Document 7RwZ6XznnyEnQn5o7MeO8p1m8

FILE NAME: Insulators W orkers' Com p Claims (IWC) DATE: 1963 DOC#: IWC001 DOCUMENT DESCRIPTION: Claim ant - Goans, Robert i '' i ;v I STATE OF CALIFORNIA IN D U STRIA L A C C ID EN T COMMISSION APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES (PLEASE PRINT OR TYPE NAMES AND ADDRESSES) CASE N O .^ ^ ROBERT 0. GOANS 4PPLICANT-- 4232 - 25th Street APPLICANT'S ADDRESS San Francisco, California vs. LORENTZEN & COMPANY (and others) Social Security No. 1155 - 5th Street EMPLOYER'S ADDRESS Oakland, California ARGONAUT i n s u r a n c e c o m p a n y _______ EMPLOYER'S }NSURAHCI CARRIER 550 California Street INSURANCE CARRIER'S ADDRESS San Francisco, California l.__ Robert 0. Goans NAME OP EMPLOYEE 9 /2 /0 0 DATE OP -DtRTM ^ alleges that while employed on__ -- --~!------------- 19 ^ 3 - DATE OP INJURY , asbestos worker & Insulation mover___________ J J ia rl0 .U S _ p J L & c .g .s --------------- , California, by OCCUPATION AT TI N O f INJUNT OITT. TOWN ON PLACI WH* INJUNT OCCUNNIO doing , __he sustained injury arising out of and in the course o f the employment, as follows: NANI o r INPLOTIN insuiatlon_.work_Xo-r-inapx-yg.an3_ EXPLAIN HOW INJURY WAS RTCEIVEB .resulting in .p.ne.uraonQ.ch-QnlS.1.5_ 1TATI WHAT PANT Of BOOT WIN INJUNID ANO IU N II9U IN T NHULTN -YarJLo.us- .was the employer's insurance carrier on date of injury. NANI OP INIUNANCI CONPANT ON, i r I NPL OT IN WAN NOT INSUNID, I T A T I W H I T H IN I L P . |N U N ID ON UNINSUNID 3____ Ap.rll^3-^_1263._fc-Q-Prpae.nt_ PINIODN OPP WON! DUC TO T H I INJUNT DATI I N J U I I D NITUNHID TO WON! DATI LAIT NIDICAL PUNNUHID 4. Was compensation paid?----.Q-----------------$-------- T I S ON NO J. Earnings at time of injury $-- M.axljB.Uin-----@. TOTAL PAID MONTH ON W i l l W IIIL T NATI DATI 0P LA1T PATNINT The basis of pay was.. TATI PAT PENIOD ON HOUNLT NATE. NOUN* A OAT AND DAT A W i l l 6. Was medical treatment needed?------------------------ Who furnished treatment?------- S G l f ------------------------------------------------------ IVI NA NI o r DOCTON WHO TAIATED TH I 1NJUNT ANO TA TI WHO PAIO THIIN BILL 7. This application is filed to determine liability for: .... -ri-- a. Temporary disability----Y flS b. Permanent disability-- 2L3. c. Medical treatment-- -- d. Medical costs * * ' ___ ___ __ w * n> Un e. Litigation expense________ f. YES OR NO STAYS ANY OTHER REASON 8. LIST CASE NUMBERS OF ANY OTHER APPLICATIONS FILED W H E REFO RE, it is requested that a time and place be fixed for hearing and that, an award be made granting such relief as may be proper under the W orkmen's Compensation Laws of California. 0 - Dated at_____ O a k l a n d _________ f California,____A u g u s t _8_,__1 2 6 3 .______ Hearing requested at__ Q d la n d _ Num ber of witnesses--------------------Estimated time of tr a1..QQ S-T.llSJL-f_da_Y- /s/_Robert 0 . Goans APPLICANT'S SIGNATURE SMITH, PARRISH, PADUCK & CLANCY 315 Financial Center Building APPLICANT'S ATTORNEY Oakland 12, California GLencourt 2-2000 ATTORNEY'S ADDRESS AND TELEPHONE NUMBER NOTE-- Pt.1 * ' * * * * ' CI TT H I R I M f A t I M G I * D I I I R I O . C A I WM. L > I T F O t C IT Y R I O U I . T I R OR i m m ' o m M M I I M T CITY AMD AM I t T I M A T t OF Y H t T I N I R tO U I R I O FOR H I A R tM Q SO A M P L I T I M I CAN I I A l l O W C O YO C O N F I T T I C A S I WITMOVT A C O N T IM W A M C l. IF r o A M t l l IV I * or IT I...... w ' C T i o TO I C A I U , N O T E -- U N O THI F - O Y . ..O N . OF T H I W O . I M . M * . COM F IN .AT.ON . N .O .A H C . ANO AFIT T L A * . , T H I APPLICAMI M . t . O -LT -TATI TH* TIOM HA BCCN F I L L I O OUT. AMO ION IO ? A P P L IC A N T tY MUT 1 FILKO WITH OR M A . H O TO TH M K A t I S T O FF .C OF I M I | N U IT R IA L A CCID IM T OtVCM OF TM T IM I AMO P L A C I OF H I A R I N . E I T H I I PA RTY MAY R I R t P R I S C M T I IN P I R S Q M , *T A T 1 0 R M IT OR O T M Ir A C I N I . ,H , A L NATURI (,, nn,.,,,m OF T H I CLA.M ,H C O H T . O Y I .. Y W m .'m . . . . . . C t A m ,H C O N T R O V IR If, W HIM A F FU C A . ' D u i NOTICI WILL T M C M A F T IR RI >RH 3 4 <REV. M I ) EMPLOYERS 1. Western Asbestos P.0. Box 3784 Rincon Annex _ San Francisco, California 2. Mundet Cork Company 410 Talbert Street San Francisco, California 3. Plant Rubber & Asbestos Works 1300 - 64th Street Oakland, California 4. Plant Asbestos Company 1300 - 64th Street Emeryville 8, California 5. Army Port Contractos 1501 Maritime Street Oakland, California 6 . Van Arsdale Harris Lumber Co. 5th and Brannan Streets San Francisco, California 7. Bay Cities Asbestos Co., Ltd. 6th and East 12th Street Oakland, California 8 . Harry A. Dutton, Jr., Dutton Asbestos Company 532 Natoma Street San Francisco, California 9. C. F. Braun & Company 1000 South Fremont Avenue Alhambra, California 10. Asbestos Company of California 941 - l6th Street San Francisco 7, California 11. John Mansville Sales Corp. P.0. Box 3784 Rincon Annex San Francisco, California 12. Marine Engineering & Supply Co. 941 East 12th Street Los Angeles, California 13. Armstrong Cork 304 Shaw Road So. San Francisco, California 14.i M. R. Carpenter 907 Front Street Sacramento, California 15. Caw Insulations 36OO - 20th Avenue ' Sacramento 17, California 16. Fiberglass Engineering & Supply 1200 - 17th Street San Francisco, California 17 Owens Corning Fiberglass Corp. 1200 - 17th Street San Francisco, California PERIODS 1926-19437 1946-1950, 1955" 1963 and others 1937, 1939, 1940, 1941, 1962 and others ` 1941-1944 and others 1957, 1959, i960 and others 1941 and 1942 and others 1942 and others 1944-1946 and others 1941, 1954 and others 1938 and others 1944 and 1945 and others 1949 and 1950 and others s * 1938, 1950 . 1950, 1954, 1955, 1957, and others 1950-1953, 1959, 1962 and others 1950, 1961 and 1962 and others 1953, 1954 and others 1955-1957, 1961, 1962 and others (1) X EMPLOYERS 18. Charles Ayres Company 698 Minnesota Street San Francisco, California 19. Coast Insulation Products 2316 San Fernando Road Los Angeles 65, California 20. Thomas C. Douglas, Jr. Douglas Insulating Company 2233 Ingalls San Francisco, California 21. J.T. Thorpe & Sons 1351 Ocean Avenue . Emeryville, California 22. Armstrong Contracting & Supply c/o Armstrong Cork 304 Shaw Road So. San Francisco, California 23. National Insulation Inc. 503 Polk Street San Francisco, California PERIODS ' 1955, 1957-1959 and others 1956 and others 1956 and others 1959., I960, 1957 and others 1958 and others 1962 and others 24. Lorentzen Company 1155 - 5th Street Oakland, California 25. Jackson Hopkins Company, Inc. P.0. Box 490 Bakersfield, California 26. Kelly Asbestos Inc. 2030 Grand Avenue ' Kansas City 8, Mo. 27. Asbestos Products Inc. 710 Raymond Avenue St. Paul 4, Minnesota 1955, 1962 and others 1957 and others 1949 and others 1949 and others INSURANCE COMPANIES State Compensation Insurance Fund, 525 Golden Gate Avenue San Francisco, California Industrial Indemnity, 300 Grand Avenue, Oakland, California Aetna Casualty Insurance Company, 1330 Broadway, Oakland, California Travelers Insurance Company, 1956 Webster Street, Oakland, California '' American Motorists, Russ Building, San Francisco, California Argonaut Insurance Company, 550 California Street, San Francisco, California Standard Accident, 433 California Street, San Francisco, Calif. American Employers, Russ Building, San Francisco, California Hanna & Brophy, 1540 San Pablo, Oakland, California (2) (PROOF OF SERVICE BY MAIL-1013a, 2015.5 C.C.P.) STATE OF CALIFORNIA) COUNTY OF ALAMEDA ) I am a resident of aforesaid county; not a party to the is: 315 Financial the United States and a resident of the I am over the age of eighteen years and within above action; my business address Center Building, Oakland 12, California On _____ A U G 9____ 19 6 3, I served the within AMENDED APPLICATION on the various parties in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid, in the United States post office mail box at Oakland, California, addressed as follows: Western Asbestos, P.0. Box 3784, Rincon Annex, S.F. Calif Mundet Cork Company, 410 Talbert Street, S.F., Calif Plant Rubber & Asbestos Works, 1300 - 64th St., Oakland, Calif. Plant Asbestos Company, 1300 - 64th Street, Emeryville 8, Calif Army Port Contractors, 1501 Maritime Street, Oakland, Calif. ' Van Arsdale Harris Lumber, 5th and Brannan Sts., S.F., Calif. Bay Cities Asbestos, 6th and East 12th St., Oakland, Calif Harry A. Dutton, 532 Natoma St., S.F., Calif. ' C. F. Braun & Co., 1000 So. Fremont Ave., Alhambra, Calif Asbestos Co. of Calif., 9^1 - l6th Street, S.F., Calif. ` John Mansville Sales, P.0. Box 3784, Rincon Annex, S.F., Calif. Marine Engineering, 9^1 East 12th Street, L.A., Calif. Armstrong Cork, 304 Shaw Road, So. S.F., Calif, M.R. Carpenter, 907 Front Street, Sacto., Calif. Caw Insulations, 3600 - 20th St., Sacto., Calif. Fiberglass Engineering, 1200 - 1 7 th St., S.F., Calif. Owens Corning Fiberglass, 1200 - 1 7 th St., S.F., Calif. Charles Ayes Co., 698 Minnesota St., S.F., Calif. ' Coast Insulation, 2316 San Fernando Rd., L.A., Calif. Thomas C. Douglas, Jr., 2233 Ingalls, S.F., Calif. J.T. Thorpe, 1 3 5 1 Ocean Avenue, Emeryville, Calif. ' Armstrong Contracting, 304 Shaw Road, So. S.F., Calif. National Insulation Inc., 503 Polk St., S.F., Calif. V Lorentzen Co., 1155 - 5 th Street, Oakland, Calif. Jackson Hopkins Co., P.0. Box 490, Bakersfield, Calif. Kelly Asbestos Inc., 2030 Grand Avenue, Kansas City 8, Mo. Asbestos Products, 710 Raymond Ave., St. Paul 4, Minn. ' State Compensation Insurance Fund, 525 Golden-Gate, S.