HomeMy WebLinkAbout26-4115 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH08303 170
27
COLLISION REP FIT 1591971
CASE 26-4115 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 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE dF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
dowsloN 05 - 1-- 2026 0818 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
152ND AVE SE BLOCK NO. e✓ 15400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252146755 0 11
30
6� LAST NAME STENBERG FIRSTNAME WILLIAM MIDDLE D 1 1 2 31
INITIAL
STREET ❑, 15706 SE 160TH PL CITy RENTON ST WA 2jp, 980586302 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9❑ Pi aT�S� BGC8370 sTArI WAurN# 2T3RFREV3GW457759
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO 5 1 34
13 2 2016 TOYT RAV4 YES❑ NO✓
REGISTERED OWNER INFO WILLIAM STENBERG 11706 SE 160TH PL RENTON WA 980586302 D:4252146755 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO USAA 001049538.7103 3 4
IN EFFECT &POLICY# 9TOP
vewcLe CHARGE 1 5 36
EGHALLY YES❑NO❑ CITATION# 6A0254821 IMPROPER LANE USAGE o aorrom
15❑ STANDING 7 6
MOTOR PEDAL- .PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES V NO D:2062290818
16 a
LAST NAME LEE FIRST NAME FLORA MIDDLE K
INITIAL
17❑ STREET ❑', 17449 158TH AVE SE CITY RENTON ST WA ZIP 980589156 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX F D.C... 02 _ 05 _ 1980 El 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BLN2785 TAre WA vIN# 4JGDF6EE9J6155798
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE MERZ MODEL GL$ STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO FLORA LEE 17449158TH AVE SE RENTON WA 980589156 D:2062290818 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE INSU&PORGY#E CO ST FARM 4096752A3047BIN 1GQI
'E""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH08303
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4115
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'
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.
M.LEVERTON 05-28-26 10:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 6/3/2026 10:48:24 AM
BADGE OR ID# 2517 ORI#' WA0171300 TIME POLICE DISPATCHED 8:21 AM TIME POLICE ARRIVED i 8:36 AM
PART I PAGE IT]OF 4�
REPORT NO. EH08303 CASE# 26-4115 OF COLLISION
05/28/26 08:18
OF CbLLI510N
NARRATIVE
nb unit 1 maroon rt lane getting over unit 2/slv lane 2
CC
Within the city limits of Renton/King/Wa I responded to the 15400 block of 152nd Ave SE for a 2
vehicle crash. I contacted both drivers in the Starbucks parking lot near by.
I contacted the driver of unit 2 who told me she was proceeding forward in lane 2 northbound on 152
Ave SE when unit 1 changed lanes into the side of her vehicle. Unit 2 told me she tried to swerve to
avoid unit 1 hitting her with negative results. She did not complain of injury and damages did not
require a tow truck.
I contacted the driver of unit 1 ID'd by his picture WADL. He told me traffic was backed up on Maple
Valley Hwy to make the left up the hill at 152. He told me he went down 152 towards the church to by
-pass the traffic on Maple Valley Hwy because he was running a little behind for a doctor appt. He
told me after he made the u-turn, although posted 5 times no U-turn he was now proceeding north on
152nd to by-pass the Maple Valley Hwy left turn lane and go straight up the hill. He told me traffic
was still backed up in lane 1 so he chose to make a lane change from lane 1 into lane 2 in stopped
heavy lane 1 traffic, because lane 2 traffic was moving. He drove into the side of unit 2. He did not
complain of injury and damages did not require a tow truck.
I cited unit 1 ref RCW 46.61.140 Improper lane use/lane change 2 vehicle collision via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 5/28/2026
PAGE 3 OF 4
REPORT NO. EH08303 CASE# 26-4115 DATE AND TIME 05/28/26 08:18
OF COLLISION
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