HomeMy WebLinkAbout26-1335 TFG " II I III I III I I III ' I III) III II I 27auCERA c REPORT NO. EG91269
..q.n ;. COLLISION REPORT 1591971
CASE 26-1335 z
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 2 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE L: OCALAGENCI 4200 3
HIT&RUN CODING
2 2 COUNTY RD � PRIVATE WAY � INVOLVED
TOTAL#OF OBJECT 1 1 8 28
TRIBAL 1
RESERVATION UNITS 02 STRUCK
2�
3 1 M M D D Y Y Y Y TIME(24001 COUNTY# MILES CITY#
coLC s0{7FN' 02 - 16 - 2026 1439 17 �. S 8 W e O F e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 43RD ST BLOCK NO. 8✓ 400 .�
4a❑ MILEPOST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET B S B W e
2 0 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES /No D:2068184431 0 1 30
6 LAST NAME MURI FIRST NAME JAMES MIDDLE K 1 2 31
INITIAL
STREET El 14008 176TH ST E CITY PUYALLUP WA
NEW ADDRESS S7 ZIP' 983749294 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTER�OCKYEs NO INTERLOCKYEs N YES n NO
8 LICENSE# STATE WA SEX M MMDo�Y 10 - 08 - 1983 1 2 32
CLA
9 EEO]
N DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SET INJ 3Y 1 NATURE OF INJURIES 2
�LICENSE CJY6818 STAY' WA VIN# 7SAYGDEFONF397515 3
10 1 PI ATE tt
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 3 7 33
12 3 5 VIN# VIN#
FROM TO
13 3 VEH.YEAR2022 MAKE TESL MODEL MODEL STYLE VEHICLETOWED NOOp1S(BLIN T,Qy(Fp,gYTE GOVT.VENOC✓ 3 7 34
❑ DAMAGE IIIIJJII YYFFCC�I VVAA SS�III�JI�I
REGISTERED OWNER INFO VICTORIA BURAYA 111111THAVE MILTON WA 98354 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO USAA 01009 62 95C 2 3
IN EFFECT &POLICY# 9TOP
E A w Yes NO❑ CITATION# 6AO158452 CHARGE IMPROPER LANE USAGE a BorroM 36
15❑ STANDING 8 7 e
PEDAL- PROPERTY
MOTOR DAM THR OLD MET PHONE
VEHICLE CYCLE OWNER YES✓ PEDESTRIAN ❑ D:2066024378
' �/ NO
�UNIT02
16
LAST NAME THOMAS FIRST NAME BEVERLY MIDDLE I j
INITIAL
17❑ STREET ❑; 602 MORRIS AVE S CITY RENTON ST WA ZIP 980572515 ❑ 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
fNTERLOCKYEs No FNTERLOXYEs No yEs No
19❑ LICENSE STATE WA SEX F MMODYY 03 11 2005 ❑ 39
20❑ ON DUTY STATUS'. AIRBAG 2 RESTR 4 EJECT 1 USEET CLASS 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE'I CTF3383 TATE WA VINu 1FAHP3J22CL379270
41
PLATE#
42
22TAILER❑ PRLATE# STATE PLATE# STATE
23 43
TRLR RLR
VIN#.. 'IN#.
VIER.YEAR 2012 MAKE FORD MODEL FOCUS STYLE I VEHICLE TOWED TO BLIN TOWED BY GO HI 44
24 DAMAGE YES V No GENE MEYERS YEs No V
REGISTERED OWNER INFO KENNETH MCLIN 602 MORRIS AVE S RENTON WA 98057 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO pROGRESSIVE866721512
IN EFFECT &POLICY# �16
VEHICLE ❑ ,J—ICITATION# CHARGELEGALLY YES N25
7CARNOLD
R'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
1 12509 WA0171300
PAGE 01 OF 4
PART A 3000-345-159(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG91269
COLLISION REPORT III III III III III 111
1591972 GAS�6-1335
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MURI LISA
'.(LAST fIflST,
ADDRESS&PHONE# DOB
PUYALLUP SEX', F MMDovvry 10 - 18 - 1988
SEAT ' HELMET INJURY '.
NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
'NAME
(LAST,FIRST,MIDDLE INITIAL) UNK SASHA
ADDRESS&PHONE# DO
UNK 2065035339 SEX F M .B.MDOYYYY
PASSENGER WITNESS❑'UNIT# SEAT : AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
✓ POS. USE CLASS
'.NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYYYY
PASSENGER [—i WITNESS j 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 02-16-26 03:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 4/2/2026 1:14:59 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 2:50 PM TIME POLICE ARRIVED 3:09 PM
PART B�wDa-345-100(R11118) PAGE F27 OF
REPORT NO. EG91269 CASE# 26-1335 OFC COLLISION
02/16/26 14:39
OF COLLISION
NARRATIVE
CC 26-1335
On 2/16/2026 at 1450 hours I was dispatched to a motor vehicle collision at the 400 block of S 43rd
St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling West on S 43rd St in the #1 lane approaching the 400 block.
Driver 1 stated that he was traveling West on S 43rd St in the #2 lane preparing to merge right to
enter the #1 lane at around the 400 block.
Collision
Driver 2 stated that as she proceeded straight ahead, Unit 1 merged from the #2 lane to the #1 lane
and the rear passenger side bumper of Unit 1 collided with the front drivers side bumper of Unit 2.
Driver 1 stated that he did not receive an alert and when he began his merge he did not see Unit 2.
Driver 1 stated that the rear passenger side bumper of Unit 1 collided with the front drivers side
bumper of Unit 2.
Injuries
None reported
Vehicle Disposition
Both Units were towed from the scene at the owners requests.
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 15:43 on 2/16/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG91269 CASE# 26-1335 DATE AND TIME 02/16/26 14:39
OF COLLISION
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PAGE 4 OF 4