Document RaYwRxBOnR7o3d640NVBoV0w8
FILE NAME Fluor FLU
DATE 1984
DOC FLU008
DOCUMENT DESCRIPTION Refiling of Worker's Comp Claim to the Appeals Board - on behalf of L.J. Striethorst
WORKERS COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3 JACQUELINE CLANCY as party applicant in her individual capacity
4 and as personal representative and
next of kin of Leo J.Streithorst
5 deceased
Applicant
6 VS.
7 WESTERN ASBESTOS COMPANY et al
and STATE COMPENSATION INSURANC^
FUND et al
CASE No. 60 SF 192-145 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
16 Appeals Board of the State of California
16
17
18
19
20
Workers Compensation Judge
Workers Compensation Appeals Board
21
22
23
24 Dated at San Francisco 25 California this 16th day
26 of April 1984
27
DIA WGAB FORM 115 NEW -TI
MONT MONT &
DEFARTMENT OF INDUSTRIAL MELATION DIVISION OF INDUSTRIAL ACCIDENTA
KirKwirawann
REMIT TO
san francisco ^a94101
415 664-3062
LEGAL DOCUMENT DUPLICATING SERVICE
PERTAINING TO J. STREITHORST
WORKER'S COMPENSATION APPEALS BOARD
SAN FRANCISCO
'
637 LINCOLN AVE
RICHICHD CALIF
ASBESTOSASBESTOS EXPLOYERS - 1944 to 1959
1959
WESTERN ASBESTOS CO
PLANTPLANT ASDESTOS CO
1958
WESTERNWESTERN ASESICSASESICS CC .
FLOUR HAINENACTON CC
C. F. BRAUN & CO
ARMSTRONG : c
SIXTY-TOWNSED ST 1300 FOURTH EEMRYVILE MERYVILLE &
vy on
675 TOWNSEND STS.P. 3
406 WARD ST MARTINEZMARTINEZ
P.O.BOX
22
22
L.A.
ALHALIA ALHALIA 1000 SO FRENCHT AVE
304 SHAW HD SC S.F.
CAL
1957
SAN JOSE ASB.STCS CO
WESTERN ASBESTOS CO
ARMSTRONG COS CC FLOUR MAINTENNION CO
PLANT ACEESICS ACEESICS CC
CHAS AYERS CO
'
SAN JOSE CALIF
675 TOWNSEND ST S.P.
406 NAND 52.
Y_
FUE
MARTINEZ MECHVILLEMECHVILE
FIBERGLAS
rest
19519656
FIOS FIOS M .. 5.7717 04
J. 7. 10.F. 30
LONIZI LONIZI ICC ICC FROM MAI a
1200 - 17th St. S.F.
ww
as a
i
-
:
|
1351 CC A +
oe
Ln By ene. ren S1 a D DRR
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CHIEN
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PAGE 2 |- STREITHORST
ASDESTOS EMFLCY
ct a
Ts
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-
3, at oye, A eei
3.
eer)
ee fps
mde
wary fee
a, eofe Bie
Wen TIEN
on
ae
.
ope Bol
-
Y,
ry
to
1959
incl
ee 1953 WESTERN ASBESTOSCo. .
we
J. THORPE & SO
675 TOWNSEND C. 5.F. 3
1351 OCEANT AVE SHAYVILLE SHAYVILLE
1421 LANDE ST NEC
1952 WESTERN ASHESTOS CO
4
MUNDEN CORK CORP
WESTERNCLAD 1951
AYET~ CHAD
MTDER MTDER
S co COMP
COIK
INSULATIONINSULATION CC
1950
ARMSTRONG CORK CO
J. T. THORPE & SON
}
1949 WESTERN ASBESTOS CO
J. T. THORPE CO
WHO DART 52. ..
198 198
MIRCEA MIRCEAMIRCEA MIRCEA MIRCEA MIRCEA ST
,
5.5
BES F. BES BES 140 LOW ENGES ENGES
BES y,
, F. F.
ENGES TCHAD
675 TCHAD TCHAD S. S.
304
SILAN
SILAN SILAN
ROAD
20.
J.F
675
TOSHID TOSHID TOSHID SSQ Q , S.F.
1351 OCLAH AVE , MARYVILLE MARYVILLE MARYVILLE
1940
AEXHA STEEL PRODUCTS CCIF
WESTER ASBESTOS CC
61 BROADWAY W YORK
675 TON'SADA TON'SADA TON'SADA .. 3.21
yo
19 All ;
ASIA STEEL P.UDICAD CORP
te
of 1947
1
BROADWAY
-
1
ITI. M
1946 ADHA STEEL PRODUCTS ...
IIHDET CON CO
40
ERASM ay ERASM ERASM
on
ERASM
=
Weale
=
-
tas wea
tt
1949
1944 VARSDALE VAARSDALE VenFIF ,
VAN ARSDARD AG 1a .
