HomeMy WebLinkAbout26-2896 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SAS 26-2896 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 04 - 1-- 2026 0842 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
NE 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 156THAVESE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2535536112 0 81
30
6� LAST NAME MENDOZAAGUILAR FIRSTNAME JULIO MIDDLE C 1 2 31
INITIAL
STREET ❑✓ 2547 WARNER ST APT A CITY ENUMCLAW ST WA ZIP, 98022 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ 1 LRIIVERCENS # STATE SEX'M MMDDBYY 12 - 29 - 1975 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNIJAU RY 1 NATURE OF INJURIES 2❑
3
10❑ Pi aT�S� C14932N sTArI WAurN# 1GCEC14X88Z117746
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. TRLR 5 7 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 2008 CHEV SILVER DAMAGE YES NO YES❑ ✓No
REGISTERED OWNER INFO NORMASOTO SECERRA.206 SE400TH ST ENUMCLAWWA 98022 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 IN EF IT INSURANCE TRAVELERS 614667923.203.1
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE to BOTTOM 5 36
EGHALLY YES❑NO clTAnoN# 6A0254390,6A0254390 NO VALID OPER LICENSE WITH
15❑ STANDING 8 6
MOTOR PEDAL- ❑ 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UN�T 02 VEHICLE ❑ CYCLE El OWNER ❑ YES,/ NO D:2536326697
a
LAST NAME GREY FIRST NAME CYNTHIA MIDDLE I D
INITIAL
17❑ STREET ❑', 201 UNION AVE SE UNIT 120 CITY' RENTON ST WA ZIP 980595178 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19 LDIIVEW # STATE WA ]SEX IF M .O.B. 03 _ 26 _ 1967 0 39
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS 7 NECK AND BACK PAIN
21❑ LICENSE I TACP275 TAre WA VIN# 3FADP4EJ1GM198610
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
GI
VEH YEAR 2016 MAKE FORD MODEL FIESTA STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO,� 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 461 2921-E11-47AIN I vE""LE CITATION# CHARGE ��D
LEGALYYES Nu25❑ J s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG94918
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2896
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 04-14-26 09:54 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/16/2026 6:52:34 AM
BADGE OR ID# 12509 OR]#` WA0171300 TIME POLICE DISPATCHED; 8:43 AM TIME POLICE ARRIVED i 8:49 AM
PART I PAGE IT]OF 4�
REPORT NO. EG94918 CASE# 26-2896 OF COLLISION
04/14/26 08:42
OF CbLLI510N
NARRATIVE
CC 26-2896
On 4/14/2026 at 0843 hours I was dispatched to a motor vehicle collision at the intersection of NE 4th
St and 156th Ave SE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was in the #2 lane of NE 4th St facing East and stopped at a red light.
Driver 1 stated that he was facing North on 156th Ave SE preparing to perform a lefthand turn to
proceed West on NE 4th St.
Collision
Driver 2 stated that while stopped, Unit 1 began its lefthand turn and the rear wheels lost traction.
Upon this happening, Unit 1 spun counterclockwise on NE 4th St and the front passenger side
bumper of Unit 1 collided with the front drivers side door of Unit 2.
Driver 1 stated that as he accelerated he lost traction and control of Unit 1 and the vehicle began to
spin out. Driver 1 stated that the collision was minor for Unit 1 and I was unable to ascertain where he
thought the damage was at on Unit 1 due to a language barrier.
Driver 1 provided me with a work visa and a Nicaragua drivers license. Driver 1 has been living here
since 2024 and has still not gotten a WA drivers license. This makes it so that Driver 1 is not subject
to the exemption provided per RCW 46.20.025.2c where he may operate a vehicle for up to a year, as
this time has expired.
Injuries
Driver 2 complained of neck and back pain.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because no person shall drive a
vehicle on a highway at a speed greater than is reasonable and prudent under the conditions and
having regard to the actual and potential hazards then existing. In every event speed shall be so
controlled as may be necessary to avoid colliding with any person, vehicle or other conveyance on or
entering the highway in compliance with legal requirements and the duty of all persons to use due
care.
Had Driver 1 exercised due care on the wet roads while it was actively raining, this collision would not
have happened. Driver 1 was cited reference RCW 46.61.400.1 and RCW. 46.20.015.
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 09:47 on 4/14/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG94918 CASE# 26-2896 DATE AND TIME 04/14/26 08:42
OF COLLISION
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PAGE 4 OF 4