HomeMy WebLinkAbout25-9257 )STATE
TFcN 6 0 27i t
Oc� RA EG49338
COLLISION REPRT 1591971
CASE# 25-9257 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
CDLLISION' 10 - 26 - 2025 0856 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
NE 4TH ST BLOCK NO. e 4300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET S 8 W e WHITMAN CT NE
OF 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4258911792 0 1 30
LAST NAME CAMERON-STACHOWIAK FIRST NAME BRIAR MIDDLE L
5 INITIAL 1 2 31
STREET ❑ 17858 SE 146TH ST CITY RENTON ST I WA ZIP 980598016 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO Z/ INTERLOCKYEs NO�/ YES D NOZ
8 LICIENS# STATE WA SEX M MMOCSYY' 02 1 2 32
9� ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CBR4540 STATE WA VN# KNDPM3AC8L7757222 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 1 3 33
1 3 5 VIN# vI.
( FROM TO
2
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT VEHICLE 3 7 34
13 4 2020 KlA SPORTA UT DAMAGE YES ONO
MEYER ves❑ No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 4
14 GE1C0 864552162
IN EFFECT &POLICY# 4TOP
v `LE CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 0 60TTOM
15❑ STM ING 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHIC6E ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:2063833774
16�
LAST NAME BARRERA MALDONADO FIRST NAME JULIAN MIDDLE'
INITIAL
STREET ❑
17 '❑ 421 NILE AVE NE CITY RENTON ST, WA ZIP 98059 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED (GNTION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYEs NoNTERLOCKYES No ves No
19 DRIVER'S STATE WA SEX M D.O.B. 01 08 1980 39
LICENSE# MMDL7YY —
20❑ ON DUTY-:1 STATUS AIRBAG 3 RESTR 4 EJECT 1 H UET 2 CLAY 1I I NATURE OF INJURIES 40
21 LICENSLATE E C61726X TATE WA "IN# 1GTU9FEL4LZ211795 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2020 MAKE GMC MODEL SIERRA STYLE PK VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s�/ No GENE MEYER YES No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY INSURANCE 410515105662
IN EFFECT &POLICY# 4TOP
vewae ❑ ,.I—I CITATION# CHARGE t08OTTOM
A r YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW TRAINO 12811 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG49338
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9257
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.
MATTHEW TRAiNO 10-29-25 06:14 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 11/17/2025 9:53:42 AM
BADGE OR ID# 12811 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:58 AM TIME POLICE ARRIVED 9:04 AM
PART B 3 Do-345-,ao(Rtrras) PAGE 27 OF 47
REPORT No.` EG49338 CASE# 25-9257 O COLLI COLLISION TIME
OF 10/26/25 08:56
COLLI
NARRATIVE
On the listed date and time, while employed as a uniformed Patrol Officer for the City of Renton, I
responded to a reported traffic collision with possible injuries at the intersection of NE 4th ST and
Whitman CT NE, within the City of Renton, County of King, State of Washington.
Upon arrival I observed a 2020 Kia Sportage (WA Plate CBR4540, Unit# 1) and a 2020 GMC Sierra
(WA Plate C61726X, Unit# 2) blocking the intersection. Renton Officer Mello arrived on scene first,
he relayed to me the following:
The driver of Unit# 1, identified by his WADOL as Briar L. Cameron Stachowiak (02/23/2002), had
been attempting to make a left-hand turn from the north-side of Whitman CT NE to head eastbound
on NE 4th ST. Stachowiak could not recall if he had a green or red light at the time of the collision.
The driver of Unit# 2, identified by his WADOL as Julian Barrera Maldanado (01/08/1980), stated that
he was traveling westbound on NE 4th ST, and that he had a green light at the intersection of
Whitman CT NE. He said that Unit# 1 pulled out in front of him and he was unable to avoid a collision.
Unit# 1 and Unit#2 both had front airbag deployments. Both vehicles sustained moderate damage
and were towed from the scene. Renton Fire responded to the scene to evaluate both drivers.
Stachowiak reported no injuries. Maldanado reported pain because of the airbag deployment. He was
evaluated and released at the scene.
Based on the statements from both drivers, it appears the proximate cause of the collision was the
driver of Unit# 1, Stachowiak, failing to obey a traffic control device. I did not observe the collision,
and no video evidence was available at this location. I did not issue either driver a notice of infraction.
N/F.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Ofc. M.Traino #12811 11/08/2025 / 1047 hours -Renton, WA
PAGE 3 OF 4
REPORT NO. EG49338 CASE# 25-9257 DATE AND TIME i 10/26/25 08:56
OF COLLISION
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