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HomeMy WebLinkAbout25-4409 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95171oc� RA COLLISION REPORT 1591971 CASE# 25-4409 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 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# eOCL s o v' 05 - 19 - 2025 1609 17 =.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. EAST VALLEY RD 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e SW 41ST ST 0 4 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:3038547801 N:5093633700 0 4 30 5 LAST NAME CARDINAL FIRST NAME CRANDALL MIDDLE K 1 1 2 31 INITIAL STREET ] 5706 56TH AVE SE CITY; LACEY ST WA ZIP 985035995 2 NEW ADDRESS 7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKYES D NOD I INTERLOCKVEs NO D YES NOD 8 DCIENSE# STATE WA SEXI M MMDDYY' 11 - 08 - 1986 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RE STR 4 EJECT 1 N USE 2 CLASSY ? [NATURE of INJURIES 2 10 1� aiCENSE' RP11403 STATE WA VIN# 1XKYP40XORJ329800 3� TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE# TRLR zRLR 3 5 33 12 3 5 VIN# VIN# FROM TO VEH.YEAR 2024 MAKE KEN MODEL SEMI STYLE TR VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 3 $ 34 13 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO SYSTEM INC S 1405 HA YFORD RD CHENEY WA 99004 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 3 4 2 LIABILITY INSURANCE INSURANCE CO 14 Z ATTICRRG ATTSTJ125 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE t 5 36 Lemur yes[:]NO[:] CITATION# 7 0 80TTOM 15❑ sTnNowc s 7 1 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE PROPSnWNr YES�/ NO D:2069482251 16� LAST NAME FOLLMER FIRST NAME MARK MIDDLE' A INITIAL 17 F1 STREET ❑❑ 19629 104TH AVE SE CITY' RENTON ST, yyq ZIP 980557370 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTEI>'. 38 INTERLOCKYES NO INTERLOCK YES xz YES NO 19 DRIVER'S STATE WA SEXIM I DXIB 02 22 ?952 39 LICENSE# MMDDYY 11 HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT ? USE 2 CLASS ? ❑ 21 LICENSE BDL6071 TATE WA VIN# 5FNRL5H6XGB160046 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2016 MAKE HOND MODEL ODYSSEY STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO SUSAN FOLLMER 19629104TH AVE SE RENTON WA 98055 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO PEMCO INSURANCE CA 0319552 IN EFFECT &POLICY# t STOP V EIL ,J—I CITATION# CHARGE to BOTTOM LEn��Y YES❑ N`[ 25 s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF95171 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4409 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES 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 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.CATALAN 05-20-25 02:34 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 512712025 9:57:26 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:11 Pry] TIME POLICE ARRIVED i 4:17 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EF95171 CASE# 25-4409 OF DATE AND r�N + 05/19/25 16:09 O�COLLISION NARRATIVE On May 19, 2025, at 1609 hours dispatch requested that I respond to a collision at the intersection of East Valley Rd and SW 41 st St, in the city of Renton, county of King, and State of Washington. Upon my arrival, I confirmed that no medical assistance was needed. While on scene, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1, identified as Crandall Cardinal, said he was making a left turn from SR 167 to go southbound on East Valley Rd. While making his left turn, he was positioned in lane 4 of 4 (the second left turn lane). Unit 2 was in the lane 3 of 4. When the traffic signal turned green, both vehicles proceeded to make a left turn on East Valley Rd. While turning, he failed to clear the space between his trailer and Unit 2. Both vehicles collided in the intersection and Unit 1's trailer struck Unit 2's rear quarter panel causing moderate damage to Unit 2, but minor damage to Unit 1. The driver of unit 2, identified as Mark Follmer, recalled a similar story as Crandall. He stated that Unit 1's trailer struck his vehicle while making a left turn. The damage was moderate and over $1000. Based on the above statements, I determined that the Driver of Unit 1 (Crandall) is the proximate cause for the cause of collision as he violated RCW 46.61.140(1) which states that 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. Crandall made a lane change into Unit 2's lane of travel which had the right of way and was underway. Both Unit 1 and Unit 2 were driven away without further incident. An exchange of information was provided to all involved parties. No citations were given. Informational report only. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 05/20/2025 Renton PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF951 71POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE#1 25-4409 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# 1 USDOT 0027935 ICC# 329800 VEHICLE TYPE 1 4 1 CARTGO BODY 4 YPE CARRIER 2 ❑ 1 28 NAME. SYSTEM TRANSPORT INC. ... 3 CARRIER L ADDRESS S 7405 HAYFORD RD CITY CHENEY I ST WA ZIP 99004 4 ❑ NAME # PLACARD. NAME IF NO NUMBER SOURCE 3 AXLES 05 GWVR 105500 + 4a ❑ ADDITIONAL UNITS UNIT# MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ VEHICLE ❑ ( CYCLE CI PEDESTRIAN C OWNER ❑'. YES NO MIDDLE; 29 LAST NAME FIRST NAME INITIAL STREET 30 CITY ST ZIP NEW ARI3RFfi . 6 ❑ CDL GNITION REQUIRED PRESENT MEDICALTANSPORTED' 1 31 I RE' 1GNiTION :: INTERLOCK YES NO :INTERLOCK YES NO YEs N LICENSE STATE SEX MD.00.B _F� 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIEs USE CLASS 8 ❑ 1 32 LICENSE TAT VIN PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVr.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO IN EFFECT &POLICY# �GQl 34 13 vewc�e YES NO[jj CITATION# CHARGE ecauv sTnNoiNc MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST' ZIP NFW AODRFss CDL IGNITION RE6UIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YEs NO .YES NO 17 37 LLIRIVERS ICENSE# STATE SEX MD.r3O.B 18 ❑ ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS' AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT viN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE STATE PLATE# - ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q S. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..TF_ YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 05-20-25 02:34 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 12007 O#RI WA0171300 APJACOBS 5122712025 PAGE�OF 3000-345-013(R 11/18) REPORT NO. EF95171 CASE# 25-4409 DATE AND TIME 05/19/2516:09 OF COLLISION> ' 4 o r g A I i 5 lh„ Y � a 1 t , mill z r ram, z .r Y�It {Yir ti tit„ t�t�y t. PAGE 5 OF 5