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Home My WebLink About25-6327 j TFCII IIIII III IIIII II IIII IIIII I . 27I 5 OOLICERAF EG144 COLLISION REPRT 1591971 ASE# 25-6327 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE OTHER ❑ VEHICLE LOCAL AGENCY. 4200 3 COUNTY RD INVOLVED CODING PRIVATE WAY TOTAL 1 2❑ TRIBAL 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 GDLLISION' 07 - 23 - 2025 0849 17 =.= S 8 W E IN 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION SR 167 BLOCK NO. e 800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 50 1.1 00 FEET e✓ S MILES N 8✓ W e SW GRADY WAY IF 2 29 MOTOR ✓ PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE CYCLE' YES NO �/ D:2065817289 0 1 30 5 LAST NAME YEPES FIRST NAME ANA MIDDLE R 1 1 2 31 INITIAL STREET 11207 SE 218TH PL CITY KENT ST WA ZIP 980311300 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs NOW] INTERLOCK YEs NO✓ YES D No,/ 8 DRIVER' # STATE WA SEX F MMOCSYY' 08 - 07 - 1960 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 LI ENSE'ti�, BGG2428 STATE WA VN# 1YVHP81A995M32455 3 TRAILER STATE TRAILER ,STATE 11 6 0 PLATE# PLATE# FROM TO rRLR TRLR 5 1 33 1 6 FROM TO 2 0 VIN# VIN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 3 2009 MAZD 6 DAMAGE YES�NO ✓� YES NO✓ 5 1 34 REGISTERED OWNER INFO ANA YEPES 11207 SE 218TH PL KENT WA 980311300 D:2065817289 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 3 4 14 3 LIABILITY INSURANCE NSURANCE CO NONE NONE IN EFFECT &POLICY# iQ�Q 5 VEHICLE CHARGE 36 15 srnNoiNc yes❑NO❑ CITATION# 5A0563874,5AO563874 OP MOT VEH W/OUT INSURANCE, MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT(� Q ❑ PEDESTRIAN ❑ D:2537200503 VEHICLE CYCLE (7WNFR YES NO ✓ 16� LAST NAME NIXON FIRST NAME DANIEL MIDDLEI $ INITIAL ❑ 17 F1 STREET'O 6918 S TYLER ST CITY TACOMA ST, WA ZIP 984092458 NEW ADDRESS 18 CDL ...; 37 IGNITION REQUIRED fGNfTION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs "K YES NO✓ YES NO;✓ 19 DRIVER'S STATE WA SEX M D.Q.e. 12 24 1982 ❑ 39 LICENSE# MMDDYY - HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSLATE E C05396P TATE WA vIN# 1XKDDBOX8XR954908 41 42 22❑ TRAILER 24273AH STATE WA TRAILER STATE PLATE# PLATE 43 23 TRLR kRLR UIN#. 'IN#. VEH.YEAR 1999 MAKE I(I/y MODEL CONSTR STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO BALLBSONEXCAVATIONLLCPOBOX44258TACOMAWA98448 VEHICLE NO.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCE CO ALASKA NATIONAL INSURANCE 24KAS12386 IN EFFECT &POLICY# tGQ 5 vewaE ❑ ,.I CITATION# CHARGE VEHICLE YES N`[_ 25 a 7 a 70FFICELll'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SON 12421 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EG14452 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6327 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. D.NELSON 07-24-25 12:43 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 713012025 12:06:32 PM BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:53 AM TIME POLICE ARRIVED 9:01 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT No.` EG14452 CASE# 25-6327 O COLLI COLLISION TIME OF 07/23/25 08:49 COLLI NARRATIVE 25-6327 ACC On 7/23/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. 