Injury Line: Gold Country Mgmt. Inc., Dba Blockbuster Video
| Inspection Nr | 119773182 |
| Investigation Nr | 170622070 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Chest |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Fall(Same Level) |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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