HomeMy WebLinkAbout25-3759 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF86591oc� RA
COLLISION REPORT 1591971
CASE# 25-3759 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOCALA`OENC'Y 4300 3 HIT&RUN CODING
DING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TRIBAL UNITS#OF 02 STRUCK MISC OBJECT OR DEBRIS ON ROAD 28
RESERVATION I + 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
OOLLISION' 04 - 28 - 2025 1000 17 =.= S 8 W e IN OF 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
SW 43RD ST BLOCK NO, e 1200 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 300 00 FEET e✓ S 8 W e OAKESDALE AVE SW
0 1 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ✓NO 30
6 LAST NAME FLAHERTY FIRST NAME JOELANN MIDDLE R 1 1 2 31
INITIAL
STREET 1932 SE 19TH CT CITY RENTON ST WA ZIP 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NOW] INTERLOCKYEs NO✓ YES No�/
8 DRIVER'S
# STATE WA SEX F MMorYY' 12 — 20 — 1959 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET CLASS 1 NATURE OF INJURIES 2
10 LI ENSE', BGD9313 STATE WA VIN# LYV402TK8HB196021 3
TRAILER STATE TRAILER ..STATE
11 3 5 PLATE# PLATE# ROM TO
rRLR TRLR 7 1 3 33
12 VIN#'' VIN#
'... : FROM TO
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2017 VOLV S60 SD DAMAGE YES�NO ✓� YES NO✓ 34
REGISTERED OWNER INFO ROBERT FLAHERTY 1932 SE 19TH CT RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE f%/] INSURANCE# CO GEIC04582-56-18-92 3 4
IN EFFECT &POLICY 4TOP
CHARGE 5 36
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING B 7 e
EDAL-. ❑ PROPERTY ✓ R PHONE
PEDESTRIAN O D:42 54307669UNIT 02 VMEOHTIOCRLE ❑ CYCLE OWNER
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE'
INITIAL
STREET ❑
17 ' 1
O 055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 37
NEW AbbRESS
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYES No jNTERLO RYES --hl YES ND
19[ LICIENSE# STATE SEX U MMDDYY —= � 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASSLICENSE I
❑
21 PLATE# rarE vIN# 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vemae ❑ ,.I—I CITATION# CHARGE to BOTTOM
ALLr YES N`LJ
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
R.ONISHI 5738 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF86591
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3759
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS El UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
NARRATIVE
Unit 1 eastbound on SW 43rd St, Joelann Flaherty was driver and sole occupant. Joelann told me
that she was driving at speed approaching Oakesdale Ave SW when she saw an object flying through
the air towards her car. Joelann did not see what propelled the object, which struck her Volvo and
embedded itself in the right side of her front bumper and grill. The object was a cast iron utility lid
approximately 6 inches in diameter; a check of the area found that one was missing from a City of
Renton water fixture about 300 feet west of Oakesdale, in the westbound lanes of SW 43rd St.
Joelann had photographed the damage to her car, the lid, and the open hole in the street; I texted her
an Axon upload link to upload her photos. I also took photos of the car, the lid, and the street; I
uploaded these into Evidence.com.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ON/SH/ 04-28-25 03:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 4/28/2025 3:19:25 PM
BADGE OR ID# 5738 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:41 AM TIME POLICE ARRIVED 11:41 AM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EF86591 CASE# 25-3759 DATE AND TIME 04/28/25 10:00
OF COLLISION
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