HomeMy WebLinkAbout25-837 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# 25-837 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
5
RESERVATION 1
TRIBAL UNITS 02 STRUCK
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 01 - 1-- 2025 1608 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
PARK AVE N BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 4TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2067151365 0 11
30
6� LAST NAME STECKLER FIRSTNAME ELAINE MIDDLE L 1 2 31
INITIAL
STREET ❑ 11823 SE 180TH ST CITY RENTON ST WA Zlp' 980586613 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ PI ATFBit BSV4769 sTATI WAurN#' 5J6RW2H81KA020518
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 3 ] 34
13 2 2019 HOND CRV P4 DAMAGE vEs 0NO f �AWkkRS TOWING vEs❑ No
REGISTERED OWNER INFO BEATIAND COTTAM LLC LLC 155153RD AVE SW BURIEN WA 98166 D:2067151365 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO HARTFORD 65SSABG2J8W 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2067718250
16 a
LAST NAME SINGH FIRST NAME SIMRANXT MIDDLE N
INITIAL
17 STREET NEW ADOREs7 5008 NE 5TH PL CITY' RENTON ST WA ZIP 980595061 4❑ 37
18� CDL ., IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO INTERLOCK YEs It I NOF YES
t l NOF,/
19[ DRIVER #
❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ LICENSE I PLA E# CML2551 TATE WA VIN# 1HGCV1F39MA118765 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2029 MAKE HOND MODEL ACCORD STYLE Pq VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS TOWING YES NO
REGISTERED OWNER INFO SUKHMANPREET SINGH 5008 NE 5TH PL RENTON WA 980595061 D:2067718250 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 969976611IN CQVE""LE
❑ ,J� CITATION# CHARGE to
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF60583
COLLISION REPORT III III III III III 111
1591972 CASE# 25-837
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PALMER BECKYL
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
16912 126TH PL SE RENTON WA 980586105 4252604491 SEXi F MMDDYyry 01 - 21 - 1968
PASSENGER ZWITNESS UNIT SEAT HELMET INJURY NATURE OF INJURIES
� POS 3 AIRBAG 3 RESTR. 4 EJECT USE 2 CLASS 7 RIGHT KNEE SWELLING
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX: MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE GLASS ----�
NARRATIVE'
25-837 COLL
On 1/26/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was sitting in a parking lot near N 4th ST and Park Ave N Renton/King/WA. I heard
what sounded like a motor vehicle collision nearby, I found two vehicles wrecked in the middle of the
intersection.
Unit 1, a white 2019 Honda CRV WA/BSV4769, had heavy damage to the front bumper and
passenger side quarter panel. The driver, Elaine L Steckler DOB: 11/21/1967, said she was not
injured. Her passenger, Becky L Palmer DOB: 1/21/1968 had complaint of pain to her right knee, she
said she was going to seek medical treatment later. Elaine said that she was in the #1 lane facing
southbound, her light turned green, and she entered the intersection when she was struck by Unit 2.
Unit 2, a 2021 Honda Accord WA/CML2551, had damage to the front bumper and passenger side
quarter panel and door. The driver, Simranjit Singh DOB: 9/5/2002, was not injured. Simranjit said
that he was in the #2 lane driving westbound and entered the intersection with a green light when he
was struck by Unit 1.
The airbags had deployed in both vehicles and all involved were evaluated and cleared by RRFA
personnel on scene.
No independent witnesses stopped or called in, neither party had dash camera footage, and
checked and was not able to locate any traffic cameras in the area.
Bankers Towing removed both vehicles from the scene.
Nothing further.
I certify under penalty pf perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 1/26/2025 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 01-26-25 05:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 112912025 1:28:21 PM
BADGE OR ID# 12421 OR]#' > WA0171300 TIME POLICE DISPATCHED 4:08 PM TIME POLICE ARRIVED 4:08 Pry]
PART I PAGE IT]OF 3�
REPORT NO. EF60583 CASE# 25-837 DATE AND TIME 01/26/2516:08
OF COLLISION
4
7
4
r
t
S
r
}
� br
I,
f�
PAGE 3 OF 3