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Home My WebLink About26-3364 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 26-3364 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 05 - 01 - 2026 0906 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW 43RD ST BLOCK NO. e✓ 9000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 6❑ 50 1. 00 FEET e S HE W e EAST VALLEYH/GHWAY 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255591118 0 11 30 6� LAST NAME SRINIVASAN FIRSTNAME SRIRADHA MIDDLE N 1 1 2 31 INITIAL STREET ❑ 18009 168TH WAY SE CITY RENTON ST WA 21p 980588859 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� BGH9529 sTArI WAvrN# JTDZN3EU1HJ070957 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 vIN# 12 3 5 ' VIN# FROM TO ❑ VEH.YEAR 2017 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 TOYT PRIUS V SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO RAMESH VENKATACHALAM 13826 SENEWPORT WAY BELLEVUE WA 98006 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 LIABILITY INSURANCE GEICO 4353 10 87 09 IN EFFECT &POLICY# 9TOP vewcLE CHARGE IOR TTOM 5 36 ALLY YES❑NO CITATION# 6A0092342,6AO092342 FLD SIGNAL STOPS/TURNS-UNSAFE 1 15❑ STANDING 7 6 MOTOR PEDAL- ❑ '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:2065108386 16 a LAST NAME METTLIN FIRST NAME RORY MIDDLE ,I INITIAL 17❑ NEW ADDRE_ 140001NSTREET TERURBANAVE S CITY' TUKWILA ST' Wq ZIP 98168 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 D IVEW # STATE WA SEX M M.C... 12 �_ 03 _ 1966 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ 41 21❑ ILICENSE PLATE# 62567D TArE WA vIN1i 1FM5KSAR8HGD93773 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ VEH YEAR 2017 MAKE FORD MODEL EXPLORE STYLE $D DAMAGE YES NO YES NO REGISTERED OWNER INFO CITY OF TUKWILA FLEET SERVICE 14000 INTERURBAN AVE S TUKWILA WA 98168 VEHICLE NO.2 SHADE DA GEbAREA LIABILITY INSURANCE INSU&PORGY#ECO SELF INSURED CITY OF TUWKILAIN I STOP 5 ve LEGALLY YESwGLe ❑ N,J�J CITATION# CHARGE to BOTTOM 25 s � e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99693 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3364 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES PM USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. 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 05-01-26 01:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 5/4/2026 9:23:17 AM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 9:09 AM TIME POLICE ARRIVED',9:17 AM PART I PAGE IT]OF 5� REPORT NO. EG99693 CASE# 26-3364 OF COLLISION 05/01/26 09:06 OF CbLLI510N NARRATIVE 26-3364 ACC On 5/1/2026 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 3-vehicle, non-injury collision near the intersection of S 43rd St and Davis Ave S Renton/King/WA. An on-duty Tukwila PD Sergeant was calling in the collision. He requested RRFA for an evaluation. I arrived on scene and advised that RRFA had triaged the scene and cleared all drivers. The driver of the 2017 Prius V WA/BGH9529 (Unit 1) was identified by her WADL as Sriradha Srinivasan DOB: 4/8/1985. Sriradha advised that she was driving east on S 43rd St in the #1 lane, she said there was a bus stopped in the #1 lane at a bus stop and she attempted to turn into the #2 lane to drive around it. She said this was when she struck Unit 2 and then bounced into Unit 3. There was damage to the driver side front bumper and passenger side front bumper. The vehicle was drivable. Sriradha initially advised she just had her blood drawn and had been feeling "woozy", she was evaluated and cleared by RRFA. The Prius was drivable. Sriradha provided me with all paperwork but gave me a Geico insurance card that had expired. The registration provided by Sriradha showed the Prius expired as of 2018 but a DOL check showed it was clear and valid. The driver of the 2017 Ford Explorer WA/XMT62567D (Unit 2) was identified as on-duty Tukwila PD Sgt R. Mettlin. Sgt Mettlin advised he was driving east in the #2 lane of S 43rd St. He said that as he approached the stopped bus, he was struck on the passenger side by Unit 1. There was damage to the passenger side front quarter panel, front door, and rear door. Sgt Mettlin advised he was not injured, and his vehicle was drivable. The driver of the 2025 Toyota Rav4 WA/D12823H (Unit 3) was identified by his WADL as Michael A Dahlstrom DOB: 12/31/1970. Michael said that he was stopped behind the bus in the #1 lane of eastbound S 43rd St. He said that he was struck on the driver side rear bumper by Unit 1. Neither Michael nor his passenger, who did not want to be listed in the collision, reported any injuries. I cited Sriradha for RCW 46.61.305 Unsafe Lane Change and RCW 46.30.020 Operating a Motor Vehicle Without Proof of Valid Insurance under Sector citation #6A0092342. This citation should be mailed to her 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 5/1/2026 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG99693 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-3364 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2066694195 0 7 29 LAST NAME DAHLSTROM FIRST NAME MICHAEL MIDDLE' ',, A INITIAL STREET 30 NEW AnDRE.P 11616 143RD STREET CT NW CITY GIG HARBOR ST WA ZIP 983297113 6 [2 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 12 - 31 - 1970 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D12823y TAr Wq VIN# JTMRWRFV3SJ070067 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' E FROM TO 2025 TOYT RAV4 SD DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOLABORATORY OF AMERICA HOLDINGS 1037 THOMAS AVE SW RENTONWA98057 SHADE IN DAMAGED AREA 9 9 12 z 3 FROM TO LIABILITY INSURANCE INSURANCE CO yON RISK SERVICES NE INC ISAH11431628 q rOp IN EFFECT &POLICY# 1 VEHICLE 34 13 ❑ Lecnuv YES NO❑ CITATION# CHARGE 10 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER RTY YES[—]AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STRE 16 NEW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z 3 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 05-01-26 01:08 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12421 O#I',WA0171300 APJACOBS 5/44/2026 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EG99693 CASE# 26-3364 DATE AND TIME 05/01/26 09:06 OF COLLISION x `} t { LP fit, t �'tf� x \ u S tst x S2 P fi l 17cr kY u y , � a N� w r x" PAGE 5 OF 5