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HomeMy WebLinkAbout25-81009 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 25-81009 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL 02 TOTAL#OF OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 12 - 1-- 2025 1225 17 ❑.= S IN 1070 3 4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE N BLOCK NO. 1❑ e✓ ❑ MILEPOST 4a DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e AIRPORT WAY 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ D:2066472407 0 6 30 6 LAST NAME SAID FIRSTNAME KIYAR MIDDLE M 1 1 2 31 INITIAL STREET ❑ 9551 RAINIER AVE S APT 413 CITY SEATTLE ST WA 2jp, 981186051 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'M MID -O B 07 - 24 - 1953 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 10❑ PIATNFS14 AI22524 STATE WA vN# JAWW31R11J033092 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM ro TRLR. TRLR 1 5 33 12 3 5 VIN#' VIN# :: FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34 13 3 2001 MITS MONTE DAMAGE YES NO vEs❑ No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 r1 LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 985228680 3 4 IN EFFECT &POLICY# 9TOP LVEHICLe 1 5 LE�ALLv YES�No D CITATION# 5A0909607 CHARGE 36 IMPROPER LANE USAGE 1 o eorrom 15❑ STANDING 8 6 MOTOR PEDAL- PROPERTY DAM THR PHONE UNIT ❑ PEDESTRIAN ❑ OWNER YES 02 VEHICLE CYCLE NO OLD MET D:2067759069 16 a LAST NAME LULENGO FIRSTNAME GRADY MIDDLE N INITIAL 17❑ STREET ❑', 13243 AMBAUM BLVD SW APT B CITY BURIEN ST WA ZIP 98146 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l No❑ 19[—] DRIVER'S STATE WA SEX M D.C.B. 07 27 1996 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE AZC4744 TATE WA VIN# JN8AS5MT3CW255344 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE ILER# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE NISS MODEL ROGUE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO LYDIENGIMILAS 5565 S 152ND STAPT52 TUKWILA WA 98188 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5 VE""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG7221 1 COLLISION REPORT III III III III III 111 1591972 CASE# 25-81009 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NG/MILAS LYDIE N (I.P.ST FIRST, ADDRESS&PHONE# 13243 AMBAUM BLVD SW APT B BURIEN WA 981463275 SEXi F MMDOYyry 05 - 23 - 1975 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 2 PC& ': 3 2 4 1 USE CLASS I1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX' MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑WITNESS UNIT# : POS. 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 12-24-25 01:12 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 1/26/2026 2:35:52 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 12:32 PM TIME POLICE ARRIVED]12:43 PM PART B PAGE IT]OF 4� REPORT NO. EG72211 CASE# 25-81009 FC LNaoy L isI©�ON O 12/24/25 12:25 F cu NARRATIVE CC 25-81009 On 12/24/2025 at 1232 hours I was dispatched to a motor vehicle collision at the intersection of Rainier Ave N and Airport Way in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was traveling South in the #3 lane of Rainier Ave N proceeding South towards Airport Way preparing to stop at a red light. During this time, construction had lane #1 closed and the only lanes available were lanes 2, 3, and 4. Driver 1 stated that he was in lane #4 and was preparing to merge from the #4 lane to the #3 lane. Collision Driver 2 stated that while approaching the red light, Unit 1 merged and the front passenger side bumper of Unit 1 collided with the rear drivers side quarter panel of Unit 2. Driver 1 stated that he did not see Unit 2 and began his merge. Driver 1 stated that the front passenger side bumper of Unit 1 collided with the rear driver side quarter panel of Unit 2. Injuries None reported Vehicle Disposition Both vehicles were operational. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because a vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. Driver 1 was cited per RCW 46.61.140. 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 13:08 on 12/24/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG72211 CASE# 25-81009 DATE AND TIME 12/24/2512:25 OF COLLISION TNk an IV G �tt .n { g� 2 r o Y Y�t �k ��tA 51 Jr l �a Y� a � 5 y A �1�� o r^ � E i, y, PAGE 4 OF 4