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HomeMy WebLinkAbout25-4003 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89273OLCERA COLLISION REPORT 1591971 CASE# 25-4003 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 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# BOLL s oN' 05 - 06 - 2025 1000 17 =.= S 8 W e IN OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOMAPLE VALLEY HIGHWAY MILE POST e 1900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 2 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4155259397 0 1 30 5 LAST NAME CALDERON LARA FIRST NAME BEATRIS MIDDLE A 1 1 2 31 INITIAL STREET Q 11100 SE PETROVITSKY ROAD APT CITY; RENTON ST WA ZIP; 98056 2 NEW ADDRESS 7 +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES No INTERLOCKYEs NCS YES No 8❑ DRIVER # STATE WA SEXI F MMDDYY' 08 - 01 - 1979 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RE 4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2 LICENSE, CAP3077 STATE WA VIN# 3CZRU6H55HM705104 3 10 Fq I PI ATP tt TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# ROM To TRLR TRLR 3 1 7 33 12 4 o VIN#' vIN# FROM TO VEH.YEAR 2017 MAKE HOND MODEL HR-V STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 7 34 13� DAMAGE YES II_II NO `/ YESII_I) NO REGISTERED OWNER INFO EMILIO GARCIA CARDONA 11100 SE PETROVITSKY RD APT C RENTON WA 98055 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO 4_ IN EFFECT &POLICY# i STOP _ 5 LEh'icLE CHARGE 7 o QOTTOM 36 15 STMG yes❑NO❑ CITATION# 5AO407915,5AO407915, IMPROPER PASSING LEFT MOTOR s 7 a UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR 16� LAST NAME LONDON FIRST NAME ' TIARRA MIDDLE' ' N INITIAL 17 F1 STREET ❑❑ 37 2024 S 17TH ST CITY TACOMA ST, WA ZIP 984052912 NEW ADDRESS 18 F IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 CDL INTERLOCKYES No INTERLOGKYEs No YES No' 19[� DRIVER'S STATE WA SEX F I D.O.e. 1 08 27 1985 E 39 LICENSE# MMDDYY HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21[ LICEN E LATEICPY8344 rare WA vIN# 1GKS2JKL7MR244850 41 El 22❑ PLATE# STATE PLATE# STATE E 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE GNjC MODEL yUKON 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 DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 978358379 IN EFFECT &POLICY# I Q vem �E 1—ae YES❑ N,.I—I CITATION11 CHARGE to 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF89273 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4003 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GARCIA CALDERON MONICA N ADDRESS&PHONE# D� 11100 SE PETROVITSKY ROAD APT RENTON WA 980550000 SEXi F MMDDYYYY 06 — 25 — 2007 PASSENGER WITNESS[:] UNIT# SEAT AIRBAG RESTR. EJECT HELMET NLASS NATURE OF INJURIES 1 POS. 3 2 4 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: NATURE OF INJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY 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. C.ARNOLD 05-06-25 10:40 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 5/7/2025 9:17:02 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 10:01 AM TIME POLICE ARRIVED i 10:05 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF89273 CASE# 25-4003 OF DATE AND r�N + 05/06/25 10:00 O�COLLISION NARRATIVE CC 25-4003 On 5/6/2025 at 1001 hours 1 was dispatched to a motor vehicle collision at around the 1900 block of Maple Valley Highway in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was traveling West on Maple Valley Highway in the #1 lane approaching the 1900 block. Driver 1 stated that she was traveling West on Maple Valley Highway in the #2 lane approaching the 1900 block, and was preparing to merge from the #2 lane into the #1 lane. Collision Driver 2 stated that as she was entering the 1900 block, Unit 1 merged from the #2 lane into the #1 lane and the front passenger side door of Unit 1 collided with the front driver side bumper of Unit 2. Driver 1 stated that she did not see Unit 2 and when she merged from the #2 lane to the #1 lane, the front passenger side door of Unit 1 collided with the front drivers side bumper 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 the driver of a vehicle overtaking other traffic proceeding in the same direction shall pass to the left of it at a safe distance and shall not again drive to the right side of the roadway until safely clear of the overtaken traffic. Driver 1 also did not have a valid drivers license but provided her with an ID card. Upon a check of DOL, her driving status showed "Not Licensed -Eligible". Driver 1 also did not have insurance. Driver 1 was cited per RCW 46.61.110, RCW 46.30.020, and RCW 46.20.015. 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 10:30 on 5/6/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. E F89273 CASE# 25-4003 DATE AND TIME 05/06/25 10:00 OF COLLISION { 4 � t � t' s }rl t t r 1 E f}Y n a� t tt:' + 4 i fllyd� PAGE 4 OF 4