Injury Line: Sam'S Mobil Service Station
| Inspection Nr | 125904896 |
| Investigation Nr | 170167316 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn(Chemical) |
| Part of Body | Bodysystem |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Absorption |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Automobile mechanics |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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