HomeMy WebLinkAbout26-940 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG74198oc� RA
COLLISION REPORT 1591971
❑ 0✓ FIRERES ED ❑ CASE# 26-940 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#
eaCL s on' 02 - 02 - 2026 1003 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 7TH ST BLOCK NO. e 601 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 3 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE
❑ CYCLE ❑ YES No �/ D:2064012544 30
6 LAST NAME SONG FIRST NAME SONG MIDDLE t 1 2 31
INITIAL
STREET ❑ 22729129THPL SE CITY; KENT ST I WA ZIP 980313977 2
NEW ADDRESS
7❑ +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs D ND I INTERLOCKYEs No YES F NO[—]
8❑ DCIENSE# STATE WA SE XI Ni MMDDYY' 08 - 20 - 1988 32
9 ON DUTY STATUS' AIRBAG 1 RE
4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE' D96918D STATE WA VIN# 3AKJHHDR6KSKJ1318 3
TRAILER T439584 STATE TN TRAILER STATE
11 3 0 PLATE# PLATE# ROM To
TRLR zRLR 5 1 3 33
12 VIN#' VIN#
: FROM TO
VEH.YEAR 2019 MAKE FRHT MODEL CASCA STYLE VEHICLE TOWEDYES NO
TO BLIN TOWED By GOVT VEHICLE m 34
13 DAMAGE YES I_II NO ✓ YESII_I) NO✓
REGISTERED OWNER INFO LLC CFJ TRUCKING 11605 SE 56TH ST BELLEVUE WA 98006 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO SOUTHLAKE SPECIALTY INS CO.TMA81004334 3 4
IN EFFECT &POLICY# GQ,
VEHICLE CHARGE t 36
YES❑NO❑ CITATION#
15❑ rANowc s 7 e
�y MOTOR PEDAL-:. pROpERTY DAM THR OLD MET PHONE
UNIT U2 PEDESTRIAN ✓
VEHICLE CYCLE' OWNER YES✓ NO
16❑
LAST NAME CITY OF RENTON FIRST NAME MIDDLE
INITIAL
17 F1 STREET ❑
❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38
INTERLOCKYEs NO INTERLOC(£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
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN It
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
1-ICLE YES N❑ C[ CITATION# CHARGE to BOTTOM
LEGALLY
25 s 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. EG74198
COLLISION REPORT III III III III III 111
1591972 CASE# 26-940
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 02-02-26 10:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 2/2/2026 1:18:11 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 10:04 AM TIME POLICE ARRIVED i 10:09 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG74198 CASE# 26-940 DATE OF COLLI r�510NN + 02/02/26 10:03
L1
NARRATIVE
CC 26-940
On 2/2/2026 at 1004 hours I was dispatched to a single collision at the 600 block of SW 7th St in the
City of Renton, King County, Washington.
Pre-Collision
Driver 1 stated that he was in the private parking lot on the South side of SW 7th St at around the 600
block, and preparing to perform righthand turn to proceed East on SW 7th St. Driver 1 stated that he
was originally facing West and pulled into the parking lot to turn around.
Collision
Driver 1 stated that while leaving the parking lot and performing a righthand turn, the rear passenger
side of Unit 1's trailer collided with a street light that was affixed on the South side of SW 7th St,
causing the street light to fall into the roadway. The streetlight was later moved by a forklift operator.
Injuries
None reported.
Vehicle Disposition
Unit 1 was operational.
Final Disposition
Unit 1 performed a turn that was too sharp when leaving private property and damaged a light pole.
No injuries or other vehicles involved. I completed a city Origami Risk report for the damaged
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 10:47 on 2/2/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG741 98POLICE TRAFFIC
1 27
COLLISION REPORT CASE#i 26-940
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓
UNIT# 1 USDOT 4146653 ICC# + VEHICLE TYPE 1 6 1 CARGO BODY 4
TYPE
2 ❑ 1 28
CARRIER NAME CFJ TRUCKING,LLC
3 CARRIER L
ADDRESS 11605 SE 56TH ST
CITY BELLEVUE ST j WA ZIP'', 98006
4 ❑ NAME # PLACARD
NAME IF NO NUMBER
SOURCE 1 1 1 AXLES OS GWVR 80000 +
4a ❑ ADDITIONAL UNITS
5 ❑ UNIT r' MOTORVEHICL CI CYDLE C) PEDESTRIAN OWNER
❑ YE -DAM1
THRESHOLD MET PHONE
MIDDLE 29
LAST NAME FIRST NAME INITIAL
STREET 30
NFW ADDRFS CITY ST ZIP
6 PRESENT MEDICAL TANSPORTED 1 31
CDL IGNITION REQUIRED I{iNi71ON ::
INTERLOCK YES NO :INTERLOCK YES 0 No YES[:]N
7
LICENSE STATE SEX MMDD$ _F� I 2
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruRE of INJURIES
USE CLASS
8 ❑ 1 32
LICENSE TAT VIN
PLATE#
9 TRAILER TRAILER L
PLATE#i 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 VEHICI E FROM TO
DAMAGE YES NO YES NO
m 33
REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
IN EFFECT &POLICY# �GQl
34
13 vewc�e YES NO CITATION# CHARGE
ecauv
sTnNoiNc
MOTOR PEDAL_ ' 1:1PR OWNER
THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NID L
16 ❑ STREET CITY ST ZIP
NFW ADDRESS"
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YEs NO INTERLOCK YEs NO 'YES NO
17 37
RIVERSLLIICENSE# STATE SEX M ooY6 _
18 ❑
HELMET 'INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.:
19 ❑ ❑ 39
LICENSE TAT viN#
PLATE#
20 TRAILER TRAILER 40
PLATE# STATE PLATE# STATE ❑
21 ❑ TRLR TRLR 41
VIN# VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN 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#
..
)
E 44
24 YES❑ NO CITATION# CHARGE OM
STF_ G 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 02-02-26 10:50 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 OR DD# 12509 O#RI WA0171300 APJACOBS 2/2/2026
PAGE OF
3000-345-013(R 11t18)
REPORT NO. EG74198 CASE# 26-940 DATE AND TIME 02/02/2610:03
OF COLLISION> '
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PAGE 5 OF 5