The crash happened on Golden State Boulevard near Ashlan Avenue before 7 am.
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Investigators say the driver of a silver truck had been involved in a crash on Highway 180 and Highway 99 minutes before and drove off.
The person he hit started chasing him toward Golden State Boulevard. That's when he collided head-on with a black truck.
The driver inside the black truck was pronounced dead at the scene. Authorities identified him as Joe Silva, 58, of Fresno.
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Officials say the suspect and their passenger were both taken to a local hospital with injuries. Their conditions have not been released.
Fresno police closed both directions of Golden State Boulevard between Shaw and Ashlan for a short time for the investigation.
Editor's Note: A previous version of this report indicated that police originally thought this crash was a suspected DUI incident. Updated information from their investigation indicates the driver was not under the influence. Our story has been updated to reflect that new information.