Document 8O441ze5MJRxnXxEGOgwpqBmy

FILE NAME Mundet Cork MCK DATE 2010 DOC MCK108 DOCUMENT DESCRIPTION WC Claim of Everitt Pt 1 WORKERS COMPENSATION APPEALS BOARD WH STATE OF CALIFORNIA ALLEN EVERITT CASE No. 63 OAK 11139 B Applicant 6 VB 7 WESTERN ASBESTOS COMPANY et al and STATE COMPENSATION 8 INSURANCE FUND et al a CERTIFICATION Defendant 10 11 I hereby certify that the attached documents are true 12 and correct copies of the original documents filed in the records 13 of this office in the entitled matter 14 ATTEST my hand and the Seal of the Workers Compensation 15 Appeals Board of the State of California 30 C. WILLIAMS Workers Compensation Judge Workers Compensation Appeals Board - Dated at San Francisco California this 16th day of April 1984 DIA WCA FORM th NEW -7 ) PNT PNT DEF DAPARTMENT OF INDUSTINDUSTRIARL INIDUSATRILAL RELATIONS RELATIONS Division Division of thOUSYRIAL ACCIKHTI CCS 5147  ae associates AEMIT TOI p.o. box 8 san francisco ca 9410I 415 664.3062 LEGAL DOCUMENT DUPLICATING SERVICE . PERTAINING TO ALLEN EVERITT WORKER'S COMPENSATION APPEALS BOARD _SAN FRANCISCO Case No. Applicant Do te Injury Employer 63 OAK 11139 Everitt Allen 46- 3-1-63 Western Asbestos , Asbestos wkr Carrier Self SCIF only . But see SCIP's Petition for Joinder Order Joining Defendants 1-28-64 Petition to Dismiss SCIP's previous Order Dismissing 9-16-66 1-22-64 Petition 9-12-66 9-12-66 Per Type Adi Order Oge , 1946- A 363 8-5-63 " Supp A 5-19-64 PD 1-31-64 Reference ~ Contributors Armstrong Cork Co. Reliance Ins Co. Suc Acc to Standard Ins Co. Armstrong Contract ing & Supp Co. Charles Ayers Co. E. J. Bartells Co. C. F. Braun & P. Carey Mfg T.C.Douglass T.C.Douglass Co. Co. Jr. Fluor Maintenance Mundet Cork Corp Owens Corning Fiberglass Plant Asbestos Co. Thorpe Insultn Charles Ayers Co. H. Lorentzen Co. Plant Asbestos Co Travelers Argonaut Employers Mut Amer Motorists Gen. Accident Fire U.S. Fid & Guar Cont Cas Co. Aetna Cas & Surety Amer Employers Ina Fireman's Fund Indue Indemnity Co. , kr la la 1 weewerre wee te C nema , BEPONE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIPORIIA 2 3 & 6 7 oe ,> 10 11 ALLEN EVERITT VS. CLAIM NO 63 OAK 11139 ea nf Applicant FINDINGS AND AWARD 1 | WESTERN ASBESTOS COMPANY and STATE COMPENSATION INSURANCE FUND Defendants | I, fl Gro'taf easehexy , An Application having been filed hdrein all partics having appeared and the matter having been regularly heard before Olney L. Huff Referee and submitted for decision sald Referee now ' makes his Findings and Award as follows 13 FINDINGS OF FACT 14 1. Allen Everitt born March 7 1900 sustained an injury 15 arising out of and occurring in the course of his employment con- j sisting of asbestosis caused by his exposure to asbestos while in th 17 employ of Western Asbestos Company for the period 1946 to March 1 insurance 10 1963 as an asbestos worker ^ t oaid time the employer's . 19 carrier was State Compensation Insurance Fund 20 2. Said injury caused temporary total disability beginni 21 May 1 1963 to and including August 1 1963 and continuing entit 22 ing applicant to compensation during said period at the rate of 70.00 a week based upon maximum earnings 24 3 The evidence is insufficient to indicate apportionmer apportionmer 25 4 Applicant is in need of further medical treatment to 26 cure or relieve from the effects of the injury herein 27 5. Applicant has incurred the expense of a medical repo 28 from W. R. Brode N. D. in the sum of 15.00 and the expense of WN examination report rays and laboratory tests from Joseph Ross WN M. D. in the sum of 112.50 necessary to successfully prove his a 1 E fI 1 ~ W www { f C 1 claim and is entitled to be reimbursed for the same payment of m 2 | 15.00 to be made to Dr. Brode and 112.50 to Dr. Ross 4 6 Applicant is entitled to reimbursement for pro- 4 oured medical treatment the matter to be adjusted by the parties 6 To The Department of Employment has paid unemployment 6 compensation disability benefits and is entitled to a lien against 7 unpaid compensation at the rate of 70.00 a week for the period a beginning May 1 1963 to and including July 14 1963 i 8 8 Defendants were not prejudiced through lack of notice 10 9. The injury herein was caused by applicant's employment 11 on land and the Commission has jurisdiction of the case 12 10 Applicant became disabled and first had knowledge that 13 his disability was the result of his employment within one year 14 prior to the filing of the application for compensation benefits and 15 J the claim is not barred by the statute of limitations 10 11. . Applicant's attorneys Smith Parrish Paduck & Clancy 17 have performed legal services of the reasonable value of 75.00 and j 18 18 are entitled to a lien in said amount against unpaid compensation 19 which is to take priority of the claim of the Department of 20 NNE Employment WAR 22 AWARD IS MADE in favor of ALLEN EVERITT against STATE | 23 COMPENSATION DISURANCE FUND of temporary disability indemnity at the 24 rate of 70,00 a week beginning May 1 1963 to and including 25 August 1 1963 and indefinitely thereafter until the further order '20 of this Commission less the sum of 75.00 payable to Smith Parrish 27 Paduck and Clancy as an attorneys fee and less the lien of the 3 Department of Employment at the rate of 70.00 a week for the period | 29 beginning May 1 1963 to and including July 14 1963 ** OL OAK 11139 Pa Pa ! ' - porn 1 AWARD IS FURTHER MADE in favor of ALLEN EVERITT against 2 STATE COMPENSATION DISURANCE PUND of further medical treatment to 3 cure or relieve from the effects of the injury herein b AWARD IS FURTHER MADE in favor of ALLEN EVERITT against a STATE COMPENSATION INSURANCE PUND of medical costs in the sum @ of 127.50 payable as follows 15.00 to W. R. Brod~ M. D. and 7 112.50 to Joseph Ross M. D. ; > AWARD IS FURTHER MADE in favor of ALLEN EVERITT against STATE COMPENSATION INSURANCE FUND of reimbursement of the reasonable j 10 medical expense incurred by applicant for the cure or relief of the 21 injury herein IT IS ORDERED that State Compensation Insurance Fund 13 report to this Commission on Form No. 6 within ten days after 13 14 cessation of payments under the above continuing award 15 15 18 18 17 IFED LIEY HUFFHUFF REFER^ E INDUSTRIAL ACCIDENT COMMISSION DATE FILED AND SERVED August 5 1963 ty Allen Everitt 449 - 22nd St. Richmond Calif Smith Parrish Paduck & Clancy 315 Pinancial Center Bldg Oakland $ Western Asbestos Co 675 Townsend St. San State Compensation Insurance Fund Porsonal Francisco Service Calif . Department of Employment Personal Service a ww wise Geren i Levee stmt AgeenwSart aeons Ci) eres nes ty yh erry . PP JJ 22 BEFORE THE INDUSTRIAL ACCIDENT COMMISSION ad ls as ne etree net een nae 3 OF THE STATE OF CALIFORNIA CLAIM NO 63 OAK 11139 4 b ALLEN EVERITT Applicant 7 VS B WESTERN ASBESTOS COMPANY and STATE COMPENSATION 9 INSURANCE FUND 10 Defendants . PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS hiate 11 12 TO THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA PANEL ONE 13 279 Defendants Western Asbestos Company and State 279 Compensation Insurance Fund petition this Commission for an 16 order directing that additional defendants be joined in this es aah a a 5 17 matter because ES, . 18 1. Applicant Allen Everitt alleges that in the ETts 19 period beginning 1946 and continuing through 1963 he developed aT an occupational disease arising out of and in the course of ee his employment STRIAE Asbestos 2. Applicant was in the employ of defendant Company for parts of the following quarters WesterWnest teo rnle oe . | 6/30/46 9/30/50 6/30/54 3/31/60 VE 9/6/3300//4467 12/31/50 3/31/51 9/30/54 3/31/55 6/30/60 9/30/60 3/31/48 TLS 9/30/17 9/30/17 6/30/51 9/20/51 6/30/55 3/31/57 132//3311//6610 6/30/483/31/48 6/30/52 6/30/57 6/30/61 6/30/48 9/30/52 9/30/57 9/30/61 Tere 9/30/48 12/31/18 12/31/52 3/31/53 12/31/57 6/30/59 3/31/62 9/30/62 12/31/18 3/31/49 6/30/53 3/31/59 12/31/62 ETI 29 6/30/49 9/30/53 6/30/59 3/31/63 9/30/49 3/31/54 9/30/59 W ATT and for no other time W eles W _ Ter 1 3. Defendants Western Asbestos Company and State 2 Compensation Insurance Fund allege that all or part of appli- 3 cant's alleged occupational disease if shown to have been - & the result of industrial causation arose out of and in the eta &@& course of employment for employers other than defendant 8 Western Asbestos Company and was wholly or partially con- 7 tracted in the period beginning 1946 and continuing through 8 1963 g ,'Defendants Western Asbestos and State 10 Compensation Insurance Fund allege that applicant was employed 11 11 _ by the following employers insured by the carriers indicated 12 1213 14 14 9279.90 9279.90 10 10 9279.90 9279.90 9279.09279.90 9279.90 9279.90 2 22 22 23 23 24 25 2828 27 28 29 30 31 31 32 32 an follows EMPLOYER seep I PErPae - PEPE BUELL! See DEMERS peeners, gee ype Lo atCeaaendge a n ait l Armstrong Cork Co Liberty & Charlotte Sto Lancaster Penn Standard Accident Insurance Company. 