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OOLCERAF EG02002
COLLISION REPRT 1591971
CASE# 25-5030 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3[--�
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ 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
coLLISION' 06 - 09 - 2025 0836 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
AIRPORT WAY BLOCK NO. e 200 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET e S 8 W e SHATTUCKAVES
OF 4 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4253271249 0 1 30
5 LAST NAME PETERSON FIRST NAME LINDA MIDDLE IS 1 1 2 31
INITIAL
STREET ❑ 16836 121ST AVE SE CITY( RENTON ST WA ZIP 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYEs NO INTERLOCKYEs NO YES D NO
8❑ LICIENS# STATE WA SEX F MMor YY' 03 - 18 - 1942 1 2 32
9 ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 HELMET 2 INJURY 7 —NATURE of INJURIES2
USE CLASS SORE NECK AND BRUSHNG
LICENSE CLV0291 STATE WA VN# 3HGGK5H60KM721824 3
10 PI ATP tt
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 3 5 33
1 3 5 VIN# vI.
( FROM TO
2
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2019 HOND FIT 4W DAMAGE YES NO ✓ YEs❑ No 7 3 34
REGISTERED OWNER INFO LINDA PETERSON 16836121STAVE SE RENTON WA 98058 D:4253271249 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO
14 AARP 55PHT349443
IN EFFECT &POLICY# 9TOP
icLE CHARGE S 36
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING s 7 e
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2065486259
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME LE FIRST NAME DIEM MIDDLE' K
INITIAL
STREET ❑
17 ❑ 6010 S 126TH ST CITY SEATTLE ST, WA ZIP 98178 4 37
NEW ADORESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED: 38
INTERLOCKYEs No INTERLOCK YES NO Es No
19 DRIVER'S STATE WA SEX F I D.O.D. 03 07 1975 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 7 HELMET 2 INJURY NATURE OF INJURIES 40
USE CLASS SCRAPES FROM IMPACT OF AIRBAG
21 LICENSLATE E CGT4620 rarE WA vIN# JTEAAAAHXPJ133151 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2023 MAKE TOYT MODEL VENZA STYLE UT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO DIEM LE 6010 S 126TH ST SEATTLE WA 98178 D:2065486259 VEHICLE NO.2
SHADE DAWGED AREA
4
LIABILITY INSURANCE INSURANCECO STATE FARM 558172ID2747
IN EFFECT &POLICY# 9TOP
vewae ❑ CITATION CHARGE 1060TTOM
�ECAttr YES N,.I—I J �
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
J.TRADER 4553 WA0171300
26=
PART A PAGE 01 OF
3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG02002
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5030
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej 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
On 06/09/2025 at approximately 0837 hours, I was dispatched to a two vehicle collision at Airport
Way and Shattuck AVE S, in the City of Renton, County of King.
I arrived and spoke with the driver of Unit 1 who identified herself as Linda B. Peterson 03/18/1942
with a WA State license. Peterson said she was driving her vehicle license CLV0291 WB on Airport
Way and made a left turn on a green signal SB on Shattuck AVE S. Peterson claimed Unit 2 ran the
red signal and collided with her vehicle.
I spoke with the driver of Unit 2 who identified herself as Diem K. Le 03/07/1975 with a WA State
license. Le stated she was in the curb lane traveling EB through the intersection on a green signal
and Unit 1 collided with her in the intersection.
Renton Fire Authority responded and offered treatment to both drivers. Both vehicles were not
drivable and had to be towed.
I looked at the traffic signal and there is no signal authorizing Unit 1 to make a left turn without
yielding to oncoming traffic first. I confirmed with the traffic division there is no camera at the
intersection. Based on the statements provided and traffic signals posted at the intersection, the
proximate cause was Unit 1 Failing to Yield Right of Way to Unit 2 while making a left turn. I did not
issue a citation.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 06-18-25 04:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
J.TRADER 4553 DAT 6/18/2025 4:40:13 PM
BADGE OR ID# 4553 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:37 AM TIME POLICE ARRIVED 8:39 AM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG02002 CASE# 25-5030 DATE AND TIME 06/09/25 08:36
OF COLLISION
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