2247I. OTE: q,
With proper validation
,this form constitutes an CITY OF LA QUINTA
` encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
andjother like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE: October 13, 1994 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Airport Blvd & Madison Ave
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install 4" gas main Sketch (attach constructionlans if appropriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION Trench in earth and A.C.
See attached conditions
See attached plans
DIMENSION OF INSTALLATION OR REMOVAL See Plane
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10«-26-94
APPROXIMATE TIME OF COMPLETION 2-1-9i
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials,,and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
,
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at leasti twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Rhodesia Ashley
Signature of Applicant or Agent PERMIT COORDINATOR
SOUTHERN CALIFORNIA GAS COMPANY P.O. BOX 3003 REDLANDS, CA 92373 (909) 335-7764
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Telephone No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee —0—
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ —0—
Receipt No.
Received by Date
Recorded by
2241
PERMIT VALIDATION
PERMIT NO. 2247
DATE APPROVED
10-13-94
EXPIRATION DATE 2-1-9f-4
DATE IS UED 0-13-94
By
Administrative Authority
TELEPHONE: (619) 564-2246
GWO# 71816
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, drivewa ss.vements, sidewalks, parking lots, sewers, water mains
and other like public works improvements iin i&Niffm'Mli®R IMPROVEMENTS and APPROVED SUBDIVISIONS
OCT 1 11994
3 Subdivision Improvement Permit — Class I II
DATE: OCTOBER,4; 1994 PUBLIC WORKS Mina Improve mnt Permit Class IV
LOCATION OF CONSTRUCTION AIRPORT BL & MADISON Av
(Street address or Description of Location) ,, A ,� ly
PURPOSE OF CONSTRUCTION �'" "� Cz Sketch construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ALI r-AL"t"t- To install 2,597' of 4" medium pressure
A,tJD plastic gas main 14' S/CL of Airport B1,
beginning at the City/County boundary
DIMENSION OF INSTALLATION OR REMOVAL '�-� line, continuing west.
To install 970' of 4" medium pressure
plastic gas main 10' E/CL of Madison Av,
SIZE OF EXCAVATION, IF NEEDED beginning 19' S/CL of Airport B1,
continuing north.
APPROXIMATE TIME WHEN WORK WILL BEGIN Oct- 26. 1994 To install 90' of 4" medium pressure
plastic gas main across Madison Av
APPROXIMATE TIME OF COMPLETION Feb. 1. 1999 approximately 946' N/CL of Airport B1,
ESTIMATED CONSTRUCTION COST: beginning 10' E/CL of Madison Av,
(Including removal of all obstruction, materials, and debris, backfilling, own- continuing west.
paction and placing permanent resurfacing and/or replacing improvements) SEE SKETCH THOMAS BROS PG 225 D4 CUT
In consideration of the granting of this permit, the applicant hereby agrees to: ASPHALT
Indemnify, defend and saw the City, its authorized agents, officers. representatives and employees. harmless from and against any and all
penalties. liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at Nast twenty-four (241 hours in advance of the time when work will be started.
Comply with all applieaws City Ordinances, the [arms and conditions of the permit all ruffs and regulations of the City of
Le Ouims and to pay for any additional replaownent imam, v as the result of th'
. '- �Si'•r�'1�'4.�c .. ....ori_ -• _ T-. .
1• _ _ Rhodesia Ashley
- - Sign of Applicant or Agent PERMIT OORDINATOR
S U AL 71417764
Nance of Applicant (pies print) . .- _ Business Addnee elephone Na
Name of Contractor and Job Foremrs Busirwes Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvenwnt Permit — Clau IV: Sw attached sdwdule -
Inspection Fee t
Permit Fee dp
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No. —�
Received by ate
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED / C>11 3 (:;�
EXPIRATION DATE /
DATE ISSUED �—
By
Administrative Authority
TELEPHONE: (619) 584.2246
r rl
y.
"he following tienenl and Species Provisions are attained to and made a part of Permit No.
