Document XRndbB577oYLwZDzVRv2w9drx

FILE NAME Mundet Cork MCK DATE 1963 DOC MCK133 DOCUMENT DESCRIPTION WC Claim of Goans Pt 3 f : A STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION AMENDED AMENDEDAMENDED APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES PLEASE PRINT OR TYPE NAMES AND ADDRESSES CASE NO.63 OAK 11052 ROBERT 0. GOANS APPLICANT . 4232 - 25th Street APPLICANT'S ADDRESS San Francisco California VS. LORENTZEN & COMPANY and others EMPLOYER Social Security No. 1155 - 5th Street EMPLOYER'S ADDRES6 Oakland California ARGONAUT INSURANCE COMPANY EMPLOYER'S INSURANCE CARRIER 550 San California Street INSURANCE CARRIER'S ADDRESS Francisco California Robert O. Goans 1. XANE OF EMPLOTER 9/2/00 DATE OF BIRTH alleges that while employed on April 3 DATE OF INSURT .19 63 asbestos insulation mover PLACE Various places as worker & OCCUPATION AT TIME OF INJURY CITY TOWN OR PLACE WHERE INJURY OCCURRED ' California by Various NAME OF EMPLOYER , he sustained injury arising out of and in the course of the employment as follows _ doing insulation work for many years EXPLAIN HOW INJURY WAS RECEIVED resultinign pneumonochoniosis STATE WHAT PARTS OF BODY WERE INJURED AND SUBSEQUENT RESULTS 2 3. Various : was the employer's insurance carrier on date of injury MANE OF INSURANCE COMPANY OR IF EMPLOYER WAS NOT INSURED STATE WHETHER INSURED OR UNINSURED April 3 1963 to present PERIODS OFF WORK DUE TO THE INJURY DATE INJURED RETURNED TO WORK DATE LAST MEDICAL FURNISHED 4. Was compensation paid No. YES OR NO $ TOTAL PAID $ WEEKLY RATE DATE OF LAST PATMENT 5. Earnings at time of injury Maximum _@ 6. Was medical treatment needed YES OR NO MONTH OR WEEK The basis of STATE pay was PAY PERIOD OR HOURLY NATE HOURS A DAY AND DAYS A WEEX Who furnished treatment Self SIVE NANTS OF DOCTORS WHO TREATED THE INFURT AND STATE WHO PAID THEIR BILLS 7. This application is filed to determine liability for a Temporary disability YES OR NO b Permanent disability Yes YES OR NO e Litigation expense___ f YES OR NO c Medical treatment YES OR NO STATE ANY OTHER REASON d Medical costs YES OR NO LIST CASE NUMBERS OF ANY OTHER APPLICATIONS FILED WHEREFORE 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 Workmen's Compensation Laws of California Dated at Oakland CITY California August 8 DATE 1963 HeaHreianrging requested requested at_ Oakland Number of witnesses CITY Estimated time of ss half da d y ay s Robert O. Goans AFFLICANT'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 PLACE GIVE NAME OF CITY WHERE HEARING IF DESIRED , CASE WILL BE SET FOR CITY REQUESTED REQUESTED ON ANG AN ESTIMATE OF THE UNDER TIME REQUINED FOR THE PROVISIONS OF WITHOUT A CONTINNANCE HELSING SO AMPLE TIME CAN BE ALLOWED TO COMPLETE CARE THE WORKMEN'S COMPENSATION INSURANCE AND SAFETY SAFETY LAWE THE APPLICANT NETO TION HAS BEEN FILLED OUT AND SIGNED BY APPLICANT IT MUST BE FILED WITH OR MAILED TO THE NEAREST OFFICE APPLICANT APPLICANT tubUSTRIAL GIVEN OF THE TIME AND PLACE OF BEARING EITHER PARTY MAY BE REPRESENTCS IN PERSON BY ATTORNEY OR OTHER ADENT CITY IF STATE ACCIDENT PORRIBLE GIVE HUMBER OF WITHEAKS EXPECTED TO BE CALLED , COMMISSION THEREAFTER APPLICE GENERAL COMMISSION NATURE WITHOUT CLAIM IN CONTROVERST BELAT DUE NOTICE WILL WHEN APPLICE FORM REY 6.41 EMPLOYERS Western Asbestos P.O. Box 3784 Rincon Annex San Francisco California Mundet Cork Company 410 Talbert Street San Francisco California Plant Rubber & Asbestos 1300 - 64th Street Oakland California Works Plant Asbestos Company 1300 - 64th Street Emeryville 8 California Army Port Contractos 1501 Maritime Street Oakland California Van 5th San Arsdale Harris Lumber and Brannan Streets Francisco California Co. 7. Bay Cities Asbestos Co. Ltd. 6th and East 12th Street Oakland California Harry A. Dutton Jr. Dutton Asbestos Company 532 Natoma Street San Francisco California 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 P.O. Box 3784 Rincon Annex San Francisco Sales Corp. California 12. Marine Engineering & Supply 941 East 12th Street Los Angeles California Co. 13. Armstrong Cork 304 Shaw Road So. San Francisco California 14. M. R. Carpenter 907 Front Street Sacramento California 15. Caw Insulations 3600 - 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 1963 and others 1955- 1937 1939 and others 1940 1941 1962 : 1941-1944 and others 1957 1959 1960 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 others 1955 1957 and 1950-1953 others 1959 1962 and 1950 1961 and 1962 and others 1953 1954 and others 1955-1957 others 1961 1962 and 1 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 California Emeryville California 22. Armstrong Contracting & Supply / Armstrong Cork 304 Shaw Road So. San Francisco California PERIODS 1955 1957-1959 and others 1956 and others 1956 and others 1959 1960 1957 and others 1958 and others 23. National Insulation Inc. 503 San Polk Street Francisco California 1962 and others 24 Lorentzen Company 1155 - 5th Street Oakland California 1955 1962 and others Jackson Hopkins Company P.O. Box 490 Bakersfield California Inc. 1957 and others Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8 Mo. 1949 and others Asbestos Products Inc. 710 St. Raymond Paul 4 Avenue Minnesota 1949 and others . INSURANCE COMPANIES State Compensation Insurance San Francisco California Fund 525 Golden Gate Avenue Industrial Indemnity 300 Grand Avenue Oakland California Aetna Casualty California Insurance Company 1330 Broadway Oakland Travelers Insurance California Company 1956 Webster Street - Oakland American Motorists Russ Building San Francisco California Argonaut Insurance Company Francisco California 550 California Street San 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 1013a 2015.5 C.C.P. STATE OF CALIFORNIA COUNTY OF ALAMEDA } 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 AUG 9 q , 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 box at Oakland California addressed as follows mail Western Asbestos P.O. 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 941 - 16th Street S.F. Calif John Mansville Sales P.O. Box 3784 Rincon Annex S.F. Marine Engineering 941 East 12th Street L.A. Calif 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 - 17th St. S.F. Calif Owens Corning Fiberglass 1200 - 17th St. Charles Ayes Co. 698 Minnesota St. S.F. S.F. Calif . Calif Coast Insulation 2316 San Fernando Rd L.A. Calif Thomas C. Douglas Jr. 2233 Ingalls S.F. Calif J.T. Thorpe 1351 Ocean Avenue Emeryville Calif Armstrong Contracting 304 Shaw Road So. S.F. Calif . National Insulation Inc. 503 Polk St. S.F. Calif Lorentzen Co. 1155 - 5th Street Oakland Calif Jackson Hopkins Co. P.O. 