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A YOUNG FEMALE MECHANIC WARNED THE BILLIONAIRE NOT TO FLY — HE ORDERED TAKEOFF ANYWAY — Transcript

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0:13Why is the cowling open?
0:18>> Mr. Holloway, don't board.
0:20>> Excuse me?
0:23>> The left engine is making metal.
0:25This airplane doesn't leave the hangar.
0:30What's your name?
0:32Elena Torres, power plant maintenance.
0:35>> How long?
0:36>> Long enough to find the source.
0:40>> That's not a time.
0:41>> Because I don't have an honest one yet.
0:46>> It leaves in 6 minutes.
0:48>> Then it leaves without a safe engine.
0:53Ms. Torres,
0:54those are ferrous flakes. Bright edges,
0:57they're not old residue.
1:01>> Get me the person authorized to make
1:03that decision.
1:07>> What's going on?
1:08>> Left engine filter.
1:10>> [music]
1:10>> We need to keep her down.
1:12>> You have 5 minutes
1:14to tell me whether she's right.
1:21>> You see it.
1:23>> Bring the work order.
1:29>> 22 hours since the oil service check.
1:31Two clean inspections before that.
1:34This didn't sit in the line from last
1:36week.
1:37>> How much did you find?
1:39>> Enough that I stopped counting pieces
1:41and opened a discrepancy.
1:43>> Did you run the chip detector test?
1:46>> Yes.
1:48That's why I opened the filter.
1:51>> Any abnormal pressure on the ground run?
1:55>> No.
1:56That doesn't make the metal disappear.
2:00>> Tell New York I am wheels up on
2:02schedule.
2:03What is the minimum required action?
2:06>> Ground the aircraft.
2:08Pull the magnetic plug, identify the
2:09debris, inspect the engine, then decide
2:12what comes next.
2:14>> I asked him.
2:17The conservative action is an expanded
2:19inspection.
2:20And the required action?
2:22If the debris is residual and the ground
2:25run remains normal,
2:27there may be a path to release.
2:29>> Not with this shape and quantity.
2:33>> Elena,
2:35at 11:00,
2:36a lending group votes on the financing
2:38that keeps the Beaumont acquisition
2:40alive.
2:41If I am not in that room,
2:433,000 jobs move with the company we
2:45lose.
2:48>> How many people are on this airplane?
2:52>> You don't get to reduce this to a
2:54slogan.
2:56>> I'm reducing it to an engine.
3:00The backup aircraft is in Denver.
3:02Commercial service does not get Mr.
3:04Holloway there before the vote.
3:06Marcus, is there a lawful inspection
3:08that can be completed now?
3:11>> We can clean the filter, inspect the
3:13plug, run the engine, and recheck.
3:16>> And if the next piece is still inside
3:19the bearing?
3:22>> This department costs me $8 million a
3:25year so that problems are solved before
3:28they reach my calendar. I understand.
3:31Do you?
3:33Because if this airplane stays on the
3:34ground over one junior mechanic's
3:36preliminary call,
3:37I review this entire operation before
3:39lunch.
3:42Find the safe path to release it.
3:45>> There may not be one in 5 minutes.
3:49>> Then I'm fortunate you're not the one
3:51making the final decision.
3:57>> You know what that is.
3:59>> I know what it could be.
4:02>> That's enough to stop the flight.
4:05>> It's enough to inspect further. [music]
4:08>> Those are the same thing
4:10until we know.
4:13>> Run the plug inspection again.
4:15>> I already did.
4:17>> Then do it again.
4:19>> I won't [music] sign a release.
4:22>> No one asked you to.
4:30What's open on the left engine?
4:33>> Possible residual contamination from
4:34last week's service. We cleaned the
4:36element, inspected the plug, repeated
4:38the ground run, parameters normal.
4:41>> Who found it?
4:43>> One of my mechanics.
4:45>> And she's satisfied?
4:47>> I'm the return to service authority. I
4:49am satisfied.
4:51>> I'm not.
4:54>> What did you see?
4:56You were directed to repeat the
4:58inspection.
4:59>> I did.
5:00The plug was clean because the debris is
5:02in the filter.
5:04That doesn't clear the source.
5:08>> Your system access is suspended pending
5:10review. Clock out.
