HomeMy WebLinkAbout26-5488 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 26-5488 2
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#
cawsloN 07 - 1-- 2026 1335 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e S 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:3603052070 0 4 30
6� LAST NAME SHEFF FIRSTNAME TAUSHA MIDDLE L 1 2 31
INITIAL
STREET ❑ 20820 135TH AVE SE CITY KENT ST WA 2jp, 98042 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� D95727G sTArI WAvIN# 5TFWC5D68SX104143
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE q 3 34
13 2 2025 TOYT TUNDR DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO TAUSHA SHEFF 1.1 ELDER RD FERNDALE WA 982489515 D:3603052070 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ST FARM 5547017B24147C001 3 4
IN EFFECT &POLICY# 9TOP
VEH'CLE
15❑ EC 5 36
LALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2109931443
16 a
LAST NAME ODOMS FIRST NAME VA'TAYRIA MIDDLE I R
INITIAL
17❑ STREET ❑', 229 ANDOVER PARK E UNIT 1626 CITY TUKWILA ST WA ZIP 981883086 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 D IVEW #
I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CUV8457 TAre WA vIN1 3N1A67AP5JY276834
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2018 MAKE NIS5 MODEL SENTRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VA'TAYRIA DOOMS 229 ANDOVER PARKE UNIT 1626 TUKWILA WA 981883086 D:2109931443 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POLICY#E CO GEICO 6238160607IN 1 9TOP 5
"""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH24206
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5488
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.
M.LEVERTON 07-16-26 11:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 7/27/2026 10:22:58 AM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 1:35 PM TIME POLICE ARRIVED',1:42 PM
PART I PAGE IT]OF 4�
REPORT NO. EH24206 CASE# 26-5488 OF COLLISION
07/14/26 13:35
OF CbLLI510N
NARRATIVE
gry unit 1 Itl straight to go aroung blocking truck wht/2 strt hit by unit 1
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection
of Rainier Ave S at S 3rd St. Both cars were drivable and moved off the roadway to the Safeway
parking lot.
I contacted the driver of unit 2 who told me she was in the through lane # 2 and as she was
proceeding she was hit by unit 1 on her driver side. She did not complain of injury and damages did
not require a tow truck. The lane to her left is a left turn only lane. To her right is a through lane only,
and next over is right turn only. The lanes are properly marked for use.
I contacted the driver of unit 1 who told me she wasnt sure what lane she was in but confirmed she
has driven in this area for years. She told me when she made her left turn from Rainier Ave S.
heading towards the Farmers Market location to set up a space. Unit 1 explained that as she was
making her turn there was a truck that appeared to be blocking a portion of the intersection and in a
good faith attempt the clear the intersection, adjusted her lane position when contact was made with
unit 2.
Unit 1 helped me understand the lane position by drawing a very basic map and showing her
movement etc. Unit 2 did the same. It was clear that the lane positions were established and each
vehicle movement. There was no other witnesses or debris to provide additional information. The
was no camera footage available.
Information/insurance only
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 7/16/2026
PAGE 3 OF 4
REPORT NO. EH24206 CASE# ' 26-5488 DATE AND TIME 07/14/26 13:35
OF COLLISION
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PAGE 4 OF 4