HomeMy WebLinkAbout26-1685 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG82591oc� RA
COLLISION REPORT 1591971
CASE�# 26-1685 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y 4200 3[--�
COUNTY RD NVOLVED CODING
2 PRIVATE WAY
❑ 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
COLLISION'. 03 - 02 - 2026 1141 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
BENSON DR S
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e 108TH AVE SE
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:3602442281 Q 1 30
5 LAST NAME SHANNON-HILL FIRST NAME LUCAS MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 3607 S 299TH PL CITY AUBURN ST WA ZIP 980012235 2
NEW ADDRESS
7 CDL IGNITION REQUIRED? IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES ND INTERLOCK YES NO YES F NO
DRIVER'S II8� LICENSE# STATE WA SEX M MMDr YY' 05 1 2 32
9[�] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, C36796M STATE WA VN# 5TENX22N69Z624310 3
10 PI ATP rt
TRAILER STATE TRAILER ,STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR TRLR 5 1 33
1 4
FROM TO
2 Q VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 3 2009 TOYT TACOM DAMAGE YES DNo ✓ vEs❑ No 1 5 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE NSURANCE CO PEMCO CA 2187523 3 4
IN EFFECT &POLICY#VEHICLE 4TOP
srgNOLNG ❑ 6AO190247 CHARGE IMPROPER LANE USAGE s o ooTrom z 36
Yes NO CITATION#
15
rL� MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE' ❑ ❑ nWNFR D:2064583899
16�
LAST NAME LIANG FIRST NAME SHOUWU MIDDLE'
INITIAL
STREET ❑ 37
17 '❑ 24519 119TH AVE SE CITY KENT ST, Wq ZIP 980309617
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDIGALTRANSPORTED'� 38
INTERLOCKYEs No jNTERLOGK YES NO Es NDI
19[ DRIVER'S STATE WA SEX I M D.O,B. I 10 07 1951 39
LICENSE# MMDDYY —
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CTV5312 TATE WA vIN# 1 V2WNPE8XPC043030 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q23 MAKE VDL/( MODEL ID.4 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO STATE FARM 4879116-C18.47E
IN EFFECT &POLICY# 9TOP
veHiaE ❑ ,.I—I CITATION# CHARGE 1060TTOM
LEcnLLr YES No
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG82591
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1685
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.ARNOLD 03-02-26 02:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 3/3/2026 2:35:24 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:09 PM TIME POLICE ARRIVED 12:20 PM
PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG82591 CASE# 26-1685 O COLLI COLLISION TIME
OF 03/02/26 11:41
COLLI
NARRATIVE
CC 26-1685
On 3/2/2026 at 1209 hours I was dispatched to a motor vehicle collision at Benson Dr S and 108th
Ave SE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was facing South on Benson Dr S in the #2 lane at a red light at 108th Ave SE.
Driver 1 stated that he was facing South on Benson Dr S in the #1 lane at a red light at 108th Ave SE.
Collision
Driver 2 stated that as the light turned green, he proceeded straight ahead and Unit 1 merged from
the #1 lane to the #2 lane and upon doing so the rear bumper of Unit 1 collided with the front
passenger side bumper and quarter panel of Unit 2.
Driver 1 stated that he did not see Unit 2 and once the light turned green he proceeded straight ahead
and began to merge from the #1 lane to the #2 lane. Upon doing so, Driver 1 stated that the rear
drivers side bumper of Unit 1 collided with the front passenger side bumper 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 reference 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 13:57 on 3/2/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG82591 CASE# 26-1685 DATE AND TIME i 03/02/26 11:41
OF COLLISION
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