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General Incident Information
Type of Incident   Injury
Incident Event   Flu-like symptoms
Date & Time Information
Date Course Started   1/2/2008
Incident Date   1/2/2008
Incident Time of Day   11:00 AM
Total Days of Course   4
Total Active Hours of Course   32
Day of Program Incident Occurred  Day 1
Activity & Environmental Information
Type of Activity   Camping
Type of Environment(s)
Environmental Condition(s)
Weather Condition(s)
Contributing Factor(s)
Narrative  
Assessment/Treatment  
Analysis  
  Date Submitted   February 22, 2008