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IRS Team Leader Guide June 2014


This publication was produced for review by the United States Agency for International Development. It was prepared by Allan Were. Contract No.: GHN-1-00-09-00013-00 Order No.: AID-OAA-TO-11-00039

Recommended Citation: Were, Allan. June 2014. IRS Team Leader Guide Bethesda, MD: Africa Indoor Residual Spraying Project, President’s Malaria Initiative.

DISCLAIMER The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. Cover and Inside cover photos: Abt Associates


C

ontents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . .2 1 Time Keeping. . . . . . . . . . . . . . . . . . . . . . . . . 3 2 Daily Health Checks for Spray Operators. . . . . . . . . . . . . . 4 3 Receiving and Distributing Materials to Spray Operators . . . . . . . . 6 4 Proper Handling of Spray Equipment and Materials . . . . . . . . . .

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5 Personal Protective Equipment (PPE) . . . . . . . . . . . . . . . .9 6 Team and Spray Operator Performance Targets. . . . . . . . . . . 11 7 Allocation of Work to Spray Operators. . . . . . . . . . . . . . 12 8 Household Mobilization. . . . . . . . . . . . . . . . . . . . 13 9 Conduct in the Community . . . . . . . . . . . . . . . . . . . 14 10 Preparing Houses for Spraying . . . . . . . . . . . . . . . . . 15 11Household Safety. . . . . . . . . . . . . . . . . . . . . . 17 12 Supervising Insecticide Mixing and Pressurizing the Sprayer . . . . . . 18 13 Supervising Spray Techniques . . . . . . . . . . . . . . . . . . 22 14 After Spraying a House. . . . . . . . . . . . . . . . . . . . 25 15 Repair & Maintenance of Sprayers in the Field. . . . . . . . . . . 26 16 Leftover Insecticide & Contaminated Waste. . . . . . . . . . . . 28 17 First Aid. . . . . . . . . . . . . . . . . . . . . . . . . . 29 18 How to Fill Out the Spray Performance Tracking Sheet . . . . . . . . 30 19 Supervising the Clean-Up at the End of the Work Day. . . . . . . . 32 20 Progressive (Triple) Rinse Procedure . . . . . . . . . . . . . . . 33 21 Monitoring & Evaluation . . . . . . . . . . . . . . . . . . . 35 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

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ntroduction

As a Team Leader with the IRS Program, you will be responsible for the conduct, performance and output of a specific group of spray operators, normally 5 in number. The purpose of this guide is to describe the roles and responsibilities that come with your position as Team Leader.You should familiarize yourself with the contents of this guide before the spray campaign begins.

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1

Time Keeping

ƒƒEnsure that your team departs for the community at the agreed time each day. yy It is your responsibility to ensure that all the spray operators on your team: ƒƒ Report to the operation site on time. ƒƒ Take their breakfast in a timely manner. ƒƒ Receive their equipment and materials promptly. yy Report any cases of absenteeism to your Supervisor immediately. ƒƒEnsure that your team returns to the operation site or soak pit at the agreed time

Spray operators leaving for the community at the start of the work day.

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2

Daily Health Checks for Spray Operators

ツδイomplete a brief health check of the spray operators on your team each morning. Do not allow any of them to work if they exhibit any of the following signs: yy Breathing difficulties yy Headache yy Fatigue yy Weakness yy Alcohol (or any other type of) intoxication yy Drowsiness yy Eye irritation yy Skin irritation yy Any other form of ill-health or discomfort

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ƒƒBefore the team leaves for the field, ensure that all the spray operators: yy Had a good breakfast yy Drank plenty of water or juice ƒƒContinue to check for any of the signs listed above throughout the work day. yy Stop any spray operator who displays any of the above signs from working as soon as you become aware them. ƒƒReport all suspected cases of ill-health to the health workers.

A Team Leader briefing her team as they prepare to leave for the community.

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3

Receiving and Distributing Materials to Spray Operators

ƒƒEnsure that every spray operator receives the correct sizes of PPE at the beginning of the campaign. yy Ensure that all the PPE items are in good condition. yy Return any ill-fitting or inappropriate PPE items to the storekeeper in exchange for the correct items. Report to your Supervisor if you find any difficulty with this. ƒƒEnsure that every spray operator on your team receives all of their equipment and materials required every morning. ƒƒSign for all the items you receive on behalf of your team each day. ƒƒSign for all the equipment that is handed to your team for the length of the spray campaign. ƒƒSign against all items returned to the storekeeper.

