HomeMy WebLinkAbout26-3115 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3115 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 N E IN CITY#
COLLISION 04 - 1-- 2026 0901 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
TALBOT RD S MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 177TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:9562253798 0 11
30
6❑ LAST NAME ZUNIGA FIRSTNAME ALEJANDRA MIDDLE A 1 2 31
INITIAL
STREET ❑✓ 15280 MACADAM RD S APT E204 CITY TUKWILA ST WA Zjp, 98188 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 01 1- 29 - 1996 2 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U EETI [NATURE OF INJUR ES
CLASS 17 1 LEFT ARM AND LEG PAIN z❑
3
10❑ P1 aT�S� CHY3210 sTAr� WAurN# KNDPUCAG2P7095744
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR $ 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2023 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 34
13 4 KIA SPORTA DAMAGE YES NO �MEYERS 1 $YES[:] ✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6208-41.91.24 4
IN EFFECT &POLICY# 9TOP
VawcLe CHARGE 1 36
ALLY YES❑NO CITATION# 6A0254410 FAIL YIELD LEFT TURN MOTOR o aorro6
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5092054927
LAST NAME GRITSAN FIRST NAME OKSANA MIDDLE Ij
INITIAL
17❑ STREET ❑', 2307 NE 4TH ST APT A304 CITY RENTON ST WA ZIP 980564087 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 LICENSE# STATE WA ]SEX IF M D.C.B. O6 _ 01 1997 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CNK2972 TAre WA VIN# 1G1RD6E48FU121234
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2015 MAKE CHEV MODEL VOLT STYLE VEHICLETOWED TO BLIN TOWEDII GOV HI 44
24❑ DAMAGE YES✓ NO GENE MEYERS YES NO
REGISTERED OWNER INFO ARTEM VIOLET 22433 NE MARKETPLACE DR APT J2071 REDMOND WA 98053 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 5
'E""Le ❑ ,J� CITATION# CHARGE C�Q
LEGALLY YES N`[]
25 BADJ s a
OFFICER'S NAME(PRINT) OFFICER PHONE GE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG99706
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3115
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'
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.
C.ARNOLD 04-22-26 11:08 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 5/4/2026 9:52:06 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 9:02 AM TIME POLICE ARRIVED',9:12 AM
PART I PAGE IT]OF 4�
REPORT NO. EG99706 CASE# 26-3115 OF COLLISION
04/22/26 09:01
OF CbLLI510N
NARRATIVE
CC 26-3115
On 4/22/2026 at 0902 hours I was dispatched to a motor vehicle collision at Talbot Rd S and S 177th
St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling South on Talbot Rd S in the #1 lane.
Driver 1 stated that she was facing North on Talbot Rd S in the lefthand turn lane preparing to
perform a lefthand turn to proceed West into the parking lot of Valley Medical Center at S 177th St.
Collision
Driver 2 stated that as she entered the intersection with a yellow light, Unit 1 began their turn and the
front bumper of Unit 2 collided with the passenger side of Unit 1.
Driver 1 stated that she began her turn and did not see Unit 2. Driver 1 later stated that Unit 2 was
traveling too fast. There were no facts to support this. Driver 1 stated that she 1 began their turn and
the front bumper of Unit 2 collided with the passenger side of Unit 1.
Injuries
Driver 1 complained of left arm and leg pain, but refused medical treatment at the scene.
Vehicle Disposition
Both vehicles were towed from the scene by Gene Meyers.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle
intending to turn to the left within an intersection or into an alley, private road, or driveway shall yield
the right-of-way to any vehicle approaching from the opposite direction which is within the intersection
or so close thereto as to constitute an immediate hazard.
Had Driver 1 yielded the right of way; this collision would not have happened.
Driver 1 was cited reference RCW 46.61.185.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 10:52 on 4/22/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG99706 CASE# 26-3115 DATE AND TIME 04/22/26 09:01
OF COLLISION
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