HomeMy WebLinkAbout25-6527 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG15798oc� RA
COLLISION REPORT 1591971
ASE# 25-6527 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 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
OOLLISION' 07 - 29 - 2025 1149 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
S CARR RD MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e SMITHERS AVE S
2 0 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:5792795809 0 1 30
5 LAST NAME Ll FIRST NAME YU MIDDLE 1 1 2 31
INITIAL
STREET ❑ 1020 S 36TH PL CITY RENTON ST WA ZIP 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYES NO YES F NO
8 DRIVER'S
STATE WA SEX M MMOS. 01 - O6 - 1999 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASS ,1 NATURE OF INJURIES 2
LICENSE, CPW8823 STATE WA VN# 5UXCR6C0XP9R00314 3
10 Fl I PI ATP rt
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 7 3 33
12 3 5 VIN# vI.
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 4 2023 BMW X5 DAMAGE YES DNO ✓ YEs❑ No 7 3 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE� NSURANCECO STATE FARM 4857891-B13-47B-001 3 4
IN EFFECT &POLICY# 4TOP
E HI ❑NO❑ CITATION# 5A0625697 CHARGE IMPROPER LANE USAGE o ooTrom z 36
Yes
15❑ EIANowc
rL� MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ OWNER D:2532633328
16�
LAST NAME SCHNEIDER FIRST NAME JAMES MIDDLE I A
INITIAL
STREET ❑
17 ❑ 15779 119TH PL SE CITY RENTON ST, WA ZIP 98058 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYES No INTERLOCK YES No vEs NO
19 DRIVER'S STATE WA SEX M MDDY 05 05 1973 39
LICENSE# MO.B, -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CSD3734 TATE WA VIN# 19UYA2255XL013311 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
GOV H 44
VEH.YEAR 1999 MAKE ACUR MODEL 3.0 CL STYLE VEHICLE TOWED TO BLIN
TOWED BY I
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE DEGE.RddAREA
LIABILITY INSURANCE❑ INSURANCE CO ��
IN EFFECT &POLICY# 9TOP
vewaE ❑ ,.I—I CITATION
CHARGE
AI 1060TTOM
�EE �Y YES N`LJ
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EG15798
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6527
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 06:46 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY I DATE
RAYMOND GORAJEWSKI 12399 8/4/2025 8:38:58 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:52 AM TIME POLICE ARRIVED 12:14 PM
PART B 3oDo-345-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG15798 CASE# 25-6527 O COLLI COLLISION TIME
OF 07/29/25 11:49
COLLI
NARRATIVE
CC 25-6527
On 7/29/2025 at 1152 hours I was dispatched to a motor vehicle collision at the intersection of S Carr
Rd and Smithers Ave S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East in the #2 lane of S Carr Rd preparing to go straight ahead
through the intersection of S Carr Rd and Smithers Ave S.
Driver 1 stated that Driver 2 had recently cut him off and that he was going to attempt to cut him off.
Driver 1 stated that he was in the #1 lane of S Carr Rd approaching the same intersection as Unit 2.
Collision
Driver 2 stated that just before the intersection, Unit 1 maneuvered from the #1 lane to the #2 lane
and the front drivers side tire and front door, as well as the rear drivers side quarter panel collided
with the passenger side of Unit 2, causing damage along the side of the passenger side of Unit 2.
Driver 1 stated that when he attempted to cut off Unit 2, the driver wheel, front door, and rear quarter
panel collided with the passenger side of Unit 2.
It should be noted that Driver 1 originally did not remain at the scene but stated that he had turned to
get out of the roadway and await Driver 2. Driver 1 was contacted at his residence and self-admitted
to smoking marijuana prior to my arrival.
Injuries
None reported
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because a vehicle shall be driven as
nearly as practicable entirely within a single lane and shall not be moved from such lane until the
driver has first ascertained that such movement can be made with safety.
Driver 1 was cited per RCW 46.61.140.
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 13:29 on 7/29/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG 15798 CASE# 25-6527 DATE AND TIME i 07/29/25 11:49
OF COLLISION
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PAGE 4 OF 4