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 Travelers Insurance Company 1956 Webster St. Oakland Calif American Motorists Russ Building S.F. Calif Argonaut Standard Insurance Accident Company 550 California St. S.F. 433 California St. S.F. Calif American Employers Russ Building S.F. Calif Hanna & Brophy 1540 San Pablo Oakland Calif Calif I certify under penalty of perjury that the foregoing is and correct Executed on AUG 9 1963 at Oakland California true s Sharon McKay The proof of service by mail form being signed of perjury does not require notarization under penalty fee eee _ RobertGoans- ee -Initial -Initial Claim actos -MandetCorkCork Plant Rubberand Asbestos Asbestos : John ManvilMlaneviMllae nville_. _ Owens Corning TR RR NNR ET E TA T ATLANTA BALTIMORE CHICAGO CLARKSBURG LOS ANGELES MIAMI MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PITTSBURGH SAN FRANCISCO ST LOUIS TORONTO TULSA ALEXANDER & ALEXANDER 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 A November 22nd File B 585651 1957 We have California Office case which reads of as received a status report from the Oakland the Travelers Insurance Company on this follows 29th 1964 hearings to no be results A to hearing was held January date Probable further scheduled The above is for your information and file Sincerely ALEXANDER & ALEXANDER ALEXANDER INC GENERAL ADJUSTER *** *** oo INTER OFFICE OFFICE COMUNICATION COMMUNICATICOO MUNICATION N To J. E. Zeller Lancaster From A. L. Stokely San Francisco Subject Industrial Accident State of California Robert 0. Goans Commission this sability 17 rmstrong January 15 CONTRACTING 1964 sability MBH- MBH- MBH- you the you file SAG 1/17 SAG Attached are of H. Corwin Cork letters from State Hinshaw M.D. for Compensation Insurance Fund and report both Armstrong Contracting and Armstrong DJH wat Red FORM 1501 Printed in U.S.A. January 14 1964 Industrial Accident Commission Room 3000 State Building 1111 Jackson Street Oakland 7 California FIFTY YEARS OF SERVICE STATE STATE STATE STATE COMPENSATION INSURANCE FUND IN REPLY REFER TO A04183 Robert O. Goans Re Robert O. and State I.A.C. 63 Goans vs. Western Asbestos Compensation Insurance et OAK 11052 Company al and others Gentlemen We are enclosing report of H. Corwin Hinshaw M.D. dated - . October 14 1963 A copy below of this report has been mailed to the parties listed Very truly yours Charles M. Attorney McMillan jr Enc CC Robert O. Goans 4232 - 25th Street San Francisco California Smith Parrish Paduck and Clancy 315 Financial Center Building Oakland 12 California . eo. Lorentzen and Company 1155 Fifth Street Oakland California Warren Manley / National Insulation Company 503 Polk Street San Francisco California Argonaut Insurance Company 550 California Street San Francisco California 3360 GRAND AVENUE OAKLAND 10 CALIFORNI Re Robert A. Goans A04183 Page 2 Hanna and Brophy 1540 San Pablo Avenue Oakland 12 California J. Patrick Goodwin 41 Sutter San Francisco 4 California F. E. Carignan / American Motorists Insurance Company 417 Montgomery Street San Francisco 4 California Western Asbestos P. O. Box 3784 Rincon Annex San Francisco California Mundet Cork Company 410 Talbert Plant Rubber and Asbestos Works Street San 1300 - 64th Francisco California Street Oakland . California Plant Asbestos Company 1300 - 64th Street Emeryville 8 California Street Army Port Contractors 1501 Maritime Street Van Arsdale Harris Lumber Company Fifth and ; Oakland California 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 - 16th Street San Francisco 7 California Johns Mansville Sales Corporation P. O. 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 3600 - 20th Avenue Sacramento 17 California Fiberglass Engineering and Supply 1200 - 17th Street San Francisco California Owens Corning Fiberglass Corporation 1200 San Francisco California Charles Ayres Company 698 Minnesota Street 17th Street San Francisco California Department of Employment P. O. Coast Insulation Products 2316 Box San 3534 San Francisco California Fernando Road Los Angeles California Thomas C. Douglas Jr. Douglas Insulating Company 2233 Ingalls San Francisco California J. T. Thorpe and Sons 1351 Ocean Armstrong Contracting and Supply Avenue Emeryville / Armstrong Cork California 304 Shaw Road South San Francisco California National Insulation Inc. 503 Polk Street San Francisco California ; , Jackson Hopkins Company Inc. P. O. Box 490 Bakersfield California 4 Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8 Asbestos Products Inc. 710 Raymond Avenue St. Paul Missouri Minnesota Asbestos Product ansd Fabricators Road Los Angeles California Corporation 2316 San Fernando Re Robert A. A04183 Goans Page 3 ; Aetna Casualty and Surety Company 926 J Building Room 1308 Sacramento 14 California 433 Employers Mutual Liability Insurance Company of Wisconsin 114 Sansome Street San Francisco 4 California Standard Accident Insurance Company California Street San Francisco California Industrial Indemnity Company 350 Sansome San Francisco California United States Fidelity and Guarantee Company 444 California Street San Francisco California Employers Liability Assurance Corporation Ltd. 1050 Russ - Building San Francisco 4 California Fireman's Fund Insurance Company 330- 19th Street Oakland 12 California Travelers Insurance Company i 1956 Webster Street Oakland 12 California American Motorists Insurance Company 417 Montgomery Street San Francisco 4 California American Employers Insurance Company Russ Bldg San Francisco Zurich General Accident 417 Montgomery Street San Francisco Cal California Industrial Indemnity Exchange 350 Sansome San Francisco California Associated Indemnity Corporation 332 Pine San Francisco ; California California Casualty Indemnity Exchange 550 Kearny Street San Francisco 8 California Pacific Employers Insurance Company 244 Pine Street San Francisco Zenith National 4 California Insurance Company 582 Market Street San Francisco California Argonaut Insurance Exchange California 550 California Street San Francisco TELEPHONE YUKON 2-7168 -- ; H. CORWIn Hinshaw M. D. HORTON C. HINSHA JW R M. 450 BUTTER STREET SAN Francisco 8 CALIFORNIA October 14 1963 4183 A04183 A04183 4183 ock ocok ck From H. Corwin Hinshaw M.D. To - State Compensation Insurance 525 Golden Gate Avenue San Francisco 1 California Fund 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 perit reported pneumoconiosis attributed to exposure while doing insulation work over a 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 duringearly 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 walls 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 himself 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 rays once a year at the Kaiser Hospital in Oakland California He believes that his first ray w made about three years ago and that he had never had an 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 his that in this occupation and he would not be able to find a job industry that does not involv smueees dust exposure NCY 6 1963 CAK LEGAL Page 2 From To Subject * October 14 1963 H. Corwin Hinshaw M.D. State Compensation Insurance Fund Robert O. Goans 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 half miles 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 ray 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 on 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 mild 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 palpitation no swelling of the ankles intestinal Symptoms - His appetite is satisfactory no abdominal pain no no constipation or diarrhea no difficulty swallowing 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 bone or joint symptoms no central nervous system disorders no weakness no Personal Habits : Pes 4 He smokes 20 to 30 cigarettes a day and has all of his adult life He drinks regularly says that he always has shot before breakfast and sometimes drinks as much as a ha a pint 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 his present wife for 38 years They have children He says that his wife has suffered from colitis He does not know about health of his mother and father having had no communication with them since 1926. living in the GAK LEGAL LEGAL ON Cc anal Page 3 From To Subject ; October 14 1963 H. Corwin Hinshaw M.D. State Compensation Insurance Robert O. Goans Fund State of Missouri He is not sure how many brothers or sisters 