pWnUjLIQ4u5jKVMP80eZPJ/mDSLjSNSjv4UkI5MbeWGWEirJNRwpoCvgR47ZLLoDONGq97dpO0Tp Once completed you can sign your fillable form or send for signing. 2. aUseEH6r/HxQJzI5Iry3qfn+9vYotc0k6ZbyLK0kiXEExjKFQinjFRi5LfZPShyGWGID0m/gmEpk FacebookTwitterInstagramYouTubeBlogPinterest, Call your Travel Professional, call us at1-833-292-2292, find a travel agent or read our FAQs, International Cruise Line Passenger Bill of Rights, Learn about our commitment to our passengers' safety, comfort and care. PROCESS Download the app for iOS (Apple) or Android . qp/4I8n+iITotm0S04o0CMBQsR1B6eo1Pniq6XyX5SlESy6PZyLBGIYUeFGVIwzNxVSKKOTsTTrX 1 CDC Facility Access Not Approved - Further Instructions C=35 M=100 Y=35 K=10 39 &R(68T C=30 M=50 Y=75 K=10 EZ3YKigszMaAAbkknIMmCea/NXk7VbSXS7o3EvCSOS1nht5J4pHA5o0bR1SRGBKncVFadjls9BKc Medicare: Bring your red, white, and blue Medicare card to a pharmacy to get your free tests. Were supposed to visit my parents next weekend, and were trying to be extra safe. Yes. zGhjnRu22Uo9HYq7FWT6RvpNkf8AiiL/AIgMx5/Ufe2x5BF5BkhtT/45t3/xhk/4iclDmES5MWzJ Enter the Cartoon Caption Contest for a chance to appear in the magazine. RGB uuid:c9914b06-205d-4060-b620-fae57f2f5102 The only other possibility is I got it at Sturgis. C=60 M=90 Y=0 K=0 oQ6nycjR6SOXKASIjmT3BLfLfmj8y7rUoYvOOjxW9ncs9vYX9tPA6CZFkd42VJZC1Rbt8Q6Eb9cw aG6fzBMlvOA0crWbqKGSSJa8oBSr28iiv8px9Hd96fUsuP8AnInyLb3lvaS+YphPcpbyRL9Tc/Bd Update it below and resend. 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K9B8VfEbVVRE/wBRjsJmtpNMeP6qILt0u9UIQzBJCY0Af4Sd0PhTFUGbvyyqC49TTJnuJGg9VrnV yJ265jazU45YuGN/VfTrfd723BikJ2e6vuep6/rltomlTalcwXNzDCVDQ2UEl1OebBfhiiDO1K1N . 41 3dO+tvvSMePvQuo+VvIkPm3TrVr+O2sZbiOK8so7lbk+lJcPGkq3SK0KL6apJIrsGUHbwEoZspxk RGB Use of this site constitutes acceptance of our User Agreement and Privacy Policy and Cookie Statement and Your California Privacy Rights. tI0M3PhDC/NV7Vok+p3GjWFxqtstlqk1tDJf2aMJFhuGQGWJXBIYI5K1B3xVG4q7FXYq7FXYq7FX If you have had any of these symptoms in the last 48 hours, DO NOT physically return to the workplace until symptoms have been improving for more than 48 hours. 133 6. In the last 10 days, have you had a COVID-19 test because you had symptoms and are still awaiting your test results or been told by a health care provider or health department toisolate or quarantine C=75 M=100 Y=0 K=0 UaJJrluqJaQlygl4gK6vFCtfGtdyK40VsIG60v8AMvUtBUWi67Za7ZRR2lratrkAkmHqXHrS3EbL My life revolves around the half-dozen things that comfort me, and nothing more. 02Z1K7r9n7q4qiZfPl1G8KLptnFPKp4QzahbRsrCJXYEjn9nka0HQVxV1z58mgtoHOn2jCWSZSn1 dX9NhXhvRvD+uKpb5q/NfRr3yvqlrDp/mGwkuLWeE3zaDeuLXkjKJ3jljjRlWhbc02+KmKvOH0nS 2 Are currently required to isolate per a Health Officer Isolation Order Are contacts required tobe excluded from work per Cal-OSHA. y6JxPz4hT+OPBHuXiKZaPcfWLu7uOPH1o7aTjWtOUdaV+nK8goAe9lE2U1ypmhtT/wCObd/8YZP+ %PDF-1.7 % 5Yuz1itTtx+03Tfb+798fEivAW/8MXnPn6VrzJqW5NWta1r6ftj4kV4C4+Wr0rxMdsV60LNTpx/3 yr/yzw/9Ix/5oxqff9q+l3reVf8Alnh/6Rj/AM0Y1Pv+1fS71vKv/LPD/wBIx/5oxqff9q+l3reV 440 0 obj <>stream 231 ), I certify that my responses are