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COLLISION REP FIT 1591971
CASE 25-8172 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 02 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 09 - 1-— 2025 0043 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MORRIS AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 27TH ST
1 9 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069284776 2 2 30
6 LAST NAME RADU IONITA FIRST NAME SELINNA MIDDLE M 1 1 2 31
INITIAL
STREET ❑1 28003 151 ST PL SE CITY KENT ST WA 2jp, 980424392 z
NEW ADDRESS
]❑ 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 USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CPY3676 STATE WA u N# 2C3CDXHG3FH823901
10❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. YRLR. 5 1 33
12 0 0 VIN#j VIN#
Rom 34
13� VEH.YEAR2OIS MAKE DODG MODEL CHARG STYLE VEHICLE TOWEDNOOpLSABLIN TSIYYEp9vMEYERS vOs❑ENo /
DAMAGE IILLJJII (��IV6
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
3 4
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 10BOTTOM 5 36
LEGALLY yes No CITATION# 5A0625758,5A0625758 INATTENTIVE DRIVING,OP MOT VEH
15❑ NDING 8 7 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
16
—us T 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:7065211296
❑
LAST NAME EVANS FIRST NAME MARTAVIS MIDDLE (I
INITIAL
17❑ STREET �', 9129 11TH PL W CITY' EVERETT ST' WA ZIP 98204 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[ DIVER #
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 0
CLASS ❑
21❑ LICENSE I CDR3262 TATe I WA vIN# JM1BK32F171655424
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
GI
VEH YEAR 2007 MAKE IlggZp MODEL 3 STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HvES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 s 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG36339
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8172
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 09-20-25 02:18 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1011012025 1:19:50 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED ?Y:47 AM TIME POLICE ARRIVED',12:55 AM
PART I PAGE IT]0F 4�
REPORT NO. EG36339 CASE# 25-8172 OF COLLISION
09/20/25 00:43
OF CbLLI510N
NARRATIVE
CC 25-8172
On 9/20/2025 at 0047 hours I was dispatched to a motor vehicle collision at the intersection of S 27th
St and Morris Ave S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2's vehicle was parked facing South on the East side of Morris Ave S just South of S 27th St.
Unit 2 was unoccupied at the time of the collision.
Driver 1 stated that she was traveling North on Morris Ave S approaching S 27th St in the #1 lane.
Collision
Driver 1 stated that her passenger informed her that there was an animal in the roadway in front of
her, to which she stated that she also saw and then swerved to avoid the animal. Driver 1 stated that
in the process of doing so, she swerved to the right and the front passenger side bumper and tire of
Unit 1 collided with the front passenger side bumper and tire of Unit 2.
Driver 1 was unable to provide me with valid proof of insurance at the time of the collision.
Driver 1 also prolonged this incident by intentionally blocking the tow truck that was there to remove
Unit 1 from the roadway pursuant to RCW 46.55.113, as she wanted her own tow truck to come to the
scene but was unable to provide a timeframe in which their tow would arrive.
Injuries
None reported.
Vehicle Disposition
Unit 1 was towed from the scene as it was blocking and no longer operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because it shall be a traffic
infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public
highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in
this section means a lack of: 1) attentiveness required to safely operate the vehicle under the
prevailing conditions, including, but not limited to, the nature and condition of the roadway, the
weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver
focusing or directing the driver's attention to something other than driving the motor vehicle; or 2)
attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
Driver 1 was cited per RMC 10-12-25 and RCW 46.30.020.
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 02:10 on 9/20/2025 in the City of Renton, King
County, Washington.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Action Code: AVOIDING ANIMAL
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EG36339 CASE# 25-8172 DATE AND TIME 09/20/25 00:43
OF COLLISION
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PAGE 4 OF 4