Document 5D3z48Om5rwrYapj2MLDdbjb4

TO: FROM: RE: CLAIM NUMBER: File DATE: 03-05-82 Steven Borgstrom . A-0422 Sherwin-Williams 1. DATE REFERENCE RECEIVED January 29, 1981 2. SELF-INSURED KKI)A(lil) Sherwin-Williams, 11541 South Champlain, Chicago, IL 60628, 821-3000. My contact at that location was Lita Scharnhorst, the Director of Medical Services. 3. CLAIMANT . ----------- , He is 63 years old and was born September 11, 1918. His social security number is According to the poor copy of the Application for Adjustment of Claim, the claimant is married and has three dependents. His wife's name is i, and she was born November 18, 1933. Acrm^inq to Don Arvia, the claimant lived at S until he married. He has lived at . anr and Peoria. He was in the U.S. Army tor 44 months prior to employment with our client. He was an inspector for eight months and a packer for four months prior to that. The claimant was employed with our client.from August 3, 1948 to February 28, 1981, (32 years). He retired on February 28, 1981. According to our client the claimant was a set-up filler in the Paint Department almost his entire career. See copies of job description for set-up filler, filler, and packer copper. 08-48 - 01-56 (attempting to locate) -- 02-56 - 05-60 See copy of work history card 06-60 - 10-74 (attempting to locate)-/47T^C^^D 11-74 - 07-78 See copy of work history sheet 08-78 - 02-81 (attempting to locate)-ATTflc-fVfSp The claimant worked on the first floor of Building 200 since the early 50's. The building was constructed in the early 20's. Building 200 has three floors. Third Floor - mix grind (dry combined with wet to make a paste) dust collection system GC, Second Floor - Thin & Shade N40100 ~r_ p 8 <j 3 A-0422 Page 2 Sherw Williams Asbestos paint was manufactured up until 1974. Will attempt to obtain production records. See copy of letter dated February 26 1982 from Lita regarding Fibrasal Roof Coating. Air samples have been taken by Cleveland since the 70's,. Will , attempt to obtain them. r^o Shiriru/O^^CfiS^cSTvS rfTf) T|je claimant is being represented by Frank J. Wiedner, 111 West Washington, Suite 2025, Chicago, IL 60602, 726-5015. C x> V &\S<C*- - The claimant's AWW is $405.64. His TTD and PPD rate is $270.16. THE OCCURRENCE According to Rick Baum, the claimant's attorney is alleging exposure thru: 1. The paint product itself. 'FoR.ff\uUiS fofi- 3 7v- f - fl&iSeDctt -Turn- C/9^3 (f-x-75) teflUces T*c tetetros THc 2. The new building which he claims had asbestos sprayed on the walls,and ceiling. '-T'uzfts.e /Oo~rr fibpiTtoO h 7ne EXX^riV^ &otUbib)G-> /kEvUfnetJ 4'U&Eb tv Cc/JlfU/HJCe- Of0 CHiCftb-c fk>iEb/V6- GoftE- 3. The old building which he claims had a hung asbestos ceiling that was crumbling apart.-- oLTp $u/LbiVC- Oo u>H6SK g k .h .'Ts Claimant's attorney states he has an expert witness who states mesathelioma is caused only by exposure to asbestos. -- toe" t o a w i )/u fTH ~TECffA)ie*4- S>*t a WHICH- 15 A)oT So A6S0U)TE * 5. WITNESSES Will identify and take statements from the appropriate individuals. 6. PRESENT MEDICAL October 29, 1981 to present Mesothelima pleural cavity with extensive local invasion Dr. Robert J. Craven 9760 South Kedzie Avenue Evergreen Park, IL 60642 425-1232 Dr. John W. Baron 3319 West 95th Street Evergreen Park, IL 60642 422-3300 Dr. Manual Yu Dr. Rushpa Shah 10325 South Western Avenue Chicago, IL 60643 233-8315 0007-SWP-005802471 CONFIDENTIAL