Loading...
HomeMy WebLinkAbout25-5266 ("7— STATE.w,-" .:.. TcN 1 27cRaFFi O EG02847 COLLISION REP F 1591971 CASE# 25-5266 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION I 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# COAT sloN 06 - 16 - 2025 1624 17 a. e W 8 OF IN 8 1070 a S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK RENTON AVE EXT 8✓ .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.= FEET e S e W B TAYLOR AVE N 0 1 29 MOTOR PEDAL- : DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YES ,/No D:2533944315 0 1 30 6❑ LAST NAME SINGH FIRST NAME ANKOOL MIDDLE' 0 9 31 INITIAL STREET I r I' 24615 64TH AVE S#A208 CITY KENT ST WA 21P 2= NEW ADDRESS 7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED a INTERLOCK YES No INTERLOCKYES No YES Na 8❑ LDICENS STATE WA SEX'M MMDDVY 10 - 19 - 2003 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASRS 1 NATURE OF INJURIES 2 s 10 1❑ LICn NSte PPB2607 STATE WA WIN, JTDKB22U540058481 11 0 0 PLATE#FTRAILER STATE PLATE# STATE ROM To 1 2 ;-- TRLR TRLR. 3 7 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR 2004 MAKE TOYT MODEL pRIUS STYLE SD IVEHDAMIAGE TOWEED Ftj NO2fBLIN TOWED BY GOVT..VEHICLNO E 5 1 34 13❑ REGISTERED OWNER INFO OWNEDBYDRIVER II—1 VEHICLE cNO..II 1 SHADE 1N DAMAGED AREA ❑ 35 14❑ LIABILITY INSURANCE NSURANCE CO PROGRESSIVE 996519974 4 IN EFFECT 8 POLICY# STOP Vtw CHARGE 5 ❑ 36 ecnu Y YES❑NO❑ CITATION# NONE 10 ftOTTOM 15❑ nomc 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE OWNER YeMf No D:2534096952 16� LAST NAME JONES FIRST NAME STEVEN MIDDLE q INITIAL 17 STREET 11707 87TH AVE S CITY SEATTLE I ST', WA I ZIP 98178 37 NEW ADDRESS I ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESEIJT MEDfCALTRANSPORTED ❑ 38 1NTERLOCKYEs ND INTERLOCK YES NO vEs NO 19❑ DRIVER'# ❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H�SET INJURY 1 NATURE OF INJURIES ❑ 40 21❑ LICENSE,CGG8424 TATf'WA v)N# JTDKARFP5H3055021 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 TRLR RLR� 43 VIN#. '[N#, EHCLEYS TOWED BY GO HI 44 VEH.YEAR 2017 MAKE TDYT MODEL pRIUS STYLE $D DAMIAGE TOWED✓ ND BLIN YES NO 24 REGISTERED OWNER INFO ISABELLA HENSON 1170787TH AVES SEATTLE WA 98178 VEHICLE NO.2 SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO GEICO 6058 56 7170 3 4 IN EFFECT &POLICY# t 4TOP 5 venue YES❑ N J .1-1 CITATION# CHARGE tOBOTTQM �ecns�v 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 N.ODALOV/C 11628 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG02847 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5266 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) MADDOCK ALWAYS ADDRESS&PHONE# 11797 87TH AVE S SEATTLE WA 98178 2533506124 SEXi X MMODDYBvvY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 2 POS. 7 6 4 1 USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) { SILVIS EMILIE ADDRESS&PHONE# 11707 87TH AVE S SEATTLE WA 98178 2534094779 SEX' MM DD;Y SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. ' 3 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) UNKNOWN HECTOR (LOST,FIRST, ADDRESS&PHONE# 2068564158 SEX VD.O.B. MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET 9NJURY NATURECFINJURIES ❑ POS. USE CLASS 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. N.ODALOVIC 06-16-25 07:32 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 612112025 11:17:32 PM BADGE OR ID# ; 11628 ORI# WA0171300 TIME POLICE DISPATCHED 4:29 Pry/ TIME POLICE ARRIVED i 4:37 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF F5 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG02847 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5266 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNKNOWN VINNY ADDRESS&PHONE# j . 8082854815 SEX U MMDDDYBYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 0 POS. : USE CLASS ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYYYY D.O.B. - PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. I USE CLASS 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. N.ODALOVIC 06-16-25 07:32 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 612112025 11:17:32 PM BADGE OR ID# ; 11628 ORI# WA0171300 TIME POLICE DISPATCHED 4:29 Pry/ TIME POLICE ARRIVED i 4:37 PM PART B 3000-345.160(R1Vt8) PAGE 3�OF F5 TIM REPORT NO. EG02847 CASE# 25-5266 OF COLLI ION 06/16/25 16:24 OF COLLISION NARRATIVE 25-5266 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. On 06-16-2025 at approximately 1629 hours I was dispatched to a two-vehicle collision at Renton Ave Extension/Taylor Ave N. I arrived at approximately 1637 hours and met with the drivers. Unit 1 was traveling eastbound on Renton Ave Extension when he says his brakes failed. Unit 2 was traveling northbound on Taylor Ave N, with the right of way, and was struck by unit 1 in the intersection. The damage on both vehicles is consistent with this account. Unit 1 was drivable, and unit 2 was not drivable with airbag deployment. Unit 2 was towed by Gene Meyer Towing. No injuries were reported. Unit 1 did have an "ABS" brake light on the dashboard which was photographed. Unit 1 driver completed a lap around the block and when he came back to the collision scene, he told me that only half of his brake system was working. Unit 1 provided two witnesses for contact which were listed in this report. No one was cited in this incident. I 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 06-16-2025 at 1930 hours in Renton, WA. PAGE 4 OF 5 REPORT NO. EG02847 CASE# 25-5266 DATE AND TIME 06/16/2516:24 OF COLLISION ur4 �h, 3�l 3r' cis ,a 3s. ; t t i a 3 c. s3 y 4��y1 1 t . � � t 3; p �\ t tti � 0 PAGE 5 OF 5