HomeMy WebLinkAbout25-9502 IT �i " II IIIII III IIIII II IIII IIIII I . 6 27c REPORT NO EG45845 STATE OF
COLLISION REPORT 1591971
CASE# 25-9502 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 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
coulsloN' 11 - 02 - 2025 1518 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
MAPLE VALLEY HWY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e 149TH AVE SE
0 1 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9165142220 0 4 30
5 LAST NAME DE CELLE FIRST NAME MARTHA MIDDLE V 1 1 2 31
INITIAL
STREET ❑ 16604 190TH AVE SE CITY RENTON ST WA ZIP 980580814 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO✓ INTERLOCKYEs NO✓ YES NOF,/
8 LICIENS# STATE WA SEX F MMor YY' 08 — 27 — 1972 1 2 32
9 ON DUTY STATUS AIRBAG HELMET 2 INJURY 5 NAruRE of NJURIES 2
3 RESTR 4 EJECT 1
USE CLASS BROKEN LEFT ARM
LICENSE CTB5926 STATE WA VN# 5FNRL5H98EB077108 3
10 PI ATF#'
TRAILER STATE TRAILER ,STATE
11 5 0 PLATE# PLATE# ROM TO
TRLR TRLR 3 7 33
1 5
( FROM TO
2 0 VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v 7 1 GOVT VEHICLE 34
13 4 2014 HOND ODYSSE DAMAGE YES ONO �MEYER YEs❑ No✓
REGISTEREDOWNERINFO JASON BE CELLE 16604 190THAVESE RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 3 4
14 GEICO 4378245429
IN EFFECT &POLICY# 4TOP
vEnic�E CHARGE 5 36
LEcnLLY YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STM ING 7 e
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHIC6E ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:3035125414
16�
LAST NAME CHOAU FIRST NAME NITA MIDDLE'
INITIAL
17 F1 STREET ❑❑ 6243 S FOUNTAIN ST CITY SEATTLE ST, WA ZIP 37
981782442 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES No✓ INTERLOCK YES No✓ Es No',✓
STATEWA ISEXIFMMDDYY 0919 DRIVER'S 39
LICENSE#
—
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 CLAY 1 NATURE OF INJURIES 40
21 LICEN# CPW6816 rarE WA vIN# UTMI6RFV1SD157400 41
22❑ PLATE# STATE AILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2025 MAKE TOYT MODEL RAV4 STYLE 5p VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s�/ NO GENE MEYER YES No✓
REGISTERED OWNER INFO NITA CHOAU 6243 S FOUNTAIN ST SEATTLE WA 98178 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO GEIC04295805958
IN EFFECT &POLICY# 4TOP
VEHICLE LEGAIL,v ❑ N`,.ILJ
—I CITATION CHARGE t08OTTOM
25 YES a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
E.CHANG 10065 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG45845
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9502
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME SHOLDT KALEE
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE# D(�
SEATTLE 2067140444 SEX' U MMDDYYYv 03 — 05 — 1983
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS ---�
'NAME
LAsr F RST,MIDDLE INITIAL) FJETLAND MICHELLE B
ADDRESS&PHONE# D 0 B
5016 SE 2ND ST RENTON WA 98059 2062513108 SEX' F MMDDVVYv 06 _ 21 _ 1968
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ �✓ POS. USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M F L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----�
NARRATIVE
On 11-02-2025 at about 1518 hours, I was sent to a collision reported at the intersection of Maple
Valley Hwy and 149th Ave SE, with in the City of Renton, King County, Washington.
Dispatch informed me there was a collision and someone had a broken arm.
Upon arrival 1 met the driver of unit 2 with WA plates CPW6816. She was identified via a WADL as
Choau, Nita. She informed me that she had a red light and was stopped on Maple Valley Hwy facing
eastbound. She was in the left turn lane waiting to make a left turn onto 149th Ave SE. When she
got the green light she proceeded into the intersection and was struck by unit 1. She told me she was
not hurt.
I was informed that a witness Fjetland, Michelle said she saw the collision and unit 1 had a red light.
Unit 1 did not stop for the light and struck unit 2. Later I called Michelle and she verified that she saw
unit 1 run the red light and struck unit 2 as it was going through the intersection. Michelle said she
contacted the driver of unit 1 and the driver said she did not know she had a red light.
The driver of unit 1 was identified via a WADL as DeCelle, Martha. She did not appear to be
intoxicated and was alert. She told me that she was in lane 3 when the collision occurred. 1 was
informed she had a broken left arm and would be transported to VMC for treatment.
I tried to call the other witness Sholdt, Kalee but she did not answer.
Both vehicles were privately impounded.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.CHANG 11-02-25 05:05 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
J.TRADER 4553 DAT 11/6/2025 3:28:52 PM
BADGE OR ID# 10065 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 3:19 PM TIME POLICE ARRIVED 3:26 PM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG45845 CASE# 25-9502 DATE AND TIME 11/02/25 15:18
OF COLLISION
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