Riverside City Council
November 7, 2023

CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Courage AMBULANCE FRANCHISE
FIRE
Subject to limited exceptions, Section 5.66.020 of the Riverside Municipal Code mandates that it shall be unlawful for any person, either as owner, agent or otherwise, to operate, conduct, maintain, advertise or be engaged in or profess to be engaged in the operation of ambulance services in the City, except in conformance with a valid franchise to do so granted by the Council.

Pursuant to Section 5.66.040, prerequisites to the granting of a franchise or an extended term of an existing franchise to an applicant shall include the filing with the administrator of an application.

Chapter 5.66 of the Riverside Municipal Code governing Ambulances may be found online at http://www.riversideca.gov/municode/pdf/05/5-66.pdf.

APPLICATION FEE
The fee of $1,858.00 is required with any medical transport ambulance franchise application.

Payment must be made at the time of submittal with the City of Riverside as the payee.

Per Resolution 22904, adopted September 8, 2015.

INSTRUCTIONS
If additional space is necessary to complete any answer, please complete on additional sheets) indicating question number being answered. Reference to any attachments/exhibits must be clearly identified in this application and properly labeled.

APPLICATION TYPE
NEW APPLICATION E RENEWAL APPLICATION • AMENDMENT

SECTION A - PLEASE FULLY ANSWER THE FOLLOWING QUESTIONS

1. Name and description of applicant:

American Medical Response

2. Business address and residence address of record of the applicant:
879 Marlborough Avenue
Riverside, CA 92507
1 Revised 10/2022
oF

RIVERSIDE CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
-Service Honor Coura

AMBULANCE FRANCHISE
FIRE

3. Trade or Firm name or DBA as recorded:

American Medical Response
Global Medical Response

4. If a corporation, a joint venture or a partnership or limited partnership, the names of all corporate officers, joint ventures or partners, including limited partners, and their permanent addresses and their percentage of participation in the business:

President and CEO - Nick Loporcaro, COO - Edward Van Horne, CFO - Michael Preissler the applicant in the operation of an ambulance service, including the levels of service provided, 5. For new applicants only, please provide a statement of facts explaining the past experience of and showing that the applicant is qualified to render efficient twenty-four-hour ambulance service:

N/A

6. Describe in detail the geographical operating area within the City for which the franchise is requested:

Coverage will encompass the entire City of Riverside.

7. List the level or levels of service which the applicant proposes to provide:

ALS, BLS and CCT
8A. Does applicant own or will have under applicant's control all equipment required to conduct an ambulance service competently in the operating area for which you are or propose to be franchised, which meet the requirements established by the California Vehicle Code if applicable?
M Yes •No
Revised 10/2022
2 VERSIDE CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
-Service Hono

AMBULANCE FRANCHISE
FIRE
8B. Does applicant own or have access to suitable and safe facilities for maintaining your ambulance service in a clean, sanitary and mechanically sound condition? • Yes •No
If YES, list each location for maintaining ambulances:

Please see attached listing of locations.
which list shall be promptly amended as required from time to time for any changed, substituted, 9. List each ambulance vehicle operated by the applicant, including the patient capacity thereof, loaned or leased vehicles.

Please see attached list of units that are within the Riverside Operations coverage area.

The maximum patient capacity is 2 per unit.
provisions of this chapter, the California Vehicle Code, the California Code of Regulations, and 10. Do each of applicant's licensed ambulances and its appurtenances conform to all applicable any other applicable State or local directives?
• Yes • No
If NO, explain:

Revised 10/2022
3 OF RIVERSIDE CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Courage

AMBULANCE FRANCHISE
FIRE

11. State all facts demonstrating that applicant employs sufficient personnel adequately trained area for which applicant are applying: and available to continue delivering ambulance services of good quality at all times in operating See attachment for facts.

12. List each employee of applicant and describe the level of training received by each employee.

There are over 800 employees that deploy from the Riverside Operation. Our compnay utilizes REMSA ImageTrend LMS. If verification is needed please notify us and a request will be made to provide crew personnel details.

13. List a proposed schedule of rates to be charged by the applicant for ambulance services.

See attached rate schedule.

Revised 10/2022
4 CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Courage

AMBULANCE FRANCHISE
FIRE

14. Have any ambulances operated by applicant been taken out of service for safety or other reasons by the California Highway Patrol, any other California law enforcement agency, or any governmental agency?
Yes • No
If YES, explain:

15. Has applicant, or any partner, officer, or director of applicant thereof, been previously the holder of a franchise granted by the Council or Ambulance Administrator, which was revoked or not extended?
•Yes •No
If YES, please explain and describe if the circumstances upon which the revocation or non- extension was based have not been corrected:
involving dishonesty, fraud, or deceit whereby another person was injured or the applicant has 16. Has applicant, or any partner, officer, or director of applicant thereof, committed any act unjustly benefited?
•Yes [NoR
If YES, explain:

Revised 10/2022
5 R

VERSIDE CITY OF RIVERSIDE FIRE
1887

APPLICATION FOR MEDICAL TRANSPORT
-Service Hono

AMBULANCE FRANCHISE
FIRE

17. Has applicant, or any partner, officer, or director of applicant thereof, provided or is applicant currently providing ambulance service within the City without having a franchise therefore as required by this chapter?
• Yes • No
If YES, explain:

18. Has applicant, or any partner, officer, or director of applicant thereof, entered a plea of guilty to, been found guilty of, or been convicted of a felony, or a crime involving moral turpitude? •Yes L NO
If YES, name the person convicted, briefly describe the nature of the crimes, the date and place of the conviction and legal disposition of the case:

19. Has applicant received any customer service complaints (any expression of dissatisfaction, whether oral or written, and whether justified or not, from or on behalf of a complainant about the applicant's provision of, or failure to provide, ambulance service) in the past 24 months? MYes •NoR
If YES, explain:

Per our customer satisfaction survey's the majority of our lowest scores were related to the challenges with our billing process.

Revised 10/2022 6

RIVERSIDE CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Courage

AMBULANCE FRANCHISE
FIRE

20. Describe all vehicular accidents involving applicant's ambulances in the past 24 months.

Please see attached
that occurred during patient delivery. 21. Describe all occurrences in the past 24 months that involved failures of equipment or vehicles Please refer to Item #20
NOTE: The City reserves the right to request additional information as it may deem necessary to make a determination on the application for an ambulance franchise.

Revised 10/2022

CITY OF RIVERSIDE CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Couraga

AMBULANCE FRANCHISE
FIRE

SECTION B - PLEASE ATTACH THE FOLLOWING DOCUMENTS TO THIS APPLICATION

1. A photocopy of the license(s), if any, issued by the Commissioner of the California Highway Code of Regulations. Patrol to the applicant in accordance with § 2501, California Vehicle Code and Title 13, California

2. Verification of current accreditation with the Commission on Accreditation of Ambulance Services ("CAAS").

3. A copy of the most recent Ambulance Inspection Report, if any, issued by the California Highway Patrol and County of Riverside for each vehicle identified in Question # 9 above.

4. A copy of motor vehicle inspection and maintenance program, if any.

5. A copy of mutual aid policies and provide a list of mutual aid agreements/ providers, if any.

6. A copy of response time reports for the last two years that identify when the request for service was received, the time the unit was promised/requested, and the actual time the unit arrived at scene.

7. A copy of the preventive maintenance program for vehicles and durable medical equipment, if any.

NOTE: All applicants must have a valid Business Tax Certificate issued by the City to conduct business in the City of Riverside in addition to a franchise. A Business Tax Certificate may be obtained from Business Tax Section in City Hall after the franchise has been approved.

NOTE: All applicants are required to have insurance coverage, which meets the requirements of the City. Applicant shall submit to the City's Risk Manager evidence of insurance coverage as required by Section 5.66.060(E) before the franchise can be issued.

SECTION C- PLEASE HAVE THE FOLLOWING AVAILABLE FOR REVIEW

1. A copy of each certificate or license issued by the State, County, or local EMS Agency establishing qualifications of such personnel in ambulance operations identified above in Section A, Question 12.

2. A photocopy of a valid DMV license for each personnel in ambulance operations identified above in Section A, Question 12.

3. Applicant's fleet of vehicles consistent with Section 5.66.195 of the Riverside Municipal Code.

Revised 10/2022 8

CITY OF RIVERSIDE FIRE

APPLICATION FOR MEDICAL TRANSPORT
Service Honor Courage AMBULANCE FRANCHISE
FIRE

DECLARATION UNDER PENALTY OF PERJURY
I hereby declare under penalty of perjury under the laws of the State of California that the foregoing information in this application is true and correct to the best of my knowledge.

Applicant signifies by signing this application that the applicant agrees to meet the requirements of the Riverside Municipal Code if the franchise is granted by the City Council.

As a condition of the Council's granting a franchise, applicant hereby agrees that it will appear in and defend all actions against the City and Council arising out of the exercise of the franchise, and shall indemnify, defend, and save the City and its officers, employees and agents harmless of and from all claims, demands, actions, or causes of action of every kind and description resulting directly or indirectly from, arising out of, or in any way connected with, the granting or exercise of the franchise, unless this would create a conflict of interest.

Additionally, pursuant to Riverside Municipal Code Section 5.66.020(C), this applicant recognizes that it shall be unlawful to refuse or decline to transport a patient in response to a medical request, including due to an actual or perceived inability of the patient to pay for ambulance services. This applicant possesses the ability and commitment to transport all patients in response to medical requests.

I confirm that I have authority to sign on behalf of the legal entity designated as applicant.

Executed on 8/1/2023 in Riverside , California.

DATE CITY
Jeremey Shumaker

PRINTED NAME
Sr. Regional Director, Pacific Region
TITLE
Submit application and all attachments, including certificate of insurance, and a check or money order payable to the City of Riverside to:

Fire Chief
City of Riverside Fire Department
3401 University Avenue Riverside, CA 92501
Please direct any questions to (951) 826-5321.
9 Revised 10/2022
Section A
Item# 8B
AMR
Riverside City - Facility Listing
Downtown Comfort Station
North Comfort Station 3198 15th St, Riverside, CA 92507 Limonite/Pedley Station 12155 Magnolia Ave 6-A, Riverside, CA 92503 Main Deployment 7920 Limonite Ave. Ste F, Riverside, CA 92509 879 Marlborough Ave., Riverside, CA 92507
Section A
Item# 9
LIC. NO. VIN# RIVERSIDE ALS VEHICLES
28977S3 YEAR MAKE Model TYPE
1FDWE3FN4PDD19092 2023 FORD COMPLIANCE VEHICLE ID MILEAGE PT. CAP. 81234R3 E-350 ALS-3 Yes Notes
1FDWE3FN5PDD14631 2023 FORD 19092 100
81238R3 E-350 ALS-3 Yes
1FDWE3FN5PDD14645 2023 FORD 14631 2806
16945R3 E-350 ALS-3 N
1FDWE3FN6PDD15075 2023 YES 14645 4156
74502P3 FORD E-350 ALS-3 Yes
1FDWE3FN7NDC35460 2022 FORD 15075 15603
17395P3 E-350 ALS-3 Yes
1FDWE3FNONDC35462 2022 FORD 35460 17357
74503P3 E-450 ALS-3 Yes
1FDWE3FN4NDC35464 2022 FORD 35462 21403
72927N3 E-350 ALS-3 Yes
1FDWE3FNXNDC35470 2022 35464 12705
85652L3 FORD E-350 ALS-3 N
1FDWE3FN1NDC28097 Yes 35470 10837
2022 FORD E-350 ALS-3 N
88359J3 1FDWE3FN1NDC15950 Yes 28097
2022 FORD E-350 ALS-3 60208 N
33687K3 1FDWE3FN5NDC19533 Yes 15950
2022 FORD E-350 61006 N
15114D3 1FDXE4FN7MDC04069 ALS-3 Yes 19533
2021 FORD E-450 ALS-3 44933
45654X2 1FDWE3FN6MDC12640 Yes 04069
2021 FORD E-350 ALS-3 56123 N
45655X2 1FDWE3FN8MDC12641 Yes 12640
2021 FORD E-350 79771 N
45658X2 1FDWE3FN3MDC12644 ALS-3 Yes 12641
2021 FORD E-350 ALS-3 57523 N
43603C3 1FDWE3FS9KDC60782 Yes 12644
2019 FORD E-350 97463 N
66137Y2 1FDXE4FSXKDC58727 ALS-3 Yes 60782
2019 FORD E-450 ALS-3 81373 N
89712Y2 1FDXE4FS1KDC58728 Yes 58727 141476
86986W2 2019 FORD E-450 ALS-3
1FDWE3FS7KDC50204 2019 Yes 58728 167049
FORD E-350 ALS-3
88932W2 1FDWE3FS9KDC50205 Yes 50204 164105
2019 FORD E-350 ALS-3
88935W2 1FDWE3FSXKDC54697 2019 Yes 50205 187390
FORD E-350 ALS-3
23137V2 1FDWE3FSXKDC33140 2019 FORD Yes 54697 163311
23139V2 E-350 ALS-3 Yes
1FDWE3FS1KDC33141 2019 FORD 33140 179026
01976W2 E-350 ALS-3 Yes
1FDWE3FS2KDC46867 2019 FORD 33141 198364
3907252 E-350 ALS-3 Yes
1FDSW3FS3KDC00397 2019 FORD 46867 193789
3907552 E-350 ALS-3 Yes
1FDWE3FSXKDC08593 2019 FORD 00397 142644
43601C3 E-350 ALS-3 Yes
1FDWE3FS3KDC08595 2019 FORD E-350 08593 150099
6299812 1FDWE3FSXJDC33041 ALS-3 Yes 08595
2018 FORD E-350 123157
62996L2 1FDWE3FS9JDC33046 ALS-3 Yes 33041
2018 FORD E-350 ALS-3 187810
21633P2 1FDWE3FSOJDC33047 2018 Yes 33046 219441
26642M2 FORD E-350 ALS-3 Yes
1FDWE3FS6HDC56343 2017 FORD 33047 133630
48135G2 E-350 ALS-3 Yes
1FDWE3FS1HDC24075 2017 FORD 56343 143247
95624E2 E-350 ALS-3 Yes
1FDXE4FS5HDC24087 2017 FORD 24075 238027
48139G2 E-450 ALS-3 Yes
1FDXE4FS4HDC28020 2017 FORD 24087 178372
9124621 E-450 ALS-3 Yes
1FDXE4FS8HDC28683 2017 FORD 28020 233357
28510H2 E-450 ALS-3 Yes
1FDXE4FSXHDC28684 2017 FORD 28683 228994
24927L2 E-450 ALS-3 Yes
1FDWE3FS1GDC16590 2016 FORD E-350 28684 183005
37045F2 1FDWE3FS6GDC55725 ALS-3 Yes 16590
2016 FORD E-350 195034
14499A2 1FDWE3FS8GDC26646 ALS-3 Yes 55725 225947
2016 FORD E-350 ALS-3
Yes 26646 199930
99547X1 1FDWE3FS9GDC20001 2016
99545X1 FORD E-350 ALS-3 Yes
1FDWE3FS6GDC20005 2016 20001 223455
765987X1 FORD E-350 ALS-3 Yes
1FDWE3FS9GDC14201 2016 FORD 20005 217407
75366S1 E-350 ALS-3 Yes 14201
1FDWE3FS6FDA16125 2015 FORD 237811
05390R1 E-350 ALS-3 Yes 16125
1FDSS3ES7EDB05452 2014 FORD 222048
75373S1 E-350 ALS-2 Yes 05452
1FDSS3ES2DDB35330 2013 FORD 169064 N/NNNN NINN N
37765P1 E-350 ALS-2 Yes 35330
1FDSS3ES8DDB31959 2013 FORD 171023
37225P1 E-350 ALS-2 Yes 31959
1FDSS3ES2DDB29091 2013 FORD 187342
8K64166 1FDWE35P76HA52024 E-350 ALS-2 Yes 29091 185682
2006 FORD E-350 ALS/TEMI
Yes 52024 235700
Total ALS 48
48193G2 1FDWE3FS1HDC22570 RIVERSIDE BLS VEHICLES
2017 FORD E-350
16951R3 1FTRS4X88MKA39286 ALS-3 Yes 22570 254174
2021 FORD E-350 BLS-2
97406J2 1FDXE4FS3HDC57766 YES 39286 100
2017 FORD E-450 ALS-3
28529H2 1FDXE4FS5HDC51872 Yes 57766 265215
2017 FORD E-450 ALS-3
99544X1 1FDWE3FS1GDC20011 Yes 51872 265938
2016 FORD E-350 ALS-3
76589X1 1FDWE3FS7GDC16593 Yes 20011 276654
2016 FORD E-350 ALS-3
844941.1 1FDSS3ES6DDB12228 Yes 16593 286398
55492A1 2013 FORD E-350 BLS-2 Yes
1FDSS3ES7DDA08542 2013 FORD 12228 273752
55494A1 E-350 BLS-2 Yes 08542
1FDSS3ES9DDA08543 2013 FORD E-350 261247
84135E1 BLS-2 Yes 08543
1FDSS3ES3CDA11422 2012 FORD 392168
84132E1 E-350 BLS-2 Yes 11422
1FDSS3ES5CDA11423 2012 FORD 311818
84497L1 E-350 BLS-2 Yes
1FDSS3ES2DDA68955 2013 11423 371658
FORD E-350 BLS-2 Yes
81861M1 1FDSS3ES1DDA68963 68955 370634
54995A1 2013 FORD E-350 BLS-2 Yes
1FDSS3ES3DDA14631 2013 FORD 68963 346507
54977A1 E-350 BI.S-2 Yes
1FDSS3ES6DDA07513 2013 FORD 14631 343088
55493A1 E-350 BLS-2 Yes 07513 349109
1FDSS3ES8DDA07514 2013 FORD E-350
55472A1 1FDSS3ESOCDB38659 BLS-2 Yes 07514
2012 FORD 430440
84488E1 1.FDSS3ES6CDA21121 E-350 BLS-2 Yes 38659
2012 FORD E-350 322312
58100B1 1FDSS3EL8BDA42849 BLS-2 Yes 21121
2011 FORD E-350 358871
4302081 BLS-2 Yes 42849
1FDSS3ES3BDA27294 2011 FORD E-350 424676
23471F1 BLS-2 Yes 27294
1FDSS3EL8BDB18201 2011 FORD E-350 408904
23472F1 BLS-2 Yes 18201
1FDSS3EL6BDB24367 2011 FORD E-350 336303
63125E1 BLS-2 Yes 24367
1FDSS3EL1BDB25880 2011 FORD E-350 378919
42090W2 BLS-2 Yes 25880
1FDS53EL9BDB29546 2011 FORD E-350 467763
58461B1 BLS-2 Yes
1FDSS3EL6BDA42848 2011 FORD 29546 371590
E-350 BLS-2 Yes 42848
462176
Total BLS 25

Section A
Item# 11
AMR
Riverside City - Personnel Requirements
American Medical Response, Riverside Operation, employs a workforce that is trained and available to deliver good quality ambulance services at all times to the City of Riverside. Support for the below is available for viewing onsite by written request.
• Maintenance of a professional and stable workforce with retention and recruiting programs in place.
• Standards of behavior have been implemented that establish the expectations of professionalism and accountability for the workforce.
• Key management personnel that are responsible for the oversight of the operation are identified.
• All field personnel are credentialed by REMSA and valid credentials are maintained by all personnel. No field personnel are allowed to work in the field unless they have valid credentials. • All ambulances will always be staffed with at least two REMSA credentialed individuals. • Field Supervisors are utilized to directly supervise the field personnel to ensure that they are professional, and that patient care and customer service is rendered. • Field employees receive education and training through implemented programs.

Section A
Item# 13
MR

RIVERSIDE COUNTY
Riverside County Ambulance Rates
charged by AMR effective July 1, 2023
***Riverside City
Riverside City Non-Emergency
Description 911 Rate
Rate
ALS BASE RATE $
2,610.88 $ 1,941.06
MILEAGE $

63.49 $
NIGHT CHARGE (7PM-7AM) 57.80
$ 296.93 $
OXYGEN 270.31
$ 271.54 $
DRY RUN WITH PATIENT CONTACT 247.20
$ 405.80
BLS BASE RATE 405.80
2,610.88 1,226.08
MILEAGE (per mile) $ 63.49
$ 57.80
NIGHT CHARGE (7PM - 7AM) $ 296.93
OXYGEN $ 270.31
271.54 $ 247.20

CCT BASE RATE
$ 2,830.68
MILEAGE (per mile)
NIGHT CHARGE (7PM - 7AM) 57.80
OXYGEN 270.31
NEONATAL BASE RATE 247.20

MILEAGE
NIGHT (7PM - 7AM)
OXYGEN

BARIATRIC BASE RATE

MILEAGE
NIGHT (7PM - 7AM)
OXYGEN
Riverside City Only
BLS /CCT Code 3***
$ 192.16
Wait Time
$ 63.34
Fire Department

RIVERSIDE
City of Arts & Innoration
May 23, 2023
American Medical Response
879 Marlborough Ave.

Riverside, CA 95507
RE: Contractual CPI Adjustment Amendment
Pursuant to the agreement with the City of Riverside regarding Non-Emergency Medical Transportation, American Medical Response (AMR) is approved to increase the companies rates according to CPI. The 2022 CPI was calculated from the U.S. Bureau of Labor Statistics (Riverside-San Bernardino-Ontario), which is 8.7%.

The additional 4.2% requested in 2022 was left out of the initial letter sent on May 12, 2023, and is now added back in the table below.

The rates below are approved for AMR to charge for its Non-Emergency Medical Transportation services within the City of Riverside between the dates of July 1, 2023, to June 30, 2024. 2022/2023 8.7% 2023/2024
CCT $ 2,604.12 $ 226.56 $
2,830.68
BLS $ 1,127.95 $ 98.13 $
1,226.08
Mileage $ 53.17 $ 4.63 $

57.80 Oxygen $ 227.41 $ 19.78 $
247.20
Night Charge $ 248.68 $ 21.63 $ 270.31
Wait Time $ 58.27 $ 5.07
$ 63.34
BLS/CCT Code 3 $ 176.78 $ 15.38 $ 192.16
Please give me a call if you have any questions, comments and/or concerns.

Steve Mckinster
Steve McKinster
City of Riverside Fire Department
Deputy Fire Chief
Administration
3401 University Ave., Riverside, CA 92501 | Phone: (951) 826-5321 | RiversideCA.gov/Fire Section A
Item# 20
Vehicle/Equipment? Attendant Follow Up
Ambulance Yardley, Michael found main battery bad
Ambulance unit involved in a TC
Gurney pm performed and adjusted and lubed gurney
Ambulance replaced tire back in service
Ambulance leaking in brake line, repaired brake line back in service Ambulance reparied flat tire
Ambulance replaced front bumper and headlight
Ambulance broken heater hose connectiors
Ambulance COOLANT LEAK, FOUND BROKEN HEATER HOSE CONNECTOR, REPLACED VEC. BACK IN SERVICE Ambulance A/C COMPRESSOR CLUTCH GOT HOT AND STARTED MELTING THE RUBBER ON THE CLUTCH Ambulance FOUND MISSING FUSE THAT CONTROLLS LIGHTS, CREW MIGHT OF DISLODGED REPLACED FUSE.

Ambulance i Replaced heater hose
Ambulance Replaced tire and back in service
Ambulance coolant leak, heater hose connector broke
Ambulance ma Repaired flat tire
Ambulance operatior error toggle switch was not on.

Ambulance replaced right side door vehicle is back in service Ambulance repaired flat tire
Ambulance vehicle had miss fire codes replace all sparke plugs. Vehcle is tested and back in service.

Ambulance broken heater hose connectiors
Ambulance bad alternator, replaced
Ambulance bad fuel pump module
Ambulance Tire repaired and changed
Ambulance siren drivers malfunctioned and were replaced Ambulance replaced bad fuel pump
Ambulance inspection found bad engine and vehicle taken out of rotation Ambulance positive battery cable chaffing against exhuast manifold and frame shorting out power Ambulance Tire repaired and changed
equipment
equipment
equipment
equipment
Ambulance Lentz, Eric reparied heater hose
Ambulance Luna, Rogelio
equipment
Ambulance Slagle, Mike
Ambulance Diaz, Isacc
Ambulance Chavez, Erin broken toggle replaced, back in service Ambulance Gonzalez, Adrian replaced broken heater hose connection, back in service Ambulance Bowden, Austin leaking coolant hose replaced, back in service Ambulance Nurse, Tanner vehicle had a bad bearing, replace bearings and back in service Ambulance Vargas, Andrew
Section A
Item# 21
AMR
Equipment or Vehicle Failures
Please refer to Section A Item#20 - Listing of vehicle accidents and vehicle/equipment failures.

Section B
Item # 1

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL CONTROL NUMBER | UCENSE NUMBER

ISSUE DATE
EMERGENCY AMBULANCE 2155 ¡ EFFECTIVEDATE EXPIRATION DATE 2155 2/17/2023
I CHP CARRIER NUMBER 3/6/2023 / 3/5/2024
NON-TRANSFERABLE LICENSE LOCATION • Duplicate
CHP 360А (REV. 01-00) OPI 062 CA- L Replacement
465 O initial
V Renewal
*SERVICE NAME AND PHYSICAL ADDRESS PROPERTY OF THE CALIFORNIA HIGHWAY PATROL (CHP) (only if different from below)
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. AMERICAN MEDICAL RESPONSE CHP upon demand or as required by law. A majority change in This license is NON-TRANSFERABLE and must be surrendered to the 4846 STRATOS WAY ownership or control of the licensed activity shall require a new license.

MODESTO CA, 96356- This license may be renewed within the 30-day period prior to the expiration date indicated above.

SERVICE NAME AND MAILING ADDRESS Ambulance operations must cease immediately upon expiration of this AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. license. THERE IS NO GRACE PERIOD FOR A LICENSED ACTIVITY.

AMERICAN MEDICAL RESPONSE The Department will accept an application for renewal during the 30- 4846 STRATOS WAY day period following the license expiration date provided all required MODESTO CA, 95356- documentation is complete and accompanied by the initial license fee of $200.00. For license information contact CHP, Research and Planning Attention: SIMONE JOHNSON Section at (916) 843-3440.
.........
......

Section B
Item # 2
The Commission on Accreditation of Ambulance Services
Certificate of Accreditation
American Medical Response - Riverside County, California Riverside, California
Accreditation in recognition of this service's voluntary compliance with the Commission's The Commission on Accreditation of Ambulance Services presents this certificate of improved quality patient care in the medical transportation system. This service has high standards. These standards have been established to encourage and promote successfully completed a comprehensive external review io verify compliance with these national standards.

Issued: May, 2021
Expires: April 30, 2024

ACCREDITED
Matthew R. Streger, Chair
Panel of Commissioners Dale J. Berry, Chair
Board of Directors

RIVERSIDE COUNTY

EMERGENCY

MEDICAL SERVICES AGENCY

AMBULANCE OPERATOR
PERMIT IS ISSUED TO:

AMERICAN MEDICAL RESPONSE
(RIVERSIDE, HEMET, PALM SPRINGS, BLYTHE
879 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507

IS PERMITTED TO OPERATE BLS/ALS/CCT AMBULANCE

SERVICE IN RIVERSIDE COUNTY
7/1/2023 6/30/2024
Issued Date Expiration Date
Dan Bates, EMS Administrator
Riverside County Emergency Medical Services Agency
Section B
Item # 3

VIRILVI VIWE VISIVE

HD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062
: CHP AREA: 810
CHP Cerlificate/Permit Number: 2155- 18405
ISSUED: 21712023 | EXPIRES: 315/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE

RENEWAL LO ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2022 FORD E-350 AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE LICENSE NO. 74502P3 VIN: 1FDWE3FN7NDC35460
*Authorized Emergency Vehicle Permit issued pursuant to Vehole Code Seclion 2416 (a) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL 23 AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062.

CHP AREA: 840
CHP Certificate/Permit Number: 2155- 18408 | ISSUED: 217/2023 EXPIRES: 315/2024 AREA:

INITIAL

DUPLICATE
REPLACEMENT RENEWAL EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2022 FORD E-350
VEHICLE LICENSE NO. 16945R3 VIN: 1FDWE3FNGPDD15075
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 23 4846 STRATOS WAY hereof, shall be carried in the vehicle a MODESTO GA, 95356- all times. It is non-transferable and shail be surrendered to the CHP upon demand
or as required by regulation.
tHp DEPARTMENT OF CALIFORMIA HIGHWAY PAIRCL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 18411 ISSUED: 217/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICAȚE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2023 FORD E-350
VEHICLE LICENSE NO. 81238R3 VIN: 1FDWE3FN5PDD14645
*Authorized Emergency Vehicle Permit issued pursuent to Vehicle Code Section 2416(0) ( for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlifcate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and sha
MODESTO CA, 95356- be surrendered to the CHP upon deman or as required by regulation.

STATE OF CALIFORNIA
HD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL.

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERAT :

CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 18409 ISSUED: 217/2023 EXPIRES: 3/5/2024 • AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2023 FORD E-350 VEHICLE LICENSE NO. 81234R3 VIN: 1FDWE3FN5PDD14631
*Authorized Emergency Vehicie Permit issued pursuant to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certilicale/permit, or a facsimile thereof, shall be carried in the vehicle al
4846 STRATOS WAY all times, It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALFORNIA

DEPARTHENT OF CALIFORNA HIGHWAY PATROL

SPECIAL ELE DENT CATION CERTIFICATE PERAT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 18406 ISSUED: 217/2023 EXPIRES: 3/5/2024 - AREA:

INITIAL

DUPLICATE EMERGENCY AMBULANCE CERTIFIGATE
REPLACEMENT RENEWAL • ARMORED CAR CERTIFICATE

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2022 FORD E-350
VEHICLE LICENSE NO. 74503P3 VIN: 1FDWE3FN4NDC35464
*Authorized Emergency Vehicle Permit Issued pursuent to Vehicte Code Section 2416(a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE
23 4846 STRATOS WAY
MODESTO CA, 95356-

DEPARIMENT OF CALIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 18407 ISSUED: 217/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIPICATE
REPLACEMENT RENEWAL • ARMOREO CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2022 FORD E-350
VEHICLE LICENSE NO. 17395P3 VIN: 1FDWE3FNONDC35462
*Authorized Emergency Vehicle Permit issued pursuant to Vehicie Code Section 2416 (e) ( for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356-
DEPARTAIENT OF CALIFORNIA HIGHWAY PATRÓL.

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CAP 301 (REV 4-97) OPI 062
CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 17286
ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2022 FORD AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE LICENSE NO. 33687K3 VIN: 1FDWE3FN5NDC19533
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2418(a) /) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE his cerlicate/permit, or a facsimil 4846 STRATOS WAY hereof, shall be carried in the vehicle MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

DEPARTMENY OF CALIFORNIA HIGHIYAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP 301 (REV 4-97) OPI 062 CHP Certificate/Permit Number: 2155- 18404 CHP AREA: 840 ISSUED: 21712023 EXPIRES: 3/5/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTFICAYE
RENEWAL • ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2022 FORD E-350 AUTHORIZED EMERGENCY VEHICLE PERMIT* *Authorized Emergency Vehicle Permit Issued pursuent to Vehicle Code Section 2416 (a) ( VEHICLE LICENSE NO. 72927N3 VIN: 1FDWE3FNXNDC35470
NAME AND MAILING ADDRESS 1 for
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY hereof, shall be carried in the vehicle a MODESTO GA, 95356- a are to not upon emand
or as required by regulation.

FD DEPARTMENT OF CALIFORMIA HIGHAY PATROL.

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 :

CHP AREA: 840
CHP Certificate/Permit Number: 2155- 18410
ISSUED: 217/2023 EXPIRES: 3/5/2024
AREA:

INITIAL

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL L. • ARMOREO CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT®
VEHICLE YEAR & MAKE: 2021 FORD T350 TRANSIT
VEHICLE LICENSENO. 16951R3 VIN: 1FTRS4X83MKA39286
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicte Code Section 2418 (a) () for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle al MODESTO CA, 95356- all times. it is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulalion.

STATE OF CALIFORNA
HD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL ..

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMÍT :

CHP 301 (REV 4-97) OPI 062
CHP AREA: 840
CHP Certificate/Permit Number: 2155. 16850
ISSUED: 3/6/2023 /EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
VEHICLE YEAR & MAKE: AUTHORIZED EMERGENCY VEHICLE PERMİT* 2021 FORD E-350
VEHICLE LICENSE NO. 45655X2 VIN: 1FDWE3FN8MDC12641
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416 (a) / ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carted in the vehicle at all limes. it is non-transferable and shal
MODESTO CA, 95356- be surrendered to lhe CHP upon demanc

STATE OF CALFA

HD DEPARTENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 16977 ISSUED: 3/6/2023 EXPIRES: 315/2024• AREA:

INITIAL DUPLICATE EMERGENCY MATULANCE CERTICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2021 FORD E 350
VEHICLE LICENSE NO. 45658X2 VIN: 1FDWE3FN3MDC12644
*Authorized Emergency Vehicle Pemit issued pursuant to Vehicte Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried In the vehicle at 4846 STRATOS WAY all times. it is non-transferable and shall MODESTO CA, 95356- e surrendered to the CHP upon deman
ras required by regulation

STATE OF CALIFORNIA

HP DEPARTHENT OF CALIFORN HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, .:

CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16849 ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
EMERGENCY ARBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2021 FORD E-450
VEHICLE LICENSE NO. 15114D3 VIN: 1FDXE4FN7MDC04069
*Authorized Emergency Voicle Perit issued pursuant to Vehicle Code Seclion 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transerable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand

STATE OF CALFORNIA

CHO DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT :

CHP 301 (REV 4-97) OP| 062 CHP AREA: 840
... CHP Certificate/Permit Number: 2155- 15903 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 39072S2 VIN: 1FDWE3FS3KDC00397
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALIFORNA

CHD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT :

CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155. 18358 • ISSUED: 3/6/2023 EXPIRES: 3/5/2024: AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTINCATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2022 FORD E350 VEHICLE LICENSE NO. 85652L3 VIN: 1FDWE3FN1NDC28097
*Aurized Emergency Volice Permit issued pursuant to Velicle Code Section 2116 (a) T) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- or as reced eate pen demand
DEPARTIENT OF CALIFORNIA HIGHWAY PATRÓL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT
CHP 301 (REV 4-97) OPI 062
: CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16858
ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E450
VEHICLE LICENSE NO. 89712Y2 VIN: 1FDXE4FS1KDC58728
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / _ for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT :

CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Cerlificate/Permit Number: 2155- 15151 ISSUED: 3/6/2023 EXPIRES: 315/2024.

AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY ALDULANCE CERTIFCATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 28510H2 VIN: 1FDXE4FSXHDG28684
*Authorized Emergency Vehicle Permil issued pursuant to Vehicle Code Section 2416(a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This cerificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356-

HD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 15902 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL L
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 3907582 VIN: 1FDWE3FSXKDC08593
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certificate/permil, or a facsimil hereof, shall be carried in the vehicle a
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE UP LALON

HD DEPARTLIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16279 EXPIRES: 3/5/2024 ISSUED: 3/6/2023 AREA:
] INITIAL

DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 23137V2 VIN: 1FDWE3FSXKDC33140
*Authorized Emergency Vehicle Pemil issued pursuant to Vehicte Code Seclion 2416 (a) ( I for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all limes. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

HD DEPARTNIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16395
ISSUED: 3/6/2023 EXPIRES: 3/5/2024
AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
VEHICLE YEAR & MAKE: AUTHORIZED EMERGENCY VEHICLE PERMIT* 2019 FORD E 350
VEHICLE LICENSE NO. 86986W2 VIN: 1FDWE3FS7KDC50204
*Authorized Emergency Vehicle Permit issted pursuant to Vehicle Code Section 2418 (a) ( 1) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle af all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CP pon demand
or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 15080
ISSUED: 3/6/2023 EXPIRES: 315/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTUFICATE
RENEWAL • ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: AUTHORIZED EMERGENCY VEHICLE PERMIT* 2017 FORD E 350
VEHICLE LICENSE NO. 48193G2
*Authorized Emergency Ventle Permit sued pursuant to Vehicle Code Section 2116 (a) (.) for VIN: 1FDWE3FS1HDC22570

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle al MODESTO GA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulalion.

SIAIL: OF CALFURNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 15158 ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL U AUTHORIZED EMERGENCY VEHICLE PERMIT' VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 28529H2 VIN: 1FDXE4FS5HDC51872
*Authorized Emergency Vehicle Pemit issued pursuent to Vehicle Code Section 2416 (a) / 7 lor

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile hereof, shall be carried in the vehicle a
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand

SIAIC UP CRUPUKRIS

HD DEPARTMENT OF CALIFORNI HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIȚ •
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 14107 ISSUED: 316/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE RENEWAL •
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 360
VEHICLE LICENSE NO. Y6597X1 VIN: 1FDWE3FS8GDC14201
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416 (a) / I for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at Il times. It is non-transferable and sha
MODESTO CA, 95356- e surrendered to the CHP upon deman

STATE OF CALIFORNA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP 301 (REV 4-97) OPi 062 - HP Certificate/Permit Number: 2155-15603 CHP AREA: 840 ISSUED: 316/2023 EXPIRES: 31512024

INITIAL
REPLACEMENT DUPLICATE AREA:

RENEWAL EMERGENCY AMBULANCE CERTIFICATE
VEHICLE YEAR & MAKE: 2017 FORD E 350 AUTHORIZED EMERGENCY VEHICLE PERMIT* • ARMORED CAR CERTIFICATE *Authorized Emergency Velicio Permit sued pursuent to Vehicle Code Section 216 (a) (. VEHICLE LICENSE NO. 26642M2 NAME AND MAILING ADDRESS ) for VIN: 1FDWE3FS6HDC56343
AMERICAN MEDICAL RESPONSE AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL 4846 STRATOS WAY thereof, shall be carried in the vehicle at This certificate/permit, or a facsimile MODESTO CA, 95356- all times. It is non-transferable and shall or as required by regulation. be surrendered to the CHP upon demand DEPARTMENT OF CALIFORNU HIGHNAY PATROL.

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 16851 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMASULANGE CERTIFICATE • ARMORED CAR CERTIFICAȚE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2021 FORD E 350
VEHICLE LICENSE NO. 45654X2 VIN: 1FDWE3FNGMDC12640
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Section 2416 (a) { ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-trarisferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 15713 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMDULANCE CERTIFICATE • ARMORED CAR CERTIFICATE RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2018 FORD E 350
VEHICLE LICENSE NO. 21633P2 VIN: 1FDWE3FSOJDC33047
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certilicate/permit, or a facsimite AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTHIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP 301 (REV 4-97) OPI 062 : CHiP AREA: 840
CHP Certificate/Permit Number: 2155- 15069
ISSUED: 3/6/2023 EXPIRES: 3/5/2024
AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGEMCY AMBULANCE CERTIFICATE

RENEWAL C ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 91246Z1 VIN: 1FDXE4FS8HDC28683
"Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (e) ( / for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlicatel/permit, or a facsimile 4846 STRATOS WAY hereof, shall be carried in the vehicle a MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

SIATE UF CAUFUKHA

DEPARTHENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT •
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 14271 ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: : 2016 FORD E 350
VEHICLE LICENSE NO. 99544X1 VIN: 1FDWE3FS1GDC20011
*Authorized Emergency Vehicle Permit issued pursuant to Velicie Code Section 2416 (a) ( / for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certiicate/permit, or a facsimile thereof, shall be carried in the vehicle at
4846 STRATOS WAY
I times. It is non-transferable and sha
MODESTO CA, 95356- surrendered to the CHP upon demal

STATE OF CALIFORNLA

HD DEPARTMENT OF CALIFORNIA HIGHYAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP| 062
CHP AREA: 840
- CHP Certificate/Permit Number: 2155- 15484 ISSUED: 3/6/2023 EXPIRES: 315/2024• AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORDE 350
VEHICLE LICENSE NO. 97406J2 VIN: 1FDXE4FS3HDC57766
*Authorized Emergency Vehlcle Permit issued pursuant lo Vehicie Code Section 2416 (e) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereo, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon deman or as required by regulalior

STATE OF CALFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL FILE IDENTIFICATION CERTIFICATE/PERMÍT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
- CHP Certificate/Permit Number: 2155- 14104 ISSUED: 316/2023 EXPIRES: 315/2024.

AREA:

INITIAL

DUPLICATE EMERGENCY ALBULANCE CERTIFICATE
REPLACEMENT RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 76598X1 VIN: 1FDWE3FS7GDC16593
"Aulhorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE his cerilicate/permit, or a facsimi ereof, shall be carried in the vehicle.
4846 STRATOS WAY
i times. It is non-transferable and sha
MODESTO CA, 95356- e surrendered to the CHP upon deman

STATE OF CALIFORNA

D DEPARTLIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 15714
ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2018 FORD E 350 AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE LICENSE NO. 62998L2 VIN: 1FDWE3FSXJDC33041
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Coda Section 2416(a) () for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand

STATE OF CALFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VENICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155-16280 ISSUED: 3/6/2023 EXPIRES: 3/512024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
VEHICLE YEAR & MAKE: AUTHORIZED EMERGENCY VEHICLE PERMIT" 2019 FORD E 350
VEHICLE LICENSE NO. 23139V2 VIN: 1FDWE3FS1KDC33141
Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) (.) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 2 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356-
C

STATE OF CALIFORNIA

HP DEPARTNENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
-CHP Certificate/Permit Number: 2155- 16396 ISSUED: 3/6/2023 | EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY (ABULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 88932W2 VIN: 1FDWE3FS9KDC50205
Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416 (a) / ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile thereof, shall be carried in the vehicle al
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- surrendered to the CHP upon dema
as required by regulati

DEPARTENT OF CALIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062
CHP AREA: 840
CHP Gertificate/Permit Number: 2155-16888
ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL

DUPLICATE

REPLACEMENT EMERGENCY AMBULALIGE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2019 FORD E 350 AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE LICENSE NO. 43603C3 | VIN: 1FDWE3FS9KDC60782
"Authorized Emergency Vehtcle Pemit issued pursuant to Vehicle Code Section 2416(a) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

OEPARTAENT OF CALFORNI HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062
: CHP AREA: 890
CHP Cerlificate/Permit Number: 2155- 17287
ISSUED: 3/6/2023 EXPIRES: 315/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT RENEWAL EMERGENCY AMBULANCE CERTIFICATE
D AUTHORIZED EMERGENCY VEHICLE PERMIT® • ARMORED CAR CERTIFICATE VEHICLE YEAR & MAKE: 2022 FORD
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( VEHICLE LICENSE NO. 88359J3 VIN: 1FDWE3FN1NDC15950
NAME AND MAILING ADDRESS I for
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERIGAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 4846 STRATOS WAY hereof, shall be carried in the vehicle a MODESTO CA, 95356- all times. It is non-fransferable and shall be surrendered to the CHP upon demand
or as required by regulation.