V -
GENERAL PROVISIONS
The following snail always appal:
ENCROACHMENT ON PRIVATE PROPERTY' r7 his permit authorizes work to be accomousnso within City at La Quints right at wav
ONLY. Whenever construction extends within onvate crooenv. it snail be the rewansionity or the oermrctea lar MIS contractorsi to
secure permission tram abutting property owners. Such authorization must oil secured by the permittee prior to starting waric
TRACKLAYING CONSTRUCTION EQUIPMENT: Clestao trecklavinq construction edulOmem shall not be oermrcteat000ereteon arty
0:no o req c rimes!fmodwimS aced street Deas. All mg,crloniCel OU[nggefS shall befmild Witn tUbpefstreetshoe!l0 bfoenv
;rte oevinq dtirmg excavations. RubberubOer•tired edutomem only snarl be used in baiyttill operations in pavap areas.If the existing
Pavement is wired. soallod or brciten during tria term at this contract. Or tt the pavement is ndmartad. City at La Quint s
that these tarpons at rasp be resurfaced aver their entire width. Resuang shall consist at one cost of two mcnsahrequest
oil112'of A.C.
surtaang plus scorotmate teal con as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas snail bacrocieny lighted
and barricaded es deemed necessary by the City
Engineer or La Quints City Public Worsts inspectors. Suitable detours and detour signs shall be placed aro ma sntalned for The duration
Of the project. The City shall be notified 24 Hrs. in advance of any traffic detour or delinesborls.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe. concrete pipe. steel culvert and
t:OKQOie structrires enCOumefed during exriYellOn wnlcn necesslut remdvel snag be realaceo to kind. In the svent.lt becomes
neceswry to remove or cut existing drainage structures. City of La Quints shall be notified prior to commencement of this work.
Drainage Structures end Open proms shelf be kept free at done at oil limes tar proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill oparaticns ansa be removed from the right of
way. All paved surfaces snail be broomed dean of earth and other objectionsale materials immepiste ty slier Datylfill and compamainon.
rn
Existing guitar hne and drainage ditches shall be replaced to then original stndarc of pager. All excess materia) {keg be n.
prior to caving. Water tanker shall be used. as required. to sprinkle the job sate to keep dawn dust conditions end snap be titled
immediately after baeldill.
DE -WATER OPERATIONS: If dewwarenng operations are required and pumps are forcing wateron City of La Quint 1`04412. it shall be
the responsibility at the corminee ICOnTractori to control this water and to Provide all -street barricades when necit agery
CLOSING STREETS: No street shall be closed. A minimum in one sane of Ira }fi'cshall be maintained at all times tap provide limited
a¢efor me adpinin9 property owners aro antrgenev venictes. In the event It is tett by the permmee that nil must Lose • nron for
any iengpl Of time. Der mittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The fottnnng 5111111 apply ONLY when indicated:
R1 NOTIFICATION: Perinmee shall notify the City at 77-7075
at least 48 hours in advance of starting cenmuction
R2 CASH DEPOSITS OR BONDS: A co an bond or an approved surety bond in an amount of not less in an s
shallbe furmsned in the name of City of La Quinta to cover all worst involved in the restoration of the vanOus Ls Quint
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bald must be
Posted prior to Commencement of any work'an this project.
R3 UTILITY CLEARANCE:(Substructures) Prior to making any excavation ymthmtheCityOflaOuintenghcofyiret,a orizea
by Permit. t th0 pa existing meeguru shell res e s all eonam do utility COmpames relative to the locan0rl of existing subQructtires.
. Damega ra tles.stibswctuna reauKing nom operations cond— under into permit shall be the sole resDarmbiliry
of the permmes.
R LTTY CLEARANCE: (Surface structured No work Shag be done under this permit urml all utilities an dear of the
Proposed work site. The Perintmee snail notlty all coneernea utility companies of the Proposed Waris
R5 PAVEMENT WIDENING: Area between the Proposed do lasts
Surfaced with inches of A.C.paving placed m1 9=111' line and the existing road pavement shall be
having an'R'value dfnixloss man i^chesatclass agpregateaubbawCpurse
and in conformance with Cityof La Quints Road Improvement Standards
and Specifications. Ordinance 1481.
PARKWAY GRADING: Area between the property line and top of the proposedtonCretacurbshallbegradedtOattopeof
1/4 inch to one foot (1 1.
