HomeMy WebLinkAbout26-3310 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3310 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 04 - 1-- 2026 1056 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE CARR RD BLOCK NO. e✓ 10300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 10 00 FEET e S ❑ W e 103RD AVE SE❑
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4257544227 0 7 30
6❑ LAST NAME ARCE ZEPEDA FIRSTNAME AARON MIDDLE N 1 1 2 31
INITIAL
STREET ❑✓ 10414 SE 174TH ST APT B314 CITY RENTON ST WA 2jp, 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 10 1— 07 — 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
LICENSE CVV7448 STATE WA uN# 1D8GU58K77W569068
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 34
13 4 DODG NITRO UT DAMAGE YES NO �MEYER 7 9 TOWING YES[:] ✓
REGISTERED OWNER INFO AARON ARCE ZEPEDA 10414 SE 174TH ST APT B314 RENTON WA 98055 D:4257544227 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLY Hla.e CHARGE 10BOTTOM 5 36
YES�No D CITATION# 6A0233380,6A0233380, FOLLOW VEHICLE TOO CLOSELY,OP
STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2063304041
VEHICLE CYCLE '. OWNER YES�/ NO
16 a
LAST NAME SAMBATH FIRST NAME SAMANTHA MIDDLE T
INITIAL
17❑ STREET �' 14811 WALLACE AVE CITY BONNEY LAKE ST WA ZIP 98391 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑NO INTERLOCK YEs I I NOF YEs t l NOF,/
19[—] DRIVER'S STATE WA ]SEX IF D.C... 02 _ 11 1990 El 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 1 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CNH7270 TATe WA VIN# 5YJ3E1EB6LF620954
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE TESL MODEL MODELS STYLE SD I VEHICLE TOWED TO BLIN TOWEDeY GOV HI �44
24 DAMAGE YES 1/ NO GENE MEYER TOWING YES No
REGISTERED OWNER INFO SAMANTHA SAMBATH 1303 COMET ST MILTON WA 98354 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO PROGRESSIVE 862514269IN 1 9TOP
--E CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES[Z Nu
❑ s e
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH01236
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3310
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BOLAND KENDRA L
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
1516 MILTON WAY MILTON WA 98354 2068329954 SEXi F MMDOYyry 05 - 31 - 1990
PASSENGER Z WITNESS❑';UNIT# 2 pSEAT4S 3 AIRBAG 2 RESTR. 9 EJECT ? 1 HELMET NATURE OF INJURIES
USE CLASS
i1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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.
SHAWN CROW 05-01-26 06:38 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
R.PHILLIPS 11649 1 5/9/2026 11:43:10 AM
BADGE OR ID# j 12618 OR]#' WA0171300 TIME POLICE DISPATCHED' 10:58 AM TIME POLICE ARRIVED]11:05 AM
PART I PAGE IT]OF 5�
REPORT NO. EHO1236 CASE# 26-3310 OF COLLISION
04/29/26 10:56
OF CbLLI510N
NARRATIVE
CC
On 04/29/2026 at about 1056 hours, a blocking non-injury motor vehicle collision involving three
vehicles occurred in the 10300 block of SE Carr Rd within the city limits of Renton, King County,
Washington. Two of the vehicles were blocking the east bound lanes of SE Carr Rd, and both had to
be towed from the roadway.
Unit 1: 2007 Dodge Nitro with Washington state license plate CVV7448. Driver 1: Aaron Arce
Zepeda
Unit 2: 2020 Tesla 3 with Washington state license plate CNH7270; Driver 2: Samantha T. Sambath
Unit 3: 2005 Chevrolet Colorado with Washington license plate B72534W; Driver 3: Sara A.
McGregor
Unit 3 was traveling eastbound on SE Carr Rd and stopped for opposing traffic while waiting to turn
left (north) onto 103rd Ave SE. Unit 2 stopped behind Unit 3 and was also waiting to turn left. Unit 1
was traveling eastbound on SE Carr Rd in the same lane as Unit 3 and Unit 2, and Driver 1 saw that
Unit 2 was stopped in front of him. Driver 1 attempted to stop his vehicle, but he was unable to do so
in time before colliding into the rear of Unit 2. After Unit 1 collided into Unit 2, the front end of Unit 2
was pushed into the rear end of Unit 3. Unit 1 and Unit 2 were unable to be driven from the roadway,
but Unit 3 was drivable.
Unit 1 had damage to the front end of the vehicle and had to be towed from the roadway. Driver 1
was not injured. Unit 2 had damage to the rear and front ends of the vehicle, and it had to be towed
from the roadway. Driver 2 was not injured. Unit 3 was able to be driven out of the roadway and had
minor damage to the rear end of the vehicle. Driver 3 was not injured.
Aaron Arce Zepeda's (Driver 1) actions appeared to contribute to the circumstances of the collision as
he appeared to be following too close to Unit 2 at the time of the collision. Aaron admitted he did not
have insurance for his vehicle. Although he showed me a Washington state driver's license while on
scene, I later discovered that Aaron was not licensed to drive a motor vehicle. I cited Aaron Arce
Zepeda for Following Too Closely (RCW 46.61.145.1), Operating a Motor Vehicle Without Proof of
Insurance (RCW 46.30.020), and No Valid Operator's License With Valid ID (RCW 46.20.015). The
infraction (#6A0233380) was sent to the court to be mailed.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EHO1236
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 26-3310
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 �✓ � PEDESTRIAN YES NO
5 VEHICLE CYCLE OWNER ✓ D:4252555501
OF 7 29
LAST NAME MCGREGOR FIRST NAME SARA MIDDLE' ',, A
INr:j
ITIAL
STREET 30
❑ NEW AnDRFSP' 2025 SE 17TH CT CITY RENTON ST WA ZIP 98055
6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs NO✓ zERLOCK YES❑N0� vES N ✓
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 04 - 16 - 1952
7
ON DUTY� STATUS AIRBAG' 2 RESTR. g EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE B72534W [TAT WA VIN# 1GCDT198458147115
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR200 Jr MAKE CHEV I MODELCOLORA STYLE PK I VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO ✓ YES NO ✓
REGISTERED OWNER INFO SARA MCGREGOR 2025 SE 17TH CT RENTONWA98055 D:4252555501 ] 9 33
12 � SHADE IN DAMAGED AREA
34 FROM TO
LIABILITY INSURANCE INSURANCE CO STATE FARM 1806890D02471 GQO
IN EFFECT &POLICY# 1EHICLE 34
13LTAGFlGEGALLY YES NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME N DL 36
❑
AL
STREET
16Fl NEW An F-]% CITY ST ZIP
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK 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 ❑ 39
LICENSE VIN#
PLATE# rnr
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ TRLR TRLR 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 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
SHAWN CROW 05-01-26 06:38 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 � OR ID# 12618 O#I',WA0171300 APPROVED
5/99/2026 PAGE F OF
3000-345-013(R 11118)
REPORT NO.! EHO1236 CASE# ' 26-3310 DATE AND TIME 04/29/26 10:56
OF COLLISION
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PAGE 5 OF 5