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| Inspection Nr | 1569441 |
| Investigation Nr | 14506554 |
| Line Nr | 10 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Inhalation |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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