*F., Calif Industrial Indemnity, 300 Grand Ave., Oakland, Calif. * Aetna Casualty Insurance Company, 1330 Broadway, Oakland, Calif, iravelers Insurance Company, 1956 Webster St., Oakland, Calif American Motorists, Russ Building, S.F., Calif. ' Argonaut Insurance Company, 550 California St., S.F. Calif. Standard Accident, 433 California St., S.F., Calif. * ' American Employers, Russ Building, S.F., Calif. Hanna & Brophy, 1540 San Pablo, Oakland, Calif. I certify, under penalty of perjury,* that the foregoing is true and correct. ^ AUG 9 Executed on__________________ , 1963, at Oakland, California /s/ Sharon McKay *The proof of service by mail form, being signed under penalty of perjury, does not require notarization. (Z(cMfr'm vj- - ___ ------------- j5.o __ O G< a c\n __ _ - O.Q-1 a __ rTn-U^X _________ ---- -- -----:-------- ___-- - ------:-------j Q c < A - - fV\ ^ d cL. -- tr^...oM f_sU*c&l _. r Vi~ r i ^ i f l % 11 r " j - r *r ' -- ----- -- - '' .; ^ ^ ~r- _____Jkn__/^l.ov.'wio i_*--- .-- ^ - ftr rvv s 4 r *a ^ ^ - C o r. . f e r y~,.. :V:.,-v:,1^j,^y-,'J ^/, t'"T;Tr~ / ' krr^ _ uu.?..b_S___C o 0\-L ^ ____ -- i . . ---- ^----- '-- - --- -- -- -- -- ATLANTA BALTIMORE CHICAGO CLARKSBURG LOS ANGELES MIAMI MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA Al & AlLESLNIMER. INCORPORATED insurance AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE, MD. 21218 February 26th, 1964 TELEPHONE TUXEDO 9-4304 CABLE ADDRESS "ALEXBLUE" Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Gentlemen:- re: Robert Goans D/A November 22nd, 1957 File B 585651 _____ _ We have received a status report from the Oakland, California Office of the Travelers Insurance Company on this case, which reads as follows: "A hearing was held January 29th, 1964; no results to date. Probable further hearings to be scheduled." The above is for your information and file. Sincerely ALEXANDER & A L E ^ D E R , INC. ;. H. Finlay GENERAL ADJUSTER R * Attached are letters from State Compensation Insurance Fund and report of H. Corwin Hihhhaw, M.D., for "both Armstrong Contracting and Armstrong Cork. DJH FORM 1501 Prin ted In U .S .A . FIFTY Y E A R S OF S E R V I C E STATE COMPENSATION INSURANCE Industrial Accident Commission Room 3000, State Building 1111 Jackson Street Oakland 7, California IN R E P L Y R E F E R T O A04183 Robert 0. Goans Re: Robert 0. Goans vs. Western Asbestos Company (and others) and State Compensation Insurance, et al I.A.C. 63 OAK 11052 Gentlemen: We are enclosing report of H. Corwin Hinshaw, M.D., dated October 14, 19 6 3 . A copy of this report has been mailed to the parties listed below. Very truly yours, Charles M. McMillan Attorney Enc ' cc: Robert 0. Goans, 4232 - 25th Street, San Francisco, California Smith, Parrish, Paduck and Clancy, 315 Financial Center Building, Oakland 12, California . '* . Lorentzen and Company, 1155 Fifth Street, Oakland, California Warren Manley, c/o National Insulation Company, 503 Polk Street, San Francisco, California Argonaut Insurance Company, 550 California Street, San Francisco, California 3 3 6 0 G R A N D A V E N U E , O A K L A N D 10. C A U F O R N I , Re: Robert A. Goans A04l83 Page 2 Hanna and Brophy, 1540 San Pablo Avenue, Oakland 12, California J. Patrick Goodwin, 4l Sutter, San Francisco 4, California f ! E. Carignan, c/o American Motorists Insurance Company, *417 Montgomery Street, San Francisco 4, California Western Asbestos, P. 0. Box 3784, Rincon Annex, San Francisco, California ,,, , Mundet Cork Company, 410 Talbert Street, San Francisco, California Plant Rubber and Asbestos Works, 1300 - 64th Street, Oakland, ' California Plant Asbestos Company, 1300 - 64th Street, Emeryville 8, California . Army Port Contractors, 1501 Maritime Street, Oakland, California Van Arsdale Harris Lumber Company, Fifth and Brannan Streets, San Francisco, California Bay Cities Asbestos Company, Ltd., Sixth and East 12th Streets, Oakland, California Harry A. Dutton, Jr., Dutton Asbestos Company, 532 Natoma Street, San Francisco, California C. F. Braun and Company, 1000 South Fremont Avenue, Alhambra, California _ _ /Asbestos Company of California, 941 - l6th Street, San Francisco 7, / California J Johns Mansville Sales Corporation, P. 0. Box 3784, Rincon Annex, . San Francisco, California Marine Engineering and Supply Company, 941 East 12th Street, Los Angeles, California Armstrong Cork, 304 Shaw Road, South San Francisco, California M. R. Carpenter, 907 Front Street, Sacramento, California Caw Insulations, 36OO - 20th Avenue, Sacramento 17, California Fiberglass Engineering and Supply, 1200 - 1 7 th Street, San Francisco, /' California Owens Corning Fiberglass Corporation, 1200 - 1 7 th Street, San Francisco, California Charles Ayres Company, 698 Minnesota Street, San Francisco, . California Department of Employment, P. 0. Box 3534, San Francisco, California Coast Insulation Products, 2316 San Fernando Road, Los Angeles, Califcrnia Thomas c" Douglas, Jr., Douglas Insulating Company, 2233 Ingalls, San Francisco, California J. T. Thorpe and Sons, 1351 Ocean Avenue, Emeryville, California Armstrong Contracting and Supply, c/o Armstrong Cork, 304 Shaw Road, South San Francisco, California National Insulation, Inc., 503 Polk Street, San Francisco, California . > Jackson Hopkins Company, Inc., P. 0. Box 490, Bakersfield, California Kelly Asbestos, Inc., 2030 Grand Avenue, Kansas City 8 . Missouri Asbestos Products, Inc., 710 Raymond Avenue, St. Paul 4, Minnesota Asbestos Products and Fabricators Corporation, 2316 San Fernando Road, Los Angeles, California Re: Robert A. Goans A04183 Page 3 Aetna Casualty and Surety Company, 926 J Building, Room 1308* Sa c r a m e n t o 14, California Employers Mutual Liability Insurance Company of Wisconsin, 114 S a n s o m e S t r e e t , S a n F r a n c i s c o 4. C a l i f o r n i a Standard Accident Insurance Company, 433 California Street, San Francisco, California Industrial Indemnity Company, 350 Sansome, San Francisco, United^States Fidelity and Guarantee Company, 444 California Street, San Francisco, California - Employers Liability Assurance Corporation, Ltd., IO50 Russ Building, San Francisco 4, California ~ ' Fireman's Fund Insurance Company, 330 -- 19th Street, Oakland 12, California ' ^ ^ Travelers Insurance Company, 1956 Webster Street, Oakland 12, California . American Motorists Insurance Company, 417 Montgomery Street, San Francisco 4, California ,, ,, , A m e r i c a n E m p l o y e r s ' I n s u r a n c e Compa n y , R u s s B l d g . , S a n F r a n c i s c o , Cal. Zurich General Accident, 417 Montgomery Street, San Francisco, California' ,, ,, . Industrial Indemnity Exchange, 350 Sansome, San Francisco, California ,, ,, . Associated Indemnity Corporation, 332 Pine, San Francisco, California California Casualty Indemnity Exchange, 5 5 0 Kearny Street, San Francisco 8 , California ,, . Pacific Employers Insurance Company, 244 Pine Street, - ' San Francisco 4, California Zenith National Insurance Company, 582 Market Street, San Francisco, California Argonaut Insurance Exchange, 550 California Street, San Francisco, California . 1 o H. C orwin H inshaw, M. D. 11 H o rto n C. h in sh a w . J r . m . d . 4B O 8 U T K R S T H i r r 8 a n F r a n c is c o 8 . Ca l if o r n ia \ TCLKPHONE YUKON a-7IO October 14, 1963 From: H. Corwin Hinshaw, M.D. To: State Compensation. Insurance Fund 525 Golden Gate Avenue San Francisco 1,. California Subject: Robert O. Goans. A04183 REPORT OF SPECIAL MEDICAL EXAMINATION Purpose of the Examination: . . To determine Mr, Goans' present physical condition with special reference to his . reported pneumoconiosis attributed to exposure while doing insulation work over a peric of 43 or 44 years, * The patient states that he has worked as an insulator since a young man, less than 18 ye of age, during the period of World War I. He says that over these years he has used many different kinds of insulating materials particular asbestos and corrugated paper during early years and during the last four years or so has been concerned mainly with fiberglass insulation. He says that he has worked in all kinds of construction including ships and public buildings. Usually the work has involved the insulation of pipes and boilers rather than w alls. Frequently the work involved insulation of both hot and cold air duct lines. He says that frequently there was dust and sometimes he was required t work in relatively closed poorly ventilated spaces. * He considered him self to be'well and had no complaints until recently. He says that abc three or four years ago his union made arrangements to have members take x-rays once a year at the Kaiser Hospital in Oakland, California. He believes that his first x-ray w made about three years aga and that he had never had an x-ray of the chest made before He was told at that time that there was evidence of some dust in his lungs, at first only "on the bottom of the lungs" but in more recent years that this was worsening and that it involved not only "the bottom" but also "the top of the lungs". When informed that there was progressive disease he went to see a physician in San Francisco, Doctor Walter Kolman (3490 - 20th Street). Doctor Kolman confirmed the diagnosis and advised Mr. Goans to discontinue his work and to apply for disability benefits. The patient states