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Home My WebLink About23-1334 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-1334 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 1 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# cowsloN 01 - 1-- 2023 2341 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HIGHWAY BLOCK NO. e✓ 1600 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV a SUNSET BLVD N 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2065568510 0 11 30 6❑ LAST NAME LOPEZ RUIZ FIRST NAME CRISTO MIDDLE A 1 1 2 31 INITIAL STREET ❑ 1019 MONROE AVE NE CITY RENTON ST WA 2jp, 98056 z NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ❑ iNTERLOCKYEs NO 1/ INTERLOCK YES NO Z/ YEs No�/ 8❑ LDRIVER # STATE WA SEX 1'M MMDDYY 08 - 26 - 2002 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLASS 6 [NATURE OF LEFT LEG I PAIN E9 z❑ 3 10 1❑ PI ATES14 VTG502 STATE OR VN# JN1CA21D1VM537048 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 1 33 12 3 5 VIN#' VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 34 13 1997 NISS MAXIMA SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO CRISTO LOPEZ RUIZ 1019 MONROE AVE NE RENTONWA98056 D:2065568510 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO <53 4 IN EFFECT &POLICV# TOPVEr�ICLE CHARGE 36 LEGALLvres❑NO CITATION# OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a OWNER ❑ YES NO 1/ D:2068534306 LAST NAME KHANDZHAYAN FIRST NAME SERGEI MIDDLE M INITIAL 17 STREET❑ NEW ADDRESS❑' 12652 SE 160TH ST CITY RENTON ST WA ZIP 98058 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDIIVEW # STATE WA SEX M M .C.B. 12 _ 08 _ 1985 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑21❑ PLATE# CEK7034 TATE 41 WA VIN# 1FMEE5DP6NL637294 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GoI VEH YEAR 2022 MAKE FORD MODEL BRONCO STYLE $P DAMAGE TOWED NOO✓ BLIN TOWED BY v HYES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO GENERAL AUTO INSURANCE 53-WA 4905288 1 9TOP 5 IN EFFECT vE""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES s a =ORAJEWSKI (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12399 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED31203 COLLISION REPORT III III III III III 111 1591972 CASE# 23-1334 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) JACKSON AUBREYJ (LAST FIRST, ADDRESS&PHONE# D O.B. 11442 70TH PL S SEATTLE WA 98178 2063767529 SEX M MMDOYyry 01 - 10 - 1985 SEAT HELMET I INJURY EFTELBOW NATURE OF INJURIES PASSENGER ZWITNESS❑ UNIT# 2 POS 8 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS +6 L KNEE PAIN NAME '(LAST,FIR MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX I MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. RAYMOND GORAJEWSK/ 02-01-23 12:53 AM INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 2/4/2023 4:19:23 PM BADGE OR ID# ! 1Y399 OR]# WA0171300 TIME POLICE DISPATCHED', 11:43 PM TIME POLICE ARRIVED',11:47 PM PART I PAGE IT]OF 5� TIME REPORT NO. ED31203 CASE# 23-1334 OF COLLISION01/31/23 23:41 NARRATIVE ASSIGNMENT/ARRIVAL On 01/31/2023 at approximately 2343 hours, I was dispatched to a collision at the intersection of Bronson Way N and Sunset Blvd N in the city of Renton, King County, Washington. I arrived at approximately 2347 hours. UNIT 1: NISSAN MAXIMA Upon arrival I observed a tan Nissan Maxima (Oregon VIN JNlCA21D1VM537048, Unit 1) parked in a private drive on the north side of Bronson Way N west of Sunset Boulevard N. Unit 1 was displaying Washington license plates BUC8616, which were not registered to the vehicle. The driver later admitted he affixed those license plates from another vehicle he owned to avoid registration fees. The license plates were later removed. Unit 1 had moderate front end damage. UNIT 2: FORD BRONCO I observed a white Ford Bronco (WA/ CEK7034, Unit 2) stopped in the number one (closest to curb) westbound lane of Bronson Way N west of Sunset Boulevard N. Unit 2 had minor damage to the front driver door. DRIVER 1: LOPEZ RUIZ, CRISTO A. I contacted Cristo A. Lopez Ruiz (DOB: 08/26/2002) in the driver seat of Unit 1. 1 established Lopez Ruiz as the driver of Unit 1 by his admission. 1 identified Lopez Ruiz by his valid Washington Driver License. Lopez Ruiz complained of left leg pain. Lopez Ruiz was evaluated on scene by the Renton Fire Authority and released. DRIVER 2: KHANDZHAYAN, SERGEI M. I contacted Sergei M. Khandzhayan (DOB: 12/08/1985) standing near Unit 1. 1 established Sergei as the driver of Unit 2 by his admission. I identified Sergei by his valid Washington Driver License. Sergei was not injured from the collision. PASSENGER I contacted Aubrey J. Jackson (DOB: 01/10/1985) standing near Sergei. I established Jackson as the front right passenger of Unit 2 by his admission. I identified Jackson by his valid Washington Driver License. Jackson complained of left elbow and left knee pain from the collision. Jackson refused treatment by the Renton Fire Authority. STATEMENT: DRIVER 1 1 spoke with Lopez Ruiz, Driver 1, about the collision. The following is a summary of our conversation: Lopez Ruiz drove Unit 2 east on Bronson Way N toward Sunset Boulevard N. Lopez Ruiz intended to turn Unit 2 left (north) onto Sunset Boulevard N. Lopez Ruiz entered the intersection on a yellow left turn signal. Lopez Ruiz saw Unit 2 driving west in the intersection from Maple Valley Highway. Unit 1's front end collided with Unit 2's front driver door as Lopez Ruiz turned Unit 1 left (north) in the intersection. Lopez Ruiz believed he did not enter the intersection on a red left turn signal. This concluded my conversation with Lopez Ruiz. STATEMENT: DRIVER 2 Officer H. Brus spoke with Sergei, Driver 2. Officer Brus told me the following about their conversation: Sergei drove Unit 2 west on Maple Valley Highway toward Sunset Boulevard N. Sergei intended to PAGE 3 OF 5 TIME REPORT NO. ED31203 CASE# 23-1334 OF COLLISION01/31/23 23:41 NARRATIVE drive straight through the intersection onto Bronson Way N. Sergei drove Unit 2 into the intersection on a solid green signal. Unit 1, which was driving east from Bronson Way N, collided with Unit 2 in the intersection. Unit 1's front end collided with Unit 2's front driver door. This concluded my conversation with Officer Brus. PHOTOGRAPHS I took photographs of both vehicles with my department issued cell phone and uploaded them to Axon's Evidence.com. CITATION Lopez Ruiz admitted to me he did not have insurance for Unit 1. 1 issued Lopez Ruiz a citation for driving without insurance (Citation #3A0141403). DISPOSITION I gave all involved parties an Exchange of Information form. This concluded my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Gorajewski, #12399, on 02/01/2023 at 0041 hours in Renton, Washington. PAGE 4 OF 5 REPORT NO. ED31203 CASE# ' 23-1334 DATE AND TIME 01/31/23 23:41 OF COLLISION Sunset Blvd N. t� Not to Seale:. c a•,. III y ........... Bronson lNdy N ,m age r ay 1-405 South On:Ramp PAGE 5 OF 5