HomeMy WebLinkAbout26-3457 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 26-3457 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4100 3
HIT 8 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 1219 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW LANGSTON RD BLOCK NO. e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 250 00 FMILES EET e S ❑ W e SW SUNSET BLVD
1 5 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:2538306780 1 3 30
6� LAST NAME PRASAD FIRSTNAME GANESH MIDDLE 1 2 31
INITIAL
STREET ❑, 217 SW LANGSTON RD CITY RENTON ST WA ZIP 980572343 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
,/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 2 RESTR I [NATURE OF IN DRIES
4 EJECT 1 HELMETU E 2 1 INJURY]CLASS 6 LACERATION TO BRIDGE OF NOSE z❑
3
10❑ P1 ATE 14 AJY2849 JBTATIJ WAu N#' 4A3262FFOAE018266
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM T.
TRLR. TRLR 0 0 33
12 0 1
VIN#' VIN#
2010 MITS GALANT SD plsA RO�34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO �/ YES[:] NO
REGISTERED OWNER INFO GANESHPRASAD 211 SWLANGSTON RD RENTON WA 98057 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 INSURANCE INSURANCE CO STATE FARM 4273723 A0247C
IN EFFECT
IN EFFEE CT &POLICY# � 9TOP
VEHICLe 36
LEGALLY
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2534401860
16❑
LAST NAME AYON FIRST NAME JOHN MIDDLE /
INITIAL
17❑ STREET NEW ADDRESS❑' 301 SANTA ROZA DR APT B CITY YAKIMA ST WA ZIP 989019796 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCK YES❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDIIVEW # STATE WA SEX M M .O.B. 08 _ 11 1974 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
LICENSE I ❑21❑ PLATE# C93290K TAre 41
WA vIN1 1N66DOCT3HN757912 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE NISS MODEL FRONTIE STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO CABLECOM LLC 1429 AVENUE D#339 SNOHOMISH WA 98290 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE I PORGY#ECO LIBERTY MUTUAL AS26310042600026 STOP 5
IN EFFECT0(
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5301
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3457
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST 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.
D.NELSON 05-06-26 03:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 11:05:47 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 12:20 PM TIME POLICE ARRIVED',12:25 PM
PART I PAGE IT]OF 4�
REPORT NO. EH05301 CASE# 26-3457 OF COLLISION
05/04/26 12:19
OF CbLLI510N
NARRATIVE
26-3457 ACCINJ
On 5/4/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle collision with injury in front of 217 SW
Langston Rd Renton/King/WA. An involved party was advising the other driver had a bloody nose,
RRFA was started.
Other Officers arrived on scene before me and advised that the driver of Unit 1 had gone back into
the residence of 217 SW Langston Rd.
We were able to locate the driver of Unit 1 in a basement apartment of the residence; it appeared as if
he had gone back inside to tend to a laceration to the bridge of his nose. RRFA evaluated and
cleared him at the scene.
I spoke with the driver of the 2017 Nissan Frontier WA/C93290K (Unit 2), who was identified by his
WADL as John J Ayon DOB: 8/11/1974. John said that he was legally parked on the shoulder of the
eastbound lane of SW Langston Rd. He said that he watched as Ganesh got into Unit 1 and then
rolled back into the front bumper of his vehicle. There was minor damage to the front bumper of the
Nissan and no airbag deployment. John was not injured.
The driver of the 2010 Mitsubishi Galant WA/AJY2849 (Unit 1) was identified by his WADL as
Ganesh Prasad DOB: 1/20/1944. Ganesh had a medical condition where he was unable to speak. I
asked Ganesh if he had rolled back into the Nissan and he nodded yes. I asked him if the laceration
to his nose was from hitting it on the steering wheel and he nodded yes. Ganesh provided me with all
required paperwork. The Galant had minor damage to the rear bumper. There was no airbag
deployment, and it was drivable.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 5/4/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EH05301 CASE# ' 26-3457 DATE AND TIME 05/04/26 12:19
OF COLLISION
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