Injury Line: Home Brew Mart, Inc Dba Ballast Point
| Inspection Nr | 317230860 |
| Investigation Nr | 201079910 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Upper Leg |
| Source of Injury | Water |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Miscelaneous food preparation occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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