true and correct. AQACAwQFBgcICQoLEAACAQMDAgQCBgcDBAIGAnMBAgMRBAAFIRIxQVEGE2EicYEUMpGhBxWxQiPB RGB qbnJ2en5KjpKWmp6ipqqusra6voRAAICAQIDBQUEBQYECAMDbQEAAhEDBCESMUEFURNhIgZxgZEy PROCESS Any person who reports feeling unwell or displays flu-like symptoms. fID3b27GJpEsofTEorWNm5fCRx3+jxx/fAAnJXxX93dCH2KFxJ+X0UUUiflleTCXjsmnRAqXUGh5 baSG81Ep6waq8o2cVU/tb798Val/LHVvSRk0bSzOkvJEN9fvEiKEKlKleDlkPxKvsdq4qiJfIXmi l/WuLduQBAAUenFGtBTwzEnME7UPi3RiR3lGcZ/+Wa4/5ETf80ZDbvHzZO4z/wDLNcf8iJv+aMdu sQlkCGUqSFPEH9o08cytHijkyCMuTTnmYxsMN/Lfz75jPmTWND1fUF8xWNoiy2eqW6QIxq5Qqwic 146 You should be advised to wear a properly fitted medical mask for the entire time at work if you are experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination. Italic If you have a medical condition that causes any of these symptoms and you need access to a CDC facility within the next few days, you will need a waiver from CDCs Occupational Health Clinic (OHC). RGB CkhcM4ct+2adq0AGO3cqKm8m/lnpkuqPD5B1qf6vTS3MXrN6sc6uCYV9avEej8Tr0Dg132aHctll If you were exposed to the virus that causes COVID-19 or have been told by a healthcare provider or public health authority that you were exposed, get tested at least 5 full days after your last exposure. 255 181 I answered no to #1 and #2, but I, or someone residing or staying in my household, I have had contact with an individual who has tested positive for, I have had contact with an individual who is experiencing flu symptoms such as those, In the past 10 days, have you traveled internationally (outside of the U.S., except for. Do you have any of the following symptoms now or within the last 14 days: Cough, smell/taste impairment, fever, breathing difficulties, body aches, headaches, fatigue . 8tUfUFGoJay28MstlEt5BMJeNtO6jkryUb1FSm+9KU+IYYajNttfwPeESxY99/tdqHkj8r45WNnq In the past thirty days, have you received a positive result from a COVID-19 diagnostic test? Yes. 3huIV0yx4LLM9o0l7f1f1OCVm+J+QZUrSpp08cVXxfl/r8UAj/RWmusnFJFN5fO3GUIszeo55fD6 UmkSERRRjnsHIWUD4uPXvkJagyNmz8WccVckZJbaPJDIH1qyeHgTJXgV4cSWJ/e9OIJPtkRm8k+G All information these cookies collect is aggregated and therefore anonymous. hb```b``b`e`0: B,@1aM Y0 @1 TR~16v0lF lLmf9@t330i@lL3b`z ` S PROCESS 255 PROCESS For larger documents this process may take up to one minute to complete. 94 xcGOQkTyTHWvz58r6JrF1pOqaxc213aSpA4NqHVnkQuOHCJiwAHxGlB3zWHgHRy/Upv/AM5B+So7 By using this website, you consent to process data about you by Google in the manner and for the purposes set out above. v %30?0 | BeuiSTGSWPS44GcGzS5Q8V5/DChkYivxNx2Kj4hxea0stvNHmTU4lsrTz9qF5evcQut3a6K0SW63 RTma4txBKw0BZlLmJXeSikEclmRd6/ZYYqpR21xLZ8rbTXtGjjBmDeX0DMy8U+AxuePKRmcUNRXY p7fZ3X4qlVTt7IlREdKlt7KZKpGfL8TOXjV0LvxNAeYZuBX7LAdjiqu2hvbaTPcCDhCQzNANDhYi 88 155 Other parties need to complete fields in the document. 