HomeMy WebLinkAbout25-80766 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68563oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-80766 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOL`CODIOENC'Y 4100 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#
eDCL s on' 12 - 15 - 2025 1658 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑
OAKSDALEAVESW MILE POST
e 4100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e SW 41ST ST
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3607234416 0 1 30
5 LAST NAME FINDLEY FIRST NAME GABRIEL MIDDLE F 1 1 2 31
INITIAL
STREET ] 350IO NW SIEBLER DR CITY; LA CENTER ST WA ZIP; 98629 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKVEs NO YES F NO
8� DCIENSE# STATE WA SEXI U MMDDYY' 10 — 23 — 1999 1 2 32
9 ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMET INJURY'7 NATURE OF INJURIES 2
USE CLASS CHEST,BACK AND NECK
10 LI ENSE A8950426 STATE WA VIN#, 1GCCS19Z5S8246092 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 3 1 33
12 3 5 VIN# vIN#
FROM TO
13 3 VER YEAR 1995 MAKE CHEV MODEL S10 STYLE PK VEHICLE TOWED TO�iS46LIN T�VyED.6LRS GOS❑END $ 1 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO GABRIEL FINDLEY 35010 NWSIEBLER DR LA CENTER WA 98629 D:3607234416 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 LIABILITY INSURANCE INSURANCE CO 14 USAA 060111533
IN EFFECT &POLICY#VEn" CHARGE 36
LEGALLY YES❑NO❑ CITATION# <14,
15 STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:5095921008
16�
LAST NAME MOHEIMANI FIRST NAME REZA MIDDLE'
INITIAL
17 F1 STREET ❑
❑ 12550 120TH AVE NE UNIT 577 CITY KIRKLAND ST, yyq ZIP 98034 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYEs NO INTERLOCKYES Nb YEs NO
19 DRIVER'S STATE WA SEXI M I D.O.e_ 09 16 1986 39
LICENSE# MMDDYY' -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CES3205 TATe WA VIN# JTMBFREV3JJ731176 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2018 MAKE TOYT MODEL RAV4 STYLE UT DAMIAGE TOWED✓ No BLIN BANKERS ves No�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADFY DAGED AREA
4
LIABILITY INSURANCE[Z INSURANCE CO GEICO 6048-63.60.44
IN EFFECT &POLICY# 9TOP
vew1— ❑ ,J—I CITATION# CHARGE tO BOTTOM
LEGALLY YES N`L]
25 a a
OFFICER'S NAME(PRINT) PHONE BADGE OR ID# AGENCY
26 T77
D.MYERS 10433 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68563
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80766
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 CLASS 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 CLASS
NARRATIVE
On 12-15-2025 at approximately 1700 hours, I was dispatched to a blocking collision in the 4100
block of Oaksdale Ave SW in the City of Renton, County of King, State of Washington.
I arrived on scene and contacted the driver of Unit #2 who told me he was traveling northbound on
Oaksdale Ave SW when his vehicle was struck by Unit#1. There are no traffic control devices for
vehicles traveling north or south on Oaksdale Ave SW in the 4100 block.
I contacted the driver of Unit#1 who told me he was making a right turn onto Oaksdale Ave SW from
SW 41 st St when his vehicle hit Unit#2. He did not see Unit#2 when he made the right turn. There is
a traffic sign indicating all vehicles must stop on SW 41 ST before making any turns onto Oaksdale
Ave SW.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.MYERS 01-08-26 07:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
1/13/2026 5:21:15 PM
P.KORDEL 9676
BADGE OR ID# j 10433 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:00 PM TIME POLICE ARRIVED i 5:10 PM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG68563 CASE# 25-80766 DATE AND TIME 12/15/2516:58
OF COLLISION
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