HomeMy WebLinkAbout26-3023 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3023 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 3 4 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cawsloN 04 - 18 - 2026 1056 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 5300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET e S ❑ W e JERICHO AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ✓NO D:4075209275 0 81
30
6� LAST NAME DEATON FIRSTNAME ERIKA MIDDLE C 1 1 2 31
INITIAL
STREET ❑, 6708 SE 3RD ST CITY RENTON ST WA ZIP 980597083 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'F MM DAY' 03 1— 17 — 1976 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 1❑ PI ATFBit CUT4602 sTArI WA urN#' WA1LFAFP1DA100639
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE J 9 34
13 4 2013 AUDI 05 SW DAMAGE YES NO � �MEYERS ves❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 935461210 4
IN EFFECT &POLICY# TOPVE"'CLE CHARGE 36
LEGALLY Yes❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069925536
16 a
LAST NAME CISSE FIRST NAME THIENDOU MIDDLE
INITIAL
17 STREET❑ NEW ADDREss❑' 2119 DUVALL AVE NE CITY RENTON ST WA ZIP 98059 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] D IVERI #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CUT0521 TArE 41
WA VIN# 3FADPOL35CR440051 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2012 MAKE FORD MODEL FUSION STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO THIENDOU CISSE 18663 129TH PL SE RENTON WA 980587972 D:2069925536 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#E CO BRISTOL WEST G01782731000IN 1 9TOP
VEHICLE YES CITATION# CHARGE
25 i o BOTTOM
LEGALLY NC�
❑ [AGENCY
s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#
26
E.CHANG 10065 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH02587
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3023
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
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'
On 04-18-2026 at about 1100 hours, I was sent to a collision which occurred in the 5300 block of NE
4th St, within the City of Renton, King County, Washington.
I spoke with both drivers who were identified via a WADLs.
Driver of unit 1 said she was driving west bound on NE 4th St when unit 2 slammed on his brakes to
avoid a vehicle which was stopped in front of him. Unit 1 collided with unit 2. She claimed she was
only going 15 mph and never drives over 40 mph. She said there were only two vehicles in front of
her.
The driver of unit 2 said he was stopped in traffic on a red light for about 30 seconds. Unit 1
rearended him. He said there were a lot of vehicles in front of him stopped at the red light.
Unit 1 was towed from the scene.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.CHANG 04-18-26 02:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 5/13/2026 4:07:17 PM
BADGE OR ID# 10065 OR]# WA0171300 TIME POLICE DISPATCHED; 10:56 AM TIME POLICE ARRIVED';11:05 AM
PART I PAGE IT]OF 3�
REPORT NO. EH02587 CASE# ' 26-3023 DATE AND TIME 04/18/26 10:56
OF COLLISION
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