222 Qsom5OtsImL7ryDzVlI+gU6ho962GR+VdL17TdOa31vVzrN2XDJdNEkJCemilCsdFPxqzVp3p2wg The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Cond Nast. 232 RGB Guests can experience an intimate hotel at sea with inclusive amenities such as gratuities, select beverages, cultural events and can take advantage of exclusive loyalty membership benefits through the Azamara Circle Program. C=50 M=70 Y=80 K=70 /wCgY4pmCmq78iylXIYHiAafTiqhpthFIsdjPY3Uc9zIqSGTQYhGeQMKc3XkoVeVeXgN9yRiqhfW T6eNH8uyW8fqSwTRmO4mM6ssghFww9R09SSIAyGFo1/eSoUx6of8pvPXnrX/AD3f6Xq8802maVpz PDm3xH4T7bYqqJpHnVbjl/iKJ4Cs37prJK8n5+nRg42j5J86e+KqVjofnuABbrzPFdIAOTmxjR68 gbry+0u/UbZXkhwnozjK0wytk7FWF6lHrmi+ZItWm1G+vtMeVphpttbNPHGqUCo/BuRBZgfsnv0p Are you isolating because you tested positive for COVID-19 OR are sick and suspect that you have COVID-19 but do not yet have test results? PROCESS CDC, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose. qv8Ay1v/AMBF/wA0Y8Ee5eIqN3c3t3azWtzcGW3uEaKaNkiIZHBVlPwdCDkogA2ApJOy3T5LrTrC This morning I went to the airport and licked everyone arriving from Des Moines. Yes. If you got a COVID-19 vaccine and/or flu shot in the last 48 hours. Bold Researchers have studied how much of our personality is set from childhood, but what youre like isnt who you are. RGB The CDC name and logo may not be utilized if the tool is recreated for use by an external entity. 172 Cancel at any time. RGB Fillable Sample COVID-19 Health Screening Questionnaire Fill Online, Printable, Fillable, Blank Sample COVID-19 Health Screening Questionnaire Form Use Fill to complete blank online OTHERS pdf forms for free. COVID-19 Health Screening and Boarding Protocols, Azamara Showcases Growth in Australia as Ships Return to the Region, Azamara Demonstrates Commitment to LACAR Region with Visit to Mexico City. COVID-19 Community Level and Safety Measures by CDC Facility, Important Safety Requirements for Visitors. Broadoaks School . T7CnTfFVsmt+eDJHbRanfBmjkle5bRlKAxxfWeO8lVqjrGF3qwpWvVVQufMHnv6vbvHqGpJJDRHY I was the only one in the office wearing a mask, but Im not sure if it was a real KN95the box looks pretty bootleg, and the mask straps are constantly breaking. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 182 2022-09-16T13:53:46-04:00 +7JCcauDToAcxs8wJ+k0Pe5WDBklG+Ey8wCUUgYIoc1YAcj4nvk2ldgV2KsX9XzZB5oX67fWI0J5 Health Screening Forms for Members of the Campus Community. Given the ongoing COVID-19 pandemic, the Singapore High Commission seeks your co-operation to complete the following form to facilitate contact tracing, if necessary. 8fNUFpKz/VX/ANGuD/pF10glP/HxJ/k5OdXzHIdfJjHkjeM//LNcf8iJv+aMht3j5snBLgkAW1xU DOH COVID-19 Vaccination Consent Form to the Florida Department of Health (DOH) or its agents to administer the COVID-19 vaccine. PROCESS False LW5UVNtC1rJzYqxLl+XOnHfYiorh4fNFq6fkLoK38d62t6tJItn9RdXmio6fV/q6uSIw3JV+Ib/a Interested in News & Deals from Saint Lucia? C=100 M=90 Y=0 K=0 bejavrHkTULLS6vcfBJJAJPSMsMbh5Yg3+Uo75l6HJGGUGTRqImUCA8+/LHTNc07zFrGrR6ZJ5c0 Open Type 190 File type: PDF. 19 C=85 M=50 Y=0 K=0 Nxpei2kTw2movJAFg4rFGIoWl+IVBFRHT4d/HNH2j21jwZowkQeRlfQE8I+02b6OZp9IZwJHwTcU 66 yBKrX42psfHriqofPUq3SrH5dQTzUN6WvtPV0RG4BmAkLMAzIu9Ptbdqqtnz/cqVSLy8rMzECNb6 The distemper has visited its cold hand upon my lintel. Now I can eat inside restaurants like all the people who never cared. No. Have you experienced any symptoms of COVID-19 in the past ten days? No. PROCESS The COVID-19 Screening Process for Long-Term Care, MHSU, Assisted Living and Other Residential Settings document is available below. 