HomeMy WebLinkAbout26-5171 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-5171 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 2 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#
cowsloN 07 - 1-- 2026 1513 17 ❑-= S 8 IN e 1070 3
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 43RD ST BLOCK NO. e✓ --- ❑
2❑ MILEPOST
4a
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e EAST VALLEYRD
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069284643 0 81
30
6 LAST NAME CHAVEZ CASTILLO FIRST NAME CARLOS MIDDLE 1 2 31
INITIAL
STREET ❑1 12308 28TH AVE S APT K2 CITY BURIEN ST WA ZIP 981682405 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO I INTERLOCK YES NO YEs NO
8❑ DRIVERS
# STATE WA SEX'M MD- 10 — 03 — 2007 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10[1P1 ATNES# BZD3930 sTAr WAv N# 1 NXBR32E05Z378551
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2005 TOYT COROL MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO MARIACASTILLOC1230828THAVESAPTK2 BURIENWA98168 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE 10BOTTOM 5 36
EGHALLY YES❑NO CITATION# 6A0254456,6A0254456 FOLLOW VEHICLE TOO CLOSELY,OP
15❑ STANDING 8 6
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:4252461454
VEHICLE CYCLE OWNER YES NO �/
16 a
LAST NAME TALANAI FIRST NAME PANY MIDDLE
INITIAL
17❑ STREET ❑', 11009 SE 186TH ST CITY' RENTON ST WA ZIP 980557112 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES
t t— l NOF
19[ DRIVER'S STATE WA SEX F D.C.B. 05 _ 05 _ 1970 El 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CKM3256 TAre WA vIN# 5NMS3DA1XPH016456
❑ 41
PLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2023 MAKE yyUN MODEL S/aNT/a STYLE DAMAGE TOWED NOO✓ BLIN YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 546 9917-C29-47IN 1 GD
vE""LE CITATION# CHARGE
LEGAL
25
LY YES Nu
❑ 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. EH22568
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5171
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 07-02-26 04:36 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:45:10 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 3:15 PM TIME POLICE ARRIVED',3:38 PM
PART I PAGE IT]OF 4�
REPORT NO. EH22568 CASE# 26-5171 OF COLLISION
07/02/26 15:13
OF CbLLI510N
NARRATIVE
CC 26-5171
On 7/2/2026 at 1515 hours I was dispatched to a motor vehicle collision at the intersection of SW
43rd St and East Valley Rd in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was stopped for a red light facing West on the #2 lane of SW 43rd St at East
Valley Rd.
Driver 1 stated that he was stopped for a red light facing West on the #2 lane of SW 43rd St at East
Valley Rd behind Unit 2.
Collision
Driver 2 stated that while stopped, Unit 1 approached from behind and the front bumper of Unit 1
collided with the rear bumper of Unit 2.
Driver 1 stated that he thought that Unit 2 was moving forward and hit his gas. Driver 1 stated that he
was unable to stop in time after realizing that Unit 2 was stopped. Driver 1 stated that the front
bumper of Unit 1 collided with the rear bumper of Unit 2. Driver 1 advised me that he does not have
insurance.
Injuries
None reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is 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 been following at a reasonable and prudent distance, this collision would not have happened.
Driver 1 was cited reference RCW 46.61.145 and RCW. 46.30.020.
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 16:29 on 7/2/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH22568 CASE# ' 26-5171 DATE AND TIME 07/02/26 15:13
OF COLLISION
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