The URL can be used to link to this page

Home My WebLink About25-6275 )STATE T �cN 0 5 27i t Oc� RA EG16644 COLLISION REPRT 1591971 CASE# 25-6275 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 03 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 - 21 - 2025 1253 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. SW SUNSET BLVD 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET H S 8 W e HARDIE AVE SW 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064747469 0 1 30 5❑ LAST NAME CADELINA FIRST NAME MARY MIDDLE R 1 2 31 INITIAL STREET ❑ 416 LIND AVE NW CITY RENTON ST I WA I Zip 98057 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO✓ INTERLOCKYES NO✓ YES NO�/ 8❑ DRIVER'CENS # STATE WA SEX F MMor YY' 10 1 2 32 9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 N USEET 2 1 INJURYCLASS 1 NAruRE of NJURIEs 2 LI ENSE', BJD5064 STATE WA VN# KNAFU5A22D5742806 3 10 1❑ TRAILER STATE TRAILER ,STATE 11 0 0 PLATE# PLATE# FROM TO TRLR TRLR 1 3 33 12 2 5 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN GOVT VEHICLE g 1 34 13 2 2013 KlA FORTE P4 DAMAGE ves ✓2No {� RS YEs❑ No✓ REGISTERED OWNER INFO MARY CADELINA 416 LIND AVE NW RENTON WA 98057 D:20 64 74 7469 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 3 4 14 SAFECO X6109803 IN EFFECT &POLICY# 4TOP v `LE CHARGE 5 36 Lec Ly YES❑NO❑ CITATION# 7 o BOTTOM 15❑ STMDNc 7 e MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 Q ❑ PEDESTRIAN ❑ D:2063278755 VEHICLE CYCLE (7WNPR 'AM NO 16� LAST NAME ROBERTS FIRST NAME MELVIN MIDDLE G INITIAL STREET ❑ 37 17 '❑ 17901 105TH PL SE APT N306 CITY RENTON ST, WA ZIP 980556709 4 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs CYEs No✓ YEs No;✓ 19 DRIVER'S STATE WA SEX M I D.O,B. 07 27 1966 39 LICENSE# I I MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 CLAY 1 NATURE OF INJURIES 40 SE SS 21 LICENSE CRB8409 TATE WA VIN# 3FA6PORU2KR182174 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q1<J MAKE FORD MODEL FUSION STYLE p4 VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES✓ NO YES NO✓ REGISTERED OWNER INFO MELVIN ROBERTS 17901105TH PL SE APT N306 RENTON WA 980556709 D:2063278755 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 939095664 IN EFFECT &POLICY# t 9TOP vewaE ❑ CITATION# CHARGE tO BOTTOM nLLv YES N J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 RAYMOND WATSON 13127 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG16644 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6275 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. RAYMOND WATSON 07-26-25 02:26 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 81612025 8:13:09 PM BADGE OR ID# 13127 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 1:01 pM TIME POLICE ARRIVED 1:01 PM PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 57 REPORT NO.` EG16644 CASE# 25-6275 O COLLI COLLISION TIME OF 07/21/25 12:53 COLLI NARRATIVE 25-6275 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 07/21/2025 at approximately 1301 hours, myself, Officer R. Watson, was dispatched to a collision, at the intersection of Hardie AVE SW and SW Sunset BLVD, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated two vehicles were involved, no injuries and it was blocking. I arrived on scene and observed a sedan in opposing traffic that had collided with a tractor trailer traveling west bound on SW Sunset BLVD Unit#1 driven by 2013 Mary R. Cadelina (DOB 10/31/1997) verified by WADOL photo, stated that she was driving a Grey Kia Forte, WA plate #BJD5064. She had been attempting to make a turn onto SW Sunset BLVD East bound from Hardie AVE SW, when she collided with unit #2 and then unit#3. She said that the vehicles were moving quickly, and she was unsure of how she had made contact with another vehicle. She said her arm hurt a little so Renton Fire Department (RFD) treated her on scene but she declined further care. When I asked for her license, registration and insurance for the exchange of information she was able to provide all the documentation. Unit#1 