A Team Leader receiving PPE on behalf of her team.

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Insecticide ƒƒConfirm that you have received enough insecticide to meet your team’s needs at the beginning of the work day. ƒƒSign against the number of sachets or bottles received at the start of the day. ƒƒProvide each spray operator with enough insecticide to spray the number of houses required to meet their daily target. ƒƒHold onto any extra insecticide and only distribute it after confirming that it is really required. ƒƒKeep a record of all insecticide distributed to each spray operator.

A Team Leader distributing insecticide to spray operators.

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4

Proper Handling of Spray Equipment and Materials

ƒƒEnsure that all the equipment and materials provided to you and your team members are: yy Handled with care. yy Used for only the purposes they are intended for. ƒƒNegligent and malicious handling of property may result in penalties. ƒƒAbuse or misuse of project property and equipment placed under your care, and that of the spray operators on your team, may result in penalties. Correct posture for pressurizing a sprayer.

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5

Personal Protective Equipment (PPE)

ƒƒAlways dress in a full set of clean PPE before beginning work. yy Ensure that the spray operators are also wearing PPE before they begin to spray. This includes: ƒƒ Overalls ƒƒ Helmet with Face Shield ƒƒ Dust Mask ƒƒ Gloves ƒƒ Rubber Boots

Full sets of PPE ready for the spray team.

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Tips ƒƒWear the overalls outside of the boots. ƒƒWear the gloves outside of the overall sleeves. ƒƒIf any of the PPE items do not fit you or your team comfortably, or are damaged (e.g., torn), return it to the store in exchange for appropriate materials.

A spray team wearing PPE.

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6

Team and Spray Operator Performance Targets

ƒƒYou are responsible for knowing the daily performance targets of your team, reminding them of these targets, and ensuring that they are met. ƒƒYour performance is measured against the achievement of the daily team targets. ƒƒYou should know the average number of structures each spray operator is expected to spray per day. yy The daily target number of structures to be sprayed by each spray operator is ____. ƒƒYou should know the average number of structures each sachet (or bottle) of insecticide is expected to cover. yy Each sachet (or bottle) of insecticide is expected to cover an average of ____ structures.

A spray operator at work.

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7

Allocation of Work to Spray Operators

ƒƒEach day, allocate each spray operator enough houses to spray in order to meet their daily target. yy Allocate each spray operator houses that are in close proximity with each other in order to minimize the time and distance required to move between the houses. yy Where the houses are smaller in size than average, allocate the spray operator a higher number than the target, but to a reasonable limit. yy Do not allocate a spray operator fewer houses than the target. yy Where necessary, re-allocate houses among spray operators to ensure that the team achieves its daily targets. ƒƒ Ensure that spray operators on your team support each other to complete work on time. yy Follow the agreed spray calendar as you allocate work to the spray operators. yy Consult your supervisor if for some reason you are not able to stick to the spray calendar. A Team Leader allocating work to a spray operator.

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8

Household Mobilization

ƒƒCoordinate with the Community Mobilizers and your Supervisor to confirm that the villages you are going to work in have been mobilized. ƒƒAs you move around the community allocating work to spray operators, and also supervising them, take time to inform the beneficiaries the estimated time that spray operators will be expected to reach their houses. ƒƒAdvise the beneficiaries about the steps they should take to make their houses ready for spraying. ƒƒVisit the communities your team expects to spray the following day and advise them to get ready. ƒƒCall on local community leaders and alert them about the presence of the spray team.

A Team Leader mobilizing households ahead of the spray operators.

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9

Conduct in the Community

ツδグbserve the following, and ensure that spray operators do the same: yy Be polite, courteous and respectful when speaking with members of the community. yy Inform the beneficiaries that the spray program is funded by the US Government. yy Let them know that spraying will help protect them and their families from malaria. yy Explain the steps that will be taken to prepare their households for spraying. yy Explain to the beneficiaries what they should do after their houses are sprayed. ツδウnsure that spray operators seek the permission or consent of an adult household member before they enter any homes.

Be respectful when interacting with members of the community.

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10

Preparing Houses for Spraying

ƒƒAlert beneficiaries of your presence so they can prepare for you. ƒƒCheck that all moveable household items are removed from houses before spray operators begin spraying. Such items would include: yy Food and food containers yy Water and water containers yy Cooking utensils yy Items hanging on walls yy Clothing yy Toys yy Furniture yy Animals Large items should be moved to the center of the room and covered with a plastic sheet. Any rooms that are occupied by people unable to move out, such as the sick, should not be sprayed. ƒƒDoors and windows should be kept closed as the home is sprayed.

