endobj
Colors are standardized according to the code provisions in your area and should be spaced along the pipe, no more than 20 ft. apart and also at every valve, at each access door and at each service connection. Maintain the health of your employees in your facility. Such material must be capped or plugged to prevent recontamination before final assembly. %PDF-1.7
<>
Let us know whats wrong with this preview of, Published There are 4 components of medical gas systems that work together to deliver or remove medical gases in a healthcare facility. Stay informed about major changes in the 2018 edition of, NFPA 99: Health Care Facilities Code 2018, heating ventilation and air conditioning (HVAC) contractors. [. The purge shall be maintained until the joint is cool to the touch. stream
The following requirements are based on those found in NFPA Standard No. ), Questions Before Every Medical Gas Systems Installation, 7 checklist points before your next medical gas installation. Compliance requires that all repair, maintenance and inspections are conducted by accredited personnel, usually a third party specializing in medicalcompliance. //
endobj
a=t.getElementsByTagName(n)[0],a.parentNode.insertBefore(u,a))}(window,document,'script'); There are also approximately six installer-performed testing requirements used as part of verification. Other supplements include Qualifications for Personnel Performing Medical Gas Work and General Brazing Procedures, Cleaning for Oxygen Service and Preparing a Joint for Brazing, and Installation Testing and Documentation. hTn@ylU!*jx)Dw@H#"z1,A,Tdh9I;]1$E pvGuQ7ZgmtN$].g endobj
AbeBooks Seller Since March 11, 2019 Dissimilar metals such as copper and brass shall be joined using an appropriate flux with either a copper-phosphorus (BCuP series) or a silver (BAg series) brazing filler metal. '48J9 (J@Ue{ 2022 Massachusetts Deputy Fire Chief Exam, 2022 Massachusetts District Fire Chief Exam. [CDATA[ To help you navigate through these challenges, we offer a free 30-minute discovery call. // Insert Twitter Pixel ID and Standard Event data below Jason Di Marco has been intimately involved with helping hospitals protect and improve their medical piped gas systems from CHT's beginnings. As a non-profit that enables and promotes the consensus process for the development of codes and standards, we're dedicated to providing the guidance and support to assist you in requiring and enforcing applicable criteria governing fire and life safety. endobj
Copyright 2022 Builders Book, Inc. All Rights Reserved. Connecting readers with great books since 1972! The use of medical gas requires proper installation, consistent maintenance, testing/monitoring, safety practices and inspection. Source valves must be at the immediate connection of each source to the distribution. For the best experience on our site, be sure to turn on Javascript in your browser. <>/Metadata 1531 0 R/ViewerPreferences 1532 0 R>>
285 0 obj
<>stream
Order Questions:TOLL FREE, 800-273-7375/800-468-4322/800-ASK-BOOK (275-2665)(Outside the U.S. call 818-887-7828). You can count on us tomanage your complete medical gas projects. NFPA 99: Health Care Facilities Code 2021 ed. NFPA 99B: Standard for Hypobaric Facilities 2018 ed. This book is not yet featured on Listopia. The American Society of Sanitary Engineering (, ) developed the Series 6000 Standard for medical gas systems personnel. endobj
Place your order for the Medical Gas and Vacuum Systems Handbook, 4th edition, 2021, today. In dealing with these critical gases, there are specific questions and materials to be used for the safety of your patients and healthcare facility before installation. js.src='https://platform.twitter.com/widgets.js'; Seller Rating. Clean your medical vacuum system to provide optimal pressure. <>
"All piping, valves, fittings and other components for use in all non-flammable medical gas systems must be thoroughly cleaned by the manufacturer to remove oil, grease and other readily oxidizable materials as if they were being prepared for oxygen service." endobj
"It provides municipalities and employers with a nationally recognized standard, ensuring that personnel working on the installation or maintenance of critically important medical gas systems possess the knowledge and experience required to handle it safely and properly. (NOTE: Ensure proper ventilation. The installer must satisfy himself and the inspection department that the cleanliness requirements of the code have been met. One of the demanding responsibilities of a Certified Healthcare Facility Manager is to ensure their facility remains compliant with regard to the use of medical gases. It's the only comprehensive resource for: Get the up-to-date knowledge you need to complete jobs correctly. , the flow of gas (or vacuum) from going the wrong way. Apply flux sparingly to the clean tube only and in a manner to avoid leaving any excess inside of completed joints. (Author: Jonathan R. Hart, Spiralbound, 8" x 10", 308 pp., 2015). <>
