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HomeMy WebLinkAbout25-6336 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG18281oc� RA COLLISION REPORT 1591971 CASE# 25-6336 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LOCCODICENC'Y 4200 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 07 - 23 - 2025 1544 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINIER AVE S BLOCK NO. e 621 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 3 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2065918053 0 1 30 5 LAST NAME THORLEIFSON FIRST NAME KATIE MIDDLE A 1 1 2 31 INITIAL STREET ❑ 833 SW SUNSET BLVD#L55 CITY; RENTON ST WA ZIP; 98057 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKYEs No INTERLOCKVEs NO YES F N( 8 DRIVER # STATE WA SEXI F MMDDYY' 08 - 10 - 1977 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2 LICENSE, CCW STATE WA VIN# 5NMJECAElNH111682 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE 11 3 5 ,LATE# PLATE# FROM To TRLR TRLR 7 1 5 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR ZO22 MAKE HYUN MODEL TUCSD STYLE UT VEHICLE TOWED[n TO ZBE TOWEDBY GOVT VEHICLE 1 5 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO KA TIE THORLEIFS01833 SW SUNSET BLVD#L55 RENTONWA98057 D:2065918053 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE� INSURANCE CO DIRECTAWTO INSURANCE 2026706319 IN EFFECT &POLICY# 4TOP _ srgN, ❑ ❑ 5A0638889 CHARGE FA►L YIELD PRIVATE RD MOTOR o ooTrofi 36 Yes NO CITATION# 15 MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2532237788 16� LAST NAME MCFALL FIRST NAME THOMAS MIDDLE C INITIAL ❑ 37 17 STREET ❑ 1092014 STREET CT E CITY' PUYALLUP ST, WA ZIP 983743331 NEW ADDRESS 18-1 CDL ; IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs NO INTERLOCK YES NO YEs NOI 19 DRIVER'S' STATE WA SEX M D.O.a. 10 30 1969 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSLATE E D326576 TATe WA VIN# 1NPCX4EX6JD463916 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE PTRg MODEL 567 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO AA ASPHALTING LLC 14720 PUYALLUP ST E SUMNER WA 98390 VEHICLE NO.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO ALASKA NATIONAL INSURANCE 24HAS13390 IN EFFECT &POLICY#YemaE ❑ ,J—I CITATION# CHARGE GQ LE—LY YES N`0 25s ' e 7'0FFCll,tER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 TALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG18281 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6336 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CIASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE GLASS 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.CATALAN 07-24-25 12:31 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY E DAT RAYMOND GORAJEWSKI 12399 811212025 7:14:48 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 3:50 PM TIME POLICE ARRIVED i 4:01 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EG18281 CASE# 25-6336 OF COLLISION r�N + 07/23/25 15:44 O�COLL1510N NARRATIVE On July 23, 2025, at approximately 1544 hours, I was dispatched to an unknown-if-injury vehicle collision at the intersection of 621 Rainier Ave S, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit#1, identified as Katie A. Thorleifson, stated she was exiting the Brown Bear Car Wash located at 621 Rainier Ave S. Katie intended to make a right turn from the parking lot to travel southbound on Rainier. While yielding to southbound traffic, she saw an opening between a vehicle and Unit#2. She proceeded to merge but was subsequently struck by Unit#2 in the roadway. Unit 1 sustained damage to driver's side front fender and front bumper. Katie said Unit#2 was purposely driven into the side of her vehicle. Katie believed the other driver could have slowed to allow her access to the roadway. I then spoke with the driver of Unit 2, identified as Thomas Mcfall, and he explained he was traveling southbound on Rainier Ave S and approaching the Brown Bear Car Wash when the collision occurred. He was following a box truck passing the gas station when Unit#1 attempted to merge into his lane. He did not see the vehicle and was unable to avoid the collision. Thomas stated he was unable to avoid the collision and subsequently struck the front bumper of Unit#1. Unit#2 sustained minor damage to the front bumper. Both vehicles were driven away without the assistance of a tow. Based on the above statements, I believe that the driver of Unit#1 (Katie) is the proximate cause for the cause of collision as she is required to comply with RCW 46.61.205(1) which states that every 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. Unit#2 was already underway in the roadway and had right of way. Katie was cited via mail. 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 C.Catalan 07/24/2025 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG18281POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE#1 25-6336 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# 2 USDOT 1904668 ICC# + 6496 VEHICLE TYPE 2 CARGO BODY 5 TYPE 2 ❑ 1 28 CARRIER NAME. AA ASPHALTING LLC ..; 3 CARRIER L ADDRESS 14720 PUYALLUP ST CITY SUMNER I ST WA ZIP 98390 4 ❑ NAME I I # PLACARa NAME IF NO NUMBER SOURCE 11 1 AXLES '03 1 GWVR 94000 + 4a ❑ ADDITIONAL UNITS UNIT 1N IT# MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 lJJ VEHICLE CI CYCLE C) PEDESTRIAN C OWNER 'El YES NO MIDDLE 29 LAST NAME FIRST NAME INITIAL STREET 30 NEW AnnRFSJ-jl CITY ST ZiP 6 1 CDL GNITION PRESENT MEDICAL TANSPORTED 1 31 I [. 1{iNi7iON INTERLOCK vREQUIREa ES NOINTERLOCK YES ONO[] YEs N 7 LICENSE STATE SEX M DDYBY -C� ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS HELMET INJURY NATUREOFINJURIES 8 ❑ 1 32 LICENSE rAT VIN. PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHCI F FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 SHADE IN DAMAGED AREA LIABILITY INSURANCE❑ INSURANCE CO t)P 12 � 4 FROM TO T IN EFFECT &POLICY# cl) 34 13 vewc�e YES NO[jj CITATION# CHARGE0TFOM ecauv sTnNoiNc MOTOR PEDAL- ' 1:1PROPERTY DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME INITIAL 16 ❑ STREET CITY ST ZIP NEW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES NO INTERLOCK YEs NO IYES NO' 17 37 RIVERSLLIICENSE# STATE SEX M..Y6 _ 18 ❑ ❑ HELMET '.INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA � 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# w� ) E 44 24 vIece YES❑ NO CITATION# CHARGE OM STF_ G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 07-24-25 12:31 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 12007 O#RI WA0171300 APPROVED 8112/2025 PAGE OF � 3000-345-013(R 11t18) REPORT NO. EG 18281 CASE# 25-6336 DATE AND TIME 07/23/25 15:44 OF COLLISION i t y t � z a a » s k t , 1�k t fr li. Y � 4 A C�� k h s PAGE 5 OF 5