Southwest Louisiana Mutual Aid Association

P.O. Box 367 Lake Charles, Louisiana 706002-3067

 Phone (337) 721-3800 FAX 437-3583


APPLICATION FOR MEMBERSHIP


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Facility Name:

Mutual Aid Dedicated Equipment


NOTE:

TO BE A MEMBER OF THE SOUTHWEST LOUISIANA MUTUAL AID ASSOCIATION, YOUR FACILITY MUST HAVE AN 800 MHZ RADIO PROGRAMMED WITH THE INTERNATIONAL MUTUAL AID CHANNELS.

By applying to the Southwest Louisiana Mutual Aid Association, we attest that we have read, understand and will follow all the By-Laws and Policies and Procedures of the Southwest Louisiana Mutual Aid Association to the best of our abilities, as written on the date of signing of this application.

Fire Fighting Vehicles
Engines

Engine (E1)

Unit #:(E1)
Class:(E1)
Operator Supplied:(E1)
GPM Capable :(E1)
Agent Storage (gal):(E1)
Foam (gal):(E1)
Dry Chem (gal):(E1)
Drop Tank (gal):(E1)
Fuel Type:(E1)

Engine (E2)

Unit #:(E2)
Class:(E2)
Operator Supplied:(E2)
GPM Capable :(E2)
Agent Storage (gal):(E2)
Foam (gal):(E2)
Dry Chem (gal):(E2)
Drop Tank (gal):(E2)
Fuel Type:(E2)

Engine (E3)

Unit #:(E3)
Class:(E3)
Operator Supplied:(E3)
GPM Capable :(E3)
Agent Storage (gal):(E3)
Foam (gal):(E3)
Dry Chem (gal):(E3)
Drop Tank (gal):(E3)
Fuel Type:(E3)

Engine (E4)

Unit #:(E4)
Class:(E4)
Operator Supplied:(E4)
GPM Capable :(E4)
Agent Storage (gal):(E4)
Foam (gal):(E4)
Dry Chem (gal):((E4)
Drop Tank (gal):(E4)
Fuel Type:(E4)
Aerials

Aerials (A1)

Unit #:(A1)
Class:(A1)
Operator Supplied:(A1)
Aerial Length: (A1)
GPM Capable :(A1)
Agent Storage (gal):(A1)
Foam (gal):(A1)
Dry Chem (gal):(A1)
Drop Tank (gal):(A1)
Fuel Type:(A1)

Aerials (A2)

Unit #:(A2)
Class:(A2)
Operator Supplied:(A2)
Aerial Length: (A2)
GPM Capable :(A2)
Agent Storage (gal):(A2)
Foam (gal):(A2)
Dry Chem (gal):(A2)
Drop Tank (gal):(A2)
Fuel Type:(A2)

Aerials (A3)

Unit #:(A3)
Class:(A3)
Operator Supplied:(A3)
Aerial Length: (A3)
GPM Capable :(A3)
Agent Storage (gal):(A3)
Foam (gal):(A3)
Dry Chem (gal):(A3)
Drop Tank (gal):(A3)
Fuel Type:(A3)

Aerials (A4)

Unit #:(A4)
Class:(A4)
Operator Supplied:(A4)
Aerial Length: (A4)
GPM Capable :(A4)
Agent Storage (gal):(A4)
Foam (gal):(A4)
Dry Chem (gal):(A4)
Drop Tank (gal):(A4)
Fuel Type:(A4)
Tankers

Tanker (T1)

Unit #:(T1)
Class:(T1)
Operator Supplied:(T1)
GPM Capable :(T1)
Agent Storage (gal):(T1)
Foam (gal):(T1)
Dry Chem (gal):(T1)
Drop Tank (gal):(T1)
Fuel Type:(T1)

Tanker (T2)

Unit #:(T2)
Class:(T2)
Operator Supplied:(T2)
GPM Capable :(T2)
Agent Storage (gal):(T2)
Foam (gal):(T2)
Dry Chem (gal):(T2)
Drop Tank (gal):(T2)
Fuel Type:(T2)

Tanker (T3)

Unit #:(T3)
Class:(T3)
Operator Supplied:(T3)
GPM Capable :(T3)
Agent Storage (gal):(T3)
Foam (gal):(T3)
Dry Chem (gal):(T3)
Drop Tank (gal):(T3)
Fuel Type:(T3)

