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From To Job Title Protective Measures / Company Name Work Location Exposures Mth / Yr Description Equipment / Have you ever served in the military No Yes when where The following questions are about your present or most recent work environment Age of Building Number of Floors Approximate number of occupants Neighbourhood rural commercial industrial Smoking allowed on property No Yes Which of the following are / were on the same floor as your work station in your present or most recent work...
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