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the
constructioconcreteproposed concrete curb and gutter
RB GRADE CHECKING: City of La Quanta snail check graces upon racer
a licensed engineer. ptotPlan and orafileand/or graces aaesta0liahodby
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 too)Shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb. matching ccncmis gutter and
concrete driveway approatxl shall be constructed in conformance with City of La Quints Standard #207.
RIO DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing Grain age pattern. Surfacing between the
property line and the existing road caving shall be 2-1/2 inches at A.C. paving placed on 1 of claw
aggregate case. Driveway Construction snail conform to attached drawing.
R 11 CULVERTS. A :ncn mameter 1 %Culvert snap be insianed with the invert ancroximatety 1.1 /2
renes below and in line with the existing flow line. Culvert installation snail Conform to the attatYtad Growing.
R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction snail be assured and maintainso.
R13 . SOIL STERILIZER: The area to Oe surfaced shell be Treated vritn soli sterilizer. Rate of apptication snail ce^iprywith the
manutacturer's specifications,
COORDINATE WORK: The proposep work shall be subordinated to any operation which the State of California or
City of La Quints may conduct in this area during the penoddf this permit. Wort shall be coordinat
CIN of La QuimPred month the State or
a forces to eclude delay or interference with State or City of La Quints orojeets.
R15 SURVEY MONUMENTS: Prior to excavation or beginning at constriction, all survey monuments wnial exist on the
contorting, of all sv"m Or property lines when involved Shap be or ati
be reOdmOtetety flap cut so they may Os flamhand correctly
redrawnDyaItCeltip ctVtlengineer Ri'eydrnthe axpense arhe Oertnrft*&ACOMIN to not at nota olowinq the
ties to ping monuments sisal) be furttianad tO fha City EnglMa drta to tna rerrgeel a snv mdnumema. This official shall
W rationale upon COrrlgapOn o► ndiaaemetR a 111) eurvev nlorwarlarite 1'O► erWM tarereer eiwerwrirt.
... ': J•• P.Y,:.r ?"•... :P}^. ... -y': +.'ch':r;:;:a•.;.!,:fl'�7.-,..-v-I L:.+,. n: tV�•.>Y^4:>'. ;.r:.�9�. .. _ .•tYVt�: .... .�i •. .... .. _ -,S ^N.. .,.FT . ...
%1 La Uunta and suctaote cavmem or guarantee or oavrtlentconstruction. aii survey monuments snailbetiea
small be mace as rermoursemem toe aa' cutovt.ily
R17 °AVEMENT CUTTING: Pavemem will be mecnanwauv cut to •arra warft irnoyea.:
cuninq snap be eporoveq throuon trio office or trio City En insar. r9m so" pricy to rrxeayatiam• Method of paw
oe used to excavate prior to cuttkno or oavementt. Excavation matereai small be o aced ncircumstances asuc� xa Poatin
iaautate the general now or vafnc. Prior to nhal oavin 9 equtorment
corremea. 9 operations, env damage to cavemen[ straightition as to nest
R1
PAVEMENT CUTTING. Pavement snail be saw cut onor to re 0090 small be
Pavement sttaignt edge snail be corrected, removal. Prior IO tin81 Davinq Operettans,
any R1 OMIT OF EXCAVATIONS: Excavations snall be limned to 1.000lineal feet or coon trencn before oackfdlo gr vantage to
begin. All excavations small be property barricaeea witn tigmts Overmgnt, on we vixens and nolteays tdrthr
the travelingwenons must
Pucac. The Public Works Insoaaor snail ootrrmine trio sultaplllfv or excavation oarrteaatng th eeen action of
excavation small remain open for a cariod exceeding five 17) days.NO excayatidh snail ti moor Unless the
material is actually on ins wok site. excavation No
• R20 BACKFILL MA construction
MATERIAL Baclttlll shall be free at brush. roots or atnerarganicsubstanceeetrimema.. ,
Of Producing an adequately consolidated baclttill. Any material %mem the Civ of La
sattirmtaa material) which is encounrerea during excavation snaa $ tlfetar Purposes
riot be used for pacldt tl but shall be s suable Ispongyo f
repfaeod by an epprdve0 Sano or gravel.