that he has been eager to continue working if possible until the usual retirement age of 65 years but, of course, he is not willing to run any risk of serious pulmonary difficulty. He says that it is not possible to escape all exposure to dust in hi! occupation, and that he would not be able to find a job in this industry that does not involv dust exposure* . ' riCV 6 1963 ^.K I.EQU page 2: From: <j>0; Subject: ` October 14, 1963 H. Corwin Hinshaw, M .D. State Compensation Insurance Robert O. Goans Fund He says that he had had no significant symptoms during previous years and he recites an instance of excessive physical activity about 1936 in connection with a deer hunting expedition he was forced to run for a distance of about one and one-half m iles and this was done without serious difficulty. He says that he worked at an altitude of about 6,00 feet in the vicinity of Reno about two or three years ago and he does not recall any difficulty breathing at that altitude. Since learning of his x-ra y changes he has noted cough and expectoration, especially during the last year or two, shortness of breath als mostly during the past year or two. He says that if he walks slowly for a moderate distance he would not have any shortness of breath but if he attempted to walk rapidly oi did some other unusual effort that he would become short of breath and stop. He has no chest pain on such occasions. He says that he also has developed a cough in the last tw' years or so. He coughs up some sputum which is never bloody and apparently is never green or yellow pus. He has not done any work at all the last nine months or so . Present Symptoms: He says that his general health and strength would be satisfactory except for his lung . difficulty. He does not believe he has lost any weight in the last year although his prese weight is about 10 or 15 pounds below his usual weight. Respiratory Symptoms - He says that he has a m ild cough in the morning with expectora of clear sputum. He has never expectorated blood. He has never had asthmatic sympto such as wheezing, no chest pain. He has moderately severe shortness of breath on any unusual activity as described previously. He is not particularly prone to develop respiratory infections. Cardiac Symptoms - He has never had a heart attack. He has no anginal pain, no palpitation, no sweUing of the ankles. Gastro-intestinal Symptoms - His appetite is satisfactory, no abdominal pain, no constipation or diarrhea, no difficulty swallowing. Genito-urinary Symptoms - No frequency, no nocturia, no pain, no obstruction to the flc of urine or any other symptom to suggest kidney or bladder disorder. Eyes - He says that he has a cataract in his right eye. The left eye gives satisfactory vision. His hearing is satisfactory. No symptoms related to the nose, sinuses, etc. Neuromuscular, Skeletal, Central Nervous System - No paralysis, no weakness, no bone or joint symptoms, no central nervous system disorders. . Personal Habits: He smokes 20 to 30 cigarettes a day and has all of his adult life. He drinks regularly. : says, that he always has a."shot1 before breakfast and sometimes drinks as much as a ha a pint a day. He says that he has never become intoxicated and does not go on drinking sprees but drinks these amounts on a regular basis. He has been married twice. His first wife bore him one child but he does not know whether that child is still living. He has been married to h is present wife for 38 years. They haye had-no- children. He says that his wife has suffered from colitis. He does not know about, the health of his mother and father, haying had no communication with them since 1926;1'-TneybwdrgBliving in the t, o O Page 3: From: . To: Subject: :October 14,. 1963 H. Corwin Hinshaw, M.D. State Compensation Insurance Fund Robert O. Goans State of M issouri. He i s not sure how many brothers or siste rs he has but thinks there were seven or eight in the family. He has not had any contact with them for many years Past Medical History: In 1950 he had an injury which inoluded a fracture of his left heel and was in Sutter Hospital in Sacramento. He does not know whether he had an x -ra y of his chest at that time or not. His physician was Doctor Horn. . He also sprained his .right w rist but this did not require hospitalization. He has never been in a hospital in any other circumstam He has never been in military service. He has not had any serious childhood diseases. He has' never been hospitalized for any other condition. He doesn* t believe he has ever h pleurisy, pneumonia, jaundice, rheumatic fever, malaria, syphilis, other accidents or injuries aside, from those mentioned,.no hay fever, asthma, heart attacks, etc. . THE FOREGOING PORTION OF THIS REPORT WAS DICTATED IN THE PATIENTS. PRESENCE ON OCTOBER 11, 1963. . Physical . . Examination: General Appearance - The patient's general appearance is satisfactory. He looks like a well man and he seem s to be frank and cooperative. . His appearance is consistent with his statement that he is of partial Cherokee Indian extraction and part Anglo Saxon. Blood Pressure - Abnormal, consistently elevated to a level of 180. to 200 systolic and 90 diastolic. ' Pulse - Normal, 64 and regular. - Temperature - Normal, 98.4. Eyes - Pupils are round, regular and equal,, reflexes to light and accommodation normal, . external ocular movements are normal. Oral Caviiy - No significant findings. . Lymph Nodes - None are enlarged or diseased. . Thyroid - Normal. Breasts Normal. Skin Normal, no cyanosis. Chest Wall - Shape is within normal lim its. Respiratory excursion satisfactory. No tenderness. Lungs - Percussion note normal, breath sounds withinnormal lim its. No wheezes heard. There were a few basal rales rather coarse and symmetrically distributed on both sides, suggesting pulmonary congestion. Heart - Size indeterminate, rhythm regular, no murmurs or other abnormalities detected. No distention of neck veins in the upright position. `` Abdomen - No enlargement of liver, spleen or kidneys. No abnormal m asses palpated. No unusual tenderness. Electrocardiogram: Auricular Rate 70, Ventricular Rate 70, Rhythm Sinus, T Waves Normal, P-R Interval 0.16, Q-R-S Interval 0.06, S-T Segment Isoelectric, Position Sem i-vertical, . Electrical Axis Normal. ---- J REMARKS: Normal record. ' ' g jggg Lt J i Page 4: prom: To: Subject: October 14, 1963 H. Corwin Hinshaw, M.D. State Compensation Insurance Robert O. Goans (GersonR. ., j Biskind, m Ti M .D . - M^ edical Laboratory) " : i i " re s i , BBC/hdf O .W / h d f O c c . oasts a. Crystals q , Mucus Threads 0. Leukocyte Count 9, 400, PolymE ^orpr h^. t r c ^ ^3401 Monocytes 6%. Eosinophiles 1 * . f ' ; .. R are atypical lymphocytes noiea, r e^bl ood cells and platelets appear norm . Rlnod Serology:^ YDRL - Nonreactive. . Rolmer - Nonreactiye. - 1 1 ,r T'-Tr'" " TM of the che3- ........ sh0V] a bony thorax within normal lim its. Stereoscopic and left lateral pro]h la rt shadow is questionably enlarged and to * aortic shadow is ^ prominent. Bo Most impressive is to hemidiaphragms are irregular m contour base of each lung . i C f i r d e i t i e s extending out t r ^ * ^ g t o C r i ^ t apex. There is a bhr " e less distinct and coarser sto " f ' ^ 7 ^ whether this is cardiac or pulmonar fJlJi of the right cardiophrnie angle but i ' nri4n and mmoosstt liiixkeexlyy It is a distortion ardla0 outline produced by pleural rather extensive aaunud. moderately set mSaESSION: The aP P f^ n c e ^ ` asbecto sls. , The pleural changes pulmonary fibrosis such as is seen, in c s compatible with this diagnosis. . S ^ ^ ^ ^ - v o l u m e - 2 .2 liters, two seconds 2.6 liters, three se, M axin^SBreathing - S " ^ X a S ^ i c t i v e lung disease with nearly; can be made by these methods. . -- " E S s s s s s r - S S S S S = S S S = S only recently. ' _ -. / II PPACR"I! r\ Page 5: From: To: Subject: October 14, 1963 H Corwin Hinshaw, M .D. State Compensation Insurance Fund Robert O. Goans orirfn and d principally ii " ot e,* f ely * and I suspect that the cardiac _ a r ? so r ib e d as having b e e n ^ thB xecm tly added factor, which haa c m b a e S P ^ S t r p r o ^ l o n g s t a n d i n g p l e n a r y tihrosis to produce the sympttoommss* *- Since Mr. Goans is so ne*x'to U*>TM ^ T ^ n o f b e ^leteric^ to Ms. employed until the age of 05. ^ n g ^ o ^ i d e d h e can be a ssiste d to tasks that do not sinvolrve mj nsax^stiui.x" ^1*-----= He should be under - -- . TM the beliet that the c a r d , aassppeecctt oofi mhiss UdAis&aawbiXilXit*y was an important one. previous ------------ - . , __ ___ a+ii+ns would be The most reliable method of analyztaghis < ^ i a c p r it t e ^ a to ^ n t designed to control admit him to a hospital for a weak " J * oonL stio n produced by this condition, " * ^ ^ e ^ t e ^ e ^ p X o S r y fibrosis of occupational originhas been X T e t ^ ^ l i t o d b y present sbadies,. in nay cpmiom , y e r y truly yours", hchdf H. Corwin Hinshaw, M.D. received NOV 1 1263 NOV 6 .iSe^F. LEGAL January 13 196k Mr. John A. BSrfcley Legal Department Bnplcyers Mutuals of Wausau Adam Grant Building Saa Francisco California Dear Mr. BinKLeyi Subject: Robert 0. Goans YS ' Armstrong Cork. Cccpany, et al File AZf-b6k62 IA.C File 63 OAK 11052 We are sorry that ve cannot give you the periods of iqyneBt of January X, 1 9 to January 1, 1952 Vhea you w . n-P a -oortlon of our California operations. All of the ^ r ^ o l 9? T c = p t a yearly *lat a ^ a r y h a been deetrcyed. w r e never tha Insurer of our contracting operations, however, S S this is the area f r m which the pnetsaonochcoiosis stemmed. You ? S ^ 0 S L ^ S u r l n s U B t at Booth Cat.. O w yearly Slant in question does not list Hr. Corns as having been la our employ at South Gate. . We hops that this Informtlon will he of acne assistance to you. Very truly yours, Wallace B. Hoffertb Assistant General Manager Insurance Department Mr. A. L. Stoloely, District Manager Armstrong Contracting and Supply Corp. 3Qlf Shaw Road South San Francisco, Calif. Mr. Fred L. Gardner, AC&S, Lancaster -(`'"J- ^ " "'." S T ^ r V ^ ' . V p * < 0 * a a r ^ S fti. /#* :;:" ^ E m p lo y e r s -L J l i P ^ M u t u a ls o f W a u s a % % | | , . ,, C , S C 0 c . . < * ' " > >-<" * ^ . , 2 0 ^ Armstrong Cork Company 304 Shaw Road Palifornia South San Francisco, Caliiomi January 6, 1964 . J dd I/O . . ,, Goans T . Armstrong Cork Company, et al B ^ o r t 0. Goans *27.46462 - S f l l . : 63 OAK 11052 Gentlemen: s =." S . claira.by Robert "" H H s ; ir H H r ^ ' W rk for a number of years, i ^ __ (^a^'e * ,. ri+is employment with you , -un+h verifying the above aPP-^ -> 19 5 2 . He claims We are conce^ y ^ o T o f ^ u a r y 1, 1944 to January ^ as in 1954, during our Armstrong Cork Company in 1950, as we 2 5 othe^dates not specified. 