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Home My WebLink About26-1029 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG82170OLCERA COLLISION REPORT 1591971 INTERSTATE ❑ CITY STREET FIRE I CASE# 26-1029 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL i UNITS TRUCK #OF 03 SO"" EARTH BANK OR LEDGE 1 1 8 28 i RESERVATION : 2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 02 - 05 - 2026 0757 17 =.[� S 8 W❑ OF IN 8 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITSKY RD BLOCK NO. e 11800 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e 118TH AVE SE 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:6502728401 0 1 30 6 LAST NAME ALLEY DE LORA FIRST NAME SYDNEY MIDDLE J 1 1 2 31 INITIAL STREET ] 23531 58TH AVE S APT BB101 CITY; KENT ST WA ZIP; 980323755 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3 INTERLOCKYEs ND✓ INTERLOCICvEs NO✓ YES No✓ g❑ DRIVER # STATE WA SEXI F MMDDYY' 12 — 09 — 2002 1 2 32 9 ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2❑ USE ,CLASS COMPLAINT OF PAIN TO ABDOMEN LICENSE, CTX2132 STATE WA VIN#, JTJZBlBA1D2409290 3 10[9� PI ATP rt TRAILER TRAILER 11 2 5❑ STATE STATE PLATE# PLATE# FROM To TRLR zRLR 5 1 33 12 3 5 VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT VEHICLE 7 3 34 13 2013 LEXS RX 300 SD DAMAGE YES ✓ No �MEYERS TOWING ves❑ No✓ REGISTERED OWNER INFO OWNEDIRYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14� LIABILITY INSURANCE NSURANCECO STATE FARM5934003D3047 IN EFFECT &POLICY# 9TOP _ srnNoiNc Yes❑NO❑ CITATION# 6AO092306 CHARGE FAIL TO YIELD MOTOR VEHICLE s taoorrob s 36 15❑ MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:4257572126 16� LAST NAME KOIALOVITCH FIRST NAME DAN MIDDLE' INITIAL 17 F1 STREET ❑❑ 37 4709 MILL POND DR SE CITY AUBURN ST, WA ZIP 980923838 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38 INTERLOCK VES NO✓ INTERLOCK YES NO✓ YES NO✓ 19 DRIVER'S STATE WA SEX M I D.02. 04 21 1987 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICEN� E1772C rare WA vIN# USE 41 PLATE22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2023 MAKE FORD MODEL F550 STYLE pl( VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24❑ DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO KING COUNTY SOLID WASTE DIVIS 16645228TH AVE SE MAPLE VALLEY WA 98038 VEHICLE NO.2 SHADE DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCECO KING COUNTY SELF INSURED 206-263-2250 IN EFFECT &POLICY# 9TOP LEG— ❑ CO CITATION# CHARGE t080TTOM EE..�.i.. YES NCO 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 ❑ PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG82170 COLLISION REPORT III III III III III 111 1591972 CASE# 26-1029 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) EDWARDS CHRISTOPHERM ADDRESS&PHONE# D 0 14700 SE PETROVITSKY RD APT H101 RENTON WA 98058 2069096587 SEXi M MM DDYVYY 10 — O6 — 1978 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Q POS. 'I USE CLASS ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. I USE CLASS 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 02-06-26 03:56 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1 3/2/2026 12:34:30 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 7:58 AM TIME POLICE ARRIVED i 8:05 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG82170 CASE# 26-1029 DATE OF COLLI r�510NN + 02/05/26 07:57 L1 NARRATIVE 26-1029 ACCINJ On 2/5/2026 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 collision with injury that had occurred at the intersection of 118th Ave SE and SE Petrovitsky Rd Renton/King/WA. A caller advised it was a T- bone collision with unknown injuries. Several Officers arrived on scene before me and started tow trucks and RRFA for possible injuries. The driver of the 2013 Lexus RX300 WA/CTX2132 (Unit 1) was identified by her WADL as Sydney J Alley D Lora DOB: 12/9/2002. Sydney said that she was driving south on 118th Ave SE and had stopped at the stop sign with SE Petrovitsky Rd. She said that she was flagged through by stopped drivers that were