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Home My WebLink About26-130 II III III IIIII IIII III II I SUPPLEMENTAL O EG66576 t 27iiT REPORTNO.Poc� RA COLLISION REPORT 1591971 ❑ 0✓ RESULTED ❑ CASE#I 26-130 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LDCAI-A`CENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 01 - 06 - 2026 1208 17 =.= S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a SW 5TH ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e HARDIE AVE SW 0 1 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2068049757 0 1 30 5 LAST NAME ROBLERO ZACARIAS FIRST NAME ANGEL MIDDLE M 1 1 2 31 INITIAL STREET ] 204 SW 104TH ST NEW ADDRESS CITY I $EATTLE ST: WA ZIP: 98146 2 7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO INTERLOCKYEs N YES NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 02 - 24 - 2005 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR CLASSY 14 NATURE of INJURIES 2 LICENSE, CNF7280 STATE WA VIN#; 1NXBR12E81Z560013 3 10 Fq I PI ATP tt TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO rRLR 7 3 33 12 2 5 TVINRLRRLR vIN# FROM TO VEH.YEAR 2001 MAKE TO�. MODEL COROL STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO SAMUEL VELAZOUEZ LOPEZ 600 SW 5TH CT APT E304 RENTON WA 98057 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# i 4TOP 5 Lrg LNG ❑ ❑ 6A0003810,6A0003810, CHARGE FAIL STOP AT STOP o oorrofi 36 Yes NO CITATION# 15 MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2067256776 16� LAST NAME WEBBER FIRST NAME ALVIN MIDDLE' I K INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 10766 66TH AVE S CITY SEATTLE ST, WA ZIP 981782549 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPt}RTED' ❑ 38 INTEt2LOCKYEs NO INTERLOCK YES NO YES NO 19 DRIVER'S STATE WA SEX M I D.O.C. 12 03 1951 39 LICENSE# MMDDYY - : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE'ANL7804 TATE I WA VIN# 1C3CDFBA1DD198858 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2013 MAKE DDD(�' MODEL DART STYLE VEHICLE TOWED✓ No BLIN PRIVATE ves No�/ 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO ALLSTATE 076 530 109 IN EFFECT &POLICY# I 1— Q L,—L YES❑ No CITATION# CHARGE to LE 25 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. EG66576 COLLISION REPORT III III III III III 111 1591972 CASE# 26-130 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 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 01-08-26 10:54 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1/7/2026 9:30:33 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 12:08 PM TIME POLICE ARRIVED i 12:22 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG66576 CASE# 26-130 O OF COLLI 510N TIME 01/06/26 12:08 COLLISION NARRATIVE CC 26-130 On 1/6/2026 at 1208 hours I was dispatched to a motor vehicle collision at the intersection of Hardie Ave SW and SW 5th PI in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was traveling North on Hardie Ave SW in the #1 lane approaching SW 5th Pl. Driver 1 stated that he was facing East on SW 5th PI at a stop sign at Hardie Ave SW. Driver 1 stated that he was preparing to go straight ahead to enter the Fred Meyer Parking lot on the East side of Hardie Ave SW. Collision Driver 2 stated that Unit 1 emerged from his left (West) side and began to enter the intersection. Driver 2 stated that he attempted to stop to avoid a collision but was unable to do so. Driver 2 stated that the front drivers side bumper of Unit 1 collided with the front driver side wheel and bumper of Unit 2. Driver 1 stated that he looked both ways but did not see Unit 2. Driver 1 stated that as he proceeded through the intersection and was unable to stop once he saw Unit 2. Driver 1 stated that the front drivers side bumper of Unit 1 collided with the front drivers side bumper and wheel of Unit 2. Driver 1 informed me that he did not have a drivers license or insurance. Injuries None reported. Vehicle Disposition Unit 1 was operational and Driver 2 called for a private impound for Unit 2. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because except when directed to proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a marked crosswalk on the near side of the intersection or, if none, then at the point nearest the intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to constitute an immediate hazard during the time when such driver is moving across or within the intersection or junction of roadways. Driver 1 was cited reference RCW 46.61.190.2, 46.20.015, and RCW 46.30.020. 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 13:07 on 1/6/2026 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG66576 CASE# 26-130 DATE AND TIME 01/06/2612:08 OF COLLISION � s �r t yk t f ks z Z 3 k 1 a,t 3 f. h.: N4 EP v$ t �v t �l\kt i a t � emu: PAGE 4 OF 4