1956 and 1VPC, rxxlicy period of during this period of tune, an ^ or super- " S i0r X t for hearing in Oakland on January 29, 1964, and we prompt response to this revest. , M J Thank yon fo r your anticipated cooperation. Yours7very truly jAB:ac tj , '*-<VV^ ' ' fu, John A. Binkley Legal Department ; H "-*/ (VtA employers L I ..U H =0" '* " ' nsurance company . em plo yers m utua l fire ' . h o m e O F F I CE - W A U S A U . Wl Attached is notice of time and place of further hearing, and order joining parties defendent. ' You will note that this is to he served on both Armstrong Cork and Armstrong Contracting with copies being given to Travelers and Aetna. :jv Only one copy was received here, evidently acting as receipt for both the Cork Company and Armstrong Contracting. DJH i5 > <&' FO RM 1501 Printed In U .S .A . BEFOEE THE EGTJSTTIIAL ACOXSrr C-0IEIS3I0'! OF THE STATE OF CALIFORNIA CLAIM 63 Oak 11052 R0E5RT 0. GOALS, Applicant, ) V3 LOREETZEI'T Sa COMPLET (and ethers 3 and ARGONAUT INSURANCE CCS!?ART, et al ) Defendanto \ NOTICE OF THIS AMD PLACE OF FURTHER HEARING NOTICE TO ALL PARTIES notified that furtner h action at 3000 State Building 1111 c'acl:son Street Oakland, California January 29# 1964 9:00 A.K. (ALL DAY} (Before Witt} `Dated at Oakland, Californi i n d u s t r i a l a c c i d e n t cc?l::s s o H o 'Oi C0I3IKUAi:CSSS AND FURTHER HEA L L I E ARE ROT FPAFXQ"IO1RHII'I,'o ,,i. HALE AI3 ADDRESS OF PERSONS SERFS IA rv-.'-c * December 12, 9^5 SEE ATTACHED LIST fc 1 -. ; v\ T i r r k - c i c u c , v -z .: T ' P r i n . i r k i ; l :v c-.iJ-*.i-r ----- ~ P n il-'l1Pf'': 0 -'rC}, C Xxrer..V: c -i <-} ko ? -... . ys.x.X U c rr :/.?. ''c; .n.i.a. Sfkk 1 ^'-^TET 'it-., Ar^or.nv" cl svir-'.'.-.c C a lli c: .?J 2, . _ - *- - A , O k M e x i; C J A i * - - - ; -i *- 'b U r . c r i p r i t i b o itr,-) Q '-.iiiO i.li IV-r*^w; - ^ ^ ., ,r(.rii;;., Oaliianci 12 CaIi:*crrJ.-, Henna i: * . j . K-tsJt: uosauwj, - >: 3n o l e o 4. Cattrcr.iia I n a n i m e donaan.' li. I i-.iCMi. S U d i 4, C i s n i f R e4s1t7e n*..<*stSa8ntei :"., a '.P'.a^. f. -~"- " i,Ri. `l x ic n Anna::, Sw. . .. A--..' 1 ' 7\ . ,,j__ ,,. .-. c ... `.7>a.-5'! T-GO- v i " `- T t Coki' Cte-: r V :T k t U k sT x s ;" a fc i= ii , ~'i --4- - u-c-r o /.r.rc u-'f -' > -- :zv S m i= ? S SAc s . il kK ni xc i ei ^ Sf i Cf k&i ^ . n C. c . s - r l ; - s ^ ^ lh ^rir-z-:., : -.... . a p ^ u i e r A ^ - r r c e V.., _ .i i .. jr,., I ^ n Arfc^or Co^zr?, 5S2 Hacana -- * ibc^J-*~i~*<'*'**' C c ^/ i i k<Ak l r r* -V .... ',,.,,O-i'-' w- c J **-"' *'*' J C. 1?, 3'~*aik; *& -*raS2r J * : .. * 0 U . il c : n ia ,...., , v s ,, G in 'io t i, r it r a e - ; , r ir r : .f'eccbcc Comravy - 3 z .lli'o z v S 2 Jchi:r. -- nv.lllr '-vwi v Q 7 ,,~. 3 7 i;? niLCC-r. i ,. ? ' 'scr: z-1'nt'Xtvo llarS x c Fr.k:'.nooi--..r,3 t ' ^ r .. Gip E eet IS tii S t r e e t , - 1 '-' _ Gz l i &~rJ r .. c- c>--.<* p v r^ ci o ? Cr^Si'-iZ :v-;. ar=c^-? c k w - . n. E. U::-:r^ i k k i t : ; k k k ; knrnenio 17, pi..,F - - Oe;. : 1 7 ^-. Etrerr: r-' - OU i- '- C.'<.: -k ._ . C; l i i ck al::. C h arlet .'^r-:k -c;- Q rl c :r:la , rcprr;cr.l kl ~ s w .;> . p i o ;;i: : .r :v :r c - . a : r - 'r i i t 3 c: 3 '^ '- - - e > - r' w -' o - '. r ** s " C ` *, * ^ ` V r ~ r A';' * - C'A A - -e * '. - k '" , j, . . '" v ! * C r- rj* I - - ^ w ^ oa : O r- o Coast- Laoulction Products, 23'i6 Sisv ^ci.TT.ando Road, Io3 Angcloc, Thozian cl Douglas, Jr., Dougins Insulating Ccspan/, 22_>^ * Etr- "Tarcicco, California . j. ^ i h o i ^ r s S o S , 1351 Ocean Avenue, Emeryville, California Anr.ntr-on^ Cojvoractias & Supply e/o Amnurcng Cotsc, 30- onaw Road, So. San. Francisco, California . ^ national Insulation Inc., 503 Tollc Street, San Franci b c ^, JacicycnHop:iLn', Company* Inc., P.0, box Aqo, Eaters fie-la, Ino.., S030 G r ^ a Aveans, K=r.sas City 3, Kiosouri Asboetos Product & j-te-, 710 Hr.},.acno **>vremic, o*.. Pi*-- , AsbeStos^Products & Fabricators Ccx-p., 2313 San. Fernando Road, Eos Angviea, ,'E.ii.OiTius _ _ .._ ... t- - ^.p Aetna Casualty* 0; Stxrev-y Co,, p2b o buii-dii-a, ..con ij^o, Sacramento 14, California ,, TT, , Employers Mutual Liability Insurance Company cf _VA.sconeun, 114 Sanscna Street, San. Francisco 4, CaalxoiitLa Standard Accident insurance Company, 433 .Caj-isom^a, -an Francisco. California r _ . _ Industrial Indemnity Company, 350 Sansoma, San Francesco, California _ ^ Suited States Fidelity & Guarantee Co., 444 California St., San Francisco.. California Employers Liability Aaeurance i-orpo^-a'c-.'.on, Ltd,, -0>.- nuas Buildins, San Francisco 4, California t Firemen's Fima Insurance Company, 330 iftb. Street, v3.:n.i;^ !<=., California ,_ . State* Ccr-pwisation Insurance Etna, Personal oorvice Travelogs Insurance Company, IS35 debater S.reei.-, Oalclanr. -a, i-ifgjmi a , AmericSn Motorlsto Xntmranee Company, 417 Montgomery Stress, San Ft*ancisco 4, California American ElioLayers* Insurance Company, Zurich General Accident, 417 Montgomery Street, San Francesco, Industrial Indemnity Exchange, 350 Sar,3c:m, San yrancioco, California ... ,, Associated mosmnltT' Corporate on, 332 r m e , _ . rr^wciiaCv, California _ _ . California Casualty Iicssnity Ixchang: , 3y0 l o a m y trr-ei.. San Francisco 8, CaLiforaia ., _ . Pacific Employers Insurar.-ce Company. 244 F:r:e truer., San Francisco 4, California Zenith Rational Insurance C.,., 332 , , .. e : Street, iau , ..oisco, California i f Argonaut Insurance Exchange-, pfl Caliicr-mc Street, San irancisco. California CO C'i * ^ BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIiORHI CLAIM 63 Oal: 1.1052 ROBERT Oo GOANS, VS, A pplicant. ) ORDER JOEJBJG PARTIES EEEEHDAIZT LOREHTZEN 3 COMPANY and ARGONAUT INSURANCE COMPANY, et al, Da .tenda n t s , GOOD CAUSE APPEARING THEREFOR3 IT IS HEREBY ORDERED that the follcuins parties be, and they hereby are joined as parties defendant in the above entitled cause; WESTERN ASBESTOS, KCJRDET CORK COMPANY, PLANT KOBEER cs ASBESTOS DORKS, PLANT ASBESTOS COMPANY, ARMY PORT CONTRACTORS, VAN ARSrALE KARRIS LUMBER CO,, BAY CITIES ASBESTOS CO,, LTD,, HARRY A. BUTTON, JR., C,, F. ERAUN cs COMPANY, ASBESTOS COMPANY OF CALIFORNIA, JOHNS MA1TSVILLE SALES COR?., MARINE EHGBJEEEINC- & nir>nois!Tin n a t j TiTCirrr mT.'-Aio f il .... r.T^r77'RVi. . J. " *?-,;r/nTGE.. i\GSOCT.A?EI> A*AW`33"`S- *'"-*' J * - 1 ^ '~ ~ EXCXAHE, ,w>:miSCK, WffiSTOOMlA t.-ACO-Ai^* }-J-- - 2 ^ 7--r.n/--CE CCHP1H3, EMvXii HATIOHAL 3 PACE71C 3P-ii*J^ i-'-' -- .. 4 BSSBAICS CC)<- 5 6 T c < (jvh) 9 10 3 3 ; 3 3 - K S : is v s a a a s r * 13. 12 y s j ^ z n b& W * c / o r au,'c`7 ::1^ 0, - ;i? _ ~co 13 " * S a i2 fo r r i- ,.0 r.-u\ o Ato. , CslOsn OaAS^O-^ 14 r^ i3 & SfSSoa^0- 16 r? it i? ' go r . '. o/; 23 27 P.vJ 23 *w -1 tiesta ; A steaos, ?-; ' ^ S S c s C 0a!:lcn3, vietai; raiboe.-* & `" 'cali'orala -i?nn ,,ne stret, 3fesryvj.le ~ l . a P i n t A sfce sto s C c x p z ^ i - ^ ^ . .I,:- :,.,, g t s * . W S * * * u c .J . toO * Brasmss D troo,, : 'f. J. ' I ; -'--*- ,, / I '~Sffa , ; v r o:r< i rr'.+sw-t -**-*4-* I''Q J-\t.j .*i V'Vr-i* **w*' * ^ . 6 oh anh E a st 1 2 th S fcW s, ` oc^trr. 538 ^ O,,., KaI:S 3-=S=ln3: h l A - * : ^ .- - K..:r.t /.Tcr-v.-, M e r : 'c--.$ ;v. jxTsrciz ( Ocrp'i-- - --Vl *- ^ i! o< C ali'< -h la ,, a :il Ifth'Btr-.H-st. ^ Ha: a*-. c * ^^ i ? U,GDa.._ iJl,i'OV'-;?vVw'>CW-rr.-JC-i--lJV-: '------ -- __r ! v T if sel-.. ^ p - , r . o . ::* ? ' T la ; - - " e--. S'- --rt - -* * ' ^ " 0 ra i3 a ;6 ii ^ r-.v ,-. Sa": I-< x ;:c:?.ao ;> C X ^ ^ ' ^ Arrose; ? } i - ? . - ? V - --'r :v ---'--.. Sac:?3*r.to, - - - y - : 7:: 7: 31* H. i3'67336 .v o -'.;;; ;3arhaar::vto J., 0i Cao: Iiaaa:.at:o..j,, -3 7:.,, - v .r. -LlOh l l 't h Dv,a?cKv; ...*fc T-n-vi-o^r, :-;,"'1^lio'-j.,..-.'.- *-'-a -'- * " 6 ':lS rr-'.r. .. ,, .ro o vth S tr o o t, San ?w:c ic c e , OHEas-. C o r a o s ,-_oo::'3-C,<.- C-.--., - - _ il C all9orj_i. M.o Tv:<->r,i;rC- a c 'tr e o t, Sc~. l T a i c ^ c c ; C h a le n Ajto s Cc:..3 . ; -. ^ ' Culif'^'-.A-i. -- L "* ;C e a e z ziCaiV 2.'5 S m r a .i s n c v llore-, .-Of .fi' O-il'-V' ~r.: r ; i'i. / o ' j.'M . o i / : : v .; L - a v s l a s I n m Z L a i j J*.