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HomeMy WebLinkAbout25-7343 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27032oc� RA COLLISION REPORT 1591971 CASE# 25-7343 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCCODICENC'Y 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s o v' 08 - 22 - 2025 2122 17 =.= S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑ MAPLE VALLEY HWY MILE POST e Y900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e SE STH ST 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 1 30 5❑ LAST NAME BOWEN FIRST NAME KENZIE MIDDLE P 1 2 31 INITIAL STREET ] 1015 MOUNTAIN CIR NEWAbaREss CITY', OAK HARBOR ST: WA ZIP 98277 2 7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs ✓NO INTERLt)CKYES NO✓ YES ]NOW I 8 DRIVER # STATE WA SEX I F MMD4YY' 03 - 09 - 2005 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE �JAU SY 1 NAruRE of INJURIES 2 LICENSE, CFP5083 STATE WA VIN# 2G1FP32G3X2130860 3 10 Fq I as ATP tt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR TRLR 7 1 1 33 12 0 0 VIN#' VIN# ' FROM TO 13 2 VEH.YEAR 1999 MAKE CHEV MODEL CAMAR STYLE 2D VEHICLE TO YED NO fiS46LIN diW9YMEYER YESr`-IVT ENp✓HICLE 7 3 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO MARCUS BOWEN 5516 TIMBER RIDGE DR MOUNT VERNON WA 98273 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ NSURANCE CO NONE NONE 3 4 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE t 5 36 Lemur yes❑NO❑ CITATION# 7 0 80TTOM 15❑ sTnNowc MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2535612156 16� LAST NAME CARLSON FIRST NAME KATIE MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 42926 268TH AVE SE CITY ENUMCLAW ST, WA ZIP 98022 q 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs NO✓ INTERLOCKYEs ND F vEs NO✓ 19 DRIVERS ' MMDDYY - 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H UET SE CLAUII�Y 1 NATURE OF INJURIES 40 21 LICENSECSY9622 TATE I WA VIN# 1FM5K8FW1MNA17534 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE FORD MODEL EXPLORE STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO KATIE CARLSON 42926268TH AVE SE ENUMCLAW WA 98022 D:2535612156 VEHICLE NO.2 SHADFY DAGED AREA 4 LIABILITY INSURANCE INSURANCE CO UNKNOWN UNKNOWN IN EFFECT &POLICY# 9TOP HICLE EEILe L YES❑ NCO CITATION# CHARGE t080TTOM VE 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 TYLER EDIGER 12807 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG27032 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7343 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. TYLER EDIGER 08-24-25 07:56 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY E DAT J.THIELMAN 11462 911012025 5:57:59 PM BADGE OR ID# 12807 ORI# WA0171300 TIME POLICE DISPATCHED 1 9:22 PM TIME POLICE ARRIVED i 9:30 PM PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO.` EG27032 CASE# 25-7343 DATE OF COLLI r�510NN + 08/22/25 21:22 L1 NARRATIVE During this incident, I was equipped with a body-worn camera, which records both audio and video. Portions of this incident were recorded. 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 was operating a fully marked Police Tahoe #309 which was equipped with overhead emergency lights and sirens. I was also wearing my department issued Renton Police uniform clearly identifies me as a Police Officer. Case Number 25-7343 On 08/22/2025 at approximately 2124 hours I was dispatched to a collision that had occurred at Maple Valley Hwy and SE 5th St, within the City of Renton, King County, Washington. I identified unit 1 as a 1999 Chevy Camaro (WA/LIC: CFP5083 VIN#2G1 FP32G3X2130860). The driver and sole occupant of unit 1 was identified as Kenzie P Bowen (DOB 03/09/2005) by her WADOL photo. Unit 1 sustained significant damage to the driver's side and required to be towed by Gene Meyers. The DOL return for the driver of unit 1 showed her driving status was suspended/revoked in the 3rd degree and that she was required to have an ignition interlock device. She did not have an ignition interlock device. Unit 1 had no apparent injuries. I identified unit 2 as 2021 Ford Explorer (WA/LIC: CSY9622 VIN# 1 FM5K8FW1 MNA17534). The driver and sole occupant of unit 2 was identified as Katie J Carlson (DOB 02/12/1997) by her WADOL photo. Based on my interviews of both drivers I determined that both vehicles were driving eastbound on Maple Valley Hwy. As they approached SE 5th St unit 1 slowed down significantly. Unit 2 was behind unit 1 and because of unit 1's significant change in speeds she had to make a sudden lane change into the center turn lane to avoid a collision. Unit 1 then quickly cut across the center turn lane in an attempt to turn to travel north on SE 5th St. When unit 1 made this turn, she failed to notice that unit 2 was now in her blind spot causing the two vehicles to collide. I am led to believe that the proximate cause of this collision was unit 1 making an abrupt lane change and cutting off unit 2. 1 advised unit 1 she would be receiving citations in the mail for DWLS 3 and driving without an ignition interlock device. I also forwarded her an insurance for driving without insurance. 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 T. Ediger#12807 08/24/2025 Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG27032 CASE# 25-7343 DATE AND TIME 08/22/25 21:22 OF COLLISION> ' 4 4 IEi }f J £ p I (jUilP¢ { T it 4 1{�ryD Y ) t us ?jltiA' 3 p S' 1 Y 1. F � Vt\i5 t y �r4 �hfi}�tJFtsrjr�p2��� � r�, i i �Y}f PAGE 4 OF 4