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The District operates three stations, and responds to about 3,000 incidents per year. The headquarters station in Strawberry serves as the administrative offices and houses an Engine, Paramedic Medium Rescue, Battalion Chief and a California RTF Swift Water Rescue Unit. The Tamalpais Valley station houses a Type 1 (Municipal) Engine, a Type 3 (Wildland) Engine, , Ladder Truck and a Paramedic Ambulance. The Sausalito station houses an Engine, a Paramedic Ambulance and the Marin County Hazardous Materials Team response unit. The crews there cross-staff the Fireboat, an Inflatable Rescue Boat, and are members of the Dive Team.

In addition to our own area, the District provides paramedic ambulance service to the Golden Gate National Recreation Area, Muir Beach, and the Muir Woods National Monument. The District also provides a regional rescue unit which serves all of the above areas, the Tiburon peninsula, and the Golden Gate Bridge area.