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I know when i bought my truck the window sticker said "Not for ambulance use, warranty won't be honored" or something like that but i thought i,ve seen them before, who knows. Good luck on the possible van turbo Glenn..
Jeff I have seen some in Claiborn County and Jefferson county. All knoxville seems to be getting now is the Duramax ambulances.
Yeah the counties outside of Knox. seem to have more trucks than vans. After their experience with the 6.0 is why they are buying Chevys now. I think they have been buying Chevys for the last 2 years or so.
Back to the topic at hand, I think that all you need is the exhaust adapter from Bean's like Will said.
Here in Milwaukee they use all International ambulances, but just a few years back they had the 7.3L truck versions. After the Fords, they went to a few GMC's and they had cronic problems of just shutting off on the way to a call. They wouldn't restart either. After a few lawsuits they got rid of them and bought new International 4300 ambulances with the 6.0L in them. They just were International's numbers for the 6.0.