Police were called out to 12th Avenue and Highway 198 just before 9:30 p.m. Friday for a crash.
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Witnesses told officers that 68-year-old Mark Borboa ran a red light on the eastbound highway off-ramp.
The truck collided with an Audi carrying a 19-year-old driver and a 16-year-old passenger.
Both teens suffered moderate injuries.
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Officers found Borboa intoxicated and suffering from a broken hip.
Everyone involved in the crash was hospitalized.
Borboa faces felony DUI charges.