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(N\\\/A)\",\"opt\":[{\"lbl\":\"N\\\/A\",\"check\":true}],\"valid\":{},\"err\":{},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"check-1-28\"}},\"buttons\":\"\",\"fieldsKey\":{\"b5-1\":\"b5-1\",\"b5-2\":\"b5-2\",\"b5-3\":\"b5-3\",\"b5-4\":\"b5-4\",\"b5-5\":\"b5-5\",\"b5-6\":\"b5-6\",\"b5-7\":\"b5-7\",\"b5-8\":\"b5-8\",\"b5-9\":\"b5-9\",\"b5-10\":\"b5-10\",\"b5-11\":\"b5-11\",\"b5-12\":\"b5-12\",\"b5-13\":\"b5-13\",\"b5-14\":\"b5-14\",\"b5-15\":\"b5-15\",\"b5-16\":\"b5-16\",\"b5-17\":\"b5-17\",\"b5-18\":\"b5-18\",\"b5-19\":\"b5-19\",\"b5-20\":\"b5-20\",\"b5-21\":\"b5-21\",\"b5-22\":\"b5-22\",\"b5-23\":\"b5-23\",\"b5-24\":\"b5-24\",\"b5-25\":\"b5-25\",\"b5-26\":\"b5-26\",\"b5-27\":\"b5-27\",\"b5-28\":\"b5-28\"},\"file\":[\"b5-3\"],\"configs\":{\"bf_separator\":\"__bf__\"},\"formId\":5,\"appID\":\"bitforms_5\",\"GCLID\":false,\"assetUrl\":\"https:\\\/\\\/valencemaint.com\\\/wp-content\\\/plugins\\\/bit-form\\\/assets\",\"onfieldCondition\":false,\"smartTags\":[],\"paymentCallbackUrl\":\"https:\\\/\\\/valencemaint.com\\\/index.php?rest_route=\\\/bitform\\\/v1\\\/payments\\\/razorpay\",\"gRecaptchaSiteKey\":null,\"gRecaptchaVersion\":null,\"turnstileSiteKey\":null,\"hCaptchaSiteKey\":null,\"validateFocusLost\":true,\"formName\":\"P1 Tank Temp\"}<\/script><div id=\"bitforms_5_72_1\" class=\"b5-bit-form bFZ5 bKH5 _frm-bg-b5 bit-form bf-form-wrapper\">\n      \n          <form novalidate id=\"form-bitforms_5_72_1\" class=\"bFC5 bFD5 _frm-b5 bf-form\" enctype=\"multipart\/form-data\" method=\"post\">\n              <input type=\"text\" class=\"d-none\" name=\"csrf\" value=\"F1tTMSTFm\/Vmk4PbtrGK1A+P5BokZWnnG+Aa+Fykm0Q=\">\n              <input type=\"text\" class=\"d-none\" name=\"t_identity\" value=\"bRLapGG9yGNilWrisSmsJ91NUT+1\/Vu7a3F2urvh6gQ=\">\n              \n              <input type=\"text\" class=\"d-none\" name=\"bitforms_id\" value=\"bitforms_5\">\n              \n                  <div class=\"btcd-fld-itm b5-21 \"><div class=\"bA5 bI5 bM5 bAH5  b5-21-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bIC5  b5-21-titl-wrp b5-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h1 class=\"bA5 bI5 bAG5 bBR5 bDI5 bID5 bJL5  b5-21-title b5-title bf-title bf-title \">\n      \n      <span class=\"b5-21-title-txt b5-title-txt bf-title-txt bf-title-text\">PLANT 1 TANK TEMPERATURE INSPECTION FORM<\/span>\n      \n      <\/h1>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b5-5 \"><div class=\"bf-date-field bAJ5 bAO5 bBG5 bBK5  b5-5-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-5-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-5-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-5-lbl b5-lbl bf-lbl bf-label \" for=\"b5-5-1\">\n          \n          \n          Date:\n          \n          <span class=\"bBM5 bCO5  b5-5-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-5-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-5-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-5-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-5-fld b5-fld bf-fld bf-field \" type=\"date\" required aria-required=\"true\" aria-describedby=\"b5-5-err-txt\" name=\"date-1-5\" data-bf-show-picker=\"1\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-5-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-5-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-5-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-5-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-5-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-20 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-20-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-20-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-20-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-20-lbl b5-lbl bf-lbl bf-label \" for=\"b5-20-1\">\n          \n          \n          Tk 1 (130\u00b0F-150\u00b0F)\n\n          \n          <span class=\"bBM5 bCO5  b5-20-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-20-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-20-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-20-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-20-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-20-err-txt\" name=\"text-1-20\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-20-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-20-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-20-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-20-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-20-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-19 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-19-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-19-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-19-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-19-lbl b5-lbl bf-lbl bf-label \" for=\"b5-19-1\">\n          \n          \n          Tk 3 (90\u00b0F-110\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-19-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-19-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-19-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-19-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-19-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-19-err-txt\" name=\"text-1-19\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-19-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-19-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-19-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-19-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-19-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-18 