HomeMy WebLinkAbout26-3917 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH05312 170
27
COLLISION REP FIT 1591971
CASE 26-3917 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.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 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 - 1-— 2026 1315 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
SE 128TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e 156THAVESE
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4255918364 0 11
30
6� LAST NAME LEX FIRSTNAME TIMOTHY MIDDLE A 1 2 31
INITIAL
STREET ❑ 6801 SE 8TH ST CITY RENTON ST WA ZIP 980597095 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8 LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10❑ PI ATFBit D479098 sTATI WA urN#' 1 FBZX22MOFKA54162
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 FORD TRANSI DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO HERO RENTALS INC 50554THAVE S SEATTLE WA 98134 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 3 4
14 INSURANCE❑ INSURANCE CO NATIONAL UNION FIRE INS CO.OF PITTSBURG 9767501
IN EFFECT
IN EFFEE CT &POLICY# 9TOP
❑ LVEHicLe CHARGE 1 5 36
15 2 srnNoiNG re6 No CITATION# 6A0254444 IMPROPER LANE USAGE s I o BorroM
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ D:2539061694
VEHICLE CYCLE OWNER YES NO �/
16 a
LAST NAME AMUNDSON FIRST NAME ROBERT MIDDLE I E
INITIAL
17❑ STREET ❑', 691 KL/NK ST CITY' BUCKLEY ST WA ZIP 983219587 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l No❑
19[ LDI IVER # STATE WA SEX DDY
M M D.C.B.
12 _ 26 _ 1968 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I C0836D TATe WA VIN1t 1NPCL40XOLD636478
❑ 41
PLATE# ❑
42
22❑ TRAILER 7$479C STATE WA TRAILER STATE
PLATE# PLATE#
23❑ 43
TRLR RLR
VIN#. IN#.
YEAR 2020 MAKE PTRg MODEL 567 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
VEH
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO KING FLEET SERVICES DIVISION 201 S JACKSON ST RM 822 SEATTLEWA98104 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO KING COUNTY SELF INSUREDIN CQ'E""LE
❑ ,J� CITATION# CHARGE to
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. EHO5312
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3917
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM 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 05-21-26 02:36 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 11:18:28 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1:32 Pry TIME POLICE ARRIVED',1:43 PM
PART I PAGE IT]OF 5�
TIME
REPORT NO. EH05312 CASE# 26-3917 OF COLLISION05/21/26 13:15
NARRATIVE
CC 26-3917
On 5/21/2026 at 1332 hours I was dispatched to a motor vehicle collision at the intersection of SE
128th St and 156th Ave SE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was stopped at a red-light facing East in the #2 lane of SE 128th St at the
intersection of 156th Ave SE preparing to go straight ahead once the light turned green
Driver 1 stated that he was stopped at a red-light facing East in the #1 lane of SE 128th St at the
intersection of 156th Ave SE.
Collision
Driver 2 stated that once the light turned green, he began to accelerate and proceeded forward
through the intersection. Driver 2 stated that as he proceeded straight ahead, Unit 1 approached on
his right (North) side. Driver 2 stated that he was checking his mirrors for other vehicles as he stated
that he is frequently passed from the lefthand turn lane. Driver 2 stated that Unit 1 merged in front of
him and upon doing so the rear drivers side quarter panel of Unit 1 made contact with the front right
drivers' side tire of Unit 2. This caused Unit 1 to begin to spin counterclockwise, and the front blade
assembly of Unit 2 then collided with Unit 1's drivers' side as it crossed in front of it, causing
significant damage.
Driver 1 stated that he began to accelerate once the light turned green. Driver 1 stated that he turned
on his turn signal to indicate that he was attempting to merge from the #1 lane to the #2 lane. Driver 1
stated that he heard Unit 2 accelerating as he was attempting to merge. Driver 1 stated that the front
passenger side of Unit 2 made contact with the rear drivers' side quarter panel of Unit 1. This caused
Unit 1 to begin to spin counterclockwise, and the front blade assembly of Unit 2 then collided with Unit
1's drivers' side as it crossed in front of it, causing significant damage.
Injuries
None reported
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because a vehicle shall be driven as
nearly as practicable entirely within a single lane and shall not be moved from such lane until the
driver has first ascertained that such movement can be made with safety. Although Unit 1 had his turn
signal on, that does not grant him right of way. Had Driver 1 waited to maneuver his vehicle when the
movement could have been made with safety, this collision would not have happened.
Driver 1 was cited reference RCW 46.61.140.
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 14:26 on 5/21/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EH05312
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 26-3917
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ d
G
UNIT# 2 USDOT ICC# VEHICLE TYPE 3 CARGO BODY
TYPE
2 ❑ 1 28
CARRIER KING COUNTY
NAME.......
3 CARRIER
ADDRESS 155 MONROE AVE NE
CITY RENTON ST WA ZIP'', 98056
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 1 AXLES 03 GI33000 +
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 �
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES❑N0� 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# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREETIAL
❑
16 NFln+AnnRFs.� CITY'. ST 21P
CDL IGNITION REDUIRED 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 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
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 '
VE EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
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.
C.ARNOLD 05-21-26 02:36 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 12509 O#I',WA0171300 JACOBS 5/22/2026 PAGE�OF 5
3000-345-013(R 11118)
REPORT NO. EH05312 CASE# ' 26-3917 DATE AND TIME 05/21/26 13:15
OF COLLISION
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PAGE 5 OF 5