HomeMy WebLinkAbout25-5999 T �Fi II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG10559POLICER�
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-5999 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LQCCODIQENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDLLISION' 07 - 11 - 2025 1437 17 =.= S 8 W E INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE N BLOCK NO. e 100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 5001.1 00 FEET e✓ S 8 W e AIRPORT WAY
0 5 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533786387 0 1 30
6 LAST NAME DAVIS FIRST NAME CONNIE MIDDLE t 1 2 31
INITIAL
STREET ❑ 2200 W MEEKER ST CITY; KENT ST I WA ZIP 98032 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOR] INTERLOCKYe .-�/ YEs NOW
8❑ DCIENSE# STATE WA SEXI U MMDDYY' 07 — 03 — 1971 1 2 32
9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 N USEET INJUR
CLASSY 14 1
NATURE of INJURIES 2
LICENSE, CPL3180 STATE WA VIN#; 1N4AL3AP4EN354810 3
10 Fq I as ATP tt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR zRLR 5 5 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2014 MAKE N/SS MODEL ALA-IMA STYLE Sp VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE g 5 34
13� DAMAGE YES�NO� YES NO
REGISTERED OWNER INFO CONNIE DAMS 2200 WEEEKER ST KENT WA 98032 D:2533786387 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
14 4 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# i 4TOP 5
Vew" CHARGE 7 0 60TTOM 36
15
Lrn Lyc YES❑NO❑ CITATION# 5A0593080,5AO593080 OP MOT VEH W/OUT INSURANCE,
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:4083941865
16�
LAST NAME ARELLANO FIRST NAME JAZLYNNE MIDDLE
INITIAL
STREET ❑
17� ❑ 351FACTORYAVENAPT6 CITY' RENTON ST, WA ZIP 98057 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES Nd�/ INTERLOCK YES NO�/ YES No
19 DRIVER'S STATE WA SEX„U MDDY 04 29 1998 39
LICENSE# MDDYY —
20❑ ON DUTY STATUS AIRBAG 3 RESTR 3 EJECT 1 7 HELMET INJURY NATURE OF INJURIES ❑ 40
USE CLASS PAIN TO CHEST
21 LICENSLATE E BPN5907 raTE WA vIN# JTMBK32V376014723 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2007 MAKE TOYT MODEL RAV4 STYLE 5p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ VES NO�/
REGISTERED OWNER INFO JAZLYNNE ARELLANO 351 FACTORY AVE N APT 6 RENTON WA 98057 D:4083941865 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO GEIC0448-632.7770
IN EFFECT &POLICY#YES❑ NJ—I CITATION11 CHARGEUR
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
LACY SMITH 12613 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG10559
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5999
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ; HELMET NJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE CLASS
NARRATIVE
On 07/11/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1618 hours I was
dispatched to the 100 block of RAINIER AVE N for a two vehicle collision. This incident occurred in
the City of Renton, County of King, State of Washington.
Unit 1- WA/CPL3180
Unit 2-WA/BPN5907
I contacted the driver of unit 1 and positively identified her as, Connie Davis, via her Washington
State Driver's license. Davis stated that she was stopped in traffic facing Southbound on Rainier Ave
N. The turn lane next to her did not have any vehicles in it and she attempted to make a U-turn but
collided with Unit 2. When I asked Davis for her license and proof of insurance, she stated she did not
have insurance. Unit 1 had major damage to the front driver's side door.
I contacted the driver of Unit 2 and positively identified her as, Jazlynne Arellano, via her Washington
State Driver's license. Arellano stated she was traveling Southbound on Rainier Ave N in the left turn
lane when Unit 1 turned in front of her without warning, causing a collision.
Unit 2 had major damage to the front of the vehicle and required a tow.
Based on the statements made on scene and the damage to the vehicles, it appears Unit 1 attempted
to make an illegal U-turn and attempted to cut through the left turn lane and caused a collision.
I cited the driver of Unit 1, Connie Davis, with RCW 46.61.295 "U" turns due to the fact that she
attempted to make a U-turn and did not do it safely or without interfering with other traffic. As well as
R.C.W 46.30.020 operating a motor vehicle without insurance. Cite # 5A0593080.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
LACY SMITH 07-16-25 01:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 711712025 1:37:57 PM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:01 PM TIME POLICE ARRIVED i 4:18 PM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG 10559 CASE# 25-5999 DATE AND TIME 07/11/25 14:37
OF COLLISION
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