HomeMy WebLinkAbout25-9986 )STATE
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Oc� RA EG54759
COLLISION REPRT 1591971
CASE# 25-9986 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3[--�
COUNTY RD NVOLVED 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
GOUISION' 11 - 17 - 2025 1039 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
S 2ND ST BLOCK NO. e 112 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S 8 w
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4082095975 0 1 30
5 LAST NAME WILLIAMS FIRST NAME PATRICE MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 4627 MARBELLA CT
NEW ADDRESS CITY SAN JOSS ST, CA ZIP 951240000 2
7 CDL : IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No I INTERLOCKYES N YES D NO
8 DRIVERE# STATE CA SEX F MMOCSYY 01 - 02 - 1966 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 CLASS 1 NAruRE of INJURIES 2
I INJURY
10 LI ENSE'ti�, BUL6581 srArE WA VN# 1GNSKBKC4KR282865 3
TRAILER STATE TRAILER ,STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR TRLR 7 3 33
12 3 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE
13 2 2019 CHEV TAHOE DAMAGE vesNo ✓ Yes No 7 3 34
REGISTERED OWNER INFO ANDREW WINGER 2524 CAMAS AVE NE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� NSURANCE� NSURANCECO STATE FARM 0699269-B08-47D 3 4
IN EFFECTECT
IN EF &POLICY# 4TOP _
sr,,ALL, ❑ ❑ 5AO891790 CHARGE IMPROPER LANE USAGE o ooTro6 36
Yes NO CITATION#
15
III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT Q2 VEHICLE CYCLE nWNFR YES�/ NO D:2063701987
16�
LAST NAME WESTGAARD FIRST NAME MICHAEL MIDDLE q
INITIAL
STREET ❑ 37
17 '❑ 1732 JONES DR SE CITY RENTON ST, Wq ZIP 980553603
NEW AbbRESS
18❑ CDL IGNITION REQUIREC3 (GNTION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCK YES No INTERLO X YES NO YEs ND I
19 DRIVERS STATE WA SEXIM D.O.B. 03 25 1981 � 39
LICENSE# MMODYY —
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E CNHO813 TATE WA VIN# WVGBV7AXOHKO27824 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q17 MAKE VOLJ( MODEL TIGUAN STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE ves No GENE MEYERS TOWING ves No
REGISTERED OWNER INFO MICHAEL WESTGAARD 1732 JONES DR SE RENTON WA 98055 VEHICLE NO.2
SHAD DA GEeOAREA
LIABILITY INSURANCE INSURANCE CO TRAVELERS INSUR.607820462203 1 AAA
IN EFFECT &POLICY# 9TOP
VEHICLE LEGAIL,v ❑ N`,.ILJ
—I CITATION CHARGE t060TTOM
25 YES a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG54759
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9986
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.CATALAN 11-17-25 04:16 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 121312025 7.55:35 AM
BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:44 AM TIME POLICE ARRIVED 10:51 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG54759 CASE# 25-9986 O COLLI COLLISION TIME
OF 11/17/25 10:39
COLLI
NARRATIVE
On 11/17/2025 at approximately 1039 hours, I was dispatched to a vehicle collision at 112 S 3rd St,
within the City Limits of Renton, County of King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit#1, identified as Patrice M. Williams, said she was traveling eastbound on S 3rd St
from Rainier Ave S in lane 1 of 2. While approaching the west entrance of Safeway on S 3rd St, she
failed to notice that she was traveling in a one-way street. Patrice stated she needed to make a left
turn, but believed she was in a two-way street. When turning, she failed to notice that Unit#2 was
traveling behind her in lane 2 of 2. When she turned, both Unit #1 and Unit#2 collided in the
roadway. Unit 1 sustained damage to the driver's side fender.
The driver of Unit#2, identified as Michael Westgaard, said he was the sole occupant of his vehicle
and was also traveling eastbound in about the 112 block of S 3rd St. Michael stated he was intending
to continue straight when Unit#1 changed lanes from lane 1 of 2 and into lane 2 of 2 which he was
occupying. Micheal was unable to avoid the collision and Unit#1 subsequently collided with Unit#2.
Unit#2 suffered significant damage to the passenger doors, causing the side air bags to deploy.
Based on the above statements, I determined that Patrice is the proximate cause for the cause of
collision as Devera violated RCW 46.61.140(1) which states that a vehicle shall be driven as nearly
as practicable entirely within a single lane and shall not be moved from such lane until the driver has
first ascertained that such movement can be made with safety. She made a lane change into Unit
#2's lane of travel which had the right of way and was underway. Patrice did not ensure that traffic in
lane 2 of 2 was clear of hazard before making the unsafe lane change.
I cited Patrice in person for Improper Lane Usage causing a collision.
Unit#2 required a tow due to extensive damage. An exchange of information was provided to all
involved parties.
I certify (or 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. Catalan 11/17/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG54759 CASE# 25-9986 DATE AND TIME i 11/17/25 10:39
OF COLLISION
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