HomeMy WebLinkAbout25-7060 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG22286OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-7060 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 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#
DATE OF N E
eDL�ISION' 08 - 13 - 2025 1616 17 =.= S 8 W E INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 43RD ST BLOCK NO. e 400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET E
UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO ✓ PHON 0 1 30
5 LAST NAME LE FIRST NAME THI MIDDLE M 1 2 31
INITIAL
STREET ❑ 11311 SE 216TH CT CITY; KENT ST WA ZIP; 980311333 2
NEW ADDRESS
7❑ CDL IGN(TI{DN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs NO YES F NO
DRIVER # STATE WA SEX F MD.03. 09 — 09 — 1985 t 1 2 32
8❑
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 JHELM
USEET CLASSY 1 NAruRE of INJURIES 2
LICENSE, CKE8610 STATE WA VIN# 7SAYGDEE5PA165791 3
10 Fq I PI ATF#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR rRLR 7 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2023 MAKE TESL MODEL MODEL STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT V 7 $EHICLE 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO✓
REGISTERED OWNER INFO DWIJ CHANDNA 11111 SE 216TH CT KENT WA 98031 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE NSURANCECO STATE FARM 5239480-D27-47B 3 4
IN EFFECT &POLICY# 4TOP _
Lrg LNG ❑ 5A0625710 CHARGE IMPROPER LANE USAGE o ooTrofi 36
Yes NO CITATION#
15
MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:4252602224
16�
LAST NAME CASTANEDA-BAHENA FIRST NAME JERONIMO MIDDLE'
INITIAL
17 STREET ❑❑ 37
16632 105TH AVE SE CITY RENTON ST, WA ZIP 980555465
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNlT1ON I PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs NO INTERLOCK YES NO YES NO
19 DRIVER'S ' STATE WA SEX M D.O.B. 09 30 1977 � 39
LICENSE# MMDDYY
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑
21 LICENSE CCL5736 TATE WA VIN# 3N1AB8CV5LY297770 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2020 MAKE IVI$$ MODEL SENTRA STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 941787400
IN EFFECT &POLICY# 9TOP
w1— CHARGE
LvEeALY YES❑ NL] to BOTTOM
25 a e
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. EG22286
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7060
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) CASTANEDA-CASTREJON CARLOS J
ADDRESS&PHONE
16632 105TH AVE SE RENTON WA 980555465 SEXi M MMDooYBYYY 10 - 29 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�; 2 POS. 'I 3 2 4 1 USE CLASS 1 ---�
:NAME
Lnsr EIRST,MIDDLE INITIAL) CASTANED EDWARDO
ADDRESS&PHONE#
16632 105TH AVE SE RENTON WA 98055 SEX' M D O,e• 07 _ 12 _ 2009
MMDDYYYY
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 2 POS. ' 7 AIRBAG 2 RESTR. 4 EJECT 1 USE CIA SS 1 ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX I D.O.B. -
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT I 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 08-13-25 04:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 8/25/2025 2:04:18 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 4:17 Pry] TIME POLICE ARRIVED i 4:25 PM
PAST B 3 Do-3mx-arras(t 1Mff) PAGE 2�OF 4
REPORT NO. EG22286 CASE# 25-7060 DATE OF COLLI r�510NN + 08/13/25 16:16
L1
NARRATIVE
CC 25-7060
On 8/13/2025 at 1617 hours I was dispatched to a motor vehicle collision at the 400 block of S 43rd
St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East on S 43rd St in the #4 lane.
Driver 1 stated that she was traveling East on S 43rd St in the #3 lane.
Collision
Driver 2 stated that as he entered the 400 block, Unit 1 merged from the #3 lane into the #4 lane and
in doing so, the front drivers side bumper of Unit 1 collided with the front passenger side door of Unit
2.
Driver 1 stated that she did not see Unit 2 and went to merge from lane #3 to lane #4. Driver 1 stated
that the front drivers side bumper of Unit 1 collided with the front passenger side door of Unit 2.
Injuries
No injuries 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 16:46 on 8/13/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG22286 CASE# 25-7060 DATE AND TIME 08/13/2516:16
OF COLLISION
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PAGE 4 OF 4