HomeMy WebLinkAbout26-4691 TFFiNouCERA II I III 1 III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
CASE#r` 26-4691 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 06 - 1-- 2026 1328 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
N LANDING WAY BLOCK NO. e✓ 715
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 1 9 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2532262878 1 4 30
6� LAST NAME ZARELLI FIRSTNAME CARMEN MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 1509 S 40TH ST CITY TACOMA ST WA ZIP 98418 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10� Pi aT�S� BYM6384 sTAT1 WAvIN# 1 C4RJFAGOFC877923
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
2015 JEEP GRAND nIG FROM 34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO❑BLIN TOWED BY GOVT.VEHICLE
13 A DAMAGE YES NO �I YES[:] HI
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ UABILI INSURANCE INSURANCE CO GEICO 4425730225 3 4
IN EFFECT &POLICY# 9TOP
VEHICE CHARGE 5 36
LEcnLLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN,DIING 8 6
UNIT U2 VEHICCMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES NO ✓OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY TACOMA ST ZIP
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIICENS RIVEWS# STATE SEX U MMDDYY 39
WELMET 1NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
21❑ LICENSE I CVR3405 TATe WA VIN# SALWG2PF9GA113048
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2016 MAKE LNDR MODEL RANGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LAURA VAN FLEET 10310 GREENWOOD AVE N APT A SEATTLE WA 981332517 D:2063721301 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6082151942IN 1GVE""LE
TOP❑ ,J� CITATION# CHARGE OTTOM
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 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH18026
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4691
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
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 06-17-26 11:32 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 71512026 5:39:16 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 1:30 PM TIME POLICE ARRIVED',1:44 PM
PART I PAGE IT]OF 4�
REPORT NO. EH18026 CASE# 26-4691 OF COLLISION
06/16/26 13:28
OF CbLLI510N
NARRATIVE
RTF 26-4691
On 6/16/2026 at 1330 hours I was dispatched to a motor vehicle collision at 715 N Landing Way in
the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was outside of Unit 2 at the time of the collision. Driver 2 stated that Unit 1
was parked facing East within a parking stall at 715 N Landing Way.
Driver 1 stated that she was pulling into a parking space behind Unit 2.
Collision
Driver 2 stated that when she returned to Unit 2, she saw that the front bumper of Unit 1 had collided
with and was still in contact with the rear bumper of Unit 2.
Driver 1 stated that she did not recognize that she had collided with the rear bumper of Unit 1, and
upon backing up saw that there was minor damage that she suspected was not from her vehicle.
Driver 1 left the area prior to my arrival and stated to me over the phone that Driver 2 was being rude
and aggressive with her prior to my arrival. Driver 1 stated that this behavior, combined with her
needing to get to work, prompted her to leave the area. Driver 1 confirmed her insurance with me
over the phone.
Injuries
None
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I was unable to determine proximate cause as this collision occurred on private property. Driver 1 did
leave the area prior to exchanging information which would qualify as hit and run of an unattended
vehicle. Given that Driver 1 did provide her insurance information and stated that she left the area
due to the other Drivers behavior, this case should be forwarded to the Renton Prosecuting Attorney
for review.
I 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 14:22 on 6/16/2026 in the City of Renton, King
County, Washington.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Action Code: PULLING INTO PARKING SPOT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORTNO.! EH18026 CASE# 26-4691 DATE AND TIME 06/16/2613:28
OF COLLISION
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