Document ppBMnx0vzjkjxdpo8GxVbgVyd
FILE NAME: Quintec (QUIN) DATE: 1963 DOC#: QUIN004 DOCUMENT DESCRIPTION: WC Claim - Goans
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N iW fORK
-ATLANTA
BALTIMORE
CHICAGO
CLARKSBURG
IQ S ANGELES
MIAMI
MONTREAL
. NEWARK
NEW ORLEANS
PHtlAOElPHIA
PITTSBURGH
SAN FRANCISCO
ST, LOUIS
TORONTO
TULSA
, h |> A S X A N D M K I K t
AlLaiiXA^SIFUK.
INCORPORATED
J Y--
j,'S '
INSURANCE
f
AVERAGE ADJUSTERS .
CONSULTING ACTUARIES
2225 NORTH CHARLES'STREET, BALTIMORE IB, MD.
December 23rd, 1964
Insurance Department
Armstrong Cork Company
Lancaster, Pennsylvania
tw
TELE PILONE TUXEDO 9-*304 CABLE ADDRESS
'A L S X 8 L U E -
Gentlemen:-
Travelers* Policy No.
RUB 6483814
Please note disposition made of the following claim:
Date of Accident:
Claimant:
Location:
Claim No. :
Disposition:
>f*K
Remarks:
November 22nd, 1957 Robert Goans^ San Francisco, Cal. B 585651 $350.00 compensation
Very truly yours ALEXANDER & ALEXANDER, INC,
Indicate Whether:
Workmen's Compensation x
Auto Liability - B.I. ______
P.D. _____.
Cenerai Liability-
B. I.
?. D.
R
-----
115
This should end this particular claim for asbestosis. DJH
FORM 1501 Printed In U.S.A.
V *
136
ROBERT.0. GOANS v. LORENTZEN 'j CO., LTD., and ARGONAUT INS. CO,, et al
MELVIN S. WITT, Referee August 3 , 1964
Claim OAK 11052 Inj: 4-3-63
REPORT OP REPEREE 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.
/)
MELVIN^ S. WITT, Referee t
MSW:amm
137
1 T-Cv!.-: 7'v IIJD'STRJAL A CC iD /*.' C0VXSSIC5 r
2
CASE NO. 63 CAK 13052.
STATE CT CAUwhKA
3
A
u
ROBERT Q. 'JOANS,
6
Applicant.,
ORDER APPROVING COMPROMISE AND RELEASE
7
v.
3
LOREHT/'N & CO., et al,
and ARGONAUT INSURANCE
9
CC.7PANY, et al,
L
10
Defendants,
11 1
13
13
The parties to the above entitled action having filed
14
a Compromise 3nd Release herein, on July 29, 1&64, settling the
13
above case f->r $6750.00, in addition to all sums which may have
18
been paid previously, and requesting that it be approved; and
17
this Commission having considered the entire record, including
18
said Compromise and,Release, now finds that- it should be ap
19
proved ; and,
30
'GOOD CAUSE APPEARING THEREFOR,
21
IT IS ORDERED that said Compromise and Release be, and
22
it is hereby approved, payable as follows: To applicant, in one
33
lump sum, as follows:
24
$800.00 payable by Aetna Casualty & Surety Co., on
behalf of Mundet Cork Co., Fiberglass Eng
35
ineering and Supply Co., and Owens-Illinois
Fiberglass Co,;
26 25.00 payable by Zenith National Insurance Co.,
27
on behalf of Jackson-Kopkins Co.;
28
75.00 payable by Employers Liability Assurance Co., -,
Ltd., on behalf of National Insulation, Inc.;
29
30
1.
138
1
$75.00 payable by United States Fidelity &
Guaranty Co.,
2
50,00 payable by Royal Indemnity Company;
3
125.O payable by California Casualty Indemnity
4
Exchange;
S
125.00 payable by Argonaut Insurance Company;
6
350t00 payable by Travelers Insurance Company;
7
575.00 payable by Industrial Indemnity Company;
8
' 1700.00 payable by Pacific Employers Insurance
Company;
9
2850.00 payable by State Compensation Insurance
3.0
Fund, less the sum of $750.00 payable to
Smith,. Parrish, Paduck & Clancy as at
U
torney fee, less the sum of $300.00 pay
able to Smith, Parrish, Paduck & Clancy
12
for living expenses advanced applicant,
and less the sum of $309.40 payable to
13
. State of California, Department of Employ
ment, in satisfaction of lien claim.
14
15 INDUSTRIAL ACCIDENT COMMISSION
18
17
18
MELVIN S. WITT,
Referee
19
20
AUG It 1964
21
___Service upon (b . Martin):
"AH parties shown on Official Address Record.
