Injury Line: City Of La Verne Fire Department
| Inspection Nr | 307180984 |
| Investigation Nr | 202472635 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Knee(S) |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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