HomeMy WebLinkAbout26-4208 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 26-420E 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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# ❑
COLLISION'. 06 - 01 - 2026 0656 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW LANGSTON RD BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00 FMILES EET e S B W e STEVENS AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2133212940 1 4 30
6� LAST NAME BUFORD FIRSTNAME CAMERON MIDDLE C 1 2 31
INITIAL
STREET ❑✓ 606 SW LANGSTON RD CITY RENTON ST WA ZIP 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]No✓ INTERLOCKYEs NO✓ YES R No
❑ DRIVERS STATE CA SEXI M MELO B 02 - 13 - 1972 32
8 LICENSE#
9 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 CLASS INJURY
1 NATURE OF INJURIES 2❑
❑ Pi ATE 14 795QNX STATE OR VIN# 3C4NJDCN2ST613938 3
10�
-- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM To
TRLR. TRLR 3 7 33
12 0 0 VIN#j VIN#'
Rom 34
13 2 VEH.YEAR 2025 MAKE JEEP MODEL COMPA STYLE SV VEHICLE TOWED 0 TOO ffBLIN TQVWkkRS yOS❑ENO✓
❑ DAMAGE ILJI tSA1Wlc
REGISTERED OWNER INFO CAMERON BUFORD 606 SW LANGSTON RD RENTON WA 98057 D:2133212940 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE Z INSURANCE CO GIECO 6216-38.20.74 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 5 36
LEGALLY, YES❑NO❑ CITATION# 1 o BOTTOM
15❑ G�UNIT a2 VEHICMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWN ARTY ❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME NONE FIRST NAME MIDDLE
INITIAL
17❑ STREET CITY RENTON ST ZIP 4
NEW ADDRESS❑ ❑ 37
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 RIVER# SEX U MMDDYY 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
LICENSE ❑21❑ PLA E# CAP8974 TATE 41
WA VIN# WDCOG4K67JV080638 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN It 'IN#.
VEH YEAR 201E MAKE MERZ MODEL GLC STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24 DAMAGE YES✓ NO GENE MEYER YES NO✓
REGISTERED OWNER INFO ARIANNA MCINNES 316 SW LANGSTON RD RENTON WA 98057 D:2067996982 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU POLICY#E CO SAFECO H2585793IN I STOP 5
VEHICLE YES[:] ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY N
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH09380
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4208
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.
RAYMOND WATSON 06-01-26 12:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 6/7/2026 7:21:54 AM
BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED! 6:57 AM TIME POLICE ARRIVED',7:02 AM
PART I PAGE IT]OF 4�
DATE AND
REPORT NO. EH09380 CASE# 26-4208 OFCOLISION 06101/2606:56
OF COLLISION
NARRATIVE
26-4208
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 65/01/2026 at approximately 0700 hours, myself, Officer R. Watson, was dispatched to a collision
with injuries, at 316 SW Langston RD, within the City Limits of Renton, County of King, State of
Washington.
Dispatch notes stated that a vehicle collided with an unoccupied, parked vehicle and that a 40-0-year-
old male was bleeding from the head, unknown if they were high or had been drinking.
I arrived on scene and observed a black SUV with heavy rear end damage on the sidewalk and white
SUV in the westbound lane with the fire department speaking to a male who matched the description
given.
Unit# 1, driven by Cameron C. Buford (DOB 02/13/1972) verified by WA DOL photo, stated he was
driving a White 2025 Jeep Compass, OR plate 795QNX, and that it was registered to Enterprise Rent
-A-Car. There were no passengers in the vehicle. Cameron stated that he hit the parked car and did
not give any further explanation. John stated he had no injuries and declined aid from Renton Fire
Department on scene. When I asked for Cameron's license, registration and insurance, he was able
to provide me with all documents. Unit#1 had significant front-end damage, multiple airbag
deployment, and had to be towed from the scene by Bankers Towing.
Unit# 2, was legally parked on SW Langston RD, westbound. The registered owner, Arianna C.
Mcinnes (DOB 06/20/1990) verified by WA DOL, had heard the collision and came outside to check.
She saw the driver of unit#1 and called 911 to report the collision. When I asked for Arianna `s
license, registration and insurance, she was able to provide me with all documents. Unit#2 significant
left rear end damage, no airbag deployment, and was towed from the scene by Gene Meyer.
An exchange of information was given to both parties involved.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer R. Watson #13127 06/01/2026 1214 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EH09380 CASE# 26-4208 DATE AND TIME 06/01/26 06:56
OF COLLISION
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PAGE 4 OF 4