433 California Street San Francisco Calif and Employers Mutual Liability Insurance Co. of Wis 114 Sancome Street San Francisco 4 Calif Armstrong Contracting and Supply Corp. 120 . Lime Street Lancaster Penn Charles Ayres Co. 374 Brannan Street San Francinco 7 Cal Traveler Insurance Co. 1956 Webater Street Ookland 12 California Industrial Indemnity Co. 350 San Sano Street Pronelnco Calif Bir Argonaut Insurance Co. 550 California Street Son Francisco Calif Charles Ayres Supply Company Inc. 698 Minnesota Street Son Prancisco 7 Cal Industrial Indemnity Co. 350 Sinsome Street San Francisco Calif and Argonaut Insurance Co. 550 California Street San Francisco Calif The E. J. Martello Co. 1212 Sixth Ave. S. Seattle 4 Wooh Employers Mutual Liability Insurance Co. of Wlo 114 Sansome Stroot San Francisco k Calif 9/30/51 12/31/51 12/31/55 12/31/59 3/31/60 12/31/51 9/30/58 12/31/58 3/31/52 6/30/55 12/31/55 6/30/61 9/30/61 2 Sha kl ha oe Land EMPLOYER INSURANCE CARRIER QUARTER 2 C. F. Braun & Company American Motorists Corporation 3 A Insurance Company 1000 S. Fremont Ave. 417 Montgomery Street 4 Alhambra California San Francisco 4 Calif 12/31/57 3/31/58 6/30/58 5 The Philip Cary Manufacturing Co. General Accident Life Insurance Pire and .- Corp. x . 12/31/56 B Lockland Lockland Cincinnati 15 Ohio Ltd we 600 California Street San Francisco Calif BAT 7 Thomas C. Douglass Jr. United States Fidelity 9/30/55 Douglass Insulation Co. Guarantee Company TT 2233 9 Ingalls Street 444 California Street San Francisco 24 Cal San Francisco Calif 10 10 Fibreboard Paper ae 11 Producto Corp. insured 12/31/47 1789 Montgomery Street ee 12 San Francisco 11 Cal Re 13 Maintenance Inc. Anzociated Anzociated Indemnity Indemnity Corp. 9/30/55 FivorQ. Dox 771 Pine ast bf San Francisco 14 Word Street Colifornia 406Martinez California a Fluor Maintenance Inc. Casualty Co. 12/31/58 hi Continental 16 Box 7030 a 2500 E. Washington 433 California Street San Francisco California 17 E. Los Angeles 22 Cal tants heya E Insulation & Asbestos 1ml Works of N. Cal 19 Vac Trust Fund Local 15. 16 20 200 Querhero Street Ban Penneluno 3 Val N Harold G. Lorentzen lustrial Indemnity Co. 9/20/55 N Lorentsen Company 1155 Fifth Street 23 OaklandOakland California 350 Consome Street Gan Francisco California 17/31/55 12/31/5136 2//3311//5576 3/31/53 2 Kandes Cork Corp. Aetna Casualty and 2101 Tonnelle Ave. Surety Company 25 W. Borgen New Jersey 1330 Broadway Oakland California 2 3/31/52 12/31/01 > 3/31/62 Owenn Corning 27 Fiberglas Aetna Casualty and Surety Company International F. S 1330 Broadway 28 Subsidiary of Owens Oakland California Corning Fiberglas 29 Corp. 901 P. O. Box 30 Toledo 1 Ohio 31 Preys 9/30/55 3/6/3300//5568 9/30/58 pre n 12/31/59 9/30/60 er Sey 32 2 3 m 5 pm 7 8 $ 10 11 12 13 14 15 18 17 NEE NEE NEE N EMPLOYER INSURANCE CARRIER QUARTER Plant Asbestos Co. 1300 - 64th Street Emeryville Emeryville Oakland 8 Calif Industrial Indemnity Co. 350 Sansome Street San Francisco California and American Employers Insurance Company Huss Building San Francisco Calif Thorpe Insulation Co. A Corporation 2741 5. Yates Ave. Los Angeles 22 Calif 3/31/52 6/30/55 3/31/55 6/30/56 9/30/56 12/31/56 9/30/53 12/31/60 9/30/61 9/30/62 9/30/55 9/30/55 5. Defendants Western Asbestos Company and State Compensation Insurance Fund attach herewith as part of this petition a copy of the retort of the Department of Health Education and Welfare Social Security Administration signed by Robert M. Mayne Chief that pertains to Mr. Allen Everitt's employment during the aforementioned time WHEREFORE deferviants Western Asbestos Company and State order Compensation Insurance Fund respectfully pray that an issue directing that the aforementioned employers and insurance carriers be joined as defendants in this matter and granting all other and further relief that may be necessary and proper N | 24 N N 27 N N 30 SW SW Dated January 20 1964 . ; if morn CHARLOHILLAIT haile CHARLOHILLAIT CHARLOHILLAIT CHARLOHILLAITCHARLOHILLAIT Attorney for Defendanto Western Asbestos Company State Compensation Insurance Fund ~ Wow ao:alates 7 hades sae OEE OY TIL A ONO EIT LSE aS ear Rae TSE or 1 2 3 @&fi 5 @ 7 a 9 10 11 12 13 2902 2902 2902 17 18 19 20 2 2 2 2 25 20 27 28 29 8 7 32 PROOF OF SERVICE BY 10133 2015.5 C } STATE OF CALIFORNIA COUNTY OF ALAMEDA am resident of aforesaid county not a party to the the United States and a resident of the I am over the age of eighteen years and within above action y business address nn is 3360 Grand Avenue Oakland 10 California On January , 1964 I served the within PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS on the various parties in said action by placing a true copy thereof en* at, closed in a sealed envelope with postage thereon fully pre- pold in the United States post office mail box at Elwood and Grand Avenues in Oakland California as addressed follows Armstrong Cork Company Liberty end Charlotte Streets Lancaster Pennsylvania Standard Accident Insurance Company 430 California Street San Francisco California Employers Mutual Liability Insurance Company of Wisconsin 134 Sensome Street San Francisco 4 California Armstrong Contracting and Supply Corporation 120 North Line Street Lancaster Pennsylvanie Travelers Insurance Company 1956 Webster Street Oakland 12 California . Charles Apres Compony 37 Brannan Street San Francisco 7 California : Industrial Indemnity Company 350 Sangoma Street San Francisco California . Assonant Insurance Company 550 California Street San Francisco California Charles Ayres Supply Company Inc. 698 Minnesota Street . San Francisco 7 California The E. J. Bartells Company 1212 Sixth Avenue South Deattle 4 Washinton Washinton a | C. P. Draun and Company A Corporation 1000 South Fremont Avenue Alhambra California American Motorists Insurance Company 417 Montgomery Street San Francisco " California The Philip Cary Manufacturing Company Lockland Cincinnati 15 Onio General Accident Fire and Life Insurance Corporation Ltd. 600 California Street San Francisco California Thomas C. Douglass Jr. Douglass Insulation Company 2233 Ingalls Street San Francisco 24 California United States Fidelity and Guarantee Company 444 California Street San Francisco California Fibreboard Paper Products Corporation 1789 San Francisco 11 California Fluor Maintenance Inc. P. O. Box 791 405 Montgomery Street : Ward Street Martinez California Associated Indemnity Corporation . 