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that's coming towards you and the horn is honking.
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As the car is approaching you,
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you hear a certain frequency of sound
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that changes as the car passes. The frequency of the sound
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that you hear depends both on the frequency of the sound
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that's being emitted by the siren and the speed
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that the ambulance is moving relative to you.
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When the ambulance is moving towards you,
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you hear a frequency that's
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offset from the real frequency of the siren.
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When it's moving away from you its offset even more
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and you can hear that.