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OOLCERAF EG06263
COLLISION REPRT 1591971
CASE# 25-5497 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOL`CO A`NG 4200 3
COUNTY RD NVOLVED CODING
2 PRIVATE WAY
❑ 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
cDUISION' 06 - 24 - 2025 1455 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
SW 41ST ST BLOCK NO.
4a❑
MILE POST e
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00-1 MILES FEET e✓ S 8 W e EAST VALLEYHWY
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YES Vl NO D:5048126002 Q 1 30
6 LAST NAME GRACE FIRST NAME JULIAN MIDDLE F 1 1 2 31
INITIAL
STREET E1 31210 NE 40TH ST APT 204 CITY CARNATION I ST WA ZIP 980147501 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES NO Z/ INTERLOCKYES Ne �/ YES NO r/
8� LICIENS# STATE WA SEx M MMOCSYY' 08 — 09 — 1995 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS I NAruRE of INJURIES 2
LICENSE, 2962175 STATE IN VIN# 4UZAC2EA5LCMH7400 3
10[9� as ATP rt
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRLR 3 7 33
12 3 5 VIN# vI.
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 4 2020 FRHT FL106 AR DAMAGE YES DNo ✓ YEs_ No 3 7 34
REGISTERED OWNER INFO BRINKS INC 2508 WESTERN AVE SOUTH BEND IN 46619 D:2066230758 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE[ NSURANCE CO ACEAMERICAN INSURANCE H11367483
IN EFFECT &POLICY#
LE`i CHARGE 7 o BOTTOM 36
15 STMLE"AL we yes❑NO❑ CITATION# SA0563858 FLD SIGNAL STOPS/TURNS-UNSAFE s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE' E] ❑ nWNFR vEs'/ No D:2069531985
16�
LAST NAME CHANDLER FIRST NAME ADRIAN MIDDLE M
INITIAL
STREET ❑ 37
17 ' 10989 SE 225 6
TH ST CITY KENT ST, WA ZIP 98031229 4
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYES No (NTERLOCKYES No YES No;�
19 DRIVER'S STATE WA SEX M I D.O.B. 07 10 1985 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLAY I NATURE OF INJURIES 40
SS E
21 LICENSE CNB7084 rarE WA vIN# 1 N4BL4DVXMN371551 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2021 MAKE NJ$$ MODEL ALTJMA STYLE P4 IVE DAMIAGE TOWED�/ No BLIN BANKERS TOWING YES NO
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2028570247
IN EFFECT &POLICY# R
HICL LEIAIL YES❑ N, I CITATION# CHARGEtoVEE25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG06263
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5497
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.
D.NELSON 06-24-25 04:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 71312025 9:12:39 AM
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:58 PM TIME POLICE ARRIVED 3:10 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG06263 CASE# 25-5497 O COLLI COLLISION TIME
OF 06/24/25 14:55
COLLI
NARRATIVE
25-5497 ACC
On 6/24/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a non-injury blocking collision near the intersection of
SW 41st St and East Valley Hwy Renton/King/WA. I located the collision just west of the intersection
with one vehicle undrivable.
I confirmed that both parties were not injured.
I spoke with the driver of Unit 1, a 2020 Freightliner Armored Truck IN/2962175 registered to Brinks
Inc. The driver was identified by his WADL As Julian F Grace DOB: 8/9/1995. Julia said that he was
in the #2 lane driving west on SW 41 st St and needed to change to the #1 lane. He said that he
checked his mirrors and activated his turn signal, he said as he was changing lanes, he heard the
scraping sound of hitting Unit 2. There was damage to the front passenger side bumper and scape
marks down the length of the truck. Julian said he did not know what was old damage and was new
damage.
I spoke with the driver of Unit 2, a 2021 Nissan Altima WA/CNB7084, identified by his WADL as
Adrian M Chandler DOB: 7/10/1985. Adrian said that he was driving west on SW 41 st in the #1 lane
when the Freightliner merged into him. There was damage to the driver side front bumper, quarter
panel, and driver door. The Nissan was not drivable and was removed from the scene by Bankers
Towing.
Based on Julian's failure to appropriately clear the lane before merging I cited him for Unsafe Lane
Change RCW 46.61.305 under Sector Citation #5A0563858. This citation should be mailed to Julian.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 6/24/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG06263 CASE# 25-5497 DATE AND TIME i 06/24/25 14:55
OF COLLISION
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