Tanker (T4)

Unit #:(T4)
Class:(T4)
Operator Supplied:(T4)
GPM Capable :(T4)
Agent Storage (gal):(T4)
Foam (gal):(T4)
Dry Chem (gal):(T4)
Drop Tank (gal):(T4)
Fuel Type:(T4)
Miscellaneous Fire Vehicles

Brush Truck (BT1)

Unit #:(BT1)
Class:(BT1)
Operator Supplied:(BT1)
Agent Storage (gal):(BT1)
Foam (gal):(BT1)
Dry Chem (gal):((BT1)
Drop Tank (gal):(BT1)
Fuel Type:(BT1)

Brush Truck (BT2)

Unit #:(BT2)
Class:(BT2)
Operator Supplied:(BT2)
Agent Storage (gal):(BT2)
Foam (gal):(BT2)
Dry Chem (gal):(BT2)
Drop Tank (gal):(BT2)
Fuel Type:(BT2)

Hose Tender (HT1)

Unit #:(HT1)
Class:(HT1)
Operator Supplied:(HT1)
Hose- Amt-Length-Size (1):(HT1)
Hose- Amt-Length-Size (2):(HT1)
Hose- Amt-Length-Size (3):(HT1)
Hose- Amt-Length-Size (4):(HT1)
Fuel Type:(HT1)

Foam Pumper  (FP1)

Unit #:(FB1)
Class:(FB1)
Operator Supplied:(FB1)
Agent Storage (gal):(FB1)
Foam (gal):(FB1)
Dry Chem (gal):(FB1)
Drop Tank (gal):(FB1)
Fuel Type:(FB1)

Hazmat Truck (HAZ1)

Unit #:(Haz1)
Class:(Haz1)
Operator Supplied:(Haz1)
HazMat Equip #1 (Haz1)
HazMat Equip #2 (Haz1)
HazMat Equip #3 (Haz1)
HazMat Equip #4 (Haz1)
Fuel Type:(Haz1)

Hazmat Truck (HAZ2)

Unit #:(Haz2)
Class:(Haz2)
Operator Supplied:(Haz2)
HazMat Equip #1 (Haz2)
HazMat Equip #2 (Haz2)
HazMat Equip #3 (Haz2)
HazMat Equip #4 (Haz2)
Fuel Type:(Haz2)

Service Truck (ST1)

Unit #:(ST1)
Class:(ST1)
Operator Supplied:(ST1)
Service Equip #1 (ST1)
Service Equip #2 (ST1)
Service Equip #3 (ST1)
Service Equip #4 (ST1)
Fuel Type:(ST1)

Rehab Truck (RT1)

Unit #:(RH1)
Class:(RH1)
Operator Supplied:(RH1)
Rehab Equip #1:(RH1)
Rehab Equip #2:(RH1)
Rehab Equip #3:(RH1)
Rehab Equip #4:(RH1)
Fuel Type:(RH1)
Fire Fighting Equipment

