Document mby43XEkowVdJn14Od23BKe3Q
o
The bronchovascular markings are unusually prominent and there are irregular, nodular densities, :in both lungs, especially on the right. The lung roots, are-larger than normals Diaphragmatic adhesions are present on both sides. These changes have developed gradually over'the years from "normal" in 1953 - therethas been definite further changes since the last film.V'The appearance of this film suggests a mixed exposure to asbestos and to silica. An occupational history is needed to make a diagnosis more certain, but silicosis and asbestosis must be strongly considered.
f THIS KIN 103 fflCHLA i 1963 ?UMT TSgMDilgD XJST \
OSOIOS W. W1KZST, M. D. Stfat Uko* Boopltal # 11311 ftihr Boalorairf Omia4, Ohio 44104
0^
o
Namo
No. 36446
Interpretation of
single
taken on 6-29-66
^
Plant: Millington, New Jersey
Raadiag Oat* 7-27-66
roentgenogram oi cbeat
A comparison of this film to that
of 1964 shows no further change* Previous.
comments still apply*
-7/*?
GIOEGI W. WRIGHT, U. V. Salat Lake's Koepital
11311 Skakm loilmrd
CWralead, Okie 44104
V
\
kK * * > /.
J/
N*m No. 27613 Interpretation of single
5/12/64
Plant: Beading Date
roentgenogram of cheat
Millington, N*J 6/16/64
A comparison of films 1953 to date shows developmer
of pleural densities sometime between 1957 and 1960, mostly on right* More m k recent there
have been minor pleural changes os the left. If
he has an asbestos exposure it is imperative that a diagnosis of asbestosis be considered
GIORGE W. WRIGHT, M. D. Saiat Lnka'a Koapttal 11311 Shikar Boalavazd
A, Ohio
Name
No. Interpretation oi taken on
53 single 8/1/62
Plant:
Millington, K.J
Reading Date: 8/29/62
roentgenogram of chest
The single film shows no change frompreviaus ones of ii/lii/60 and a stereo pair of 5/10/60. There is evidence . of a right side plenral reaction with some intraparenchymal change suggesting the residue of a previous pneumonia. Film of 9/2U/S9 did not show these change. Is there a history of pleurisy" or pneumonia between 195? and I960?
ts*/r *y # 4 v r/ vv>
,&
r .h-
V
I "t 4 GEORGE W. WRIGHT, M. D. < Stint Lake'* Hotpittl
11311 Sbtktz Boulevard Cleveland 4, Okie
Ice 4 sns
.Nab*
f
83-60 Interpretation of
single
taken on 4/14/60 compared with
NGC : Millington, Kew Jersey Reading Data : 5/2/6o
taken on
A review of films taken in 1953, 1955, 1957, and the current one shows the gradual development of what appears to be pleural adhesions at the right base. It is impossible to know whether or not there is any abnormality within the lung by looking at this single film. A stereo film and information re his medical histor of the past 3 or 4 years would be of help in evaluating this films.
dsORGZ w. WRIGHT, M. D. Saint Luka's Heapltal 11311 Skaker Boulavaxd Cleveland 4, Ohio
o
f! orDepartment
Experimental mcoioine
George W. Wright, M. D t
*.
No. Name
55-53-B----------
ST. LUKE'S HOSPITAL 11911 SHAKER SLVO. CLEVELAND A* OHIO
12-17-55
Natl. Gypsuzn Co. Millington, N. J.
Interpretation of ^^JCg^oentgenogram
of chest taken on compared with 1953 taken on
No change.
kt
.
.A
SGI
o
`r~~
l V 0
\
George W. Wright, M.D.
Department of Experimental Medicine
SAINT LUKE'S HOSPITAL Mill SHAKER SLVD. CLEVELAND 4, OHIO
Ho. 93. . Name '
Natl. Gypsu& Co Millington, H.J,
Interpretation of ingle roentgenogram
of chest taken on conpared with
-9-16-53 taken on
No AbsonaHty seen*
KK -y-bGZ
o PHYSICAL EXAMINATION
CLOCK NUMBER^
OCTOBER 1947
NAME.
A\
CITY
BLOOD TEST: NEGATIVE
EYES: /
EARS -.</
NOSE:
'
THROATS ^
#
HEART: /
\
BLOOD PRESSURE tl&pt
s'
POSITIVE
URINE ANALYSIS
X-RAY: Ij/'
REMARKS:.........
l
Physician's Signature
<C ' i*SG3
i** y '''Tv-'* '*
;:' \ ? "
Tr vr"r*
ji v '/r, ^ `
'5
H*m+
,, ' No. 3(i41* .
Intarpiatatioa o(
: takas oo
HH l
Plaat:
in-'.(, N . J
. Raiding Data
roaatgaaogram oi okaat
^l`m-7B
'.viu;*u;U1y :>vmnineut; -and .
ir|
A \- doiia 1 ff efl Jr, loth lvn*iU/ <*npr>cial!lyfciy,%
Uh* t*\nhi..
i ui.r root: ar* larctbr than noiral.
y
ITiapbx a:j?r.acic jor * arc i:rc*ni^ ny l\oth Ride'i.
. '!-
Theso chtitwpjs Iw.V!
opecT^radua!ly <m>r^ti'e~`y<VVrtf* from" * '
M .in ]/>' * thorn Ij^.b berr definite tox u?mt chawtos * cJ ncn t;ho lfil fi3:n. The, appearance of this f lift' rug.T09 ts.:
a risvjfciJ <ho anNtnton in<J to nilica.' An occupational ,;.
hintofy is jumiJ* c* t:r. maho a diagnooin isioro c^Uln, but
sJiiconii nn.1
tor*i>J must bo strongly conaiderod.
'
Gsonat w. wnioirr, u. D.
ftiat Lvb't HoaplUl
_
113JI fhakac Booiarwd .