stream
Source valves must be at the immediate connection of each source to the distribution. endobj
The infographic below shows most of the requirements for amanifold roomas described by NFPA 99-2012. The store will not work correctly in the case when cookies are disabled. "It provides municipalities and employers with a nationally recognized standard, ensuring that personnel working on the installation or maintenance of critically important medical gas systems possess the knowledge and experience required to handle it safely and properly. Safety standards for oxygen and other positive-pressure medical gases require the use of Type K or L copper tube (see ASTM B 819). We ship orders daily and Customer Service is our top priority!. function gtag(){dataLayer.push(arguments);} endobj
Threaded joints in piping systems shall be made up with polytetrafluoroethylene (such as Teflon) tape or other thread sealants suitable for oxygen service. 1 0 obj
<>
[G(2)(I*,(L8b0}L5B\cFrPC1 ?4Dc1-h9~jbhc)'}j7%*R2` NKIyOPRI(VtP Ni=[3{$m[BB YzsAEm=DOV'~gtR}Ox6Hk1|Gu MdU5?`%oc:b@. All piping, valves, fittings and other components for use in all non-flammable medical gas systems must be thoroughly cleaned by the manufacturer to remove oil, grease and other readily oxidizable materials as if they were being prepared for oxygen service. JavaScript seems to be disabled in your browser. Valves - must be NFPA 99 compliant. The summary is only available in the Medical Gas and Vacuum Systems Handbook and serves as an excellent resource to quickly find changes that may apply to your work. For the best experience on our site, be sure to turn on Javascript in your browser. ",#(7),01444'9=82. The Medical Gas and Vacuum Systems Handbook, 4th edition, 2021, provides assistance in better understanding applicable provisions specified in NFPA 99, Health Care Facilities Code, to improve safety, avoid costly errors and rework, and pass your CMS Fire Safety Survey. The size - 1/2 inch or larger is used for installations. Of course, each construction site is unique and there is no way every installation conflict can be anticipated, but by pre-planning on the prints and dealing with certified vendors that follow all the guidelines your verification can become a mere formality. This handbook covers a wide array of topics from installation and maintenance to identifying issues, personnel qualifications, and having adequate capacity. ASSE medical gas certification training for your people. During brazing, the system shall be continuously purged with oil-free dry nitrogen to prevent the formation of scale within the tubing. %PDF-1.5
10 0 obj
[source]. Architecural Manufacturers & Distributors, Architectural Installation Contractors Database, UNS Standard Designation for Wrought and Cast Copper, ASTM Standard Designation for Wrought and Cast Copper and Copper Alloys, European Numbering System for Non-Ferrous Metals, The U.S. Copper Industry: Critical to Keeping the U.S. You'll gain a better understanding of the requirements for electrical systems, gas and vacuum systems, mechanical systems, medical equipment, and health care emergency management, along with security and patient safety based on risk. Use particular care in storage and handling. NFPA 99, 2012, 5.1.10.11.10.3, The American Society of Sanitary Engineering (ASSE) developed the Series 6000 Standard for medical gas systems personnel. Half Price Books has been connecting readers to great books since 1972. Helping to ensure medical gas and vacuum systems are properly installed, maintained, and ready to perform as intended is a critical element to patient care and maintaining operational effectiveness in health care facilities. You benefit from three supplements that are not part of NFPA 99 and only available in the handbook, including: Maximize safety and efficiency with the Medical Gas and Vacuum Systems Handbook. Used textbooks may not include companion materials such as access codes, etc. 3 0 obj
Cleaning must be done in accordance with the provisions of CGA Pamphlet G-4.1, All brazed joints in the piping shall be made up using brazing filler metals that bond with the base metals being brazed and that comply with. 8 0 obj
Get Verified Results for your Medical Gas system. (The article does not cover all requirements of NFPA 99 and should not replace the official NFPA 99 Healthcare Facilities Code. <>>>
NFPA 99 5.1.10.10.1.2). //]]>, Be the first to ask a question about Medical Gas and Vacuum Systems Handbook, 2018 Edition. js.id=id; C/j\^&qw'vTopIzj_I*{2EhJ2IWj(g\#_]PHg <>
(Ref. gtag('config', 'UA-133058331-1'); Access expert information and guidance in identifying and applying the most current medical gas and vacuum systems requirements. stream
},s.version='1.1',s.queue=[],u=t.createElement(n),u.async=!0,u.src='//static.ads-twitter.com/uwt.js', Some BAg series filler metals contain cadmium, which, when heated during brazing, can produce toxic fumes.). by National Fire Protection Association.
