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HomeMy WebLinkAbout26-5402 ITFF' " ll� . 571 27POLCERA c III II COLLISION REP FIT 1591971 CASE 26-5402 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 07 - 11 - 2026 1346 17 =. S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S GRADY WAY BLOCK NO. e ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e LAKEAVES OF,1 29 MOTOR PEDAL- DAMA THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ElYES N GEO F,/ D:4252197710 o a 30 6 LAST NAME AGUAS FIRSTNAME JAYLYN MIDDLE S 1 1 2 31 INITIAL STREET ❑, 322 ROSARIO PL SE CITY RENTON ST WA ZIP' 980596768 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LDRIVER # STATE WA SEX'F MMDDYY 03 - 20 - 2003 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10[1P1 ATNFS# 8212QV sTATe WAv N# JTJHF10U830292606 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE g 9 34 13 2 2003 LEXU RX300 SV DAMAGE YES NO ves❑ No REGISTERED OWNER INFO REYNALDOAGUAS 322 ROSARIO PL SE RENTONWA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14rI 4 LIABILITY INSURANCE COCOALLSTATE907827652 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEcnLLv YEs❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO ,/ D:2063800845 LAST NAME TAYLOR FIRST NAME MICHAEL MIDDLE INITIAL 17 STREET I❑ s❑' 22809 9OTH WAYS APT C102 CITY KENT ST WA ZIP 98031 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs I'✓ NO❑ 19 D IVERI # STATE WA SEX M I D.MMDDW 07 14 1959 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 WEB C SET 2 NJAURSY 7 [-�A—TURE OF INJURIES NECK PAIN WITH C COLLAR DURING TRANSPORT ❑ 40 LICENSE ❑21❑ PLA E# CA69936 TATE WA VIN# 41 KNDJN2A24F7167754 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2015 MAKE KIA MODEL SOUL STYLE 4H VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO MICHAEL TAYLOR 2280990TH WAYS APT C102 KENT WA 98031 D:2063800845 VEHICLE NO.2 SHADE IN DAMAGE$AREA 2 3 �d LIABILITY INSURANCE &POINSURGY#E CO USAA 057677094G71015IN 1 9TOP VEHICLE CITATION# CHARGE i o BOTTOM LEGALLY YES NC[:] 25❑ s OFFICER'S NAME(PRINT) 7OFFICER PHONE BADGE OR ID# AGENCY 26 WILLIAM RIDGEWAY 12500 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH2O718 COLLISION REPORT III III III III III 111 1591972 CASE# 26-5402 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 PM USE CLASS NAME '(LAST,FIRS 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' 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. W/LLIAM RIDGEWAY 07-11-26 03:22 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 7/15/2026 3:53:27 AM BADGE OR ID# 12500 OR]# ! WA0171300 TIME POLICE DISPATCHED 1:46 PM TIME POLICE ARRIVED]1:54 PM PART B PAGE IT]OF 4� AND REPORT NO. EH2O718 CASE# 26-5402 OFCOLLISION 07/11/26 13:46 OF COLLISION�isi©�u NARRATIVE 26-5402 On 7/11/2026 at 1347 hours I was dispatched to a motor vehicle collision with injuries at S. Grady Way and Lake Ave S in the City of Renton, King County, Washington. Driver 1 was Jaylyn S. Aguas (DOB:03/20/2003 -verified by WADOL photo) Unit 1 was a gray 2003 Lexus RX300 (821ZQV/WA) Driver 2 was Michael Taylor (DOB:07/14/1959 -verified by WADOL photo) Unit 2 was a green 2015 Kia Soul (CAB9936/WA) Pre-Collision Driver 1 stated she was directly behind Unit 2 in lane #2 going westbound on S. Grady Way, when she realized the light was yellow or red at the intersection and her vehicle rear ended Unit 2 going about 5-7 mph, before she could stop. Driver 2 stated he was stopped at a red light at the intersection of westbound S. Grady Way and Lake Ave S in Renton, WA. Collision Driver 1 stated she had no injuries and was wearing her seatbelt. When asked if she was on her phone, she answered no. Driver 1 was unable to stop in time before her vehicle rear ended Unit 2. There were no other occupants in Unit 1. Driver 2 complained of neck pain and Renton FIRE arrived and put a "C" collar on his neck and advised he would be transported to Valley Medical Center in Renton, WA for further evaluation. Driver 2 confirmed he was stopped when the accident occurred. He was wearing his seatbelt and had no other passengers. Injuries: Driver 1 had no injuries. Driver 2 may possibly have a neck injury, to be determined by further medical examination. Vehicle Disposition Unit 1 had minor damage to the front license plate and a scratch on the front bumper. Unit 2 had minor damage to the rear bumper. Both vehicles were drivable. Unit 2 was moved by Renton FIRE into the nearby Wells Fargo lot per approval from Driver 2. Unit 2 will be picked up by Driver 2's daughter. Unit 1 was driven off location by Driver 1. Photos were taken and uploaded. All parties were provided an exchange of information sheet with a business card and case number. Proximate Cause The proximate cause of the collision was Unit 1 failing to brake and come to a complete stop behind Unit 2, which was stopped at a red traffic signal. Per Driver 1, there were multiple vehicles in front of Unit 2, unknown exactly how many. No other damaged vehicles were reported. 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 Officer W. Ridgeway #12500 at 15:14 on 7/11/2026 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EH2O718 CASE# 26-5402 DATE AND TIME 07/11/2613:46 OF COLLISION 4 , a ski , 1 4 1"1 3 �J4 U ca c} �s 3 � 4 1, 1 �`�i F �• � .. Y PAGE 4 OF 4