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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
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