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(a) No ambulance or routine medical transport vehicle owned or controlled by any person to whom a Certificate has been issued shall be operated upon the streets of City until, after application, the Director has issued a permit therefor. Prior to the issuance of a permit, the Director shall thoroughly examine and inspect the ambulance or routine medical transport vehicle for compliance with the requirements of this Article. An ambulance under valid permit may provide routine medical transport service without the necessity of an additional permit.
(b) Ambulances shall be equipped in accordance with:
(1) The requirements of the California Highway Patrol, and any revisions thereto; and
(2) The standardized drug and equipment list, and any revisions thereto, adopted by the Director, who shall consider the recommendations of the San Francisco Emergency Medical Care Committee.
(c) Routine medical transport vehicles shall be equipped in accordance with:
(1) The standard vehicle safety and equipment requirements of the California Highway Patrol for ambulances and any revisions thereto.
(2) Standard patient carrying fixtures and restraints necessary for the comfort and safety of patients.
(d) Any permit issued hereunder shall be valid for a period of one year from the date when issued and shall be renewed annually upon determination by the Director that the ambulance or routine medical transport vehicle for which the permit applies conforms to all requirements set forth in this Article. Such requirements shall include the provision that all equipment be maintained in a fresh, clean and sanitary condition at all times.