Claralaad, Okla 44104 '
Naaa
No. 36440
Utaipfatatioa o(
tingle
takas oo 6-29-66
PUoU Killingtoo, Mow Jortey Raiding Data 7.37-66
foaotgaoogiam oi ebaat
w
/
A cowpori.on of thi. fil- to that of 1964 .how* no further change. Previous
nmnantf ttill OPply*
or.oaoi w. wwuht, u. d.
9fal Ui* Haapu*l lUlt Ohk taaia**d
O...U.4 Ob.. 10 ..fcj, ... . /V
No . 27*13
lislctptrlAlton ol
single
taken on
5/12/*4
Mui ingt on t n# J .
llAtiina Dl
A/lft/M ioentg*n*^\ im ol cVioat ..
A comparison of films 1953 to date shows development of pleural densities sometime between 1957 and 19*0, mostly on right. More ** * recent there have boen minor pleural changes on the left. If
he has an asbestos exposure it is imperative that a diagnosis of asbestosis be considered
. .
GtOnGT W. WRIGHT. M. D. t Salnl UU'i HoipKil
' 11311 SH*k* BoU*td Clavaln<) 4. Oblo
I
Name
\
Plant:
Millington, K.J.
No. 53 . Heading Date: 6/29/62
Interpretation ol takes oo
single
roentgenogram ol choat
6/1/62
+.
Th* single film mhowe no chang* frrwproyiou" oner of U/ih/Oo and a stereo pair of 5/10/60. There in evidence of a right old* pleural junction with eom* intraparcncliTwal change miggnmtlng the residue of a previous pneumonia, film of 9/?li/59 did not show them change. I* t)*rr a history of "pleurisy" or pneumonia bet^en 1957 and I960?*
GEOnGC w. WRIGHT, M. 0. Saint LuW'i 11311 Shaker BouUvard CU**laad 4. Ok.o
o
N^ioa:
F^
No. 2^-57-D
,
Interpretation ol Single
j
Haot; XUllngton, H.J. (HUC)
.
* Beading Dele:
io/V57
roentM^nogram of chest
lakes on 9/20/57
eonip.uod with
taken oo
Ho significant afcnonaAllty soon.
t I
GEORGE W. WHIGHT. M. 0.
Sint
Henpil.t
t UU ShUi
.
CU**1n<J 4, Ohio
t
Name |
' *<.
s - r* '\
riant :
NCC .MilliUvtfcn, In'uw Jersey
No- 8 - - f'0
Interpretation of
single
l.lcen on 4/14">0
oonip.vrd with
Hrading Dato : ruootgenogram oi chest
tiikoo on
S / w / 6<J
A review of film* taken in 1953, 1955, 1957, and the current one how* the gradual development of what appear* to be pleural adhesion# at the right bate. It ia tmpo**iblc to know whether or not there i* an/ abnormality* within the lung by looking at this ingle film. A *tereo film and Information re hia medical hiatory of the pact.3 or 4 year* would be of help in evaluating tbit (Uru>.
-ri r
CEUH'.E w. wim;iiT. M 1>.
l.itW* ttr*pnl
It >11
Xrolmiti
Ct*vrla*H 4, Ohio
K< SGG* * .A.
. TIO%Al. t.'i 1'SI'M Ul\!!'
'm.ant. tiM iu;, sai.1 .> ih-iku r
./&*.*
vmi.'ai. kaamj.nmioa JtJ-.umn
o
mit'iH
_
10/27/00
. daii. ; ii'iirMH.mMiM ! : itt i\-i uimi m i x.i'i.unnm him
____ _____ VlMllU'.V*
f\i.i 66 >
I.Jmm.u: Krtnmmn imn.ii
si KMrunM:via___________
.inI, n
A in
\3
nisi ii.i iH Ml M .. i m i . ill mi >m M< k
T''
\ ISi tS.IMsi AM
1 JyAfr.
INl'N'M Ml
fltt.V'MIiMAN
CAl
|l MINM l-l'i
>L^.
i'll : Ml
y*\ III MIN
n /?- X* *7Um,,uu+s
i uT-imTii i.n (Tin> i i \7h\m>n
:a~TMZtC.cJL
mi mum i-m -m uh
t^r/fo
m.HMA _
....... in'i.iun ai. Ni\i.w
____ II
AlUloMI.N {I VO.IN
JJ
t;
e
<^>rnnvi >y -- '--r^rnffTi *>
\. 11IM.AU1)
Iiu'Kha i iv h si.aii-
1 __________y
K \m i; \ | kj.mi ni> -- i:j* m tun i \ i wv. m m;i jo.naj. i>rTi-.ri.\
*v-
. l.u K FlNIliM.; - mThuUIUmT
>s i.iimins
'
'
?U$~.
_ /_................ .. _ ____________________________________ _________ _____ _____________
,
nw \io ui im.um \nT.n i'iu li u \ nir \m\ifs i~ i a \\iisil-. iiamim-In \u\im il Tm mi.siTh \m hmhm.> >cTf>
iATlOSAL gypsum company
o`HYSJCAL EXAMINATION RECORD
PLANT, OFFICE, SALES DISTRIC L 's
DATF S~ PRE-EMPLOYMENT REINSTATEMENT [ PERIODIC HEALTH
.ADDRESS.
)ATE OF BIRTH
10/27/00
(AGE 66 )
SINGLE BSTarried OTHER
-AST EMPLOYMENT
EIGHT
DISFIGUREMENT - FACE. HEAD OR NECK
S'6"
VISION-DISTANT VISION-NEAR
VEIGHT
C.ILE. MgC
20/
/(,$
HEART
\
CHEST
.
k- a*Tr>uJ.
CONFIGURATION CHEST EXPANSION
BLOOD PRESSURE
tyr/fo
LUNGS LJUU,
U.L.E. 213/Ji & HERNIA
20/
INGUINALi~rRIiNnGcSs*Z' "
ft OPERATIVE SCARS
BACK AND EXTREMITIES -EDEMA AMPUTATIONS, FUNCTIONAL DEFECTS, DEFORMIlTtTIES
Vasserman
m
URINALYSIS
SUGAR "
ALBUMIN
ABDOMEN t UUft.P.
