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HomeMy WebLinkAbout25-8442 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG33061OLCERA COLLISION REPORT 1591971 CASE# 25-8442 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 09 - 29 - 2025 1336 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e 3409 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255039198 0 7 30 5 LAST NAME GEMBALA FIRST NAME AMY MIDDLE L 1 1 2 31 INITIAL STREET ❑ 4530 NE 7TH PL CITY; RENTON ST WA ZIP; 980594761 2 NEW ADDRESS 7� +COL IGN(TIUN REQUIRE[? IGNITION PRESENT MEDICAL TRANSPORTE6. 3 INTERLOCKYEs NO INTERLOCKYEs NO YES NO 8❑ DRIVERCENS # STATE WA SEXI F MMDDYY' 04 - 11 - 1973 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RE 4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2 3 10� ai��5�', BQX0194 STATE WA y1N# KM8SROHF8EU081923 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IE.M To TRLR TRLR. 3 1 7 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2014 MAKE HYUN MODEL SANTA STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 NSURANCE CO 2 3 4 14 LIABILITY INSURANCE STATE FARM 2978435-B13-470 11 IN EFFECT &POLICY# CDQ5VEHICLE CHARGE36 15nNoiNc yes❑NO❑ CITATION# 5A0625768,5AO625768 FOLLOW VEHICLE TOO CLOSELY, e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:4255242463 16� LAST NAME SETOGUCHI FIRST NAME KENTO MIDDLE INITIAL 17 F1 STREET ❑❑ 37 265 WHITMAN PL NE CITY RENTON ST, WA ZIP 980595257 NEW ADDRESS 18� IGNITION REQUIREfl fGNfTION PRESENT MEDICAL TRANSPORTED'. 38 CDL INTERLOCKYES No INTERLOCK YES No No 19 DRIVERS STATE WA SEX M D.O.a. 03 31 2007 � 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN E LATEICTD1208 rare WA vIN# 5YJ3E1EA6MF073452 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE TESL MODEL MODEL 3 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO SATOSHI SETOGUCHI 265 WHITMAN PL NE RENTON WA 98059 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 166 3557-C21.47G IN EFFECT &POLICY#HICL L'EIL YES� NJI CITATION# CHARGE <E�Da VEE 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. EG33061 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8442 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 0,SS ----� :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 09-29-25 02:28 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 913012025 2:00:38 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:37 Pry] TIME POLICE ARRIVED i 1:39 PM PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG33061 CASE# 25-8442 DATE OF COLLI r�510NN + 09/29/25 13:36 L1 NARRATIVE CC 25-8442 On 9/29/2025 at 1337 hours I was dispatched to a motor vehicle collision at the intersection of NE 4th St and Monroe Ave NE in the City of Renton, King County, Washington. Pre-Collision Driver 3 stated that he was facing West in the #2 lane of NE 4th St at around the 3400 block and coming to a stop for traffic ahead of him. Driver 2 stated that he was position behind Unit 3 in the #2 lane of Westbound NE 4th St at around the 3400 block facing West. Driver 2 stated that he was coming to a stop for traffic that was stopped ahead of him. Driver 1 stated that she was traveling West on NE 4th St approaching the 3400 block in the #2 lane of travel. Collision Driver 3 stated that he was at a full and complete stop and felt the front bumper of Unit 2 collide with the rear bumper of Unit 3. Driver 2 stated that as he came to a full and complete stop for traffic ahead of him, the front bumper of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2's front bumper into the rear bumper of Unit 3. Driver 1 stated that she was attempting to stop but was unable to do so in time. Driver 1 stated that she applied the brakes, let off, and attempted to apply them again but it was too late. Driver 1 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2 to roll forward and the front bumper of Unit 2 to collide with the rear bumper of Unit 3. Injuries None reported. Vehicle Disposition Unit 2 was rendered inoperable and was towed from the scene. 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 also was unable to stop in time during a time of rain and slick road conditions. No person shall drive a vehicle on a highway at a speed greater than is reasonable and prudent under the conditions and having regard to the actual and potential hazards then existing. In every event speed shall be so controlled as may be necessary to avoid colliding with any person, vehicle or other conveyance on or entering the highway in compliance with legal requirements and the duty of all persons to use due care. Driver 1 was cited per RCW 46.61.145 and RCW 46.61.400. 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 14:05 on 9/29/2025 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG33061 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-8442 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST i ZIP 4 ❑ NAME # PLACARD. GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS { MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT�T 3 VEHICLE CYCLE C) PEDESTRIAN :.. OWNER YES NO D:2062902368 H 29 LAST NAME SAELEE FIRST NAME SAN MIDDLE. L INITIAL STREET 30 NEW ADD STRFs 5001 NE 6TH ST CITY RENTON WA ZIP 980594694 6 PRESENT MEDICALTANSPORTED: 1 1 2 31 CDL IGNITION RE,t}UIRED 1{iNi7i0N :: .. INTERLOCK YES: No INTERLOCK YEsLl- xEs N DRIVER'S STATE WA SEX M D`O'B 05 - 03 - 1982 2 LICENSE MMDDYY 7 ON DUTY STATUS AIRBAG 2 RESTR. ¢ EJECT 9 HELMET INJURY 1 NAruREofINJURIEs USE CLASS 8 ❑ 1 32 LICENSE.:CHN1186 TAT WA uiN 7FARS6H92PE037784 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2023 MAKE HOND MODELCR-V STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI E FROM To DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOGWNED BYDRIVER 9 9 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE PROGRESS/VE 908 019 852 IN EFFECT � &POLICY# � �7t1P-" m 34 13 YES NOZ CITATION# CHARGE 1080TTOM ecauv s-rnNoiNc MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST ZIP NEW ADDRESS CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPGRTED INTERLOCK YES No INTERLOCK YEs No AYES No 17 37 LLIRIVER'SICENSE# STATE SEX MD.00.B - 18 ❑ ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.: 19 ❑ ❑ 39 LICENSE TAT AN# PLATE# 20 TRAILER TRAILER 40 PLATE#, STATE PLATE# - STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. ) E 44 24 YES❑ NO CITATION# CHARGE OM STF_ G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 09-29-25 02:28 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib� 12509 O#RI WA0171300 APPROVED 9133012025 PAGE OF� 3000-345-013(R 11t18) REPORT NO. EG33061 CASE# 25-8442 DATE AND TIME 09/29/2513:36 OF COLLISION I; x� t b11 a i S 4� 3 1; PAGE 5 OF 5