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Home My WebLink About25-8013 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 25-8013 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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 N E IN CITY# cowsloN 09 - 1-- 2025 0731 17 ❑-= S 8 IN e 1070 3 4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE N BLOCK NO. 1❑ e✓ ❑ MILEPOST 4a DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e NELSON PL NW 1 6 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:7656073028 0 11 30 6� LAST NAME ALSHANTIR FIRSTNAME NADA MIDDLE H 1 2 31 INITIAL STREET ❑ 3006 21 ST AVE W APT IS CITY SEATTLE ST WA 2jp, 981992913 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 LICENSE CKU4946 sTArI WAvIN# W1NOG8EB9MF886612 10 PI ATE# TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To FTRL-R TPILF1 1 5 33 12 2 5 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 2021 MERZ GLC DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO GEICO 6146188583 3 4 IN EFFECT &POLICY# 9TOP 15❑ LE vEGALLv HICLe 1 5 36 YES�No D CITATION# 5A0625753 CHARGE APPROACH INTERSECT/RAIL LLIFT )o eorrom STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D.2537976767 16 a LAST NAME SCHROEDER FIRST NAME JEREMY MIDDLE W INITIAL 17❑ STREET ❑' 7406 VANDERMARK RD E CITY BONNEY LAKE ST WA ZIP 98391 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l No❑ 19[—] D STATEWASEXM .CB. _ _ 0 39 # M . WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE AL24781 TAre AZ VIN# 3HAEKTAT7NL370796 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2022 MAKE INTL MODEL HV807 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SUNSTATE EQUIPMENT CO.,L 5552 E WASHINGTON ST PHOENIX AZ 85034 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO MITSUI SUMITOMO INSURANCE USA INC BVR8407498 I�WS IN EFFECT'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25 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. EG36324 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8013 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 09-15-25 08:59 AM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1011012025 1:42:09 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 7:32 AM TIME POLICE ARRIVED',7:39 AM PART I PAGE IT]OF 5� REPORT NO. EG36324 CASE# 25-8013 OF COLLISION 09/15/25 07:31 OF CbLLI510N NARRATIVE CC 25-8013 On 9/15/2025 at 0732 hours I was dispatched to a motor vehicle collision at the intersection of Rainier Ave N and Nelson PI NW in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was stopped at the stop sign at Nelson PI NW facing East and preparing to cross Rainier Ave N to proceed into a construction zone on the East side of Rainier Ave N. Driver 1 stated that she was traveling South on Rainier Ave N in the #3 lane proceeding straight ahead approaching Nelson PI NW. Collision Driver 2 stated that he had ample time and space and proceeded across Rainier Ave N. Driver 2 stated that as he crossed into the Northbound lanes of travel, Unit 1 swerved into lane #1 of Northbound Rainier Ave N. Driver 2 stated that the front passenger side bumper of Unit 1 collided with the drivers side drop axel of Unit 2. Driver 1 stated that as she was approaching Nelson PI NW, Unit 2 crossed over the roadway. Driver 1 stated that when Unit 2 crossed over the roadway, she applied the brakes and her horn but was unable to stop in time. Driver 1 stated that she maneuvered Unit 1 into the oncoming lanes of travel where the front passenger side bumper of Unit 1 collided with the drivers side drop axel of Unit 2. Upon examining the roadway, I was unable to locate any roadway marking that would be consistent with Unit 1 applying the brakes in an attempt to stop. Driver 1 also did not mention applying the brakes until I specifically asked her if she had done so. Unit 1 was also not moved from the point of collision. Per a measurement of the impact with the drop axel of Unit 2 which showed at around 9ft, the #3 lane of SB Rainier Ave N would have been completely clear at the time Unit 1 would have crossed. Unit 1 did not leave any roadway marking showing that it was dragged by Unit 2, which I deduced to mean that the point at which Unit 1 came to rest was the point of impact. Injuries None reported. Vehicle Disposition Both vehicles were operational Proximate Cause I determined that Driver 1 is the proximate cause of this collision because no vehicle shall be driven on the left side of the roadway under the following conditions: When approaching within one hundred feet of or traversing any intersection or railroad grade crossing. If Driver 1 had remained in her lane of travel, this collision would not have happened. Driver 1 was cited per RCW 46.61.125. 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 08:44 on 9/15/2025 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG36324 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 25-8013 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 2 USDOT 524802 ICC# VEHICLE TYPE 3 CARGO BODY 5 TYPE 2 ❑ 1 28 CARRIER NAME SUNSTATE EQUIPMENT CO.,L 3 CARRIER ADDRESS 5552 E WASHINGTON ST CITY PHOENIX ST AZ ZIP 85034 4 NAME # PLACARD: ❑ NAME IF NO NUMBER SOURCE 1 AXLES 04 GwvR 58000 + 4a ADDITIONAL UNITS i MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFSP CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST 21P CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs N. El 17 37 LICENSE# STATE SEX MMDDDYSYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY' NATURE oF1NJUR1Es 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 09-15-25 08:59 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12509 O#IL WA0171300 JACOBS 10/10/202 PAGE�OF 3000-345-013(R 11118) REPORT NO. EG36324 CASE# 25-8013 DATE AND TIME 09/15/25 07:31 OF COLLISION ink " a t { �7 r l �d ! �S. 0. w`hli "x`�3 �`j S1'�'�,bwl'nlw �ww�iw Y�; SV tfi`�{t tilt iw�:iYF'.ti", w� 1 t �,fuw:4~w t saw t �a tt �1wta> it MMi S t�w�wSi 4,,r "Ra , &,iu`"+�`wii2wYit i N `� " sw PAGE 5 OF 5