SPECIFIC FINDINGS - NEUROLOGICAL
SKIN ERUPTION *7'
SOMARY OF PERMANENT DEFECTS, IMP AIRMENTS; EXAMINEE HAS BEEN ADVISED OF SIGNIFICANT FINDINGS ^>cTT
EMOTIONAL STABILITY
y.
INTELLIGENCE
APPLICANT'S SIGNATURE JOB ASSIGNMENT
Accept Coodit. Reject Accept PREV lOUfMEDICAL
COMPANY APPROVALS
PERSONNEL
MANAGER BUFFALO
'
|DATE
PART EXAMINED
i .. __.__ __
X-RAY REPORT - RADIOGRAPHIC FINDINGS
^ ^^ FILM NO.
KK * X'SGS M.
.tional gypsum company
4:7 T
PLANT, OFFICE, SALES PISTRiCTKtllington-PmiTO-
^Y'SICAL EXAMINATION RECORD >E_
DATE _ PRE - EMPLOYMENT REINSTATEMENT iXj PERIODIC HEALTH
' innorcc
kTT OF BIRTH 10/27/00(ACE_61>
SINGLE SERRIED OTHER
\ST FMPirmcNT National Dtp sum Company________________ _________________
JGHT
DISFIGUREMENT - FACE. HEAD OR NECK
'6 "
VISION-DISTANT VISION-NEAR
UGHT
C.R.E. 30/J^U 20/
U.L.E. 20/* 20/
:art \
'yisC
CHE5T
YY*ue/dtt^.t+ +I.J
HERNIA
DNF1GURATION CHEST EXPANSION
urns
BLOOD PRESSURE m/jLQ.
INGUINAL SINGS
R OPERATIVE SC
V\
,ACK AND EXTREMITIES -.EDEMA. AMPUTATIONS, FUNCTIONAL DEFECTS. DEFORMITIES
VASSERMAN *2E)
Hb<
URINALYSIS 'SVCARAA* .
-21ALBUMIN
ABDOMEN / 1 L.M.P.
.T*L_\AOED RELAXED
\u>
SPECIFIC FINDINGS - NEUROLOGICAL
SKIN ERUPTION
SLNMARY OF PERMANENT DEFECTS, IMPAIRMENTS: EXAMINEE HAS BEEN ADVISED OF SIGNIFICANT FINDINGS
yhu^UUjU
so
EMOTION AL STABILITY
IWELUdENW " uZm """"
_______ ___________________________
/
APPLICANT'S SIGNATURE
w
Accept Ccadu. Reject PHYS)ClAN*S^KiNATURE
AS J
Aecept
_________ /si S'-*'________________________________________
JO'S ASSIGNMENT
PREVIOUS MEDICAL
COMPANY APPROVALS
PERSONNEL MANAGER BUFFALO
[DATE
PART EXAMINED
X-RAY RpORT - RADIOGRAPHIC FINDINGS
FILM NO.
.tJCT .ES
MANAGER
PLANT MANAGER
. </^ A
Kk '.i'-soD
SAFETY
M.
NATIONAL GYPSUM COMPANY
. u'"*
: '; . ` '
Sales District Office
ie Date
Dcpt
Address
---?l*?` nyiinstas,*.*.
-seek No. 44 -
-
Afe-te
Color
Artiiritis Operations ... Venereal Diseases
. ^
M D*
Children
PHYSICAL RECORD (TO BE COMPLETED BY PLANT OB OFFICE)
Epilepsy
Hernia -
_____ ...
List u rnsaa aida asp baapitsl
........... .. . sdaisaisss is past S yova.
Tnhercnlosis
Liqnor Other Illnesses
^
Tobacco
Dregs
. ... ------- ---------------------------
...
Ininries -- description, locat on, % disability
Compensation Received
Hava too biaisry af aUicasia ar ur o*bar dut disasaa?
.
Do fas bar* s awksii1* eoupasaaiioa cssa psdis( far aitbar isjwr or Ulsasa?
Hava fos mr boss is ailltsiT ooroiea?
t
Have aar oi rout parasla or brothtl
Tubercaiotia, Csscu, Disbatos, Epilspay or Insanity?
Last previous employment j
I-cartify jhkt tho sbooa tuw^ art into, corroctiy rocsdtd, aed tbot I au is .
tood boslth. aad that 1 fast imi
frouSgjcosis, otcapt fastsryT J "
Signature of Applicant
Witaess
* divorced, give date and plaee
Height *5* *C * Eyes: Ri#bi
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
eight
/C*/.................... .....
Corrected: Risk*
Papjls
Cornea j/
Langs
Shortness of Breath
Heart
Blood Pressure h
Ovw loi*bi Nor**! Vsifbt ' Csdar Waists
Lett
Biateilw Visios
Chest X-Ray Pnlse -JZ-
Ears
Throat and Tonsils
Abdomen
Spine
y
Extremities ^
Nose ^ Hearing: Right ^y_*C
Hernia Hemorrhoids y
Teeth ^7
ve
Sci
Skin Reflexes
^
Blood Test V
(Net* it ed dadaeu tf ssy exist)
(Hud sad sack saly -
Glands.
locaUas)
Mentality Urinalysis 0f
Moscnlatare Genital^/
General Condition: Good U- Fair *)o yon recommend applicant for work?
Poor
Tfantjes; Good F Type of Work?
~Fa
Remarks
Poor
APPROVED
FOREMAN ' ' SAFETY SUPERVISOR
------------------------------------------------fjjf-jt
'
Examined by
/i
---------------------------y--/ ^
s,~s >
-
- t~*vnmnv tc ranvw nv me CTTPCRVTsnft YES TO. NO
,.
,;r
NATIONAL GYPSUH COMPANY
Sales District
'
= ,, Office.
AddfelT___________b-'- Pleat Millington,
Date ' /f
Age 60 .
Arthritis Operations
______________ Dept. ' "
.......................... ' Check No.~~76 ~
Color
C
S M W D* .
