HomeMy WebLinkAbout26-1333 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-1333 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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# ❑
COLLISION.. 02 - 1-- 2026 1318 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:5093044034 0 7 30
6� LAST NAME WEIS FIRSTNAME JERRED MIDDLE R 1 1 2 31
INITIAL
STREET ❑, 208 W 5TH ST CITY CLE SLUM WA
NEW ADDRESS ST 2jp 989221152 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� D14019J sTArI WAurN# 1FTFW1EFOEKF79630
TRAILER STATE TRAILER STATE11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 4 2014 FORD F150 DAMAGE YES NO YES❑ ✓No
REGISTERED OWNER INFO INLAND TELEPHONE 103 S 2ND ST ROSLYNWA 98941 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO UNION INSURANCE CO.RUP3116079.30 3 4
IN EFFECT &POLICY# 9TOP
VEwcLe CHARGE 1 5 36
LEGALLY YES No CITATION# 6AO158451 FOLLOW VEHICLE TOO CLOSELY o eorrom
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM1/ THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO D:2066963795
16 a
LAST NAME LEDESMA-JUAREZ FIRST NAME ESTRELLA MIDDLE
INITIAL
17❑ STREET ❑', 15108 SE 179TH ST APT H CITY RENTON ST WA ZIP 980589096 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❑ 11
19 DRIVER'S STATE WA ]SEX IF D.Q.B. 07 08 _ 2002 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CGL6762 TAre WA VIN# 19XF62F80EE258093
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2014 MAKE HOND MODEL CIVIC STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARIA JUAREZ 15108 SE 179TH ST APT H RENTONWA98058 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 986223586IN 1 Q
i o
LEGALLY YES Nu
25❑ s e
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. EG91265
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1333
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
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 02-16-26 01:53 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 4/2/2026 1:14:38 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 4:99 pry] TIME POLICE ARRIVED',1:23 PM
PART I PAGE IT]OF 4�
REPORT NO. EG91265 CASE# 26-1333 OF COLLISION
02/16/26 13:18
OF CbLLI510N
NARRATIVE
CC 26-1333
On 2/16/2026 at 1319 hours I was dispatched to a motor vehicle collision at around the 200 block of
SW 43rd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was stopped for traffic facing East on SW 43rd St in the #2 lane at around the
200 block.
Driver 1 stated that he was behind Unit 1 and was proceeding East, preparing to merge from the #2
lane to the #1 lane at around the 200 block.
Collision
Driver 2 stated that while stopped, the front drivers side bumper of Unit 1 collided with the rear
passenger side bumper of Unit 2.
Driver 1 stated that he was looking in his rearview mirror for traffic approaching from behind while
merging. Driver 1 stated that he misjudged the distance between Unit 1 and Unit 2 and the front
drivers side bumper of Unit 1 collided with the rear 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 the driver of a motor
vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due
regard for the speed of such vehicles and the traffic upon and the condition of the highway.
Driver 1 was cited reference RCW 46.61.145.
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 13:46 on 2/16/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG91265 CASE# ' 26-1333 DATE AND TIME 02/16/26 13:18
OF COLLISION
Cal
n
a
z„
j
{ V
tl
i
c�
ti v
it
i;
4 rL
r
r
n
t
i
r
PAGE 4 OF 4