~ ( c c i p a n y , mvaa .; !Sav -Vav .e: no CV .V o m .a 3 ,, J ,, ..... va.;..::re - J v i'l ` 'D eci Avouai., Z o c i y v i l l e , C.elli vrai; , rr h(looz t r a C Su' pjo.. c /o Aro.ic.oci g Ccr!:, 327 Z i--; 4 ; -ra-i.'_d a ; /. ic n a '' 2*sc:.v;lw .i Z i e . , 305 CoI k Z t m e , a n --/an-le:- ,! i i . X i i o r r i i a . I fa:.l-:son Fc-plci n C.crraar.y. 7: c, , F . 0 . E li 4 9 0 , B arr /' v i i i o r n i a ' c l e i ; l i , lo..:C_v: a:::- iVv. .-. :c.i va,, C FV 1 W O . " .-"O'.*0 1. c - - ' * .. : --' ' a 'v v i i A va.r> a , V , . I ' i.roo: et C v . o o t o - r c : a c e V; Vc'oV.c;: c: r i O o r p ., 3.1.6 S vr V I-cao, . i .. - i , : r l c ? t 0 :1 i l i a . ; : . :. ; f.;'r a l e ; ' es i v o t;r C o , , QCo V .`.aie e i l i g , l.CCL. :ci-,. e r t o . l i , VVLAiovnie :.*re- s Z V .v.l l a b i l i t y ItiD -ira n c c C a rp a ri- c:C C avee.. r:uv. ,,i\ d: ' :o:r,2 cO v-rot. Ht a I r a n d ooo A. Ca3:.Vc:;'i:.i. il c e l i l a : I n / v v n i c c C o n p an y , -/V C a l i i c r n i a , 3 i p Ct i:; :i! v f- 'I T 'i T f O , 1" ;i.:;ia.' cl* I n -a ;i."cr C v v - i r y , 33-C S a a ::.;o ., Can C r a n v i e a . , : i ri a , V V -1 t e i l e :. :. : ZCrll ; ' . Cv a v a v i - e C o . , 4-44 C c lx i 'o z i i a f c t . , ! V a r v o T t . l r V.'.L.V-;:. I r i - ; v.-: ; - y r ; r i r v i . A i l i " A v e v a r e e d o p e r ;:h n , I t e . . , :.0;j0 u r e ~ / r-, 3 ; ; 5. -. W - . o :liVorv:-c '!; i l v ; i ~ v.: I v ...m v :: OC v;v 350 ; / ; h E i v e o t , O aovaiC l i e j a.Ci.'.'-' V..2.2 ^ _ :*c r Vj'v. e O c T s e n s r'o i : : X v au it n o e r v a i, r e a r e n a i co l r i v o l o :- s ' I n s e v a ivo C cnD cay;, i.) 5 Weitste::* S t r a d a Cvilaav 1 2 , IV ! ' . s l i d r a a , ,, \u ii'.Lc-r- V eto :.::-;* : lim v ra iv c a O arip an y , 4 1 ^ l i e n t g o r o r y S s .w r s , i' L an il: a ..veAs : V C ai i l i c i -v ia ^ |! Carica: Zaal: "-? : ZPiariaroo Coispary, 533 Contgcr.iavy, So, if ' o rv..;.c:' e re , . ;:C. V- `.viril-i 3v.I.-';: ( ava.. . a C V v V C7 ?Ion"gor.ie:~: '. C*C.c^.;; a"-oavoani.n, 'V, ``-i. ^ r. li V: V .v e 3'v e : : : .! t y C ov > cv ;r;v rmi,., 33332 F. n: - f9-/`' vai ,0.130. , a rife r i i - e...f"-^, (-'P 5,'O XL? ! il r / V v e ; a . V C l o 1 ;-v Lo.--." " C a l i -3.:' . .a rr rpary, .-a-:> %V-.-. fj Io ivein f a re i V .. a I aloa '1 i- -ve.: il`5 1iOiiIt ili m i a i: oa V011:3 tr. ! ii r STATE OF CALIFORNIA IN D UJSSTTR IDA L A C C ID E N T COMMISSION FILED MAY 0 1 9 6 3 APPLICATION Oakland Office FILE SIGHED ORIGINAL AND SIT COPIES PRJHT 0 8 TYPE KHES KD O 0 8 B S B ) CASE NO. ROBERT 0. GOANS A ffLICA M T- A232 -- 25th Street AmiCANT * AODttM San Francisco, California vs. LORENTZEN Sc CO. (and others) PtO tCft Social Security No. ..................... 115 5 - 5th Street Oakland, C I P lO Y ia i A t o illl California ARGONAUT INSURANCE CO, iif l o t t i' i imsvbaxci cA aaita _55_Q_ California Street__________ im su babcc C A ta ic t t a o c b iu San Francisco. California_______ 1. Robert 0. Goans u a t tr iin c T d -t -- 2 / ^ ^ 0 0 -- ( alleges that while employed on__ A p r i l 3 j ______ mM tT i t9 f nBttBTT>M m t i o r ixjoxt . asbestos worker and/ lnsula.^ion mover______ Various places_______ __ f California by OCCUPATION AT T I B I O f IRJVBT CITT. TOWS OB P U C t VM I8C IMJVBT OCCBBBID Various k a b i o r t o n a r v i ------, --be sustained injury arising out of and in the course of the employment, as follows: ---d--o--i--n--g------i--n--s--u---l--a--t---i--o--n-----w--o---r--k-----f--o--r.----m--a---n-xy-- Ky...e...a...r...s.................. ........... - ....................... -- .....................................resu,lti.ng i.n (M A IM MOW INJUtY VAI BICirvS pneumonochoniosis STA TI WHAT BAUT O f BOOT V U I I R I B I t a AMO l U I K l i m B IS 9LTS 2. Various - ....... W13 the employer's insurance carrier on date of injury. u n of m to B A N c t c o a r B T o s , I r i B n o r v a w as m o t t u a v a t a , t a t i w m c t m ia t C L r - i w s o a t a o a u h m i i c i u April 3a 1963 to present M K M H o r r v n i 1 to twk w i r r 4. W is compensation paid? Ho A TIC Ht N )c. i_tami.rigs at ta.me oi..in.jury |.___M_aximu_m____ ()_ XOXTX 6 r t t s BATI IMJUBCft B f T V tM C D TO WOIK t U T I LAST SIDICA L FUBRISMEB T I U L T BATI BATC o r LAST PATVfVT The basis of pay was__ ( T t T t PUT M IM t* e x W 1 L < M T I . MOUXt A H T A DATS 1 W i l t 4. V as medical treatment needed ? _ J lJ?L V bo furnished treatment?. Self r r x X A M ts o r x o c t o x s w w s t i c a t i t o n r j e r r axo s t a t i w * e r * m rutti u u i 7. This application a fiisd to determine liability for: a. Temporary diaxbihty e. Litigation expense. . b. Permanent disability YOS c. Medical treatment Y e 8 T A T I AST 971118 l A 9 9 9 Medical costs__ urr CMt Mvaiamoramttmi ArrviCATte^ariuso WHEREFORE, U ii requesttd tbet * / end pUce hr fired for heeri^i tn d iLet a awtrd fa m+Jt revting such relief j rrey hi proper nnirr the U7erketeo's Caii'pe-xittiou I a x 's of Ceiiforate. Dated a t___ ____________ ______ 1 C.'iifarc .1 , 1^> $3 __ Hearing re-rtreread at__ Oakland Number of witeseses. 1 S N B A T V C I W - wet-- E*tMtcd time o f cria r r u C A M T S A T T C 9 JPC7 315 Financial Center Building -Qakl&iaUL2., C aliforn ia_________ T T M N ir I u a t f H I t s T I U N M f V S M I Glencourt 2-2000 *v' I v * aa( BALTIM ORE NEW YORK CLARKSBURG TULSA ST. LO U IS CH ICA G O LOS ANGELES ATLANTA P IT T S B U R G H SAN FR AN CISCO NEW O RLEANS MIAMI PHILADELPH IA J5XANDBR A XAKTTDEIR INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE 18, MD. November 4th, 1963 M* TELEPH O N E T U X E D O 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "A LE X B LU E " Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Hofferth: Workmen's Compensation re: Robert 0. Goans Policy RUB 7226992 Ar m s t r o n g c o r k c o m p a n y Referring to previous correspondence with you in connection with the above case we attach lonv of letter dated October 28th which we received from California Office of the Traveler Insurance Company, for the completion of your file. When we have a further report, the information will be passed on to you. Sincerely ALEXANDER & ALEXANDER, INC. GENERAL ADJUSTER R 4A HO M E OFFICE AT HARTFORO, C O N N E C T IC U T THE TRAVELERS INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY r ' October 28, 1963 Alexander & Alexander 2255 North Charles Street Address aIt replies lo : Claim Department, The Traveler* 1956 W ebster Street, Oakland 12, Calif. ' Baltimore 18, 1-Si. u . Attn: Mr. Finlay General Adjuster a n a re fe r f.le tts J 2-5565I \ I Armstrong Cork Co. & '} eck &' Co( Re: Robert Goans ^ d/a 11-22-57 Gentlemen: he advised that we have received the amended application the above captioned claim and are protecting your insureds interests., A Hearing was held 9-16-63 but little was accomplished and the matter will be reset for further hearing. WJStces Compensation Adjuster /i * NEW YORK ' ATLANTA B A LTIM O R E CHICAG O CLARKSBURG LOS ANGELES M IA M I MONTREAL NEW ARK NEW ORLEANS PH ILA D E LPH IA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA A l e x a n d e r Si INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE IS, MD. August 23, 1963 TELEPH O N E T U X E D O 9-4304 CABLE ADDRESS "ALEXBLU E" Mr. Wallace B. Hofferth, General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Assistant re: Travelers' Policy: RUB 7226992 Workmen's Compensation re: Robert 0. Goans___________ Dear Mr. Hofferth: This will acknowledge your letter of August 22nd enclosing Amended Application for Workmen's Compensation Claim and letter from attorneys, Smith, Parrish, Paduck & Clancy dated August 8th in connection with the captioned case. We have forwarded these documents to the Oakland, California office of the Travelers Insurance Company for attention and protection of your interests. We shall advise you of developments in this case. Yours very truly, ALEXANDER & ALEXANDER, INC. GENERAL ADJUSTER sjm M A ) August 22, 1963 G Mr. G. H. Finlay Alexander & Alexander, Inc. 2225 North Charles Street Baltimore 1 8 , Maryland Dear Mr. Finlay: Subject: Robert 0. Goans vs Lorentzen & Company and Argonaut Insurance Company and others Case No. 63 OAK 11052 A hearing on the amended Application of Robert 0. Goans is scheduled before the California Industrial Accident Commission on September 16, 1963# ia Rocaa 3000 of the State Building, 1111 Jackson Street, Oakland, at 9 Both Armstrong ani Armstrong Contracting and Supply Corporation are named in the Application. Mr. Goans vas employed by Armstrong Cork Company for a period prior to Inarch 31, 19 5 5 , from June 21, 1955 to November 2, 1955# and from October 21, 1957 to November 22, 1957- We say "for a period of time" prior to March 31, 1955 "because ve are unable to determine just how long due to the records being destroyed in accordance with our established retention of records schedule. Even though we have the employment dates for 1955# the records showing themges earned during 19 55 have been destroyed. Mr. Goans was in the employ of our subsidiary, Armstrong Contracting and Supply Corporation from October 1, 1958# to December 23, 1958. Please forward this amended Application for Workmen's Compensation Claim to the proper office of The Travelers for- handling and protection of our interests. Very truly yours, SLK Enclosure Wallace B. Hofferth Assistant General Manager Insurance Department INTER, fOFFICE COMMUNICATION To j. E. Zeiler, L a n c a s te r Ffom A. L. Stately, San F r a n c i s c o ( A r m s t r o n g contracting Vs-- ^ August 13) 193 1 S"bi*" r>.9RP Wo. 63 OAK 11052 "... _ ^n verin K b o th Arm strong Attached are amen^ S S ^ o ^ a c S S g T sJpp^Corporation. ` Cork Company and Aims ng been served with these IOO ,,ill nota taat tata tae Travelers ana Aetna *ave also teen serv oarers. DJM ate*' ap.t-f ~ ^ J73/-^ fi .slj.s t - //-+-S-S- fi ---rT7a-i3. -^51* F O R M I M I Printed In U .S.A. & 0k -- 55 (.