332 Pi^-e Pi^-e Street : Ban Francisco California nas BA a sages TAS ey 2, anh Pan pales YETI Ca 6 i '" '" ' " 1 Fluor Maintenance Inc. Boz 7030 2500 Enst Washington Street East Los Angeles 22 California 2 Continental Casualty Company 433 California Street San Francisco California 3 Insulation and Asbestos Industry Works of North California A Vacation Trust Fund Local No. 16 200 Guernero Street San Francisco 3 California Harold G. Lorentzen Lorentzen Company 1155 Fifth Street . . A Oakland California Mundet Cork Corporation 2101 Tonnelle Avenue North Bergen \ 0 New Jersey Aetna Casualty and Surety Company 1330 Broadway Oakland -- California . Owens Corning Fiberglas International F. S. Subsidiary of 8 Owens Corning Fiberglas Corporation P. O. Box 901 Toledo 1 Ohio att 9 Plant Asbestos Company 1300 - 64th Street Emeryville ; Oakland 8 California 10 American Employers Insurance Company Rusa Building San Francisco California 11 11 Thorpe Insulation Company A Corporation 2741 South Yates Avenue Los Angeles 22 California 12 13 13 I certify under penalty of perjury that the foregoing is 14 true and correct 14 15 Executed on January , 1964 at Oakland California 16 16 18 18 JeaniJe. Hucker C - Smith Parrish Poduck and Clancy Attorneys at Daw 315 Financial Center Building Oakland 12 California The proof of service by mail form being signed under penalty of perjury does not require notarization 1 2 3 4 7 8 9 10 11 12 13 1 BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA ALLEN EVERITT CLAIM NO 63 OAK 11139 , Applicant FINDINGS AND AWARD FOR PERMANENT DISABILITY V3 1 Sy et ere WESTERN ASBESTOS COMPANY and STATE COMPENSATION INSURANCE FUND i FILED MW19 MW19 1531 / herein Defendants al 1 / ep geet me Petition for Permanent Disability Rating having been filed all parties having appeared and the matter having been oe ten regularly heard before Olney L. Huff Referee and submitted said ween Referee now makes his decision as follows FINDINGS OF PACT 1. The injury herein caused permanent disability or 100 2. Applicant's attorneys Smith Parrish Paduck & Clancy have performed legal services of the reasonable value of 1,000.00 and are entitled to a lien in said amount against unpaid compensation compensation . AWARD ' AWARD IS MADE in favor of ALLEN EVERITT against STATE COMPENSATION INSURANCE FUND of permanent disability indemnity at the rate of 52.50 a week beginning January 31 1964 and continuing until 400 weekly payments shall have been made in the total sum of 21,000.00 and thereafter a life pension at the rate of 49.46 a week less the sum of 1,000.00 payable to Smith Parrish Paduck & Clancy as an attorneya fee / * OLNEY HUFF REFREE INDUSTRIAL ACCIDENT COMMISSION UN All parties served as shown on UN official Address Record May 19 1964 ty OL ty FAN 537 eT rie a an ee e Mee ee ee OLNEY L. HUFF REFEREE Oakland ~ April 27 1964 EVERITT CLAIM OAK 11139 1963 1963 1946 to March REPORT OF REFEREE ON SUPPLEMENTAL HEARING ISSUE Permanent disability APPLICANT testified substantially as follows He doesn't do anything except Just look at the walls He is shortwinded and doesn't walk in the yard or dusts a littlc He meals in a restaurant very good can't cook He just sits He eats his He has had no clerical training He drove to Dr. Griffcath He ca make short trips driving He can't sit too long When he walks a block anda half he has to stop and rest because he has shortness of breath DISPOSITION Within the discretion of the Referee case to be referred to the Permanent Disability Rating Bureau seven days to the parties for rebuttal of its report Case otherwise submitted OLH RN OLNEY 7. HUFF REFEREE May 19 1964 HEPOROTF REFEREE ON DECISION the Applicunt has a injury herein and the permanent disability as a result factors of such disability were of : submitted to the Rating Bureau based upon the medical evidence eT He and applicant's testimony A rating of 100 mended and applicant is entitled to an award compensation represented by such rating has for been recom the amount of TUN OL: H ty 1 we WORKMEN'S COMPENSATION APPEALS BOARD STATE OF CALIFORNIA 3 ALLEN EVERITT fF - Applicant CASE NUMBER 63 OAK 11139 5 t V8 B | WESTERN ASBESTOS CO and ORDER DISMISSING | STATE COMPENSATION INSURANCE FUND 7 COMPANY ARMSTRONG CORK ARMSTRONG & CONTRACTING& CHARLES AYRES CO SUPPLY CORP INC CHARLES AYRES SUPPLY CO THE E. J. BARTELLS CO PETITION TO JOIN ADDITIONAL EMPLOY- ) ERS AND INSURANCE CARRIERS .C F. BRAUT & COMPANY THE PHILIP CANY MANUFACTURING CO THOMAS C. DOUGLASS JR DOUGLASS INSULATION CO , FIBREBOARD PAPER PRODUCTS CORP FLUOR MAINTENANCE INC CO HAKOLD G. LORENTZEN LORENTZEN MUNDET CORK CORP ; OWENS CORNING FIBERGLAS PLANT ASBESTOS CO THORPE INSULATION CO STANDARD ACCIDENT INSURANCE CO EMPLOYERS MUTUAL LIABILITY INSURANCE oo COMPANY ) i LE men | i { Tn rn OF WISCONSIN TRAVELERS INSURANCE COMPANY INDUSTRIAL INDEMNITY COMPANY ARGONAUT INSURANCE COMPANY AMERICAN MOTORISTS INSURANCE CO GENERAL ACCIDENT FIRE & LIFE INSURANCE CORP.LTD el ! UNITED STATES FIDELITY & GUARANTEE ASSOCIATED INDEMNITY CORP CONTINENTAL CASUALTY CO AETNA CASUALTY & SURETY CO AMERICAN ' EMPLOYERS INSURANCE CO CO Defendants Pursuant to Request of State Compensation Insurance Fund GOOD CAUSE APPEARING THEREFOR and IT IS ORDERED that the Petition to Join Additional Employers 5) and q Insurance Carriers filed by State Compensation Insurance Fund on January 22 1964 be and it is hereby GH.eltmeyer f SERVICE UPON ALL ADDRESS OFFICIAL PARTIES RECORD RICHARD A. HICKMAN AS SHOWN ON September 1966Geltmeyer hg Referee ( . ye { A02967 Ch ee Gg, eR ACC " et hee 1s 1.15 : BSPORE THE WORKOMEN'S COMPENSATION API SBDARID SBDARID 2 CALIFORNIA OF THESTATE OF CALIFORNIA a Ves 2 1956 Par Ra One'sfreed 11139 CLAIM NO 63 OAK sore, i eis, 20ARD 3 Artinis & ALLEN EVERITT & Applicant VS. 7 HESTERN ASBESTOS COMPANY and STATE COMPENSATION INSURANCE FUIM et al g Defendants ; z- PETITION TO DISMISS STATE COMPENSATION COMPENSATION COMPENSATION INSURANCE FUND'S PETITION TO JOIN ADDITIONAL HYPLOYERS AND INSURANCE 21 CARRIERS / FILED JANUARY 1964 , Looe 1010 3ew 1212 13 2424 15 16 16 On January 21 1964 the State Compensation Insurance Fund filed a PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS in the action herein The following named carriers have agreed to by the following sure to defendant State Compensation Insurance Fund in regard to its claim for apportionment and reimbursement CALRTERSCALRTERS Reliance Insurance Co. 20 successor to Standard Accident Insurance Co. Travelers Insurance Co. MOPLOYERS MOPLOYERS MOPLOYERS ; " Armstrong Cork Co. AMOUNT TO BE PAID TO SCIF . $ 297.78 Armstrong Contracting & Supply Company 391.40 Argonaut Insurance Co. Charles Ayers Co. 450.87 Employers Mutual of Hausau E.J. Bartells Co. . American Motorists Ins Co. C. F. Braun & Co. . 196.37 1038.88 1038.88 General Accident Fire & Life Assurance Corp. ltd The Philip Cary HIg Co. 236.80 U.S. Fidelity & Guaranty Co.Thomas C. Douglass Jr. Continental Casualty Co. Fluor Maintenance Inc. 105.66 122.44 122.44 . Actna Casualty & Surety Co. Mundet Cork Corp. & Owens Corning Fiberglass 1810.57 29 American Employers Ins Plant Asbestos Co. 30 Fireman's Fund Insurance Co.Thorpe Insulation Co. 99.91 56.56 31 Industrial Indemnity Co. 32 Charles Ayers Co. Harold G. Lorentzen Co. and Plant Asbestos Co. 2976.00 TOTAL 3702.27 37702.27 37702.27 -~, fw WHEREFORE Western Asbestos and State Compensation 2 Insurance Fund request that the PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS filed on January 21 1954 be d dismissed with prejudice B "fi Respectfully submitted S itt y 7 9 10 10 Dated at Oakland Califomia this 6th day of September 1966 11 11 H. illan Attorney for Western Asbestos and : State Compensation Insurance Fund 12 13 12 Avenue rs) t Hanna & BrophyAttorneys at Law 1540 San Pablo Onkland Califorria 14 Francisco Bancroft 14 C - Teonard Goshtin & Attorneys at Law 311 California Street San California 15 C " Continental Casualty 433 California California St. 16 16 San Francisco California Attn John X. Wilkes f Nmployers Nmployers 17 C Nmployers Mutual Liability Insurance Co. California 55b Chlifornia St. San Francisco 1818 Attn Bill Parrish 29 C - Hanry G. Sanford Attorney at Joy Hobart Building Son Francisco California 20 20 Detert C - Sedgwick Moran & Arnold Attorneys at Law 22 21 111 Pine Street San Francisco California 22 23 23 24 2425 26 27 : 28 29 3030 3232 C - Allen Everitt - Claim No. 63 OAK 11139 2 DATE ORDEN JOINING PARTY DEFENDANTS PILED AND SERVED 3 fiF | A Allen Everitt 449 - 22nd St. Richmond Calif Smith Parrish Paduck & Clancy 315 Financial Center Building Oakland 12 California 240 Valley Drive Brisbane Brisbane Western Asbestos Co. Townsend Francisco Calif . State Compensation Insurance Fund 3360 Grand Avenue Oakland 10 California Personal Service & Armstrong Cork Co. Liberty & Charlotte Sts Lancaster Pennsylvania Armatrong Contracting & Supply Corp. 120 N. Lime St. Lancaster 7 Pennsylvania 698 Charles Ayres Co. 374 Brunnan St. Dan Francisco 7 California 8 Charles Ayres Supply Co. Inc. Minnesota St. San Prancisco , 5 : * . 