HomeMy WebLinkAbout25-7162 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG26844OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-7162 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCCODIGENC'Y 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 28
TRIBAL i UNITS 02 STRUCK UTILITY POLE
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 08 - 16 - 2025 2042 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE PETROVITSKY RD BLOCK NO. e 13200 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 6001.1 00 FEET e✓ S 8 W e 134TH AVE SE
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:8054023007 30
5 LAST NAME ROLAND FIRST NAME RODNEY MIDDLE D t 1 2 31
INITIAL '
STREET ❑ 2804 SE 8TH PL UNIT 2105 CITY; RENTON ST WA ZIP; 98058 2
NEW ADDRESS
7� +CDL IGN W/ITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs No✓ YES F NDF,/
8 DCIENSE# STATE WA SEXI M MMDDYY' 10 — 09 — 1969 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 2 EJECT 1 HELMET 2 INJURY 6 NAruRE of INJURIES 2
USE CLASS BLOODY NOSE AND CUT ON FOREHEAD
10 LI ENSrtEI WW10562 STATE WA vrN#, 1FA6P8CF2F5355998 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# 7 ROM
TRLR TRLR. 3 7 33
12 VIN#' IN
#
: FROM TO
13 4 VEH.YEAR2015 MAKE FORD MODEL MUSTAN STYLE SP VEHICLETOWED2TOIyS46LIN ajWgYMEYERS VEHICLE✓ m 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# C_T_TO_P_
Lew Le CHARGE ❑ 36
ecnur yES❑NO❑ CITATION# BOTTOM
15❑ rnNowc
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ✓ D:8882255773
VEHICLE CYCLE OWNER
YES✓ NO
16❑
LAST NAME PUGET SOUND ENERGY FIRST NAME MIDDLE
INITIAL
17 F1 STREET ❑
❑ 355 110TH AVE NE CITY BELLEVUE ST, yyq ZIP 98004 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES NO INTERLOCK YES Na YES NO
19 LICENS# STATE SEX U MMDDYY 39
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE
❑
21 PLATE# TATE VIN# 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24= DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vemcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JEREMY ENGEL 13006 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG26844
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7162
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE GLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
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.
JEREMY ENGEL 08-18-25 04:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 911012025 1:38:40 AM
BADGE OR ID# j 13006 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:42 Pry] TIME POLICE ARRIVED i 8:45 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG26844 CASE# 25-7162 DATE OF COLLI r�510NN + 08/16/25 20:42
L1
NARRATIVE
25-7162
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 08/16/2025 at approximately 2042 hours I was dispatched to an unknown injury accident near the
intersection of SE Petrovitsky Rd and 128th Ave SE, City of Renton, County of King, Washington.
Dispatch advised a vehicle had gone off the road, hit a tree, and landed in an embankment.
I arrived on scene and saw a red Ford Mustang bearing WA/WW10562 down an embankment just
west of the intersection of SE Petrovitsky Rd and 134th Ave SE. The driver, Rodney D. Roland
(10/09/1969) was out of the vehicle on the sidewalk. I saw he had a cut on his forehead and a
nosebleed presumably from his airbags deploying. Renton Regional Fire Authority was started to
evaluate Roland.
RRFA arrived on scene and evaluated Roland and cleared him from the scene. He stated he did not
feel the need to go to the hospital.
I gathered Roland's recollection of the accident.
Roland stated he was traveling westbound on SE Petrovitsky Rd doing approximately 40 miles per
hour when a dark BMW ran his vehicle off the roadway. Rodney later stated he believed it was a dark
colored Chevrolet Camaro that ran him off the roadway.
I did not see any indications Roland's vehicle was struck by another vehicle.
I observed the path Roland's vehicle proceeded off the roadway and saw a tree which was
approximately 1 foot in diameter and a telephone pole broken in half. The telephone pole was a PSE
owned pole with a tag bearing SLAP3185. The vehicle had traveled about 80 feet off the roadway.
Roland's vehicle appeared to have left the roadway due to excessive speed.
Roland's vehicle was towed due to extensive damage. He completed a tow form with Gene Meyer's
towing.
Roland was picked up by an Uber and left the scene.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Engel #13006 8/18/2025 4:37 AM Renton, King County, WA.
PAGE 3 OF 4
REPORT No• EG26844 CASE# 25-7162 DATE AND TIME 08/16/25 20:42
OF COLLISION> '
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