HomeMy WebLinkAbout25-5524 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG06265OLCERA
COLLISION REPORT 1591971
ASE#I 25-5524 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y 4200 3
COUNTY RD INVOLVED
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
cDUISION' 06 - 25 - 2025 0841 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
N 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 .F--1 FEET e S 8 W e GARDENAVEN
OF 4 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:9729877675 0 1 30
LAST NAME SUPPHAPHOLSIRI FIRST NAME THAMANOON MIDDLE
6 INITIAL 1 2 31
STREET ❑ 3311 NE 8TH PL CITY RENTON ST I WA ZIP 980565019 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYES No INTERLOCKYEs Na YES F NO
8 LICIENSE# STATE WA SEX M MMDCSYY' 12 — 12 — 1954 1 2 32
9[�] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
10 as ENSrtEI A WK8169 STATE WA VN# 5NPEU46F87H223977 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 3 5 33
1 3
( FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 1 2007 HYUN SONATA DAMAGE YES DNO ✓ YEs❑ No 3 7 34
REGISTERED OWNER INFO MULLIKA TANGCHITNOB 3311 NE 8TH PL RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO AARP 55PHG571403 3 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑ CITATION# 5A0512702 CHARGE PROH/IMPROPER TURN o ooTrob 36
Yes NO
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:3107536027
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME MAK FIRST NAME WAI-YEE MIDDLE'
INITIAL
STREET ❑ 37
17 '❑ 6734 SE 2ND ST CITY RENTON ST, WA ZIP 980597077
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYES No INTERLOCK YES NO YEs ND
19 DRIVER'S STATE WA SEXIF I D.O.B. 07 16 1952 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CAZ9468 TATE WA VIN# 3CZRU5H74LM702649 41
22❑ PLATE# STATE[TILER I PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2020 MAKE HOND MODEL HR-V STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO SZE TUNG 6734SE 2ND ST RENTON WA 98059 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCE CO ALLSTATE 817843526
IN EFFECT &POLICY# 9TOP
vew1— ❑ ,.I—I CITATION# CHARGE tO BOTTOM
LEGnLLv YES N`LJ
25 a 6
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. EG06265
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5524
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 06-25-25 11:14 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
7/3/2025 9:13:32 AM
C.JACOBS 1953
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:53 AM TIME POLICE ARRIVED 9:54 AM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT No.` EG06265 CASE# 25-5524 O COLLI COLLISION TIME
OF 06/25/25 09:41
COLLI
NARRATIVE
CC 25-5524
On 6/25/2025 at 0953 hours I was dispatched to a motor vehicle collision at the intersection of N 4th
St and Garden Ave N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling West on N 4th St in the #4 lane approaching Garden Ave N.
Driver 1 stated that he was traveling West on N 4th St in the #3 lane approaching Garden Ave N,
preparing to perform a lefthand turn to proceed South on Garden Ave N.
Collision
Driver 2 stated that as she entered the intersection, Unit 1 turned left from lane #3 and the front
drivers side bumper of Unit 1 collided with the front passenger side door of Unit 2.
Driver 1 stated that he began his lefthand turn from lane #3 and when he did so, the front bumper of
Unit 1 collided with the front passenger side door of Unit 2.
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 the driver of a vehicle
intending to turn left shall approach the turn in the extreme left-hand lane lawfully available to traffic
moving in the direction of travel of the vehicle. Whenever practicable the left turn shall be made to the
left of the center of the intersection and so as to leave the intersection or other location in the extreme
left-hand lane lawfully available to traffic moving in the same direction as the vehicle on the roadway
being entered.
Driver 1 was cited per RCW 46.61.290
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 10:25 on 6/25/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG06265 CASE# 25-5524 DATE AND TIME i 06/25/25 09:41
OF COLLISION
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