HomeMy WebLinkAbout25-6694 POLICE TRAM II I ��� III I I III I IIII III II I . 27iTFFi "c
"i ,one COLLISION REP F 1591971
CASE# 25-6694 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75#OF02 STRUCK TOTAL OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 08 - 02 - 2025 1836 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. 8✓ 400 .�
4a❑ MILEPOST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
2 0 29
MOTOR PEDAL- DAM ,THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/No D:2069158687 0 1 30
6❑ LAST NAME BASCONCILLO-MCGRATH FIRST NAME MICHELLE MIDDLE A 1 2 31
INITIAL
STREET E:] 16034 SE 131ST ST CITY RENTON WA
NEWADDRf S7 ZIP 98059 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKVES No YES NO
8❑ LDIRER' STATE WA SEX'F MM fl1 Y 03 - 31 - 1983 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 H L ET 1 NATURE OF INJURIES 2
LICENSE BYP0387 _E WA WIN#' 5NMS3CAD6LH217852
10 9❑ 3
11 0 0 PLATE# STATE TRAIPLATE# STATE ROM To
TRLR TRLR. 1 5 33
12 0 0 VIN#' VIN#
: FROM TO
VEH.YEAR 2020 MAKE HYUN MODEL SANTA STYLE UT IVEHDAMIAGE TOWEEDFtj NO2fBLIN TOWED BY GOVT..VEHICLE 1 5 34
13❑ REGISTERED OWNER INFO DAVID MCGRATH 16024 SE 131ST ST RENTON WA 98059 IL—llll VEHICLE�NIIO—.111
SHADE 1N DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO SAFECO HIS97695 4
IN EFFECT &POLICY# 4TOP
vtwc�t CHARGE i 5 ❑ 36
15
i ecnu v YES❑NO❑ CITATION# 10 ftOTTOM
❑ nomc a
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE OWNER EI YES NO D:2068171013
16�
LAST NAME HAMADA FIRST NAME RHONYA MIDDLE A
i INITIAL
17❑ STREET El 14918 SE 184TH ST CITY RENTON ST', WA ZIP 98058 37
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKYEs ND IN7ERLOCKYES NO YES No
19❑ DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 HELM ET INJURY 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE I CFT7881 rATe WA vIN# SALKP9FU8PA027821
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. 'IN#,
VEH.YEAR 202$ MAKE LNDR MODEL RANGE STYLE UT DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44
YES O
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHAD DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO GEICO 6113556267 3 4
IN EFFECT &POLICY# t 4TOP 5
venue YES❑ N J
.1-1 CITATION# CHARGE tO eOTTQM
�ecns�v
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N.ODALOVIC 11628 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG16954
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6694
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) STUEFEN DAVID
ADDRESS&PHONE# DOB
16034 SE 131ST ST RENTON WA 98059 2067303999 Ste' MMDDYVYY 09 - 14 - 1972
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGERWITNESS❑ UNIT# 1 POS. 3 1 AIRBAG 2 1 RESTR. 9 EJECT 1 USE CLASS ;7 NECK PAIN,EVAL DUE TO
PREVIOUS INJURY
NAME
(Lnsr FIRST MIDDLE INITIAL) t HAMADA ABLA
ADDRESS&PHONE#
RENTON SEX F MMb,evr 12 _ 07 _ 1945
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER a WITNESS❑!UNIT# : 2 POS. 7 AIRBAG 2 RESTR. 11 EJECT 1 USE CLASS 1 U ----�
NAME MIDDLE INITIAL) ABDULLA CELINE
(LOST,FIRST,
AooREss&PHONE# RENTON SEXF 03 _ 10 _ 2025
D.O.B.
MMDDYYYY
PASSENGER Z WITNESS UNIT 2 SEAT 6 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 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 08-06-25 10:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 8/7/2025 5:31:10 PM
BADGE OR ID# ; 11628 ORI#' i WA0171300 TIME POLICE DISPATCHED; fi:38 Pry/ TIME POLICE ARRIVED i 6:40 PM
PART B 3000-345.100(R1Vt8) PAGE F2 --]OF F5
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG16954
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6694
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) UNKNOWN MAFTUHA
ADDRESS&PHONE#
I .
2062318846 SEX U MMDDDYBYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ �' 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 08-06-25 10:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 8/7/2025 5:31:10 PM
BADGE OR ID# ; 11628 ORI#' i WA0171300 TIME POLICE DISPATCHED; fi:38 Pry/ TIME POLICE ARRIVED i 6:40 PM
PART B 3000-345.160(R1Vt8) PAGE 3�OF F5
TIM
REPORT NO. EG16954 CASE# 25-6694 OF COLLI ION 08/02/25 18:36
OF COLLISION
NARRATIVE
25-6694
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 08-02-2025 at approximately 1835 hours I was dispatched to a two-vehicle collision near the 400
block of Sunset Blvd N. I arrived at approximately 1840 hours and met with all parties in the nearby 7-
11 (404 Sunset Blvd N) parking lot.
Unit 1 was traveling southbound on Sunset Blvd N and intended on switching lanes to get into lane
one. Unit 2 was traveling southbound on Houser Way Bypass, which merges onto Sunset Blvd N.
Unit 1/driver stated she did not see unit 2 when she changed lanes, and the vehicles collided. The
damage on both vehicles matches this account. The drivers did complain of injury. The sole
passenger of unit 1 stated he had prior injuries and was told to be evaluated if ever in a collision. He
was transported by ambulance for further evaluation. Passengers in unit 1 were medically evaluated
on scene but did not have injury. There was no airbag deployment and neither vehicle needed towing.
provided both drivers with the case number and an exchange of information.
A witness was on foot in the area confirmed the account. She provided her information for the driver
of unit 2 which I added to the report.
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 08-06-2025 at 2130 hours in Renton,
WA.
PAGE 4 OF 5
REPORT NO. EG 16954 CASE# 25-6694 DATE AND TIME 08/02/25 18:36
OF COLLISION
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