HomeMy WebLinkAbout25-8469 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG33064oc� RA
COLLISION REPORT 1591971
CASE# 25-8469 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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#
eaCL s on' 09 - 30 - 2025 1014 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
PARKAVEN MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e N 8TH ST
1 2 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9086720380 0 1 30
5 LAST NAME BROWN FIRST NAME JOEL MIDDLE M 1 1 2 31
INITIAL
STREET ] 632 SW 150TH ST APT 5 CITY; BURIEN ST WA ZIP; 981661969 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYES .- YES NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 04 — 08 — 1984 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 1
NATURE of INJURIES 2
10 LI ENSE' MIW486 STATE IA VIN#i JTDBR38E542046384 3
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM To
rRLR zRLR. 5 1 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR 2004 MAKE TOE. MODEL COROL STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE NSURANCE CO PROGRESSIVE 862075643
IN EFFECT &POLICY#VEHICLE 4TOP _
YES
srgNOLNG ❑ ❑ SA0625772 CHARGE IMPROPER LANE USAGE o ooTrofi 36
NO CITATION#
15
MOTCSR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2064097670
16�
LAST NAME MIHMIC FIRST NAME BENJAMIN MIDDLE'
INITIAL
17 F1 STREET ❑❑ 15110 SE 183RD DR CITY RENTON ST, WA ZIP 980589640 37
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION I PRESENT MEDICAL TRANSPORTED'. ❑ 38
CDL INTERLOCKYES No INTERLOCK YES
Fc DL No YEs No
19 DRIVERS STATE WA SEX M I D.O.B. 07 19 2005 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CNV9928 rArE WA vIN# KL77LFEPlSCO57868 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2025 MAKE CHEV MODEL TRAX STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYERS E
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 962524310
IN EFFECT &POLICY# 9TOP
veHiae ❑ ,J—I CITATION# CHARGE t080TTOM
LEGALLY YES No
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. EG33064
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8469
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) BLACKLEY KARMALITA L
ADDRESS&PHONE# D�
4930 SW 319TH LN APT G202 FEDERAL WAY WA 98023 2062317506 SEXi F MMDD,O B. 05 — 02 — 1987
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJ NATURE OF INJURIES
�' POS. USE CLASS ----�
NAME
(LAST EIRS7 MIDDLE INITIAL}
ADDRESS R PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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 09-30-25 12:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 1 913012025 2:12:04 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 10:17 AM TIME POLICE ARRIVED i 10:22 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG33064 CASE# 25-8469 DATE OF COLLI r�510NN + 09/30/25 10:14
L1
NARRATIVE
CC 25-8469
On 9/30/2025 at 1017 hours I was dispatched to a motor vehicle collision at the intersection of N 8th
St and Park Ave N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling North on Park Ave N across the intersection at N 8th St in the #2
lane.
Driver 1 stated that he was behind a metro bus stopped at a bus stop on the North side of the
intersection of Park Ave N and N 8th St in the #1 lane of Park Ave N, preparing to merge to the #2
lane to proceed past the stopped bus.
Collision
Driver 2 stated that as he approached Unit 1 on the left side, Unit 1 began its merge into the #2 lane.
Driver 2 stated that he did not have time to react to avoid a collision, and the front passenger side
bumper of Unit 2 collided with the front drivers side bumper of Unit 2.
Driver 1 stated that he had his turn signal on and did not see Unit 2. Driver 1 stated that he began to
merge from the #1 lane to the #2 lane of Northbound Park Ave N. Driver 1 stated that as he did so,
the front passenger side bumper of Unit 2 collided with the front drivers side bumper of Unit 1.
A witness that was parked facing West in the #1 lane of N 8th St stopped at Park Ave N stated that
she saw Unit 1 merge from behind the bus and that Unit 2 was lawfully approaching from behind Unit
1 in the #2 lane of Northbound Park Ave N at N 8th St.
Injuries
None reported.
Vehicle Disposition
Unit 2 required a tow truck for the damages. Unit 1's front drivers side tire was flat but Driver 1 was
able to remove it from the roadway.
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 12:34 on 9/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG33064 CASE# 25-8469 DATE AND TIME 09/30/2510:14
OF COLLISION
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PAGE 4 OF 4