Document dYLmav3BzNvorr5eo28y0eOLb
FILE NAME Mundet Cork MCK
DATE 2002 DOC MCK107
DOCUMENT DESCRIPTION WC Claim of Wyss Pt.1
i Tetestiat dacidont Cacsiitton
RMCEIVED
Accident Accident Commision
tTATE OF CALPORNIA
INDUSTRIAL CALIFORNIA conmussion
RECEIVED 1961
al
FRA Oakland OASGHIAL AND mw
Bornes
APPLICATION
,
Rabertions Intertria Intertia Rabertions re
FILED Rabertions
FILED 1962,
FIL^ ^ GNEDORIGINAL ORIGINAL EIX COPT^ S APPLICATION
ADDRESSES
"
CASE Oakland
Office Ofhes
e
CAK
_501_Capp Street Street _501_Capp APPLICANT California
Mundes Gork Go,
Co.
Mundet Mundet Cork
terse
558-01-3502 Security Security Wa, 558-01-3502
440 Brannan Street
t,,~ ABELPjL AiBELPL
:
and others others Surety 66, .
San Francisco California
Suraty a Co. wnate
Montgomery 220 Montgomery
Street |
Street i San Francisc0 CalAibbf48o6C8arlifornia nia
TORK KYSS 10/14/99 alleges .
KYSS KYSS Bactanys
7
10/14/99 10/14/99 10/14/99
that
employed
while employed ay
Asbestos on 10 10, 61 BOP
Mundet Asbestos Asbestos various MOKY mamman CorK CO CO
5 BA Garam
ATCH places mje
Californis by
of ws enstained injury arising and and the the
the arising
course employment employment followm followm
Exposure PRAWLADY foreign substances parS _resulting te
Exposure hihi
2, chest
disabilLEX disabilLEX
aittineuanae
ernie, BYATT SOAP ALATROEOT BIKER ALATE SILJUICEVET
MILF
MILF SILJUICEVET SILJUICEVET MILF
O88t _ Actna Actna
Suretz_CQ Casualty Casualty Casualty
disabilLEX Suretz_CQ bstedoed DEMOTLU BELJ Suretz_CQ Suretz_CQ Suretz_CQ Suretz_CQ 908T0E
ISBN kaw Usa as D the employer's insurance carrier om of of mnjucg,
November Nocvomepemnbsaetiron Casualty present compensation November
10
,
1961
1961 to
QUE
present present
& Wes compenuciog
paid __
__ __ __
. Bannerer ner,
tee:
wee
Rte A STINNA OYD ^ LEJ
^'
Kata
GIE
Wie
ae Wepras,
cape Wiraeetg
Te Eaeningy nt compensation compensation al injury =n
GW wodiea? medical treatment ___ ___ Bodys es
FOTAL FOTAL
'
SHUND The ham toa bu bu
Who furnished furnished
ham y
S70 OF bart poreenwy e ,
STATE MAR SO
STAVE Belf BeND oOnl N noef mayOVR ANG KE HU BAUD. CUS 6 tect Jue nana & wend *
Belf
The This ap licatisa is determing determing Habdlity 7+ aplicatisa 8eeeBAJ^ BLEED BLEED Amciqd" SAO KRZAVEDPA PAWeeGE ered pags vetn pas ,
%
Temporary Temporary
diszbility disability - treatment diszbility diszbility
_JAS Frmanent
disability Fe6c Medical treatment
**
d, Meditsd co
t= WHEREFORE Compresiloe and flere be okey WHEREFORE under WHEREFORE ye
cP
.
