HomeMy WebLinkAbout25-5661 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG06295OLCERA
COLLISION REPORT 1591971
ASE#I 25-5661 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 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
coLLISION' 06 - 30 - 2025 0857 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
OAKESDALE AVE SW
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES�. FEET H S 8 W e SW GRADY WAY
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE' ❑ YES NO �/ D:9712918246 0 8 30
6 LAST NAME YEARY FIRST NAME DERICK MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 3711 SMITH AVE UNIT 15 CITY EVERETT ST WA ZIP 982014545 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYEs NO INTERLOCK YEs Na YES F NO
8❑ DCIENSE# STATE WA SEX M MMDCSYY' 07 — 30 — 1982 1 2 32
9 ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H USEET CLASS 1 NAruRE of NJURIES 2
10 LI ENSE' D23112C sTArE WA vN# 1FT8W3DTXNEF40991 3
TRAILER 33402AJ STATE WA TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRtri 5 1 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOS VEHICLE 9 9 34
13 4 2022 FORD F350 DAMAGE YES ✓ ves❑ No
REGISTERED OWNER INFO SOUTH PLUMBING&WATERHEATERS 4150 LIND AVE SW RENTON WA 98057 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE NSURANCECOFIREMANSINSURANCECOOFWAD.C.CPA3326611 3 4
IN EFFECT &POLICY
# ❑4TOP _
r�NOLNG Yes NO❑ CITATION# 5A0625679 CHARGE INATTENTIVE DRIVING B o ooTrofi ❑ 36
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT OZ Q ❑ PEDESTRIAN ❑ D:4256167943
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME MCKEACHIE FIRST NAME ERIK MIDDLEI W
INITIAL
STREET ❑ 37
17 ❑ 1470 17TH ST NE CITY SALEM ST, OR ZIP 973010000
NEW ADDRESS
18❑ CDL ...; IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPC}RTED ❑ 38
INTERLOCKYES No INTERLOCK YES NO YEs NO
19 DRIVER'S STATE OR SEX M I D.O.a, 1 09 21 1988 ❑ 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE YAKH686 rare OR SIN USE
41
42
22❑ TRAILER 5395895 STATE ME TRAILER STATE
PLATE# PLATE
43
23 TRLR kRUR
UIN#. 'IN#.
VEH.YEAR 2024 MAKE pTRg MODEL TRUCK STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO TOYOTA TRANSPORT 19001 S WESTERN AVE TORRANCE CA 90501 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO TOKIO MARINE AMERICA INS.CO.CA6404299.14
IN EFFECT &POLICY# 9TOP
vewaE CITATION# CHARGE tO BOTTOM
LEGALLY YES N J
25 s 7 a
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. EG06295
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5661
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 06-30-25 11:06 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
7/3/2025 10:05:04 AM
C.JACOBS 1953
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:04 Aryl TIME POLICE ARRIVED 10:04 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57
REPORT No.` EG06295 CASE# 25-5661 O COLLI COLLISION TIME
OF 06/30/25 09:57
COLLI
NARRATIVE
CC 25-5661
On 6/30/2025 at 1001 hours I was dispatched to a motor vehicle collision at the intersection of
Oakesdale Ave SW and SW Grady Way in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was stopped for a red light facing North on Oakesdale Ave SW in the #1 lane
and was approximately 3 feet over into the #2 lane to prepare to perform a righthand turn to proceed
East on SW Grady Way.
Driver 1 stated that he was traveling North on Oakesdale Ave SW in the #2 lane approaching the red
light at SW Grady Way.
Collision
Driver 2 stated that as he was stopped, Unit 1 pulled alongside of him and the rear passenger side
trailer of Unit 1 collided with the rear drivers side trailer of Unit 2.
Driver 1 stated that he thought that he had room and proceeded to pull forward. Driver 2 stated that
the rear passenger side trailer of Unit 1 collided against the rear driver side trailer of Unit 2.
Injuries
No injuries reported.
Vehicle Disposition
Unit 1 and 2 were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because it shall be a traffic
infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public
highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in
this section means a lack of: 1) attentiveness required to safely operate the vehicle under the
prevailing conditions, including, but not limited to, the nature and condition of the roadway, the
weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver
focusing or directing the driver's attention to something other than driving the motor vehicle; or 2)
attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
Driver 1 was cited per RMC 10-12-25.
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 10:48 on 6/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG06295POLICE TRAFFIC
1 27
COLLISION REPORT CASE# 25-5661
1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE
UNIT# 2 USDOT ICC# VEHICLE TYPE 6 CARGO BODY 7
TYPE
2 ❑ 1 28
CARRIER NAME. TOYOTA TRANSPORT
3 CARRIER L
ADDRESS 19001 S WESTERN AVE
CITY TORRANCE ST I CA ZIP 90501
4 ❑ NAME I I # PLACARD. -�
NAME IF NO NUMBER
SOURCE' 3 AXLES 05 GwvR 34000 +
4a ❑ ADDITIONAL UNITS
1 1N�T.µ MOTOR PEDAL- PROPERTY .� DAMAGE THRESHOLD MET PHONE
5
lJ '# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
CI '. C) � '
MIDDLE; 29
LAST NAME FIRST NAME fNITCAL
STREET 30
NFW ADDRFs
6 2 CfTY ST ZIP
PRESENT MEDICALTANSPORTED'. 1 31
CDL IGNITION '{GNi710N
INTERLOCK YREQUIRED ES. NO INTERLOCK YEs NOLI YES[:]N,
LICENSE STATE SEX MMDDYYY -�-
7
ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIEs
USE GLASS
8 ❑ #LICENSE vtN 1 32
PLATE# TAT
9 TRAILER TRAILER 2
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM To
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 � SHADE IN DAMAGED AREA
4 FROM TO
LIABILITY INSURANCE❑ INSURANCE CO TO
IN EFFECT &POLICY# `� m 34
13 YES NO CITATION# CHARGE
10 8C)1`l OM
ecauv
DAMAGE THRESHOLD MET PHONE 35
s-rnNoiNc
MOTOR PEDAL- ' PROPERTY 1:1
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
15 LAST NAME FIRST NAME ❑INITMIDDL
ALE 36
16 ❑ STREET CITY ST! ZIP
NEW ADDRESS"
GDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YE5 NO INTERLOCK YES NO YES NO.
17 37
LLIRIVERSICENSE STATE SEX MMDD YY -
18 ❑
HELMET INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS
19 ❑ ❑ 39
LICENSE viN#
PLATE# TAT
20 ❑ TRAILER TRAILER ❑ 40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# UIN#'.
42
22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE[—] INSURANCE CO
IN EFFECT &POLICY# t.K-99
5 44
vFHic�F ❑ ❑ CITATION# CHARGE 24 IEG_ VES NOSTIWDING3 3 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 06-30-25 11:06 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR Ib# 12509 O#RI WA0171300 APJACOBS 713312025
PAGE OF
3000-345-013(R 11l18)
REPORT NO. EG06295 CASE# 25-5661 DATE AND TIME i 06/30/25 09:57
OF COLLISION
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PAGE 5 OF 5