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Home My WebLink About25-6560 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG15797oc� RA COLLISION REPORT 1591971 ASE# ; 25-6560 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAL AGENCY. 4200 3 CODING COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2❑ TRIBAL UNITS#OF 02 TRUCK 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E CDLL.IsfoN'. 07 - 30 - 2025 0859 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION NE 4TH ST BLOCK NO, e 4260 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1 C------�. FEET e S 8 W 1 4 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE CYCLE' YES NO �/ D:4256814182 30 5 LAST NAME MUIR FIRST NAME WILLIAM MIDDLE A 31 INITIAL STREET E1 15004 SE 114TH ST CITY RENTON ST WA ZIP 980596016 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES No INTERLOCKYEs NO YES NO 8 DRIVER'S STATE WA SEx M MMOCSYY' 07 32 9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 HELM USEET 9 CLASS 0 NAruRE of NJURIEs 2 10 LICENSE ti� 490MCR STATE WA VN# 1FMZU73E9YZA87878 3 TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# ROM TO TRLR TRLR m 33 12 VIN# VIN# ROM TO VEH.YEAR 2000 MAKE FORD MODEL EXPLOR STYLE VEHICLE TOWEDY ,DLI�TO ES II_II NO BLIN TOWED By YE GOVT VEHICLE m 34 13� DAMAGE Y ✓ SII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 INSURANCE CO 2 3 4 14 LIABILITY INSURANCE SAFECO H2O90131 IN EFFECT &POLICY# GQ� VEHICLE CHARGE t 36 YES❑NO❑ CITATION# 15❑ sTANowc B 7 e MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT ❑ ' ❑ PEDESTRIAN ❑ ✓ D:2063521101 VEHICLE CYCLE' OWNER YES�/ NO 16❑ LAST NAME HOLCOMB FIRST NAME ALICE MIDDLE I B INITIAL STREET ❑ 17 ' 13636 SE 59TH ST CITY BELLEVUE ST, WA ZIP 98006 37 NEW ADDRESS 1$� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPC3R7ED 38 INTERLOCKYES No INTERLOCK YESf—I No YEs No 19[ DRIVER' # STATE SEY F MDOB- 11 29 196 1 ❑ 39 I INJURY' NJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS NATURE OF I ❑ LICENSE 21 PLATE# TATE VIN# 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR r RLR 43 UIN#. 'IN#. VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP VEHICLE ❑ ,.I—I CITATION# CHARGE tO BOTTOM LEEAILY YES N`LJ 25 a 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. EG15797 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6560 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER WITNESS 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 CC 25-6560 On 7/30/2025 at 1000 hours I was dispatched to a motor vehicle collision at the Autozone located at 4260 NE 4th St in the City of Renton, King County, Washington. Pre-Collision Driver 1 stated that he had parked Unit 1 North of the location within a parking stall and turned his vehicle off while he got out to withdraw cash from a nearby ATM. Collision Driver 1 stated that when he returned to where he parked his vehicle, he saw that it was missing, and was flagged down by an Autozone manager. The Autozone manager stated that she was inside the store when she heard a large collision that shook their building. She stated that when she went outside, she found Unit 1 had collided with their building, causing significant damage. Driver 1 stated that he was out of the vehicle at the time of the collision and is unsure how it began to roll as Unit 1 was turned off. Injuries No injuries reported. Vehicle Disposition Unit 1 was operational. The building is pending an inspection by the Renton City Engineer. I 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 11:08 on 7/30/2025 in the City of Renton, King County, Washington. 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 DATE RAYMOND GORAJEWSKI 12399 8/4/2025 8:37:38 AM BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:00 AM TIME POLICE ARRIVED 10:06 AM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37 REPORT NO. EG 15797 CASE# 25-6560 DATE AND TIME 07/30/25 09:59 OF COLLISION a p, S, �r j4 �3 7 s£ 1, Y� I'm I'll 4 �U11 s i x , 1 5. re y, x PAGE 3 OF 3