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HomeMy WebLinkAbout26-3138 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 26-3138 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 N E IN CITY# COLLISION.. 04 - 1-— 2026 1529 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ SE CARR RD MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e 105TH PL SE 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2069201840 0 7 30 6� LAST NAME BENNING FIRSTNAME LARONDA MIDDLE R 1 2 31 INITIAL STREET ❑ 425 S 46TH PL UNIT A CITY RENTON ST WA 21p 980556381 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ PI ATFBit C4476C sTATI WAvIN#' 1 BABNBSA5LF359111 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 3 5 33 12 0 0 VIN#j VIN# FROM TO VEH.YEAR 2020 BLUE T3RE40 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34 13 4 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO RENTONSCHOOL DISTRCIT 300 SW 7TH ST RENTON WA 98057 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 4 3 4 14 INSURANCE INSURANCE CO SCHOOLS INSURANCE ASSOCIATION OF WA SlAW252634033 IN EFFECT IN EFFEE CT &POLICY# 9TOP VEHlcl.e CHARGE 5 36 E�ALLv YES❑NO❑ CITATION# 6A0254412 INATTENTIVE DRIVING o eorrom 15❑ STANDING 8 7 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO %/ D:5413033678 16 a LAST NAME TORRES FIRST NAME ELSA MIDDLE R INITIAL 17 STREET ❑ 1050 JAMES ST UNIT 301 CITY SEATTLE ST WA ZIP 981042493 37 NEW ADDRESS I I I I I ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSFORTED ❑ 38 INTERLOCK YEs❑No� INTERLOCK YEs I I No� YEs t l No❑ 19[ LDI IVEW # STATE WA SEX IF M D.C.B. 11 23 _ 2000 39 HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I WC12150 TATe OR vIN1t 1G11C5SA4DF215374 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. TOWED BY Gov HI 44 VEH YEAR 2013 MAKE CHEV MODEL MALIBU STYLE DAMAGE TOWED NOO✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#ECO ALLSTATE 942871926IN I STOP 5 VE""LE CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES N� ❑ s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99688 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3138 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WANG AVERY (LAST FIRST, ADDRESS&PHONE# RENTON SEX X MMDDYYYY 08 - 04 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 11 1 9 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ANDERSON REESE ADDRESS&PHONE# DOB RENTON SEX' MMDDYYYv 01 _ O6 _ 2017 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 11 AIRBAG 1 RESTR, 9 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) ASMERONNE KABERON AooREss PHONE# RENTON SEX' 12 _ 24 _ 2017 D.O.B. MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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 04-22-26 04:43 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 5/4/2026 9:29:57 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED',3:47 PM PART I PAGE IT]OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99688 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3138 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ALTAR ZINEDINE (LAST FIRST, ADDRESS&PHONE# RENTON SEX i X MMDOYyry 02 - 15 - 2017 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 11 1 9 1 USE CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) ALTAR RAYA ADDRESS&PHONE# DOB RENTON SEX' MMDDYYYv 08 _ 03 _ 2020 SEAT HELMET I INJURY NATURE of INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 11 AIRBAG 1 RESTR. 9 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) ISLAN TAFS/A AppRESS R PHONE# RENTON _ SEX M - MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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 04-22-26 04:43 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 5/4/2026 9:29:57 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED',3:47 PM PART I PAGE 3�OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99688 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3138 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KABENON ASMERON (LAST FIRST, ADDRESS&PHONE# RENTQN SEX'X MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 11 1 9 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ;MAN JAMIYAN ADDRESS&PHONE# DOB RENTQN SEX MMDDYYYY - _ SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 11 AIRBAG 1 RESTR, 9 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) CASTLEBERRY AVA AooREss&PHONE# RENTON SEX' 07 M _ 13 _ 2016 D.O.B. MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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 04-22-26 04:43 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 5/4/2026 9:29:57 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED',3:47 PM PART I PAGE 4�OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99688 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3138 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) LUNCEFORD LORELA! (LAST FIRST, ADDRESS&PHONE# RENTON SEX X MMDDYYYY 10 - 13 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 11 1 9 1 USE CLASS ',1 NAME (LAST,FIRST,MIDDLE INITIAL) GOODE MILALANI ADDRESS&PHONE# DOB RENTON SEX' MMDDYvvv 10 _ 11 _ 2019 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 11 AIRBAG 1 RESTR. 9 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) SULTAN/ EFAF AppRESS&PHONE# RENTON _ SEX - MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 11 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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 04-22-26 04:43 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 1 5/4/2026 9:29:57 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED',3:47 PM PART I PAGE IT]OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99688 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3138 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KHUN KHASLEY (LAST FIRST, ADDRESS&PHONE# RENTON SEX X MMDDYYYY 12 - 25 - 2017 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS. 11 1 9 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX: MMDDYYYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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 04-22-26 04:43 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 5/4/2026 9:29:57 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED',3:47 PM PART I PAGE IT]OF 9� REPORT NO. EG99688 CASE# 26-3138 OF COLLISION 04/22/26 15:29 OF CbLLI510N NARRATIVE CC 26-3138 On 4/22/2026 at 1530 hours I was dispatched to a motor vehicle collision at the intersection of SE Carr Rd and 105th PI SE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was facing East on SE Carr Rd in the #2 lane stopped for traffic. Driver 1 stated that she was facing West on SE Carr Rd in the lefthand turn lane preparing to perform a lefthand turn onto 105th PI SE to proceed South. Collision Driver 2 stated that while stopped, Unit 1 turned behind her and upon doing so, the rear driver's side of Unit 1 scraped along the rear driver's side bumper of Unit 2. Driver 1 stated that she was focused on traffic that was allowing her to begin her left-hand turn. Driver 1 stated she miscalculated her turn and upon performing her lefthand turn, the rear drivers side of Unit 1 collided with the rear driver's 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 tt shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require. Had Driver 1 been more attentive, this collision would not have happened. Driver 1 was cited reference RMC 10-12-25. 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 16:31 on 4/22/2026 in the City of Renton, King County, Washington. PAGE 7 OF 9 SUPPLEMENTAL REPORT NO. EG99688 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 26-3138 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT'# 1 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER RENTON SCHOOL DISTRICT NAME 3 CARRIER ADDRESS 300 SW 7TH ST CITY RENTON ST WA ZIP'', 98057 4 ❑ NAME # PLACARD: :❑ SOURCE 3 AXLES 02 1 GwvR 30000 + NAME IF NO NUMBER 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 2 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES E]NO� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# t 9 1"01? VEHICLE 1 o BarroM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1 RE O CYCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 El PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET 16 STREET"[—] CITY ST ZIP CDL IGNITION REQUIRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES NO NTERLOCK YES NO 'YES NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 04-22-26 04:43 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 12509 O#I',WA0171300 JACOBS 5/4/2026 PAGE F81 OF F 3000-345-013(R 11118) REPORT NO. EG99688 CASE# ' 26-3138 DATE AND TIME 04/22/26 15:29 OF COLLISION 3 t 3 It t t3 �t r t, t t 4 t ��2 >Y at`,h4ry t§ S z s V ) a t t t 1 to au sa? �,�5�'�\ � �'e '. st }3;r t n� } �tt�#t4i���2?t t•,#',t��r t },u** `, �1�yss 5 ati\ �1J 1��t7�t����t ��•.�C\f r t PAGE 9 OF 9