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HomeMy WebLinkAbout25-5345 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EG06258 COLLISION REPRT 1591971 CASE# 25-5345 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 06 - 19 - 2025 1122 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. 108TH AVE SE 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET S 8 W e SE 190TH ST 0 4 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533133395 0 1 30 5 LAST NAME LANIER FIRST NAME ROBERT MIDDLE A 1 1 2 31 INITIAL STREET ❑ 5821 KEY PENINSULA HWY NW CITY( LAKEBAY ST WA ZIP 983499664 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs NO INTERLOCKYES Nb YEs NO 8❑ LICIENS# STATE WA SEX M MMDCSYY' 09 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURYCLASS 1 NAruRE of N3uRIEs 2= LICENSE, C36761T STATE WA vN# 1FDNF6AY6KDF14342 3 10[9� PI ATF# TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# ROM TO rRLR TRLR 3 5 33 12 3 5 VIN# vI. ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 4 2019 FORD F650 DAMAGE ves�No ✓� ves❑ 5 1 34 REGISTERED OWNER INFO DS SERVICES OF AMERICA INC 4600 AMERICAN PKWY STE 300 MADISON Wl 53718 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 NSURANCE CO 3 4 14 LIABILITY INSURANCE STARR INDEMNITY B LIABILITY 1000692443-241 IN EFFECT &POLICY#VEHICLE 4TOP _ srgNOLNG ❑ ❑ 5A0512686 CHARGE FAIL STOP AT STOP s o ooTrofi 36 ves NO CITATION# 15 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE VEHICLE UNIT 02 CYCLE OWNER Q ❑ PEDESTRIAN ❑ D:2533348851 YES NO 16� LAST NAME ALLEN FIRST NAME CHRISTOPHER MIDDLE INITIAL STREET ❑ 37 17 '❑ 19418 144TH PL SE CITY RENTON ST, WA ZIP 980589452 NEW ADDRESS 18❑ CDL IGNITION REQUIRED3 IGNTION PRESENT MEDIGALTRANSPORTED 38 INTERLOCKYES NO INTERLOCK YES NO YEs NO 19 DRIVER'S STATE WA SEXI M D.O.B. 07 25 1986 39 LICENSE# MMDDYY — HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSE CRG8151 TATE WA VIN# 3VWCM7BU3NM003907 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q22 MAKE �/OLJ( MODEL JETTA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS ves No�/ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADEd DA GEeOAREA LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 992539277 $� �A IN EFFECT 8.POLICY#LEE— ❑ ,.I CITATION# CHARGEGQ VEHICLE YES N`[_ 25 8 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. EG06258 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5345 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. — [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. — L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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 06-19-25 12:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE 7/3/2025 8:36:38 AM C.JACOBS 1953 BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:24 AM TIME POLICE ARRIVED 11:32 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EG06258 CASE# 25-5345 O COLLI COLLISION TIME OF 06/19/25 11:22 COLLI NARRATIVE CC 25-5345 On 6/19/2025 at 1124 hours I was dispatched to a motor vehicle collision at intersection of 108th Ave SE and SE 190th St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was traveling North on 108th Ave SE in the #2 lane approaching the intersection of 108th Ave SE and SE 190th St. Driver 1 stated that he was facing West at a stop sign on SE 190th St at the intersection of SE 190th St and 108th Ave SE. Collision Driver 2 stated that as he entered the intersection in the #2 lane, Unit 1 emerged from behind a large white box truck that was in the #1 lane. Driver 2 stated that he did not have time to react and the front bumper of Unit 1 collided with the passenger side doors of Unit 2, forcing it across the 2-way center turn lane and into the #2 lane of Southbound 108th Ave SE. Driver 1 stated that he saw that there was a large white box truck in the #1 lane approaching the intersection of 108th Ave SE and SE 190th St that was blocking his view of the #2 lane. Driver 1 stated that the box truck turned right onto SE 190th St and he began to pull into traffic to perform a lefthand turn to proceed South on 108th Ave SE. Driver 1 stated that as he began his lefthand turn, Unit 2 emerged from behind the box truck and he did not have time to react before the front bumper of Unit 1 collided with the passenger side doors of Unit 2. Injuries No injuries reported. Vehicle Disposition Unit 2 was rendered inoperable and towed from the scene by Gene Meyers. 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. 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 11:53 on 6/19/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG06258 CASE# 25-5345 DATE AND TIME i 06/19/25 11:22 OF COLLISION TH AV 1. Ti }r3 j� ff i N Y t � s r i YP W ts` y. a i PAGE 4 OF 4