Loading...
HomeMy WebLinkAbout26-3667 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 26-3667 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED 1 STOLEN STATE ROUTE � OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS ! ❑ RESERVATION ' STRUCK z 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# cDt�usloN' 05 - 12 - 2026 1600 17 ❑.= E IN e 1070 3 S 8 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HWY BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET e MILES S ❑ W e I-405 0 1 29 UNITMOTOR ❑ PEDAL- El DAMAGE THRESHOLD MET PHONE VEHICLE CYCLE. YES ,/NO D:2064969138 0 7 30 6 LAST NAME GREWELL FIRSTNAME SOPHIA MIDDLE R 1 1 2 31 INITIAL STREET ❑ 32518 3RD AVE CITY BLACK DIAMOND ST WA ZIp, 98010 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NOV INTERLOCKYEs NO�/ YES R No,/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 INJURY 1 CLASS NATURE OF INJURIES z❑ 3❑ 10 9❑ P1 ATNFS14 CKF7522 STATE WA VIN# 1NXBU40E89Z157082 ----� TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM ro TRLR. TRLR. 7 3 33 12 3 5 VIN# VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE g 9 34 13 4 2009 TOYT COROL SD DAMAGE YES NO YES❑ NO./ REGISTEREDOWNER WFO JEFFERY GREWELL 32518 3RD AVE BLACK DIAMOND WA98010 VEHICLE NO. 1 Y ❑ SHADE IN DAMAGED AREA 35 ❑ LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 PROGRESSIVE 86929384 IN EFFECT &POLICY# 9TOP V 'CE CHARGE 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 0 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2066790118 VEHICLE CYCLE : OWNFR YES�/ NO 16 2 LAST NAME WILLIS FIRST NAME BETH MIDDLE A INITIAL 17 STREET I❑ S❑' 21329 52ND WAYS CITY' KENT ST WA ZIP 98032 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES ❑NOF,/ 19 DRIVER'S STATE I WA ]SEX IF I D.O.B. 02 _ 01 1977 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ 41 21❑ LICENSE I PLA E# BSK6131 TATe WA VIN1 1GNEVGKW9LJ137333 1 42 22❑ ILER El PLATE# STATE PILER LATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2020 MAKE CHEV MODEL TRAVERS STYLE 1/7' VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO�/ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I Ri PORGY#E CO TRAVERSE 917080294IN 1GVE""LE TOP,J� CITATION# CHARGE OTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300 26 MAXWELL ATCHISON 13322 PART A PAGE 01 OF C7 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH02593 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3667 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,FIRS 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. MAXWELL ATCHISON 05-12-26 05:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 5/13/2026 1:43:19 PM BADGE OR ID# 13322 OR]# WA0171300 TIME POLICE DISPATCHED 4:02 PM TIME POLICE ARRIVED',4:08 PM PART PAGE IT]OF 4� TIM REPORT NO. EH02593 CASE# 26-3667 OFC LLI ION 05/12/26 16:00 OF COLLISION NARRATIVE CC 26-3667 On 5/12/2026 at 1602 hours I was dispatched to a motor vehicle collision at Maple Valey Hwy and I- 405 in the City of Renton, King County, Washington. Pre-Collision Driver 2 (Beth A. Willis, DOB: 02/01/1977) stated that she was heading northbound in lane 3 towards the 1-405 underpass. Shortly before the underpass she had to stop for traffic ahead of her. Driver 1 (Sophia R. Grewell, DOB: 03/29/2006) stated that she was heading northbound in lane 3 towards the 1-405 underpass. While driving she was fixing her shoe and did not notice traffic stopping ahead of her. Collision Driver 2 stated while stopped for the traffic ahead of her, in lane 3 she was hit in the rear by unit 1 one. Driver 1 stated that she hit the rear end of unit 2 because she was fixing her shoe and she did not notice traffic stop. Injuries Neither party complained of any injuries resulting from the collision. Vehicle Disposition Unit 2 (BSK6131) suffered moderate damage to the rear bumper, and the muffler was knocked loose from its bracket and hanging under the car. Unit 1 (CKF7522) suffered moderate damage to its front bumper. It was unclear what damage was caused by this incident as driver 1 stated she had obtained previous damage from a previous incident. Neither vehicle needed a tow, both drove away from the scene. Proximate Cause The proximate cause of the accident was driver 1 not observing the vehicle in front of her stop for traffic. 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 M. Atchison #13322 at 1722 hours on 5/12/2026 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EH02593 CASE# 26-3667 DATE AND TIME 05/12/2616:00 OF COLLISION t t b � 41 a III r {x� v ^ b ,+, 2 �y 1� PAGE 4 OF 4