That being used on some private facility or military base or something? Looks great but it's not USDOT legal as a certified Star of Life Ambulance for normal use without the 2 4" blue Stars of Life on the hood, 2 16" ones on the sides, 2 12" ones on the rear, and a 32" one on the roof. They might just not be installed yet either - usually all of those come with brand new ambulances wrapped in flat cardboard sitting inside.