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SAN DIEGO (AP) — San Diego officials are investigating after a homeless man was nearly crushed to death in a city garbage truck.

The San Diego Union-Tribune says the city was clearing up a sidewalk encampment on Dec. 22 when a crew threw a tent into the truck. The man inside began screaming and waving his arms before they activated the hydraulic compactor.

The city’s deputy chief operating officer, Paz Gomez, calls it a terrible incident.

Police and code-enforcement officers regularly clear out sidewalk camps, especially since homeless people have been linked to a hepatitis outbreak last year that killed 20 people.

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However, they’re required to check tents and shelters first.

Gomez says depending on what the investigation finds, the city may change procedures, require additional training or mete out discipline.