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Project 91 - Site Survey
Project 91 - Site Survey
Tim Ryan

Project 91 - Site Survey

Site Survey

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Free Project 91 - Site Survey Checklist

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Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

  • Personnel

  • 0.1 JSA - Risk assessment to include use of iauditor

  • 0.2 For Audit Queries Please Call Brookfield Johnson Controls on (1800 351 235)

  • Site Photo

1.0 Site Details

  • 1.1 Site Details

    • ARMIDALE COLES EXPRESS B502
    • BALACLAVA COLES EXPRESS B767
    • BASS HILL COLES EXPRESS A580
    • BATEHAVEN COLES EXPRESS B540
    • BAULKHAM HILLS COLES EXPRESS B428
    • BELMONT (SOUTH) COLES EXPRESS A684
    • BELMONT MAUDE COLES EXPRESS B501
    • BERKSHIRE PARK COLES EXPRESS B949
    • BLACKTOWN COLES EXPRESS A131
    • BONDI JUNCTION COLES EXPRESS A320
    • BOWRAL COLES EXPRESS A111
    • BROOKVALE COLES EXPRESS A486
    • BURNS BAY COLES EXPRESS A446
    • CABRAMATTA WEST COLES EXPRESS B994
    • CAMDEN COLES EXPRESS B996
    • CAPTAIN COOK BRIDGE COLES EXPRE A015
    • CARLTON COLES EXPRESS A081
    • CHATSWOOD COLES EXPRESS A441
    • COLYTON COLES EXPRESS B800
    • CORRIMAL COLES EXPRESS B498
    • DOONSIDE COLES EXPRESS A003
    • DRUMMOYNE NORTH COLES EXPRESS A115
    • DUNDAS COLES EXPRESS A296
    • DURAL COLES EXPRESS B986
    • EASTERN CREEK COLES EXPRESS B677
    • ENFIELD COLES EXPRESS B950
    • ERINA COLES EXPRESS B726
    • FORESTVILLE COLES EXPRESS A468
    • FORSTER COLES EXPRESS A236
    • GOROKAN COLES EXPRESS B699
    • GOULBURN COLES EXPRESS A114
    • GREEN VALLEY COLES EXPRESS A341
    • GREYSTANES COLES EXPRESS B406
    • HEXHAM COLES EXPRESS B547
    • HUNTERS HILL COLES EXPRESS B442
    • JAMISONTOWN COLES EXPRESS B786
    • KILLARNEY VALE COLES EPXRESS A139
    • KINGSFORD COLES EXPRESS A342
    • KIRRAWEE COLES EXPRESS A103
    • LIVERPOOL COLES EXPRESS A157
    • MARSFIELD COLES EXPRESS B999
    • MERRYLANDS COLES EXPRESS A271
    • MOUNT ANNAN COLES EXPRESS A212
    • NARELLAN COLES EXPRESS A259
    • NARRABEEN COLES EXPRESS A493
    • NEUTRAL BAY COLES EXPRESS A470
    • NORTH RYDE WICKS COLES EXPRESS A421
    • NORTHMEAD COLES EXPRESS A287
    • PADSTOW COLES EXPRESS A117
    • PENNANT HILLS EAST COLES EXP A074
    • PENNANT HILLS WEST COLES EXP A425
    • PORT MACQUARIE COLES EXPRESS B492
    • PYMBLE COLES EXPRESS A436
    • RANDWICK ALISON RD COLES EXPRESS A3
    • RANDWICK FRENCHMANS COLES EXP A328
    • ROBERTS ROAD EAST COLES EXP A262
    • ROBERTS ROAD WEST COLES EXPRESS A234
    • ST CLAIR COLES EXPRESS B617
    • ST HELENS PARK COLES EXPRESS A121
    • STANMORE COLES EXPRESS A400
    • TAMWORTH COLES EXPRESS A709
    • TAMWORTH WEST COLES EXPRESS B259
    • TAREE COLES EXPRESS A518
    • TAREN POINT COLES EXPRESS A073
    • TERRIGAL COLES EXPRESS A646
    • THORNLEIGH COLES EXPRESS A427
    • UMINA COLES EXPRESS A644
    • WAHROONGA COLES EXPRESS A432
    • WALLSEND EAST COLES EXPRESS A695
    • WALLSEND WEST COLES EXPRESS A438
    • WATERLOO COLES EXPRESS A205
    • WEST RYDE COLES EXPRESS A403
    • WOLLONGONG COLES EXPRESS A058
    • WOY WOY COLES EXPRESS B710

