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Ford will not offer a diesel in their 2010 ambulance prep package. Here is the story from JEMS.com:
http://www.jems.com/news_and_articles/articles/ford_to_offer_gasoline_ambulances_in_2010.html
http://www.jems.com/news_and_articles/articles/ford_to_offer_gasoline_ambulances_in_2010.html