HomeMy WebLinkAbout25-7881 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-7881 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION'. 09 — 09 — 2025 1604 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ Y800
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO ✓ D:2066762669 0 7 30
6� LAST NAME SOLORIO FIRSTNAME ROBERTO MIDDLE B 1 1 2 31
INITIAL
STREET ❑ 14057 5TH AVE S CITY BURIEN ST WA ZIP 981683511 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ DRIVERS
# STATE WA SEX'M I D-MIDI Y' 08 — 23 — 1948 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� B93460T sTArI WAvIN# 1GCEC14W11Z103751
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34
13 4 2001 CHEV SILVER ✓DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO STATE FARM 5839877-F11.47 3 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLv HICLE 5 36
re5�No D CITATION# 5A0625743 CHARGE FOLLOW VEHICLE TOO CLOSELY 10 BorroM
STANDING 8 7 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
U�iT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES✓ NO D:2066653697
16 a
LAST NAME ABDI FIRST NAME HAMDA MIDDLE A
INITIAL
17❑ STREET ❑', 3075 S GENESEE ST CITY' SEATTLE ST WA ZIP 981081630 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l No❑
19 LDI IVE STATE WA SEX F M D.C.B. 04 24 2002 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
41
21❑ LICENSE CMC5116 TAre WA VIN�t 4T1G11AK1MU426730
❑
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2021 MAKE 7'Oy7- MODEL CAMRY STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO✓ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04095068799IN 1 GD
LEGAL25
LY YES Nu
❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG36319
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7881
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 FIR57 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 09-10-25 06:48 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1011012025 1:41:00 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 4:05 Pry] TIME POLICE ARRIVED',4:20 PM
PART I PAGE IT]OF 4�
REPORT NO. EG36319 CASE# 25-7881 OF COLLISION
09/09/25 16:04
OF CbLLI510N
NARRATIVE
CC 25-7881
On 9/10/2025 at 1605 hours I was dispatched to a motor vehicle collision at around the 2800 block of
NE Sunset Blvd in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling West on NE Sunset Blvd in the #2 lane approaching the 2800
block while slowing for stopped traffic.
Driver 1 stated that he was behind Unit 2 in the #2 lane of NE Sunset Blvd traveling West.
Collision
Driver 2 stated that as she was coming to a stop, the front bumper of Unit 1 collided with the rear
bumper of Unit 2.
Driver 1 stated that he was unable to stop in time and was unable to avoid a collision. Driver 1 stated
that as he was coming to a stop, the front bumper of Unit 1 collided with the rear bumper of Unit 2.
Injuries
None reported
Vehicle Disposition
Both vehicles were operational
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 was cited per RCW 46.61.145
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 06:43 on 9/10/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG36319 CASE# ' 25-7881 DATE AND TIME 09/09/25 16:04
OF COLLISION
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