# 3Z19   
2009 Ford E-450,  Gross Vehicle Weight 14,200 lbs,  Height Clearance 9 Feet
Fuel Capacity 58 Gallons,   Range 500/550 Miles,  Towing Capacity 4400 lbs. 

Vehicle Features

  • Built in engine block heater. (Switch located in outside double door electrical cabinet)

  • Built in automatic charging system  (

  • 4 Wheel Anti-lock Brakes

  • Dual Real Wheels

  • All Season Tires

  • Reverse Camera

Handling Dynamics:

  • ABS:  Hold firm pressure in a emergency stop and keep holding, the pedal may travel to the floor.                                   Let the ABS system manage the stop.  DO NOT LET OFF THE PEDAL

  • Center of Gravity:  This is a tall vehicle, turns and ramps can pose a significant risk of vehicle roll over.                                                Exercise caution with any high profile vehicle.

  • Height:  (9 feet) Do not enter a Drive-Thru, or area with an awning with clearance less than 10 feet.  

  • Width:   96 Inches or 8 feet wide from side to side.

  • Acceleration: (2 Wheel Drive) This vehicle is equipped with a powerful Diesel engine.                                                                                    Exercise caution when on wet or slippery surfaces.                                                                                                                                         Vehicle is not equipped with a limited slip differential or traction control. 

Operation Basics:

  • Starting:  If the vehicle is warm there is no need to wait for a glow plug light, start vehicle normally.

  • Cold Starting:  Turn key to ON and wait for glow plug light to turn off, then start vehicle.

  • Winter Starting:  Plug in block heater below 20 degrees, wait for glow plug light. (DO NOT USE ETHER)

  • Shut Down: Allow engine to idle for approximately 60 seconds to allow the turbo to cool before shutdown.

  • Cleaning DPF Filter: Refer to instructions above driver side visor.

  • Tow / Haul Mode:  Use when towing any trailer.

  • Powering the "mod":  Master switch on center console (lower left) powers all module systems.

  • Patient heat/cool:  Patient heat cool is controlled in the patient compartment on the control panel

  • Emergency Lights:  Top row center console

  • Scene Lights:  Bottom row center console

  • Back up alarm: Override has been disabled the switch is not connected so the alarm cannot be turned off.

  • Patient Lights:  Switches located above the work counter on the control panel and lower row front console.

  • On Board Suction: Switch located above the work counter as well as suction control dial.

  • Inverter Control:  Inverter is automatic and controlled by the ignition key. (Inveter switch is disabled.)

  • 120v AC Power:  Available when inverter is on or truck is plugged into shore power.

  • Trailer Package:  Vehicle is for light duty towing, utility trailers under 4400 lbs only.

Ambulance Center Console: 

This vehicle is equipped with a an advanced module control system which includes three way switches which allows all lighting and some functions in the patient compartment to be controlled from the driver seat of the ambulance via this control panel. 


Module Disconnect is powered on and off by the vehicle ignition.  There is no need to turn the module disconnect off.

The disconnect has a shut down timer and will power down the module a few minutes after the key is switched OFF

Emergency Master controls all exterior emergency lights.  The four red switches to the right should never be turned off as they are controlled by the emergency master.  These switches will illuminate RED when the master is activated.

Park Override is only used to do inspections of the lighting system.  This truck is equipped with a system that knows when the vehicle is in park.  When the unit is in park all white exterior flashing lights will turn off.  Pressing the override will activate the white lights even if the vehicle is in park.  (Used for inspections only unless otherwise directed)


DOT Regulation:  Flashing white lights cannot be displayed when an emergency vehicle is parked.or when staged on a roadway            ex:  vehicle crash or fire standby. Placing the vehicle in drive will activate all lights for emergency use.

Electric Oxygen is used to turn on and off the oxygen system if it was left on on the patient compartment. 

Backup Alarm Override - Disabled

HORN/SIREN  switch changes what the horn does on the steering wheel.  In Siren setting it changes the tone of the siren when the horn is pressed.  In Horn setting the vehicle horn will activate.  The switch should remain in horn setting when not driving emergency.

