HomeMy WebLinkAbout26-5324 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH22573 170
27
COLLISION REP FIT 1591971
CASE 26-5324 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cawsloN 07 - 08 - 2026 1326 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e✓ 400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 15 00 FEET MILES e S ❑ W e DAMS AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2082703972 0 11
30
6� LAST NAME CALLAWAY FIRSTNAME BLAKE MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 7450 N GAMBIT ST(APT.208) CITY COEUR D ALENE ST !D 2jp, 838151009 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
❑ DRIVER'S' STATE /D SEX'M MM DAY' 02 1- 19 - 2002 2 32
8 LICENSE#
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 INJURY CLASS 1 NATURE OF INJURIES 2❑
3
10 P1 ATE 14 AM6084 sTATe ID v N# 1XPBDP9X8ND805068
TRAILER 3463TM STATE ID TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 vIN#' 2DEHBFA2851017722 VIN#'
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34
13 3 2022 PTRB CONVE DAMAGE YES YES : NO✓
REGISTERED OWNER INFO F I TRANSPORTA TION LLC N9456 MCGUIRE RD POST FALLS ID 83854 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SENTRY SELECT A0193017001 4
IN EFFECT &POLICY# 9TOP
vE—LE
15❑ EC 5 36
LALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES 1/ NO D:4257737241
LAST NAME THOMAS FIRST NAME LARRY MIDDLE D
INITIAL
17 STREET ❑ 14310 177TH AVE SE CITY RENTON ST WA ZIP 980597626 37
NEW ADDRESS I I I I I ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED 38
INTERLOCK ES❑No� INTERLOCK YEs I I NoF YEs t l NOz
19 D IVEW #
{NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21❑ LICENSE I BFG4116 TATe WA vIN 1t JF1 GH61658H810384
❑ 41
PLATE#
42
22❑ PLATE# STATE pLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
GI
VEH YEAR 2008 MAKE S(JB�Q MODEL ►MPREZA STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO AMERICAN COMMERCE ACPA-000024448 1 9TOP 5
IN EFFECT
vE""LE ❑ Nu,J CITATION# CHARGE
LEG i o BOTTOM
ALLY YES
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22573
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5324
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 07-09-26 06:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:43:09 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 4:27 Pry TIME POLICE ARRIVED',Y:06 PM
PART I PAGE IT]OF 5�
REPORT NO. EH22573 CASE# 26-5324 OF COLLISION
07/08/26 13:26
OF CbLLI510N
NARRATIVE
26-5324 ACCBLK
On 7/8/2026 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 non-injury collision that had just occurred near the
intersection of S 43rd St and Talbot Rd S Renton/King/WA.
I arrived on scene and contacted the two parties involved. I saw a Peterbilt Truck blocking the #1
eastbound lane on SW 43rd St, with the Subaru Impreza parked in the Valley Professional Plaza
parking lot. They both advised there was no injury.
I spoke with the driver of the gray 2022 Peterbilt truck ID/AM6084 (Unit 1) who was identified as
Blake M. Callaway (DOB: 2/19/2002) by his Idaho DL. Callaway advised that he was in lane 3
heading eastbound at the intersection of S 43rd St and the ramps to SR-167. He said that his
navigation was redirecting him to the right lane. So, he began changing lanes to his right and collided
with Unit 2 that was driving eastbound in lane 2. Callaway said he did not know Unit 2 was in front of
his truck. There was damage to the front bumper of the Peterbilt. There was no airbag deployment,
and his truck was moved off to lane 1 where Callaway parked.
The driver of the red 2008 Subaru Impreza WA/BFG4116 (Unit 2) was identified by his WADL as
Larry D. Thomas (DOB: 9/22/2007). Thomas said that he was driving eastbound in the center lane
(lane 2) of S 43rd St. He said that he was surprised when Unit 1 struck his vehicle's driver side. His
Subaru was struck on the driver side which caused it to veer into lane 1. Thomas' Subaru had
damage to both his driver's side doors and his rear wheel well. There was no airbag deployment, and
his vehicle moved out of the roadway.
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 7/8/2026 Renton WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EH225573
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE#1 26-5324
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G
UNIT# 1 USDOT 1207031 ICC# 477347 VEHICLE TYPE 4 CARGO BODY 1 4
TYPE
2 ❑ 1 28
CARRIER NAME FMI TRANSPORTATION LLC
.......
3 CARRIER
ADDRESS N 9456 MCGURE RD
CITY POST FALLS ST ID ZIP 1 83854
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 3 AXLES 06 GI
+
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO
i MIDDLE'... 29
LAST NAME FIRST NAME INITIAL
STREET 30
NEW AnnRFSP CITY ST ZIP
6 2
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES E]NO� vES N
LLIICIENSE STATE SEX M��DYRYY' 2
7F-1 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar V1N.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO
DAMAGE Y EES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
EHILLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36
STREET
16 NEW AnnRFs.� CITY'. ST SIP
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
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 a 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# I 970P - 4 44
24 LEwGLE YES NO❑ CITATION# CHARGE iq 60TiOM
E:l
C=DLv
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 07-09-26 06:54 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 12421 O#I',WA0171300 APJACOBS 7/21/2026 PAGE 4 OF 5
3000-345-013 IR 11t18)
REPORT NO. EH22573 CASE# ' 26-5324 DATE AND TIME 07/08/26 13:26
OF COLLISION
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PAGE 5 OF 5