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PHOTO MOUNTING WORK SHEET <br />State Form 48593 (R / 8-02) <br />m <br />Indi <br />Occa ational "ppa De artment of Labor <br />p atetand Health Administration <br />. (Fasten ph tagrapa <br />t 1 <br />PC r4'1Il � , e _ <br />V =.5e <br />per V,A_Z4-e <br />9 <br />i <br />IOSHA complaint or inspection number <br />Date of photo (month, day, year) lime, <br />Classified material <br />Safety order number Item Instance number <br />Location (photograph and photographer) <br />Description of hazard /Abatement <br />----------------------------------------------------------------------------------------------------------- <br />CSHO number <br />