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Home My WebLink About25-2975 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF81438oc� RA COLLISION REPORT 1591971 CASE# 25-2975 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3 COUNTY RD ❑ NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION'. 04 - 02 - 2025 1415 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 4TH ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 . FEET S 8 w e DWALL AVE NE 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252695424 2 0 30 6 LAST NAME WAGNER FIRST NAME MATTHEW MIDDLE D 1 1 2 31 INITIAL STREET ❑ 12233 10TH AVE S NEW CITY, SEATTLE ST WA ZIP 981682215 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs ND INTERLOCKYEs NO YES NO 8� LICIENS# STATE WA SEX M MMor YY' 04 — 26 — 1989 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NAruRE of INJURIES 2 LICENSE, 568378F STATE MT VIN# 1B7HG2AZ4YS778115 3 10 PI ATP tt TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# ROM TO TRLR TRLR 5 1 33 12 3 5 VIN# vN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 2 2000 DODG DAKOTA PK DAMAGE YES NO ✓ YEs❑ No 5 1 34 REGISTERED OWNER INFO NANCY WAGNER 142 LONG BOW LN TROYMT59935 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 4TOP v `LE CHARGE 5 36 Lec Ly YES❑NO❑ CITATION# 76 BOTTOM 15❑ STM ING e 11 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT vEHICLE ❑ cvGLE' ❑ ❑ rwNFR YEs,/ No D:4048310305 16� LAST NAME BOLTON FIRST NAME ELIJAH MIDDLEI L INITIAL STREET �/ ❑ 17 ❑ 1201 S 336TH ST CITY FEDERAL WAY ST, WA ZIP 98005 37 NEW ADORESS ': 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYE No INTERLOCK YES Na YES NDI 19 DRIVER'S STATE GA SEX M MDDY 01 02 1996 ❑ 39 LICENSE# MD.O.B, - HELMET INJURY ' NATURE OF INJURIES 40 20❑ ON DUTY : STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENS CNS5097 rarE W/a vIN# JMIDE1KZ2C0144612 41 22❑ STATE TILER PATE# STATE ❑ 42 PLATE# 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2012 MAKE MAZD MODEL MAZDA2 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO ELIJAH BOLTON 7008 S 12TH ST APT 2302 TACOMAWA98465 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 �l LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# t 9TOP 1-1- ❑ ,.I-I CITATION# CHARGE tO BOTTOM E—Lv YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF81438 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2975 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. — [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. — L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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. C.CATALAN 04-08-25 11:01 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/9/2025 2:44:12 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:15 Pry TIME POLICE ARRIVED 2:15 PM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EF81438 CASE# 25-2975 O COLLI COLLISION TIME OF 04/02/25 14:15 COLLI NARRATIVE On April 8, 2025, at approximately 1415 hours, I was dispatched to an unknown-if-injury vehicle collision at the intersection of NE 4th Street and Duvall Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed that the passenger of Unit 2 was complaining of back pain. RRFA had already responded and evaluated the involved parties prior to my arrival. All parties were treated at the scene and released by RRFA. While on scene, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1, identified as Matthew Wagner, said he was the sole occupant of his vehicle was traveling westbound in about the 4800 block of NE 4th Street and approaching the intersection of Duvall Ave NE in right turn lane. Matthew stated he was intending to continue north on Duvall Ave NE following the turn. As he drove northbound, Unit 1 changed lanes from lane 2 of 2 and into lane 1 of 2 which Unit 1 was occupying. *Unit 2 crossed the solid white lane. Unit 2 then attempted to make a right turn into the first parking lot, so they stopped abruptly. Matthew was ultimately unable to avoid the collision and Unit 1 subsequently collided with Unit 2. Unit 1 suffered significant damage to the front bumper due to the collision. The driver of Unit 2, identified as Elijah Bolton, said he was the sole occupant of his vehicle and was traveling eastbound in about the 4600 block of NE 4th Street approaching the intersection of Duvall Ave NE in the left turn lane. The driver of Unit 2 stated he was intending to continue straight on Duvall Ave NE and enter the QFC parking lot after turn. Following the turn, Elijah made a quick lane change from lane 2 of 2 to lane 1 of 2 to enter the parking lot. While slowing, Unit 1 subsequently collided with Unit 2 from behind. Unit 2 suffered significant damage to the rear bumper and Elijah had back severe back pain and chest pain. Elijah was transported to VMC. After hearing the two statements, I measured the distance from the parking lot entrance to the painted lines at the intersection. The distance was approximately 127 feet. The solid white line between lanes 1 and 2 had a measurement of 108 feet which indicated the end of the lane. That left approximately 19 feet to make a proper lane change. I was unable to calculate when Unit 2 turned on their turn signal to indicate a lane change, but that needs to be indicated 100 feet prior. Based on the above statements, I determined that the Driver of Unit 2 (Elijah) is the proximate cause for the cause of collision as Elijah violated RCW 46.61.140(1) which states that a vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. Elijah made a lane change into Unit 2's lane of travel which had the right of way and was underway. Elijah did not ensure that traffic in lane 1 of 2 was clear of hazard before making the unsafe lane change and bring their vehicle to a stop. Unit 2 required a tow due to extensive damage. Unit 1 was drivable, so an exchange of information was provided to all involved parties. This is an information report only. No citations were given. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 04/08/2025 Renton PAGE 3 OF 4 REPORT NO. EF81438 CASE# 25-2975 DATE AND TIME i 04/02/25 14:15 OF COLLISION 3 i 4 kir 7 , b tr, � r tr u w cZz�` t t L � ti z }r PAGE 4 OF 4