FIFe DAY CITIES ASBESTOAD SBESTOD Co. I
Asbestos Western Taken over
: Takenovera
by
Western Asbestos
.
Don Co. AVE _
&HAIS - Don Don
599. FIF
FIFe y de
FIVEFIVE AYL 80 17th "
nae
fot Arsdale.
'
Ven Arsdale
Ven
HarrisHarris
ia Tar
591Arsdale
..
CLAD CLAD .
ooo
Co.
Ate FIF *
oe
ae A. 17th 17th S CAKAND : .
:
.
e
ae . { _*
2
.
@
*
-
Revised 7-17-62 - gh Streithorst P 192-14
om .
4
OFFICIAL ADDRESS RECORD
LIEN CLAIMANT
Department of Employment
APPLICANT
269.121IKE 269.121IKE 269.121IKE
ClaDEX
ClaDEX
P. O. Box 1857 Oakland
3310 SS ect ect S S
-
LoLmoamaench ench
a.
T SEJAYRS2ND
Ny kh ae . I
iy
hg
WI
ATTORNEYS FOR APPLICANT
Smith Parrish Paduck & Clancy
501 Financial Center Bldg
Oakland 12
, WV Vv" LJ
Western Go EMPLOYERS
Western Western
Asbestos
hocepee
ee
675oy
ge:
a
*
675 TownsendSt.
S.F. 3
Plant Asbestos Co.
152
Fluor Maintenance Co.
5-9-68wheel wit 5-9-68
1300 64th Emeryville 4
406 Ward St. Martinez
Avi
v
vi fv
Fluor Maintenance Co.
3
P. O. Box 22 Los Angeles
V Y;
C. P. Braun & Co.
u Armstrong
Armstrong Cork Co.
OAswbeenstLoesinCioo. dba San Jose
e San Jose Asbestos Co.
1000 S. Fremont Ave Alhambra 304 Shaw So. S.F. 1140 Lennon Way San Jose
1140
Lennon
-
Way San
Jose
J fit
vt iV4A|eH4r
J JAY
et
[J u A
Coas Ayers Ayers Co. sO
693 Minnesota St. S.P. S.P.
v
Fiberglas
.
Fiberglas Eng & Supply Div
Fiberglas
J. Thorpe Co.
1200 - 17th St. S.F. 1351 Ocean Ave. Emeryville
Mundet Mundet vi er, Cork Corp.
440 Brannan St. S.P. 7
Metal
De ra
Aetna
Broadway Saern _
Clad Insulation Co.
21759 Western Torrance
Products Corp. ee 61
Steel Produ-cCotrps.
61
TFS, FF
-
t
New York N.Y.
v
v4 YA
J JS Jw
4
V
yw
I Yi y het 5
[4
J
Van Arsdale & Harris Co.
595 Tunnel Ave. S.P. 24
Bay Cities Asbestos Co. 5-1-60 Fifth Ave & 12th St Oakland
|-
r,
Atlas Heating & Ventilating
357 - 4th St. S.F. 7
iy
vj vi 4
Fa
M. W. Kellogg Co.
Foot of Danforth Ave.
ALY?
F
Revised 7-17-62 - gh Streithorst SF 192-145
OFFICIAL ADDRESS RECORD
INSURANCE CARRIERS
65
State Comp Ins Fund
,Industrial Industrial Indemnity Indemnity
-
525 Golden Gate Ave. S.F.
( ContinentCoa. l California
SERVICE AND DA
Ss
A
Hardware Mutual
5
me ee Co.
A
Ci Aetna Cas & Sur Co.
Pacific Hartford Hartford AEcmesploAyc ere ,ss _*InsEmployers_Ins Co.
Industrial Ind Exch
St. Ag M. 220 Montgomery St. S.F. 6
244 Pine
S.F. 4
eo M. Saw!
350
350 Sansome St. S.P. 6
PL] Sn &
te 4
ATTORNEYS FOR INSURANCE CARRIERS
CECO CECO @
Hanna & Brophy
Sedgwick oes
-
Sedgwick Detert &
Arnold By T.P.Niedermuller
1540 San Pablo Ave Oakland /
wee Bray fy vo r ye Ff
100 Bush St. S.P. 4
James J. Vonk " |
Howard Cliff 1
Mullen & Filippi+ by
315 Montgomery St. S.F. 4
e
mea.
KN J J
!