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Wall hangings, Posters, Pictures and Other Items on the Wall ƒƒDetermine whether the items are kept permanently on the wall or not. ƒƒSpray operators should spray over items that are permanently fixed on the wall. yy If the item can be lifted off the wall, spray operators should spray its underside, and the wall surface under it. ƒƒIf they encounter immoveable furniture close to the wall, spray operators should introduce the lance between the wall and object and spray. (Note that it may not be possible to maintain the correct distance). ƒƒPut away any household items outside the house that may be stored close to the eave. Large items should be moved to the center of the room and covered with a plastic sheet.

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11

Household Safety

ƒƒBefore spraying, spray operators should make sure that children and animals are kept at least 10 meters away from the house during pesticide mixing and spraying. ƒƒSpray operators should inform beneficiaries that: yy They should wait at least 2 hours before entering any house that has been sprayed, to allow the walls to dry. yy After the 2 hours, they should open the doors and windows for 30 minutes to let in air. yy Before people and animals are allowed to enter the home, the floor should be swept. yy Any insects or dirt should be thrown into a pit latrine, or buried in a pit 50 cm deep. yy Domestic animals and pets should not be allowed to feed on any dead insects from the sprayed home. yy The sprayed walls should not be cleaned, painted or plastered.

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Supervising Insecticide Mixing and Pressurizing the Sprayer

ツδウnsure that spray operators are abiding by the following guidelines when mixing the insecticide: 1. Place the sprayer on firm ground outside the house, away from any household items. 2. Cover the opening of the sprayer with the filter cloth or sieve. 3. Fill the sprayer to half the working volume with clean water. 4. Mix the insecticide as illustrated below (see diagram). 5. Cover the opening of the sprayer with the filter cloth or sieve. 6. Fill up the sprayer with the rest of the water. 7. Close the lid of the sprayer.

Soluble Sachet

Open the outer sachet/packet of the insecticide and drop the inner water-soluable sachet into the sprayer

Place the outer sachet/packet back into your haversack

Mixing Insecticide

Liquid Formulation

Open the insecticide bottle and slowly pour the contents into the sprayer

Rinse the inside of the empty insecticide bottle 3 times while pouring the residue into the sprayer

Cap empty bottle and place it back into your haversack

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Mixing with a soluble sachet.

Mixing insecticide with a liquid formulation.

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ƒƒEnsure that spray operators are abiding by the following guidelines when pressurizing the sprayer: 1. Pump the sprayer with 5 full strokes. 2. Pick up the sprayer with both hands. Hold it by the tank body and vigorously shake it side to side, 10 times. 3. Place the sprayer back on the ground. 4. Place your foot firmly on the sprayer’s foot rest and the sprayer to the side of your body. 5. As you pump, listen for leaks (escaping air) from the sprayer. Inform your Team Leader if you suspect the sprayer has a leak. 6. Ensure that spray operators listen for leaks (escaping air) as they pressurize the sprayers. 7. Investigate any leaks reported, and carry out the necessary repairs. ƒƒ Refer to the pump technicians any cases of serious damage that you are unable to fix.

Hudson

Pump until the gauge reads 55psi or pump with 55 full, even strokes

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Sprayer Types

Goizper

Pump until the safety valve begins releasing pressure and the red marker is visible


The Hudson-type sprayer.

The IK 12 (Goizper) sprayer.

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Supervising Spray Techniques

ƒƒEnsure that spray operators are abiding by the following guidelines: 1. Correctly wear the sprayer, using the shoulder strap(s). If you are using the Hudson-type sprayer, make sure you are able to read the pressure gauge. 2. Hold the trigger with one hand. The tip of the nozzle of your sprayer should be 45 cm away from the wall when you hold the lance horizontal to the wall (“middle position”). This will ensure you that you achieve the correct swath width of 75 cm. 3. Begin spraying at the top of the wall (“top position”), moving your arm in a smooth pattern through the “middle position” to the “bottom position”. 4. Maintain the correct speed (rhythm) when spraying. As you were trained, cover 2 meters of wall surface in 5 seconds. 5. After covering the first swath, take a step to the right, and resume spraying from the bottom to the top. 6. Ensure that you make a 5 cm overlap with each successive swath. 7. Always move towards the right of the surface to be sprayed. 8. Shake the sprayer vigorously after every 10 successive swaths.