Sp
WHEREFORE WHEREFORE requested requested that
WHEREFORE
Worker's
Laws
California California heuring tha? en ausrd be _IBnuary
Worker's Compresiloe California _IBnuary Dard
_IBnuary 10 1952 1952 by
inasetgh
CalifoCarlifornnia Cialifaornia
PRAPA 2-2000 Cakland California
QLencourt QLencourt
QLencourt QLencourt Aebr6R4 sap VOL petebeotas
OLengourt 23009
Plans anakma Gropa oe res SO SAY 137 95 Top A
287 Plans anakma
NE Me ey BABY and Plans anakm a
Praca B44, tery, gory
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Me Raia, oe pieneogy
EET renew: POY
Rortripe
OF ROE feses i Lead Pad tee
wn hemnetina tMaray aae
CCS 5144
CCS 5144
incurrent f Bel
Contabon
FIVED FIVED
J
Ay
AUG1597 151977
Ooklond Office
Es'dises Department of Indestrial Es'dises Divisk of dental Accide
L BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE PR CHIFORNIACHIFORNIA
2
CLAIM NO 62 OAK 7422
15 AUG
1962
3 4 JOHN WYSS
Oakland Office
1
5 6 wv,
Applicant
1
PETITION TO JOIN FURTHER
PARTIRS
}
7 MUNDET CORK COMPANY and AETHA
)
CASUALTY AND SURETY COMPANY
8
)
Defendants
9
)
10 Comes now the applicant JOHN WYSS and prays the 11 following named employers be joined as parties defendant in the
12 above action
13 Employer ;
14 Coen Company 915 Bryant Street
15 San Francisco California
16 Mundet Cork Corp. 7101 Tonnelle Avenue
17 North Bergen New Jersey
18 65 11th Street Brooklyn New York
19 440 Brannan Street
20 San Francisco California
21
Period Ended
6/30/37
6/30/37 12/31/37 3/31/40 12/31/42 12/31/42 . 3/31/43 6/30/43 9/30/43 12/31/43 3/31/44 6/30/44 9/30/44 12/31/44 12/31/44 3/31/45 6/30/45 9/30/45 12/31/45 6/30/46 9/30/46 12/31/46 3/31/47 12/13/17 9/30/472
12/31/47 3/31/48
23
24 Plant Rubber & Asbestos Works 537 Brannan Street
25 San Francisco California
26 1300 64th Street Emeryville California
27
28
29
10/13/61 to 11/10/61
6/30/37 12/31/37
6/30/38 9/30/38 9/30/38
12/31/38 12/31/38
3/31/39
12/31/39 6/30/39
3/31/40 6/30/40
9/30/40 3/31/41
>
-
6/30/41 9/30/41
12/31/41 3/31/42
9/30/42 12/31/42
3/31/43
30 W. Giddings Supply Company
533 Howard Street 31 San Francisco California
32
6/30/371 12/31/37
ie
evade De
1 Co. Ltd. $
- Fifth Aven
Last 12th Street
2 Oakland California
+ 3 / Western Asbestos
675 Townsend Street Company
San Francisco 3 California
5 Western Asbestos Company i
675 Townsend Street 6 | San Francisco 3 California
7 P. O. Box 3784
Rincon Annex
8 San Francisco California
9
10
11 Standard Asbestos
12
450
Bryant
Company Street
12 San Francisco California
13 Warren & Bailey Company 198 Second Street
14 San Francisco California
15
.: 16 J. T. Thorpe & Son Inc
1351 Ocean Avenue
17 Emeryville California
18 Plant Asbestos Company 1300 >>> 64th Street
19 Emeryville B California
20
21 Lish Corporation '
214 Front Street
22 San Francisco California
23 E. B. Badger & Sons
75 Pitts Street
Company '
24
Boston Massachusetts
25 Harry A. Dutton Jr. '
26 Dutton Asbestos Company
532 Natoma Street
27 San Francisco Francisco California
28 Van Arsdale Harris Lumber Co. Ino
29 Fifth & Brannan Streets
San Francisco California
30 Richmond
Box 1072Shipbuilding Corporation ' 31 Richmond California
32
66//3300//337711
-2/31/37
6/30/38
12/31/39 9/30/40
12/31/40 3/31/41
12/31/37 3/31/39
6/30/38 9/30/38
12/31/38 6/30/39
6/30/40
3/31/39 12/31/39 12/31/39
12/31/38 12/31/38 9/30/40
16/30/56 9/30/56
61/230//33911/2/313/388
3/31/39
12/31/39
:
3/31/40 9/30/48
12/31/49 3/31/56
6/30/56 12/31/59
12/31/38
9/30/39
12/31/41 3/31/53
te
...
ot
{
|
3/31/42 6/30/42
ee
era Va WEL Utes .