5:13>> You're closing the discrepancy?
5:15>> I'm documenting corrective action and a
5:17satisfactory ground run.
5:19>> You're changing what I wrote.
5:21>> I'm exercising the authority attached to
5:23my certificate.
5:25>> Your authority doesn't change what's in
5:27the engine.
5:29>> Captain,
5:30do you have a released aircraft?
5:37You do.
5:39We'll monitor it closely.
5:41Take us out, Captain.
5:44When my crew is ready.
5:50>> Put my original note back in the record.
5:53>> Go home, Elena.
5:55>> Marcus. [music]
5:56>> Now.
6:17>> Holloway Aviation Confidential [music]
6:19Safety Reporting. State your name,
6:21employee number, aircraft registration,
6:23and immediate concern.
6:25>> Elena [music] Torres, employee 417,
6:27aircraft 7 Hotel X-ray. At 05:42 I found
6:30bright ferrous debris in the left engine
6:32oil filter. I opened a no flight
6:33discrepancy. [music] At 05:51 Director
6:36of Maintenance Marcus Bell closed it
6:37without identifying the source.
6:43The owner was advised directly.
6:45The aircraft is taxiing [music] now.
6:55The aircraft [music] is airborne.
7:01Left oil pressure is wandering.
7:04>> Confirm against standby.
7:08>> Confirmed. Down [music] six, back two.
7:10>> Bring left thrust back 10%.
7:21>> That's the cockpit.
7:24>> Holloway.
7:25We have an abnormal oil indication on
7:27the left engine.
7:29We're leveling off while we run the
7:31checklist.
7:35Is the engine running?
7:37At reduced thrust.
7:38Then continue.
7:40Albany is ahead of us. We can land there
7:42and inspect.
7:44Stand by.
7:47He hung up on me.
7:49>> He's flying the airplane.
7:57Temperature is trending up. Pressure is
7:59below the green.
8:01>> Autopilot on. Left thrust idle.
8:08>> Pressure still falling.
8:10>> We shut it down.
8:11>> Agreed.
8:17>> Departure, Holloway 7 Hotel X-ray
8:19declaring an emergency. Left engine shut
8:21down. Request immediate return.
8:27>> What did you do?
8:30>> We shut down the left engine. We're
8:32returning. If we continue east, Albany
8:35is closer than going back around.
8:38>> No, sir.
8:40>> Captain?
8:42I own this aircraft.
8:46You own the aircraft. I command this
8:49flight. Sit down and secure your belt.
8:58>> Grant.
9:00Sit down.
9:36>> Marcus.
9:41Who wrote the original discrepancy?
9:43I released the aircraft.
9:46That isn't what I asked.
9:50>> I did.
9:56>> You called the safety line.
9:58>> Yes.
10:00>> Before there was an emergency.
10:02>> Before takeoff.
10:06>> I want the original entry preserved.
10:08I want the filter sample secured.
10:10Nobody touches the engine until an
10:12independent inspector is present.
10:16You work for me.
10:18>> Right now?
10:20>> I work for the report I have to sign.
10:24>> Not here.
10:28>> Conference room. All of you.
10:37>> This is a privileged internal response
10:38meeting pending insurer and regulatory
10:40notification. We are establishing facts,
10:42not assigning blame.
10:45>> Then start with the aircraft log I
10:47received.
10:50No open discrepancy. Corrective action
10:52states residual contamination, filter
10:54cleaned, ground run satisfactory.
10:56>> Marcus.
10:57>> Those were the conditions
10:59when I released it.
11:00>> You didn't identify the metal.
11:03>> We did not have time for material
11:05analysis.
11:07>> Which is why the airplane should have
11:09stayed down.
11:11>> You made a diagnosis from a handful of
11:13debris.
11:14>> I made a no-fly call from evidence that
11:16required a diagnosis.
11:21Elena, did Marcus direct you to perform
11:23a second inspection?
11:25>> Yes.
11:27Did you complete every step he requested
11:29before Or contacted the safety line?
11:33He closed my access while the airplane
11:35was boarding.
11:37>> Because you refused the chain of
11:39command.
11:40>> I refused to call metal harmless.
11:45>> Where is the sample?
11:48>> It should be in the contamination rack.
11:51>> You took custody of it.
11:54>> I tagged it for recheck.
