HomeMy WebLinkAbout26-2134 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG91286 170
27
COLLISION REP FIT 1591971
CASE 26-2134 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 CITY#
COLLISION.. 03 - 16 - 2026 0839 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SUNSET BLVD N
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2539518722 0 11
30
6� LAST NAME KRAVCHUK FIRSTNAME ERIKA MIDDLE V 1 1 2 31
INITIAL
STREET ❑ 13506 SE 239TH ST C{TY KENT ST WA ZIP 980423280 z
NEW ADDRESS
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❑ Pi aT�S� CEV9482 sTArI WAurN# JF2GFHMC6P8214609
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 3 2023 SUBA CROSST DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VITALIYKRAVCHUK21815 SE 276TH ST MAPLE VALLEYWA 98038 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 926705669 3 4
IN EFFECT &POLICY# 9TOP
vewcLe CHARGE 1 5 36
EGHALLY YES❑NO❑ CITATION# 6AO190269 IMPROPER LANE USAGE o aorrom
15❑ STANDING 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UN�T 0' ❑✓ ❑ PEDESTRIAN ❑ ❑OWNER YES,/ NO D:2062768309
VEHICLE CYCLE PROPS
16 a
LAST NAME JAIGANESH FIRST NAME HARISH MIDDLE
INITIAL
17❑ STREET ❑', 19017 178TH PL SE CITY RENTON ST WA ZIP 980580327 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I No� YES t l NO❑
19 DRIVER'S STATE WA SEX M D.C.B. 10 _ 16 _ 1984 39
LICENSE# MMDDYY
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CRU7447 TAre WA vIN1t 5XYP5DGC8SG567271
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
TOWED BY Gov HI 44
VEH YEAR 2025 MAKE I(I/� MODEL TELLURI STYLE DAMAGE TOWED NOO✓ BLIN YES NO,�
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE INSU&PORGY#E CO pROGRESSIVE 985663875IN 1GQV'""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
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. EG91286
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2134
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
POS. 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 03-18-26 09:29 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 4/2/2026 1:23:58 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:44 AM TIME POLICE ARRIVED',8:52 AM
PART I PAGE IT]OF 4�
REPORT NO. EG91286 CASE# 26-2134 OF COLLISION
03/18/26 08:39
OF CbLLI510N
NARRATIVE
CC 26-2134
On 3/18/2026 at 0839 hours I was dispatched to a motor vehicle collision at the intersection of Maple
Valley Highway and Sunset Blvd N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was in the #3 lane proceeding straight ahead Westbound on Maple Valley
Highway approaching Sunset Blvd N.
Driver 1 stated that she was in the #2 lane preparing to merge left to enter the #3 lane facing West on
Maple Valley Highway approaching Sunset Blvd N.
Collision
Driver 2 stated that Unit 1 merged from the #2 lane to the #3 lane and the front drivers side bumper of
Unit 1 collided with the front passenger side doors of Unit 2.
Driver 1 stated that she did not see Unit 2 and the when she merged from the #2 lane to the #3 lane
the front drivers side bumper of Unit 1 collided with the front passenger side doors 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 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 waited until it was safe to move from her lane, this collision would not have happened.
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 09:25 on 3/18/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG91286 CASE# 26-2134 DATE AND TIME 03/18/26 08:39
OF COLLISION
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