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ATTACHMENT 28

Section 4: Implementation (Who will do what, when, and how?)

Action Item

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Log (For each log include name of person making entry, date of entry and activity update)

Status:

Log

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Log

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Action Item

Log

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Log

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Log

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Action Item

Log

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Section 5: Validation (Did it work?)

16

Date

17

Were the risk factors addressed?

18

Yes

No

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