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HomeMy WebLinkAbout26-5417 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 26-5417 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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 N E IN CITY# ❑ cowsloN 07 - 12 - 2026 0950 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 3100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 300 00 FMILES EET e S ❑ E e JEFFERSON AVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4256813666 0 11 30 6� LAST NAME BROOKS FIRSTNAME ROGER MIDDLE J 1 1 2 31 INITIAL STREET ❑, 17553 SE 133RD ST CITY RENTON ST WA ZIP' 98059 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LICENSE WA STATE Wq SEX'M MM DAY' 10 - 12 - 1980 1 2 32 9 ON DUTY❑ INJURY STATUS' AIRBAG 6 RESTR 4 EJECT 1 H USEET 2 CLASS 6 CHEST PAIN[NATURE OF DRIES z❑ 3 LICENSE CGJ9324 STATE WA VIN# 1J8FT47WX8D729848 10 9❑ Pr ATE� F_ TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TAW/g[ GOVT.VEHICLE 34 13 4 2008 JEEP COMPA UT DAMAG 3 7 E YES NO YES❑ No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 4 INSURANCE CO 4 14 IN EF IT INSURANCE ALLSTATE 923409459 IN EFFECT I SUR N# TOPVEHlcl.e CHARGE <1�3 OTTOM 5 36 LEGALLY YES❑NO❑ CITATION# 5 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066930208 16 a LAST NAME NUR FARAH FIRST NAME ABDULLAHI MIDDLE A INITIAL 17❑ NEW STREETREs7 650 DUVALL AVE NE,APT C424 CITY RENTON ST WA ZIP 98059 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LICENSE# STATE WA SEX M MMD D. 11 01 1994 39 20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE of INJURIES 40 USE CLASS KNEE PAIN,NECK PAIN ❑21❑ PLATE# CKH6539 TATE 41 WA VIN# 1V25MPE85RC017971 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' TOWED BY GOV HI 44 VEH YEAR 2024 MAKE VOLK MODEL ID STYLE UT DAMAGE TOWED NOO✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE INSU PORGY#E CO ALLSTATE 966 933 702IN STOP 'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N J 25 =OLLENBERG (PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 13031 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH22584 COLLISION REPORT III III III III III 111 1591972 CASE# 26-5417 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BROOKS RYLEN (LAST FIRST, ADDRESS&PHONE# 17553 SE 133RD ST RENTON WA 98059 SEX M MMDOYyry 08 - O6 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 POS, 10 6 4 1 USE 2 CLASS !1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# .Do E4 SEX' MMDDYYYV PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. MATTHEW MOLLENBERG 07-12-26 03:38 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 712112026 12:25:43 PM BADGE OR ID# 13031 OR]#' WA0171300 TIME POLICE DISPATCHED! 9:53 AM TIME POLICE ARRIVED',9:55 AM PART I PAGE IT]OF 5� REPORT NO. EH22584 CASE# 26-5417 OF COLLISION 07/12/26 09:50 OF CbLLI510N NARRATIVE Renton Case #26-5417 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. On 07-12-2026 at approximately 0950 hours I was dispatched to a 3-vehicle unknown injury blocking collision located near NE 4th St/Jefferson Ave NE. Dispatch advised the collision was involving a Jeep Cherokee, gray Volkswagen, and Honda Pilot. I arrived on scene and observed Unit 1 bearing WA/CGJ9324 with heavy damage to the front and airbag deployment stationary in lane 1 of westbound NE 4th St. The vehicle was unoccupied at the time of my arrival, and the occupants were on the sidewalk on the north side of NE 4th St. In front of Unit 1 was Unit 2 bearing WA/CKH6539, which had heavy damage to the front and rear. No airbag deployment and the occupant was still in their vehicle. Unit 3 bearing WA/BXU8965 pulled off NE 4th St into the parking lot of Discount Tire, it appeared to have minor damage to the rear bumper. Renton Fire Department was dispatched to the scene as Unit 1 had air bag deployment. The driver of Unit 1 had complaints of pain in his chest, shoulder, and leg. The driver of Unit 2 had complaints of pain in his knee. Unit 3 occupants had no complaints of pain at this time. All drivers and occupants were cleared at the scene by Renton Fire Department. Officer Dougherty took photographs of the scene and uploaded them to evidence.com under Renton Case #26-5417. 1 spoke with the driver of Unit 1 (WA/CGJ9324) who identified himself by WA DOL as Roger J. Brooks (DOB 10-12-1980) who advised me of the following: He was traveling westbound on NE 4th St in lane 2. He must have looked away from the roadway because he looked up and shortly after struck the vehicle in front of him. He did not believe he had looked away from the roadway for a very long time and the traffic was moving at the time he looked away from the roadway. I spoke with the driver of Unit 2 (WA/CKH6539) who identified himself by WA DOL as Abdullahi A. Nur Farah (DOB 11-01-1994) who advised me of the following: He was traveling westbound on NE 4th St in lane 2. He was coming to a stop when he was struck from behind by Unit 1, pushing him into Unit 3. He advised he had been driving in lane 2 in front of Unit 1 for a decent amount of time. He advised traffic was coming to stop as they were approaching the intersection at Jefferson Ave NE. I spoke with the driver of Unit 3 (WA/BXU8965) who identified himself by WA DOL as Corey W. Smothermon (DOB 07-03-2004) who advised me of the following: He was traveling westbound on NE 4th St in lane 2. He was almost at a complete stop due to traffic approaching the intersection at Jefferson Ave NE. He advised he observed Unit 2 change lanes into lane 2, it is unclear if he changed from the center turn lane or lane 1. Shortly after Unit 2 changed lanes the collision took place. Based on the information gathered from involved parties and observations of the collision, the proximate cause of the collision was the driver of Unit 1 colliding with Unit 2 that caused Unit 2 to collide with Unit 3. 1 provided all drivers with an exchange of information. This concludes my involvement with case #26-5417. 1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by M. Mollenberg 13031 on 07-12-2026 at 1530 hours in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger RYLEN BROOKS): BACK SEAT **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EH22584 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-5417 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:2064998698 OF 1 29 LAST NAME SMOTHERMON FIRST NAME COREY MIDDLE'. W INITIAL STREET r:i 30 NEW AnDRFrtP 3815 NE 4TH ST APT A11 CITY RENTON ST WA ZIP 98056 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 07 TO] - 2004 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BXU8965 TAr WA VIN# 2HKRM3H70CH504375 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' E FROM TO 2012 HOND CRV UT DAMAGE YES NO YES NO 33 REGISTERED OWNER INFO COREY SMOTHERMON 3815 NE 4TH ST APT A I I RENTONWA98056 D:2064998698 $ ] SHADE IN DAMAGED AREA 12 z 3 n FROM TO ((ABILITY INSURANCE INSURANCE CO STATE FARM 4877463-008.478 q"i"Olx IN EFFECT &POLICY# 1 VEHICLE 34 13 4 LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE 35 PEDESTRIAN 36 15 LAST NAME FIRST NAME INITIALAL MDDLE ❑ STRE 16 NEW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR 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 s a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P _ 4 E:l 44 24 VEHICLE 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. MATTHEW MOLLENBERG 07-12-26 03:38 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 13031 O#I',WA0171300 APPROVED ER 7/21/2026 PAGE 4 OF 5 3000-345-013 IR 11t18) REPORT NO. EH22584 CASE# 26-5417 DATE AND TIME 07/12/26 09:50 OF COLLISION s r4 4 h n at t, t t 1 5 m VI s R� ��i4stSs n 4 � 4 4 � till � N, PAGE 5 OF 5