HomeMy WebLinkAbout26-5311 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-5311 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cowsloN 07 - 08 - 2026 0905 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MAPLE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2067305150 0 11
30
6� LAST NAME ADEN FIRSTNAME HURIYA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3440 S 192ND ST C{TY SEATAC ST WA ZIP 981885344 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit BTP1488 sTArI WA VIN#' 1N4At3AP8FC142957
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 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 NISS ALTIMA SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO FAISAL MO..1531133RD AVE S UNIT 118 SEATAC WA 98188 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 6091139742031 3 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 6AO092359 FAIL YIELD LEFT TURN MOTOR 1 o eorrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2537772867
16 a
LAST NAME HENISH FIRST NAME DEANNA MIDDLE M
INITIAL
17❑ STREET ❑', 5661 195TH AVE E CITY BONNEY LAKE ST WA ZIP 983918836 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 09 _ 22 _ 2007 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CWF8336 TAre WA VIN# WBS33HK03TCW81248
❑ 41
PLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2026 MAKE BMW MODEL M4 STYLE CP VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES�/ NO GENE MEYER TOWING YES NO
REGISTERED OWNER INFO VITA HENISH 5661195TH AVE E BONNEY LAKE WA 98391 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 569 8728 E05 47AIN STOP 5
'E""LE ❑ Nu,J CITATION# CHARGE io BOTTOM
LEGALLY YES
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. EH22572
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5311
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 07-09-26 06:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:42:18 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 9:07 AM TIME POLICE ARRIVED',9:11 AM
PART I PAGE IT]OF 5�
REPORT NO. EH22572 CASE# 26-5311 OF COLLISION
07/08/26 09:05
OF CbLLI510N
NARRATIVE
26-5311 ACCBLK
On 7/8/2026 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 non-injury collision that had just occurred in the
intersection of SW Grady Way and Maple Ave SW Renton/King/WA. RRFA had come across the
collision and were requesting police.
I arrived on scene and RRFA was leaving, they advised there was no injury and one vehicle was
blocking SW Grady Way, I called a tow to respond and remove the vehicle.
I spoke with the driver of the 2015 Nissan Altima WA/BTP1488 (Unit 1) who was identified as Huriya
A Adan DOB: 1/1/1960. Huriya had her son translate for her; she advised that she was in the left turn
lane to turn from eastbound SW Grady Way to north on Maple Ave SW. She said that she began her
turn and collided with Unit 2 that was driving westbound. There was damage to the front bumper of
the Altima. There was no airbag deployment, and the vehicle was moved off the roadway.
The driver of the 2026 BMW M4 WA/CWF8336 (Unit 2) was identified by her WADL as Deanna M
Henish DOB: 9/22/2007. Deanna said that she was driving westbound in the #1 lane of SW Grady
Way. She said that as she entered the intersection with Maple Ave SW she was struck by Unit 1. The
BMW was struck on the driver side rear wheel well/bumper which caused it to veer out of the lane
and strike Unit 3 which was driving west on SW Grady Way in the #2 lane. The BMW had damage the
driver side rear wheel well/bumper/door and front bumper. There was no airbag deployment, and it
was removed from the scene by Gene Meyers Towing.
The driver of the 2022 Rivian R 1 T WA/D85872A was identified by his WADL as Terry C Jeske DOB:
2/17/1963. Terry said that he was driving west SW Grady Way in the #2 lane and was slowly moving
with traffic when he was struck by the BMW. There was damage to the passenger side rear bumper
of the Rivian.
I cited Huriya for Failure to Yield to Motor Vehicle Left Turn RCW 46.61.185.1 under citation
#6A0092359. This citation should be mailed to her DOL address.
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 7/8/2026 Renton WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EH225572
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 26-5311
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:2069155009
OF 1 Zg
LAST NAME FIRST NAME MIDDLE
JESKE TERRY INITIAL C
STREET 30
NEW AnDRFSP' 10011 238TH WAY SE CITY ISSAQUAH ST WA ZIP 980274800
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 02 - 17 - 1963
7
ON DUTY� STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D85872A [TAT WA VIN# 7FCTGAAA9NN011282
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2022 MAKE OTH MODELRIVIAN STYLE PK VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO.TERRY JESKE 10011 238TH WAY SE ISSAQUAH WA 98027 3 ] 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY
I EFFECT
INSURANCE CO ALLSTATE 087968711 gTOp
IN EFFECT I POLICY# 1
EHICLE 34
13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1QRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STRE
16 NEW ETETnnR"Fl CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 a 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P _ 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 07-09-26 06:54 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12421 O#I',WA0171300 APJACOBS 7/21/2026 PAGE 4 OF F
3000-345-013 IR 11t18)
REPORT NO. EH22572 CASE# 26-5311 DATE AND TIME 07/08/26 09:05
OF COLLISION
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PAGE 5 OF 5