HomeMy WebLinkAbout25-5590 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EG09908
COLLISION REPRT 1591971
CASE# 25-5590 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 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' 07 - 11 - 2025 1220 17 =.= S 8 W e OF IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
SUNSET BLVD N BLOCK NO. e 352 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:4256527746 0 3 30
6 LAST NAME LEWIS FIRST NAME CHARLES MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 3407 NE 7TH PL CITY RENTON ST WA ZIP 980563920 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8 DCIENSE# STATE WA SEX M MMOCSYY' O6
❑ - 16 - 1982 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
10 LICENSE
AXL1885 STATE WA VN# 4T1BK3DB7BU413430 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR rRLR 1 3 33
1 3
( FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 2 2011 TOYT AVALON SD DAMAGE YES DNO ✓ YEs No 3 1 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3
14❑ LIABILITY INSURANCE f%/] INSURANCE CO ALL STATE 907 218 740 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG Yes❑NO❑ CITATION# 5A0600229 CHARGE FAIL YIELD LEFT TURN MOTOR o ooTrob 36
15
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:4253065615
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME ROBINSON FIRST NAME DALE MIDDLE' R
INITIAL
STREET I�I ❑
17 ' 926 EDMONDS AVE NE CITY RENTON ST, WA ZIP 98056 37
NEW ADDRESS ':
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTEDi 38
INTERLOCKYE$ No jNTERLOCKYEs NO YEs No
19 DRIVER'S STATE WA SEX M D.O.e. 07 26 1975 ❑ 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LLCANS E AKA3575 TATE WA VIN# 1 J8GR48K78C176550 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 200$ MAKE JEEP MODEL GRAND STYLE UTVEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 70865709
IN EFFECT &POLICY# t w
HICL LEIAIL YES❑ NCLJCITATION25 �# CHARGE
VEE
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG09908
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5590
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.CATALAN 07-14-25 10:59 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 7/14/2025 4:08:09 PM
BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:24 PM TIME POLICE ARRIVED 12:33 PM
PART PAGE 27 OF 47
REPORT NO.` EG09908 CASE# 25-5590 O COLLI COLLISION TIME
OF 07/11/25 12:20
COLLI
NARRATIVE
25-5590
On July 14, 2025, at 1220 hours dispatch requested that I respond to a collision that occurred at 352
Sunset Blvd N, in the city of Renton, county of King, and State of Washington.
Upon my arrival I confirmed that no medical assistance was needed. There I asked each driver for
their independent summary of what happened.
I first spoked with the driver of Unit 2, a Jeep Grand Cherokee bearing Washington plates AKA3575.
The driver identified by his WADL as Dale Robinson, explained he had exited Miller Paint when the
collision occurred. Dale planned to travel northbound on Sunset Blvd N following his right turn. Dale
yielded for northbound traffic and then entered the roadway. As he proceeded northbound on Sunset
Blvd N, Dale was struck on his driver's side rear fender. The Jeep sustained moderate damage but
appeared drivable.
I then spoke with the driver of Unit 1, a Toyota Avalon bearing Washington plates AXL1885. The
driver, identified by his WADL as Charles Lewis, explained he was traveling southbound on Sunset
Blvd N and intended to make a left turn into Seven Eleven. As he proceeded to make his left turn, he
failed to see Unit 2 traveling northbound in lane 1 of 3. He made a left turn and struck the rear driver's
side fender. Unit 1 sustained minor damage to front bumper.
Based on the above statements, I determined that the Driver of Unit 1 (Charles) is the proximate
cause for the collision due to not granting the right of way during a left turn causing a collision. The
driver of Unit 1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left
within an intersection and not yielding 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.
I issued Charles an infraction via mail.
An exchange of information was provided to all involved parties.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 07/14/2025 Renton
PAGE 3 OF 4
REPORT NO. EG09908 CASE# 25-5590 DATE AND TIME i 07/11/25 12:20
OF COLLISION
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