CMe ...
"
ee
ony
oe
6/30/42 9/30/42
LULO
Ninth Street
2
Los An les California
3 Permanent Metals Corporation
Box 1072
.
4
Richmond California
(-
5 Q. R. Dutton & C. A. Leighton et al
.
Western Fiberglass Supply Lto
6
739 Bryant Street
San Francisco California ,
T
.
wewre
tie
12/31/42
.
3/31/46 6/30/46
6/30/48
;
8 Lorentzen Company
2207 Market Street
g
Oakland 7 California
6/30/50
ov
: .
an
10 Asbestos Supply Company of Seattle 5035 First Avenue South
11 Seattle 4 Washington
3/31/51
|
. 12 Racoma Asbestos
Company Charles R. Brower & E. E. Saberhagen
13 25th and Holgate
9/30/52 .,. Tacoma 2 Washington
14
3/31/51 6/30/51 -
' 9/30/51 12/31/51 4
6/30/52 9/30/52
.
6/30/54
:
12/31/53 |
9/30/54
ES
15 Metal Clad Insulation Co. Inc. ,
aa
_ 3/31/52
1759 Western Avenue
16 Torrance California
17 Jamar and Olman Company , 320 North Harding Avenue
18 Chicago 24 Illinois
3/31/52 6/30/52
19 Chas R. Brower and Company E. E. Saberhagen and E. DeForest
20 114 Virginia Street
Seattle 1 Washington
9/30/52 ; 9/30/53 :
12/31/53
.
8 22 The E. J. Bartells Company 1212 Sixth Avenue South 23 Seattle 4 Washington
24 Charles Ayers Company
25
698 Minnesota Street
25
San Francisco 7 California
& 26
Fiberglas Engineering & Supply Company
of the Northwest Inc. 406 Northwest Glison Street
Portland 9 Oregon
28
29 Northwest Cork and Asbestos
3615 Fremont Avenue
30 Seattle 3 Washington
Inc. "
31 Armstrong Cork Company ' Liberty & Charlotte Streets
32 Lancaster Pennsylvania
9/30/52 12/31/52 3/31/53
3/31/53 3/31/54
36//3310//557 4
12/31/56 .
;
a
9/30/53 3/31/54
.
,
|
| 9/30/53
\
"
tit
'
a
aun
|
\
...
3/31/54 12/31/54
3/31/55 6/30/55
9/30/55 30
20
Insu , 1 Coast
zing
Products
a
corp
2316 Fernando Road
2
Los Angeles 65 California
+
6/30/56 3/31/56
3/31/57 ; 6/30/57
.
3 Insulation and Asbestos Industry Works of North California Vacation Trust
is
Fund Local Number 16
200 Querrero Street
5
San Francisco 3 California
9/30/56 9/30/57
9/30/58
6 Muldoon Company ' 1537 Thesta
T
Fresno California
Corning 8 Owens
Fiberglas Corporation
P. O. Box
89 California
9
Santa Clara California
10 Wm Thomas Tuck 1
Tuck's Supply Company 11 469 Sunshine Lane
Reno Nevada
12
.
9/30/56 12/31/56
12/31/56 6/30/58 6/30/58
9/30/58
3/391//5930/58
12/31/58
12/31/58
12/31/57
7
;
.
:
13 Dan Caw
_ Caw Insulations
14
3600 - 20th Avenue
Sacramento 20 California 15 15
3/31/58 6/30/58
) :
,
.
ra
.
Douglass 16 Thoo
Douglass Jr.
