HomeMy WebLinkAbout26-3841 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH05317 170
27
COLLISION REP FIT 1591971
CASE 26-3841 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 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 CITY# ❑
cowsloN 05 - 19 - 2026 0852 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW SUNSET BLVD BLOCK NO. e✓ 2101
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET MILES e S B W e S 135TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:5099063075 0 11
30
6� LAST NAME MATHEWS FIRSTNAME ARLENE MIDDLE A 1 2 31
INITIAL
STREET ❑ 12050 56TH PL S CITY SEATTLE ST WA 21p 981783502 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'F MM DAY' 03 1— 01 — 1978 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
LICENSE CPW9486 STATE WA - 1C3CCCAB9FN746775
10 9❑ Pr ATE�
11[-jTRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 9 201$ CHRY 200 SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO ARLENE.THEWS 2111 SWSUNSET BLVD APT F305 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO eq�T3 4
IN EFFECT &POLICY# 9TOP
VEHICIe CHARGE 5 36
LECAILv YeS❑NO❑ CITATION# 1 o BOTTOM
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
U
NIT U2 VEHICLE ❑ CYCLE ❑ ❑ PROPOWNER ❑ YES No D:2069483546
16 a
LAST NAME THORDARSON FIRST NAME TAMMIE MIDDLE V
INITIAL
17❑ STREET ❑', 11730 76TH AVE S CITY SEATTLE ST WA ZIP 981783876 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19[-] DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CNH3621 TATe WA vIN1t 5TDGZRBHOMS130147
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE TOYT MODEL HIGHLAN STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO TAMMIETHORDARSON 1173076THAVE S SEATTLE WA 98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO NATIONAL GENERAL 203452415IN STOP 5
0(
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 ' 6
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. EHO5317
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3841
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.
D.NELSON 05-22-26 01:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 11:13:37 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 8:82 AM TIME POLICE ARRIVED',9:03 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05317 CASE# 26-3841 OF COLLISION
05/19/26 08:52
OF CbLLI510N
NARRATIVE
26-3841 ACC
On 5/19/2026 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 collision that had occurred in the parking lot of 2101
SW Sunset Blvd Renton/King/WA near the H Building. There was no report of injury.
I arrived on scene and located both vehicles, I confirmed with both drivers there was no injury.
The driver of the 2015 Chrysler 200 WA/CPW9846 was identified by her WADL as Arlene A Mathews
DOB: 3/1/1978. Arlene said that she was making a sharp left turn, uphill, as Unit 2 was coming down
the hill. She said that her passenger side front bumper/quarter panel struck the driver side front
bumper/quarter panel of Unit 2. There was damage to the bumper, quarter panel, and wheel well of
Unit 1, but it appeared drivable. Arlene advised she did not have valid insurance, and she did not
request a tow.
The driver of the 2021 Toyota Highlander WA/CNH3621 was identified by her WADL as Tammi V
Thordarson DOB: 8/16/1969. Tammi said that she was driving down the hill preparing to make a left
turn when Unit 1 took its turn and struck her. There was damage to the front bumper, quarter panel,
and wheel well on the driver side of the Highlander. Tammi did not request a tow.
This collision occurred on private property.
This portion of the driveway had no road markings or signage to indicate right-of-way or
yield/stopping.
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 5/19/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EH05317 CASE# 26-3841 DATE AND TIME 05/19/26 08:52
OF COLLISION
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