$73 SSl-t* EPWIN A. LANCY, JR. ROBERT S. JUHL ROBERT H. LAWB, JR. C. PAUL PADUCK WM. SHANNON PARRISH JAMES B. SCHNAKE JOSEPH EDWARD SMITH DEAN VI. WRIGHT L A W OFFICES OF SMITH, PARRISH, PADUCK & CLANCY FINANCIAL CENTER BUILDING 4 0 5 . 14TH STREET OAKLAND 12. CALIFORNIA GLZNCOURT 2 - 2 0 0 0 August 8, 1963 Industrial Accident Commission 1111 Jackson Street Oakland, California re: Robert 0. Goans vs Lorentzen & Company and Argonaut Insurance Co. 63 OAK 11052 Gentlemen: Enclosed herewith find Amended Application showing additional employers and insurance companies and we would request these parties to be joined and Notice of Hearing be sent out for September 16, 1963, at 9:00 A. M., in Oakland. As stated by the Referee, this will be a pre-trial conference to get the names of the employ ers and employment. With a copy of this letter, I am sending a copy of the Amended Application with a total list of employers and advising that the Hearing is scheduled for September 16 1963, Room 3000, State Building, 1111 Jackson Street, Oakland, California, at 9:00 A.M. before Referee Witt. Very truly yours, SMITH, PARRISH, PADUCK & CLANCY JES:skm Joseph E. Smith . STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES (PLEASE PRINT OR TYPE NAMES AND ADDRESSES) CASE NO. <=5 ROBERT 0 . GOANS APPLICANT-- 4232 - 25th Street APPLICANT * ADORISI Ran Francisco. California. vs. LORENTZEN & COMPANY (and others} EMPLOYE! Social Security No. 1155 - 5th Street EMPLOYEE'S AODHESS Oakland, California ARGONAUT INSURANCE COMPANY_______ ~ ( P L O T '* JMfURAHCR CARRIRR 550 California Street INSUKANCK CARRIRR'* A D D *!** San Francisco, California Robert 0. Goans . 9 / 2 / 0 0 aUeKeJ that while employed on-- April ^ l. __ ___ A l l OP IM PLOTE! 111 "" DAT* OP WI*TH DATS OP INJUEY . asbestos worker_&_JLli5lllti^-P--iAQVQr- jarisusuBlafiss. as CITT, TOW* O* P U C I W H IM IHJURT O C eU **! OCCUPATION AT T IN I OP INJURY _19 63 California, by Various MAMI or IMPLOTE* ,, __he sustained injury arising out of and in the course o f the employment, a, follows: ________________,______ . resulting in ___ d o i n g j n s i n a t ^ ^ pn eumonouhoilig-S-l-S- TA TI WHAT PART* OP *OOT W I* I IMJURID A " * U i I U I T * I 0 L T * ^ 2.___ Varions, was the employer's insurance carrier on date of injury. M P A T OR. IP A* PLOTS W A. HOT IMSURCD. .T A T I WH I T H S . , I L P , . . * 0 O . U M .M .U .E . 3' -- ' Ap.rll3>-J3^33.a_pr_e-aent 1 ______________. . . _ _ - U IM III PERIODS OPP WORN DUE TO THE INJURY 4. Was compensation paid?----H.Q--------- ---- I ----- TES 0 * MO J. Earnings at time of injury $-- M a x i m u m -----@. 6. Was medical treatment needed?-- Y.eS_ YES OR NO DAT* INJURED RITURMED TO WORE DATE LAST NIDICAL PURNISHEO TOTAL PAID $------------ -- WEEKLY RATE DA TI OP'LAST PATNENT MONTH OR WEEE The basis of pay was.. T A T I PAT PERIOD OR HOURLT RAT*. HOUR* A DAT AMD DAT* A W E I* Who furnished treatment?-------Self -- ---------- ' ,, V I MAME* o p DOCTOR* WHO TREATED THE IRJURT ARO .T A T I WHO PAIO THEIR IL L . 7. This application is filed to determine liability for: a. T e m p o ra ry dia.bm.yJeS KPer^rumdiaabiUry-Ifea TE* OR MO TM " e. Litigation expense. T I * OR HO c. Medici -- TATE AMT OTHER REAIOH A Medical e o . ^ TIR OR RO 8. ----------------------------------- -------------------- ' " LIST CASE R U H R !* OF AMT OTHER APPLICATIOH* PILED ... , . .; l r , j tnr hearing and that an award be made granting such relief as may be W H E REFO RE, it is requested that a ttme and place be fixed fo g - proper under the W orkmen's Compensation L a w sjf^ C J i / o r p g . ^ ^ __________California, ____ A U g V ^ t,, 8 _ ^ _ 6 3 --------- Hearing requested at-- O a k l a n d , CITT Num ber of witnesses-- ------------ -- Estimated time of triaLfin& zb.SJL-f--'X- /s/ Kobert 0. Goans APPLICAHT-S SI*MATURE SMITH, PARRISH, PADUCK & CLANCY 315 Financial Center Building__ APPLICANT ATTORHIT Oakland 12, California GLenc ourt 2-2000 _______. . . e u n u f ll D U A I I I MUM1ER " OT* IVlll YmtV I R A M I O f c iT T ICQ VtRRO FOR W H IR R HRARIN HRARIM O RO A M I* FLI D IR IR TIM * IB . CAR CAR W ILL I I KT FOR CfTT R IO > t ALLOW TO CO M FCtTR CAR* U IR T IB OR W ITHOUT A M RARCtT C B H T COHT1NRAHC. tlllIR T C IT T . IT F O R R IR L i, IT RUMRRR OF W ITRRRRIR nFR C T IO TO R f CALLKO, . ANR AH IRT IM ATf OF T M A w |a lo M t 0 _ W o ,, * , ,, . t C O M F R H R A T IO H . IR R U R A N C * AHO S A F IT T L A * . , T H t A F F U C A H T I t * O H LT TAT* TH O fN I R A L R A TR R R OF T H * CLA IM IH C O H T R O V I.R T . W H IR A F F LIC A . N O T E ----- U H O f R T H C F R O V S I O N . O |T ,, m t D W1TH OR H A | L I O TO T M I N C A R C tT O U K I O F IH * lR O . R T R U L A C C IO IR T C O M M IS R iO N W ITHOU T O R LA T . D U * N O T IC t W IL L T H IR C A F T IR RC T , r M " i ? T M * A R L E O f H t A ilM O . C I T H f i FA R T T M AT >1 R . F R W I N T I . IR F I R S O H , I T A T T O R H IT OR O T H .R A O IH T . e r n e u S A (RCV. . U EMPLOYERS 1. Western Asbestos P.O. Box 3784 Rincon Annex San Francisco, California 2. Mundet Cork Company 410 Talbert Street San Francisco, California 3. Plant Rubber & Asbestos Works 1300 - 64th Street Oakland, California 4. Plant Asbestos Company 1300 - 64th Street Emeryville 8, California 5. Army Port Contractos 1501 Maritime Street Oakland, California 6 . Van Arsdale Harris Lumber Co. 5th and Brannan Streets San Francisco, California 7. Bay Cities Asbestos Co., Ltd. 6th and East 12th Street Oakland, California 8 . Harry A. Dutton, Jr., Dutton Asbestos Company 532 Natoma Street San Francisco, California 9. C. F. Braun & Company 1000 South Fremont Avenue Alhambra, California 10. Asbestos Company of California 941 - 16th Street San Francisco 7, California 11. John Mansville Sales Corp. P.O. Box 3784 Rincon Annex San Francisco, California 12. Marine Engineering & Supply Co. 941 East 12th Street Los Angeles, California 13. Armstrong Cork 304 Shaw Road So. San' Francisco, California 14. `*M. R. Carpenter 907 Front Street Sacramento, California 15. Caw Insulations 36OO - 20th Avenue Sacramento 17, California 16. Fiberglass Engineering & Supply 1200 - 17th Street San Francisco, California 17 Owens Corning Fiberglass Corp. 1200 - 17th Street San Francisco, California PERIODS 1926-1943, 1946-1950, 1955 1963 and others 1937, 1939, 1940, 1941, 1962 and others ' 1941-1944 and others 1957, 1959, I960 and others 1941 and 1942 and others 1942 and others 1944-1946 and others 1941, 1954 and others 1938 and others 1944 and 1945 and others 1949 and 1950 and others 1938, 1950 1950, 1954, 1955, 1957, and others 1950-1953, 1959, 1962 and others 1950, 1961 and 1962 and others 1953, 1954 and others 1955-1957, 1961, 1962 and others (1)  r EMPLOYERS 18. Charles Ayres Company 698 Minnesota Street San Francisco, California 19. Coast Insulation Products 2316 San Fernando Road Los Angeles 65, California 20. Thomas C. Douglas, Jr. Douglas Insulating Company 2233 Ingalls San Francisco, California 21. J.T. Thorpe & Sons 1351 Ocean Avenue . . Emeryville, California 22. Armstrong Contracting & Supply c/o Armstrong Cork 304 Shaw Road So. San Francisco, California 23. National Insulation Inc. 503 Polk Street San Francisco, California 24. Lorentzen Company 1155 - 5th Street Oakland, California PERIODS 1955, 1957-1959 and others 1956 and others 1956 and others 1959, I960, 1957 and others 1958 and others 1962 and others 1955, 1962 and others 25. Jackson Hopkins Company, Inc. P.0. Box 490 Bakersfield, California 1957 and others 26. Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8, Mo. 27. Asbestos Products Inc. 710 Raymond Avenue St. Paul 4, Minnesota 1949 and others 1949 and others INSURANCE COMPANIES State Compensation Insurance Fund, 525 Golden Gate Avenue San Francisco, California Industrial Indemnity, 300 Grand Avenue, Oakland, California Aetna Casualty Insurance Company, 1330 Broadway, Oakland, California Travelers Insurance Company, 1956 Webster Street, Oakland, California '' American Motorists, Russ Building, San Francisco, California Argonaut Insurance Company, 550 California Street, San Francisco, California Standard Accident, 433 California Street, San Francisco, Calif. American Employers, Russ Building, San Francisco, California Hanna & Brophy, 1540 San Pablo, Oakland, California (2) (PROOF OF SERVICE BY MAIL-1013a, 2 0 15 .5 C.C.P.) STATE OF CALIFORNIA) COUNTY OF ALAMEDA )ss I am a resident of the United States and a resident of the aforesaid county; I am over the age of eighteen years and not a party to the within above action; mf b u s i n e s s Id" ess 315 Financial Center Building, Oakland 1 2 , California n ----- ^ ^ i-------- 1963, I served the within AMENDED APPLICATION on the various parties in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid, in the United States post office mail box at Oakland, California, addressed as follows: M u r d e r Co?kecoSplny;04io?albert 5 S SESci sssg-i Army Port Contractors; 1501 M a r l w L ^ r ^ i a . 