HomeMy WebLinkAbout26-3449 ITFF' "POLCERA II I !�� I III I III I IIII III II I . B 27c
COLLISION REP FIT 1591971
CASE 26-3449 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 05 - 1-- 2026 0740 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
L1ND AVE SW MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 34TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:3607756395 0 11
30
6� LAST NAME PATEL FIRSTNAME GIRISH MIDDLE G 1 1 2 31
INITIAL
STREET ❑ 364 W WASHINGTON ST CITY SEQUIM ST WA ZIP 983823340 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 4 RESTR 4 EJECT 1 H USEET ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE AVC8910 sTArI WAurN# 1FMCU9G96FU696288
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 5 34
13 4 2015 FORD ESCAPE DAMAGE YES NO �MEYERS YES❑ No✓
REGISTERED OWNER INFO PANASONICAVIONICS CORP 666 GARLAND PL DES PLAINES IL 60016 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE z INSURANCE CO MARSH USA,LLC CAD 6402254.15
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 6A0254417 FAIL STOP AT STOP 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:3
16 a 609490109
LAST NAME MIHELICH FIRST NAME SHAINNA MIDDLE R
INITIAL
17❑ STREET ❑' 43 ETRURIA ST APT 5 CITY SEATTLE ST WA ZIP 98109 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YES❑NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER # STATE WA SEX F M D.O.B. 12 _ 01 1993 39
CENS —NATURE OF INJURIES
H USE ET INJURY RIGHT WRIST/HAND AND NECK PAIN ❑ 40
20❑ ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 6
21❑ LICENSE I CPU9467 TAre WA VIN1t JM3KFBDMXK0674215
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov H 44
VEH YEAR 2019 MAKE IlggZp MODEL CX-5 STYLE —FEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES N.7
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO TRAVELERS 6156170752031IN CQ'E""LE
❑ ,J� CITATION# CHARGE i o
LEGALLY YES N`L J
25
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. EHO5300
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3449
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST 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 05-04-26 08:31 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 11:09:25 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 7:41 AM TIME POLICE ARRIVED',7:46 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05300 CASE# 26-3449 OF COLLISION
05/04/26 07:40
OF CbLLI510N
NARRATIVE
CC 26-3449
On 5/4/2026 at 0741 hours I was dispatched to a motor vehicle collision at SW 34th St and Lind Ave
SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling South on Lind Ave SW in the #1 lane approaching SW 34th St.
Driver 1 stated that he was facing East on SW 34th St at a posted stop sign preparing to turn left to
proceed North on Lind Ave SW.
Collision
Driver 2 stated that as she entered the intersection Unit 1 emerged from her right (West) side and she
did not have time to react. Driver 2 stated that the front bumper of Unit 2 collided with the front drivers
side door of Unit 1.
Driver 1 stated that he saw Unit 2 and thought that he had more time to clear the intersection. Driver 1
stated that when he began his left turn, Unit 2's front bumper collided with the front drivers side door
of Unit 1.
Injuries
Driver 2 complained of right wrist/hand pain and neck pain.
Vehicle Disposition
Both vehicles were inoperable and were towed by Gene Meyers towing.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because except when directed to
proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to
direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except
as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a
marked crosswalk on the near side of the intersection or, if none, then at the point nearest the
intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
Driver 1 was cited reference RCW 46.61.190.2.
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 08:26 on 5/4/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH05300 CASE# 26-3449 DATE AND TIME 05/04/26 07:40
OF COLLISION
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