application for recertification...

APPLICATION FOR RECERTIFICATIONAUTOMOBILE

NOTE: A separate Application for Recertification must be completed for each programrequesting certification e.g., general automobile, Ford ASSET, GM ASEP, Toyota T-TEN etc.

INSTITUTION:

Skyline CollegeNameAutomotive TechnologyProgram3300 College DriveStreetSan BrunoCity(650)738-4100

CA 94066State Zip

http://www.skylinecollege.edu/automotive/Telephone Program Website

ADMINISTRATOR OF THE INSTITUTION:

Victoria P, Morrow, Ph.D. President, Skyline CollegeName Title

(650) 738-4111 [email protected] E-mail

PERSON RESPONSIBLE FOR COORDINATION OF SELF-EVALUATION:

Tom Broxholm Automotive InstructorName Title

(650)738-4131 [email protected] _Telephone E-mail

LEVEL OF PROGRAM BEING EVALUATED:I I Secondary [X] Post-Secondary | | Secondary & Post-Secondary

10/09

Please indicate which of the following three options your program will certify under:

^Stand-Alone Program - Programs must be able to meet the minimum requirements for atleast the four required areas of Brakes, Electrical/Electronic Systems, Engine Performance, andSuspension & Steering.

-OR- Programs that are unable to meet the minimum requirements for stand-alone programcertification may consider the following options for articulated certification:

[U Traditional Articulation - This option allows schools to certify in Electrical/ElectronicSystems (required) and at least one other required automobile specialty area, and articulate withanother ASE certified program that provides instruction in at least the other two required areas.

Q]General Service Technician Program - This option is intended to serve automobileprograms in areas where the local employers prefer to hire graduates who have a broad skill setand general understanding of all automotive systems rather than skill sets with greater depth infewer areas; an articulation agreement with an ASE certified program is required. For moreinformation please refer to the General Service Technician Program Standards section of themanual. Note: E-leaning instructional hours that take place outside of the regularly scheduledclassroom and lab/shop timeframe cannot be used for the purpose of meeting GSTinstructional hour requirements at this time.

PROGRAM HOURS

Record the number of hours of instruction in the laboratory or shop and in the classroom for theareas in which program certification is being requested. Note: The 'E-Learning' column isdesignated for program hours that take place outside of the regularly scheduled classroom andlab/shot) timeframe. If you are not applying for certification under Standard 11 (E-Learning)do not enter program hours in the E-Learnins column.

AREA

BrakesElectrical/Electronic

Systems

Engine Performance

Suspension & SteeringAutomatic Transmission

& Transaxle

Engine Repair

LAB/SHOP +CO-OP

90

180

360

90

80

180

CLASSROOM+

90

180

360

90

80

180

E-LEARNING+ = PROGRAMTOTAL

180

360

720

180

160

360

10/09

Heating & Air Conditioning

Manual Drive Train & Axles

LPG Diagnosis and Repair

LPG Maintenance

LPG Conversion/Installation

CNG Diagnosis and Repair

CNG MaintenanceCNG

Conversion/Installation

General Service Technician

72

100

N/A

72

100

N/A N/A

144

200

0

0

0

0

0

0

**IT IS UNDERSTOOD THAT ALL EXPENDITURES INCURRED FOR THE ON-SITE EVALUATION WILL BE PAID BY THE AUTOMOBILE PROGRAM ORINSTITUTION REQUESTING CERTIFICATION. **

Institution Administrator - Signature

Victoria P. Morrow, Ph.D., President, Skyline CollegeInstitution Administrator - Name and Title (print or type)

f .A *

£>ate<

Program Instructor - Signature

Tom Broxholm, Automotive Instructor

Date

Program Instructor - Name and Title (print or type)

10/09

Print or type the names of the Advisory Committee members who conducted the automobileprogram review and self-evaluation (minimum of 4).

1. Dave Campbell

2. Kris Cesena

4. Zim Gwee

5.

3. Dan D'Amico

I PARTICIPATED IN THE RECERTIFICATION SELF-EVALUATION AND APPROVEDTHE RECERTICATION SUMMARY REPORT AS EVIDENCED BY MY SIGNATUREBELOW.

Dave Campbell £&/&//£>Printed or Typed Name

Kris Cesena

Date

3.

4.

