HomeMy WebLinkAbout26-4763 TFFiNouCERA II I III 1 III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 26-4763 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;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 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cowsloN 06 - 18 - 2026 1940 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 900 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e TALBOT RD S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:9363075912 0 11
30
6� LAST NAME HARPER FIRSTNAME BLAKE MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 214 N FAIRVIEW ST CITY MAD/SONVILLE ST TX 21p 778640000 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET INJUR
5Y NA
1 TURE OF INJURIES z❑
3
10❑ P1 ATE 14 D26707K STATE WA VIN# 1N6ED1EKXTN643552
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 5 1 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN I
TOWED BY GOVT.VEHCLE 3 ] 34
13 3 2026 NISS FRONTI PK DAMAGE YES fn TO YES[:] H
REGISTERED OWNER INFO ,EAN HOLDINGS CORP 507 E SUMMA ST CENTRALIA WA 98531 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO SELF INSURED 3 4
IN EFFECT &POLICY# 9TOP
VErIICLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255303222
16 a
LAST NAME ROY FIRST NAME BARNALI MIDDLE N
INITIAL
17❑ STREET ❑', 32233 MILITARY RD S CITY' FEDERAL WAY ST WA ZIP 980019633 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK v�Esl I I NOF YEs t l NO�
19 D IVERICENSE# STATE WA SEX F MMDDW 08 _ 14 1973 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE BYC7064 TATe WA vIN# 2T2HZMDAXMC287356
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE LEXS MODEL RX STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO NILENDU PAL 35303 SE SWENSON ST SNOQUALMIE WA 98065 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEICO 6192-19-17-54IN 1 STOP 5
VEHICLE ❑ — CITATION# CHARGE i o BOTTOM
LLY YES NC[:] 6
25 LEGA7Q"u,'
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
TIBEAU 7691 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH13542
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4763
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DALTON JOSEPH M
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
21812 HARRISON DR BEDIAS TX 778310000 9363073045 SEX M MMDOYyry 07 - 23 - 2001
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 POS. 3 2 4 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
s� MMDDYYYY
PASSENGER []WITNESSO 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.
QUINT TIBEAU 06-18-26 11:48 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 6/19/2026 12:07:13 AM
BADGE OR ID# 7699 OR]# WA0171300 TIME POLICE DISPATCHED! 7:41 PM TIME POLICE ARRIVED',7:41 PM
FART I PAGE IT]OF 4�
REPORT NO. EH13542 CASE# 26-4763 OF COLLISION
06/18/26 19:40
OF CbLLI510N
NARRATIVE
26-4763
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 06/18/2026 at about 1941 hours I was westbound on S Grady Way when I saw two vehicles
blocking the intersection. I quickly determined that they had been involved in a recent collision. V-1
moved himself to the parking lot of a nearby gas station. I requested the driver of V-2 do the same.
I then contacted the driver of V-2, who identified herself as Barnali Roy with her WADL. She stated
that she was not injured and was the sole occupant of the vehicle. Roy stated that she was west
bound in the #1 lane of S Grady Way. She had been stopped as the first vehicle, for a red light at
Talbot RD S. When her light turned green, she proceeded into the intersection. There she was
struck by vehicle #1.
The front seat passenger of V-1 identified himself as Joseph Dalton with his TX ID. Dalton stated that
he was not injured. He was looking down at his phone when the collision occurred. When he looked
up he could see the light for his direction of travel was red.
The driver of V-1 identified himself as Blake Harper with his TX ID. He stated that he was not injured.
He said that he was traveling in lane #1 of northbound travel on Talbot RD S. His light turned yellow
and he felt he was too close to the intersection to stop so he continued. He claimed that he was in
the intersection when his light turned red. He saw V-2 and slowed but was unable to stop prior to
colliding with her.
There is a red light camera covering northbound travel at this intersection, but I do not have access to
the video.
This incident was captured on my Axon body worn video camera. This report is a summary of events
that occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
Nothing further at this time.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Sgt. Q. Tibeau #07691 06/18/2026 2343 hours, Renton, WA.
PAGE 3 OF 4
REPORTNO.! EH13542 CASE# 26-4763 DATE AND TIME 06/18/2619:40
OF COLLISION
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PAGE 4 OF 4