8E83 dyn 8E838E83 California The E. J. Bartella Co. 1212 Sixth Ave. S. Scattle 4 Washington C. F. Braun & Company 1000 5. Premont Ave. Alhambra California 15 The Philip Cary Manufacturing Co. Lookland Cincinnati Ohio Thomas C. Douglass Jr. Douglass Insulation Co. 2233 Ingalls St. San Francisco 24 Calir : Fibreboard Paper Products Corp. 1769 Montgomery St. San Francisco , : California : : Fluor Maintenance Inc. P. O. Box 791 406 Ward St. Martinez Calif Fluor Maintenance Inc. Box 7030 2500 E. Washington E. Los : Angeles 22 California vhe Insulation Worka == Trust bocai- Francisco . Ho -200 Guernero Franci Cs RI c Lo I 8E83 Harold G. Lorentzen Lorentzen Co. 1155 Fifth St. Oakland Calif the Mundet Cork Corp. 2101 Tonnelle Ave. H. Bergen New Jersey % Owens Corning Fiberglas International F. S. Subsidiary of Owens E 5 fo EE5 at e EE5 EE5 8 Corning Fiberglas Corp. P.O. Box 901 Toledo 1 Plant Asbestos Co. 1300 - 64th St. Emeryville Oakland Ohio Calif Thorpe Insulation Co. a corporation 2741 S. Yates Ave. . Los Angeles 22 Calif : Standard Accident Insurance , California San Francisco -7 Co. 19EE5 California Insurance Insurance sie hd sot 4 PAteg Francisco phi . a Employers Mutual Liability Insurance company of Wisconsin N N 114 Sansome St. San Francisco Calif Travelers Travelers Insurance Co. 1956 Wobster St. Oakland 12 Calif lat, NN eetFa N ee N Industrial Indemnity Co. 350 Sansome St. San Francisco Calif Argonaut Insurance Co. 550 California St. San Francisco Calif ee American Motorists Insurance Co. 417 Montgomery St. San Francisco California ne General Accident Fire & Life Insurance Corp. Ltd. Se 600 California St. Sun Francisco Calif United States Fidelity & Guarantee Co. 444 California St. N ROAR N ty L_ecter N N wot N 29 San Francisco Calif Associated Indemnity Corp. 332 Pine St. San Francisco Calif Continental Casualty Co. 433 California Aetna Casualty & Surety Co. St San San Francisco California Lips California Biainty Calif Calif American Employers Insurance Co. Russ Bldg San Francisco Calif Hanna and Brophy 1540 San Pablo Ave. Oakland 12 Calif Buah St. Henry G. Sanford 714 Hobart Bldg San Francisco Calif : ]' Sedgwick Detert Moran & Arnold San Francisco Calif , . 121 Putin thr (gre? PACH ath *** *** Ijum d mae BREA Or HOB LETS AwHOSsE SL6Q wily? InyID wy OO FV otv's dovd nD ADNY ADS oy S/N preqsod ra NOtSiAra SLN nic YY ROLAGO ARWaNOS 1946-3 GVH NOU JO YeABDO Asbetosi u x3 BODYU *h Bov. CONDITON ACIDENT CONDIT NSTEV AD'L wo QSNIVS INFORMAT SyeO4 INFORMATION <9 sa8 50 ig 490 96T-"76T TeRAD AWN, afa SEUSY AMOCAE IAC OAK 139 OVI neues EMPLOYEE EVER TA Abbk Abbk PLANT A 1946-1963 1946-1963 1946-1963 1946-1963 1946-1963 E DCC A DEJURY ASECTI ASECTI ASECTI ASECTI INC CL # 6309K 6309K 11139 206-8975 206-8975 206-8975 T Rate At HRLY HAGE A AVG WKLY WAGE TERMINATION TERMINATION COMP PAID LOST TIME - : ABSENTER RECORD PLANT MEDICAL RECORDS PLANT PERSONNEL RECORDS PRIOR IND ACC TCH IND CLAIMB 7 I OLATHE: IAC PRIOR CLAIMS & RATIE DIARY INFO TO R.B. JR RAYS BEFORE THE WONIMEN'S COMPENSATION APPEALS BOARD i OF WE STATE OF CALIFORNIA Claim 63 Oak 11139 ALLSH EVERITT } : applicant , 3 oan } WISTERN ASEIBTC COMPANY 876 oer] STATE OCMPENSALIOCMPENSALI ON INSURANCE FUND OETIERAL ACUIDARI FIRE & LIFE ) ASSURANCE CORPORATION LTD et al } Defendanto NOTICE OF TIME AND PLACE OF FURTHER HEARING NOTICE TO ALL PARTIRS You are hereby notified that further hearing will be held in the above entitled action at March 21 1966 3000 State Building Oakland Jackson Street Oakland California Apportionment of Liability 1:30 F.M. Before Referee Rickman 2 Hours mie a Nw . ma TN 2 I Lee Lue 3 ~4 -- 2 ; Vey * y i. 150 150 bBi ent we al we eee -} Ligue ch bs ae 1/21/1 1/21/1 1/21/1 ws foot 1/21/1 1/21/1 1/21/1 1/21/1 1/21/1 1/21/1 1/21/1 3 ehh et Clamay Clamay pe SmithSmith 4 . viet: . AR Bude Bude , 1 a? aad 45 en cod.ex - Ast perm : stat - Heart Heart diacona diacona decorso decorso 10 31-63 <@- T TO 11750 11750 then fe C. L 17 63 tamotes U : rpt of Josipl po 2147 2147 2147 Josipl Josipl Rossm Rossm FB054111 2, _ 4. defendants defendants defendants Gud Gud fenth Hand Hand le, fenth mis why kph ** 7 ... ... F. F. ma cue! aby ee chun chun te : wit kee auetk; pep law wit f e ve okies . adc ue ss Ser -1 a re aes te r . ' - Ye eye > V5 i 8.64 Rorating- Rorating- 0 Roratineeg- ... ... Oe he DP ton longchuiven longchuiven longchuiven longchuiven a in compacitaty compacitaty igaya igaya ya piys waiwtait at toiming Loo Hefwb ok them nt next can in ash Houby a bloch clincind to Houby ae the east Dctone, offbeat of beat offbeat offbeat offbeat couche couche couche only about trips Go bicon't bicon't siltostory siltostory , babs as diffrently difrently diffrently cecently cecently standstand ~ . FB054112 , f on fis 1 0 + . Ae oie [- are rc ff fc: e - : a ad pee M fe . ee + wt ge y ee be 33 77t7-7t- 77t- 77t- - / .../ ... - ... - - - ... - - { ae L tebe + te, 3.5 1778 1778 Cue of ... ... ... ... ... ... ..." ... bangsa # 4 inday inday joyrt joyrt - . bangsa 3 64 1102610 1102610 1102610 by Gen Gen live firi : Life Asana Asana Capital Capital , . F8054113 RECEIVED MAY 25 1965 CORPOIRNA S DTEE PT 3360 3360 GRAND AVENUE AVENUE CARLAND CACRARLLANAD ND CLL 0F STATE 4 9280 9280 . 01 442.6806 COMPENSATION INSURANCE FUND eae May 26 1965 Ue REP REFER YS ; A02967 Allen Everitt Industrial Accident Commission Room 3000 State Building 1111 Jackson Street Oakland California Re Allen Everitt vs. Western Asbestos Company and State Compensation Insurance Fund et al I.A.C. 63 OAK 11139 Gentlemen It is respectfully requested that the aforementioned case be set for hearing to determine what if any apportionment defendants Western Asbestos Company and State Compensation Insurance Fund are entitled to from the other defendants to the aforementioned action Very truly yours . /, SO, hatrrulleys harles M. McMillan Attorney c - Smith Parrish Paduck & Clancy Pinancial Center Building Oakland 12 California - Henry C. Sanford 714 Hobart Building San Francisco California FB054114 z Industrial Accident Commission May 26 1965 Sedgwick Detert Moran & Arnold 100 Bush Street San Francisco 02 Hanna & Brophy 1540 San Pablo Oakland Armstrong Cork Co. Liberty & Charlotte Lancaster Penn Sts Armstrong Contracting & Supply Corp. 120 N. Lime Street Lancaster Penn Charles Ayres Co. 374 Brannan Street San Francisco 7 Calif ' Charles Ayres Supply Co. 698 Minnesota Street San Francisco 7 Calif Inc. The E. J. Bartells Co. 1212 Sixth Ave. S. Seattle 4 C. F. Braun & Co. 1000 S. Fremont Ave. Alhambra Calif The Philip Cary Mfg Co. Lockland Cincinnati 15 Ohio Ohio Thomas C. Douglass Jr. Douglass Insulation Co 2233 Ingalls Street San Francisco 24 Calif Fibreboard Paper Products 1789 Montgomery Street San Francisco 11 Calif Corp. Fluor Maintenance Inc. P. O. Box 791 406 Ward Martinez California St. Fluor Maintenance Inc. Box 7030 2500 E. Washington Washington E. Los Angeles 22 Calif ~ Insulation & Asbestos Ind Works of N. C21 Vac Trust Fund Local No. 16 200 Quernero St. San Francisco 3 Calif - Harold G. Lorentzen Lorentzen Company 1155 Fifth Street Oakland California Mundet Cork Corp. 2101 Tonnelle Ave. N. Bergen New Jersey - Owens Corning Fiberglas International F.S. Subsidiary of Owens Corning Fiberglas Corp. P. O. Box 901 Toledo 1 Ohio - Plant Asbestos Co. 1300 14 64th Street Emeryville Oakland 8 Calif M Thorpe Insulation Co. 2741 S. Yates Ave. Los Angeles 22 Calif M Standard Accident Ins 433 Calif St. San Francisco Calif Co. - Employers Mutual Liability Insurance Co. of Nis 114 Sansome Street San Francisco 4 Calif ~ Travelers Insurance Co. 1956 Webster St. Oakland 12 California - Industrial Indemnity Co. 350 Sansome Street San Francisco Calif -~ Argonaut Insurance Co. 550 California Street San Francisco Calif FB054115 -3 - Industrial Accident Commission C + American Motorists Ins Co. 417 Montgomery St. San Francisco 4 Calif c - General Accident Fire & Life Insurance Corp. Ltd. 600 California St. San Francisco Calif C - United States Fidelity & Guarantee Co. 444 California St. San Francisco Calif + Associated Indemnity Corp. 332 Pine Street San Francisco Calif C - Continental Casualty Co. 433 California St. San Francisco Calif ce - Aetna Casualty & Surety - Co. 1330 Broadway Oakland Calif c ~ American Employers Insurance Co. Russ Building San Francisco Calif May 26 1965 1965 FB054116 wah EMPLOYEE EMPLOYEE INDURANCEMIPLMIOPLOYCYE