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HomeMy WebLinkAbout25-7630 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27035oc� RA COLLISION REPORT 1591971 CASE# 25-7630 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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 on' 09 - 01 - 2025 2256 17 =.= S 8 W e IN OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITSKY RD BLOCK NO. e 11600 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e 116TH AVE SE 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066797620 0 4 30 5 LAST NAME GOELZER FIRST NAME HAYLEY MIDDLE E 1 1 2 31 INITIAL STREET ] 18232 W SPRING LAKE DR SW CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKvEs ND✓ INTERLOCKvEs NO✓ YES NO✓ 8 DRIVER # STATE WA SEXI F MMDDYY' 08 - 12 - 1985 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, CDX6307 STATE WA VIN#; 3FMTK1RM4NMA31724 3 10 Fl I as ATP tt STATE STATE TRAILER TRAILER 11 4 0 PLATE# PLATE# FROM To TRLR TRLR 3 1 7 33 12 4 0 VIN#' vIN# FROM TO VEH.YEAR 2022 MAKE FORD MODEL MUSTAN STYLE 3P VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE Q $ 34 13� DAMAGE YES II_II NO ✓ YESII_I) NO REGISTERED OWNER INFO HA YLEY GOELZER 18232 W SPRING LAKE DR SW RENTON WA 98058 D:2066797620 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 4 14 GE/CO 4465222653 IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 I < 36 LEc Lv YES❑NO❑ CITATION# t a 80TTOM 15❑ STMDING 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2062941294 16� LAST NAME TORRES CERRATO FIRST NAME DELMY MIDDLE L INITIAL 17 F1 STREET ❑ ❑ 11873 SE 170TH PL CITY'.. RENTON ST, WA ZIP 98058 4 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED') 38 INTERLOCK YES No✓ INTERLOCK YES NO✓ YES NO✓ 19 DRIVER'S STATE IJ WA SEX F D.O.e. 09 02 1980 39 LICENSE# MMOCSYY - 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSLATE E CPB2404 rare WA vIN# JHLRE48588CO50075 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2QQ$ MAKE HOND MODEL CRC/ STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYER TOWING vEs ND✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADEd DA GED AREA 4� 4 LIABILITY INSURANCE INSURANCECO STATE FARM 575.3468-BO3.47A IN EFFECT &POLICY# 9TOP vewaE ❑ ,J—I CITATION# CHARGE tO BOTTOM LEGnLLY YES N 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 JAREN JOKELA 12805 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG27035 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7630 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 0,SS ----� :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. JAREN JOKELA 09-02-25 12:40 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.THIELMAN 11462 911012025 5:56:44 PM BADGE OR ID# 12805 ORI# WA0171300 TIME POLICE DISPATCHED 10:56 PM TIME POLICE ARRIVED i 11:02 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EG27035 CASE# 25-7630 O OF COLLISION TIME 09/01/25 22:56 NARRATIVE Renton Case #25-7630 On 09/01/2025 at 2257 hours I was dispatched to the intersection of SE Petrovitsky RD/116th Ave SE in the City of Renton, King County, Washington. I was responding to a call of an unknown injury accident. This incident was captured on my body worn video camera. This report is a summation of events that occurred and is not an exact sequence of events. At approximately 2302 hours, I arrived on scene located the two involved vehicles. Unit 2 vehicle was blocking westbound traffic on SE Petrovitsky RD and Unit 1 vehicle was just north of the intersection. I identified Unit 1 as a 2022 Ford Mustang Mach (WA LIC#CDX6307) being driven by the wife of the registered owner, identified by her WA DOL photo as Hayley E Goelzer (DOB 08/12/1985). Unit 1 driver told me she was not injured. I asked Unit 1 driver what happened, she stated she was driving westbound on SE Petrovitsky RD when she proceeded through the 116th Ave SE intersection. Unit 1 driver said that upon entering the intersection, Unit 2 vehicle turned in front of her, causing a collision. Unit 1 driver said that at the time of entering the intersection, she believed she had a green light. Damage was observed to the front bumper of Unit 1 vehicle as a result of the collision. Unit 1 driver provided me with her WADL, registration and proof of insurance. After airing the information for Unit 1 driver via radio, dispatched advised that Unit 1 driver's license was suspended in the 3rd degree. identified Unit 2 as a 2008 Honda CR-V (WA LIC #CPB2404) being driven by the registered owner of the vheicle, identified by her WA DL as Delmy L Torres-Cerrato (DOB 09/02/1980). As Unit 2 driver was Spanish speaking, all communication was done via language line. Unit 2 driver said that she was traveling eastbound on SE Petrovitsky RD when she entered the left turn lane upon approaching 116th Ave SE. Unit 2 driver said that upon receiving a protected green turn light, she proceeded through the intersection where she was struck by Unit 1 vehicle in the middle of the intersection. I observed significant damage to the front right bumper/quarter panel unit 2 vehicle. As the front airbags of Unit 2 vehicle had been deployed because of the collision. Renton Fire was dispatched for a pre-cautionary evaluation of Unit 2 driver. No apparent injuries were observed of Unit 2 driver though she complained of left hand/wrist pain. Unit 2 driver provided me with her WA DL, registration and vehicle insurance. Photographs were taken of both vehicles at the scene, along with the sustained vehicle damage to each unit. All photos were later uploaded to Axon Evidence. All observed damage was consistent with the version of events provided both Unit 1 and Unit 2 drivers. I provided each involved unit with a business card, case number and answered their remaining questions. I also informed Unit 1 driver that because she had been operating a motor vehicle while her license was suspended in the 3rd degree, she would be receiving a criminal citation in the mail. I then confirmed Unit 1 driver's current mailing address and later authored Sector citation #5A0731548 and PAGE 3 OF 5 REPORT NO. EG27035 CASE# 25-7630 O OF COLLISION TIME 09/01/25 22:56 NARRATIVE sent it to the Renton Prosecuting Attorney. Unit 2 vehicle was removed from the scene by Gene Meyer Towing and Unit 1 vehicle was driven away by Unit 1 driver. I then cleared the scene. This ends my report. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Ofc. Jaren Jokela #12805, 09/02/2025 at 0038 hours in Renton, Washington. PAGE 4 OF 5 REPORT No• EG27035 CASE# 25-7630 DATE AND TIME 09/01/25 22:56 OF COLLISION s� 1 1 \1 t ,$ i 7 4 tF 1 F � i F i FFj F•l � � ��� l � 7 C 1 � t w i PAGE 5 OF 5