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COLLISION REP FIT 1591971
CASE 26-4486 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#pF OBJECT 1 F
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 - 09 - 2026 1645 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE PETROVITSKY RD BLOCK NO. e✓ 11800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 1 2 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES
NO ,/ D:4252873653 0 11
30
6� LAST NAME ORDONEZ FIRSTNAME JOHN MIDDLE M 1 2 31
INITIAL
STREET ❑ 11913 SE 175TH ST#E203 CITY RENTON ST WA 21p 98058 z=
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 10 1- 10 - 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ P1 AT 14 BPY4767 STATE WA VIN# JTKJF5C78F3091415
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 9 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 TOYT SCION CP DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER WFO YANIRA ORDONEZMONZON 11913 SE 175TH ST#E203 RENTON WA 98058 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE INSURANCE CO STATE FARM 4192084-B26.47A 3 4
IN EFFECT &POLICY# 9TOP
VEH'C CHARGE 1 5 36
LEGALLv YES No CITATION# 6A0290613 FLD TO YIELD FROM DRIVEWAY OR o eorrom
15❑ STANDING 6
1,1 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES�/ NO D:5099857046
16 a
LAST NAME AMEZCUA FIRST NAME CANDELARIA MIDDLE
INITIAL
17 NEW STREETRE_ 14805 SE 175TH ST#18A CITY' RENTON ST WA ZIP 98058 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NoF,/
19 DRIVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CAZ5017 TATE WA VIN# 41
3CZRU6H52HM708929 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE HOND MODEL HRV STYLE SI/ VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MIGUEL EQUIHUA LEMUS 17708149TH LN SE#29E RENTON WA 98058 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY INSURANCE INSU&PORGY#E CO STATE FARM 576-8809-CO2-47-001 IGQI
IN EFFECTVE"LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s � e
OF
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
THOMPSON 13311 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO.
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4486
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) V►LLANUEVA SERENA N
(LAST FIRST,
ADDRESS&PHONE#
14805 SE 175TH ST#18A RENTON WA 98058 SEXi F MMDOYyry 09 - O6 - 2013
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑, 2 POS. 'I 10 2 9 1 USE 1 2 CLASS ±1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
MICHAEL THOMPSON 06-10-26 12:55 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 1 7/15/2026 11:09:30 PM
BADGE OR ID# ` 13311 ORI#' WA0171300 TIME POLICE DISPATCHED! 4:45 PM TIME POLICE ARRIVED',4:45 PM
PART I PAGE IT]OF 4]
REPORT NO. CASE# 26-4486 OF COLLISION
06/09/26 16:45
OF CbLLI510N
NARRATIVE
26-4486
This incident was captured on my 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.
Assignment
On 06-09-2026 at 1645 hours I was dispatched to a non-injury blocking collision in the 11800 block of
SE Petrovitsky RD.
Statement of Driver 1
Driver 1 stated he was turning right onto SE Petrovitsky RD from the Grammercy apartment's
driveway when he had begun to make the right turn before he saw Unit 2 approaching. Driver 1 struck
the passenger side front fender and front door of Unit 2 as he attempted to turn.
Driver 1 provided his license, registration, and proof of insurance.
The damage I observed to Unit 1 did not appear to meet the damage threshold.
Driver 1 did not have any complaints of injury.
Statement of Driver 2
Driver 2 stated she was going westbound on SE Petrovitsky RD when she saw Driver 1 start to turn
into her lane, she stated she attempted to merge into lane 2 from lane 1 to avoid the collision but was
still struck by Unit 1.
Driver 2 provided her license, registration, and proof of insurance.
The damage I observed on Unit 2's passenger side appeared to meet the damage threshold.
Driver 2 and their passenger did not have any complaints of injury.
Proximate Cause
Based on the statements of both drivers, I determined Driver 1 to be the proximate cause of the
collision by not yielding the right of way when turning from a driveway onto the roadway.
Disposition
I provided both drivers with a business card and case number and emailed an exchange of
information to both drivers.
I completed Sector citation 6AO290613 to be mailed to Driver 1 for not yielding the right of way when
turning from a driveway (RCW 46.61.365)
1 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 Michael A. Thompson #13311 at 0048 on 06/10/2026 in the City of
Renton, King County, Washington.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 2
Seat Position (Passenger SERENA VILLANUEVA): REAR SEAT, POSITION UNKOWN
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. CASE# '' 26-4486 DATE AND TIME 06/09/26 16:45
OF COLLISION
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