CMIPLEOYCE INSURANCE STATE il i - " FUND Alter Eve a - wh teryAsbestos Company and liste -oung.can Pind I.A.S. CO OAK 12134 12134 we sooet 2 R. T. Read Superintendent Under- a? rnie Inspection Reting Bureau signed 6 February 17 1964 pote of this rep ne been mailed to al parties listed = 4 Truly Truly yours lea M. Attorney Attorney McMillan aetin, Fores Paris Pecut & Clancy Attorneys at Law al Center Bling Oakland 12 California 315 BN Casual and Surety Company 1330 Broadway Oakland t1f4smmi2. a Insurance Company Ruse Building urance Company 417 Montgomery Street Fe Pine Pine Street San Francisco FB05411 ~ rmia ds, 1964 rt te Compensation Insurance Fund Industrial Accident Commission Continental Casualty Company 433 California Street San Prancisco California Pibreboard Paper Products Corp. 1789 Montgomery Street San Francisco 11 California Pireman's Pund Insurance Company 3333 California Strect San Francisco California . Fluor Maintenance Inc. P. O. Box 791 406 Ward Street Martinez Californie General Accident Fire and Life Insurance Corp. Ltd. Caliform Asrestos 3 3 Caliform Caliform Caliform +, Sa Prancisco California Asrestos Industrial Works of Northern Trust Fund Local No. 16 200 Quermerc bord Insulator 3. California 3. Company A Corporation 2741 South Yates Avenue Los Angeles 22 California United States Fidelity and Quarantee Company 120 Montgomery Montgomery Montgomery Street San Francisc0 California Argonaut Insurance Company 550 California Street San Francisco California Employera Mutual Liability Insurance Company of Wisconsin 114 Sansome Street San Francisco 4 California Industrial Indemnity Company 350 Sansome Street San Francisco California Standard Accident Insurance Company 433 California Street San Francisco California Travelero Insurance Company 1956 Webster Street Oakland 12 California FB054115 f CALIFORN A INSPECTION INSPECTION RATE 1455 MEN MEN STALPT SAN FRANCIS & CALIFORNIA 3 BUREAU R. G. O'HEIEN O'HEIEN GENERAL GENERAL MUN Asa P. STRON ANT GENEDAI GENEDAI MANAGER 14. M. DROPKIN ACTUANY 17 February February 17 1964 1964 AT ENTION ATTENTATI TENOTIN ON KILE Compensation Compensation Insurance Fund 3350 Grand Avenue Oakland 10 CalifoCalrifonrniia a VISTIEN BZSICE CO Your File No. A02967 et al Atention Attention Charles M. McMillan Gezime This acknowledges receipt of your January 7 1954 letter questing Worker's Compensation coverage information for the below ed entities re- list- The Bureau wishes to apsize for the lengthy delay in answer- ing your request but certain Files had had to to be located Coverage information is as follows , Amstrong Cork Company . Standard Accident Ins Co. Policy No. AZ 718480 1-1-51 Amstrong Contrecting & Supply Corp. Travelers Insurance Co. Policy No. a It RUB 7226992 RUB 7595409 1-1-58 1-1-59 Charles Ayers Co. - No records Charles Ayers Supply Co. Inc. ~ No records . - The E. J. Bartells Company Emplys Mut Liab Ins Co. Policy No. 2312-02-025772 1-1-61 " 11 2313-02-025772 1-1-62 C. F. Braun & Co. A Corp. American Motor Ins Co. Policy No. 7CM 426012 1-1-57 " 11 8CM 426012 1-1-58 / The Philip Cary Mfg No records prior to 1-1-57 FB054119 RECEIVED FEB 19 1954 OAK LEGAL Compensation Sale Compensation Ins Sakland 10 California Dund Pobruary 27 General Pile Page No. 2 1067 Douglass Insulation Co. - No records Fiberocar^Paper Products Corp. - Self Assured Fluor Maintenance Inc. Corvinental Casualty No. 2907635. 4-25-55 Maintenance Inc. Continental Casualty Insulation & Asbestos Industry Works of North 1894526 4-25-58 4-25-58 Calif . Calif Lorentzen Lorentzen Co. Industrial Indemnity Co. uw Policy No. 1 i 01 501 00429 -1-55 CC 100019 1-1-56 CC 600009 1-1-57 58 CC 600054 2-1-59 Mundel Cork Corp. Aetna Cas & Surety Co. 11 a Policy No. IL 21655-6-7 12-31-51 10 23413 PT 12-31-60 10 33764 PT 12-31-61 Owens Corting Fiberglas Aetna Cas & Surety Co. n Policy No. 11 310 733 310 78 320 879 310 926 310 310 985 20 2951 PF 9-1-54 PR 9-1-55 R 7 9-1-97 PR PT 9-1-58 RR PI 9-1-59 RR PD 9-1-60 Plan Asbestos Co. No records Industrial prior to 10-1-39 ... Indemnity ... Policy JJ 44 No. 501 CP 00546 1-1-55 CP 100654 1-1-56 CP 608056 1-1-59 CC 600091 1-1-60 CC 611154 1-1-61 00 61154 1-1-61 Thorpe Insulation Co. Fireman's Fund Ins Co. Policy No. WCP 3501 10-1-54 FB054120 RECEIVED FEB 19 1954 DAK LEGAL State Compensation Insurance Aint Oakland 10 California February 17 General File Page No. 3 1964 Chuck's Supply Company " No records Very R. Underwriting SAB Kip By Tt, 5. R. Bekgran FB054121 Paes RECEIVED FEB 19 19 1964 OAK LEGAL ee ate The Ancan Ancan INSURANCI F17 PINE STREET SAN'FIANCISCO SAN'FIANCISSAN'FCIANCOISCO 2 CHA er Pee 7 Industrial Accident 1111 Jackson Street Oatland Californiz Comission Comission R Gentlemen GAY Mere We have received a coy of the Te ce IN 0 ... and Insurance Carriers in the t oe i. 180 180 the application has been received al Lo R ee ae aee OTT B at Arswer The petition of the State Coman stos Compeny allees that th 6. was the carrier for the Fluor Ha n Inture Inture Fun and Restern cuties , Ih @maty orporation Inc. in 1955. ^ review of our records indicates that any '- ged ged for Fluor hin tenance ceased on April 25 1953 1 Associated Indemnity Corporation < 1 nme + joned in this action G a ey 10 Ceor * i. 2 . Chad S vis Worlan Worlan Co er ati n GES ki EMPLOYEE INSURANCE I F8054122 THE AMINICAN AMINICAN INSURANCE COMPANE HIWALE THE AMENCAN INTERSTACINTKERSTACK THE INSURANCE COMPANY COMPANY HEWARE ta A TOMORIIL 4 COMPANY a Y ASSOCIATED INUINNIT INUINNIT COMOTION COMOTION SAN ANCO ~~ NT cotinine pen teem a cee Standard Accident Insurance Insurance 433 California Street San Francisco California Company Kanley ro Mutual Li- ility Insurance co of Wisconsin Zi some Stret Stret ncisco Califomia Travelers Insurance Co. 1950 Webster 5tr et Oakland 1 California California General Accident Fire and Life Insurance Corp. Ltd. 600 California Stret San Francisco California United States Fidelity & Guarantee Compen >> 0 >> Whh California Street sie, ' San Francisco California Continental Casualty Co. 433 Californie Street San Francisco California Astne Casualty and Surety Co. 1330 Broadway Oakland California State Compensation Insurance Fund 525 Golden Gate Avenue San Francisco 1 California Fluor Nintenance 0 792 et * Street sting , Califor Inc. in wo gh oped ceepub Epos AQ CU po fae Sur Sur Sur Cas tars San Macis Calafinda 411 C 3 orists Insurance 6 1. St t vyih ih California Comprap Sent aver au Be % 28 Str mt wneet, California Fireman's Pund Inur nce Canary 3332 Caliform Strict San Francisco California California soit, rria Paduk and Clarey At re no Law 31 7inuri Center hle uing Calland 12 California FibreboFinbrebon aper Products 1789 Kont pery Street San Francisco California FB054123 Jeuruary 1 1961 Industrial Accident Commission 1111 Jackson Street Oakland California 781 Allan 7. Sveritt Industrial Recident Commission Case No. 63 OAK 11139 Gentlament We have received a cony of the Petition to Join Additional Employers and Insurance Carriers together with the Social Security records of Allen P. Everitt Industrial Accident Commission Case Ro 63 OAK 11139 but have not received a copy of the application Na ara therefore unable to file an AnwAY In any event the Social Security records show earnings paid by us as amounting to only 80.00 = submit that the application should be dismissed as de minimis in so f^,r as this company is concerned - _ Very truly yours FIREBOARD PAPER PRODUCTS COPPORATION COPPORATION DH X cer D. Haneon Manager Employee Insurance Department Standard kocident Insurando Company 433 California Street San Francisco California Industrial Indemnity Co. 350 Sansone Streat San Francisco Califomia Employers Hutual Liability Insurance Co. of Wis 11 San Street San Francisen Califomia Travelers Insurance Co. 1956 Wabater Street Oakland 12 California Argonaut Insurance Co. 550 California Streat San Francisco Califonia * American Moterfatu Insurance Company 417 Montgomery Street San Francista ki CaliforB~ A FB054124 General crident ire and Life Insurance Comm itd 500 Califomia Street Jan Francisco California United States Fidelity & Quarantee Ur any lig Califorde Street San Francisco California Associated Ileanity Cern 322 