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    Armidale.png

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    Balaclava.png

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    Bass Hill.png

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    Baulkham Hills.png

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    Batehaven.png

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    Belmont Sth.png

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    Belmont Maude.png

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    Berkshire Park.png

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    Blacktown.png

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    Bondi Junction.png

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    Bowral.png

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    Brookvale.png

  • Scope: N/A.
    BJC completing in conjunction with other works on site

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    Cabramatta West.png

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    Camden.png

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    Captain Cook.png

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    Carlton.png

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    Chatswood.png

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    Colyton.png

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    Corrimal.png

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    Drummoyne.png

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    Dural.png

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    Eastern Creek.png

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    Enfield.png

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    Erina.png

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    Frorestville.png

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    Forster.png

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    Gorokan.png

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    Goulburn.png

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    Green Valley.png

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    Greystanes.png

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    Hexham.png

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    Hunters Hill.png

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    Jamistown.png

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    Killarney Vale.png

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    Kingsford.png

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    Kirrawee.png

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    Liverpool.png

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    Marsfield.png

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    Merrylands.png

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    Mount Annan.png

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    Narrabeen.png

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    Narrellan.png

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    Neutral Bay.png

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    North Ryde.png

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    Northmead.png

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    Padstow.png

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    Pennant Hills East.png

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    Pennant Hills West.png

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    Port Macquarie.png

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    Pymble.png

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    Randwick Alison Rd.png

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    Randwick Frenchmans.png

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    Roberts Rd East.png

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    Roberts Rd West.png

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    St Clair.png

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    St Helens Park.png

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    Stanmore.png

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    Tamworth.png

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    Tamworth West.png

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    Taree.png

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    Taren Point.png

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    Terrigal.png

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    Thornleigh.png

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    Umina.png

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    Wahroonga.png

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    Wallsend East.png

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    Wallsend West.png

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    Waterloo.png

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    West Ryde.png

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    Wollongong.png

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    Woy Woy.png

  • 1.2 Site Drawing

  • Notes:

2.0 HSSE

  • 2.1 Require risk assessment of site

  • 2.2 Work within Overhead Electrical Assets Restriction?

  • 2.3 Are Viva Permits required?

  • 2.4 Is Traffic management required for project?

  • 2.5 If a scissor lift is required is there a suitable area for it to be located?

  • 2.6 If a scissor lift is required will it be entering the hazardous zone?

  • Photo:

  • Notes:

3.0 Site Products

  • 3.1 Products available on site are:

    • 1. E10
    • 2. Diesel
    • 3. ULP95
    • 4. VPOWER
    • 5. AUTOGAS
    • 6. ULP91
    • 7.N/A

  • Site Photo:

4.0 Price board SI Sign Details

  • 4.1 Number of Priceboards on Site?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8

  • Priceboard SI Sign Details

    • SI Sign

  • 4.1 Height of Priceboard/SI Sign

  • 4.2 Price board Configuration

    • A = (7m) 2 medium 3 small
    • B = (7m) 4 Medium
    • C = (7m) 1 medium 3 small
    • D = (7m) 3 Medium
    • E = (5m) 4 Medium
    • F = (5m) 1 Medium 3 Small
    • G = (3m) 3 Small
    • H = (3m) 4 small
    • I = (3m) 2 small

  • 4.2.1 List Priceboard Products (top to bottom)

    • 1. E10
    • 2. Diesel
    • 3. ULP95
    • 4. VPOWER
    • 5. AUTOGAS
    • 6. ULP91
    • 7.N/A

  • 4.3 What is the condition of priceboard?

  • Notes:

  • Price board Photo(s)

5.0 Pumps/Dispenser

  • 5.1 Quantity of pumps to change?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8

  • Add Details of pumps

    • pump

  • 5.1.10 Condition of pump?

  • Add media

  • 5.1.1 Pump Number?

    • Pump 1
    • Pump 2
    • Pump 3
    • Pump 4
    • Pump 5
    • Pump 6
    • Pump 7
    • Pump 8
    • Pump 9
    • Pump 10
    • Pump 11
    • Pump 12
    • Pump 13
    • Pump 14
    • Pump 15
    • Pump 16
    • Pump 17
    • Pump 18
    • Pump 19
    • Pump 20

  • 5.1.2 Pump Type?

