The Medical Examiner's Office on Saturday morning released the names of the other two people who died in Friday's multi-vehicle collision on state Route 67 in Ramona.
Four people died just south of Mt. Woodson, when a northbound truck crossed over the dividing line and hit two cars head-on, authorities said Friday.
Among them were the driver and passenger of a silver Camry. They were 78-year-old Harold Eugene West—the driver—and 74-year-old Josefina De Dios West. The Medical Examiner's report did not confirm whether they were a married couple.
The 34-year-old passenger who died in the Chevy Silverado truck was identified Saturday as Madhu Manoharan. On Friday, the Highway Patrol said he was a San Diego resident.
The driver of the truck, 20-year-old Alexander Antonio Sebastiano of Poway was identified Friday.
The accident happened on a drizzly, foggy morning, just before 10 a.m. near Rock House Road. Witnesses called 9-1-1, according to authorities. Physical evidence at the scene and the witness accounts indicated the truck had been speeding, according to a Highway Patrol news release Friday.
The elderly people in the Camry were the first to be pronounced dead—at 9:59 a.m.—according to the Medical Examiner's reports. Cal Fire Engineer Brian Castellini from the Mt. Woodson station, who responded to the scene, told Patch on Saturday that the people looked like they had died immediately on impact from blunt force trauma.
The truck rolled onto the passenger side and its occupants were trapped, he said. When paramedics arrived at the scene, a man who appeared to have been seated in the back of the truck was trying to get out, Castellini said.
"He had a major head injury," he said. "Paramedics tried CPR but he died."
The Medical Examiner's report confirmed that paramedics had tried resuscitation on Manoharan but were not successful.
Paramedics removed a male front-seat passenger, who was taken to the hospital with a critical head injury, Castellini said.
They also extricated a woman who was still in the back seat, he said. She had unknown internal abdominal injuries and was taken to a hospital, authorities said Friday. Her injuries were considered moderate at the time, Castellini said.
The driver of the truck had no pulse when paramedics arrived, according to Castellini. Firefighters had to remove the roof of the truck to extricate him. He was pronounced dead after being placed on a heart monitor after removal.
Castellini said it appeared that all of the truck's occupants had been wearing seat belts.
A woman with moderate injuries and a 5-year-old girl with minor injuries were also taken to a hospital. They were in a blue Corolla that was also hit by the truck. Authorities identified the injured woman as Nicole Pinning, 24, of Ramona on Friday.