HomeMy WebLinkAbout25-7467 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 25-7467 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. OS - 1-- 2025 1733 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a LIND AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2537205419 30
6� LAST NAME THORTON FIRSTNAME SUSAN MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 1402 AUBURN WAY N#402 CITY AUBURN ST WA 2jp, 98002 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO,/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ PI ATE 14 BHD5817 STATE WA u N# 3GNAXUEUXJS590650
C....� TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. To
TRLR. TRLR 3 7 33
12❑ VIN#' VIN#.
:: FROM TO
❑ VEH.YEAR 2018 CHEV EQU/NO UT MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY I GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES NO YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 984976959 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL ,/ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UN�T VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YEs NO ,/ D:4255184171
16 a
LAST NAME SAASTAD FIRST NAME PETER MIDDLE D
INITIAL
17❑ STREET ❑', 16404 120TH AVE SE CITY RENTON ST WA ZIP 98058 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t- l NO❑
19 DRIVE # STATE SEX M MD.C.B. 03 _ 16 _ 1967 39
ON DUTY STATUS 1 AIRBAG RESTR EJECT 1 HELMET 7 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS HANDS,WRISTS,LEGS
❑21❑ TATE 41
LICENSE 'l
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 4 9 D.MYERS 10433 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG40726
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7467
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 08-26-2025 at approximately 1736 hours, I was dispatched to a vehicle versus a bicycle in the
intersection of SW Grady Way and Lind Ave SW. I arrived on scene at approximately 1740 hours.
I contacted the driver of Unit#1, who told me she was traveling westbound on SW Grady Way in the
right lane. She did not see the traffic was red due to the sun and ran the red light. She heard a thump
at the rear of the vehicle and did not know what she had hit or what had hit her. At the next traffic light
another vehicle told her she had hit a person on a bike so she turned around and came back to the
scene.
I spoke to Peter D Saastad who told me he was riding his bike in the crosswalk on the "green" walk
sign when he ran into Unit#1. He had no idea where Unit#1 came from and crashed to the ground.
Peter said he was on the west side of the intersection heading north.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.MYERS 10-10-25 07:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
P.KORDEL 9676 1012312025 10:54:36 AM
BADGE OR ID# 10433 ORI# WA0171300 TIME POLICE DISPATCHED; 5:36 PM TIME POLICE ARRIVED',5:40 PM
PART I PAGE IT]OF 3�
REPORT NO. EG40726 CASE# ' 25-7467 DATE AND TIME 08/26/25 17:33
OF COLLISION
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