HomeMy WebLinkAbout26-5485 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-5485 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 07 - 1-- 2026 1235 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE PETROVITSKY RD BLOCK NO. e✓ 11100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 111THAVE SE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4254120047 0 11
30
6� LAST NAME BOWLING FIRSTNAME GEORGE MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 17845 3RD AVE SW C{TY NORMANDY PARK ST WA ZIP 981663735 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8❑ LRIIVER #
� ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE WW08312 sTATI WAurN# 4F4YR16X2YTM04700
-- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR $ 7 33
12 3 5 VIN#j VIN#
:: FROM TO
❑ VEH.YEAR 2000 MAZD PU PK D MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 4 AMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO GEORGE BOWLING 178453RDAVE SW NORMANDYPARK WA 98166 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO eq�T3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
VEwcLE CHARGE 10 BOTTOM 36
LEGALLY YES❑NO CITATION# 6A0310382,6A0310382 OP MOT VEH W/OUT INSURANCE,
15❑ NDING 8 7 6
MOTOR PEDAL- (PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067957172
LAST NAME YOSHITOME FIRST NAME KELLY MIDDLE R
INITIAL
17❑ STREET ❑', 17767 134TH LN SE CITY' RENTON ST WA ZIP 980586818 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C... 03 _ 23 _ 1971 0 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE CPD7611 TATE 41
WA VIN# 4TIDBADK7SU014725
❑
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2025 MAKE TOYT MODEL CAMRY STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO KELLY YOSHITOME 17767134TH LN SE RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE I PORGY#ECO ALLSTATE 820 033 382IN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s 7 6
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. EH24203
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5485
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 07-16-26 04:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 7/27/2026 10:17:57 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 12:37 PM TIME POLICE ARRIVED',12:41 PM
PART I PAGE IT]OF 4�
REPORT NO. EH24203 CASE# 26-5485 OF COLLISION
07/14/26 12:35
OF CbLLI510N
NARRATIVE
26-5485 ACC
On 7/14/2026 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 two-vehicle, non-injury, non-blocking collision that
had just occurred in the 11100 block of SE Petrovitsky Rd Renton/King/WA. The caller advised both
vehicles had pulled off the roadway.
I arrived on scene and located both drivers; they both advised they were not injured.
The driver of the 2000 Mazda pickup WA/WW08312 (Unit 1) was identified by his WADL as George E
Bowling DOB: 3/6/1954. George said that he had stopped facing north on 111th Ave SE and was
pulling out to turn west on SE Petrovitsky Rd. George said that he thought he cleared the westbound
lanes and was looking east when he pulled out into the intersection. George said he did not see Unit
2 which he struck, mid-turn, with his passenger side front bumper/quarter panel. There was damage
to the front bumper and headlight/quarter panel of the Mazda. It was drivable and did not require a
tow.
George advised that he did not have any insurance on the Mazda.
The driver of the 2025 Toyota Camry WA/CPD7611 (Unit 2) was identified by his WADL as Kelly R
Yoshitome DOB: 3/23/1971. Kelly said that he was driving eastbound on SE Petrovitsky Rd when the
Mazda suddenly pulled out in front of him. He said that he tried to swerve but was unable to avoid the
collision. There was damage to the rear passenger side bumper, quarter panel, and wheel. The
vehicle was drivable and did not require a tow.
I cited George for RCW 46.30.020 Operating a Motor Vehicle Without Proof of Insurance and RCW
46.61.180.1 Failure to Yield Motor Vehicle under Sector citation #6A0310382. This citation should be
mailed to his DOL address.
Nothing further.
I certify under the penalty of perjury under the laws of the State of Washington that the foregoing is
true and correct.
D. Nelson #191 7/14/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EH24203 CASE# ' 26-5485 DATE AND TIME 07/14/26 12:35
OF COLLISION
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