HomeMy WebLinkAbout25-7019 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG22285OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-7019 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCCODICENC'Y 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
cDLLISION' 08 - 12 - 2025 1612 17 =.= S 8 W e OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
SW GRADY WAY
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �. FEET e S 8 N e LIND AVE SW
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2066311890 0 1 30
5 LAST NAME HAQUE FIRST NAME MD MIDDLE N 1 1 2 31
INITIAL
STREET ] 4004 S 173RD ST
NEW ADDRESS CITY I $EATAC ST WA ZIP: 98188 2
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES ND INTERLOCKYEs N YES F NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 02 — 19 — 2008 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 NATURE of INJURIES 2
LICENSE, CPW7651 STATE WA VIN# JTHBD192520057626 3
10 Fl I PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR rRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2002 MAKE LEXS MODEL I$ STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34
13� DAMAGE YES II_II NO `/ YESII_I) NO
REGISTERED OWNER INFO AZIZULHAQUE1722332NDAVESAPTAI7 SEATACWA98188 D:2068613384 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE[ NSURANCE CO PATRIOT GENERAL INSURANCE 11410081492 3 4
IN EFFECT &POLICY# 4TOP _
srgN, ❑ ❑ 5A0625708 CHARGE IMPROPER LANE USAGE o ooTrofi 36
ves NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES NO �/ D:2064965812
16�
LAST NAME HASSAN FIRST NAME TOLOSSA MIDDLE H
INITIAL
STREET ❑ 37
17 ❑ 515 S 152ND ST APT 122 CITY' BURIEN ST, WA ZIP 981482600
NEW ADDRESS
18❑ IGNITION RE0UIRED IGNITION PRESENT MEDICAL TRANSPORTED. 38
CDL INTERLOCKYES NO INTERLOCK YES No ves No
19 DRIVER'S STATE WA SEX M I D.O.B. 10 20 1995 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CJA 1554 rarE WA vIN# 4T1G11BK3PU102567 41
PLATE#22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2023 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 970204183
IN EFFECT &POLICY# 9TOP
vewaE ❑ CITATION#
Y YES CHARGE to BOTTOM
EEGnEE N
25 a 7 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. EG22285
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7019
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.ARNOLD 08-12-25 04:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 8/25/2025 2:02:36 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:14 Pry] TIME POLICE ARRIVED i 4:18 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 47
REPORT NO. EG22285 CASE# 25-7019 DATE OF COLLI r�510NN + 08/12/25 16:12
L1
NARRATIVE
CC 25-7019
On 8/12/2025 at 1614 hours I was dispatched to a motor vehicle collision at the intersection of SW
Grady Way and Lind Ave SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East in the lefthand turn lane of SW Grady Way approaching
Lind Ave SW.
Driver 1 stated that he was stopped for traffic in the #2 lane of Eastbound SW Grady Way at a red
light at Lind Ave SW.
Collision
Driver 2 stated that as he approached the intersection, Unit 1 merged from the #2 lane into the
lefthand turn lane. 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 he did not see Unit 2 approaching and decided to merge from the #2 lane into the
lefthand turn lane. Driver 1 stated that when he did so, 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 16:40 on 8/12/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG22285 CASE# 25-7019 DATE AND TIME 08/12/2516:12
OF COLLISION
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