5.

6.

Printed or Typed Name

Dan D'Amico IO/6// /0Signature Printed or Typed Name

Zim Gwee

Date

Printed or Typed Name Date

Signature Printed or Typed Name Date

Signature Printed or Typed Name Date

Note: Programs submitting their application electronically, must agree to the followingstatement:

By submitting this application electronically, I certify that the information I have provided onthis application is true and correct. By checking the "Yes" box below, I am "signing" theapplication. Furthermore, by typing in names where signatures are required, I agree that acomplete paper copy of the application with signatures (Institution Administrator, ProgramInstructor, and Advisory Committee Members) is available upon request.

^ Yes, I agree to the above statement

[~| N/A (submitting signed application through mail)

10/09

RECERTIFICATION SUMMARY SHEET

STANDARD RATING

STANDARD 1 - PURPOSE

The automobile technician training program shouldhave clearly stated program goals, related to the needsof the students and employers served. 5^

STANDARD 2 - ADMINISTRATION

Program administration should ensure that instructionalactivities support and promote the goals of the program.

STANDARD 4 - FINANCES

Funding should be provided to meet the program goalsand performance objectives.

STANDARD 5 - STUDENT SERVICES

Systematic skills assessment, interviews,counseling services, placement and follow-up proceduresshould be used.

Does the Advisory Committee convene a minimum of twoworking meetings per year with at least five in attendance(excluding school personnel)? [X] Yes | ] NO

STANDARD 3 - LEARNING RESOURCES

Support materials, consistent with both program goalsand performance objectives, should be available to staffand students. 5

Does the Advisory Committee review the information froman annual follow-up procedure and provide input for modificationsto the program? [X] Yes I I No

10/09

RATINGSTANDARD

STANDARD 6 - INSTRUCTION

Instruction must be systematic and reflect programgoals. A task list and specific performance objectiveswith criterion referenced measures must be used.

Automobile Area

BrakesElectrical/Electronic SystemsEngine PerformanceSuspension & SteeringAutomatic Transmission & TransaxleEngine RepairHeating & Air ConditioningManual Drive Train & Axle

.:-'\i::iJiii:-CN<l; ; ' . . ; W:iiiiSJI


* The following question applies to General Service Technician Programs only:

*Does the GST program provide theory and "hands-on" training for 100% of the tasks?

DYES DNO

#ofHours

180360720180160360144200

P-l10010010010095969595

P-2959610098909690100

P-365961007075857080

*see below *see below *see below

Are the tools and equipment available for the tasks taught in each program area?*

Automobile Area Area Rating

BrakesElectrical/Electronic SystemsEngine PerformanceSuspension & SteeringAutomatic Transmission & TransaxleEngine RepairHeating & Air ConditioningManual Drive Train & Axles

-YesYesYes DNoYesYesYesYes

l Yes DNo

10/09

Automobile AreaArea Rating

^ il : il;::v : • ;y s£


10/09

STANDARD 7 - EQUIPMENT

Equipment and tools used in the automobile technician training programmust be of the type and quality found in the repair industry and mustalso be the type needed to provide training to meet the program goalsand performance objectives. 5

Are all shields, guards, and other safety devices in place, operable, and used? [X]Yes

Do all students, instructors, and visitors wear safety glasses in the lab/shoparea while lab is in session? [X]Yes I iNo

STANDARD 8 - FACILITIES

The physical facilities must be adequate to permitachievement of the program goals and performance objectives.

STANDARD 9 - INSTRUCTIONAL STAFF

The instructional staff must have technical competencyand meet all state and local requirements for certification.

Do all instructors hold current ASE certification in the area(s)they teach? (N/A for General Service Technician ProgramInstructors) ' [X]Yes QNo

Do all instructors attend a minimum of 20 hours per year of recognizedindustry update training relevant to the areas in which the program iscertified? [X]Yes

The following question applies to General Service Technician Programs only:

Do GST instructors hold current ASE certification in:

1. A4 QYes QNo2. A5 D Yes Q No3. A6 D Yes Q No4. A8 D Yes Q No

STANDARD 10 - COOPERATIVE AGREEMENTS

Written policies and procedures should be used for cooperative andapprenticeship training programs (N/A if program does not offercooperative/apprenticeship programs). NA

10/09

STANDARD 11 - E-LEARNING

Written policies and procedures must be followed when e-learning curricularmaterials are used outside of scheduled classroom/lab/shop time for the purposeof meeting NATEF instruction hour requirements. (For programs using e-learningfor the purpose of meeting NATEF instructional hour requirements,support for a 'YES* response must be provided for each criterion below.)