22
23
24
* t i U-^ _______
25 Signature of person serving order
28
27
(SEAL) 28
29 63 Oak 11052
MSW;amm
30
S t.
>
to
139
HEE7HI S. WITT, Rfr
Ookland - H/ZZ/Gk
OOAIS OAK 11052
REPORT CS? REFERES
Th parties arrive2 fit a Ces-roriao and Rt?lsas agreestent Itt te caa of $6750.00.
greemnfc.
KSV:vaJ
140
Subject
. Industrial Accident Coanissidn State of CallSrnia Robert 0. Goans
Attached is notice of tine and place of further, hearing as well aa the minutes of the previous hearing on. the subject Asbestos -Worker.
It is indicated that copies are served on Armstrong Cork, Armstrong
Contracting, Aetna and Travelers.
.
DJU
.
FORM TWI Prlnt.d fn U.5.A.
* \ K
* '.i#
i
* 141
BEFORE TSE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OP CALIFORNIA CLAIM 63 Oalc 11052 %
ROBERT 0. GOANS, Applicant,
vs, XGREETZEN ts COMPANY (and others) and ARGONAUT INSURANCE COMPANY, et al
Defendants
NOTICE OP T U OE AND PLACE OP
FURTHER REARING
NOTICE TO ALL PARTIES
You are hereby notified that further hearing will be held
in the above-entitled action at
3000 State Building 1111 Jackson Street Oakland, California
April 22, 1964
9*00 A.K. {ALL Y) (Before liitt)
Dated at Oakland, California
NOTES
INDUSTRIAL ACCIDENT COMMISSION CONTINUANCES AND PURTtrER HEARINGS ARE NOT FAVORED.
KANE AND ADDRESSES OP PERSONS SERVED: SEE ATTACHED LIST
Dates March 3 , 1964
147
S U E D A1IS SSHVEDt
Egbert 0. Goana, 4232 25th Street, SanFranoiaco, California Bepartnertt of Employment, State Building, Oakland, Californla Smdswick, Beterb, Horan & Arnold, 100 Bu3hStroet, San Francisco,
Ualifoiraia amth, Parrish, Paduck and Clancy, 315 Financial Center Buildlns,
JDakland 12, California '
torimtzen & Go., 1155 5th Street, Oakland, California Warren Manley, c/o National Insulation Company, 563 Polk Street,
San Francisco, California " Argonaut Insurance Company, 550 California Street, San Francisco,
California Banna & Brophy, 1540 San Tablo Avenue, Oakland 12, C a l i f o r n i a . J, Patrick Goodwin, 41 Sutter, San 2b?ehciseo 4, California P. E, Carignah, 6/1 Vernon Street, Oakland 10, California
Western Asbestos, P.0, Box 3734, Ninoon Annex, San Francisco, California
Munfiet Cork Company, 410 Talbert Street, San Francisco, California
Plant Rubbexvfc Asbestos Works, 13Q0 64th Street, Gakland, California Plant Asbestos Company, 1300 64th Street, Emeryville 8, California Army Port Contractors, 1501 Maritime Street, Oakland; California
Van Arsdale Harris lumber Co., 5th and Brannaa Streets, San Francisco, , California 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 Asbestos Company of California, S4l 16th Street, San Francisco 7,
California Johns Mansvllle Sales Corp., P.0. Bex 3734, Rincon Annex, San Francisco,
California Marine Engineering & Supply Co., g4l East 12th Street, Eos Angeles, . California *Armstrong Cork, 304 Shaw Road, So, San Francisco, California M. R, Carpenter,'907 Front Street,Sacramento, California ' Caw Insulations, 360020th Avenue, Sacramento 17, California Fiberglass Engineering & Supply, 1E00 17th Street, Saa Francisco,
.California Owens Coming Fiberglass Corporation, 1200 17th Street, San Francisco,
California Charles Ayres Company, 698 Minnesota Street, San Francisco, California Coast Insulation Products, 231S an Fernando Road, Loa Angeles, Califcrnla
Thome C. Douglass, Jr., Douglass Insulating Company, 2233 Ingalls, San Francisco, California
J. 5?, Thorpe & Sons, 1351 Ocean Avenue, Emeryville, California Armstrong Contracting & Supply, c/o Armstrong Cork, 304 Shat; Road,
So, San Francisco, California National Insulation. Ino., 503 Polk Street,.Sah Francisco, C a l i f o r n i a Jackson Hopkins company, Inc,, p.o. Box 496, Bakersfield, California Belly Asbestos, Inc., 030 Grand Avenue, Kansas Ci.ty 8, Missouri Asbestos Products, Inc., 710 Raymond Avenue, St. Paul 4, ISinneoota Asbestos Products & Fabricators Corp., 23*6 San Fernando Road,.
