HomeMy WebLinkAbout26-5454 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-5454 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 OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 07 - 1-- 2026 1336 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e✓ 1400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 844 00 FMILES EET e S ❑ W e OAKSDALEAVESW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:3175315109 0 11
30
6� LAST NAME BECKER FIRSTNAME GERALD MIDDLE W 1 1 2 31
INITIAL
STREET El 500 COLUMBIA ST NW APT 720 CITY OLYMPIA ST WA ZIP 98501 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MED YES NoICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No
8❑ DRIVERS
# STATE WA SEXI M I D-MIDI Y' 10 - 12 - 1948 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi ATNES# BZS1790 sTAr WAu N# 4S46SANC2J3348423
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#'
>; FROM TO
❑ VEH.YEAR ZO18 SUBA OUTBA SW MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 1 7 3 34
13 4 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14� IN EF ITY INSURANCE� INSURANCE CO STATE FARM 493 5673-001.47A 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ No D:2536536096
16 a
LAST NAME SCHARER FIRST NAME FRITZ MIDDLE T
INITIAL
17❑ STREET ❑', 226 TITUSVILLEALYAPT 19 CITY KENT ST WA ZIP 98032 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YYEEsI I I NoF YES t l NO❑
19[ D IVEW # STATE WA SEX M M D.O.B. O6 _ 23 _ 1964 0 39
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE BZS1790 TAre WA ZACNJCB64MPN12618
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
TOWED BV Gov HI 44
VEH YEAR 2021 MAKE JEEP MODEL RENEGA STYLE (/T —FEHICLE
TOWED✓ NOO BLIN GENE MEYER YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#ECO STATE FARM 3779146-A24-47AIN 1UR
VEwcLE ❑ ,J� CITATION# CHARGELEGALYYES N`LJ
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
D.MYERS 10433 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH21880
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5454
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 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'
On 07-13-2026 at approximately 1340 hours, I was dispatched to a traffic collision in the 1400 block
of SW 43rd St in the City of Renton, County of King, State of Washington.
I contacted the driver of Unit#1, who told me he was traveling westbound in the 1400 block of SW
43rd St and stopped for traffic in the two-way left turn lane. He waiting for traffic to clear so he could
make a left turn into the parking lot on the south side of the roadway. There are two lanes of travel
heading eastbound on SW 43rd St. The left lane had several vehicles stopped for traffic but there was
no vehicles stopped for traffic in the right lane. One of the drivers stopped in traffic in the left lane
waved for him to make his left turn and left him space to make the turn. As he entered the right lane
of travel his vehicle hit Unit#2. Due to traffic blocking his vision he never saw Unit#2 until he his
vehicle hit it.
I contacted the driver of Unit#2 who told me he was traveling eastbound in the 1400 block of SW
43rd St in the right lane. The left lane was stopped for traffic but his lane was still moving. As he was
driving eastbound, Unit#1 came out of nowhere and hit his vehicle. He was unable to stop in time
without hitting Unit#1.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.MYERS 07-19-26 03:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
R.PHILLIPS 11649 7/19/2026 4:00:23 PM
BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED! 1:40 PM TIME POLICE ARRIVED';1:53 PM
PART I PAGE IT]OF 3�
REPORT NO. EH21880 CASE# ' 26-5454 DATE AND TIME 07/13/26 13:36
OF COLLISION
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