HomeMy WebLinkAbout25-5748 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EG09289
COLLISION REPRT 1591971
CASE# 25-5748 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 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
GDLL.ISION'. 07 - 02 - 2025 1144 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
MONSTER RD SW BLOCK NO. e 510 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533473574 0 1 30
5 LAST NAME MARTIN FIRST NAME STEVEN MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 13109 145TH STE CITY( PUYALLUP ST WA ZIP 983749436 2
NEW ADDRESS
7 CDL : IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES D No INTERLOCKYEs Na YES R No
8 LCEENSE# STATE WA SEX M MMOCSYY' 11 1 2 32
9 ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, C97192N STATE WA VN# 1NPTLPEXXFD301002 3
10[9� PI ATF#
TRAILER 7253ZG STATE WA TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
12 3 5 V NL# 4S9P2D313FS331081 VIN# 1 3 33
ROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2015 PTRB 367 DAMAGE YES ✓ Yes No 5 1 34
REGISTERED OWNER INFO GARY CONST CO INC DBA STONE 912510TH AVE S SEATTLE WA 98108 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 NSURANCE CO 3 4
14 LIABILITY INSURANCE� ALASKA NATIONAL INSURANCE COMPANY 25CAY13259
IN EFFECT &POLICY# QQ5 vE FFE CHARGE36
15LALLYyes❑NO❑ CITATION# 5A0625690 FAIL YIELD LEFT TRN VULNERABLEe
rL� MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YEs�/ No D:2063533857
16�
LAST NAME KIMBERLING FIRST NAME JERRICK MIDDLEI q
INITIAL
❑
17 F1 STREET' 2021 DAYTON CT SE CITY RENTON ST, WA ZIP 98055 37
NEW ADDRESS❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES No jNTERLO XYEs NO YEs NDI
19 DRIVER'S STATE WA SEXI M I DO.E. 07 17 1993 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 1 RESTR 13 EJECT 2 USE 5 CLASS 5 BROKEN TIB,FIB,AND FOOT.ROAD RASH ❑
21 1
LICENSE PATE# 3G9196 TATE I WA YIN# JYADG24E2LA012529 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2Q2Q MAKE YA Mp MODEL XT250 STYLE DAMIAGE TOWED No BLIN BANKERS YES No�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO ALLSTATE 820401538
IN EFFECT &POLICY# 9TOP
v ICLe LecALLy ❑ N`.LJ
,.I—I CITATION CHARGE tO BOTTOM
25 YES a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG09289
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5748
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME KOHN MARK D
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
921 JEFFERSON AVE BUCKLEY WA 983212538866451 SEX' M MMDDYYYv 06 f 28 - 1965
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z' POS. USE GLASS ---�
'NAME
LAsr F RST,MIDDLE INITIAL) COX SHANNON R
ADDRESS&PHONE# D C,B
4201 AUTUMN PATH RD DENTON TX 76208 2146220774 SEX' F MMDDvYYY 07 _ 26 — 1971
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ �✓ POS. USE CLASS ----�
NAME MIDDLE INITIAL) COX JASON V
',(LAST,FIRST,
ADDRESS&PHONE# 4201 AUTUMN PATH RD DENTON TX 76208 2146292693 SEX, M I D.O.B. 08 _ 24 _ 1974
MMDDYYYY
PASSENGER WITNESS UNIT# POS. AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ Q SEA USE CLASS ---�
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 07-08-25 11:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 7/9/2025 3:26:16 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:45 AM TIME POLICE ARRIVED 11:48 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 67
REPORT NO.` EG09289 CASE# 25-5748 O COLLI COLLISION TIME
OF 07/02/25 11:44
COLLI
NARRATIVE
CC 25-5748
On 7/2/2025 at 1145 hours I was dispatched to a motor vehicle collision at around the 580 block of
Monster Rd SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 was unable to provide comment at the scene due to the urgency of a medical transport. I
later followed up with Driver 2 after he had undergone surgery at Harborview Medical Center. Driver 2
was heavily medicated at the time of call and was only able to provide bits and pieces of information
regarding the collision. Driver 2 stated that he remembered seeing Unit 1 begin to perform a lefthand
turn in front of him. Driver 2 stated that he was engine braking while moving up the hill to dump speed
prior to the collision. Driver 2 stated that he saw a wet spot on the roadway where he was starting to
maneuver Unit 2, and that he perceived that he was going to slide and lose control of Unit 2 if he hit
the wet spot. Driver 2 stated that he remembered his left leg being pinched between the left side of
Unit 2 and the front drivers side bumper of Unit 1.
Driver 1 stated that he was facing South on Monster Rd SW in the #1 lane preparing to perform a
lefthand turn into the Kangley Rock & Recycling at Black River located at 510 Monster Rd SW.
Collision
Driver 1 stated that another truck had just turned left to proceed South on Monster Rd SW from the
business that he was going to turn into. Driver 1 stated that he did not see Unit 2 and that he began to
perform his lefthand turn. Driver 1 stated that as he performed his lefthand turn, Unit 2, which was
traveling North on Monster Rd SW in the #1 lane, came around the curve ahead of him. Driver 1
stated that the front of Unit 2 collided into the front drivers side bumper of Unit 1.