Eos Angeles, California Aetna Casualty * Surety Co,, 220 Montgomery, San F r a n c i s c o , California
Standard Accident Inauranee Company, P.O. Box 567, sah Frahclaco,
California Industrial Indemnity Company, 350 Sanaome, San FranciBCo, California Waited States Dlfelity t Guaranty Co., 120 Montgomery Street,
San Francisco, California Employers liability Ausuranoe Corporation, Ltd., lOpO Rusa Bulldim,
San Francisco 4, California Fireman's Kind Insurance Cotapany, .330 19th Street, Oakland 12, Californin Statd Compensation Insurance Fund, 336a Ocand .Avenue,. Oakland, Callfcrnia )Travclera Insurance Company, 1956 V.'obster Street, Oakland 12, California American Kotoxicfcs Jneurance Company, 417 Montgomery Street,
San Frahoiueo 4, California American Employers* Insurance Company, 235 Montgomery, San Francisco,
California . Associated Indemnity1Corporation, 332 Pine, Son Francisco, California
-2--
Robert 0. 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, California
Royal Indemnity Company, 201 Sanaerne,- San Franeisoo,.California Employers Mutual Liability insurance Company of'Wisconsin, 114 Sansoms
Street, San Francisco 4. California Zurich General Accident, 417 Montgomery Street, Sari Francisco, California
J*h GQAK3
11052
BEFORE THE WETS TRIAL ACCirGBT CCK5ITSSION i)P THE STATE OF CALIFORNIA
ROBERT 0. COWS,
Applicant,
vs.
ionmnsCT & Co:!?',, a nd AROOJBST XlS3RAi.*SS CCiTAKY, ct ol
Defendants,
0. OAX 11052
KDRJTES OP EEAIUKa <co-N*roruED) -KSD
o r d e r e ig :u s s h ;o PARTIES IXFErfLMTS
Place and Tins: Oakland - April 2, 19$4, 9:00 o.a.
Referee; Reporter:
Appeararsceut
WHT Jordan
Applicant presentj represented by Salth,. Parrish, Fsdui!-: . & Cluroy, Attorneys (osoph 2. Ssith eppearias).
Aesricna F&torlJita Ins. Co., represented by F. E, Cerlgnaa, Attorney.
Employers liability Assurance Corp., Ltd., and Zenith Natl. Ia3. Co,, represented by J. Patrick Goeiain, Attorney,
Assoc. Indirsiity Corp., and Pacific ISiployera Ina, Co., repreae&fdd by A^ullca 6 Filippi, Attorneys (Frank J. Filipgl appeariag)..
3.C.I.F., represented by Willian Lowndes, Attorney.
Argonaut Iris. Co,, Calif. Casualty Indemnity Each., Royal Xnfeanity Co., Crsited States Fidelity & Guaranty Co., Standard Accident Ina. Co., Travelers ins. Co., and yiroaan11 l-'and Ia3. Co., represented by Hanna & Brophy, Attorneys (ViiUiea Eroadboclc appearing),
Aetna Ca-vuilty & Surety Co. j represented by Sedrwiek, Dctort, Sforan & Arnold, Attorneys (Theodore Rsltbrasiiler appearing).
Industrial Ihdeaaifcy Company' represented by R. 0. Lynch, Attorney,
Aswrtean Motorists Insuretcv Company's coverage of d. S. Braun, having been In 1945, while the el&Lnad eaploysont waa in 1933, and
COOS CAUSE APPEARING THEREFOR* It is ordered that Aaerican Motorists InsuranceCompany be and it hereby is disalsscd as a party darendanc.
GOOD CAUSE APPEASE?} THSREFOR* It Is ordered that Associated Indemnity Corporation and I'lroaan13 Fund Insurance Cospary bo .
and they .hereby are diesdseed as parties defendants.
.
600 CAUSE APPEASE? THEREFOR* It la ordered that Standard Accident Insurance Company be and it hereby is dismissed as a party defendant.
BEESMSITIGMS
Thirty days to file
iso and Release asrecoent.
3p dice
IXiT* LvTrozv; ECEf.pTRlAL ACUlDEliT CC:3ESSXGH
SBARDSJ - 4/S 2/34
ALL PARTIES SSRUSD AS SHOWN OH THE OFFICIAL ADJ3!ESS RECORD*
BEFORE TiCI INDUSTRIAL ACCIDENT COrfflUSSJEOi OF THE STATE OP CALIFORNIA
ROBERT 0..GOANS,
Applicant,
vs.
