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HomeMy WebLinkAbout25-9794 )STATE TFc" 5 Q 27i t 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 �pq t �.. EYyt9t Al U it 1 +�h A t _ " �uw xwu, i a u � t3�ssi���u 1 f Vt�4\�1���\�lsV s@ri�gl ry rLr � s PAGE 5 OF 5