HomeMy WebLinkAbout25-9794 )STATE
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Oc� RA EG54753
COLLISION REPRT 1591971
CASE# 25-9794 2
INTERSTATE CITY STREET❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD PRIVATE WAY ❑✓ INVOLVED CODING
2❑ TRIBAL UNITS#OF 03 SOTRUCK BUILDING 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION' 11 - 11 - 2025 1203 17 =.= S 8 W H INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
S 43RD ST BLOCK NO. e 400 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 1❑ 500 00-1 MILES N E
FEET e✓ S 8 W e TALBOT RD S
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252824740 1 4 30
6 LAST NAME STEINBERGER FIRST NAME BONITA MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 201 UNION AVE SE UNIT 174 CITY RENTON ST I WA I Zip 9805951 77 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO 1/ INTERLOCKYEs NO�/ YES D No,/
8 DRIVER # STATE WA SEX 29 F M MOCSYY' 03 - - 1945 t 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASS 1 NAruRE of INJURIES 2
LICENSE, 206ZSW STATE WA VN# JTMBF4DV4A5030241 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR TRLR 7 3 33
12 0 Q VIN# VIN#
( FROM TO
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 '4 2010 TOYT RAV4 SD DAMAGE YES�NO� YES NO� m 34
REGISTERED OWNER INFO PAUL STEINBERGER 201 ON AVE SE UNIT 174 RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE� INSURANCE CO ALLSTATE 087801768 3 4
IN EFFECT &POLICY# C�TQ6 '
vewcte CHARGE 36
ecALLY YES❑NO❑ CITATION# 7 o BO15 T ING 7
UNIT
MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHICLE CYCLE. OWNER YES NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17❑ STREET ❑ CITY RENTON ST ZIP ❑ 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED (GNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs ND JNTERLOCK YES0-001 Es NO'
19 LICEENSE# STATE SEX U MMDDYY -� 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSLATE E 109ZLP TaTE WA VIN# KNDJE723697573964 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2009 MAKE KIA MODEL SPORTAG STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO DONNALOCRE12131 SESTHPL RENTONWA980553948 D:21.1.184 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY A110287633
IN EFFECT &POLICY# 9TOP
VEHICLE LEGALLY ❑ N`,.ILJ
—I CITATION CHARGE t08OTTOM
25 YES a F
--J
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG54753
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9794
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.
D.NELSON 11-12-25 02:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 121312025 8:10:19 AM
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:04 PM TIME POLICE ARRIVED 12:10 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 57
REPORT NO.` EG54753 CASE# 25-9794 O COLLI COLLISION TIME
OF 11/11/25 12:03
COLLI
NARRATIVE
25-9794 ACC
On 1 1/1 1/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a single vehicle collision in the B Parking Lot of Valley
Medical Center at 400 S 43rd St Renton/King/WA. The initial caller advised it was a vehicle into a
parking structure.
I arrived on scene and located the involved subject, she advised she was not injured.
The driver of the 2010 Toyota Rav4 WA/206ZSW (Unit 1), was identified by her WADL as Bonita L
Steinberger DOB: 3/29/1945. Bonita said that she was pulling into a parking spot and while reading
the sign posted for the spot, she mixed up the gas and brake pedals. She said that once she hit the
gas, she jumped the curb, hit two carport support beams, and struck a parked vehicle on the other
side of the walkway. The Rav4 was stopped across the walkway with the carport resting on its roof
and its front end still connected with Unit 2.
There was damage to the front bumper, hood, and roof the Rav4. There was no airbag deployment.
VMC Facility Staff were determining how to support the carport before the Rav4 could be moved.
They advised they would handle the coordination with the tow and Bonita.
The 2009 Kia Sportage WA/109ZLP (Unit 2) was unoccupied at the time of the collision, it had
damage to the front bumper and was drivable.
All involved parties were provided with an exchange of information.
I took photographs of the vehicles and carport and uploaded them to Axon Evidence.
I then left the scene.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 11/11/2025 Renton WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG54753POLICE TRAFFIC
1 27
... °`f COLLISION REPORT CASE# 25-9794
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
GWUR NO NUMBER
SOURCE' AXLES + NAME IF
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT : 3 PEDESTRIAN �' YEs� No D:4256901000
5 VEHICLE CYCLE OWNER
MIDDLE 29
LAST NAME MEDICAL CENTER FIRST NAME VALLEY INITIAL
STREET 30
NFW ADnRFS.,P 40O S 43RD ST CITY RENTON ST WA ZJP 98055
6 ❑ PRESENT MEDICAL TANSPORTED 1 31
CDL IGMTION REQUIRED IGNi710N
INTERLOCK YES NO ,:INTERLOCK YES NO I ..YES N...
G
DRIVER'S STATE SEX U MMDDYYY -C-1-
LICENSE:
7
ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIEs
USE GLASS
8 ❑ LICENSE VIN 1 32
PLATE# TAT
9 TRAILER TRAILER 2
PLATE#r STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.# VIN
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TO WE E T ABLIN TOWED BY GOVT.V I P FHIC FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 � SHADE IN DAMAGED AREA
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
TO,
IN EFFECT &POLICY# 34
13 YES NO CITATION# CHARGE
1080TTC7M
ecauv
DAMAGE THRESHOLD MET PHONE 35
sTnNoiNc
MOTOR PEDAL- ' PROPERTY ❑
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
15 LAST NAME FIRST NAME ❑INITMIDDL
ALE 36
16 ❑ STREET CITY ST! ZIP
NEW ADDRESS
GDL iGNITIdN REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES NO INTERLOCK YES NQ YES NO
17 37
LLIRIVERS ICENSE# STATE SEX MMDowY'
18 ❑
HELMET :INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS
19 ❑ ❑ 39
LICENSE TAT viN
PLATE# I
#
20 ❑ TRAILER' TRAILER ❑ 40
PLATE#. STATE PLATE# I
STATE
21 ❑ TRLR TRLR 41
VIN# VIN#i
42
22 VEH.YEAR MAKE I MODEL I STYLE 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❑ INSURANCE CO
IN EFFECT &POLICY# t.K-99
5 44
vFHic�F ❑ ❑ CITATION# CHARGE 24 IEG_ VES NOSTIWDING3 3 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 11-12-25 02:15 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 OR ID# 12421 O#RI WA0171300 APJACOBS 121312025
PAGE OF
3000-345-013(R 11l18)
REPORT NO. EG54753 CASE# 25-9794 DATE AND TIME i 11/11/25 12:03
OF COLLISION
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PAGE 5 OF 5