L0RSSTZ3H & 'COMPANY, AND
1
ARGONAUT INSURANCE COMPANY, eb el,
Defendants.
HO. OAK 11052
KCNUT::r> o p h e a r i n g (CCOTl'NUED) Aim
ORDER DL'TIIS'SIKG AND ORDER ;iQ"Eai PARTIES ' DKFKX.J.iPJS
Place and Time: Oakland - January >, 1$6if-j 9;00 a,a,
Referee: Reporter:
Appearances;
WITT Jordan
Applicant present; represented bySmith, Parrish, FcXV.clr &' Clancy, Attorneys (Joseph E. Smithappearing}.
Employers Liability Au3tArar.ee OoxTcrt.tian, Ltd,, ani Zenith National Insurance Co., rtni^aenced .by J. Patrick Goodwin, Attorney (Harold J. Scot".. appearing). .
Associated Indeanit-f Coro., and Pacific Hiploixrs Ins,. Co. represented by Siilliih & Filippi, Attorneys (Frank j. Flli.ppi app sarlng).
Industrial Indei^ty-Exchange and Industrial Indemnity Co. represented by Randall S. Smith,. Attorney.
Employers Mutual liability Ins. Co., of Wisconsin represented by Arnold H. Monts, Attorney,
Aetna Casualty & Surety-Ob.: and Zurich General Aeeldent,represented by Seda-rick, Dsterfe, Koran $ Arnold, Attorneys (Tod P, Neideniiller appealing).
Argonaut In?., Oo,, Calif. Casualty Jiideamity Exchange, Royal Indeaaity Co., United State:: Fidelity & Guaranty Cio. Standard Accident Insurance. Co., Travelers. Ine-. Co., and Flresian's Fund Ins. Ce., reprsseuted by Hanna & Erophy, Attorns,y3 (Ivan A. Schwab appearing),
State Compe:-isation insurance Fund,, represented by Charles KcHillan, Autorr.ay,
American Motorists Ins, Co., and Lumbermans Jivittal repre-
sented by ?. E, Carignan, Attorney.
GOOD CAUSE APPEARING THEREFOR; . It is ordered that the following named
parties be and they hereby are dismissed:
Employers F&itual liability Insurance Company of Wisconsin Zurich General Accident
It is ordered that Royal Indemnity Company be and it hereby is Joined as a party defendant.
The application ia ordered amended on its face to show the name of United States Fidelity and Guarantee Company as United States Fidelity and Guaranty. Coii
INDUSTRIAL ACCIDENT COMMISSION
LET THE MINUTES SHOW the stipulation of the parties that the subpoenaed reoords of St. Luke Hospital and Kaiser Foundation Hospital may be with drawn by fir. Ms&lliah for copying.
DISPOSITION: 4p disc.
Continued, to be reset on notice tc all parties. HEARING - 1/29/64
MELVIN- S.. WITT, fcefarco Oakland - 1/29/64
G0AH3 OAK 11052
REPORT OP REFEREE
In a preliminary diacuorion, Mr, Smith Indicated* tht there was er.oloy(sent with Western Asbestos for th period 1920 to 19>7, during which
Western Asbestos s. the sole eihiloyer. There are no records by Western prior to 1946 as to employment. Mr. Pllippi tentatively vri.ll stipulate to coverug, by tecific Employers insurance Coh.oany Tor tha period November 1,1925, to November 1, 1932. The perioc of 1920,to . 1925 had not been.eaecVced, cinco It was not alleged in tht annllcation. Hr. McMillan will .-.tipulate to coverage of .Western-by the tte Fund from Novenbar-1, J.432, t dat*. There is no itifonation regarding employment prior to -946,
It was agreed tbo'aB to Mandat Crk Company, all periods prioi to
.1940 are dinln.V>uo* Mr. Neldartnulioi will tentatively stipulate to. coverage begi^'-bns December 31, 1939, to 194-4, and December 31 l-.;51, through Ju'*-- -, 1963. However Indas <.vial Indemnity Exchange insured Stondet r-jeofeer 31, 1943, to IVr, aci.-rding to Mr. Smith3 so the
C,r,p -> records are apparently, erroneous. In any w e n t there is no 0*,'loyoeent claimed during that time Oujd.i*e. 1943 to 1944.
As to Plant Rubber & Asbestos Works, Pacific Euoloyera will tentativeTM ly stipulate from October 1, 1940, to October 1, -*342, for coverage.