Is there documentation that students have access to appropriate technologyfor e-learning purposes? [X] YES [UNO Q N/A

Are the content/tasks that are to be delivered via e-learning clearlyhighlighted in the course of study? [x] YES D NO D N/A

Is there documentation that e-learning is incorporated into the content/tasksin the program plan? [X] YES O NO G N/A

Do the instruction hours to be credited toward meeting up to 25 percent ofthe program specialty hour requirements correlate with the vendor'saverage completion time for each instruction module? [X] YES I I NO Q N/A

Is there documentation of the implementation and use of e-learninginstructional materials as evidenced in a Learning Management System(LMS)? " [X]YES DNO DN/A

Are Advisory Committee meeting minutes available to confirm that thecommittee has discussed and approved e-learning? [><] YES O NO n N/A

Standard 11Number of'Yes' responses 6

(as many as 6 items)

10/09

ON-SITE EVALUATION TEAM MEMBER LIST

Automobile RecertificationNOTE: There must be one evaluation team member from a dealership, one evaluation team member froman independent repair facility, and one alternate team member (dealership or independent repair facility)identified for a recertification on-site evaluation. See the "Information About On-site Evaluation Teams"section for selection criteria.

*For certification in CNG/LPG areas, one of the team members must be an experienced CNG/LPGtechnician (see Light/Medium Duty CNG/LPG certification materials for details).

* Team members must not be Advisory Committee members, former students, orinstructors of the program within the past ten years,

1. TEAM MEMBER FROM DEALERSHIP:

Minh Lam _ ___Name

TechnicianPosition (Title)

City Toyota __ __Company Name72 Bismark, Daly City, CA 94014Company Address

Years of hands-on experience: Total automobile! 8 LPG I I CNG f~l

High school graduate or equivalent; [XJYES I |NO

ASE Automobile Certifications (recommended):Master Technician

2. TEAM MEMBER FROM INDEPENDENT REPAIR FACILITY:

Sammy Soo HOPName

Technician „_____Position (Title)

Topline Automobile, Inc.Company Name1028 Carolan Avenue, Burlingame, CA 94010Company Address

Years of hands-on experience: Total automobile 16 LPG [~| CNG Fl

High school graduate or equivalent: [X]YES I [NO

ASE Automobile Certifications (recommended):A-2-, A-3, A-4, A-5, A-6, A-8, and L-l

3. TEAM MEMBER FROM DEALERSHIP, INDEPENDENT REPAIR FACILITY, OR10 10/09

AUTOMOBILE TRAINING PROGRAM:

Peter DabaiNameTechnicianPosition (Title)R & M AutomotiveCompany Name824 Ellis Street, San Francisco, CA 94109Company Address

Years of hands-on experience: Total automobile 15 LPG I I CNG I I

High school graduate or equivalent: [XJYES I |NO

ASE Automobile Certifications (recommended):A6,A8, LI

i l 10/09

AUTOMOBILE INSTRUCTOR QUALIFICATION SHEET

Instructor Tom Broxholm(please print or type)

Current ASE Certifications:

A-l Engine Repair

A-2 Automatic Transmission/Transaxle

A-3 Manual Drive Train & Axles

A-4 Suspension & Steering

A-5 Brakes

A-6 Electrical/Electronic Systems

A-7 Heating & Air Conditioning

A-8 Engine Performance

ASE H># (required) IW5ITOTLOBROXH(as it appears on your certificate)

Valid Until

12/2015

12/2015

12/2015

12/2015

12/2015

12/2015

12/2015

12/2015

F-l Light VecMele.--*CompressedNatoraiGas - .vy*.1.- . . . . : • ; ' • • ' • Vwvu-^Indicates instructor certifications required for General Service Technician Program

Please indicate the areas taught by this instructor:

Brakes Q

Electrical/Electronic System d]

Engine Performance [~1

Suspension & Steering I I

Automatic Transmission/Transaxle [X]

