Injury Line: Raley'S-Store No. 305
| Inspection Nr | 125804179 |
| Investigation Nr | 201482312 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Bodysystem |
| Source of Injury | Heat (Envir/Mech) |
| Event Type | Struck By |
| Environmental Factor | Overpressure/Underpressure |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Miscelaneous food preparation occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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