11:56>> Has anyone confirmed its location?
12:00>> Not yet.
12:02So the evidence that justified the
12:04release is missing.
12:06>> The ground run justified the release.
12:09>> The engine failed its indication 14
12:11minutes later.
12:12>> The engine did not fail. We landed
12:16because we shut it down.
12:19That distinction matters.
12:23>> The insurer is sending a power plant
12:25specialist. Until we have the
12:26inspection, no one will characterize
12:28cause.
12:32Your system access remains suspended.
12:34You are placed on paid administrative
12:36leave pending review of your actions and
12:38the maintenance decision.
12:42>> My actions put the warning on record.
12:45>> And the review will determine whether
12:46you followed required reporting
12:48procedures.
12:50>> You locked the procedure after I used
12:52it.
12:54>> You are not the victim of a safe
12:56landing.
12:59>> No.
13:00You were the beneficiary of one.
13:04>> That is enough. Elena, surrender any
13:06company property and remain available.
13:25>> Can I come in?
13:27>> Apparently else can decide where I go.
13:31>> I was given
13:32a clean log.
13:34>> I know.
13:36>> Marcus told me it was residual debris.
13:39He said the second inspection was
13:40complete.
13:42>> It wasn't.
13:44>> Can you prove what you saw before
13:45departure?
13:52You photographed the work order number.
13:54>> Standard practice.
13:56The system strips local copies after
13:58upload, so I keep the originals until
13:59close out.
14:01>> Send them to your personal counsel.
14:03Not to me.
14:05>> I don't have personal counsel.
14:07>> Then send them somewhere the company
14:09cannot call them mine.
14:13>> Why are you helping me?
14:16>> I'm not helping you.
14:21I'm correcting my part.
14:24My report will state that I asked about
14:25an open discrepancy and was told it had
14:27been resolved.
14:29It will also state that the indication
14:31appeared in climb and continued after
14:33reduced thrust.
14:35>> They can replace you.
14:38>> They can't replace [music] a captain.
14:40They can't make a false report true.
14:44>> The electronic audit trail will show
14:46when Marcus changed the classification.
14:49>> If it still [music] exists.
14:51>> It has to.
14:52>> Don't build your future on has to.
15:01Were you expecting them to make you
15:02permanent today?
15:04>> Marcus said we'd talk after the
15:06departure.
15:08>> I'm sorry.
15:10>> I'm not sorry I stopped pretending I
15:12needed his permission to be right.
15:13[music]
15:22One year of
15:23continued medical coverage, a neutral
15:25separation record, and a reference
15:27confirming satisfactory technical
15:28performance.
15:30In exchange for what?
15:32No admission by either party, no public
15:34statements while the investigation is
15:36active,
15:37and one factual acknowledgement.
15:44That your initial observation was
15:45preliminary and had not completed the
15:47diagnostic process required to establish
15:49an un-airworthy condition.
15:51You want me to say
15:54I didn't know enough to stop the plane.
15:58I want you to say what is technically
15:59true.
16:01You found an indicator.
16:03You did not identify a failed component
16:05before departure.
16:06Because they departed.
16:09That answer may feel complete to you.
16:12It will not feel complete to an
16:13investigator asking why a probationary
16:15mechanic rejected her director's
16:17corrective action.
16:19He didn't correct anything.
16:22You are 25 years old.
16:25You can spend the next 5 years being the
16:27mechanic who challenged a director and
16:29happened to be near an in-flight event.
16:31[music]
16:32Or you can leave with a clean record and
16:34keep building your career.
16:39If my warning was so preliminary,
16:42why is silence worth a year of salary?
16:45It is not silence. It is controlled
16:47communication during a complex
16:49investigation.
16:51Controlled by whom?
16:55>> Did she sign?
16:57>> We are discussing the language.
17:02>> There is no language in that agreement
17:04that prevents her from cooperating with
17:06a lawful inquiry.
17:08>> It just pays me to agree
17:11that my own warning wasn't enough.
17:14>> Your warning did not land the airplane.
17:17My pilot did.
17:19>> After the engine repeated it.
17:24>> Take the agreement. You get a year to
17:26find another job. Marcus answers for his
17:28decision. The inspection determines the
17:30rest.
17:34>> When I told you not to fly,
17:37did you ask what the metal could do?