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 included a fracture of his left heel and was in Sutter Hospital in Sacramento He does not know whether he had an ray of his chest at that time or not His physician was Doctor Horn He also sprained his right wrist but this did not require hospitalization He has never been in a hospital in any other circumstan 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 PATIENT'S PRESENCE ON OCTOBER 11 1963 Physical Examination General Appearance - The patient's general appearance is satisfactory He looks like a well man and he seems to be frank and cooperative _ His appearance is consistent with his statement that he is of partial Cherokee Indian extraction and part Anglo Saxon systolic Blood Pressure Abnormal consistently elevated to a level of 180 to 200 90 diastolic and regular Pulse - Normal 64 and - Temperature - Normal 98.4 Eyes Pupils are round regular and equal reflexes to light and accommodation normal _ external ocular movements are normal Oral Cavity - No significant findings . Lymph Nodes - None are enlarged or diseased . Thyroid Normal Breasts Normal Skin Normal no cyanosis Chest Wall - Shape is within normal limits Respiratory excursion satisfactory No tenderness Lungs - Percussion note normal breath sounds within normal limits No wheezes symmetrically heard There were a few basal rales rather coarse and both sides suggesting pulmonary congestion distributed on abnormalities Heart- Size indeterminate rhythm regular no murmurs or other detected No distention of neck veins in the upright position - Abdomen No enlargement of liver spleen or kidneys No abnormal masses palpated No unusual tenderness Electrocardiogram Auricular Rate 70 Ventricular Rate 70 Rhythm Sinus T Waves Normal R Interval vertical . E0l.e1c6triR cal AxiIsntNerovramla0l.06 T Segment Isoelectric Position REVERTED REVERTED - REMARKS . Normal record NOV 6 1963 CAK LEGAL Page As From: To: Subject October October 14 4 H. H. Corwin 1963 Hinshaw Fund : State Compensation Robert Robert Compensation R. Biskind, M.D. - Medical Laboratory) Gerson Medical Laboratory Urinalysis Turbidity ( Gerson Biskind Biskind M.D. 1.021 Laboratory Laboratory Color Color Clear Reaction Spec Grav 1.021 dir Bacteria 0, _ Albumin Negative TurbSiduitgyar Negative Negative Urobilinogen Urobilinogen normal pos neg. neg Epithelial Epithelial Cells Crystals Crystals Mucus Complete Complete Blood Count 4.98 Million, Color Index 0.97, _ Hemoglobin Hemoglobin % 15,0 Erythrocyte Count Million Color Index 1%, Polymorph Erythrocyte Filamented Nonfilamented Leukocyte LeukoEocsiynotphieles 9B,a4s0o0philes Polymorph Neutr %Monocytes Monocytes Monocytes Nonfilamented Nonfilamented Eosinophiles % Lymphocytes Lymphocytes Lymphocytes Rare atypical lymphocytes Blood Serology VDRL VDRL Nonreactive Kolmer Kolmer Nonreactive X Examination Examination of Chest within normal limits. 7 show a bony thorax _ Stereoscopic Stereoscopic and lateral projections and show bony thorax within normal limits questionably enlarged shadow prominent Both T th shadow heart shadow shadow are irregular in contour the aortic Most impressive impressive impressive th | hemidiaphragms out from both hazy outline Most densities extending regions regions into base each lung a blu blu fine linear and coarser strands extendinginto right apex There is some distinct but it is unclear ch of _of origin right cardiophrenic angle whether this cardiac pulmonar pulmonar most likely it is a distortion of the produced produced pleural 5 IMPRESSION origin is that of diffuse cardiac moderately are IMPRESSIOfiNbroTshies aspupcehaa rs anicseseen in caseass bestosis rather . extensive moderately compatible compatible with this diagnosis . One second Pulmonary Function 2.9 liters forced expiratory volume . 2.2 2.2 liters seconds seconds liters three three set Maximal Maximal Breathing total 2.9 liters minute IMPRESSION Breathing Capacity 68 68 liters per restrictive disease with with nearly | IMPRESSION The picture is one moderate moderate restrictive disease nearly is flow liters per minute the spirogram spirogram disease disease in pulmonary pulmonary fibrosis heart failure The ventilation restrictive measured far should should fibrosis congesmtoivdeerate physical activity far ventilation as measured measured can made adequate to methods can. be made by these methods Discussion recently and patient fibrosis presumably presumably only onlryecently. moderately pulmo pulmc asbestosis elevation his blood pressure prreduectionsrseudrucetion exertion tolerance pulmo asbestosis symptoms symptoms seeeeeed probable On the basis of our'x-ray findings his history history exposure exposure seems probable LEGAL PERM Page 5 From To Subject October 14 1963 . H. Corwin Hinshaw M.D. State Compensation Insurance Fund Robert O. Goans : Discussion and Summary CONTINUED that is of occupational for many years fibrosis has been present his pulmonary to asbestos fibers His symptoms and due principally if not entirely to exposure and I suspect that the cardiac origin as having been of rather recent origin factor which has combined are described have been the recently added stress of his hypertension may fibrosis to produce the longstanding pulmonary with the existing and probably physical symptoms he is eager to remain normal retirement age to his Since Mr. Goans is so near to his that it would not be deleterious employed until the age of 65. It is my opinion he can be assigned to tasks that do not welfare continue working provided dusts or fibers in the air involve inhalation of pathogenic and if the hypertensive trend contir should be under continuous medical supervision the event that these are marke~ . He antihypertensive drugs In belief that the cardia he should probably receive it would tend to confirm the symptoms effective in relieving his aspect of his disability was an important one obtained for comparison with current films Previous ray films have not yet been be status would to his cardiac and hypertensive The most reliable method of analyzing two of appropriate treatment designed to control admit him to a hosapnidtatlo froerliaevweee ankyoprulmonary congestion produced byhatshibseceonndition his hypertension fibrosis of occupational origin | However the existence ofbpyuplrmeosneanrtystudies my opinion satisfactorily established Very truly yours HCHDF RECEIVED vce NOV 1 1963 NOV 6 1960S.F LEGAL MAX LECAL Jamary 13 1964 Mr. John A. Binkley Legal Department Employers Mutuals of Wausau Adam Grant Building San Francisco California . 