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<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><span style="font-size:12.0pt;color:#000099">As far as I know, mail-back companies cannot take back controlled substances, which is the category for most of the hazardous waste items.
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><span style="font-size:12.0pt;color:#000099"><o:p> </o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="navy" face="Times New Roman"><span style="font-size:10.0pt;color:navy">Deborah L. DeBiasi</span></font><font size="2" color="#000099"><span style="font-size:10.0pt;color:#000099">,
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Virginia DEQ</span></font><font size="2" color="#000099"><span style="font-size:10.0pt;color:#000099">
<br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Office of Water Permits
</span></font><font size="2" color="#000099"><span style="font-size:10.0pt;color:#000099"><br>
</span></font><b><font size="2" color="navy"><span style="font-size:10.0pt;color:navy;font-weight:bold">Email: Deborah.DeBiasi@deq.virginia.gov</span></font></b><b><i><font size="2" color="#000099"><span style="font-size:10.0pt;color:#000099;font-weight:bold;font-style:italic"><br>
</span></font></i></b><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">PH: 804-698-4028</span></font><font size="2" color="#000099"><span style="font-size:10.0pt;color:#000099"><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><span style="font-size:12.0pt;color:#000099"><o:p> </o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";font-weight:bold">From:</span></font></b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">
pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b><span style="font-weight:bold">On Behalf Of </span></b>Catherine<br>
<b><span style="font-weight:bold">Sent:</span></b> Monday, June 09, 2014 9:28 AM<br>
<b><span style="font-weight:bold">To:</span></b> 'Volkman, Jennifer (MPCA)'; 'Howard Anderson'; 'Ed Gottlieb'; pharmwaste@lists.dep.state.fl.us<br>
<b><span style="font-weight:bold">Subject:</span></b> RE: [Pharmwaste] What to restrict from drop-boxes?<o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Hi all,<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Actually, as you all know, a great deal of consumer pharmaceutical waste is disposed of via mail or send back
programs, which may be sent via air. So it is something to consider when putting together collection programs.
<o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Very truly yours,<o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Catherine Zimmer, MS, BSMT<o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Zimmer Environmental Improvement, LLC<o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">St. Paul, MN
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Ph: 651.645.7509<o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><a href="mailto:zenllc@usfamily.net"><font color="blue"><span style="color:blue">zenllc@usfamily.net</span></font></a><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";font-weight:bold">From:</span></font></b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b><span style="font-weight:bold">On Behalf Of </span></b>Volkman, Jennifer (MPCA)<br>
<b><span style="font-weight:bold">Sent:</span></b> Friday, June 06, 2014 10:55 AM<br>
<b><span style="font-weight:bold">To:</span></b> Howard Anderson; 'Ed Gottlieb'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">
pharmwaste@lists.dep.state.fl.us</a><br>
<b><span style="font-weight:bold">Subject:</span></b> RE: [Pharmwaste] What to restrict from drop-boxes?<o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:12.0pt"><o:p> </o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="3" color="black" face="Calibri"><span style="font-size:12.0pt;font-family:"Calibri","sans-serif";color:black">We don't restrict liquids or aerosols in MN and have no plans to do so. I
don't know why there is mention of restrictions related to shipment by air--for disposal? No one does that. This is not an issue. <o:p></o:p></span></font></p>
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<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:0in">
<b><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black;font-weight:bold">From:</span></font></b><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Howard Anderson [NDBoPh@btinet.net]<br>
<b><span style="font-weight:bold">Sent:</span></b> Thursday, June 05, 2014 9:24 AM<br>
<b><span style="font-weight:bold">To:</span></b> 'Ed Gottlieb'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">
pharmwaste@lists.dep.state.fl.us</a><br>
<b><span style="font-weight:bold">Subject:</span></b> RE: [Pharmwaste] What to restrict from drop-boxes?</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Sometimes we come up with so many scare tactics, we do not accomplish anything!</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Howard</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Howard C. Anderson, Jr.,R.Ph.</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Retired and Now</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Treasurer/Chief Compliance Officer</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">North Dakota Board of Pharmacy</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">1906 E. Broadway Ave.</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">P.O. Box 1354</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Bismarck, ND 58502-1354</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Phone (701) 328-9535</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Fax (701) 328-9536</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="#1f497d" face="Arial"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Web site
<a href="http://www.nodakpharmacy.com">www.nodakpharmacy.com</a></span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><font size="2" color="black" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black;font-weight:bold">From:</span></font></b><font size="2" color="black" face="Calibri"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b><span style="font-weight:bold">On Behalf Of </span></b>Ed Gottlieb<br>
<b><span style="font-weight:bold">Sent:</span></b> Wednesday, June 04, 2014 9:31 AM<br>
<b><span style="font-weight:bold">To:</span></b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">
pharmwaste@lists.dep.state.fl.us</a><br>
<b><span style="font-weight:bold">Subject:</span></b> [Pharmwaste] What to restrict from drop-boxes?</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="3" color="black" face="Times New Roman"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Hi pharmwaste listserv,</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">All drop-box programs list items that are accepted and items that aren't.
</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Sharps, bio-hazardous waste, chemotherapy medications, and thermometers are
almost always listed as not accepted. Some programs specifically restrict less (or more!) obvious items such as: trash, mail, and guns.</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">I think we can all agree there are good reasons for not accepting any of these
items. </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">What about liquids, ointments, inhalers, and aerosol cans? I regularly see
these on "not accepted" lists. </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Most boxes have internal, removable totes that should be lined with a plastic
bag. Liquid spills should not be a problem from the clean-up perspective. I've not seen any evidence that spilled liquids can cause dangerous chemical reactions to occur, an explanation I was given for one programs ban. Are there documented problems caused
by a spill of hydrogen peroxide, alcohol, or any other liquid medication? Can explosive conditions develop? Will active ingredients volatilize and contaminate the air if spilled alcohol dissolves medication it comes in contact with?
</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Do inhalers and other aerosol cans actually cause problems in a drop-box or
at the incinerator? </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">I believe that most programs copy their "not accepted" list from an existing
program. Maybe some of these restricted items could be safely accepted? Or, is it wiser to keep restricting them to avoid a possible hazard, however unlikely?</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">With luck, pharmacies will soon be launching their own programs, greatly expanding
the accessability of take-back programs. Can we offer them guidance on this issue? Your thoughts are appreciated.</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><font size="2" color="black" face="Tahoma"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Ed</span></font><font color="black"><span style="color:black"><o:p></o:p></span></font></p>
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<p class="MsoNormal"><font size="3" color="black" face="Times New Roman"><span style="font-size:12.0pt;color:black">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal <br>
Industrial Pretreatment Coordinator <br>
Ithaca Area Wastewater Treatment Facility<br>
525 3rd Street<br>
Ithaca, NY 14850<br>
(607) 273-8381<br>
fax: (607) 273-8433<o:p></o:p></span></font></p>
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