17:40>> I asked how long the inspection would
17:42take.
17:45>> Exactly.
17:49You didn't ask whether it was safe.
17:50[music]
17:52You asked how fast somebody could make
17:53the word safe appear.
17:55Alaina, think carefully.
17:58I did before takeoff.
18:05>> She thinks refusing [music] money makes
18:07her right.
18:08>> No.
18:10The engine inspection will decide
18:11whether she was right.
18:16>> Hold there.
18:19There. Spalling on the bearing surface.
18:23>> How extensive?
18:24>> Enough to shed the debris your mechanic
18:26photographed.
18:28We'll know the full extent after
18:29teardown.
18:33>> Could that damage have begun after
18:35takeoff?
18:36>> The indication worsened after takeoff.
18:39This wear pattern did not begin 14
18:41minutes into one flight.
18:43>> Would another hour have caused engine
18:45failure?
18:47>> I don't predict the accident that didn't
18:48happen.
18:50I can tell you the engine was degrading,
18:52debris was present before departure, and
18:54the correct response was to identify the
18:56source before further flight.
19:00>> So, Torres was right.
19:02>> About keeping the aircraft on the
19:03ground?
19:04>> Yes.
19:10>> We need the original filter sample and
19:12the complete audit history. [music]
19:14>> I'll find them.
19:17You told me the aircraft was safe.
19:20I told you
19:21I could release it.
19:23Is there a difference?
19:26There was today.
19:34>> The lenders have paused, not withdrawn.
19:37They want a written account before
19:38tomorrow morning.
19:39>> Then give them one.
19:42>> There are two defensible accounts.
19:46One, the director of maintenance
19:48exercised independent authority, made an
19:50incorrect technical judgment, and has
19:52been removed pending investigation.
19:56Two, executive schedule pressure
19:58influenced a maintenance release, which
20:00requires a fleet-wide safety review and
20:01disclosure to every financing party.
20:05>> I did not tell him to falsify a record.
20:09No.
20:10I did not sign the release.
20:13No.
20:14Then why are we pretending I did?
20:18We're not.
20:20We're deciding whether you had to use
20:21the word falsify
20:24before I understood what happened if I
20:26said no.
20:30I asked for options.
20:33Your job is to know which options are
20:34legal and safe.
20:36It is.
20:37Then do not hand me your failure
20:40because you dislike the pressure of your
20:42position.
20:45>> Marcus is prepared to resign and accept
20:46responsibility for the release decision.
20:49The company can establish an independent
20:51review without characterizing the entire
20:52flight operation as compromised.
20:55>> And the deal?
20:57>> It might survive.
20:58>> Might?
20:59>> If there is no contradictory evidence.
21:04>> Elena's photographs establish metal.
21:07They do not establish what I said to
21:08Marcus.
21:10>> Her safety call establishes that you
21:11were advised.
21:13Captain Cole's report establishes that
21:15the cockpit did not receive the original
21:16discrepancy.
21:18The remaining question is why the record
21:20changed.
21:21>> Marcus made a bad decision.
21:23Say that clearly.
21:25And the 42 people downstairs?
21:27If the acquisition closes, their jobs
21:29remain funded.
21:32If it fails, there may not be a flight
21:33department to return to.
21:37If I sign this, you keep them?
21:40>> No one can guarantee that.
21:42>> But I can guarantee
21:44what happens if you don't.
21:51Prepare the individual failure
21:52statement. Suspend Marcus. Cooperate
21:54with the insurer. We are not confessing
21:56to an organizational crime because one
21:58man signed one page.
22:03>> You do not have to [music] sign tonight.
22:06>> That's what he said to Elena without
22:08saying it.
22:10>> Then decide what you are willing to say
22:12without being asked.
22:21You said it was missing.
22:24>> I put it in my lockbox.
22:26>> Why?
22:28>> Because I knew the moment I signed the
22:29release
22:32that I might need proof of what I had
22:33ignored.
22:35>> You hid evidence to protect yourself.
22:37[music]
22:39>> I told myself I was preserving it.
22:42>> From whom?
22:49>> Your entry at 5:44,
22:51my revision at 5:50, authorization at
22:535:51.
22:55The system keeps the original language
22:56behind the current record.