CHD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
_CHP Certificate/Permit Number: 2155- 9444 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT • ARMORED CAR CERTIFICATE
RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2006 FORD F350 VEHICLE LICENSE NO. 8K64166 VIN: 1FDWE35P76HA52024
*Autorized Emergency Vehicle Permit sued pursuant to Vehicle Code Seclion 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.
d...

C

STATE OF CALIFORNIA

HP DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT, .: CHiP AREA: 840 CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 13912 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY ANDULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2015 FORD E350 VEHICLE LICENSE NO. 75368S1 VIN: 1FDWE3FS9FDA16118
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulation
C
STAIL: UF CALFURNVS

CHP DEPARTHIENT OF CALIFORNIA HIGHWAY PATROL
SEVENTATON CERTIFICATE PERMIT, .: CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
CHP Certficate/Permit Number: 2155- 14103 ISSUED: 3/6/2023 | EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT® VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 76599X1 VIN: 1FDWE3FSXGDC00677
Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416(a) /) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimlle AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO GA, 95356-
or as required by regulation.

STATE OF CALIFORNA

HD DEPARTNIENT OF CALIFORNIA HIGHIVAY PATROL
SHAVEHICLE IDENTIFICATION CERTIFICATE/PERMÍT
CHP 301 (REV 4-97) OP| 062
CHP Certificate/Permit Number: 2155- 16855 CHP AREA: 840 ISSUED: 31612023 EXPIRES: 3/5/2024.

INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT* • ARMORED CAR CERTIFICATE VEHICLE YEAR & MAKE: 2019 FORD E350
VEHICLE LICENSE NO. 89578Y2
"Authorized Emergency Vohicle Pormit issued pursuant to Velice Code Section 2416 (a) () for VIN: 1FDXE4FSGKDC62970

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY hereof, shall be carried in the vehicle a MODESTO CA, 95356-

STATE OF CALIFORNIA

DEPARTLIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 13974 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 .

AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT • ARMORED CAR CERTIFICATE
RENEWAL L AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2014 FORD E350 VEHICLE LICENSE NO. 7539781 VIN: 1FDXE4FS0EDB00143
*Authorized Emergency Vehiclo Permil issued pursuant to Vehicte Code Section 2116(a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle al 23 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand

D DEPARTRIENT OF CALIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 13452 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT RENEWAL • • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2014 FORD E350
VEHICLE LICENSE NO. 8Z84679 VIN: 1FDWE3FS6EDA28659
*Authorized Emergency Vehtcle Pemit issued pursuant to Vehicle Code Section 2416(a) (

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimite 4846 STRATOS WAY thereof, shall be carried in the vehicle at all ümes. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand

DEPARTLIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 • • CHP AREA: 840
_CHP Certificate/Permit Number: 2155- 14102 ISSUED: 3/6/2023 , EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
V RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: : 2015 FORD E 350
VEHICLE LICENSE NO. 76564X1 VIN: 1FDXE4FS5FDA124B1
*Authorized Emergency Vehicle Peril issued pursuant to Vehicle Code Section 2416 (a) / 7 for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificale/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

CHD DEPARTAIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP AREA: 840 CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 13622 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2014 FORD E350 VEHICLE LICENSE NO. 37632P1 VIN: 1FDWE3FS5EDB07109
*Authorized Emergency Vehicie Permit issued pursuant to Vohicle Code Section 2416 (a) (.) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY
al ture tro upon amanda
MODESTO CA, 95356-
or as required by regulation.

STATE OF CALFORNIA

HP DEPARTHIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP AREA: 840 CHP 301 (REV 4-97) OPI 062
: CHP Certificale/Permit Number: 2155- 16511 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 450 VEHICLE LICENSE NO. 66136Y2 VIN: 1FDXE4FS8KDC28335
*Authorized Emergency Vehicle Permil sued pursuant to Vehtcle Code Section 2416(a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle af 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- e surrendered to the CHP upon demanc or as required by regulation.

HD DEPARTMENT OF CALIFORNA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16852 ISSUED: 3/6/2022 | EXPIRES: 3/5/2023 AREA:

INITIAL DUPLICATE

V EMERGENCY AMBULANCE CERTIFICATE

REPLACEMENT RENEWAL C ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 450
VEHICLE LICENSE NO. 66137Y2 VIN: 1FDXE4FSXKDC58727
*Authorized Emergency Vehicte Pemit issued pursuant to Vehicle Code Section 2416(a) (.) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 22 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulalion.
€.

STATE OF CALFORNIA

DEPARTIAENT OF CALIFORNIA HIGHWAY PATROL

HP SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT,
.: CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
-CHP Certificate/Permit Number: 2155- 14538 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 14499A2 VIN: 1FDWE3FS8GDC26646 Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416(a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE; INC. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shail be carried in the vehicle al 4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALIFORNUA

HP DEPARTMENT OF GALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP AREA: 840 CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 14269 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 99547X1 VIN: 1FDWE3FS9GDC20001
Autorized Emorgency Vehicle Pomit Issued pursuant to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This cerlicate/permit, or a facsimite AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY • all times, Itis non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALFORNIA

DEPARTISENT OF CALIFORMA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 .: CHP AREA: 840
- CHP Certificate/Permit Number: 2155- 15420 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 24927L2 VIN: 1FDWE3FS1GDC16590
*Aulhorized Emergency Vehicle Permit issued pursuant to Vehicle Code Secion 2416 (a) (.) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerlificate/permit, or a facsimite AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY
MODESTO CA, 95356-
r as required by regulatio
C

STATE OF CALIFORNA

HD DEPARTHIENT OF CALFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
-CHP Cerlificate/Permit Number: 2155- 15083 ISSUED: 316/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 48135G2 VIN: 1FDWE3FS1HDC24075
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) / 7 for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried In the vehicle at 23 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- e surrendered to the CHP upon demand r as required by regulation

SIATEUL UALFURNA

HD DEPARTMIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, : CHP AREA: 840 CHP 301 (REV 4-97) OP| 062
CHP Certificate/Permit Number: 2155- 15078 ISSUED: 3/6/2023 EXPIRES: 31512024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: : 2017 FORD E 350 VEHICLE LICENSE NO. 48139G2 VIN: 1FDXE4FS4HDC28020
*Authorized Emergency Vehicle Pemil issued pursuant to Vehicle Code Secion 2416 (a) (.) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation

STATE OF CAUFORNIA

HP DEPARTMENT OF CALFORNIA HIGHT/AY PATROL

SPECIAL HE TRIATION CERTIFICATEPERMIT
CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
-CHP Cerlificate/Permit Number: 2155- 14270 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE L REPLACEMENT RENEWAL LJ AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 99545X1 VIN: 1FDWE3FS6GDC20005 *Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) /) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shail be carried in the vehicle at 4846 STRATOS WAY all times, It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356-

STATE OF CALIFORNIA

D DEPARTNENT OF CALIFORNA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP: 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 13909 ISSUED: 3/6/2023 EXPIRES: 375/2024.

AREA:

INITIAL DUPLICATE V EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT • ARMORED CAR CERTIFICATE
RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2015 FORD E350
VEHICLE LICENSE NO. 75366S1 VIN: 1FDWE3FS6FDA16125
*Aulhorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile

AMERICAN MEDICAL RESPONSE
4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF GALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

HD SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 16281 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 • AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL • AUTHORIZED EMERGENCY VEHICLE PERMI VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 01976W2 VIN: 1FDWE3FS2KDC46867
*Authorized Emergency Vohicle Permit issued pursuant to Vehicle Code Section 2416 (a) () for

NAME AND MAILING ADDRESS
PROPERTY OF CALIFORNIA HIGHWAY PATROL.

AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulalior

STATE OF CALIFORNA

HD DEPARTMENT OF CALIFORNA HIGHWAY PATROL

SPECIAL VEHICLE DENTIFICATION CERTIFICATEPERIMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155- 15715 ISSUED: 3/6/2023 EXPIRES: 3/5/2024: AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2018 FORD E 350 VEHICLE LICENSE NO. 62996L2 VIN: 1FDWE3FS9JDC33046
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416(a) /..) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERIGAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. his certificate/permit, or a facsimil AMERICAN MEDICAL RESPONSE ereof, shall be carried in the vehicle:
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by.regulation.

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP| 062
CHP AREA: 840
*CHP Certificate/Permit Number: 2155- 15904 ISSUED: 316/2023 EXPIRES: 3/5/2024. AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY ANBULANCE CERTIFICATE

RENEWAL L ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2018 FORD E 350 AUTHORIZED EMERGENCY VEHICLE PERMIT' VEHICLE LICENSE NO. 43601C3 VIN: 1FDWE3FS3KDC08595
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (e) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO GA, 95356- all tmes. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.

STATE OF CALIFORNIA

HD DEPARTKENT OF CALIFORNIA RIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
HP Certificate/Permit Number: 2155- 14981 ISSUED: 3/6/2023 EXPIRES: 315/2024• AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2017 FORD E 350 VEHICLE LICENSE NO. 95624E2 VIN: 1FDXE4FS5HDC24087 *Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Section 2416 (e) /) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimite AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- or as required regulate upon demand

STATE OF CALIFORNIA

HD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
~-SHP Certificate/Permit Number: 2155- 13633 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 • AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFGATE • ARMORED CAR GERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT' VEHICLE YEAR & MAKE: 2013 FORD E350 VEHICLE LICENSE NO. 37225P1 VIN: 1FDSS3ES2DDB29091 *Authorized Emergency Vehicie Permit issued pursuent to Vehicle Code Section 2416 (a) ( for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANGE SERVICE, INC. This cerificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
4846 STRATOS WAY
MODESTO CA, 95356- Or as required freit upon demand

STATE OF CALFORAIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP: 062 CHIP AREA: 840
-dHP Certificate/Permit Number: 2155- 12307 ISSUED: 3/6/2023 EXPIRES: 3/5/2024, AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2011 FORD E 350
VEHICLE LICENSE NO. 63125E1 VIN: 1FDSS3EL1BDB25880
*Aulhorized Emergency Vehicle Permil issued pursuant to Vehicle Code Seclion 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certiliate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALIFORNIA

CHD DEPARTMENT OF CALIFORNIA HICHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
-CHP Certificate/Permit Number: 2155- 12866 ISSUED: 316/2023 EXPIRES: 315/2024: AREA:

INITIAL. DUPLICATE EMERGENCY AMSULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2013 FORD E350 VEHICLE LICENSE NO. 55493A1 VIN: 1FDSS3ES8DDA07514 *Authorized Emergency Vehicle Permit issued pursuant fo Vehicle Code Section 2416 (a) / 1 for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimilt AMERICAN MEDICAL RESPONSE hereof, shall be carried in the vehicle a 4846 STRATOS WAY all times. Itis non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALIFORNIA

DEPARTHENT OF CALIFORNIA HIGHY/AY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 840
CHP 301 (REV 4-97) OPI 082
SHP Certificate/Permit Number: 2155- 13162 ISSUED: 316/2023 EXPIRES: 3/5/2024. AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2013 FORD E350 VEHICLE LICENSE NO. 81861M1 VIN: 1FDSS3ELODDA68963 *Authorized Emergency Vellcte Permil issued pursuant lo Vehicle Code Seclion 2416 (a) (.) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDIGAL RESPONSE thereof, shali be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356- or as required by regulation.

STATE OF CALFORNIA

HP DEPARTMENT OF CALIFORNIA HIGHNIAY PATROL

SPECIAL VEINCATION CERTIFICATE PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
-sHP Certificate/Permit Number: 2155-11764 ISSUED: 3/6/2023 EXPIRES: 315/2024. AREA:

INITIAL DUPLICATE EMERGENCY ANDULANCE CERTIFICATE C ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT® VEHICLE YEAR & MAKE: 2011 FORD E350 VEHICLE LICENSE NO. 58100B1 VIN: 1FDSS3EL8BDA42849 *Authorized Emergency Vohlole Permit issued pursuant to Vehicle Code Section 2416(a) (.) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- or as retired to eulate upon deman

STATE OF CALIFORNIA

DEPARTMIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 840
CHP 301 (REV 4-97) OPI 062
HP Certificate/Permit Number: 2155- 12270 ISSUED: 3/6/2022 (EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMDULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2012 FORD E350 VEHICLE LICENSE NO. 84135E1 VIN: 1FDSS3ES3CDA11422 Authorized Emergency Voice Permit sued pursuant lo Vehicle Code Section 2116(a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon deman
MODESTO CA, 95356- or as required by regulation

STATE OF CALFORNIA

DEPARTIJENT OF CAUFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMÍT :

CHP 301 (REV 4-97) OP| 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12298 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2011 FORD E 350
VEHICLE LICENSE NO. 23472F1 /VIN: 1FDSS3EL6BDB24367
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerificate/permit, or a facsimile

AMERICAN MEDICAL RESPONSE
thereof, shall be carried in the vehicle at
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulation
C

DEPARTMIENT OF CALIFORNIA HIGHIVAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 : CHP ARÉA: 840
CHP Certificate/Permit Number: 2155- 12272 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2012 FORD E350
VEHICLE LICENSE NO. 84488E1 VIN: 1FDSS3ES6CDA21121
Authorized Emergency Vehicle Permit issued pursuant lo Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shal
MODESTO CA, 95356- e surrendered to the CHP upon deman

DEPARTLIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12299 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE V EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLAGEMENT RENEWAL 7 AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2011 FORD E 350 VEHICLE LICENSE NO. 23471F1 VIN: 1FDSS3EL8BDB18201
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE hereof, shall be carried in the vehicle al 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- e surrendered to the CP upon deman
or as required by regulation.

CHD DEPARTHIENT OF CALIFORHIA HIGHHAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12812 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL L

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2012 FORD E350
VEHICLE LICENSE NO. 55472A1 VIN: 1FDSS3ESOCDB38659
*Authorized Emergency Vehicle Permil issued pursuant fo Vehicle Code Section 2416(a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTHJENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 .: CHP AREA: 840
CFP Certificate/Permit Number: 2155- 11768 ISSUED: 3/6/2023 EXPIRES: 31612024 AREA:

INITIAL DUPLICATE V EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2011 FORD E350
VEHICLE LICENSE NO. 39074S2 VIN: 1FDSS3ES3BDA27294
*Authorized Emergency Vehicle Pemit issued pursuant to Vohite Code Seclion 2416(a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
• AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

This cerlificale/permit, or a facsimile
AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon deman r as required by regulatior
dinicyr brurunnu

CHD DEPARTNIENT OF CALIFORNIA HIGHIVAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 .: CHP AREA: 840
CHP Certificate/Permit Number: 2155- 11902 ISSUED: 3/6/2023 /EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2011 FORD E350
VEHICLE LICENSE NO. 09990T1 VIN: 1FDSS3EL6BDA42848
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section (a) ( I for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.
- D DEPARTENT OF CALFORHIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 13692
ISSUED: 3/6/2023 EXPIRES: 3/5/2024
AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE

RENEWAL ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: AUTHORIZED EMERGENCY VEHICLE PERMIT* 2013 FORD E350
VEHICLE LICENSE NO. 37765P1 VIN: 1FDSS3ES8DDB31959
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (e) / 1 for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand

HD CEPARTNENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT,
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
_ CHP Certificate/Permit Number: 2155- 13911 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMDULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 75373S1 VIN: 1FDSS3ES2DDB35330
*Authorized Emergency Vehicle Pemit issued pursuent lo Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY hereof, shall be carried in the vehicle at all times. It is non-transferable and shail
MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulation.

CHD DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12867 ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL L AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 3907352 VIN: 1FDSS3ES7DDA08542
*Authorized Emergency Vehicle Permil issued pursuant to Vehicle Code Section 2416 (a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

CHD DEPARTENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE. IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 13242 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 84497L1 VIN: 1FDSS3ES2DDA68955
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) /..) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile

AMERICAN MEDICAL RESPONSE
4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CAL-UHNIA

DEPARTIENT OF CALIFORNA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 13865 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2014 FORD E350 VEHICLE LICENSE NO. 05390R1 *Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Section 2416 (e) / VIN: 1FDSS3ES7EDB05452 I for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356-
or as required by regulation
- D DEPARTHENT OF CALIFORNIA HIGHAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP| 062 : CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12898
ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL

DUPLICATE EMERGENCY AMBULANCE CERTIFICATE

REPLACEMENT RENEWAL C ARMORED CAR CERTIFICATE
VEHICLE YEAR & MAKE: 2013 FORD E350 AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE LICENSE NO. 55494A1 -IN: 151535S901808543
"Authorized Emergency Vehicie Permil issued pursuant to Vehicte Code Section 2416 (e) /) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. It is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulation.
....

STATE OF CALIFORNA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP 301 (REV 4-97) OPI 062 : CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 13243 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
C • ARMORED CAR CERTIFICATE
REPLACEMENT V RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 21632P2 VIN: 1FDSS3ES6DDB12228
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion (a) (.) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY
MODESTO CA, 95356-

D DEPARTHENT OF CALIFORN HIGHIVAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
CHP Certificate/Permit Number: 2155- 12273 ISSUED: 3/6/2023 | EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY ANBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT'
VEHICLE YEAR & MAKE: 2012 FORD E350
VEHICLE LICENSE NO. 84132E1 VIN: 1FDSS3ES5CDA11423
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( I for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimite

1. 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

CHD DEPARTRIENT OF CALFORNA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/BERMIT
CHP 301 (REV 4-97) OP1 062 CHP AREA: 840
CHP Cerlificate/Permit Number: 2155- 12301
ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2011 FORD E 350
VEHICLE LICENSE NO. 42090W2 | VIN: 1FDSS3EL9BDB29546
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416 (a) ( 1 for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand C

HP DEPARTHIENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP 301 (REV 4-97) OPI 062 CHP Certificate/Permit Number: 2155- 12865 CHP AREA: 840 ISSUED: 3/6/2023 EXPIRES: 3/5/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE

RENEWAL
VEHICLE YEAR & MAKE: 2013 FORD E350 AUTHORIZED EMERGENCY VEHICLE PERMIT* • ARMORED CAR CERTIFICATE "Authorized Emergency Vehice Permit issued pursuant to Vehicle Code Section 2116(8) ( ) for VEHICLE LICENSE NO. 54977A1 VIN: 1FDSS3ES6DDA07513

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL 23 AMERICAN MEDICAL RESPONSE This certificale/permit, or a facsimite 4846 STRATOS WAY hereof, shall be carried in the vehicle al MODESTO CA, 95356- be surrendered to the CHP upon demand all times. It is non-transferable and shall or as required by regulation.

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNA HIGHWAY PATROL
SPECIAL CEILE DENTIFICATION CERTIFICATEIPERIMTT :

CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certificate/Permit Number: 2155. 16397 ISSUED: 3/6/2023 EXPIRES: 3/5/2024: AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIFICAYE
REPLACEMENT RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 88935W2 VIN: 1FDWE3FSXKDG54697
"Authorized Emergency Vehicle Permit issued pursuent to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE is certificate/permit, or a facsimi ereof, shall be carried in the vehicle
4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALFORNIA

D SPECIAL VEHICLE IDENTFICATION CERTIFICATEPERIMT DEPARTHENT OF CALIFORNIA HIGHWAY PATROL CHP 301 (REV 4-97) OP| 062
CHP AREA: 840
HP Certificate/Permit Number: 2155- 15079 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 • AREA:

INITIAL

DUPLICATE

L REPLACEMENTR EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 37045F2 VIN: 1FDWE3FS6GDC55725
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALIFORNIA

HO SPECIAL VEILE DENTIFICATION CERTIFICATE PERMIT DEPARTMENT OF CALFORNIA HIGHWAY PATROL CHP 301 (REV 4-97) OPI 062 CHP AREA: 840
HP Certifcate/Permit Number: 2155- 13411
ISSUED: 3/6/2023 EXPIRES: 3/5/2024. AREA:

INITIAL DUPLIGATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL U

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 54995A1 VIN: 1FDSS3ES3DDA14631
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL

AMERICAN MEDICAL RESPONSE
4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANCE INSPECTION REPORT
P 299 (Rev. 10-18) OPI 061 INSPECTION

LEGAL BUSINESS NAME E INTAL

ANNUAL I COMPLIANCE
AMERICAN MEDICAL RESPONE AMBULANCE SERVICE, INC. 2155 COMPANY LICENSE NUMBER [VEHICLE YEAR, MAKE, AND MODEL SERVICE ADDRESS (number and streol)
26035 PALOMAR RD. 2023, FORD, B-350
(cily, sieto, ond zip code) VEHICLE IDENTIFICATION NUMBER (VIN) MENIFEE, CA 92585 IEDWE3PN7PPD14646

VEHICLE LICENSE PLATE NUMBER AND STATE
20628T3

VEHICLE CERTIFICATE NUMBER
ITEM INSPECTED (MINIMUM REQUIREMENTS) 2155-

1. Registration; plates YES NO ITEM INSPECTED (INIMUM REQUIREMENTS) YES NO

2. identificalion certificate. (annuals/compliance only) 14. Reflectors

15. Glass

3. Ambulance identification sign (visible from 50+ feet)

4. Headlamps 16. Windshield wipers

5. Beam selectorindicafor 17. Defroster

6. Headlamp flasher (if equipped) 18. Mirrors

7. Steady red warning lamp 19. Hom

8. Tum signals 20 20. Siren

9. Glearance/stdemarker lamps (if required) XX 21. Seat belts

10. Stoplamps 22. Fire exlinguisher (minimum 4B:C)

11. Tailtamps 23. Portable light

12. License plate lamp 24. Spare tire; lack and tools

13. Backup lamps 25. Maps of coverage areas or equivalent

26. Door latches operable from inside and oulside
ANY ITEM CHECKED "NO" ABOVE WILL HAVE A CHP 281, NOTICE TO CORRECT VIOLATION, ISSUED WITH THE DIRECTION TO CORRECT THE DISCREPANCY. ONCE SIGNED OFF, THE CHP 281 WILL BE RETURNED TO THE INSPECTING OFFICER.

EMERGENCY CARE EQUIPMENT AND SUPPLIES INSPECTED

1. (1) Ambulance cot and (1) collapsible siretcher YES| NO EMERGENCY CARE EQUIPMENT AND SUPPLIES INSPECTED (YES NO

2. Securement straps for patient and cot/stretcher 14. Emesis basin or disposable bags, and covered waste contalner

3. Ankle and wrist restraints. Soft ties are acceptable. 15. Portable suctioning apparatus (Squeeze syringes not sufficient)

4. Sheets, pillow cases, blankets, towels, piliows (2) 16. Two devices or material to restrict movement

5. Oropharyngeal always: (1) adult, (1) child, (1) Infant 17. (2) liters saline solution or a gallon polable water

6. Rigid or pneumatic splints (4) 18. Halvalen devon splin, padded ankle hitch strap, heel rest or

7. Resuscitator - capable of use with oxygen or air in aduli, child, and infant sizes 19. Blood pressure cuff, manometer, slelhoscope X

8. Oxygen and regulators, porlability required 20. Stamps, destings lois, flore, amate praise)

9. Sterile bandage compresses (4 - 3" x 3")

10. Soft rolled bandages (6 - 2", 3", 4", o 6") 21. Bedpan or fracture pan

22. Urinal

11. Adhesive tape (2 rolls - 1", 2", or 3") 20

12. Bandage shears

13. Universal dressings (2 - 10"x 30" or larger) X

DESTROY PREVIOUS EDITONS
Chp208_1018,pd/

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANCE INSPECTION REPORT
CHP 299 (Rev. 10-18) OPI 061
PAGE 2

REQUIRED RECORDS AND DOCUMENTS INSPECTED AND IN COMPLIANCE

CALL RECORDS

1. Location of records, retained for 3 years YES NO

PERSONNEL RECORDS

2. Date, time, location, and identity of call taker 14. Employment cate YES-NO

3. Name of requesting person or agency 15. Copy of driver license

4. Unit ID, personnel dispatched, and record of red light/siren use 16. Copy of ambulance diver certificate

5. Explanation of failure to dispatch 17. Copy of medicalexam certificate

6. Dispatch time, scene arrival time, and deparlure time 18. Copy.oF EMT certificate or medical ficense

7. Destination of patient; amrival time 19. Work experience summary

8. Name or other identifier of patient transported 0. Affidavit certifying compilance with 13 CCR 1101(b) and/c Seclion 13372 CVC prohibition COMPANY INSPECTION 21. Personnel enrolled in the DMV Pull Notice System

9. Company princlpals verifled YES NO:
10 One or more ambulances avallaste 24 hours

11. Fees posted/current

12. Financial responsibilty

13. 24-hiour direct telephone service

VEHICLE INSURANCE CARRIER'S NAME

ACE AMERICAN INSURANCE COMPANY POLICY NUMBER
REMARKS ISA H25578193 POLICY EXPRATION DATE
03/31/2024

LICENSEE CERTIFICATION IN LIEU OF OFFICIAL BRAKE CERTIFICATE I certify that there is no official brake adjusling station within 30 mlles of the operating base of this vehicle; however, the brake system of this vehicle has been inspected and is in compliance with the requirements of the Califomla Vehicle Code and Title 13, Califomia Code of Regulations. "SIGNATURE OF LICENSEE OR AUTHORIZED REPRESENTATVE
DATE
Ý TEMPORARY OPERATING AUTHORIZATION: This vehicle may be operated as an emergency ambulance. This authorizalion must be carried in the vehicle when used in lieu of the special vehicle identification certificate and expires 30 days after the date shown below.

SIGNATURE OF COMMANDER OR INSPECTING OFFICER

ID NUMBER LOCATION CODE
16765685 4/121025

DESTROY PREVIOUS EDITIONS
Chp209_1018.pdt

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANCE INSPECTION REPORT INSPECTION
1P 299 (Rev, 10-18) OPI 061 EZ INITIAL •ANNUAL DJ COMPLIANCE *LEGAL BUSINESS NAME COMPANY LICENSE NUMBER VEHICLE YEAR, MAKE, AND MODEL AMERICAN MEDICAL RESPONE AMBULANCE SERVICE, INC. 2155 2023, FORD, B-350 SERVICE ADDRESS (number and strol) VEHICLE IDENTIFICATION NUMBER (VIN) 26035 PALOMAR RD. IPDWE3EN7PPD19099
(aily, stale, and zip codo) VEHICLE LICENSE PLATE NUMBER AND STATE MENIFEE, CA 92585 2897653

VEHICLE CERTIFICATE NUMBER
2155-

ITEM INSPECTED (MINIMUM REQUIREMENTS) YES NO ITEM INSPECTED (MINIMUM REQUIREMENTS) VES NO

1. Registration; plates X. 14. Reflectors

2. Identification certificate (annuals/compliance only) X 15. Glass

3. Ambulance Identification sign (visible from 50+ feet) XI 16. Windshield wipers

4. Headlamps 17. Defroster

5. Beam selector/indicator 18. Mirrors

6. Headlamp flasher (if equipped) 19. Hom

7. Steady red warning lamp 20. Siren

8. Tum signals 21. Seat belts

9. Clearance/sidemarker lamps (if required) 22. Fire exlinguisher (minimum 4B:C)

10. Stoplamps 23. Portable light

11. Tallamps 24. Spare tire; jack and tools

12. License plate lamp 25. Maps of coverage areas or equivalent

19. Backup lamps 26. Door latches operable from inside and oulside ANY ITEM CHECKED "NO" ABOVE WILL HAVE A CHP 281, NOTICE TO CORRECT VIOLATION, ISSUED WITH THE DIRECTION TO CORRECT THE, DISCREPANCY. ONCE SIGNED OFF, THE CHP 281 WILL BE RETURNED TO THE INSPECTING OFFICER.

EMERGENCY CARE EQUIPMENT AND SUPPLIES INSPECTED YES NO EMERGENGY CARE EQUIPMENT AND SUPPLIES INSPECTED YES NO

1. (1) Ambulance cot and (1) collapsible stretcher 14. Emesis basin or disposable bags, and covered waste contalner

2. Securement straps for patient and col/stretcher 15. Portable suctioning apparatus (Squeeze syringes not sufficient)

3. Ankle and wrist restraints. Soft ties are acceptable. X 16. Two devices or material to restrict movement

4. Sheets, plllow cases, blankets, towels, pillows (2) 17. (2) liters saline solution or a gallon potable water _5. Oropharyngeal airways: (1) adult, (1) child, (1) Infanl 18. Hulking aton splint, padded ankle hitch strap, heat rest or

6. Rigid or pneumatic splints (4)

7. Resistant or capable of use with oxygen or air in adul, child, 19. Blood pressure cuff, manometer, stelhoscope X

3. Oxygen and regulators, portabilly required

9. Sterile bandage compresses (4-3"× 3") 21. Bedpan or fracture pan

10. Soft rolled bandages (6 - 2", 3", 4", or 6") 22. Urinal _11. Adhesive tape (2 rolls- 1", 2", or 3"

12. Bandage shears

13. Universal dressings (2 - 10" x 30" or larger) X
DESTROY PREVIOUS EDITIONS Chp200_1018.par

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANGE INSPECTION REPORT
CHIP 299 (Rev. 10-18) OPI 061
PAGE 2

REQUIRED RECORDS AND DOCUMENTS INSPECTED AND IN COMPLIANCE

CALL RECORDS YES NO

PERSONNEL RECORDS

1. Location of records, retained for 3 years YES NO

14. Employment date

2. Date, time, location, and identity of call taker 15. Copy of driver license

3. Name of requesting person or agency

4. Unit ID, personnel dispatched, and record of red light/siren use 18. Copy of ambulance diver certificate

5. Explanation of fallure to dispatch 17. Copy of medical exam certicate

18. Copy of EMT certificate or medical license

6. Dispatch time, scene arrival time, and departure time *19. Work experience summary

7. Destination of pallent; arrival time

20. Affidavit certifying compliance with 13 CCR 1101(b) and/o

8. Name or other identifler of palient transported Section 13372 CVC prohibition:

21. Personnel enrolled in the DMV Pull Nolice System
COMPANY INSPECTIÓN YES NO

9. Company principals verified
10 One or more ambulances avallable 24 hours

11. Fees posted/current

12. Financial responsibilty

13. 24-hour direct telephone service
VEHICLE INSURANCE CARRIER'S NAME [POLICY NUMBER
ACE AMERICAN INSURANCE COMPANY LISA H25578193 [POLICY EXPRATION DATE REMARKS 03/31/2024

LICENSEE CERTIFICATION IN LIEU OF OFFICIAL BRAKE CERTIFICATE I certify that there is no officlal brake adjusting station-within 30 miles of the operating base of this vehicle; however, the brake system of this vehfcle has been inspected and is in compilance with the reguirements of the Califomia Vehicle Code and Tille 13, Califomia Code of Regulations.

SIGNATURE OF LICENSEE OR AUTHORIZED REPRESENTATVE
TOATE
When used in lieu of the speclal vehicle identification certificate and expires 30 days after the date shown below TEMPORARY OPERATING AUTHORIZATION: This vehlcle may be operaled as an emergency ambulance. This aulhorization must be carried in the vehicle

SIGNATURE OF COMMANDER OR INSPECTING OFFICER ID NUMBER LOCATION CODE DATE
16765 685 4/12/2023

DESTROY PREVIOUS EDITIONS
Chp299_1010.pcif

STATE OF CALIFORNIA

DEPARTMENT OF CALFORNIA HIGHIVAY PATROL

HIP DEPECIAL OEICLE DNTTFICATION PERMIT
CHP AREA: 685
CHP 301 (REV 4-97) OP1 062
CHP Certificate/Permit Number: 2155- 18333 ISSUED: 316/2023 EXPIRES: 315/2024. AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENGY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2022 FORD E350 VEHICLE LICENSENO. 78380M3 VIN: 1FDWE3FN3NDC35472 *Authonzed Emergency Vehicle Pemmit Issued pursuant to Vehicle Code Section 2416 (a) (.. ) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
4846 STRATOS WAY
e surrendered to the CHP upon deman
MODESTO CA, 95356- ras required by regulatior

STATE OF CALIFORNIA

HP DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 14207 ISSUED: 3/6/2023 EXPIRES: 31512024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL L AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 99543X1 VIN: 1FDXE4FS6GDC19270
Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) (..) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimite AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

C

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT, CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15711
ISSUED: 3/6/2023 EXPIRES: 3/5/2024
INITIAL AREA:

DUPLICATE

REPLACEMENT EMERGENCY AMDULANCE CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT* LI ARMORED CAR CERTIFICATE VEHICLE YEAR & MAKE: 2018 FORD E 350
*Authorized Emergency Vehicle Permlt issued pursuent to Vehicle Code Seclion 2416 (e) ( VEHICLE LICENSE NO. 61449L2 VIN: 1FDWE3FS5JDC33044
NAME AND MAILING ADDRESS I for
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA: HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356- all times. it is non-transferable and shall be surrendered to the CHP upon demand
or as required by regulalion.

DEPARTMENT OF CALIFORNIA HIGHSAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155. 15532 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL L • ARMORED CAR CERTIFICAȚE
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 66121Y2
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) / for VIN: 1FDWE3FS1HDC21127

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

SIRICUT WALIMUMUYUN

HD DEPARTMENT OF CAUFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15077 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE C ARMORED CAR CERTIFICAȚE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 48137G2 VIN: 1FDXE4FS3HDC28686
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seotion 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimil hereof, shall be carried in the vehicle a
4846 STRATOS WAY. all times. It is non-transferable and shal MODESTO CA, 95356- e surrendered to the CH upon deman

DEPARTMENT OF CALIFORN'A HIGHWAY PATROL
ЗНР SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 685
CHP 301 (REV 4-97) OPI 062
CHP Gertificate/Permit Number: 2155- 16332 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE ARMORED CAR CERTIFICAȚE REPLACEMENT RENEWAL • AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 23138V2 VIN: 1FDWE3FSXKDC36104 *Authorized Emergency Vehicle Pemit Issued pursuant to Vehlate Code Section 2416 (a) ( ) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. his certificate/permit, or a facsimil AMERIÇAN MEDICAL RESPONSE thereof, shall be carried in the vehicle a 23 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHIVAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP AREA: 685 CHP 301 (REV 4-97) OP| 062
CHP Certificate/Permit Number: 2155- 16335 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EVERCENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 42095W2 VIN: 1FDWE3FS3KDC50202
*Autorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) () for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be caried in the vehicle at 23 • 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regutation.

SHP DEPARTMENT OF CALIFORNIA HIGHNAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT CHP AREA: 685 CHP 301 (REV 4-97) OP1 062
CHP Certificate/Permit Number: 2155» 15907 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:
.-
INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICAȚE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT" VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 39077S2 VIN: 1FDWE3FS7KDC08597 *Authorized Emergency Vehlcle Pemit Issued pursuant to Vehicle Code Section 2416 (a) {) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVIÇE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shal be surrendered to the CHP upon deman
MODESTO CA, 95356- or as required by regulation.

STATE OF CAUFORNIA

HP DEPARTMENT OF CALIFORNA HIGHHAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15049 ISSUED: 3/6/2023 EXPIRES: 3/5/2024. AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIFICATE C ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 48138G2 VIN: 1FDWE3FS6HDC22578
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416 (a) (, for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 2 4846 STRATOS WAY Il times. It is non-transferable and sha MODESTO CA, 95356- e surrendered to the CHP upon deman
or as required by regulation.

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATEIPERMIT :

CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 14432 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 • AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 14502A2 VIN: 1FDWE3FSGGDC34941
*Authorized Emergency Vehicle Pemit issued purstant to Vehicle Code Seclion 2416(a) / for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carrled in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356-

DEPARTHIENT OF CALIFORNLA HIGHWAY PATROL

HD SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT,
CHP AREA: 685
CHP 301 (REV 4-97) OP1 062
CHP Certificate/Permit Number: 2155- 17055 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 45853X2 VIN: 1FDWE3FS9KDC66145 *Authorized Emergency Vehicle Permit issued pursuantto Vehicle Code Section 2416 (a) (.) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356- or as required by regulation.

STATE OF CALIFORNIA
HO DEPARTMENT OF CALIFORNIA HIGHWAY PATROL ..

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15712 ISSUED: 3/6/2023 EXPIRES: 3/5/2024, AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT®
VEHICLE YEAR & MAKE: 2018 FORD E 350
VEHICLE LICENSE NO. 61448L2 VIN: 1FDWE3FS5JDG23064
*Authorized Emergency Vehicle Pemmit issued pursuant to Vehicle Code Section 2416 (a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This cerificate/permil, or a facsimile thereof, shall be carried in the vehicle at
4846 STRATOS WAY
all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CAUFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
HP SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERİVIT
CHP AREA: 685
CHP 301 (REV 4-97) OPI 062
*HP Certificate/Permit Number: 2155- 15533 ISSUED: 3/6/2023 EXPIRES: 315/2024. AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL L AUTHORIZED EMERGENCY VEHICLE PERMIT VEHICLE YEAR & MAKE: 2017 FORD E 350 VEHICLE LICENSE NO. 55578L2 VIN: 1FDWE3FS4HDC47396 *Authorized Emergency Vehicle Permit Issued pursuant to Vehicie Code Section 2416(a) / ) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC, This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all tmes. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356- or as required by regulation.

STATE OF CALFORNIA

HD DEPARTMENT OF CALIFORNIA HIGHNAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERİMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
_CHP Certificate/Permit Number: 2155- 15415 ISSUED: 3/6/2023 EXPIRES: 3/5/2024, AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2017 FORD F 450 VEHICLE LICENSE NO. 95236J2 •VIN: 1FDUF4HTXHEB18623
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (e) / 1 for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 23 4846 STRATOS WAY all times: It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356- or as required by regulation.
• 5=

STATE OF CALFORNIA

HP DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATEPERIMT
CHP 301 (REV 4-97) OP1 062 CHP AREA: 685
_CHP Certificate/Permit Number: 2155- 16542 ISSUED: 316/2023 EXPIRES: 315/2024.

AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 86985W2 VIN: 1FDXE4FS9KDC33219
*Authorized Emergency Vehicle Pemit issued pursuent to Vehicle Code Section 2416 (a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-fransferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demanc or as required by regulation.

STATE OF CALIFORNIA

DEPARTHENT OF CALIFORNIA HIGHNIAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATEPERMÍT
CHP 301 (REV 4-97) OPI 062
CHP AREA: 685
CHP Cerificate/Permit Number: 2155- 16333 wie
ISSUED: 3/6/2023 EXPIRES: 315/2024
AREA:

INITIAL DUPLICATE
REPLAGEMENT EMERGENCY ANBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 350 VEHICLE LICENSE NO. 01973W2 "Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (a) ( VIN: 1FDWE3FS4KDC36101 L for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 23 4846 STRATOS WAY thereof, shall be carried in the vehicle a all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALFORNIA

CHD DEPARTMENT OF CALIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-87) OPI 062. CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15908 ISSUED: 3/6/2023 EXPIRES: 3/512024.

AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 3907152 VIN: 1FDWE3FS6KDC06758
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) /) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile thereof, shall be carried in the vehicle at
4846 STRATOS WAY
all times. It Is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALIFORNIA

HIP DEPARTMENT OF CAIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 13939 ISSUED: 316/2023 (EXPIRES: 31512024.

AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2015 FORD E350
VEHICLE LICENSE NO. 75364S1 VIN: 1FDWE3FS4FDA16124
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(0) /) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile

AMERICAN MEDICAL RESPONSE
23 thereof, shall be carried in the vehicle at
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALIFORNIA

HP DEPARTMENT OF CALJFORNIA HIGHNAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE PERİMIT
CMP 301 (REV 4-97) OP| 062 CHP AREA: 685
^HP Certificate/Permit Number: 21 55- 13205 ISSUED: 3/6/2023 EXPIRES: 3/5/2024. AREA:

INITIAL DUPLICATE Vi EMERGENCY AMBULANCE CERTIFICATE
REPLACEMENT • ARMORED CAR CERTIFICATE

RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMI
VEHICLE YEAR & MAKE: 2013 FORD E350 VEHICLE LICENSE NO. 84498L1 VIN: 1FDSS3ES8DDB12229
Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2418 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERIGAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE
4846 STRATOS WAY
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

STATE OF CALFORNIA

HP DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE DENTIFICATION CERTIFICATE PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 14095 ISSUED: 316/2023 EXPIRES: 3/5/2024, AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 450 VEHICLE LICENSE NO. 44896X1 VIN: 1FDXE4FS2GDC00554
*Authorized Emergency Vehicle Pemit Issued pursuent to Velicle Code Section 2416 (a) / / for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- e surrendered to the CHP upon demand or as required by regulatior
vincur unus unin

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 12274 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

EMERGENCY AMBULANCE CERTIFICATE CJ ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL •
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2012 FORD E350
VEHICLE LICENSE NO. 59219X2 VIN: 1FDSS3ES2CDA16658
*Authorized Emergency Vehicle Pemmit issued pursuant to Vehicle Code Section 2416 (e) / I for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

AMERICAN MEDICAL RESPONSE This cerlificate/permit, or a facsimile thereof, shall be carried in the vehicle at
4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTRIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 13940 ISSUED: 316/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2015 FORD E350
VEHICLE LICENSE NO. 7539DS1 VIN: 1FDWE3FS1FDA16131
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Section 2416 (a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHIAY PATROL

CHD SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685.

CHP Certificate/Permit Number: 2155- 14096 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 44888X1 VIN: 1FDWE3FS6GDC18061
*Authorized Emergency Vehicle Permil issued pursuant to Vehicle Code Seclion 2416 (a) ( > for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

This certificate/permit, or a facsimile
AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. Itis non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155-14268 ISSUED: 3/6/2023- EXPIRES: 3/512024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLAGEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2015 FORD E 350 VEHICLE LICENSE NO. 63702Z1 VIN: 1FDWE3FS6FDA16108
*Authorized Emergancy Vehicle Permit Issued pursuant to Vehicle Code Section 2416 (e) ( for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO GA, 95356- be surrendered to the CHP upon demand or as required by regulation.
17=
ЗНР DEPARTMENT OF CALIFORNIA HIGHWAY PATROL.

SPECIAL VEHICLE, IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP) 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15076
ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD E 350
VEHICLE LICENSE NO. 21050H2 VIN: 1FDWE3FS0GDC55722
*Authorized Emergency Vehicle Pemit Issued pursuant to Vehicle Code Section 2416 (a) ( for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at all times. It is non-transferable and shall
MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALFORNIA HIGHNVAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP AREA: 685 CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 15418 ISSUED: 316/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE EMERGENCY ALISULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2016 FORD E 350 VEHICLE LICENSE NO. 66120Y2 VIN: 1FDWE3FS6GDG15757 *Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) / ) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL. RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a lacsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356-
or as required by regulation.