    • Ceepec
    • Compac
    • Electroline
    • Eline-MK4
    • Enterprise
    • HPMPP
    • LLMPP
    • MPP
    • Multipec
    • Pacesetter
    • SK700-2
    • SK700

  • 5.1.3 What is the pump model number?

  • 5.1.4 What is the serial number?

  • 5.1.3 Is this pump included in conversion project?

  • 5.1.5 Hoses per dispenser?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8

  • 5.1.6 Products on dispenser (List Left to Right)

    • 1. E10
    • 2. Diesel
    • 3. ULP95
    • 4. VPOWER
    • 5. AUTOGAS
    • 6. ULP91
    • 7.N/A

  • 5.1.7 Number of splash guards to replace?

    • E10 x 1
    • E10 x 2
    • E10 x 3
    • E10 x 4
    • E10 x 5
    • E10 x 6
    • E10 x 7
    • E10 x 8
    • Diesel x 1
    • Diesel x 2
    • Diesel x 3
    • Diesel x 4
    • Diesel x 5
    • Diesel x 6
    • Diesel x 7
    • Diesel x 8
    • ULP95 x 1
    • ULP95 x 2
    • ULP95 x 3
    • ULP95 x 4
    • ULP95 x 5
    • ULP95 x 6
    • ULP95 x 7
    • ULP95 x 8
    • VPOWER x 1
    • VPOWER x 2
    • VPOWER x 3
    • VPOWER x 4
    • VPOWER x 5
    • VPOWER x 6
    • VPOWER x 7
    • VPOWER x 8
    • ULP91 x 1
    • ULP91 x 2
    • ULP91 x 3
    • ULP91 x 4
    • ULP91 x 5
    • ULP91 x 6
    • ULP91 x 7
    • ULP91 x 8

  • 5.1.8 Confirm number of nozzles to be changed?

    • E10 x 1
    • E10 x 2
    • E10 x 3
    • E10 x 4
    • E10 x 5
    • E10 x 6
    • E10 x 7
    • E10 x 8
    • Diesel x 1
    • Diesel x 2
    • Diesel x 3
    • Diesel x 4
    • Diesel x 5
    • Diesel x 6
    • Diesel x 7
    • Diesel x 8
    • ULP95 x 1
    • ULP95 x 2
    • ULP95 x 3
    • ULP95 x 4
    • ULP95 x 5
    • ULP95 x 6
    • ULP95 x 7
    • ULP95 x 8
    • VPOWER x 1
    • VPOWER x 2
    • VPOWER x 3
    • VPOWER x 4
    • VPOWER x 5
    • VPOWER x 6
    • VPOWER x 7
    • VPOWER x 8
    • ULP91 x 1
    • ULP91 x 2
    • ULP91 x 3
    • ULP91 x 4
    • ULP91 x 5
    • ULP91 x 6
    • ULP91 x 7
    • ULP91 x 8

  • 5.1.9 What Style of Boot?

  • Notes

6.0 Existing Pump Signage to change

  • 6.1 Grade Decals – QTY to replace, Pump and Dial face for site project?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    • 13
    • 14
    • 15
    • 16
    • 17
    • 18
    • 19
    • 20
    • NA

  • 6.2 Quality Fuels Mogas Range sticker - QTY to replace for site project?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    • 13
    • 14
    • 15
    • 16
    • 17
    • 18
    • 19
    • 20
    • NA

  • Pump Decal Photo(s)

7.0 Leader boards

  • 7.1 Style of Leader-board (2 different styles, refer to guide)

  • Add media

  • 7.2 Quantity Leaderboards to change

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    • 13
    • 14
    • 15
    • 16
    • 17
    • 18
    • 19
    • 20
    • NA

  • 7.2 Add details of leaderboars

    • Leaderboards

  • 7.3 Current Order of Product on Leaderboard (Top to Bottom)

    • 1. E10
    • 2. Diesel
    • 3. ULP95
    • 4. VPOWER
    • 5. AUTOGAS
    • 6. ULP91
    • 7.N/A

  • 7.4 What is the condition of the leaderboard?