As to Plant Asbestos Company, Pacific Snployers will tfc.-^atively stip ulate to coverage from Hay 1 8 , 1938, to January 1 , 1952. industrial" Indemnity Company will definitely stipulate to coverage J e n ^ y x,
1952, to January 1, 1962. It has no information regarding em,oy:K>ni;<i
As to Array Port Contractors, Associated Indemnity Gorp., has no 1*.*-^nation of coverage of that employer. Hr. Schwab, indicated that Fireman's Fund insurance Corpany was unaware of Array Port Contractors as having been allegedly insured and this will be checked.
Hr. Schwab Btated that California Casualty Indemnity Exchange will definitely stimulate to coverage of C. I?. Braun a Company September 21, 1936, to December 1, 1941, and to coverage of Harry A. Dutton, dus Dutton Asbestos Company, November 1, 1932, to November 1, 1958
Zurich General Accident had one-half day coverage in 1937 and was dis missed, as was Employers Mutual liability Insurance Company of Wisconsin,
Many of the parties stated they had not had sufficient time as yet to check records regarU n s coverage and employment in view- of th.incom plete pleadings regarding dates arid places of employment. Mr. Smith indicated that he will go through the entire vrark history with-.the applicant today ana then send the information to the paieries, who are
then to advise in writing rogardlns stipulations as to coverage and employment. Preliminary settlement hegotion is under way.
Apparently the lion claim for I.C.D. Benefits is in connection with . an aye condition which is no part of this action.
DISPOSITION: Continued, to be reset on notice to all parties.
HSWtvmJ
MEL7H1 S. WITT, Referee
ATLANTA
ULTIMO*! CHICAGO
CLARKSBURG '
LOS ANGELES
MIAMI
MONTREAL Newark
HEW ORLEANS
NEW TOAK
PHILADELPHIA
PITTSBURGH SAN FRANCISCO
ST. LOUIS TORONTO TULSA
A i u e x a s d i e i r <&
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES *
2225 NORTH CHARLES STREET, BALTIMORE, MD. 21213
February 26th, 1964
TUfftiONt TUXIDO W JW
CASI? AORESS " AlBCUUi"
Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Gentlemen:-
re: Robert Goans D/A November 22nd, 1957 File B 585651
We have received a status, report from the Oakland, California Office of the Travelers Insurance Company on this case, which reads as follows:
"A hearing was held January 29th, 1964; no results to date. Probable further hearings to be scheduled.*'
The above is for your information and file.
Sincerely
R
i',h^rT-
ting
Attached are letters from State Compensation Insurance Fund and report of H. Corwin Hinhhav, M.D, } for both Armstrong Contracting and Armstrong Cork. DJH
FORM 15Q1 Prfnt.d In U.5.A.
^
s 5?
1 Ad
January 14j 1964
FIFTY YEARS OF SER VIC E
Industrial Accident Commission Room 3000, State Building 111! Jackson Street Oakland 7, California
COM PENSATION INSURANCE
UNO
A04I83 Robert 0. Goans
Res Robert 0. Goans vs. Western Asbestos Company (and others) and State Compensation Insurance, et al i.A.C. 63 OAK 11052
. Gentlemen:
We are enclosing report of H. Corwin Kinshaw, M.D., dated October 14, 1963,
A copy Of this report has been mailed to the parties listed below.
Very truly yours,
Charles M. McMillan Attorney
Jr
Enc
cc
Robert 0. .Goans, 4232 - 25th Street, San Franeisco, California' Smith, Parrish, Paduck and Clancy, 315 Financial Center
Building, Oakland 12, California Lorer.tzen and Company, 1155 Fifth Street, Oakland, California Warren Manley, c/o National Insulation Company, 503 Polk Street, . San Francisco, California. Argonaut Insurance Company, 550 California Street, San Francisco,
California
150
O OAANO AVSNUC, OAKLAND IO CAUPOftN
Re: R o b e rt A. Goans A04183
Pace 2
Hanna and Brophy, I540 San Pablo Avenue, Oakland 12, California J. Patrick Goodwin, 41 Sutter, San Francisco 4, California
P, E, Carlgnan, c/o American Motorists insurance Company, 4 if Montgomery Street, San'Francisco 4, California
Western Asbestos, p. 0. Box 3784, Rincon Annex, San Francisco, California
Mundet Cork Company, 410 Talbert Street, San Francisco, California Plant Rubber and Asbestos Works, 1300 - 64th Street, Oakland,
California Plant Asbestos Company, 1300 - 64th Street, Emeryville 8,
California . . Army Port Contractors, 151 Maritime Street, Oakland, California
Van Arsdale Harris Lumber Company, Fifth and 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 - l6th Street, San Francisco 7, California .
