This government document is issued by Risk Management for use in San Antonio, TX
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https://www.google.com/url?client=internal-element-cse&cx=013658287118846917901:1fbwneawkiu&q=https://www.sanantonio.gov/Portals/0/Files/RiskManagement/Safety/VoluntaryRespiratorUseManagementForm.pdf&sa=U&ved=2ahUKEwiGrarxyIH5AhVxpYsKHUS9D6s4ChAWegQIAxAB&usg=AOvVaw0hJZcrCuqbhIXJpIJEIXWl