Dry Chemicals
Quanity (DryChem1)
Type of Agent (DryChem1)
Purpose (DryChem1)
Description (DryChem1)
Amount of Agent (DryChem1)
Transported by (DryChem1)
Quanity (DryChem2)
Type of Agent (DryChem2)
Purpose (DryChem2)
Description (DryChem2)
Amount of Agent (DryChem2)
Transported by (DryChem2)
Quanity (DryChem3)
Type of Agent (DryChem3)
Purpose (DryChem3)
Description (DryChem3)
Amount of Agent (DryChem3)
Transported by (DryChem3)
Quanity (DryChem4)
Type of Agent (DryChem4)
Purpose (DryChem4)
Description (DryChem4)
Amount of Agent (DryChem4)
Transported by (DryChem4)
Foam
Quanity (Foam1)
Type of Agent (Foam1)
Purpose (Foam1)
Description (Foam1)
Amount of Agent (Foam1)
Transported by (Foam1)
Quanity (Foam2)
Type of Agent (Foam2)
Purpose (Foam2)
Description (Foam2)
Amount of Agent (Foam2)
Transported by (Foam2)
Quanity (Foam3)
Type of Agent (Foam3)
Purpose (Foam3)
Description (Foam3)
Amount of Agent (Foam3)
Transported by (Foam3)
Quantity (Foam4)
Type of Agent (Foam4)
Purpose (Foam4)
Description (Foam4)
Amount of Agent (Foam4)
Transported by (Foam4)
Hose
Quanity (Hose1)
Type (Hose1)
Purpose (Hose1)
Description (Hose1)
Hard/Soft (Hose1)
Diameter (Hose1)
Hose Threads (Hose1)
Quantity (Hose2)
Type (Hose2)
Purpose (Hose2)
Description (Hose2)
Hard/Soft (Hose2)
Diameter (Hose2)
Hose Threads (Hose2)
Quantity (Hose3)
Type (Hose3)
Purpose (Hose3)
Description (Hose3)
Hard/Soft (Hose3)
Diameter (Hose3)
Hose Threads (Hose3)
Quantity (Hose4)
Type (Hose4)
Purpose (Hose4)
Description (Hose4)
Hard/Soft (Hose4)
Diameter (Hose4)
Hose Threads (Hose4)
Hose Adapters
Quanity (HoseAdpt1)
Type (HoseAdpt1)
Purpose (HoseAdpt1)
Description (HoseAdpt1)
Diameter (HoseAdpt1)
Hose Threads (HoseAdpt1)
Quanity (HoseAdpt2)
Type (HoseAdpt2)
Purpose (HoseAdpt2)
Description (HoseAdpt2)
Diameter (HoseAdpt2)
Hose Threads (HoseAdpt2)
Quantity (HoseAdpt3)
Type (HoseAdpt3)
Purpose (HoseAdpt3)
Description (HoseAdpt3)
Diameter (HoseAdpt3)
Hose Threads (HoseAdpt3)
Quantity (HoseAdpt4)
Type (HoseAdpt4)
Purpose (HoseAdpt4)
Description (HoseAdpt4)
Diameter (HoseAdpt4)
Hose Threads (HoseAdpt4)
Port. Air Cascade System
Quanity (Air Cass1)
Type (Air Cass1)
Purpose (Air Cass1)
Description (Air Cass1)
PSI (Air Cass1)
Cylinder Connection Type (Air Cass1)
Quantity (Air Cass2)
Type (Air Cass2)
Purpose (Air Cass2)
Description (Air Cass2)
PSI (Air Cass2)
Cylinder Connection Type (Air Cass2)
Quantity (Air Cass3)
Type (Air Cass3)
Purpose (Air Cass3)
Description (Air Cass3)
PSI (Air Cass3)
Cylinder Connection Type (Air Cass3)
Quantity (Air Cass4)
Type (Air Cass4)
Purpose (Air Cass4)
Description (Air Cass4)
PSI (Air Cass4)
Cylinder Connection Type (Air Cass4)
Portable Water Monitors
Quanity (WaterMonitor1)
Type (WaterMonitor1)
Purpose (WaterMonitor1)
Description (WaterMonitor1)
Quanity (WaterMonitor2)
Type (WaterMonitor2)
Purpose (WaterMonitor2)
Description (WaterMonitor2)
Quanity (WaterMonitor3)
Type (WaterMonitor3)
Purpose (WaterMonitor3)
Description (WaterMonitor3)
Quanity (WaterMonitor4)
Type (WaterMonitor4)
Purpose (WaterMonitor4)
Description (WaterMonitor4)
SCBA Spare Bottles
Quanity (SCBABottles1)
Type (SCBABottles1)
Purpose (SCBABottles1)
Description (SCBABottles1)
PSi (SCBABottles1)
Cylinder Connection Type (SCBABottles1)
Time Rating (SCBABottles1)
Manufacturer (SCBABottles1)
Quantity (SCBABottles2)
Type (SCBABottles2)
Purpose(SCBABottles2)
Description (SCBABottles2)