Children
PHYSICAL RECORD
CTO BE COMPLETED BY PERSONNEL DEPARTMENT) - -.1...................
Epilepsy
Benia -
- -**-- --------- --
Liat ea rereree aide ear heeyital a^leeiuaa tepeat $ ye. -- --....... ..
* *
Venereal Diseases
Tnhercnloais
Liqoor Other Illnesses
Tobacco
Drags
.... ------------- --------------------------------- ------ --
...
Injuries -- description. location, % disability
Compensation Received
Bare rti a Hater? ef eilicaaia er any attar daat diaeaaef__________
De ye lwt rrriati't eea^eaaatioa cam eedia< far either iafrry er iliaeee?_________
Have yea ever kw is gjtery earrica?
Bee* eay ef year pereata er hretbara er eieters bed Tebereeleeie, Cancer, Diebatee, Epilepey er iaeaaity?
Last previous employment_____________________________________________________________
1 certify that tbe abera eaawera are mt, eerrectly recorded, ead that I ea la__
teed health, ead tbet 1 have Barer raftered froa SHiceeie. eaceet fbiewy)
...
.
Signature of Applicant____________________________________. Witness ________ _____
' ' divorced, give date and place
Height
Eyes: Right
0
'L
Left
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR) Weight /r^T* ...................
Corrected: lik ....... .............
OrerVafek Kami V4fe
* Cader Weight
. ___________
"' Biaecalar Viaiaa
Pnpils
.
Cornea 4/
Lnngs Heart Ears
U
Throat and Tonsils
Abdomen Spine
1/
l
Shortness of Breath \s Blood Presatire ^^2
Chest X-Ray ---------------- .......... .......False 77,
Nose **
Hearing: Right . Hernia " ^
Teeth is
,
^ Left ^/U
-------------- ------- '
Hemorrhoids p
------
Extremities ^
Scan Sirin
Is U
Reflexes ^
Blood Test V
(Nate % W defects if cay wdet)
(Bead ead each ealy - fire iacattaa)____ Glands l/
Mascalatne *
Genitals
Mentality
...
Urinalysis L>
-
-
General Condition: Good
Fair
Pom
Nftrition: Good t
Far
Poor
jo yon recommend applicant lor won.7 rf
1 ype 01 Rear ^
t,,.
1
1
j
'5
' 4> 0^
M
Rendu
APPROVED
-
FORERUN -Safety S.U. PERV> ISOR
Ea^ieadhy '
/a
a*. y - / ?.
m. VW 1
1" l
/
N A T10 N AlJ GYPSt}V P A N Y
Sles District
Name
:
lie Wll IT- lfft "
_Aee <S
Color V
Arthritia "L. Operations -- -........ - .......Venereal Diseases
Liqnor Other Illnesses
' - - -
.....".........u..Y......'.y. j.' , . Address*
Office : . Plant jttl*
Dept,
1 1 1" S . ,mLw_D*
CheckKo. Children
PHYSICAL RECORD
-
.. CTO BE COMPLETED BY PERSONSEL.DEPARTMENT) .... T______
Epilepsy
;. *
Hernia -
List aa tavarsa aids aay hospital
Tobacco
Tnhercnloeis
. Drags
"` -
Injuries -- description, location, % disability
Compensation Received Haaayveotyhoeur dahaitstdoisryeaes{ea?Uieeaia or
.
Da yaa kava a varkaaa's cassaaaatiaa eaaa yeadiag far altkar iajsrr av Ulaaaa? ' Bavs yea evsr baas U adlltarT sarvica?
. `
*-
Bat* ur o{ year pwiau or brothers or liitin had Tufeercslosia. Caacer, Piaheue, Epllepay or laaaaitf?
Last previous employment
1 certify tbet the shore aaswata ere true, correctly recorded, eed tbet 1 e is ___________ ____ ____ _ lead health, ead that I keep aeeer eaffered froa Siliceeia, except (history)
_ . Signatnrc of Applicant
_ Witness
* If divorced, give date and place
Height
j6l
Eyes: Bight
Loft
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Corrected: Bight
Over leiakt Keamai Vki TTidar Veiki "
Loft
Blaacalar
Tiaiaa
Pupils___________ ms/f
Cornea
Longs Heart
Shortness of Breath
Cheat XRay
Blood Pre
-im/-"- ~."~&T7c
Ears
s
Nose'
Teeth /
Throat and Tonsils
Hearing: Right
Abdomen -- Spine
Hernia
Heaorrhoida /f------
Extremities tears Sldn -- -fieflexes Blood Test General Condition: Good
Clnnda
QtM S ad deiecta If ear uiat)
Mnscnlatore
(Bead aad seek ealr.-jite iecadea)______
`Genitals
------ Mentality IZZTZ
Fair
Poof
Urinalysis Nstrition^ Good
Fan
4Bo yon recommend applicant for work? -
Reasks
Type of Workf
dLu .A-rTTC
APPROVED
PORQAAN --SAFETY
SUPERVISOR PLANT MANAGER
p~ v'^/7 ~ sy
Examined bvy
w -
-- *1 ----------------
THIS EMPLOYEES CONDITION IS KNOWN BY HIS SUPERVISOR. YIS Ej
-.^S73
/ ' p-risiiur. exactiticx -:
IjXCK IT3TSB3B
' :-:ae '
ADDRESS . <. CITY
7$
'" `
*
DATE. ' '*.
feat **1951 ' ''
'' -
' ?
.\ \
'\ w
.
5LOOD TEST
AA- f
' A.
EYES
/ 2 0/3 b
' W'io /^-oTX'
O' >
- EARS L.
ffOSE
v_;___ .
C7"
; - : . THROAT;
V
\ N r . ' - :A
-V
l
.\
.A
* .
'
' \j/
HEART /
--
'vxX a ` . - :
' A"'' .BE007. FEES SURE
:. .' 4 - .3'- '
'
i *
.. -! EEINE ANALYSIS
42// 74' :
' **. 1\
^ ' . ' -.
' , ; ' ' t
. - ' - `, A. OA-fM*.- i--'
...
....
