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* 1. Please provide the following employer information:

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* 2. Please provide a word document with picture(s) of the intervention.

PDF, DOCX, DOC file types only.
Choose File

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* 3. What equiment was implemented?

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* 4. How did the equipment improve safety?

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* 5. What feedback has been given by employees regarding the use of the equipment?

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* 6. For Diesel Exhaust Systems ONLY: Was any air sampling done before and/or after the system was installed? If so, what were the results?

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* 7. Is there any other information you would like us to know regarding the equipment?

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