2 woo La : Dear Mr. Binkley An Subject Robert O. Goans VS _ _ Arms Cort k Cr ompo anyn etg al File A27-46462 IAC File 63 OAK 11052 We are sorry that we cannot give you the periods of employment of Mr. Goans from Jamary 1 1944 to January 1 1952 when you were the the an insurer of a porti ofoon ur California operations of payroll records prior to 1956 except a yearly plant summary have been destroyed You were never the insurer of our contracting operatiosntsemhmoewdeveYrou and this is the area from which the at pneumonochonOiucrsiysearly plant insured our manufacturing plant South Gate summery for the period in question does not list Mr. Goans as having been in our employ at South Gate We hope that this information will be of some assistance to you Very truly yours SLK Wallace B. Hofferth Assistant General Manager Insurance Mr. A. L. Stokely District Manager Armstrong Contracting and Supply Corp. 304 Shaw Road South San Francisco Calif Mr. Fred L. Gardner AC Lancaster Fred x SREFER Gadro FOR ACTION FOR enon Durack INFORMAT TOM INFORMATION NOTE FALE. NOTL MOTE RETURN ADAM ADAM * GRANT SAN Mutuals Armstrong Armstrong Cork 30) 304 Shaw Francisco California South South Mutuals of Wausau Wausau January 6, 2 bd Armstrong Cork Company, et al Robert Robert Goans Goans Armstrong Goans IAC file file A27-46462 A27-46462 A27-46462 1/9/68 ff afwist A/ b Robert Gentlemen in a claim by number of other employers Robert Robert - joined have with with employers employers claim We We Social Security No. 559-10-6873 whose return address 4232 0. Goans industrial 4232 Street Street Francisco in in 559-10-6873 559-10-6873 claim claim industrial disease disease appli- pneumonoconiosis The allegation application that pneumonoconiosis working for the various employers doing insulation insulation to work cant has The listed applicant's date work for number number years _ date with you policy applicant's employment policy We during with verifying the above concerned of January 1 1944 applicant's applicant's employment employment with you 1952 He claims claims to have period Cork Company January January 1952 worked for the Armstrong to 1956 and other dates not specified 1956 1956 1957 worked between policy policy period of period of January January 1944 indicate the periods January 1 1952 Also between policy wages earned earned applicant's during this 1944 and and the indicate total during this period of time jmmediate super- foreman immediate applicant's visor Also indicate the name of the us a brief description the applicant's foreman or immediate immediate immediate superwork perform- perform- ing you during with you within above employment ing for you during his 1964 and and we in Oakland January January set for hearing would appreciate appreciate appreciate this this request would appreciate your prompt response ws for your anticipated cooperation - Thank you Yours truly truly - Karley Karley howd Karley Karley si ae tet Dee eS af Lain John UeV4, John Binkley Binkley Legal Legal Department oR WIS OFFICE OFFICE WAUSAU INSURANCE COMPANY HOME EMPLOYERS MUTUAL INSURANCE COMPANY OF WISCONSIN: MUTUAL LIABILITY EMPLOYERS WIS! INTER OFFICE a COMMUNICATION To J. E. Zeller Lancaster From A. L. Stokely San Francisco Subject State of California Industrial Accident Robert O. Goans Commission mstrong CONTRACTING CONTRACTING December 16 1963 12/19/63 Play 12/19/63 12/19/63 Attached is notice parties defendent of time and place of further hearing and order joining You will note that this Contracting with copies is to being be served on both Armstrong Cork given to Travelers and Aetna and Armstrong Only one copy was received here evidently acting as receipt for both the Cork Company and Armstrong Contracting DJH FORM 1501 Printed in U.S.A. BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA ROBERT 0. GOANS Applicant } V3 " " LORENTZEN & COMPANY and others and ARGONAUT INSURANCE COMPANY et al 3 Defendants Defendants Defendants \ NOTICE PLACE AND PLACE HEARING FURTHER THE OF HEARING NOTICE TO ALL PARTIES PARTIES You You You are horoby are horoby horoby horoby notified notifiendotified notified notified that that further further further hearing hearing hearing will will bebe hehl eldd in the cntitled action at 3000 State Building 1111 Jackson Street Oakland California 9:00 A.M. ALL DAY 2 ACCIDNIH OCMISSION NOI HEADLE CONTRANCES AND FURTHER HEADLE ARE NOTFAVORED 7 HANE AND ADDRESS OF PERSONS SERVEC Dates December 12 1953 SEE SEE SEE ATTACHED ATTACHED LIST LIST LIST g g Sam Angonante Angonante Angonante Angonante Cali ise ise Angonante ise Hanna Hanna Hanna Jatie Jatie Jatie Jatie Jatie 7. e Nestor Nestor Nestor Nestor Ga Ga Ga Ga Ga Andot Andot Andot Andot Andot Andot latsbestos Tye tee te onal onal onal Galinia Galinia Galinia Ochipay Ochipay Insulin Insulin Insulin 506 506 Strme 7 ue , Francisco Francisco Francisco Francisco Francisco OakiOn aOakkiinn Cakland Cakland Cakland Cakland , Ochiicinia Ochiicinia OchiiciniOachiicinia Ochiicinia Ochi cinia Arborter Arborter Arborter Arborter Arborter Arborter California California California ArborterJohn John PA omilla Sen Sen Froncisco Froncisco Froncisco Froncisco SenHaHrinearine Engineering Engineering Glifada Glifada Glifada Glifada Armstring Armstring Armstring Armstring Armstring Capova R. -wp Inculat Inculat Capova 30 . Hibbas Mee tee ae ae Hibbas ng es ete See San 507 507 ced treat treat treat treat ad : m8 : rae) porn Expertranfpm 006 Le B A wre Hz Hz 3734 3734 3734 , 01ASILITA on se: B. B. ; 7 Flour , eer Pe Wieeese et a woes Thomas San San Douglas Jr. Francisco Dougins Insulating Company California 2233 Ingalls Fran1ci3s5co1 J. 7. Thorpe & Sons Armstrong Contrecting & Ocean Supply Avenue Emeryville 0/0 Armstrong Cork Cork California 304 Shaw Francisco Road National National So. San Insulation Inc. Californic 503 Folk Street San Francisco National California Jackson Inc. P.O. Box 490 Bakersfield . California Kelly Asbestos Inc. 2030 GrandGrand Avenue Kansas City 8 4 Asbestos Products ite 710 Reymond Avanuc St. PaPuaull 4 Missouri Mimecota Asbestos Products & Fabricators Los Angeles California Corp. Actua Casualty & 926 3 SuretyCalifornia Sacramente 14. California Mutual Liability Insurance Companyof Wisconsin Francisco Francisco Employers San Francisco 4 California Sansone Street 114 Accident Insurance Company 433 CalifornCiaalifornia San Standard Francisco California Industrial Indemnity Company 350 Sansome San Francisco California United States & Fidelity& Guarantee , California Co. 444 California St. Liability Liability Assurance Assurance Assurance Building San Francisco 4 Fireman's Fund Insurance Company Compensation Compensation Compensation Compensation Travelers Insurance Insurance CompanCoympany California e American Motorists Insurance Company San Francisco 4 California 417 Montgomery Street Employers American Zurich General Insurance Company Accident 417 Montgomery Street San Francisco California Industrial Indemnity California Associated Indemnity California CaliforniaFacific California Casualty Francisco Francisco 8 Francisco FacificFacificFacific Employers San Francisco Zenith Zenith National National National National Exchange 350 Sansom Corporatio Indemnity Ixchange 550 Pine ~ : Strect Sacco , Sacco Sacco Sacco Sacco Sacco Sacco Argonaut Argonaut Insurance Insurance Insurance Ca Californil a iCf alifornia or California n Cali iforaCnaliifoarnia Exchange Exchange 550 550 California California California Street Street Street San San Francisco , BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNI " 2 3 4 ROBERT O. GOANS CLAIM 63 Oal 11052 NF Applicant eve ORDER JOINING PARTIES DEFENDANT 6 Fiter VS. LOREITZEN & INSURANCE COMPANY and COMPANY et ANGONAST al Defendants ox! CO iSort GOOD CAUSE APPEARING THEREFON IT IS HEREBY ORDERED that the following parties be and they hereby are cause WESTERN joined as ASBESTOS parties defendant in MUNDET CORK COMPANY the above entitled PLAIT RUBEER & ASBESTOS WORKS PLANT ASBESTOS COMPANY ARMY FORT CONTRACTORS VAN ARSDALE HARRIS LUMBER CO EAT CIFIES ASEESTOS CO LTD HARRY A. DUFTON JR C. F. ERAUN & COMPANY ASBESTOS COMPANY OF CALIFORNIA JOHNS MANSVILLE _ 2 ene JAVA SALES CORP MARINE ENGINEERING & T MADRDUNUD T TATT ANTANO t 2 u Wa 6 7 : e Q 70 70 CORPORATION Aa PACIFIC ah PACIFIC PACIFIC PACIFIC EMPLOYERS INSURANCE INSURANCE . ADSOCT ATED THT IINNDDEEMMNNITIYTY oc C RALGL : IINNDDIIAANNIITITNY DIAYNITY E EXCHAXNGECEHXACNHG ANEGE Wy, a Melvin Melvin 7 ; MEN MeOlNvin Melvin ail weeny en MENON Melvin 8 Melvin 8 Melvin S. Melvin TFT WITH bet Se : PADA Da AS ine 13 et 1 Am ie afr Z er af tf > ears 7. tre 2 , Parrish Oakland Building Oakland Oakland ; Building Lo Warton the Surcet Argonaut Argonaut ArgonautArgonaut sbyake Argonaut Hanna InItnrta rannccee Intrance Intrance EG Hanna J. Oy tet 41 American American American Montgomery Montgomery Montgomery Street Street 2.0 ga in Francisco 3 California MendeMsendes Mendes Mendes Cork California Cork . Strect Strect 2 PlantPlant Plant C Fuobr bekr W 1300 1300 66 44tthh zo Californit Californit Californit Pet Fubber Fubber ; Aubestou Aubestou W , mt Army Army Van at Asbestos For Arsdalo Hate Hate Hate Emoryville Emoryville Street Oakland Street 9 gat Califomic Califomic Califomic Jolms Jolms Jolms Califomic ya Neeet Califomic of of Frencsco Calliomaa Calliomaa Coop Sehement Sehement Sehement Sehement Sehement Alnabr Alnabr Alnabr ores ee ee & & > Q . 