' *
.
VW
...A
- : X-RAY
X ^ v -v
. REMARKS ""
- 4 ' "V
..
' V"'RX
,-3
Physician1* Sl^oatve
, , . - ' . '-. - .*.
* .t
*
h-
OA
. /.miration
# iTh^i.t- l. '^lsckVjmssr
r i*:.uy,* *. 'y* '
*
"1*V" y-'*' - sake
7'/ * *= ar ,dress
'
' ; - voixy
76
*i .
-
DATE ,
.. Jon* 8,1951 .
' .
' : ' :
-*
j. .
' *
. i
\
.
.. v
. . v.
*,
\
-,
'* - /' V
,
5LOOD TEST
. .
\
EYES
/_ li/i'
.- ^X
*'* Mo
\
U .EARS------1. ?--------
7
/ _
{
1 \
' . *
KOSE _ --------- ^-----------------------------------------------------------------------------------------------
.
THROAT:
-V .
HEART '
ULC07' PRESSURE
/ /* -i * -/
t-RINE ANALYSIS X-RAY
------------------ \r
.
.
. REMARKS
Hnvjir.iwt1 o
/
*< 7v^..
**' 1 *-J
m *:.
.
j.'
o %CLOCK NUMBER
HMZ_
ADDRESS
parsnui?'' > ' : *r.V
\1fC
f-
/ .* ' -
. j ' *
DATE
//- xt- /z
' t. . . 1 '
;-7k -
v `
FA
cirr 4. STATE
* * '
. . *.w\ -# j zmi-
BLOOD TEST
BTES ^ io-J-
EARS
NOSE
*: /TIIBDAT T7
,. HEART
BACK' ^
/M/rfBLOOD; PRESSURE '
HERNIA
URINE ANALYSIS^ X-RAT ' '
22
.>
.PJE7ICC4 INJURIES
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.................. .. .-
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>!! llll.W -- I' --i'X."* k S r
NATIONAL GYPSUM COMPANY
Sni'*s iiismc:
Office__
Nittnr
O Date April 17, VJ59 --ss-.......... Color
Arthritis Operations ^ Venereal Disease*
Liquor
.i
Other Illnesses
.
Address
I'lnnl
Check No.
SM
IP
Children
PHYSICAL IU-COHI)
(TO UK llOMPl.KTKI) UY PERSONNEL DEPAHTMKN'T)
_ *.
Epilepsy
Herniu
_ t.ial nn rraaraa a>dr any Koapila)
tdmitiiM in pa*l S ***>
"
_ Tuberculosis
Tobacco
Drugs
Injuries j. description, locution, % disability
Compensation Hereived
Hava r** hiamrr nf ailirnaia nr nr whr dual diaraar*
_
Do K* Minra't r*nrriliM caaa f>rndinj l*r ritko injury nr tllarn*
in niliuo imin)
Hava any nf rnur pairnta nr hrnthnra l atalrra Had
.
Tul.rrrwlnaia, Cam et, Oiabia, Kpilrpay #r Inaanity *
Lnst previous employment
1 rrtutr iKal |K aKnva immii n. liiir, rnnardr
an.I tt>ai t am in
|nad h*)ih, and lhai 1 hair nn*nr awtt*r*d from SJicnaia, ru'pi (hiatnry)
` .Signature of Applicant
ttitnes*
If divorced, give date and place
.ghl
Lyes-
/ /
l.sft
PHYSICAL EXAMINATION
(TO K COMPLKTKl) HY IJOCTOU)
height -
r
-
Corrected: Hi|iu
Pupils Lungs Heart
.. -
Comes
Shortness of liresUi Blooil Pressure /
/
Kars I lirout and Tonsils
-
Nose
y
1 ,*
..................................................... *
"
, Hearing: Might "
Abdomen
Spine
.
Hernia Hemorrhoids /
Extremities Scars Skin
II r fI e \r*s UUod l c*t
^
*'
.
(N-.i* \ nl ilrUrit il any mat)
(lira.I ami n. h unit - ln.alM.nl (ilntnl*!
Mentality fS
PlinnWsin
.
.t
t)irr (ti|hi Normal lri|hi Under *ei|ht
I .eft
flinni wlar Vintl
Chest X*llny
~=t7
Pulse
Teeth Left ")f
M*vulatuye (ieailnls
(reneral Condition: 0...d
/ V.
Ho von rrmniniend applicant lor sort? y j
jVi
1'MnVf.j)
P.Mir
Nutrition: (md Type of Work?
Feir___
Poor
ICX *HS77-
OHKUtN
NAKKtl
SPPUlfl.SOH PLAN I M i N t/; | i|
)),,(
K tnniined |v
J
mis MIM m M.'S niNlimliN IS kNOttN HY ll|S M'PKHVtSOU. Y fl^-NO 1 !
Name
Di.tr
o
6Q
^
Color
Arthritis Operations " Venrre.il Discuses
NATIONAL GYPSUM COMPANY
Solos District
Office
...........
Drpl.
Ad-hTtr^
^ I'Unt M4 llington , R. J .
Cheek No. 76
S M w !)
Children
*" PHYSICAL I IF,COM)
............. ..
m:rro comih-kth) my pkilsonnki. m:pahtmknn
Lpilrpsy
Ilrmiu
t.ial ot f***f #4 OAT kotfllli'
.
tniMiono i*
$ j*ra,
-
` Ttdirrrulosi"
Liquor
.
Tobacco
Drugs
Other Illnesses
Injuries --jlescrtplion, locution, % disability
Compcnsution Deceived
It V fog Hialorr at liliftfit o' at e<Kcr dual diaraac?
_
Pa fi* kave ooikMo'* rornffOAiiiui r* ipt Ailtiff i|n Af illiout
tl ia militarf aonire?
i)* anf at four pareata ar braihfra of aiaiara had
Tubarruleaia. Cut*r, Oiikftfa, Lpilepa? ar lAaanitf *
Lnst previous employment
l rortiff ikal iho ikotr aaavara at* frtia, rnnorllf
o<t that I am ia
goo.t krtllk, aA>( itial I liaif no auifareil flaw Siliroata, opt (kifinff)
Signature of Applicant
' " Witness
If divorced, give dntc nnd plnce ' ... -- -- - ..............
