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25-1005
IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67727OLCERA COLLISION REPORT 1591971 CASE# 25-1005 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E COLLISION' 01 - 31 - 2025 1224 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 2ND ST BLOCK NO. e 203 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2065028651 0 1 30 6 LAST NAME ALTANSUKH FIRST NAME NAYANCHULUUN MIDDLE N 1 1 2 31 INITIAL STREET ❑ 21093 37TH CT S NEW ADDRESS CITY I $EATAC ST WA ZIP, 981986702 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES ND INTERLOCKVEs NO YES No 8❑ DCIENSE# STATE WA SEXI M MMDDYY' O6 — 04 — 1998 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 LI ENSE BXU4407 STATE WA VIN# 1GCFG15X831155816 3 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM To TRLR TRLR 3 1 7 33 12 3 0 VIN#' vIN# FROM TO 13 2 VEH.YEAR2003 MAKE CHEV MODEL EXPRE$ STYLE VEHICLE TOYED NO�iS46LIN Tl� {J RSTOWING GCS❑EN ICLE o� 3 7 34 DAMAGE IIII._IIII REGISTERED OWNER INFO NAYANCHULUUN ALTANSUKH 2109337TH CTS SEA TAC WA 98198 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 4TOP _ srgNOLNG ❑ ❑ 5AO047836 CHARGE OP MOT VEH W/OUT INSURANCE o ooTro6 36 Yes NO CITATION# 15 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:4254710118 16� LAST NAME SWANK FIRST NAME MATTHEW MIDDLE' D INITIAL 17 F1 STREET ❑❑ 25123 SE 224TH ST CITY MAPLE VALLEY ST, yyq ZIP 980387633 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYES No INTERLOCK YES NO vEs NO 19 DRIVER'S STATE WA SEX M D.Os. 08 22 1968 39 LICENSE# MMODYY HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSE D02791C TATe WA VIN# 1FTFW1ED7NFB83475 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2022 MAKE FORD MODEL F150 STYLE VEHICLE TOWED✓ No BLIN BANKERS TOWING 24 REGISTERED OWNER INFO MATTHEW SWANK 25123 SE 224TH ST MAPLE VALLEY WA 98038 VEHICLE N0.2 SHADE DAGED AREA 4 LIABILITY INSURANCE[Z INSURANCE CO SAFECO M1967504 IN EFFECT &POLICY# 9TOP VEHICLE LEGALLY YES❑ No CITATION# CHARGE t080TTOM `.LJ 25 a F OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF67727 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1005 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES PC& I 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. C.CATALAN 01-31-25 04:17 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 212112025 1:51:48 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 12:25 PM TIME POLICE ARRIVED i 12:35 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF67727 CASE# 25-1005 DATE OF COLLI r�510NN + 01/31/25 12:24 L1 NARRATIVE On January 31, 2025, at approximately 1224 hours, I was dispatched to a blocking vehicle collision at the intersection of S 2nd St and Rainier Ave S, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. There, 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 by his WADL as Nayanchuluun Altan, said he was traveling eastbound in about the 200 block of S 2nd St and approaching the entrance of Safeway in lane 3 of 4. Nayanchuluun stated that he needed to get into the left lane (lane 4 of 4). Nayanchuluun stated that he failed to see Unit 2 in his blind spot. Nayanchuluun stated that while making the lane change, Unit 1 and Unit 2 collided in lane 4 of 4 causing severe damage to the driver's side bumper, wheel, and fender. The driver of Unit 2, identified by his WADL as Matthew Swank, said he was the sole occupant of his vehicle and was also traveling westbound in about the 200 block of S 2nd St approaching the entrance of Safeway in lane 4 of 4. Matthew stated he was intending to continue straight when Unit 1 changed lanes from lane 3 of 4 and into lane 4 of 4 which Unit 2 was occupying. Matthew was unable to avoid the collision and Unit 1 subsequently collided with Unit 2. Unit 2 suffered significant damage to the front passenger fender and wheel bearing due to the collision. Based on the above statements, I determined that the Driver of Unit 1, Nayanchuluun, is the proximate cause for the cause of collision as Nayanchuluun 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. Nayanchuluun made a lane change into Unit 2's lane of travel which had the right of way and was underway. Nayanchuluun did not ensure that traffic in lane 4 of 4 was clear of hazard before making the unsafe lane change. I gave Nayanchuluun a verbal warning for Improper Lane Usage causing a collision. He was given an infraction for not having insurance. Both Unit 1 and Unit 2 required a tow due to extensive damage. Both vehicles were towed by Bankers Towing. An exchange of information was provided to all involved parties. PAGE 3 OF 4 REPORT NO. E F67727 CASE# 25-1005 DATE AND TIME 01/31/25 12:24 OF COLLISION 4 {� 1 e : 1w h. u\ 1' b 1\ a 1� PAGE 4 OF 4