heading west. As she continued south through the intersection, she was T-boned on the passenger side by Unit 2. There was heavy damage to the passenger side quarter panels and doors of the Lexus. There was side airbag deployment, and the vehicle was not drivable. The force of the impact had pushed the Lexus into a ditch on the southeast corner of the intersection. Sydney had a complaint of lower abdomen pain, she was evaluated by RRFA on scene and cleared. The Lexus was removed from the scene by Gene Meyers Towing. The driver of the 2023 F550 WA/XMTE1772C (Unit 2) was identified by his WADL as Dan J Koialovitch DOB: 4/21/1987. Dan said that he was driving east in the #2 lane of SE Petrovitsky Rd when Unit 1 suddenly entered his lane of travel driving south. Dan said he did not have time to stop and collided with the passenger side of the Lexus. There was heavy damage to the front bumper of the Ford and minor damage to the passenger side from its collision with Unit 3. There was no airbag deployment, Dan did not complain of injury, and a private tow was called for the Ford. The driver of the 2023 Subaru Outback WA/CSY5638 was identified by her WADL as Marci J Torri DOB: 6/23/1974. Marci said that she was driving east on SE Petrovitsky Rd in the #1 lane. She said that Unit 2 collided with Unit 1 and was pushed into the side of her vehicle causing her to drive over the curb. There were scrape marks down the entire driver side of the Subaru and her passenger side front tire was flat from the impact with the curb. Marci did not complain of any injury and there was no airbag deployment in the vehicle. Marci's tire was changed, and the Subaru was drivable. A witness, identified as Christopher M Edwards DOB: 10/6/1978 stayed on scene. He advised that westbound traffic was stopped and Unit 1 drove through the stopped vehicles and quickly attempted to cross the intersection heading south. He said that the driver of Unit 1 did not slow or yield to eastbound traffic. I cited Sydney for Failure to Yield Motor Vehicle RCW 46.61.180.1 under Sector citation #6A0092306. This citation should be mailed to Sydney'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 2/5/2026 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG821 70 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-1029 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN ❑' vps� No D:2067153485 5 VEHICLE CYCLE OWNER 0 1 29 LAST NAME TORRI FIRST NAME MARCIE MIDDLE; J INITIAL STREET 30 NEW ArI RFfi 15150 140TH WAY SE UNIT D104 CITY RENTON I ST Wq ZIP 1 980585805 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED 1{iNi7ION :: PRESENT MECiICALTAN�PORTED INTERLOCK YES O NO�/ INTERLOCK YES 0 - L DRIVER'S STATE WA SEX F D.O.$ 06 LICENSE; MMDDYYY - 23 - 1974 7 ON DUTY STATUS AIRBAG 2 RESTR. ¢ EJECT 9 HELMET 2 INJURY 1 NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE CSY5638 TAT WA VIN 4S4BTANC2P3125255 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 3 5 VEIL YEAR2023 MAKE SUBA MODELOUTBAC STYLE SD VEHICLE TOWE E T ABLIN TOWED BY GOVT vFHICI E FROM To DAMAGE YES NO ✓ YES NO MARCIE TORRI 15150 140TH WAY SE UNIT D104 RENTON WA 98058 7 3 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TP IN EFFECT &POLICY# ""`__` 5 m 34 13 vEnic�E YES[:] NO❑ CITATION# CHARGE 10120TFOM ecauv s rnNoiNc MOTOR PEDAL- ' PROPERTY : DAMAGE THRESHOLD MET 35 1:1PHONE 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST ZIP NFW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES[]NO INTERLOCK YEs NO :YES No ❑ 17 37 LICENSE# SEX MD.OD.B - 18 ❑ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE#,' STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. I E 44 24 YES❑ NO CITATION# CHARGE OM S _G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 02-06-26 03:56 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 31212026 PAGE OF � 3000-345-013(R 11t18) REPORT NO. EG82170 CASE# 26-1029 DATE AND TIME 02/05/2607:57 OF COLLISION> ' i II i � � 1 I a i a � a } t§ Y �� • 1 1}y n��2Y q E �x j � �Ft 4 PAGE 5 OF 5