K*'t ______ '&
.
---
PHYSICAL KXAMINATION
(TO MK (IPMPl.KTKI) IJY ItOCTOIt)
height /
Lyes: Hi*M
Pupil j/
Lungs
liriirt Lurs
U
Throat und Tonsils
*** *
Corrected: H*(M Comes C/
Shortness of lirrnth L* lllood Pressure
Nose
^
llesring: Might
^/1*?
t)*Af lAilkt tlArwal VaigKt llsflaf Vfifkl
l.rti
Itiao* wiar V.a.aa
Chest XIUy
puUe y *2,
Teeth
^
*>*>/
Abdomen Spine
^ ____
llemiu
u
ll.emorrhoids i,
f'.tUemities
^
Sears Is
Skin
is
Mlflt-MH i/
lllood l est ^
(Ni % a< (taria it as? *atl
|II*J amt it. k aaif .. p*f a |m alma)
Clauds
.\initulilx
^
Urinalysis
Miintiiliittife ** (.emlnls
(encrnl Condition: Coot) ^ Do you recommend appliennt for work? " /ks
r Nutrition: Cood U Knir
Poor
''
Type of Work ? I
... t'HOVU)
KOIIkMAN
SAKKT ^ "
sum in ISOil
I't tNI ` ' `
htiimined liv
JW!
M.P
NATIONAL CYPSUM COMPANY
Solos District
oNome
:'jS_fe2_
Color
Arthritis
--
Opernlionn Venerrnl l)i*ei*e*_
1 .iquor
Uepl.
4
Addre*
f rut nillington,N.J* Cltrtk N<>.
M IP
Children
PHYSICAL HKCOIH)
(TO IIK CUMII.KIKl) MY I'l.ANT nit <>mCK)
Epilepsy
llrrnin
l.iai a* *# wl mnr h"|tiia)
aHfltiaaiOoo v**1 ' aa.
Tuberculosi'
Tnliareo
Other Ulnesne*
.
lnjune -- description, locution, % disability Co)i>lro<*ntion lleceived
Jtatr tv hiaCorr of ailicnaia ot
rif ei^rt Huai d.aaaaa?
Oft *<tti kttf
Vdi| t> miKm
< >'iapfulin i tif
flUaaaf
military antr*'
IUr T of fnvf t araftta of bfalhafa <*f aialata bad
Diabla, Of *Tub'ff ulftaia, Ciuirfi,
Kfitf|f InaamlJ
Lust previous employment
| fpriitt that |Kf ati^tf **.* ara tma, riwranly tr<tf.|ad, *) ikat | am in food baaiih, and that | ha na*t awff*rd from .Siliroata, rifppi (ktaiorr)
Signature of Applicant
. ttitneas
If divorced, give dnte nnd place
Height S. C
vEyes: Him _ /^V
physical examination (TO MK (.OMri.KTKl) II V DOCTOH)
>riht
7&.
I.pfi
/ */
Corrected: HtfM
Pupils
(i<imen
Lung* Jlrnrt
/ y
Shortness of Hrenth>ft.^r<> (flood Pressure <yy/f2-
Kars
^
Nnar ^
1 linmt and Tonsil* y .
Hearing: Might
+o
A bdimien s
Hernia
g
itffi K-swal Vaight IlnHaf ***>, l .mil
Chest \Hy Pulse
I'eeth ^ Left
iiiftarul r
V !*
`'pine
f. . .
.
L/
Sn.f.
V*
"'tin
^
ll.-fl.-vs ^
Claud** ^
Mint'd 1 f*t V
(tenoral Condition: (in*d U
1' mr
* nt recommend applicant for work? /K
cmnrk *
Hemorrhoid* ^
% >l al#(*^lft i| f !()
){ # fc **!% |t io ())
Mriiintiii /s (Iniml) mim y
|'nr
Nutrition: (>,(
Mitocn Injure ^
CeuiKil-X^
... I
Type of Kort?
AmtnVkl)
HJIfKVMN
sam:iy Slipi.llVlStm
I
!
!
IKin,
Dole
;intir - >r-Vi m nMns^
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imi. i;i inmuimim X n moon in \1 III
i.oi
___________<u.i J>5.>
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rKMINational G-jpaum Company;_________________________ ___________________
MI //
t)|s| II. I'll I
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7
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M . MI I. Ill MMIII MU
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t\ls|iN.HIM V\|
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(5-/./.J..O -<y_________
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IONAL * > Pii >1 unn *
5ICAI. EXAMINATION ItKCimi)
'-
HATH
67
i'jm:-i:vou>n:NT C]HKjs<rvn:Mr.sr nci'Kiumw iu.m.iu
W niKTU
10/27/00
f Mil _66_>
UHIHKSS stMiU-;
OTtlKK
r KMi'unMvvr_________________ ;_____________________________________________
rr
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vimon.imma\t WMON.VAH |AUINU>
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-
FIM'BATION CIIKST KXPANMOS
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HI.*H*l> PHKNM lit
I'Sr/fo
mumsAi. iuni;**' II ,, Ol'KRA V|YF. SCARS
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AIMJOMtN |l
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___________________________________
l.K AM) KXTHI Aimr.S -KlttMA. AMP(TA I'IO.Vj, KLWCTIONAI. DKKtCTS, DtKOWMlTlt-S
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. 7^*---^'*'--------
motional a rAi<u.m
/
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MT|.JI.AM">i Ml.N \ | I KK
A. i j-i li .unAti. H*jrrt ........
i<>n ashc.nmlm
IMIKVKM <MM>II.AL
LUMPAM Ari*IU>VA|> I'MIsnSSLI III V> Al.O
Ijim* 8 ,
PAH I K.\ AMISLJI -----------------------------------------------
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TIUNA1.
M b OM !' A
iSICAL EXAMINATION Rl:bOIUI
o.
