HomeMy WebLinkAbout26-3842 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-3842 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 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cawsloN 05 - 19 - 2026 0851 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e OAKESDALE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:7023256779 0 4 30
6� LAST NAME KIE FIRSTNAME DEXTER MIDDLE L 1 1 2 31
INITIAL
STREET ❑✓ 23240 88TH AVE S,APT PP203 CITY KENT ST WA ZIP 98031 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 U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CPJ4514 sTArI WAvIN# 1 G4HJ5EMOBU127556
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 5 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2011 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 7 34
13 BUIC LUCERN DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO JASMINE WAITERS 752436THAVE SWAPTN306 SEATTLE WA 981263269 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065388114
16 a
LAST NAME ABDURAKHMANOV FIRST NAME ILKHOM MIDDLE
INITIAL
17❑ STREET �', 15434 38TH TERRACE CITY TUKWILA ST WA ZIP 98188 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NoR INTERLOCK YEs I I NOF YES
t l NO❑
19[ LDI IVEW # STATE WA SEX DDY
M M D.C.B.
05 1_ 26 _ 1990 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CTU5969 TAre WA vIN# W1Z4EGHY1LT041494
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2020 MAKE MERZ MODEL SPRINTS STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSU&PORGY#E CO BERKSHIRE HATHAWAYHOMESTATE INS.CO.02APM064222 1ULlliKOTlTlfll;0-
EIN EFFECT'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25 OFFICER'S NAM (PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5316
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3842
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WALTERS JASMINE R
(LAST FIRST,
ADDRESS&PHONE#
7524 35TH AVE SW APT N306 SEATTlE WA 981263269 SEXi F MMDOYyry 12 - 29 - 1998
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 PQS. ': 1 2 4 1 USE CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) KIE JAYCE C
ADDRESS&PHONE# D O B 12 23240 88TH AVE S,APT PP203 KENT WA 981263269 SEX M MMDD: _ 20 _ 2024
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 PGS 9 AIRBAG 2 RESTR. 11 EJECT 1 USE CLASS 1
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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 05-19-26 11:51 AM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 5/22/2026 11:19:29 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:55 AM TIME POLICE ARRIVED',9:06 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05316 CASE# 26-3842 OF COLLISION
05/19/26 08:51
OF CbLLI510N
NARRATIVE
CC 26-3842
On 5/19/2026 at 0855 hours I was dispatched to a motor vehicle collision at the intersection of SW
Grady Way and Oakesdale Ave SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was in the #3 lefthand turn lane preparing to perform a lefthand turn to proceed
West on SW Grady Way.
Driver 1 stated that he was facing North on Oakesdale Ave SW in the #2 left/straight lane preparing to
perform a lefthand turn to proceed West on SW Grady Way.
Collision
Driver 2 stated that he performed his lefthand turn and upon doing so he entered lane #2, Unit 1
merged into his lane and the drivers side of Unit 1 collided with the front passenger side bumper of
Unit 2. Driver 2 stated that Unit 1 was positioned facing South on Oakesdale Ave SW and made a
righthand turn onto SW Grady Way. This was refuted by Driver 1 who claimed that he was in the lane
previously described. Driver
Driver 1 stated that he performed his lefthand turn and upon doing so Unit 2 crossed into lane #1 and
the front passenger side bumper of Unit 2 collided with the drivers side doors of Unit 1.
Injuries
None reported
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
Due to conflicting stories, I am unable to determine the proximate cause of this collision. This report is
for insurance purposes only.
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 C. Arnold #12509 at 11:50 on 5/19/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH05316 CASE# 26-3842 DATE AND TIME 05/19/26 08:51
OF COLLISION
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PAGE 4 OF 4