23:00I wrote source undetermined, aircraft
23:02not recommended for flight.
23:04Then I replaced it with residual
23:05contamination after servicing.
23:08>> You didn't believe that.
23:10>> I believed I could be lucky.
23:13>> That isn't maintenance.
23:14>> No.
23:17Grant's lawyers are putting it on me.
23:21I can sign the resignation,
23:23take the certificate review,
23:25and keep the rest of you out of it.
23:28>> You think that's noble?
23:30>> I think 42 families don't deserve to
23:32lose their income because I panicked.
23:35>> You didn't panic, you calculated.
23:39And if you make this one bad signature
23:41by one bad director, then 6 months from
23:44now he puts another director in that
23:45chair.
23:47Another mechanic finds something.
23:49Another clock is more important.
23:52>> What do you want from me?
23:55>> The truth without turning it into a
23:57favor.
23:59>> The truth costs those people their jobs.
24:02>> No. The choice already cost something.
24:05The truth decides who is allowed to see
24:07the bill.
24:13>> I hired you because you were the only
24:15applicant who wrote insufficient
24:17information on the engine trend [music]
24:18test instead of guessing.
24:22>> And then you punished me for doing the
24:24same [music] thing when it mattered.
24:27>> I did.
24:33I will tell the review that he heard
24:35your warning. [music]
24:37I will tell them what he said about
24:39closing the department.
24:42I will tell them I changed the entry
24:43because of it.
24:48I'm sorry.
24:50Give that answer to the investigator.
25:07>> This review is limited to the release
25:09decision, the in-flight engine event,
25:11and immediate safety action.
25:13Ms. Bennett, give us the company's
25:15current position.
25:17The aircraft was released by the
25:18director of maintenance after a ground
25:20inspection and engine run. Subsequent
25:22teardown identified progressive bearing
25:24damage.
25:25Mr. Bell has been suspended.
25:28The company has placed this aircraft out
25:30of service and is cooperating with the
25:33insurer.
25:34Does the company consider the event
25:36isolated?
25:38That determination is pending.
25:42Our lenders require an answer tonight.
25:44Safety does not improve because a lender
25:47is waiting.
25:49Ms. Torres, show us what you documented.
25:55At 5:42, I inspected the left engine oil
25:58filter after a scheduled ground run. I
26:00found bright ferrous particles in a
26:02quantity and condition inconsistent with
26:04normal residual contamination.
26:07At 5:44, I opened a discrepancy and
26:10recommended no further flight until the
26:11source was identified.
26:13Recommended. You did not have return to
26:15service authority.
26:17Correct. Marcus did.
26:21This is the original filter sample.
26:24Marcus Bell and I sealed it together at
26:2518:32.
26:27The external envelope contains the
26:29system audit showing both versions of
26:31the maintenance entry.
26:35Mr. Bell, is that your signature?
26:38>> Yes.
26:39>> Did you change the discrepancy
26:41classification?
26:42>> Yes.
26:44>> Why?
26:46>> Because I was afraid Mr. Holloway would
26:48close the department if I delayed his
26:50flight.
26:51I had technical authority. I used it
26:53improperly.
26:54No one else signed that release.
26:57Did I instruct you to enter false
26:59information?
27:00No.
27:02Did I tell you the aircraft was safe?
27:06No.
27:08Then the release decision was his.
27:11And the go decision was mine.
27:14Based on the release he gave me.
27:16You are not being accused.
27:19I'm not waiting to be.
27:21I asked about an open discrepancy.
27:23I was told it had been resolved.
27:26Had I received Ms. Torres' original
27:28entry, we would not have departed.
27:33>> The left engine oil pressure became
27:35unstable during climb and deteriorated
27:37after thrust reduction.
27:39The crew shut the engine down under the
27:41abnormal checklist and returned.
27:44Ms. Torres, you stated in your safety
27:47call that the owner had been directly
27:49advised. Mr. Holloway, did she tell you
27:52not to fly?
27:55>> She said the engine was making metal.
27:58>> Did she tell you the aircraft should not
28:01leave the hangar?
28:02>> Yes.
28:04>> What did you do with that information?
28:07>> I asked the authorized maintenance
28:09director to evaluate it.
28:13>> Ms. Torres, is that incomplete?
