HomeMy WebLinkAbout25-9220 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG54337OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-9220 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN COLLISION' 10 - 24 - 2025 1549 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 142ND ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.1 FEET e S 8 W e JERICHO AVE SE
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2069141000 0 3 30
5❑ LAST NAME PETERSON FIRST NAME PETER MIDDLE C 1 2 31
INITIAL
STREET ] 225 VASHON AVE SE CITY; RENTON ST WA ZIP' 980595215 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYEs NO INTERLOCKVEs NO YES NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 02 - 20 - 1963 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, C84739A STATE WA VIN# 2GCEK19JO71689165 3
10 F PI ATP rt
11[—j— TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR. 5 1 33
12 0 0 VIN#' vIN#
FROM TO
VEH.YEAR 2007 MAKE CHEV MODEL SILVER STYLE TR VEHICLE TOWED fj TO ZBLIN TOWED BY GOVT VEHICLE 3 1 34
13 DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO MUTUAL OF ENUMCLAW AB00042701 3 4
IN EFFECT &POLICY# 4TOP
CHARGE t VEHICLE 5
Lemur yes❑NO❑ CITATION# 36 7 0 60TTOM
15❑ sTnNowc s 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE PROPSnWNr YES NO �/ D:2069633709
16�
LAST NAME KATERS FIRST NAME JEFFREY MIDDLE j
INITIAL
17 F1 STREET ❑❑ 3117 SE 6TH ST CITY RENTON ST, WA ZIP 980582831 37
NEW ADDRESS
18❑ $ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
CDL INTERLOCKYES No INTERLOCK YES No YEs Nai
19 DRIVERS STATE WA SEX M I D.O.B. 01 29 1955 � 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 13 ' EJECT 1 USE CLASS 1 ❑
21 LICENSEC7841C rare WA vIN#I El
1HA6GUBG1KNO01652 41
PLATE#22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2019 MAKE $LU$ MODEL N►JCRQ STYLE $U VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98057 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO SIAW SIAW252634033
IN EFFECT &POLICY# 9TOP
vewaE ❑ ,J—I CITATION# CHARGE t080TTOM
L'EGn�LY YES No
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N.ODALOV►C 11628 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG54337
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9220
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&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.
N.ODALOVIC 10-25-25 12:42 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 1 121212025 12:34:58 AM
BADGE OR ID# j 11628 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:13 PM TIME POLICE ARRIVED i 4:23 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG54337 CASE# 25-9220 OF DATE AND r�N + 10/24/25 15:49
O�COLLISION
NARRATIVE
25-9220
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 10-24-2025 at approximately 1613 hours I was dispatched to a two-vehicle collision that occurred
at Jericho Ave SE / SE 142nd St. I arrived at approximately 1623 hours and met with both drivers at
Maplewood Elementary School (130 Jericho Ave SE).
Unit 1 was traveling northbound on Jericho Ave SE and stated he did not have enough distance to
stop in time before colliding with Unit 2 who was making a turn from SE 142nd St AKA SE 141st St
onto Jericho Ave SE. Unit 1 had damage to the driver side rear panel and Unit 2 had minor damage
to the front passenger side corner. Neither driver complained of injury, there was no airbag
deployment, and the vehicles were drivable. I provided both parties with an exchange of information
including the case number. I photographed the damage to both vehicles which was uploaded to
evidence.com.
During this incident it is likely my body-worn and/or in-car camera was recording audio and video.
This report is merely a summary of the incident and is not intended to be an exact transcription of the
entire investigation or what may have been captured with the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by N. Odalovic#11628 on 10-24-2025 at 2355 hours in Renton,
WA.
PAGE 3 OF 4
REPORT NO. EG54337 CASE# 25-9220 DATE AND TIME 10/24/2515:49
OF COLLISION
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