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
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