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HomeMy WebLinkAbout25-8826 )STATETFcN 0 4 27i t c� RA EG36791 COLS-'J'®N RERT 1591971 ❑ FIRE ❑ CASE# 2$-8826 2 6 2 INTERSTATE CITY STREET ✓ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3 6 6 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL UNITS#OF 03 SO TRUCK FENCE BJECT 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsfoN' 10 - 12 - 2025 0004 17 =.= S W e IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NONINTERSECTION ❑ TALBOT RD S BLOCK NO, e 2300 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �. FEET e S 8 W e S 23RD ST 0 4 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHiCLE ❑ CYCLE ❑ YEs Vl No D:2062512435 30 6 LAST NAME RODRIGUEZ LOPEZ FIRST NAME DANIELA MIDDLE Z 1 1 2 31 INITIAL STREET ❑ 729 S 32ND ST CITY RENTON ST; ZIP 98055 2 NEW ADDRESS 7 CDL IGNITIQN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKYEs N©✓ YES Nor,/ 8 LCEVER'SENSE# STATE WA SEX F MMDC)YY' 12 - 28 - 2004 32 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 CLASS 1 NAruRE of INJURIES 2 LICENSE, CNV9337 STATE WA VN# 1G6DU5RK8NO116404 3 10 as ATF rt TRAILER STATE TRAILER ,STATE 11 2 5 PLATE# PLATE# FROM TO rRLR TRLR 3 $ 33 12 VIN# VIN ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpy IZ GOVT VEHICLE m 34 13 2 2022 CADI CTS SD DAMAGE YES ✓ NO[ YES❑ NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE� INSURANCE CO PROGRESS/VE 983062368 3 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE 36 ec LnLUY YES❑NO❑ CITATION# 7 o BOTTOM 15❑ sTANowc 7 �y MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT©2 PEDESTRIAN ✓ VEHICLE CYCLE' OWNER 16❑ LAST NAME WOLSTEAD FIRST NAME WILLIAM MIDDLE' INITIAL STREET ❑ 17 ❑ 407 S 23RD ST CITY RENTON ST, WA ZIP 98055 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPC3RTED' 38 INTERLOCKYEs No INTERLOCK YES No Yes NOi 19 LICEENSE# STATE SEX U MMDDYY -� 39 HELMET I INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ 21 PLATE# TATE "IN#LICENSE 41 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. GOV H 44 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY I 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 vemaE YES N❑ C[ CITATION# CHARGE tO BOTTOM LEGALLY J 25= Ia 7 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 NICHOLAS SWAN 1296$ WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG36791 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8826 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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. NICHOLAS SWAN 10-12-25 01:46 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 10/12/2025 7:39:24 PM BADGE OR ID# 12965 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:08 Aryl TIME POLICE ARRIVED 12:09 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57 REPORT NO.` EG36791 CASE# 25-8826 O COLLI COLLISION TIME OF 10/12/25 00:04 COLLI NARRATIVE #25-8826 Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 10/12/2025 at approximately 0006 hours I was dispatched to an unknown injury accident in the intersection of Talbot Rd S and S 23rd St in the city of Renton, King County, WA. Unit#1 was a teal 2022 Cadillac CT5 with WA LIC: CNV9337 (VIN: 1 G6DU5RK8N0116404). 1 arrived on scene with other officers and found a single vehicle collision. The driver was visibly upset and shaken. She stated she was wearing her seatbelt, that there were no other occupants involved, and she did not have any injuries. Renton Fire was dispatched to the scene as airbags had deployed and medically cleared her on scene. Driver 1 of Unit 1 stated she had been at Teasdale park a block to the east. She had gotten in an argument with her boyfriend and was upset when she drove away. She stopped at the stop sign before turning south on to Talbot Rd S. As she turned left, she felt her car slide and she went through the intersection where she then hit a stop sign and a chain link fence on a neighboring property (407 S 23rd St). Driver 1 stated she had not drank any alcohol and she did not show any signs of being impaired when speaking with her. Several neighbors were outside when police arrived on scene. None of them stated they saw what happened, but did hear a car engine rev and the sounds of its tires slipping on the wet pavement. They then heard the collision. At that time they then saw the vehicle disabled on S 23rd St. Officer Smith took photos of the scene and uploaded them to Axon. A City of Renton Origami report was submitted for the broken sign post (report# 1-2025-300). Banker's Towing was dispatched to the location to tow the vehicle away at the owner's expense. At the conclusion of my investigation, I determined that the driver of Unit 1 was driving to fast for the wet conditions of the roadway. She also may not have been in the best mental state to drive after having just had an argument with her boyfriend. If the driver of Unit 1 would have exercised more caution for the conditions of the roadway, this accident would not have happened. This concludes my report. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by N. Swan on 10/12/2025 at 0140 hours, in the City of Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG36791 l�� NRCoI COLLISION TRAFFIC ! CASE# 25-8826 1 27 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 NAME # PLACARD GWVR NO NUMBER SOURCE' AXLES ' + NAME IF 4a ❑ ADDITIONAL UNITS U ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT# 3 PEDESTRIAN �' YES NO 5 VEHICLE CYCLE OWNER F,/ 29 L CI AST NAME TY OF RENTON FIRST NAME MIDDLE INITCAL STREET 30 NFW ADDRF. 1055 S GRADY WAY CITY RENTON ST WA ZJP 98057 6 ❑ PRESENT MEC7ICALT#NSPC7RTED 1 31 CDL IGNITION REQUIRED 1GNi71ON INTERLOCK YES: No ..INTERLOCK YES[:]NO DRIVER'S STATE I SEX U MD.0 B LICENSE 1 7 ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET INJURY NATUREOFINJURIES USE CLASS 8 ❑ #LICENSE VIN 1 32 PLATE# rAr 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO TO, IN EFFECT &POLICY# 34 13 v...... YES NO CITATION# CHARGE 1080TTC7M ecauv sTnNoiNc MOTOR PEDAL- ' PROPERTY DAMAGE THRESHOLD MET PHONE 1:1 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 15 LAST NAME FIRST NAME ❑INITMIDDL ALE 36 16 ❑ STREET CITY ST! ZIP NEW ADDRESS" GDL IGNITION REQUIRED IGNITION PRESENT ME 'CAL INTERLOCK YES[]NO INTERLOCK YES NO YES NO. 17 LIRIVERS 37 LICENSE STATE SEX MMDDYBYY - 18 ❑ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE rAT vIN# PLATE# 20 ❑ TRAILER TRAILER ❑ 40 PLATE#; STATE STATE PLATE# - 21 ❑ TRLR TRLR 41 VIN#! UIN#+. 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE I INSURANCE CO IN EFFECT &POLICY# tK-99 44 vewc�e ❑ ❑ CITATION# CHARGE 24 ITGA VES NOSTWN3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. NICHOLAS SWAN 10-12-25 01:46 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE OR iD# 12965 O#RI WA0171300 APTIBEAU 10/12/202 PAGE�OF� 3000-345-013(R 11/18) REPORT NO. EG36791 CASE# 25-8826 DATE AND TIME i 10/12/25 00:04 OF COLLISION i4 t t { t� ti 4 t`3as pad � 4 1 S z r � � h �r rJl 3 3 PAGE 5 OF 5