PSi (SCBABottles2)
Cylinder Connection Type (SCBABottles2)
Time Rating (SCBABottles2)
Manufacturer(SCBABottles2)
Quantity (SCBABottles3)
Type (SCBABottles3)
Purpose (SCBABottles3)
Description (SCBABottles3)
PSi (SCBABottles3)
Cylinder Connection Type (SCBABottles3)
Time Rating (SCBABottles3)
Manufacturer (SCBABottles3)
Quanity (SCBABottles4)
Type (SCBABottles4)
Purpose (SCBABottles4)
Description (SCBABottles4)
PSi (SCBABottles4)
Cylinder Connection Type (SCBABottles4)
Time Rating (SCBABottles4)
Manufacturer (SCBABottles4)
Other Response Vehicles
´╗┐Aviation Assets
Quanity (Aviation1)
Type (Aviation1)
Purpose (Aviation1)
Description (Aviation1)
Operator (Aviation1)
Fuel Type (Aviation1)
Quanity (Aviation2)
Type (Aviation2)
Purpose (Aviation2)
Description (Aviation2)
Operator (Aviation2)
Fuel Type (Aviation2)
Quanity (Aviation3)
Type (Aviation3)
Purpose (Aviation3)
Description (Aviation3)
Operator (Aviation3)
Fuel Type (Aviation3)
Quantity (Aviation4)
Type(Aviation4)
Purpose(Aviation4)
Description(Aviation4)
Operator(Aviation4)
Fuel Type (Aviation4)
Ambulance
Quanity (Ambulance1)
Type (Ambulance1)
Purpose (Ambulance1)
Description (Ambulance1)
Operator (Ambulance1)
Fuel Type (Ambulance1)
Medical Level (Ambulance1)
Quanity (Ambulance2)
Type (Ambulance2)
Purpose (Ambulance2)
Description (Ambulance2)
Operator (Ambulance2)
Fuel Type (Ambulance2)
Medical Level (Ambulance2)
Quantity (Ambulance3)
Type (Ambulance3)
Purpose (Ambulance3)
Description (Ambulance3)
Operator (Ambulance3)
Fuel Type (Ambulance3)
Medical Level (Ambulance3)
Quanity (Ambulance4)
Type (Ambulance4)
Purpose (Ambulance4)
Description (Ambulance4)
Operator (Ambulance4)
Fuel Type (Ambulance4)
Medical Level (Ambulance4)
Marine Equipment
Quantity (Marine1)
Type (Marine1)
Purpose (Marine1)
Description (Marine1)
Operator (Marine1)
Length (Marine1)
Fire Fighting Capability (Marine1)
GPM (Marine1)
Gallons Storage (Marine1)
Foam (Marine1)
Fuel Type (Marine1)
Draft (Marine1)
Quantity (Marine2)
Type (Marine2)
Purpose (Marine2)
Description (Marine2)
Operator (Marine2)
Length (Marine2)
Fire Fighting Capability (Marine2)
GPM (Marine2)
Gallons Storage (Marine2)
Foam (Marine2)
Fuel Type (Marine2)
Draft (Marine2)
Quantity (Marine3)
Type (Marine3)
Purpose (Marine3)
Description (Marine3)
Operator (Marine3)
Length (Marine3)
Fire Fighting Capability (Marine3)
GPM (Marine3)
Gallons Storage (Marine3)
Foam (Marine1)(2)
Fuel Type (Marine3)
Draft (Marine3)
Quantity (Marine4)
Type (Marine4)
Purpose (Marine4)
Description (Marine4)
Operator (Marine4)
Length (Marine4)
Fire Fighting Capability (Marine4)
GPM (Marine4)
Gallons Storage (Marine4)
Foam (Marine4)
Fuel Type (Marine4)
Draft (Marine4)
Mobile Command Vehicle
Quantity (Mobile Command1)
Type (Mobile Command1)
Purpose (Mobile Command1)
Description (Mobile Command1)
Operator (Mobile Command1)
Fuel Type (Mobile Command1)
Quantity (Mobile Command2)
Type (Mobile Command2)
Purpose (Mobile Command2)
Description (Mobile Command2)
Operator (Mobile Command2)
Fuel Type (Mobile Command2)
Quantity (Mobile Command3)
Type (Mobile Command3)
Purpose (Mobile Command3)
Description (Mobile Command3)
Operator (Mobile Command3)
Fuel Type (Mobile Command3)
Quantity (Mobile Command4)
Type (Mobile Command4)
Purpose (Mobile Command4)
Description (Mobile Command4)
Operator (Mobile Command4)
Fuel Type (Mobile Command4)
Response Equipment

