The Sierra-Sacramento Valley Emergency Medical Services (S-SV EMS) Agency is a Joint Powers Agency (JPA) founded in 1975. The JPA Governing Board consists of a County Supervisor for each S-SV EMS member county. Pursuant to California Government Code (Section 6500, et seq.) and California Health & Safety Code (Section 1797.200), S-SV EMS serves as the the designated local EMS agency (LEMSA) for the counties of Butte, Colusa, Glenn, Nevada, Placer, Shasta, Siskiyou, Sutter, Tehama, and Yuba. The S-SV EMS ten member counties have a combined population of approximately 1,300,000.