Antonio Cahilig was the operator on the 24 Divisadero route and was heading northbound on Noe Street when he became ill.
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According to the SFMTA, the vehicle he was operating hit parked cars, but no one was on board at the time.
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No one else was hurt.
Cahilig was then taken to San Francisco Zuckerberg General Hospital where he died.
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"The SFMTA family are grief-stricken at the loss of Antonio," Director of Transportation Jeffrey Tumlin said in a statement. "On behalf of all the staff at the SFMTA, I extend my deepest condolences to Antonio's family and friends. His dedication, and that of all our customer-facing, essential workers, is the pride of our agency."
The man's cause of death at this time is unknown.