HomeMy WebLinkAbout26-2145 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87383oc� RA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 26-2145 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TRIBAL UN TS#OF SOTRIJCK 1 8 28
METAL SIGN POST 03
i 87
RESERVATION : 2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 03 - 18 - 2026 1306 17 =.= S 8 W❑ OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
BRONSON WAY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 .F--1 FEET e S 8 W e GARDENAVEN
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2535536233 2 3 30
5 LAST NAME TABET FIRST NAME MOHAMED MIDDLE Y 1 1 2 31
INITIAL
STREET ] 20929 110TH AVE SE APT 1525 CITY; KENT ST I WA ZIP' 980311117 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO INTERLOCKYEs E YES F NO
g❑ DCIENSE# STATE WA SEXI M MMDDYY' 01 - 01 - 1994 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2❑
LICENSE, CLR5464 STATE WA VIN# 5TDYK3DC6GS728027 3
10 Fq I PI ATF rt
TRAILER TRAILER
11 3 0 STATE STATE PLATE# PLATE# ROM To
TRLR TRLR 3 7 33
12 3 0 VIN#' vIN#
FROM TO
VEH.YEAR ZOI6 MAKE TO�. MODEL SIENNA STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO CLOUD NINE TRANSPORTING 1819 CENTRAL AVE S BLDG C STE KENT WA 98032 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
❑ INSURANCE CO 3 4
14 LIABILITY INSURANCE TEXAS INSURANCE COMPANY BRPCLLTWAO11400_081929_O1
IN EFFECT &POLICY
srnNowc ❑ ❑ 6AO190271 CHARGE IMPROPER LANE USAGE t s t a oorrob z 36
Yes NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE � CYCLE � � nWNFR YES / NO D:2064465177
16�
LAST NAME MCCLURG FIRST NAME RUSSELL MIDDLE L
INITIAL
❑
17 F1 STREET ❑ 37
5911 NELSON SIDING RD CITY CLE SLUM ST, WA ZIP 989228516
NEW ADDRESS
1 g❑ CDL ...: IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTEDi ❑ 38
INTERLOCKves NO INTERLOCK YES No vEs No
19 DRIVER'S STATE WA SEX M D.0.8. 01 1979 39
LICENSE# MMDDYY 13 -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 1 LICENSE 66297D rare WA vIN# 1GCEK19OX8Z263144 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 200$ MAKE CHEV MODEL SIlVERA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ NO GENE MEYERS vEs No�/
REGISTERED OWNER INFO CITY OF RENTON 3555 NE 2ND ST RENTON WA 98056 D:4254306957 VEHICLE NO.2
SHADE IN DAGEAREA
2
LIABILITY INSURANCE INSURANCECO CITY OF RENTON SELF INSURED
IN EFFECT &POLICY# t STOP
Ve—L ,J—I CITATION# CHARGE to BOTTOM
LEGn�Y YES❑ N`[
25= a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG87383
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2145
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 03-20-26 06:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 3/20/2026 6:52:28 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:11 pM TIME POLICE ARRIVED i 1:47 pry
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF
REPORT NO. EG87383 CASE# 26-2145 DATE OF COLLI r�510NN + 03/18/26 13:06
L1
NARRATIVE
CC 26-2145
On 3/18/2026 at 1311 hours I was dispatched to a motor vehicle collision at the intersection of
Bronson Way N and Garden Ave N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling West on Bronson Way N approaching Garden Ave N in the #1
lane.
Driver 1 stated that he was traveling West on Bronson Way N approaching Garden Ave N in the #2
lane.
Collision
Driver 2 stated that Unit 1 crossed into his lane and the front passenger side bumper of Unit 1
collided with the front drivers side doors of Unit 2, forcing Unit 2 to leave the roadway on the North
side. Once off of the roadway, Unit 2 collided with a street sign at the intersection of Garden Ave N
and Bronson Way N.
Driver 1 stated that Unit 2 merged into his lane and the front passenger side bumper of Unit 1 collided
with the front driver side doors on Unit 2, then forcing Unit 2 to overcorrect and leave the roadway.
Upon review of the damage to the drivers side door and running board, I saw that there was damage
caused by the rotation of the tire from Unit 1. When looking at the damage, I saw that the majority of
the damage was towards the front of Unit 2's running board. This would indicate that Unit 1's tires
were canted to the right, showing that Unit 1 was attempting to enter lane #1 from lane #2. Along with
this, Unit 2 was forced to the right and left the roadway. I was able to see and photograph tire marks
that show a shallow turn. Had Driver 2 overcorrected, the turn would have been deeper and forced
him further North.
Given these circumstances, I believe that Driver 1 entered lane #1 from lane #2.
Driver 1 stated that he had dashcam but that he would have to have his dispatch send the video to
me later in the day.
After 2 days, I have still not received the video from Driver 1.
Injuries
None reported.
Vehicle Disposition
Unit 2 was towed by Gene Meyers
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.
Had Driver 1 maintained his lane, this collision would not have happened.
Driver 2 completed an Origami for the damage to the city vehicle and I completed an origami for the
sign that was damaged.
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 14:01 on 3/18/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG87383POLICE TRAFFIC
1 27
... ^'� COLLISION REPORT CASE#i 26-2145
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWVR : NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 PEDESTRIAN �', YES� NO
5 VEHICLE CYCLE OWNER
MIDDLE 29
LAST NAME CITY OF RENTON FIRST NAME ' INI I IAL i
STREET 01
30
NEW ADnRFs 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057
6 PRESENT MEDICALTANSPORTED. 1 31
CDL IGNITION RE(JUIRED 1{iNi7ION ::
INTERLOCK YES NO .INTERLOCK YES NO YES N
L
DRIVER'S STATE SEX U MMDDYBY -�-
LICENSE
7
ONDUTYqSTATUS AIRBAG RESTR. EJECT HELMET INJURY NATUREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE TAT VIN.
PLATE#
L 9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHCI F FROM TO
DAMAGE YES NO YES NO
m 33
REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
7t)P
IN EFFECT &POLICY# 34
13 YES NO CITATION# CHARGE
1080TTOM
ecauv
sTnNoiNc
MOTOR PEDAL_ ' PROPER' DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET �' CITY ST ZIP
NEW ADDRESa
CDL IGNITION RE9UIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YE5 NO INTERLOCK YES NO 'YES NO
17 37
LICENSE# STATE SEX MD.OD.B l
18 ❑ ❑
HELMET 'INJURY NATURE OF INJURIES 38
ON DUTY STATUS' AIRBAG RESTR. EJECT USE CLASS.
19 ❑ ❑ 39
PLATE#
LICENSE TAT AN#
20 TRAILER' TRAILER 40
PLATE#, STATE STATE PLATE# - ❑
21 ❑ TRLR TRLR 41
VIN# VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY#
..
)
E 44
24 YES❑ NO CITATION# CHARGE OM
SWG 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 03-20-26 06:33 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR Ib# 12509 O#RI WA0171300 APPROVED BY
3122012026
PAGE OF
3000-345-013(R 11t18)
REPORT NO. EG87383 CASE# 26-2145 DATE AND TIME 03/18/2613:06
OF COLLISION
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PAGE 5 OF 5