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HomeMy WebLinkAbout26-3433 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 26-3433 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER VFHIC;I F ❑ LOCAL AOENC WA0171300 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TRIBAL 02 TOTAL#OF OBJECT 1 1 8 28 UNITS ❑ RESERVATION I I STRUCK z 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# c usoN 05 - 03 - 2026 1540 17 ❑.= E IN e 1070 3 S 8 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ COULON BEACH ACRD BLOCK NO. e✓ 1300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 A❑ 200 00 FMILES N EET e S ❑ E e LAKE WASHINGTON BLVD 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4253653649 0 11 30 6� LAST NAME S/MS FIRSTNAME JASON MIDDLE S 1 2 31 INITIAL STREET ❑ 3811 NE 3RD CT APT I-301 CITY RENTON ST WA 2jp, 98056 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 9 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10� PI ATE WSU949E sTATr WAurN#' WBAHN835X8DT79200 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 0 0 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 A 2008 BMW 750 SD DAMAGE YES NO YES[:] NO✓ REGISTEREDOWNER WFO LAMARMADKIN12812PADILLABAYLN MOUNTVERNONWA98273 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 A INSURANCE CO 4 14 LIABILITY INSURANCE PROGRESSIVE 999298403IN EFFECT &POLICY# TOPVE—LE CHARGE <1�3 OTTOM 5 36 LECALLv YES❑NO❑ CITATION# 5 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE �U_TN� VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:3462400363 16 a LAST NAME AHMED FIRST NAME AHMED MIDDLE M INITIAL 17❑ STREET NEW ADDREs7 8126 HEARTBROOK FIELD LN CITY CYPRESS ST TX ZIP 77433 37 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 I TX SEX M D.C.B. 07 14 2001 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ 41 21❑ ILICENSE PLA E# XMT5416 TATL TX VIN# 2C3CCAPGXFH781017 1 42 22❑ PILER LATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' TOWED BY Gov HI 44 VEH YEAR 2015 MAKE CHRY MODEL UNKNOW STYLE $D _TEHICLE TOWED✓ NOO BLIN PRIVATE TOW YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DA GEbAREA z Cdd LIABILITY INSURANCE &POINSURGY#E CO GO AUTO 4605618-14IN I 9TOP VEHICLE YES[:] N C[:] CITATION# CHARGE i o BOTTOM LEGALLY 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 ROSEANNE HYNES 12612 WA0171300 PAGE 01 OF PART A 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH22612 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3433 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SIMS MYLIA A (LAST FIRST, ADDRESS&PHONE# 3811 NE 3RD CT APT I-301 RENTON WA 98056 SEXi F MMDDvyvv 07 - 13 - 2020 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 9 2 10 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) HOPKINS THALIA T ADDRESS&PHONE# D O E4 3811 NE 3RD CT APT I-301 RENTON WA 98056 2069001878 SEX F MMDDvvvv 10 _ 07 _ 2000 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 3 AIRBAG 2 RESTR. 9 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) AL SAMACH HAJIR A ADDRESS&PHONE# 1809 SW 330TH$T FEDERAL WAY WA 98023 2067782118 SEX F D.O.E. 03 _ 24 _ 2000 MMDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 3 AIRBAG 2 RESTR. 9 EJECT 1 HELMET 2 NJURY 1 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. ROSEANNE HYNES 05-19-26 05:15 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.EDWARDS 9070 1 712112026 1:52:35 PM BADGE OR ID# 12612 ORI# WA0171300 TIME POLICE DISPATCHED 3:40 PM TIME POLICE ARRIVED',4:05 PM PART I PAGE IT]OF 4� REPORT NO. EH22612 CASE# 26-3433 OF COLLISION 05/03/26 15:40 OF CbLLI510N NARRATIVE 26-3433 On 05/03/2026 at 1605 hours, I was in full patrol uniform, assigned as unit 1 R25 and driving a marked Renton Police patrol vehicle when I was dispatched to 1201 Lake Washington BLVD N in the city of Renton, County of King, State of Washington, regarding a traffic collision. The comments in the call said in summary: In front of parking lot near round about, two motor vehicles in parking lot request officers due to RP not having insurance. Upon arrival, I met with the parties involved in the collision. I spoke with Driver 1 (D1) -Jason Sims, who was the driver of Vehicle 1 (V1) -BMW. D1 said in summary that he was driving west on Coulon Beach Park Dr into the traffic circle when he collided into Vehicle 2 (V2) -Chrysler, causing damage to his vehicle and V2. D1 -Sims said he was in the wrong when entering the traffic circle. D1 -Sims did not claim injury. The passengers in his vehicle were Thalia Hopkins (front right) and their child Mylia Sims (right rear). Nobody claimed injury and I did not see visible injury upon them. I saw there was damage to V1's front end but the vehicle appeared drivable. I spoke with Driver 2 (D2) -Ahmed Ahmed and he said in summary that he was driving in the traffic circle on Coulon Beach Park Dr (east side of circle) when V1 collided into his vehicle, causing severe damage to the rear right of his vehicle. He had a front right passenger in his vehicle, Hajir Samach. Neither D2 or passenger Samach claimed injured and 1 did not see visible injury upon her. I saw severe damage to the rear and rear right area of V2. The vehicle was not drivable and D2 -Ahmed called for a private tow. I conducted a record check on D1 -Sims and found that he was unlicensed and had an ID card only and the tabs on the vehicle were expired as of 2017. D2 -Ahmed had a valid driver license and current tabs. Because the collision took place on an access road and not a public roadway, I did not cite D1 for being unlicensed and expired tabs. I saw that the traffic circle was a one-way circle in which vehicles were directed to go in a counterclockwise direction based on the arrows on the pavement. Both D1 and D2 exchanged insurance information. I have nothing further. This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed: R. Hynes #12612 Date & Place: 05/18/2026 @ 1645 hrs Renton, WA **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: TRAFF CIRCL ACCESS RD AT PUBLIC PARK **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. EH22612 CASE# ' 26-3433 DATE AND TIME 05/03/26 15:40 OF COLLISION IN F, S3 h G F 1v' �3 f e FFYt , 4 ' 3 4 y PP t Y y r �I j F 2e\ i PAGE 4 OF 4