I later returned to the scene after I received video footage from the dashcam of a truck that was facing
the collision at the time it occurred. I was able to time Unit 2 as it traveled North on Monster Rd SW
from a static light pole to the time of collision. I utilized a stopwatch and received a time of 4.04
seconds of travel time to POI. Myself and another Officer measured the distance between the static
light pole from the video footage and the POI that was painted at the scene the day prior. We each
determined the distance to be around 156.5ft. Utilizing the time and distance formula, I determined
that the approximate speed of Unit 2 leading up to the collision was about 26mph.
Video from the dashcam was uploaded to evidence.com under this case number.
I later was able to contact a witness identified as Shannon R. Cox (DOB: 07/26/1971). Cox was at the
scene behind Unit 1 at the time of the collision. Cox stated that she saw Driver 2 approaching while
she was behind Unit 1. Cox stated that she was able to see Unit 2 approaching before Unit 1 began
its lefthand turn. Cox stated that based on her estimation, the speed of Unit 2 was roughly 30-35mph
from her visual observation.
Injuries
Driver 2 sustained serious injuries. Driver 2 had an evident laceration to his left calf and road rash
over his body. Driver 2 was wearing a DOT rated modular motorcycle helmet. I later spoke with Driver
2 and he stated that his injuries consisted of a broken left Tibia and Fibula, as well as a broken left
foot. Driver 2 also sustained road rash from being ejected from his motorcycle on his right side.
Vehicle Disposition
Unit 2 was towed from the scene. Unit 1 was operable and able to be driven.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle
intending to turn to the left within an intersection or into an alley, private road, or driveway shall yield
the right-of-way to any vehicle approaching from the opposite direction which is within the intersection
or so close thereto as to constitute an immediate hazard when the other involved is a vulnerable user
of the public roadway as defined in RCW 46.61.526. Based upon the speed calculated, Unit 2 was
not traveling at a speed that would make it so that Driver 1 would not have time to react.
Driver 1 was cited per RCW 46.61.185.2.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
PAGE 3 OF 6
REPORT NO.` EG09289 CASE# 25-5748 O COLLI COLLISION TIME
OF 07/02/25 11:44
COLLI
NARRATIVE
Electronically signed by Officer C. Arnold #12509 at 11:02 on 7/8/2025 in the City of Renton, King
County, Washington.
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EG09289 l�� NRCoI COLLISION TRAFFIC
! CASE# 25-5748 1 27
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓
UNIT# 1 USDOT 1 528487 ICC# VEHICLE TYPE 4 CARGO BODY 5
TYPE
2 ❑ 1 28
CARRIER NAME. GARY MERLINO CONST CO INC
3 CARRIER L
ADDRESS 915 HOUSER WAY N
CITY RENTON ST WA ZIP 98057
4 ❑ NAME I I # GWVR +
PLACARD NAME IF NO NUMBER
SOURCE' 1 AXLES 07 1 1 105500
4a ❑ ADDITIONAL UNITS
5 ❑ UNIT# V°ICLR PEDAL-E ❑ CYCLE CI PEDESTRIAN PROPERTY '..❑ YES DAMAGE NOTHRESHOLD MET PHONE
MIDDLE; 29
LAST NAME FIRST NAME CNITIAL
STREET 30
NFW ADORES : CITY .�iT ZIP
6 s PRESENT MEDICALTANSPORTED 1 31
GDL IGMTION REQUIRED '.iGNi71ON
INTERLOCK YES[]NO[:] :INTERLOCK YES[]NO[] YES N_..
IDRIVERS LICENSE STATE SEX' MMIDDYYY -�-
7
ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET I INJURY NAruREofINJURIES
USE GLASS
8 ❑ LICENSE VIN 1 32
PLATE# TAT
9 TRAILER TRAILER 2
PLATE#r STATE PLATE# STATE
10 ❑ TRLR TRLR
.VIN.#. .VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VEHICI F FROM To
DAMAGE YES NO YES NO
D OWNER INFO. m 33
REGISTERE SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
IN EFFECT &POLICY# 1GQl
m 34
13 vewc�e YES NO CITATION# CHARGE
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 1GNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES NO INTERLOCK YES N. 'YES NO
17 37
LLIICENSE#RIVERS STATE SEX M ...Yy' -� II
18 ❑
HELMET INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS
19 ❑ ❑ 39
LICENSE TAT viN
PLATE# 1
#
20 ❑ TRAILER' TRAILER ❑ 40
PLATE#. STATE PLATE# STATE
21 ❑ TRLR. TRLR 41
VIN#: VIN#;
42
22 VEH.YEAR MAKE I MODEL I STYLE 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
vEHic�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 07-08-25 11:08 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR IID# 12509 O#RI WA0171300 APPROVED BY
719912025
PAGE�OF
3000-345-013(R 11l18)
REPORT NO. EG09289 CASE# 25-5748 DATE AND TIME i 07/02/25 11:44
OF COLLISION
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PAGE 6 OF B