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-18-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-18-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-18-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-18-lbl b5-lbl bf-lbl bf-label \" for=\"b5-18-1\">\n          \n          \n          Tk 5 (60\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-18-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-18-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-18-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-18-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-18-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-18-err-txt\" name=\"text-1-18\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-18-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-18-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-18-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-18-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-18-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-17 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-17-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-17-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-17-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-17-lbl b5-lbl bf-lbl bf-label \" for=\"b5-17-1\">\n          \n          \n          Tk 7 (65\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-17-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-17-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-17-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-17-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-17-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-17-err-txt\" name=\"text-1-17\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-17-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-17-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-17-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-17-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-17-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-16 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-16-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-16-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-16-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-16-lbl b5-lbl bf-lbl bf-label \" for=\"b5-16-1\">\n          \n          \n          Tk 9 (91\u00b0F-99\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-16-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-16-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-16-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-16-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-16-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-16-err-txt\" name=\"text-1-16\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-16-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-16-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-16-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-16-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-16-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-15 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-15-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-15-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-15-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-15-lbl b5-lbl bf-lbl bf-label \" for=\"b5-15-1\">\n          \n          \n          Tk 11 (68\u00b0F-72\u00b0F)\n\n          \n          <span class=\"bBM5 bCO5  b5-15-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-15-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-15-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-15-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-15-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-15-err-txt\" name=\"text-1-15\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-15-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-15-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-15-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-15-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-15-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-14 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-14-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-14-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-14-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-14-lbl b5-lbl bf-lbl bf-label \" for=\"b5-14-1\">\n          \n          \n          Tk 11b (25\u00b0F-45\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-14-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-14-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-14-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-14-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-14-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-14-err-txt\" name=\"text-1-14\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-14-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-14-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-14-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-14-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-14-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-13 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-13-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-13-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-13-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-13-lbl b5-lbl bf-lbl bf-label \" for=\"b5-13-1\">\n          \n          \n          Tk 13 (70\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-13-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-13-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-13-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-13-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-13-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-13-err-txt\" name=\"text-1-13\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-13-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-13-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-13-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-13-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-13-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-12 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-12-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-12-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-12-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-12-lbl b5-lbl bf-lbl bf-label \" for=\"b5-12-1\">\n          \n          \n          Tk 16 (65\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-12-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-12-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-12-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-12-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-12-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-12-err-txt\" name=\"text-1-12\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-12-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-12-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-12-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-12-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-12-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-11 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-11-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-11-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-11-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-11-lbl b5-lbl bf-lbl bf-label \" for=\"b5-11-1\">\n          \n          \n          Tk 17 (190\u00b0F-210\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-11-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-11-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-11-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-11-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-11-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-11-err-txt\" name=\"text-1-11\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-11-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-11-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-11-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-11-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-11-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-10 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-10-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-10-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-10-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-10-lbl b5-lbl bf-lbl bf-label \" for=\"b5-10-1\">\n          \n          \n          Tk 19 (190\u00b0F-200\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-10-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-10-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-10-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-10-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-10-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-10-err-txt\" name=\"text-1-10\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-10-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-10-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-10-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-10-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-10-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-9 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-9-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-9-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-9-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-9-lbl b5-lbl bf-lbl bf-label \" for=\"b5-9-1\">\n          \n          \n          Tk 20 (175\u00b0F-185\u00b0F)\n\n          \n          <span class=\"bBM5 bCO5  b5-9-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-9-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-9-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-9-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-9-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-9-err-txt\" name=\"text-1-9\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-9-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-9-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-9-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-9-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-9-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-22 \"><div class=\"bf-check-field bAJ5 bAO5 bBG5 bBK5  b5-22-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-22-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-22-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-22-lbl b5-lbl bf-lbl bf-label \" for=\"b5-22-1\">\n          \n          \n          Tk 21 (N\/A)\n\n          \n          \n        <\/label><\/div>\n        <div class=\"b5-22-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAK5 bBH5 bDS5 bDT5 bDU5  b5-22-cc b5-cc bf-cc bf-cc \" role=\"group\" aria-labelledby=\"b5-22-1-lbl\" aria-describedby=\"b5-22-err-txt\">\n        <svg class=\"bCV5 bDG5 bER5 bES5 bET5  b5-22-cks b5-cks bf-cks bf-cks\" aria-hidden=\"true\">\n          <symbol id=\"b5-22-ck-svg\" viewbox=\"0 0 12 10\">\n            <polyline class=\"bEL5 bEM5 bEN5 bEO5 bEP5 bEQ5  b5-22-ck-svgline b5-ck-svgline bf-ck-svgline bf-ck-svgline\" points=\"1.5 6 4.5 9 10.5 1\"><\/polyline>\n          <\/symbol>\n        <\/svg>\n        \n        <div class=\"b5-22-cw b5-cw bf-cw bf-cw \">\n          <input id=\"b5-22-1-chk-0\" type=\"checkbox\" class=\"bCV5 bDV5 bDW5 bDX5 bDY5 bDZ5 bEA5 bEB5 bEC5 bED5 bEE5 bEF5 bEG5 bEH5 bEI5 bEJ5 bJU5 bJV5 bJW5 bJX5 bJY5  b5-22-ci b5-ci bf-ci bf-ci \" value=\"N\/A\" checked name=\"check-1-22[]\" \/>\n          <label data-cl for=\"b5-22-1-chk-0\" class=\"bA5 bH5 bI5 bAQ5 bAZ5 bJG5  b5-22-cl b5-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA5 bM5 bAO5 bCP5 bDJ5 bDK5 bDL5 bDM5 bDN5 bDO5 bDP5 bDQ5 bDR5 bJT5  b5-22-bx b5-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bEV5 bEW5 bEX5 bJZ5  b5-22-svgwrp b5-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b5-22-ck-svg\" class=\"bEK5  b5-22-ck-icn b5-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bAR5 bAY5 bEU5  b5-22-ct b5-ct bf-ct bf-ct \">\n              N\/A\n            <\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-22-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-22-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-22-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-22-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-22-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-8 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-8-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-8-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-8-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-8-lbl b5-lbl bf-lbl bf-label \" for=\"b5-8-1\">\n          \n          \n          Tk 60 (130\u00b0F-150\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-8-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-8-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-8-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-8-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-8-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-8-err-txt\" name=\"text-1-8\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-8-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-8-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-8-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-8-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-8-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-6 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-6-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-6-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-6-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-6-lbl b5-lbl bf-lbl bf-label \" for=\"b5-6-1\">\n          \n          \n          Tk 62 (90\u00b0F-110\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-6-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-6-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-6-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-6-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-6-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-6-err-txt\" name=\"text-1-6\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-6-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-6-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-6-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-6-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-6-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-7 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-7-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-7-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-7-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-7-lbl b5-lbl bf-lbl bf-label \" for=\"b5-7-1\">\n          \n          \n          Tk 63 (60\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-7-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-7-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-7-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-7-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-7-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-7-err-txt\" name=\"text-1-7\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-7-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-7-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-7-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-7-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-7-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-25 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-25-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-25-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-25-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-25-lbl b5-lbl bf-lbl bf-label \" for=\"b5-25-1\">\n          \n          \n          Tk 65 (70\u00b0F-90\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-25-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-25-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-25-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-25-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-25-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-25-err-txt\" name=\"text-1-25\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-25-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-25-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-25-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-25-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-25-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-24 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-24-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-24-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-24-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-24-lbl b5-lbl bf-lbl bf-label \" for=\"b5-24-1\">\n          \n          \n          Tk 67 (25\u00b0F-50\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-24-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-24-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-24-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-24-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-24-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-24-err-txt\" name=\"text-1-24\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-24-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-24-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-24-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-24-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-24-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-23 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-23-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-23-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-23-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-23-lbl b5-lbl bf-lbl bf-label \" for=\"b5-23-1\">\n          \n          \n          Tk 69 (76\u00b0F-84\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-23-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-23-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-23-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-23-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-23-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-23-err-txt\" name=\"text-1-23\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-23-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-23-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-23-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-23-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-23-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-27 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-27-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-27-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-27-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-27-lbl b5-lbl bf-lbl bf-label \" for=\"b5-27-1\">\n          \n          \n          Tk 70 (68\u00b0F-72\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-27-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-27-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-27-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-27-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-27-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-27-err-txt\" name=\"text-1-27\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-27-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-27-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-27-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-27-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-27-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-26 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-26-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-26-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-26-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-26-lbl b5-lbl bf-lbl bf-label \" for=\"b5-26-1\">\n          \n          \n          Tk 72 (190\u00b0F-210\u00b0F)\n          \n          <span class=\"bBM5 bCO5  b5-26-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-26-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-26-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-26-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-26-fld b5-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b5-26-err-txt\" name=\"text-1-26\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-26-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-26-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-26-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-26-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-26-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-28 \"><div class=\"bf-check-field bAJ5 bAO5 bBG5 bBK5  b5-28-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-28-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-28-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-28-lbl b5-lbl bf-lbl bf-label \" for=\"b5-28-1\">\n          \n          \n          Tk 74 (N\/A)\n          \n          \n        <\/label><\/div>\n        <div class=\"b5-28-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAK5 bBH5 bDS5 bDT5 bDU5  b5-28-cc b5-cc bf-cc bf-cc \" role=\"group\" aria-labelledby=\"b5-28-1-lbl\" aria-describedby=\"b5-28-err-txt\">\n        <svg class=\"bCV5 bDG5 bER5 bES5 bET5  b5-28-cks b5-cks bf-cks bf-cks\" aria-hidden=\"true\">\n          <symbol id=\"b5-28-ck-svg\" viewbox=\"0 0 12 10\">\n            <polyline class=\"bEL5 bEM5 bEN5 bEO5 bEP5 bEQ5  b5-28-ck-svgline b5-ck-svgline bf-ck-svgline bf-ck-svgline\" points=\"1.5 6 4.5 9 10.5 1\"><\/polyline>\n          <\/symbol>\n        <\/svg>\n        \n        <div class=\"b5-28-cw b5-cw bf-cw bf-cw \">\n          <input id=\"b5-28-1-chk-0\" type=\"checkbox\" class=\"bCV5 bDV5 bDW5 bDX5 bDY5 bDZ5 bEA5 bEB5 bEC5 bED5 bEE5 bEF5 bEG5 bEH5 bEI5 bEJ5 bJU5 bJV5 bJW5 bJX5 bJY5  b5-28-ci b5-ci bf-ci bf-ci \" value=\"N\/A\" checked name=\"check-1-28[]\" \/>\n          <label data-cl for=\"b5-28-1-chk-0\" class=\"bA5 bH5 bI5 bAQ5 bAZ5 bJG5  b5-28-cl b5-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA5 bM5 bAO5 bCP5 bDJ5 bDK5 bDL5 bDM5 bDN5 bDO5 bDP5 bDQ5 bDR5 bJT5  b5-28-bx b5-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bEV5 bEW5 bEX5 bJZ5  b5-28-svgwrp b5-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b5-28-ck-svg\" class=\"bEK5  b5-28-ck-icn b5-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bAR5 bAY5 bEU5  b5-28-ct b5-ct bf-ct bf-ct \">\n              