Auxiliary Power Supply
Quantity (Aux.Light1)
Type (Aux.Light1)
Purpose (Aux.Light1)
Description (Aux.Light1)
Operator (Aux.Light1)
Total KW (Aux.Light1)
Number of 120v outlets (Aux.Light1)
Number of 220v outlets (Aux.Light1)(1)
Fuel Type (Aux.Light1)
Transported by (Aux.Light1)
Quantity (Aux.Light2)
Type (Aux.Light2)
Purpose (Aux.Light2)
Description (Aux.Light2)
Operator (Aux.Light2)
Total KW (Aux.Light2)
Number of 120v outlets (Aux.Light2)
Number of 220v outlets (Aux.Light2)
Fuel Type (Aux.Light2)
Transported by (Aux.Light2)
Quantity (Aux.Light3)
Type (Aux.Light3)
Purpose (Aux.Light3)
Description (Aux.Light3)
Operator (Aux.Light3)
Total KW (Aux.Light3)
Number of 120v outlets (Aux.Light3)
Number of 220v outlets (Aux.Light3)
Fuel Type (Aux.Light3)
Transported by (Aux.Light3)
Quantity (Aux.Light4)
Type (Aux.Light4)
Purpose (Aux.Light4)
Description (Aux.Light4)
Operator (Aux.Light4)
Total KW (Aux.Light4)
Number of 120v outlets (Aux.Light4)
Number of 220v outlets (Aux.Light4)
Fuel Type (Aux.Light4)
Transported by (Aux.Light4)
Cutting Torch
Quantity (CuttingTorch1)
Type (CuttingTorch1)
Purpose (CuttingTorch1)
Description (CuttingTorch1)
Quantity (CuttingTorch2)
Type (CuttingTorch2)
Purpose (CuttingTorch2)
Description (CuttingTorch2)
Quantity (CuttingTorch3)
Type (CuttingTorch3)
Purpose (CuttingTorch3)
Description (CuttingTorch3)
Quantity (CuttingTorch4)
Type (CuttingTorch4)
Purpose (CuttingTorch4)
Description (CuttingTorch4)
Extrication Tools
Quantity (ExtricationTools1)
Type (ExtricationTools1)
Purpose (ExtricationTools1)
Description (ExtricationTools1)
Quantity (ExtricationTools2)
Type (ExtricationTools2)
Purpose (ExtricationTools2)
Description (ExtricationTools2)
Quantity (ExtricationTools3)
Type (ExtricationTools3)
Purpose (ExtricationTools3)
Description (ExtricationTools3)
Quantity (ExtricationTools4)
Type (ExtricationTools4)
Purpose (ExtricationTools4)
Description (ExtricationTools4)
Generator
Quantity (Generator1)
Type (Generator1)
Purpose (Generator1)
Description (Generator1)
Total KW (Generator1)
Number of 120v outlets (Generator1)
Number of 220v outlets (Generator1)
Fuel Type (Generator1)
Transported by (Generator1)
Quantity (Generator2)
Type (Generator2)
Purpose (Generator2)
Description (Generator2)
Total KW (Generator2)
Number of 120v outlets (Generator2)
Number of 220v outlets (Generator2)
Fuel Type (Generator2)
Transported by (Generator2)
Quantity (Generator3)
Type (Generator3)
Purpose (Generator3)
Description (Generator3)
Total KW (Generator3)
Number of 120v outlets (Generator3)
Number of 220v outlets (Generator3)
Fuel Type (Generator3)
Transported by (Generator3)
Quantity (Generator4)
Type (Generator4)
Purpose (Generator4)
Description (Generator4)
Total KW (Generator4)
Number of 120v outlets (Generator4)
Number of 220v outlets (Generator4)
Fuel Type (Generator4)
Transported by (Generator4)
HazMat