28:15He asked how long the inspection would
28:18take.
28:20>> Because timing mattered.
28:22>> Then he said the plane would leave in 6
28:25minutes.
28:28>> I did not sign the release.
28:31>> No.
28:32You made everybody else decide what
28:34saying no to you would cost.
28:37>> That is an accusation, not evidence.
28:41>> The evidence is the order of events.
28:43I warned you.
28:44You threatened to review the department.
28:46My report changed. My access was closed.
28:49The plane left. The engine came back
28:51shut down.
28:55You can decide which part belongs to
28:56you.
28:58I can't do that for you.
29:04Grant, the Beaumont lenders are waiting
29:06for our statement. If we call this
29:08systemic pressure, the financing is
29:10gone.
29:13And if we call it isolated, the insurer
29:15will require support for that
29:17conclusion.
29:18Tonight, we do not have it.
29:21>> Marcus has admitted responsibility.
29:24>> For the maintenance entry.
29:27Not for the culture in which he made it.
29:31We can suspend the flight department and
29:33preserve the acquisition.
29:35One aircraft or the full fleet? The
29:38affected aircraft.
29:39The same reporting structure serves the
29:41entire fleet.
29:43If pressure altered one release,
29:45limiting action to one tail number
29:46requires evidence that the pressure was
29:48isolated.
29:53>> If I ground the fleet,
29:55the lenders walk.
29:57>> Yes.
30:03>> And if I don't, every release signed
30:06tomorrow carries this meeting behind it.
30:12Ground every aircraft operated by
30:14Holloway Aviation.
30:17Effective now.
30:19>> You are not authorized to jeopardize a
30:21$4.2 billion transaction without a board
30:24vote.
30:25>> As owner of the flight operation,
30:28I am authorized to stop using it.
30:32Issue the internal records to the
30:33independent review.
30:35Notify the lenders that executive
30:37schedule pressure is part of the
30:38investigation.
30:40>> That will end the deal.
30:43>> Then we lose it.
30:45I will step away from operational
30:46oversight until the review is complete.
30:50The board can decide the rest of my
30:51position.
30:56Your decision was yours.
30:58Yes.
30:59The pressure was mine.
31:04You were right.
31:05>> That isn't the part you need to
31:07remember.
31:09I shouldn't have needed the in the hurt
31:12[music] finally audible underneath
31:13weight and worth hearing.
31:18We'll begin with the full maintenance
31:20audit.
31:30Senior safety analyst. Permanent
31:33position. Direct reporting line to the
31:35audit committee. No operational manager
31:37can close one of your reports.
31:39Who funds the position?
31:41Halloway Aviation. Then someone at
31:44Halloway Aviation can eventually decide
31:46the position costs too much. That is
31:49true of every internal role.
31:52Which is why I'm taking the insurer's
31:55offer.
31:57Independent fleet evaluator. For the
32:00duration of the corrective review.
32:03You understand that means coming back
32:05here.
32:06It means coming back with a different
32:08reporting line.
32:14Grant asked me to give you this.
32:24He did not ask for an answer.
32:27Good.
32:45>> The Beaumont deal collapsed this
32:47morning.
32:48And the 42 jobs
32:50funded through the review.
32:52After that, no promise.
32:56Then don't call this fixed.
32:59I won't.
33:20What did you get? A transient
33:22temperature split. Probably sensor
33:24stabilization.
33:25>> [music]
33:25>> I want one more cold restart.
33:30Departure was scheduled for 7:00.
33:35Then departure is delayed.
33:43>> Is it unsafe?
33:45>> I don't know [music] yet.
33:52>> Take the time you need.
33:55>> I raised my hand and said, "Not yet."
33:58The clock was louder than my voice.
34:01You heard the minutes, not the melody.
34:04I may be
34:05only half strong.
34:07Take the time. Take the time you need.
34:11Some things can't be rushed to do.
34:14Put the clock away. Let the morning be.
34:17I'll tell you when it's safe to move.
34:20Take the time.
34:22Take the time
34:23you need.
34:27I lost the match.
34:28I kept my name. I learned that quiet can
34:32be strong.
34:34Now every tag I take away is one more
34:37thing [music] that won't go wrong.
34:40Take the time,
34:41take the time you need.
34:43Some things can't be rushed to be true.

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