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HomeMy WebLinkAbout26-5469 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET FIRE ❑ CASE 2s-sass 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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 1750 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ SE CARR RD MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a 103RD AVE SE 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2538677217 0 11 30 6 6❑ LAST NAME SHAMSURHMAN FIRSTNAME SHAMSURHMAN MIDDLE 1 2 31 INITIAL STREET ❑ 2634 S 256TH ST APT N203 CITY KENT ST WA 2jp, 98032 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ DRIVERS E# ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 I INJURY [NATURE OF CLASS 6 CONCUSSIONRIEs z❑ 3 10 9❑ P1 AT 14 CMV2035 STATE WA VIN# 5YF64MDE8RP20531 9 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. TRLR 7 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR 2024 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 34 13 4 TOYT COROL SD DAMAGE YES NO �MEYER 3 7 TOWING YES[:] ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2030398417 4 IN EFFECT &POLICY# ❑ LEGALLY LE CHARGE 5 ❑ 36 15 2 VEH" YEs No clTAnoN# 6A0363243 FAIL YIELD LEFT TURN MOTOR o Bo ob MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062355072 16 a LAST NAME AL ASHOR FIRST NAME ABDULLAH MIDDLE H INITIAL 17 STREET NEW ADOREs7 2720 SE 16TH ST CITY' RENTON ST WA ZIP 98058 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/ 19 LICENSE# STATE WA SEX M M .C.B. 02 _ 11 1997 39 20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAUR CLSSY 6 CUTS/BRUISES TO LEFT ARM ❑OF INJURIES 40 ❑21❑ PLA E# CUT1889 TATE 41 WA VIN# WBAJ61C53J6085446 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GI VEBMWYEAR 2018 MAKE BM MODEL 530 STYLE $D DAMAGE TO TOWED II OV H 44 Yr ✓WED NOO BLIN PRIVATE TOW YES No 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO AMERICAN FAMILY BX 14460326 STOP 5 IN EFFECT VE""LE ❑ Nu,J CITATION# CHARGE LEGAL to BOTTOM LY YES 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 TIMOTHY NGUYEN 13182 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH23411 COLLISION REPORT III III III III III 111 1591972 CASE# 26-5469 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' 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. TIMOTHY NGUYEN 07-13-26 09:07 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 7/24/2026 2:14:52 AM BADGE OR ID# 13182 OR]# WA0171300 TIME POLICE DISPATCHED! 5:55 PM TIME POLICE ARRIVED 6:01 PM PART I PAGE IT]OF 5� REPORT NO. EH23411 CASE# 26-5469 OF COLLISION 07/13/26 17:50 OF CbLLI510N NARRATIVE 26-5469 Unless stated otherwise, this incident occurred in the City of Renton, County of King, State of Washington. During this incident, I was on duty as a Police Officer for the City of Renton and assigned to Patrol District R12. I was wearing a fully marked uniform and driving a fully marked vehicle. This incident was recorded with video and audio. It is important to note that the camera may have captured things that I did not perceive, and I may have perceived things that were not captured by the camera. The following is a summary of the events: On 07/13/2026 at approximately 1805 hours, I was dispatched to an injury collision at the intersection of SE Carr Rd and 103rd Ave SE. Dispatch advised that it was a roll over collision with two vehicles involved. Unit 1 was identified as 2024 TOYOTA COROLLA (WA: CMV2035) and Driver 1 was identified by WA DOL as SHAMSURHAMAN SHAMSURHAMAN (DOB: 06/03/2002). Unit 2 was identified as 2018 BMW 530 (WA: CUT1889) and Driver 2 was identified as ABDULLAH H. AL ASHOR (DOB: 02/11/1997). Assisting Officers had already began investigating the circumstances and Renton Regional Fire Authority (RRFA) had already began administering aid prior to my arrival. Upon my arrival, I observed Unit 1 flipped over on its roof. Unit 1 was facing southbound on 103rd Ave SE just north of the intersection. Unit 1 had severe to moderate to every side. I observed Unit 2 facing westbound in lane 1 of SE Carr Rd just west of the intersection. Unit 2 had severe damage to its front-end. Driver 1 was in the back of a RRFA ambulance being medically evaluated and interviewed by Officer T. Truong. According to Officer Truong, Driver 1 was driving eastbound on SE Carr Rd in lane 2. Driver 1 began turning northbound (left) onto 103rd Ave SE. Driver 1 claimed that Unit 2 was speeding which caused the collision. Driver 1 ultimately declined to be medically transported. RRFA believed that Driver 1 sustained a concussion. Driver 2 had already been medically evaluated and cleared by RRFA. Driver 2 appeared to sustain minor bruising and cuts to his left arm. Driver 2 advised that he would take himself to the hospital at a later time. I proceeded to interview Driver 2. In summary, Driver 2 was driving westbound on SE Carr Rd and was approaching 103rd Ave SE when Unit 1 turned northbound (left) in front of him. Driver 2 was unable to stop in time to avoid the collision. Driver 2 did not remember which lane he was traveling in. Driver 1 and Driver 2 provided all of the necessary documents. Gene Meyer's Tow responded and assumed custody of Unit 1. A private tow responded and assumed custody of Unit 2. Offcer Truong took photos of the scene and uploaded them to evidence.com. Based upon the totality of the circumstances, Driver 1 failed to yield while intending to turn left in an intersection. I am issuing Driver 1: Infraction #6A0363243 for 46.61.185.1 - FAIL TO YIELD LEFT TURN MOTOR VEHICLE. The Infraction will be sent to Driver 1's mailing address. This concludes my involvement on today's date. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT. PAGE 3 OF 5 REPORT NO. EH23411 CASE# 26-5469 OF COLLISION 07/13/26 17:50 OF CbLLI510N NARRATIVE Signature: Officer T. Nguyen #13182 Date, Time, and Place: 07/13/2026 at approximately 2102 hours in the City of Renton, County of King, State of Washington PAGE 4 OF 5 REPORT NO. EH23411 CASE# ' 26-5469 DATE AND TIME 07/13/26 17:50 OF COLLISION 103RD i' SE 1 i' 1: PAGE 5 OF 5