HomeMy WebLinkAbout26-4489 TFFiNouCERA II I III 1 III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-4489 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 01 STRUCK TREE OR STUMP
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
CowsloN 06 - 09 - 2026 1806 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e✓ 600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:7342553156 30
6� LAST NAME JAISWAL FIRSTNAME MANISH MIDDLE K 1 1 2 31
INITIAL
STREET ❑, 6126 SE 2ND LN CITY RENTON ST WA ZIP 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CUX8840 sTArI WAvrN# 7JDEV3VL7SG016340
10❑ PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# Rom To
TRLR. YRLR. 5 1 33
12❑ VIN#j UIN#
2025 VOLV EX90 UTYES[:]
❑ RO�34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO �/ YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILI INSURANCE INSURANCE CO STATEFARM5895504-CO3.47A
IN EFFECT &POLICY# M'eTOP
VEHCLE
15❑ I 5 ❑ 36
LEGALLY YES❑NO❑ CITATION# CHARGE 1 o BOTTOM
STAIN.D'ING 7 6
UNIT VE IOOR El
CYCLE ❑ PEDESTRIAN ❑ OWNER
❑ DYES H OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRES7
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I 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❑ PLATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY 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 I 9TOP 5
VE"LE ❑ N`L J
,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
RYAN KARLO RIVERA 1
12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH10650
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4489
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) JAISWAL ADV/KA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
6126 SE 2ND LN RENTON WA 98059 SEX F MMDDYyYv 02 - 28 - 2013
PASSENGER Z WITNESS UNIT# ; SEAT
EA y AIRBAG'2 RESTR. 4 EJECT ? HELMET INJURY NATURE OF INJURIES
POS, USE CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEXI MMDDYYYY
PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY 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.
RYAN KARLO R/VERA 06-09-26 11:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QWNT TIBEAU 7691 6/10/2026 8:43:38 PM
BADGE OR ID# ( 12649 OR]# WA0171300 TIME POLICE DISPATCHED 8:08 Pry] TIME POLICE ARRIVED',6:14 PM
FART I PAGE IT]OF 4�
REPORT NO. EH10650 CASE# 26-4489 OF COLLISION
06/09/26 18:06
OF CbLLI510N
NARRATIVE
On 06/09/2026, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
1808 hours, I was dispatched to a blocking collision at the intersection of Duvall Ave NE/NE 6th St,
which is located within the city limits of Renton, County of King, Washington. Dispatch advised that
the caller, the involved driver, reported that he was involved in a collision with a tree and that he was
blocking the northbound lanes.
When I arrived at the location, I located and identified the involved vehicle as described above (Unit
1). 1 saw that the driver and his rear passenger were outside the vehicle. There was a relatively small
tree that appeared to have been uprooted from the eastern sidewalk that was lying across both
northbound lanes of Duvall Ave NE. I also saw that Unit 1 was just north of the fallen tree with its
hazard lights on.
I identified the driver and rear passenger of Unit 1 at this time, as listed above.
I spoke to Unit 1 about the collision. He explained the following:
Unit 1 stated he was driving northbound on Duvall Ave NE, passing NE 6th St. He said while he was
driving, a tree suddenly fell on top of his car. Unit 1 did not strike the tree; the conditions at the time of
the collision were extremely windy.
I took a look around Unit 1. 1 saw that there was a damaged front windshield on the passenger side.
The windshield was still intact but shattered on the passenger side. I also saw that there was minor
damage in the form of broken plastic and scrapes on the front driver and passenger side area of the
vehicle. There were also large scratches that ran along the top of the vehicle. I also noticed that no
airbags deployed in the vehicle.
Unit 1 stated he and his passenger were uninjured. He mentioned that both were wearing their seat
belts at the time the tree fell on the vehicle.
I confirmed with the driver of Unit 1 if he wanted me to call a tow truck for his vehicle. His vehicle did
not appear to have suffered any disabling damage. Unit 1 eventually left the location under its own
power.
The Renton Fire Department, other bystanders, and I assisted with chopping up the small tree and
opening up the roadway for vehicular traffic to resume passing through the area.
Based on the weather conditions and the area where I saw the tree collapse, it appears that the wind
uprooted the tree on the east side of the roadway, causing the tree to fall into the roadway onto Unit
1.
This report is for informational purposes to document the tree falling onto Unit 1.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 06/09/2026 @ Renton, WA
PAGE 3 OF 4
REPORTNO.! EH10650 CASE# 26-4489 DATE AND TIME 06/09/2618:06
OF COLLISION
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PAGE 4 OF 4