R21 BACKFILL SAND: Bac till shall bewoman.,",,Poren+emed or
M11116 feet 13'1 and vtbated us approved ulvai sand ar equnalent and shall be placed in lifts tit
calla a relative camosalon 95 m Shaft O rSTa�ned within Ails mate methapamey be suO nOIluted .�awrthan
R22 BACKFILL PLACEMENT: Bacldill shall be eomtad in favors o n k.aural section of the raaawny. Out m any
before flooding are maximum of fivW of more than 50 percent Of the total tl
backfill material is nota °oemeihswmeretrencnes�te �elat0beelothatrenee
resulting eomoernon shall Ipe nrot Tess than 9pparder�rr (among operations. Backtill material shall be oke ntattne
compaction. Where coning or flooding Is used for a maximumalaneto the surrounding ground. which a0 that me
the water. Where sememem. a agptoretain
temng 1! used, the len shall be of sufficient 1 deduate ddcos wtfl be canatruaed to renin
supply Shall -be continuous. angth 10 room the bottom Of earn :ayer and the water
/R23) COMPACTION TESTS: It so required bythe Inspector, compaWon
feet and a minimum of one 11) test on earn road. Ons k I 1 a t� shall be made at Intervals of not m
approve end filetlonorto malum COPY at each test snail be forwarded to the City are than 1
Standard SPeafleations, Division of Menem repaus. Compaakan rests shall be made' m Engineer for
19eray. State o Calit u ouutned ,n Seaton g 3 01 o trio
R2 COMPACTION TESTS: If so required ° dated January 1973
Ona 4 1 COPY at earn test shall be forwarded to ttnne City EngmindScIllown re
stssmall be made for earn crossin
CamPaaton testa small pe masa asowlneo kn Section &3.01 ottfse land filed 9 or tib° ImO•
Prrmanentrepars.
d California. dated January 1973, iidard prior to making Soeertications, Divisionat Mighwam Stan
TEMPORARY PAVEMENT REPAIRS: After completion of b2ckM and compaction operations, a tempora
consisting of 2 incites of SC•800 shall be placed on a prepared subWade. The SC -800 temporary paving ahaa be pladao
after a maximum of 3.000 lineal feet at trench hasbeenexcavatraand packfillaprenonscompletea,but tm ry patch
the placamem of the temporary pavement exceed a five 15)
R26 PERMANENT PAVEMENT REPAIR: After baadill and comparndaonyttihit rdcaaasflall
consisting of two Inches (2') of SC•800 shall be placed imm ooeettons have been completed, a to
mvarery Paten
surfacing placed an a inch class _base shade PL lv. A Permanent patch of ----I inches A.C.
temporary road repair. laced no later than dare after
R27 PA confpletiohot
VEMENTREPAIR:F.A.S.:Uponcompletionofbaakfillandcpmpacaon.atempararypa[cheonsistin o
Of cold mix paving (SC -800) shall be placed immediately. A perrnanent patch at three Inrnd 13'10} A.C.
be placed on six lnenes 16-1 concrete base es directed. but 9 two miing shall
tag- Concrete bass small be of five -sack mix and shall contwm man fifteen 115) days aper completion surfacing
and Speaficnons. Ordinance 0461. m the City of La Chums Road thiprpyemem Standards
R28 OG SEAL A fog saal coat consisting of an abolicatian df a
determined by the City Engmear. sonatbt emulsion snail be applied ever all
tramp areas as
R29 SEAL ARMOR COAT: A seal coat consisting of an anoticatton binder and screenings snail be applied on as paten areas
"hera such soak Mix elustea prior to Issuance of this permit. Section armor acts shall be atroliedas
37. Standard SPecificauens. State of California, Division of Mi
be secpmolished 9hways. dated January 1973. Work at Pavementin Season
R30
STREET RESTRIPI G:W errestretstnongissctar tuvskoleanin the steietstoDOexcavaness at °[edsnt uchstripingshallbereptaceaunto
cmhoietion of permanent repairs.
tion
R31 TREE RELOCATION OR REMOVAL. Tree relocation within Ins City at La Quints road right of way small be a
by a licensed. bonded and Insured tree service, and hanaledsafrlywrinout mterferenceor haxaroTO the travels
. CCpmplishetl
It shall be the resconsibilitv of the permmee to maintain the tree in a vigorous growing conation at its now location.
