HomeMy WebLinkAbout23-10689 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED99667 170
27
COLLISION REP FIT 1591971
CASE 23-10689 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 02 STRUCK' META!SIGN POST
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 09 - 1-- 2023 2211 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
e✓ --- ----� ❑
N 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO.
5❑ �.❑ FEET e S ❑ W e PARKAVEN
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2062280009 0 11
30
6❑ LAST NAME ZAHEER FIRSTNAME AZIZ MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3000 SE ROYAL HILLS DR APT 31A CITY RENTON ST WA ZIP' 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 03 1- 07 - 1972 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aTES� CFE5692 sTArI WAvIN# 4T18D1FK1HU204950
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 ] 34
13 1 2017 TOYT CAMRY SD DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14� LIABILI VINSURANCE� INSURANCECO STATE FARM 535 8545 C26 47A 3 4
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 5 36
LE�ALLv YES�No� CITATION# 3A0576460 PROH/IMPROPER TURN 1 o aorrom
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064300267
16 a
LAST NAME ZENG FIRST NAME SHUNJING MIDDLE
INITIAL
17 NEW STREETREs1:1' 223 BREMERTON AVE SE CITY RENTON ST WA ZIP 98059 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK vEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX M M .C.B. 11 20 _ 1971 39
20❑ ON DUTY STATUS I
AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# BWG1870 TArE 41
WA VIN# STDKZ3DC5KS016750 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED By Gov H 44
VEH YEAR 2019 MAKE 7'Oy7' MODEL SIENNA STYLE VN -TEHICLE
TOWED✓ NOO BLIN BANKERS YES N.7
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO TRAVELERS 6145358372031IN STOP 5
VE—LE ❑ ,J� CITATION# CHARGE
25 io BOTTOM
LEGALLY YES N`L J
' a
7BRYAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26GROZAV 12489 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED99667
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10689
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NAJMEE NOORULLAH
(LAST FIRST,
ADDRESS&PHONE#
3000 SE ROYAL HILLS DR APR39C RENTON WA 98058 2532584314 SEX M MMDOYyry 05 - OS - 1980
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 PO8, 3 6 4 1 USE 2 CLASS ;1
NAME
(LAST,FIRST,MIDDLE INITIAL) ' CHEN HAIHUA
ADDRESS&PHONE# D O B
17853 156TH PL SE RENTON WA 98058 4255258595 SEX M MM6-VBY 08 _ 04 _ 1985
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 PGS 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 1 2 CLASS 1
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.
BRYAN GROZAV 09-17-23 12:47 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 911712023 4:41:42 PM
BADGE OR ID# ! 1Y489 OR]# WA0171300 TIME POLICE DISPATCHED! 10:13 PM TIME POLICE ARRIVED',10:14 PM
PART I PAGE IT]OF 4�
REPORT NO. ED99667 CASE# 23-10689 OF COLLISION
09/16/23 22:11
OF CbLLI510N
NARRATIVE
CASE 23-10689
SECTOR CITE: 3AO576460
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events.
On Saturday September 16th, 2023, at approximately 22:13, 1 responded to a 911 call regarding a
two-vehicle collision at N 4th St and Park Ave N within the City limits of Renton, King County,
Washington.
'CALL REMARKS: 2 MVA.... UNK INJ'S.. BOTH VEH'S MOVED OUT OF ROADWAY.... LINK
FURTHER... LANG BARR, 2 VEH MVA, NO INJS, OTHER VEH BLKING RD.
-UNIT ONE: WHITE 2017 TOYOTA CAMRY WASHINGTON LICENSE: CFE5692
-UNIT ONE DRIVER: AZIZ A. ZAHEER (DOB: 3.07.1972)
-UNIT TWO: WHITE TOYOTA SIENNA WASHINGTON LICENSE: BWG1870
-UNIT TWO DRIVER: SHUNJING ZENG (DOB: 11.20.1972)
1 arrived on scene and checked with Aziz and Shunjing for injuries. They indicated they were not
injured. Aziz and Shunjing both had front passengers in their vehicles at the time of the crash, they
also were not injured. Aziz and Shunjing were both driving west on N 4th St a one-way street. Aziz
indicated he was attempting to turn left on Park Ave N and was hit by Shunjing. Shunjing reported he
was driving in the left lane and Aziz turned left in front of him from the lane to the right of him. There
was damage to the driver side on Aziz's vehicle and front-end damage to Shunjing's vehicle. The
damages to both vehicles were consistent with how Aziz and Shunjing said the crash occurred.
Shunjing's vehicle needed to be towed since it was not drivable, Aziz was able to drive his vehicle
from the scene.
Since Aziz turned left in front of Shunjing from the wrong lane, it was determined he violated RCW
46.61.290 PROH/IMPROPER TURN. I issued Aziz a SECTOR traffic infraction and informed him he
would receive the citation in the mail.
I provided Aziz and Shunjing a copy of the SECTOR exchange of information form.
This concludes my involvement in this case.
I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing
is true and correct.
Electronically signed by B. Grozav #12489 on 9.17.2023 at 00:43 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED99667 CASE# 23-10689 DATE AND TIME 09/16/23 22:11
OF COLLISION
-.
IRJF
NOT TO SCALE
PAGE 4 OF 4