Laserfiche WebLink
� �0,�� �` » Q LO � i - - <br /> c rv � Ev�n.T .� —J r+�—:� <br /> tilCllJE�IT REFORT .. -- — - � • ��..rvuwqcn -, <br /> P'JL C. ..:?ari:•a[VT _ . �. �. . . � /� ) t] —I <br /> �_ I I � 7� w <br /> '��1���.. J '�.7'�rJ , ��/ �a✓Y.Y�TI .� �.+T� 'J �J� �II <br /> �J . <br /> `{:'�/� -- c�rv i:.�o�au�rvan. sP�. :� I <br /> .��.�c.�r�--�rrpA�pv�._i inn�srnicr �n.aur I:�[v.r:+e• � c�M��ni. •e�-s �oc+r�s ,'.�(�^��:�.32 <br /> 'SCL�"1 ?.�..� +J17 Vli=��S ` <br /> � �„_ n "---,:. _-�- � <br /> DCO4✓"JOCC�IP.�IIOM UVP90IE'�VIOV. `. 41C'� 'I.SER ��:C AGE l'i']'. " � <br /> ��leanu� ��or: �vasianle :l ��, lv' 133� _._�-or� <br /> I �•�•� � �aess <br /> — I�E ISE ].��EI'ORl� G PEP90N <br /> �;J..:EiC'tIJC L0�.1i1DN Of'JFi�NSC OH TYPE O. <br /> i�:�ndx�omat Ca.^.eral "Pa2cchove •sa.�r ------- <br /> � - - --- , ,. .-, . -, --- -- - � , _:, <br /> !--- -_ � ,,. i. <br /> . . . :;�1J l.. _J.: i )% 'Ii . L)�) � <br /> I I� CLA551�ICAT'N 10F�'JSEi� <br /> I ��Ay u.�KE IfJOY HOG£L COIONIYI 11 �RIN� O4 INCIp�N^i' . <br /> I �.�i��.~l�� L��+O/�-� __ I�. <br /> "__'__ .-� .,. ..., er -".c. :.:i.i�.—" " __ __"_'__" '__" i <br /> IIOeM'�.`:Viv;� w\P�CTFi� STIC-��)V V£Nll'LL I . <br /> I _ <br /> ICJOE: V.VICTI410iMCNTMANINOLOCR=I1AHOiMD\V4CL. . _ . . .. _ .. . ' . ... . . . <br /> I2�C[.nGF. W.W�TV!3f: P.P�X['YfOPGIl�aO1�N. <br /> l�— C]OCI 3CYiO£NC�A0:19\CS CI:Y � HC9.YMONC I OVf PNOHC <br /> L>_`�. C72IS, reg-nurse "vi 15i5 Pacific-Dr_ :�aflersor. Z59-t�0o9 <br /> =3AX^nZ. ,ie1Fc2C �7 �Verett r.�.At11iL1C�-3�IO2 CoZby 252-I23d <br /> -' i'*2�1tt{ ;+i Lbezatt :lmaulizce sa�a <br /> �:JDL'RSQ:T. <br /> S].IOEVL'�Y SUlPEf:� 9� YO. �'1AMC-�OONC95�9E%�OCSCCNT�AGE�YT�\Vi�EYES-M/.IN�CO4PLE%.�CLOTMING�ICEMTIFYIHG CNARACTCIIISTIC9. �C A4VCSTEO. INCLU06 <br /> ORG.VO.�M1O CXAn6[1 <br /> •ll <br /> I]1 � <br /> ��p).wE�oON.'OOL.IORCEOBUUM5V5E010E5Ca�dE� ]d ,E'��ODVSEO 'OCOMMITCRiYC I <br /> ( alscts3c dryer s.hortad self ayainst baz= :�ires <br /> v0 VKiiu NOS^;}a1.i:F.O WNE^!. <br /> i�� ryJ'VVEOF�VIIIFI[$AMOI'JC��IONO`19nOY -COYOITION G�.,�rai <br /> �_�p ��qh pn left atiQst Dela►� heart <br /> �pqAtiyC: ill I:OHT�HII�fION O� .