HomeMy WebLinkAbout26-3512 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3512 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4900 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# ❑
COLLISION'. 05 - 1-— 2026 0555 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MONSTER RD SW BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ✓NO D:2066027813 0 11
30
6❑ LAST NAME LE FIRSTNAME HANG MIDDLE V 1 2 31
INITIAL
STREET ❑, 21636 105TH PL SE CITY KENT ST WA 2jp, 980312582 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YE. NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 12 1- 02 - 1977 2 32
9 ON DUTY❑ STATUS AIRBAG 9 RESTR 4 EJECT 1 H U EET CLASS 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� BYW4074 sTATI WA vIN# 1 G6DT57V990127725
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 7 3 34
13 4 2009 CADI CTS DAMAGE YES NO �MEYERS YES❑ No✓
REGISTERED OWNER INFO THANH NGUYEN 21636105TH PL SE KENT WA 98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
4 LIABILITY INSURANCE INSURANCE CO
14 ❑ PROGRESSIVE 972857788
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 6A0254424 FAIL YIELD LEFT TURN MOTOR I o aorrom
15❑ STANDING 7 6
1.' MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES�/ NO D:2067794548
16 a
LAST NAME DIVINA FIRST NAME REDENTOR MIDDLE I A
INITIAL
17❑ STREET ❑', 1912 14TH AVE S CITY SEATTLE ST WA ZIP 981444204 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
11
19 D IVEW #
I INJURY NATURE OF INJURIES 40
20� ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS 6 LEFT KNEE PAIN
21❑ LICENSE I CBA6337 TATe WA VINI 1HGEJ2149PL003067
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1993 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44
24 DAMAGE YES NO GENE MEYERS YES NO
REGISTERED OWNER INFO FLORENT DIVINA 12466 BEACON AVE S SEATTLEWA98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO IUQ,
5'E""LE ❑ ,J� CITATION# CHARGELEGALYYES N J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5304
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3512
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.
C.ARNOLD 05-06-26 09:01 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 10:59:27 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 5:56 AM TIME POLICE ARRIVED',6:00 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05304 CASE# 26-3512 OF COLLISION
05/06/26 05:55
OF CbLLI510N
NARRATIVE
CC 26-3512
On 5/6/2026 at 0556 hours I was dispatched to a motor vehicle collision at around the 500 block of
Monster Rd SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East on Monster Rd SW approaching the 500 block in the #2
lane.
Driver 1 stated that she was facing West in the 2-way center preparing to turn left into a parking lot on
the South side of the roadway.
Collision
Driver 2 stated that as he entered the 500 block, Unit 1 turned in front of him and he was unable to
stop or move to avoid a collision. Driver 2 stated that the front drivers side bumper of Unit 2 collided
with the front drivers side bumper of Unit 1.
Driver 1 stated that she did not see Unit 2 and that she thought he was going fast. Driver 1 stated that
she began her lefthand turn and upon doing so the front drivers side bumper of Unit 2 collided with
the front drivers side bumper of Unit 1.
Injuries
Driver 2 complained of left knee pain. He was evaluated by RFA and was released at the scene.
Vehicle Disposition
Both vehicles were inoperable and were towed from the scene.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle
intending to turn to the left within an intersection or into an alley, private road, or driveway shall yield
the right-of-way to any vehicle approaching from the opposite direction which is within the intersection
or so close thereto as to constitute an immediate hazard.
Had Driver 1 yielded the right of way to Unit 2, this collision would not have happened.
Driver 1 was cited reference RCW 46.61.185.
1 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 C. Arnold #12509 at 06:27 on 5/6/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH05304 CASE# 26-3512 DATE AND TIME 05/06/26 05:55
OF COLLISION
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