Johns Mansville Sales Corporation, P. 0. 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 - 17tlv Street, San Francisco. California
Owens Corning Fiberglass Corporation, 1200 - 17th Street, San Francisco, California
Charles Ayres Company, 698 Minnesota Street, San Francisco, California
Department of Employment, P, 0. Box 3534, San Francisco, California Coast. Insulation Products, 2316 San Fernando Road, Los Angeles,
California Thomas C. Douglas, Jr., Douglas Insulating Company, 2233 Ingalls,
San Francisco, California J. T. Thorpe and Sons, 1351 Ocean Avenue, Emeryville, California Armstrong Contracting and Supply, c/o Armstrong Cork, 304 Shaw
Road, South San Francisco, California National Insulation, Inc., 503 Polk Street, San Francisco,
California J.ackson Hopkins Company, Inc., P. 0, Box 490, Bakersfield,
California Kelly Asbestos, Inc., 2030 Grand Avenue, Kansas City 8. Missouri Asbestos Products, Inc., 71 Raymond Avenue, St. Paul 4,
Minnesota Asbestos Products and Fabricators Corporation, 2316 San Fernando
Road, Los Angeles, California
151
Re: Robert A. Goans A04183
Page 3 '
Aetna Casualty and Surety Company, 926 J Building, Room 1308,
Sacramento 14, California
Employers Mutual Liability Insurance Company of Wisconsin,
114 Sansome Street, San Francisco 4. California Standard Accident Insurance Company, A33 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, 33O - 19th Street, Oakland 12,
California Travelers Insurance Company, 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, Ca
Zurich General Accident, 417 Montgomery Street, San Francisco,
California'
Industrial Indemnity Exchange, 350 Sansome, San Francisco,
California
Associated Indemnity Corporation, 3'32 Pine, San Francisco,
California
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 Company, 582 Market Street,
San Francisco, California
Argonaut Insurance Exchange, 550 California Street, San Francisco,
California
152
nmmt YUKON -7100
H . C orw in H in sh a w , m . d , H o r t o n C. H in sh a w . j h - H , D.
4EO BUTT BT*T BAN rANCmao e, CALIFORNIA
:October 14,. 1963
1
4
-a-
-4
Prom:
H. Corwin Hinshaw, M.D.
To:
State Compensation Insurance Fund
525 Golden Gate Avenua
San Francisco 1, California
Subject:
R obertO . Goans.
A04183
. ;
REPORT OF SPECIAL MEDICAL EXAMINATION
- Purpose of the Examination: .
To determine M r, Goans* present physical condition with special reference to his
, reported pneumoconiosis attributed to exposure while doing insulation work over a perioc
.of 43 or 44 y ears.
.
. Th 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 m aterials particular asbestos and corrugated paper during early years and during the last four years or so has b'en 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 rath er 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 tc .work, in relatively closed poorly ventilated spaces.
He considered himself to be well and had no complaints until recently. He says that abo: three or four years ago Ms union made arrangements to have members take x-rays onco a year at the K aiser Hospital in Oakland, California. He believes that his firs t x-ray w made about three years ago and that he had never had an x-ray, of the chest made before. Ho. was told a t that time that there was evidence of some dust in his lungs, at first only . "o n the bottom of the lungs" but in more recent y ears 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 M r. 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 retirem ent age of 65 years but, of course, he is not willing to run any risk of serious pulmonary difficulty. Ho says that it is not possible to escape all exposure to dust in his occupation and that ho would not be able to find a job in this industry that .does not involve
dust exposure,
. .
[icy `6 1963
. ,
)fEOAL
Pago 2; Prom; To: Subject:
October 14, 1963
H. Corwin Hinshaw, M.D.
State Compensation Insurance Fund
R o b e rto . Goans
He says that he had had no significant symptoms during previous years and ho 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 one-half m iles and this was done without serious difficulty. He says that he worked at an altitude of about G, OC feet in the vicinity of Reno about two o r three years ago and he does uot re c a ll any difficulty breathing a t that altitude. Since learning of his x -ra y changes he has noted cough, and expectoration, especially during the la st year or two, shortness of breath all m ostly during the past y ear 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 o: did some other unusual effort that he would become short of breath and stop. He has nt 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 iioi done any work a t all the la s t nine months or so.
.Present Symptoms:
He says that his general health and strength, would be satisfactory except for his lung
difficulty. He does uot belieye ha has lo st any weight in the la st y ear although his prest
weight is about 10 or 15 pounds below his usual weight,
Respiratory Symptoms - He says that he has a mild cough ini the morning with expecton
of c lear sputum. He has never expectorated blood. He has never had asthmatic syniptt
such as wheezing, no chest pain. He has moderately severe shortness of breath on any
unusual activity as described previously. He is uot particularly prone to develop
respiratory infections.