Engine Repair I I

Heating and Air Conditioning [""]

Manual Drive Train £ Axles [X]

LPG Diagnosis and Repair Q

LPG Maintenance I I

LPG Conversion/Installation [~~]

CNG Diagnosis and Repair I I

CNG Maintenance Q

CNG Conversion/Installation Q

General Service Technician Program*

10/09


Instructor Richard L. Escalambre(please print or type)

Current ASE Certifications:

ASE ID# (required) QU9GP9PJ8ESCAL(as it appears on your certificate)

Valid Until

A-l Engine Repair




A-5 Brakes




Frl Oj&t^

06/2012

06/2012

06/2013

06/2013

06/2012

^Indicates instructor certifications required for General Service Technician Program


Brakes HH

Electrical/Electronic System F1

Engine Performance [X]


Automatic Transmission/Transaxle I I

Engine Repair I I

Heating and Air Conditioning I I

Manual Drive Train & Axles I I

LPG Diagnosis and Repair [~]

LPG Maintenance fl

LPG Conversion/Installation I I


CNG Maintenance

CNG Conversion/Installation


nn

10/09


Instructor Daniel Ming ASE ID# (required) OT2IX6S06MING(as it appears on your certificate)

Valid Until

12/2013

06/2015

06/2015

06/30/2013

06/30/2015

06/30/2015

06/30/2013

12/31/2013

(please print or type)

Current ASE Certifications;

A-l Engine Repair




A-5 Brakes




F*l Light ̂ echtele»- Compressed Natural Gas •"• . - . . • . . . • . . . - . .^Indicates instructor certifications required for General Service Technician Program


Brakes [X]

Electrical/Electronic System I I

Engine Performance CJ

Suspension & Steering [X]


Engine Repair [""1

Heating and Air Conditioning [X]

Manual Drive Train & Axles I I

LPG Diagnosis and Repair []]

LPG Maintenance [3

LPG Conversion/Installation PI


CNG Maintenance

CNG Conversion/Installation


n

n

10/09


Instructor Paul Spakowski ASE ID# (required) IV2KR5TM6SPAKO(please print or type) (as it appears on your certificate)

Current ASE Certifications; Valid Until

A-l Engine Repair 06/2013

A-2 Automatic Transmission/!ransaxle



A-5 Brakes

A-6 Electrical/Electronic Systems 6/30/11

A-7 Heating & Air Conditioning 12/31/10

A-8 Engine Performance 6/30/11

IM^ y • ' - . ' . . • . - 4 . - - : - . • • ' •indicates instructor certifications required for General Service Technician Program


Brakes D

Electrical/Electronic System I I

Engine Performance [~1

Suspension & Steering [""1

Automatic Transmission/Transaxle I""]

Engine Repair |/<]

Heating and Air Conditioning I I

Manual Drive Train & Axles [""]

LPG Diagnosis and Repair ["]

LPG Maintenance Q

LPG Conversion/Installation O

CNG Diagnosis and Repair f"l

CNG Maintenance I I

CNG Conversion/Installation I I

General Service Technician Program* _10/09


Instructor Kevin Sullivan ASE ID# (required) OW2NY5VL3SULLI(please print or type) (as it appears on your certificate)

Current ASE Certifications: Valid Until

A-l Engine Repair 06/2014



A-4 Suspension & Steering 6/30/2014

A-5 Brakes 6/30/2014

A-6 Electrical/Electronic Systems 6/30/2014


A-8 Engine Performance 6/30/2014

F-t' Light Veehicle^Compressed Natural Gas : . ' ^x-.•-•.•- . ...indicates instructor certifications required for General Service Technician Program


Brakes d

Electrical/Electronic System [X]

Engine Performance Fl



Engine Repair I I

Heating and Air Conditioning [H

Manual Drive Train & Axles [U

LPG Diagnosis and Repair Q

LPG Maintenance f~]

LPG Conversion/Installation |~1

CNG Diagnosis and Repair [H

CNG Maintenance D

CNG Conversion/Installation [""]

General Service Technician Program* __^10/09

INSTRUCTOR TRAINING FORM

Instructors are required to attend a minimum of 20 hours per year of recognized industry updatetraining relevant to the areas in which their program is certified. Please list all industry updatetraining for the past year. Use a separate page for each instructor and attach to appropriateInstructor Qualification Sheet.

