HomeMy WebLinkAbout26-4767 TFFiNouCERA II I III 1 III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
SASE 26-4767 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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# ❑
COLLISION' 06 - 18 - 2026 2212 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 2000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e 0 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:7657147248 0 11
30
6� LAST NAME TANG FIRSTNAME ZIYAN MIDDLE 1 2 31
INITIAL
STREET ❑, 11170 NE 10TH ST APT 1909 CITY RENTON ST WA ZIP' 98004 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER # STATE WA SEX'F MM D Y' 08 1- 12 - 1996 2 32
CENS -1 [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 EJECT 1 H USEET 2 1 INJURY CLASS 7 NECK/SHOULDER PAIN z❑
3
LICENSE CSH3150 STATE WA ,,# KMHRC8A35SU384371
10 9❑ Pr ATE�
5
----� TRAILER STATE PLAT Eft STATE
11 4 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 3 33
12 4 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2025 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 7 34
13 4 HYUN VENUE SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO FOXRENTACARINC3150S160THST#504SEATACWA98188 D:7657147248 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6261.46.50.14
IN EFFECT &POLICY# 9TOP
ElLe 1 36
LvEGALHcLY res�No� CITATION# 6A0276391 CHARGE PROH/IMPROPER TURN )o eorrom
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069668958
16 a
LAST NAME ZHANG FIRST NAME LI MIDDLE
INITIAL
17❑ NEW STREETREs7 1300 JONES AVE NE CITY RENTON ST WA ZIP 98056 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NoF,/
19 LDIIVEW # STATE WA SEX U MMDDW 05 17 1984 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES 40
USE CLASS NECK/SHOULDER PAIN
❑21❑ PLATE# CSF4871 TATE 41
WA vIN# 1FAHP3R48CL411614 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
GoI
VEH YEAR 2012 MAKE FORD MODEL FOCUS STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HYES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY INSURANCE INSU&PORGY#E CO COUNTRY FINANCIAL C46A4314153 STOP 5
IN EFFECT
--E ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`L J
25 ' e
=TURNER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12650 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH16181
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4767
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'
Unit 1 was stopped in the center turn lane in the 2000 block of Maple Valley Hwy facing eastbound.
Unit 1 was attempting to make a U-turn to proceed westbound on Maple Valley Hwy. Unit 2 was
proceeding westbound in the 2000 block of Maple Valley Hwy in the left lane. Unit 1 began to make
their U-turn as Unit 2 was approaching. Unit 1 then turned in front of Unit 2, causing the front bumper
of Unit 2 to collide with the passenger side of Unit 1. Unit 1 was pushed off of the roadway into a
nearby ditch from the force of the collision.
Both drivers reported neck and shoulder pain. Unit 1 had extensive damage to the passenger side of
the vehicle, airbag deployment, and was no longer operable. Unit 2 had significant damage to the
front bumper of their vehicle and was no longer operable. Both vehicles were towed from the scene.
I find that the proximate cause of the collision was an improper turn completed by Unit 1. They failed
to wait for all vehicles to pass and make a U-turn when safe.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 06/19/2026 at 0040 hours
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JASON TURNER 06-19-26 12:48 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GLENN LATRONICO 13151 1 6/28/2026 7:58:15 PM
BADGE OR ID# 12650 OR]#' WA0171300 TIME POLICE DISPATCHED 10:15 PM TIME POLICE ARRIVED 10:32 PM
PART B PAGE IT]OF 3�
REPORT NO.! EH16181 CASE# 26-4767 DATE AND TIME 06/18/26 22:12
OF COLLISION
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