0 29 % 30 M. N. og. N. Cow oi Insula Dibangla Dibangla Dibangla L Strack Strack at ot 81 ty at Tatson Tatson Tatson Tatson 5 TatsoTnatson Tatson . int F 3 3 . - Allione Folk wd , : - vo . a : . oye Co a = pof MET oy a4 tw oa , cone ree 8 we te we 48 ad -- - : te my ut vs vs an e Se . L...v. 2 . denne ees tel 6 . eeeers ae 4 i ve . Lu ne : 20 20 aa we ) . . wens TOMER 11052 1052 1 052 29 2929 yo LD 11052 11052 ayNe - ELM Ae OS a ETRE ER TE WH. 2315 2315 2315Houglas Houglas Houglas . on Avenus Supply Sup ly c Suply Caliromia Caliromia Caliromia 505 505 Coin Coin Coin Stravo Stravo Stravo F.O. J.J. , C. F.O. F.O. E oe ot Stravo , San San San Stravo430430 430 , Brems Brems BreBms remsBrems BremsBrems ne old old old , a 453 453 453 CalifoCranilaiforniaCalifornia California California CalifoCralinfoirnaia CalifornCialifornia , Insurance Insurance Insurance Insurance Insurance rr il ft 4 ad , Portgement Portgement PortgementPortgemnt Portgement Portgement Portgement , Sa Sa Portgemnt Portgemnt 46,437 Nongomery Nongomery Nongomery NongomeNroyngomeNonrgomyery NongomerNyongomery Blasted Blasted Blasted Blasted Blasted Sam Sam Foan01.800 Foan01.800 Foan01.800 Foan01.800 , Nongomery . who, Corpo 4faraw NongmeryeS he , 332 332 332 F. oYaa)va . 7 fe , ... ... ... , ... ... ... ... ... ... ... . . fs a : Nanat Nanat vu Nanat Nanat Nanat ' . C aa : 5 . : Division of Industrial Accidents _ whyTee twee t . > STATfi E OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION APPLICATION | cae MAY 20 1963 sec Oakland Office FILE SIGNED ORIGINAL AND SIX COPIES PRINT OR TYPE NAMES AND ADDRESSES / CASE 635 635 phage ROBERT O. GOANS APPLICANT San APPLICANTS APPLICANTS ADDRESS Francisco California LORENTZEN & CO VS. and others KOPLOTER Social Security No 0 ee ee 1155 - 5th Street EMPLOYER'S ADDRESS Oakland California _ ARGONAUT INSU CR OANCE EMPLOYIN'S INSURANCE CABRITE 550 San California Street INSURANCE CARRIER'SCARIER'S ADD Francisco California 1 Robert O. Goans __. -- 9/2/00 alleges that while employed April 3 1963 . KADE OF REPLOTEE insulation insulation insulation asbestos worker insulation OCCUPATION AT TIME OF INJURY mover CITY TOWN OR Various places PLACE WHERE INJURY OCCURED DATE OF INJURY > . by California Various KANS OF SEPLOTER be + sustained injury arising out of and in the course of the employment as follows doing insulation work for many years EXPLAIN NOW INJURY WAS RECINES wien eee teen vee + resulting in pneumonochoniosis nn STATE WHAT PARTS OF SONY WERK IN AND SULITIDENT RESULTRESSULTS Various employer's injury 2 NAME OF INSURANCE INSURANCE CONTANT OR OF IMPLOYER WAR RET VI^ STATE WHETHER INSORED OR was UNINSURED the insurance carrier on date of April 3 1963 to present PERICES OFF WORK DES TO THE HUJUTY compensation paid No 4. Was compensation $ THE OR PO Maximum 1. Earnings at time of injury @ TOTAL PAID BONTE DE FILL 1 DATE INJURED RETURNED TO WORK DATE LAST MEDICAL FURNISHED $. enesenee: WEEKLY PATE cose eee ce eee DATE OF LAST PATEIST PATEIST The basis of STATE pay was PAY PERIOS OR ROUBLY a BATE NOVES A DAY ARS DETS & WEER 6. Was medical treatment needed YES CHRO CHRO Who furnished treatment Self ee GIVE NAMES OF DOCTOR WHO TREATED THE INJURY AND STATE WHO PAID THEIR BILLS 7. This application is flad to determine liability for - Yea s Temporary disbility TES OR NO e Litigation expenses TES OF RC b Permanent disability THM THM f c Medical treatment TTS OR 150 STATE OTHER STAROS 4 d Medical costs TH OFS DO LIST CASE HENHENG OF ANY ETFER APPLICATIONS FILED WHEREPORE it is requested that a tisse and place be fired for heming and that an award be made granting such relief as may be proper mades the Workmen's Compensation Lex's of Californis Dated at Oakland > - Califor | 1963 BATZ Hearing requested st Oakland Oakland KITT Number of witnes 0 rie merk iS merk merk Zwan Zwan merk 3 IMRADE IMRADES S Zwan Estimated time of 1/2 Dax PAR PARRIR SH PAI DICK &S CLANH CY ~ APPLICART & AFTURRET 315 Financial Center Building Oaklend 12 California ATTORNEYS ATTORNEYS AND TELEPHONE KUKARE Glencourt 2-2000 - eee se eee oe wt P Fe hte Beret st rerinwenee notes se Sots ae an ea ee LR *** *** HER APPL es . BALTIMORE NEW YORK CLARKSBURG TULSA ST LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA ALEXANDER & ALEXANDER INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET BALTIMORE 18 MD November 4th 1963 TELEPHONE TUXEDO9-4390 -44 304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS ALEXBLUE Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster Pennsylvania Dear Mr. Hofferth Abectoris ne Abectoris Abectoris Abectoris Abectoris Abectoris Abectoris Workmen's Compensation re Robert O. Goans Policy RUB 7226992 ARMSTRONG CORK COMPANY AbectorisAbectoris Abectoris Abectoris Abectoris Abectoris Referring to previous correspondence with we attach hereto in connection with the above case you dated October 28th which we received from copy of letter of the Travelers Insurance the Oakland California Office for the completion of your file Company When we have a further report the information will be passed on to you Sincerely ALEXANDER & ALEXANDER INC ADJUSTER GENERAL ADJUSTER The Travelers HOME OFFICE AT HARTFORD CONNECTICUT THE TRAVELERS INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY October 28 1963 Alexander & Alexander 2255 North Charles Street Baltimore 18 Mi. 4 Address all replies to Claim Department The Travelers 1956 Webster Street Oakland 12 Calif ~ , and refer la fileta fileta Attn Mr. Finlay General Adjuster eineceinec 585651 \ & /\ Armstrong Cork Co. & einec Col, ~ - Re Robert Goans Vi Vv - / 11-22-57 Gentlemen ,Please be advised that we . above captioned claim and have received the amended application in are protecting your insureds interests the * A Hearing was held 9-16-63 but little was accomplished and the matter will be reset for further hearing WJS Jacke W. J. Saake Compensation Adjuster NEW YORK ATLANTA BALTIMORE CLARKSBURG LOS ANGELES MIAMI MONTREAL NEWARK NEW ORLEANS PHILADELPHIA PHILADELPHIA PITTSBURGH SAN FRANCISCO ST LOUIS TORONTO TULSA ALEXANDER & ALEXANDER INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET BALTIMORE 18 MD TELEPHONE TUXEDO 9.4304 CABLE ADDRESS ALEXBLUE August 23 1963 Mr. Wallace B. Hofferth General Manager Insurance Department Armstrong Cork Company Lancaster Pennsylvania Assistant GAUGI hat GAUGI GAUGI GAUGI GAUGI re Travelers Policy RUB Workmen's Compensation re Robert O. Goans 7226992 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 your interests We shall advise you of developments in this case of Yours very truly ALEXANDER & ALEXANDER INC sjm