HomeMy WebLinkAbout25-80609 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
SASE 25-80609 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 12 - 11 - 2025 1722 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE CARR RD BLOCK NO. e✓ 800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 968 00 FEET MILES e S ❑ W e 98TH AVE S
0 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:9166956288 0 11
30
6� LAST NAME NEUGEBAUER FIRSTNAME CHRISTOPHER MIDDLE M 1 1 2 31
INITIAL
STREET 01 22440 BENSON RD SE APT C12 CITY KENT ST WA ZIP 980312543 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1— 19 — 1991 2 32
CENSE [NATURE OF IN
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 H USE 2 7 CLASS BACK PAIN JURIES z❑
3
10 9❑ P1 ATE 14 CLY2476 STATE WA V N# JTHBF1 D24E5015263
C.... TRAILER STATE TRAILED STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 7 33
12 3 5 VIN#' VIN#
:.. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED By GOVT.VEHICLE 34
13 4 2014 LEXS IS SD DAMAGE YES NO YES[:] No
No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 998997820
IN EFFECT &POLICY# 9TOP
15❑ VEHICLE 1 36
LEGALLY res�No D CITATION# 5A0938864 CHARGE PROHIBITED U TURN io eorrom
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:20
16 a 65387894
LAST NAME LOPEZ HERNANDEZ FIRST NAME JOSE MIDDLE A
INITIAL
17 STREET I❑ s❑' 6041 41 ST AVE SW CITY SEATTLE ST WA ZIP 981361605 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INERLOCKYEB❑No� INTERLOCK v�Es No� YES NO
F
19 LDIIVERICENSE# STATE WA SEX M MMDDW 05 _ 23 _ 1981 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# D69772A TATE 41
WA VIN 2GBHK39N5M1164825 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
Gov HI
VEH YEAR 1991 MAKE CHEV MODEL GMT-400 STYLE TR DAMAGE TOWED NOO✓ BLIN TOWED BY 44
ES YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1UQ,
VEHICLE ❑ C[:] CITATION# CHARGELEGALLY YES N`LJ25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#26ROBIN SMITH 12986 [V7�ENCY
A0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG57935
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80609
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GRAY CASSANDRA E
(LAST FIRST,
ADDRESS&PHONE#
1455 S PUGET DR APT J304 RENTON WA 980554396 7203914392 SEXi F MMDOYyry 08 - 13 - 1987
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS
UNIT# 3 PQS , 3 1 AIRBAG 2 1 RESTR. 4 EJECT 1 USE 2 1 CLASS '7 BACKANDNECKPAIN
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.
ROBIN SMITH 12-11-25 11:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 12/12/2025 3:23:20 AM
BADGE OR ID# 9Y986 OR]# WA0171300 TIME POLICE DISPATCHED 5:25 PM TIME POLICE ARRIVED',5:30 PM
FART I PAGE IT]OF 6�
REPORT NO. EG57935 CASE# 25-80609 OF COLLISION
12/11/25 17:22
OF CbLLI510N
NARRATIVE
25-80609
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 12-11-2025 at approximately 1725 hours I was dispatched to an unknown injury blocking collision
that occurred in the 800 block of SE Carr RD. Dispatch advised the Renton Regional Fire Authority
(RRFA) was already on scene and that eastbound lanes were blocked.
While on scene, I collected the involved parties driving documents and their independent recollection
of events leading up to the collision. There were three vehicles involved.
The driver of Unit#1 (Christopher) said he was traveling eastbound in the 800 block of SE Carr RD in
lane 1 of 2 when he decided to make an illegal U-Turn. He took a left turn over the double yellow line
that separates eastbound from westbound traffic. When he made the turn, he did not see Unit#2 and
collided with the driver side front corner of Unit#2. From the impact of the collision, Unit#1 got
pushed back into lane 1 of 2 of eastbound traffic and collided with driver side of Unit#3. Unit#3 was
traveling eastbound in lane 2 of 2 in the 800 block of SE Carr RD. Unit#1 suffered damage to the
passenger side of the vehicle. Christopher had complaints of back pain but declined to be evaluated
by the RRFA. Christopher said the collision was his fault for making the U-Turn in an area not
permitted to do so.