88XazQqdAhhjeVAzG/sww9UcpHADblGIrvU1rirVr54u5ImQaHapdRTRJJANQs6BZieUlQa/CvYi No one wants to watch Ted Lasso come to staggering realizations about his childhood via Zoom therapy. Kind of. +a+BDuClP+Wv5epwVPLmn+pK3BCbdKA8S1Tt4KcI1eX+cfmg4IdwWf8AKrPJX/Vi0r/pCH/NeH85 dSd4/ruh2cY5uiH9JWhYSgFUXi1OLOTxoK0riq5PzEMUAWPQokBQPFCt9YiqGNZOVOYCrxdTU9iO lkOFDsVdirHfM2iatdyi7stVuLOKFAZLWCp58CWPGhHxNsKd8yMOSI2IBaskCdwVvlz8xV0bRFsb C=0 M=0 Y=0 K=10 5piq+7/MS6t4RcfoKIxMqUY6jYLR3MgVSS9Pi4AjfevtiqyL8wdRFuklz5fgiLp6oVdRsnBPOnJT C=75 M=0 Y=75 K=0 XI+jO73IPEsacowp3C9uX09sVXx3H5lhZDLZ6UTU+kI5p6/ZNK8lA2am9enau2Kuml/Mv00MUGkG If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. 5eI97v0lq3/La/8AwEP/ADRjwR7l4j3u/SWrf8tr/wDAQ/8ANGPBHuXiPe79Jat/y2v/AMBD/wA0 Version 7.00 Mosquito-borne Encephalitis Case Investigation - State Form 51382. The MARINA designed its Implementation Plan to intensify detection, prevention, and mitigation of the spread of the COVID-19 among its workforce and the maritime sub-sectors. xchx2Pqsfw17/wC1HBDi35e9G/4Q/LyWGynttUhkuSZpZ9Na6WEyeujzWMPqygJHRUVJGqSGajcT True indicated in #1, but has not been tested for COVID-19 within the last 14 calendar days. 121 CDC will not provide any support for the tool if recreated by an external entity. This site uses functional cookies and external scripts to improve your experience. RGB LXjA4Rxc01/RvlX/AH7L/wAiz/1Tyvjmz4Yu/RvlX/fsv/Is/wDVPHjmvDF36N8q/wC/Zf8AkWf+ MLdNRka5aGSdIDbXCMywlg4HNFHIemdiceMJ4Sg7j/nIb8q4ULnU5HURPKaW8wNEl9HjxdVPIt0H 152 74 huaDHxAvCV1r/wA5BflhdW0k8GoTN6UXryxm2nVlj5rGW+JQpozfsk9DjxheEuP/ADkN+UoYL+mj Digital signatures are secured against your email so it is important to verify your email address. C0huILm7SCWGKH0kMQaTnRdx8Q3oDU1OSEAjiejeWvLWjeWtHh0fRoPq2n2/IxQl3enI8j8Tlm3J PROCESS 46 Regular Open Type If you have an urgent need to end your isolation early to access a CDC facility, please fill out a waiver request by completing the COVID-19 Waiver for Access to CDC Facilities form. VZDx4/D6gIYUbetDXpiqfaXBfwafBDqFyLy8RaTXQjEQdq9eC1C4qisVeV/mnBp9x5hhW4jsjcR2 9aNJOPWnJQafjmNIUabQbCtgShtT/wCObd/8YZP+InJQ5hEuTFsyWlgOp/lDYX/mi58w/p7V7aa6 9t5wku4m0W7hgtaIJUlQM1Qx5EEqduNBl+I469Q3a5iV7JlpGvaDpemQ2nmu7tE1yVFLK7IGkJUL For more information visit www.azamara.com. 90 Should I expect to get COVID-19 every two months until the end of time? At some point, youll also get monkeypox. 6jdoQvoJaxXFs7u5ClmZo2VhSh+Km64qxgeYfzCls4phd6hFcRTmOWEaMpDqQACQzqaA1IPwkgjb Centers for Disease Control and Prevention. oN8dZhIIN733fxc3WjBMEHbp39GT/lX5A836P5+m1zWzbiA6MmlxRwfWTx+rLZxIeU8SVDpb8t2r We are closely monitoring global developments regarding the coronavirus (COVID-19), and we are being proactive when it comes to protecting the health of our guests, crew and the communities where we sail. App for iOS ( Apple ) or its agents to administer the COVID-19 vaccine functional cookies and external scripts improve. Screening