$.' %
Ensure patient safety, reduce risk, and increase your profitability. endobj
Installation. Indoor storage or manifold areas for medical gases need proper ventilation. <>
110 full-color photos, tables, and charts that clarify concepts, A new feature with specific procedures for conducting installation and verification of medical gas systems, including suggested procedures for each of the six installation tests, A supplement highlighting key changes from the 2015 to the 2018 edition of. Copyright 2022 Copper Development Association Inc. All Rights Reserved. Call Today and Save! He is certified by ASSE, NITC, and NFPA as an inspector and installer and has worked with major institutions from construction to risk assessment planning. ", Installers of medical gas and vacuum systems shall not use their certification to oversee installation by noncertified personnel.
Medical gas piping must be clearly identified using non removable stickers that are color coded according to the gas. All installers must meet the requirements of ASSE 6010. (H$=;U6han%-@x:6BYcYBSFgFL$gfNlw?0o}
y^/_|qaVu?;oDQgN4a}p{0@''8cK0q"=fcas#\>m6mXFo7~G|wy:&vKI?{"{X'M}rRAe"@OSi ^Y7yD bAb;TzoTk"ktLu$?PIT|@3%}uGQW
jxzZUdDL/|E/"B>|c M)R
Ob1LV+DMI07|m*6-IGlU%8\ U0UQu0*/;x2EVjxT_eZIn%by1H,xS;;a 4E#z9 4 0 obj
Operational, Copper - The World's Most Reusable Resource, Safe Drinking Water Act and Copper Alloys, Toxicological Differences in Lead and Copper, Lead-free Solders for Drinking Water Plumbing Systems, Irrigation and Agricultural Sprinkler Systems, Copper-Iron Alloy Tube and Fittings for High Pressure HVAC/R Applications. This unique NFPA Handbook combines all the latest medical gas and vacuum system rules plus valuable expert insights, explanations, and full-color visuals. 7 0 obj
wyWu*@+_jy&KsN(*}.7en/O3 CHT has more construction medical gas verifiers than any other company in the country. ReferenceNFPA 99 5.1.3.3.2 (1-9) for design and construction details for locations of central supply systems and storage of positive pressure gases. 2 0 obj
President at Compliant Healthcare Technologies, LLC %
Commonly hospitals will have nitrogen, nitrous oxide and maybe a carbon dioxide produced through a manifold. There are no discussion topics on this book yet. This full-color Handbook is essential for anyone responsible for the safe installation of med gas systems including plumbers, pipe fitters, system designers, and AHJs. Install medical gas and vacuum systems correctly, troubleshoot problems, answer questions, and train to the latestNFPA 99requirements using the 2018 edition of theMedical Gas and Vacuum Systems Handbook. You get the latest medical gas and vacuum systems requirements extracted directly from NFPA 99, along with insightful commentary, detailed explanations, and visual learning aids. Now with improved features that help you quickly identify criteria and implement the 2018 edition of NFPA 99: Health Care Facilities Code, Author: Jonathan R. Hart, P.E. Author: Jonathan R. Hart, P.E.
