<?xml version="1.0" encoding="UTF-8" standalone="no"?><metadata xml:lang="en">
    
    <Esri>
        
        <CreaDate>20200315</CreaDate>
        
        <CreaTime>20494400</CreaTime>
        
        <ArcGISFormat>1.0</ArcGISFormat>
        
        <SyncOnce>TRUE</SyncOnce>
        
    </Esri>
    
    <dataIdInfo>
        
        <idAbs>Statewide Health information </idAbs>
        
        <searchKeys>
            
            <keyword>MSDSI Health</keyword>
            
        </searchKeys>
        
        <idPurp>Statewide GIS Health Information</idPurp>
        
        <idCredit/>
        
        <resConst>
            
            <Consts>
                
                <useLimit/>
                
            </Consts>
            
        </resConst>
        
    </dataIdInfo>
    
    <Binary>
        
        <Thumbnail>
            
            <Data EsriPropertyType="PictureX">/9j/4AAQSkZJRgABAQEAAQABAAD/2wBDAAgGBgcGBQgHBwcJCQgKDBQNDAsLDBkSEw8UHRofHh0a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</Data>
            
        </Thumbnail>
        
    </Binary>
    
</metadata>