HomeMy WebLinkAbout26-3804 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 26-3804 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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#
cowsloN 05 - 1-- 2026 1838 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2065036334 0 11
30
LAST NAME HERNANDEZ RAMIREZ FIRST NAME ROQUE MIDDLE N
6 INITIAL 1 2 31
STREET ❑ 510 STEVENS AVE SW APT S102 CITY RENTON ST WA 2jp, 980572371 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO,/ INTERLOCKYEs NO�/ YES R No�/
8 LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� D82455J sTArI WAurN# 1FTYR10U71P617326
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM ro
TRLR. TPILF1 1 5 33
12 3 0 VIN#' VIN#'
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 $ 34
13 2001 FORD RANGE PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OSVALDO GOMEZ MARTINEZ 510 STEVENS AVE SWAPT S102 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 4
LIABILITY INSURANCE
IN EFFECT &POLICV# � 9TOP 5
VE— CHARGE 10 BOTTOM 36
LEGALLY YEs❑NO CITATION# 6AO112359,6AO112359 OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ NO D:2064291884
16 a
LAST NAME JENKINS FIRST NAME PAUL MIDDLE IS
INITIAL
17 NEW STREETREs7' 4411 41 STAVES CITY' SEATTLE ST WA ZIP 981181621 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑No� INTERLOCK yEs I I NOF YEs t l NOF,/
19 LDI IVER # STATE WA SEX M M D.C.B. 01 28 _ 1964 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
❑ILICENSE 21❑ PLA E# AXL1940 TAre 41
WA VIN# 2FAHP71V99X129280 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2009 MAKE FORD MODEL CROWN STYLE $D DAMAGE TOWED NOO✓ BLIN YES
NO,/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#ECO STATE FARM 479-44-BO3-47IN 9TOP 5
VEHICLE YES[:] N
C[:] CITATION# CHARGE i o BOTTOM
LEGALLY
25 0(
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
YUSUF JIBRIL 12490 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH03723
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3804
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'
On 05/17/2026, at approximately 1844 hours, I was dispatched to a two-vehicle collision at the
intersection of Logan Ave N and N. 3rd St in the City of Renton, King County, Washington.
Upon arrival, I observed Unit 1 sustained damage to the passenger-side B-pillar, and Unit 2 sustained
front-end damage. The occupants of both vehicles did not appear injured and declined medical
attention.
I communicated with the driver of Unit 1 using my body-worn camera's Spanish translation feature.
The driver of Unit 1 stated he was traveling southbound on Logan Ave N. He stated he was distracted
and did not notice the traffic signal at the intersection was red. The driver of Unit 1 stated he entered
the intersection against the red signal and collided with Unit 2.
The driver of Unit 2 stated he was traveling eastbound on N. 3rd St while exiting the Renton Stadium
parking lot. The driver of Unit 2 stated he entered the intersection on a green signal and, while
crossing the intersection, Unit 1 collided with his vehicle.
The driver of Unit 1 advised he did not have proof of insurance for the vehicle.
Based on the statements provided by the drivers of Unit 1 and Unit 2, 1 determined that Unit 1 entered
the intersection against a steady red traffic signal.
The driver of Unit 1 was issued a citation for violation of RCW 46.61.055, Failure to Obey Traffic
Control Signal, and for operating a motor vehicle without proof of insurance.
Both vehicles were drivable, and the drivers were provided with an exchange of information form.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
YUSUF XBR/L 05-17-26 07:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 511812026 5:59:12 AM
BADGE OR ID# 12490 ORI# WA0171300 TIME POLICE DISPATCHED 6:40 PM TIME POLICE ARRIVED f 6:45 PM
PART I PAGE IT]OF 3�
REPORT NO. EH03723 CASE# ' 26-3804 DATE AND TIME 05/17/26 18:38
OF COLLISION
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