.
Cardiac Symptoms - He has never had a heart attack. He has no anginal pain, no
palpitation, no swelling of the ankles.
G astro-intsstinal Symptoms - His appetite is satisfactory, no abdominal pain, no'
constipation or diarrhea, no difficulty swallowing.
Gsmto-urinary Symptoms - No frequency, no nocturia, no pain, no obstruction to the fit
of urine or any other symptom to suggest kidney or bladder disorder.
Eyes - He says that he has a cataract in h is 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, no woakness, no
bone or joint symptoms, no central nervous system disorders.
Personal Habits: *; He smokes 20 to 30 cigarettes a day and has all of his adult life. He drinks regularly. ; 'says that he always has a "shot!1before breakfast and som etim es drinks as much as a ha a pint a day. He says that he has never become intoxicated and doos not go on drinking sprees but drinks those amounts on a regular b asis. Ho has been m arried twice, liis f irs t wifo bore him ono child but ho does not know whether that child is still living. He has been m arried to his present wifo for 38 y ears. They have had no-children. Ho says .that his wife has suffered from colitis. He docs not know about.tho health of his mother and fathor, having had no communication with thorn since 1926i; -TheyWarcJliving in the
'Vff I f rat
Page 3: From: To: Subject:
, October 14, 1953
.
H. Corwin Hinshaw, M.D,
State Compensation Insurance Fund
RobortO. Goans
State of Missouri, He is not sure how many brothers or sistors be has but thinks ther were seven or eight in the family. He has not had any contact with them for many yea;
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 ha had an x-ray of his chest at tha1 time or not. His physician was Doctor Horn... He also spraiad, his right wrist but thi
did not require hospitalization. He has never been in a hospital in any other circurast . He has never been in military service. He has not had any serious childhood diseases
He has ne.ver been hospitalized for any other condition. H. doesn't believe he has eve pleurisy, pneumonia, jaundice, rheumatic fever, malaria, syphilis, other accidents c 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 .well man and be seems to be frank and cooperative.. Eis appearance is consistent with his statement that he is of partial Cherokee Indian extraction and part Anglo Saxon. Blood Pressure - Abnormal, consistently elevated to a .Ievel of ISO to 200 systolic and 90 diastolic. , Pulse - Normal, 64 and regular. Temperature - Normal, 98..4. Eyes - Pupils are round,, regular and equal, reflexes to light and accommodation norn . external ocular movements are normal.
. Oral Cavity - No significant findings. . Lymph Nodes - None are enlarged or diseased. Thyroid r 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 lim its. No wheezes . heard. There were a few basal rales rather coarse and .symmetrically distributed on both sides, suggesting pulmonary congestion. . Heart - Size indeterminate, rhythm regular, no murmurs or other abnormalities detected. No distention of neck veins in the upright position. . . Abdomen - No enlargement of liver, spleen or kidneys. No abnormal massos palpated No unusual tenderness.
Electrocardiogram:
Auricular Rato 70, Ventricular Rato 70, Rhythm Sinus, T Waves Normal, P-R Iatcrva.
0,16, Q-R-S Interval 0.06, S-T Segment Isoelectric, Position Soml-vortical,
Electrical Axis Normal.
REMARKS: Normal record.
'
MW /
G 1SS3
| co^-L
Page 4: Prom: To: Subject:
. Octobor 14, 1963 H. Corwin Hinshaw, M.D. State Compensation Insurance Fund Robert 0 . Goans
Urinalysis:
(Gerson R. Biskind, M.D. - Medical Laboratory)
Color Yellow,.. Turbidity Clear, Reaction pH 6,0, Spec. Gray, 1,021,
, Albumin Negative, Sugar Negative, Urobilinogen (normal pos. 1:10} pos. dir,
neg. 1:10, Epithelial Cells rare sq ,, RBC/hdf 0, WBC/hdf Occ., Casts 0, Bacteria 0,
. Crystals 0,. Mucus Threads 0,
; Complete Blood Count; Hemoglobin 97%, 15,0 Gm., Erythrocyte Count 4.98 Million, Color Index 0.97, Leukocyte Count 9,400, Polymorph. Neutr. 59%, Filamenied 58%, Nonfilamented 1%, ; Eosinophiles 1%, Basophiles 0%, Lymphocytes 34%, Monocytes 6%.
Rare atypical lymphocytes noted; the red. blood cells and platelets appear normal.
