HomeMy WebLinkAbout25-4091 ("7—
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,one COLLISION REP F 1591971
CASE# 25-4091 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 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 - 09 - 2025 0914 17 a. S e W 8 IN
OF 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE 4TH ST 8✓ .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ FEET e S e E 8 BREMERTON AVE NE
OF 4 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/NO D:4252297725 0 1 30
6 LAST NAME REYES ALA YON FIRST NAME SANTIAGO MIDDLE N 1 2 31
INITIAL
STREET E:1' 4507 NE 5TH ST CITY RENTON WA
NEW ADDRESS S7 ZIP 98059 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED a
1NTERLOCKYES No INTERLOCKYES No YES NO
8❑ LDICENS STATE WA SEX'M MM flYY 10 - 23 - 2003 1 2 32
STATUS AIRBAG 2 RESTR 4 EJECT 1 9 F] ON DUTY H U5 E7 CLASRS 1 NATURE OF INJURIES 2
LICENSE
CKZ6261 srAr WA WIN# 1G1FB1RS3HO165236
10 9❑ PI 3
11 3 5 PLATE# STATE PLATE# STATE ROM To
RA
TRLR TRLR. 1 3 33
12 3 5 VIN# vIN#
FROM TO
13 4 VEH.YEAR2017 MAKE CHEV MODEL CAMAR STYLE VEHICLDAMAGE TOWED J:tl T02fBLIN TOWED BY GOVT.VEHIICLNOF✓ 3 7 34
❑ REGISTERED OWNER INFO OWNED BY DRIVER IIIL—llll VEHICiL.E ccNJO..'II 1
SHADE 1N DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE NSURANCE CO GEICO 4612716391 4
IN EFFECT &POLICY# 9TOP
VtwCLL CHARGE i 5 ❑ 36
EGALl v YES[:]NO[:] CITATION# 5AO407928 FAIL STOP AT STOP Ia BOTTOM
15❑ --NG a 6
MOTOR PEOESrRIAN PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE OWNER ves,/ No D:2068614700
16�
LAST NAME NGHIEM FIRST NAME NGOC MIDDLE H
INITIAL
17❑ STREET El 12014 176TH AVE SE CITY RENTON I ST, WA ZIP 980596 37
517
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKYEs No INTERLOCK YES N- vES NOR I
19❑ DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N U MEET INJURYCLASS 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE I CPW8262 TATE'WA vIN# W1KCG2DB9NA003972
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
2022 MERZ EQS TOWED Br Go HI 44
VEH.YEAR MAKE MODEL STYLE DAMIAGE TOWED NOO✓ BLIN YES NO
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NQ.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 991029243 E 3 4
IN EFFECT &POLICY# tUQ,
vE" ❑ . 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. EF92073
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4091
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) NGUYEN KALYNN
ADDRESS&PHONE#
12014 176TH AVE SE RENTON WA 98059 SEXi F MMDDD BYYY 09 - 09 - 2020
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ 2 POS. 9 2 10 1 USE CLASS 1 ----�
:NAME
(LAST FIFS7 MIDDLE INITIAL)
ADDRESS R PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NaruRECFINJURIES
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
❑ ❑ 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 05-09-25 10:09 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 511612025 3:58:58 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 9:18 AM TIME POLICE ARRIVED i 9:32 AM
PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 47
REPORT NO. EF92073 CASE# 25-4091 OF COLLI ION 05/09/25 09:14
OF COLLISION
NARRATIVE
CC 25-4091
On 5/9/2025 at 0918 hours I was dispatched to a motor vehicle collision at intersection of NE 4th St
and Bremerton Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling West on NE 4th St in the #2 lane approaching Bremerton Ave
NE.
Driver 1 stated that he was stopped at a stop sign on Bremerton Ave NE facing South in the #2 lane
preparing to perform a lefthand turn.
Collision
Driver 2 stated that as he entered the intersection of Bremerton Ave NE and NE 4th St, Unit 1 entered
the #1 lane of Westbound NE 4th St, and then the #2 lane of NE 4th St. Driver 2 stated that when Unit
1 entered the #2 lane of NE 4th St, she did not have time to slow or stop to avoid a collision and the
front drivers side bumper of Unit 2 collided with the drivers side door of Unit 1.
Driver 1 stated that lane #1 of Westbound NE 4th St was clear of traffic and he began to perform a
lefthand turn to proceed East on NE 4th St. Driver 1 stated that he was unable to see into lane #2 and
when he entered lane #2 the front drivers side bumper of Unit 2 collided with the drivers side door of
Unit 1.
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 except when directed to
proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to
direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except
as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a
marked crosswalk on the near side of the intersection or, if none, then at the point nearest the
intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways. If
Driver 1 had yielded to the right of way of Unit 2 who had no stop sign.
Driver 1 was cited per RCW 46.61.190
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 10:00 on 5/9/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF92073 CASE# 25-4091 DATE AND TIME 05/09/2509:14
OF COLLISION
ERTON AVE NE
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PAGE 4 OF 4