HomeMy WebLinkAbout25-9624 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG54940OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-9624 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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' 11 - 06 - 2025 0649 17 =.= S 8 W e OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e 5300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:8034655190 0 1 30
5 LAST NAME MOLINA FIRST NAME ERICA MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 13201 320TH STREET CT E CITY; GRAHAM ST WA ZIP; 983385670 2
NEW ADDRESS
7 +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCK VEsPRES NO YES NO
8❑ DRIVER # STATE WA SEXI F MMDDYY' 01 - 28 - 1989 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RE
4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2
LICENSE, CRU1743 STATE WA VIN# NMTKHMBX8JR022487 3
10 Fq I PI ATE#
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR rRLR. 7 1 33
12 3 0 VIN#' vIN#
FROM TO
VEH.YEAR 2018 MAKE ToYT MODEL C-HR STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 1 5
13� DAMAGE YES II_II NO `/ YESII_] N 34O
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE NSURANCE CO USAA 0156640 69G
IN EFFECT &POLICY# 4TOP
LrIALLNG ❑ ❑ 5A0909593 CHARGE FAIL YIELD PRIVATE RD MOTOR s o ooTrom z 36
VEHICLE YES NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2063916774
16�
LAST NAME RANDHAWA FIRST NAME AMRIK MIDDLE' $
INITIAL
17 F1 STREET ❑❑ 37 19925 116TH AVE SE CITY KENT ST, WA ZIP 980310401
NEW ADDRESS
18❑ CDL : IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs No INTERLOCK YES NO vEs No
19 DRIVER
INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE C36908Z TATe WA VIN# 1FMEE5DP9NLB09294 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE FORD MODEL BRONCO STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO A-1 PALLETS INC PO BOX 6202 KENT WA 98064 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO FIRST UNDERWRITERS INSURANCE BROKERS 46AO070525
IN EFFECT &POLICY# 9TOP
veHiae ❑ ,J—I CITATION# CHARGE t080TTOM
L'EGn�LY YES No
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG54940
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9624
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 CLASS ----�
: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 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 11-06-25 08:35 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 12/3/2025 3:58:14 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 6:51 AM TIME POLICE ARRIVED i 7:00 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG54940 CASE# 25-9624 O OF COLLI 510N TIME 11/06/25 06:49
COLLISION
NARRATIVE
CC 25-9624
On 11/6/2025 at 0651 hours I was dispatched to a motor vehicle collision at the 5300 block of Talbot
Rd S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he had just turned left to proceed South on Talbot Rd S from the Sikh Temple,
and was in the 2 way center turn lane preparing to merge right into the #1 lane of Southbound Talbot
Rd S at around the 5300 block.
Driver 1 stated that she was preparing to perform a lefthand turn from the Springbrook Condos to
proceed North on Talbot Rd S. The Springbrook Condos is a private drive.
Collision
Driver 2 stated that he merged from the 2-way center turn lane into the #1 lane of Southbound Talbot
Rd S. Driver 2 stated that following this, Unit 1 emerged from the private drive at around the 5300
block and he did not have time to slow or stop to avoid a collision. Driver 2 stated that the front
passenger side bumper of Unit 2 collided with the rear drivers side quarter panel of Unit 1.
Driver 1 stated that she perceived that because Unit 2 had their turn signal on that they were going to
be turning into the Springbrook Apartments. Driver 1 stated that because of this she believed that she
was clear to proceed with her lefthand turn. Driver 1 stated that Unit 2 did not turn and the front
passenger side bumper of Unit 2 collided with the rear passenger side bumper of Unit 1.
Driver 1 appeared confused when I advised her that vehicles proceeding from a private drive must
yield to vehicles lawfully approaching upon the roadway, and then was asking about the 300ft rule
regarding the 2-way center turn lane. Given that she had already stated to me that Unit 2 had merged
from the 2-way center turn lane to the #1 lane of Southbound Talbot Rd S, this rule would not be
applicable.
Injuries
None reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle about
to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles
lawfully approaching on said highway.
Driver 1 was cited per RCW 46.61.205.
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 07:40 on 11/6/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG54940 CASE# 25-9624 DATE AND TIME 11/06/25 06:49
OF COLLISION
ss �
n'g
k��yzi Sri ,, a 1
x
s
t t
4.
r ,t
t� �YS CItY i t
�t
�it t s
Z S7F�t� SF �=N
PAGE 4 OF 4