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HomeMy WebLinkAbout26-2642 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG92619OLCERA COLLISION REPORT 1591971 INTERSTATE ❑ CITY STREET FIRE I CASE# 26-2642 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL UN TS#OF OBJESTRUCT 1 1 8 28 03 RETAINING WALL i KI RESERVATION : 1 2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# BOLL s oN' 04 - 06 - 2026 0755 17 =.= S 8 W❑ IN OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a N 3RD ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e FACTORYAVE N 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062764997 0 1 30 6 LAST NAME SHERROD FIRST NAME MICHAEL MIDDLE D 1 1 2 31 INITIAL STREET ] 235 MEADOW AVE N CITY; RENTON ST WA ZIP; 980575724 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No INTERLOCKYEs NO YES NO 8 DCIENSE# STATE WA SEXI M MMDOYY' 07 - 28 - 1964 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 7 [NATURE of INJURIES 2❑ USE CLASS BICEP AND THUMB PAIN LICENSE, C97674Y STATE WA VIN#, 1GTCS19W3W8506291 3 10 Fl I PI ATP rt ❑ TRAILER TRAILER 11 STATE STATE 3 0 PLATE# PLATE# ROM To TRLR TRLR 7 3 33 12 2 5 VIN#' VIN# FROM TO VT VEHICLE 13 1 VEH.YEAR 1998 MAKE GMC MODEL SONOM STYLE VEHICLE TOWED NO�iS46LIN Tv4 EBYMEYERS GOSE] - 5 1 34 DAMAGE IIII._IIII I�I REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE R 1 SHADE IN DAMAGED AREA 35 3 14 LIABILITY INSURANCE� INSURANCE CO BRISTOL WEST G01 7905152 00 4 IN EFFECT &POLICY# 9TOP srn Nowc Yes❑NO❑ CITATION# 6AO190282 CHARGE VEH ENTER INTERSEC STEADY RED s t a oorrob z 36 15❑ MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2067478974 16� LAST NAME VIRADET FIRST NAME SOUTHIMA MIDDLE INITIAL 17 F1 STREET ❑❑ 12841 4TH AVE S CITYBUR/EN ST, WA ZIP 981682649 37 NEW ADDRESS 1$❑ CDL IGNITION REdUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs Nfl INTERLOCK YES NO YES NO 19 DRIVER'S STATE WA SEX F D.O.e. 10 11 2002 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG'6 RESTR 4 EJECT 1 HELMET INJURY', 6 NATURE OF INJURIES ❑ 40 USE CLASS ARM AND LEG PAIN 21 LICENSE I PLATE# CL W7264 rare WA vIN# 5YJ3E1EA7RF741573 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2024 MAKE TESL MODEL MODEL 3 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS E REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 5594629-E20.47B-001 IN EFFECT &POLICY# 1 STOP 1— L YES❑ N.I—I, CITATION11 CHARGE to BOTTOM LE ,— 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 ❑ PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG92619 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2642 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) NICKSIC CLAIRE M ADDRESS&PHONE# D O 16537 119THAVE SE RENTON WA 98058 2067158409 SEXi F MMDDYYYY 03 — 21 — 1994 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NRE OF INJURIES POS. ' USE :CLASS � ATU ----� :NAME (LAST EIRS7 MIDDLE INITIAL} ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX I MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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 04-06-26 10:50 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 4/7/2026 3:50:25 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 7:55 AM TIME POLICE ARRIVED i 7:58 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG92619 CASE# 26-2642 DATE OF COLLI r�510NN + 04/06/26 07:55 L1 NARRATIVE CC 26-2642 On 4/6/2026 at 0755 hours I was dispatched to a motor vehicle collision at the intersection of Factor Ave N and N 3rd St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was traveling North on Factory Ave N at N 3rd St, proceeding across the intersection with a green light. Driver 1 stated that he was traveling East on N 3rd St approaching Factory Ave N in the #1 lane. Collision Driver 2 stated that as she crossed into the intersection, Unit 1 ran the red light and the front bumper of Unit 1 collided with the drivers side door area of Unit 2. Driver 1 stated that he had a green light and that when he entered the intersection, Unit 2 entered as well and the front bumper of Unit 1 collided with the drivers side doors of Unit 2. Unit 1 then rolled into a brick retaining wall on the NE side of the intersection. Per a witness, Unit 2 had a green light. The witness was positioned behind Unit 2 at the time of the collision. Video footage from Unit 2 showed that she had a green light at the time of the collision, and was the second vehicle to cross the intersection. Injuries Driver 1 complained of bicep and thumb pain. Driver 2 complained of left arm pain. Driver 2 was medically transported to Valley Medical Center. Vehicle Disposition Both vehicles were towed by Gene Meyers Proximate Cause I determined that Driver 1 is the proximate cause of this collision because vehicle operators facing a steady circular red signal alone shall stop at a clearly marked stop line, but if none, before entering the crosswalk on the near side of the intersection or, if none, then before entering the intersection control area and shall remain standing until an indication to proceed is shown. Had Driver 1 stopped for the red light, this collision would not have happened. Driver 1 was cited reference RCW 46.61.055. 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 10:11 on 4/6/2026 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG9261 9 1 27 POLICE ION REPORT �! CASE# 26-2642 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS { MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT�T 3 VEHICLE CI CYCLE C) PEDESTRIAN :.. OWNER YES NO LAST NAME UN/( FIRST NAME MIDDLE 29INITIAL STREET 30 NEW AnDIRFRPI 1500 N 3RD ST CITY RENTON I ST WA ZiP gg057 6 PRESENT MEC7ICALTANSPORTED. 1 31 CDL IGNITION REOUIREb I{iNiTiON :: .. INTERLOCK YES NO .;INTERLOCK YESLl- YES N L DRIVER'S I STATE I SEX U MMDDYB -C-1- LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY' NATUREDFINJURIEs USE CLASS 8 ❑ 1 32 LICENSE TAT VIN. PLATE# 9 TRAILER I I TRAILER L PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.#. VIN#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO 7t)P IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 1080TTOM ecauv sTnNoiNc 3. 7 G. MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST ZIP NFW ADDRESS CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSF'ORTED. INTERLOCK YES NO INTERLOCK YES NO :YES NO 17 37 LDICENSE# STATE SEX M�D°B _ C 18 ❑ ❑ HELMET NJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN#�, VIN#:' 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q S. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EG_ YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 04-06-26 10:50 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR ID# 12509 O#RI WA0171300 APJACOBS 4n/2026 PAGE OF � 3000-345-013(R 11/18) REPORT NO. EG92619 CASE# 26-2642 DATE AND TIME 04/06/2607:55 OF COLLISION ti �s t a s i 451 x t, 2 ct 1. \Yk t t i, 4� s \l, 7 t u ttt:�. tint` 5 s PAGE 5 OF 5