HomeMy WebLinkAbout25-5068 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EGO1269oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE ❑
CASE# 25-5068 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOL`CO A`GENC'Y 4200 3
COUNTY RD INVOLVED CODING
2 PRIVATE WAY
❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
cDLLISION' 06 - 10 - 2025 1256 17 =.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
TALBOT RD S BLOCK NO. e 1600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 150 00 FEET e✓ S 8 E e S 15TH ST
2 0 29
F
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YES Vl NO D:2069462871 0 1 30
6 LAST NAME PALANCUIC FIRST NAME ANDREIA MIDDLE N 1 1 2 31
INITIAL
STREET E1 3000 SE ROYAL HILLS DR#3D CITY RENTON ST I WA ZIP 98057 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPC RTED 3
INTERLOCKYEs No✓ INTERLOCKvEs N3✓ uEs No✓
8 LICENSE# STATE FL SEX F MMDC)YY 11 — 11 — 2004 DRIVER'S 1 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
10 LI ENSE'ti� A6591990 STATE WA VIN# WBA3N9C52GK249891 3
11[-j- TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
rRLR TRLR 1 5 33
12 3 5 VIN# vI.
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2016 BMW 428 P2 DAMAGE YES NO ✓ YEs_ No✓ 1 5 34
REGISTERED OWNER INFO ANA PALANCUIC 10149173RD AVE SW ROCHESTER WA 98579 D:2069462871 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 NSURANCE CO 3 4
14 LIABILITY INSURANCE AMERICAN FAMILY BX11657812
IN EFFECT &POLICY# i 4TOP 5
VEHICLE CHARGE 7 0 80TTOM 36
15
srnNoiNc YES❑NO❑ CITATION# 5A0563847,5AO563847, FAIL TO USE CHILD RESTRAINT IN s
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
VEHICLE
UNIT 02 CYCLE (7WNFR Q ❑ PEDESTRIAN ❑ D:3392043413
YES✓ NO
16�
LAST NAME OJUKWU FIRST NAME LARS MIDDLE I E
INITIAL
STREET ❑
17 ' 16324 128TH PL SE CITY RENTON ST, yyq ZIP 98058 4 37
NEW ADDRESS
18� CDL IGNITION REQUIREfl fGNfTION PRESENT MEDIGALTRANSPORTED: 38
INTERLOCKYEs No✓ INTERLOCKYEs NO S/ YEs No✓
19� DRIVER'S STATE WA SEX M D O e 12 .,. 22 1985 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U ET 2 INJCLA 1 RY NATURE OF INJURIES 40
21 LICENSE BZY6696 TATE WA VIN# 2T3DFREV4EW223413 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q14 MAKE TOYT MODEL RAV4 STYLE P4 VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE ves�/ No GENE MEYERS TOWING ves No✓
REGISTERED OWNER INFO LARS OlIKWU 16824128TH PL SE RENTON WA 98058 D:3392043413 VEHICLE NO.2
SHADF.6 DAMAGED AREA
4� 3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY BX14195288
IN EFFECT &POLICY# 9TOP
veeiae ❑ ,J—I CITATION# CHARGE 7o BOTTOM
LecnllY YES N`[
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EGO1269
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5068
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} PALANCUIC SOPHIA C
(LAST,FIRST
ADDRESS&PHONE# D.03 '.
3000 SE ROYAL HILLS DR#3D RENTON WA 98057 SEX' F MMDDYYvv 09 — 09 — 2019
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
El 1 POS. 7 6 4 1 USE 2 CLASS ;1 TU
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M —T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES❑ Q' POS. USE CLASS r— ----�
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.
D.NELSON 06-10-25 03:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/16/2025 2:03:34 PM
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:58 PM TIME POLICE ARRIVED 12:59 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EGO1269 CASE# 25-5068 O COLLI COLLISION TIME
OF 06/10/25 12:56
COLLI
NARRATIVE
25-5068 ACC
On 6/10/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. 1 was dispatched to a report of a two-vehicle collision with unknown injuries in the
1400 block of Talbot Rd S Renton/King/WA. A passerby was calling to report of the collision and said
that both drivers had exited the vehicle.
Other Officers and RRFA personal arrived on scene and began to evaluate the drivers.
The driver of Unit 2, a dark green 2014 Toyota Rav4 WA/BZY6696 was identified by his WADL As
Lars E Ojukwu DOB: 12/22/1985. Lars said that he was in the #4 left turn lane travelling south on
Talbot Rd S when Unit 1 suddenly merged into his lane, from lane #3, colliding with him. There was
extensive damage to the front bumper of the Rav4 and there was a combination of airbags deployed
inside the vehicle. Lars advised he was not injured, and his vehicle was removed from the scene by
Gene Meyers Towing.
The driver of the black 2016 BMW 428 WA/CHR4568 was identified by her FLDL as Andreia N
Palancuic DOB: 11/11/2004. A DOL check showed that her Florida license had expired as of
5/14/2025 and she did not have a WADL.
Andreia said that she was travelling south on Talbot Rd S in the #3 left turn lane, she said that she
went to merge into the #4 left turn lane and struck by the Rav4. There was damage to the rear
bumper and driver side rear quarter panel of the BMW. There was also a combination of airbags
deployed inside the BMW. Andreia said she was not injured, and she was able to move her vehicle
from the roadway, she did not request a tow.
Andreia's daughter, identified as Sophia C Palancuic DOB: 9/9/2019 was also cleared by RRFA at
the scene. Sophia was in the driver side backseat using only the lap/shoulder belt. Sophia was not
restrained in a child booster or forward-facing car seat. Andreia admitted she did not have a car seat
for Sophia, and I did not see one in the backseat. Sophia is 6 years old and under 5 feet tall.
Based on Andreia merging into an occupied lane, showing an expired DOL status, and not properly
restraining her 6-year-old child in the vehicle I completed Sector citation #5A0563847 for the listed
charges:
46.61.305 Unsafe Lane Change
46.61.187 Failure to Use Child Restraint in Motor Vehicle
46.20.016 No Valid Operator's License with Valid ID
I confirmed Andreia's address of 3000 SE Royal Hills Dr#3D Renton WA. This citation should be
mailed to her.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 6/10/2025 Renton WA
PAGE 3 OF 4
REPORT NO.'; EGO1269 CASE# 25-5068 DATE AND TIME i 06/10/25 12:56
OF COLLISION
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PAGE 4 OF 4