HD DEPARTNENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE, IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Cerlificate/Permit Number: 2155- 14766 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY ANGULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 89161D2 VIN: 1FDWE3FS6GDC55854
*Authorized Emergency Vehicle Permit Issued pursuant to Vehicte Code Seclion 2416 (a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-trainsferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

HD DEPARTMENT OF CALIFORNA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15934 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 44811S2 VIN: 1FDWE3FSBKDC12657
*Authorized Emergency Vehicle Pemil Issued pursuant to Vehicle Code Section 2416(a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356-. be surrendered to the CHP upon demand or as requited by regulation.

DEPARTMENT OF CALFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15760 ISSUED: 316/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2018 FORD E 350 VEHICLE LICENSE NO. 15557P2 VIN: 1FDWE3FS4JDC33052
"Autiorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416 (a) / / for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO GA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

HD SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP AREA: 685
CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 15534 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIICATE I ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL L AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2017 FORD E 350 VEHICLE LICENSE NO. 59218X2 VIN: 1FDWE3FS7JDC14852 Authorized Emergency Vehicie Permit issued pursuent to Vehicle Code Section 2416 (e) /) for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certlicate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO CA, 95356-
or as required by regulation.

HD DEPARTMENT OF CALIFORMA HIGHWAY PATROL
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP AREA: 685 CHP 301 (REV 4-97) OPI 062
CHP Cerificate/Permit Number: 2155- 18334 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2022 FORD E350 VEHICLE LICENSE NO. 85651L3 VIN: 1FDWE3FN2NDC28092 "Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Section 2416(a) ( for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HICHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shail be surrendered to the CHP upon demand
MODESTO CA, 95356- or as required by regulation.

SHP DEPARTIENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OP1 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 16949 ISSUED: 3/6/2023 EXPIRES: 315/2024 AREA:

INITIAL DUPLICATE
REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2019 FORD E350
VEHICLE LICENSE NO. 30216A3 VIN: 1FDWE3FS7KDC58609
"Authorized Emergency Vehice Permit issued pursuant to Vehicle Code Seolin 2416 (a) ( ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, ING. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times, it is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

HD DEPARTNENT OF CALIFORNIA HIGHYAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 16334 ISSUED: 3/6/2023 EXPIRES: 3/6/2024 AREA:

INITIAL DUPLICATE EMERGENCY ANBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE
REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2019 FORD E 350
VEHICLE LICENSE NO. 23140V2 VIN: 1FDWE3FS6KDC36102
"Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Seclion 2416(a) ( / for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC.

This certificate/permit, or a facsimile
AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARMENT OF CALFORAUA HIGHWAY PATROL.

CHOD
SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT CHP AREA: 685 :

CHP 301 (REV 4-97) OPI 062
CHP Certifcate/Permit Number: 2155- 14042 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2014 FORD E 350 VEHICLE LICENSE NO. 75877S1 VIN: 1FDWE3FS5EDB20989 *Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416 (e) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE hereof, shall be carried in the vehicle a 4846 STRATOS WAY all times. It is non-transferable and shall be surrendered to the CHP upon demand
MODESTO GA, 95356- or as required by regulation.

HD DEPARTHENT OF CALIFORNIA HIGHNAY PATROL
SPECIAL VEHICLE, IDENTIFICATION CERTIFICATE/PERMIT CHP AREA: 685 CHP 301 (REV 4-97) OPI 062
CHP Certificate/Permit Number: 2155- 13808 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE REPLACEMENT RENEWAL AUTHORIZED EMERGENCY VEHICLE PERMIT* VEHICLE YEAR & MAKE: 2014 FORD E350 VEHICLE LICENSE NO. 05384R1 VIN: 1FDSS3ES9EDB05453 *Authorized Emergency Vehicle Pemit issued pursuant to Vehicle Code Seclion 2416 (a) ( 1 for

NAME AND MAILING ADDRESS PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerlificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

DEPARTMENT OF CALIFORNA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 12983 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE

REPLACEMENT EMERGENCY AMBULANCE CERTIFICATE
RENEWAL • ARMORED CAR CERTIFICATE

AUTHORIZED EMERGENCY VEHICLE PERMIT
VEHICLE YEAR & MAKE: 2013 FORD E350
VEHICLE LICENSE NO. 54996A1. VIN: 1FDSS3ES3DDA14628
*Authorized Emergency Vehicle Pemit issued pursuant to Vehicle Code Section 2416 (e) / ) for

NAME AND MAILING ADDRESS
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. PROPERTY OF CALIFORNIA HIGHWAY PATROL AMERICAN MEDICAL RESPONSE This certificate/permit, or a facsimile 4846 STRATOS WAY thereof, shall be carried in the vehicle at MODESTO CA, 95356-
•

DEPARTMENT OF CALIFORNU HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 14431 ISSUED: 3/6/2023 • EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY ANGULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED ENERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 14497A2 VIN: 1FDWE3FS2GDC34208
"Authorized Emergency Vehicle Permit Issued pursuant to Vehicle Code Seclion 2416 (a) () for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This cerilicate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand omnicur unurunnus

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFICATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 15010 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE EMERGENCY AMBULANCE CERTIFICATE
• ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2017 FORD TRANSIT VEHICLE LICENSE NO. 95655E2 VIN: 1FDXE4FS3HDC24086
*Authorized Emergency Vehicle Permit issued pursuant to Vehicle Code Section 2416(a) ( for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY all times. It is non-transferable and shall MODESTO CA, 95356- be surrendered to the CHP upon demand or as required by regulation.

HP DEPARTMENT OF CALIFORNIA HIGHNAY PATROL

SPECIAL VEHICLE IDENTIFICATION CERTIFIGATE/PERMIT
CHP 301 (REV 4-97) OPI 062 CHP AREA: 685
CHP Certificate/Permit Number: 2155- 14206 ISSUED: 3/6/2023 EXPIRES: 3/5/2024 AREA:

INITIAL DUPLICATE
EMERGENCY AMBULANCE CERTIFICATE • ARMORED CAR CERTIFICATE

REPLACEMENT RENEWAL
AUTHORIZED EMERGENCY VEHICLE PERMIT*
VEHICLE YEAR & MAKE: 2016 FORD E 350
VEHICLE LICENSE NO. 99548X1 VIN: 1FDWE3FS4GDC19998
Authorized Emergency Vehfele Perit issued pursuant to Vehicle Code Section 2416(a) / ) for

NAME AND MAILING ADDRESS

PROPERTY OF CALIFORNIA HIGHWAY PATROL
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE, INC. This certificate/permit, or a facsimile AMERICAN MEDICAL RESPONSE thereof, shall be carried in the vehicle at 4846 STRATOS WAY
MODESTO CA, 95356-

STATE OF CALIFORNIA

DEPARMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANCE INSPECTION REPORT
CHP 299 (Rev. 1D-18) OPI 061 INSPECTiON

TEGAL BUSINESS NAME

MINAL ANNUAL
SERVICE ADDRESS (number and streef) American Medical Response Ambulance Service, INC. COMPANY LICENSE NUMBER 2155 VEHICLE YEAR, MAKE, AND MODE
879 Marlborough Ave 2023, Ford E-350
Tally, state, and zip code) VEHICLE IDENTIFICATION NUMBE Riverside, CA 92507 LFDWE3FN4PDD1909:

VEHICLE LICENSE PLATE NUMBE
28977S3
ITEM INSPECTED (MINIMUM REQUIREMENTS) (VEHICLE CERTIFICATE NUMBER"

1. Registration; plates [YES NO ITEM INSPECTED (MINIMUM REQUIREMENTS)

2. Identification certificate (annuals/compllance only) 14. Reflectors

3. Ambulance Identificalion sign (visible from 50+ feet) 15. Glass L.

4. Headlamps 16. Windshield wipers

6. Beam safector/indicator 17. Defroster

6. Headlamp flasher (if equipped) 18, Mirrors

7. Steady red warning famp 19. Hom

8. Turn signals 20. Siren

9. Clearance/sidemarker lamps (if required) 21. Seat belts

10. Stoplamps 22. Fire extinguisher (minimum 4B:C)

11. Taillamps 23. Portable light

12. License plate lamp 24. Spare tire; jack and tools

13. Backup lamps 25. Maps of coverage areas or equivalent

26. Door latches operable from inside and outside
ANY ITEM CHECKED "NO" ABOVE WILL HAVE A CHP 281, NOTICE TO CORRECT VIOLATION, ISSUED WITH THE DIRECTION T DISCREPANCY. ONCE SIGNED OFF, THE CHP 281 WILL BE RETURNED TO THE INSPECTING OFFICER.

EMERGENCY CARE EQUIPMENT AND SUPPLIES INSPECTED
¡YES NO
: 1. (1) Ambulance cot and (1) collapsible stretcher EMERGENCY CARE EQUIPMENT AND SUPPLIES INSP

2. Securement straps for patient and cot/stretcher 14. Emesis basin or disposable bags, and covered waste

3. Ankle and wrist restraints. Soft ties are acceptable. 15. Portable suctioning apparatus (Squeeze syringes not

4. Sheets, pillow cases, blankets, towels, pillows (2) 16. Two devices or material to restrict movement

5. Oropharyngeal always: (1) adult, (1) child, (1) infant 17. (2) liters saline solution or a gallon potable water

6. Rigid or pneumatic splints (4) 1 Maliaten lovespin, paded ankle hitch strap, hee

7. Resuseit tore capable of use with oxygen or air in adul, child, 19. Blood pressure cuff, manometer, stelhoscope B. Oxygen and regulators, portability required 20. Strips, dresig, lovels, Blowe, and lie pid tap 9, Sterite bandage compresses (4 - 3"x 3")

10. Soft rolled bandages (6-2" 3", 4", or6*) 21. Bedpan or fracture pan

22. Urinal
11, Adhesive tape (2 rol's - 1", 2", or 3")
12, Bandage shears 23. Two spinal immobillization devices, one at least 30"

13. Universal dressings (2 - 10" x 30" or larger) patients to the device (a combination short/long board ne at least 60ª in length, with straps to adequately. acceptable)

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

AMBULANCE INSPECTION REPORT
CHP 299 (Rev. 10-18) OP| 061

REQUIRED RECORDS AND DOCUMENTS INSPECTED AND IN COMPLIANCE

CALL RECORDS
YES NO PÉRSONNEL RECORDS

1. Location of records, retained for 3 years 14. Employment date

2. Date, time, location, and Identity of call taker

16. Copy of driver license

3. Name of requesting person or agency 16. Copy of ambulance driver certlicate

4. Unit ID, personnel dispatched, and record of red light/siren use 17. Copy of medical exam certificate

5. Explanation of fallure to dispatch 18.- Copy of EMT certificate or medial license

6. Dispatch time, scene arrival time, and departure time 19. Work experience summary L. Destination of patient; arrival time

20. Affidavit certifying compliance with 13 CCR 1101(b) ; B. Name or other identifier of palent transported Section 13372 CVC prohibitions

21. Personnel enrolled in the DMV Pull Notice System
COMPANY INSPECTION YES| NO

9. Company principals verified
10 One or more ambulances avallable 24 hours

11. Fees posted/current

12. Financial responsibilly

13. 24-hour direct telephone service

VEHIOLE INSURANDE CARRIER'S NAME

POLICY NUMBER
(POLICY E)
ACE American Insurance Co ISAHH25578193

REMARKS

LICENSEE CERTIFICATION IN LIEU OF OFFICIAL BRAKE CERTIFICATE I certily that here is no official brake adjusting station within 30 miles of the operating base of this vehicle; however, the brake system of this vehicle t and is in compliance with the requirements of the Califomla Vehicle Code and Tille 13, Calitornia Code of Regulations.

SIGNATURE OF LICENSEE OR AUTHORIZED REPRESENTATIVE
I TEMPORARY OPERATING AUTHORIZATION: This vehicle may be operated as an emergency ambulance. This authorization must hen used in lieu of the special vehicle identification cerlificate and expires 30 days after the date shown belo SIGNATURE OF COS MMANDER OR INSPECTING OFFICER [ID NUMBER [LOCATION CODE r. MAV VE 118077_ G40
Section B
Item #4
ITM

AMERICAN MEDICAL RESPONSE
Fleet Maintenance
Procedure Manual

TABLE OF CONTENTS
MISSION AND OBJECTIVE STATEMENTS .. 2
SECTION 1.0 - FLEET MAINTENANCE DATABASE .. 3
SECTION 2.0 - SHOP SAFETY 4
SECTION 3.0 - MAINTENANCE PROCEDURES. ... 5
SECTION 4.0 - VEHICLE REPLACEMENT 12
SECTION 5.0 - VEHICLE DELIVERY NOTIFICATION 13
SECTION 6.0 - REPORTING VEHICLE PROBLEMS 14
SECTION 7.0 - VEHICLE TRANSFERS 15
SECTION 8.0 - EXCESS FLEET 16
SECTION 9.0 - WARRANTY.... 17
SECTION 10.0 - FLEET PURCHASES AND PARTS 18
SECTION 11.0 - REPAIR ORDERS 19
SECTION 12.0 - PREVENTITIVE MAINTENANCE 20
SECTION 13.0 - TIRES.. 21
SECTION 14.0 - BRAKES ....... 22
SECTION 15.0 - STRETCHERS 23
SECTION 16.0 - TOOLS 24
SECTION 16.1 - TOOL INVENTORY 25
SECTION 17.0 - ENVIRONMENTAL 26
SECTION 18.0 - SHOP REVIEWS 27

ADDENDUMS
... 28
Revised - September 09 Page 1

MISSION AND OBJECTIVE STATEMENTS
Mission Statement
The mission of Fleet Services is to provide AMR field operations with safe, reliable vehicles and equipment that present a professional and positive image; encourage and monitor environmentally responsible practices at AMR fleet shops; promote cost effective maintenance practices; and ensure a work environment conducive to quality workmanship and personal growth.

Purpose of the Procedure Manual
This Fleet Policy and Procedure manual provides detailed information to establish the expectations and responsibilities of AMR's Fleet Service staff and provide guidance to execute properly the policies and procedures contained within. Adherence to this policy is expected. References to specific policies are included with each procedure.

Objective Statement
• Provide an adequate number of safe, clean, well-maintained vehicles as determined by AMR field operations.
• Administer a comprehensive preventive maintenance program as outlined in this policy to minimize vehicle failures, preserve the fleet's useful life, ensure employee and patient safety, and reflect a positive public image. • Maintain current and accurate documentation of all preventive maintenance and unscheduled repairs within the RTA National Fleet Database. • Involve our employees in all aspects of Fleet department operations and encourage creative ideas and innovations.
• Provide ongoing training and proper diagnostic equipment to advance employee skills and remain current with industry changes.
• Encourage and promote cost-efficient maintenance practices without compromising work quality.
• Assist in the education of field personnel on proper vehicle operating procedures. • Maintain a safe, clean work area.

Revised - September 09 Page 2
SECTION 1.0 - FLEET MAINTENANCE DATABASE
POLICY: Using RTA National Fleet Database
Recognizing that well managed fleet maintenance programs are critical to ensuring reliable vehicles, extending vehicle useful life and controlling costs, all vehicle repair and maintenance data must be entered and stored in the RTA National Fleet Database.

Procedures:

1. Use RTA work orders to record all labor and parts expenses allocated to vehicles and equipment.

2. Use RTA Inventory Module to record all in-house spare parts inventory and part allocation.

3. Use RTA to document and record all vehicle mileages.

4. Use RTA to schedule all Preventative Maintenance (PMI)

5. Use RTA purchase order module to record all repair and maintenance parts, tires, supplies, sub-contract labor purchases.

6. Enter all sub-contract maintenance activity into RTA Revised - September 09

SECTION 2.0 - SHOP SAFETY
POLICY: SAFETY
REFERENCE: AMR Injury and Illness Prevention Policy
The safety and well-being of AMR employees is an essential part of the overall AMR vehicle maintenance program. Providing a safe and healthy work environment is the responsibility of all AMR employees and represents the goal of AM's safety efforts.

Refer to AMR's Injury and Illness Prevention Policy in the addendum for guidance.

FOR YOUR SAFETY
• Wear gloves at ALL times
• Wear safety goggles for eye protection
• Use hearing protection when appropriate
• Disinfect all stretcher surfaces before inspecting and servicing
• Immediately tend to trip and slip hazards
Revised - September 09 Page 4
SECTION 3.0 - MAINTENANCE PROCEDURES
POLICY: Vehicle Maintenance
These maintenance procedures focus on the Ford chassis Type II and III ambulance.

Other vehicles shall be maintained in a similar fashion or as prescribed by the original manufacturer.

All procedures will be performed at a maximum of 5,000 miles or every 250-engine hours, whichever comes first, unless otherwise noted.

Visual Exterior Inspection: When approaching a vehicle, fleet personnel will perform a quick overall visual inspection looking for obvious problems such as:
• General cosmetic appearance
• Body damage
• Mirrors, reflectors, glass, lenses cracked, missing, discolored, etc • Flat or low tires
• Fluid leaks
• Suspension sag or list
Cab Inspection: Fleet personnel will enter the driver's compartment examine:
• Doot operations, handle smooth, no door sag or noise when opening, mirror mounting, hinge bolts and pins
• Condition of brake pedal pad
• Seat condition and operation
• Seat belt condition and operation
• Console mounting, switch operation, illumination
• Dash panel condition, operation of gauges, switches, etc. • Heat, defrost and vent operation (including temperature and fan speeds) • Secure mounting of accessories (flashlight, map light, etc.) • Operation of windows
• Operation of horn, turn signals, hazard flashers, dome light, etc. • Operation of siren (all modes)
• Air horn operation (IFAPP)
• Sliding door
• Overall condition and cleanliness
Revised - September 09 Page 5
START ENGINE:
• With ignition switch on, wait for the "wait to start" light to go out • After starting the engine, observe the voltmeter to assure a reading between 13.5 and 14.5 volts with fast idle on. AMP Meter should read on the positive side of the gauge.
• Listen for any unusual noises, vibrations, etc. from the engine.

ROAD TEST: All vehicles should be road tested before returning to service. This will allow fleet personnel the opportunity to check:
• Brake pedal height, pull, fade, dragging, noise, lock-up, etc. • Steering wheel play, pull, wander, or vibration, etc
• Acceleration and engine performance, cruise control
• Transmission operation, slipping, shudder, delayed shift, etc. • Listen for any unusual noises
BRAKES: With the unit raised and all wheels removed:
• Inspect condition of wheels, lug nuts and studs.
• Drum Brakes
• Remove brake drums. Check for scoring, wear and hot spots. Refinish or replace if within 10% of discard specification (specifications stamped on drum). • Inspect shoes. Minimum allowable thickness for friction material is 2/32 for bonded shoes and 4/32 for riveted shoes. Shoes should be replaced at or prior to these measured thicknesses. Replace wheel cylinders anytime brake shoes are replaced.
• Inspect all mounting hardware. Mounting hardware should be tight and free of corrosion. Inspect wheel cylinders mounting and check under cups for leaks. Star wheels and adjusting hardware should be inspected, cleaned and lubricated.

Remember to lubricate shoe slide points with OEM brake lube. • Check all cables, mounting pins, bolts, etc. in the braking system and replace as necessary.
• Rotor Brakes
• Inspect and measure front rotors, if needed, refinish. If rotor is within 10% of discard specification after refinishing it must be replaced. (Note; Rotor Lateral run-out should be measured with rotor mounted on vehicle.) • When replacing rotors - Front wheel bearings and races are to be replaced. • Check front disc pads. Minimum thickness for friction material is 5/32 for bonded pads and 6/32 for riveted pads. Pads should be replaced at or prior to this minimum.

Revised - September 09 Page 6
• Inspect wheel bearing adjustment and operation. Adjust and lubricate as needed. (Note - All wheel bearings will be repacked and adjusted during a C - PMI • Verify that the caliper slide pins and other hardware are in excellent condition, replace if not.
• Inspect the calipers for any signs of leakage, sticking pistons, corrosion, torn boots or any other condition that may cause them to function improperly. If any problems are found, replace both calipers.
• Inspect the master cylinder for any signs of seepage, loose reservoir, etc. Replace if any doubt with OEM parts or the equipment equivalent. • Bleed the entire brake system with a pressure device until fluid is clear. • Inspect all steel and rubber brake lines for seepage, corrosion, cracks, proper mounting, etc. Replace if any doubt.
• Torque lug nuts in a star pattern when reinstalling wheels according to manufacturer specifications.

CHASSIS: Inspect ALL suspension components, with particular attention to the following:
• Check rear leaf springs for sagging, cracks, proper mounting, tight saddle and eyebolts.
• The rear leaf spring brackets crack frequently (shackle to frame). • Check the front coil springs for broken or collapsed coils. * Check all steering components for wear, looseness, damaged dust boots. All steering components should be within manufacturer specifications. • Check all rubber bushings and replace if damaged or worn. • Check all fasteners. (Surface rust around the fastener indicates that a fastener or component is loose.)
• Inspect the I-Beam with particular attention to the inner pivot bolts and bushings. • Check the sway bar mounting brackets and bushings for tightness and general condition.
• Inspect all shock absorber mounting bolts and nuts.
• Check air bags, levelers and all associated hardware and lines. • Inspect all bumper mounting-bolts and adjust if necessary. • Inspect rear differential fluid level. Also, check for leaks or other obvious problems. Ensure cover is solid and free of penetrating rust • Check transmission for leaks, dents in pan or other problems. • Check engine mounts for general condition.
• Look closely for engine oil or coolant leaks.
• Check all underbody hoses for secure mounting, sharp edges, condition, etc.

Revised - September 09 Page 7
• Check running boards, body, accessories, for proper and secure mountings. • Check all ground cables for condition and connection, replace any corroded wire terminals or connections.
• Check exhaust-system for leaks, cracks, condition, proper mounting, etc. • Check fuel and brake lines for proper mounting, corrosion and condition of flexible lines.
• Check the lift pump for leaks and hose condition.
* Check the transmission cooler lines for secure mounting and general condition.

Replace the flexible lines if at all stiff.
• Check the power steering components for routing, leaks and general condition.

Pay close attention to the upper seal on the gearbox.

LUBRICATION:
• Change engine oil and filter.
• Remember to fill the filter with new oil before installing on the engine. • Clean and lubricate all zerk fittings, hood and door hinges and latches. • Check all door hold open devices.
• Check parking brake cables.
• Transmission shift linkage.

ENGINE: Remove engine cover for access.
• Check all glow plugs. (If applicable)
• Inspect all fuel lines and connections.
* Inspect all heater and radiator hoses for nicks, abrasions, soft spots (oily spots must be replaced). Make certain clamp connections are tight and then pressure test cooling system and cap.
• Check coolant for condition, freezing protection to -34° F. PH should be adjusted to 9.5 - 10.0. Add Motorcraft EW - 15 or equivalent as needed to the cooling system to prevent cavitation problems. On later model vehicles, check to see if the coolant that is being used is considered a "permanent" type. It is important to remember these coolants will lose their protection quality if mixed with other glycol-based products.
• Inspect all wiring connections and terminals.
• Inspect air duct and air filter. Replace filter as needed. Standard replacement cycle is every B PMI - 15,000 miles or as condition warrants. • Replace fuel filter every B Service (15,000 miles) or sooner if fuel conditions warrant.
• Check crank case dipstick for smooth operation.

Revised - September 09 Page 8
• Check fuel injectors for leaks, brittle connecting hose, etc. Replace return-hoses and injector seals as necessary.

BELTS:
• Remove serpentine belts, tensioners, and idlers. Check for slack, noise, and wear.

Inspect water pump at this time also.
• Inspect serpentine belt during each PMI (every 5,000 miles). Belts on 2003 and earlier model years are replaced as needed and are not to exceed 30,000 miles.

Belts on 2004 and newer models are replaced as needed and are not to exceed 90,000 miles.
• Inspect tensioners and idlers during each PMI (every 5,000 miles). 2003 and earlier model years will be replaced as needed. High salt and sand areas warrant replacement every 30,000 miles. 2004 and newer model years are replaced as needed and will not exceed 90,000 miles.

Replace V-belts in accordance with OEM manufactures specifications. • Inspect all pulleys and accessory mounting brackets very carefully. Remember, rust may indicate a problem.
• Inspect all mounting fasteners carefully and replace any questionable fastener. • Check that all harnesses, hoses, connectors, etc. are securely mounted to prevent contact with any moving belt or pulley.

ELECTRICAL SYSTEM:
* Dead batteries should be charged at no more than 30-amps for a period of 2-4 hours, if this is not practical, the batteries should be replaced. Failure to follow this recommendation could result in a premature alternator and/or battery failute. • Charging rate should be 13.5 to 14.5 DC volts without any electrical load. • Test charging system to ensure it sustains 12.5 volts under total connected load conditions with fast idle on (adjust as necessary).
• Check and record alternator output and voltage regulator setting (if applicable) on the Vehicle PMI inspection service form CO-0021F-00.Test alternator amp output. If the amp output is less than 75% of the alternator manufacturer's maximum rate, replace it.
• Check and clean battery terminal connections. If corrosion appears to be "wicking" up cable, replace the terminal and affected cable.

Perform a battery load test per the battery manufacturer recommendations.

Ensure batteries clamping brackets are tight and batteries are scure. If a primary battery is found to be faulty, the Emergency Start Batteries should be rotated to normal service mode and new batteries should be installed in the emergency start mode
Revised - September 09 Page 9
• Inspect ALL battery cables, terminals, associated wiring for proper routing, secure mounting, insulation protection, corrosion, dark discoloration, which may indicate an overheated terminal.
• Inspect all wiring in ambulance electrical panel for similar condition as mentioned above. Replace any overheated terminal immediately. Use a top quality terminal crimper to ensure a proper connection. • Carefully check breakers for problems such as excessive temperature, discoloration, burns, cracking, or loose fit. Replace any breaker that is questionable after determining the source of cause.

LIGHTING: Engine should be running when checking electrical accessories to reduce strain on the batteries.
• Check all lights for proper function. When activating electrical accessories, always turn them on one at a time and turn them off the same way. • Replace any defective bulb.
* Use dielectric silicone on the base and contacts of automotive type bulbs as this may help eliminate socket/bulb corrosion and vibration problems. • When replacing halogen bulbs, wipe the glass clean with an alcohol-prep after installation to remove skin oil, which may cause premature failure. • Check headlights and fog lamps for proper aiming pattern.

HORNSIREN: Wear proper hearing protection during ALL siren tests. • Check O.E. horn for proper operation.
• Check all siren functions.
• Check operation of both speakers.
• Check operation and sound of air horns, if equipped.

MODULE/PATIENT COMPARTMENT:
• Check operation of all doors, inside and outside.
• Check for smooth and even release of doors that use multiple latches. • Clean and lubricate all paddle latches and rotary latches. • Clean and lubricate all door slides.
• Tighten all door panel-retaining screws. Use of thread locker is recommended. • Tighten interior panel screws.
• Check Plexiglas doors for proper operation.
• Check all tambour doors for smooth operation, replace if slats are coming loose.

Revised - September 09 Page 10
• Check mounting screws of accessories such as fire extinguishers, IV hooks, mounted suction, sharps containers, interior compartment doors, CPR seat, squad bench latch and lid, etc.
• Check inverter operation and continuity of shoreline circuit. • Check patient compartment overhead lights both low and high beam. Replace any discolored lenses
TIRES
• Ensure rims are equipped with steel / rubber grommet valve stems. It is acceptable to use rubber stems with steel inserts on original/factory delivered rims. However, these must be replaced with full steel stems at the first tire change.
• Inspect tires for cracks in the sidewall, bead area, and shoulder. Replace any tire with splits or cracks that penetrate to the cords, bead area, or belt package. Ensure tires do not have any rawhide, spot, or section repairs. • Inspect and test pressure in spare tire.

Ensure vehicle is equipped with jack, handle, and lug wrench.

MISCELLANEOUS:
• Check biohazard doors for condition, hinge, safety, etc. • Perform preventive maintenance on the ambulance stretcher. • Check and adjust gurney lock bar as needed. Lubricate if necessary. • Remove and clean threads on the stretcher hold down hardware. • Lubricate threads with "never seize" or equivalent.

These recommended maintenance procedures are detailed in a specific check-sheet formatted document to standardize the process and serves as documentation when performing preventive maintenance on an
emergency vehicle.

Revised - September 09

SECTION 4.0 - VEHICLE REPLACEMENT
POLICY: Standard Replacement Policy
Currently, AM may choose to replace vehicles that have accumulated three hundred AMR Operations are expected to work with the National Fleet Director to determine when a vehicle should be removed from service. Criteria for vehicle replacement differs with each operation, as such, outgoing vehicles will be evaluated on a case-by-case basis for re-deployment or disposal. All vehicles are evaluated annually during the capital budget process and replacement opportunities are identified.

All new and used vehicle requests must be channeled through the National Fleet Director who will either find a suitable replacement or process a capital request for a new vehicle.

Revised - September 09 Page 12
SECTION 5.0 - VEHICLE DELIVERY NOTIFICATION
POLICY: Procedure for or receiving a new or used vehicle REFERENCE: Vehicle Delivery Notification Form - CO 0026F-00 Fleet shop personnel are responsible for inspecting and accounting for all vehicles delivered to their operation. Each shop will conduct a PMI A inspection before placing a vehicle into service.

New and used vehicle deliveries:
• Each time a new or used vehicle is delivered, a Vehicle Delivery Notification Form (CO 0026F-00) must be completed. The original copy of this form is to be placed in the vehicle file folder and remain there for the life of the vehicle. A copy is to be forwarded to the National Fleet Director. • The National Fleet Director will enter the vehicle into the RTA National Fleet Database and prepare the vehicle service schedule in RTA based on the information provided on this form.
• All original vehicle titles must be forwarded to the National Fleet Director. The National Fleet Director will document and forward the titles to the EMSC Fixed Asset Department.

Revised - September 09 Page 13
SECTION 6.0 - REPORTING VEHICLE PROBLEMS
POLICY: Reporting Vehicle Problems and Documenting Critical Vehicle Failures REFERENCE: Vehicle Failure Report Form CO 0025F-00
Any employee who operates an AMR vehicle is required to document and report any vehicle performance, safety, or aesthetic problems to fleet services personnel.

Standard Repair Requests - Each AMR operation is to establish a reporting mechanism that meets local, DMV, or State Agency requirements.

All reports noting vehicle deficiencies are to be submitted to fleet shop personnel who will review them each business day, prioritize, and take timely corrective action.

Fleet personnel are expected to:
• Document all repairs made to a vehicle on a shop work order • Provide a copy of the documented corrective actions to the affected operation's management.
• Enter the respective repairs into RTA National Fleet Database • Place a copy of the shop work order in the vehicle history file.

Vehicles deemed unsate to operate will be tagged and placed out of service. Under no circumstance will a vehicle be placed into service with an unsafe condition.

Critical Failures - Use Vehicle Failure Report Form CO 0025F-00 or Electronic Flash Reports provided by dispatch.

A Critical Failure is defined as anytime a vehicle has been committed to a call and cannot complete its mission due to vehicle failure or malfunction. This includes assignment to a call, responding to a call, on scene of a call, or transporting a patient.

The entire top section of the AMR Vehicle Failure Form CO 0025F-00 must be completed and forward to the appropriate supervisor. Once the repairs are finished, the mechanic who performed the repairs must complete and sign the lower section of the Vehicle Failure Report Form CO 0025F-00 and place a copy in the vehicle history file. This work is also to be entered into RTA
When fleet services receives a notification of a critical failure with an electronic flash report, repairs will be documented on a shop work order. All corrective action taken to repair the vehicle is to be recorded on the shop work order, entered into RTA, and a copy placed in the vehicle history file.

Revised - September 09 Page 14
SECTION 7.0 - VEHICLE TRANSFERS
POLICY: Procedure for transferring vehicles among operations REFERENCE: Asset Disposal/Transfer Form CO 0022F-00
To maximize the useful life of vehicles, AMR's National Fleet Director will analyze and adjust the fleet. Part of this process is transferring vehicles among operations.

1. The Operation/Region receiving a transferred vehicle is responsible for paying the transportation expenses.

2. The Operation sending the vehicle is responsible for completing the next scheduled MI prior to transfer whether it is currently due or not. All mechanical issues and problems shall be corrected prior to transfer unless an agreement is reached between the shipping and receiving Operations prior to transfer.

3. All body damage and rust repairs must be corrected before the vehicle is transferred, unless agreement is reached between shipping and receiving Operations prior to transfer.

4. Vehicles must be thoroughly cleaned inside and out.

5. When a vehicle is being driven to the transfer destination, the operation shipping the vehicle is responsible for correcting any mechanical failures that occur in route.

6. If a disagreement develops between shipping and receiving facility, the National Fleet Director will mediate with GMs and / or Region CEOs if necessary, to resolve disagreement.

7. The shipping location must complete the Asset Disposal/Transfer form CO 0022F-00 and forward it to the National Fleet Director. The National Fleet Director will notify the fixed asset department of the asset transfer.

8. The vehicle history file, all vehicle maintenance records, registration, title must accompany vehicle to destination and become permanent records at the receiving Operation.

9. Revised - September 09 Page 15
SECTION 8.0 - EXCESS FLEET
POLICY: Excess Fleet
REFERENCE: Asset Disposal/Transfer Form CO 0022F-00
To ensure AMR assets are accounted for and utilized to maximum potential, vehicles no longer in-service or underutilized are to be considered excess fleet. • Vehicles classified as excess fleet must be reported to the National Fleet Director using Asset Disposal / Transfer Form CO-0022F-00. The National Fleet Director will verify asset information and report vehicle status to the NRC fixed asset department. • Any operation determining a vehicle to be excess fleet due to accident damage must forward damage estimates, photos, and claim number to the National Fleet Director. • The National Fleet Director will consult and coordinate with operations accordingly to determine future disposition of all excess fleet vehicles. • All vehicle disposals, sales, donations, or otherwise, must be directed and coordinated by the National Fleet Director. The National Fleet Director will request and acquire the vehicle title from the fixed asset department prior to vehicle disposal. • To dispose properly of a vehicle by sale, the check, copy of the title, bill of sale must accompany the Asset Disposal/Transfer Form CO 0022F-00. All payments for disposals are expected to be in check form, accepting cash is strongly discouraged • All vehicle donations must be reviewed and approved by the EMSC Compliance Department and NRC executive team. All donation requests should be submitted to the National Fleet Director using form 30800 V2 (Policy 30800). Once approved, the National Fleet Director will notify the requesting operation.

The fleet shop or Operation disposing of a vehicle is expected to keep all original repair and history records for a minimum of 3 years from the date of disposal.

Revised - September 09

SECTION 9.0 - WARRANTY
POLICY: Processing Warranties
It is the expectation of AMR to pursue warranty claims to the fullest parameters outlined by the manufacturer. AMR is authorized to perform Ford warranty repairs in-house This not only includes repairs under the basic Ford warranty program, but also repairs and components that have not achieved a "reasonable service life." transmission or fuel pump failure under 100,000 miles for example.

Using the warranty recovery program will enable AMR, in most cases, to receive reimbursement for parts and labor directly from Ford. Please note that this arrangement is directly with Ford and your local Ford dealer will most likely have no knowledge of this program.

To apply for warranty reimbursement, the following information must be submitted to the National Fleet Director. Using Repair Order Form CO 0028F-00, RTA Work Order or Vendor Invoice.
• Condition and description of failure
• Cause and contributing factors, if any
• Correction including narrative describing repairs
• Necessary parts, including part numbers
• Actual labor time
• Copies of sublet repair invoices
• Region number (numbers have been assigned, please refer to attached listing) All warranty claims must be submitted to AMR claims vendor for processing. All claims will be logged and when the warranty payment is received, involved business unit will receive the full credit. The warranty payment will be sent directly to NRC Finance, but the involved operation will be notified of credit amount.

Revised - September 09 Page 17
SECTION 10.0 - FLEET PURCHASES and PARTS
POLICY: Process for fleet related purchase and use of national vendors American Medical Response is committed to using high quality replacement parts that meet or exceed Original Equipment Manufacturers (OEM) specifications.

Procedure

1. AMR fleet shops and operations are expected to use National Fleet Programs to purchase all AMR vehicle replacement parts.

2. Original Equipment Manufacturers (OEM) replacement parts must be used to repair AMR Ambulances. High performance replacement parts may be used in lieu of OEM parts after receiving written approval from the National Fleet Director and / or Vice President of Purchasing. The requesting operation must provide in writing the parts they wish to use with justification that substantiates use of the item.

3. All inventoried parts are to be listed in RTA National Fleet Database and kept current with accurate quantities and pricing. Parts removed from inventory are to be allocated to a specific vehicle(s) and documented in RTA. As parts are replenished, received quantities are to be entered into RTA.

4. A physical inventory count will be conducted at least once annually or as requested by Finance.

5. To ensure part inventories are adequate and financially responsible, inventory values should not exceed 90 days of allocated vehicle part expense and it is recommended that shops do not exceed 60 days of allocated expenses. Parts allocation will be monitored using RTA.

Revised - September 09 Page 18
SECTION 11.0 - REPAIR ORDERS
POLICY: Complete Repair Form and entry into RTA
REFERENCE: Repair Order Form CO 0028F-00 or RTA Shop WO It is expected that any time a technician evaluates or repairs a vehicle, a Repair Order orm (RO) or RIA Shop Work Oder (WO) is completed. Repair orders or RTA Sho VO with technician hand written notes must be retained in the vehicle history file for th entire life of the vehicle.

ROs and WOs are considered legal documents containing hand written notes from the technicians, which will be completed truthfully and accurately. The technicians conducting inspections, repairs, and maintenance are to initial shop ROs and WOs. The shop foreman, fleet supervisor, or lead mechanic will review each RO or WO to check for completeness and accuracy and sign each one.

All vehicle repair information must be entered into RTA.

Each RTA Shop Work Order or AMR Repair Order Form must contain the following information.
• Vehicle Number • VIN
• Year Current Odometer
• Make • Date
The Conditions, Cause, and Correction sections must be complete with all necessary information and details. All conditions, complaints and deficiencies will be documented on RO's or WO's. All actions taken to correct the deficiency will be recorded.

Technician labor times will also be recorded.

Parts Section
All parts used in the repair must be recoded in the Parts Section and include a description of a part and price paid. An exception is made for miscellaneous small parts such as bolts, fuses, , etc.

Sublet Repairs Section
All sublet repairs are to be entered into RTA and a copy of the invoice attached to a AMR repair order form or shop work order and filed in the vehicle history file for that vehicle.

Revised - September 09 Page 19
SECTION 12.0 - PREVENTITIVE MAINTENANCE
POLICY: Conducting certified PMIs
REFERENCE: PM Inspection Form CO 0021F-00
AMR Certified "PMI" Inspections must be completed at intervals that will monitor wear conditions to ensure repair prior to becoming a mechanical failure and to proactively change fluids to prolong the vehicle life.

PMI Inspections are classified as "A" or "B" or "C". Inspections are performed every 4,000 mi. (min) to 5,000 mi. (max) or every 250 hours, whichever occurs first. • A - PMI is conducted every 5,000 miles.
• B - PMI is conducted every 15,000 miles and includes an A PMI. • C - PMI is conducted every 30,000 miles and includes B and A PMI A PMIl cycle is a set of six inspections. MI's run in a cycle of "A, A, B, A, A, C Note: Certain models or model year vehicles may require a MI at an earlier mileage or hour interval. A MI interval should not, under any circumstance, exceed 5,000 miles or 250 operating hours.

Each Fleet Foremen or Fleet Supervisor will consult with the National Fleet Director to formulate inspection intervals for specialty or contract specific vehicles.

All work involved with PMIs must be recorded in the National RTA Database. Shops will use PMI schedules produced from RTA.

The standard checklist for PMI Inspections is the PM Inspection Form CO 0021F-00. It is a minimal requirement checklist and must be completed with each PMI inspection.

Oil changes and lubrication intervals will be established to meet manufacture's recommendations and will be conducted during scheduled PMI's. Oil and petroleum products must be purchased through established National Account programs.

Revised - September 09 Page 20
SECTION 13.0 - TIRES
POLICY: Tire Replacement and Maintenance
To ensure all tires on American Response Vehicles are of the highest quality, properly inflated, and maintained.

All new tire purchases must be made through AMR's National Account agreements.

Procedures

1. Rotate tires during each PMI or every 5,000 miles.

2. Replace front and rear tires when they measure 4/32 or less at the thinnest point of their tread depth.

3. Tires across an axle, under normal operating conditions, must be of the same model and tread design.

4. Tire tread depth across an axle will not measure or vary greater than 4/32 of tread height.

5. All tires/rims will have full steel valve stems. When original tires require replacement, valve stems will be converted as needed to 100% full steel valve stems.

6. Steel valve caps with rubber gaskets are required on all AMR vehicles.

7. Inflate tires to vehicle manufacturer or upfitter's recommendations.

8. Tire repair will be limited to nail-hole repairs in the tread area of the tire. a. Under no circumstance will any tire repairs be performed if the puncture is within 1" of the 1" rib of the tire sidewall / shoulder b. Nail hole repair will be made using the plug and patch method.

9. American Medical Response will not:
a. Use Recap Tires.
b. Use tires that have or require section repairs or spot repairs. c. Utilize "rope or wick" plugs for permanent nail-hole repair NO deviation of the above specifications is permitted.

All tire repairs, replacements, etc. must be entered into RTA.

Revised - September 09 Page 21
SECTION 14.0 - BRAKES
POLICY: Braking System Integrity
AMR fleet shops will perform a complete Brake Inspection on all wheel positions during ALL PM intervals. This will ensure brake hardware, hoses, hydraulic components, pads inings and rotors are functioning as designed and are not damaged or worn beyond specifications outlined on MI inspection Form CO-0021F-00. All inspections and repairs will be conducted and documented by trained technicians.

Under no circumstance should fleet personnel release a vehicle to operational service if the braking system is questionable, damaged, or worn beyond the manufacturers recommended tolerances.

Procedure
To conduct a proper brake inspection, all wheels must be removed during the PMI inspection. All brake components, hoses, lines, pads, rotors, fluids, must be inspected during a PMI interval
To ensure brake wear is documented properly, all measurements will be recorded on PMI Inspection Form CO-0021F-00. Brake pads will be pulled and replaced when they measure 5/32 or less.

To ensure brake inspection and repair are properly documented, all deficiencies and corrective measures will be recorded on AMR Repair Order CO-0028F-00 Original equipment manufacturer brake components must be used when replacing brake components.

Due to extreme conditions in some operations, high performance brake components may be needed to extend brake it or enhane for as long ac. inaperaturer of these components provides test data /documentation proving their products meet or exceed original manufacturer specifications. Use of these non-OEM products must be approved in writing by the National Fleet Director.

All brake inspections and repairs must be entered into RTA.

Revised - September 09 Page 22
SECTION 15.0 - STRETCHERS
POLICY: Conducting certified PMIs
REFERENCE: Gurney Inspection Guide CO 0029F 00
The company expects routine inspection and maintenance be performed on all collapsible stretchers as per this policy.

1. All mechanical patient moving devices such as stretchers and stair chairs will be inspected and serviced during each MI or every 90 days using Gurney Inspection Guide - CO 0029F 00. When a stretcher inspection is complete, it will be marked with the completion date.

