HomeMy WebLinkAbout26-3760 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3760 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� TOTAL#OF OBJECT 1 �2$
TRIBAL UNITS 01 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 1430 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 3RD ST BLOCK NO. e✓ 1800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FMILES EET e S ❑ E e BRONSONWAYNE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068515761 30
6 LAST NAME OMAR 111 FIRST NAME NATHANIEL MIDDLE 1 1 2 31
INITIAL
STREET ❑, 6226 S LANGSTON RD CITY SEATTLE ST WA ZIP, 98178 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ DRIVERS
# STATE WA SEX'M I ELMMDDYY' 08 - 18 - 2008 32
9 ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H USE CLASS
2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CES1678 sTArI WAvIN# JTHBt96S49500294
10❑ PI ATE#
F_ TRAILER STATE TRAILED STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. T'RLR 7 3
2❑ 33
1 vIN#' VIN#
2009 LEXS GS 300 SD pL RO�34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO �I YES[:] NO
REGISTERED OWNER INFO SHAUNYCE SIMS O.R 6226 S LANGSTON RD SEATTLE WA 98178 VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO ALLSTATE 954921719
IN EFFEC 3
T &POLICY# 9TOP
VEwcLE CHARGE 5 36
LECALLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN.D'ING 8 7
UNIT VEHIMOTCLE ❑ CYCLE ❑ PEDESTRIAN ❑ OWNER RTY ❑ DYES NO OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 LLIICENS # STATE SEX MMDDYY -�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 771�NCY
26
MAXWELL ATCHISON 13322 0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH07264
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3760
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PINES TAYVON N
(LAST FIRST,
ADDRESS&PHONE#
SEATTLE 2534369385 SEX M MMDOYyry 03 - 15 - 2008
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER ZWITNESS❑ UNIT# 1 POS 3 AIRBAG 1 RESTR. 4 EJECT 1 USE 2 CLASS 6 MINOR HEAD INJURY
NAME
'(LAST,FIRS MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYVY
PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 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.
MAXWELL ATCHISON 05-15-26 04:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 5/30/2026 4:37:39 PM
BADGE OR ID# 13322 OR]#' I WA0171300 TIME POLICE DISPATCHED 2:33 PM TIME POLICE ARRIVED 2:38 PM
PART I PAGE IT]OF 4]
REPORT NO. EH07264 CASE# 26-3760 OF COLLISION
05/15/26 14:30
OF CbLLI510N
NARRATIVE
CC 26-3760
On 5/15/2026 at 1433 hours I was dispatched to a motor vehicle collision at 1800 block of NE 3rd
Street in the City of Renton, King County, Washington.
Pre-Collision
Driver 1 (Nathaniel III Omar, DOB 08/18/2008, Verified by WADL) stated they were traveling
eastbound in lane 2 on NE 3rd Street, up the hill, traveling the speed limit.
Collision
Driver 1 stated their wheel jerked violently and the car started to spin. This sent the vehicle across the
oncoming traffic lanes and over the curb then traveling across the dirt approximately 15 yards, then
back down across the curb and into the westbound facing lane 3 of traffic.
Injuries
The passenger (Tay'von N. Pines, DOB:03/15/2008, No DOL return) claimed he hit his head when
the vehicle went over the curb which resulted in him claiming minor head pain. He was checked by
fire and released on the scene.
Vehicle Disposition
The rear left tire had been ripped completely off the wheel and inwards towards the suspension. The
rear right quarter panel had been partially knocked off the car and was hanging. Other minor damage
across the car was present and documented via photos submitted to Evidence.com.
The vehicle was towed by Bankers from the scene.
Proximate Cause
Based on my training and experience the claimed travel speed of Unit 1 was inconsistent with the
distance traveled by the vehicle once the spin had begun. Based on this assessment, the proximate
cause is unit 1 traveling at a speed too fast for conditions.
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 15:39 on 5/15/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH07264 CASE# ' 26-3760 DATE AND TIME 05/15/26 14:30
OF COLLISION
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PAGE 4 OF 4