HomeMy WebLinkAbout25-9114 IT �i " II IIIII III IIIII II IIII IIIII I . 0 27c REPORT NO EG54936OLCERA
COLLISION REPORT 1591971
CASE# 25-9114 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 10 - 21 - 2025 1637 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK NO. e 203 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4043987676 0 1 30
6 LAST NAME SILVERSTONE FIRST NAME NESS MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 12440169THAVESE CITY; RENTON ST WA ZIP; 980596501 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs D NOD I INTERLOCKVEs NO YES NOD
8 DRIVER # STATE WA SEXI F MMDDYY' O6 - 04 - 2000 t 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM USEET 2 CLASSY',1 NATURE of INJURIES 2
10 LI ENSE' AMT6248 STATE WA VIN# 1FAHP3F26CL338259 3
TRAILER STATE TRAILER STATE ROM To 11 3 0 PLATE# PLATE#
TRLR TRLR 3 1 7 33
12 3 0 VIN#' vIN#
FROM TO
13 2 VEH.YEAR2012 MAKE FORD MODEL FOC4D STYLE 4D VEHICLE TOWED TOfjl4 N TgAWIJ�RSTOWING GCS�VEHICLE
Ho� 3 7 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO SUSAN SItVERSTONE UN/T F2 BELLEVUE WA 98007 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE NSURANCE CO STATE FARM 175 9111-DOt-47C
IN EFFECT &POLICY# 4TOP _
sVEHICLE rgNo NG ❑NO❑ 5AO828077 CHARGE IMPROPER LANE USAGE o ooTrofi 36
YES CITATION#
15
MOTOR PEDAL- Ty
PROPERTY PHONE
DAM THR OLD MET N
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNRR vEs 1/ No D:2533615878
16�
LAST NAME HACKER FIRST NAME KARSEN MIDDLE M
INITIAL
17 F1 STREET ❑❑ 37 3004 219TH AVE E CITY LAKE TAPPS ST, WA ZIP 983915635
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES ND INTERLOCK YES R No YEs No
19 DRIVERS ' STATE WA SEX M D.O.B. 07 11 2006 � 39
LICENSE# MMDDYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 PLAT# CLS2362 rare WA vIN# USE
41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2017 MAKE CHEV MODEL CAMARO STYLE DAMIAGE TOWED✓ No BLIN
24 BANKERS TOWING
REGISTERED OWNER INFO BRANDY CARTWRIGHT 3004 219TH AVE E LAKE TAPPS WA 98391 VEHICLE NQ.2
SHADE IN DAGEAREA
2
LIABILITY INSURANCE[Z INSURANCE CO MUTUAL OF ENUMCLAW PA71040837
IN EFFECT &POLICY# GQ
YemaE ❑ ,.I—I CITATION# CHARGE
EEEILY YES N`0
25s 7 e
7'0FFCll,tER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG54936
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9114
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE GLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CIASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE GLASS
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 11-04-25 06:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 12/3/2025 3:59:19 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:41 PM TIME POLICE ARRIVED i 4:56 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG54936 CASE# 25-9114 O OF COLLISION TIME 10/21/25 16:37
NARRATIVE
On October 21, 2025, at approximately 1142 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of 203 S 2nd 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 Ness Silverstone, said she was traveling westbound in about the
250 block of S 2nd St and approaching the east entrance of Safeway. Ness was in lane 2 of 4. Ness
stated she needed to merge left and make the first entrance. She believed lanes 3 and 4 where open
so she proceeded to change lanes. In doing so, she failed to notice Unit#2 in lane 4. Unit#1 speared
her front left fender into Unit#2's right rear wheel. Unit#1 sustained severe damage to the front
bumper.
The driver of Unit#2, identified as Karsen Hacker, said he was the sole occupant of his vehicle and
was also traveling westbound in about the 250 block of S 2nd St, and approaching the intersection of
Rainier Ave S in lane 4 of 4. Karsen said he was intending to continue straight when Unit#1 changed
lanes from lane 2 of 4 and into lane 4 of 4 which Unit#2 was occupying. Karsen was unable to avoid
the collision and Unit#1 subsequently collided with Unit#2. Unit#2 suffered significant damage to
the rear right wheel and passenger doors due to the collision.
An independent witness, identified as Nelson, Anna C (DOB 03/02/1977), remained at the scene.
Nelson confirmed the above statements claiming that Unit#1 changed lanes into Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Ness) is the proximate cause
for the cause of collision as she 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. Ness made a lane change
into Unit#2's lane of travel which had the right of way and was underway.
I cited Ness via mail for Improper Lane Usage causing a collision.
Both Unit#1 and 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 11/4/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG54936 CASE# 25-9114 DATE AND TIME 10/21/25 16:37
OF COLLISION
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PAGE 4 OF 4