Siren operation is similar to most sirens and it is the crews responsibility to be familiar with its operation: 

The red switch is the siren master, rotate the dial to the desired wail setting.   


Patient compartment Heat / AC is controlled by the climate panel in the patient compartment.  Climate control is independent of the module master.  The system is always powered and functional regardless of the position of the module disconnect as long as the vehicle key is in the ACC or ON position. 

Standby Diesel Heater:

°C to °F - Conversion  

16 C = 60.9 F (Overnight)

18 C = 64.4 F

19 C = 66.2 F

20 C = 68.0 F

21 C = 69.8 F

Control Panel Operation:

Press power button to start heat cycle.   (Or use remote key fob)

Select desired temp with up/down arrow. (Celsius Only)

The bar graph below the heater on the display will show heater start up progress.  When all 6 bars are lit up the heater is fully fired and operating normally.  A red glow plug icon will illuminate as will the pump icon.  This is start up mode.  Once the unit is fired and operating the glow plug light will turn off and the status bar graph will work its way to 6 bars as shown. 


The heater will never turn all the way off, it stays fired and drops to it lowest setting.  Fire and fan increase when the thermostat calls for heat. A ticking sound is normal, this is the pump operating and feeding fuel. 

Heater Master Switch Location:

During the off season or when supplemental heat is not needed the heater is powered OFFwith a master switch located in the electrical cabinet.  


The switch is clearly marked and has a RED LED indicator light. 

Fuel & Precautions:

This heater runs on standard pump diesel, the same fuel you put in the truck fuel tank.  Do not add fuel treatments to the heater tank.

DO NOT SPILL diesel inside the cabinet or on the door.  If you spill please clean up the spilled fuel or you will smell it in the patient compartment.

DO NOT allow the heater to run out of fuel. 

Run time is based on demand but a full tank can last 24 hours.

HOT EXHAUST!  There is an exhaust pipe visible below the compartment door.           

Do not place items within 2 feet of the port, the exhaust can be in excess of 600 degrees.  The exhaust will make a jet engine sound at all times, this is normal.  

HOT VENT!  The heat discharge is behind the captains chair and is very hot. Do not block the heat discharge.  Items may get damaged and you will diminish the heating capacity of the unit by blocking air flow. 

Patient Compartment Conrol Panel:

Aspirator : On-board suction unit.

Vent: Exhaust fan

Lights: Lights

Elec Oxygen:  Electronic Oxygen & Gauge

Right Top Row: Cabinet Lights

Right Bottom Row:  Counter Lights

Inverter:  Disconnected / Always On

Electronic Oxygen System:                         TURN OFF MAIN TANK VALVE WHEN NOT IN USE.

Turn on the Oxygen tank in the cabinet.

Turn on Oxygen Switch

This system is controlled by the Oxygen switch on the control panel.  When the system is powered on the display will run through a test of the and then display the pressure remaining in the tank.

If the system pressure falls below 500 lbs an alarm will sound, silence on the alarm the panel. 


Continue to use the system and prepare to transition to a portable O2 tank when the main tank is depleted.

D.I.C.  (Driver Information Center)

This video will show a brief overview of the D.I.C. in a Chevrolet Truck. 

The gauges are different but the operation and functions of the buttons are identical.  

Staff is not authorized to make changes, or modify any settings in the D.I.C..  Only the top two buttons should be utilized.

Utilize Only:

Trip Fuel Button

Vehicle Information Button

Set/Reset Button

MPG can be cleared if you so desire.

Trip Odometer can also be reset as desired to track mileage.


Cold Weather Staging / Starting / Operation

This vehicle is equipped with a fully automatic engine temperature management system. In very cold weather while parked the RPM's will vary depending on outside temperature and engine temperature.  RPM range is from 600 to 1100, this is totally normal.


High Idle: *Set parking brake just enough for the red brake light to come on.  Press the cruise control + button also known as the set button.  Pressing +/SET will increase the engine RPM's to 1200 until cancelled by pressing cancel or the brake pedal.

*Avoid setting the parking brake in extremely cold temps as it may freeze in the ON positon. Just press the pedal far enough to get the red brake light to come on.

Cold Start: Approximately 45 seconds after cold start the computer will idle up the engine as part of a warm up program.