N\/A\n            <\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-28-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-28-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-28-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-28-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-28-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-4 \"><div class=\"bf-text-field bAJ5 bAO5 bBG5 bBK5  b5-4-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-4-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-4-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-4-lbl b5-lbl bf-lbl bf-label \" for=\"b5-4-1\">\n          \n          \n          Comment\n          \n          \n        <\/label><\/div>\n        <div class=\"b5-4-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAN5 bAO5  b5-4-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b5-4-1\" class=\"bC5 bJ5 bK5 bAU5 bAW5 bAX5 bBR5 bBS5 bBT5 bBU5 bBV5 bBW5 bBX5 bBY5 bBZ5 bCA5 bCB5 bCC5 bCD5 bCE5 bCF5 bCG5 bCH5 bCI5 bCJ5 bCK5 bCL5 bJJ5 bJK5 bJL5 bJM5 bJN5 bJO5 bJP5 bJQ5 bJR5 bJS5  b5-4-fld b5-fld bf-fld bf-field \" type=\"text\" aria-describedby=\"b5-4-err-txt\" name=\"text-1-4\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-4-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-4-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-4-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-4-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-4-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-2 \"><div class=\"bf-select-field bAJ5 bAO5 bBG5 bBK5  b5-2-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-2-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-2-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-2-lbl b5-lbl bf-lbl bf-label \" for=\"b5-2-1\">\n          \n          \n          Technician Name\n          \n          <span class=\"bBM5 bCO5  b5-2-req-smbl b5-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b5-2-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bAK5 bAO5 bBW5 bCU5  b5-2-dpd-fld-container b5-dpd-fld-container bf-dpd-fld-container bf-dpd-field-container \">\n          <div class=\"bC5 bI5 bK5 bAF5 bAK5 bAU5 bAW5 bAX5 bBC5 bBR5 bCV5 bGC5 bGD5 bGE5 bGF5 bGG5 bGH5 bGI5 bGJ5 bJJ5 bJL5 bKJ5 bKK5 bKL5 bKM5 bKN5 bKO5 bKP5  b5-2-dpd-fld-wrp b5-dpd-fld-wrp bf-dpd-fld-wrp bf-dpd-field-wrapper   \">\n            <input name=\"select-1-2\" required type=\"text\" title=\"Dropdown Hidden Input\" class=\"b5-2-dpd-hidden-input b5-dpd-hidden-input bf-dpd-hidden-input bf-dpd-hidden-input d-none\" \/>\n            <div class=\"bA5 bH5 bI5 bP5 bAI5 bAO5 bAR5 bBC5 bGK5  b5-2-dpd-wrp b5-dpd-wrp bf-dpd-wrp bf-dpd-wrapper \" role=\"combobox\" aria-controls=\"\" aria-haspopup=\"listbox\" aria-live=\"assertive\" aria-expanded=\"false\" tabindex=\"0\" aria-label=\"Dropdown\">\n              <div class=\"bA5 bI5 bCZ5 bIA5  b5-2-selected-opt-wrp b5-selected-opt-wrp bf-selected-opt-wrp bf-selected-option-wrapper \">\n                \n                <span aria-label=\"Selected Option Label\" class=\"bHT5 bHU5 bHV5 bHW5 bHX5 bHY5 bHZ5 bLG5 bLH5 bLI5 bLJ5 bLK5  b5-2-selected-opt-lbl b5-selected-opt-lbl bf-selected-opt-lbl bf-selected-option-label multi-chip \">\n                  Select an Option\n                <\/span>\n              <\/div>\n              <div class=\"bA5 bI5  b5-2-dpd-btn-wrp b5-dpd-btn-wrp bf-dpd-btn-wrp bf-dpd-button-wrapper \">\n                <button type=\"button\" aria-label=\"Clear selected option value\" class=\"bH5 bAN5 bBR5 bCQ5 bCS5 bCT5 bDB5 bDC5 bDD5 bDE5 bDF5 bHP5 bHQ5 bHR5 bJL5 bLE5 bLF5  b5-2-selected-opt-clear-btn b5-selected-opt-clear-btn bf-selected-opt-clear-btn bf-selected-option-clear-button \">\n                  <svg width=\"15\" height=\"15\" role=\"img\" title=\"Cross icon\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n                    <line x1=\"18\" y1=\"6\" x2=\"6\" y2=\"18\" \/>\n                    <line x1=\"6\" y1=\"6\" x2=\"18\" y2=\"18\" \/>\n                  <\/svg>\n                <\/button>\n                <div class=\"bBF5 bBH5 bCT5 bGB5  b5-2-dpd-down-btn b5-dpd-down-btn bf-dpd-down-btn bf-dpd-down-button \">\n                  <svg width=\"15\" height=\"15\" viewbox=\"0 0 24 24\" title=\"Down icon\" role=\"img\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n                    <polyline points=\"6 9 12 15 18 9\" \/>\n                  <\/svg>\n                <\/div>\n              <\/div>\n            <\/div>\n            <div class=\"bI5 bAF5 bAK5 bBC5 bDA5 bHL5  b5-2-option-wrp b5-option-wrp bf-option-wrp bf-option-wrapper \">\n              <div class=\"bI5 bAF5 bBC5  b5-2-option-inner-wrp b5-option-inner-wrp bf-option-inner-wrp bf-option-inner-wrapper \">\n                <div class=\"bAO5 bHK5  b5-2-option-search-wrp b5-option-search-wrp bf-option-search-wrp bf-option-search-wrapper \">\n            <input type=\"search\" class=\"bJ5 bP5 bAK5 bAT5 bAY5 bBR5 bCY5 bGM5 bGN5 bGO5 bGP5 bGQ5 bGR5 bGS5 bGT5 bJI5 bJL5 bKQ5 bKR5 bKS5  b5-2-opt-search-input b5-opt-search-input bf-opt-search-input bf-option-search-input \" placeholder=\"Search Country\" aria-label=\"Search Options\" aria-hidden=\"true\" tabindex=\"-1\" inert \/>\n            <svg class=\"bCV5 bCW5 bCX5  b5-2-icn b5-icn bf-icn bf-icon bGL5  b5-2-opt-search-icn b5-opt-search-icn bf-opt-search-icn bf-option-search-icon \" aria-hidden=\"true\" width=\"22\" height=\"22\" role=\"img\" title=\"Search icon\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n              <circle cx=\"11\" cy=\"11\" r=\"8\" \/>\n              <line x1=\"21\" y1=\"21\" x2=\"16.65\" y2=\"16.65\" \/>\n            <\/svg>\n            <button type=\"button\" aria-label=\"Clear search\" class=\"bCV5 bCW5 bCX5  b5-2-icn b5-icn bf-icn bf-icon bG5 bH5 bAN5 bCQ5 bCS5 bCT5 bDB5 bDC5 bDD5 bDE5 bDF5 bHM5 bHN5 bHO5 bLB5 bLC5 bLD5  b5-2-search-clear-btn b5-search-clear-btn bf-search-clear-btn bf-search-clear-button \" tabindex=\"-1\">\n              <svg width=\"13\" height=\"13\" role=\"img\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n                <line x1=\"18\" y1=\"6\" x2=\"6\" y2=\"18\" \/>\n                <line x1=\"6\" y1=\"6\" x2=\"18\" y2=\"18\" \/>\n              <\/svg>\n            <\/button>\n          <\/div>\n                <ul class=\"bBQ5 bCZ5 bGU5 bGV5 bGW5 bGX5 bGY5 bGZ5 bHA5 bHB5 bHC5 bHD5 bHE5 bHF5 bHG5 bHH5 bHI5 bHJ5 bKT5 bKU5 bKV5 bKW5 bKX5 bKY5 bKZ5 bLA5  b5-2-option-list b5-option-list bf-option-list bf-option-list \" aria-hidden=\"true\" aria-label=\"Option List\" data-list=\"List-1\" data-list-index=\"0\" tabindex=\"-1\" role=\"listbox\"><li data-index=\"0\" data-value=\"Francisco Martinez\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Francisco Martinez\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Jorge Hernandez\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Jorge Hernandez\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Alex Viera\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Alex Viera\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Josue\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Josue\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Manuel Sanchez\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Manuel Sanchez\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Alejandro Paz\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Alejandro Paz\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Edrian\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Edrian\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Mario \" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Mario \n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><li data-index=\"0\" data-value=\"Tech 1\" class=\"option  \" role=\"option\" aria-selected=\"false\" tabindex=\"-1\">\n                <span class=\"opt-lbl-wrp \">\n                  \n                  <span class=\"opt-lbl \">\n                    Tech 1\n                  <\/span>\n                <\/span>\n                <span class=\"opt-prefix\" \/>\n              <\/li><\/ul><ul class=\"bBQ5 bCZ5 bGU5 bGV5 bGW5 bGX5 bGY5 bGZ5 bHA5 bHB5 bHC5 bHD5 bHE5 bHF5 bHG5 bHH5 bHI5 bHJ5 bKT5 bKU5 bKV5 bKW5 bKX5 bKY5 bKZ5 bLA5  b5-2-option-list b5-option-list bf-option-list bf-option-list  active-list\" aria-hidden=\"true\" aria-label=\"Option List\" tabindex=\"-1\" role=\"listbox\">\n        <\/ul>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-2-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-2-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-2-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-2-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-2-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-3 \"><div class=\"bf-file-up-field bAJ5 bAO5 bBG5 bBK5 bIO5 bIP5  b5-3-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bAK5 bBL5 bCN5  b5-3-lbl-wrp b5-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b5-3-1-lbl\" class=\"bA5 bI5 bAK5 bAQ5 bAR5 bBL5 bCM5 bJG5  b5-3-lbl b5-lbl bf-lbl bf-label \" for=\"b5-3-1\">\n          \n          \n          File Upload\n          \n          \n        <\/label><\/div>\n        <div class=\"b5-3-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b5-3-file-up-container b5-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b5-3-file-up-wrpr b5-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bIE5 bIF5 bIG5 bIH5 bII5 bIJ5 bIK5 bIL5 bIM5 bLL5 bLM5 bLN5 bLO5 bLP5 bLQ5  b5-3-file-input-wrpr b5-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA5 bI5 bAO5 bEY5  b5-3-btn-wrpr b5-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA5 bC5 bG5 bH5 bK5 bN5 bQ5 bX5 bAB5 bAC5 bAD5 bCY5 bDM5 bEY5 bEZ5 bIQ5 bJE5 bLR5  b5-3-inp-btn b5-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bBE5 bBF5 bFB5  b5-3-pre-i b5-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/valencemaint.com\/tanktempp1\/wp-content\/plugins\/bit-form\/assets\/..\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b5-3-btn-txt b5-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"bAQ5 bAY5 bJG5  b5-3-file-select-status b5-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH5 bAK5 bBG5 bCV5 bCZ5 bEZ5 bFA5 bIN5  b5-3-file-upload-input b5-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b5-3-1\" name=\"file-up-1-3[]\" multiple aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bBH5 bBI5 bBJ5  b5-3-err-wrp b5-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bBC5  b5-3-err-inner b5-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b5-3-err-txt\" class=\"bA5 bD5 bE5 bI5 bAL5 bBL5 bBM5 bBN5 bBO5 bBP5 bBQ5  b5-3-err-msg b5-err-msg bf-err-msg bf-error-messages-container  bBG5  b5-3-err-txt b5-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b5-1 \"><div class=\"bf-button-field bAJ5 bAO5 bBG5 bBK5  b5-1-fld-wrp b5-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        \n        <div class=\"b5-1-inp-wrp b5-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bI5  b5-1-inp-fld-wrp b5-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <button class=\"bA5 bB5 bC5 bD5 bE5 bF5 bG5 bH5 bI5 bJ5 bK5 bL5 bM5 bN5 bO5 bP5 bQ5 bR5 bW5 bX5 bY5 bZ5 bAA5 bAB5 bAC5 bAD5 bAE5 bJD5 bJE5 bJF5  b5-1-btn b5-btn bf-btn bf-button  \" type=\"submit\" name=\"button-b5-1\" 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