HomeMy WebLinkAbout25-9417 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44874OLCERA
COLLISION REPORT 1591971
ASE# ; 25-9417 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOL`CO A`GENC'Y 4200 3
COUNTY RD NVOLVED CODING
2 PRIVATE WAY
❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 10 - 30 - 2025 1452 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
NE 6TH ST BLOCK NO. e 3705 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YES ✓NO D:2066386679 1 4 30
5 LAST NAME IBRAHIM FIRST NAME KHALID MIDDLE 1 O 1 1 31
INITIAL
STREET E:1 824 JEFFERSON AVE NE CITY RENTON I ST WA ZIP 98056 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPDRTED 3
INTERLOCKYEs NO INTERLOCKYES Na YES F NO
8❑ LICIENSE#RVER' STATE WA SEX M MMDCSYY' O6 - 01 - 2005 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
10❑ LI ENSE'ti� AOH3270 STATE WA VN# JHLRE48558CO12870 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
rRLR TRLR 7 3 33
12 0 Q VIN# VIN#
'.....: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 200$ HOND CR-V DAMAGE YES�No ✓� ves� No� m 34
REGISTERED OWNER INFO HODA ABDIRAHMAN 824 JEFFERSON A VE NE RENTON WA 98056 D:2063356248 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO THE GENERAL 53-WA 8988106 3 4
IN EFFECT &POLICY#VEHICLE
4TOP _
srgNOLNG 5A0625828 CHARGE MISSING OR IMPROPER BUMPERS B o ooTrob 36
Yes NO CITATION#
15
UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE. nWNFR YES NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17❑ STREET D CITY RENTON ST ZIP ❑ 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED: 38
INTERLOCKYES No INTERLOCK YES NO YES NO
19[ LICIENSE# STATE SEX U MMDDYY -= � ❑ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSLATE E CND8150 rarE WA vIN# 4S4BSACC6H3407096 41
22❑ PLATE# STATE[TILER I PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2017 MAKE SUBA MODEL OUTBAC STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO HUUVO 170111 6TH ST RENTON WA 98056 D:42.060084 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO STATE FARM 485 2158-803.47C
IN EFFECT &POLICY# tU�o
v ICLe ❑ ,.I—I CITATION# CHARGE
LecnLLY YES N`.LJ
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG44874
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9417
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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 10-30-25 04:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 11/4/2025 12:10:45 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:53 PM TIME POLICE ARRIVED 3:03 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG44874 CASE# 25-9417 O COLLI COLLISION TIME
OF 10/30/25 14:52
COLLI
NARRATIVE
CC 25-9417
On 10/30/2025 at 1453 hours I was dispatched to a motor vehicle collision at 3705 NE 6th St in the
City of Renton, King County, Washington.
Pre-Collision
Driver 1 stated that he was traveling East on NE 6th St in the #1 lane crossing over Queen Ave NE.
Unit 2 was parked and unoccupied at the time of the collision.
Collision
Driver 1 stated that as he crossed Queen Ave NE, the front bumper of his vehicle detached and fell
underneath Unit 1 as it was moving East. Driver 1 stated that the bumper was previously defective
and was hanging on rather than being properly secured. Driver 1 stated that the bumper got caught
underneath the front passenger side tire causing the front tire to lose traction and Unit 1 began to
move clockwise towards the Southern curb. Driver 1 stated that he was unable to bring Unit 1 to a
stop or slow to avoid a collision and the front passenger side bumper of Unit 1 collided with the rear
drivers side bumper of Unit 2, then scraping along the entire drivers side of Unit 2. Unit 2 was forced
East approximately 6 feet.
Injuries
None reported
Vehicle Disposition
No vehicles were towed at the time of collision as they were safely off of the roadway. Unit 1 was later
towed back to the residence by a private company.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because when any motor vehicle
was originally equipped with bumpers or any other collision energy absorption or attenuation system,
that system shall be maintained in good operational condition, and no person shall remove or
disconnect, and no owner shall cause or knowingly permit the removal or disconnection of, any part
of that system except temporarily in order to make repairs, replacements, or adjustments.
Had Driver 1 maintained the bumper in good operational condition, it would not have fallen off and
this collision would not have happened.
Driver 1 was cited per RCW 46.37.513.
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 15:54 on 10/30/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG44874 CASE# 25-9417 DATE AND TIME i 10/30/25 14:52
OF COLLISION
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