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Home My WebLink About26-4861 TFFiNouCERA II I III 1 III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 26-4861 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT 8 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# COLLISION' 06 - 1-- 2026 1727 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S CARR RD BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e TALBOT RD SOUTH 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4254993616 0 4 30 6� LAST NAME ANWAR FIRSTNAME SALMA MIDDLE 1 0 11 31 INITIAL STREET ❑ 2605 SMITHERS AVE S CITy RENTON ST WA 2jp, 980555056 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVERS STATE WA SEX'F MM DAY' 03 1— 26 — 1962 2 32 CENSE 9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 I [NATURE OF H U EET 2 1 INJURY]CLASS 5 C/O HEAD IN ANDI LES EG PAIN z❑ 3 10❑ P1 ATNES14 BWN8035 STATE WA VIN# 4S46TAAC7M3104371 IT STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM ro TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 1 34 13 2021 SUBA OUTBA 4W DAMAGE YES 0NO f �AWkkRS ves❑ No REGISTERED OWNER INFO SALMA ANWAR 2605 SMITHERS AVE S RENTON WA 98055 D:4254993616 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 872486422 IN EFFECT &POLICY# ve'C ❑ 36 LECALLv res❑NO❑ CITATION# CHARGE BOTTOM 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065811785 16 a LAST NAME BONITA FIRST NAME JOSHUA MIDDLE N INITIAL 17❑ STREET Is❑' 17910 41 ST AVE S CITY SEATAC ST WA ZIP 981884516 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 DRIVER'S STATE WA SEX M D.C.B. 01 30 _ 1990 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES ❑ 40 USE CLASS HEAD AND LEG PAIN 41 C/O ❑ 21❑ ILICENSE PLATE# 'AOG8779 TATE WA VIN1i USE 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2000 MAKE HOND MODEL CIVCP STYLE 4D VEHICLE TOWED TO BLIN TOWEDev GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO AMARINRANGSEYSAM 1791041STAVES SEATAC WA 98188 VEHICLE NO.2 SHADE DAGELLCCddAREA LIABILITY INSURANCE 8 POINSURGY#E CO ALLSTATE UNKNOWN IN CTOP VETILE ❑ ,J� CITATION# CHARGE I BOTTOM LEGALLY YES N`L J 25 =UGENT (PRINT) OFFICER PHONE BADGE OR ID# 77P�1300 26 11498 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH17507 COLLISION REPORT III III III III III 111 1591972 CASE# 26-4861 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) LEE JAXSON J (LAST FIRST, ADDRESS&PHONE# D O.B. 1024 CENTRAL AVE NORTH#F11 KENT WA 98032 3612445232 SEX M MMDOYyry 11 - 01 - 1991 PASSENGER WITNESS SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ UNIT# POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEXt MMDDYVYV 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.MMDD -❑ YYYY. 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. MATTHEW NUGENT 06-21-26 07:01 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 7/3/2026 8:18:17 AM BADGE OR ID# 11498 OR]# WA0171300 TIME POLICE DISPATCHED; 5:28 Pry TIME POLICE ARRIVED',5:29 PM PART I PAGE IT]OF 4] TIME REPORT NO. EH17507 CASE# 26-4861 OF COLLISION06/21/26 17:27 NARRATIVE 26-4861 On 06/21/2026 1 was working uniformed patrol in marked Renton Police vehicle #B379 and wearing a jumpsuit with Renton Police patches on each shoulder as well as the words "Police" written on the front and back of my external vest. The below described incident is intended to be a summarized version of what was captured on Axon Body Camera. At approximately 1728 hours, I was dispatched to a rollover with injuries collision at the intersection of Talbot Road South and South 43rd Street, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed both had injuries consisting of head and leg pain. The Renton Regional Fire Authority (RRFA) responded and evaluated all involved patients at the scene. Both involved drivers were later transported to Valley Medical Center (VMC), Unit#1 by ambulance and Unit#2 by private vehicle. Prior to medical transport, I contacted each of the involved drivers and collected their driving documents and their respective statements of what occurred leading up to the collision. The driver of Unit#1 stated she was the sole occupant of her vehicle and had just left the Fred Meyer gas station after fueling up. She reported ongoing mechanical issues with the vehicle she was driving, specifically the brakes. She stated she had recently been forced to stop the vehicle in the road, place it in park, turn off the vehicle, and activate her hazard lights. After restarting the vehicle, the issue temporarily resolved. As she continued westbound on South Carr Road approaching the controlled intersection of Talbot Road South and South 43rd Street, her brakes failed completely and she was unable to stop the vehicle. She swerved to avoid stopped vehicles at the intersection but ultimately entered the intersection against the red steady circle and collided with Unit#2. The driver of Unit#2 stated he was the sole occupant of his vehicle and was traveling eastbound on South 43rd Street approaching the controlled intersection in the left-turn lane, intending to make a northbound (left) turn onto Talbot Road South. While positioned out in the intersection on a stale green light, he observed Unit#1 approaching from the east at a high rate of speed. Unit#1 was initially in lane 2 of 2 but abruptly swerved into the left-turn lane before entering the intersection and colliding with Unit#2. Unit#1 rotated approximately 180 degrees and came to rest off the roadway on the northwest side of the intersection. Unit#2 sustained significant damage. Detective K. Lane later reviewed traffic camera footage of the intersection, which confirmed the above statements. The footage showed Unit#1 rolling over before coming to final rest in lanes 2 and 3 of 3. Unit#1 also sustained significant damage. Both Unit#1 and Unit#2 had to be towed away from the scene due to disabling damage. Both vehicle owners signed acknowledgement forms from Bankers Towing. An exchange of information was provided to both parties involved, including the case number and involved party information. Detective Lane stated that he would export the traffic video and upload it to the case. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 6/21/2026 7:00 PM Renton, King County, WA. PAGE 3 OF 4 REPORT NO.! EH 17507 CASE# 26-4861 DATE AND TIME 06/21/26 17:27 OF COLLISION `ty ~ t � a d py v t v Itla§� ,\�It etf i � 4 3€ v �y i } 3 i + wr, PAGE 4 OF 4