Hi Mongol
If you can the best thing to do is buy the genuine exhaust the problem you have is your spare wheel and that you have long exhaust you can buy and fit the parts and the upright pipe but it will cost a fair bit ! Let me ask around as sometimes these parts are available used.
It won't make any difference to noise in the cab as its not physically conected to the cab upright, also the ambulance body is standard ? So will not cause any problem.
Moose - See more at:
http://www.unimog.club/show-off-your-kit/my-mog-619/15/#sthash.ggPhvT5l.dpufHi Moose,
I already have the genuine exhaust. Purchased it 2 years ago but still have headache with the spare tire mounting problem. The back body is standard. But I did a lot of things inside of it. First took off the original heat and noise isolation material. Secondly painted the whole inner metal area with the special paint (bought from Russia. they say they use it on the space crafts. 2mm thick paint layer equals to 6cm isolation material). And I think that's true cause I've tested it in really hot summer days and in really cold winter condition. Under the direct hot sunshine the back body is still cool. No need for additional fans or air conditioner. Winter case is a bit different as a lot of cold air goes in through the windows. But I believe the paint still helps to keep the warm temperature. Then I mounted a basalt wool pieces in order to be more sure regarding the heat isolation. So the exhaust noise will be heard very little in the back body. Not sure about the smoke though.
Just wondering about the driver's side in the cabin. As the driver is myself it would be very difficult to hear that exhaust noise all the time right above my ears. Therefore would like to hear of your experience as much in details as possible before I decide to make this move.
With respect,
Mongol