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But five years after Powell brought her entrepreneurial spirit to the near - bankrupt utility , it has been recognized as one of the most efficient in the country . The 11 special blends GAO found are often used in isolated pockets in metropolitan areas , while surrounding areas use conventional gasoline . GAO found that planning for regional coordination was lacking between states . Specifically , GAO found that there are gaps in disease surveillance systems and laboratory facilities and that there are workforce shortages . It is interesting that Petitioner represented to CMS that Dr. Komaiko was hired as the laboratory director , curing one of its condition-level deficiencies . Petitioner proffered 16 sixteen documentary exhibits ( P. Exs . GAO found that most hospitals lack the capacity to respond to large - scale infectious disease outbreaks . Michelle Wie was recently signed to an endorsement deal with Nike as well and that should propel Nike even further since young girls globally will be watching Michelle Wie as she tries to take over the LPGA ( and the PGA is she can ) . Although there is no consensus on the total number of gasoline blends used in the United States , GAO found 11 distinct special blends in use during the summer of 2004 .