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Always begin spraying at the top of the wall.

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Common Errors Made by Spray Operators during Spraying: ƒƒNot observing the correct distance of the nozzle tip from the spray surface (45 cm). ƒƒSpraying with the wrong rhythm/speed, i.e., too fast or too slow. ƒƒSpraying with low pump pressure. ƒƒNot shaking the sprayer regularly during spraying. ƒƒContinuing to spray despite insecticide leakages from parts of the sprayer. ƒƒContinuing to spray with blocked and worn nozzles. ƒƒSpraying surfaces that do not qualify, e.g., metallic and glass surfaces. ƒƒNot covering immovable household items left in the house during spraying.

Hudson

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Maintain the correct pressure of your pump

Goizper

Keep checking the pressure gauge to ensure that the pressure does not drop to 35 psi or lower

The insecticide flow will automatically shut off when the pressure drops below the minimum required

Stop spraying when the pressure drops to 35 psi

Stop spraying when the insecticide flow shuts off

Place the sprayer on the ground and re-pressurize to 55 psi

Place the sprayer on the ground and re-pressurize by pumping until the safety valve begins releasing pressure (and the red marker is visible)


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After Spraying a House

ツδジork with the spray operators to: yy Ensure all the doors and windows remain closed. yy De-pressurize the sprayer. yy Remind the household members of the household safety guidelines. yy Complete the data cards or forms as you were trained

A spray operator reminding beneficiaries of the postspray safety guidelines.

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15

Repair & Maintenance of Sprayers in the Field

ƒƒAt all times, carry the appropriate tools for emergency repair and servicing of sprayers in the field. ƒƒCommon problems you have the ability to address include: yy Leakages yy Blockages yy Nozzle replacements ƒƒRefer all serious cases of damage to the pump technicians. ƒƒInform the storekeeper immediately about any damaged sprayers you are unable to repair.

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Team Leaders carrying out emergency repairs on sprayers in the field.

Nozzle Maintenance ƒƒDaily inspect nozzles for signs of wear. ƒƒReplace all worn nozzles immediately. ƒƒCarry at least one spare nozzle with you each day. ƒƒClear blockages using clean water and a soft probe such as a grass stick. ƒƒDo not use your mouth to blow the nozzle clean. ƒƒDo not use hard objects, such as metallic pins, to clean nozzles.

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Leftover Insecticide & Contaminated Waste

ƒƒReturn all unused insecticide sachets or bottles to the Storekeeper at the end of each day. ƒƒEnsure that all the insecticide you return to the store is recorded. ƒƒEnsure that all mixed insecticide returned to the operating site is poured into barrel number 1. ƒƒAt the beginning of the following day, distribute the insecticide residue in barrel 1 among the spray operators. ƒƒThe residue should be treated as “water” for mixing fresh insecticide.

Contaminated Waste ƒƒThe following are considered to be contaminated: yy Empty or used sachets and bottles of insecticide yy Used dust masks Hand over all used dust masks to the Storekeeper at the end of the day. The Storekeeper will record all used dust masks handed in.

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First Aid

Ensure the following actions are executed and notify your Supervisor immediately if any of the following occur:

Inhalation ƒƒRemove the affected person from the house immediately. ƒƒPlace the affected person under a shade. ƒƒCoordinate with your Supervisor to take the person to a Health Center.

Skin contact ƒƒTake off all contaminated clothing immediately. ƒƒWash off immediately with soap and plenty of water. ƒƒIf skin irritation persists, coordinate with your Supervisor to arrange to take the affected person to a Health Center.

Eye contact ƒƒRinse eyes immediately with water, including beneath the eyelids, for at least 15 minutes. ƒƒThe affected person will be taken to a Health Center for examination.

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How to Fill Out the Spray Performance Tracking Sheet*

*Data is entered each day by team. The source of the data is the Daily Team Leader Summary Report.

