HomeMy WebLinkAbout25-7266 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG22247OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-7266 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
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#
eDCL s on' 08 - 20 - 2025 1155 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e SUNSET BLVD N
1 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4254796353 0 8 30
5 LAST NAME SECK FIRST NAME LAMINE MIDDLE t 1 2 31
INITIAL
STREET ❑ 18663129THPL SE CITY; RENTON ST I WA ZIP; 980587972 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKVEs No YES F NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 - 03 - 1982 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, CKV9366 STATE WA VIN#; JTDKN3DUOB1316942 3
10 Fl I PI ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR TRLR. 3 1 7 33
12 Q 0 VIN#' VIN#
FROM TO
VEH.YEAR 2011 MAKE ToYT MODEL PRIUS STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34
13 DAMAGE YES YES NO
REGISTERED OWNER INFO MADYSY18663129THPL SE RENTON WA 98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE❑ NSURANCE CO BRISTOL WEST G01584603300
IN EFFECT &POLICY# 4TOP _
LrIALLNG ❑ ❑ 5A0625718 CHARGE FOLLOW VEHICLE TOO CLOSELY o ooTrofi 36
VEHICLE YES NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2062719316
16�
LAST NAME HARGROVE FIRST NAME JAREN MIDDLE A
INITIAL
17 F1 STREET ❑❑ 37 2701 S 224TH ST APT 6102 CITY DES MO/NES ST, WA ZIP 981986606
NEW ADDRESS
18❑ CDL IGNITION REQUIRED fGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES NO INTERLOCK YES NO YES NO
19[� DRIVER'S STATE WA SEX M I DXI.B. 04 20 1994 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 7 HELMET INJURY NATURE OF INJURIES ❑ 40
USE CLASS MINOR BACK PAIN
21 LICENSE
LATE# C12798Y raTE WA I El
vIN# 1FTMFlCB6MKD02616 41
22❑ PLATE# STATE PLATE# STATE 42
23= TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2021 MAKE FORD MODEL F-150 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24= DAMAGE YES NO� VES NO
REGISTERED OWNER INFO WASTEXPERTS INC 2721 SASH ST TACOMA WA 98409 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO EVEREST NATIONAL INSURANCE CFICA00224.231
IN EFFECT &POLICY# I STOP
L'E—Y YES� N,J—I CITATION11 CHARGE to BOTTOM
LEGALL
25 s s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG22247
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7266
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 CLASS 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 CLASS ----�
: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 CLASS
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 08-20-25 12:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE-
C.JACOBS 1953 812112025 10:07:33 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 11:58 AM TIME POLICE ARRIVED i 12:05 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG22247 CASE# 25-7266 DATE OF COLLI r�510NN + 08/20/25 11:55
L1
NARRATIVE
CC 25-7266
On 8/20/2025 at 1158 hours I was dispatched to a motor vehicle collision at the intersection of NE 3rd
St and Sunset Blvd N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was stopped at the stop light in the #2 lane of NE 3rd St at Sunset Blvd N
facing West waiting for the light to turn green.
Driver 1 stated that he was behind Unit 2 in the #2 lane of NE 3rd St at Sunset Blvd N facing West.
Collision
Driver 2 stated that while stopped at the red light, the front drivers side bumper of Unit 1 collided with
the rear bumper of Unit 2.
Driver 1 stated that he thought he saw Unit 2 begin to move and accelerated. Driver 1 stated that Unit
2 did not move as expected and as he accelerated, the front drivers side bumper of Unit 1 collided
with the rear bumper of Unit 2.
Injuries
Driver 2 complained of back pain but refused medical treatment at the scene.
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 motor
vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due
regard for the speed of such vehicles and the traffic upon and the condition of the highway.
Driver 1 was cited per RCW 46.61.145.
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 12:28 on 8/20/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG22247 CASE# 25-7266 DATE AND TIME 08/20/2511:55
OF COLLISION
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