2. Each stretcher is to have a maintenance history file. All Gurney Inspection Guides copies of all vendor repairs will be retained within the stretcher history file.

Each stretcher maintenance history-file will be numbered with the corresponding manufacturer serial number.

3. Each stretcher will be affixed with the vehicle number to which it is assigned.

4. Any stretcher determined to be unsafe or requiring repair will be removed from service until the deficiency is properly corrected. Any stretcher requiring vendor repair will be removed from service and tagged as such.

Note: Only manufacturer recommended lubricants are to be used on stretchers.

Revised - September 09

SECTION 16.0 - TOOLS
POLICY: Tool Inventory and Tool Replacement
REFERENCE: Tool Policy Certification Form CO 0024F-00
Mechanics Tool Inventory Form CO 0019F-00
The purpose of this policy is to document and inventory the tools owned by each mechanic employed by AMR should a covered event involve replacement of said tools.

This tool policy applies to all Regions of AMR. A current copy of each mechanic's tool inventory must be on file in the respective fleet shops) with a copy also retained by HR in the employees' personnel file.

1. Each mechanic is responsible for completing the Mechanics Tool Inventory Form CO 0091F-00 and keeping it current with new or replacement tools and their respective price.

2. Company will insure tools to a maximum of total loss.

3. Only tools stolen or damaged as the result of an evident break-in, accident, or disaster will be covered

4. Only tools kept in a locked toolbox when not in use will be covered.

5. When a secure storage area is provided for mechanics' toolboxes, they must be in that area when not in use.

6. Only tools listed by the mechanic on the tool inventory form, signed by the Shop Supervisor and General Manager, will be considered for reimbursement.

7. All reimbursements will be based entirely on the Manager's current copy of the mechanics tool inventory list and the values stated therein.

8. AMR retains the right to replace tools with comparable quality tools or to pay the claim at the company's price, in cash.

Revised - September 09

SECTION 16.1 - TOOL INVENTORY
Mechanics Responsibility to Assure Coverage

1. Provide the shop Supervisor and General Manager with an accurate and current list of all tools in his possessions and kept in the shop. The list must include:
description of the tools, manufacturer of each tool, tool number (if known), and proof of tools added to the original inventory and their value, if purchased new. (mechanics should provide copies of all new purchases)

2. Supply a toolbox, secured by a functional lock, which is large enough to accommodate all his / her tools. The mechanic is responsible to secure his / her tools before leaving the shop. The mechanic is not required to loan personnel tools to any other AMR employee.

3. All tools that are to be covered under the AMR Insurance Program must be entered in the Mechanics Tool Inventory Form CO 0019F-00 with proper approval. The completed form will be retained in the mechanics personnel file.

Shop Supervisors Responsibility to Ensure Policy Adherence

1. Develop an agreed value for each tool and enter that value on the inventory form.

2. Identify shortages on the inventory sheet that require correcting and establish a time frame for compliance.

3. Sign and date the original Mechanics Tool Inventory Form CO 0019F-00 and place it in the mechanic's personnel file with a copy to the mechanic.

4. Update the inventory list as required when the mechanic adds or replaces essential tools to his inventory. (Remember to file updated copy in mechanic's personnel file.)

5. Submit the attached certificate to the General Manager within 30 days of the receipt of this tool policy. Thereafter, submit this certification during an employee's annual performance review. New hires must receive this policy at orientation.

6. All mechanics must have an approved set of tools. The Shop Supervisor will provide approval.

Revised - September 09 Page 25
SECTION 17.0 - ENVIRONMENTAL
POLICY: Conducting Fleet Shop Environmental Audits
REFERENCE: Environmental Audit Form CO 0027F-00
Environmental Audits are to be performed every two years on each maintenance facility completion of the audit by signing the signature page.

1. Environmental Audit Form CO 0027F-00 is to be used. Copies of completed / signed audits are to be sent to the National Fleet Director within 30 days of completion. It must include the completed corrective action plan and estimated costs.

2. Regional CEO written approval is required PRIOR to a fleet maintenance occupying ANY new site or facility.

3. A licensed environmental firm will complete a "Phase-1 Environmental Assessment" prior to occupying any new property or facility. Note - additional phase assessments may be required based on results of the Phase-1 Assessment.

4. A licensed environmental firm will complete a "Phase-1 Environmental Assessment" prior to vacating any property or facility. Note - additional phase assessments may be required based on results of the Phase-l Assessment.

Revised - September 09 Page 26
SECTION 18.0 - SHOP REVIEWS
POLICY: Conducting Fleet Shop Reviews
REFERENCE: Shop Review Form CO 0020F-00
To ensure compliance to Fleet Policy and Procedures, the National Fleet Director or a Fleet Strike Team will conduct shop audits periodically. A strike team would consist of two or more senior AMR fleet personnel.
• The National Fleet Director will coordinate and schedule shop audit reviews. • The audit team will rate shop compliance to written policy and procedures, general condition of the fleet, shop cleanliness, PMI timeliness and other maintenance practices, and RTA input for example.
• The inspection team will provide a standard report to the Shop Supervisor and General Manager and Region CEO when requested.

Revised - September 09 Page 27

ADDENDUMS

1. AMR Injury and Illness Prevention Policy

2. Vehicle Delivery Notification Form - CO 0026F-00

3. Vehicle Failure Report Form CO 0025F-00

4. Asset Disposal/Transfer Form CO 0022F-00

5. Repair Order Form CO 0028F-00

6. PM Inspection Form CO 0021F-00

7. Gurney Inspection Guide CO 0029F 00

8. Tool Policy Certification Form CO 0024F-00

9. Mechanics Tool Inventory Form CO 0019F-00

10. Environmental Audit Form CO 0027F-00

11. Shop Review Form CO 0020F-00
Revised - September 09 Page 28

AMR INJURY AND ILLNESS

AMERICAN MEDICAL RESPONSE PREVENTION POLICY
Version 1.0 • Effective 09/21/2006

SECTION TOPIC
PAGE
*

INTRODUCTION

1.0 POLICY STATEMENT 1

2.0 ROLES AND RESPONSIBILITIES 2

3.0 HAZARD IDENTIFICATION

4.0 5

SAFETY, HEALTH OR RISK INCIDENT INVESTIGATIONS

5.0 5

HAZARD CORRECTION

6.0 5

SAFETY COMMUNICATION METHODS

7.0 EMPLOYEE EDUCATION AND TRAINING

8.0 IIPP RECORDKEEPING

9.0 IIPP RELATED POLICIES & PROCEDURES

10.0 EXCEPTIONS
BACKGROUND:
hazard. While each employee is ultimately responsible for his or her own safety and health, AMR American Medical Response (AMR) recognizes that physical injury and illness is an occupational health recognizes its parallel responsibilities to provide as safe a workplace as possible and to comply with all applicable safety laws and regulations.

PURPOSE:
the organization's desire to effectively identify, evaluate, and control occupational safety and health The purpose / intent of the Injury and Illness Prevention Policy is to: (1) provide a structured approach to hazards, (2) summarize AMR's approach to basic safety and health management issues, and (3) to comply with applicable regulations.

APPLIES TO:

This policy applies to all AMR employees.

ENFORCEABILITY:

Violation of any element in this policy will result in corrective action, up to and including termination.

Items flagged with a * symbol involve both a high likelihood of mishap / injury and require primarily a choice, not a skill, in order to comply. Violation of such * items will trigger accelerated corrective action, up to and including termination for the first infraction. about how to reduce the risk of occupational injury or illness, please contact your supervisor. Employees are required to familiarize themselves with these expectations. To obtain further information AMR Safety and Risk Management SRM #1105
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AMERICAN MEDICAL RESPONSE PREVENTION POLICY
Version 1.0 < Effective 09/21/2006 Page 2 of 7

1.0 it is the policy of AMR to:

1.1 Achieve and sustain full compliance with federal and state safety regulations that govern development and implementation of an effective Injury and liness Prevention Policy or equivalent.

1.2 Provide each employee a safe environment in which to work.

1.3 Ensure that this written Policy is readily available to employees for reference.

1.4 Seek out and implement feasible engineering and administrative controls such that complete reliance on work practice and personal protective equipment (PPE) controls is minimized.

1.5 Esponsible is unfaced and injury ande es prevention tasks are managed ring with other operational or departmental concerns.

1.6 Investigate and document the circumstances of each reported unsafe condition, employee injury, illness, unsafe act, or system failure to determine and implement corrective actions that will reduce the risk of similar events in the future.

1.7 Enforce and reinforce the provisions of this entire written Policy such that employee risk of occupational injury and illness is reduced.

PROCEDURES

2.0 Roles and Responsibilities

2.1 This section provides a summary of the basic roles and responsibilities that are crucial in the injury and illness prevention process. The responsibilities which follow are complimentary to those detalled in the Company's other written health and safety policies, procedures, job descriptions, action plans, and other tools used to convey expectations throughout the organization.

2.2 Chief Executive Officer
(a) The Chief Executive Officer, CEO, works with the organization's leadership team to establish, promote, and sustain a safe and healthful work environment. He/she participates in the organization's safety improvement process by:
(1) Championing safety and health as a key organizational value and setting expectations accordingly with leadership staff
(2) Assuring a management culture is established that supports full compliance with safety related policies and procedures
(3) Providing leadership among internal staff and union officials to improve employee health, safety, and compliance with applicable regulations
(4) Identifying and addressing significant organizational barriers to safety improvement

2.3 Operation & Department Vice Presidents
(a) Each Operation or Department Vice President provides safety and health leadership and problem solving skills within their area of concern. Vice Presidents participate in the safety improvement process by:
(1) Leading and supporting the development of a safety-oriented culture among all employees
AMR Safety and Risk Management SRM #1105
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AMERICAN MEDICAL RESPONSE PREVENTION POLICY
Version 1.0 < Effective 09/21/2006 Page 3 of 7
(2) Setting clear expectations related to full and consistent implementation of safety policies and procedures and the need to make timely corrections when deficiencies are identified (3) Taking steps to periodically evaluate the quality and consistency of safety and health policy implementation in each business unit and holding management staff accountable for both safety-related successes and shortcomings.
(4) Requiring development and execution of specific action plans to address significant safety and health issues or loss trends within an operation(s) or departments) (5) Seeking opportunities to visibly lead and support safety improvement initiatives

2.4 Local Operations Director or Department Director/Manager (a) The local Operations Director or Department Director/Manager has the responsibility to ensure full and consistent implementation of AMR's health and safety policies within his/her area of concern. He/she participates in the safety improvement process by:
(1) Taking steps to assure supervisory staff understand the contents and application of all safety and health policies and procedures
(2) Developing local safety policies or procedures to address unique safety and health issues which are not addressed by AMR's national SRM policies (3) Assigning key safety responsibilities and tasks to staff within the operation or department and following-up to ensure completion
(4) Reviewing safety related activities and results metrics as a basis for planning and implementing local improvements or to recognize measured improvements. (5) Ensuring positive feedback and recognition is received among local staff and employees for their safety performance and fulfillment of safety related responsibilities (6) Enforcing and reinforcing the company's safety and health policies through consistent issuance of corrective actions [including discipline, remedial training, coaching, etc.] as appropriate

2.5 Field or Department Supervisors
(a) To support AMR's safety and health process, Field or Department Supervisors are primarily responsible for directly interacting with their employees on matters related to safety and health and for determining, through investigation, the need for post-incident corrective actions. Each supervisor participates in the safety improvement process by:
(1) Keeping abreast of company safety policies
(2) Ensuring employees understand and are able to meet company safety expectations (3) Monitoring employee safety performance in the field or within their department and providing on-the-job safety training or coaching when needed (4) Recognizing employees who work safely while also enforcing company policies fairly and uniformly whenever indicated
(5) Performing incident investigations to discover causal factors, and then seeing that corrective actions are carried out to reduce the likelihood of recurrence (6) Identifying and correcting unsafe conditions or work practices in a timely fashion.

AMR Safety and Risk Management SRM #1105
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AMERICAN MEDICAL RESPONSE PREVENTION POLICY
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2.6 Local Safety Coordinator
a) The Local Satety Coordinator, it so designated, is responsible to monitor and guide the day to-day implementation efforts of AMR's health and safety policies at the local level. li (1) Verifying safety, health and regulatory compliance through documented site visits, inspections, field observations, and policy implementation audits (2) Actively supporting and locally championing the implementation of new / revised safety policies or procedures
(3) Attending and participating in periodic Safety Coordinator meetings, which are hosted by AMR's dedicated Safety and Risk Management Department
(4) Assisting with local safety training for supervisory staff and employees (5) Initiating and supporting a local safety committee or similar process (6) Assisting the local director or manager to identify and prioritize safety related endeavors that should be undertaken based on both pre and post-loss information

2.7 All Employees
(a) In addition to taking responsibility for their own safety and health, all employees are responsible for participating in the safety improvement process by:
(1) Knowing and consistently following the provisions of AMR's safety policies and procedures.
(2) Requesting assistance if clarification on AMR's expectations is needed or if a constraint prevents compliance with those expectations.
(3) Reporting safety or risk-related incidents, including occupational injuries, illnesses, vehicle collisions, unsafe acts, unsafe conditions, or presence of unsafe equipment in the workplace immediately or as soon as possible thereafter. (4) Using personal protective equipment (PPE) in accordance with AMR's standards (5) Actively assisting co-workers to work safely whenever a possibility to do so arises

2.8 Safety and Risk Management Department Staff
(a) Safety & Risk Management (SRM) staff provide overall leadership, development and support of AMR's safety and health program. Detailed SRM job descriptions are available upon request. In general, SRM staff members participate in the safety improvement process by:
(1) Supporting and enabling all operations and departments to successfully carry out their safety-related roles and responsibilities
(2) Carrying out standardized or ad-hoc policy development and revision tasks (3) Monitoring organizational compliance with applicable safety and health regulations (4) Developing methods to measure safety activities and results (5) Reporting safety or loss related issues and trends to appropriate levels of management for consideration and correction
(6) Supporting development and implementation of solutions to identified safety problems.

AMR Safety and Risk Management SRM #1105
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AMERICAN MEDICAL RESPONSE PREVENTION POLICY
Version 1.0 < Effective 09/21/2006

3.0 Hazard Identification

3.1 AMR recognizes that hazard identification / analysis is a critical step in reducing employee risk of injury or illness in the workplace. The company's system for identifying and evaluating occupational safety and health hazards includes the following:
(a) Reviewing applicable safety regulations which apply to the operation or department (b) Reviewing both process and task-level steps which may involve personal risk (c) Conducting formal job safety analyses and task analysis activities when necessary (e) Investigations of all safety related incidents to determine causal factors (f) As detailed in the AMR Safety Inspection Policy, conducting periodic workplace, vehicle and equipment inspections to identify potential hazards
(g) Receiving input and opinions from line employees, management, Local Safety Committees and others regarding potential hazards in the work place based on their experience

4.0 Safety, Health or Risk Incident Investigations

4.1 AMR's procedures for investigating safety, health or risk-related incidents include:
(a) Visiting the incident scene as soon as possible.
(b) Interviewing injured / exposed employees and witnesses. (c) Examining the workplace for factors associated with the incident / exposure. (d) Determining the causes(s) of the incident / exposure. (e) Taking corrective action to prevent the incident / exposure from reoccurring. (f) Documenting the findings and corrective actions taken. (g) Submitting all appropriate documentation to SRM in a timely manner.

4.2 references to assist in the investigation, documentation and corrective action processes. The AMR Safety and Risk Management Department publishes form tools, checklists and

4.3 Data collected during incident investigations are entered and analyzed in a Risk Management Information System. On a periodic basis, trended hazard and loss data is circulated throughout the organization.

5.0 Hazard Correction

5.1 Unsafe or unhealthy work conditions, practices or procedures are corrected in a timely manner based on the severity of the hazard. Hazards are corrected according to the following timelines:
(a) Whenever hazards are observed or discovered if possible. (b) When an imminent hazard exists which cannot be immediately abated without endangering employee(s) and/or property, AMR should remove all employees from the area except those necessary to correct the existing condition. Employees assigned to correct the hazardous subcontracted provider is called to correct the hazard on the Company's behalf. condition are provided with the necessary training, information and protection or else a (c) Correction of identified hazards should be documented to validate that abatement is complete, steps taken and the finalization date.

AMR Safety and Risk Management SRM #1105
« Proprietary Materials >>

AMR INJURY AND ILLNESS

PREVENTION POLICY

AMERICAN MEDICAL RESPONSE
Version 1.0 • Effective 09/21/2006 Page 6 of 7

6.0 Safety Communication Methods

6.1 AMR recognizes that open, two-way communication between management and staff on health and safety issues is essential to an injury-free and productive workplace. The following methods of communication are used at AMR:
(a) New employee orientation training that includes a detailed presentation and discussion of AMR's safety and health policies and related expectations (b) Publication and wide-spread availability of AMR's written safety policies and procedures (c) Safety and health refresher training / retraining opportunities (d) Ongoing safety awareness campaigns that encourage one-on-one dialog between a supervisor [or other local leader] and line employees
(e) Periodic all-employee forums, safety meetings, Local Safety Committee meetings, and Safety Coordinator meetings
(f) Impromptu dialogue between employees and supervisory staff on safety and health related information, concerns, or questions
(g) Posted or distributed safety or health information as required and as needed (h) Periodic articles and stories about safety and health in AMR newsletters. (i) A report form system employees can use to inform management about workplace hazards ) Periodic meetings between union officials and management, where applicable, that include an opportunity for union representatives to discuss safety and health concerns brought forward by line employees

6.2 Employees are responsible for reading and complying with safety related information, including policies, procedures, memoranda, protocols, etc., that are made available by the Company.

Employees should seek clarification on any aspect of these materials they do not fully understand.

6.3 The Company is responsible for timely investigation and follow-up of safety related concerns brought to their attention by employees.

6.4 Employees are advised there will be no reprisals or other job discrimination for expressing any good-faith concern, comment, suggestion or complaint about a safety-related matter.

7.0 Employee Education and Training

7.1 All employees, including managers and supervisors, receive education and training on general and job-specific safety and health practices. Education and training are provided as follows:
(a) At time of hire for all new employees.
(b) As defined by safety regulation or AMR's safety policies and procedures (c) Whenever new substances, processes, procedures or equipment are introduced to the workplace which create a new hazard
(d) Whenever AMR is made aware of a previously unrecognized hazard that triggers the need for augmented education and training for affected employees (e) For supervisors to familiarize them with the safety and health hazards to which employees under their immediate direction and control may be exposed (f) To all employees with respect to hazards specific to each employee's job assignment. (g) Whenever remedial safety education, training, or performance-based coaching is needed to correct a one or more employees' identified knowledge or skill deficiencies.

AMR Safety and Risk Management SRM #1105
« Proprietary Materials >>

EVIR AMR INJURY AND ILLNESS

AMERICAN MEDICAL RESPONSE PREVENTION POLICY
Version 1.0 < Effective 09/21/2006

7.2 The content and learning points of AMR's safety and health training is defined in AMR's safety and health policies or can be learned by reviewing the associated training program materials. In general, the following topics are covered [which may vary based on employee job classification or work assignments]:
(a) Explanation of AMR's safety policies and procedures, with an opportunity to ask questions (b) Information about chemical hazards to which employees could be exposed as well as other HAZCOM Policy information.
(c) Engineering, administrative and work practices that are utilized or expected by the Company (d) Work practice controls employees are expected to follow while completing their job assignments
(e) Proper selection and use of appropriate safety equipment and PPE including gloves, eyewear, and other PPE as required by regulation or as needed. (f) Specific information regarding workplace hazards that are unique to an employee's work assignments, to the extent that such information was not already provided.

8.0 IIPP Recordkeeping

8.1 AMR's lIPP recordkeeping consists of the following:
(a) Records of scheduled and periodic inspections include the name of the person(s) conducting the inspection, the unsafe conditions or work practices identified, and action(s) taken to correct said unsafe conditions or practices.
(b) Documentation of safety and health training that includes, at minimum, the employee name, training date, type of training, and training providers). If required by regulation or AMR, training records will also include other information.
(c) Documentation related to enforcement and reinforcement of AMR safety policies and procedures.
(d) Records identified in Sections (a) through (c) above are to be maintained for at least three (3) years. Other safety related records shall be maintained for the duration specified by the Safety and Risk Management Department.
(e) OSHA Form 300 and related documentation is maintained electronically by the Safety and Risk Management Department.

9.0 IIPP. Related Policies / Procedures

9.1 In addition to this policy, AMR maintains a number of other complimentary policies that meet or exceed existing safety and health regulations. Such policies are incorporated by reference into AMR's overall Injury and Illness Prevention Program.

9.2 AMR also maintains policies that cover infection control and exposure prevention.

9.3 Local AMR operations / departments may also maintain additional [non-conflicting] safety policies or procedures that compliment / augment AMR's national policies.

10.0 Exceptions

10.1 Any exception(s) to this policy must be approved by the National Vice President of Safety and Risk Management, in writing, and in advance of any such exception(s) being taken.

AMR Safety and Risk Management SRM #1105
« Proprietary Materials >>
American Medical Response
Vehicle Delivery Notification
Operation Name Oracle Number Delivery Date
Chassis Model Chassis VIN #
Vehicle Type (Circle One) Type | Type lI Type III Chair Van Supervisor Other (Identify)
Body Manufacturer Body Serial Number
System (Circle One) ALS BLS CCT NEO Nate First Response Support Other New Vehicle Check Off Initial
Active in RTA Yes
A PMI Service conducted / up to date Yes
Road Safety Installed Yes Road Safety Serial Number
Radios Installed Yes
Decals Installed Yes AMR Unit Number
Chassis Record Started Yes
Gurney Tagged and Installed Yes Gurney Serial Number
License and Registration Yes License Plate Number
Spare Key Yes
Fuel Card Yes
State Inspection Sticker Yes
No Smoking and Seat Belt Signs Yes
02 Bottles Installed Yes
Fire Extinguishers Installed Yes
Form CO 0026F-00

AMERICAN MEDICAL RESPONSE

VEHICLE FAILURE REPORT
Date:

Time:

Vehicle #: Operation
Mileage:

Engine Hours:

Employee:

Employee ID:
-
Problem:

Employee Signature:

Did this problem interfere with transport? YES
NO
Who was this problem reported to?

DISPATCH FLEET
Supervisor: Not Reported:

Repairs Made:

Mechanic Signature:

Date:

CO 0025F-00
FORWARD TO: NRC FIXED ASSET DEPARTMENT
Asset Status Form
Preparer: Preparer's Signature: Phone:

Current Asset Status (contact NRC Fixed Asset Department if necessary):

Division: Bus. Unit #: Transaction Date:

Description of Asset:

Location/Address of Asset:

Oracle Asset No:

VIN No. Or Serial No:

Object Account:

Land 2005] • Building Improvements • Leasehold • Medical Vehicles • Service (owned buildings onlv) Improvements [2020] [2030]
Vehicles [2040]
[2010]
Medical Communication • Fleet • Office
Equipment [2050] Equipment [2060] Equipment [2070] Equipment • Сотрет [2080] [2090]
Proposed Transaction or Status Change:

Simple Disposal - no • Disposal - Sale with Cash Disposal - Donated Asset Fixed Asset cash proceeds received Proceeds (complete "Buyer (must attach letter from Adjustments
Supplemental Information' receiving organization)
NRC Use Only: below; must attach bill of sale, (This includes: Cost, copy of vehicle title, copy of Accum, Depreciation
Cost: check)
FMV: S
Cash Proceeds: S
A/D: Deposit Date:
r Other)
Depository Acet:

NBV:

Asset Transfer Fixed Asset/Depreciation
• Active Status - retu
(explanation required) Journal Entry (explanation nactive Asset t required; attach supporting Active Status
documentation) depreciation expense (explanation required; Transfer To: suspended)
depreciation expense
will resume unless
Business Unit: isset is fully
epreciated
Explanation:

Buyer Supplemental Information:

Name: Address:

City/State/Zip Code
Sales Tax Collected *
*CA and MA ONLY - Sales tax must be collected on all assets sold (except vehicles) AMR CFO Approval:

Approved By: Title: Date:

NRC Use Only:

Date Received: all forms/copies attached? Date Cash Proceeds Recorded:

Date Recorded in Oracle F/A: Recorded By: _ F/A Approval Batch No.

Revised 10/00
Preventative Maintenance Inspection (PMI)
Operating Company Date
Vehicle Number Cot Number
VIN Number Stair Chair Number
(Last 5 Digits)
Odometer
Hours
(V) Item is Okay Type of PMI B C
(X) Repairs are Needed (Circle One) 5K 15K 30K
(O) Circle X When Repairs are Completed
Ground Level
Check During PM Inspections A, B, C
Status Item Status Item Status Item
Review Unit History AM / FM Radio Body Panels / Rust / Paint Scan - Pull Vehicle Codes Two Way Radios Striping and Decals Road Test - Eng and Trans Run Smooth Road Safety Speaker Grille and Hood Condition Shifter Operation / OD Light Dome and Map Lights Antennas Engine Power - Response Engine Cover, Latches and Gasket Running Boards Tight / Secure Steering Control & Tightness Emergency Switches and Knobs. Shoreline Cover * Steering - (See Spec #1) Emergency Console Lights and Labels. Box Rub Rails - Tight / Secure Brakes - Pedal, Stopping, Pulsation Siren / PA - Function AMB Compartment Doors.

Pedal Pads Handheld Spot Light
Tire Jack and Storage
Test City and Air Horns Windows and Regulators Road Safety Spotter Button * Parking Brake Holds (See Spec #6) Door Panels and Locks Pressure Check Coolant System High Idle Operation. Door Gaskets and Hinges Antifreeze Level & Protection_ F Gauges, Warning Lights, Dash Lights Lube Doors, Hinges, Alignment OK Antifreeze PH _(Record 7-9.5) Wipers, Operation and Washer Fire Extinguishers 2 ea. 5 Ibs. Engine Oil Level Mirrors and Glass Headlights - Hi / Low Power Steering Fluid Level Headliner and Visor Running Lights / Markers /Reflectors Brake Fluid Level Registration or Copy Turn Signals and Hazards Windshield Washer Fluid Fuel Card # All Brake Lights ATF Level
Floor mats and Carpet Back Up Alarm and Light * Vac Pump Pressure (See Spec #7) Seat Belts and Seats License Plate and Lights Fan Shroud / Upper Radiator Defrost, Heat, A/C Emergency Lights and Light Bar Belt / Tensioner / Idlers (Spec # 10) Vents and Louvers Flood Lights GM / Chevy - Check Ball Joints A/C Operation_ F Ambient Scene Lights on with Door Open * Inspect Lift (Aux Equip guide) Front F Rear F Document Body Damage
*Onboard Gen. (Aux Equip Insp. Guide)
Check Charging System
Status Item Status Item Status Item
Up Alt. Output Amps. Primary Battery Secondary Battery
Low Alt. Output Amps # 1 Volts #1 Amps # 1 Volts #1 Amps — Starter Draw (Spec #8) #2 Volts #2 Amps # 2 Volts
#2 Amps -
Battery Box & Hold Downs Visual Visual
Cables & Connections
Patient Compartment
Status Item Status Item Status Item
Ceiling, Floor - no wood visible. Patient Compartment Lighting. 02 Tanks and Brackets Secured Cabinets, Walls. Bench no wood visible. Exhaust Fan
02 Regulator / Tanks Closed
Upholstery - tight, no rips or cuts. Onboard Suction, Quick Disconnect Compressed Air Mounted / Secured Doors and Latches Inverter Operation Air Regulator / Tanks Closed Cabinet Door Latches Lighted 110 VAC Outlet Operation Antlers - Damage / Secure / Floor Hook Storage Straps and Brackets Grab Handles *Inspect Stretcher-use Inspection Guide Safety Straps, Patient Seat Belts Sharps Secured Stretcher Bar / Match / Adjustment Road Safety Spotter Button
Form CO 0021F-00 Vehicle PMI Gude Page 1
NUMBER 1434705 REPAIR ORDER

REFERENCE REPAIR ORDER
Vehicle # Make • Model Chassis V.L.N. Engine Hours in Service Date Mileage Date Div.# 13 SCHEDULED P.M. N! D.D.R.#. E8 ROAD FAILURE • MANAGEMENT DECISION MEI WARRANTY E G.W.I.P. EL STATUTORY 23 ACCIDENT E VANDALISM 7 SUBLET Part Number Description Extension Sublet
Qty. Price Description of Work Requested - Condition
Price P.O. No.:

Initials Time Rea.

Hr. 10ths
TOTAL PARTS COST •
Fluids Unit Price Extension Price
Tires / Description Div. Unit Price Extension Price
Sublet - ( Vendor Invoice # Price

TOTAL LABOR HOURS
CO 0028F-00 (10/31/97) Shop Manager Division Manager Approvals MI Guide Equipment
Operating Company
Date
Vehicle Number
Status Codes
(NA) Not Applicable (V) Item is Okay
(X) Repairs are Needed (O, Circle X When Repairs Completed WheelChair Lift
Check During PMI Inspections A, B, C
Status
Item
Lift Model Comments
Overall Condition. Abnormal Noises during operation
Lift Control Condition. Securely Mounted and cable tight Lift control cable condition. Secured and not damaged
Electrical Wiring. No loose frayed or chaffing wires
Decals clearly visible and legible
Handrails secure and properly adjusted
Lift Mounting and Support points tight and secure
Platform Condition
Platform operates smooth without obstruction
Inner Roll stop operates smooth and lays flat on floor
Platform roll stop opens/closes properly at ground level Hydraulic cylinders operate smooth and not leaking
Hydraulic Power unit full and no signs of leaks
Hydraulic hoses tight and no signs of leaks
All safety switches adjusted and operating properly
Patient safety restraint condition and operating properly Wheelchair Tie down strap condition
Floor track and posts secured tight and condition
Seatbelt and shoulder restraint condition
Manual lift pump condition and bar present (If equipped) Emergency Generator
Check During PMI A, B, C
Status Item
Status Item Status
Check Oil Level Item
Change Oil and Filter (Syn. Annual) Check Fan Belt
Check Unit Operation Check/ Change Air Filter
Check Intake Duct Work
Check Wiring and Routing Change Fuel Filter (During PMI C) Check Starter Mounting and Operation
Check Meters, Gauges, and Switches
Drain Water and Sediment from Fuel Check Alternator Mounting and Operation Check Output Voltage Inspect Motor Mounts
Inspect Generator Mounting Hardware
Check Exhaust and Turbo Insulation
Check Engine Protection System
Spark Plug Condition Check Exhaust and Piping
Spark Plug wire Condition Run Generator and Check Operation Check for Fuel Leaks
Check Coolant Level Check A.C. Voltage AB AN
Check Batt Terminals & Connections Check Frequency
Test Antifreeze Protection
Clean and Protect Battery Terminals Start and Stop Unit at Transfer Switch Inspect Radiator Hoses
Check Battery Voltage General Inspection of Entire Unit Test Engine Block Heater
Inspect Instruments and Gauges Check Selector Switch
Engine Hours
Inspect Battery Charger Start and Stop Unit From Switch Check Exercisor Clock
(Completed by Signature)
Forrm CO 0030-F Page 1 of 1
Gurney Inspection Guide
Operating Company Date
-
Vehicle Number Cot Serial
AMR #
Model
Status Codes
(NA) Not Applicable
(V) Item is Okay Conducted During
(X) Repairs are Needed Type of PMI A B
(Circle One) 5K
15K 30K
(0) Circle X When Repairs are Completed
Stretcher Inspection
Check During PMI Inspections A, B, C
Status Item
Cot unit numbers intact and legible [staus reign pelioning latch fundining properly All fasteners secure (Locktite if needed) Undercarriage folds properly (No binding) Welds intact, not cracked or broken Cot secure in each height position No debris in wheels
All wheels secure, rolling, and swiveling properly Lock rack and spacers not worn or bent / Return Springs.

Side rails move and latch properly
Wheel locks hold wheel securely when on
Side rails adjusted properly
Wheel locks clear wheel when off
No rips or cracks in mattress cover
Base tray secure and in good shape
Velcro in good shape under mattress
Lubricate base tubes
Restraints present (3 lap belts 2 shoulder harness)
No bent tubing or sheet metal
Restraints intact and working properly
Cot lock bar post tight and secure on lower frame assy All decals in place and in good shape Backrest operates properly / Hydraulic cylinder cond. Paint condition Backrest adjusted properly Clean cot (Remove dirt and grime) Breakaway head section operating properly Cot mounts secure in vehicle (No front to back play) Break away lock and pivot bolt / pin condition Winch pull points and harness (Bariatric Cot) Break away release bar condition (not bent)
Safety catch bar operating properly (Springs back) Winch assembly, cable, and hook (Truck mounted) Inspect Power Cot for Hydro Leaks.

Foot rest operating properly
IV pole secure and operates properly
02 holder secure and straps in good condition
Stair Chair Inspection
Check During PMI Inspections A, B, C
Status Item
Status Item
All fasteners secure (Locktite if needed) Stair-TREAD mechanism unfolds and locks properly All welds intact, not cracked or broken
Stair-TREAD belt rolls properly
No bent tubing or sheet metal
No debris in wheels Stair-TREAD belt inner cords not showing (Replace) All wheels secure, rolling, and swiveling properly Stair-TREAD performs as desired (Recondition) Wheel locks hold wheel securely when on No lubricants present on Stair-TREAD belts or tracks Upper release cable not worn or frayed (Replace)
Wheel locks clears wheel when off
Chair unfolds and locks properly Optional accessories intact and operating properly All decals in place and in good shape
No rips or cracks in chair seat or back rest Paint condition Restraints intact and working properly Stair Chair securely mounted in unit Foot end carrying handles extend and lock properly Chair Make Head end carrying handles fold and unfold properly Chair Serial Upper control handle extends and locks in all positions (Notes)
(Inspection Completed By - Signature)
Form CO 0029F-00

AMERICAN MEDICAL RESPONSE

TOOL POLICY CERTIFICATION
Division Name:

Operating Company
This is to certify that
(Mechanics Name)
Has completed a tool inventory in compliance with American Medical Response Tool Policy Section 10.0 The total insured value of Mechanic's tools is: $
Attached, find copies of mechnics inventory. To the best of my knowledge this inventory is complete and accurate.

Shop Supervisor Date
General Manager Date
Distribution: Operation File
Human Resources
Mechanic
CO 0024F-00

AMERICAN MEDICAL RESPONSE

MECHANIC'S
TOOL

INVENTORY
Mechanics Name
Date of Inventory
Operating Company
Approved By
(General Manager)
Tool Inventory CO 0019F-00.xls

DESCRIPTION PRICE QTY BRAND NAME

DESCRIPTION PRICE QTY BRAND
1 /4" DRIVE TOOLS
3/8" DRIVE TOOLS, Cont.
3/16 Sgl Hex Sckt
1 Sckt, 6-12 Pt
7/32 Sgl Hex Sckt Tool Tray
1/4 Sgl Hex Sckt
1/32 Sgl Hex Sckt
1/4 Deep Sckt, 6-12 Pt
5/16 Sgl Hex Sckt
5/16 Deep Sckt, 6-12 Pt
11/32 Sgl Hex Scki
3/8 Deep Sckt, 6-12 Pt
3/8 Sgi Hex Sckt
7/16 Deep Sckt, 6-12 Pt
7/16 Sgl Hex Sckt
1/2 Deep Sckt, 6-12 Pt
1/2 Sgl Hex Sckt
1/4 Universal Joint 9/16 Deep Sckt, 6-12 P:

Tool Tray 5/8 Deep Sckt, 6-12 Pt
11/16 Deep Sckt, 6-12 Pt
3/4 Deep Sckt, 6-12 Pt
2" Extension
3" Extension 13/16 Deep Sckt, 6-12 Pl
7/8 Deep Sckt, 6-12 Pt
6" Extension
15/16 Deep Sckt, 6-12 Pt
1 Deep Sckt, 6-12 Pt
Ratchet
Tool Tray
Nut Spinner
Flex Handle
3/8 U-Joint, 6-12 Pt
3/16 Deep Hex Sckt
7/16 U-Joint, 6-12 Pt
7/32 Deep Hex Sckt
1/2 U-Joint, 6-12 Pt
1/4 Deep Hex Sckt
9/16 U-Joint, 6-12 Pt
9/32. Deep Hex Sckt
5/8 U-Joint, 6-12 Pt
5/16 Deep Hex Sckt
11/16 U-Joint, 6-12 Pt
11/32 Deep Hex Sckt
3/8 Universal Joint
3/8 Deep Hex Sckt
Tool Tray
7/16 Deep Hex Sckt
1/2 Deep Hex Sckt
Speed Handie
Tool Tray
Nut Spinner
Ratchet
3/16 Sgl Impact Sckt
1 1/2" Extension
7/32 Sgl Impact Sckt 3" Extension
1/4 Sgl Impact Sckt
4" Extension
9/32 Sgi Impact Sckt
6" Extension
5/16 Sgl Impact Sckt 8" Extension
11/32 Sgl Impact Sckt
12" Extension
3/8 Sgl Impact Sckt
Spark Plug Socket
7/16 Sgl Impact Sckt
1/2 Sgl Impact Sckt
Tool Tray 3/8 Impact Socket
7/16 Impact Socket
1/2 Impact Socket
9/16 Impact Socket
5/8 impact Socket
3 / 8" DRIVE TOOLS 11/16 Impact Socket
3/4 Impact Socket
1/4 Sckt, 6-12 Pt
13/16 Impact Socket
5/16 Sckt, 6-12 Pt
7/8 Impact Socket
3/8 Sckt, 6-12 Pt
15/16 impact Socket
7/16 Sckt, 6-12 Pt
1 Impact Socket
1/2 Sckt, 6-12 Pt
1-1/16 Impact Socket
9/16 Sckt, 6-12 Pt
1-1/8 Impact Socket
5/8 Sckt, 6-12 Pt
Tool Tray
11/16 Sckt. 6-12 Pt
3/4 Sckt, 6-12 Pt
3/8 Weatherhead Scki
3/16 Sckt, 6-12 Pt
7/16 Weatherhead Sckt
718 Sckt, 6-12 Pt
15/32 Weatherhead Sckt
15/16 Sckt, 6-12 Pt
1/2 Weatherhead Sckt
Tool Inventory CO 0019F-00.x/s

DESCRIPTION PRICE QTY BRAND NAME DESCRIPTION BRAND

PRICE QTY
3/8" DRIVE TOOLS, Cont. 1/2" DRIVE TOOLS, Cont.
17/32 Weatherhead Sckt 7/8 Deep Sckt, 6-12 Pt
9/16 Weatherhead Sckt 15/16 Deep Sckt, 6-12 Pt
19/32 Weatherhead Sckt
1 Deep Sckt, 6-12 Pt
21/32 Weatherhead Sckt 1-1/16 Deep Sckt, 6-12 Pt
11/16 Weatherhead Sckt 1-1/8 Deep Sckt, 6-12 Pt
3/4 Weatherhead Sckt 1-1/4 Deep Sckt, 6-12 Pt
25/32 Weatherhead Sckt Tool Tray
Tool Tray
9/16 U-Joint
24" Extension 5/8 U-Joint
3/8 x 1/2 Adapter 11/16 U-Joint
Spark Plug Socket 3/4 U-Joint
Ratchet Adapter 13/16 U-Joint
3/8 8 Point Socket 7/8 U-Joint
7/16 8 Point Socket 15/16 U-Joint
1/2 8 Point Socket 1/2 Universal Joint
Oil Sender Socket Tool Tray
3/8 Crowfoot
7/16 Crowfoot 10" Ratchet
1/2 Crowfoot 15" Ratchet
9/16 Crowfoot 18" Nut Spinner
5/8 Crowfoot Speed Handie
11/16 Crowfoot Drag Line Adjuster
3/4 Crowfoot 2" Extension
13/16 Crowfoot 3-1/2" Extension
Tool Tray 5" Extension
10" Extension
24" Extension
3/8 Impact Socket
1/2" DRIVE TOOLS 7/16 Impact Socket
3/8 Sckt, 6-12 Pt 1/2 Impact Socket
7/16 Sckt, 6-12 Pt
9/16 Impact Socket
1/2 Sckt, 6-12 Pl 5/8 Impact Socket
9/16 Sckt, 6-12 Pt 11/16 Impact Socket
5/8 Sckt, 6-12 Pt 3/4 Impact Socket
11/16 Sckt, 6-12 P1 13/16 Impact Socket
3/4 Sckt, 6-12 Pt
7/8 Impact Socket
3/16 Sckt, 6-12 Pt 15/16 Impact Socket
7/8 Sckt, 6-12 Pt 1 Impact Socket
15/16 Sckt, 6-12 Pt 1-1/16 Impact Socket
1 Sckt, 6-12 Pt 1-1/8 Impact Socket
1-1/8 Sckt, 6-12 Pt 1-3/16 Impact Socket
1-1/4 Sckt, 6-12 Pt
1-1/4 Impact Socket
1-3/8 Sckt, 6-12 Pt 1-5/16 Impact Socket
1-7/16 Sckt, 6-12 Pt
1-3/8 Impact Socket
1-1/2 Sckt, 6-12 Pt 1-7/16 Impact Socket
Tool Tray 1-1/2 Impact Socket
Tool Tray
3/8 Deep Sckt, 6-12 Pt
7/16 Deep Sckt, 6-12 Pt 20" Flex Handle
1/2 Deep Sckt, 6-12 Pt 20" Ratchet
9/16 Deep Sckt, 6-12 Pt 1/2 x 3/8 Adapter
5/8 Deep Sckt, 6-12 Pt 1/2 x 3/4 Adapter
11/16 Deep Sckt, 6-12 Pt
Spark Plug Socket
3/4 Deep Sckt, 6-12 Pt 3/8 Crowfoot
13/16 Deep Sckt, 6-12 Pl 7/16 Crowfoot
Tool Inventory CO 0019F-00.xls
DESCRIPTION [PRICE QTY BRAND NAME DESCRIPTION [PRICE QTY BRAND 1/2" DRIVE TOOLS, Cont. COMBINATION WRENCHES, Cont.
1/2. Crowfoot 1-1/8 Combo Wrench
9/16 Crowfoot 1-1/4 Combo Wrench
5/8 Crowfoot 1-5/16 Combo Wrench
11/16 Crowfoot 1-3/8 Combo Wrench
3/4 Crowfoot 1-7/16 Combo Wrench
13/16 Crowfoot 1-1/2 Combo Wrench
7/8 Crowfoot Tool Tray
15/16 Crowfoot
1 Crowfoot
1-1/16 Crowfoot
1-1/8 Crowfoot
1-3/16 Crowfoot OPEN END WRENCHES
1-1/4 Crowfoot 1/4-5/16 Open End
Tool Tray 5/16-3/8 Open End
3/8-7/16 Open End
3/8 Deep Impact Sckt 7/16-1/2 Open End
7/16 Deep Impact Sckt 1/2-9/16 Open End
1/2 Deep Impact Sckt 9/16-5/8 Open End
9/16 Deep Impact Sckt 5/8-11/16 Open End
5/8 Deep Impact Sckt 11/16-3/4 Open End
11/16 Deep Impact Sckt 3/4-13/16 Open End
3/4 Deep Impact Sckt 13/16-718 Open End
13/16 Deep Impact Sckt 718-15/16 Open End
7/8 Deep Impact Sckt 15/16-1 Open End
15/16 Deep Impact Sckt 1 - 1-1/16 Open End
1 Deep Impact Sckt 1-1/16 - 1-1/8 Open End
1-1/16 Deep Impact Sckt 1-1/4 - 1-3/8 Open End
1-1/8 Deep Impact Sckt 1-3/8 - 1-1/2 Open End
Tool Tray

FLARE NUT WRENCHES
IGNITION OPEN END WRENCHES 1.
15/64 15-15° Open End 2.
1/4 15°-15° Open End 3.
9/32 15°-15° Open End
5/16 15°-15° Open End
11/32. 15°-15° Open End 6.

