HomeMy WebLinkAbout25-7813 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27038OLCERA
COLLISION REPORT 1591971
CASE# 25-7813 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LdCCODIGENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
TRIBAL UNITS 01 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 09 - 08 - 2025 0107 17 =.= S 8 W e OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S PUGET DR BLOCK NO. e 1400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1001.1 00 FEET e✓ S 8 W e GRANT AVE S
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533413254 30
g LAST NAME SHKINDER FIRST NAME ERIC MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3000 SE ROYAL HILLS DR CITY; RENTON ST I WA Zip; 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs D NO I INTERLOCKYEs NO YES NO
DRIVER # STATE WA SEXI M MMDDYY' 09 - 25 - 2005 t 32
8❑
9 ON DUTY STATUS' AIRBAG 4 RESTR 4 EJECT 1 HELM
USEET 2 CLASSY 1 NATURE of INJURIES 2
LICENSE, CTV3389 STATE WA VIN# WBSKG9C55DJ595288 3
10 F1 PI ATP tt
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM T.
3
TRLR rRLR. 7 3 33
12 VIN#' VIN#
: FROM TO
13 2 VEH.YEAR2013 MAKE BMW MODEL M3 STYLE 2D VEHICLETOWEDONO�iS46LIN Tv4 EBYMEYER VEHICLE m 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILY INS 41120 17602 48
IN EFFECT &POLICY# 9TOP
VEnic�E CHARGE t 80TFOM 5 36
Lec Ly YES❑NO❑ CITATION#
15❑ STANDING
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 PEDESTRIAN
VEHICLE CYCLE OWNER YES NO
16❑
LAST NAME FIRST NAME MIDDLE'
INITIAL
17❑ STREET ❑ CITY ST ZIP 4❑ 37
NEW ADDRESS
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MED[CALTRANSPORTED: 38
INTERLOCKYEs No INTERLOCK YES No vEs NQ
19 DRIVER'S
# STATE SEX MMDDYY -= 39
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE
❑
21 PLATE# T-1- VIN# 41
22❑ [TILER TAILER
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
vewaE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES N`0
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
KEITH PETTY 12809 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG27038
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7813
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) ROMAN BARBARA E
ADDRESS&PHONE#
3315 JANE RUSSELLS WAY TACOMA WA 98409 SEXi F MMDDD BYYY 03 — 11 — 2006
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 3 4 4 1 USE 2 CLASS j 1 ----�
:NAME
(LAST EIFS7 MIDDLE INITIAL)
ADDRESS R 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.
KEITH PETTY 09-08-25 02:34 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 911012025 5:54:08 PM
BADGE OR ID# 12809 ORI# WA0171300 TIME POLICE DISPATCHED 1:12 AM TIME POLICE ARRIVED i 1:12 AM
PAST B 3 Do-3mx—attar gt 1Mfft PAGE 2�OF 4
REPORT NO. EG27038 CASE# 25-7813 DATE OF COLLI r�510NN + 09/08/25 01:07
L1
NARRATIVE
25-7813
On 09/08/2025 at about 0112 hrs, I was dispatched to the 1400 block of S Puget Dr. within the City
Limits of Renton, King County, Washington, for a single vehicle accident with no injuries.
Upon arrival I contacted the driver, Eric Alex Shkinder (DOB 09/25/2005) and the passenger, Barbara
E Roman (DOB 03/11/2006). Both were identified by their WADL photos. I confirmed there were no
injuries but had RRFA respond as the passenger side airbag had been deployed. Both parties
refused treatment at the scene.
Eric stated he was driving his white 2013 BMW M3 (CTV3389/WA) VIN/WBSKG9C55DJ595288
heading east bound on s Puget Dr near Grant Ave S. As he approached grant Ave S a vehicle had
cut into his lane of travel causing him to maneuver out of the way. The vehicle lost control and slide
over the curb causing over$1000 in damage.
The BMW was towed by Gene Meyer towing.
This incident was captured on my body worn camera. This report is a summary of the events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
"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: K.Petty, Date: 09/08/25 at 0225 hours, Place: Renton, King County, WA
PAGE 3 OF 4
REPORT NO. EG27038 CASE# 25-7813 DATE AND TIME 09/08/2501:07
OF COLLISION
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PAGE 4 OF 4