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HomeMy WebLinkAbout25-3840 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 25-3840 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 05 - 01 - 2025 0811 17 ❑.❑ S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 116TH AVE SE BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ �.❑ FEET ❑ S ❑ W❑ SE 184TH ST OF,1 29 k MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE JNIT1 VEHICLE ❑ CYCLE ❑ YES NO F D:9163077874 0 1 30 6 LAST NAME TORCHYLO FIRSTNAME SOF11A MIDDLE 1 2 31 INITIAL STREET ❑, 19243 116TH AVE SE CITY KENT ST WA 2jp, 98031 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE CA SEX'F MID IF B 11 - 17 - 2005 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET CLA NA Y 1 [!!RE OF INJURIES 2❑ ❑P1 ATNFS14 CFY8713 STATE WA VIN# 5NPDH4AE4EH526590 3 10 9❑ TRAILER STATE TRAILER STATE 11 2 0 PLATE# PLATE# FROM TO FT -R TRUl 5 1 33 12 2 0 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34 13 4 2014 HYUN ELANTR DAMAGE YES NO YES[:] NO REGISTERED OWNER INFO VENIAMIN NADOLSKYI 20922 SE 271STST COVINGTON WA 98042 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO DAIRYLAND 11409968394 3 4 IN EFFECT &POLICY# 9TOP VEHICLE 5 36 LEGALLv YEs❑No CHARGE❑ CITATION# 5AO407912 FOLLOW VEHICLE TOO CLOSELY o Borrom 15❑ STANDING 8 7 6 MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE UNIT 0 VEHICLE ❑ ❑ PEDESTRIAN ❑ ❑ D:6465784765 CYCLE OWNER YES NO �/ 16 a LAST NAME KAMOTHO FIRST NAME MARY MIDDLE I S INITIAL 17❑ STREET ❑', 24440 RUSSELL RD APT 219 CITY KENT ST WA ZIP 980324283 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YES ❑No❑ 19 LDIIVE STATE WA ]SEX IF MMDDW 10 _ 18 _ 1962 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE A8298239 TATE WA VIN# JTMDFREV4GJ052907 ❑ 41 PLATE# 42 22❑ PLATE# STATE pLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GI VEH YEAR 2016 MAKE 7'Oy7' MODEL RA V4 STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO FARMERS 530560815IN IGVE""LE TOP ❑ ,J� CITATION# CHARGE OTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF89269 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3840 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. C.ARNOLD 05-01-25 11:44 AM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 51712025 9:17.51 AM BADGE OR ID# 12509 OR]# WA0171300 TIME POLICE DISPATCHED; 8:14 AM TIME POLICE ARRIVED',8:26 AM PART B PAGE IT]OF 4� REPORT NO. EF89269 CASE# 25-3840 OF LNa 05/01/25 08:11 F coy�isI©�ON u NARRATIVE CC 25-3840 On 5/1/2025 at 0814 hours I was dispatched to a motor vehicle collision at the intersection of 116th Ave SE and SE 184th St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was traveling North on 116th Ave SE in the #1 lane approaching an active school zone at the 18400 block. Driver 1 stated that she was traveling North on 116th Ave SE in the #1 lane approaching an active school zone at the 18400 block behind Unit 2. Collision Driver 2 stated that she slowed her speed with traffic in front of her when entering the 18400 block. Upon doing so, the front bumper of Unit 1 collided with the rear bumper of Unit 2. Driver 1 stated that as she entered the 18400 block, she was unable to slow down in time with traffic in front of her and the front bumper of Unit 1 collided with the rear bumper of Unit 2. Injuries No injuries reported. Vehicle Disposition Both vehicles were drivable and Unit 1, despite having significant damage to the front portion of the vehicle, was driven from the scene and a tow was not requested by Driver 1. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because she was following more closely than was reasonable and prudent given the decrease in speed. Driver 1 was cited per RCW 46.61.145. 1 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 C. Arnold #12509 at 11:08 on 5/1/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EF89269 CASE# 25-3840 DATE AND TIME 05/01/25 08:11 OF COLLISION tik�5 �tis S', $itt5tt t �Yf v, sk k 8 { uj k� 7,z { c k A¢ s t 5 Iti trE 4k ��'� k f �kF i Is 3 i ,`tips 1 PAGE 4 OF 4