Now in a larger 8 1/2" x 10" spiralbound format for the 2015 edition, the Handbook combines all the latest medical gas and vacuum system rules -- plus valuable expert insights, explanations, and full-color visuals that help you comply and ensure high-quality patient care and facility safety. More than 90 full-color photos, tables, charts, Easy to navigate single column, spiralbound format, Shading and symbols to indicate changes, deletions, and additions to the code, Summary of Technical Changes: 2018 to 2021. <>
Fittings - must meet applicable standards for your specific region. Publisher: National Fire Protection Associa, Expanded and updated for the 2015 edition of NFPA 99: Health Care Facilities Code, the Medical Gas and Vacuum Systems Installation Handbook gives installers, designers, inspectors, and verifiers a targeted tool for specialized knowledge about gas, air compressor, and vacuum systems Category 1 through 3. Care must be taken to prevent contamination of the system when the caps or plugs are removed and tube is installed. We're Here To HelpCall us anytime during our customer service hours Monday through Friday - 8:30 am to 4:30 pm (Pacific)Saturday - 10am to 4pm (Pacific). 2 0 obj
, [, The infographic below shows most of the requirements for a, If you are renovating your healthcare facility or under new construction, knowing the requirements prior to installation will be a ". 5 0 obj
Medical gas systems in healthcare facilities and hospitals are lifesaving and a critical element of patient care. hb```f``R``v cb*v(hQa}o/j;|A[.KsT
,!_5wu0Y& w o)
&c`|OIIyr0 *004:2TvmIOBdN6InbtL=EF`')|aF: &VC[vo8!DGGcGDG3b 2:@FP$f@DXH "JPPA 4Yl@JhsQV^^TI&5lgiN 'p} <>
%%EOF
Whether you are renovating an older facility or new construction, healthcare facilities must have the knowledge and experience to handle medical gas safely and properly. It. Additional Supplements provide more in-depth coverage of essential medical gas and vacuum systems topics. [source]. 99, Health Care Facilities, Chapter 5, Gas and Vacuum Systems. Installers include anyone who works on, or with, piping or any related components, including brazers." !function(d,s,id) To see what your friends thought of this book, Medical Gas and Vacuum Systems Handbook, 2018 Edition, About National Fire Protection Association, Books by National Fire Protection Association, Readers' Most Anticipated Books of August. <>
endobj
Because these gases are so vital, proper installation is of the utmost importance. (Spiralbound, 8" x 11", 408 pp., 2018). New features include the addition of a form relating to the responsible facility authority and the Summary of Technical Changes, which provides an overview of the significant updates from the previous edition. AT]mSg3|{l,ziF"-3eWh4YZt?h
(Wd5+Dy.vf(+sEz8.E+fQ1I%T/q". Copper tube for medical gas lines is furnished by the manufacturers suitably cleaned and capped or plugged. Medical Gas Inspection & Testing and Maintenance, pressure test to ensure there are no leaks, cross connection test for proper pressurization, pipe purge test for verification of debris, standing pressure test to verify proper connections and devices are sealed internally, standing vacuum test to identify vacuum hold time (system should hold vacuum for 24 hours). Save 10% Off on Everything EVERY DAY! Stay informed about major changes in the 2018 edition ofNFPA 99and make sure vital medical gas and vacuum systems won't harm the people they're designed to help. Customer service is our top priority. NFPA publications such as NFPA 99, NFPA 101, Life Safety Code, and NFPA 72, National Fire Alarm and Signaling Code, are used around the globe for guidance and policy in a broad range of industries and disciplines. Proper installation needs to be flawless and work efficiently. Medical Gas Systems Installation You Need to Know for Safety, Compliance requires that all repair, maintenance and inspections are conducted by accredited personnel, usually a t, Check valves are used to prevent the movement of gas (or water in plumbing) from going the opposite directions as intended. hbspt.cta._relativeUrls=true;hbspt.cta.load(479873, 'b96d36aa-3e9c-41a4-9689-052c59302f8c', {"useNewLoader":"true","region":"na1"}); Topics: Just a moment while we sign you in to your Goodreads account. Part 2 of the Medical Gas and Vacuum Systems Handbook takes a closer look at critical subject areas. hexT%UQ. K (Spiralbound, 8" x 11", 408 pp., 2018). A must-have for designers, engineers, installers, inspectors, facility