HomeMy WebLinkAbout26-4641 TFFiNouCERA II I III 1 III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 26-4641 2
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 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# ❑
cawsloN 06 - 1-- 2026 0729 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e S TOBIN ST
0 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:7857130806 0 11
30
6� LAST NAME SCHROLLER FIRSTNAME JESSICA MIDDLE E 1 1 2 31
INITIAL
STREET ❑✓ 510 STEVENS AVE SW APT P305 CITY RENTON ST WA 2jp, 980575887 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aT�S� CEK6112 sTArI WAvIN# KL77LKE29RC145249
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 TOWED BY GOVT.VEHICLE 5 1 34
13 3 2024 CHEV TRAX UT DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 926356422 3 4
IN EFFECT &POLICY# STOP
VE"'CLE CHARGE 5 36
LEGALLY YES❑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:2069904460
16 a
LAST NAME ANDERSON FIRST NAME ORFA MIDDLE M
INITIAL
17 STREET❑ NEW ADDREsS❑' 600 SW 5TH CT APT D304 CITY RENTON ST WA ZIP 980575866 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C... 09 _ 23 _ 1982 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# CTD7791 TArE 41
WA vIN# 5J6RM4H91GL016927 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
Gov HI
VEH YEAR 2016 MAKE HOND MODEL CR_V STYLE UT DAMAGE TOWED NOO✓ BLIN TOWED BY 44
YES YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO DIRECT 2029718206IN 1 STOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY YES N`LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW TRAINO 12811 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH14082
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4641
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'
On the listed date and time at the listed location, while employed as a uniformed Patrol Officer for the
City of Renton, I responded to a reported Accident at the intersection of Rainier Ave S and S Tobin
St, within the City of Renton, County of King, State of Washington.
Upon arrival both involved vehicles had pulled off of Rainier Ave S onto S Tobin St.
I contacted the driver of Unit# 1 (U-1), identified by their WADOL. At this location there are two lanes
of northbound traffic. The driver stated that they had been in the number two, or right hand lane, and
had attempted to pass Unit# 2 (U-2)which was in the left, or#1 lane. The driver said that they
misjudged their location and caused the collision with U-2.
I contacted the driver of U-2, identified by their WADOL. The driver stated that they were in the #1
lane when U-1 merged into their lane, causing the collision.
U-1 sustained moderate damage. The driver reported no injuries.
U-2 sustained minor damage. The driver reported no injuries.
Based on both driver statements and the visible damage to both vehicles, I determined the proximate
cause of the collision was Driver# 1's improper passing. I used my discretion and did not issue the
driver a notice of infraction.
N/F.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Ofc. M.Traino #12811 06/20/2026 / 1041 hours-Renton, WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW TRAINO 06-20-26 10:49 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 6/21/2026 2:11:49 PM
BADGE OR ID# 12811 ORI# WA0171300 TIME POLICE DISPATCHED! 7:34 AM TIME POLICE ARRIVED 7:42 AM
PART I PAGE IT]OF
REPORT NO.! EH14082 CASE# 26-4641 DATE AND TIME 06/15/26 07:29
OF COLLISION
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