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HomeMy WebLinkAbout25-4300 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF92069oc� RA COLLISION REPORT 1591971 CASE# 25-4300 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 eDUISION' 05 - 15 - 2025 1350 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW SUNSET BLVD BLOCK NO. e 100 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 2 0 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2069534462 0 1 30 5 LAST NAME MUCKERHEIDE FIRST NAME WILLIAM MIDDLE M 1 2 31 INITIAL STREET ❑ 406 TAYLOR AVE NW#B CITY; RENTON ST I WA ZIP' 980573420 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No INTERLOCKYEs NO YEs NOD 8 DRIVER # STATE WA SEXI M MMDDYY' 04 - 29 - 1945 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 JHELM USEET CLASSY 1 NAruRE of INJURIES 2 3 10 Fq I ai��5�' AQM1236 STATE WA yIN# 1GNEVLKS7RJ237882 TRAILER STATE TRAILER STATE FROM TO 11 3 5 PLATE# PLATE# TRLR TRLR. 7 3 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2O24 MAKE CHEV MODEL TRAVER STYLE VEHICLE TOWED,DLI�TOBLIN TOWEBBY GOVT VEHICLE 7 3 34 13 DAMAGE YES II_II NO `/ YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[ NSURANCE CO FARMERS 188656568 3 4 IN EFFECT &POLICY# 4TOP 6 36 Lr LNYes NO CITATION# 5A0512641 CHARGE IMPROPER LANE USAGE 15 gG MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT O2 VEHICLE CYCLE nWNFR YES NO �/ D:2065792836 16� LAST NAME PATTON FIRST NAME NISHAY MIDDLE' L INITIAL STREET ❑ 37 17 ❑ 22120 98TH PL S CITY KENT ST, WA ZIP 980311942 NEW ADDRESS 18 ❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTEtLOCKvEs NO INTERLOCKYEB xz YEs NO 19 DRIVER'S STATE WA SEX F I D.C.B. 01 _ 30 1986 39 '..LICENSE# MMDDYY — : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE CKP4202 TATe WA VIN# 5TDJZRFHXKS941788 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2019 MAKE TOYT MODEL H/GHlAN STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE INSURANCE CO GEIC04322-73.52.36 IN EFFECT &POLICY# 9TOP vew1— ❑ ,.I—I CITATION# CHARGE to BOTTOM LEGALLY YES No 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92069 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4300 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) HING NOVA S ADDRESS&PHONE# 22120 98TH PL S KENT WA 98031 SEXi F MMDDD B. 04 — 15 — 2022 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES �, 2 POS. 9 2 10 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 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.ARNOLD 05-15-25 02:37 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 5/16/2025 3:56:32 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:51 PM TIME POLICE ARRIVED i 1:53 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF92069 CASE# 25-4300 OF DATE AND r�N + 05/15/25 13:50 O�COLLISION NARRATIVE CC 25-4300 On 5/15/2025 at 1351 hours I was dispatched to a motor vehicle collision at around the 100 block of SW Sunset Blvd in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she had just performed a lefthand turn from SW Langston Rd onto SW Sunset Blvd and was proceeding East in the #2 lane approaching the 100 block of SW Sunset Blvd. Driver 1 stated that he had just performed a righthand turn from the Fred Meyer Parking lot at Hardie Ave SW and SW Sunset Blvd and was in the #1 lane preparing to merge from the #1 lane to the #2 lane. Collision Driver 2 stated that after entering the 100 block of SW Sunset Blvd, Unit 1 merged from the #1 lane into the #2 lane and the front drivers side bumper of Unit 1 collided with the rear passenger door of Unit 2. Driver 1 stated that he did not see Unit 2 and that at around the 100 block of SW Sunset Blvd he merged from the #1 lane to the #2 lane and the front drivers side bumper of Unit 1 collided with the rear passenger side door of Unit 2. Injuries No injuries reported Vehicle Disposition Both vehicles were operational Proximate Cause I determined that Driver 1 is the proximate cause of this collision because 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. Driver 1 was cited per RCW 46.61.140 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 14:28 on 5/15/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EF92069 CASE# 25-4300 DATE AND TIME 05/15/2513:50 OF COLLISION f i 5 � l 1\ � °.s. t i RAC t i �f r y +.qP �t tz{1 7m 4� PAGE 4 OF 4