HomeMy WebLinkAbout26-3872 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3872 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 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#
cawsloN 05 - 1-- 2026 0923 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
N 3RD ST BLOCK NO. e✓ 1400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a MEADOW AVE N
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2068070045 0 11
30
6 LAST NAME REYES RODRIGUEZ FIRST NAME MARIA MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 22837 PACIFIC HWY#505 CITY DES MOINES ST WA 21p 98198 z
NEW ADDRESS
7❑ CDL I 1/ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO NTERLOCKYEs NO Z YEs No�/
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 . EJECT 1 H USE 2 CLASS 7 [NATURE OF INJURIES
COMPLAINT OF HEAD PAIN z❑
3
LICENE CTA9138 STATE WA u N# JF2SH61619H732855
10 9❑ Pr ATE�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 5 1 33
12 2 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT.VEHICLE 7 $ 34
13 1 2009 SUBA FOREST SD DAMAGE YES NO � g MEYER TOWING ves❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14� LIABILI INSURANCE INSURANCECO GEIC06177467088 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
EHALLY YEs❑NO❑ CITATION# 6AO092348 FAIL TO YIELD MOTOR VEHICLE o aorrom
15❑ STANDING 6
MOTOR PEDAL- ''.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067901868
16 a
LAST NAME LUNA SANTOS FIRST NAME FREDY MIDDLE
INITIAL
17❑ STREET ❑', 303 PARK A VE N#I CITY RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO INTERLOCK vEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE I WA ]SEX IF I D.C.B. 02 _ 09 _ 1984 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE AYB3485 TATe 41
WA VIN# 3N16C1AP1AL366395
❑
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
I
VEH YEAR 2010 MAKE jyI$$ MODEL VERSA STYLE $D DAMjVEHlAGE TO WED NOO✓ BLIN TOWED By Gov 44
Yr
H yES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5
LE
L..LLY YES❑ N J CE] CITATION# CHARGE io BOTTOM
LEGA
25 BADJ e
OFFICER'S NAME(PRINT) OFFICER PHONE GE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5320
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3872
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'
26-3872 ACC
On 5/20/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I added myself to a dispatched call of a two-vehicle, blocking collision, with minor
injury, near the intersection of N 3rd St and Meadow Ave N Renton/King/WA.
Sgt Kordel arrived on scene before me and started RRFA and a tow.
The driver of the 2009 Subaru Forester WA/CTA9138 (Unit 1) was identified by her WADL as Maria E
Reyes Rodriguez DOB: 12/11/1969. Maria said that she was driving north on Meadow Ave N and
stopped at the stop sign before N 3rd St. She said that she did not see Unit 2 and entered the
intersection when she struck Unit 2. There was damage to the front bumper and driver side quarter
panel of the Forester. Maria had a complaint of head pain and was evaluated and cleared by RRFA.
The Subaru was removed from the scene by Gene Meyers Towing.
The driver of the 2010 Nissan Versa WA/AYB3485 (Unit 2) was identified by her WADL as Fredy
Luna Santos DOB: 2/9/1984. Fredy said that she was driving east on N 3rd St in the #2 lane when
Unit 1 pulled into the intersection in front of her. There was damage to the front bumper and hood of
the Nissan, it was drivable.
I cited Maria for RCW 46.61.180.1 Failure to Yield to Motor Vehicle under Sector citation
#6A0092348. This citation should be mailed to her DOL address.
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 5/20/2026 Renton WA
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 1 5/22/2026 11:15:23 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 9:24 AM TIME POLICE ARRIVED;9:Y9 AM
PART I PAGE IT]OF 3�
REPORT NO. EH05320 CASE# 26-3872 DATE AND TIME 05/20/26 09:23
OF COLLISION
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