had significant damage to the front end and both front airbags had deployed. Unit#1 was towed from the scene by Bankers Towing. Unit#2 driven by Melvin G. Roberts (DOB 07/27/1966) verified by WADOL photo, stated that he was driving a White 2019 Ford Fusion, WA plate #CRB8409. He was leaving the Fred Meyer parking lot traveling north bound on Hardie AVE SW when unit#1 collided with his vehicle. Melvin declined to be seen by RFD on scene and said he had no injuries. When I asked for his license, registration and insurance for the exchange of information he was able to provide all the documentation. Unit#2 had moderate damage to the front end and left sides, no airbags deployed. Unit#2 was towed from the scene by Bankers Towing. Unit#3 driven by Ravinder P. Kala (DOB 07/02/1971) verified by WADOL photo, stated he was driving a 2017 Red Freightliner, IN plate # 3725541 (USDOT #0080806). He said he was traveling west bound on Hardie AVE SW, coming to a stop for the stoplight when unit#1 collided with unit#2 and then turned towards him, headed into oncoming traffic and collided with him. Ravinder declined RFD aid on scene and said he had no injuries. When I asked for his license, registration and insurance for the exchange of information he was able to provide all the documentation. Unit#3 had slight damage to the front bumper, no airbag deployment and was able to be driven from the scene. An exchange of information was completed and provided to each party. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Watson #13127 07/26/2025 1419 hours, Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG16644 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 25-6275 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE UNIT# 3 1 USDOT 0080806 ICC# VEHICLE TYPE g 1 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME. JB HUNT 3 CARRIER L ADDRESS UNKNOWN CITY ST ZIP 4 NAME # PLACARD + NAME IF NO NUMBER SOURCE' 3 AXLES 'OS GWVR 80000 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN ❑' v s✓ No D:4254356586 5 VEHICLE CYCLE OWNER 0 6 29 LAST NAME KALA FIRST NAME RAVINDER MIDDLE; P INITIAL STREET 30 NFW ADnRF 1818 62ND CT SE CITY AUBURN ST I WA ZJP 980928009 6 CDL IGNITION REQUIRED .IGNITION PRESENT MEC7ICAL TANSPORTEfl 1 1 2 31 INTERLOCK YES. No✓ ;INTERLOCK YEs NO✓ YES N,.✓ A LICEN DRIVER'S STATE WA SEX M D,O.B 07 DRIVER'S MMDDB - O2 - 1971 7 ON DUTY STATUS: AIRBAG 2 RESTR. ¢ EJECT g HELMET 2 INJURY 1 NAruREofINJURIES USE GLASS 8 ❑ ,. ., 1 32 LICENSE 3725541 TAT IN VIN# 3AKJGLDR8HSHM5681 PLATE# 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 3 5 VEH.YEAR2017 MAKE FRET MODELCOVENTI STYLE DS VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI E FROM TO DAMAGE YES NO ✓ YES NO ✓ RAVINDER KALA 1818 62ND CT SE AUBURN WA 980928009 D:4254356586 3 2 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 4 FROM TO INSURANCE CO LIABILITY INSURANCE ACE XSAH11348592 _❑ IN EFFECT 10 &POLICY# 5Tt7C' m 34 13 4 L"A.E YES 11001CITATION# CHARGE 1C}BOTTC)M ecuv sTnNoiNc (� 7 6 MOTOR PEDAL_ ' PF20PERTY DAMAGE THRESHOLD MET ❑ 35 PEDESTRIAN 14 ❑ UNIT# VEHICLE CYCLE OWNER YEEF-1 NO PHONE 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST ZIP NEW ADDRESS" GDL IGNITION REQUIRED .IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK vEs NC7 :YES NOD 1 17 4 37 DRIVERS STATE SEX M�DDWY - 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER TRAILER ❑ 40 PLATE#. STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# VIN#- 42 22 VEH.YEAR MAKE I MODEL I STYLE 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 I &POLICY# tK-99 5 44 vew ❑ ❑ CITATION# CHARGE 24 I..TF_ 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. RAYMOND WATSON 07-26-25 02:26 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR ID# 13127 O#RI WA0171300 APPROVED BY 8%6E/2025 PAGE[4 OF 3000-345-013(R 11/18) REPORT NO. EG 16644 CASE# 25-6275 DATE AND TIME i 07/21/25 12:53 OF COLLISION t� i , � t t by r i 15 i G U �1 i�3 i SI t kts�3 €r t: t t� �'.•at"��t3 c a a tiu t a y, PAGE 5 OF 5