01:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 5/17/2026 10:43:33 PM
BADGE OR ID# ` 13311 ORI#' WA0171300 TIME POLICE DISPATCHED 10:34 AM TIME POLICE ARRIVED',10:42 AM
PART I PAGE IT]OF 4]
TIME
REPORT NO. EH03659 CASE# 26-2493 OF COLLISIONO3/31/26 10:30
NARRATIVE
CC 26-2493
On 3/31/2026 at 1030 hours I was dispatched to a motor vehicle collision at S Carr RD and Talbot RD
S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated she was stopped at a red light in lane 2 of the westbound direction of S Carr RD.
Driver 1 stated she was stopped at a red light in lane 2 of the westbound direction of S Carr RD
behind unit 2.
Collision
Driver 2 stated she was stopped at the light her vehicle was struck from the rear by unit 1.
Driver 1 stated she accidentally let off the brake and rolled into the rear bumper of Unit 2.
Injuries-
No apparent injuries were seen and neither party complained of any injuries.
Vehicle Disposition
Unit 1 had minor front-end damage and Unit 2 had minor rear bumper damage. Both Units were still
operational.
Proximate Cause
Based on the above information I determined driver 1 to be the proximate cause of this collision. The
driver of Unit 1 was cited for RCW 46.61.145. The driver of a motor vehicle shall not follow another
vehicle more closely than is reasonable and prudent, having due regard for the speed of such
vehicles and the traffic upon and the condition of the highway. Had Driver 1 allowed more space
between vehicles, this collision would not have occurred.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. A. Thompson #13311 at 13:33 on 3/31/2026 in the City of Renton,
King County, Washington.
PAGE 3 OF 4
REPORT NO. EH03659 CASE# ' 26-2493 DATE AND TIME 03/31/26 10:30
OF COLLISION
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