HomeMy WebLinkAbout25-7232 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG22665OLCERA
COLLISION REPORT 1591971
CASE# 25-7232 2
INTERSTATE CITY STREET FIRE I
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 IN eDL�ISION' 08 - 19 - 2025 0810 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
MAINAVES MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e HOUSER WAY S
0 3 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4693359105 0 3 30
5 LAST NAME RYKER FIRST NAME MARK MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 7917 129TH PL SE CITY; NEWCASTLE ST I WA ZIP 980561761 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYES No YES NO
8❑ DRIVER' # STATE WA SEXI M MMDDYY' 08 - 23 - 1958 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
10 1� aiCENSE'' BUJ1687 STATE WA VIN# 1FA6P8JZ5K5552803 3�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM To
TRLR zRLR 5 3 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2019 MAKE FORD MODEL MUSTAN STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE g 3 34
13� DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
1 LIABILITY INSURANCE❑ INSURANCE CO
14 �I AMERICAN MODEERN PROPERTY AND CAS INSUR.103-322-031
IN EFFECT &POLICY# 4TOP
CHARGE t S 36
VEHICLE
Lemur yes❑NO❑ CITATION# 7 0 60TTOM
15❑ sTnNowc 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2069020833
16�
LAST NAME MITCHELL FIRST NAME LISA MIDDLE M
INITIAL
17F1 ❑ 37 STREET ❑2902434THAVES CITY'AUBURN ST, WA ZIP 980011461
NEW ADDRESS
1 a❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs No jNTERLOCKYES NO YEs No
19 DRIVERS STATE WA SEX F I D.o.e. 03 12 1980 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CNG9223 TATe WA VIN# 1C4RJXSJ3RW173105 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2024 MAKE JEEP MODEL WRANGL 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 DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO USAA 03175 69 02G
IN EFFECT &POLICY# 9TOP
wcLE CHARGE
L'vEeGnLY YES❑ NL] CITATION 11
to BOTTOM
25 a 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. EG22665
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7232
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
PC& 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 08-19-25 10:03 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 8/26/2025 3:41:43 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 9:11 AM TIME POLICE ARRIVED i 9:18 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG22665 CASE# 25-7232 DATE OF COLLI r�510NN + 08/19/25 09:10
L1
NARRATIVE
RTF 25-7232
On 8/19/2025 at 0911 hours I was dispatched to a motor vehicle collision at intersection of Main Ave
S and S 3rd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was facing North on Main Ave S at S 3rd St and preparing to perform a
righthand turn to proceed East on Houser Way S in the #2 lane.
Driver 1 stated originally that he was in the #2 lane of Main Ave S facing North at S 3rd St, then later
stated he was unsure of which lane he was in. Driver 1 called a witness that was no longer on scene
that stated that Driver 1 was within the #1 lane of NB Main Ave S at S 3rd St. Driver 1 stated that he
was preparing to perform a righthand turn to proceed East on Houser Way S.
Collision
Driver 2 stated that she performed a righthand turn and once past the intersection, she felt a collision
where the front drivers side fender of Unit 1 collided with the rear passenger side tire of Unit 2.
Driver 1 stated that once he performed a righthand turn on Houser Way S, the rear passenger side
tire of Unit 2 collided with the front drivers side fender of Unit 1.
The witness advised that he did not see the collision.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I am unable to determined proximate cause at this time due to the fact that neither driver can discern
whether they crossed into another lane. Driver 1 did have a story that changed based upon the facts
and circumstances that were provided.
I checked for traffic cameras in the area and there are none present at the intersection in which this
collision occurred.
Damage does not appear reportable at this time but the damage to Unit 1 may reach the damage
threshold due to the vehicles value and limited parts available.
I 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 09:56 on 8/19/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG22665 CASE# 25-7232 DATE AND TIME 08/19/2509:10
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