Ign. & Sp. Plug Feeler Gauge

BOX END WRENCHES
COMBINATION WRENCHES 1/4-5/16 Box End
3/8 Combo Wrench 5/16-3/8 Box End
7116 Combo Wrench
3/8-7/16 Box End
1/2 Combo Wrench
7/16-1/2 Box End
9/16 Combo Wrench
1/2-9/16 Box End
5/8 Combo Wrench 9/16-5/8 Box End
11/16 Combo Wrench 5/8-11/16 Box End
3/4 Combo Wrench 11/16-3/4 Box End
13/16 Combo Wrench 3/4-13/16 Box End
7/8 Combo Wrench 13/16-7/8 Box End
15/16 Combo Wrench 718-15/16 Box End
1 Combo Wrench 15/16-1 Box End
1-1/16 Combo Wrench 1-1-1/16 Box Enc
Tool Inventory CO 0019F-00.xls
DESCRIPTION PRICE QTY| BRAND NAME DESCRIPTION PRICE QTY BRAND BOX END WRENCHES, Cont. STARTER PUNCH
1-1/16 - 1-1/8 Box End 3/32. Starter Punch
1-1/4 - 1-3/8 Box End 1/8 Starter Punch
1-3/8 - 1-1/2 Box End 3/16 Starter Punch
1/4 Starter Punch
5/16 Starter Punch
Aw!

BOX RATCHET WRENCHES
1/4 - 5/16 Box End
5/16-3/8 Box End
3/8-7/16 Box End PINCH/PRY BARS
1/2-9/16 Box End 5/8 Pinch Bar
5/8-11/16 Box End 3/4 Pinch Bar
3/4-13/16 Box End 1 Pinch Bar
718-15/16 Box End
16 Pry Bar

HEX KEY (ALLEN) WRENCHES NON-SPARKING PUNCHES
3/64 Hex Key

1. 1/16 Hex Key 2.
5/64 Hex Key 3.
3/32 Hex Key 4.
7/64 Hex Key
1/8 Hex Key
9/64 Hex Key
5/32 Hex Key
3/16 Hex Key STANDARD SCREW DRIVERS
7/32 Hex Key 3/16 Screw Driver
1/4 Hex Key 1/4 Screw Driver
5/16 Hex Key 5/16 Screw Driver
3/8 Hex Key 3/8 Screw Driver
7/16 Hex Key 7/16 Screw Driver
1/2 Hex Key
Tool Tray

PHILLIPS SCREW DRIVERS
#1 Phillips

FLAT CHISELS
#2 Phillips
1/2 Flat Chisel
#3 Phillips
5/8 Flat Chisel
#4 Phillips
3/4 Flat Chisel
7/8 Flat Chisel
1/8 Center Punch
3/16 Center Punch
PLIERS
Water Pump Plier
5-1/2" Standard Plier
9" Standard Plier
7" Lineman Plier
6" Diagonal Cutter
6" Needle Nose Plier
Battery Plier
Vise Grip Plier
Lock Ring Plier
Tool Inventory CO 0019F-00.xls
DESCRIPTION /PRICE QTY BRAND NAME DESCRIPTION PRICE| QTY BRAND PLIERS, Cont. MISCELLANEOUS
Snap Ring Plier Carbon Scraper
Wire Terminal Plier Hack Saw Frame
Wire Stripper Magnetic Pick-Up Tool
Feeler Gauge-General Use
Tool Chest
Cabinet with Casters
Steel Brush
HAMMERS Wire Gauge
1/2 Ib. Plastic Lip Cotter Pin Puller
1 Ib. Plastic Lip Valve injector Wrench
2 oz. Ball Peen 1/2" Drive Air Wrench
4 oz. Ball Peen 3/8" Drive Air Wrench
1 Ib. Ball Peen (10" Pipe Wrench
2 Ib. Ball Peen [14" Pipe Wrench
Rubber Hammer Tin Snips
Brass Hammer Test Light
Gasket Hole Punch
Drill Index 1/16-1/2
Mechanical Fingers
Mirror
NUT DRIVERS Brake Spring Tool
1/4 Nut Driver Knife
9/32 Nut Driver Adjustable Wrenches
5/16 Nut Driver 1.
11/32 Nut Driver 2.
3/8 Nut Driver 3.
7/16 Nut Driver 4.
1/2 Nut Driver 5.
9/16 Nut Driver Bolt & Nut Extractor
5/8 Nut Driver Tube Cutter
Tool Tray Flaring Tool
Tape Measure

1. 2.

Brake Adjusting Tool
FILES Filter Wrench
6" Round File Battery Post Brush
8" Round File Battery Clamp Puller
10" Round Flle
12" Round File
Half Round File
4" Mill File
6" Mill File
8" Mill File
10" Mill File
12" Mill File
14" Mill File
16" Mill File
6" Triangular File
8" Triangular File
10" Triangular File
File Holders
Thread File
File Cleaning Brush
File Handle
Tool Inventory CO 0019F-00.xls

DESCRIPTION PRICE QTY BRAND NAME DESCRIPTION (PRICE QTY BRAND 1/4" DRIVE METRIC TOOLS 3/8" DRIVE METRIC TOOLS, Cont.
4mm Socket, 6-12 Pt 10mm Deep Sckt, 6-12 Pt
5mm Socket, 6-12 Pt 11mm Deep Sckt, 6-12 Pt
6mm Socket, 6-12 Pt 12mm Deep Sckt, 6-12 Pt
7mm Socket, 6-12 Pt 13mm Deep Sckt, 6-12 P!
8mm Socket, 6-12 Pt 14mm Deep Sckt, 6-12 Pt
9mm Socket, 6-12 Pt 15mm Deep Sckt, 6-12 Pt
10mm Socket, 6-12 Pt 16mm Deep Sckt, 6-12 Pt
11mm Socket, 6-12 Pt 17mm Deep Sckt, 6-12 Pt
12mm Socket, 6-12 Pt 18mm Deep Sckt, 6-12 PL
13mm Socket, 6-12 Pt 19mm Deep Sckt, 6-12 Pt
14mm Socket, 6-12 Pl 20mm Deep Sckt, 6-12 Pt
Tool Tray 21mm Deep Sckt, 6-12 Pt
22mm Deep Sckt, 6-12 Pt
4mm Deep Sckt, 6-12 Pt 23mm Deep Sckt, 6-12 Pt
5mm Deep Sckt, 6-12 Pt 24mm Deep Sckt, 6-12 Pt
6mm Deep Sckt, 6-12 Pt 25mm Deep Sckt, 6-12 Pt
7mm Deep Sckt, 6-12 Pt 26mm Deep Sckt, 6-12 Pt
8mm Deep Sckt, 6-12 Pt Tool Tray
9mm Deep Sckt, 6-12 Pf
10mm Deep Sckt, 6-12 Pt 10mm Flex Sckt, 6-12 Pt
11mm Deep Sckt, 6-12 Pt 11mm Flex Sckt, 6-12 Pt
12mm Deep Sckt, 6-12 Pt 12mm Flex Sckt, 6-12 Pt
13mm Deep Sckt, 6-12 Pt 13mm Flex Sckt, 6-12 Pl
14mm Deep Sckt, 6-12 Pt 14mm Flex Sckt, 6-12 Pl
Tool Tray 15mm Flex Sckt, 6-12 Pt
16mm Flex Sckt, 6-12 Pt
17mm Flex Sckt, 6-12 Pt
18mm Flex Sckt, 6-12 Pt
19mm Flex Sckt, 6-12 Pl
3/8" DRIVE METRIC TOOLS 20mm Flex Sckt, 6-12 Pt
6mm Socket, 6-12 Pt 21mm Fiex Sckt, 6-12 Pt
7mm Socket, 6-12 Pt 22mm Flex Sckt, 6-12 Pt
8mm Socket, 6-12 Pt Tool Tray
9mm Socket, 6-12 Pt
10mm Socket. 6-12 Pt
11mm Socket, 6-12 Pt
12mm Socket, 6-12 Pt
13mm Socket, 6-12 Pt 1/2" DRIVE METRIC TOOLS
14mm Socket, 6-12 Pt 10mm Socket, 6-12 Pt
15mm Socket, 6-12 Pt 11mm Socket, 6-12 Pt
16mm Socket, 6-12 Pt 12mm Socket, 6-12 Pt
17mm Socket, 6-12 Pt 13mm Socket, 6-12 Pt
18mm Socket, 6-12 Pt 14mm Socket, 6-12 Pt
19mm Socket, 6-12 Pt 15mm Socket, 6-12 Pt
20mm Socket, 6-12 Pt 16mm Socket, 6-12 Pt
21mm Socket, 6-12 Pt 17mm Socket, 6-12 Pt
22mm Socket, 6-12 Pt 18mm Socket, 6-12 Pt
23mm Socket, 6-12 Pt 19mm Socket, 6-12 Pt
24mm Socket, 6-12 Pt 20mm Socket, 6-12 Pt
25mm Socket. 6-12 Pt 21mm Socket, 6-12 Pt
26mm Socket, 6-12 Pt 22mm Socket, 6-12 Pt
Tool Tray 23mm Socket, 6-12 Pt
24mm Socket, 6-12 Pt
6mm Deep Sckt, 6-12 Pt 25mm Socket, 6-12 Pt
7mm Deep Sckt, 6-12 Pt 26mm Socket, 6-12 Pt
8mm Deep Sckt, 6-12 Pl 27mm Socket, 6-12 Pt
9mm Deep Sckt, 6-12 Pt 28mm Socket, 6-12 Pt
Tool Inventory CO 0019F-00.x/s
DESCRIPTION PRICE QTY BRAND NAME DESCRIPTION _PRICE QTY BRAND 1/2" DRIVE METRIC TOOLS, Cont. METRIC OPEN END WRENCHES 29mm Socket, 6-12 Pt 6-7mm Open Enc
30mm Socket, 6-12 Pt 7-8mm Open End
31mm Socket, 6-12 Pt 8-9mm Open End
32mm Socket, 6-12 Pt 9-10mm Open End
Tool Tray 10-11mm Open End
11-12mm Open End
14mm Deep Sckt, 6-12 Pt 12-13mm Open End
15mm Deep Sckt, 6-12 Pt 13-14mm Open End
16mm Deep Sckt, 6-12 Pt 14-15mm Open End
17mm Deep Sckt, 6-12 Pt 15-16mm Open End
18mm Deep Sckt, 6-12 Pt 16-17mm Open End
19mm Deep Sckt, 6-12 Pt 17-18mm Open End
20mm Deep Sckt, 6-12 Pt 18-19mm Open End
21mm Deep Sckt, 6-12 Pt 19-20mm Open End
22mm Deep Sckt, 6-12 Pt 20-21mm Open End
23mm Deep Sckt, 6-12 Pt 21-22mm Open End
24mm Deep Sckt, 6-12 Pt 22-23mm Open End
25mm Deep Sckt, 6-12 Pt 23-24mm Open End
26mm Deep Sckt, 6-12 Pt 24-25mm Open End
27mm Deep Sckt, 6-12 Pt 25-26mm Open End
Tool Tray 26-27mm Open End
27-28mm Open End
28-29mm Open End
29-30mm Open End
30-31mm Open End
METRIC COMBINATION WRENCHES 31-32mm Open End
6mm Combo Wrench
7mm Combo Wrench
8mm Combo Wrench
9mm Combo Wrench
10mm Combo Wrench METRIC BOX END WRENCHES
11mm Combo Wrench 6-7mm Box End
12mm Combo Wrench 7-8mm Box End
13mm Combo Wrench 8-9mm Box End
14mm Combo Wrench 9-10mm Box End
15mm Combo Wrench 10-11mm Box End
16mm Combo Wrench 11-12mm Box End
17mm Combo Wrench 12-13mm Box End
18mm Combo Wrench 13-14mm Box End
19mm Combo Wrench 14-15mm Box End
20mm Combo Wrench 15-16mm Box End
21mm Combo Wrench 16-17mm Box End
22mm Combo Wrench 17-18mm Box End
23mm Combo Wrench 18-19mm Box End
24mm Combo Wrench 19-20mm Box End
25mm Combo Wrench 20-21mm Box End
26mm Combo Wrench 21-22mm Box End
27mm Combo Wrench 22-23mm Box End
28mm Combo Wrench 23-24mm Box End
29mm Combo Wrench 24-25mm Box End
30mm Combo Wrench 25-26mm Box End
31mm Combo Wrench 26-27mm Box End
32mm Combo Wrench 27-28mm Box End
28-29mm Box End
29-30mm Box End
30-31mm Box End
31-32mm Box End
Tool Inventory CO 0019F-00.xls

DESCRIPTION PRICE QTY BRAND NAME DESCRIPTION PRICE QTY BRAND

METRIC HEX KEY (ALLEN) WRENCHES MISCELLANEOUS TOOLS

1.5mm Hex Key
2mm Hex Key

2.5mm Hex Key
3mm Hex Key
4mm Hex Key
5mm Hex Key
6mm Hex Key
7mm Hex Key
8mm Hex Key
9mm Hex Key
10mm Hex Key
11mm Hex Key
12mm Hex Key
13mm Hex Key
14mm Hex Key
15mm Hex Key
16mm Hex Key
17mm Hex Key
18mm Hex Key
19mm Hex Key
Tool Tray

MISCELLANEOUS TOOLS
Tool Inventory CO 0019F-00.xls
REGION and DIVISION:

SITE NAME : _
DATE :_

ENVIRONMENTAL AUDIT
Emergency Medical Services Corporation
EMCARE

AMERICAN MEDICAL RESPONSE

VEHICLE OPERATION, MAINTENANCE, & FUELING FACILITIES

FACILITY INFORMATION
01 'ACILITY INFORMATION
DIVISION NAME :

DIVISION NUMBER:

ADDRESS :

TELEPHONE#:

FAX#:

MANAGER:

PACILITY FUNCTION
¡DESCRIBE SITE USE:
i.e. office, fleet shop, crew
station, or a combination
Does the site have a UPS
(uninterrupted power supply)
back-up battery system?
If yes, see battery tab
Does the site have a back-up
generator?
Describe:

Generator Fuel Type Diesel - Unleaded - Liquid Propane - Natural Gas Does Generator require any
local license or certificate

ENVIRONMENTAL RESPONSIBILITY
02 AUDERITEN

1. DOES EMSC OWN THIS FACILITY? (Y/N)

2. HOW LONG HAS AMR/EMCARE BEEN ON SITE?

3. WHAT WAS SITE USED FOR PREVIOUSLY?

4. WAS DIVISION OR FACILITY ACQUIRED
THROUGH ACQUISITION? (Y/N)

5. IF YES' TO ABOVE, NAME ACQUISITION:

6. WAS THE ACQUISITION A "SHARE" OR "ASSET"
TRANSACTION?

7. IS THIS FACILITY SHARED WITH ANOTHER
COMPANY? (Y/ N)

8. IF YES' TO ABOVE, WHO?

9. WHAT IS THE NATURE OF THEIR BUSINESS?
FOR LEASED PROPERTIES ONLY:

19. WHO HAS UST REPLACEMENT RESPONSIBILITIES
UNDER LEASE ?

10. WHO IS RESPONSIBLE FOR FACILITY UPGRADES
LIKE SEPARATORS, SEWER CONNECTS, ETC.?

11. HAS LEASE BEEN REVIEWED TO CONFIRM
ABOVE? (Y/N)

12. LEASE RENEWAL DATE :

13. IS THERE A COPY OF THE LEASE DOCUMENT
ON SITE? (Y/N*)

UNDERGROUND STORAGE TANKS
03 AUDIT ITEM TANK TANK TANK TANK ACTION
REO'D 3
TANK CAPACITY? (GALS)

2. TANK CONTENTS? ( active/inactive )

3. YEAR OF CONSTRUCTION?

4. MATERIAL OF CONSTRUCTION:

STEEL ( Check)
FRP ( Check)
FRP COATED STEEL ( Check)
OTHER ( Describe )

5. IS TANK SINGLE or DOUBLE WALLED?
(S / D)

6. DOES TANK HAVE CATHODIC
PROTECTION? (Y/N/UKN)

HAS CATHODIC PROTECTION BEEN
TESTED IN PAST THREE YEARS?
(Y / N°)

DOES TANK HAVE INTERSTITIAL
MONITORING? (Y / N)

9. IS THERE A MONITORING WELL? (Y/N)

10. IF THERE IS A WELL, IS THERE
MONITORING DATA? (Y /N° )

11. DOES TANK HAVE SPILL CONTAINMENT?
(Y / N*)

12. DOES TANK HAVE OVERFILL PRO -
TECTION? (Y/N*)

13. IS PIPE PRESSURE or SUCTION PIPE?

14. PIPE CONSTRUCTION MATERIAL?
( STEEL, FRP)

15. IS PIPE SINGLE or DOUBLE WALLED ?
(S / D)

16. DOES PRESSURIZED PIPE HAVE LEAK
DETECTION? (Y/N*)

17. IS TANK MANIFOLDED WITH ANOTHER?
(Y* / N)

18. ARE DAILY INVENTORY RECORDS OK?
(Y / N*)

19. ARE MONTHLY RECONCILIATIONS OK?
(Y / N°)

20. DOES TANK HAVE AUTO GAUGING?
(Y / N)

21. IS DIPSTICK IN GOOD CONDITION?
(Y /N*/NA)

22. WHEN WAS TANK TESTED LAST?
(MO/YR)

23. IS TANK TIGHT? (Y/N*)

24. IS A PERMIT REQUIRED FOR TANK ?
(Y / N)

25. IF 'YES' TO Q.24, IS TANK PERMITTED ?
(Y / Nº)

26. IS PERMIT POSTED NEAR TANK?
(Y / N°)

27. IS THIS TANK IN COMPLIANCE? (Y /N*)

PAGE COMPLETED BY (NAME)

ABOVEGROUND STORAGE TANKS
04 AUDIFIE TANK ACTION
REOD
TANK CAPACITY ? (GALS)
TANK CONTENTS ?
YEAR OF CONSTRUCTION?

4. _OCATION: INDOORS or
OUTDOORS ? (IN / OUT)

5. TANK CONFIGURATION: (CUBE,

HORIZONTAL, VERTICAL )

6. IS TANK SKID MOUNTED ? (Y/ N)

7. IS TANK DIKED? (Y/N*)

8. DIKE FLOOR CONSTRUCTION :
(STEEL, CONCRETE, ASPHALT, DIRT,
OTHER)

DOES TANK HAVE RAIN PRO -
TECTION ? (Y /N*)

10. DOES TANK HAVE OVERFILL PRO-
TECTION? (Y/N*)

11. DOES TANK HAVE SPILL CONTAINMENT?
Y/N*)

12. IS DIKE DRAIN CLOSED ? (Y /N* )

13. S DIKE EMPTY? (Y /N* )

14. HIS OUTDOOR AST ELECTRICALLY
GROUNDED? (Y/N* )

15. TIS TANK ADEQUATELY PROTECTED
AGAINST MOVING VEHICLES? (Y / N* )
TIS PERMIT REQUIRED FOR TANK?
IF YES' TO Q.18, IS TANK PERMITTED?

IS TANK IN COMPLIANCE WITH ALL LOC-

AL, STATE & FEDERAL REGULATIONS
IN ADDITION TO CORPORATE POLICIES?

TOTAL PETROLEUM PRODUCTS STORED IN
ABOVEGROUND TANKS ? (Y/N/ N/A)
IF YES' TO Q.21, IS A SPILL CONTROL &
COUNTERMEASURES PLAN REQUIRED ?
-BEEN CERTIFIED BY MANAGEMENT:
(Y/N")

CERTIFICATION BY PROFESSIONAL
ENGINEER: (Y /N*)
- NOTIFICATION / EMERGENCY
CONTACT LIST (Y/N* )
- INSPECTION REPORTS (Y / N* ).
- SIGNIFICANT CHANGES OR A SPILL
WITHIN THE LAST YEAR (Y* IN)

TIF THE PLAN HAS BEEN IMPLEMENTED

FOR MORE THAN THREE YEARS, HAS

THE LAST REVIEW BEEN DONE WITHIN
HE PAST 3 YEARS 2 (NA

26.IS THE FACILITY IN COMPLIANCE WITH
THE SPCC PLAN 2 (Y/N* / NA)

PAGE COMPLETED BY (NAME)

HYDRAULIC LIFTS WITH UNDERGROUND OIL STORAGE
05 AUDIT ITEM TANK TANK -TANK CANK TANK TACTION REO'D 2

3. *4

1. IUNDERGROUND STORAGE CAPACITY
|( GALS)

2. AGE (YRS) :

3. IN USE? (Y /N*)

4. IS THE SYSTEM PROTECTED AGAINST
CORROSION? (Y / N)
TIF NO TO Q.4, IS CLOSURE - IN - PLACE
OR REMOVAL. PLANNED ? (Y/N*)

6. TOIL. TOP-UP RATE (PER WEEK):

7. IS THE SYSTEM LEAKING ?
(Y*/N/UKN*)

PAGE COMPLETED BY (NAME)

FACILITY WASTEWATER MANAGEMENT
06 АЛЛОТ ТЕМА FRESPONSE ACTION
REODE

1. DOES THE MAINTENANCE FACILITY HAVE FLOOR
DRAINS? (Y/N)

12. • IF YES TO Q.1, DO THESE DRAINS SERVICE THE
ENTIRE SHOP AREA? (Y/N*)

3. THROUGH WHICH OF THE FOLLOWING DOES THE
DRAIN PASS ? ( Check appropriate response )

SAND TRAP

TWO COMPARTMENT CONCRETE BASIN

THREE COMPARTMENT CONCRETE BASIN

INGROUND OIL / WATER SEPARATOR

RECYCLE SYSTEM
OTHER (Describe ):

4. IS THERE MORE THAN 12 INCHES OF SLUDGE OR 4
INCHES OF OIL IN ANY ABOVE? (Y*/N)
IF APPLICABLE ?
DOES THIS DEVICE RECEIVE REGULAR MAINTENANCE?
6 HOW OFTEN IS SERVICE CONDUCTED?
ARE MANIFESTS KEPT IN THE ENVIRONMENTAL FILE?
(Y/N*)

FROM THE LAST CALENDAR YEAR'S MANIFESTS, WHAT

WAS THE TOTAL VOLUME OF SLUDGE GENERATED
BY THIS FACILITY? (GAL/ YR )

TO WHICH OF THE FOLLOWING DOES THE DRAIN
FINALLY DISCHARGE? (Check appropriate response )

SANITARY SEWER
STORM SEWER *
SEPTIC TANK*
LEACH FIELD *
DRY WELL*

HOLDING TANK
OTHER (Describe ):
10 ARE PERMITS REQUIRED TO DISCHARGE TO. YES / NO PERMIT ON HAND

SANITARY SEWER
STORM SEWER *
SEPTIC TANK *
LEACH FIELD *
DRY WELL*

HOLDING TANK
OTHER (Describe ):
11 IF A HOLDING TANK IS USED, HOW IS THE WASTE
WATER DISPOSED.
12 ARE MANIFESTS KEPT IN THE ENVIRONMENTAL FILE?
(Y/N*)
13 FROM THE LAST CALENDAR YEAR'S MANIFESTS,

WHAT WAS THE TOTAL VOLUME OF WASTEWATER
GENERATED BY THIS FACILITY?
14 IS FACILITY WASTEWATER MANAGEMENT SYSTEM IN

COMPLIANCE WITH ALL LOCAL, STATE AND FEDERAL

REGULATIONS IN ADDITION TO CORPORATE
POLICIES? (Y/N*)

PAGE COMPLETED BY (NAME)

VEHICLE WASHING
07 AUDIT ITEM RESPONSE ACTION
REO DE

1. ARE VEHICLES WASHED AT THIS FACILITY? (Y/N)

2. IF 'YES' TO Q.1, THEN HOW ? ( Check appropriate
response)

ON A GRAVEL YARD

ON A PAVED YARD
IN A COVERED WASHBAY (Manual)
IN A COVERED WASHBAY (Automatic)

ON A CONTAINED WASHPAD

OFF SITE

3. IF 'YES' TO Q.1, THROUGH WHICH OF THE FOLLOWING DOES THE EQUIPMENT IS THE EQUIPMENT DOES THE WASHWATER PASS PRIOR TO DISCHARGE, NEED TO BE CERTIFIED? CERTIFIED? IF APPLICABLE ? YES / NO YES / NO / UNK YES / NO

RECYCLE SYSTEM

SETTLEMENT PIT

OIL / WATER SEPARATOR
OTHER TREATMENT ( Describe ) :

4. IF 'YES' TO Q.1, TO WHERE DOES THE WASHWATER IS A PERMIT REQUIRED IS PERMIT ON HAND DRAIN? (Check appropriate response ) BY THE STATE DEP?

YES / NO YES / NO / UNK YES / NO

SANITARY SEWER
STORM SEWER*

THROUGH A RECYCLE SYSTEM
DITCH *
SURFACE WATER OR WETLAND *

HOLDING TANK
INFILTRATION *
SEPTIC, LEACHFIELD*
OTHER ( Describe ):

5. IF DETERGENT IS USED, IS IT A NON-TOXIC, BIO -
DEGRADABLE, PHOSPHATE-FREE PRODUCT ? (Y / N* )

6. IF A WASHWATER RECYCLE UNIT IS USED, IS A DETER -

GENT APPROVED BY THE EQUIPMENT MANUFACT -
URER BEING USED ? (Y /N*/ N/A)

7. IS VEHICLE WASHWATER TREATMENT EQUIPMENT
OPERATING SATISFACTORILY? (Y/N* / NIA)

8. IS VEHICLE WASHWATER DISCHARGED IN COMPLIANCE

WITH ALL LOCAL, STATE AND FEDERAL REGULATIONS,
IN ADDITION TO CORPORATE POLICIES ? (Y / N* )

PAGE COMPLETED BY (NAME)

WASTE SOLVENT MANAGEMENT
08 ABOLI HEM RESPONSE ACTION
REQ DE

1. ARE PARTS WASHED AT THIS FACILITY? (Y/N)

2. IS A PARTS WASHING SINK(s) USED AT THIS FACILITY?
(Y /N*)

3. WHO OWNS THE UNIT(s) ?
IF SAFETY KLEEN PROCEED TO QUESTION 18

4. WHAT'S THE FLASH POINT OF THE SOLVENT USED?
(Deg. F)

5. IS THE SOLVENT CONTINUOUSLY RECYCLED
THROUGH THE UNIT? (Y/N)
IS / ARE THE ABOVE UNIT(s) PROPERLY LABELED ?
(Y/N*)

7. HOW IS NEW SOLVENT STORED? ( Check)

UNDERGROUND TANK

ABOVEGROUND TANK

8. IS THE SOLVENT STORAGE UNIT PROPERLY LABELED?
(Y/N*)

19. HOW IS SPENT SOLVENT STORED? ( Check)

UNDERGROUND TANK

ABOVEGROUND TANK
DRUM(s)

10. IS / ARE THE ABOVE UNITs) PROPERLY LABELED ?
(Y/N*)

11. NAME AND ADDRESS OF COMPANY THAT PICKS UP
SPENT SOLVENT.

12. LICENSE OR PERMIT # OF COMPANY:

13. IS THIS COMPANY APPROVED TO HAUL SPENT
SOLVENT? (Y / N* )

14. NAME AND ADDRESS OF FACILITY TO WHICH SPENT
SOLVENT IS TAKEN ?

15. IS THIS FACILITY APPROVED TO ACCEPT SPENT
SOLVENT? (Y/N*)

16. WHAT DOES THIS FACILITY DO WITH THE SPENT
SOLVENT?

17. IS THIS FACILITY UNDER INVESTIGATION, ORDER, OR IS
IT A LISTED CERCLA SITE? (Y*/N)

18. ARE MANIFESTS KEPT IN THE ENVIRONMENTAL FILE?
(Y/N*)

19. FROM THE LAST CALENDAR YEAR'S MANIFESTS, WHAT

WAS THE TOTAL VOLUME OF SPENT SOLVENTS
GENERATED BY THIS FACILITY? (Gal / Yr)

PAGE COMPLETED BY (NAME)

WASTE OIL MANAGEMENT
09 AUDIT ITEM RESPONSE ACTION
REOD 2

1. WASTE OIL IS COLLECTED IN :

UNDERGROUND TANK ( Check)
ABOVEGROUND TANK ( Check)
DRUM (s)
OTHER ( Describe ) :

2. IS THERE SPILLAGE AROUND STORAGE OR FILL
AREAS? (Y*/N)

3. ARE SPENT CLEANING SOLVENTS OR USED ANTI -
FREEZE COLLECTED IN THE SAME CONTAINER?
(Y* /N)

4. IS WASTE OIL HAZARDOUS IN STATE? (Y*/N)

5. IS WASTE OIL SPECIAL WASTE IN STATE ? (Y* / N)

6. IS CONTAINER PROPERLY LABELED ? (Y/N* )

7. IS WASTE OIL BURNED ON SITE FOR HEATING?
(Y/N)

8. IF 'YES' TO Q.7, IS THE BURNER RATED AT LESS THAN
500,000 BTU/HR? (Y /N*/ NA)

9. S WASTE OIL USED FOR DUST CONTROL ON SITE?
(Y* / N)

10. NAME & ADDRESS OF COMPANY PICKING UP WASTE
OIL.

11. LICENSE OR PERMIT # OF COMPANY :
12 ARE MANIFESTS KEPT IN 'ENVIRONMENTAL FILE' ?
(Y /N*)
13 FROM THE LAST CALENDAR YEAR'S MANIFESTS, WHAT

WAS THE TOTAL VOLUME OF WASTE OIL GENERATED
BY THIS FACILITY?

PAGE COMPLETED BY (NAME)

WASTE ANTIFREEZE MANAGEMENT
10 AUDE TEN RESPONSE
ACTION
REO'D 2.

IS ANTI-FREEZE EITHER OF THE FOLLOWING IN THIS
STATE / PROVINCE ? ( Check)

CHARACTERISTICALLY HAZARDOUS

SPECIAL WASTE

2. IS WASTE ANTI-FREEZE COLLECTED AT THIS
LOCATION? (Y*/N)

3. IF YES' TO Q.2, IS IT COLLECTED IN: (Check
appropriate response )
ANTI-FREEZE ONLY DRUM / TANK?
WASTE OIL TANK*?
PARTS WASHER CONTAINER*?

14. IS THE ABOVE STORAGE UNIT PROPERLY LABELED?
(Y/N*)

5. IS ANTIFREEZE RECYCLED ON SITE ? (Y/N)

6. NAME AND ADDRESS OF COMPANY PROVIDING ON -
SITE ANTIFREEZE RECYCLING :

NAME & ADDRESS OF COMPANY THAT PICKS UP
WASTE ANTI-FREEZE: ( If answer is 'Safety Kleen",
proceed to Q.15 )
18 LICENSE OR PERMIT # OF COMPANY:
9 IS THIS COMPANY APPROVED TO HAUL WASTE ANTI-
FREEZE? (Y /N*)
10 NAME & ADDRESS OF FACILITY TO WHICH WASTE
ANTI-FREEZE IS TAKEN:
11 IS THIS FACILITY APPROVED BY THE STATE TO ACCEPT
WASTE ANTI-FREEZE? (Y /N*)
12 IS THIS FACILITY UNDER INVESTIGATION BY A STATE
OR REGULATORY AGENCY ? (Y*/N)
13 WHAT DOES THE RECEIVING FACILITY DO WITH THE
WASTE ANTI-FREEZE ?
14 ARE MANIFESTS KEPT IN THE 'ENVIRONMENTAL FILE?
(Y/N*)
15 FROM THE LAST CALENDAR YEAR'S MANIFESTS, WHAT

WAS THE TOTAL VOLUME OF USED ANTI-FREEZE
GENERATED BY THIS FACILITY?

PAGE COMPLETED BY (NAME)

USED OIL FILTERS
11 AUDIT UNIM RESPONSI
ACTION

REOD LUL

1. ARE USED OIL FILTERS CLASSIFIED AS HAZARDOUS
WASTE IN THIS STATE? (Y*/N)

2. HAS THIS BEEN CONFIRMED WITH THE STATE?
(Y/N*)

HAZARDOUS DOES SHOP DOES SHOP DISCARD IN COMPLIANCE

USED FILTERS YES / NO RECYCLE YES / NO IN RUBBISH YES / NO

3. ALL OIL FILTERS

GASOLINE
DIESEL

4. ARE THE FILTERS PUNCTURED AND DRAINED FOR 24
HOURS BEFORE DISPOSAL? (Y/N*)

5. IS THERE A FILTER CRUSHER AT THIS FACILITY?
(Y/N)

6. IS THE FILTER DRAINAGE SET-UP ADEQUATELY
SIZED AND LEAK-TIGHT? (Y/N*)

7. NAME OF VENDOR WHO DISPOSES FILTERS

18. TARE MANIFESTS AND RECEPITS KEPT IN THE
ENVIRONMENTAL FILE? (Y / N)

9. FROM THE LAST CALENDAR YEAR'S MANIFESTS, WHAT

WAS THE TOTAL QUANTITY OF USED FILTERS GEN -
ERATED BY THIS FACILITY? (#/ YR )

PAGE COMPLETED BY (NAME)
To be completed by Risk and Safety MEDICAL WASTE MANAGEMENT 12 AUDIT ITEM RESPONSE ACTION
REO'DE

IS MEDICAL WASTE GENERATED BY SITE
OPERATIONS? (Y/N)
2 IS MEDICAL WASTE GENERATED BY SITE OPER-

ATIONS DISPOSED OF AT RECEIVING FACILITY
(i.e. Hospital) ? (Y/N) If no, proceed to Q. 3.

IS MEDICAL WASTE REGULATED AS A HAZARDOUS
WASTE IN THIS STATE? (Y*/N)

IS MEDICAL WASTE REGULATED AS A BIO-MEDICAL/
MEDICAL/INFECTIOUS WASTE IN THIS STATE?
(Y*/N)
5 HIS THE SITE REQUIRED TO REGISTER AS A GENER-

ATOR WITH AN ENFORCEMENT/REGULATORY
AGENCY? (Y*/ N)

IF YES, WHAT IS THE GENERATOR REGISTRATION
NUMBER?
17 MEDICAL WASTE IS COLLECTED iN : (check approprlate)
BIN
PAIL
CARTON
OTHER (Describe) :
8 ARE THERE SOLID WASTES COLLECTED IN THE
SAME CONTAINER? (Y* /N/ OTHER)
IS THERE A DESIGNATED STORAGE AREA ?
(Y /N*)
10 ARE CONTAINER/S) AND/OR AREA PROPERLY
LABELLED ? (Y/N*)
11 IS THERE EVIDENCE OF SPILLAGE/LEAKAGE AT
STORAGE AREA ? (Y* / N)
12 DOES THE STORAGE AREA HAVE LIMITED ACCESS

THAT RESTRICTS ENTRY OF UNAUTHORIZED
PERSONNEL ? (Y/N*)
13 IS THE MEDICAL WASTE SUBJECT TO REGULA-
TORY STORAGE DURATION LIMIT? (Y* / N)
14 IS THE MEDICAL WASTE SUBJECT TO REGULA-
TORY STORAGE TEMPERATURE LIMIT? (Y* / N)
15 NAME AND ADDRESS OF COMPANY PICKING UP
MEDICAL WASTE:
16 [LICENSE OF PERMIT OF COMPANY:
17 IS THE ABOVE VERIFIED WITH THE STATE? (Y7N*)
18 NAME & ADDRESS OF FACILITY TO WHICH MEDICAL
WASTE IS TAKEN:

TIS THIS COMPANY LICENSED TO TAKE THIS TYPE

IS THIS FACILITY UNDER INVESTIGATION ORDER

BY ANY STATE OR FEDERAL REGULATORY
AGENCY? (Y*/N)

HAS THE ABOVE BEEN VERIFIED BY STATE /
FEDERAL AGENCY? (Y/N*)

WHAT DOES THE RECEIVING FACILITY DO WITH

ARE MANIFESTS KEPT IN THE ENVIRONMENTAL
|FROM LAST CALENDER YEAR'S MANIFESTS
WHAT WAS THE TOTAL AMOUNT (Ibs) OF MEDICAL
WASTE GENERATED BY THIS FACILITY?

IS THE SITE'S MEDICAL WASTE MANAGEMENT

IN COMPLIANCE WITH LOCAL, STATE, AND

FEDERAL REGULATIONS IN ADDITION TO
CORPORATE POLICIES? (Y /N* )

PAGE COMPLETED BY (NAME)

FUELING
13 RESPONSE
ACHION

1. IS FUELING CONDUCTED AT THIS LOCATION
KY/N*)

VENDOR MOBILE AMR TANKS IS VENDOR POSTED FILLING
2 ONSITE FUELING PRACTICES

FUELING PUMPS INSURED PROCEDURES

YES / NO YES / NO YES / NO YES/ NO

GENERAL LOCAL FIRE LOCAL FIRE OTHER

PERMIT REQUIREMENTS NEPDES

DISPSENSING PETRO STORAGE

YES / NO YES / NO YES / NO

YES / NO
4 ON OR NEAR ON OR NEAR ON OR NEAR NEAR HAZARDS

FUELING IS CONDUCTED ON (SELECT ONE)

FLOOR DRAINS CATCH BASINS WATER SOURCE TRAFFIC / FIRE

YES / NO YES/ NO YES/ NO YES / NO YES / NO

CONCRETE

ASPHALT
GRAVEL*
DIRT *

POSTED POSTED POSTED
AT FUELING POINT POSTED |FIRE EXTINGUISHER

ABSORBENT EMERGENCY EMERGENCY EMERGENCY

REFUELING AND EMERGENCY
MATERIAL CONTACTS PHONE iS

PROCEDURES PROCEDURES SHUT OFF

YES / NO YES / NO YES / NO

YES / NO YES / NO YES/ NO

ACTION NEEDED
6 IS THERE EVIDENCE OF FUEL SPILLAGE? (Y*/N)
7 İS THERE EVIDENCE OF LEAKS AT THE PUMP (s) ?
(Y/N*)
8 HAVE ALL DISPENSERS BEEN CALIBRATED IN THE PAST
12 MONTHS? (Y/N*)

ARE THERE BREAKAWAY COUPLINGS ON THE DIS -
PENSER HOSES? (Y/N* )
10 HAVE 'CLIPS' BEEN REMOVED FROM NOZZLES ?
(Y/N*)
11 IS THERE VAPOR RECOVERY ON GASOLINE FILL
NOZZLES? (Y/N*)
/12 DOES THE SITE HAVE AN SWPP PLAN (Y/N)
13 HAS THE SWPP PLAN
- BEEN CERTIFIED BY MANAGEMENT:
- CYRNFICATION BY PROFESSIONAL
NGINEER: (YIN

NOTIFICATION / EMERGENC
CONTACT LIST (Y /N* )
- INSPECTION REPORTS (Y / N* )
- SIGNIFICANT CHANGES OR A SPILL
WITHIN THE LAST YEAR (Y*/ N)

PAGE COMPLETED BY (NAME)

PAINTING
14 AUDET RESPONSE
ACTION
IRED DA.

1. ARE VEHICLES PAINTED AT THIS LOCATION?
(YIN)
IS PAINTING LIMITED TO TOUCH-UP OPERATIONS?
(Y/N)

3. IF 'YES' TO Q.1, WHERE IS IT DONE?
( Check appropriate response )

IN A DESIGNED PAINT BOOTH
IN THE SHOP *

ON A PAVED YARD
ON A GRAVEL OR DIRT SURFACE *
OTHER ( Describe ) :

IF PAINTING IS DONE INDOORS, IS VENTILATION
ADEQUATE? (Y / N* /UKN*)

5. HOW MUCH PAINT IS USED ANNUALLY ? (GAL/ YR )
HIS PAINT THINNING SOLVENT USED? (Y/N)

7. IF 'YES' TO Q.5, HOW MUCH EACH YEAR ? (GAL/ YR )

8. IS WASTE PAINT AND PAINT SOLVENT DISPOSED OF
AS A HAZARDOUS WASTE ? (Y/N* /NA)

9. ARE DISPOSAL MANIFESTS KEPT IN 'ENVIRONMENTAL
FILE'? (Y/N*)

10. HOW MUCH PAINT AND PAINT THINNER IS STORED ON
SITE AT TIME OF AUDIT ? (GALS.)

11. HOW MUCH WASTE PAINT AND PAINT THINNER WAS
GENERATED IN LAST CALENDAR YEAR ? (GALS.)

PAGE COMPLETED BY (NAME)

USED BATTERIES
15 AUDITITEM

RESPONSO ACTION

IREO DE

1. ARE ALL BATTERIES COLLECTED FOR RECYCLING?
(Y/N*)

2. ARE USED BATTERIES BEING STORED UPRIGHT ON A
CONTAINED SURFACE? (Y/N* )
PLASTIC TRAY?

3. ARE USED BATTERIES STORED UNDER ROOF ?
(Y/N*)

DRUM STORAGE

AUDIT ITEM RESPONSE
ACHON

ARE ALL USED DRUMS (IN-USE AND EMPTY ) STORED

NA CONTAINED AREA AND PROTECTED FROM
RAINWATER ACCUMULATION? (Y/N* )

2. HOW MANY USED DRUMS ARE ON SITE AT PRESENT ?

3. ARE ALL USED DRUMS EMPTY TO NO MORE THAN 1
INCH OF PRODUCT RESIDUE ? (Y/N*)

4. ARE THERE ANY DRUMS ON SITE CONTAINING WASTE
OR OFF-SPEC PRODUCT ? (Y* / N)

5. IF YES' TO Q.4, ARE THE HAZARDOUS CHARACTER -
|ISTICS OF WASTE PRODUCT OR OFF-SPEC PRODUCT
KNOWN? (Y/N*)
IF 'YES' TO Q.4, WHAT COMPANY WILL DISPOSE OF
DRUMS?