_
a7; NX | y,
--}
7
ri,
Brobeck Phleger & Herrison
ITs
ee
in
tadehiniemich
Pevised 4-27-60 - g~ thorst SF 192-145
Bo.pl/Employerial LIEN
Bo.pl/Employerial Bo.pl/Employerial Bo.pl/Employerial Bo.pl/Employerial
Bo.pl/Employerial
AAPPPLPICLANIT CANT
L. J. Streithorst
ATTORNEY FOR APPLICANT
Smith Parrish Paduck &
Clancy
EMPLOYERS
vs
Asbestos Co.
Western - prea pote. 6 Plant hebestes
-Plour Faintenance Fluor Maintenance
Co.
Co.
ska
Fluor Maintenance Maintenance
2 o. 5. Braun Co.
OFFICIAL ALLALES RECORD
. .
Carland B4Ca1r8la5nd7CaryCary 6-2-60 12 Calif 2637 Lincoln Ave Richmond
i
SPVICE AND
Od | otf
MSN . aap Pi
DATE
|(J
501 Financial Center Bldg Calif
675 Townsend St. S.F. 3
:
ifs
St.
trail Pet5-7-60
, Calif
P. O. Box 22 Los Angeles
1000 Fremont Alhambra Alhambra
J
P
i
Bee)
Owen
Leirip
a, Asbe Asbetos.Co s Asbestos.Ct o Ho es me.C mago
1140
^ stestos Co.
San Jose Jose ^ stestos ^ stestos Co.
Chase -29-6-219-61 -29-61
Chase Axeps
| 1940 1940
69A
Lennon Way San Jose
Wer
Lennon Wer Sen Jose
Minnesota Minnesota St. S.F. S.F.
/; .
;
uy
3 Fiberglas
wr
Thorpe
i2+ tt
po 1200 17th St.
5 J. I Thorpe Co. - -- Oce 1351 Oa ceann Ave Emeryville
ae aa
a
". Lerontzen Co.
2267 Market St. Oakland-
Ly bet Therpe & aos we
Son
1715-17 1715-17
1351 Oceen Ave. 5oryville
Jd
ue
J
Kunde Corp. Metal Incula -
Products Products Corp. I
If Aetna Steel Products Corp.
Van Arsdale & Harris Co.
8 Bay Co Asbestos
440 Brannan
Los Angeles
| 61 Broadway York
595 Tunnel Ave. S.F.
KIM VET 54.60 Fifth Ave & E. 12th St
caref caref le
.
NY
/\"
Oakland
/
k
~aa. ".
.
Revised 4-27-60 - gh
Streithorst SF 192
145
.
OFFICIAL ADDRESS RECORD
SERVICE AND DATE
INSURANCE CARRIERS
Fred
40 11-30.00 x Fred
3 11-30.00
_
~</ State
Industrial
Comp Ins Fund
IndustriaIndemnilty ee
525 Golden Gate Ave. S.F.
Sensome
5.7
y,
.
\
/\
|v
#
Continental
Casualty Continental
11-29-6i
Califomie
4\ alt
3 i _ Amarleen Amarleen Motorists_ins Motorists_ins Motorists_ins
Hontromery A
IrevelerInss urance 11-24-61 11-24-61 11-24-61
wrabitin Irevelers Insurance Standard Lecident
dtl 34-41
56_64_ 56_64_ - 1986
|
Kontgomery
!
8 Dl
Xt EnkitEandnkitand Te TT mUARIY
Standard 433-0a1fforia 1 (
_
Hardware Kutual Kutual - Cas
P
.
5 Hardware Kutual Cas Co. 20 Battery St F
Insurance Cronusr Cronusur 7700 7700 6
_
Argonaut
Siidd
Vv
wets
ff
la
r .
Aetna & Casualty Surety Co.
220 Montgomery St S.P. 2
rm
2 Pacific Employers Ins Co.
244 Pine St S.P.
Hartford 11-24-61 11-24-61 11-24-61
.
4
California St. SP
Industrial Indemnity
Sansome 6
[A444
ANY
Sale
Gl
AY J
4F
Z
BannaTTORNEYS FOR INSURANCE CARRIERS
hint Banna oe
Brophy
5. A.
t,
~
109 tuk SA
EW
Luli
J
4. Putri Practition AE maloney maloney
d
Practition Practition Practition '
we Jhx -- Jhx
Jhx
-- treaty maloney--2 ,
315 Le treaty treattryeaty Ft 174 174
4
a
)
Barlink
:
eT
ae -
...
v a
ee ~
*
ADDRESS * OFFICIAL ADDRESS RECORD ;
SERVICE AND DATE
: .
.
Dh fy
f
a
,
.
Lien Claimant
Applicants
L. J. Streithorst
;
2637 Lincoln Ave. Richmond
Attorney for Applicant
Smith Parrish Paduck & Clancy
501 Financial Ctr Bldg
Oakland Oakland
|
Employer
|
Attorney for Employer
Insurance Company
Attorney for Insurance Company
_. CALIFORNE INSPECTION RATING BUREAU
1453 MISSION STREET SAN FRANCISCO ) CALIFORNIA
K.