1 was dispatched to a blocking collision which had just occurred near the intersection of SW Grady Way and Rainier Ave S Renton/King/WA. An involved party was calling to report that both vehicles had moved to the 700 block of SW 10th St and there were no injuries. I arrived on scene and located both vehicles, one was a tractor trailer, and the other was a small sedan. The driver of the small Sedan spoke only Spanish, her coworkers assisted in translation. The driver of the blue 2009 Mazda 6 WA/BGG2428, was identified by her WADL as Ana R Yepes DOB: 8/7/1960. Ana said that she had just merged onto Rainier Ave S from EB SR 167. She said that she was attempting to get over into the left turn lane and was waiting next to the semi with her turn signal activated. She said that once the light turned green the semi moved and collided with her causing damage to her driver side front quarter panel, no airbags were deployed, and Ana was no injured. Her Mazda was drivable. Ana was not sure what lane she was in or what lane the semi was in, she guessed and believed he was in the turn lane. Ana was not able to provide me with any valid insurance and advised she did not have any for this vehicle. I then spoke with the driver of the 1999 Kenworth Construction Semi WA/C05396P towing dump trailer WA/24273AH. The driver was identified by his WADL as Daniel S Nixon DOB: 12/24/1982. Daniel said that he was in the #3 lane to continue north on Rainier Ave S. He said that he was stopped for the light and began to move forward when it turned green, he heard a honk and checked his mirror to see the Mazda near his drop axle. There was minor damage the passenger side wheel ion the drop axle, the lug caps had been broken off. The Kenworth was drivable. Based on Ana's unsafe lane change and failure to provide valid insurance 1 cited Ana for RCW 46.30.020 Operating Motor Vehicle Without Valid Proof of Insurance and RCW 46.61.305 Unsafe Lane Change under Sector citation #5A0563874. This citation should be mailed to Ana. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 7/23/2025 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG14452POLICE TRAFFIC 1 27 ... °`f COLLISION REPORT CASE# 25-6327 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE UNIT# 2 USDOT ICC# VEHICLE TYPE 6 CARGO BODY 5 TYPE 2 ❑ 1 28 CARRIER NAME BALL AND SON EXCAVATING 3 ❑ GARRIER 13420 9TH AVENUE CT E L ADDRESS CITY TACOMA ST WA ZIP 98445 4 NAME I I # PLACARD. -� NAME IF NO NUMBER SOURCE' 3 AXLES ,04 GW�R 26001 + 4a ❑ ADDITIONAL UNITS 1 1N�T.µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 U '# VEHICLE CI : CYCLE C) PEDESTRIAN � OWNER � YES NO MIDDLE; 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW ADDRFs'P CITY ST ZIP 6 1 PRESENT MEDICALTANSPORTED'. 1 31 CDL IGNITION RFOUIRED 'IGNITION INTERLOCK YES NO INTERLOCK YEs NO YES N G 7 LICENSE STATE SEX MMDD 8 Y -�- ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIES USE GLASS 8 ❑ VIN.#LICENSE 1 32 PLATE# TAT 9 TRAILER TRAILER 2 PLATE#i STATE PLATE# STATE 10 ❑ TRLR TRLR .VIN.#. .VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABUN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO TO, IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 1080TTC7M ecauv DAMAGE THRESHOLD MET PHONE 35 sTnNoiNc 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 REOUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES NO INTERLOCK YES NO YES NO. 17 37 DRIVERS STATE SEX MD,O _= 18 LICEN❑ RE OF INJURIES 38 ❑ HELMET INJURY NATU ON DUTY STATUS AIRBAG RESTR. EJECT USE GLASS 19 ❑ ❑ 39 LICENSE viN PLATE# TAT # 20 ❑ TRAILER TRAILER ❑ 40 PLATE#; STATE PLATE# STATE 21 ❑ TRLR. TRLR 41 VIN#�. VIN#; 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. D.NELSON 07-24-25 12:43 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12421 O#RI WA0171300 APJACOBS 7130/2025 PAGE OFF 3000-345-013(R 11/18) REPORT NO. EG 14452 CASE# 25-6327 DATE AND TIME i 07/23/25 08:49 OF COLLISION 40, s ( s v } ,' k :51i�YM�H'�FkidN� W t i ti l 1YF: Y s s t.� S n PAGE 5 OF 5