HomeMy WebLinkAbout26-4275 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 26-4275 z 576
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&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 - 1-- 2026 1517 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
HARDIE AVE SW BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 3001. 00 FMILES EET e S B W e RENTON CENTER WAY SW
1 5 29
R PEDAL- DAMAGE
MOTO THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO F/ I D:9706407440 0 7 30
6❑ LAST NAME JAMESON FIRSTNAME JOSEPH MIDDLE T 1 1 2 31
INITIAL
STREET ❑✓ 3755 WEGIS AVE CITY BAKERSFIELD
NEW ADDRESS ST CA Zip 93314 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE CA SEX'M MM D Y' 10 1- 29 - 1997 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET CLA NA
Y 1 [!!RE OF INJURIES 2❑
3
10� P1 ATE 14 CGW374 STATE CID VIN# 1 GT12NEY2KF246879
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
FTRL-R TPILF1 1 0 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR 2019 GMC SIERRA PK MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 5 9 34
13 DAMAGE YES NO YES[:] ✓NO
REGISTERED OWNER INFO JOSEPH JAMESON 3755 WEGIS AVE BAKERSFIELD CA 93314 D:9706407440 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 3 4
14 LIABILITY INSURANCE INSURANCE CO SELECTIVE INSURANCE CO OF AMERICA S2564616
IN EFFECT &POLICY# � 9TOP
VEHlcl.e CHARGE 36
LEGALLY res No CITATION# 6A0262097 UNSAFE OR IMPROPER BACKING o aorrom
15❑ NDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2063831981
16 a
LAST NAME FRANCISCO FIRST NAME JEFFREY MIDDLE A
INITIAL
17❑ STREET ❑', 3434 18TH AVE S CITY SEATTLE ST WA ZIP 98144 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. O6 1_ 07 1991 El 39
LICENSE# MMDDYY
HELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CWG6623 TATE WA vIN# 5YJ3E1EA8MF016539
❑ 41
PLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2021 MAKE TESL MODEL MODEL 3 STYLE SD DAMAGE TOWED TOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 869923555IN STOP 5
--E CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES[Z Nu
❑ s a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH09474
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4275
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DATOR FRANCISCO AVA
(LAST FIRST,
ADDRESS&PHONE#
3434 18TH AVE S SEATTLE WA 98144 2063831981 SEXi F MMDDYyry 12 - 23 - 2014
PASSENGER Z WITNESS UNIT# 2 PODS 3 AIRBAG 2 RESTR. 9 EJECT ? HELMET INJURY NATURE OF INJURIES
USE CLASS 1
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEXt MMDDYVYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
CC
On 06/02/2026 at about 1517 hours, a non-injury two motor vehicle collision occurred on Hardie Ave
SW just south of Renton Center Way SW within the city limits of Renton, King County, Washington.
Both vehicles were pulled to the side of the road and were drivable.
Unit 1: 2019 GMC Sierra pickup truck CO plate CGW374. Driver 1: Joseph T. Jameson
Unit 2: 2021 Tesla Model 3 with WA plate CWG6623. Driver 2: Jeffrey A E Francisco
Unit 1 and Unit 2 were headed northbound on Hardie Ave SW when both vehicles stopped for traffic
on Hardie Ave SW about 300 feet south of Renton Center Way SW. Unit 2 was stopped behind Unit
1 at the time. While in the roadway Driver 1 began backing his vehicle, and the rear bumper struck
the front end of Unit 2 causing damage to the area of the front right bumper of Unit 2. The area of the
rear bumper on the left side of Unit 1 was also damaged. No one was injured and both vehicles were
able to be driven.
Driver 1 stated he missed his turn and decided to back his vehicle into the entrance of the Fred Meyer
parking lot located behind him. A large box was in the bed of his pickup truck, and it hindered Driver
1's view. Driver 1 admitted he did not see Unit 2 stopped behind him because the box blocked his
view.
Joseph T. Jameson's (Driver 1) actions appeared to contribute to the circumstances of the collision
when he backed his pickup truck into Unit 2. Joseph was cited for Unsafe/Improper Backing (RCW
46.61.605.1). The infraction (6A0262097) was sent to the court to be mailed.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
SHAWN CROW 06-02-26 06:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
P.KORDEL 9676 6/7/2026 2:56:29 PM
BADGE OR ID# 12618 OR]# WA0171300 TIME POLICE DISPATCHED 3:25 PM TIME POLICE ARRIVED 3:32 PM
PART I PAGE IT]OF 3�
REPORT NO. EH09474 CASE# ' 26-4275 DATE AND TIME 06/02/26 15:17
OF COLLISION
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