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HomeMy WebLinkAbout26-347 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68796OLCERA COLLISION REPORT 1591971 ❑ 0✓ FIRERES ED ❑ CASE# 26-347 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCODIGENC'Y 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDLLISION' 01 - 13 - 2026 0851 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. BURNETT AVE N 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e N 36TH ST 0 5 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4582544177 30 5 LAST NAME KING FIRST NAME ERIC MIDDLE N 1 1 2 31 INITIAL STREET ❑ 625 LIT WAY CITY;ASHLAND ST OR ZIP 97520 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES D NO I INTERLOCKYEs No YES ND $ DRIVE E# STATE OR SEXI M MMDDYY' 04 — 05 — 1970 t 32 9 ON DUTY STATUS' AIRBAG 1 RESTR 4 EJECT 1 N UEEET CLASSY 1 NATURE of INJURIES 2= LICENSE, YAKE692 STATE OR VIN# 1XPBDP9X1RD641121 3 10 as ATP rt TRAILER FB9120 STATE IA TRAILER STATE 11 2 5 PLATE# PLATE# FROM To TRLR zRLR 5 1 5 33 12 VIN#' VIN# : FROM TO VEH.YEAR 2024 MAKE PTRB MODEL 579 STYLE SE VEHICLE TOWED fn TO ZBUN TOWEBBY GDVT VEHICLE m 34 13 DAMAGE YES I_II NO ✓ YESII-1) NO✓ REGISTERED OWNER INFO SPRINTER TRUCKING INC PO BOX 1539 WINSTON OR 97496 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE NSURANCE CO SENTRY SELECT INS.CO.A0180605001 3 YEs IN EFFECT &POLICY# 4TOP _ VEHICLE srgNOLNG ❑NO❑ CITATION# 6A0003816 CHARGE DRIVING WITH WHEELS OFF s o ooTrofi 36 15 �y MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT O2 PEDESTRIAN ✓ VEHICLE CYCLE' OWNER YES✓ NO 16❑ LAST NAME CITY OF RENTON FIRST NAME MIDDLE INITIAL 17 STREET 2 ❑ ❑ 1055 S GRADY WAY CITY RENTON 5T, WA ZIP 98057 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38 INTERLOCKYES No INTERLOCK YES xz YEs NO 19 LICENS# STATE SEX U MMDDYY —� � 39 HELMET INJURY NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASS ❑ 21 PLATE# TATE VIN# 41 LICENSE 22❑ [TILER TRAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24= DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP YemaE YES N❑ C[ CITATION# CHARGE to BOTTOM EEGAEEY 25= Ia ' s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF 3000-348-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG68796 COLLISION REPORT III III III III III 111 1591972 CASE# 26-347 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 01-13-26 02:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1/14/2026 1:37:06 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:52 AM TIME POLICE ARRIVED i 9:08 AM PAST B 3 Do-3m5—attar(t 1Mff) PAGE 2�OF REPORT NO. EG68796 CASE# 26-347 O OF COLLI 510N TIME 01/13/26 08:51 COLLISION NARRATIVE CC 26-347 On 1/13/2026 at 0852 hours I was dispatched to a motor vehicle collision at the intersection of N 36th St and Burnett Ave N in the City of Renton, King County, Washington. Pre-Collision Driver 1 was driving a commercial vehicle and was traveling North on Lake Washington Blvd N, approaching N 36th St. Collision Driver 1 stated that he was attempting to perform a righthand turn to proceed onto Burnett Ave N, which would have placed him proceeding Southbound. Driver 1 failed to negotiate his turn and the rear passenger side portion of Unit 1's trailer collided with a guardrail and sign that was posted on the West side of Burnett Ave N. Injuries None Vehicle Disposition Unit 1 was operational after minor repairs Proximate Cause I determined that Driver 1 is the proximate cause of this collision because the trailer of Unit 1's wheel left the roadway and it shall be unlawful to operate or drive any vehicle or combination of vehicles over or along any pavement or gravel or crushed rock surface on a public highway with one wheel or all of the wheels off the roadway thereof. Had Driver 1 kept all wheels upon the roadway, this collision would not have happened. Driver 1 was cited reference RCW 46.61.670. 1 completed a city incident report for the damage to city property. I 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 09:47 on 1/13/2026 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG68796POLICE TRAFFIC , 27 ... ^'� COLLISION REPORT CASE#i 26-347 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ UNIT# 1 USDOT 605418 ICC#CARRIER + VEHICLE TYPE 6 CARGO BODY 2 TYPE 2 ❑ 1 28 NAME. SPRINTER TRUCKING INC ..: 3 CARRIER L ADDRESS 368 DILLARD GARDENS RD CITY WINSTON I ST I OR ZIP 97496 4 ❑ NAME # PLACARD NAME IF NO NUMBER SOURCE 4 AXLES OS GWVR 80000 + 4a ❑ ADDITIONAL UNITS 5 ❑ UNIT r' MOTOOVEHICRE CI CYDLE C) PEDESTRIAN OWNERRTY ❑ YES DAMAGE THRESHOLD MET PHONE MIDDLE; 29 LAST NAME FIRST NAME INITIAL STREET 30 CITY ST ZiP NEW ADDRFfi . 6 ❑ jl PRESENT MEDICAL TANSPORTED 1 31 CDL IGNITION REQUIRED 1{iNi7ION :: INTERLOCK YES NO :INTERLOCK YES No YES N DRIVER'S STATE I SEX D.O.B _F� LICENSE'. MMDD; 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY; NAruREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE TAT VIN. PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE STATE 0 10 TRLR TRLR VIN.#. VIN#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY Y(-E V VFHICI E FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO TP 4 FROM TO IN EFFECT &POLICY# I ""`-" S m 34 13 YES NO[jj CITATION# CHARGE 1080TTOM ecauv sTnNoiNc MOTOR PEDAL_ ' 1:1PROPERTYDAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME IN L 16 ❑ STREET �' CITY ST' ZIP NEW ADDRESa CDL IGNITION RE6UIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YEs Net YES NO 17 37 LLIRIVERS ICENSE# STATE SEX MD.ON.B 18 ❑ ❑ HELMET 'INJURY NATURE OF INJURIES 38 ON DUTY STATUS' AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT AN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE STATE PLATE# - ❑ 21 ❑ TRLR TRLR 41 VIN#�, VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. t. E 44 24 YES❑ NO CITATION# CHARGE K-99 SWG 6 3 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 01-13-26 02:02 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 12509 O#RI WA0171300 APJACOBS 1/114/2026 PAGE�OF 3000-345-013(R 11/18) REPORT NO. EG68796 CASE# 26-347 DATE AND TIME 01/13/2608:51 OF COLLISION i 'e r *Y� s'd f 1 "xx 1 � x PAGE 5 OF 5