^*
PLANT, 01 I ILK, rN.I> lib ntinyilllngtgj^fekur.
-,,
iuh;,,
!" Jimik* I MTMnwiAT i :m:iN<ruimim ? i'kmoimi ni M.m
.1:01 imnn io/27/qo(\u 65 '
; jsisu.i: J^rMmnn utiir.u
T KMPLOIMIVT National Gypsum Company
___
;n r
DIM- Hil'HKMKNT - l` \< t . ID.XD Oil M-.i k
.
;rr
no
Y1M(J,\.1)IM AM
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.rm'iiatios cmkt kxpanmos
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f.v;n\Ai. iij.v.a
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Ol'KUA I |VK SCAlb
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(.K \M) KVTMLMnH> -KDI.MA. AMI'lT W IOV*. l l NCHONAl. DKKhCl J*. lUJOKMUlKS
^"p^vanTd it UK1 AMD
0
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.AMMO OK PKHMANI.M HMT.l.TS, IMI* \IHMIN I v. K\ \NUNKK IIA> UKKN MISIMIMH Ml.MHl.ANl
d
J&l^C
tC*-^
. no
M* .
NATIONAL GYPSUM COMPA iO
Sties District Office
DpP
Name:
A8* ^2
Color
Arthritis -- Operation* Venereal Disease*
Dept.
Address
.. p.`"l_ WHI lngtoa.H.J.
Lheck No. 76
-
M D
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PLANT OR OFFICE)
Epilepsy
_
-
"
Hernia
Liot oa
odc any heopitol
tOutiiMi it put S )<.
Tuberculoaii
Liquor
Tobt
Drug*
Other Illnesses
Injuries - description, location, % disability
Compensation Received
Hove you hi* toIT of ilieooio or ny other dual diocooo?
0* tom ItoTT o MorkMi'i rewyuuiiti rur
yriUiil foe eithet lajury or illaooo?
Koto you ovor btta io otilitory oomee*
H* aoy of your poroeto or bruthero or eietero hod Tubcrcuioeit, Caocer, Oiobetoo. Epilcpof or laaoaity
^^_
Last previous employment
_________
2 certify that the obovo novero ore true, correctly recorded, end thot I to ood btelthj oed tbot I boro error ouffored from Siliceaio, except (hiatory) _ _ __ ...
Signature of Applicant
Witness
* If divorced, give date and place
Height Lyes: Right Pupils
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
^ '' S.&yLV
___________
</a7 ^
Loft
____________
2_
C_ orrected. :
Right
_____________________
Cornea ^
Oro* Voight Noxwol Weight Uudor fright
Loft
Binocular
Vioioo
Lungs___
Heart
Ears
^
Shortness of Breath Ulood Pressure
None ^
r
Chest X-Ray
Pulse ~IZ-
Teeth ^
Throat and Tonsils
Hearing; Right
Left V Q
Abdomen t/
Hernia
w
Spine Extremities ^
Hemorrhoids y
Scorn
tf
Slun Reflexes _
11 loo*1 lest `V
(Note % of dofoeto if ooy ottot) Ulrod ood arct only -- giro locauoa)
Glands Mentality Urinalysis p
Musculature Genital^
General Condition; Good -U- J-'air > you recommend applicant for work? At.
Remarks
Poor
Nutrition: Good Type of Work?
Fair
kk
Poor 3
APPROVED
FORkXAN
SAFETY
SUPERVISOR
PLANT
"
Date i
Examined by
Tills VAtPt OVFF*S CONniTION IS kNOVN |IY HIS SUPERVISOR. YiS (^C . *0 f
bg
iATIONAL GYPSUM COMPaLJ
uur-
Sales District
Office
Name
JUdijbi- --
Age toQ ___ _____ ^l.r-
Arthritis -- Operation* ___________ Venereal Diseaaes
Address
_____ Plant M4 JLling'ton, K J.
Dept.
__________ _ Check No. 76
_ ___ __
M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
.
Epilepsy________________________________
Hernia
Liil Ktmt tide *<rv kM^iuL iisiifjM it
Tuberculosis
Liquor_____________________________________Tobacco_____________ j________________Drug" Other Illnesses
Injuries -- description, location, % disability
B J Compensation Received
He** you hittsfr of iilieeiii tf or ache* dmt
_____ ________
O* T b*# ttkMt'i _______ I** *iikr isiurr m illin*?
CM*
H*e* y--
, aui*T iimee?
He* tar i four ^unu or ktibtft or tioicrs bid TubtrcuJoeie, Citce, Ditbrtri, Epilepsy or Isoosicy?
Last previous employment
__
_
1 certify (hit ikr above oooworo or* true. Correctly recorded, ood (hot I la (ood beojih, ood tbotj btn ooeor eutfered frea Silicooio. ritryl (biotory)__
Signature 0/ Applicant
Witness
l
If divorced, give date and place
Height
Eyes: Riabt
Pupils
S'i"'
^Ao 7
Left
Lungs
Heart Ears
(/
Throat and Tonsils *
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR) Weight / tjT
Corrected: ftiabt
Contes Ls
Shortness of Breath L Blood Pressure
Nose ^ Hearing: Right
/Jd'
Oror lri|M Kwoil ti|kt
Ifodor *>bi
Lift
Biattvlir Viaiaa
Chest X-Ray Pulse 7*
Teeth t* Left
.
Abdomen
**''
Spine
V
Extremities ^
Scars u
Skin i/
Reflexes ^
Hernia
w
Hemorrhoids
. (Not* % of defect* il ooy riiti)
(llrod ood oork oaly -- (ire locoaoo)
Glands \s
___________ ________ Mentality \___
.
Musculature * Genitals ^
DloodTest . ^_______
Urinalysis L-
General Condition: Good
Fair
Poor
Nutrition: Good L
Fair
Poor
you recommend applicant for work? lemarks
Type of Work? 1
APPROVED
FOREMAN SAFETY SUPERVISOR PLANT
/) . /a
Dot. ^ - / f- O /
Examined br
V
%
THIS EMPLOYEE'S CONDITION IS KN01N BY HIS SUPERVISOR. YES | ! NO
.