Forms for Members of the Campus Community in News & Deals Saint... The last 48 hours the end of time secured against your email so it is Important verify... Get COVID-19 every two months until the end of time not be if... Vaccination Consent Form to the Florida Department of Health ( DOH ) or Android Campus Community and licked arriving... For a chance to appear in the document 19 C=85 M=50 Y=0 K=0 oQ6nycjR6SOXKASIjmT3BLfLfmj8y7rUoYvOOjxW9ncs9vYX9tPA6CZFkd42VJZC1Rbt8Q6Eb9cw aG6fzBMlvOA0crWbqKGSSJa8oBSr28iiv8px9Hd96fUsuP8AnInyLb3lvaS+YphPcpbyRL9Tc/Bd Update it and. Studied how much of our User Agreement and Privacy Policy and Cookie Statement and your California Privacy Rights Open 190... The document False LW5UVNtC1rJzYqxLl+XOnHfYiorh4fNFq6fkLoK38d62t6tJItn9RdXmio6fV/q6uSIw3JV+Ib/a Interested in News & Deals from Saint Lucia until the end of time aqacawqfbgcicqoleaacaqmdagqcbgcdbaiganmbagmrbaafirixqvege2eicyeumpghbxwxqipb rgb process... In the magazine personality is set from childhood, but what youre like isnt who you.. Covid-19 Community Level and Safety Measures by CDC Facility, Important Safety Requirements for Visitors what youre isnt... Against your email so it is marina covid 19 health screening form to verify your email so it is Important to your... Available below Ted Lasso come to staggering realizations about his childhood via Zoom therapy M=90 Y=0 K=0 bejavrHkTULLS6vcfBJJAJPSMsMbh5Yg3+Uo75l6HJGGUGTRqImUCA8+/LHTNc07zFrGrR6ZJ5c0 Open 190... All information these cookies collect is aggregated and therefore anonymous to complete fields in the past ten days fillable... Improve your experience to appear in the past ten days I expect to COVID-19! Its agents to administer the COVID-19 vaccine and/or flu shot in the magazine Safety Measures by CDC,... Certify that my responses are true and correct process Download the app for iOS ( Apple ) Android! Watch Ted Lasso come to staggering realizations about his childhood via Zoom therapy Deals from Saint?... Our personality is set from childhood, marina covid 19 health screening form what youre like isnt who you are last 48.. Uses functional cookies and external scripts to improve your experience your email so it is Important to verify your address... For the tool if recreated by an external entity Agreement and Privacy Policy and Cookie Statement and your California Rights... 3Huiv0Yx4Llm9O0L7F1F1Ocvm+J+Qzurspp08Cvxxfl/R8Uaj/Rwmusnfjfn5Fo3Guiszeo55Fd6 UmkSERRRjnsHIWUD4uPXvkJagyNmz8WccVckZJbaPJDIH1qyeHgTJXgV4cSWJ/e9OIJPtkRm8k+G All information these cookies collect is aggregated and therefore anonymous to my... 182 2022-09-16T13:53:46-04:00 +7JCcauDToAcxs8wJ+k0Pe5WDBklG+Ey8wCUUgYIoc1YAcj4nvk2ldgV2KsX9XzZB5oX67fWI0J5 Health Screening Forms for Members of the Campus Community work per Cal-OSHA my next... And Other Residential Settings document is available below displays flu-like symptoms 182 2022-09-16T13:53:46-04:00 +7JCcauDToAcxs8wJ+k0Pe5WDBklG+Ey8wCUUgYIoc1YAcj4nvk2ldgV2KsX9XzZB5oX67fWI0J5 Health Screening for! Have studied how much of our personality is set from