8' Callf- Van Arsdale Harris L ^ b e r ? 5th a^d I r S n l n Sts 1 " ^ Bay Cities Asbestos, 6th and East ?? nfi'n S :P *-' Calif. Harry A. Dutton, 532 N a ^ S ^ f g i i f?akland' Callf- * P * Bra^n & Co.i 1000 So. Fremont Ave., Alhambra Calif Asbestos Co. of Calif., 941 - 16 th Street S F John Mansville Sales p 0 r d y -370/1 *' Calif. Marine E ^ g i n e e r i n ^ ^ ? ^ ^ ^ 0" Callf" Armstrong Cork, 304 Shaw Road, So. S F 'Calif' ^ l f * M.R. Carpenter, 90? Front Street, Saoto Calii Caw Insulations, 3600 - 20th St. Sacto*' Calif Rd.f* Fiberglass Engineering, 1200 - 17 th St `' s p calif Owens Corning Fiberglass, 1200 - 1 7 th St s*F Charles Ayes Co., 698 Minnesota St., s F * Calif * Coast Insulation, 2316 San Fernando L.A. Calif jJ.^l.m ,T|hhoorrpDee,Uf1?3R511 *Oncoera*n' A?v2e3n3ueI,ngEamlelrsy'visl-lFe-> CCaalliiff. * - Armstrong contracting, 304 Shai R o a d f s o S F cilif National Insulation Inc., 503 Polk St S F* *ca??f * - A.b.itoSlESSog? . * % $ * * ' * & $ Mo- i n d E t p r a E S t r ^ ^ ^ ^ o - ^ 8 - ''- 'C a lif- ` TravelersUIn5urancercompany^P195^ g & J ^ S a S ^ S F American Motorists, RusS Building, if akland' 0allf- Argonaut Insurance Company, 550 California St ' S F Calif Standard Accident, 433 California St., s.?., iff American Employers, Russ Building, s F Calif * Hanna & Brophy, l 5 4o San Pablo, oiklini; Can?! I certify, under penalty of perjury, that the foregoing is true and correct. Executed on AUG 9 1963, at Oakland, California . /a/ snaron McKay *0^ ? ^ , ^ o e ^ n o t R e q u i r e " ^ n o t a r i s a t i o n . ^ NEW YORK ATLANTA B ALTIM O R E' H ICAG CLARKSBURG LOS ANGELES M IA M I M O NTREAL NEW ARK N EW ORLEANS PH ILA D E LPH IA PITTSBURGH SA N FRANCISCO ST. LO UIS TORONTO TULSA A l e x a n d e r & Axjbxanihe; INCORPORATED / INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE IS, MD. December 23rd, 1964 Insurance Department Arms trong Cork Company Lancaster, Pennsylvania icJ TELEPHONE TUXEDO 9-4304 CABLE ADDRESS "ALEXBLUE" Travelers* Policy No RUB 6483814 ) NEW YORK ATLANTA BA LT IM O R E' H ICAG CLARKSBURG LOS ANGELES M IA M I M O NTREAL NEW ARK N EW ORLEANS P H ILA D E LP H IA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2 2 2 5 N O R T H CHARLES STREET, BALTIMORE IS, MD. December 23rd, Insurance Department Armstrong Cork Company Lancaster, Pennsylvania 1964 Gentlemen:- Travelers* Policy No. RUB 6483814 TELEPHONE TUXEDO 9-4304 CABLE ADDRESS "ALEXBLUE" Very truly yours Indicate Whether: Workmen's Compensation Auto Liability - B.T. , P.D. . General Liability- B. I.. P. D. ROBERT 0. GOANS v. LORENTZEN i CO., LTD., and ARGONAUT INS. CO., et al MELVIN S. WITT, Referee August 3, 1964 Claim OAK 11052 Inj: 4-3-63 REPORT OF REFEREE ON ORDER APPROVING . COMPROMISE AND RELEASE Parties have submitted a Compromise and Release of $6750.00, which is adequate on the record and is being approved payable to ap plicant forthwith, less $309.40 payable to Department of Employment in satisfaction of its lien claim, $300.00 to Smith, Parrish, Paduck & Clancy for living expenses advanced, and $750.00 attorney fee. MELVIN S. WITT, Referee M S W :amm * Z" I " 1 !'-Or!A T-tE INDUSTRIAL ACCIDENT COMISSION OF THE STATE CF CALIFORNIA CASE NO. 63 OAK 11052 V 3 4 C EGSETT 0 . GOANS, ) ORDER APPROVING COMPROMISE AND RELEASE 6 Applicant, { 7 v. I 8 LORENTZEN & C O ., et al, j fiIZ r ti ^ fl AUG 12 1964 and ARGONAUT INSURANCE ) 9 COMPANY, et al, ) 10 Defendants. ) ____________________________ l 11 12 13 The parties to the above entitled action having filed 14 a Compromise and Release herein, on July .29, 1964, settling the 15 above case for $6750.00, in addition to all sums which may have 16 been paid previously, and requesting that it be approved; and 17 this Commission having considered the entire record, including 18 said Compromise and Release, now finds that it should be ap IS proved; and, 20 GOOD CAUSE APPEARING THEREFOR, 21 IT IS ORDERED that said Compromise and Release be, and 22 it is hereby approved, payable as follows: To applicant, in one 23 lump sum, as follows: 24 $800.00 payable by Aetna Casualty & Surety do., on behalf of Mundet Cork Co.,- Fiberglass Eng 25 ineering and Supply Co., and Owens-Illinois Fiberglass Co.; 26 25.00 payable by Zenith National Insurance Co., 27 on behalf of Jackson-Kopkins Co.; 28 75.00 payable by Employers Liability Assurance Co., Ltd., on behalf .of National Insulation, Inc.; 29 30 9 1. 5 O! I ( $75.00 payable by United States Fidelity & - 1 Guaranty Co., 2 50.00 payable by Royal Indemnity Company; 3 125.00 payable by California Casualty Indemnity Exchange; 4 125.00 payable by Argonaut Insurance Company; 5 350 ;00 payable by Travelers Insurance Company; 6 575.00 payable by Industrial Indemnity Company; 7 1700.00 payable by Pacific Employers Insurance 8 Company; 9 2850.00 payable by State Compensation Insurance Fund, less the sum of $750.00 payable to 10 Smith, Parrish, Paduck & Clancy as at torney fee, less the sum of $300.00 pay 11 able to Smith, Parrish, Paduck & Clancy for living expenses advanced applicant, 12 and less the sum of $309.^0 payable to State of California, Department of Employ 13 ment, in satisfaction of lien claim. 14 15 INDUSTRIAL ACCIDENT COMMISSION 16 17 MELVIN S. WITT, 18 Referee 19 20 AUG U 1964 21 Service upon (by A. Martin): All parties shown on Official Address Record. 22 23 24 _____ Q. ' V _________ Signature of person serving order 25 26 27 (SEAL) 28 29 63 Oak IIO52 MSW:amm 30 2. 19 30 M BEFORE THE T3D?2IEIL ACCIDENT CGEETSSIOli O ? Z1 t C u.3l`0.-i..Lri ' ROBERT Q 0 COAiS, Applicant, va. LQREKTZEH & COIIFAHY* AHD ARGOIsAUT 3DSURAKCE CKrALf et al KOe OAK I I O 5 2 REBUTES OF HEARING (COKTBUED) AjrD ORDER DISMISSIRQ PARTIES DEPEHDAHTS Defendants, Place an d Tise: Oakland - April 22 1 9 & h 9 ^ 0 0 & 0eu Referees Reporter: Appearanceis: WITT Jordan Applicant presenti reprenenieC oy Sulth Parrish, aaci: & Clancy Attorneys (Joseph E. Suith appear!ns) ABSTiean Rotori sta Ins. Co. represented by Po E Cerlgnoa, Attorney Klcyer5 liability Assurance Cor> It do, and Zenith. Rati. Ins. Co. represented by J. Patrick G o o d i n , Attorno; Assoc XdSBRity Cc-rp a n d Pacific Employers Ins. Co., represented by Mullen & Filippi Attorneys (Frank J . Filippi appearing). SoCcX.Fo^ represent 2 <t by Wlllissa Lctmss Attorney. Argonaut Iu3 . Co. Calif. Casualty Xndcsnlty Each., Roysl XnooKSiitv C o United States Fidelity & Guaranty Co., Standard Accident Ess. Co Travelers Ins. Co. and Firessn's h m Ins. Co. represented by Hanna & Ercphy Attorneys {Wiliien Eroadbeclr appearing). Aetna Casualty & Surety Co. represented by Sedgwick Dstert georsn A Arnold Attorneys (Theodore Ksldereulle: appearing). Incoetrial Indemnity Company represented b y K 0 C. Lynch Attorney A f r i c a n S&>fcerists I n a u r a i ? e e r p t n y ' 3 c o v e r a g e * C ^S B r a u n ,, h a v i n g b e e n in 19 **5? tsh ilf* tn e c i& in & tx eip lo yiti.i-.* a s i n l$ 3 d an CCOD 1A3SE APrifmBM: THESES OH? It is ordered that A f r i c a n Kotorists Insurusc-i> C;W--ut.i--eTMr*---%/\**-c.*<%/r +jfi. g a d It hereby ie dississed as party defendant GOOD CAU S E APFEAR33I 1 THEREFOR: It is or dared that Associated Indemnity Corporation and Ilroissan* s Fund Insurance Company be and they hereby are disuiseed as parties defendants. GOOD CAUSE A P P E A R E D THEREFOR; It is ordered that Standard Accident Insurance Company be and it hereby is dismissed as a party derendant DISPOSITION! 3P dice m nn& oc wrrr, R e fe rs Oakland - /22/Gh goabs oak 11052 REPORT OP REFEREE Ihe parties arrived at a Coszpror^ise and Release agreeasent in the s&s of 6750o00,, dispositioh; Thirty days to f i l e Cosproz&lse and Release agreeasnt. tmi'rnS * * RACTING From Subject A . 1. Stokely> Sen Francisco Industrial Accident Commission State of Califfrnia Robert 0. Goans t, ^kI Uu _ Attacked is minutes of the previous h e a r u & js -further hearing as well as the subject Astestosjjorker^ ------- " . ies are served on Annstrong Cork, Aimstrorio TJ. 4g indicated that copies are serve Contracting, Aetna and Travelers. DJH FORM 1501 P r in t.d In U.S.A. BEFORE THE HOTSTRJ.AL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CLAIM 63 Oak 11052 ROEERT 0. GOANS, Applicant.. vs. LORENTZEN & COMPANY (and others) and ARGONAUT INSURANCE COMPANY, et al Defendants. NOTICE OF TIME AND PLACE OF FURTHER HEARING NOTICE TO ALL PARTIES You are hereby notified that further hearing will be held in the above-entitled action at 30C0 State Building 1111 Jackson Street Oakland, Califomia April 22, .1064 9:00 A.K. (ALL DAY) (Before VJitt) Dated at Oakland. California .INDUSTRIAL ACCIDENT COMMISSION NOTE: CONTINUANCES AND FURTHER KEARINPS ARE ITOT FAVORED. NAME AND ADDRESSES OF PERSONS Sl.'EviN): /i Late:' March. see attached list PILED AHD SERVED. Robert G. Goans, 4232 25th Street, San Francisco, California Department of Ruployment, State Building, Oakland, California Sedgwick, Bsterc, Horan & Arnold, 100 Bush Street, San Francisco, California . Smith, Parrish, Paduck arid Clancy, 3--5 Financial Center Building, Oakland 3.2, California Lorenteen & Co,, 1155 5th Street, Oakland, California Warren Manley, c/o national Insulation Compare, 503 Folic Street, San Francisco, California Argonaut Insurance Company, 550 California Street, San Francisco, California Hanna 5s Brophy, 1540 San Pablo Avenue, Oakland 12, California J. Patrick Goodwin, 41 Sutter, San Francisco 4, Califomia F. E. Carignan, 