HomeMy WebLinkAbout25-81119 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG72213OLCERA
COLLISION REPORT 1591971
CASE# 25-81119 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 12 - 29 - 2025 0939 17 =.= S 8 W❑ OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 12TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e KIRKLAND AVE NE
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257578072 0 1 30
6 LAST NAME GIRGIS FIRST NAME AHLAM MIDDLE I W 1 1 2 31
INITIAL
STREET ] 14105196THAVESE CITY; RENTON ST WA ZIP; 980597839 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEflIGAL TRANSPORTED 3
INTERLOCK YES NO INTERLOCKYEs Nb YES F N(
DRIVER # STATE WA SEXI F MMDDYY' 01 - 03 - 1957 t 1 2 32
8❑
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2❑
LICENSE, CPG7175 STATE WA VIN# JM3TCBCY2J0203059 3
10 F as ATP tt
TRAILER TRAILER
11 0 0❑ STATE STATE PLATE# PLATE# ROM To
TRLR zRLR 5 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2018 MAKE MAID MODEL CX9 STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT V 7 $EHICLE 34
13� DAMAGE YES II_II NO `/ YESII_I) NO
REGISTERED OWNER INFO AHLAM GIRGIS 14105196TH AVE SE RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3
14� LIABILITYINSURANCE� INSURANCECO STATE FARM 5604368-F07-47A 4
IN EFFECT &POLICY# 9TOP _
srnNoiNG ❑ ❑ 5A0946254 CHARGE FA►LSTOPATSTOP taoorrob z 36
ves NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4254123503
16�
LAST NAME HINTZ FIRST NAME ROBERT MIDDLE' A
INITIAL
STREET ❑ 37
17 ❑ 13719 43RD PL S CITY TUKWILA ST, WA ZIP 981686211
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION I PRESENT MEDICAL TRANSPORTED'. 38
CDL INTERLOCKYES No INTERLOCK YES No YEs No
19 DRIVER'S STATE WA SEX M D.O.a. 06 04 1961 39
LICENSE# MMDC3YY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 PLATE# CUG1738 rare WA vIN# USE
41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2025 MAKE MERZ MODEL GLC STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO ROBERT HINTZ 1371943RD PL S TUKWILA WA 98168 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 906017674
IN EFFECT &POLICY# GQ
1-1— ❑ ,.I—I CITATION# CHARGE
EEG— YES NIL]25a ' s
7'0FFCll,tER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
TALAN 12007 WA0171300
26❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG72213
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81119
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) BELDING SCOTTJ
ADDRESS&PHONE#
13719 43RD PL S TUKWILA WA 981686211 SEXi M MMDDD B. 02 - 11 - 1972
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. j 3 2 4 1 USE 1 2 CLASS ',1 ----�
:NAME
(LAST EIFS7 MIDDLE INITIAL) { HINTZ LORI J
ADDRESS R PHONE# D O B
1194 EDMONDS PL NE RENTON WA 980568716 SEX F MMQavvvr 05 _ 28 _ 1962
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 2 POS. ' 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
: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.CATALAN 12-29-25 02:05 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1/26/2026 2:42:15 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 9:42 AM TIME POLICE ARRIVED i 9:49 AM
PAST B 3 Do-3mx-attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG72213 CASE# 25-81119 DATE OF COLLI r�510NN + 12/29/25 09:39
L1
NARRATIVE
On December 29, 2025, at approximately 0939 hours, I was dispatched to a non-injury and non-
blocking vehicle collision at the intersection of NE 12th St and Kirkland Ave NE, within the City Limits
of Renton, County of King, and State of Washington.
While on scene, I was able to collect each of the involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit#1, identified as Ahlam Girgis, stated she was traveling northbound on Kirkland Ave
NE at the intersection of NE 12th St. Ahlam stated that she failed to see Unit#2 traveling eastbound
through the intersection when she decided to move forward. When she proceeded through the
intersection, both vehicles collided roadway. Unit#1 sustained heavy damage to the front bumper,
but Ahlam said she did not sustain any juries.
The driver of Unit#2, identified as Robert Hintz, said he was accompanied by two other passengers.
All the involved parties declined having any injuries, and Robert explained he at the intersection of
NE 12th St and Kirkland Ave NE where Unit#1 was approaching. Robert said he was intending to
continue east across the intersection. When Robert proceeded forward, Unit#1 failed to yield to his
vehicle at the intersection. Robert was unable to avoid the collision and was subsequently struck by
Unit#1. Unit#2 sustained damage to the rear right passenger door of Unit#2.
After speaking with the two drivers, I checked the roadway and noticed vehicle debris in the eastside
of the intersection. Based on my observations, I believe Unit#2 had proceeded more than halfway
across the intersection when the collision occurred. It reaffirmed what the two drivers stated.
Based on the statements and my observations, I determined that the Driver of Unit#1 (Ahlam) is the
proximate cause for the cause of collision as she did not grant the right of way to traffic already in the
roadway and underway. She violated RCW 46.61.190(2) as every driver of a vehicle approaching an
intersecting roadway shall stop 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.
I cited Ahlam via mail for Failing to Stop/Yield at an intersection causing a collision.
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 Catalan 12/29/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG72213 CASE# 25-81119 DATE AND TIME 12/29/25 09:39
OF COLLISION
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