The driver of Unit#2 (Jose) said he was traveling westbound in lane 2 of 2 in the 800 block of SE
Carr RD when his vehicle was struck by Unit#1. He saw Unit#1 attempt to do a U-Turn and was
unable to stop in time to avoid a collision. Unit#2 suffered damage to the driver side front corner.
Jose was able to move his vehicle safely off the roadway, but it is no longer able to turn right. Jose
was going to call his own tow since he was able to move the vehicle to private property. Jose had no
complaints of injury. Jose did not have insurance.
The driver of Unit#3 (Joseph) said he was traveling eastbound in lane 2 of 2 in the 800 block of SE
Carr RD when he saw Unit#1 attempt to make a U-Turn. Suddenly, Unit#1 was then coming towards
the driver side of his vehicle, and he was unable to swerve anywhere or reverse to avoid a collision.
Based on Joseph traveling in lane 2, if he had swerved, he would have run into the curb and if he had
reversed, he would have caused another collision. Unit#3 suffered considerable damage along the
driver side of the vehicle. Joseph was able to move his vehicle off the roadway, however, he was
arranging his own tow truck because his car was not safe to operate due to the extent of the damage.
Joseph said he had hand pain and chest anxiety. Joseph's passenger, Cassandra, said she had pain
in her back and neck. Both Joseph and Cassandra declined to be evaluated by the RRFA.
I find the driver of Unit#1 (Christopher) to be the proximate cause of the collision. Christopher was
cited for violating RCW 46.61.295 which states, "(1) The driver of any vehicle shall not turn such
vehicle so as to proceed in the opposite direction unless such movement can be made in safety and
without interfering with other traffic. (2) No vehicle shall be turned so as to proceed in the opposite
direction upon any curve, or upon the approach to or near the crest of a grade, where such vehicle
cannot be seen by the driver of any other vehicle approaching from either direction within five
hundred feet." Christopher violated this when he was traveling eastbound up a hill on a curve and
attempted to change his direction to travel westbound down the hill by making a turn over a double
yellow line.
An exchange of information was provided to all parties.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
PAGE 3 OF 6
REPORT NO. EG57935 CASE# 25-80609 OF COLLISION
12/11/25 17:22
OF CbLLI510N
NARRATIVE
Electronically signed by Robin Smith #12986 on 12/11/2025 @ 2341 hours in Renton, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EG57935
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 25-80609
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE _) PEDESTRIAN � OWNER � YES� NO
D:3303160036
rOF 1 Zg
LAST NAME : GRAY FIRST NAME : JOSEPH MIDDLE'.. T
INITIAL
STREET 30
NEW AnnRFrtP 1455 S PUGET DR APT J304 CITY RENTON ST WA Z1P 980554396
6 [6 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO INTERLOCK YES❑N0� YES N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 08 - 25 - 1996
7
HELMET :INJURY' NATURE OF INJURIES
ON DUTY STATUS AIRBAG'' 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 HAND PAIN
8 ❑ 1 32
LICENSE D09242H TAr Wq VIN# 1N6ADOCW4JN703367
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN It VIN.#.
11 3 5 VEH.YEAR2018 MAKE NISS MODELFRONTIE STYLE TR VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNED BY DRIVER ] 3 33
12 � SHADE IN DAMAGED AREA
34 FROM TO
LIABILITY INSURANCE INSURANCE CO ALLSTATE 923773947 GQ
IN EFFECT &POLICY#
EHICLE 34
13LEGALLY YES NOCITATION# CHARGE
STANDING
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE
36
❑
ITIAL
STREET
16 NEWAET [_% CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YES NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE rnr VIN# 39
PLATE#
20 ❑ TRAILER STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
ROBIN SMITH 12-11-25 11:49 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 � OR ID# 12986 O#II,WA0171300 APPROVED BY
12112/202 PAGE OF 6
3000-345-013(R 11118)
REPORT NO. EG57935 CASE# ' 25-80609 DATE AND TIME 12/11/25 17:22
OF COLLISION
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PAGE 6 OF 6