HomeMy WebLinkAbout25-9851 )STATE
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Oc� RA EG54755
COLLISION REPRT 1591971
CASE# 25-9851 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 4200 3
COUNTY RD INVOLVED
CODING
PRIVATE WAY
2❑ 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
cDUISION' 11 - 13 - 2025 0819 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e 156TH AVE SE
0 4 29
PEDAL- DAMAG THRESHOLD MET E
UNIT 01 VEHICLEMOTtlR PHON
❑ CYCLE ❑ YES NO ✓ Q $ 30
5 LAST NAME BELTRAN CIFUENTES FIRST NAME MAGDA MIDDLE V 1 1 2 31
INITIAL
STREET ❑' 17514 151ST AVE SE UNIT 1-18 CITY RENTON ST WA ZIP 980588794 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES No INTERLOCKYEs NO YES D NO
8 DRIVECEN STATE WA SEX F MMor YY' 01 - 03 - 1983 1 2 32
9[�] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CTE1711 STATE WA VIN# WD2PD444845651455 3
10 PI ATP rt
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 5 7 33
1 0
( FROM TO
2 0 VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 9 9 34
13 4 2004 SPNR 3500 DAMAGE YES DNO ✓ YEs❑ No
REGISTERED OWNER INFO FRANCISCO VARGAS SANCHEZ 17514151STAVE SE UNIT I-18 RENTON WA 980588794 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14� LIABILITY INSURANCE NSURANCECO STATE FARM LOST DUE TO TECHNICAL ISSUE
IN EFFECT &POLICY#VEHICLE
4TOP
srgNOLNG ❑ CITATION# 5A0909602 CHARGE SPEED TOO FAST FOR CONDITIONS B o eorrofi 36
Yes NO
15
�II1 MOTOR � PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE: nwNFR D:2066834926
16�
LAST NAME DICKSON FIRST NAME MICHEAL MIDDLE D
INITIAL
STREET ❑ 37
17 '❑ 12720 4TH AVE W STE F CITY EVERETT ST, WA ZIP 982045707
NEW ADDRESS
18� CDL IGNITION REQUIRED fGN1TION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES No vEs No
19 DRIVER'S STATE WA SEX M D.O.B. 06 22 1971 39
LICENSE# MM0 3YY
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CKA2495 TATE WA VIN# NMOLS6BN9DT139256 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q13 MAKE FORD MODEL TRANSIT STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO COUNTRY FINANCIAL PA5207482
IN EFFECT &POLICY# t 9TOP
v ICLe Lec ,.I—I CITATION# CHARGE
25 ntLr YES N
tO BOTTOM
`.LJ
a a
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. EG54755
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9851
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} VARGAS SANCHEZ FRANCISCO J
(LAST,FIRST
ADDRESS&PHONE# DOB
17514 151ST AVE SE UNIT 1-18 RENTON WA 980588794 SEX' M MMDDYYYY 03 - 22 - 1975
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z �' 1 POS. 3 2 4 1 USE CLASS 1
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -F L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q' POS. USE CLASS r— ----�
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 11-13-25 10:03 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
12/3/2025 8:04:49 AM
C.JACOBS 1953
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:33 AM TIME POLICE ARRIVED 9:05 AM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT No.` EG54755 CASE# 25-9851 O COLLI COLLISION TIME
OF 11/13/25 08:19
COLLI
NARRATIVE
CC 25-9851
On 11/13/2025 at 0833 hours I was dispatched to a motor vehicle collision at the intersection of NE
4th St and 156th Ave SE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was facing East in the #1 lane of NE 4th St stopped at a red light behind 1
vehicle at the light.
Driver 1 stated that she was driving North on 156th Ave SE in the #2 lane preparing to perform a
lefthand turn to proceed West on NE 4th St.
Collision
Driver 2 stated that while stopped, Unit 1 entered the intersection to perform a lefthand turn and the
rear tires lost control. Driver 2 stated that Unit 1 fishtailed counter-clockwise and ended up facing the
side of Unit 2 when it regained traction on the pavement. Driver 2 stated that once traction was
gained, Unit 1 then proceeded to drive straight into Unit 2. The front bumper of Unit 1 collided with the
front drivers side door of Unit 2.
Driver 1 stated that she lost control while performing a lefthand turn in the intersection. Driver 1 stated
that they rear wheels spun out and she fishtailed counter-clockwise. Driver 1 stated that the front
bumper of Unit 1 collided with the front drivers side door on 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 no person shall drive a
vehicle on a highway at a speed greater than is reasonable and prudent under the conditions and
having regard to the actual and potential hazards then existing. In every event speed shall be so
controlled as may be necessary to avoid colliding with any person, vehicle or other conveyance on or
entering the highway in compliance with legal requirements and the duty of all persons to use due
care.
Given the wet and rainy conditions, had Driver 1 reduced their speed to what would be considered
reasonable and prudent this collision would not have happened.
Driver 1 was cited per RCW 46.61.400.1
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 09:45 on 11/13/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG54755 CASE# 25-9851 DATE AND TIME i 11/13/25 08:19
OF COLLISION
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