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Home My WebLink About25-4689 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF98091oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-4689 2 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# eDCL s o v' 05 - 29 - 2025 1456 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 3RD ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 F--1 MILES. FEET e S 8 W e MONTEREYDR NE 2 0 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2067939116 0 1 30 5 LAST NAME MOORE FIRST NAME ROYESHA MIDDLE E 1 1 2 31 INITIAL STREET ❑ 8610 S 235TH PL APT BB104 CITY; KENT ST I WA ZIP; 980312937 2 NEW ADDRESS 7❑ +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No INTERLOCKVEs NO YES No 8❑ DRIVER # STATE WA SEXI F MMDDYY' 09 — 30 — 1991 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR CLASSY 14 1 NATURE of INJURIES 2 LICENSE, CPK2929 STATE WA VIN#; 1G1FB3DX5K0144183 3 10 Fl I as ATP rt TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE# TRLR rRLR. 7 1 3 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2019 MAKE CHEV MODEL CAMAR STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34 13� DAMAGE YES II_II NO `/ YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO THE GENERAL WA8049122 3 IN EFFECT &POLICY#VEHICLE 4TOP _ srgNOLNG ❑ ❑ CITATION# 5A0512653 CHARGE IMPROPER LANE USAGE s o ooTrofi 36 Yes NO 15 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2062883621 16� LAST NAME NGUYEN FIRST NAME LIZA MIDDLE' N INITIAL 17 F1 STREET [I37 '❑ 34572 56TH CT S CITY'..AUBURN ST, WA ZIP 980012339 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED CGNfTION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES NO INTERLOCK YES NO YES NO 19 DRIVERS STATE WA SEX F D.O.a. 09 28 1988 � 39 LICENSE# MMDgYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 ILICENSE PATE# BVN5802 rare WA vIN# 5TDYZ3DC4HS802171 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2017 MAKE TOYT MODEL SIENNA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO CHARLES NGUYEN 5340 NE 2ND ST RENTON WA 98059 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SAFECO H210996S IN EFFECT &POLICY# tUQ L'EIL ❑ ,J—I CITATION CHARGE"IHICL1' YES N25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF98091 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4689 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) WALKER EBONEYR ADDRESS&PHONE# 814 5TH AVE N KENT WA 980323006 SEXi F MMDDD B. 06 — 09 — 1986 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES �, 1 POS. 3 i 2 4 1 USE :CLASS 1 � ----� :NAME (LAST EIFS7 MIDDLE INITIAL) { Y►N AREYA ADDRESS R PHONE# D O B 2234 S 111TH PL SEA TTLE WA 98168 2069397220 SEX F MMDDvvvr 01 _ 02 _ 2006 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ �✓ SOS. USE CLASS ----� NAME MIDDLE INITIAL) ENCARNAC►ON MATT D (LAST,FIRST, AQQREss a PHONE# 12716 13TH LN SW APT C6 BURIEN WA 98146 2062291304 SEX' M D.O.B. 09 _ 01 _ 2005 MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY E OF INJURIES �' POS. NATURUSE 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 05-29-25 04:16 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 6/5/2025 3:14:08 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:58 PM TIME POLICE ARRIVED i 3:00 PM PAST B 3 aDo-3mx-attar gt 1Mffp PAGE 2�OF F5 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF98091 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4689 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PROCHASKA MICHAEL S ADDRESS&PHONE# DOB 3712 176TH AVE E LAKE TAPPS WA 98391 2533944681 SEXi M MMDDYYYY 06 IT 24 — 1975 PASSENGER WITNESSZ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS ----� :NAME (LAST EIRS7 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 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 05-29-25 04:16 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 6/5/2025 3:14:08 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:58 PM TIME POLICE ARRIVED i 3:00 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 0 OF F5 REPORT NO. EF98091 CASE# 25-4689 OF DATE AND r�N + 05/29/25 14:56 O�COLLISION NARRATIVE CC 25-4689 On 5/29/2025 at 1458 hours I was dispatched to a motor vehicle collision at the intersection of NE 3rd St and Monterey Dr NE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was stopped for traffic facing East on NE 3rd St approaching Monterey Dr NE in the #2 lane. Driver 1 stated that she was traveling East on NE 3rd St approaching Monterey Dr NE in the #2 lane in front of Unit 2. Collision Driver 2 stated that she began driving once traffic began moving. Driver 2 stated that Unit 1 drove either into the oncoming lanes of travel or into the lefthand turn lane at the intersection of NE 3rd St and Monterey Dr NE. Driver 2 stated that Unit 1 then attempted to reenter the #2 lane from the lefthand turn lane or the oncoming lanes of travel. Driver 2 stated that when Unit 1 attempted to merge, the rear passenger side bumper of Unit 1 collided with the front drivers side bumper of Unit 2. Driver 1 stated that she had entered the lefthand turn lane at the intersection of NE 3rd St and Monterey Dr NE and was attempting to merge from that lane back into the #2 lane. Driver 1 stated that Unit 2 had sped up when she was attempting to merge and when doing so, the front bumper of Unit 2 collided with the rear bumper of Unit 1. Witnesses on scene provided further detail and stated that Unit 1 had been acting erratically by honking and had actually driven into the oncoming lanes of travel to get around traffic that was stopped. Witnesses stated that once oncoming traffic began moving, Unit 1 attempted to enter the correct lanes of travel which is when the collision occurred. 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 15:59 on 5/29/2025 in the City of Renton, King County, Washington. PAGE 4 OF 5 REPORT NO. E F98091 CASE# 25-4689 DATE AND TIME 05/29/25 14:56 OF COLLISION c ; +z S1 �� r h Ur } i}.Id 4 q4� � v ttrzt, Y rt}. �"sF �r Y S Y YJ�yy�k L V 'r µ 1 r t Z x' }t. PAGE 5 OF 5