HomeMy WebLinkAbout25-81138 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG64981oc� RA
COLLISION REPORT 1591971
CASE# 25-81138 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 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
GDLLISION' 12 - 29 - 2025 2056 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
DUVALL AVE NE BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 4 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3608143774 0 1 30
5❑ LAST NAME ANDERSEN FIRST NAME ALLIE MIDDLE J 1 2 31
INITIAL
STREET ❑ 13634 S ROPER LN CITY HERRIMAN ST UT ZIP 84096 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs D No INTERLOCK YE s No YES F No
8 DCIENS # STATE UT SEX F MDOB. 07 — 14 — 2006 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET CLASS 1 NAruRE of INJURIES 2
LICENSE, CTC5313 STATE WA vN# JTMRWRFVXSD314280 3
10[9� PI ATF#
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR TRLR 5 7 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR 2025 MAKE TOE MODEL RAV4 STYLE UT VEHICLE TOWEDONOfIBLIN T(Qo N'�YMEYER GOVT,VFNo 5 1 34
DAMAGE IIII._IIII II�_II
13 REGISTERED OWNER INFO THE CHURCH OF JESUS CHRIS 10675 ME 20TH ST BELLEVUE WA 98004 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO SAME AS OWNER 4
IN EFFECT &POLICY# 9TOP
vEnic�E CHARGE 5
Lemur yes[:]NO[:] CITATION# 7 0 80TTOM
15 IT] sTANowc s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 36
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YES,/ No D:2063355954
16�
LAST NAME ELSHAARI FIRST NAME TAHA MIDDLE I D
INITIAL
STREET ❑
17 ❑ 5328 NE 3RD ST CITY RENTON ST, yyq ZIP 98059 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYE No jNTERLOCKYES No YES No
19� DRIVERS STATE WA SEX M MDDY 07 31 2005 ❑ 39
LICENSE# MDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG 2 RESTR g EJECT 1 USE CLASS 1 ❑
21 LICENSE CAB2283 rarE WA vIN# KMHRC8A30LU019839 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2020 MAKE HYUN MODEL VENUE STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YEs,/ No GENE MEYER YES No
REGISTERED OWNER INFO ADEL ELSHAARI 5328 NE 3RD ST RENTONWA 98059 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 961714539
IN EFFECT &POLICY# 9TOP
vemcte
LEGAtLr YES❑ N,.I—J I CITATION# CHARGE to BOTTOM
`.L 6
25 OFFICER'S NAME II
OFFICERRINTI PHONE BADGE OR ID# AGENCY
26
N.ODALOVIC 11628 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG64981
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81138
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} STEPHENS MALULANIE
(LAST,FIRST
ADDRESS&PHONE# D(�
3608143774 SEX'. F MMDDvvvv 06 — 05 — 2006
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Q Q 1 POS. 3 '2 4 1 USE CLASS ;1
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
' D.O.B.
SEX MMDD —F L----------�
YYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES❑ Q POS. USE CLASS �____ ----�
NARRATIVE
25-81138
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 12-29-2025 at approximately 2100 hours I was dispatched to a two-vehicle collision that occurred
in the 600 block of Duvall Ave NE. I arrived at approximately 2104 hours and met with both drivers.
Unit 1 was traveling south on Duvall Ave NE and attempted to turn east from the turn lane into Forest
View Apartments (650 Duvall Ave NE) but struck unit 2 who was traveling northbound. Both vehicles
had damage consistent with this account. Neither driver complained of injury and there was no airbag
deployment. Neither of the vehicles appeared drivable due to the damage and were both towed from
the roadway. I photographed the damage to both vehicles and the photographs were uploaded to
evidence.com. The drivers exchanged contact information, and I provided the drivers with the case
number.
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 12-30-2025 at 0100 hours in Renton,
WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
N.ODALOVIC 12-30-25 01:35 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 11112026 7:32:16 PM
BADGE OR ID# 11628 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:56 PM TIME POLICE ARRIVED 8:56 PM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG64981 CASE# 25-81138 DATE AND TIME 12/29/25 20:56
OF COLLISION
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