HomeMy WebLinkAbout26-4979 TFFiNouCERA II I III 1 III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET FIRE ❑
CASE 2s-497s z
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 06 - 1-- 2026 1937 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
FACTORYAVE N BLOCK NO. e✓ p ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:3609847371 0 11
30
6❑ LAST NAME JONES FIRSTNAME TAYLOR MIDDLE M 1 2 31
INITIAL
STREET ❑, 27701 242ND PL SE CITY MAPLE VALLEY ST WA ZIP 98038 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICENS DRIVER # STATE WA SEX'M MMDDYY 09 - 15 - 1987 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 . EJECT 1 H USE 2 CLASS'NJURy7 [NATURE OF INJURIES
COMPLAINTS OF BACK PAIN z❑
3
10[1Pi ATNES# CBN4038 sTAr WAv N# 1 N4AZOCP4GC310055
F_ TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 1 2016 NISS LEAFS/ SD DAMAGE vesNo �LII� RS YES❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE U INSURANCE CO USAA 031613754 2
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 36
LEGALLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�UNITU2 VEHICLE ❑ CYCLE ❑ ❑ PROPOWNER ❑ YES1/ No D:4253516240
16 a
LAST NAME TSENG FIRST NAME MING-LEI MIDDLE
INITIAL
17 STREET NEW ADDREs7 219 SUNSET BLVD N CITY RENTON ST WA ZIP 98057 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED 38
INTERLOCKYES�NO� INTERLOCK vEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX M M.O.B. 04 28 _ 1937 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# AEV3875 TArE 41
WA VIN# WDDHF8HB38A359318 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
TOWED By Gov HI 44
VEH YEAR 2011 MAKE MERZ MODEL E350 STYLE $D _rEHICLE
TOWED✓ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO AARP 55PHG787085IN STOP 5
VEHICLE ❑ CEJ CITATION# CHARGE to BOTTOM
LEGALLY YES N
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MICAH BATTLE 12049 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH16824
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4979
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LAU JACOB S
(LAST FIRST,
ADDRESS&PHONE#
RENTON 8472746203 SEX M MMDDYyry 12 - 12 - 2009
PASSENGER Z WITNESS�'UNIT# 2 FOS ! 3 AIRBAG'2 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
26-4979
On 6/25/26 at 1938 hours, I was dispatched to an accident at 300 Factory Ave N, in the City of
Renton, County of King, Washington.
Upon arrival I spoke to Officers on scene who relayed the following information.
Unit 1 (U1) was identified as Taylor M. Jones (9/15/87, verified by WADL) who was driving WA-
CBN4038. He stated he was traveling east on N 3rd St approaching the Factory Ave N intersection.
Jones stated he thought he had a green light, but he was unsure as he was checking his GPS. While
entering the intersection, he was struck on the rear passenger door by U2.
Unit 2 (U2) was identified as Tseng Ming-Lei (2/28/37, verified by WADL), who was driving WA-
AEV3875. In the vehicle was also Jacob S. Lau (12/12/09), who was in the front passenger seat.
Ming-Lei stated he was traveling northbound on Factory Ave N approaching the N 3rd St intersection.
Ming-Lei was confident that he had a green light as he entered the intersection. While entering the
intersection, U1 appeared in front of him, causing Ming-Lei to collide with U1's rear passenger side
with the front of his vehicle.
I observed moderate damage to both vehicles that lined up with what I was told. Both vehicle were
not drivable and both were towed by Bankers Towing.
Jones complained of lower back pain and was evaluated by the Renton Fire Authority. The occupants
of U2 had no obvious or reported injuries.
It is unknown who had the greenlight prior to entering the intersection.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAH BATTLE 06-25-26 11:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
NICOLAS SANGDER 11350 1 71112026 12:31:24 AM
BADGE OR ID# 12049 ORI# WA0171300 TIME POLICE DISPATCHED 7:38 Pry] TIME POLICE ARRIVED 7:40 PM
PART I PAGE IT]OF 3�
REPORTNO.! EH16824 CASE# 26-4979 DATE AND TIME 06/25/2619:37
OF COLLISION
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