HomeMy WebLinkAbout23-177 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE z3-177 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 01 - 1-- 2023 2055 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON DRIVE SOUTH BLOCK NO. e✓ 1500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e SOUTH PUGET DRIVE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ✓NO D:2069990362 0 4 30
6� LAST NAME ZENKIN FIRSTNAME ZORYANA MIDDLE 1 2 31
INITIAL
STREET ❑ 13501 157TH COURT NE CITY REDMOND ST WA ZIP 98052 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10❑ PI ATFBit CBA2415 sTArI WA urN#' JTHP9JBH8L2022851
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. TRLR 5 1 33
12 3 5 VIN#' VIN#i
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 3
020 34
13 4 2 LEXS UX UT DAMAGE YES NO YES[:] ✓
REGISTERED OWNER INFO YEVGENIYZENKIN 11111157TH CTNE REDMOND WA 98052 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 955946744 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# 3A0007689 INATTENTION <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD M PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ ET NO D.2064981648
16 a
LAST NAME BICKNELL-PORTER FIRST NAME BARBARA MIDDLE A
INITIAL
17❑ STREET ❑', 13857 SE 158TH STREET CITY l RENTON ST WA ZIP 98058 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 D IVERI # STATE WA SEX F M D.C.B. O6 _ 02 _ 1950 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE AOK5001 TAre WA VIN# 1C4NJPBB7ED634769
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2014 MAKE JEEP MODEL PATRIOT STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO THERESE CONRARDY 16332131ST AVENUE SE RENTONWA98058 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE 8POINSURGY#ECO ALLSTATE 817 397 638IN STOP 5
OQ
LEwCLe ,[J� CITATION# CHARGE to BOTTOM
LEGALLY YES[:] N` J
25 s � a
7ESAGIAO
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
10339 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED21993
COLLISION REPORT III III III III III 111
1591972 CASE# 23-177
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.
E.SAGIAO 01-04-23 10:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1/4/2023 11:13:07 PM
BADGE OR ID# 10339 ORI# WA0171300 TIME POLICE DISPATCHED 8:56 PM TIME POLICE ARRIVED 8:58 PM
PART I PAGE IT]OF 4�
REPORT NO. ED21993 CASE# 23-177 OF COLLISION
01/04/23 20:55
OF CbLLI510N
NARRATIVE
On 1-4-23 at 2056 hours I was dispatched to an unknown if injury collision that occurred in at the
intersection of South Puget Drive and Benson Drive South, in the City of Renton, King County, State
of Washington.
I arrived and observed a white 2020 Lexus UX250 (WA-CBA2415) that faced northbound on Benson
Drive South. This vehicle was located in the lane closest to the curb. The second vehicle was a dark
blue 2014 Jeep Patriot (WA-AOK5001). This vehicle appeared to be making a left hand turn from the
opposite direction. The two vehicles made contact in the intersection.
I checked on both drivers who relayed they were OK and did not need aid. Both vehicles appeared to
still be operation so I asked the drivers to remove them from the busy intersection.
Unit#1 driver was the white Lexus. She was identified by her WA DL as Zoryana Zenkin. She
advised me she was driving north on Benson Drive and tried to stop but could not when she realized
the light was not green but red. She admitted fault to the collision.
Unit#2 was the Jeep Patriot, the driver of this vehicle Barbara Bicknell-Porter relayed she had a
protected green arrow to make a left hand turn and was struck by Unit#1.
Damage was consistent with accounts provided. An exchange of information was provided to both
parties. Unit#2 could be driven from the scene. Unit#1 had substantial front passenger side damage.
I suggested to the driver she leave the vehicle parked on private property and arrange for a tow since
she resided in Redmond and 1 did not think her vehicle would be able to make the drive home.
I advised Unit#1 driver she would receive an infraction in the mail for inattention from Renton court.
I certify or declare under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
E.Sagiao/10339
PAGE 3 OF 4
REPORT NO. ED21993 CASE# ' 23-177 DATE AND TIME 01/04/23 20:55
OF COLLISION
Benson Drive South
South Puget Drive
South 15th Street
UN
Talbot Road South
PAGE 4 OF 4