Have a friend that is a tow operator, so I caught some episodes of this while at their place.
Immediately obvious that this is another one of those "reality" shows which grew in popularity in the early-mid 2000's. And by reality I mean a show in which they stage a bunch of unbelievable scenarios for the tow truck drivers and employees, most of which consist of the drivers and agitators taking turns one upping each other's poor acting skills.
Other than the poor acting, there are also endless laughable confrontations and "Only in Vegas!" moments throughout. How laughable you ask? On their Halloween themed episode a driver stumbles upon an allegedly real Satanic ritual site, with a dead pig strung up and mutilated.
I won't claim there's 0 entertainment to be found in shows like this, but please do yourself a favor and don't recommend them to friends, unless you want them snickering behind your back because you believe that they're real.