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Oh yeah Java �� half of mine hang from tips and half hang from tails, I also have them all secured together with straps. I wouldn't think it would damage them though. Wheres your design? I'd love to see.
Yup you definitely got a good starting point there, and an E350 that is already a 4x4 is a really nice plus!
As CoachGeo said, join us over on ambulancerv.com for specific ambulance conversion info.
A lot of the E-Series ambulance conversion threads on this board are actually in the http://forum.expeditionportal.com/forums/58-4wd-(and-2WD)-Camper-Vans Sub Forum, so be sure and look there too.
Unless you plan on doing a complete gut and refit of the interior, you'll find that these boxes are actually pretty well insulated already.
Fan-Tastic Vent seems to be the go to for Vents with the crowd here...
Your other questions are ones I'm asking too. So won't be much help on those (Right Now)
So I see where Gerty is from in the pictures, Is that your where abouts too? If so, you aren't to far from me, (Well, still a haul, bet less than half a day!)