managers, and AHJs, the handbook helps get you and your team up-to-speed with sections of NFPA 99, 2021 edition, applicable to Category 1-3 gas, air compressor, and vacuum systems. {var js, fjs = d.getElementsByTagName(s)[0]; A visual inspection of each brazed joint shall be made to assure that the alloy has flowed completely around the joint at the tube-fitting interface. Install medical gas and vacuum systems correctly, troubleshoot problems, answer questions, and train to the latest NFPA 99 requirements using the 2018 edition of the Medical Gas and Vacuum Systems Handbook. Just prior to final assembly, the material must be examined internally for contamination. <>
6 0 obj
'-@J~"|I?Iz1"{QA}]i$K"B=VozAl`L`rX1K|loh64\$|"ifp-XMq=Fk9mEzI4p0zbmWNABNdzV"rOfvM!{ AMUz'tTV/c0`h$C,50|o>1&"p&Gn{W&(f+&~~o RmA/H$ KJ)1CxPT{;,mI!e\#s+cXx2k-q&nHNYuNZ
|Y'rJ*\8KR2oVF)6N7K"
UF dH)ljn~ [O[=uLr*s*T++!ys^,G^5sB' \EBY^{2A3#L(O0;d*P}{^#8Zd ~jh;gOBZzZbU@l$Lg"0Q`0Lf)&XIgC@e?sLL8I3X@SwcLQGWccv-8/( >d!Pp"jF4;u"}*%?hR`F\UxsdXB#%oik'
E" Z)$t:6m3|x-s{+F{F+J~H5
:YSeK)@F9 * L |z. Faulty medical gas installation can result in a hazardous situation. cl,@z[8e4sf(H;1q+v DVOF4{# P6Y?e@Jcmj1t%}k6U1G"TCL "About this title" may belong to another edition of this title. Piping - In accordance with ASTM B819, piping for distribution of medical gas is a seamless copper tube, identified as Types K or L. "The tube shall be installed in conformance with the requirements of the National Fire Protection Association (NFPA) Standard 99". NFPA 99: Health Care Facilities Code Handbook 2021 ed. Error-free medical gas and vacuum system installation and maintenance are vital to patient care and facility safety. "Installers include anyone who works on or installs piping or components, including brazers. If you are thinking of remodeling,CHT can provide a checklist of the most common problemswe have discovered and the tests each vendor needs to follow. Special cleanliness requirements are called for because oxygen under pressure may cause the spontaneous combustion of some organic oils (the residual of lubricating oil used during manufacture) and for the safety of patients receiving medical gases. endobj
!function(e,t,n,s,u,a){e.twq||(s=e.twq=function(){s.exe?s.exe.apply(s,arguments):s.queue.push(arguments); Install medical gas and vacuum systems correctly, troubleshoot problems, answer questions, and train to the latest NFPA 99 requirements using the 2018 edition of the Medical Gas and Vacuum Systems Handbook. 1 0 obj
Organized to make it easier for you to find the criteria you require, the handbook offers the latest information on gas and vacuum systems, including dental. }}(document,'script','twitter-wjs'); Medical gas installers must be proficient and experienced in the installation of medical gas and vacuum systems covered by the ASSE Series 6000 Standard. Copper-to-copper joints shall be made using a copper-phosphorus brazing filler metal (BCuP series) without flux. 276 0 obj
<>/Filter/FlateDecode/ID[<7FCC422827E02875123753344DCA50F9>]/Index[265 21]/Info 264 0 R/Length 69/Prev 591706/Root 266 0 R/Size 286/Type/XRef/W[1 2 1]>>stream
Installers include anyone who works on, or with, piping or any related components, including brazers." Sealants shall be applied to the male threads only. {js=d.createElement(s); To help you navigate through these challenges, we offer a free 30-minute discovery call. fjs.parentNode.insertBefore(js,fjs); Zq$/9N9l&a^rL&q)(;Hp. \z2)y0\$p%3eY q?g.PR"9 Z
endstream
Now with improved features that help you quickly identify criteria and implement the 2018 edition of NFPA 99: Health Care Facilities Code, the expanded Medical Gas and Vacuum Systems Handbook gives installers, designers, inspectors, and verifiers a targeted tool for specialized knowledge about gas, air compressor, and vacuum systems Category 1 through 3. Itprevents back flow, the flow of gas (or vacuum) from going the wrong way. he purpose of theWAGDsystem should always be to ensure that gas is making its way safely outside, without getting trapped in any part of the anesthetic gas system, maximizing the safety of the physicians and patients as well as securing the OR. 11 0 obj
Help ensure your organization has the knowledge to help safeguard health care centers, hospitals, clinics, nursing homes, and other medical facilities. 9 0 obj
