HomeMy WebLinkAbout25-8449 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-8449 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
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STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
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3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
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BLOCK NO. e✓ --- ----� ❑
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DISTANCE OF(REFERENCE OR CROSS STREET)
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MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2062806363 0 11
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6� LAST NAME VARGAS FIRSTNAME MIA MIDDLE 1 2 31
INITIAL
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NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ DRIVERS
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—, [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U SE CLASS 7 I SMALL CUTS AND SCRAPES z❑
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REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GEICO 4350369023 3 4
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VEHICLE CYCLE OWNER
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LAST NAME BREE FIRST NAME SCOTT MIDDLE I L
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NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES t t— l No❑
19 LDICENS STATE WA SEX M M D.O.B. 01 28 _ 1981 0 39
—NATURE OF INJURIES
H USE ET INJURY ARM/SHOULDER/HEAD PAIN ❑ 40
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 7
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PLATE#
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24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
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LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 960525188IN QI
'E""LE ❑ ,J� CITATION# CHARGE i oLEGALLYYES N`L J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
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26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG33057
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8449
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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 09-30-25 07:08 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 9/30/2025 1:54:48 PM
BADGE OR ID# 12509 OR]4$ WA0171300 TIME POLICE DISPATCHED 4:14 PM TIME POLICE ARRIVED]4:20 PM
PART I PAGE IT]OF 4�
REPORT NO. EG33057 CASE# 25-8449 OF COLLISION
09/29/25 16:13
OF CbLLI510N
NARRATIVE
CC 25-8449
On 9/29/2025 at 1614 hours I was dispatched to a motor vehicle collision at the intersection of Lind
Ave SW and SW Grady Way in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling North on Lind Ave SW in the #2 lane preparing to cross SW
Grady Way.
Driver 1 stated that she was facing South on Lind Ave SW at SW Grady Way in the lefthand turn lane
preparing to turn left to proceed East on SW Grady Way.
Collision
Driver 2 stated that as he entered the intersection in the #2 lane, Unit 1 turned in front of him. Driver 2
stated that he did not have time to stop or slow to avoid a collision. Driver 2 stated that the front
drivers side bumper of Unit 2 collided with the front passenger side bumper of Unit 1.
Driver 1 stated that she began her lefthand turn in front of Unit 2. Driver 1 stated that as Unit 2
entered the intersection, the front drivers side bumper of Unit 2 collided with the front passenger side
bumper of Unit 1.
There was video from a Tesla nearby that was observing the intersection on the West side facing
East. I reviewed this video footage and saw that Unit 1 turned in front of Unit 2, failing to yield to the
right of way of Unit 2.
Injuries
Driver 1 sustained some minor cuts and scrapes and was treated on scene. Driver 2 complained of
left arm/shoulder pain as well as head pain. None were medically transported.
Vehicle Disposition
Unit 1 and 2 were rendered inoperable and were towed from the scene.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle
intending to turn to the left within an intersection or into an alley, private road, or driveway shall yield
the right-of-way to any vehicle approaching from the opposite direction which is within the intersection
or so close thereto as to constitute an immediate hazard. Had Driver 1 yielded to the right of way of
Unit 2, this collision would not have happened.
Driver 1 was cited per RCW 46.61.185.
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 07:02 on 9/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG33057 CASE# ' 25-8449 DATE AND TIME 09/29/25 16:13
OF COLLISION
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