Mitigation Equipment
Quantity (Mig Equip1)
Type (Mig Equip1)
Purpose (Mig Equip1)
Description (Mig Equip1)
Quantity (Mig Equip2)
Type (Mig Equip2)
Purpose (Mig Equip2)
Description (Mig Equip2)
Quantity (Mig Equip3)
Type (Mig Equip3)
Purpose (Mig Equip3)
Description (Mig Equip3)
Quantity (Mig Equip4)
Type (Mig Equip4)
Purpose (Mig Equip4)
Description (Mig Equip4)
Hazmat PPE
Type (PPE1)
Purpose ( (PPE1)
Description (PPE1)
Level 1 S (PPE1)
Level 1 M (PPE1)
Level 1 L (PPE1)
Level 1 XL (PPE1)
Level 1 XXL (PPE1)
Level 1 XXXL (PPE1)
Level 1 XXXXL (PPE1)
Level 2 S (PPE1)
Level 2 M (PPE1)
Level 2 L (PPE1)
Level 2 XL (PPE1)
Level 2 XXL (PPE1)
Level 2 XXXL (PPE1)
Level 2 XXXXL (PPE1)
Level 3 S (PPE1)
Level 3 M (PPE1)
Level 3 L (PPE1)
Level 3 XL (PPE1)
Level 3 XXL (PPE1)
Level 3 XXXL (PPE1)
Level 3 XXXL (PPE1)(3)
Type (PPE2)
Purpose (PPE2)
Description (PPE2)
Level 1 S (PPE2)
Level 1 M (PPE2)
Level 1 L (PPE2)
Level 1 XL (PPE2)
Level 1 XXL (PPE2)
Level 1 XXXL (PPE2)
Level 1 XXXXL (PPE2)
Level S (PPE2)
Level 2 M (PPE2)
Level 2 L (PPE2)
Level 2 XL (PPE2)
Level 2 XXL (PPE2)
Level 2 XXXL (PPE2)
Level 2 XXXXL (PPE2)
Level 3 S (PPE2)
Level 3 M (PPE2)
Level 3 L (PPE2)
Level 3 XL (PPE2)
Level 3 XXL (PPE2)
Level 3 XXXL (PPE2)
Level 3 XXXXL (PPE2)
Type (PPE3)
Purpose (PPE3)
Description (PPE3)
Level 1 S (PPE3)
Level 1 M (PPE3)
Level 1 L (PPE3)
Level 1 XL (PPE3)
Level 1 XXL (PPE3)
Level 1 XXXL (PPE3)
Level 1 XXXXL (PPE3)
Level S (PPE3)
Level 2 M (PPE3)
Level 2 L (PPE3)
Level 2 XL (PPE3)
Level 2 XXL (PPE3)
Level 2 XXXL (PPE3)
Level 2 XXXXL (PPE3)
Level 3 S (PPE1)(2)
Level 3 M (PPE3)
Level 3 L (PPE3)
Level 3 XL (PPE3)
Level 3 XXL (PPE3)
Level 3 XXXL (PPE3)
Level 3 XXXXL (PPE3)
Type (PPE4)
Purpose (PPE4)
Description (PPE4)
Level 1 S (PPE4)
Level 1 M (PPE4)
Level 1 L (PPE4)
Level 1 XL (PPE4)
Level 1 XXL (PPE4)
Level 1 XXXL (PPE4)
Level 1 XXXXL (PPE4)
Level S (PPE4)
Level 2 M (PPE4)
Level 2 L (PPE4)
Level 2 XL (PPE4)
Level 2 XXL (PPE4)
Level 2 XXXL (PPE4)
Level 2 XXXXL (PPE4)
Level 3 S (PPE4)
Level 3 M (PPE4)
Level 3 L (PPE4)
Level 3 XL (PPE4)
Level 3 XXL (PPE4)
Level 3 XXXL (PPE4)
Level 3 XXXXL (PPE4)
Response Team
Team
Quantity (Teams1)
Specialty (Teams1)
Quantity (Teams2)
Specialty (Teams2)
Quantity (Teams3)
Specialty (Teams3)
Quantity (Teams4)
Specialty (Teams4)

Other Equipment


Other Equipment

Quantity (Other1)
Type (Other1)
Purpose (Other1)
Description (Other1)
Other 1 (Other1)
Other 2 (Other1)
Other 3 (Other1)
Quantity (Other2)
Type (Other2)
Purpose (Other2)
Description (Other2)
Other 1 (Other2)
Other 2 (Other2)
Other 3 (Other2)
Quantity (Other3)
Type (Other3)
Purpose (Other3)
Description (Other3)
Other 1 (Other3)
Other 2 (Other3)
Other 3 (Other3)
Quantity (Other4)
Type (Other4)
Purpose (Other4)
Description (Other4)
Other 1 (Other4)
Other 2 (Other4)
Other 3 (Other4)

Data Entry

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