GENERAL ADJUSTER * * by 4 August 22 1963 Mr. G. H. Finlay Alexander & Alexander Inc. 2225 North Charles Street Baltimore 18 Maryland Dear Mr. Finlay Subject Robert 0. Goans VB Lorentzen & Company and Argonaut Insurance Company Case No. 63 QAK 11052 and others A hearing on the amended Application of Robert 0. Goans is scheduled before the California Industrial Accident Commission on September 16 1963 in Room 3000 of the State Building 111l Jackson Street Oakland at 9 A.M. Both Armstrong and Armstrong Contracting and Supply Corporation are named in the Application Mr. Goans was employed by Armstrong Cork Company for a period prior to March 31 1955 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 we 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 wages earned during 1955 have been destroyed Mr. Goans was in Corporation from the employ October 1 of our subsidiary Armstrong 1958 to December 23 1958 Contracting and Supply 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 Enclosure Wallace B. Hofferth Assistant General Manager Insurance Department INTER J INTER COMMUNICATION COMMUNICATION i To J. To J. Zeller Lancaster From From From Stokely Stokely Francisco Sybject Subject Robert O. Industrial Accident Commission No. Case Case No. OAK WP mstrong mstrong mstrong mstrong WP mstrong r . { y 'yt ~, subject Attached Attached Cork Cork for the amended applications the Company Armstrong applications You You will note that both Travelers and covering both subject case, case Aetna have also Corporation served Armstrong with these papers ob DUM _ --. . act ; _ .6-21-55-11-2-55 6-21-55-11-2-55 = 11222-57 11222-57 10.1-58 10.1-58 10.1-58 12-23.58A 12-23.58A 12-23.58A 12-23.58A FORM 1501 Printed in U.S.A. Records prior to 1956 nodong nodong SS 559-10-6873 559-10-6873 559-10-6873 Py 4 EPWIN A. CLANCY JR ROBERT S. JUHL ROBERT H. LAWS JR C. PAUL PADUCK WM SHANNON PARRISH JAMES B. SCHNAKE JOSEPH EDWARD SMITH DEAN W. WRIGHT LAW OFFICES OF SMITH PARRISH PADUCK 146 146 FINANCIAL CENTER BUILDING 405-14TH STREET + & CLANCY OAKLAND 12 CALIFORNIA 31-12310%1,, . GLENCOURT 2-2000 August 8 1963 Industrial Accident llll Jackson Street Oakland California Commission re Robert O. 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 trial conference to get the names of the employ- employ- ers and employment With a copy of this Amended Application letter I am with a total sending list of a copy of employers the 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 - 4 STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION AMENDED AMENDED AMENDED APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES PLEASE PRINT OR TYPE NAMES AND ADDRESSES ROBERT 0. GOANS APPLICANT CASE NO.63 OAK 11052 4232 " 25th Street APPLICANT'S ADDRESS San Francisco California VS. LORENTZEN & COMPANY and others ) * EMPLOYER Social Security No. 1155 - 5th Street EXPLOTER'S ADONEIS Oakland California ARGONAUT INSURANCE COMPANY EMPLOYER'S INSURANCE CARRIER 550 San California Street INSURANCE CARNIER'S ADDRESS Francisco California Robert O. Goans 1 NAKE OF EMPLOYEE 9/2/00 _ DATE OF BIRTH alleges that while employed on . April 3 DATE OF INJUNT 63 asbestos worker & insulation OCCUPATION AT TIME OF INJURY mover CITT Various places TOWN ON PLACE WHERE INJURT OCCURRED California by Various he sustained injury arising out of and in the course of the employment as follows __, . doing NAME OF EXPLOTER insulation work for many years EXPLAIN HOW INJURY WAS STERIVED resulting in pneumonochoniosis employer's injury 2 STATE WHAT PARTS OF DORY WIRE INJURED AND SUBSEQUENT RESULTS NAME Various - OF INSURANCE COMPART OR IF IMPLOYER WAS NOT was INSURED STATE WHETHER INSURED OR UNINSURED the insurance carrier on date of 1963 present April 3 to 3 PERIODS OFF WORK DUE TO THE INJURY 4. Was compensation paid No $ YES OR NO 5. Earnings at time of injury Maximum : TOTAL PAIR MONTH OR WEEK PATE INJURED RETURNED TO WORK DATE LAST MEDICAL FURNISHED $. WEEKLY RATE DATE LAST PAYMENT . The basis of STATE pay was PAY PERIOD OR HOURLY RATE HOURS A DAY AND DAYS A WEER needed 6. Was medical treatment Yes YES OR NO Who furnished treatment Self BILLS GIVE NAMES OF DOCTORS WHO TREATED THE INJURY AND STATE WHO PAID THEIR are 7. This application is filed to determine liability for 1. Temporary disability Yes TEE OR NO b Permanent disability Yes YES OR HO c Medical treatment YKS ON NO d Medical costs YES ON NO e Litigation expense f YES OR NO STATE ANY OTHER REASON LIST CASE XUMBERS OF ANY OTHER APPLICATIONS FILED WHEREFORE 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 Workmen's Compensation Laws of CalifornOiaakland : Dated at CITT California August 8 DATE 1963 HeaHreiangring requestedOa at kland CITY Number of witnesses_ witnesses_ Estimated time time of trial half day s Robert O. Goans APPLICANT'S SIGNATURE SMITH PARRISH PADUCK & CLANCY 315 Financial Center Building APPLICANT'S ATTORNEY Oakland 12 California GLencourt 2-2000 ATTORNET'S ADDRESS AND TELEPHONE NUMBER GIVE NAME OF CITY WHERE HEARING IS DELINES CASE WILL SET FOR CITY REQUESTED ON NEAREST NEAREST CONTINUANCE PLEASE TIME REQUIRED FOR HEARING SO AMPLE TIME CAN SE ALLOWED TO COMPLETE CASE WITHOUT A AND AN ESTIMATE OF THE UNDER NOTE THE PROVISIONS OF THE WORKMEN'S COMPENSATION INSURANCE AND MUST BE FILED WITH OR MAILED TO SAFETT LAWS , THE APPLICANT APPLICANT THE NEAREST OFFICE OF THE SEEN PILLED OUT AND SIGNED BY APPLICANT IT TION KAR THE TIME AND PLACE OF HEARING EITHER PARTY MAY SE NEPRESENTED IN PERSON BY ATTORNET OR OTHER AGENT GIVEN OF CONVENIENT CONVENIENT CITT IF NEED ONLY STATE THE InbusTRIAL ACCIDENT POSSIBLE HIVE NUMBER OF WITRESSES EXPECTED TO BE CALLED . THE CLAIN IN COMMISSION WITHOUTWITHOUT DELAT DUE CONTROVERSY HOTICE CONTROVERSY WHEN WILL THEREAFTER APPLICADE FORM 94 REY 6.61 t EMPLOYERS Western Asbestos P.O. Box 3784 Rincon Annex San Francisco California Mundet Cork Company 410 Talbert Street San Francisco California Plant Rubber & Asbestos 1300 - 64th Street Oakland California Works Plant Asbestos Company 1300 - 64th Street Emeryville 8 California Army Port Contractos 1501 Maritime Street Oakland California Van 5th San Arsdale Harris Lumber and Brannan Streets Francisco California Co. Bay Cities Asbestos Co. 6th and East 12th Street Oakland California Ltd. Harry A. Dutton Jr. Dutton Asbestos Company 532 Natoma Street San Francisco California 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 P.O. Box 3784 Rincon Annex San Francisco Sales Corp. California 12. Marine Engineering & Supply 941 East 12th Street Los Angeles California Co. 13. Armstrong Cork 304 Shaw Road So. SanFrancisco California 14. M. R. Carpenter 907 Front Street Sacramento California 15. Caw Insulations 3600 - 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 1963 and others 1955- 1937 1939 and others 1940 1941 1962 , 1941-1944 and others 1957 1959 1960 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 others 1955 1957 and 1950-1953 others 1959 1962 and 1950 1961 and 1962 and others 1953 1954 and others 1955-1957 others 1961 1962 and . 1 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 / Armstrong Cork 304 Shaw Road So. San Francisco California PERIODS 1955 1957-1959 and others 1956 and others 1956 and others 1959 1960 1957 and others 1958 and others 23. National Insulation Inc. 503 Polk Street San Francisco California 1962 and others 24 Lorentzen Company 1155 - 5th Street Oakland California 1955 1962 and others 25. Jackson Hopkins Company P.O. Box 490 Bakersfield California Inc. 26. Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8 Mo. 27. Asbestos Products Inc. 710 Raymond Avenue . St. Paul 4 Minnesota 1957 and others 1949 and others 1949 and others INSURANCE COMPANIES State Compensation Insurance San Francisco California Fund 525 Golden Gate Avenue Industrial Indemnity 300 Grand Avenue Oakland California Aetna Casualty California Insurance Company 1330 Broadway Oakland Travelers Insurance California Company 1956 Webster Street . Oakland American Motorists Russ Building San Francisco California Argonaut Insurance Company Francisco California 550 California Street San 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 1013a STATE OF CALIFORNIA COUNTY OF ALCAAM LIEFDOARNIA SS 2015.5 C.C.P. I am a resident of aforesaid county not a party to the is the United States I am over the age and a resident of of eighteen years the and within above action my business address 315 Financial Center Building Oakland 12 California On AUG 9 q 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 Western Asbestos P.O. Box 3784 Rincon Annex S.F. Calif Mundet Cork Company 410 Talbert Street S.F. Calif Plant Rubber & Asbestos Works 1300 - 64th Plant Asbestos Company St. Oakland Calif 1300 - 64th Street Emeryville 8 Calif Army Port Contractors 1501 Maritime Street Van Arsdale Harris Lumber 5th and Brannan Oakland Calif Bay Cities Asbestos 6th and East 12th Sts S.F. Calif Harry A. Dutton 532 Natoma St. S.F. St. Oakland Calif Calif C. F. Braun & Co. 1000 So. Fremont Asbestos Co. of Calif 941 - 16th Ave. Alhambra Calif John Mansville Sales P.O. Box Street S.F. Calif 3784 Rincon Annex S.F. Calif Marine Engineering 941 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 - 17th St. S.F. Calif Owens Corning Fiberglass 1200 - 17th 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 1351 Ocean Avenue Emeryville Calif Armstrong Contracting 304 Shaw Road So. S.F. Calif National Insulation Inc. Lorentzen 503 Polk St. S.F. Calif e Co. 1155 - 5th Street Oakland Calif Jackson Hopkins Co. P.O. Box 490 Bakersfield Calif Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8 Asbestos Products 710 Raymond Ave. St. Paul 4 Minn Mo. State Compensation Insurance Fund Industrial Indemnity 300 Grand 525 Golden Gate S.F. Calif Aetna Ave. Oakland Calif Casualty Insurance Company Travelers 1330 Broadway Oakland Calif 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 and correct AUG 9 yl Executed on perjury that the foregoing is 1963 at Oakland California true s Sharon McKay The proof of service by mail form being signed of perjury does not require notarization under penalty a. ATLANTA BALTIMORE CLARKSBURG LOS ANGELES MIAMI MONTREAL NEW ORLEANS PHILADELPHIA PITTSBURGH SAN FRANCISCO ST LOUIS TORONTO TULSA ALEXANDER & ALEXANDER INCORPORATED : INSURANCE ' AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET BALTIMORE 18 MD December 23rd Insurance Department Armstrong Cork Company Lancaster Pennsylvania 1964 a Travelers Policy No. _- RUB 6483814 TELEPHONE TUXEDO 9-4304 CABLE ADDRESS ALEXBLUE t BALTIMORE CHICAGO CLARKSBURG LOS ANGELES MIAMI MONTREAL NEW ORLEANS PHILADELPHIA PITTSBURGH SAN FRANCISCO ST LOUIS TORONTO TULSA ALEXANDER & ALEXANDERGettled INCORPORATED INSURANCE * AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET BALTIMORE 16 MD December 23rd 1964 Insurance Department Armstrong Cork Company Lancaster Pennsylvania Getled Getled TELEPHONE GettledTUXEDO 9.4304 CAA BLLEEXABDL DU REESS Travelers Policy No. __: RUB 6483814 Gentlemen - Please note disposition made of the following claim 4 Date of Accident Claimant Location November 22nd 1957 Robert Goans_ Robert Goans_ San Francisco Cal beclosed beclosed - : Claim No. : B 585651 M Disposition - 1/6/65 350.00 compensation 1/6/65 Remarks Indicate Whether Very truly yours INC F - ALEXANDER LOSS DEPARTMENT Workmen's Compensation_ Auto Liability - B.I. P.D. General Liability- B. I. P. D. INTER DREICE COMMUNICATION your 2244 mstrong August CONTRACTING CONTRACTING 1964 ROBERT O. GOANS v LORENTZEN : CO LTD and ARGONAUT INS CO et al MELVIN S. WITT August 3 1964 Referee 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 Sicure My ff MELVIN S. Sicure WITT Referee * coy MSW amm FORD THE INDINSTRIAL ACCIDENS COMMISSION OF THE STATE OF CALIFORNIA CASE NO 63 CAK 11052 < 7 8 10 ROBERT 0. GOANS Applicant ) ORDER APPROVING COMPROMISE AND RELEASE V. LORENTZEN & CO et al and ARGONAUT INSURANCE COMPANY et al Defendants FILZ AUG 12 1964 | , Re a GURAAA Geaaanfon 7 i The parties to the above entitled action having filed a Compromise and Release herein on July 29 1964 settling the above case for 6750.00 in addition to all sums which may have been paid previously and requesting that it be approved and this Commission having considered the entire record including said Compromise and Release now finds that it should be ap- proved and GOOD CAUSE APPEARING THEREFOR IT IS ORDERED that said Compromise and Release be and it is hereby approved payable as follows To applicant in one lump sum as follows 800.00 payable by Aetna Casualty & Surety Co. on behalf of Mundet Cork Co. Fiberglass Eng- ineering and Supply Co. and Illinois Fiberglass Co 25.00 payable by Zenith National Insurance on behalf of Jackson Co Co. 75.00 payable by Employers Liability Assurance Co. Ltd. on behaloff National Insulation Inc FORM 339 539 11-63 2011 OS KE 1 2 4 5 4 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 75.00 payable by United States Fidelity & Guaranty Co. 50.00 payable by Royal Indemnity Company 125.00 payable by Exchange California Casualty Indemnity 125.00 payable by Argonaut Insurance Company 350.00 575.00 payable payable by by Travelers Insurance Company ed Industrial Indemnity Company 1700.00 payable by Company Pacific Employers Insurance 2850.00 payable by Fund less State Compensation the sum of 750.00 Insurance payable to Smith Parrish Paduck & Clancy as at- torney fee less the sum of 300.00 pay- able to Smith Parrish Paduck & Clancy for and living expenses less the sum of advanced applicant 309.40 payable to State of California Department of Employ- ment in satisfaction of lien claim INDUSTRIAL ACCIDENT COMMISSION / / i SW SW WITT Referee AUG 12 1964 All parties shown on Service upon by A. Martin Official Address Record oa 4 a Signature artic of person serving order SEAL 63 Oak 11052 MSW amm FORM 339 78 11-63 30M OSP @ ' BEFORE THE ACCIDENT INDUSTRIAL IINNDDUSUTRSIATLRIAL INDUSTRIALINDUSTRIAL ACCIDENT ACCIDENT ACCIDENT COKITSSION COKITSSION COKITSSION 07 07 THE THE STATS STATS STATS07 CALIFORNIA CALIFORNIACALIFORNIA ROBERT O. COANS Applicant 78 LORENTZEN & COMPANY AND ARGONAUT DISURANCE COMPANY et al Defendants . NO OAK 11052 MINUTES OF HEARING CONTINUED AND ORDER DISMISSING PARTIES DEFENDANTS Place and Time Oakland - April 22 1964 9:00 a.m. Referee Reporter Appearances WITT Jordan Applicant presents represented by Smith Parrish & Clancy Attorneys Joseph E. Smith appearing Fadel AmericasFotorista Ins Co. represented by F. E Carignan Attorney Attorney Exployers liability Assurance Corp. Ltd. and Zenith Natl Ins Co. represented by J. Patrick Goodwin Attorney Assoc Indemnity Corp. and Pacific Exployers Inc. Co.8 represented by Mullen & Filippi Attorneys Frank J. Pilippi amearing S.C.I.F. represented byWilliam Lowndes , Attorney Casualty Indemnity Argonaut Ds Co. Calif Indemnity Exch Royal Incormity Co. United States Fidelity& Guaranty Co. Incormity Travelers Standard Accident Ins Co. Ins Fireman's Hanna Jund Ins Co. represented by Co. and & Brophy Attorneys William Broadbeck appearing Aetna Casualty & Surety Detort