Loading...
HomeMy WebLinkAbout25-104 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EG69026 COLLISION REPRT 1591971 ❑ ❑✓ RESULTED ❑ CASE# 25-104 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL ANG 4200 3[--� COUNTY RD ❑ INVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E GDLLISION' 0? - 05 - 2026 1100 17 =.= S 8 W E IN OF M ?070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. e .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ . FEET e S 8 W e LONGACRES DR SW OF 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252691561 0 1 30 5 LAST NAME SURPRENANT FIRST NAME ALEXIS MIDDLE M 1 1 2 31 INITIAL STREET ❑ 271 BLUE AGATE LN CITY( RONALD ST WA ZIP 989405800 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs NO INTERLOCKYEs NO YES[—]NO 8❑ DRIVERCENS # STATE WA SEX F MMOr YY' 05 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET 2 1 INJURYCLASS ? NAruRE of NJURIEs 2 LICENSE, C9502C srarE WA vN# 1GCHTBEA6L1142861 3 10� PI ATP rt TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# FROM TO TRLR TRLR 1 3 33 12 3 5 VIN# VN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 GOS VEHICLE 3 7 34 13 2 2020 CHEV COLOR DAMAGE YES ✓ No §kWAYTOWING YES NO REGISTERED OWNER INFO KING DEPARTMENT OF EXECUTIVE 201 S JACKSON STRM 822 SEATTLE WA 98104 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[—%/] NSURANCE CO KING COUNTY SELF INSURED 2 3 4 IN EFFECT &POLICY# 4TOP srgNOLNG ❑NO❑ CITATION# 6AO022573 CHARGE FAIL YIELD LEFT TURN MOTOR s o ooTrom z 36 Yes 15 MOTCYR PEDAL- E] PEDESTRIAN PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHIC6E ❑ CYCLE' nwNFR YEs�/ NO D:3236911114 16� LAST NAME WEBB FIRST NAME EDWIN MIDDLE' J INITIAL STREET ❑ 37 17 ❑ ?3127 6 6TH AVE S CITY SEATTLE ST, Wq ZIP 981785o NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs NO (NTERLOCKYrS NO yEs No 19� DRIVER'S STATE WA SEXM D.O.B. 11 17 1968 39 LICENSE# MMDDYY - HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS ? ❑ 21 LICENSE I PLATE# C59847A rare WA vIN# USE 41 22❑ PLATE# STATE PAAILER TE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2000 MAKE FORD MODEL RANGER STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YE �/ No GENE MEYERS ves NO�/ REGISTERED OWNER INFO EDWIN WEBB 1112766TH AVE S SEATTLE WA 98178 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 1598771-C280-47G IN EFFECT &POLICY# 9TOP VEHICLE YES❑ NCO CITATION# CHARGE tO BOTTOM LE—LY 25 F OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG69026 COLLISION REPORT III III III III III 111 1591972 CASE# 1 25-104 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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.CATALAN 01-05-26 11:58 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 11812026 6:37:23 AM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:01 AM TIME POLICE ARRIVED 11:04 AM PART PAGE 27 OF 47 REPORT NO.` EG69026 CASE# 25-104 O COLLI COLLISION TIME OF 01/05/26 11:00 COLLI NARRATIVE On January 5, 2026, at approximately 1100 hours, I was dispatched to a vehicle collision at the intersection of SW Grady Way and Longacres Dr SW, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I observed heavy mechanism to the involved vehicles with airbag deployment to one of the vehicles. The drivers declined any injuries and refused any medical assistance. While on scene, I collected each of the involved party's driving information and their independent recollection of the events leading up to the collision. The driver of Unit#1, identified as Alexis Surprenant, stated that she was the sole occupant of her vehicle and that prior to the collision she was at the stop sign of Longacres Dr SW and SW Grady Way. Alexis was stopped facing south and was attempting to make a left turn to travel east on SW Grady Way. As she yielded for westbound traffic, she observed a large septic truck approaching the intersection in lane 1 of 2. The septic truck indicated it was making a right turn to go north on Longacres Dr SW. As the truck completed its right turn, Alexis proceeded south through the westbound lanes. She stated she could not see Unit#2 which was directly beside the Septic truck, so after driving forward she was struck by Unit #2 in lane 2 of 2. Unit#1 sustained damage to the left side of the truck bed. The driver of Unit#2, identified as Edwin Webb, said he was the sole occupant of his vehicle and was traveling westbound on SW Grady Way and approaching the uncontrolled intersection of Longacres Ave SW in lane 2 of 2. Edwin said as he continued going straight through the intersection, Unit#1 turn in front of his vehicle. Edwin stated he was unable to avoid the collision, and both vehicles collided causing significant damage to the front of Unit#2. Based on the above statements, I determined that Alexis is the proximate cause for the collision due to not granting the right of way during a left turn causing a collision. Alexis violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from the opposite direction which is within the intersection or so close thereto as to constitute an immediate hazard. Alexis did not grant the right of way to Unit#2 traveling in the roadway which had the right of way and was already underway. Both involved vehicles had to be towed due to extensive damage cause. An exchange of information was provided to all involved parties. I certify (or 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. Catalan 01/05/2026 Renton, King County, WA PAGE 3 OF 4 REPORT NO. EG69026 CASE# 25-104 DATE AND TIME i 01/05/26 11:00 OF COLLISION v s � , r 2 l tiD�z t Dbf t ti$1t t 41,, ZY r tit t t� is t�R v w t r � PAGE 4 OF 4