SCRAP TIRES
AUDI
ACTION

1. HOW MANY SCRAP TIRES ARE ON SITE. AT PRESENT? REQD 8

12. ARE USED TIRES PICKED UP FREQUENTLY FOR
RECYCLING BY BANDAG OR AGENT? (Y /N* )

3. ARE SCRAP TIRES DISPOSED OF IN ACCORDANCE WITH
REGULATIONS (observe dumpster) ? (Y/N*)

PAGE COMPLETED BY (NAME)

AIR EMMISSIONS
DIETEEM 16

RESPONSE ACTION
RIODE

1. IS ANY TAILPIPE EMISSION MONITORING REQUIRED
IN THIS STATE? (Y/N)

2. IF 'YES' TO Q.1, IS OPERATION IN COMPLIANCE?
(Y/N*)

3. ARE RECORDS AVAILABLE TO DEMONSTRATE COMPL -
IANCE? (Y / N* /N/A)

4. ARE AIR CONDITIONING SERVICES DONE AT THIS
FACILITY? (Y/N)

5. IF 'YES' TO Q.5, IS THE SERVICING DONE ON SITE?
(Y/N)

6. IF 'YES' TO Q.4, IS IT DONE BY A CERTIFIED TECH -
NICIAN ONLY? (Y/N*)

IF DONE ON SITE, DOES THE RECYCLING EQUIPMENT
MEET EPA STANDARDS J-1990 AND J-1991 ?
(Y/N*)

GENERATOR STATUS

TAUDIT ITEM

1. UNDER FEDERAL EPA REGULATIONS, WHAT IS THE
Waste GENERATOR STATUS OF THIS FACILITY ?

CONDITIONALLY EXEMPT GENERATOR

SMALL QUANTITY GENERATOR

LARGE QUANTITY GENERATOR

2. HAS THE ABOVE BEEN CONFIRMED BY CALCULATION?
(YIN")

3. DOES THIS STATE HAVE CONDITIONALLY EXEMPT
STATUS? (Y*/N)

4. IF YES' TO Q.3, ARE REGULATORY REQUIREMENTS
BEING MET? (Y/N*/ NA)

5. IS FACILITY SORTING ITS HAZARDOUS WASTE IN
ACCORDANCE WITH RORA REQUIREMENTS? (Y/N* )

6. IS ALL HAZARDOUS WASTE DISPOSED OF AT AN
APPROVED FACILITY? (Y/N*)

7. DOES FACILITY HAVE AN EPA ID #? (Y/N* / NA)

8. PROVIDE EPA I.D.#

PAGE COMPLETED BY (NAME)
SOLID
WASTE
17 AUDIT ITEM RESPONSE ACTION

1. WHAT IS FREQUENCY OF SOLID WASTE (GARBAGE)
PICK-UP?

2. WHAT IS VOLUME PICKED UP ?

3. WHAT IS NAME OF THE HAULING COMPANY USED?
4 IS THE OPERATION ACTIVELY ENGAGED IN RECYLING?
5 IS A DISPOSAL LOG KEPT?
6 LIST RECYCLED PRODUCTS AND ANNUAL AMOUNTS. IS THIS RECYCLED ANNUAL

YES / NO RECYCLED
METALS - STEEL, ALUMINUM, LEAD ETC....

CARDBOARD
PAPER

PLASTIC

BATTERIES
OIL
TIRES

FILTERS

ANTIFREEZE

PAGE COMPLETED BY (NAME)

GENERAL HOUSEKEEPING AND
SITE WALK 18

AUDIT ITEM RESPONSE

JACTION

1. IS THE MAINTENANCE SHOP CLEAN AND TIDY?
(Y/N*)

2. IS THERE AN ADEQUATE SUPPLY OF CLEAN ABSORB -
ENT? (Y /N*)

3. ARE SPILLS CLEANED UP PROMPTLY ? (Y/N* )

4. TIS THE ENVIRONMENTAL POLICY POSTED ON
THE WALL IN A GENERAL ACCESS AREA? (Y/N* )

ARE THERE ANY HAZARDOUS, REGULATED OR
BANNED WASTES IN THE GARBAGE? (e.g.. Batterles,
Medical, Whole Tires) (Y*/N)

6. IS THE FACILITY FENCED? (Y/N*)

17. ARE THERE SCRAP VEHICLE PARTS, TANKS, DRUMS,
ETC. DUMPED ON PROPERTY? (Y*/N)

8. IS LITTER CONTROL ON PROPERTY GOOD? (Y/N* )

19. ARE THERE ANY DRAINS EMPTYING INTO DITCHES
SURROUNDING THE PROPERTY? (Y* / N)
10 ARE THE DRAINS CLEAR OF RUBBISH AND DEBRIS?
11 IF 'YES' TO Q.9, IS THIS DISCHARGE OUT OF COMPLI -
ANCE? (y*/ N)
/12 IS THERE EVIDENCE OF ANY OF THE FOLLOWING ON
SITE ? (Check appropriate response )
OIL STAINING *
STRESSED VEGETATION *
STRONG ODOURS *
13 IS THE SITE UNDER SNOW COVER AT TIME OF SITE
WALK? (Y*/N)
14 ARE DUMPSTERS CLOSED OR COVERED (YES /NO)

PAGE COMPLETED BY (NAME)

FILE REVIEW
19 AUDIT ITEM RESPONSE
ACTION
REO'D 3

1. IS AN ENVIRONMENTAL FILE KEPT ON SITE?
(Y /N*)

2. IS THE FILE COMPLETE WITH COPIES OF THE
FOLLOWING? (Check each response ):

Operating or Occupying Permit (Y/N* / NA)_
Manifests (Y /N* / NA)
UST Permits (Y /N* / NA)
AST Permits (Y /N* /NA)
Sanitary Sewer Discharge Permits) (Y/N* /NA)
Non-stormwater NPDES/SPDES Permits) (Y/N*/NA)
Underground Disposal Permit(s)
(Septic, Leach Field, Dry Well, etc.) (Y /N* / NA)
Stormwater Permit (Y/N* /NA)
Agency Correspondence (Y / N* / NA)
Tank Test Results (Y/N* / NA)
Investigation Reports (Y/N* / NA)
Spill Reports (Y /N* / NA)
Inventory Control Records (Y /N*/ NA)

3. IS THE FACILITY IN COMPLIANCE WITH CONDITIONS
OF THE FOLLOWING PERMITS ?:

Operating Permit (Y / N* / NA)
UST Permit (s) (Y/N* /NA)
AST Permit (s) (Y /N* / NA)
Sanitary Sewer Discharge Permit (Y / N* / NA)
Non-Stormwater NDES/SPDES Permit(s) (Y /N* /NA)
Stormwater Permit (Y/N* / NA)

4. IS THERE A COPY OF THE ENVIRONMENTAL MANAGEMENT
HANDBOOK ON SITE? (Y/N*)
5 ARE THERE COPIES OF REGULATIONS GOVERNING

ACTIVITIES AT THIS FACILITY KEPT IN THE ENVIRONMENTAL
FILE? (Y/N*)

HAVE ANY ENVIRONMENTAL INCIDENTS OCCURRED AT
THIS FACILITY SINCE THE LAST AUDIT? (Y*/N)
7 IF "YES' TO Q.10, WAS IT REPORTED AS REQUIRED BY
REGULATION AND CORPORATE POLICY? (Y/N*)
8 iS THERE A COPY OF THIS REPORT ON FILE? (Y/N* )
FILE REVIEW CONTINUED 20
]HAS THIS SITE UNDERGONE AN ENVIRONMENTAL. AGENCY

REGULATORY COMPLIANCE INSPECTION IN THE PAST
YEAR? (Y*/N)
IF "YES' TO Q.13, HAVE ALL ISSUES RAISED BEEN ADD-
RESSED / CORRECTED ? (Y / N* / NA)
11 HAS THIS FACILITY COMPLETED THE NECESSARY

REPORTING IN RESPONSE TO COMMUNITY RIGHT - TO -
KNOW (SARA TITLE III) LEGISLATION? (Y/N* / NA)
IS THERE AN SPCC PLAN ON FILE? (Y/N/ NA)
13 IS THERE A STORMWATER POLLUTION PREVENTION PLAN
ON FILE? (Y/ N* / NA)
14 ARE THERE UP-TO-DATE RECORDS ON FILE FOR
EMPLOYEE TRAINING IN ACCORDANCE WITH ? :

SPCC PLAN (Y / N* / NA)
SWPP PLAN (Y / N* / NA)
EMPLOYEE RIGHT-TO-KNOW (Y /N* / NA)
WHMIS (Y/N* / NA)
AIR CONDITIONER REPAIR (Y/N* / NA)
15 ARE THERE RECORDS ON FILE OF INSPECTION REPORTS,
OBSERVATIONS IN ACCORDANCE WITH ? :

SPCC PLAN (Y /N* / NA)
SWPP PLAN (Y / N* / NA)

PAGE COMPLETED BY (NAME)

SUMMARY OF DEFICIENCIES
21 SECTION LIND DEFICIENCY CORRECTIVE

NUM ACTION PLAN

DUE DATE

CORRECTIVE

PROCEDURAL AND EXPENSABLE DEFICIENCIES ONLY ACTION PLAN 22 DIVISION: DATE OF AUDIT:

ADDRESS: AUDITOR:

TELEPHONE: DIVISION MANAGER:

FAX:

DEFICTENCY CORRECTIVE ACTION TEA COST DATE FOR APPROVALS SIGNATURE

LESTIAYA B COMPLLMION
DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR
DIST. MGR/DIR
(REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR.

DIST, MGR/DIR
REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR
DIST. MGR/DIR
REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIY. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR.

DIST. MORDER
REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIV. MGR.

DIST. MGR/DIR
REG.MAINT.

DIVISION MANAGER SIGNATURE: DATE (D/M/Y): DISTRIBUTION WITH

COMPLETED AUDIT
07-0ct-09
•
23 ENVIRONMENTAL AUDIT REVIEW
This audit has been reviewed with the manager or designant of this facility and both of the undersigned are in agreement with the content of the summary of deficiencies in this audit report.

SIGNATURES
AUDITOR: DATE:
(D/M/Y )
MANAGER: DATE:
(D/M/Y)
AUDITOR COMMENTS :
(The Auditor may provide comment on overall environmental management at facility, operator awareness, unusual site - specific issues, etc.) DISTRIBUTION: Manager
Regional V.P.

EMSC MAINTENANCE AND EUELING FACILITY CORRECTIVE ACTION PLAN

CAPITAL EXPENDITURE DEFICIENCIES ONLY
DIVISION NAME: DIV.#:

REGION:

ADDRESS:

DIVISION MANAGER:

TELEPHONE:

FAX:

DATE OF AUDIT:

AUDITOR:

DESCRIPTION OF DEFICIENCY :

DESCRIPTION OF C.A.P.:

COST ESTIMATE FOR C.A.P. :

COST BUDGETED (YES / NO) :

C.E.R.#:

COMPLETION DATE FOR C.A.P.:

AFFROVALS SIGNATURESE
DIVISION MANAGER:
(PROPONENT).

DISTRICT DIRECTOR:

REGIONAL MAINTENANCE DIRECTOR :

REGIONAL V.P.:

DIRECTOR FLEET SERVICES :

DISTRIBUTE WITH COMPLETE AUDIT.

MUST ALSO ACCOMPANY C.E.R.

TABLE 1. ENVIRONMENTAL AUDITING & CORRECTIVE ACTION PROCEDURES

CTIVITY EXECUTED BY RESPONSBILITY

PISTRIBUTION TIMING
DO AUDIT D.F.S. D.F.S. C.E.O. BI-ANNUALLY
REG V.P.

V.P. MAIN/GRP ENV.

OPERATIONAL
DEFICIENCIES:

PREPARE CAP CE O Iceo DIST DIR HO DAYS AFTER
D.F SIto assist DIS AUDIT
REGVE
VP. MAIN/GRR ENVI
APPROVAL OF D.F.S. C.E.O. N/ A (15 DAYS AFTER
C.A.P. AUDIT
EXECUTE CAR CLO ICEO NIA 20 DAYS AFTER
AUDIT
C.A.P. PROGRESS C.E.O. C.E.O. D.F.S. QUARTERLY
REPORT

CAPITAL ITEM
DEFICIENCIES:

PREPARE CAR (сво CEO S Drs. 13O DAYS AFTER
INCL COST EST D.riS. lo assist RECVP AUDIT
& TIME SCHEDULE MP. MAINGRPENY.

APPROVAL OF C.E.O. C.E.O. IN / A i40 DAYS AFTER
C.A.P. REG V.P. AUDIT
IV.P. MAIN/GRP ENV.

BUDGETING CeO DES ANNUALLY
REG VP
PROJECT START-UP C.E.O. C.E.O. N/A APPROVED
& EXECUTION with oversight

SCHEDULE
by D.F.S.

CAP PROGRESS CLO. IDEs QUARTERLY
REPORT
REGIONAL C.A.P. D.F.S. D.F.S. REG V.P. QUARTERLY
SUMMARY REPORT V.P. MAIN/GRP ENV.
(NOV., FEB., MAY.

AUG.)
Audit
American Medical Response Shop Review CO 0020F 00
Shop Location Score
Date
Shop Supervisor General Manager
This review is being conducted for the following reasons:

Type of Audit being conducted (circle one)

1. Policy and Procedures - Vehicle inspection / Fleet Walk. 2. Policy and Procedures - Fleet Walk 3. Vehicle inspection Only - Fleet Walk Target Scores 720 vehicles / 720 Policy - 1440 Pass - 1225 (85%) Target Score - 720 / Pass = 615(85%) Target Score - 720 / Pass = 615 (85%) This shop services and supports the following vehicle counts Fleet Maintenance Head Count Amb Count Para Transit Count Support Count Job Classification Count Other
BLS Chair Van Fleet
Manager
ALS Passenger Ops Sup Supervisor
911 Bus Training Foreman
CCT Admin
Lead Tech
Neonate MCI FTE Technicians
Bariatric PTE Technicians
Body
Parts
Administrative
Total Total
Total VST
Shop Management and Set Up - Observations Comment
Is there a daily work list used to set
priorities?
Is a road call log kept in the shop?
Is a purchase order log kept in the shop?
Number of repair bays
Number of vehicle lifts
Is there an equipment bay / area?
Is there a central control area/ office?
How many computer stations are in the
shop?
Vehicle Score Cards Check a Mimimum of 10% of the fleet. Check all items listed on the score card Yes No
Visual Fleet Walk In addition to vehicle score cards - Check all vehicles in the yard - or - a minimum 10% of the fleet Yes No
Shop Audit CO 0020F-00.xls
Audit
Fleet Policy Checks 10 - Compliant (Yes) Target 20
5 - Needs Improve Pass 15
0 - Non Compliant (No) Score
P1 Is there a copy of the Fleet Policy and Procedures Manual in the shop? 10
P2 Has all shop employees been trained and familiar with AMR Fleet Policy and Procedures? 10 5 0
Section 1.0 Fleet Maintenance Data Base (RTA) 10 - Compliant (Yes) Target 100
5 - Needs Improve Pass 85
0 - Non Compliant (No) Score
P1.1 Are all vehicle repairs entered into RTA? 10
P1.2 Is shop parts inventory up to date and tracked in RTA? 5 0 10 P1.3 Are all vehicle odometers recorded, weekly in RTA? 10 0 P1.4 Are MI's tracked, scheduled and monitored using RTA? 10 0 P1.5 Are purchase orders used in RTA? 10 0
P1.6 Are all sub-contract repairs, labor and parts, entered into RTA? 10 P1.7 All outside repair invoices including body work entered? 10 P1.8 All road service or towing Invoices
10 0
P1.9 All tire work / repair invoices? 10
P1.10 All windshield replacement invoices? 10
Section 2.0 Shop Safety 10 - Compliant (Yes) Target
100
5 - Needs Improve Pass 85
0 - Non Compliant (No) Score
P2.1 Are safety gloves available? (battery handling, solvent sink, gurney maintenance) 10
P2.2 Are safety glasses provided? Are there Eye safety signs posted throughout the shop? 10
P2.3 Is hearing protection provided? Are there safety signs posted throughout the shop? 10
P2.4 Are there any trip or slip hazards. 10
P2.5 Is the shop neat, clean and orderly. 10
P2.6 Does the shop have an MSDS station? 10 0
P2.7 Are safety guards secure at grinder? Are posts properly set? 10 (1/8")
P2.8 Is shop equipment maintained and wiped down? 10 5 0 P2.9 Have vehicle lifts been safety inspected within the last year? 10 0 P2.10 Are vehicle lifts numbered and do they have separate history files? 10 5
Shop Audit CO 0020F-00.xls
Audit
Section 3.0 Maintenance Procedures - (Checked during Vehicle Inspections. Use Score Card.) Section 4.0 Vehicle Replacement - Not checked during audit.

Section 5.0 Vehicle Delivery Notification 10 - Compliant (Yes) Target 10 Pass 10
0 - Non Compliant (No) Score
Is the Vehicle Delivery Notification Form CO 0026F 00 being P5.1 10
utilized. Are they located in the chassis maintenance file? Section 6.0 Reporting Vehicle Problems 10 - Compliant (Yes) Target 60 5 - Needs Improve Pass 55
0 - Non Compliant (No) Score
Is there a in house process for reporting vehicle conditions to P6.1 10
the Fleet Repair shop?
Is the operations department notified when a reported vehicle P6.2 10 5 0
condition been corrected and ready for service?
P6.3 Are all corrective measures, recorded on work orders? 10 P6.4 Are all corrective measures, entered into RTA? 10
Are copies of reported vehicle conditions and corrective work P6.5 10
orders kept in the vehicle history file?
Are Critical Failures reported on CO-0025F-00 Forms (Score P6.6 10 0
one P6.6)
P6.6 Are Critical Failures reported electronically (Score one P6.6) 10 Section 7.0 Vehicle Transfers - Not checked during the audit.

Section 8.0 Excess Fleet 10 - Compliant (Yes) Target
30 5 - Needs Improve Pass 20
0 - Non Compliant (No) Score
Are there any surplus, unused vehicles in the yard? Yes No P8.1 Have these vehicles been reported as surplus? 10 5 0 P8.2 Are estimates, Sedgwick claim numbers, photos available to support surplus status 10 5
P8.3 Have disposed vehicle records been retained for 3 years? 10 Section 9.0 Warranty 10 - Compliant (Yes) Target 10
0 - Non Compliant (No) Pass 10
Score
P9.1 Does the shop track warranty repairs? 10 5
Dollar amount for last years recover?
Shop Audit CO 0020F-00.xls
Audit
Section 10.0 Fleet Purchasing and Parts 10 - Compliant (Yes) Target 130
5 - Needs Improve Pass 115
0 - Non Compliant (No) Score
Tires purchased from Michelin? (or written approval for P10.1 10
deviation)
P10.2 Lube Oil from Exxon Mobil? 10
P10.3 Proper Grade of Oil being used? 10
P10.4 OEM parts being used? 10
P10.5 High performance or alternate parts purchases approved? 10 0 P10.6 Primary Ford Vendor (QFC - National Agreement) (85%) 10 0 P107 Hardware from Bowman Distribution Group? (Lawson, Mechanics Choice, Bowman) 10
P10.8 Batteries Interstate or Motorcraft? 10
Check 10 items - Count and pricing.

P10.9 Is the inventory count accurate? Pull RTA report and compare. 10 5 0 Check oil and tires and 8 items.

P10.10 Is part pricing accurate in RTA? Pull RTA report and compare. 10 5 0 P10.11 Are parts allocated to vehicles using National Data Base? (RTA) 10
P10.12 Is the parts storage area neat, clean and organized. 10 0 P10.13 Parts Inventory Level - Exceeds 90 days of P&L expense? 5 0 P10.13 Parts Inventory Level - 60 - 90 days of P&L expense? 10 P10.13 Parts Inventory Level - 30 days of R&M expense. 15 0 Section 11.0 - Repair Orders 10 - Compliant (Yes) Target 60 5 - Needs Improve Pass 40
0 - Non Compliant (No) Score
P11.1 Are there vehicle maintenance history files? 10
P11.2 Are AMR hand written repair orders CO-0028F-00 used? 10 0 P11.2 Are Data Base shop WO's with mechanic notes used? (Note - Data Base WO's are required to have mechanics comments and notes) 10 0
(CCC = Complaint - Cause - Correction)
P11.3 Atermain orders complete with CC and all vehicle 10 5 0 e repair orders complete and proper Vehicle number, Y
P11.4 10 5
ake, VIN. Odometer, Date documented
P11.5 Are repair orders reviewed and signed by the Shop Supervisor? 10 5 P11.6 Are vehicle files clean, neat and orderly? 10 5
10 Shop Audit CO 0020F-00.xls
Audit
Section 12.0 - Preventative Maintenance 10 - Compliant (Yes) Target 50 5 - Needs Improve Pass 40
0 - Non Compliant (No) Score
(10 = 95% or >, 5 = 80% on time, 0 = all others)
P12.1 Are MI's conducted every 5k, compliant / on time. 10 P12.2 Are PMI's in the correct cycle? A,A,B,A,A,C 10 5
P12.3 Are AMR PMI Forms CO-0021F-00 being used 10
P12.4 Are all sections of the PM form CO-0021F-00 completed 10 5 Are all sections of the PM form CO-0021F-00 signed by
P12.5 10 5 0
mechanic and not straight lined?
Section 13.0 - Tires (Tire compliance is checked during the vehicle inspection using vehicle score card) Section 14.0 - Brakes (Brake compliance is checked during the vehicle inspection using vehicle score card) Section 15.0 - Stretchers 10 - Compliant (Yes) Target 50 5 - Needs Improve Pass 35
0 - Non Compliant (No) Score
P15.1 Are stretcher PMI's being conducted using AMR inspection form CO 0029F 00? Every PMI ? 10 0
Are stretchers serviced and inspected each time a vehicle is P15.2 10
PMI'd?
P15.3 Does the shop have stretcher maintenance files? 10 5 P15.4 Is the stretcher serial number on each file? 10 5 P15.5 Are unit assignment number attached to the stretcher? 10 5 0 Section 16.0 & 16.1 - Tools 10 - Compliant (Yes) Target 20 5- Needs Improve Pass 15
0 - Non Compliant (No) Score
P16.1 Have the mechanics completed tool inventory form CO 0091F 10 0 Do mechanics have adequate hand tools to perform repairs on P16.2 10 5 0
ambulances?
Shop Audit CO 0020F-00.xls
Audit
Section 17.0 - Environmental 10 - Compliant (Yes)
Target 130
5 - Needs Improve Pass 110
0 - Non Compliant (No) Score
Has an environmental audit been conducted in the last two P17.1 10 0
years?
Have all environmental deficiencies found during the last audit P17.2 10
been corrected?
P17.3 Is the petroleum storage area under cover and contained? 10 P17.4 Is petroleum storage area clean and free of spills? 10 5 P17.5 Are bulk tanks or drums properly labeled and clean, free of 10 5
spills?
Are batteries stored under roof, contained and in a adequately P17.6 10 5
ventilated area?
Are batteries and petroleum storage areas adequately protected P17.7 10 5 0
from vehicular traffic?
P17.8 Are disposal manifest kept in an environmental file? 10 0 P17.9 Oil Manifest - in order and neat 10
P17.10 Antifreeze manifest - in order and neat 10 5 0
P17.11 Brake wash manifest - in order and neat 10 5 0
P17.12 Waste Fuel manifest - in order and neat 10 0
P17.13 Waste Rags and Absorbent manifest - in order and neat 10 5 Audit Completed By Date
Shop Audit CO 0020F-00.xls
Date Vehicle Number Operation
Target Score = 720 85% Score = 615 Vehicle Score is
Last 5 Digits of VIN Number
Odometer Hour Meter Reading
Vehicle Model Year

1. Vehicle Company Image / Cleanliness Total Score
(Target Score = 120) (100 score = 85 %) 15 - Outstanding 10 - Acceptable 5- Needs Work O - Unsatisfactory Exterior (Circle Score) Interior Cab (Circle Score) Patient Compartment (Circle Score)
V1.1 Clealiness 15 10 5 V1.5 Cleanliness 15 10 5 V1.9 Cleanliness 15 10 5 V1.2 Appearance 15 10 V1.6 Uphostery 15 10 5 V1.10 Upholstery 15 10 5 ° 0 V1.3 | Logo's Signage 10 0 V1.7 Floors 15 10 V1.11 Floor 15 V1.4 Hub Caps 10 V1.8 Cab Lighting 10 5 V1.12 Cabinets / Formica 10 5 0

2. Safety Items Total Score
(Target Score = 90) (75 score = 85%)
10 - Satisfactory 5- Needs Work 0 - Unsatisfactory
Cab / Critical (Circle Score) Patient Compartment / Critical (Circle Score) V2.1 Seat Belt Operational and Condition 10 5 V2.5 Seat Belts on bench operational and condition 10 5
V2.2 Side Mirrors 10
V2.6 Sharps Container storage / secure 10
V2.3 Brake Pedal / Pad 10 0 V2.7 Portable 02 bottle storage 10 0 V2.4 Fire Extinguishers (2 each) 10 0 V2.8 Main O2 Storage / at leat 2 straps 10 V2.9 Gear Storage - straps adequate / functional 10

3. Ambulance Items (Target Total Score
Score = 60) (50 score = 85%) 10 - Satisfactory 5- Needs Work 0 - Unsatisfactory V3.1 Rear Step - Footing / Platform 10 V3.4 Stretcher Lock Bar Adjustment 10 5 V3.2 Squad Bench Safety Net 10 V3.5 Ambulance - Emergency Lights 5 10 0
V3.3 Door hold opens 10 V3.6 Patient Compartment Lights 10 5 4. Mechanical Inspection Total Score
(Target Score = 450) (380 score = 90%) 10 - Acceptable
5- Needs Work 0 - Unsatisfactory
Starting and Charging (Circle Score) Cab Controls (Circle Score) (Circle Score) Tires
V4.1 Starting okay 10 0 V4.18 Transmssion Selector 10 5 V4.36 Front Axle Tread ok? 10 V4.2 Charging okay 10 V4.19 E - Brake Operation 10 V4.37 Front Axle Wear Pattern 10 V4.3 Battery Condition 10 5 V4.20 Seats / Condition 10 5 V4.38 Front wear <4/32 across 10 V4.4 Connections Condition 10 5 V4.21 Air Conditioning 10 5 0 V4.39 Rear Axle Tread ok? 10 V4.5 Battery Hold Downs 10 0 V4.22 Knobs and switches 10 5 0 V4.40 Rear wear <4/32 across 10 Under Hood V4.23 Dash and Vents 10 5 V4.41 Spare Condition 10 V4.6 Air Filter 10 Under Carriage
V4.7 Oil Level 10 5 V4.24 Steer Lingkage / Joints 10 5 0 V4.8 Clamps and Brackets 10 5 0 V4.25 Suspen Components 10 5 0 V4.9 Hoses 10 5 0 V4.26 Shocks Front 10 5
V4.10 Belts / Pulleys 10 V4.27 Shocks Rear 10 5
V4.11 Engine Oil Leaks 10 5 V4.28 Front Springs 10 0 Lighting V4.12 Coolant Leaks 10 5 V4.29 Rear Springs 10 5 0 V4.42 Parking Lights 5 10 0
V4.13 Brake Fluid Level 10 V4.30 Exhaust Leaks 10 5 V4.43 Brake and Turn 10 Brakes V4.31 Exhaust Hangers 10 5 V4.44 Headlights
10 5
V4.14 Brake Lines / Hose-Rust 10 V4.32 Transmssion Leaks 10 5 V4.15 Front Brakes Inspect 10 V4.33 Pinion Leaks 10 5
V4.16 Rear Brakes Inspect 10 5 V4.34 Axle Leaks 10 5
V4.17 Brake Leaks 10 V4.35 Fuel Leaks 10 5
V4.36 Fuel Tank and Straps 10 5
(Comments - Print Clearly)
Score Card Completed By Date
Vehicle Inspection Score Card Shop Audit CO 0020F-00.xls Location Fleet Walk Inspection
Date
Target Score
= 90. Pass
Unit No Year Odometer
Score = 70
Comments
T10 5 o |10 % o |10 5 o |10 s o|10 5 o |10 5 o 10 8 o 10 5 o|10 8 o| Comments
|10 5 o 10 8 o |10 8 • 10 5 o 10 6 o 10 5 o /10 6 o 10 s o/10s ol Comments
_1° 5 O 10 5 o 10 5 0 10 8 0 /10 5 0 10 5 o 10 8 0 /10 s o 10 % ol Comments
10 5 0 10 5 0 10 5 0 10 5 0 105 0 105 0 105 0 105 0 1050 Comments
10 5 o |10 5 º 10 8 0 10 5 o|10 5 o 10 5 o|10 s o 10 5 o 10 % ol Comments
Inspection Conducted By Date
Shop Audit CO 0020F-00.x/s
Section B
Item # 5
/
*VR.

A Global Medical Response Solution
2020 CAAS
Mutual Aid Process
102.01.01
Documents include:
" Copy of OGL titled "Mutual Aid"
* Copy of AMR Riverside County's Operational process for mutual aid Copy of Letter of Understanding (LOU) regarding mutual aid with Idyllwild Fire Protection District
• Copy of Mutual Aid Agreement with AMR San Bernardino County • Copy of Mutual Aid Agreement with AMR River Medical
• Copy of «EMS Response Plan Palo Verde", Imperial County 1111 Montalvo, Palm Springs CA 92262
Phone: 760-883-5024 Fax: 760-883-5025
DocuSign Envelope ID: 9993252C-4573-4329-8BB6-COC14852138B A Global Medical Response Solution
Operational Guideline
Operations
Guide #: 4500 Effective Date: 8/01/08
(Revised 01/28/20)
APPLICABLE TO DEPARTMENTS: Field/Communications
-Doousigned by: - Docusignod by:

Douglas key Wayne Ennis
Douglas Key, Regton Director Wayne Ennis, Operations Manager Mutual Aid
As per Exhibit 3 of the master agreement between Riverside County and American Medical Response (AMR), it states, "Contractor (AMR) shall comply with provisions of the County Master Ambulance Mutual Aid Policy as adopted and implemented by REMSA." 3.4.2 States, "Contractor shall assist other BOA and non-BOA ambulance providers and provide mutual aid inside and outside the Riverside County Operational Area as required by REMSA."
For mutual aid within Riverside County, for the purposes of ambulance transportation, AMR Riverside County would contact either a surrounding AMR Operation or other non-AMR ALS Ambulance provider for additional resources.

Mutual aid in the Mountain Zone would come from Idyllwild Fire in the event an AMR cover unit is unavailable.

When an Eastern AMR Riverside County Operations requests mutual aid form another AMR Operation outside of Riverside County, that request will most likely go to AMR River Medical out of Arizona for responses into the Blythe area.

In the event mutual aid is requested from a non-AMR ALS Ambulance provider such as occurs in the Desert Cities Operation or Mountain Communities, the request will be made by AMR's Communication Center to the requested agencies Communication Center once it is deemed necessary and there are no available AMR resources to send.

AMR Desert Cities provides and receives mutual aid to and from the following non-AMR Agencies:

Cal Fire (Indio)
Cal Fire (Indian Telis)
Cal Fire (Palm Desert)
Cathedral City Fire
In the event mutual aid is required by AMR, the following would occur:

The communications center will make the reguest for mutual aid immediately following the receipt of a call when there are no other AMR ALS units available to respond. The On duty Chemental aid su peril i will Westin portion of the county the communiestions enter will immediately dispatch a unit from the nearest adjoining AMR Operation. The communication and Operations Supervisors will be notified.

DocuSign Envelope ID: 9993252C-4573-4329-8BB6-C0C14852138B In the event out-of-county mutual aid is needed, the System Status Controller (SSC) will mmediately contact the AMR communications center in San BernardinoCounty, Imperial Count r Arizona with the request. The Communications and Operations Supervisors will be notified o the response by the SSC.

Mutual aid in the Central portion of Riverside County would be between AMR Hemet and Idyilwild Fire in the Mountain Zone.

Mutual aid in the Bastern portion of Riverside County is often provided between AMR. Desert Cittes and AMR River Medical or one of the previously listed non-AMR ALS ambulance providers. When mutual aid is needed in the Desert Cities Operation AMR's communications center will contact the appropriate Communication Center with the request and provide all pertinent call information to the call taker.
in the event AMIR has requested mutual aid from another ALS Transport Provider and a closer AMIR ALS Ambulance becomes available, the SSC should confirm the ETA. of the non-AMR Ambulance and if the AMR ambulance is closer, then cancel the mutual aid request and reassign the call to the closer AMR unit.
* The SSC will contaot the Communications Supervisor to notify them mutual aid was requested and then will log it into the CAD using the appropriate CAD code/s. " AMR's SSC is to always request mutual aid should the need arise and there are no available AMR ALS resources available to respond. Should the request be denied the SSC is to log the denial into the CAD notes and dispatch the next available AMR ALS resource that becomes avalable In the event a mutual aid request is made to AMR, by another ALS ambulance provider the following is to The SSC is to confirm with the requesting agency that it is a mutual aid request.

The SSC will dispatch the requested resources as per AMR's Mutual Aid policy and log it into the Cos ith opinion dad codemications Supervisor of tho request.

The SSC is to provide the requesting agency of the location and estimated ETA of the responding unit.

DoçuSign Envalope ID: 9993252C-4573-4329-8BB8-CDC14852138B A Global Medical Response Solution Operational Guideline Operations
Guide #: 4500 (Addendum) Effective Date: 4/25/00
(Revised 06/15/17)
APPLICABLE TO DEPARTMENTS: Support Services/Field/Communications - DouuSigner by:

Wauke Ennis
61ESR8D02B16492
Wayne Ennis, Operations Manager
Desert Cities Addendum

MUTUAL AID REQUESTS
(Coachella Valley)
As an integral part of the Emergency Medical Services system within Riverside County, American Medical Response (AMR) will actively partioipate in mutual aid systems with other AMR and non-AMR Advanced Life Support (ALS) 911 transport providers as delineated in the County of Riverside Health Services Agency's Master Contract with AMR. The purpose of this policy is to clearly define the parameters and extent to which AMR will provide mutual aid to other non-AMR ALS 911 transport providers while at the same tirne assuring a reasonable response capability within AMR's own primary areas of responsibility.

Providing Mutual Aid - Coachella Valley
AMR will provide mutual aid to another non-AMR ALS 911 provider utilizing the following as a guideline prior to the unit being dispatched:

1. A request for mutual aid must be made from the approved ALS providers Communication Center to AMR's Communications Center.

2. The requesting ALS provider does not have another available ALS Ambulance within their primary response area that is capable of handling the call.

3. When requested, AMR will provide Mutual Aid when there are four (4) available units properly posted in the System Status Plan and are not assigned to calls.

4. The closest available AMR unit is to be dispatched to the Mutual Aid request and the AMR Systern Status Controller (SSC) is required to inform the requesting agency where the unit is responding from along with an estimated ETA. (Should another approved ALS transport agency have a closer unit, ie. indio, Palm Desert, Indian Wells, Rancho Mirage and/or Cathedral City, the requesting agency should consider canceling the AMR request and assign the call to the closer agency).

If these conditions are met, one (1) AMR Ambulance may respond to the mutual aid request.

If AMR has five (5) available ambulances in the system then two (2) ambulances may be sent.

5. If a request for mutual aid is made and AMR does not have four (4) available units in the system, the on duty SSC is to advise the requesting agency that mutual aid is not available at this time.

The SSC is required to enter the appropriate CAD delay code designated for mutual aids into the computer for tracking purposes. The delay codes to be utilized are as follows:

1. MIN (Mutual Aid Indio)
b. MCC (Mutual Aid Cathedral City)
MCO (Mutual Aid Coves)

7. The SC must notify the on duty Communications Supervisor and the on duty Fild Supervisor of any request for mutual aid.

DocuSign Envelope ID: 9993252C-4573-4329-8B86-COC148521368 Requesting Mutual Aid - Coachella Valley
AMR will require mutual aid in times when the System Status Plan becomes so taxed it can no longer support the call volume. The following guidelines are to be adhered to when requesting mutual aid:

1. Mutual aid is to be requested immediately when all AMR resources are already committed to incidents and:
a. Another request for service comes in to the communications center. b. An MCI that requires additional ALS transport units and AMR does not have any additional units to respond.
shorter ETA, the SSC is to cancel the mutual aid request and reassign it to the closer AMR unit

3. Regurdless of other agencies perceived or known policies regarding them providing AMR mutual ald, the SC is to reques mutual aid whenever the need arises. NO EXCEPTIONSI

4. Should a mutual aid request be denied, the SSC must immediately notify the requesting agencies communications center that there may be an extended ETA and that AMR's request for mutual aid was denied

5. 6.

7. The SSC must also notify the on duty Communications Supervisor and Field Supervisor whenever & request for mutual aid is made.

8. The following cancel codes are required to be utilized when requesting mutual:

RIN (Request Indio)
b. RCO (Request Coyes)
o. RCC (Request Cathedral City)
It is AMR's intent to provide quality patient care and rapid transport. To that extent, AMR will provide and request mutual aid as the need arises to insure our patient's and customers receive the best patient care ossible given the circumstances. All SC's and field crews must keep in mind that it is not unusual for :
utual aid response to have an extended ETA. For this reason we ask that all crews and dispatchers be helpful as possible and avoid any further delays in getting the patient packaged and enroute to the most appropriate facility.
..........

IMR

RIVERSIDE COUNTY
Revised April 21, 2020
Mutual Aid
Summary of Operational Process
As per Exhibit 3 of the master agreement between Riverside County and American Medical Response (AMR), it states, "Contractor (AMR) shall comply with provisions of the County Master Ambulance Mutual Aid Policy as adopted and implemented by REMSA." 3.4.2 States, "Contractor shall assist other EOA and non-EOA ambulance providers and provide mutual aid inside and outside the Riverside County Operational Area as required by REMSA."
For mutual aid within Riverside County, for the purposes of ambulance transportation, AMR ALS Ambulance provider for additional resources. AMR Riverside County would contact either a surrounding AMR Operation or other non- When another AMR Western Riverside County Operation is contacted for mutual aid, the request would first go out to an adjoining operation. Next the request would move out to adjoining counties with San Bernardino AMR Operations next (as their protocols and policies most resemble ours, their acute facilities would be utilized next in a large incident, and they currently have several units "cross permitted" in Riverside County.) When an Eastern AMR Riverside County Operations requests mutual aid from another AMR Operation outside of Riverside County, that request will most likely go to AMR River Medical out of Arizona and/or AMR Imperial County for responses into the Blythe area.

In the event mutual aid is requested from a non-AMR ALS Ambulance provider such as cours in the Desert Cities Operation, the request will be made by AMR' ommunication Center to the requested agencies Communication Center once it i deemed necessary and there are no available AMR resources to send. AMR Desert Cities provides and receives mutual aid to and from the following non-AMR Agencies:
• Cal Fire (Indio)
Cal Fire (Indian Wells)
Cal Fire (Palm Desert)
Cal Fire (Rancho Mirage)
Cathedral City Fire
AMIR

RIVERSIDE COUNTY
In the event mutual aid is required by AMR, the following would occur:
* The communications center will make the request for mutual aid immediately following the receipt of a call when there are no other AMR ALS units available to respond. The On-duty Communications Supervisor will be notified. • When mutual aid is needed in the Western portion of the county the communications center will immediately dispatch a unit from the nearest adjoining AMR Operation. The communication and Operations Supervisors will • In the event out-of-county mutual aid is needed, the System Status Controller (SSC) will immediately contact the AMR communications center in San Bemardino County, Imperial County or Arizona with the request. The Communications and Operations Supervisors will be contacted by the SSC who will then contact the Communications Managers and Operations Managers from each operation. Should additional resources be needed from other surrounding counties, the Regional Director will be notified about the request from the Communications Manager.
• AMR will notify the EMS Agency of out-of-county mutual aid requests from San Bernardino County and all appropriate paperwork will be filed with the county as required.
* Mutual aid in the Easter portion of Riverside County is often provided between AMR Desert Cities, AMR Imperial County, AMR River Medical or one of the previously listed non-AMR ALS ambulance providers. When mutual aid is needed in the Desert Cities Operation AMR's communications center will contact the appropriate Communication Center with the request and provide all pertinent call information to the call taker.
" The SSC will contact the Communications Supervisor to notify them mutual aid was requested and then will log it into the CAD using the appropriate CAD code/s.
• AMR's SSC is to always request mutual aid should the need arise and there are no available AMR ALS resources available to respond. Should the request be denied the SSC is to log the denial into the CAD notes and dispatch the next available AMR ALS resource that becomes available.

In the event a mutual aid request is made to AMR, by another ALS ambulance provider the following is to occur:
• The SSC is to confirm with the requesting agency that it is a mutual aid request.

The SSC will dispatch the requested resources as per AMR's Mutual Aid policy and log it into the CAD using the appropriate CAD codes. • The SSC will notify the on duty Communications Supervisor of the request. * The SSC is to provide the requesting agency of the location and estimated ETA of the responding unit.

AMR.

Letter of Understanding
Between
American Medical Response Ambulance Services, Inc.

And
Idyllwild Fire Protection District
American Medical Response (AMR) is supplying to Idyllwild Fire Protection District (IFPD) AVL modems so that AMR may track available ambulances in the Mountain Zone for purposes of dispatching closest unit as per REMSA Operational Policy 2120.

AMR shall supply modems for IFPD ambulances at no charge to IFPD and shall maintain said modems at no charge.

AMR shall store all AVL data and hold such data consistent with IFPD retention of record requirements.

AMR shall only release data pertaining to IFPD ambulances AVL data to IFPD.

AMR shall only release IFPD AVL data through an official request from IFPD.

Either party may terminate this arrangement with 30 days written notice. At the time of termination AMR shall transfer all AVL data applicable to this agreement to IFPD within the record retention time frame.

Agreed to:
perican Medical Respopse Idyllwild Fire Protection District Sulay
Patrick Reitz
Regional Director Fire Chief
Done 4/20/15 Date:

An Envision Healthcare Company
879 Marlborough Ave | Riverside, CA 9250]
-.

Letter of Understanding
Ambulance Cooperative Aid among the Riverside County Fire Department, Idyllwild Fire Protection District, American Medical Response and the Riverside County Emergency Medical Services Agency
In an effort to better serve the residents of Riverside County and in particular those residents in the Mountain Plateau Emergency Ambulance Non-Exclusive Operating Area and idyllwild Fire Protection District Zone 1 Emergency Ambulance Exclusive Operating Area the Letter of Understanding (LOU) executed May 16, 2016 is hereby amended and agreed upon.

