Document 935kzpbNwjjLE4q5mxX18gvBq

TO: File DATE: 4/18/84 FROM: Steve Borgstrom SUBJECT: 8404 nnnm REDACTED - Sherwin-Williams n/A: 3/23/84 1. DATE REFERENCE RECEIVED 3/28/84 - received call from attorney who stated claimant was in his office with a doctor's report. 2. SELF-INSURED Sherwin-Wi11iams 2422 S.Alpine Rd. Rockford, IL 61108 815-226-7080 # 3/&1 CONTACT: Tim Pearson - Branch Manager I personally met with him on 3/29/84. He does question the claim. He became aware of the problem approximately one month ago. Just learned on 3/28/84 that the claimant took data sheets to his doctor. RECEIVED 3 CLAIMANT REDACTED APR 2 3 1384 118 Dawn Avenue Corp,, Risk ygmt Rockford, IL 61107 (HUD home) 815-398-4113 AGE: 35 DOB: 4/09/49 SSN: ' REDACTED HT: 5'10" WT: 165 Married SPOUSE: Susan Scott (age 12) # OF DEPENDENTS: 2 NAMES: Keith (age 16) LENGTH OF SERVICE: hired 8/14/80, part-time 30 hours POSITION: inside sales (in reality mixer/delivery) see copy of employee profile. DEPARTMENT: Store JOB DUTY: photographs taken of stockroom and back room Stockroom 30' x 120' x 14' (ceiling height) Backroom (production service room) 15' x 11' x 14' (ceiling height) floor fan, spray booth with head and fan Claimant purchased his own cartridge mask (see photos). Claimant spent 10-15% of time in the backroom. Most of the matching was done with finger test. On a few occasions it would be sprayed in the spray booth. No powders are used in the mixing and blending process.