Injury Line: Indian Health Service/Phoenix Indian Medical Center (Pimc)
| Inspection Nr | 1482177.015 |
| Investigation Nr | 127560.015 |
| Line Nr | 1 |
| Age | 39 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Inhalation |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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