1. The Riverside County Fire Department (RFD), Idyllwild Fire Protection District (IFPD), American Medical Response (AMR) and Riverside County Emergency Medical Services Agency (REMSA) all support the most expedient emergency transport of patients. All parties will work collaboratively for the benefit of the citizens to be served.
. 2. This LOU is a cooperative aid agreement between RCFD, IFPD, AMR and REMSA and applies to EMS for first responder and ambulance services,

3. This LOU in no way changes the current County Ambulance Transportation Plan and agreements with AMR and IFPD, but acts only as an adjunct agreement to ensure the availability of ambulance transport in a timely manner for the San Jacinto Mountain and Santa Rosa Mountain communities.

4. For the area applicable to this agreement, fire protection and related fire protection services such as, but not limited to, fire suppression, emergency medical, technical rescue and hazmat will remain the responsibility of the home fire jurisdiction. Other than as requested for ambulance transport mutual aid, IFPD will not have fire jurisdiction in the Mountain Plateau emergency ambulance non-exclusive operating area other than that requested by the RCFD.

5. This LOU makes no suggestion to change existing fire jurisdiction responsibility nor does it provide any authority to any party to act on behalf of the other partles unless and until the home jurisdiction arrives and takes jurisdictional command of the incident.

6. This LOU includes by reference all REMSA policy and procedures protocols currently in effect. All Parties hereto agree to follow these policies as are currently approved or as amended by mutual consent during the term of this agreement.
-

7. Ambulance staffing will be in accordance with applicable REMSA agreements, policy, protocols and procedures.

8. All parties agree that they will only provide additional EMS personnel for transportation purposes when the patient is deemed critical and additional personnel are needed for patient care.

9. All parties agree that transporting ambulances will follow all County ambulance contract provisions for restocking and replacement of supplies.

10.All parties agree that dispatch and full emergency response and move up and cover activities of ambulances under the terms of this agreement must be coordinated by the Riverside County Emergency Command Center,

11. This agreement will be in effect from May 16, 2016 through June 30, 2020 unless otherwise amended or cancelled.

This LOU constitutes the entire agreement and includes: (1) Mountain Plateau Emergency Ambulance Non-Exclusive Operating Area Map, (2) Idyliwild Fire Protection District Zone I Emergency Ambulance Exclusive Operating Area Map, (3) Mountain Plateau Ambulance Backup Process, and (4) IFPD Zone | Ambulance Backup Process.

Any other additions or attachments are not represented by this agreement. 5-16-16
ug Key, Manage DATE
American Medical Response
Patrick Reitz, Fire Chief
Idyllwild Fire Protection District
5-1616
Greg Everhart, Deputy Chief
DATE
Riverside County Fire Department
i an, Director 30
- 5-16-16
DATE
Riverside County EMS Agency

TAMER CAN KENCARO
Medical Services Mutual Aid Agreement
HIS AGREEMENT is made between the America
dedical Response company and the provider set out on the a p ta greement. Te parties shall mutua
relerred to as the "Contracting Agencies" or singularly "Agency".

WHEREAS, the Contracting Agencies maintain paid and/or
volunteer emergency medical services, together with
personnel and equipment used to provide such services;
WHEREAS, more than one medical emergency may arisc type of equipment and personnel requested, and shall contemporancously in one or the other of the jurisdictions of specify the location to which the equipment and the Contracting Agencies resulting in greater demands than response personnel are to be dispatched. Howerer, an oficial of the Answering Agency shall determine the
cannot be handled solely by the equipment and manpower of type and quentity of equipment and personnel to be furnished. The equipment and personnel of the
the Agency in whose jurisdiction the emergency occurs or Answering Agency shall at all times be under the all emergency may arise which transcends jurisdictional supervision and control of the officials) of that boundaries; Answering Agency.

WHEREAS, not-cmergoucy or scheduled requests for Emergency Medical Services. medical transportation may arise that cannot be performed When emergency with the manpower of the Agency in whose jurisdiction the medical services are requested, the Answering Agency shall have its personnel repost to the
non-emergency occurs or a non-emergency may arise which Commander ("C") or other scene commander at the transcends jurisdietional boundaries;
location to which the equipment and personnel are
NOW, THEREFORE, în consideration of the mutual dispatched. All activities shall be coordinated with the covenants, performances and agreements hereafter set forth, IC. Though coordination of activities occurs by the IC, mutually and agreed between the the equipment and personnel of the Answering Agency Contracting Agencies as follows: shall be under the ultimale supervision of the designated personnel of the Answering Agency. The
Definitions. The "Answering Agency" is the Agency personnel of the Answering Agency shall coordinate that responds to the request for omergency medical the Answering Agency's efforts with the IC. At no services or non-emergenoy medical services. time shall the Answering Agency be expected to "Requesting Agency" is the Agency requesting medical operate contrary to standing orders or protocols of Its transportation under this
Agreement.

2. Mutual Assistance and Aid. Subject to the exceptions at any time the Answering Agency responds 1o
utual aid call for emergency medical services whe
Agenoy.
discretion shall be a determination of whelber or not
such a request for assistance may be answered wilhout
jeopardizing the safety and protection of the citizens
and proporty of the Answering Agency. Any decision 1 is need for any aspense per sal no or not to respond to a request for nid shall be promptly penallies under this Agreement. communicated to the Requesting Agency.
2007 AMR Mutual Aid Agrement 1
Confidential and Proprietary
•

SAND TA HADRON FARON
Medical Services Mutual Aid Agreement
Relcase of Answering Agency. For emergenc 879 Marlborough Arenue eclical scrvices, an Answering Agency shall br Riverside, CA 92507 service
agency incident Commander when the services of the
Answering Agency are no longer required, or when the If to AIR:

Answering Agency determines, in its discretion, that its services are needed in another jurisdiction.

General Manager
For non-emergency medical services, an Answering American Medical Response Agency shail be released from service when the 7925 Center Avenue seryices are complete or thc Reguesting Agency Rancho Cucamongn, CA 91730 notifies the Answering Agency that the services are no
longer required. With Mandetory Copy to:

6. Rights and Privileges Retained. Legal Department
The personnel of
cach Agency, while engaged in performing any mutual American Medical Responsc, Inc. aid service, activity, or undertaking under provisions of 6200 South Syracuse Way, Suite 200 this Agreement, shall have and retain all rights and Greenwood Villege, Colorado 80111 privileges notwithstanding that mutual aid servico is
being performed in or for the other Agency. Il. Term. The initial term of this Agrcemen! shall be one Additionally, the Answering Agency's physician year, commeneing on the commencement date hereof, advisor and appropriate medical protocols shall govern and this Agreement shall automatically renew for the Answering Agency's actions. subsequent one-year periods thereafter, subject to the termination rights herein. The initial term and all

7. renewal periods shall be cumulatively referred to as the "Term".
comply with applicable laws. 12. Termination. Each party may terminate this Agreement: (a) at any time without cause and at its sole

8. Indemnifieation. Each party will indemnify and hold discretion upon fifteen (15) days written notice to the the other party harmless from and against liability other party; or (b) immediately upon the material claims resulting from or alleged to result from any breach of this Agreement by the other party. negligence or willful misconduct of the indemnifying
party related to the performance of this Agreement. 13. Referrats. It is not the intent of either party that Any remuneration, bencfit or privilege provided for

9. Insurance. Each party represents that it has and will under this Agreement shall influence or in any way be insurance, based on the referral or recommended referral by either insurance, party of patients to the other party or its affilinted professional liability insurance all in minimum amounts providers, if any, or the purchasing, Icasing or ordering that are customary and usual witbin the emergency of any services other than the specific services medical services industry and workers' compensation described in this Agreement, Any payments specified Insurance in the stahutory required amounts. herein are consistent with what the parties reasonably believe to be a fair market ralue for the services

10. Notices. Any notice required or permitted by this provided.

Agrecment shall be in writing and shall be delivered as follows, with notice deemed given as indicated: (a) by 14. Relationship, In the performance of this Agreement, personal delivery, when delivered personally; (b) by each party hereto shall bc, as to the other, an oversight courier, upon written verification of receipt; independent contractor and neither party shall have the (c) by fositile transmission, upon acknowledgment of right or authority, express or implied, to bind or receipt of electronic transmission; or (d) by certified or otherwise legally obligate the other. Nothing contained registered mail, return receipt requested, upon in this Agreement shall be constrned to constitute cither verification of reccipt. Notice shall be sent to the parly assuming or undertaking control or direction of following addresses: the operations, activities or medical care rendered by the other. The parties" administrative staff shall meel If to Other Agency: on a regular basis to address issues of mutual concern American Medical Response related to the provision of aid and the parties* respective rights and obligations hereunder. It is
2007 AMR Mutual Aid Agreement 2
Confidential and Proprietary

WALERICAN MED PANELS COREON
Medical Services Mutual Aid Agreement
greed that the parties shall not be liable for payment o any salary, wages, or other compensation for any of the other Agency's personnel performing services under
this Agreoment.
spective successors and permitted assigns; (e) she

15. Force Minjeure, Neither party shall be responsible for e interpreted and enforced in accordance with the las any delay in or failure of performance resulting from
cts of God, rio, war, civil unrest, natural disaster
abor dispute or other circumslances not rcasonabl
within its control. f) may be executed in several counterpars (includin y facsimile), cach of which shall constitute an origina

16. Compliance. The parties will comply in all material respects with all applicable federal, state and local laws and regulations, including the federal Anti-kickback
Each party's ambulances will conform to
applicable state and local regulations for medical
equipment for ambulances and be duly licensed for the
transportation ol patients, All personnel staffing (Signature page io follow vehicles that provide the Services will be licensed or
certified as required by applicable law.

17. Compliance Program and Code of Conduet. AMR
has made available to the Facility a copy of its Code of Conduci, Anti-kickinck policies and other compliance
policies, as may be changed from time-to-time, at
AM's web site, located at: mww.amr.net, and the
Facility acknowledges receipt of such documents.

AMR warrants that its personnel shall comply with
AMR's compliance policles, including training related
to the Anti-kickback Statute.
18, Non-Exelusion. Each party represents and certifles
that neither it nor any practitioner who orders or
provide Services on its behalf hereunder has been
convicted of any conduct that constitutes grounds for
mandatory exclusion as identified in 42 U.S.C.$ 1320a-
7(a). Each party further represents and certifies that it is not incligible to participate in Federal health care programs or in any other state or federal goverment
DHHS/OIG excludes it, or any of its practitioners or
employees who order or provide Services, |
participation in Federal health care programs, the party must notify the other parly within five (5) days of
knowledge of such fact, and the other party may
Inamediately terminate this Agreemom, unless the
excluded party is a practitioner or employee who
discontinues ordering or
Services heraunder.

19. Miscellaneous, This Agrement (incloding the
Schedules hereto): (a) constitutes the entire agreement between the parties with respect to the subject matter
hereof, superseding all prior oral or written agrcoments with respect thereto; (b) may be amended only by
written instrument executed by both parties; (c) may
2007 AMR Mutual Aid Agreement 3

AMERICANED ONE HONES
Medical Services Mutual Aid Agreement
IN WITNESS WHEREOF, the parties have hereto
executed this Agreement as of October 01, 2013
("Commencement Date").

American Medical Response of Inland Empire
Renee D.S. Colarossi
General Manager
American Medical Response
By:

Print Name: Dou on KEY
Pate The General Manager Braide
2007 AMR Mutual Aid Agreement
Confidential and Proprietary
AUR.

Medical Services Mutual Aid Agreement
THIS AGREEMENT is made between the American 3. Requests for Assistance and Aid. An authorized Medical Response company and the provider set out on the signature page of this Agreement. The parties shall mutually be referred to as the "Contracting Agencíes" or singularly as "Agency".
without charge to the Requesting Agency, and with the
WHERKAS, the Contracting Agencies matatait paid and/or
volunteer emergency medical services, together with
personnel and equipment used to provide such services; Answering Agency. Any request for assistance WHEREAS, more than one medical emergency may arise hereunder should include a statoment of the amount and contemporaneously in one or the other of the jurisdictions of type of equipment and personnel requested, and shall the Contracting Agencies resulting in greater demands than specify the location to which the equipment the manpower and/or equipment of that Agency can handje response persounel are to be dispatched. However, an official of the Answering Agency shall determine the
or an emergenoy may arise that is of such intensity that it type and quantity of equipment and personnel to be cannot be handled solely by the equipment and manpower of furnished. The equipment and personnel of the the Agency in whose jurisdiction the emergency occurs or Answering Agency shall at all times be under the an emergency may arise which transcends jurisdictional supervision and control of the official(s) of that boundaries;
Answering Agency.

4. Emergency Medical Services. When emergency
medical services are requested, the Answering Agency
non-emergency occurs or a non-emergency may arise which shall have its personnel report to the Incident transcends jurisdictional boundaries; Commander ("IC") or other scene commander at the Jocation to which the equipment and personnel are
NOW, THEREFORE, in consideration of the mutual dispatched. All activities shall be coordinated with the covenants, performances and agreements hereafter set forth, IC. Though coordination of activities ocours by the IC, it is mutually understood and agreed between the the equipmont and personnel of the Answering Agenoy Contracting Agencies as follows: shall be under the ultimate supervision of the designated persounel of the Answering Agency. The

1. Definitions. The "Answering Agency" is the Agency personnel of the Answering Agency shall coordinate that responds to the request for emergency medical the Answering Agency's efforts with the IC. At no services or non-emergency medical servioes. The time shall the Answering Agency be expocted to "Requesting Agency" is the Agency requesting medical operate contrary to standing orders or protocols of its transportation services physician advisor, company policies, operating assistance under this
Agreement. licenses, or federal or state regulations, except as specially provided for in writing by local, state or

2. Mutual Assistance and Aid. Subject to the exceptions fedenal authority and/or except when destination policies are otherwise modified as necessary.
stated helow, the Contracting Agencies agrec to
if at any time the Answering Agency responds to
mutual aid call for emergency medical services wher
jurisdictional boundaries of the other Contracting
Agency. The extent of any response to a request,
including the choice of personnel and equipment, shall
be entirely within the discretion of the Answering
Agency.

Is posed for any remorse fine one of
penalties under this Agreement
communicated to the Requesting Agency.
2007 AMR. Mutual Aid Agreement 1
Confidential and Proprietary
AMR.

Medical Services Mutual Aid Agreement

5. Release of Answering Agency. For emergency 115 El Camino Wav medical services, an Answering Agency shall be Lake Havasu City, Arizona 86403 service by Requesting
Agency/Incident Commander when the services of the If to AMR:

Answering Agency are no longer required, or when the
Answering Agency determines, in its discretion, that its Douglas Kcy services are needed in another jurisdiction.

American Medioal Response-Blythe
For non-emergency medical services, an Answering 379 Mariborough Ave. Riverside. Cl 22507 Agency shail be released from service when the
With Mandatory Copy to:
services are complete or the Requesting Agenoy
notifies the Answering Agency that the services are no Legal Department longer required.

American Medical Responso, Inc.

6. Rights and Privileges Retained. The personnel of 6200 South Syracuse Way, Suite 200 each Agency, while engaged in performing any mutual Greenwood Village, Colorado 80111 aid service, activity, or undertaking under provisions of this Agreement, shall have and retain all rights and I1. Term. The initial term of this Agreement shall privileges notwithstanding that mutual aid service is be one year, commencing on the commencement date pertormed in or for the other Azency. hercof, and this Agreement shall automatically renew Additionally, the Answering for subsequent one-ycar periods thercafter, subject to advisor and appropriate medical protocols shall govern the termination rights herein. The initial term and all the Answering Agency's actions. renewal periods shall be cumulatively referred to as the "Term".

7. Compensation and Billing.
shall be responsible for all Patient and third party 12. Termination. Each party may terminate billing, and agrees that the rates to be billed shall Agreement: (a) at any time without cause and at its sole comply with applicable laws. discretion upon fifteen (15) days written notice to the other party; or (b) immediatoly upon the material

8. Indemnification. Each party will indemnify and breach of this Agreement by the other party. hold the other party harmless from and against liability claims resulting from or alleged to result from any 13, Referrals. It is not the intent of either party that negligence or willful misconduct of the indemnifying any remuneration, benetit or privilege provided for party related to the performance of this Agreement. under this Agreement shall influence or in any way be based on the referal or recommended referral by either
Insurance. Bach party represenis that it has and will party of patients to the other party or its affiliated maintain insurance, providers, if any, or the purchasing, leasing or ordering of any services other than the specific services
described in this Agreement. Any payments specified
herein are consistent with what the parties reasonably
believe to be a fair market valuo for the services
provided.

D. Notices. Any notice required of permitted by this 14. Relationship. In the performance of this Agreement, Agreement shall be in writing and shall be delivered a each party hereto shall be, as to the other, an independent contractor and neither party shall have the right or authority, express or implied, to hind or
otherwise legally obligate the other. Nothing contained in this Agreement shall be construed to constitute either party assuming or undertaking control or direction of
the operations, activities or medical care rendered by
verification of receipt. Notice shall be sent to the the other. The parties' administrative staff shall meet following addressus: on a regular basis to address issues of mutual concern related to the provision of aid and the parties?
If to Other Agency: respective rights and obligations hereunder. It is River MedieaL inc agreed that the parties shall not be liable for payment of 2007 AMR Muttal Aid Agreoment 2
Confidential and Proprictary
"MR.

Medical Services Mutual Aid Agreement
any salary, wages, or other compensation for any of the other Agency's porsonnel performing services under not be assigned by cither party without the written this Agreement. consent of the other party, such consent not to be unreasonably withheld; (d) shall be binding on and

15. Force Majeure. Neither inure to the benefit of the parties bereto and their shall be respective successors and permitted assigns: (e) shall responsible for any delay in or failure of performance be interpreted and enforced in accordance with the laws rosulting from acts of God, riot, war, civil unrest, of the state where the Services are performed, without natural disaster, labor dispute or other circumstances
not reasonably within its control. regard to the conflict of laws provisions thereof, and the federal laws of the United States applicable therein;

16. Complianee. The parties will comply in all material (f) may be executed in several counterparts (inoluding respects with all applicable federal, state and local laws by facsimile), each of which shall constitute an original and all of waich, when taken together, shall constitute and regulations, including the federal Anti-kickback
Bach party's ambulances will one agreement, and (g) shall not be effective unti conform to executed by both parties. in the event of a conflict applicable state and local regulations for medical between this Agreement and any Schedule hereto, the equipment for ambulances and be duly licensed for the terms of this Agreement shall govern. transportation of All personnel staffing
vehicles that provide the Services will be licensed or [Signature page to follow] certified as required by applicable law.

17. Compliance Program and Code of Conduct. AMR
has made available to the Facility a copy of its Code of Conduct, Anti-kickback policies and other compliance
policies, as may be changed from time-to-time, at
AMR's website, locared at: wwww.amnes, and the
Facility acknowledges receipt of such documents.

AMR warrants that its personnel shall comply with
AMR's compliance policies, including training rolated
to the Anti-kickback Statute.

18. Ner-Exclusion. Each party represents and certifies
that neither it gor any practitioner who orders or
provide Services on its behalf hereunder has been
convicted of any conduct that constitutes grounds for
mandatory oxolusion as identified in 42 U.S.C.§ 1320a-
7(a). Bach party further represents and certifics that it is not ineligible to participate in Federal health care programs or in any other state or federal govemment
payment program. Each party agrees that if
DHHS/OIG excludes it, of any of its practitioners or
employees who order or provide Services, from
participation in Federal health care programs, the party must notify the other party within five (5) days o1
knowledge of such fact, and the other party may
immediately teminate this Agreement, unless the
excluded party is a practitioner or employee who
immediately discontines ordering of providing
Services hercunder.

19. Miscellaneous. This Agroement (including the
Schedules hereto): (a) constitutes the entire agreement between the parties with respeot to the subject matter
hereof, superseding all prior oral or written agreement:
with respect thereto; (b) may be amended only by
written instrument executed by both partics; (c) may
2007 AMR Mutua! Aid Agreement
Confidential and Proprictary 3
AMIR.

Modical Services Mutual Aid Agrcement
N WITNESS WHEREOF, the parties have heroto
executed this Agreement as of February 8. 2017
(Commencenient Date").

Blyihe Ambulance Service DBA: American Medic
Response
By:

Wayno Ennis. Operations Mangor AMR Hipsern Kiverside
County
River Medical Inc.

By:

John Valu
Print Name:

Print Tille: Regional Director
2007 AMR MinoR Aid Agreenient
Conaluentin and Proprietry
. ":. ::: ...-
Schedule A
This attachment is intended to serve as the process to be used in the event Mutual aid is required by either American Medical Response Blythe Operation located in the City of Blythe California, and/or American Medical Response River Medical located in Lake Havasu Arizona however has stations located in the communities of Quartzite and Parker Arizona.

For the purposes of this agreement, mutual aid may need to be requested by either AMR Operation whenever emergency call volume is greater than the resources that are available for that given response area.

Both AMR Blythe and AMR River Medical provide ALS Paramedic level in the Cities and communities listed above.

Reasons to request mutual aid include but may not he limited to:
• Anytime the 9-1-1 system demand in a given area exceeds the ability of the AMR ALS resources for the geographical areas of Blythe and surrounding communities on the California side OR the community of Ehrenburg, Quartzite and Parker and other surrounding communities on the Arizona side.
• Multi Casualty Incidents (MCI)
This Agreement only covers mutual aid for emergent calls that are generated through the 911 system.

Request for mutual aid are made by the communications center for either AMR Operation by utilizing the following contact numbers:
• AMR Riverside Communications: (800) 549-1058 or (760) 327-1313 • AMR River Medical Communications: (928) 855-3428
Mutual aid requests for the City of Blythe and surrounding communities in the event all the ALS Ambulances assigned to the City of Blythe and surrounding communities are assigned to calls, The AMR Riverside County Communications Center will immediately contact AMR River Medical and request that they send an ALS Ambulance from the Arizona side to the State Line to provide coverage for the City of Blythe and surrounding communities should another emergency request for service occur.

In the event AMR River Medical does not have an available ALS unit to send for coverage, the AMR Riverside Communications Center is to contact the next closest mutual aid provider, within the Immediate area, for mutual aid coverage. Should another request for emergency service occur while :
there are no ALS ambulances immediately available and if no other mutual aid providers are available, AMR Riverside Communications Center will immediately respond a unit from the Palm Springs operation.

Mutual aid requests for Ehrenburg and surrounding communities In the event the ALS Ambulances assigned to the communities of Ehrenburg, Quartzite and/or Parker areas of Arizona are assigned to calls and additional resources from the AMR River Medica! Operation are not available to respond or provide coverage for those communities, AMR River Medical's :
-1 • 7•
Schedule A
Communication Center will contact AMR Riverside's Communication Center to request possible system coverage or mutual Aid response as needed.

COUNTY OF IMPERIAL

PUBLIC HEALTH DEPARTMENT

CALIFORN
ROBIN HODGKIN, M.P.A.

Director
STEPHEN W. MUNDAY, M.D., M.P.H.

Health Officer
TO:

Imperlal County Sheriff's Office Dispatch, Imperial County Fire Department, American Medical Response FROM:

Chris Herring, EMS Manager
SUBJECT: EMS Response to Palo Verde
Date: October 31, 2019
The Imperial County EMS Agency, American Medical Response (AR)-Imperial, and AMR-Riverside will be implementing a new emergency ambulance response model for the Palo Verde area. The new response model includes a mutual response agreement between the two AMR divisions and an air ambulance auto-launch protocol for all requests for emergency ambulance service within imperial County Fire Department's Station #5 service area. Additionally, the Imperial. This will not impact Imperial County PSAPs. mutual response agreement includes the provision of back-up ground ambulance coverage to the Blythe area by AMR- The process for requesting emergency ground ambulance for the Palo Verde area is outlined below:

Imperial County Sheriff's Office (ICSO) Dispatch Procedure:

Upon receipt of a 911 request for ambulance service:

1. Request a ground ambulance from AMR-Riverside (Blythe area): (877) 267-6622

2. Launch an air ambulance to ICFD Station #5; provide updated landing zone coordinates once available. If updated landing zone information is unavailable, air ambulances may self-land at ICFD Station #5 American Medical Response Procedure:

Upon receipt of a request for ground ambulance from ICSO Dispatch:

1. Dispatch AMR-Blythe ambulance, if available

2. If AMR-Blythe ambulance is unavailable for response, AMR-Riverside will transfer call Information to AMR- Imperial's communications center

3. AMR-imperial's communications center will contact ICSO dispatch via telephone and provide the following:
a. AMR responding unit information
b. Estimated time of arrival
Patient Destination for Air Ambulance Transports from the Palo Verde Area Transport destination decisions for all patient's requiring air ambulance transport from the Palo Verde area shall be made by the air medical crew, without the need to contact the Base Hospital, using the folfowing factors:

Patient's need for a specific or specialty hospital

2. Appropriate destination, FAA approved helipad for the aircraft

3. The capabilities of the aircraft, and fuel availability

4. Air safety factors, which will be approved by the pilot

5. Patient and/or family request may be used to consider destination if the request is reasonable and not precluded by any of the factors listed above.

Emergency Medical Services Agency, 935 Broadway, El Centro, CA 92243 (442) 265-1444- (760) 482-4517 Fax • icphd.org
Section B
Item # 6
AMR
Response Times Reports
Attached is the compliance for 2021 and 2022 - level of service, number of responses and number of late responses based upon the time the unit was requested/promised compared to the actual arrival.

A sample of the data extracted for the January 2021 is provided. Hard copy documents exceeded 500 pages, so the summary was provided.