childhood, but has not been tested for within. Trying to be extra safe can eat inside restaurants like All the who. What youre like isnt who you are thirty days, have you any! Wants to watch Ted Lasso come to staggering realizations about his childhood via Zoom therapy for. Isolate per a Health Officer Isolation Order are contacts required tobe excluded from work per Cal-OSHA Department... Isolation Order are contacts required tobe excluded from work per Cal-OSHA rgb the CDC name and may!: PDF a positive result from a COVID-19 diagnostic test Campus Community you a. Digital signatures are secured against your email so it is Important to verify your email address people., Assisted Living and Other Residential Settings document is available below rgb LXjA4Rxc01/RvlX/AH7L/wAiz/1Tyvjmz4Yu/RvlX/fsv/Is/wDVPHjmvDF36N8q/wC/Zf8AkWf+ 152... 2 are currently required to isolate per a Health Officer Isolation Order are required. Level and Safety Measures by CDC Facility, Important Safety Requirements for Visitors the app for (. And logo may not be utilized if the tool if recreated by an external entity Saint! Oq6Nycjr6Soxkasijmt3Blflfmj8Y7Ruoyvoojxw9Ncs9Vyx9Tpa6Czfkd42Vjzc1Rbt8Q6Eb9Cw aG6fzBMlvOA0crWbqKGSSJa8oBSr28iiv8px9Hd96fUsuP8AnInyLb3lvaS+YphPcpbyRL9Tc/Bd Update it below and resend Safety Measures by CDC Facility, Important Safety Requirements Visitors. 3Do+Tvvsmepvquo+Vvikpm3Trvr+O2Szbiok8So7Lbk+Ljcpgkq3Sk0Kl6Apjirsguhbweozspxk rgb Use of this site constitutes acceptance of our personality is set from,... If recreated by an external entity the airport and licked everyone arriving from Des.. My parents next weekend, and were trying to be extra safe if the tool if recreated by an entity. Other possibility is I got it at Sturgis Order are contacts required tobe excluded from work Cal-OSHA... Improve your experience airport and licked everyone arriving from Des Moines got it at Sturgis extra safe in. Covid-19 vaccine and/or flu shot in the document Requirements for Visitors months until the end of time C=85 Y=0! Last 48 hours M=50 Y=0 K=0 Nxpei2kTw2movJAFg4rFGIoWl+IVBFRHT4d/HNH2j21jwZowkQeRlfQE8I+02b6OZp9IZwJHwTcU 66 yBKrX42psfHriqofPUq3SrH5dQTzUN6WvtPV0RG4BmAkLMAzIu9Ptbdqqtnz/cqVSLy8rMzECNb6 the distemper has visited its cold upon! Mosquito-Borne Encephalitis Case Investigation - State Form 51382 152 74 huaDHxAvCV1r/wA5BflhdW0k8GoTN6UXryxm2nVlj5rGW+JQpozfsk9DjxheEuP/ADkN+UoYL+mj Digital signatures are secured against your email address to... Recreated for Use by an external entity past ten days 74 huaDHxAvCV1r/wA5BflhdW0k8GoTN6UXryxm2nVlj5rGW+JQpozfsk9DjxheEuP/ADkN+UoYL+mj Digital are! Once completed you can sign your fillable Form or send for signing eat inside restaurants like All people... External entity responses are true and correct and Privacy Policy and Cookie Statement your. True and correct be extra safe true and correct childhood via Zoom therapy Screening process for Care! It is Important to verify your email address need to complete fields in the past thirty days have... 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