Pine treat San Francisco California Continental Casualty Co. 433 Califomis Street San Francisco California Aetna Casualty and Surety Company 1330 Broadway Oakland California American Employers Insurance Commany Puse Building . San Francisco Californi Peman's and Insurance , F omnang 3333 California Street San Francisco California Smith Parrish Paduk and Clansy Attorneys at Lau 315 Financial Center Building Oskland Oskland 12 California ' } 3156 -3 DEPARTMENT OF HEALTH EDUCATION AND WELFARE SOCIAL SECURITY ADMINISTRATION PATMENT CENTER BALTIMORE 41 MARYLAND MARYLAND THE REPLY PERE TO FILE 14 FC7 FC Account No. 503-03-5111 A. R. Everitt Your reference . A02967 A02967 Allen Everitt State Compensation Insurance Fund 525 Golden Gate Avenue San Francisco 1 California Attention Mr. David S. Bloxsom Cl imaAdjustar vw the 1964 tae ' 1964 wef ~ 007451953 007451953 EMP OYEE INSURANCE Gentlemen Mr. Allen R. Everitt social security number 503-03-5111 has acthorized us to send you the detailed information from kis warn- ings record for the period January 1 1937 through March 31 1963 Employer Name * Address Period Ended Amount * John Nourell and Co. Ottumwa Iowa 6/30/37 < $ 171.11 Fantle Brothers Inc. _ 117-119 5. Phillips Ave. > 7) Sioux Falls South Dakota ard V Fantle Brothers Inc. i Chicago Bridge end 1305 W. 105th St. Chicago Illinois Iron Co. 12/31/38 ^ $ 72.00 3/31/39 Y 9/30/41 & +f .75.00 .75.00 175.20 1 Y Parker Transfer and Storage 12/31/41 < 9.35 ---------- -- -- W. Parker ------ ---- -- --221 S First Sioux Falls Ave. South Dakota jar Wt, ae Charles R. Rue Rue Contracting Co. 515 14th St. N. Fargo North Dakota 9/30/42 ^ $ 107.56 . 4. Walter Butler Go Y Athol Idaho 9/30/427 9/30/427 MACENAMACDENAD 234.20 234.20 NOV 22 1963 NOV 22 1963 ANY LEGAL on A FB054126 Exmployer Name and Address . Enterprise Engine and Foundry Co. 600 Florida St. San Francisco California Northwestern Engineering Co. ye ra Rapid City South Dakota Moore Roberts Freetly Carrico and Cantier Maine and Washoe Sts Richmond Californis > Kaiser Aluminum an and Chemical Corp. / G. F. Fennington 1924Broadway Kaiser Bldg Oakland 12 California & Daniels and Turnquist s Pi 60 Orpheum Bldg Seattle Washington / Kaiser Aluminum and Chemical Corp. + 2" G. F. Fennington Ernest and Kaiser and Assoc Joint Venture 8825 Olympic Blvd. Beverly Hills California California KaiserKaiser Aluminum and Chemical Corp. / G. F. Fennington Sioux SiouxFalls Mechine Works $7 Falls 21 ty N. Dakota Ave. Sioux , South Dakota Package Delivery Oo t 100 E 12th St. we Sioux Falls South Dakota Period Ended 9/30/42 x 12 / 9/30/129/30/12 ' 30 42x 112x 9/30/42 9/30/42 v 31 / 6/30/43 v 6/30/43 < * 9/30/44 9/30/44 6/30/444 6/30/444 30 / 2.48 7.91 800.88005.85 32.38 $ 853.23 61.11 192.19 $ 582.00 800.22 33.25 124.63 ~" FB054127 . H 4.1 Employer Name and Address +, 7 Kaiser Aluminum X and Chemical Corp. / G. F. Fennington Asbestos Co. Western wo Box 376 syy Rincon Armen San Francisco 19 California N > Western Asbestos Co. Y Fibreboard Paper Products Corp. 1789 Montgomery St | ,* San Francisco 11 Californis Western Asbestos Co a Period Ended 3/31/451 3/1/451 " 6/30/45 9/30/45 6/30/16 Y 8/30/46 69//3300//4177 , 12/31/17 12/31/17 y 12/31/472 12/31/472 48 48 / * md ^ Western Asbestos Co. Western Asbestos Co. i Western + Western Asbestos Co. i. Nv vA Armstrong Cork Co. Liberty and Charlotte Ste Lancaster Pannsylvania oar Y Charles Ayres Charles Ayres Co. 374 Brannan St. San Francisco 7 California Western Asbestos Co. X 30 % 12/31/50 % 3/31/51 51 / 9/30/511 9/30/51 9 51x 51/ 51 Amount 798.06 811.20 316.83106.80 138.60 761.18 922.20 944.00 916.65 80,00 932.70 760,00 992.16 315.11 $ 802.08 1,110.21 454.94544.94 $ 943.79435.75 1,120,01,1200,0 $ 825.00 1,064.04 1,064.04 436.87 589.34 341.23412.22 427.82 427.82 $ 1,295.09 1,295.09 1.455.33 1.45 .3 849.58 849.58 1963 NOV NOV 22 22 C. Employer Name anAdddress a ~~ Plent Asbestos Co. i 1300 64th St. Emeryville 8 California + wy Charles Ayres Supply Co. Inc. 698 Minnesota St. San Francisco 7 Californie / Hundet Cork Corp. -- ap, 2101 Tonnelle Ave. ~, North Bergen New Jersey Period Ended 3/30/52 x 32 52 / 3/31/52 x Amount 422.01 289.52 289.52 325.72 by ; Western Asbestos Co. 3/31/53 $ 1,261.50 4 4 6/30/53 + 1,661.00 30 / 673.90 eo Western Asbestos Co. + . . a Western Asbestos Co. x i Vi Plant Asbestos Co. 3/32/54 6/30/54 30 3/31/55 6/30/55 30 . $ 1,378.60 1,482.31,4802.30 739.10 $ 1,471.05 176.40 300.80 f, Charles Ayres Co , 698 Minnesota St. . ~ Uo San Francisco 7 California 6/30/55 < 12/31/55 4 529.20 50.80 Floor Maintenance Inc. O. Box 791 21 21 406 Ward St. x 21 Martinez California HaroldG. Lorentzen ,, Lorentzen Co. NeoS 1155 Firth St. / Oakland California Thorpe Insulation Co. ; 53 A Corp. $ 53 2741 S. Yates Avo 1 Los Angeles 22 California 9/30/55 9/30/55 ~ 12/31/55 : 9/30/55 126.00 247.66 247.66 429.80 208.00 baa me 971939 971939 ' 971939 971939 _ FB054129 Employer Name and Address Period Ended ~ Owens Corning Fiberglas = = X International F. 5. Subsidiary of Owens Corning Fiberglas Corp. O. Box 901 Toledo 1 Ohio ' Thos C. Douglass Jr. | Douglasa Insulation Co ; > 2233 Ingalls St. San Francisco 24 California 1 1Plant Asbestos Co. 1 30 Harold O. Lorentzen Lorentzen Co. ~} ; Owens Corning Fiberglas International F. S. Subsidiary of Owens Corning Fiberglas Corp. Insulation and Asbestos A Industry Works Af of North California Y . ) Vacation Trust Pund Local No. 26 200 Guernard St San Francisco 3 California The The Philip Cary Cary MfMfgg CoCo.. Cincinnsti 15 Ohio X680 X680X680WestWeersntern Asbestos Co. X680 Co. 9/30/55 X 9/30/55^ s 3/31/56+ 6/30/56 9/30/56 12/31/56. 12/31/56 4. 3/30/56 56 / 12/32/5612/32/56 12/32/5612/32/56 ^ 6/30/57 * 9/30/57 9/30/57 12/32/574 " - "- Harold G. Lorentsen Lorentsen Co. 3/32/57 2 Amount $ 415.80 330.20 $ 298.45 1,600.20 1,773.90 373.35 144.11440.10 203.20 52.50 740.15 $ 134.00 1,670.96 1,226,20 1,226,20 989.40 936.66 FB054130  Employer Name and AddreBS Period Ended C. F. Braun and Co. 10 Corp. . v 1000 Fremont Ave + Alhambre Oslifornia ^' , Phillip Nead and Shirley Nielsen Y < 4 Industrial Insulation Co. 2-7 11835 Warner Cupertino California h wy Western Asbestos Co $- Charles Ayres Co. 42 Owens Corning Fiberglas X 42 International F. S. Subsidiary of Owens Corning Fiberglas Corp. + 110 110 F. Braun and Co. A Corp. ( Insulator and Asbestos Indusbry of North California and Local Union No. 16 - Vacation Plan 200 Querrero St. San Francisco Californie ( Armstrong Contracting and Supply Corp. 120 Lime St. Lancaster Pennsylvania J +./ Floor Maintenance Inc. - SA, Box 7030Washington - 2500 B. Washington East Los Angeles 22 California Western 201 X Asbestos Co. Plant Plant Asbastos Co. X 12/31/57 X 3/31/574 58X 58X 9/30/58 12/31/584 12/31/584 9/30/58 6/30/58 ' Y 3/32/58 3/32/58 9/30/581 12/31/58 12/31/58 3/32/592 9/30/59 6/30/59 3/32/592 t 9/30/59 x Amount $ 554.85540.80 85.15 & 273.60 438.90 390.00 152.00 1,348.80 1,348.80 1,807.30 1,807.30 1,807.30 1,197,00 1,197,00 102.70 448.00 256.64 $ 1,501.75 2,052.65 28.93 180.60 J. 8054131 8054131 i . : I . 