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
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