HomeMy WebLinkAbout25-5162 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG00530OLCERA
COLLISION REPORT 1591971
CASE# 25-5162 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY. 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ BJECT 1
TRIBAL TOTAL UNITS#OF SO TRUCK 1 8 28
02 STREET LIGHT POLE
RESERVATION ". + 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
GDLLISION' 06 - 12 - 2025 2248 17 =.= S 8 W e IN OF e 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION NON INTERSECTION ❑
S 3RD ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET e S 8 W e SHATTUCKAVES
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2067187096 Q 1 30
6❑ LAST NAME WADE FIRST NAME KIANA MIDDLE G 1 2 31
INITIAL
STREET Z 8820 192ND ST SW CITY EDMONDS ST WA ZIP 98026 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYEs NO YES NO
8 DRIVER' # STATE WA SEX❑ F MMoDYY' 03 - 19 - 2007 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 9 EJECT 1 H USEELMET CLASS ,1 NAruRE of INJURIES 2
LICENSE, CGK5594 STATE WA V(N WAUKFGFFOF1060453 3
10 PI ATP tt
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR TRLR 7 3 33
1 0
FROM TO
2 Q VIN# VIN#
VEH.YEAR 2015 MAKE AUDI MODEL A3 STYLE SD VEHICLE TOWED ONO pLS�46LIN TOWED By GOVT VEHICLE 7 3 34
13� DAMAGE YES NO II_II YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35
14❑ LIABILITY INS ❑URANCE� INSURANCE CO PEMCO CA2072053 4
IN EFFECT &POLICY# 9TOP _
YEs
IALLNG NO CITATION#❑ 5A0168925 CHARGE IMPROPER LANE USAGE B o ooTrob 36
15 STM
III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES,/ NO D:2068500219
16�
LAST NAME STEWART FIRST NAME SHATTARA MIDDLE
INITIAL
STREET I�I ❑
17 ' 7904 59TH AVE CT W#G201 CITY LAKEWOOD ST, WA ZIP 98499 37
NEW ADDRESS ': '.
18 CDL IGNITION REQUIRED IGNTION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs ND INTERLOCkK YES NOF es NO'
19 DRIVER'S STATE WA SEY F D.O.g, 1 09 23 1991 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 6 RESTR g EJECT 1 USE CLASS 1 ❑
21 LICENSE I PATE# BJY3016 TATE WA VIN# 3VWD17AJOFM250968 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2015 MAKE VOLJ( MODEL,/ETTA STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO STATE FARM 550 3104 F14 47A
IN EFFECT &POLICY#Ve — ❑ ,.II CITATION# CHARGE UR
LEGALLY YES N`.LJ
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N.ODALOVIC 11628 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EGO0530
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5162
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 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
25-5162
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 06-12-2025 at approximately 2248 hours I was dispatched to a two-vehicle collision at S 3rd
St/Shattuck Ave S. I arrived at approximately 2252 hours and met with the drivers.
Both drivers were traveling eastbound on S 3rd St. Unit 1 was in lane one (north) and unit 2 was in
lane 2 (south), parallel to each other. Unit 1 driver believed unit 2 was turning south onto Shattuck
Ave S so she merged into the lane. The vehicles collided in the intersection. Unit 2 struck a light pole
and came to a rest on the sidewalk. No apparent damage was done to the light pole. The damage on
both vehicles is consistent with this account. Both vehicles were not drivable with airbag deployment,
both vehicles were towed by Gene Meyer Towing, and no injuries were reported. Unit 1 driver Kiana
Wade was cited via mail for improper lane use (46.61.305).
1 provided both parties with the case number. Photographs of the scene were uploaded to
evidence.com.
During this incident it is likely my body-worn and/or in-car camera was recording audio and video.
This report is merely a summary of the incident and is not intended to be an exact transcription of the
entire investigation or what may have been captured with the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by N. Odalovic#11628 on 06-13-2025 at 0100 hours in Renton,
WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
N.ODALOVIC 06-13-25 12:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 1 6/13/2025 2:14:45 PM
BADGE OR ID# 11628 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:48 PM TIME POLICE ARRIVED 10:49 PM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EGO0530 CASE# 25-5162 DATE AND TIME 06/12/25 22:48
OF COLLISION
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