HomeMy WebLinkAbout25-81044 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG63165OLCERA
COLLISION REPORT 1591971
❑ FIRE I
�l�$E 25-81044 2 5 0
INTERSTATE CITY STREET ✓ RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALAGENCY 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#
ear Soe'' 12 - 26 - 2025 1417 17 =•= S 8 W e OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e 100 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FEET e✓ S 8 W e EAST VALLEYHWY
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4259719190 0 1 30
5 LAST NAME PAPADATIS FIRST NAME CHRISTO MIDDLE P 1 1 2 31
INITIAL
STREET ❑ 19204 FIRLANDS WAY CITY; SHORELINE ST I WA ZIP; 98133 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO✓ INTERLOCKYES NO✓ YES NO�/
8❑ DCIENSE# STATE WA SEXI NI MMDDYY' 12 — 14 — 1981 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE' D64673E STATE WA VIN# 1FTEW1EG6FFC39400 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR zRLR. 3 5 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2015 MAKE FORD MODEL F150 STYLE PK VEHICLE TOWED fj TO ZBLIN TOWED BY GOVT VEHICLE 7 $ 34
13 DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
2 LIABILITY INSURANCE INSURANCE CO
14 Z ALLSTATE 923126292
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
LecnLLr yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc s e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2063340998
16�
LAST NAME GRAY FIRST NAME JOHN MIDDLE'
INITIAL
17 F1 STREET ❑
❑ 6504 S NORFOLK ST CITY SEATTLE ST, WA ZIP 98118 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. ❑ 38
INTERLOCKYES NO✓ INTERLOCK YES NO✓ YEs NO I✓
19 DRIVER'S STATE WA SEXI M I D.O.B. 09 03 1946 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE BLT5516 rare WA vIN# USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2017 MAKE pppG MODEL JOURNEY STYLE qp VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO STATE FARM 5082372BO347
IN EFFECT &POLICY# 9TOP
vewcLE ❑ ,.I—I CITATION CHARGE to BOTTOM
EEVnEEy YES N
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.STEED 8770 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG63165
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81044
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 NJURY 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 CIASS ----�
: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
On 12/26/25 at about 1437 hrs I arrived in the 100 block of SW 43rd St for a non-injury collision, in the
City of Renton, County of King, and State of Washington. Both drivers had pulled into the parking lot
of the Chevron at SW 43rd and East Valley Hwy where they were identified by their WADL. Unit#1
advised he had been traveling WB on SW 43rd St and was making a SB turn into the Chevron
parking lot from the middle turn lane. Unit#1 said he did not see Unit #2, likely due to the sun, when
he began to make the turn across EB lanes of SW 43rd St. Unit#2 said he was traveling EB in the
inside lane of SW 43rd St when Unit#1 turned in front of him causing the collision. Neither party
reported injuries.
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. The video was uploaded to evidence.com.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed by Officer Steed on 12/26/25 1535 hrs, Renton Washington
Cassidy Steed/8770
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.STEED 12-26-25 03:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1212712025 3:51:50 AM
BADGE OR ID# ; 8770 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:17 Pry] TIME POLICE ARRIVED i 2:47 Pry
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG63165 CASE# 25-81044 DATE AND TIME 12/26/2514:17
OF COLLISION
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