HomeMy WebLinkAbout25-6557 j TFC II IIIII III IIIII II IIII IIIII I . 27I
OOLICERAF EG15796
COLLISION REPRT 1591971
CASE# 25-6557 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
COLLISION'. 07 - 30 - 2025 0802 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e UNIONAVENE
0 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9704514255 0 1 30
5 LAST NAME GONZALEZ CORDOBA FIRST NAME ARACELI MIDDLE 1 1 2 31
INITIAL
STREET ❑ 18320 124TH AVE SE CITY RENTON ST WA ZIP 980586618 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs No YES NO
8 DRIVECEN STATE WA SEX F MMor YY' 09 — 20 — 1998 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CUEK61 STATE CO VIN# 1GKEV23798J170928 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 1 3 33
1 3
( FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 4 200$ GMC ACADIA DAMAGE YES DNO ✓ YEs❑ No 7 3 34
REGISTERED OWNER INFO MAYRA GOMEZ 51330TH AVE GREELEY CO 80634 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
4 LIABILITY INSURANCE INSURANCE CO
14 ❑ SENTRY INSURANCE CO 11409071862
IN EFFECT &POLICY# i 4TOP 5
vEnicLE CHARGE 7 o BOTTOM 36
15
srnrroiNc yes❑NO❑ CITATION# SA0625698,5A0625698, FAIL YIELD PRIVATE RD MOTOR B 7 e
III MOTOR � PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE
PEDESTRIAN E CYCLE nWNFR D:2532618261
16�
LAST NAME YUNKER FIRST NAME SCOTT MIDDLE' p
INITIAL
17 F1 STREET ❑ 37
'❑ 934 S 295TH PL CITY I FEDERAL WAY ST, WA ZIP 980033715
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPQRTED: 38
INTERLOCKYEs No INTERLOCK YEs Nt3 `res ND I
19 DRIVER'S STATE WA SEXIM D.o.6, 02 10 1960 39
LICENSE# MM6[7YY -
HELMET INJURY' NATURE OF INJURIES 40
LATE
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21[ LICEN� D253736 rarE WA vIN# 1N6BFOKM7GN811134 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2016 MAKE NI$$ MODEL NV STYLE VEHICLE 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 00832291.0
IN EFFECT &POLICY# I 9TOP
v 1—
LecnLLy ❑ N,.I—I CITATION# CHARGE tO BOTTOM
`.LJ
25 YES 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. EG15796
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6557
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 07-30-25 11:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY I DATE
RAYMOND GORAJEWSKI 12399 8/4/2025 8:29:31 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:08 AM TIME POLICE ARRIVED 9:20 AM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT No.` EG15796 CASE# 25-6557 O COLLI COLLISION TIME
OF 07/30/25 09:02
COLLI
NARRATIVE
CC 25-6557
On 7/30/2025 at 0908 hours I was dispatched to a motor vehicle collision at the intersection of NE 4th
St and Union Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East in the #3 lane approaching Union Ave NE on NE 4th St.
Driver 1 stated that she was exiting the parking lot of the 7/11 located at 4020 NE 4th St preparing to
perform a lefthand turn to proceed East on NE 4th St.
Collision
Driver 2 stated that as he was approaching NE 4th St and passing in front of the 7/11, Unit 1 entered
the roadway making a lefthand turn. Driver 2 stated that Unit 1 entered lane #3 where he was
positioned and the front passenger side bumper of Unit 1 collided with the rear drivers side quarter
panel of Unit 2.
Driver 1 stated that she had her turn signal on and went to perform a lefthand turn to proceed East on
NE 4th St from the 7/11 parking lot. Driver 1 stated that as he made a lefthand turn, she did not see
Unit 2 and the front passenger side bumper of Unit 1 collided with the rear drivers side quarter panel
of Unit 2. Driver 1 was adamant that because she had her turn signal activated that he had the right of
way to pull into traffic and that they were to yield to her.
Driver 1 was unable to provide me with valid insurance and upon a check of DOL, her driving status
showed as Not Licensed -Eligible.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle about
to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles
lawfully approaching on said highway.
Driver 1 was cited per RCW's 46.61.205, 46.30.020, and RCW 46.20.015.
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 10:52 on 7/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG 15796 CASE# 25-6557 DATE AND TIME i 07/30/25 09:02
OF COLLISION
r ar
1
S,
t
� t.
tt
t
7�U
Z� r
4
Y.
z.
U
t Ylm
ti
a&
PAGE 4 OF 4