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| Inspection Nr | 105301402 |
| Investigation Nr | 675843 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Lung |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Inhalation |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Personal service occupations, n.e.c. |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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