Insulation Company
17 337 Irwin Street
18 San Francisco 7 California
;
3/31/58
, 19 Armstrong Contracting and Supply Company P. O. Box 1548
20 Lancaster Pennsylvania
3/31/58 12/31/59
21 Harold G. Lorentzen
Lorentzen Company
;
2257 Market Street
Oakland California 23
|
24
25
,
26
12/31/59 3/31/50
6/30/60 9/30/60
12/23/61 12/31/60
2/1/61 to
12/23/61
;
,
Respectfully submitted
SMITH PARRISH PADUCK & CLANCY
N.
28
29 ccs
60
30
Robert
'
SECLINESECW Sedgwick Detert Moran & Arnold
\ LINEW All other parties
LAC SECLINEW SECLINEW
(/ SECLINEW |
31 Dated
August August 10 1962
August
1962
a
30
fo
.
t
|
INDUSTRIAL
ACCIDENT COMMISSION
:
ATATE OF CALIFORNIA
oy eed
. .. ae
.
-
4
-
:
C
JOHN WYSS
yt
a
Le
2
ne
.
os
Ce,
&
,
rad
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"ye
4
:
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.
7
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Te
re)
,
Appicent
MUNDET CORK COMPANY and ; .
CASUALTY & SURETY COMPANY et al
-
yo
a Defendant Defendant 5.
NOTICE OF HEARING >."
.
0
.
"
.
7
at is
.
.* o
Case No. ;
62 OAK 7422 075,
re
rr ar ye. oo
HOV 27.196227.1962 ar
Lodeveria Comminion the Son You farther modified haros application kau You are hereby notified thec un
4
.
_ for brinongAcident
ap lication
for
2 res got
comprauation comprauation
California
(
copy
of
traich
is
actschad
harros
has been
filed with
set
3
an _
December 18th
3000 STATE BUILDING
1111 JACKSON STREET
OAKLAND CALIFORNIA
.
9100
.
ce
A.M. ALL
pare
eee
|
DAY |
ut
Before Huff-
.
ddiissppoossee of
the
mmiidd
application aplication
application
la tha
saseIrndustripalrAecscicdernbitybCloeamdawndandon
of
the
Sonne
of
Califorain
wit
proceed
en Before
;
os
,
Azfakronoimsopprosotsopprost vpoapvalliin n
enunciat
proed proed
battery maand
batery battery for belts
be ovellable and mandy
belts the
for salariedambetahreer
bbaarrddo o
di
scary
class
orblowns drempeland
,
. ,
1
|
Dated OAKLAND CALIFORNIA
.
Tan
bo
be
y
rr
ee
;
.
Azbukond
a
,
.
that
parties bareinafter bareinafter theromployes af theopposite Induasbotirrial Accident Commiselna she served the foregoing notice
tCoaliafocrnio a bop arfeinafy ttehre application therrie mentionienda usled envresepelctiovepien stahmemenUnidteepdositing foregoing a
with
California
poscope thesome fully poopold and addressed envelope said portie atS theitr a lmasutit klnooe nwnmsibd doaydoar Osakuland :
.
' ;
ALL
.
PARTIES
. :
et
.
.
e
,
LISTED
ATTACHED
LISTED IN ATTACHED
. .
Parry
- 4
aa
1.
4
APPLICATION
APPLICATION
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EXHIBIT
*
3
FN
-
BEFORE THE
COMMISSION INDUSTRIAL ACCIDENT OF THE STATE OF CALIFORNIA
:
Case No. 62 OAK 7422
eee -
ee
,
re
ar
7 JOHN WYSS
:
coe
ee
a?
+
Applicant MUNDET CORK COMPANY and
AETNA CASUALTY AND SURETY COMPANY etal
Order Joining
Defendant .,
_
Pay
io
a 3
Defendants |
Good Cause Appearing Therefor
fae
IT IS HEREBY ORDERED THAT a
: 7
ALL PARTIES LISTED IN ATTACHED APPLICATION
|
|
joined
as party
defendant
the above entitled
ws
eS
Referee 4.6 _ :
ast
y
84 |
,
Referee Olne COMISISOINON Huff ~.
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