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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> DRESS : S'9� s -� ,4s�-57Di, <br /> Agency �► sao a�a <br /> Assignment p e- <br /> Date of Exposure September 12 , 1989 <br /> Location (or best description) k 9 ornr C'c)0 K,j-00M <br /> Co-workers on-the-scene Vc e d QOSS, -VOA-4 C . Sin &C-Calarn) Z <br /> Response Number (Yea /File) <br /> Type of Material: <br /> Name VI O t' ' _ <br /> D.O.T. <br /> Form: Liquid Powder Granules Fog Gasp Mist Smoke <br /> Describe how you wer exposed: Skin Respiratory Ingestion <br /> Amount <br /> Details e0 lur pd 0�C <br /> O � tome_c <br /> Approximate length of exposure <br /> On scene monitoring, ab or "Haz Cat" findings: <br /> Physician (If treated) Name/Date Seen Dr . Rappaport 9/12/89 <br /> Address/Phone CU RENT ( 209) 333-1751 840 S . Fairmont Ave , Lodi , CA <br /> Type of, treatment UX4 awn '1'P�� PA C(-.C\+ n <br /> y�A Dad j2 s-0 �-r— <br /> Misc Details: <br /> C�Cv_eck \,j at io\d �-o m-r ache CL r <br /> EH 22 020 <br />