(a) 
An ambulance service provider licensee shall file an application with the Health Director if the licensee desires to have the ambulance service provider license amended to allow the licensee to do any of the following:
(1) 
Change the number of ambulances or make any exchange thereof, or change the required staffing thereof.
(2) 
Change the location where ambulances, operating equipment, and supplies are located.
(3) 
Make any change in ownership of the business not affecting control of the ambulance company.
(4) 
Modify or delete any of the conditions or terms of the ambulance service provider license.
(b) 
The Health Director shall investigate any proposed change as specified in subdivision (a)(1) or (a)(2) of this section and shall either approve or disapprove any such change. Within ten (10) days of receiving notice of the Health Director's decision, an ambulance service provider licensee may file with the Health Director a notice of appeal to the Board of Supervisors. If the ambulance service provider licensee desires a hearing before the Board of Supervisors, the licensee shall request such a hearing in writing at the time of filing the appeal. The Health Director shall then file a report and recommendation, including the Health Director's original decision and the ambulance service provider licensee's notice of appeal, with the Board of Supervisors regarding such proposal. The Board shall thereafter hold a public hearing on such appeal if a hearing is requested by the ambulance service provider licensee or, if no hearing is requested, the Board may act on such appeal without holding a public hearing.
(c) 
The Health Director shall investigate any proposed change as specified in subdivision (a)(4) of this section and shall file a report and recommendation with the Board regarding such proposal. The Board shall thereafter hold a hearing on such change as provided in this Chapter.
(Added by Ord. No. 3390, effective 8-20-09; amended by Ord. No. 3490, effective 2-25-16)
When conditions or circumstances occur which would authorize the issuance of a temporary license under Article 5, the Health Director or, in his or her absence, the Health Officer may temporarily modify any ambulance service provider license. Such emergency modification shall be effective for a period not to exceed thirty (30) days.
(Added by Ord. No. 3390, effective 8-20-09)
The issuance of an ambulance service provider license shall not prevent the Board from amending this Chapter to impose additional restrictions or requirements on an ambulance service provider license. The Board shall also have the power to impose additional restrictions, requirements and conditions on an existing ambulance service provider license. The Board shall give an ambulance service provider license licensee at least ten (10) days' written notice and an opportunity for a hearing before the Board before imposing such additional restrictions, requirements or conditions.
(Added by Ord. No. 3390, effective 8-20-09)