HomeMy WebLinkAbout25-4251 ("7—
STATE.w,-" .:.. TFFiN27CERAc REPORT NO. EF92068 570
,one COLLISION REP F 1591971
CASE# 25-4251 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 2 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[�
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL LIN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 05 - 14 - 2025 0911 17 a. 8 W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK NO.
NE4THST MILEPOST T
❑ MILEPOST
8 3100
4a .�
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
2 0 29
k, MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES NO F,/ D:2674240626 0 1 30
6 LAST NAME MARTINEZ GARCIA FIRST NAME MARIA MIDDLE I 1 2 31
INITIAL
STREET E:] 811 N 3RD ST CITY RENTON WA
NEW ADDRESS S7 ZIP 980575619 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPOftTED 3
INTERLOCKYEs No INTERLOCKYEs No YES NO
DRIVE # STATE WA SEX'F MMDfl YY 10 - 01 - 2000 1 1 2 32
$❑
9 F] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASS 1 NATURE OF INJURIES 2
LICENSE CLJ2810 STATE WA WIN# 2HGFG12608H501931 3
10 9❑ PI ATF it
11 3 5 PLATE# STATE TRAIPLATE# STATE ROM To
RA
TRLR TRLR. 7 3 33
12 3 5 VIN#' VIN#
FROM TO
13 4 VEH.YEAR2008 MAKE HOND MODEL CIVIC STYLE VEHICLDAMAGE TOWED Ftl T02fBLIN TOWED BY GOVT.VEHIICLNO✓ 7 3 34
❑ REGISTERED OWNER INFO OWNED BY DRIVER IIIL—llll VEHICiL.E ccNJO..'II 1
SHADE 1N DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE NSURANCE CO PROGRESSIVE 969536159 4
IN EFFECT &POLICY# STOP
LEGALl CHARGE i 10 BOTTOM 5 ❑ 36
LHIC Y YES[:]NO[:] CITATION# 5AO407930 IMPROPER PASSING LEFT MOTOR
15❑ --Nc a e
MOTOR PEDAL PEDESTRIAN PROPERTY E]JDAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES NO ,/ D:2062618248
16�
LAST NAME VALDES FIRST NAME MARANDA MIDDLE N
INITIAL.
17❑ STREET El 10842 SE 204TH ST APT E6 CITY' KENT I ST WA 980311575 37
Zip
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED ❑ 38
1NTERLOCKYEs No INTERLOCK YES NO vEs NO
19❑ DRIVER'# STATE WA SEX F MMDavY 12 08 1985 ❑ 39
LICENSE FNATURE OF INJURIES
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H EE7 CLASSY 7 COMPLAINT OF NECK PAIN ❑ 40
21❑ LICENSE AUT3405 rare;WA vIN# 2HGFB2F81FH513275
El
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23� 43
TRLR RLR
VIN#. '[N#,
VEH.YEAR 2015 MAKE HOND MODEL CIVIC STYLE DAMIAGE TOWED ND✓ BLIN TOWED BY GO yES N HI 44
YES O
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NQ.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 991626212 E 3 4
IN EFFECT &POLICY# tUQ,
venue ❑ . 1 CITATION# CHARGE�ecn�v YES N J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.ARNOLD 12509 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF92068
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4251
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
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 0,SS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' 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 05-14-25 09:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 511612025 3:57:10 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 9:13 AM TIME POLICE ARRIVED i 9:26 AM
PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 47
REPORT NO. EF92068 CASE# 25-4251 OF COLLI ION 05/14/25 09:11
OF COLLISION
NARRATIVE
CC 25-4251
On 5/14/2025 at 0913 hours I was dispatched to a motor vehicle collision at around the 3100 block of
NE 4th St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling Eastbound in the #1 lane at around the 3100 block of NE 4th St.
Driver 1 stated that she was traveling Eastbound in the #2 lane at around the 3100 block of NE 4th St.
Collision
Driver 2 stated that as she was proceeding straight, Unit 1 merged from the #2 lane to the #1 lane,
and the rear drivers side door of Unit 1 collided with the front drivers side bumper of Unit 2.
Driver 1 stated that traffic ahead of her was coming to a stop in the #2 lane, and she saw that the #1
lane was open. Driver 1 said that she merged into the #1 lane from the #2 lane and did not see Unit 2.
Driver 1 said that the rear passenger side door of Unit 1 collided with the front drivers side bumper of
Unit 2.
Injuries
Driver 2 complained of neck pain but refused treatment at the scene. Otherwise 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 was cited per RCW 46.61.110
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 09:39 on 5/14/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF92068 CASE# 25-4251 DATE AND TIME 05/14/2509:11
OF COLLISION
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PAGE 4 OF 4