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COLLISION REP FIT 1591971
CASE 22-11400 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
5
RESERVATION 1
TRIBAL UNITS 02 STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION.. 10 - 30 - 2022 0100 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e✓ 2600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063309967 0 11
30
6� LAST NAME SAVITSKIY FIRSTNAME DAVID MIDDLE V 1 1 2 31
INITIAL
STREET ❑, 1518 150TH AVE SE CITY BELLEVUE ST WA ZIP' 980075840 z
NEW ADDRESS
7❑ COL ✓ I IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CCt 6329 STATE WA V N# JTHBE262662004290
10 9❑ Pr ATE 1e
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 1 5 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 5 1 34
13 $ 2006 LEXS IS-F SD DAMAGE vE5 0NO agW�MEYERS ves❑ No✓
REGISTERED OWNER INFO DAVIDSAVITSKIY 1111150TH AVE SE BELLEVUE WA 98007 D:2063309967 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 920700015
IN EFFECT &POLICY# 9TOP
15❑ vEGAEHA"LE 5 36
LLLY res�No M clTAnoN# 3A0186115 CHARGE INATTENTIVE DRIVING )o sorrom
STAIN.D'ING 8 7 6
UNIT MOTOVEHIR
CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES✓ OLDM
NO ET PHONE
16 a
LAST NAME BRIDGMAN FIRST NAME TERRY MIDDLE M
INITIAL
17 STREET❑ NEW ADOREsS❑' 5611 SE 1ST PL CITY' RENTON ST WA ZIP 980596766 4❑ 37
18❑ CDL ., IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs It I NOF YES
t l NOF,/
19[ LDI IVERI # STATE WA SEX DDY
M M D.C.B.
12 _ 24 1966 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 4 EJECT 1 USE CLASS ❑
LICENSE I ❑21❑ PLA E# BJ64131 TATe 41
WA VIN1i 1HGCR2F76GA220462 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE HOND MODEL ACCORD STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24 DAMAGE YES✓ NO GENE MEYER YES NO✓
REGISTERED OWNER INFO KRISTINE BRIDGMAN 5611 SE 1ST PL RENTON WA 98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO PEMCO CA 0752966IN STOP 5
VEHICLE YES J❑ N,.I—I CITATION# CHARGE io BOTTOM
LEGALLY 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
D.MOYNIHAN 11288 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. ED35374
COLLISION REPORT III III III III III 111
1591972 CASE# 22-11400
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
POS. 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'
On 10-30-2022 1 was on routine patrol in a marked patrol vehicle. At about 0102 hours I was
dispatched to the area of 4702 NE 25th St, in the City of Renton, King County, Washington in
reference to a report of an unknown injury, blocking collision.
Upon arrival, I located a vehicle bearing WALP CCL6329, a silver Lexus IS; this vehicle will be
referred to as vehicle 1. The driver of vehicle 1 was positively identified via picture matching WA DOL
photograph as David V Savitskiy (DOB 05-23-2001). A summary of my conversation with David
follows. David was driving northbound along Duvall Ave NE into the 2600 block. David was heading
down hill and making a slight left turn with the curvature of the road. David said he was exceeding
the speed limit but did not provide an estimate of his speed. David said he lost control of the vehicle
and crossed the center dividing line, sliding in front of oncoming traffic leading to the collision.
Vehicle 2 was bearing WALP BJB4131. The driver of vehicle 2 was positively identified via picture
matching WA DOL photograph as Terry M Bridgman (DOB 12-24-1966). Terry stated he was driving
northbound in lane 2 when vehicle 1 began sliding over the center line in front of him. Terry
attempted to avoid the collision but was unable to.
Based upon statements from both Terry and David, 1 determined that David V Savitskiy (DOB 05-03-
2001) failed to operate a motor vehicle with the attentiveness required based on the prevailing road
and traffic conditions. David's inattention was the proximate cause of the collision.
David was issued an infraction via mail.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.MOYNIHAN 02-19-23 12:05 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 2/19/2023 7:59:37 PM
BADGE OR ID# ! 91Y88 ORI#I WA0171300 TIME POLICE DISPATCHED 4:02 AM TIME POLICE ARRIVED]4:06 AM
PART I PAGE IT]OF 3�
REPORT NO. ED35374 CASE# 22-11400 DATE AND TIME 10/30/22 01:00
OF COLLISION
22.11400 D.MOYNIHAN#11288 NJ.S
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