Artist: "Matsuda K" (マツダK)
Type: Stand alone
Date: image posted on Perpasia ~1995
Misc: This specific pic has also a bloody variant, was posted at Dunsuls (dead since 1998) ~1996

Source: Incpomlete archive at e-hentai. If you have an e-hentai account, you can search "Matsuda K" on exhentai (use! filter option "show expunged") or go directly g/1209430/fc3d75682d/
You'll find the posted pic on page 5 of that /expunged/ gallery.