The actual detail is available upon request for review. 1st Quarter 2021 1st Quarter 2022
Month LOS Resp Lates • Compliance Month LOS Resp Lates Compliance Jan 2021 ALS 107 15 86.0% Jan 2021 ALS 99 7 92.9%
BLS 415 62 85.1% BLS 366 105 71.3%
CCT 36 7 80.6% CCT 16 3 81.3%
Jan Total 558 84 84.9% Jan Total 481 115 76.1%
Feb 2021 ALS 97 7 92.8% Feb 2021 ALS 118 9 92.4%
BLS 457 62 86.4% BLS 515 104 79.8%
CCT 27 3 88.9% CCT 26
5 80.8%
Feb Total 581 72 87.6% Feb Total 659 118 82.1%
Mar 2021 ALS 104 4 96.2% Mar 2021 ALS 102 18 82.4%
BLS 476 47 90.1% BLS 603 69 88.6%
CCT 29 6 79.3% CCT 23 2 91.3%
Mar Total 609 57 90.6% Mar Total 728 89 87.8%
2nd Quarter 2021 2nd Quarter 2022
Month LOS Lates Month LOS Lates
Apr 2021 ALS 4 Apr 2021 ALS 15
BLS 79 BLS 98
CCT 5 CCT 6
Apr Total 88 Apr Total 119
May 2021 ALS 10 May 2021 ALS 12
BLS 83 BLS 94
CCT 2 CCT 3
May Total 95 May Total 109
Jun 2021 ALS 9 Jun 2021 ALS 4
BLS 89 BLS 87
CCT 3 CCT 2
Jun Total 101 Jun Total 93
3rd Quarter 2021 3rd Quarter 2022
Month LOS Month LOS Resp Lates Compliance
Jul 2021 ALS Jul 2021 ALS 110 15 86.4%
BLS BLS 626 126 79.9%
CCT CCT 18 1 94.4%
Jul Total Jul Total 754 142 81.2%
Aug 2021 ALS Aug 2021 ALS 133 16 88.0%
BLS BLS 677 112 83.5%
CCT CCT 16 1 93.8%
Aug Total Aug Total 826 129 84.4%
Sep 2021 ALS Sep 2021 ALS 111 8 92.8%
BLS BLS 439 73 83.4%
CCT CCT 19 1 94.7%
Sep Total Sep Total 569 82 85.6%
4th Quarter 2021 4th Quarter 2022
Month LOS Resp Lates Compliance Month LOS Resp Lates Compliance Oct 2021 ALS 133 17 87.2% Oct 2021 ALS 134 13 90.3%
BLS 487 143 70.6% BLS 387 82 78.8%
CCT 21 7 66.7% CCT 14 5 64.3%
Oct Total 641 167 73.9% Oct Total 535 100 81.3%
Nov 2021 ALS 139 16 88.5% Nov 2021 ALS 150 10 93.3%
BLS 466 109 76.6% BLS 448 82 81.7%
CCT 20 2 90.0% CCT 23 3 87.0%
Nov Total 625 127 79.7% Nov Total 621 95 84.7%
Dec 2021 ALS 121 21 82.6% Dec 2021 ALS 120 9 92.5%
BLS 492 87 82.3% BLS 427 97 77.3%
CCT 20 2 90.0% CCT 25 4 84.0%
Dec Total 633 110 82.6% Dec Total 572 110 80.8%
15 DOS: syear Resp# Location : E Ree pu Prom ossa
1/1/2021 2021 3219609 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 22:25:21 22:25:21 23:18:02
1/1/2021 2021 3219707 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:33:40 1:15:00 1:06:48
1/1/2021 2021 3220049 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 11:38:03 12:10:00 11:50:35
1/1/2021 2021 3220060 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 10:23:18 12:00:00 12:12:10
1/1/2021 2021 3220061 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:15:24 12:30:00 12:12:33
1/1/2021 2021 3220154 CYPRESS GARDENS CON 9025 Colorado Ave 13:56:18 13:56:18 14:12:16
1/1/2021 2021 3220162 PARKVIEW COM HOS-RIV
3865 JACKSON ST 10:00:00 13:00:00 15:44:49
1/1/2021 | 2021 3220217 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:00:01 16:00:00 15:17:02
1/1/2021 2021 3220349 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 14:30:01 17:30:00 17:47:26
1/1/2021 2021 3220350 RIVERSIDE COM HOSP
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1/1/2021 2021 3220352 PARKVIEW COM HOS-RIV 3855 JACKSON ST 16:46:25 18:30:00 17:57:23
1/2/2021 2021 3220675 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1:25:36 2:30:00 1:40:17
1/2/2021 2021 3220703 RIVERSIDE COM HOSP
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1/2/2021 2021 3220751 RIVERSIDE COM HOSP
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1/2/2021 2021 3220812 KAISER HOS RIVERSIDE
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1/2/2021 2021 3220930
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1/2/2021 2021 3220941 PALM TERRACE CON-RIV 11162 Palm Terrace Ln 10:48:10 10:48:10 10:55:18
1/2/2021 2021 3220947 VILLA REH & CARE CTR-RIV 8965 MAGNOLIA AVE 10:31:13 11:00:00 11:22:18
1/2/2021 2021 3220994 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 12:04:44 12:04:44 12:15:28
1/2/2021 2021 3221007 ALTA VISTA HLTH CARE
9020 GARFIELD ST 12:02:39 12:00:00 12:39:42
1/2/2021 2021 3221112 RIVERSIDE COM HOSP
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1/2/2021 2021 3221135 PARKVIEW COM HOS-RIV
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1/2/2021 2021 3221136 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:22:26 15:00:00 14:14:37
1/2/2021 ( 2021 3221189 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 15:10:56 15:40:00 16:06:52
1/2/2021 2021 3221257 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:12:42 17:15:00 16:40:15
1/3/2021 2021 3221657 RIVERSIDE COM HOSP
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1/3/2021 2021 3221746 RIVERSIDE MUNI AIRPORT
6741 GEMENDE DR 1:30:42 6:00:00 6:02:00
1/3/2021 2021 3221802 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 6:30:53 7:30:00 7:34:00
1/3/2021 2021 3221892 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 9:25:09 9:25:09 9:41:41
1/3/2021 2021 3221931 RIVERSIDE COM HOSP 10:45:00
4445 MAGNOLIA AVE 9:44:04 10:19:24
1/3/2021 2021 3221933 PALM TERRACE CON-RIV
11162 Palm Terrace Ln 10:10:55 10:10:55 10:29:47
1/3/2021 2021 3221937 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:51:50 11:30:00 10:23:50
1/3/2021 2021 3221947 RIVERSIDE MED CLNC DAY
6405 Day St 10:42:46 10:42:46 10:50:21
1/3/2021 | 2021 3221959 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Âve 11:02:25 11:02:25 11:11:22
1/3/2021 2021 3222004 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 11:32:33 12:30:00 12:05:00
1/3/2021 2021 3222040 VILLA REH & CARE CTR-RIV
8955 MAGNOLIA AVE 11:50:33 12:50:00 12:32:34
1/3/2021 2021 3222090 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 12:23:52 14:30:00 13:31:37
1/3/2021 2021 3222179 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:30:37 15:30:00 15:03:02
1/3/2021 2021 3222199 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:04:07 15:35:00 15:23:52
1/3/2021 2021 3222341 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 14:30:00 17:30:00 18:17:45
1/3/2021 2021 3222411 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 18:50:38 20:00:00 19:42:52
1/3/2021 2021 3222439 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 17:30:00 20:30:00 20:08:34
1/3/2021 2021 3222452 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 18:00:01 21:00:00 20:12:30
1/3/2021 2021 3222550 PARKVIEW COM HOS-RIV 3865 JACKSON ST 19:50:58 22:35:00 22:19:04
1/4/2021 2021 3214361 PARKVIEW COM HOS-RIV 3865 JACKSON ST 21:40:00 23:59:00 1:53:39
1/4/2021 2021 3222651 PARKVIEW COM HOS-RIV 1:45:07
3865 JACKSON ST 2:25:00 2:08:21
1/4/2021 2021 3223011 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 9:28:02 11:30:00 11:26:44
1/4/2021 2021 3223073 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:28:04 13:00:00 12:29:19
1/4/2021 2021 3223291 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 14:18:20 15:30:00 16:23:52
1/4/2021 2021 3223293 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 16:25:16 16:25:16 16:33:42
1/4/2021 2021 3223314 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 16:51:15 16:51:15 17:04:01
1/4/2021 2021 3223331 PPE ALERT RIVERSIDE MED CLINIC
7117 Brockton Ave 17:02:48 17:02:48 17:24:11
1/4/2021 2021 3223351 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 17:22:18 17:22:18 17:32:48
1/4/2021 2021 3223379 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:55:10 16:00:00 18:36:22
1/4/2021 2021 3223523 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 20:59:14 20:57:00 21:12:47
1/4/2021 2021 3223586 PARKVIEW COM HOS-RIV
3865 JACKSON ST 18:00:00 21:00:00 22:43:04
1/4/2021 2021 3223590 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:00:00 21:00:00 22:38:47
1/4/2021 2021 3223605 PARKVIEW COM HOS-RIV
3865 JACKSON ST 17:20:55 22:00:00 23:59:24
1/4/2021 2021 3223680 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 19:10:38 22:00:00 1:04:15
1/4/2021 2021 3223696 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 19:15:59 22:15:00 1:42:42
1/5/2021 2021 3223699 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1/5/2021 20:32:44 0:30:00 1:58:46
2021 3223717 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 22:14:45 2:15:00 1/5/2021 2021 2:56:53
3223725 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:00:01 3:00:00 3:39:14
1/5/2021 2021 3223728 KAISER HOS RIVERSIDE
10800 MAGNOLIA AVE 2:26:58 4:00:00 4:00:07
1/5/2021 | 2021 3223799 EVAL TREATMENT SVC-RIV
9990 COUNTY FARM RD 4:20:01 7:15:00 7:33:04
1/5/2021 2021 3223888 MERIDIAN GARDENS OF RIVERSIDE
10849 ARLINGTON AVE 9:01:02 10:00:00 9:50:24
1/5/2021 2021 3224001 RIVERSIDE MED CINC DAY
6405 Day St 11:35:35 11:35:35 11:43:46
1/5/2021 2021 3224069 VAN BUREN DIALYSIS CENTER
3595 VAN BUREN BLVD 12:41:25 13:10:00 12:56:40
1/5/2021 2021 3224140 PARKVIEW COM HOS-RIV 3865 JACKSON ST 10:22:57 13:00:00 13:45:39
1/5/2021 2021 3224249 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 15:12:58 15:12:58 15:28:00
1/5/2021 2021 3224285 RIVERSIDE MED CLNC DAY
6405 Day St 15:51:18 15:51:18 16:01:03
1/5/2021 2021 3224437 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 15:49:52 18:00:00 18:38:04
1/5/2021 2021 3224447 PARKVIEW COM HOS-RIV
3865 JACKSON ST 16:11:33 20:00:00 18:40:50
1/5/2021 2021 3224472 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 14:53:47 20:00:00 19:05:07
1/5/2021 2021 3224513 RIVERSIDE MED CLNC DAY
6405 Day St 19:20:24 19:20:24 19:39:19
1/5/2021 2021 3224572 PARKVIEW COM HOS-RIV
3865 JACKSON ST 16:28:45 21:00:00 20:28:26
1/5/2021 2021 3224573 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:00:00 21:00:00 20:56:27 1/5/2021 2021 3224576 PARKVIEW COM HOS-RIV
3865 JACKSON ST 17:53:17 22:00:00 20:54:36
1/5/2021 2021 3224623 PARKVIEW COM HOS-RIV 3865 JACKSON ST 20:45:28 23:45:00 21:31:11 1/5/2021 2021 3224647 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:11:01 23:00:00 22:16:16 1/5/2021 2021 3224656 PARKVIEW COM HOS-RIV 3865 JACKSON ST 20:45:22 23:45:00 22:34:37 1/5/2021 2021 3224715 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:14:04 2:05:00 0:39:10 1/6/2021 2021 3224668 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:12:02 2:10:00 22:47:22 1/6/2021 2021 3224997 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:48:32 10:30:00 10:13:29 1/6/2021 2021 3224998 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 10:04:44 10:04:44 10:13:10
1/6/2021 2021 3225037 PARKVIEW COM HOS-RIV 3865 JACKSON ST 10:48:01 10:47:00 11:10:35
1/6/2021 2021 3225226 PARKVIEW COM HOS-RIV 3865 JACKSON ST 12:52:39 12:52:00 13:07:07 1/6/2021 2021 3225455 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:23:06 17:00:00 16:47:24 1/6/2021 2021 3225457 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVE 16:27:21 17:00:00 16:44:27
1/6/2021 2021 3225510 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:32:22 18:00:00 17:53:26 1/6/2021 2021 3225546 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:30:00 18:30:00 18:43:10 1/6/2021 2021 3225630 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:46:21 19:00:00 19:43:03 1/6/2021 2021 3225643 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:38:41 20:00:00 20:01:07 1/6/2021 2021 3225652. RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:13:20 19:00:00 20:08:40 1/6/2021 2021 3225690 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:18:24 20:00:00 21:01:47 1/6/2021 2021 3225703 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 20:58:49 21:30:00 21:06:26
1/6/2021 2021 3225746 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 20:00:01 22:00:00 22:07:56 1/6/2021 2021 3225780 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:05:55 23:15:00 23:19:33 1/7/2021 2021 3225787 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 23:47:02 0:15:00 23:51:23 1/7/2021 2021 3225936 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 4:00:01 7:00:00 6:50:30 1/7/2021 2021 3226151 THE ARC CENTER 3495 JEFFERSON ST
7:12:47 11:15:00 11:09:04
1/7/2021 2021 3226262 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 12:09:44 12:09:44 12:37:31 1/7/2021 2021 3226536 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:29:37 16:45:00 16:41:48
1/7/2021 2021 3226543 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:28:18 17:00:00 16:56:52 1/7/2021 2021 3226629 11602 HARTFORD CT 17:52:58 17:51:00 18:18:00 1/7/2021 2021 3226637 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:28:12 18:30:00 18:26:52
1/7/2021 2021 3226742 PARKVIEW COM HOS-RIV 3865 JACKSON ST 19:53:20 20:15:00 20:11:44
1/7/2021 2021 3226769 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 20:33:16 20:55:00 20:46:30
1/7/2021 2021 3226811 PARKVIEW COM HOS-RIV 3865 JACKSON ST 21:29:57 22:00:00 21:55:02 1/7/2021 2021 3226871 PALM TERRACE CON-RIV 11162 Palm Terrace Ln 23:26:01 23:26:01 23:35:50
1/8/2021 2021 3226863 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:00:13 1:00:00 23:16:06
1/8/2021 2021 3226961 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 2:16:18 3:00:00 2:38:32
1/8/2021 2021 3226984 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 3:24:31 4:00:00 4:09:19
1/8/2021 2021 3227008 ORANGETREE CON-RIV 4000 Harrison St 5:41:26 5:41:26 5:56:06 1/B/2021 2021 3227061 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:48:18 8:10:00 8:13:33
1/8/2021 2021 3227149 UNIVERSITY PAIN CONSULTANT 6900 BROCKTON AVE 9:42:04 9:42:04 9:42:04
1/8/2021 2021 3227315 PARKVIEW COM HOS-RIV
3865 JACKSON ST 12:55:03 13:30:00 13:02:06
1/8/2021 2021 3227381 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 14:17:00 14:17:00 14:26:18
1/8/2021 2021 3227464 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 15:19:13 15:19:13 15:37:00 1/8/2021 2021 3227480 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:35:01 16:30:00 16:38:17 1/8/2021 2021 3227537 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:32:02 15:30:00 16:56:16
1/8/2021 2021 3227541 RIVERSIDE MED CLNC DAY 6405 DAY ST 15:58:15 18:30:00 16:41:29 1/8/2021 2021 3227545 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:34:55 15:00:00 16:52:50 1/8/2021 2021 3227564 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:00:00 17:00:00 17:16:10
1/8/2021 2021 3227565 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:30:01 17:30:00 17:06:18 1/8/2021 2021 3227630 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:01:58 18:01:00 18:17:55 1/8/2021 2021 3227634 PARKVIEW COM HOS-RIV
3865 JACKSON ST 15:14:49 18:00:00 18:35:58
1/8/2021 2021 3227650 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:00:00 19:00:00 18:39:51 1/8/2021 2021 3227725 RIVERSIDE MED CLNC DAY
6405 Day St 19:41:35 19:41:35 19:51:54
1/8/2021 2021 3227729 PARKVIEW COM HOS-RIV
3865 JACKSON ST 17:00:01 20:00:00 20:09:00
1/8/2021 2021 3227762 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:00:01 21:00:00 20:34:58
1/9/2021 2021 3227948 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 2:08:06 4:05:00 3:32:05 1/9/2021 2021 3228135 RIVERSIDE MED CLINIC - BROCKTON
7117 Brockton Ave 9:58:09 • 9:58:09 10:02:56
1/9/2021 2021 3228199 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 10:59:38 10:58:00 11:24:32
1/9/2021 2021 3228238 PARKVIEW COM HOS-RIV 3865 JACKSON ST 9:09:25 12:00:00 12:30:49 1/9/2021 2021 3228249 ALTA VISTA HLTH CARE 9020 GARFIELD ST 5:00:01 12:30:00 12:45:48 1/9/2021 2021 3228357 VILLA REH & CARE CTR-RIV 8965 Magnolia Ave 14:29:45 14:29:45 14:35:06
1/9/2021 2021 3228371 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:40:37 15:40:00 14:59:49 1/9/2021 2021 3228376 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:00:00 15:00:00 15:10:00 1/9/2021 2021 3228388 cal oaks snr living 3891 Polk St
15:10:33 15:10:33 15:24:23
1/9/2021 2021 3228432 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 13:00:01 16:00:00 16:31:51
1/9/2021 2021 3228446 RIVERSIDE MED CLNC DAY 6405 Day St 16:30:15 16:30:15 16:37:37
1/9/2021 2021 3228471 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 17:00:04 17:30:00 17:58:35 1/9/2021 2021 3228546 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:38:45 19:30:00 19:08:00 1/9/2021 2021 3228569 ALTA VISTA HLTH CARE 9020 GARFIELD ST 19:28:37 20:00:00 19:53:17 1/9/2021 2021 3228576 RIVERSIDE MED CLNC URGENT CARE 6405 Day St 19:39:59 19:39:59 19:52:41 1/9/2021 2021 3228691 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:05:38 22:03:00 22:08:37 1/9/2021 2021 3228735 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 22:58:13 22:55:00 23:09:25
1/10/2021 2021 3228780 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 0:28:14 0:23:00 0:28:39 1/10/2021 2021 3228830 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 2:18:04 2:45:00 • 2:31:43
1/10/2021 2021 3228845 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 3:09:46 3:35:00 3:38:01
1/10/2021 2021 3228871 SIERRA PINE GUEST HOME 5051 LA SIERRA AVE 4:14:11 4:40:00 4:35:09 1/10/2021 2021 3228923 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 3:47:00 8:30:00 7:52:24
1/10/2021 2021 3228950 PARKVIEW COM HOS-RIV 3865 JACKSON ST 8:22:34 8:45:00 8:44:54 1/10/2021 2021 3229018 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:20:17 10:50:00 11:04:28 1/10/2021 2021 3229112 EVAL TREATMENT SVC-RIV 9990 County Farm Rd 12:19:27 12:19:27 12:31:06 1/10/2021 2021 3229169 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 13:43:08 14:15:00 14:05:11 1/10/2021 2021 3229174 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:46:02 14:15:00 14:34:41 1/10/2021 2021 3229180 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:57:52 14:30:00 14:14:04 1/10/2021 2021 3229401 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:02:07 20:00:00 19:29:10 1/10/2021 2021 3229450 THE GROVE 3401 LEMON ST 20:06:37 20:35:00 20:11:23 1/10/2021 2021 3229487 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 20:55:29 21:25:00 21:25:21 1/11/2021 2021 3229637 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 3:07:50 3:35:00 3:33:58 1/11/2021 2021 3229862 VILLA REH & CARE CTR-RIV 8965 Magnolia Ave 10:49:51 10:49:51 10:58:08 1/11/2021 2021 3229960 PARKVIEW COM HOS-RIV 3865 JACKSON ST 12:41:32 13:15:00 13:10:11 1/11/2021 2021 3230005 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:00:01 14:00:00 13:44:00
1/11/2021 2021 3230006 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:00:01 14:00:00 13:49:20 1/11/2021 2021 3230108 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:07:44 15:30:00 15:26:16 1/11/2021 2021 3230123 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 15:20:43 16:00:00 16:11:29 1/11/2021 2021 3230252 RIVERSIDE MED CLNC DAY 6405 DAY ST 16:37:00 17:10:00 18:18:08 1/11/2021 2021 3230322 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:13:51 18:00:00 19:41:55 1/11/2021 2021 3230375 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:07:07 18:30:00 20:05:31 1/11/2021 2021 3230387 18604 NEWMAN AVE 17:57:20 21:00:00 20:43:39 1/11/2021 2021 3230415 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:00:01 21:00:00 21:23:09 1/11/2021 2021 3230429 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 20:25:02. 22:00:00 21:31:27 1/11/2021 2021 3230432 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:58:35 21:20:00 21:38:36 1/11/2021 2021 3230451 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 20:30:22 22:00:00 21:43:57 1/11/2021 2021 3230456 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:02:04 20:00:00 21:53:26 1/11/2021 2021 3230478 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 21:01:03 22:30:00 22:53:31 1/12/2021 2021 3230509 PARKVIEW COM HOS-RIV 3865 JACKSON ST 23:16:54 0:45:00 0:12:29 1/12/2021 2021 3230511 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:34:39 1:00:00 0:07:22 1/12/2021 2021 3230556 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:29:46 2:30:00 2:20:58 1/12/2021 2021 3230581 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 23:02:26 1:00:00 4:05:48 1/12/2021 2021 3230629 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 5:03:16 7:00:00 6:50:09 1/12/2021 2021 3230719 PARKVIEW COM HOS-RIV 3865 JACKSON ST 9:16:37 10:15:00 9:51:03 1/12/2021 2021 3230810 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:26:44 12:00:00 12:07:15 1/12/2021 2021 3230817 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:30:01 12:30:00 11:33:48 1/12/2021 2021 3230847 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 11:36:30 12:15:00 11:53:00 1/12/2021 2021 3230905 RIVERSIDE POST ACUTE 4000 HARRISON ST 12:42:45 13:10:00 12:49:29 1/12/2021 2021 3231243 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:03:28 19:00:00 19:00:08 1/12/2021 2021 3231330 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:20:00 20:30:00 20:18:07 1/12/2021 2021 3231401 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:50:00 22:45:00 22:23:12 1/12/2021 2021 3231448 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 22:59:20 23:00:00 23:12:23 1/12/2021 2021 3231474 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 22:35:31 23:00:00 0:15:51 1/13/2021 2021 3231460 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:01:17 0:00:00 23:50:58 1/13/2021 2021 3231552 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 4:15:59 5:15:00 5:00:47 1/13/2021 2021 3231570 ARLINGTON GARDENS-RIV 3688 NYE AVE 5:04:15 8:00:00 5:31:49 1/13/2021 2021 3231818 ARLINGTON GARDENS-R/V**pp=4* 3688 Nye Ave 11:48:01 11:48:01 11:53:21 1/13/2021 2021 3231939 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:03:20 15:00:00 14:54:53 1/13/2021 2021 3231947 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:00:00 15:00:00 14:41:13 1/13/2021 2021 3232083 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:00:00 18:00:00 18:02:35 1/13/2021 2021 3232177 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:00:00 20:00:00 19:40:46 1/13/2021 2021 3232191 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:00:00 20:00:00 19:53:09 1/13/2021 2021 3232195 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 18:38:02 20:35:00 20:18:08 1/13/2021 2021 3232320 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 22:42:01 22:41:00 22:44:33 1/14/2021 2021 3232414 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 2:48:43 2:44:00 2:49:34 1/14/2021 2021 3232429 PARKVIEW COM HOS-RIV 3865 JACKSON ST 2:39:10 4:05:00 3:39:59
1/14/2021 2021 3232433 PARKVIEW COM HOS-RIV 3865 JACKSON ST 3:30:42 4:00:00 4:03:26 1/14/2021 2021 3232445 PARKVIEW COM HOS-RIV 3865 JACKSON ST 4:35:51 4:35:00 5:11:35 1/14/2021 2021 3232482 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 4:00:00 7:00:00 7:28:50 1/14/2021 2021 3232546 ARLINGTON GARDENS-RIV 3688 NYE AVE 9:59:36 10:30:00 10:34:33 1/14/2021 2021 3232693 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 8:30:00 11:30:00 11:15:25 1/14/2021 2021 3232743 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 11:54:28 12:30:00 12:26:26 1/14/2021 2021 3232857 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:11:12 14:30:00 14:42:37 1/14/2021 2021 3232886 PARKVIEW COM HOS-RIV 3855 JACKSON ST 13:20:14 15:30:00 15:46:46 1/14/2021 2021 3232921 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 15:25:00 15:25:00 15:35:57 1/14/2021 2021 3232924 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:00:01 16:00:00 15:35:15 1/14/2021 2021 3232986 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:00:01 16:00:00 16:33:48 1/14/2021 2021 3232991 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:28:06 17:00:00 16:51:51 1/14/2021 2021 3233062 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:24:23 18:00:00 17:47:27 1/14/2021 2021 3233127 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:52:56 19:30:00 19:30:31
1/14/2021 2021 3233128 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:58:30 20:00:00 19:46:45 1/14/2021 2021 3233134 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:29:55 19:30:00 19:30:51 1/14/2021 2021 3233144 PARKVIEW COM HOS-RIV
3865 JACKSON ST 17:00:01 20:00:00 20:03:19
1/14/2021 2021 3233152 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:25:43 20:00:00 20:19:42 1/15/2021 2021 3233468 ARLINGTON GARDENS-RIV 3688 Nye Ave 6:20:43 6:20:43 6:42:20 1/15/2021 2021 3233531 ORANGETREE CON-RIV 4000 HARRISON ST 8:12:43 8:45:00 8:35:51
1/15/2021 2021 3233613 HEALTHCAREADVANCE IMAGING 4500 OLIVEWOOD AVE 7:00:00 10:00:00 9:45:57 1/15/2021 2021 3233703 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:33:41 12:30:00 11:48:29 1/15/2021 2021 3233765 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:31:29 13:00:00 12:39:22 1/15/2021 2021 3233986 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:08:10 16:00:00 16:01:10 1/15/2021 2021 3234202. PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:00:32 19:45:00 19:45:32 1/15/2021 2021 3234258 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:02:22. 21:05:00 20:24:08 1/15/2021 2021 3234390 PARKVIEW COM HOS-RIV 3865 JACKSON ST 23:03:50 23:15:00 23:12:37 1/16/2021 2021 3234424 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:12:24 1:15:00 0:45:13 1/16/2021 2021 3234486 PARKVIEW COM HOS-RIV
3865 JACKSON ST 0:47:51 2:15:00 2:44:50
1/16/2021 2021 3234511 3933 HARRISON ST 2:41:34 4:00:00 4:43:03 1/16/2021 2021 3234563 PARKVIEW COM HOS-RIV 3865 JACKSON ST 6:06:46 7:05:00 6:46:22 1/15/2021 2021 3234564 PALM TERRACE CON-RIV
11162 PALM TERRACE LN 6:04:42 7:00:00 7:04:34
1/16/2021 2021 3234566 PARKVIEW COM HOS-RIV 3865 JACKSON ST 6:13:49 7:30:00 7:14:11 1/16/2021 2021 3234647 MAGNOLIA REHAB & NURSING-RIV 8133 MAGNOLIA AVE 9:30:47 10:00:00 9:53:20 1/16/2021 2021 3234680 ORANGETREE CON-RIV 4000 HARRISON ST 9:48:04 10:38:28 10:48:38
1/16/2021 2021 3234770 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 11:55:14 12:45:00 12:23:02 1/16/2021 2021 3234905 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:12:16 15:45:00 15:19:11 1/17/2021 2021 3235362 EVAL TREATMENT SVC-RIV
9990 COUNTY FARM RD 23:50:09 1:50:00 0:49:50
1/17/2021 2021 3235368 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:40:45 0:45:00 1:01:21 1/17/2021 2021 3235400 KAISER HOS RIVERSIDE 10800 MAGNOLA AVE 2:48:17 2:44:00 2:51:16
1/17/2021 2021 3235450 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 5:13:31 5:35:00 5:25:50
1/17/2021 2021 3235464 PARKVIEW COM HOS-RIV 3865 JACKSON ST 6:13:50 6:13:00 6:17:44 1/17/2021 2021 3235552 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:19:18 8:30:00 9:39:55 1/17/2021 2021 3235573 PARKVIEW COM HOS-RIV 3865 JACKSON ST 8:01:04 9:00:00 10:26:06
1/17/2021 2021 3235658 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:30:00 12:30:00 12:07:39
1/17/2021 2021 3235659 PARKVIEW COM HOS-RIV
3865 JACKSON ST 9:54:20 12:30:00 12:15:20
1/17/2021 2021 3235679 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:41:35 13:00:00 12:48:36 1/17/2021 2021 3235764 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:10:44 15:30:00 15:16:27 1/17/2021 2021 3235777 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:59:12 15:30:00 15:26:07 1/17/2021 2021 3235783 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:12:29 15:45:00 15:39:07 1/17/2021 2021 3235809 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 16:00:15 16:30:00 16:27:41
1/17/2021 2021 3235810 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:08:08 16:30:00 16:36:59 1/17/2021 2021 3235856 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:05:24 17:45:00 17:51:30 1/17/2021 2021 3235862 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:14:51 18:00:00 17:38:23
1/17/2021 2021 3235863 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:47:19 18:00:00 17:57:35 1/17/2021 2021 3235949 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:04:16 19:45:00 : 19:38:54 1/17/2021 2021 3236033 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:00:01 21:30:00 21:31:11
1/18/2021 2021 3236134 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 22:35:40 1:35:00 1:16:57
1/18/2021 2021 3236223 PARKVIEW COM HOS-RIV 3865 JACKSON ST 2:30:00 5:30:00 5:49:32 1/18/2021 2021 3236256 PARKVIEW COM HOS-RIV 3865 JACKSON ST 6:46:14 7:31:26 7:15:00
1/18/2021 2021 3236358 MAGNOLIA REHAB & NURSING-RIV 8133 MAGNOLIA AVE 9:12:19 9:45:00 10:01:07 1/18/2021 2021 3236397 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:50:43 10:30:50 10:15:00
1/18/2021 2021 3236433 ALTA VISTA HLTH CARE 9020 GARFIELD ST 10:34:14 11:00:00 11:16:19
1/18/2021 2021 3236443 DR BUSH 3838 SHERMAN DR 10:41:22 10:41:22 10:41:22 1/18/2021 2021 3236613 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:15:32 13:15:33 13:15:32
1/18/2021 2021 3236617 PARKVIEW COM HOS-RIV 3865 JACKSON ST 11:03:37 13:00:00 13:28:51
1/18/2021 2021 3236650 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:27:08 14:00:00 14:07:24 1/18/2021 2021 3236704 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:29:13 15:30:00 15:13:10 1/18/2021 2021 3236711 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:17:28 15:45:00 15:37:48 1/18/2021 2021 3236716 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:42:05 16:00:00 15:35:19 1/18/2021 2021 3236720 PARKVIEW COM HOS-RIV 3855 JACKSON ST 14:52:50 16:00:00 16:09:03 1/18/2021 2021 3236759 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:23:28 15:30:00 16:52:26 1/18/2021 2021 3236812 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:15:39 18:00:00 17:43:26
1/18/2021 2021 3236819 CYPRESS GARDENS CON 9025 COLORADO AVE 17:26:46 18:00:00 17:42:04 1/18/2021 2021 3236865 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:20:56 18:20:00 18:48:31 1/18/2021 2021 3236924 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:04:47 18:30:00 19:38:02 1/18/2021 2021 3236948 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:03:55 20:00:00 20:04:09
1/18/2021 2021 3236951 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:30:00 20:30:00 20:21:38 1/18/2021 2021 3237004 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:30:01 21:30:00 22:06:51 1/18/2021 2021 3237072 VALENCIA GARDENS HEALTH CARE CENTER 4301 CAROLINE CT 22:18:14 23:20:00 23:32:12
1/19/2021 2021 3237098 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 0:56:22 1:15:00 1:03:27 1/19/2021 2021 3237293 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:30:22 9:50:00 9:55:56 1/19/2021 2021 3237386 PARKVIEW COM HOS-RIV 3865 JACKSON ST 11:15;55 11:30:00 11:28:41
1/19/2021 2021 3237404 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 11:19:44 11:50:00 11:48:56
1/19/2021 2021 3237475 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 9:50:01 12:45:00 13:00:40 1/19/2021 2021 3237490 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:50:58 13:30:00 13:09:25
1/19/2021 2021 3237545 VILLA REH & CARE CTR-RIV 8965 MAGNOLIA AVE 14:05:04 14:30:00 14:18:26 1/19/2021 2021 3237590 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:30:09 15:30:00 15:19:50 1/19/2021 2021 3237627 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:06:12 16:00:00 15:49:05
1/19/2021 2021 3237663 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:30:43 16:30:00 16:39:35
1/19/2021 2021 3237724 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:00:00 18:00:00 17:44:24
1/19/2021 2021 3237842 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:17:15 20:15:00 20:17:58
1/19/2021 2021 3237851 PARKVIEW COM HOS-RIV 3865 JACKSON ST 19:12:20 21:00:00 20:57:52 1/19/2021 2021 3237860 PARKVIEW COM HOS-RIV 3865 JACKSON ST 20:29:34 22:00:00 21:18:09
1/19/2021 2021 3237888 ARLINGTON GARDENS-RIV 3688 NYE AVE 21:10:53 22:40:00 22:16:06
1/20/2021 2021 3238059 ALTA VISTA HLTH CARE 9020 GARFIELD ST 7:44:06 8:15:00 8:10:02 1/20/2021 2021 3238073 LAGO CRISIS RESIDENTIAL TREAT 9890 COUNTY FARM RD 8:07:05 8:40:00 8:23:39
1/20/2021 2021 3238188 PARKVIEW COM HOS-RIV 3865 JACKSON ST 10:34:47 11:05:00 10:46:07 1/20/2021 2021 3238206 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 8:33:35 11:30:00 11:10:53
1/20/2021 2021 3238220 PARKVIEW COM HOS-RIV 3865 JACKSON ST 11:15:29 11:45:00 11:34:28 1/20/2021 2021 3238257 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 11:53:59 12:30:00 12:16:57 1/20/2021 2021 3238311 RIVERSIDE POST ACUTE 4000 HARRISON ST 12:08:11 12:45:00 13:08:10 1/20/2021 2021 3238380 RIVERSIDE COM HOSP 4445 MAGNOLLA AVE 12:15:35 14:30:00 14:13:41 1/20/2021 2021 3238455 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:45:12 16:15:00 16:00:12 1/20/2021 2021 3238461 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:48:18 16:15:00 16:02:37 1/20/2021 2021 3238531 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:10:42 18:30:00 17:53:49 1/20/2021 2021 3238543 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 16:27:32 17:15:00 18:04:48 1/20/2021 2021 3238566 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 18:26:02 18:14:00 18:41:13 1/20/2021 2021 3238601 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:44:20 19:00:00 19:35:49 1/20/2021 2021 3238626 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:21:11 19:50:00 19:57:02 1/20/2021 2021 3238634 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:52:52 22:00:00 20:22:41 1/20/2021 2021 3238672 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:30:00 21:00:00 21:18:39 1/20/2021 2021 3238700 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:38:52 22:40:00 21:50:22 1/20/2021 2021 3238752 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 19:50:01 22:50:00 23:26:23 1/21/2021 2021 3238806 RIVERSIDE COM HOSP 4445 MAGNOUA AVE 1:03:53 1:30:00 1:24:46 1/21/2021 2021 3238809 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1:35:04 2:05:00 1:42:15 1/21/2021 2021 3238908 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:09:29 4:00:00 8:10:12 1/21/2021 2021 3239031 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 9:37:05 10:00:00 10:34:54 1/21/2021 2021 3239071 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 11:01:03 11:01:03 11:06:31 1/21/2021 2021 3239127 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:56:36 12:30:00 12:39:04 1/21/2021 2021 3239147 PARKVIEW COM HOS-RIV 3865 JACKSON ST 9:02:59 12:00:00 12:29:01 1/21/2021 2021 3239148 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 10:12:20 12:45:00 12:40:30 1/21/2021 2021 3239154 MAGNOLIA REHAB & NURSING-RIV 8133 MAGNOLIA AVE 12:27:30 13:00:00 12:58:24 1/21/2021 2021 3239217 PARKVIEW COM HOS-RIV 3865 JACKSON ST 11:57:34 14:00:00 14:21:18 1/21/2021 2021 3239222 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:30:07 14:05:00 14:04:39 1/21/2021 2021 3239226 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:46:08 14:15:00 13:51:17 1/21/2021 2021 3239257 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 14:30:46 15:00:00 14:57:55 1/21/2021 2021 3239334 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:05:36 16:30:00 16:36:14 1/21/2021 2021 3239393 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 17:15:18 18:15:00 17:54:44 1/21/2021 2021 3239404 RIVERSIDE HEALTHCARE CENTER-RIV
4580 PALM AVE 17:00:54 17:30:00 17:33:18
1/21/2021 2021 3239419 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:35:20 18:30:00 18:25:54 1/21/2021 2021 3239467 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:26:14 18:24:00 18:33:09 1/21/2021 2021 3239468 ARLINGTON GARDENS-RIV 3688 Nye Ave 18:29:29 18:29:29 18:47:15
1/21/2021 2021 3239469 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:28:06 18:27:00 18:49:13 1/21/2021 2021 3239562 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 17:22:39 20:45:00 20:47:23 1/21/2021 2021 3239569 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 20:42:54 20:41:00 20:48:20 1/21/2021 2021 3239641 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:49:43 23:30:00 23:17:09 1/21/2021 2021 3239644 PARKVIEW COM HOS-RIV 3865 JACKSON ST 23:04:59 23:30:00 • 23:13:45 1/21/2021 2021 3239651 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:16:15 23:30:00 23:41:34 1/21/2021 2021 3239653 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:20:36 23:45:00 23:26:09 1/22/2021 2021 3239710 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1:44:43 3:30:00 3:10:53 1/22/2021 2021 3239731 PARKVIEW COM HOS-RIV 3865 JACKSON ST 4:02:37 4:20:00 4:17:35 1/22/2021 2021 3239747 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 5:04:30 5:00:00 5:11:09 1/22/2021 2021 3239780 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 6:19:49 7:00:00 6:56:01 1/22/2021 2021 3239785 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 6:57:29 7:20:00 7:05:52 1/22/2021 2021 3239822 PARKVIEW COM HOS-RIV 3865 JACKSON ST 6:07:51 6:45:00 8:31:03 1/22/2021 2021 3239935 RIVERSIDE MED CLNC DAY URG CARE 6405 Day St 11:15:56 11:15:56 11:28:41
1/22/2021 2021 3239955 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 11:46:30 12:30:00 12:08:24 1/22/2021 2021 3240013 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:18:44 13:00:00 14:09:04
1/22/2021 2021 3240084 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:18:02 15:00:00 14:45:04
1/22/2021 2021 3240178 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:01:22 16:00:00 15:45:54 1/22/2021 2021 3240215 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:33:15 14:00:00 16:25:31 1/22/2021 2021 3240228 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:43:53 17:15:00 16:50:27 1/22/2021 2021 3240237 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 16:47:27 17:00:00 17:22:07 1/22/2021 2021 3240249 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:13:51 18:30:00 18:00:02 1/22/2021 2021 3240295 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE - 16:56:22 18:30:00 18:27:04 1/22/2021 2021 3240408 RIVERSIDE COM HOSP 4445 MAGNOLJA AVE 19:28:13 21:30:00 21:26:50 1/22/2021 2021 3240430 RIVERSIDE COM HOSP 4145 MAGNOLIA AVE 21:11:58 23:10:00 22:27:29 1/22/2021 2021 3240463 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 21:43:06 23:40:00 23:40:33 1/23/2021 2021 3240509 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 21:57:32 0:00:00 0:43:57 1/23/2021 2021 3240539 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:29:42 1:30:00 1:38:27 1/23/2021 2021 3240560 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:26:09 2:25:00 3:02:39 1/23/2021 2021 3240612 COM CARE REHAB RIVERSIDE 4070 Jurupa Ave 5:30:18 5:30:18 5:38:15 1/23/2021 2021 3240739 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:30:01 10:30:00 10:12:44
1/23/2021 2021 3240802 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BIVD 9:50:01 12:45:00 12:34:22 1/23/2021 2021 3240823 PARKVIEW COM HOS-RIV 3865 JACKSON ST 12:23:03 12:55:00 12:45:35 1/23/2021 2021 3240868 ORANGETREE CON-RIV 4000 HARRISON ST 12:54:50 13:25:00 13:37:16 1/23/2021 2021 3240882 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:59:20 14:00:00 13:47:58 1/23/2021 2021 3240949 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:18:56 16:00:00 16:03:06 1/23/2021 2021 3240951 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:21:51 15:17:00 15:22:14 1/23/2021 2021 3240969 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:47:02 16:15:00 16:04:17 1/23/2021 2021 3241042. RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:00:00 19:00:00 18:50:34 1/23/2021 2021 3241095 CYPRESS GARDENS CON 9025 COLORADO AVE 18:23:15 19:55:00 20:23:49 1/23/2021 2021 3241104 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 20:24:54 20:23:00 20:33:29 1/23/2021 2021 3241109 PARKVIEW COM HOS-RIV 3865 JACKSON ST 19:00:26 20:30:00 21:11:15 1/23/2021 2021 3241122 RIVERSIDE URGENT CARE 18876 VAN BUREN BLVD 20:59:53 21:20:00 21:10:43
1/23/2021 2021 3241140 PARKVIEW COM HOS-RIV 3865 JACKSON ST 20:30:57 22:00:00 21:57:52 1/23/2021 2021 3241143 PARKVIEW COM HOS-RIV 3865 JACKSON ST 21:18:46 22:25:00 22:27:21 1/23/2021 2021 3241151 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 21:52:13 21:50:00 22:06:52 1/23/2021 2021 3241163 PARKVIEW COM HOS-RIV 3865 JACKSON ST 20:06:33 22:00:00 22:45:40 1/23/2021 2021 3241168 PARKVIEW COM HOS-RIV 3865 JACKSON ST 21:16:02 22:50:00 22:54:46 1/23/2021 2021 3241181 ALTA VISTA HLTH CARE 9020 Garfield St 23:01:47 23:01:47 23:08:04 1/24/2021 2021 3241228 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:02:42 23:30:00 1:04:40 1/24/2021 2021 3241232 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:49:48 1:25:00 1:22:31 1/24/2021 2021 3241250 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1:16:11 1:50:00 1:46:08 1/24/2021 2021 3241267 COM CARE REHAB RIVERSIDE 4070 Jurupa Ave 2:15:36 2:15:36 2:32:26 1/24/2021 2021 3241290 PARKVIEW COM HOS-RIV 3865 JACKSON ST 2:58:41 2:58:00 3:14:04 1/24/2021 2021 3241295 PARKVIEW COM HOS-RIV 3865 JACKSON ST 1:26:43 3:30:00 3:40:28 1/24/2021 2021 3241388 VALENCIA GARDENS HEALTH CARE CENTER 4301 CAROLINE CT 5:00:01 9:00:00 8:53:20 1/24/2021 2021 3241532 PARKVIEW COM HOS-RIV 3865 JACKSON ST 10:29:32 13:00:00 12:27:07 1/24/2021 2021 3241590 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:20:29 13:35:00 13:57:13 1/24/2021 2021 3241593 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:50:58 14:10:00 13:58:01 1/24/2021 2021 3241604 CYPRESS GARDENS CON 9025 COLORADO AVE 14:01:41 14:35:00 14:30:34
1/24/2021 2021 3241641 THE GROVE 3401 LEMON ST 14:51:40 17:00:00 15:52:43 1/24/2021 2021 3241642 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 14:07:37 16:30:00 15:41:22
1/24/2021 2021 3241656 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:35:50 16:30:00 16:14:42 1/24/2021 2021 3241685 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:12:07 17:00:00 17:10:15 1/24/2021 2021 3241736 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:36:46 17:30:00 18:30:24 1/24/2021 2021 3241765 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:30:01 19:30:00 19:13:29
1/24/2021 2021 3241779 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:30:01 19:30:00 19:29:14 1/24/2021 2021 3241803 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:44:33 17:00:00 20:01:59 1/24/2021 2021 3241831 PARKVIEW COM HOS-RIV 3865 JACKSON ST 21:47:57 23:30:00 21:01:05 1/24/2021 2021 3241846 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:59:08 22:00:00 21:22:21 1/24/2021 2021 3241867 ARLINGTON GARDENS-RIV 3688 NYE AVE 18:36:08 20:30:00 22:16:48 1/24/2021 2021 3241908 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 20:07:22 23:00:00 0:20:05 1/24/2021 2021 3241910 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 20:20:01 23:20:00 0:02:32
1/25/2021 2021 3241932 PARKVIEW COM HOS-RIV 3865 JACKSON ST 22:03:08 23:55:00 0:51:21 1/25/2021 2021 3241941 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:38:25 0:37:00 0:51:40 1/25/2021 2021 3241958 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 0:30:00 3:30:00 1:45:03
1/25/2021 2021 3241959 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 1:18:48 4:15:00 1:54:07
1/25/2021 2021 3241990 ARLINGTON GARDENS-RIV 3688 NYE AVE 23:50:00 2:45:00 3:35:44
1/25/2021 2021 3242084 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 5:21:01 7:00:00 6:46:00
1/25/2021 2021 3242310 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 9:44:41 11:00:00 10:55:28 1/25/2021 2021 3242334 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:05:28 11:30:00 11:30:10
1/25/2021 2021 3242476 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:00:00 15:00:00 15:06:22
1/25/2021 2021 3242558 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:01:39 17:00:00 16:59:18 1/25/2021 2021 3242606 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:15:50 18:00:00 17:51:29 1/25/2021 2021 3242684 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:00:00 20:00:00 19:37:07 1/25/2021 2021 3242714 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:24:11 20:30:00 20:33:46 1/26/2021 2021 3242858 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:45:16 1:00:00 1:30:16
1/26/2021 2021 3242866 PARKVIEW COM HOS-RIV 3865 JACKSON ST 23:00:01 2:00:00 2:23:26 1/26/2021 2021 3242867 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 20:49:31 0:55:00 2:28:00
1/26/2021 2021 3242898 PARKVIEW COM HOS-RIV 3865 JACKSON ST 2:27:01 3:45:00 3:45:52 1/26/2021 2021 3242940 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 5:19:44 5:10:00 5:30:25 1/26/2021 2021 3243074 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 7:00:00 10:00:00 9:43:38
1/26/2021 2021 3243118 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 10:00:59 10:30:00 10:43:14 1/26/2021 2021 3243173 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:35:56 11:30:00 11:14:20 1/26/2021 2021 3243209 CYPRESS GARDENS CON 9025 COLORADO AVE 11:46:24 12:20:00 12:12:53 1/26/2021 2021 3243278 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:27:18 13:27:00 13:29:31 1/26/2021 2021 3243308 CYPRESS GARDENS CON 9025 COLORADO AVE 14:12:49 14:45:00 14:28:20 1/26/2021 2021 3243335 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:38:12 15:10:00 15:11:18
1/26/2021 2021 3243344 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:47:16 15:30:00 15:10:36
1/26/2021 2021 3243409 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:19:35 17:00:00 16:42:37
1/26/2021 2021 3243473 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:55:06 18:30:00 17:52:00 1/26/2021 2021 3243494 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:04:36 17:50:00 18:15:56 1/26/2021 2021 3243504 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:42:53 18:30:00 18:49:47 1/26/2021 2021 3243539 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:00:01 19:00:00 19:38:49
1/26/2021 2021 3243540 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:13:53 19:30:00 19:45:38
1/26/2021 2021 3243541 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:05:18 18:30:00 19:27:16 1/26/2021 2021 3243545 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:30:00 18:30:00 18:21:25
1/26/2021 2021 3243547 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 19:03:27 19:45:00 19:40:22 1/25/2021 2021 3243575 ALTA VISTA HLTH CARE 9020 GARFIELD ST 18:48:28 20:15:00 20:36:30 1/26/2021 2021 3243583 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:00:01 20:00:00 20:40:10
1/27/2021 2021 3243698 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 2:08:03 2:33:00 2:58:30 1/27/2021 2021 3243759 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 4:00:01 7:00:00 6:38:59 1/27/2021 2021 3243765 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 4:30:00 7:30:00 7:27:27
1/27/2021 2021 3243955 VILLA REH & CARE CTR-RIV 8965 MAGNOLIA AVE 11:55:41 12:30:00 12:11:56 1/27/2021 2021 3243956 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 11:58:10 11:57:00 11:58:34 1/27/2021 2021 3243963 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 10:35:50 12:30:00 12:08:23
1/27/2021 2021 3243977 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 11:52:59 13:00:00 12:40:57
1/27/2021 2021 3243989 PARKVIEW COM HOS-RIV 3865 JACKSON ST 12:37:38 13:15:00 13:14:36
1/27/2021 2021 3244021 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 13:21:58 13:45:00 13:33:09
1/27/2021 2021 3244034 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:40:42 14:00:00 14:02:30 1/27/2021 2021 3244068 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:08:39 15:00:00 14:53:31 1/27/2021 2021 3244095 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 13:42:12. 15:40:00 15:18:55
1/27/2021 2021 3244108 VILLA LEA B&C-RIV 3891 POLK ST 15:16:28 15:45:00 15:32:24 1/27/2021 2021 3244120 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:00:01 15:00:00 15:27:24
1/27/2021 2021 3244129 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:26:24 16:00:00 16:07:32 1/27/2021 2021 3244194 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:54:51 17:30:00 17:18:41 1/27/2021 2021 3244207 COM CARE REHAB RIVERSIDE
4070 JURUPA AVE 17:00:56 17:15:00 17:28:54
1/27/2021 2021 3244208 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:49:02 17:40:00 17:40:59 1/27/2021 2021 3244227 COM CARE REHAB RIVERSIDE 4070 JURUPA AVE 14:11:51 14:45:00 17:48:55 1/27/2021 2021 3244228 RIVERSIDE COM HOSP 16:15:30 18:00:00 18:02:49 4445 MAGNOLIA AVE
1/27/2021 2021 3244296 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:13:45 18:30:00 19:40:17 1/27/2021 2021 3244297 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:29:07 19:00:00 19:23:15
1/27/2021 2021 3244316 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:01:58 17:00:00 19:40:57
1/27/2021 2021 3244333 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:30:01 19:30:00 20:31:24 1/27/2021 2021 3244353 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:43:49 19:45:00 21:01:21 1/27/2021 2021 3244398 PARKVIEW COM HOS-RIV
3855 JACKSON ST 19:50:43 21:45:00 21:51:23
1/27/2021 2021 3244429 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:40:00 21:40:00 23:16:57 1/27/2021 2021 3244457 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 23:34:33 23:59:00 23:54:29 1/28/2021 2021 3244505 MISSION NURSING CTR 8487 Magnolia Ave 2:13:27 2:13:27 2:31:56 1/28/2021 2021 3244527 PARKVIEW COM HOS-RIV 3865 JACKSON ST 3:30:05 3:55:00 3:48:28 1/28/2021 2021 3244544 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 4:11:14 4:11:00 4:18:19
1/28/2021 2021 3244568 PARKVIEW COM HOS-RIV
3865 JACKSON ST 6:00:56 6:55:00 6:37:22
1/28/2021 2021 32.44583 ARLINGTON GARDENS-RIV 3688 NYE AVE 6:45:14 7:15:00 7:20:30
1/28/2021 2021 3244689 home
1970 LOMA VISTA ST 9:40:37 10:15:00 9:59:48
1/28/2021 2021 3244807 PARKVIEW COM HOS-RIV 11:54:11 13:00:00 12:35:37 3865 JACKSON ST
1/28/2021 2021 3244809 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 10:00:00 13:00:00 12:34:20 1/28/2021 2021 3244819 *PPE ALERT** ARLINGTON GARDENS-RIV 3688 Nye Ave 12:23:23 12:23:23 12:32:21 1/28/2021 2021 3244893 *PPE ALERT* COM CARE REHAB RIVERSIDE 4070 Jurupa Ave 13:48:23 13:48:23 13:59:27 1/28/2021 2021 3244971 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:33:28 16:05:00 16:18:24
1/28/2021 2021 3244972 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:26:12 16:30:00 16:04:09 1/28/2021 2021 3245004 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:59:33 17:00:00 16:43:40 1/28/2021 2021 3245014 RIVERSIDE COM HOSP
4445 MAGNOLIA AVE 14:25:43 17:00:00 16:43:59
1/28/2021 2021 3245039 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:53:30 16:53:00 17:41:30 1/28/2021 2021 3245048 RIVERSIDE MED CLINIC - BROCKTON 7117 Brockton Ave 17:01:30 17:01:30 17:17:17 1/28/2021 2021 3245068 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:22:53 18:00:00 18:00:20
1/28/2021 2021 3245075 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:58:51 18:00:00 17:43:55 1/28/2021 2021 3245123 PARKVIEW COM HOS-RIV 3865 JACKSON ST 18:26:48 18:55:00 18:33:11
1/28/2021 2021 3245152 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 17:14:05 19:00:00 19:11:12
1/28/2021 2021 3245238 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:30:01 20:30:00 20:20:02 1/28/2021 2021 3245328 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 21:28:24 22:30:00 0:12:26
1/29/2021 2021 3245391 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:08:38 1:40:00 1:57:12
1/29/2021 2021 3245398 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:27:27 1:55:00 2:22:02 1/29/2021 2021 3245649 ORANGETREE CON-RIV 4000 HARRISON ST 10:29:37 10:29:37 10:38:48 1/29/2021 2021 3245767 VALENCIA GARDENS HEALTH CARE CENTER 4301 CAROLINE CT 13:16:29 14:00:00 13:31:06
1/29/2021 2021 3245769 CYPRESS GARDENS CON 9025 COLORADO AVE 13:26:45 13:25:00 13:31:39
1/29/2021 2021 3245774 PARKVIEW COM HOS-RIV 3865 JACKSON ST 12:18:53 14:00:00 13:55:38 1/29/2021 2021 3245799 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 14:20:21 14:45:00 14:52:36 1/29/2021 2021 3245805 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 12:00:01 15:00:00 14:47:31 1/29/2021 2021 3245808 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:31:48 15:05:00 14:42:38 1/29/2021 2021 3245817 VANTAGE RADIATION 6939 PALM CT 14:42:36 14:42:36 14:42:36
1/29/2021 2021 3245843 PARKVIEW COM HOS-RIV
3865 JACKSON ST 12:37:09 15:30:00 15:34:42
1/29/2021 2021 3245851 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:43:19 13:44:09 16:00:00
1/29/2021 2021 3245858 CYPRESS GARDENS CON 9025 COLORADO AVE 15:33:22 16:00:00 16:01:52 1/29/2021 2021 3245871 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:19:09 16:30:00 16:10:08
1/29/2021 2021 3245872 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:35:25 17:26:00 16:29:17 1/29/2021 2021 3245877 PARKVIEW COM HOS-RIV 3865 JACKSON ST 16:16:00 16:14:00 16:20:37 1/29/2021 2021 3245972 PARKVIEW COM HOS-RIV 3865 JACKSON ST 17:25:15 18:00:00 18:44:53
1/29/2021 2021 3245978 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:13:39 18:30:00 18:40:03
1/29/2021 2021 3245987 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:45:22. 14:30:00 18:49:30
1/29/2021 2021 3246013 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 16:36:44 18:30:00 19:18:06 1/29/2021 2021 3246023 MERIDIAN OF RIVERSIDE 4609 ARLINGTON AVE 18:51:32 19:20:00 19:24:43 1/29/2021 2021 3246087 THE PLACE-RIV 2800 HULEN PE 20:00:27 20:20:00 20:12:54 1/29/2021 2021 3246136 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 21:03:33 21:30:00 21:16:11 1/29/2021 2021 3246141 PARKVIEW COM HOS-RIV 3865 JACKSON ST 19:00:02 22:00:00 21:29:54
1/29/2021 2021 3246161 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 22:09:05 22:30:00 22:28:33
1/29/2021 2021 3246163 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 21:55:19 22:45:00 23:04:55 1/30/2021 2021 3246224 PARKVIEW COM HOS-RIV 3865 JACKSON ST 0:50:06 1:15:00 1:11:23
1/30/2021 2021 3246253 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 2:48:13 1:26:08 3:00:00
1/30/2021 2021 3246293 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 3:00:00 5:00:00 5:04:15
1/30/2021 2021 3246330 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 4:30:01 7:30:00 7:19:27 1/30/2021 2021 3246356 KAISER HOS RIVERSIDE 10800 MAGNOLIA AVE 7:18:238:00:00 8:25:35 1/30/2023 2021 3246366 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 8:33:06 8:32:00 8:43:09 1/30/2021. 2021 3246458 LAGO CRISIS RESIDENTIAL TREAT 9890 COUNTY FARM RD 10:41:57 11:20:00 10:58:57 1/30/2021 2021 3246478 SIERRA VISTA BC 4972 SIERRA VISTA AVE 11:25:35 12:00:00 11:58:27 1/30/2021 2021 3246534 VAN BUREN DIALYSIS CENTER 3595 VAN BUREN BLVD 9:36:36 13:30:00 13:36:43
1/30/2021 2021 3246601 PARKVIEW COM HOS-RIV 3865 JACKSON ST 13:00:44 15:00:00 14:40:07
1/30/2021 2021 3246615 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:50:25 14:49:00 14:57:21 1/30/2021 2021 3246651 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:00:01 16:00:00 16:26:41 1/30/2021 2021 3246739 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:52:26 18:00:00 18:45:15 1/30/2021 2021 3246787 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 18:10:01 20:00:00 19:33:13 1/30/2021 2021 3246893 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 21:41:30 23:30:00 23:07:28 1/30/2021 2021 3246908 PARKVIEW COM HOS-RIV 22:21:21 22:40:00 22:42:06 1/30/2021 2021 3246915 EVAL TREATMENT SVC-RIV 9990 COUNTY FARM RD 22:52:34 23:05:00 23:09:43 1/31/2021 2021 3246950 PARKVIEW COM HOS-RIV 3865 JACKSON ST 23:58:59 0:15:00 0:05:17 1/31/2021 2021 3247001 PARKVIEW COM HOS-RIV 3865 JACKSON S 1:31:48 2:00:00 2:02:20 1/31/2021 2021 3247056 PARKVIEW COM HOS-RIV 3865 JACKSON S 4:59:02 5:45:00 4:59:28 1/31/2021 2021 3247063 PARKVIEW COM HOS-RIV
5:10:33 5:30:00 5:35:43
1/31/2021 2021 3247230 VILLA REH & CARE CTR-RIV 8965 MAGNOLIA AVE 12:03:13 12:35:00 12:37:16
1/31/2021 2021 3247257 ORANGETREE CON-RIV 4000 HARRISON ST 12:38:52 13:10:00 13:20:58 1/31/2021 2021 3247341 PARKVIEW COM HOS-RIV 3865 JACKSON ST 14:58:29 15:30:00 15:17:07 1/31/2021 2021 3247365 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:17:32 16:00:00 15:46:38 1/31/2021 2021 3247368 PALM TERRACE CON-RIV 11162 PALM TERRACE LN 15:36:47 16:10:00 16:08:14 1/31/2021 2021 324369 ARKAIW COM HOS-RIV 3865 JACKSON ST 15:38:02 16:15:00 15:58:32 1/31/2021 2021 3247384 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:40:38 16:30:00 16:26:51
1/31/2021 2021 3247397 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 14:01:06 17:00:00 17:16:27 1/31/2021 2021 3247412 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 15:28:44 17:30:00 17:19:53 1/31/2021 2021 3247442 PARKVIEW COM HOS-RIV 3865 JACKSON ST 15:00:00 18:00:00 18:07:36 1/31/2021 2021 3247568 RIVERSIDE COM HOSP 4445 MAGNOLIA AVE 20:48:56 21:00:00 20:55:47 Section B
Item # 7
AMR
Preventative Maintenance Program
Please refer to Section B Item#4 - A copy of the motor vehicle inspection and maintenance program.