  • Leaderboard Photos

8.0 Tanks

  • 8.1.1 Confirm number of tanks to change

    • T01 - E10
    • T02 - E10
    • T03 - E10
    • T04 - E10
    • T05 - E10
    • T06 - E10
    • T07 - E10
    • T01 - DSL
    • T02 - DSL
    • T03 - DSL
    • T04 - DSL
    • T05 - DSL
    • T06 - DSL
    • T07 - DSL
    • T08 - DSL
    • T09 - DSL
    • T10 - DSL
    • T01 - ULP95
    • T02 - ULP95
    • T03 - ULP95
    • T04 - ULP95
    • T05 - ULP95
    • T06 - ULP95
    • T07 - ULP95
    • T01 - VPOWER
    • T02 - VPOWER
    • T03 - VPOWER
    • T04 - VPOWER
    • T05 - VPOWER
    • T06 - VPOWER
    • T07 - VPOWER

  • Tank Details

    • Tank

  • What is the condition of tank asset?

  • 8.1.2 Tank Number

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    • 13
    • 14
    • 15
    • 16
    • 17
    • 18
    • 19
    • 20
    • NA

  • 8.1.3 Tank Product

    • 1. E10
    • 2. Diesel
    • 3. ULP95
    • 4. VPOWER
    • 5. AUTOGAS
    • 6. ULP91
    • 7.N/A

  • 8.1.4 Is this tank part of conversion project?

  • 8.1.5 Is this a system Tank?

  • 8.1.6 If a system tank, what tank number is the linked tank?

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    • 13
    • 14
    • 15
    • 16
    • 17
    • 18
    • 19
    • 20
    • NA

9.0 Dip/Fill Markers

  • 9.1 Number of Fill Markers to change

    • E10 x 1
    • E10 x 2
    • E10 x 3
    • E10 x 4
    • E10 x 5
    • E10 x 6
    • E10 x 7
    • E10 x 8
    • Diesel x 1
    • Diesel x 2
    • Diesel x 3
    • Diesel x 4
    • Diesel x 5
    • Diesel x 6
    • Diesel x 7
    • Diesel x 8
    • ULP95 x 1
    • ULP95 x 2
    • ULP95 x 3
    • ULP95 x 4
    • ULP95 x 5
    • ULP95 x 6
    • ULP95 x 7
    • ULP95 x 8
    • VPOWER x 1
    • VPOWER x 2
    • VPOWER x 3
    • VPOWER x 4
    • VPOWER x 5
    • VPOWER x 6
    • VPOWER x 7
    • VPOWER x 8
    • ULP91 x 1
    • ULP91 x 2
    • ULP91 x 3
    • ULP91 x 4
    • ULP91 x 5
    • ULP91 x 6
    • ULP91 x 7
    • ULP91 x 8

  • Fill Marker Photo(s)

  • 9.2 Number of Dip markers to change

    • E10 x 1
    • E10 x 2
    • E10 x 3
    • E10 x 4
    • E10 x 5
    • E10 x 6
    • E10 x 7
    • E10 x 8
    • Diesel x 1
    • Diesel x 2
    • Diesel x 3
    • Diesel x 4
    • Diesel x 5
    • Diesel x 6
    • Diesel x 7
    • Diesel x 8
    • ULP95 x 1
    • ULP95 x 2
    • ULP95 x 3
    • ULP95 x 4
    • ULP95 x 5
    • ULP95 x 6
    • ULP95 x 7
    • ULP95 x 8
    • VPOWER x 1
    • VPOWER x 2
    • VPOWER x 3
    • VPOWER x 4
    • VPOWER x 5
    • VPOWER x 6
    • VPOWER x 7
    • VPOWER x 8
    • ULP91 x 1
    • ULP91 x 2
    • ULP91 x 3
    • ULP91 x 4
    • ULP91 x 5
    • ULP91 x 6
    • ULP91 x 7
    • ULP91 x 8

  • Dip Marker Photo(s)

  • 9.3 Fill Box Markers Inside Fillbox? (Include number to order in 9.2)

  • Fill Box Photo (Only if possible in regards WPCG to site hazards map)

10.0 Location of Pumps/Dispensers & Product on each - Mud Map

  • 10.1 Location of each pump/product (Drawing)?

  • 10.1.2 Location of each pump/product (Photo of marked up plan)?

  • Comments:

  • Select date

  • Signed:

Project 91 - Site Survey
Tim Ryan

Project 91 - Site Survey

Site Survey

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