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OOLCERAF EF98096
COLLISION REPRT 1591971
CASE# 25-4706 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO AGENCY. 4200 3
COUNTY RD PRIVATE WAY NT&RUN CODING
LVED
2❑ TRIBAL UN TS#OF 02 SOTJECK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coLLISION' 05 - 30 - 2025 0823 17 =.= S 8 W E IN OF M 1070 a
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
S 2ND ST MILE POST
4a
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ . FEET e S 8 W e RAINIER AVE S
2 0 29
PEDAL- DAMAG THRESHOLD MET E
UNIT 01 VEHICLEMOTtlR PHON
❑ CYCLE' ❑ YES NO ✓ O 1 30
5 LAST NAME TILAHUN FIRST NAME BINYAM MIDDLE 1 2 31
INITIAL
STREET ❑ 1627 HARRINGTON AVE SE CITY RENTON ST WA ZIP 980580000 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs No INTERLOCKYEs NO YES D NO
8❑ LICIENS# STATE WA SEX M MMOCSYY' 02 1 2 32
9[�] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INjURy
CLASS 1 NAruRE of INJURIES 2
LICENSE, C98128P STATE WA VIN# 5FPYK3F62HB026212 3
10 PI ATP rt
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRL.R 5 1 33
1 3
FROM TO
2 5 vIN# vIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2017 HOND RIDGELI DAMAGE Yes�No ✓� Yes❑ No� 5 1 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE NSURANCE CO STATE FARM 2330406-A07-470 3 4
IN EFFECT &POLICY# 4TOP _
sVEHICLE
rgNOLNG ❑ CITATION# 5A0512657 CHARGE IMPROPER LANE USAGE o ooTro6 36
Yes NO
15
UNIT 02 MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHICLE CYCLE. nWNFR YES NO
16�
LAST NAME BERRY FIRST NAME REBECCA MIDDLE I j
INITIAL
17 F1 STREET ❑'❑ 2020 GRANT AVE S APT D301 CITY RENTON ST, W 37
q ZIP 980553619
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES No INTERLOCK YES No vEs ND
19 DRIVER' #
INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN� A8429263 TATE WA vIN# 4JGFB4JB2LA119514 41
PLATE 22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2020 MAKE MERZ MODEL GLE STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCECO STATE FARM 5596352-E23.47A
IN EFFECT &POLICY# t 9TOP 5
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
Lecnttr YES N`.LJ
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF98096
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4706
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} WOLDEGIORGIS LEMA A
(LAST,FIRST,
ADDRESS&PHONE# D O
209 LAKE WASHINGTON BLVD SEATTLE WA 981226537 SEX' M MMoovYYv 09 — 01 — 1953
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 7 2 4 1 USE CLASS 11 ---�
'NAME
LAsr F RST,MIDDLE INITIAL) DUBALLE MESTIRE T
ADDRESS&PHONE#
2615 SE 16TH ST RENTON WA 980584674 SEX' M MMooYVYv 12 _ 01 _ 1950
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 1 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 � ----�
NAME MIDDLE INITIAL) BERRY EMMA
',(LAST,FIRST,
AODREss a PHONE# RENTON SEX F D.O.B. 05 _ 14 _ 2011
MMDDYYYY
PASSENGER WITNESS S 3 AIRBAG 2 RESTR 4 EJECT EAT . 1 HELMET INJURY 1 NATURE OF INJURIES
Q UNIT# 2 'S 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 05-30-25 10:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/5/2025 3:13:42 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:28 AM TIME POLICE ARRIVED 9:33 AM
PART B 3aaa-345-,ao(R11r1s) PAGE 27OF 57
POLIICFETRAFFICN CORRECTION REPORT NO. EF98096
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4706
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME BERRY SADIE
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE# D(?B
RENTON SEX'. F MMoovvvv 10 - 19 - 2013
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 9 2 4 1 USE CLASS 1 ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M —F L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q' POS. USE CLASS r— ----�
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 05-30-25 10:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/5/2025 3:13:42 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:28 AM TIME POLICE ARRIVED 9:33 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 37 OF 57
EAN
REPORT NO.` EF98096 CASE# 25-4706 O OF COLLI COLLISION TIME 05/30/25 09:23
COLLI
NARRATIVE
CC 25-4706
On 5/30/2025 at 0928 hours I was dispatched to a motor vehicle collision at intersection of S 2nd St
and Rainier Ave S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was facing West on S 2nd St at Rainier Ave S preparing to perform a lefthand
turn to proceed North on Rainier Ave N in the #2 lane.
Driver 1 stated that he was facing West on S 2nd St at Rainier Ave S preparing to perform righthand
turn and proceed North on Rainier Ave N in the #1 lane.
Collision
Driver 2 stated that she began her righthand turn and then entered the #2 lane of Northbound Rainier
Ave S from S 2nd St. Driver 2 stated that Unit 1 began to merge from lane #1 to lane #2 and in doing
so, the front drivers side bumper of Unit 1 collided with the rear passenger side bumper of Unit 2.
Driver 1 stated that he performed a righthand turn into the #1 lane of Rainier Ave S in the Northbound
lanes of travel. Driver 1 stated that he began to merge from the #1 lane into the #2 lane and in doing
so, the front drivers side bumper of Unit 1 collided with the rear passenger side bumper of Unit 2.
Driver 1 later told me that Unit 2 had entered into oncoming traffic and merged in front of him,
however given the time of day and the amount of traffic on this roadway this would have been
unlikely. Driver 1 had in car camera that I was unable to access due to my own technical issues, and
Driver 1 did not have a means of showing me the footage at the scene.
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 10:09 on 5/30/2025 in the City of Renton, King
County, Washington.
PAGE 4 OF 5
REPORT NO. EF98096 CASE# 25-4706 DATE AND TIME i 05/30/25 09:23
OF COLLISION
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