�DOV� ITfiM9 IIYOICATE "IlE4 XUM9FR" <OMTIrvVEO �.i LCFTI. INC�IIJE a0'JlilOvaL VIC':MS. WIiM1EffC9 ANO S115- <br /> � ItLw N PLCT9 I�5 OUTLIM[O AOOI6. �31 �ESCRi96 OETA1l9 OF i'ICI�ENi. ��1 O�SCrlIOE EV:OC`ICE AND PHOYFRiY .l INUiCTTE OIM1>091TION <br /> LC��tIn�TQ�C1�. �+�1J�1—�rt�i�..t�i �": <br /> � ,11,. � T2T�b�3Z'�I^St3�SiY��t+ '" � <br /> I � of an im;..--iown injur�. t.'pon my azriva2 was auet �v :.-mr�t:. iL�abnlaace <br /> I -;�,�O�a�ai"3�a�7trtvi:i�a�-C.Rf-���n�.:-Sh��i'�t��ra�'�ann3-3-rz:T�T---t <br /> 'ry laua3roaat. :iis :i�ad tra, faciag in � <br /> `_'ie floor in a baa�c�om to e � <br /> y*�'C"�� . ..: . _c.. � _�.:_o �3�"`t'r'��Z'``=26.-'�=_,.'S<az't-'—"—" <br /> � a y . , <br /> � :,��ssage. a£tez a ._'?jc:c �:taminatio_i• �;' :�lrl't:C u?..�:�'-�`��as eo.^.�cllude�! <br /> j L . �� . ,._a .. �: ��'!2'±;^`�.T:..._�1:�.�.73"t—...... 7'i.�.�..� <br /> � " � M l � ,.-;pra•cimatel- 1-'-� C?PC4 <br /> :iad a iargovqasn ap?roYi�at�l_�. S-7 ca nad • I y <br /> , :��rac. �Jtc ar �:z� .i�ar... ��'r�;i at�3:s:sq�-�:':��=:�i-��o�t-�:� i <br /> 'i le=t �::oui3er to t^e ri•i;^.t ;rai:.,t at 3::��O:t:-l.1`_C,.7 a •l�' anqs�:` ''-=�_ <br /> �— <br /> :at,. �ua -ne�^�a:ca at=ci �::."-��u��Y��r—;;s�c��-:�rG.�" ''rY11'a� <br /> i gasn. • <br /> i <br /> I , - �- �Y3 �^.I.:l OT C�OCLOS3 <br /> :`�e yi.ct?a das t=ans�ortecl ta ��'�eral :iosni_sl rn� � <br /> -,-es�s :ra3=i'S�-w--yerqer.�i���aL^.�n���� co :�e <:a:^�=r.e-:�P3?`:.��. <br /> ;i1Fci��SS , t 7•-nc_' =^n-i dncto_ on cali. ;-he <br /> reom do�or. D:t. ae ener. <br /> -,—:�-_.-.��-�-. ..,—c------�— I <br /> I :aaerSency zooui oc�r or. ca_� �.._., c.aa�=s��u :zoan oc:�r coc�ora <br /> •.nL�p,� � h � �.�3. :i::C_:: 355z�t^r. �R. Fi?33:i::".:S' I <br /> i in t'�e �osai�al. .. i._1Si�, �i.. <br /> -;,z�e rie�enc�!�oon—".?e �'�e�c?er�+ c�a:.ti o�octors assi5^d a';� I <br /> i — . CFFICE USE ONLY <br /> 1� �\!E.i:�3 iYPEJ :O. lev0'1VCE0 �O. <br /> 9/7/1" �'13�lS �p <br /> , 1�0. :11.:iTAi1191CYECKO`!CI ��<<i'G�.1.lF�TO'. �il'S.tICRJ11i041'ION <br /> I .nCVOR"V(.U�'FIC�i� 1 SU3VE�Y�EO <br /> „. luciii�an i rr.._ n ��.osco — <br /> ' � , �.J. ]'�. 1=.� ..V�t M1O. <br /> � ..VtlOi`I::� NO. ]-'.SUPEHV150RAYPaOVING <br />