Instructor: Tom Broxholm

Date ofTraining

8/6/2010

8/5/2010

8/4/2010

8/3/2010

8/2/2010

7/30/2010

7/29/2010

7/28/2010

7/27/2010

7/26/2010

10/31/2009

10/30/2009

Provider Name

Honda

Honda

Honda

Honda

Honda

Chrysler

Chrysler

Chrysler

Chrysler

Chrysler

ATRA

ATRA

Course Name

Electrical, Manual & Automatic Trans





Elecrical, Auto Trans, Engine





Automatic Transmission

Automatic Transmission

Hours

8

8

8

8

8

8

8

8

8

8

8

8

10/09



Instructor: Rick Escalambre

Date ofTraining

1/8/2008

7/21/2008

4/25/2009

7/8/2009

7/20/2009

10/17/2009

4/23/2010

8/10/2010

8/13/2010

8/14/2010

Provider Name

Automotive Training Group

NACAT

CAT


NACAT

CAT

CAT


NYATTP

NYATTP

Course Name

Ford Engine Performance

Multiple Topics - See Certificate


Toyot, Lexus, & Scion



Multiple Topics - See CertificateNetwork Diagnostics and ModuleProgramming

Pressure Transudcers

Toyota Hi-Tech Update

Hours

7

13.5

6

7

15.5

5

6.5

7

4

4

10/09



Instructor: Dan Ming

Date ofTraining

6/2/2008

11/4/2008

11/5/2008

12/14/2008

12/15/2008

4/25/2009

4/25/2009

4/25/2009

10/17/2009

10/17/2009

10/17/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

7/24/2009

Provider Name

UOT

UOT

UOT

UOT

UOT

CAT

CAT

CAT

CAT

CAT

CAT

NACAT

NACAT

NACAT

NACAT

NACAT

NACAT

NACAT

NACAT

NACAT

NACAT

Course Name

553 Toyota Brakes Systems

302 Toyota Manual Trans/Transaxles

P302 Toyota Manual Trans/Transaxles

P453 Suspension Steering&Handling

453 Steering, Suspension&Handling

Electronic Transmission Diagnosis

Smart Key/Engine Control Operation

Advanced Mechanical Engine Set-Up

Super Flow

Automotive Training Group OBDII

Being More Effective with Email

A Little Bit of Electrical/Electronics

Evaporative Emissions Update

How Do I Prepare My Students

Advancing Web-Based LearningUnderstanding Root Cause of BeltFailures

Gas Analyzer and Amp Clamps

Best of "Material from MACS" 2009

Snag It/LogMeln, Part One

Snaglt/LogMelN, Part Two

Which Scan Tool Should I Buy?

Hours

16hrs.

16hrs.

Ihr.

Ihr,

16hrs.

Ihr.

Ihr.

2hrs.

2hrs.

l.Shrs.

l.Shrs.

1.75hrs.

1.75hrs.

1.75hrs.

1.75hrs.

1.75hrs.

1 .75hrs.

1.75hrs.

1.75hrs.

1.75hrs.

1.75hrs.

10/09



Instructor: Dan Ming

Date ofTraining

12/17/2009

4/24/2010

4/24/2010

4/24/2010

3/23/2010

Provider Name

UOT

CAT

CAT

CAT

ATG

Course NameE078 Tire Pressure MonitoringSystems

HVAC Evolution and Issues

Effective Email UseHybrid Vehicle Predict. Maint.Analysis & Diag.Advanced Security, Tire PressureMonitoring & Chassis Systems

Hours

Ihr.

Ihr.

Ihr.

2.25hrs.

8hrs.

10/09



Instructor: Kevin Sullivan

Date ofTraining

4/1/2007

7/16/2007

4/1/2008

5/1/2008

6/23/2008

6/18/2009

Provider Name

California Automotive Teachers

North American Council of AT.