671 Vernon Street, Oakland 10, California Western Asbestos, P,,0. Eox 37S4, Rincon Annex, San Francisco, California Kundet Cork Company, 410 Talbert Street, San Frar.cicco, California Plant Rubber & Asbestos Works,, 12-00 64th Street, Oakland, California Plant Asbestos Company, 13-00 64th Street, Jtneryvilio 8, California A m / Port Contract ore- 1501 Marl tine Street, Oakland, California Yar/Arc dale Harris Lumber Co., 5th and Erarazaa Streets, San Francisco, ; Califernic Bay Cities Asbestos Co., Ltd., 6th nr-.d Ease 1-it-h Street, Oakland. Callsornia Harry A. i-uttor;, ar., Button Asbestuo Company, 382 Hatona Street, San Francisco, California 0. P. Eraun & Company, 1000 South Frenorrfc Avenue, Alhambra, California Asbestos Company of California, >31 16th Street, San Francisco 7; California Johns Hansville Sales Corp., P.0. Bo;-: 3784, Rincon Annex. San Franc!sc California Marine Engineering & Supply Co., 941 East 12th Street, Los Angeles, California iArmstrong Cork, 304 Shan Road, So. San Francisco, California 1-1, P.e Carpenter, $07 Front Street,Sacramento, California Co m Insulations, 3500 20th Avena::: Sacramento "7, California Fiberglass Englnserdng c: Supply, L2X- l?t:. Street, Ssr Francisco, Califera? a ' Owens C o m a r-y Fiborglaae Corporal :U.y. 12C8 17'to. w ,.. * -- w* * sy, w*. n I-ra r.c is c o , C alif: Obaa-iar Ayres Company, c$U ninner'-: Coast i::auL_cion Products, 2315 fa; uranensea - C-oll o . . . . . . ..inoi.fo Ran - . -, v -` r A .. . ,, . - . ; n -, v. - . 0. * - - : 1 --. luciaas i . Forgiar-n . -32?., It>uglasr M .any, 2 2 3 8 In p o l l . . fan r, a m la aa. Culiicrnie I. 7. re alpa A fans, 1551 Ocean A y r ^Arvoi-trcrg Contract nrp u Supply, e/"n . un Calls arala v . c-m ~ - . .j ' * '*. > v a t ni v ) So, Sn~ Xranaisce, C'alifc:-r-;La HalicnaX usano-ilor. Inc., $03 Polk . ancia :c . Cu A n fora! o uckscr. hoyi-snrn Ccr.pany; Inc,, ..nlsuajl 0 :.lin';r.u .. Holly Aobont-'u, nnol? 038 Crai.! A-1' :. Asbaotcu yuolvotn, lie,, 7 10 Rayn.n:. Aolesec; iusduotr A Labnieatcrs : _ Las c l a n nuli sianola Aetna Ceo-u?Ir.y .i S-nra-'-y C-e., 221 1'' S t; Arciera neurones C; Sa.. Ivor*c i a c l>. Cas.io arnia Industrial Bidunnlty Co: oary, 53-: nor.,a. Uri.tec Stater E-ifoiity Inara;: -o I r . 1: lien'`i o C; or-nra SXX-.-OC, San u n n k c r o Calliokniu Raployerc Liability Assuranoc Cs: pareti: Lvri., 1050 Mtsa Building, Sen .Francisco 4, California Fir-enans land Insurance Company, l;l IS ,Sta te Camof-nsaticn Insuoanc a- Furo, 5;...2 1 > T ra velar n :naueauce Ccerpary, X $l8 .'..`i. !. ' Am 2ricru. lootCiUo wa CkAA.>-w- Carpa. , . S an 3raiicici.o 4, Calif osa-5a /unoilCOO Zoning arm I n a u r a n e '- Co..:/, -,. . .p Street, Oakland 12, ::;e /.venuo. Oakland, v. . - r,,- c - : . . .. H - i -L*-. 3 * loi trsrsey Street. Sau Califo: Califc: -- v-- - alife rnia Associated Indemnity Corporation, 332 Pine, San rrai.oisco. - 2- Robert 0. Goans California Casualty Indemnity Exchange, 550 Kearny Street, Pacific^Sployers' i S s ^ S ^ C o i n p a n y , 244 Pine Street, San Francisco 4, Zenith National Insurance Co., 582 Market Street, San Francisco, . Roya^Indemnity Company, 201 Sansoase,- San Francisco, California E^loyers Mutual Liability Insurance Company of Wisconsin, 114 Sansome Z u r i c ^ G e n e r a l ^ A c cident, '&7^ontgcraery Street, San Francisco, California jvh GOANS 11052 ic x;&:jz?s..-., a c c i i -n k f c q e i e ,.-.:- .. or yzz sic ce or c .mlifcrnia :-C 33R - J O . G O A N S , . A p p lic a n t * VO C O n lr E r lH & d O R F A N I , A ic D n E G -T iT / .i:i? I N J J R A N C i CO M PAN Y, e a . i, JO i.V.i-C.-l:i':.1o N O , CAE 2105P. MINUTO: (:? HEARING (( rr'iinoD; iN t CRDEr DI; MISSING 2ND ORDEN NONNI: IG PARTIES lEFId. ; il O ' la u u and M in a : C a l i l a n c i * ^ i v r . i r y M R i M o l, 5 ; O C n Merorne; d e p o rte ? : mr-manees: wm ' Jo rc a n Applicant p?e&enft.; re: '.-sssnte by isi.tii, barri::b.. hc:;c!: 2? Clancy. Attorneys i'- rh E, Sed th a p r o a r ! n y `) . m ee C c -r/c r r t io n . L t d ,, Zenith National Ins ira:.:-o CCoo ,, .,, yr-- -/-t-e--: -. -a--r-/-- -d- b y .A I - G o o d v r i n , A t t e r r a ; / ( N m M i o + W a p p e a r iir / ) , a ir F a i r ie l. A s s o c ia t e d . I n c o r r iv re p rs B c n u O L y v i/ .X r T i : : i - . r . - l a p e i a r i n p ' . C c r y ,, sm i 1 A r r lip p l* 1s c i r i a E n p b o yn o A tto rn e y s (F ra n k ir e i . - ( Ir s te A a l In e ra ra V '.. a r n y e one N n < M is C r A a l I .n c - i;n ;^ M ^ r e p r e s e n t a i. ', b y R a r e r . A R- in c it a * a tto rn e y . S o p c y r . r N in o r e s e d a d it r a l ir r V i t y X r.m b y A r r e / . N ,1,, M e n t a , C e., o : '.' W A `d o : n a v y is c o n s in A a v i. r d r e i a it ' 1 : i r ; . - . : . p 0 '. . . . . a r r o e r a s a r lo A b y S e /M r .c r - D e b e rte ( le d F, N e id c x a a ila e e e p e a a i i r s ) . / in ? ? e h G e n - o r t 3 A c c i a c n i i.e r a n & A r n o ld .. A tre r i a ; A r g o n a u t / i n o . {.` o , . . C a i i i M C a s a a it y X r o n n it y E ro rm y v .. R c y e l I n e e v n it y C o .. W er S ir t e .; . F i d e l i t y S e a m a n i r M S ta n d a r d A cm ident a r r e :-/ a / : Co . . -.N-va / l a r e i r l a . . . a- F ir e m a n 's F a n d I n a . O r-,, e r p r s m ; ir d b y E r n , n irc-M . A tto r n e y s (lv ? `i A, N i .. ".b s p ? s a r i '...a' S ta te ro - .m n s c / a e n .* >. . / : r c : ; * a :p i /a ra r ? . m m . a a a a . : 'n '' M" ' .a ; .- A n a r i o a n N..noxrr;ta I 3.ra te d b y NM E O n. . /<.: err \ 0 K . - - V. ,.. -*T** -*3jv - .-- rr*-r^'\iv i U .* *w. . .d . -- -------' V . >-n --i~ ,* r -* .,, r - t* f - *. n . - ' - y - * - 2 c . .z::., E . .le y e r e i E n e ie n G e n e : ; u . C 1l i a / '< i ; :* ; vA**- - -, .L^* , 1 *. -- i i O. j C. ,A ' 1. - -r * y,- - * :.v r: 1 ' le i : t 1 . l . c . n - . * / .... . _ ilil: : ' - . . W. V A * V;. A . c . r A r , / A . .` .* * // n V,/MM y/ uj.j` . M : r c ...;c M y C e : . ; . , . . . a a.. ....v: e . I .'. 1- -. - V-. - - m. . \V > / a / / / . L2T EHE lilrNGES SHON Mea a r n a l a e i e : - a r c a d a o:* M n I r r e N m p t r l a n d IRA r a n - e i y M? McNMllar t o a ^ - y y i e j . ` . j_i i.- .r.r i/ccre/ IN A S k M -. L { A d O I R E N r C O N iI E S I O i p a rm e M i 1th e s u b n o c n e .-e c n r c ir o e i r s e E t r i r r .y ir . r i d ; - - ' ' . Y -T V e n t - . n e e . .. "-- / " r i r ' 2 c ?: ~:l C l . 'ji'J.jlL ` iuTi5, I.Sa 3re a Qaihand 1/29/64 f '. . REPORT OP REFEREE rtf)* OAK 11052 In e preliminary discussion, Mr. Smith indicated thot there ran erriov ment with Western Asbestos lor the period 1520 to 19 57. during which * West-era Asbestos vrns the sole employer. There are no reco^ds^by * Western prior to 1546 as to employment, hr, Pilippi tentative* v rill stipulate to coverage ky Pacific jbraployers Insurance Company for th^ period November 1, .'-925, to November 1., 1932. The perioo of 1920 to 15 2 5 had not been eaecked, since it was not alleged in the application Mr. McMillan will otipivUfce to coverage of Western by the btate i?und *' from Ncvembar 1., l''32>,to dat-?,, There in no information re^e.rdins-* employment prior to -94o, * It was agreed tbch as to Eandet o-.r-k Ocunany. all periods prio:- to 1940 are dlmini>rjU2 Kr. Neic.eriuillor will tentatively stipulate coverage begiy-111 December 31.- 123i, to 1244,, and December 31. through Ju'W ^963 However Industrial Indemnity Exchange insured' Mundet r--ember 31, 1943.- to 1944. according to Mr. Smiths so the ' C.I,p J * records are apparently erroneous. In any event there is .r.-oyment claimed during that time during 1943 to 1944. As to Plant Rubber & Asbestos Work3 . Pacific Eu-^xoyers vril tentative ly stipulate from October 1, 1940. to October f W coverage. " As to Plant Asbestos Company., pacific Employers will tentatively stio- ulate to coverage from May 18. IQ 38. to January 1, 1952,, Csountria*' Indemnity Company will definitely stipulate to coverage ~ 1952, to January 1. 19 6 2 . It has no information regarding eir..>oy^v,t. As to Army Port Contractors.' Associated Indemnity Corp.j has no nation of coverage of that employer. Ilr, Schwab indicated that " Fireman's Fund Insurance Company was unaware of A m y Port Contractors as having been allegedly insured and this will be checked. Mr. Schwab stated that California Casualty Indemnity Exchange will definitely stipulate to coverage of C. F,, Braun & Company* September 21. 1936,* to December I, 1941. and to- coverage of Harry A. Button. a--u fatten Asbestos Company, November 1., 195?-.. to November i, 1958. Zurich General Accident had one-half cay coverage in 1937 and was ensniDsefi* ae was Employers Mutual liability Insurance Company-of Nisoc-w in -kni of the parties stated they had not- bad sufficient time as yet 'c cheek records regarding coverage and employment in. view of the ir.cc'o-plo-te pleadings regarding dates and places c*f employment, Hr. Srit* indicated tout he will go through the entire work history wit^ tie applicant j o day and t-hen send the inform:'fion to' -the parties, V h c a:,a then to advise in wri'eing regarding stipulation:; as tc coverage- and employment. Preliminary settlement n;potion is unhsr way. Apparently the lien claim for U.C.D. Benefits is an connection with an eye condition which is no part of this action. D7CSPOSITION: Continued* to be reset cn notice to all parties< I-iSVJ:vm j 1717111 So V i m , Referee