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COLLISION REP FIT 1591971
CASE 25-8091 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I 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 RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 09 - 1-- 2025 0941 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
TALBOT RD S MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 43RD ST
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:4252137298 0 4 30
6� LAST NAME HINGA FIRSTNAME ALICE MIDDLE W 1 1 2 31
INITIAL
STREET ❑ 2638 26TH PL SE CITY AUBURN ST WA ZIP 980027017 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]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
10❑ P1 aT�S� CMA5704 sTArI WAurN# 5FNYF8H91 L6015308
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2020 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 7 34
13 4 HOND PASSPO DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO ESURANCE INSURANCE CO PAWA-009430813 3 4
IN EFFECT &POLICY# 9TOP
El .e 5 36
LvE�ALHaLv re8�No� CITATION# 5A0625757 CHARGE FAIL TO OBEY TRAFFIC CONTROL )o eorrom
15❑ STANDING 8 7 6
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ NO D:2065715258
16 a
LAST NAME PALOMERA ROBLES FIRST NAME JULIANA MIDDLE
INITIAL
17❑ STREET ❑', 22111 108TH AVE SE#16 CITY' KENT ST WA ZIP 980311100 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES
t t- l No❑
19 LDI IVEW # STATE WA SEX F M .O.B. 11 19 _ 1982 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I C29533J TAre WA vIN1t 3TMCZ5AN1HM088947
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
GI
VEH YEAR 2017 MAKE 7'Dy7- MODEL TACOMA 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 &POINSURGY#E CO STATE FARM 2907656-FO5-47DIN 1 9TOP 5
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG36334
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8091
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) EDWARDS JOYCE M
(LAST FIRST,
ADDRESS&PHONE# D.0
.B.
25417 114TH AVE SE KENT WA 98030 SEX F MMDOYyry 01 - 19 - 1966
PASSENGER Z WITNESS UNIT# 1 SOS y AIRBAG 2 RESTR. q EJECT ? HELMET NJURY NATURE OF INJURIES
USE 'CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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 09-17-25 11:30 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1011012025 1:44:13 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 9:43 AM TIME POLICE ARRIVED',9:56 AM
PART I PAGE IT]OF 4�
REPORT NO. EG36334 CASE# 25-8091 OF COLLISION
09/17/25 09:41
OF CbLLI510N
NARRATIVE
CC 25-8091
On 9/17/2025 at 0943 hours I was dispatched to a motor vehicle collision at the intersection of Talbot
Rd S and S 43rd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was on Talbot Rd S in the #1 lane facing North preparing to perform a
lefthand turn to proceed West on S 43rd St.
Driver 1 stated that she was on Talbot Rd S in the #2 lane facing North preparing to go straight to
proceed North on Talbot Rd S.
It should be noted that the #2 lane is required to turn left and is not able to go straight per the posted
signage.
Collision
Driver 2 stated that she began her lefthand turn and once in the intersection, Unit 1 proceeded
straight through and the front passenger side bumper of Unit 1 collided with the rear drivers side
quarter panel of Unit 2.
Driver 1 stated that she thought that she could proceed straight ahead and upon doing so, the front
passenger side bumper of Unit 1 collided with the rear drivers side quarter panel 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 any vehicle, a
person operating a bicycle, and every pedestrian shall obey, and the operation of every personal
delivery device shall follow, the instructions of any official traffic control device applicable thereto, and
as specified in this chapter, placed in accordance with the provisions of this chapter, unless otherwise
directed by a traffic or police officer, subject to the exception granted the driver of an authorized
emergency vehicle in this chapter. Driver 1 was required to turn left and instead went straight ahead.
Driver 1 was cited per RCW 46.61.050
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 10:46 on 9/17/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG36334 CASE# 25-8091 DATE AND TIME 09/17/25 09:41
OF COLLISION
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PAGE 4 OF 4