HomeMy WebLinkAbout25-248 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68750oc� RA
COLLISION REPORT 1591971
❑ 0✓ FIRERES ED I
CASE#I 25-248 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 2
3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 01 - 09 - 2026 1046 17 =.[� S 8 W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE PETROV/TSKY RD BLOCK NO. e 10800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET e✓ S 8 E e 108TH AVE SE
2 0 29
MOTOR PEDAL- DAM G THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:2062586450 0 1 30
5 LAST NAME BOLAR FIRST NAME HENRY MIDDLE M 1 2 31
INITIAL
STREET ❑ 140 23RD AVE S APT 301 CITY; SEATTLE ST WA ZIP; 981444364 2
NEW ADDRESS
7 +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO%/ INTERLOCK YES NO�/ YES F NO F,/
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 10 — 20 — 1971 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
10 LI ENSE' BES2132 STATE WA VIN# 5FNRL38739B408136 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# 11ROM To
TRLR TRLR 7 3 33
12 0 0 VIN#'. VIN#:
FROM TO
VEH.YEAR 2009 MAKE yOND MODEL ODYSSE STYLE VEHICLE TOWED fn TO ZBUN TOWEBBY GOVT VEHICLE 7 3 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑+�NICLICY
SURANCE CO NONE NONEIN EFFECT Enic� CHARGE 36Lemur yes❑NOTATION# t a 80TTOM
15❑ STANDING s 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTYEl DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES NO �/ D:3609895226
16�
LAST NAME KEARSLEY FIRST NAME DRUE MIDDLE H
INITIAL
STREET I�I ❑
17� � 2230 S NACRES RD CITY I NACRES ST, WA ZIP 98937 37
NEW ADDRESS
18❑ CDL IGNITION REE]UIREO IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO INTERLOCK YES N.FVYES No
19 DRIVER'S STATE WA SEX'M D.O.e. 06 22 1961 39
LICENSE# MMDOYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE 3854524 TATE IN SIN USE
41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2025 MAKE PTRg MODEL CONVEN STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24= DAMAGE YES NO� VES NO
REGISTERED OWNER INFO EQUIPMENTSHARE COM INC 6901 EAST 38TH ST INDIANPOLIS IN 46226 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO SAFETY NTL CASUALTY CORP CA6676532
IN EFFECT &POLICY# t STOP
Yemae LE—LY YES❑ NIL],.I—I CITATION# CHARGE to BOTTOM
25 e
7DNE
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SON 12421 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68750
COLLISION REPORT III III III III III 111
1591972 CASE# 25-248
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 GLASS 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 GLASS
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 01-09-26 01:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 111412026 11:48:10 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 10:48 AM TIME POLICE ARRIVED i 11:05 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG68750 CASE# 25-248 O OF COLLI 510N TIME 01/09/26 10:46
COLLISION
NARRATIVE
25-248 ACC
On 1/9/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. 1 was dispatched to a report of a two-vehicle, non-injury, non-blocking collision near
the intersection of 108th Ave SE and Benson Rd S Renton/King/WA.
I located both vehicles just north of the Benson Rd S and S Benson Dr intersection. I confirmed there
was no injury, and both vehicles were able to pull off the roadway.
The driver of the 2009 Honda Odyssey WA/BES2132 was identified by his WADL as Henry M Bolar
DOB: 10/20/1971. Henry said that he was in the left turn lane to turn south onto 108th Ave SE from
SE Petrovitsky Rd. He said that she began to switch lanes to get into the #2 westbound lane when
Unit 2 struck him on the passenger side front wheel/quarter panel. He said that Unit 2 was also
driving east on Petrovitsky and was attempting to turn north onto 108th Ave SE. The Odyssey was
not drivable, and there was no airbag deployment.
Henry provided me with a WADL but said he did not have his registration or insurance with him.
The driver of the 2025 Peterbilt Flatbed IN/3854524 was identified by his WADL as Drue H Kearsey
DOB: 6/22/1961. Drue said that he had been stopped facing west on SE Petrovitsky waiting to turn
north onto 108th Ave SE. He said since he was driving a large commercial flatbed truck, he had
stopped blocking the #2 lane so he could swing wide to make the corner. He said that as the light
turned and traffic allowed, he swung his truck wide further into the #2 lane so he could complete his
turn. He said that as he swung wide was when the Odyssey changed lanes and struck him. There
was minor damage to the driver side front wheel of the Peterbilt and it was drivable.
Based on Henry's unsafe lane change I cited him for RCW 46.30.020 Operating a Motor Vehicle
Without Proof of Insurance and RCW 46.61.305 Unsafe Lane Change under Sector citation
#6A0092290. These citations should be mailed to Henry's DOL address.
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 1/9/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EG68750 CASE# 25-248 DATE AND TIME 01/09/26 10:46
OF COLLISION
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