HomeMy WebLinkAbout26-5144 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH22566 170
27
COLLISION REP FIT 1591971
CASE 26-5144 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 - 01 - 2026 1429 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00 FMILES EET e S ❑ E e L AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064466834 0 11
30
6� LAST NAME FORD FIRSTNAME JAIDEN MIDDLE R 1 2 31
INITIAL
STREET ❑ 531 SM►THERS AVE S CITY RENTON ST WA ZIP 980572510 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE BFQ9198 sTArI TN urN#' 3C4PDCABOET198917
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# Rom ro
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 1 2014 DODG JOURNE SD DAMAGE vesNo ves❑ No
REGISTERED OWNER INFO DAWNITTA SMITH 192 STONES RIVER LN MURFREESBORO TN 37128 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 863600052 3 4
IN EFFECT &POLICY#
VE—L' 9TOP
CHARGE 1 5 36
LEGALLY
Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2533273697
16 2
LAST NAME FARTHING FIRST NAME CARTER MIDDLE I J
INITIAL
17❑ STREET ❑', 10001 DECHAUX RD E CITY' EDGEWOOD ST WA ZIP 983713351 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs W�1 I NOF YES
t l NOF,/
19[—] LDI IVEW # STATE WA SEX M MMDDW 09 _ 08 _ 2000 39
H USEET NJAURSY COMPLAINT OF NECK PAIN 40
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 2 7
21❑ LICENSE LM00070 TAre I WA vIN# JT2ST87F4L0007779
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 1990 MAKE TOYT MODEL CELICA STYLE CID VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CARTER FARTHING 10001 DECHAUX RD E EDGEWOOD WA 98371 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 873182472IN IGQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22566
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5144
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,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.
D.NELSON 07-02-26 12:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:46:07 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED! 2:29 Pry TIME POLICE ARRIVED',2:32 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EH22566 CASE# 26-5144 OF COLLISION07/01/26 14:29
NARRATIVE
26-5144 ACCINJ
On 7/1/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a collision with injury near the intersection of S 2nd St
and Rainier Ave S Renton/King/WA. An involved party advised both vehicles had pulled off the
roadway and he was requesting RRFA for complaint of neck pain.
I arrived in scene with RRFA who began evaluating the injured driver, he was cleared at the scene.
I spoke with the driver of the 2014 Dodge Journey TN/BFQ9198, who was identified by her WADL as
Jaiden R Ford DOB: 3/1/2009. Jaiden said that she was driving west on S 2nd St in the #3 lane, she
described the event as both vehicles had merged into each other. There was damage to the front
driver side quarter panel and bumper from the impact. Jaiden did not complain of any injury, no
airbags had deployed, and the vehicle was drivable.
The driver of the 1990 Toyota Celica WA/LM00070 was identified by his WADL as Carter J Farthing
DOB: 9/8/2000. Carter said that he was driving west in the #2 lane of S 2nd St when the Dodge
suddenly changed lanes, striking him. There was damage to the passenger side rear door/quarter
panel of the Celica. Carter had a complaint of pain to the right side of his neck; he was cleared by
RRFA on scene. There was no airbag deployment in the Celica, and it was drivable.
I did not run Carter's DOL onscene and therefore did not see the Ignition Interlock Requirement, I was
not able to confirm if he had one in the Celica.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 7/1/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EH22566 CASE# ' 26-5144 DATE AND TIME 07/01/26 14:29
OF COLLISION
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