HomeMy WebLinkAbout26-5412 TFFiNouCERA II I III 1 III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-5412 z
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 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION' 07 - 11 - 2026 2200 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
HOQUTAMAVENE BLOCK MILEPOST ST e✓ 900
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 30 00 FEET e S B W e NE 9TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064656060 1 4 30
6� LAST NAME PHAN FIRSTNAME VI MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 5012 NE 5TH ST CITY RENTON ST WA ZIP 980594882 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
✓ I iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� P9999JF sTArI WA urN# JTHGZ5DC3S5013237
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 0 0 VIN#' VIN#
2025 LEXS RC SD I FROM 34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES ✓ NO YES[:] NO✓
REGISTERED OWNER INFO VI.15012 NE 5TH ST RENTON WA 98059 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILI INSURANCE INSURANCE CO NATIONWIDE 7246J053764 3 4
IN EFFECT &POLICY# 9TOP
VE—LE
15❑ 5 36
LECALLv YES❑NO❑ CITATION# CHARGE
PROPE
1 o BOTTOM
STANDING 8 7 6
UNIT VE IOOR CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES✓ NO OLDMET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LLIICENS RIVER# STATE SEX U MMDDYY 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS O ❑
21❑ LICENSE I C48354X TAre WA vIN# 1(BCCS198758157054
❑ 41
pLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2005 MAKE CHEV MODEL COLORA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV!TN
44
24❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO AMADALJUMAILI502ONE9THPL RENTONWA98059 D:2064050506 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 863893504IN 1 9TOP 5
VEHICLE YES[:] N
,.I
LEGALLY —I CITATION# CHARGE i o BOTTOM
25 $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
QU/NT TIBEAU 7691 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH19815
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5412
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 FIRST 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'
26-5412 RTF
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 07/11/2026 at about 2202 hours I was dispatched to a non-injury collision in the 900 block of
Hoquiam Ave NE.
Upon arrival I contacted the driver of vehicle #1 who identified herself via her WADL as the registered
owner Vi Phan. Phan stated that she was driving northbound on Hoquiam Ave NE and must have
been too close to the edge of the road. She struck the side/rear of vehicle #2, which then struck
vehicle #3. She denied being distracted by anything.
Both vehicle #2 and #3 were legally parked, unoccupied on the east side of Hoquiam Ave NE.
I took digital photographs of the vehicles and provided all owners with an information exchange.
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 07/11/2026 2314 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.
QUINT TIBEAU 07-11-26 11:29 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
QUINT TIBEAU 7691 711212026 12:44:17 AM
BADGE OR ID# 7699 OR]# WA0171300 TIME POLICE DISPATCHED! 10:02 PM TIME POLICE ARRIVED',10:15 PM
FART I PAGE IT]OF 4�
SUPPLEMENTAL REPORT NO. EH19815
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 26-5412
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET 30
NEW AnDRFSP� CITY RENTON ST ZIP
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES NO INTERLOCK YES❑N0� YEs N
DRIVER'S STATE I SEX U M��DYSYv' —� 2
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE BEN8615 TAr WA VIN# 4T1BD1FK4CU010924
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR2012 MAKE TOYT MODEL CAMRY I STYLE SD I VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO.WILLIE VONG 5025 NE 9TH PL RENTONWA98059 D:2062295177 m 33
12 � SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# t 9 1"01?
veelcLe 1 o BarroM 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36
STREET
16 NEW AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑
17 5 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE ICLASS
19 ❑ VIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ [441
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
QUINT TIBEAU 07-11-26 11:29 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
RD# O#I' APPROVED /126 OI 7691 WA0171300 IU 7 PAGE F OF 4
3000-345-013(R 11118)
REPORT NO.! EH19815 CASE# 26-5412 DATE AND TIME 07/11/26 22:00
OF COLLISION
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t
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