HomeMy WebLinkAbout26-2216 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EG88851
COLLISION REPRT 1591971
CASE# 26-2216 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ 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 - 20 - 2026 1635 17 �.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
MAIN AVE S BLOCK NO. e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00-1 MILES N FEET e✓ S 8✓ E e S 3RD ST
2 0 29
F
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ vEs Vl No D:2066377123 0 1 30
6 LAST NAME MEJ/A-ZARATE FIRST NAME ANNET MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 811 DAYTON AVE NE CITY RENTON ST WA ZIP 980563640 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO 1/ INTERLOCKYEs NO�/ YES NoF,/
8 DRIVECEN
STATE WA SEx F MMor YY' 10 - 21 - 2008 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
10 as ENS1tEI AZJ2209 STATE WA VN# 5NPEB4ACXDH717790 3
11[-j— TRAILER STATE TRAILER ,STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR TRLR 5 1 33
12 2 5 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN GOVT VEHICLE g 1 34
13 2 2013 HYUN SONATA 4D DAMAGE YES ✓ONO )9gWi6NAL TOW Yes No
REGISTERED OWNER INFO FRANCISCO MEJIA HIGUERA 811 DAYTON AVE NE RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 STATEFARM 5526892-Af0-47
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTnNowc e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT vEHICLE ❑ cvDLE' ❑ ❑ wNER YAM
�/ No D:2064232011
16�
LAST NAME LOPEZ GUERRERO FIRST NAME NEMECIO MIDDLEI R
INITIAL
37
❑
17 STREET' 6627 NE 4TH ST CITY RENTON ST, WA ZIP 980596230 4
NEW ADDRESS❑
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38
INTERLOCKYEs No INTERLOCK Yes NO✓ ves NO
19� DRIVER'S STATE WA SEXM D•O•B• 10 31 1980 39
LICENSE# MMD[SYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSLATE E D70576A TATE WA vINIII 1FTSX21588EB25112 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 200$ MAKE FORD MODEL F250 STYLE pl( VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2
SHADE IN DAGAREA
2
LIABILITY INSURANCE INSURANCE CO UNABLETO LOCATE
IN EFFECT &POLICY# t 9TOP 5
veeiCLe ❑ ,J—I CITATION# CHARGE tO BOTTOM
Lecnllr YES N`[_
25 a 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW MOLLENBERG 13031 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG88851
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2216
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.
MATTHEW MOLLENBERG 03-20-26 05:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 3/25/2026 2:49:05 PM
BADGE OR ID# 13031 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 4:38 PM TIME POLICE ARRIVED 4:38 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG88851 CASE# 26-2216 O COLLI COLLISION TIME
OF 03/20/26 16:35
COLLI
NARRATIVE
Renton Case #26-2216
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 03/20/2026 at approximately 1638 hours I was dispatched to a non-injury/blocking collision
located near 304 Main Ave S. Another Officer observed the collision at this location and asked that
another Officer be dispatched to the scene.
I arrived on scene and observed two vehicles appeared disabled in the roadway with damage.
I spoke with the driver of unit 1 (WA/AZJ2209) who identified herself as Annet Mejia-Zarate (DOB 10-
21-2008) who advised me of the following:
She was driving northbound in lane 1 of Main Ave S in the 300-block approaching the intersection.
She attempted to merge to her left into lane 2, which was occupied by unit 2. While merging she
collided with unit 2. Annett produced a valid driver's license, valid insurance, and registration for the
vehicle
I spoke with the driver of unit 2 (WA/D70576A) who identified himself as Nemecio R. Lopez-Guerrero
(DOB 10-31-1980) who advised me of the following:
He was driving northbound in lane 2 of Main Ave S in the 300-block approaching the intersection. He
was continuing straight in lane 2 when unit 2 merged into his lane and collided with his vehicle.
Nemecio produced a valid driver's license and registration for the vehicle. He advised that he has
insurance through his business but did not have the information with him at this time.
Based on the information gathered from involved parties and observations of the collision, the
proximate cause of the collision was the driver of unit 1 failing to grant the right of way to unit 2 by
merging into lane 2 and colliding with unit 2.
1 provided both drivers with an exchange of information. I took photographs of the vehicles and
uploaded them to evidence.com under Renton Case #26-2216.
This concludes my involvement with case #26-2216.
1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by M. Mollenberg 13031 on 03-20-2026 at 1717 hours in Renton,
WA.
PAGE 3 OF 4
REPORT NO. EG88851 CASE# 26-2216 DATE AND TIME i 03/20/26 16:35
OF COLLISION
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