HomeMy WebLinkAbout26-1686 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET FIRE ❑
CASE 2s-1s8s z
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 03 - 1-- 2026 1141 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE PETROVITSKY RD
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 108THAVE SE
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064785293 0 11
30
6� LAST NAME CAMPER FIRSTNAME VANESSA MIDDLE L 1 2 31
INITIAL
STREET ❑ 7622 S THOMPSON AVE CITY TACOMA ST WA ZIP 984085330 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
—, [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 9 RESTR 4 EJECT 1 H U SE CLASS 7 I PAIN IN LEFT SIDE z❑
3
10 9❑ P1 AT 14 CSX8625 STATE WA VIN# SALME15446A201920
TRAILER STATE TRAILER STATE
11 3 5 PLATE# I PLATE# I I FROM TO
rRLR. YRLR. 5 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T/yj�)��p/ggY GOVT.VEHICLE 7 $ 34
13 4 2006 LNDR RANGE DAMAGE YES NO �"-"--"TE 'Es❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEwcLe 1 36
YES No CITATION# 6A0190246 CHARGE FAIL YIELD PRIVATE RD MOTOR o aorrom
15❑ STANDIN FGALLvG 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065578857
LAST NAME TRAM FIRST NAME DUNG MIDDLE A
INITIAL
17❑ STREET ❑', 4066 S 158TH ST CITY TUKWILA ST WA ZIP 981882606 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 DRIVER #
INJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG, 1 RESTR 4 EJECT 1 USE CLASS LEFT KNEE PAIN
21❑ LICENSE 457UNV TATe WA VIN# 2B5W635Z5MK459227
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED eY Gov HI 44
VEH YEAR 1991 MAKE DODG MODEL RAMSWE STYLE DAMAGE TO WED✓ NOO BLIN GENEMEYERS YES Noy/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 947 396 885IN 5
veGALwcLE ❑ ,J� CITATION# CHARGE
25 GQ
LELY YES N`L J
s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG82590
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1686
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) REYNAGA ALEJANDRA V
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
32126 20TH LN SW APT 116 FEDERAL WAY WA 98023 2066793209 SEXi F MMDOYyry 01 - 07 - 2001
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ [Z POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ 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 03-02-26 02:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 3/3/2026 2:32:48 PM
BADGE OR ID# 12509 OR]#` WA0171300 TIME POLICE DISPATCHED 12:50 PM TIME POLICE ARRIVED',12:50 PM
PART I PAGE IT]OF 4�
REPORT NO. EG82590 CASE# 26-1686 OF COLLISION
03/02/26 11:41
OF CbLLI510N
NARRATIVE
CC 26-1686
On 3/2/2026 at 1250 hours I was dispatched to a motor vehicle collision at 108th Ave SE and SE
Petrovitsky Rd in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East on SE Petrovistky Rd just East of 108th Ave SE in the #2
lane.
Driver 1 stated that she was facing North within a private parking lot on the South side of SE
Petrovitsky Rd preparing to turn right to proceed East on SE Petrovistky Rd.
Collision
Driver 2 stated that as he was going straight ahead, Unit 1 emerged from the private lot and Driver 2
did not have time to stop. Driver 2 stated that Unit 1 crossed in front of him and upon doing so the
front passenger side bumper of Unit 2 collided with the front drivers side bumper of Unit 1.
Driver 1 stated that she did not see Unit 2 and that he must have been traveling at a high rate of
speed. Driver 1 stated that she began her righthand turn and upon doing so the front passenger side
bumper of Unit 2 collided with the front drivers side bumper of Unit 1.
A witness that was inside of a building observing traffic from a window stated that she saw Unit 2
approaching and saw that Unit 1 drove straight across the #1 and #2 lane. The witness stated that
she saw that Unit 2 was beginning to enter the 2-way center turn lane by a few inches when this
collision happened. It was unknown whether this was an attempt to merge or an attempt to avoid a
collision.
Injuries
Driver 1 stated that her left side of her body was in pain and Driver 2 stated that he had left knee pain.
Both drivers refused medical treatment at the scene.
Vehicle Disposition
Both vehicles were rendered inoperable. Unit 1 was safely off the roadway and was privately
impounded and Unit 2 was impounded by Gene Meyers.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle about
to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles
lawfully approaching on said highway.
Driver 1 was cited reference RCW 46.61.205.
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 13:37 on 3/2/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG82590 CASE# ' 26-1686 DATE AND TIME 03/02/26 11:41
OF COLLISION
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PAGE 4 OF 4