HomeMy WebLinkAbout26-5267 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 26-5267 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#
COLLISION'.. O7 - 1-- 2026 1041 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
TALBOT RD S MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 48TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064273552 0 11
30
6� LAST NAME NGUYEN FIRSTNAME TAN MIDDLE N 1 2 31
INITIAL
STREET ❑ 220 S 48TH ST UNIT B CITY RENTON ST WA ZIP 980557987 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9❑ P1ATE14 ANF3569 STATE WA uN# 4T1BF1FK1DU695721
11[-jTRAILER STATE TRAILED STATE
11 3 0 PLATE# PLATE# ROM To
TRLR. TRLR 7 1 33
12 3 VIN#' VIN#
>;. FROM TO
0
VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T k GOVT.VEHICLE 34
13 4 TOYT CAMRY DAMAGE YES NOBS 1 5 YES[:] ✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO STATE FARM 464 9837-B18.47A 3 4
IN EFFECT &POLICY# 9TOP
VEHae CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 6A0254457 FAIL STOP AT STOP I o aorrom
15❑ STANDING 6
MOTOR PEDAL- '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YEs NO 1/ D:5036074636
16 a
LAST NAME DOUZAT FIRST NAME BRANDON MIDDLE I L
INITIAL
17❑ STREET ❑', 19921 FILBERT DR CITY' BOTHELL ST WA ZIP 980129604 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NoF YES t l NO❑
19 DRIVER'S STATE WA SEX M D.C.B. 01 30 _ 1980 39
LICENSE# MMDDYY
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CAL7473 TATe WA VIN1t 3VWST71K96M722949
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2006 MAKE VOLK MODEL JETTA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CHARLES BEDDOE 860728TH AVE NW SEATTLE WA 98117 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO THE GENERAL WA5715721IN CQV'""LE
❑ ,J� CITATION# CHARGE i o
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22569
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5267
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.
C.ARNOLD 07-06-26 11:54 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:43:48 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 10:50 AM TIME POLICE ARRIVED',11:00 AM
PART I PAGE IT]OF 4�
REPORT NO. EH22569 CASE# 26-5267 OF COLLISION
07/06/26 10:41
OF CbLLI510N
NARRATIVE
CC 26-5267
On 7/6/2026 at 1050 hours I was dispatched to a motor vehicle collision at S 48th St and Talbot Rd S
in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling South on Talbot Rd S approaching S 48th St in the #1 lane.
Driver 1 stated that he was stopped at a stop sign facing East on S 48th St preparing to perform a
lefthand turn to proceed North on Talbot Rd S.
Collision
Driver 2 stated that Unit 1 pulled out in front of him and that he did not have time to stop. Driver 2
stated that he slammed on his brakes and noticed that he activated his Anti-Lock Braking System
(ABS) when he did so. Driver 2 stated that he swerved left to try and avoid a collision into the 2-way
center turn lane. Driver 2 stated that while partially in the lane, the front bumper of Unit 2 collided with
the front passenger side bumper of Unit 1.
Driver 1 stated that he tried to pull into the 2-way center turn lane from S 48th St to proceed North on
Talbot Rd S. It was unclear whether Driver 1 did not see Unit 2 or if he thought he had time to make
the turn. Driver 1 failed to perform this turn in time and the front bumper of Unit 2 collided with the
front drivers side bumper and wheel of Unit 1.
Injuries
None reported.
Vehicle Disposition
Unit 1 was rendered inoperable and was towed from the scene.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because except when directed to
proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to
direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except
as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a
marked crosswalk on the near side of the intersection or, if none, then at the point nearest the
intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
Driver 1 was cited reference RCW 46.61.190.2.
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 C. Arnold #12509 at 11:22 on 7/6/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH22569 CASE# ' 26-5267 DATE AND TIME 07/06/26 10:41
OF COLLISION
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PAGE 4 OF 4