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| Inspection Nr | 124627506 |
| Investigation Nr | 170563209 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Poisoning(Systemic) |
| Part of Body | Bodysystem |
| Source of Injury | Drugs/Alcohol |
| Event Type | Ingestion |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Attendants, amusement and recreation facilities |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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