HomeMy WebLinkAbout26-1365 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG91277OLCERA
COLLISION REPORT 1591971
CASE# 26-1365 2
INTERSTATE CITY STREET❑ FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
COUNTY RD PRIVATE WAY ❑✓ INVOLVED CODING
2 TOTAL 1 s 28
#OF OBJECT
TRIBAL UNITS 02 STRUCK
RESERVATION : 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 02 - 17 - 2026 1540 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 3RD ST BLOCK NO. e 200 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1 MILES 1.1 FEET e S 8 W e
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2066096423 0 1 30
5 LAST NAME SCHONECK FIRST NAME JOSEPH MIDDLE M 1 2 31
INITIAL
STREET ❑ 12623 42ND AVE S CITY; TUKWILA ST WA ZIP; 981682554 2
NEW ADDRESS
7 COL IGN RES IGNITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED 3
INTERLOCKYES No INTERLOCKYEs NO YES No
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 — 16 — 1975 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 NATURE of INJURIES 2
LICENSE, CTX2548 STATE WA VIN# 1FMEU73E87UB78697 3
10 Fq I as ATP rt
TRAILER STATE TRAILER STATE ROM To 11 0 0 PLATE# PLATE#
TRLR TRLR 7 1 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2007 MAKE FORD MODEL EXPLOR STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 5 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
A LIABILITY INSURANCE NSURANCE CO 3 4
14 PROGRESSIVE 866435140
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
Lemur YES[:]NO[:] CITATION# i o 60TTOM
15❑ sTnNowc s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE PROPSnWNr YES�/ NO D:2065711020
16�
LAST NAME COLLINS FIRST NAME PAUL MIDDLE E
INITIAL
17 F1 STREET ❑❑ 10819 SE 184TH LN APT B102 CITY RENTON ST, yyq ZIP 980557127 37
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED'. ❑ 38
CDL INTERLOCKYES NO INTERLOCK YES
Fc DL No YES NO
19 DRIVER'S STATE WA SEX M I D.O.B. I 08 — 21 1983 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE CBF1796 rarE WA vIN# 19XFC2F57GE223556 41
I El
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2016 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCE CO USAA 023500966 7104
IN EFFECT &POLICY# 9TOP
vewcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
L'EGn�LY 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 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG91277
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1365
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 NJURY 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
CC 26-1365
On 2/17/2026 at 1544 hours I was dispatched to a motor vehicle collision at the Safeway located at
200 S 3rd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was proceeding South through the parking lot.
Driver 1 stated that he was facing East preparing to turn left to proceed North within the parking lot at
200 S 3rd St.
Collision
Driver 2 stated that as he was traveling South, Unit 1 began it's lefthand turn and the front bumper of
Unit 1 collided with the front passenger side door of Unit 2.
Driver 1 stated that he was looking right for other traffic when he began his lefthand turn. Driver 1
stated that the front bumper of Unit 1 collided with the front passenger side door of Unit 2.
Injuries
None reported
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I am unable to determine proximate cause as this collision occurred on private property. This report is
for documentation.
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 16:12 on 2/17/2026 in the City of Renton, King
County, Washington.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 02-17-26 04:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
4/2/2026 1:16:33 PM
C.JACOBS 1953
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:44 PM TIME POLICE ARRIVED i 3:58 PM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG91277 CASE# 26-1365 DATE AND TIME 02/17/2615:40
OF COLLISION
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