Winter Grill Cover:  (If Equipped) Grill cover should be opened if temps are above 30 degrees and closed if below 30 degrees. This cover blocks airflow to the radiator, monitor engine temps while driving if the engine exceeds 210 the cover needs to be opened or removed from the grill completely.  (It is your responsibility monitor all engine gauges)  

Plug in and power during cold weather:  Plug main shore power cord into a 20amp breaker.  This short power plug will maintain batteries, power equipment in the truck plugged into 120v outlets and power the engine block heater.

Block Heater:  Block heater switch is located in the electrical cabinet behind the attendant seat in the patient compartment. 

Cold Starting / Cold Storage Starting:

Turn off the block heater before attempting to start the truck,    Cranking the truck with the block heater hot and operational could potentially cause the block heater to crack and fail. 

Keep the truck plugged into short power while cranking to allow for supplemental power from the charger to help maintain the batteries.


To Start: 

1. Follow instructions above

2. Turn on key

3. Wait for GLOW PLUG light to turn off.

4. Start engine.


Repeat procedure twice.

Call for help.

Cold Weather Fuel Treatment:  (EVERY TANK OF FUEL)

1 oz. of treatment per 3 gallons of fuel (approximate)   31 gallon fuel tank.

Add 10 oz to this vehicle at every 1/4 tank fill up. 


Funnel located inside tool compartment. 

Please contact an officer for direction if you are not comfortable adding this treatment. 

Diesel Particulate Filter "DPF" 

This vehicle is equipped with a Diesel Particulate Filter as part of its emissions system. 

This emissions system is prone to clogging when the engine is allowed to idle for extended periods of time.

When the system senses a problem it will activate the "D.I.C. instructing the driver to "Clean Exhaust Filter"

Follow the instructions above the driver side visor, if you cannot perform a cleaning cycle the vehicle must be shut down.


"Limp Mode" is a fail-safe setting that limits vehicle speed to 25 mph and and requires dealer service to reset.

Part Guide:

Oil  15W-40 Full Synthetic  (Shell Rotalla T-6)

Oil Filter: Wix 57202XP 

Fuel Filter: Wix 33837 (Kit)  / AC Delco TP3013 (Filter Only)

Air Filter Wix 49154 / AC Delco A2959C

Wipers: Bosch 22A /  Trico 22


Oil:  10 Quarts with filter.  (Full Synthetic)   Summer: 15W-40  Winter: 5W-40 

Oil Service:  Every 5000 miles or 400 hours,

Fuel Filter:  D.I.C. Notification.  (Change Fuel Filter Notice)

Air Filter: Every 15,000 miles

Blinker Fluid:  When needed

Tire Pressure:  Front 65 lbs.  /  Rear 85 lbs.

Washer fluid can be added by staff, Rain-X is the preferred brand.

Engine Compartment.

Do not add fluids to any system without the permission and guidance of and officer or authorized mechanic.

Engine:  6.6 Litre DuraMax Diesel


Find 120v shore power or a generator and plug it in.


Use block heater and glow plugs, never use ether on this engine.

#2 PUMP DIESEL FUEL ONLY (Winterized / Seasonal)

Do not use off-road fuel or fuel from any source other than a fuel station.


Fuel supplies from reputable supplies are winterized and do not need treatment of any kind. 

If there is a risk of fuel related issues or cold weather fuel related problems, contact an officer.


No 120v power inside the truck:  There is a main breaker on the GFI plug on the inverter behind the passenger seat.  

Truck is not charging and has no power inside:  Plug the truck into short power or refer to the issue above. Check shore power supply.

Lights and accessories do not work in patient compartment.   Check the module MASTER and turn on the ignition switch.

Horn does not work: Check center console and make sure HORN/SIREN switch is set to HORN.

Headlight won't come on automatically:  Set light switch to AUTO or ON

No Oxygen at flow meter:  Turn on main O2 in the Oxygen cabinet pass though. 

No Heat/AC in patient compartment: Turn the climate control to heat or cool.

Flat Tire:  Call road service after speaking to an officer or supervisor. (This vehicle does have a spare tire.)

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