appearing ran & Arnold appearing Co. represented by Attorneys Theodore Sedgwick Neidermiller IndustrialIndemith Company represented by R. C. Lynch Attorney. Corps y's American torists Insurance CorpssyC'sorpssy's been in 1945 while the claimedclaimed employment everage of in C. S. 1938 Fraun and ^ ^ aving aving GOOD 1252APTIARING EXERTIOR ; Iscurce C Coo o be and It is ordered that as American Motoristo a party defendant GOOD CAUSE APFEARINI THEREFOR ordered Associated Indemnity Corporation and Fireman's Fund Insurance Company be and they hereby are dismisseads parties defendants GOOD CAUSE APPEARING Insurance Company be THERETOR It and it hereby is is ordered that dismissed as Standard Accident a party defendant DISPOSITION Thirty days to file 4) and Release agreement UhINDUSTRIb AL y ACCIDENT COFCOIFSISSSIIOONN v 30 dice ALL PARNING SERVED AS SHOWN ON THE AUTRESS RECORD MELVIN S WITT Referee Oakland - 4/22/64 GOANS REPORT OF REFEREE OAK 11052 The parties arrived at a in the sum of 6750.00 Compromise and Release agreement DISPOSITION Thirty days to file Compromise and Release agreement [2 MELVIN S. WITT fl Referee - vs 4 ; ; a INTER INTER MBI MBI your COMMUNICATION To E. E. Lancaster To From Subject From Le Stokely Stokely Francisco Industrial Accident State State California Robert Robert O. Commission yore 3/9/64 GONTRACTING 3/9/64 mstrong mstrong CONTRACTING a 3/13/20 of? 3/13/20 Attached notice notice of time place of place place Attached hearing 3/13/20 minutes of previous copies served 3/13/20 It indicated indicated copies Aetna Aetna Travelers Contracting further hearing as well as the of further hearing well on Armstrong Cork, Worker DIE Red Red FORM 1503 Printed In U.S.A. BEFORE THE INDUSTRIAL ACCIDENT CCOOMISION MMISSION OF THE STATE OF CALIFORNIA CLAIN 63 Oak 11052 ROBERT C. GOANS F May et 2h Applicant Cie ee et VS. LORENTZEN & COMPANY and others and PID ARGONAUT INSURANCE COMPANY et al Mas hc Defendants Ces Racy NOTICE OF THE AND PLACE OF FURTHER HIARING NOTICE TO ALL PARTIES You are hereby notified that further hearing will be held in the entitled action at April 22 1964 3000 State Building 1111 Jackson Street Oakland California 9:00 A.M. ALL DAY Before Witt Dated at Oakland California NOTE NOTE NOTE _ INDUSTRIAL ACCIDENT OCMITSSION CONTINUAIRES CONTINUAIRCEONSTINUAIRES CONTINUAIRES CONTINUAIRES ANANDD FURTHER FURTHER FURTHER HEARIHNGSEARIHEARINGNS HEGARINGS S ARE ARE NOT FAVORED NOT FAVORED e&pT: NAMT NAMT NAMT ANDAND ADAD DDRREESSSSTTIISS OF OF PIRSPONS PIIRSRONS SOPIRNSOSNPSIRSONS SSEERRVVEE D D Late Late . March March March 8 8 . 1964 1964 TILED AND SERVED Robert C. Goans 4232 25th Street San Francisco California Department of Employment State Building Oakland Sedgwick Detert Horon & Arnold 100 Bush Street San California . Smith Parrish Paduch and Clancy 315 Financial Center Building Oakland 12 California Lorentzen & Co. 1155 5th Street Oakland California Warren Manley / National Insulation Company 503 Folk Street Street Street Street StreetStreet , San Francisco California ; Argonaut Insurance Company 550 California Street San Francisco California Hanna & Brophy 1540 San Pablo Avenue Cakland 12 California J. Patrick Goodwin 41 Sutter San Francisco 4 California F. E. Carignan 671 Vernon Street Oakland 10 California Western Asbestos P.O. Box 3784 Rincon Anner San Francisco California Talbert Mundet Mundet Mundet Mundet Cork Cork Company Talbert 410 Talbert Plant Works Plant Rubber Asbestos Rubber & Asbestos & Asbestos Works 1300 1300 Plant Plant AsbestoA s sAbse besst tooss Company Company Company 1300 1300 64th 64th - Port Port Port Contractors Contractors Contractors 1501 1501 Maritime Maritime Harris Co. 6th Avpfalo AvpfalAo vpfalo Harris Avpfalo Lumber Lumber 6th Californic Cities Cities California Abbestor Abbestor Co. Co. Ltd. Ltd., and and East East East 12 12t thh SStret ct recStret ct Oakland Oakland Oakland A. A. Francisco Francisco California Johns Mansville California Sales Corp. P.O. Stre t Street Street Box 3784 3784 Rincon Annex San Francisco 12th Street Los Angeles 907 , 907 Pouglass Pouglass Pouglass Pouglass Pouglass Pouglass Jackson Indemn Industrial Indemn Stator Francisco Francisco Francisco Francisco Fireman'sCompensation Compensation Ascociated Indemnity Corporation 332 Pine Oakland Oakland Oakland Oakland OaklandOakland Oakland 12 2 Robert O. Goans California Casualty Indemnity Exchange 550 Kearny Street . San Francisco 8 California Pacific Employers Insurance Company 244 Pine Street San Francisco 4 California Zenith National Insurance Co. 582 Market Street San Francisco San California Royal Indemnity Company 201 Sansone Francisco California of Wisconsin 114 Sansome Employers Mutual Liability Insurance Company Street San Francisco 4 California California Zurich General Accident 417 Montgomery Street San Francisco GOANS 11052 . BETTRE BETTRE BETTRE HE HE . ACI eee ACI a te Applicant cee er AND COMPATY COMPATY et corey Cakiand Cakiand Cakiand Cakiand Cakiand Cakiand oe CanaryCaCann ary a Canarr y yee NO CAE 11052 HEARING 9:00 9:00 9:00 wee ON Goodwin GoodwinGoodwin Goodwin Associated Associated Associated Liability Liability Liability Liability Dantes Feet ek eee a. ee a Oar ee oe forg forg and forg forg forg ma S AVOIDEN CON MISSIO Z re we 4 Stem . ae wl LD  gE4 JIN S. Oakland - Oakland 1/29/04 Lei creo 1/29/04 REPORT OF REFEREE GOALS OAK 11052 11052 11052 discussion Smith indicated In a preliminary Mr. that there was employ- ment with Western Asbestos for the period 1920 to 1937 employ- during which Western Asbestos was the sole employer There are no records by Western prior to 1946 as to employment Ne Filippi tentatively will stipulate to coverage by period November 1 1925 Pacific Employers Insurance Company to November 1 1932. The period of for the 1920 to 1925 had not been checked since it was not alleged in the application Mr. McMillan will stipulate to coverage of Western by the state Fund Trom November 1 132 to employment prior to 1946 dats There is no information regarding It was agreed the as to Mundet Neiderullor Company all periods prior to 1940 are diminius Mr. Neiderullor will tentatively stipulate December coverage beging 1961 through Ju es 1963. 31 However 1935 to 1944 and December 31 1961 Industrial Indemnity Exchange insured insured insured Industrial Mundet .cember 31 1943 1944 according to Mr. Smith so the to C.I.P. C.I.P. records are apparently erronecus In any event there is n ge oyment claimed during that time during 1943 to 1944. As ly to Plant Rubber & Asbestos Works Pacific Employers stipulate from October 1 1940 to October 1 242 will tentative for coverage As to Flant Asbestos Company Pacific Employers ulate to coverage Indemnity Company from will May 18 1933 to stipulate definitely definitely stipulate 1952 to January 1 1962. It has no information - will satively stip- regarding enjoyment enjoyment As to Army Port Contractors Associated Indemnity Corp. has no nation of coverage of that employer I. Schwab indicated that istor- Fireman's Fund Insurance Company was unaware of Army Port Contractors as having been allegedly insured and this will be checked Mr. Schwab stated that California Casualty Indemnity Indemnity definitely stipulate to coverage of C. F. Braun & Company September 21 1936 December 1 1941 and to coverage of Harry A. Dutton dud Dutton Asbestos Company November 1 1952 to November 1 1958 DISPOSITION DISPOSITION DISPOSITION DISPOSIDISPTOSITIOIN DOISPONSITION MSW vmJ regarding settlement settlement stipulatic notion notion