HomeMy WebLinkAbout26-4358 STATE OF II I III 1 IIIllI111IN II II I REPORT NO. EH13030 170
27
COLLISION REP FIT 1591971
CASE 26-4358 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 2 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 1146 17 ❑-= S 8 IN e 1070 3
4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 43RD ST BLOCK NO.
1❑ e✓ --- ❑
MILEPOST
4a
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ MILES N❑ FEET e S ❑ E e EAST VALLEYHWY
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:8602277017 0 11
30
6� LAST NAME ROSSI FIRSTNAME KENDRA MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 1910734THPLS CITY SEATAC ST WA ZIP' 981885245 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 AGY2745 STATE WA u N# JHLRE4H77AC007175
TRAILER STATE TRAILED STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#j VIN#
>;. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2010 HOND CR-V DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO KENDRA ROSSI 19107 34TH PL S SEATAC WA 981885245 D:8602277017 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SAFECO H2592258 3 4
IN EFFECT &POLICY# 9TOP
VeH'CLe CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2067797510
LAST NAME SAUNDERS FIRST NAME WILLIAM MIDDLE R
INITIAL
17❑ STREET ❑', 27056 111TH PL SE CITY' KENT ST WA ZIP 980307192 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19[—] DRIVER'S STATE WA SEX M I D.C... 07 28 _ 1961 El 39
LICENSE# MMDDYY
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE BILSTRK TATE I WA VIN# 5TFAY5F18JX677932
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 201E MAKE TOYT MODEL TUNDRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO WILLIAM SAUNDERS 27056111TH PL SE KENT WA 980307192 D:2067797510 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO USAA 044043620-7101IN 1GQVE""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. EH13030
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4358
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
PM 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 06-05-26 12:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
K.LANE 10008 6/17/2026 1:29:47 PM
BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED 11:50 AM TIME POLICE ARRIVED]12:04 PM
PART I PAGE IT]OF 4�
REPORT NO. EH13030 CASE# 26-4358 OF COLLISION
06/05/26 11:46
OF CbLLI510N
NARRATIVE
brn/unit 2 lane 2 eb slv unit 1 lane closed changing lanes const zone
RTF
Information/Insurance only
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at SW 43rd St at
East Valley Hwy.
I located both vehicles blocking part of lane 1 which was construction barreled off and all off lane 2 at
the intersection. I had both vehicles move to a nearby parking lot.
I contacted unit 2 who told me he was following another truck in lane two when unit 1 changed lanes
into the side of him pushing his truck from its original wheel position. He did not complain of injury
and damages appeared to be superficial, with no need of a tow truck.
I contacted the driver of unit 1 who told me she was stuck at the end of lane one closed off and
waiting to merge. She told me she was signalling her intentions and waited at least two light cycles
and could be get over in the heavy traffic. She told me she believed it was clear to go when she
merged and contacted unit 2. She did not get out as she was nervous from unit 2 yelling and waving
his fist. Unit 1 did not complain of injury and damages did not require a tow truck.
Information/insurance only.
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 6/5/2026
PAGE 3 OF 4
REPORTNO.! EH13030 CASE# 26-4358 DATE AND TIME 06/05/2611:46
OF COLLISION
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