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HomeMy WebLinkAbout25-3434 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF84799oc� RA COLLISION REPORT 1591971 CASE# 25-3434 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED 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# eaCL s on' 04 - 16 - 2025 17 1248 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a SW 43RD ST MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ C------ 1.1 FEET e S 8 W e LIND AVE SW 1 2 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4252274447 0 1 30 5 LAST NAME GUDMUNDSON FIRST NAME ANITA MIDDLE M 1 2 31 INITIAL STREET ] 17715 98TH AVE S CITY; RENTON I ST WA ZIP 980555735 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYePRES NO vES NO 8❑ DRIVER # STATE WA SEXI F MMDDYY' 04 - 04 - 1939 t 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2 10 1� aiCENSE' DP43999 STATE WA VIN# 1FMCU9H92DUB40506 3� TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR rRLR. 7 1 3 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2013 MAKE FORD MODEL ESCAPE STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34 13� DAMAGE YES II_II NO `/ YESII_] NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 14 LIABILITY INSURANCE� INSURANCE CO FARMERS 190218926 4 IN EFFECT &POLICY# 4TOP _ YEs srgALLNG ❑NO❑ CITATION# 5A0436307 CHARGE INATTENTIVE DRIVING s taooTro�m z 36 15 MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES NO �/ D:4253921186 16� LAST NAME NELSON FIRST NAME GAROLD MIDDLE D INITIAL 17F1 ❑STREET ❑327021STAVE CITY' BLACK DIAMOND ST, WA ZIP 980109319 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDTCAL TRANSP6RTED'. 38 INTERLOCK YES No INTERLOCK Yes No ves No 19 DRIVER'S STATE WA SEX M I D.OJ 11 22 1939 39 LICENSE# MMDDYY — HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSEPLATE# CDX0192 rare WA vIN# JTEAAAAH3MJ028768 41 22❑ PLATE# STATE PLAAILER TE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE TOYT MODEL VENZA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 2552132-816.470 IN EFFECT &POLICY# t STOP ­1— .I ❑ ,—I CITATION11 CHARGE to BOTTOM LEGALLY YES N 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ROGER RANAN 13156 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84799 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3434 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) NELSON JANICE R ADDRESS&PHONE# 32702 1ST AVE BLACK DIAMOND WA 980109319 SEX: F MMDD6 B. 01 — 24 — 1943 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 3 2 9 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY: NATURECFINJURIES POS. USE 0,SS ----� :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 POS. 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. ROGER RANAN 04-16-25 01:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE P.KORDEL 9676 412212025 6:05:26 PM BADGE OR ID# j 13156 ORI# WA0171300 TIME POLICE DISPATCHED 12:50 PM TIME POLICE ARRIVED i 1:44 PM PAST B 3 aDo-3mx—attar gt 1Mfft PAGE 2�OF 4 REPORT NO. EF84799 CASE# 25-3434 OF DATE AND r�N + 04/16/25 12:48 O�COLLISION NARRATIVE CC 25-3434 On 4/16/2025 at 1250 hours I was dispatched to a motor vehicle collision at the intersection of SW 43rd St and Lind Ave SW in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was traveling East on SW 43rd St just West of Lind Ave SW in the #1 lane. Driver 1 stated that she was traveling East on SW 43rd St just west of Lind Ave SW in the #2 lane preparing to merge into the #1 lane. Collision Driver 2 stated that the front passenger side quarter panel of Unit 1 collided with the front drivers side quarter panel of Unit 2, then scraping along the drivers side front and rear door. The drivers side mirror of Unit 2 was also damaged by the passenger side mirror of Unit 1. Driver 1 stated that she did not see Unit 2 and merged from the #2 lane into the #1 lane and that the front passenger side quarter panel of Unit 1 collided with the front drivers side quarter panel of Unit 2, then scraping along the drivers side front and rear door. The drivers side mirror of Unit 2 was also damaged by the passenger side mirror of Unit 1. Injuries Neither party complained of injuries. Vehicle Disposition Both vehicles were operable and driven from the scene. Proximate Cause I determined that Driver 1 is the proximate cause for this collision because she was inattentive to the presence of traffic upon the roadway. Driver 1 was cited per RMC 10-12-25. If Driver 1 had been attentive then this collision would not have happened. 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 Officer R. Ranan #13156 at 13:36 on 4/16/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EF84799 CASE# 25-3434 DATE AND TIME 04/16/2512:48 OF COLLISION AV C t tsS�f ,r�; .stall: V tY '.ski n {\ S te` h � t� t z i Ytt I 9 1, a 1 S 1 -mw4t ,t �t l s' {z, PAGE 4 OF 4