Trees to be removea shall be removed in sectionswmtch can be ha oration.
traffic. The entire wieih of the tree-sturnosnail be removed anac sooseal of so t Ut interference debris emains in i hi
highway. Tha stump hole snail be backfilled and tharougnfy compacted
s of specified
that hs folio remains in paragraph. W ere it
becomes necessary to restrict traffic. the work shall be rest �� as specified in the following
mans, flagmen and/or bamcades shall be provided toprotectsed fav egg pu of 500 feet eanyonem� Whereit
the traveling public at an times, Adequate
Large holes resulting from tree removal shall be backfilled and compacted to not fess than 90 percent or
surrounding ground. whichever Is the greater compaction as determined ov the Impact or field method
tests snail comply with Section 6.3.01 of the Standard Speed' equrvefemtptne
January 1973. Katigns. Division of M'O Californiam.. n
Highways. State of Cte. dates
R32 TREE TRIMMING:
a. Only the neemary trimming snail be accomplished to
All broken or week 36=0115 within the trimmingbe r
Provide clearance of the faality for one calendar Year.
i p- Where It pecarnea nacessary to restrict traffic. the work settel"ovbe restricted t0 a mexlmum of
Adequate signs, Ilagmer., andior barricades snail be provided to 500feetataMonetime.
c- If tea trunks are Paitlalty outside of to Ci Protea the traveling public at all times
arrangements with adjoining y of n Ouima road right of way. permittee shall make his own
d1 9 property owners for consent to the trimming in addition to the authoriratipn provlow
• by this oOnfnd.
d. All tree trimming on EVERGREEN TREES, PALM TREES '
the satisfaction of the City Public Works lnapecrpt, aria adrar ORNAMENTAL TREES shall be accomplished to
Abutting otivners Men be caf4ae� m as hmanpee, oris to tnmmrng or taper weed. '
t in an kmt°nees. a at in0 eh
- - — - --- .�+. --- -- ouldar at the.,... --
SPECIAL CONDITIONS --PERMIT NO. 2247
--- THE GAS CO. ---
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the latest edition of the Standard Specifications
For Public Works Construction.
2. Permittee shall be responsible for providing continuous dust and erosion control.
3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day
and more frequently if required.
4. Contractor shall comply with the local noise ordinance. Operation and maintenance. of
equipment within one half mile of human occupancy shall be performed only during the
following time periods:
October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:300.m.
Saturday 8:00 a.m. to 5:00p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00p. m.
Saturday 8:00 a.m. to 5:00p. m.
Work shall be prohibited on legal holidays including Sundays.
5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public
or private street and for any damage to other City streets or facilities as a result of work
performed under this permit.
6. Advance warning signs and traffic control shall be installed and maintained in accordance with
Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall
be the permittee's responsibility to detour and barricade this site.
7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be
maintained with flagmen at all times.
8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
9. Should additional work, materials, or. modifications of the work be required in order to meet city
standards, safety requirements, signage requirements, or to, fit actual field conditions, the work
shall be performed by the permittee as directed by and to the* satisfaction of the City Engineer
at no cost to the City of La Quinta.
Special Conditions - Permit No. 2247
Page 1 of 2
. -1
SPECIAL CONDITIONS ---PERMIT NO. 2247
continued
10. All work shall be coordinated with. the City's contractor and others. working within the area as
directed by and to the satisfaction of the City Engineer.
11. When the work is within 500' of a signalized intersection, the permittee shall notify Riverside
County Signal Dept.. at (909) 275-6894 or Caltrans Signal Dept. at (619) 688-6845 as
appropriate a minimum of 48 hrs prior to starting work.
12. All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil
within the top 2' of finish pavement surface shall be compacted to 95 % relative dry density, all
base material shall be compacted to 95% relative dry density.
13. All excavations at or near the travel way-shallbe backfilled and paved at the end of every work
day as directed by and to the satisfaction of the City Engineer for the protection of the traveling
public.
14. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
to its original condition.
15. Access and egress to all local properties shall be maintained at all times.
16. Permanent pavement. replacement section shall be one inch greater than existing.
17. If the work is to be performed by forces other than that of the utility company the contracting
company shall be required to' apply for an additional encroachment permit and pay the
appropriate fee.
18. The street crossing from the east side of madison into PGA West shall be a bore operation.
Special Conditions - Permit No. 2247 Page 2 of 2
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