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Instructions for completing the Spray Performance Tracking Sheet Date

Enter the calendar date for each day of work, e.g., 12/06/2014

Number of Spray Operators (A)

Enter the number of spray operators who worked on the respective day

Number of Structures Found

Enter the total number of structures found by all the spray operators on the team

Number of Structures Sprayed (B)

Enter the total number of structures sprayed by all the spray operators on the team

Number of Sachets/Bottles Used (C)

Enter the total number of Sachets or bottles of insecticide used by all the spray operators on the team

Average Number of Structures Sprayed per Sachet/Bottle (D)

Calculate by dividing B by C (D = B/C)

Average Number of Structures Sprayed per Spray Operator (E)

Calculate by dividing B by A (E = B/A)

A Team Leader completing the Spray Performance Tracking Sheet.

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Supervising the Clean-Up at the End of the Work Day

ツδウnsure that spray operators wear full PPE when carrying out the progressive (triple) rinse procedure. yy All overalls should be handed to the washers. yy Hand in the rest of the PPE and other equipment to the storekeeper. ツδサake a full-body shower or bath, using soap, in the designated bathing area at the operating site. yy Ensure that all spray operators take a bath.

Spray operators cleaning their equipment at the end of the work day.

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Progressive (Triple) Rinse Procedure*

ƒƒBarrel 1 (Empty): yy Pour all leftover mixed insecticide into the barrel. ƒƒBarrel 2: (Contains water): yy Add 2 liters of water to sprayer. yy Replace lid. yy Pick up sprayer and shake. ƒƒBarrel 3 (Empty): yy Pour sprayer contents into barrel 3. ƒƒBarrel 4 (Contains water): yy Add 2 liters of water to sprayer. yy Replace lid. yy Pick up sprayer and shake. A spray operator washing equipment using the Progressive Rinse Procedure.

*Reference: PMI BMP Manual

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ƒƒBarrel 5 (Empty): yy Pour sprayer contents into barrel 5. ƒƒBarrel 6 (Contains water): yy Add 2 liters of water to sprayer. yy Replace lid. yy Pressurize with 15 full even strokes, or up to 15 psi. yy Pick up sprayer and shake. ƒƒBarrel 7 (Empty): yy Pour sprayer contents into barrel 7. ƒƒUnscrew the trigger and clean the strainer with clean water, or with water from barrel 7. yy Dispose of the rinse water in the soak pit. ƒƒReassemble the trigger. ƒƒRinse out the spray nozzle thoroughly with clean water, or with water from barrel 7, and dispose of the rinse water in the soak pit. ƒƒHang the sprayer upside down to dry, with the trigger open, and the hose hung downwards to allow water to drain out. ƒƒWash and clean your PPE (except the overalls) before you leave the soak pit.

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Monitoring & Evaluation

ƒƒSpray Data yy Check the accuracy of the data recorded by spray operators. ƒƒ Ensure that household and structure identification information (name, IRS number) is fully filled out; ƒƒ Check that all structures found, sprayed, unsprayed, population protected, etc., are accurately recorded. yy Confirm that the headers on the Daily Spray Operator Forms are fully filled out while the Spray Operators are still out in the field treating structures. This data includes: ƒƒ The date; ƒƒ The Team Leader code/spray team number; ƒƒ Geographical information indicating the location of spray. A Team Leader checking the accuracy of data recorded by a spray operator.

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yy Use the Error Eliminator (EE) ƒƒ At the end of the day, before leaving the field, use the Error Eliminator (EE) to check the completeness and accuracy of data. ƒƒ If errors are found, have the Spray Operators correct data on the forms before returning to the operation site. yy Common errors to look out for: ƒƒ Missing or incorrect recording of IRS Card Number/Structure ID. ƒƒ Missing reason for unsprayed structure. ƒƒ Incorrect counting of populations; children incorrectly not included in total population figure or male/female count. ƒƒ The number of eligible rooms/structures sprayed is incorrectly recorded as more than the number of eligible rooms/structures found. ƒƒ The number of pregnant women/children using a mosquito net is incorrectly recorded as more than the number of pregnant women/children recorded as living in the household. ƒƒPhysically marking structures as sprayed: yy Ensure that the Spray Operators are marking houses correctly with marker or chalk upon completing their visit to a household. yy Ensure that every structure not sprayed is recorded on the Daily Spray Operator Form. yy In the case of refusal, speak with the residents to try to persuade them to accept the spray. A spray operator marking a house he had just finished spraying.

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AS YOU WORK, PLEASE REMEMBER:

NO SMOKING NO DRINKING NO EATING


Abt Associates 4550 Montgomery Avenue Suite 800 North Bethesda, Maryland 20814 T. 301.347.5000 F. 301.913.9061 www.abtassociates.com

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