M
1
o
LIX# i?S?_
Color yf
acases eaea
Rational gypsum compa)
Sales DistrieV'^
Office
Address
,, Plant MU,
Dept.
uneck No.
M W D`
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
,
Epilepsy
Hernia
List teveraa ti4* r ksspitnl
dsiiiM is psst & rests.
Toberculoaia
.......v.... i i
Tobacco
Drag*
'
description, location, % disability
.lion Received history of silicosis Of u*t iieeast?
pi yow parents ot brother* pt sietera ho4
sis, Cancer, Diabetes, Epilepsr or lasssitr?
D ys* k*fi I
msmitltl cu
peabist it Uha* injury t illness?
flsv* yet aver beea is ttitnrr ssmes?
-
rvious employment
that the sbovc answers sr* true, correctly reHe4, and that 1 an is itb, sn4 ibst! here sever suffered from 5Uico*i, escape (history)
ire r yplteanl
. Witness
t
give date and place
u <: R<H(
iis
C>-
Lett
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
Weight
-/ --
Corrected: Ri*ii
Cornea
Ovet lit^ ffamtl Vsjfbt U4r Wtifkt
Left
Bissetlimr
Visisn
Shonnea* of Breath
Cheat XRay
art
Blood Pressure ^
f
Pulse 7^---------------------------
/
Nose
/ r Teeth
.iroat and Tonsils
^
. Hearing: Right ^Ss
Left
bdomen
Hernia
-pine
^
Hemorrhoids /
Extremities Scars Skin Reflexes
H|r--| Te**t
^
-/
*
Glands
(Net* % nf 4f*etn if any eriai) itf sack nIy |ivi
MoacaUture S'
s' Gemtali
Men tality___ ^______________
Urinaiyais__ ^'
v-ral Condition: Good / Fair uo you recommend applicant for work? y J Remarks
Poor
Nutrition: Good .. Type of Worit?
Fair
Poor
APPROVED
PORFMAN
*** w:E*S CONOfTtDN IS KNOWN BY HIS SUPERVISOR. YES >"'*0
o
jim iipwjr
,y Mamo*
No. 36 446
laterproUttoa of
single
SK ;
Ubos oa 9-4-68
Jf
Tbat'\- Millington, H.J.
, ;*''' iltHfaj Dote toontgaaognm of abort
10-1-68
The bronchovascular markings are unusually prominent and
are irregular, nodular densities in both lungs, especialliy^orV
the right* The lung roots are larger than normal*
'
Diaphragmatic adhesions are present on both sides.*
These changes have dovelopea gradually overtne yeais~from
"normal" in 1953 r.t^ere has been ..definite further changes
'since the last'fam^VThif^ippe^aai^.'film'^siiggests
a mixed exposure to asbestos and to silica. vAn occupational
history is needed to make, a diagnosis more .^certain, bet
silicosis and asbestosis gust. bg Strongly considered. ..
w*ioht, u. n
latSlaki'i HoipHil Boolmad
44104 '
KK - i-SSB
Name
>
No. 36446
Interpretation oi
single
taken on 6-29--66
Plant: Millington, New Jersey Reading Data 7-27-66
roantgenogram el cheat
A coaparitoa of this fils to that of 1964 shoos bo farther change* Provisos sonants still apply*
GSOBGK W. WEIGHT, U. D. Saint lake'* Hoapital 11311 Shake* loalmti Oeeelead. Okie 44104
.a
Nam*
.
No. 27613
Intoipratation oi
single
takas os
5/12/64
|
f P1"fc / Millington, N.J. "* at* 6/16/64
xoa&tgasogram oi chest
A conparison of fflna 1953 to date shoos developner
of pleural densities sometime between 1957 and
1960, mostly on right. Mors m s recent there
have been minor pleural changes on the left. If
he has an asbestos closure it is Imperative that a
diagnosis of asbestosis be considered
GEORGE W. WRIGHT, M. D. Si&t Lake's Hospital 11311 Shskst Boulsrsxd ClsTUad 4, Ohio
kr
I
o
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i \
Naim* No. Interpretation of taken on
53 atngle
Plant:
Millington, M.J.
Reading Date: 8/29/62
roentgenogram of chest
8/V
The tingle film Aon bo change fmopreTlooe coat of
'
li/Ui/60 and a atereo pair of 5/10/60. There la evidence
of a right aide plenral reaction with acne intrapareDCfaymal
change anggeatlng the rettdne of a prtrloat pnenaonia.
711b of 9fib/$9 did not Aov theoe ehogo. 2* there a
hiator? of plenriiy* or pomnoaia batones 1757 and 17607
GXORGX W. WRIGHT, M. D. Salat Lake's Kmplttl 11311 Shaker Boulevard Cleveland 4, Ohio
ICK
* * . \J
Name
No. $3-60 Interpretation oi
single
taken on 4/14/60 compared with
HOC - -
Plant:
Millington, New Jeracy
Reading Data : roentgenogram oi cheat
5/2/60
taken on
A review of films taken in 1953* 1955, 1957* and the earreat one show# the gradual development of what appears to he pleural adhesions at the right base. It it impossible to lmow whether or not there is any abnormality within the h| by looking at title single film. A stereo film and information re his medical history of the past 3 or 4 years would he of help in evaluating this films*
GXORGZ W. WRIGHT, U. D. Ssiai Labs'* Hospital
1X311 Shtksx BooIstwcI
ClovsUsd 4, Ohio
Nam.:
* S'
Plut: WlHifim,
No. J8-57-B
Hooding Data:
Istarpratatioa oiv .jlBglanr
roantgattogxaja of chart
taka&oa J/M/S7
compared with
takaa oa
.
- (m)
S df^unt aiwmaaTItr
G10BGZ W. WRIGHT, M. D. Salat Laha'a Hospital 12311 Shaker Booiarardi ClavaUmd 4, Ohio
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