-O'B> RIEN O'BRIEN
DAVET
jot Benirhel RECEIVED
RECEIVED
H. HOTAJIAN MWVARY
APR 4 1960
DEPARTMENT INDUSTRIAL DEPARTMENT ORION
RELATIONS INDUSTRIALACCIDENTSACCIDENTS
March 1960
Mi AAEe shed NErey Pan
ATTNETION General File
Department of Industrial Relations Industrial Accident Commission
P. O. Box 603 San Francisco 1 California
Attention George W. Lane Referee
RE
L. J. STREITHORST V. WESTERN ASBESTOS CO ET AL Claim No. SP 192 145
Dear Sir
In reply to your letter of March 11 1960 we wish to send the following
information
Western Asbestos Co. 675 Townsend St. San Francisco California
State Compensation Insurance Fund Policy No. D 93224-56 1-1-56-57
.
Policy No. D 93224-57 1-1-57-58 Policy No. D 93224-58 1-1-58-59
;
Folicy No. D 93224-59 1-1-59 60
Plant Asbestos Co. 1300 Fourth St. Emeryville California
Industrial Ind Co. Folicy No. C 602110 1-1-58-59 and Policy No. CP 608056 1-1-59-60
Fluor Maintenance Co. 406 Ward St. Martinez California
Associated Ind Corp. Policy No. 480285 4-25-52-53
. Continental Cus Co. Policy No. 6409667 4-25-53-54 Policy No. Not
available 4-25-54-55 Policy No. 1907635 4-25-55-50 Policy No. 1894526 4-20-56-57 Policy No. 1894526 4-25-57-58 Policy No. 1894526 4-25-58-59
C. F. Braun & Co. 1000 South Fremont Ave. Alhambra California American Motorists Ins Co. lolicy No. CM 420840-1-1-52-53
\ and Policy No. CM 426012 1-1-53-54
Lambermens Mutual Casualty Co. Policy No. 0 424664 1-1-53-54
1
American Motorists Inc. Co. Iolicy No. CM 426012 1-1-54-55 Policy No.
CM 426001 1-1 -~ , Policy No. CM 425012 1-1-0-97 Policy No. CM 440012
1-1-57-56 und Policy No. CM 42.012 1-1-55-59
r
r
.
a
)
-
Department of Industrial Relations Industrial Accident Commission
RECEIVED
leah
ota
APR 1 - 1950
DEPARTMENT OF INDUSTRIAL
March 31 1960
sesamiae
DIYYRION OF INDUSTRIAL RELATIONS
General File
ile
-
Armstrong Cork Co. 304 Shaw Road South San Francisco California
Travelers Ins Co. Holicy No. 2047243 1-1-52-53 Policy No. 267380
1-1-53-54 Policy No. 3386210 1-1-54-55 Policy No. 4490459 1-1-55-56
Policy No. 4991518 1-1-56-57 Policy No. 6433814 1-1-57-58 Policy
No. 7226992 1-1-58-59
San Jose Asbestos Co. San Jose Californis
We are submitting coverage for Oven Leinio dba
1140 Lennon Way San Jose
San Jose Asbestos Co.
Hardware Mutual Casualty Co. Policy No. 605551 3-9-56-57 Policy
ae
No. 705080 3-9-57-58
5-26-53 Ayers 5-26-53 .
Co. 696 Minnesota St. San Francisco California Nothing prior to
.
Argonaut Insurance Co. Policy No. 105668 5-26-53-1-1-54 Policy No. 114699 1-1-54-55 Policy No. 133559 1-1-55-56 Policy No. 147705 1-1-56-57 Policy No. 02044 1-1-57-58
Fiberglas Engineering & Supply Division 1200-17th St. San Francisco California
Aetna Casualty & Surety Co. Policy No. 31C 733 9-1-54-55
x
Policy No. 310 784 9-1-55-56 Policy No. 310 822 9-1-56-57
Lorentzen Co. 2267 Market St. Oakland California Industrial Ind Co. Policy No. 501 CP 00429 1-1-55-56
ime
eee inte
Aetna Steel Products Corporation 61 Broadway New York
Hartford Accident and Ind Policy No. US 995537 10-6-45-46 Policy
No. US 65069 10-6-46-47 Policy No. US 125006 10-6-47-48
Bay
Cities Asbestos Co. Ltd. Fifth Ave. & E. 12th St. Oakland
Industrial Ind Exchange 3-31-43 until 3-31-5 Policy
available Effective 3-31-45 Policy No. 6-3-01168
California numbers not
Very truly yours
R. T. Read Superintendent Underwriting Department
a
RO
e