1 Employer Name and Address 32 Harold G. Lorentsen -- Lorentsen Co. J Owens Corning Fiberglas International P. S. Subsidiary of Owens Corning Fiberglas Corp. 3 Armstrong Contracting y + 3 and Supply Corp. Western + Western Asbestos Co. Plant Asbestos Co Owens Corning Fiberglas , International F. S. Subsidiary W . ay of Ower Corning Fiberglas Corp. v. i Armstrong Contracting 4 and Supply Corp. WmfWm Thomas Took gf Tack's Supply Co. X 469 Sunshine Lane Reno Nevada Western 4 jo" Western Asbestos Co. 536 Plant Asbestos Co. 536 X 536 536 Mundet Cork Corp. The Z. J. Bartells Co. 1212 81rth Ave. 5 : 8 : Seattle k Washington Western : 2 + 2 Western Asbestos Co. Period Ended 3/31/59 12/31/59 12/31/59 6/30/60 12/31/604 12/31/604 12/31/60 ^ 9/30/60 x 3/31/60 < 9/30/607 3/31/61 6/30/61 ~ 9/30/619/30/61xX 61X 12/31/61 + 6/30/614 6/30/614 3/31/62 < 9/30/624 9/30/624 1,637.25 336.00 $ 1,570.90 2,089.35 103.20 103.20 1,679.20 1,679.20 1,679.20 1,121.20 470.40 174.72 $ 2,135.40 1,077.55 291.20 113.52 182.00 $ 1,708.25 1.857.68 1.857.68 1,23h.07 1,23h.07 t) 8 Employer Name and Addrega Y 53 Plant Asbestos Oo Cork Corp. x 37 Mundet The E. J. Bartells Co Asbestos Co. Period Ended 9/30/62 ~ 31 5/30/62 + 3/31/63 Amount $ 309.12 - 340.56 714.84 $ 1,676.68 We have no record of any other earnings for the period in which Mr. Everitt is interested Workers began to soquire social security credits beginning 1937 therefore we have no record of any earnings for 1936 Our records do not show the emount of earnings in each quarter of 1937 because employers were required to file reporte only tarios that year Any earnings earned after March 31 1963 have not been included Earnings are not usually posted to our records for at least 6 months in which after the period the report is filed by the employer moh time is naeded to reosive and post the wags reports This Sincerely yours Robert M. Mayun Chief- (late a) MUY 22 1963 *** LEON FR054133 H. 1 2 3 A B 8 7 a 9 10 11 12 2 2 99 99 17 18 ; 19 78 2 22 2 2 2 26 2 2 2 3 8 BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OP THE STATE OF CALIFORNIA CLAIM NO 63 OAK 11139 Le alee ALLEN EVERITT Applicant VS. WESTERN ASBESTOS COMPANY and STATE COMPENSATION INSURANCE FUND Defendants EMP'OYEE EMP'OYEE INSURAINNSUCRAENCE PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS TO THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA PANEL ONE Defendants Western Asbestos Company and State Compensation Insurance Fund petition this Commission for an order directing that additional defendants be joined in this matter because 1 Applicant Allen Everitt alleges that in the period beginning 1946 and continuing through 1963 he developed an occupational disease arising out of and in the course of his ; employment 2. Applicant was in the employ of defendant Western Asbestos Company for parts of the following quarters 6/30/46 9/30/46 6/30/47 9/30/47 12/31/47 3/31/48 6/30/48 9/30/48 12/31/48 6/30/49 9/30/49 - 9/30/50 12/31/50 3/31/51 6/30/51 9/30/51 6/30/52 9/30/52 12/31/52 3/31/53 9/30/53 3/31/50 6/30/54 9/30/54 3/31/55 6/30/55 3/31/57 6/30/57 9/30/57 12/31/57 6/30/58 6/30/59 9/30/59 36//3310//6600 9/30/60 12/31/60 36//3310//6611 9/30/61 3/31/62 9/30/62 3/31/63 and for no other time F8054134 y 3. Defendants Western Asbestos Company and State 2 Compensation Insurance Fund allege that all or part of appli- FF cant's alleged occupational disease if shown to have been 4 the result of industrial causation arose out of and in the B course of employment for employers other than defendant 6 Western Asbestos Company and was wholly or partially con- tracted in the period beginning 1946 and continuing through 1963 4. Defendants Western Asbestos and State 10 Compensation Insurance Fund allege that applicant was employed 11 by the following employers insured by the carriers indicated 12 as follows 13 EMPLOYER 14 INSURANCE CARRIER QUARTER 15 16 17 18 19 20 Armstrong Cork Co. Liberty & Charlotte Sta Lancaster Penn Standard Accident Insurance Company 433 California Street San Francisco Calif and Employers Mutual Liability Insurance Co. of Wis 114 Sansome Street San Francisco 4 Calif * Armotrong Contracting ' and Supply Corp. 120 N. Lime Street Lancaster Penn i Charles Ayres Co. 374 Brannan Street San Francisco 7 Cal Travelers Insurance Co. 1956 Webster Street Oakland 12 California Industrial Indemnity Co. 350 Sansome Street San Francisco Calif and Argonaut Insurance Co. 550 California Street San Francisco Calif 9/30/51 12/31/51 12/31/58 12/31/59 3/31/60 12/31/51 9/30/58 12/31/58 Charles Ayres Supply Company Inc. . 698 Minnesota Street San Francisco 7 Cal . Industrial Indemnity Co. 350 San Sansome Street Francisco Calif and Argonaut Insurance Co. . 550 California Street San Francisco Calif 3/31/52 6/30/55 12/31/55 The E. J. Bartells Co. 1212 Sixth Ave. S. # Seattle 4 Wash i i Employers Mutual Liability Insurance Co. of Wis 114 Sansome Street San Francisco 4 Calif 6/30/61 9/30/61 a 2 FB054135 F H EMPLOYER INSURANCE CARRIER QUARTER N C. F. Braun & Company American Motorists 3 A Corporation Insurance Company 1000 S. Fremont Ave. 417 Montgomery Street 4 Alhambra California San Francisco 4 Calif 12/31/57 3/31/58 6/30/58 5 The Philip Cary Manufacturing Co. ' Lockland Cincinnati 15 Ohio General Accident Fire and Life Insurance Corp. .Ltd 600 California Street San Francisco Calif 12/31/56 | 1010 1111 1212 * Thomas C. Douglass Jr. Douglass Insulation Co. 2233 Ingalls Street San Francisco 24 Cal United States Fidelity & Guarantee Company 444 California Street San Francisco Calif * Fibreboard Paper Products Corp. 1789 Montgomery Street San Francisco 11 Cal insured 1313 1414 Fluor Maintenance Inc. P. O. Box 791 406 Ward Street ; Martinez California Associated Indemnity Corp. 332 Pine Street San Francisco California 15 15 e Fluor Maintenance Inc. Continental Casualty Co. 1818 Box 7030 2500 E. Washington 433 California Street San Francisco California E. Los Angeles 22 Cal 5217 Insulation & Asbestos Ind Works of N. Cal 1952 Vac Trust Fund Local No. 16 20 200 Quernero Street 21 San Francisco 3. Cal 21 Harold G. Lorentzen N N N y Lorentzen Company 1155 Fifth Street Oakland California Industrial Indemnity Co. - Sansome Street San Francisco California N N Mundet Oork Corp. 2101 Tonnelle Ave. N N. Bergen New Jersey N N N v Owens Corning Fiberglas . International F. S. 28 Subsidiary of Owens Corning Fiberglas N Corp. P. O. Box 901 w Toledo 1 Ohio Actna Oasualty and Surety Company 1330 Broadway Oakland California Aetna Casualty and Surety Company 1330 Broadway Oakland California w - 9/30/55 12/31/47 9/30/55 12/31/58 9/30/56 9/30/58 9/30/55 12/31/55 12/31/56 3/31/57 3/31/59 3/31/52 12/31/61 3/31/62 9/30/55 3/30/56 6/30/58 9/30/58 12/31/59 9/30/60 w FB054136 ges. EMPLOYER INSURANCE CARRIER QUARTER " Plant Asbestos Co. 1300 - 64th Street Emeryville Oakland 8 Calif 7 | Industrial Indemnity Co. ' 350 Sonsome Street San Francisco California and American Employers Insurance Company Russ Building San Francisco Calif 3/31/52 6/30/85 3/32/5 3/32/5 30 9/30/5 12/31/56 9/30/59 12/31/60 9/30/61 9/30/62 i 03 Thorpe Insulation Co. A Corporation 03 2741 S. Yates Ave. Los Angeles 22 Calif FUF NU DNFD UND 9/309//305/55 5 10 Il 5. Defendants Western Asbestos Company and State 12 Compensation Insurance Fund attach herewith as part of this 13 petition a copy of the report of the Department of Health 14 Education and Welfare Social Security Administration 15 signed by Robert M. Mayne Chief that pertains to Mr. Allen 16 Everitt's employment during the aforementioned time 17 WHEREFORE defendants Western Asbestos Company and 18 State Compensation Insurance Fund respectfully pray that an 19 order issue directing that the aforementioned employers and 20 insurance carriers be joined as defendants in this matter 21 and granting all other and further relief that may be necessary 22 and proper 23 24 Dated January 20 1964 25 26 CHARLES M. MCMILLAN MCMILLAN N Attorney for Defendants 28 Western Asbestos Company State Compensation Insurance Fund 29 mae* 30 31 tu FB054137 PROOF OF SERVICE BY 1013a 2015.5 C.C.P. STATE OF CALIFORNIA 55 COUNTY OF ALAMEDA I am resident of the United States and resident of the 5 aforesaid county not a party to the I em over the age of within above action eighteen years and my business address is 3360 Grand Avenue Oakland 10 California fez On January ++, 1964 I served the within PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS 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 Elwood and Grand Avenues in Oakland California addressed as follows Armstrong Cork Company Liberty and Charlotte Streets Lancaster Pennsylvania Standard Accident Insurance Company 433 California Street . Son Francisco California Employers Mutual Liability Insurance Company of Wisconsin 114 Sansome Street San Francisco 4 California Armstrong Contracting and Supply Corporation 120 North Lime Street Lancaster Pennsylvania Travelers Insurance Company 1956 California ' Webster Street Cakland 12 Charles Ayres Company 374 Brannan Street San Francisco 7 California Industrial Indemnity Company 350 Sansome Street San Francisco California Argonaut Insurance Company 550 California Street San Francisco California Charles Ayres Supply Company Inc. 698 Minnesota Street San Francisco 7 The E. J. Bartells California Company 1212 Sixth Avenue South Seattle 4 Washington C. F. Braun and Company A Corporation 