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HomeMy WebLinkAbout26-3623 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 26-3623 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 1 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'. 05 — 11 — 2026 0638 17 �. S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ NE 3RD ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e BLA/NEAVENE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2065397625 0 7 30 6� LAST NAME ZAMORA FIRSTNAME ADRIAN MIDDLE M 1 1 2 31 INITIAL STREET ❑ 6438 S 118TH ST CITY SEATTLE ST WA ZIP, 981782935 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 USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 ATE 14 CUT4926 STATE WA u N# JTDS4MCE2PJ100472 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 0 0 VIN#j VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34 13 4 2023 TOYT COROL DAMAGE YES NO YES❑ ✓No REGISTERED OWNER INFO RONDA ZAMORA 6438 S 118TH ST SEATTLE WA 98178 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO AMERICAN FAMILY INSURANCE 41002-16563.48 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLv re6 No CITATION# 6A0254433 FOLLOW VEHICLE TOO CLOSELY o eorrom 15❑ NDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065105195 LAST NAME VAN FIRST NAME GIA MIDDLE I T INITIAL 17❑ STREET ❑', 3721 S DAKOTA ST APT B CITY SEATTLE ST WA ZIP 981181332 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YES❑NOR INTERLOCK yEEsI I I NOF YES t l No❑ 19 LICENSE STATE WA SEX M MMDDW 03 _ 11 2000 0 39 WELMET INJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CHS0767 TATe WA vIN# JTHBKIEGX62467222 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' GI VEH YEAR 2011 MAKE LEXS MODEL E$ STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 44 24❑ ES REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#ECO ALLSTATE 820 925 358IN 1 GD LEGAL25 LY YES N� ❑ s a 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. EH03720 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3623 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WALKER-ESPINOZA DEONDRE J (IAST FIRST, ADDRESS&PHONE# 4816 W OAK AVE YAKIMA WA 989039833 SEX M MMDOYyry 12 - 27 - 2007 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 PGS, 3 2 4 1 USE CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O 8 SEX' MMDDYYYV PASSENGER ❑WITNESS UNIT# SEAT I 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 05-11-26 02:28 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOSS 1953 1 511812026 7:54:43 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 6:40 AM TIME POLICE ARRIVED 6:48 AM PART I PAGE IT]OF 4� DATE AND TIME REPORT NO. EH03720 CASE# 26-3623 OF COLLISION05/11/2606:38 NARRATIVE CC 26-3623 On 5/11/2026 at 0640 hours I was dispatched to a motor vehicle collision at the intersection of NE 3rd St and Blaine Ave NE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was facing East on NE 3rd St stopped for traffic in the #2 lane just past Blaine Ave NE Driver 1 stated that he was behind Unit 2 proceeding East on NE 3rd St past Blaine Ave NE in the #2 lane. Collision Driver 2 stated that while he was stopped, the front bumper of Unit 1 collided with the rear bumper of Unit 2. Driver 1 stated that he did not see that Unit 2 was stopped due to the sun being in his eyes. Driver 1 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2. Injuries None reported. Vehicle Disposition Both vehicles were operational. Proximate Cause I determined that Driver 1 was the proximate cause of this collision because the driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due regard for the speed of such vehicles and the traffic upon and the condition of the highway. Had Driver 1 not followed Unit 2 more closely than was reasonable and prudent, this collision would not have happened. Driver 1 was cited reference RCW 46.61.145 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 07:11 on 5/11/2026 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EH03720 CASE# 26-3623 DATE AND TIME 05/11/26 06:38 OF COLLISION v.1 t'?et 2 3 d ?S C Y�4 b fi i 4 PAGE 4 OF 4