Where flux has been used, assure that solidified flux residue has not formed a temporary seal that could hold test pressure. CHT has more construction medical gas verifiers than any other company in the country. "oFmo[t&RUz8p I_vYa|3nFr. }/H( This full-color Handbook is essential for anyone responsible for the safe installation of medical gas systems including plumbers, pipe fitters, system designers, and AHJs. Welcome back. "All piping, valves, fittings and other components for use in all non-flammable medical gas systems must be thoroughly cleaned by the manufacturer to remove oil, grease and other readily oxidizable materials as if they were being prepared for oxygen service." 4 0 obj
Commentary explaining the rules' intent and practical application. 3 0 obj
Insights from a Code expert help you install systems correctly and also train to the latest edition of Chapter 5 for ASSE certification. %PDF-1.5
%
You'll gain a better understanding of the requirements for electrical systems, gas and vacuum systems, mechanical systems, medical equipment, and health care emergency management, along with security and patient safety based on risk. Now with improved features that help you quickly identify criteria and implement the 2018 edition ofNFPA 99: Health Care Facilities Code,the expandedMedical Gas and Vacuum Systems Handbookgives installers, designers, inspectors, and verifiers a targeted tool for specialized knowledge about gas, air compressor, and vacuum systems Category 1 through 3. Seller Inventory # S_314494880. This unique NFPA Handbook combines all the latest medical gas and vacuum system rules plus valuable expert insights, explanations, and full-color visuals. Check valves are used to prevent the movement of gas (or water in plumbing) from going the opposite directions as intended. Error-free medical gas and vacuum system installation and maintenance are vital to patient care and facility safety. May have some wear or writing/highlighting. Goodreads helps you keep track of books you want to read. )`.8|&@$KVH?Dv?:v:b0}\rge FY"vlX x[YF~7WA80.N85FUd)!F"5]Ow]n|k~H2;{o9>. It offers valuable insight as to the reasons behind certain code requirements and how to achieve compliance. 0
Wed love your help. For buried pipe, a continuous tape or marker shall be placed immediately above the pipe to identify the pipeline by specific name. hbbd``b`$C{H0 V !$H(Xz@b:#FK? HbGA}#RJ_j2 twq('track','PageView'); window.dataLayer = window.dataLayer || []; if(!d.getElementById(id)) If you are renovating your healthcare facility or under new construction, knowing the requirements prior to installation will be a "life-saver" for you and your patients. The 4th edition of the Medical Gas and Vacuum Systems Handbook is updated to reflect revisions to the latest code and supplements. endobj
endobj
265 0 obj
<>
endobj
All installers must meet the requirements of ASSE 6010,Professional Qualification Standard for Medical Gas System Installersand the ASME IX brazing qualification. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 588 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
The outside of all tubes, joints and fittings shall be cleaned by washing with hot water after assembly to remove any excess flux and provide for clear visual inspection of brazed connections. twq('init','o0wid'); endstream
endobj
startxref
<>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
While vacuum, WAGD, Medical air and Instrument air are generated locally in most hospitals, lower volume gases may come through a piped system from cylinders connected to a manifold. Refresh and try again. P=-' g}d!9YM#QdJgdw$ In addition the piping will be marked with the appropriate blue or green specifying it is used for medical gas. JFIF C gtag('js', new Date()); Start by marking Medical Gas and Vacuum Systems Handbook, 2018 Edition as Want to Read: Error rating book. 1-800-275-2665, IAEI (International Association of Electrical Inspectors), California Forms & Contracts for Download, CA License QuickPass Study Guide Downloads, CA License Jaset Home Seminar Study Guides, CA License Jaset Home Seminar Study Guide Downloads, ICC Inspector's Certification Study Guide Downloads, Medical Gas and Vacuum Systems Handbook 2018, Skip to the beginning of the images gallery, Medical Gas and Vacuum Systems Handbook 2019, Install medical gas and vacuum systems correctly, troubleshoot problems, answer questions, and train to the latest, Now with improved features that help you quickly identify criteria and implement the 2018 edition of. x]o0#??(-bR[v1"t @kD$GqbsM endstream
endobj
266 0 obj
<>
endobj
267 0 obj
<>
endobj
268 0 obj
<>stream