1000 South Fremont Avenue Alhambra Californi Californi American Notorists Insurance Company 417 Montgomery Street San Francisco The Philip Cary Ohio 4 California Manufacturing Company Lockland Cincinnati 19 General Accident Fire and Life Insurance Corporation Ltd. 600 California Street San Francisco California Thomas C. Douglass Jr. Douglass Insulation Company 2233 Ingalls Street San Francisco 24 California United States Fidelity and Quarantee Company 444 California Street San Francisco California FibreboardFibreboard Paper Products Corporation San Francisco 11 California 1789 Fluor Maintenance Inc. P. O. Box 791 406 Montgomery Street Ward Street ~~ Nautinez California MAN Associated Indemnity Corporation San Francisco California 332 Pine Street F8054138 i G SE5 6 > 11 12 13 Fluor Maintenance Inc. Box 7030 2500 East East Los Angeles 22 California Continental Casualty Company 433 California Washington Street Street San Francisco California Insulation and Asbestos Industry Works of North California Vacation Trust Fund Local No. 16 200 Guernero Street San Francisco 3 California Harold C. Lorentzen Lorentzen Company 1155 Fifth Street Oakland California Mundet Cork Corporation 2101 Tonnelle Avenue North Bergen New Jersey Aetna Casualty and Surety Company 1330 Broadway Oakland California Owens Corning Fiberglas International F. S. Subsidiary of Owens Corning Fiberglas Corporation P. O. Box 901 Toledo 1 Ohio Plant Asbestos Company 1300 ~ 64th Street Emeryville Oakland B California American Employers Insurance Company Russ Building . San Francisco California Thorpe Insulation Company A Corporation 2741 South Yates Avenue Los Angeles 22 California I certify under penalty of perjury that the foregoing io true and correct Executed on January , 1964 at Oakland California Jeanie L. Rucken c = Smith Parrish Paduck and Clancy Attorneys at Law 315 Financial Center Building Oakland 12 California The proof of service by mail form being signed under penalty of perjury does not require notarization FB054139 Peries Peries COVERED 1 ! 6-30-375 6-30-375 q 1 _ be LE 7 ee . 3-31-39 3-31-39 ej - Sa en Sennen 9-390-30-1-91-30-1 9-30-1 75 - | | ; ao ne /" ee / cee cane ne bee weve cbs oe en fees o 107/16 cee ON Fae cee wr preteen ep eee} 1 ee ee eb tne emer 3238 H 18-31- ee 18-31- 56 oo SEATT a en ere pooceenece moms ~ annie ee . i Oa : WM.- SOU cece een ee heen teres eee he ne i nee o eee tim a - 3- 1-35-31-15 3-31-15 3-31-15 3-31-15 3-31-15 3-31-15 71566 71566 71566 71566 Employment Employment Employment BY YEAR , JOHN MORRELLOTTUMWA OTTUMWAIOWA ey . 1 ANTLE BROTHERS I 117-5 PHILLIPS SIOUX FALLS DAK 4 ne) 1 ft re . - ry F B FANTLE BROTHERSBROTHERS PARKER TRANSFER STORAGEDY &CHICBRAIDLE GBRIDLEOIRON CO1305 105th ST CHICAGO CHICAGO - STORAGEDY --- S. 18ST --F,ALLS S. rBRUE s| FARGO vats remeney on ob Amm CONTRASTI ee EST DAK BRUE CONTRASTI CONTRASTICo.515 FARGO FARGO ENTERPRISE ENGINE ENGINE FOUNDRY FLORIDA - 13 WALTERWALTER BUTLERBUTLER ie 1600 SE pau ENTERPRISE ENTERPRISE - ATH06 IDAHO FLORIDA ST NORTHWESTERN ENGINEERING ENGINEERING G ROROCITY ROROCITY SO TAK eMosen Pepeers FREETED CARRICAFFANTIER CARRICAFFANTIER MAINE Wanoe Richman _ DANIELS DANIELS2 TURNOST bet ORPHEUM ORPHEUM BLDG SEATTLE SEATTLEWY Co. KAISER BLDG OOKLON KANER ALUMINUM KAISER a th & CHEMICAL 1974 wwwwww ean wee ed : - Chemical Aluminum Chemical K aiser |Aluminum a & Chemical Corp Corp ore er i. EPHEST Assoc EPHEST & KAISER & .] 7875 Dey a ei ae ous re! SIOUX FALLS MACHINE SIOUX WORKS ST 14 127 fue ys i) Pa or OY an ce MIO.E. _ .. BALASARE DELIVERY DELIVERY MIO.E. | 127Comp KAISER KAISER ALmNuALm mNum & Chemical Chemical Lid ST ~ AKLANDAKLAND 8 KALER ELEL els 11 | : SO IPEI TA Feet ee www.cam WESTEEN WESTEEN ASDT CoBox 378 = SF 14 rm t { peed ASBESTOS WESTERN we : a + ose ee | { { @.Westery begexns.co SF PO ee eo sen-pe me - i begexns.co _ wed a begexns.co ene sn aeaie ee were 4 l a i _! WESTRN ASBESTOS a ene } 4 i ; i . ae Senn 1 } s : wee H 2 ? | - 4 1 nO ea i - : mH eine 1 et ao ee ete - we mes Lice mene : =e | rem 1 er i 4 ^' -3. t dow : : i eile | i 1 ! : . : : a ; : WESTERN : 2.is t ASBESTOS| Bay a gperrerecr sn Cann: CO ARMSTRONIC ARMSTRONIC CORK LIBERTY CHARLOTTELANCASTER^ - CHARLES CHARLES CHARLES AYRES AYRES CHARLES 374 AYRES Co CHARLES CHARLES Co ss BRANNAN BRANNAN , SF 7 LANCASTER^ LANCASTER^ LANCASTER^ PLANT CO to ASBESTOS1300647 ST MINNESOTA ST _. * CHARLES CHARLES CHARLES AYRES * MUNDET BARK Aspectos WESTERN * WESTERN WESTERN Aspectos Aspectos H Supply Co. INE698 Xi Xi TaNWELLE AspecAspetctos os Co.L- 698 TaNWELLE 56 |. MINESOTA . <5 AVE 16 BERGEN Dn Thrap .. cp EARNINGS EARNINGS t if i ; a" : * Q COVERED COVERED vec eceunasn ff nen . i 1.30 1.30 y3o 673801 673801 ; rok 930-52 _. 73940 he ; a dog 3-31-57 3-31-57 3-31-57 147197 Oo! Powel 3-31-57 1764a Pfr. 16-30-155 16-30-15 16-30-155 16-30-155 nbd wee de fo. 1764a | ~ 00180 . poe j , ir oo. of 9-30-155th S2g20 S2g20 ee 7 _ 41580 | 9-30-15th 9-30-155th 9-30-155th : i! - . ! 3.30.20ae | * ' ! os, : 24766 | : ; 17-3117-31 Te i 4298a 4298a an _ wo : Joifa | ae 3-31-56 3-31-56 3-31-56 + 203.20 203.20 6.30.56 6.30.56 6.30.56 6.30.56 20 30-56 30-56 160020 177330 17-31-56 " 17-31-56 74015 ae MS - 1410 14410 14410 cee - \ 3-31-575 3-31-575 3-31-575 ae Lo ed 8515 93666 | 4-30 4-30 bree, 18-31-571m Gd 98940 yoow, wt 554180 a L Ko sl ; +. FB054142 ; rf .[ l fer aty ; 5 I cape aene namin, went . ASBESTO WESTERN SE ) Ca . . @. iteal : : Do a WESTERN @- * ee ; f SF oo a , a : oy | vil eo| : , WESTERN ASbestos Cp SF - PLOT ASBESTO CO Em . INSULATION WARD SUBSIDIARY CaAL7IF LORENTZEN LORENTZEN LORENTZ LORENTZEN , INGALLS SUBSIDIARY DOUGLASS THORPE ELVOR ELVOR FIBREGLAS FIBREGLAS INTL SE DOUGLASS INSULATION Co YBB INGALLS INGALLS ST SF INSULATIOCoN. 274 5. YATES AVE LA NICE INe 406 ST MARTINEZ MARTINEZ MARTINEZ C11555 T C11555 C11555 ST i OF CLA ones OWENS CORNING FIBREGLAS FIBREGLAS | TE BUR _ .PLANT ASBESTOS ASBESTOS ASBESTOS y ae CA ret Fm Fm Fm la LOCAL @. LOCKLAND _ VACA FUND ur INSUL ASB DINORISDINORIS 76-9211 76-9211 ta The Prive CAREY MEA Co. LOCKLAND G rete Kowa LORENTZEN LORENTZEN LORENTZEN OENLAND C OENLAND OENLAND Ce eee 11 PLANT ASBESTOS ASBESTOS Ma. Im 1 INDUSTRIINDUSTRIALAILNSULATION INSULATION INSULATION 11835 1183511835 WARNER CUPERTINO CAUF CAUF WESTERNWESTERN WESTERN a WESTERN 4 ASBESTOS wl CO - : oS ; ul CF Brent C aha. 5. ONT AVE ALHAMBR ALHAMBR a a 11 3-31-159 3-31-159 6-30-159 6-30-159 9-30-595 9-30-595 ane 12-31-5192-314-594 o i - 7 ~y Sad: 31-6031-60 6-30-60 ' 6-30-60 9-20.6or er 9-20.6or 17-31-60 17-31-60 17-31-60 3-31-617 6-20-617 NS FB054143 = i BRjAyN _ CF CF . BRjAyN a Ce, i WESTERN ASBESTOS CO . OWENS CORNING FIBERGLAS .a ee INSOL AS BIND LGA CHARLES CHARLES AYRES CO . A | | 1 : ; ., ARMSTRONG CONTRACTINGCONTRACTING FLOR MICE 250 250 E SUPPLY CO 120 WASHINGTON WASHINGTON NILIME LA LANCASTER ST aa LANCASTER FD . rm ! iN : LORENT | Co t . WESTERN WESTERN ns~-ta ae, ns~-ta u ia L w ASBESTOSC. . CONTRACTING OWENS COBALING COBALING COBALING FIBREGLAS FIBREGLAS . web ee _ ARMSTRONG ARMSTRONG CONTRACTING CONTRACTING CONTRACTING &SUPPLY SUPPLY CORP oe ' are ees oan) i ? aa vee de ARMSTRONGCONTRACTING . Armstrona Armstrona CONTRACTING wee SUPPLY mere & SUPPLY SUPPLY FORP Co. WESTERN^ ASBestos wo geo e i 31 : uy, ' . CORNING FIBERGLAS OWENS FIBERGLAS FIBERGLAS eo. TUCK'S TUCK'S SUPPLY CoH69 SUNSSUNSHIHNE ISUNNSHEINE | LEN LEN PLANT ASBESTO ASBESTO . oe LEN LEN WESTERN ASBESTOS CO eee te WESTERN e.. : e ASBESTOS Co. u : 5 BARTELLS THE ES COCO IV12 6th ~ Te ASBESTOS WESTERWNESTERN ASBESTOS Co o: CORK . PLANT ASBESTOS ASBESTOG S . MUNDET . CORP CORP an top io} to: TF roqaot 74 ft : [ ar braate ft: ae 1 re LG to tqDE 4 ie | 4 : t t i i ee ee ee bee et e it ^' k th Pogee gn ee oe a [4 ~~ boan) ~ re er rr 4 a 8 . > 1Peedre4foe . 5 7 8 8 | ee posrr rr eG 4 ag | | | ig | . t To ie Joc) Soa ASBESTOS Co MUNDET CORIC WESTERN WESTERN ASBESTOS ASBESTOS ASBESTOS . . P THE EI BARTELLS.CBARTEoLLS.Co | PLANT ASBESTOS CO _____. WESTERN WESTERN ASBESTOS Ca... . 1. ASBES ASBESTOSTASBOESTSOS CO . ; } on ror rer 6 o 4 | vote i - wo 4 eer oa i - ~~ ae ed . ee Se See doe ab ee Looe ome - Jk feo ~ noa pe - ~i t ~ weer Le id. | nen Onan : ch en ee eee ane . | tate. elena FB054115