California Automotive Teachers

Permatex

Train the Trainer

Perfect-Sky (Jack Rosebro)

Course Name

Brakes, Computer Control, Alignment

Various workshops

Hybrid, Honda E.P1, Power Point

Chemical Gaskets nad Sealants

OBDII Diagnostics

Hybrid Educator's Workshop

Hours

7

20

10

2

32

24

10/09



Instructor: Paul Spakowski

Date ofTraining

10/10/2009

10/10/2009

10/10/2009

10/10/2009

11/14/2009

11/14/2009

11/14/2009

10/16/2009

10/17/2009

Provider Name

Sunnen Corporation

Mahle Corp

Rottler Mfg.Auto Engine ReldrsAssociation

Edelbrock Corp

Competition Cam Corp

Auto Engine Rebuilders Assoc.

Scat Mfg. Corp

C.A.T. Confer. Cypress College

Course Name

Power Honing

Bearing Failure Analysis

Reboring New Materials

Internet Access for Technical Data

Cylinder Head Dev/Air Flow Manage

Developments in Valve Train Tech

New Pro Sis Software System

Crankshafts & Connecting Rod Assem

Various Seminairs

Hours

2.0

2.5

2.5

1.0

3.0

3.0

2.0

3.0

5.0

10/09

ADVISORY COMMITTEE LIST

Please list the names of all members of the Program Advisory Committee and indicate thecategory that each represents (a minimum total of Five (5) members is required). Instructors andadministrators of the program are not eligible to be advisory committee members. Committeemembers should represent a broad cross-section of the local industry in the area the programserves. Possible categories that advisory committee members might represent are:

Automobile TechniciansConsumer GroupsParents

NAME

Local EmployersFormer StudentsAutomotive Trainers

CATEGORY REPRESENTED

Jim Borton

Patrick Cadam

Dave Campbell

Nef Castro

Kris Cesena

Ray Chin

Dan D'Amico

Jon Fowkes

Frank Fragomeni

Zim Gwee

Mike King

Kirk Korenko

Mike La Torre

Michael McGee

Maher Nijem

Eric Sevim

Automotive Trainer

Local Employer

Consumer Group

Local Employer

Local Employer

Local Employer

Automobile Technician

Consumer Group

Local Employer

Former Student


Local Employer

Local Employer

Local Employer

Former Student


(ADD MORE SHEETS IF NECESSARY TO INCLUDE FULL COMMITTEE)

14 10/09

INTEGRATED ACADEMIC SKILLS RECOGNITION (OPTIONAL)• Note: For more information, refer to the Integrated Academic Skills Recognition page in

the Policies Section.

Program Name

Automobile Instructor(s) to be recognized:

Academic areas and instructors to be recognized:

English Instructor:

Mathematics Instructor:

Science Instructor:

Please answer 1 -6 on a separate page.

1. Briefly describe the coordination between the automobile and the academic department(s) forplanning, developing, and teaching integrated academic skills to automotive technicianstudents.

2. How often do the automotive and academic instructors meet to plan and coordinateclassroom activities?

3. Do automotive and academic instructors team teach automotive students? If so, describe theactivities and responsibilities of the instructors.

4. Are automotive and academic instructors actively involved with automotive studentorganizations, activities, or competitions? If so, describe the activities.

5. Are students given academic credit for their technical classes?

6. If applicable, describe how the Integrated Academic Skills manual for AutomobileTechnicians was used to integrate academic and technical skills student activities.

10/09

PAYMENT WORKSHEET

Please include the following applicable fees with your automobile recertificationapplication. Payment must be included for your application to be processed. Forms ofpayment include purchase order, check made out to NATEF, or credit card (MC/VISA, orAmerican Express). Please indicate method of payment below.

Skyline CollegeSchool Name

3300 College DriveSchool Address

San Bruno CA 94066City State ZipCode

Application Fee: $315.00(certification and recertification)

*On-site Team Packets:Recertification (3 @ $65 each) $195.00

$510.00 total to be enclosed

* If submitting multiple applications at the same time (GM ASEP, etc)please call the NATEF office for on-site team packet total to be enclosed.

Method of payment

Purchase Order I I please include copy ofPO

Check D

MasterCard/Visa/AMEX [X]

5569190001169979Card Number

J?00/201 1 _ ^rx^/s <& /, <^/-; ; <3Exp. DateRick Escalambre, San Mateo County CCDName as it appear^on card

Cardholder signature

^Payment of the ETL honorarium and the ETL expenses must be made directly tothe ETL. Payment or arrangements for payment must be made at the time of

the on-site visit. Do not send ETL payments to NA TEF

16 10/09

application for recertification...

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