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
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PAGE 5 OF 5