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Home My WebLink About24-2631 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE57834 170 27 COLLISION REP FIT 1591971 CASE 24-2631 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 3 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# ❑ COLLISION.. 03 — 10 — 2024 1123 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ TALBOT RD S BLOCK NO. e✓ 5200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 350 00 FEET MILES e S B W e S 55TH ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2069292004 0 11 30 6� LAST NAME SINGH FIRSTNAME BHAJAN MIDDLE N 1 1 2 31 INITIAL STREET ❑ 12852 SE 265TH ST CITY KENT ST I WA 21p 980307955 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 2 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� D67350A sTArI WAvIN# 1GT12YE82FF152055 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. YRLR. 3 5 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 8 201$ GMC SIERRA TR DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO BHAJAN SINGH 12852 SE 265TH ST KENT WA 98030 D:2069282004 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 07789367.9 3 4 IN EFFECT &POLICY# 9TOP VEH'CLE 15❑ 5 36 LECALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a OWNER ❑ YES 1/ NO D:9719986867 LAST NAME WONG FIRST NAME CHEN MIDDLE I P INITIAL 17❑ STREET ❑', 21144 131ST PL SE CITY' KENT ST WA ZIP 980312312 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YYEEsI I I NOF YES t l NO � 19 DCENS STATE WA SEX F M.C... 12 _ 23 _ 1955 39 20 ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 WEB MEET 2 LASSY 6 ABRASION/L-KNEE,PAIN-R-ARM/THUMB/NECK�NATURE OF INJURIES 40 21❑ LICENSE BWN9730 TArE I WA vIN# JTHP9JBH4L2033541 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2020 MAKE LEXS MODEL UX STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO VICTOR WONG 21144131STPL SE KENTWA98031 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO STATE FARM 471 0023-F19-47AIN STOP 5 VEHICLE ❑ CE] CITATION# CHARGE 25 io BOTTOM LEGALLY YES N ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 QU/NT TIBEAU 07691 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE57834 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2631 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CHAN YIU IN(LAST FIRST, ADDRESS&PHONE# D O.B. 14005 SE 194TH ST RENTON WA 980589428 4255298907 SEX M MMDOYyry 09 - 10 - 1962 SEAT HELMET INJURY NATURE OF INJURIEs PASSENGER WITNESS❑'UNIT# 3 POS 3 AIRBAG 6 RESTR. q EJECT USE 2 CLASS 6 UARM,NECK,BACK NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O 13 SEX: MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. QUINT TIBEAU 03-10-24 03:45 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT D.SKELTON 9139 311012024 4:28:27 PM BADGE OR ID# 07691 OR]# ! WA0171300 TIME POLICE DISPATCHED 11:24 AM TIME POLICE ARRIVED',11:30 AM PART I PAGE IT]OF 5� REPORT NO. EE57834 CASE# 24-2631 OF COLLISION 03/10/24 11:23 OF CbLLI510N NARRATIVE 24-2631 Narrative The following occurred in the City of Renton, County of King, State of Washington. On 03/10/24 at about 1124 hours I was dispatched to an injury collision in the 5200 block of Talbot RDS S. I arrived at about 1130 hours to find 3 vehicles involved. I contacted the driver of V-1 who identified himself as Bhajan Singh with his WADL. Sing stated that he turned left out of a private parking lot south bound onto Talbot RD S and stopped in the center 2-way turn lane. He believed that V-2 was traveling too fast and panicked at him coming out. She struck his vehicle before colliding head on into V-3. I contacted the front seat passenger of V-3 who identified himself as Yiu Chan. Chan stated that they were northbound on Talbot RD S when suddenly V-2 came at them from the center 2-way turn lane and struck the front of their vehicle. The driver of V-3 identified herself as Josephine Wu with her WADL. She stated that she was northbound on Talbot RD S when V-3 came into her lane and struck her vehicle from the front. The driver of V-2 identified herself as Chen Wong with her WADL. She stated that she was southbound on Talbot Rd S when V-1 came into her lane striking her vehicle. She then ended up going into the northbound lane of travel and struck V-3. In looking at the damage to the vehicles, it appears that the front right tire and bumper of V-1 struck the left rear quarter panel of V-2, causing V-2 to spin into the northbound lane of travel, thus striking V -3 head on. Wong, Chan and Wu were all transported to Valley Medical Center for treatment. V-2 and V-3 were towed by Gene Meyer Towing. This incident was captured on my Axon 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. Nothing further at this time. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Q. Tibeau 03/10/24 1540 hours, Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE557834 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2631 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:2063305713 0 1 29 LAST NAME WU FIRST NAME JOSEPHINE MIDDLE' ',.. L INITIAL STREET 30 NEW AnnRFSP' 14005 SE 194TH ST CITY RENTON ST WA ZIP 980589428 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 F MMDDYYv', 03 - 11 - 1961 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 6 RESTR. 2 EJECT 1 USE 2 CLASS 6 R-LEG,L-ARM,NECK 8 ❑ 1 32 LICENSE CGL7742 TAr WA VIN# 4S3GTAD68P3716664 PLATE# 9 TRAILER TRAILER 191 PLATE# STATE PLATE# STATE 10 1-1TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2023 MAKE SUBA MODELIMPREZA STYLE UT VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO.YIU CHAN 14005 SE 194TH ST RENTON WA 98058 rj 1 33 12 � SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE INSURANCE CO pEMC0 CA 06929t9 gTOp IN EFFECT &POLICY# vEHICLE 1 t7 6QTTOM 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE gg�@ STANDING S} l:9 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER RTY YES[-]AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME I MIDDLE 36 STREET"[-] ❑ 16 NEW AnnRFs� CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 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 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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. QUINT TIBEAU 03-10-24 03:45 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 07691 O#I',WA0171300 SKELTON 3110/2024 PAGE�OF 3000-345-013(R 11118) REPORT NO. EE57834 CASE# ' 24-2631 DATE AND TIME 03/10/24 11:23 OF COLLISION 4 j 4 � t 5 3tt l <� r} ; ,.r 5 1 0 �, l� `•a1 t t � � t 4 1�'� "St�a� S?��`: v PAGE 5 OF 5