Blood Serology: VDRL - NPnreactive. . Kolmer - Nonreactive.
X-ray Examination of the Chest:
Stereoscopic and left lateral projections show a bony thorax within normal limits. The
heart shadow is questionably enlarged and the aortic shadow is prominent. Both
hemidiaphragms are irregular in contour and hazy in outline. Most impressive is the
.fine linear densities extending out from both hilar regions into the base of each lung anc
some less distinct and coarser strands extending into the right apex. There is a bluntii
.of the right cardiophrenic angle but it is unclear whether this is cardiac or pulmonary i
origin and most lilcely it is a distortion of the cardiac outline produced by pleural chang
`
.IMPRESSION: The appearance is that of diffuse rather extensive and moderately severe
pulmonary fibrosis such as is seen in cases of asbestosis. ..The pleural changes are als
compatible with this diagnosis.
Tests of Pulmonary Function:
One second forced expiratory volume - 2.2 liters, two seconds 2.6 liters, three second
2.9 liters and total 2.9 liters.
'
.Maximal Breathing Capacity - 63 liters per minute. . . . . .
IMPRESSION: The picture is one of moderate restrictive ltmg disease with nearly norm
air flow rate (175 liters par minute on the spirogram). Such restrictive disease is sect
in pulmonary fibrosis, congestive heart failure, etc. The ventilation as measured
should be adequate to permit moderate physical activity in.so far as such an estimation
' can be made by these methods.
Discussion and Summary: . This patient has definite elevation of-Ms blood pressure, moderately severe pulmonary
fibrosis (presumably asbestosis) and symptoms of reduction in exertion toloranco noted
only recently.
v->
. On the basis of our x-ray findings and his history of exposure, it seems prd}ablo that
.
iiuV u
*< tpcfr.
Page 5s , October 14, 1963
Prom;
H. Corwin Hinshaw,M.D,
`
To;
State Compensation Insurance Fund
Subject: Robert 0. Goans
.Discussion and Summary CONTINUED: his pulmonary fibrosis has been present for many years, that It is of occupational origin and due principally if not entirely to exposure to asbestos fibers. His symptom;
are describod as having been of rather recent origin and I suspect that the cardiac .stress of his hyportension may have been the recently added factor -which has combined with the pre-existing and probably longstanding pulmonary fibrosis to produce the symptoms.
Since Mr. Goans is so near to his normal retirement age, he is eager to remain employed until the age of 65. It is my opinion that it would not be deleterious to his physical welfare to continue working provided he can be assigned to tasks, that do not involve inhalation of pathogenic dusts or fibers in the air,
.Be should be under continuous medical supervision and if the hypertensive trend coufciru he should probably receive antihypertensive drugs. In the event that those are marked], . effective in relieving his symptoms, it would tend to confirm the belief that the cardiac `aspect of his disability was an important one.
..... . Previous x-ray films have not yet been obtained for comparison with current films.
' . The most reliable method of analyzing his cardiac and hypertensive status would be to . admit Mm to a hospital for a week or two of appropriate treatm ent designed to control his. hypertension and to relieve any pulmonary congestion produced by this condition.
...., However, the existence of pulmonary fibrosis of occupational origin has been satisfactorily established by present studies, in'my opinion.
. Very truly y o u rs,.
HCHDF
,H Corwin Hinshaw, M.D.
, .RECEIVED
1S63
HCV GISS^.F. LEGAL vcr"L
157
Januuy 13, 19&
Hr* jc3bn A. Binkley' Legal Dcpcrtacnt .Baplcycrs Mutuals of Wausau Aden Grant Building Son ITencisco, California
Dear Mr. Binkley:
Subject: Hebert 0. Goans vs
Armstrong Cork. Company, et el.
Pile A27-46462
IAC Pile 63 CAK 11052
'
Ve are sorry tint we cannot give you tbs periods of cEEicyaeMfc of Mr. Goans from January 1, 1S44 to January 1, 1952 when you were an insurer of a portion of our California operations. All of the payroll records prior to I956 except, a yearly, plant sunaary have been destroyed.
feu Irene never the insurer of our contracting operations, however, and this is the area frea which the pnauaonochauiosis ctermed. You insured our panufUcturing plant at South Gate. Our yearly plant siEEsary for the peried in question does not list Mr. Goans as. having been in our employ at South Gate.
We hope that this information will be of sesae assistance to you*
Very truly yours,
.
Wallace B. Uoffertb
Assistant General Manage?
Insurance Departoont
ms.
Mr. A. L, Stately, District Manager Armstrong Contracting ami Supply Qorp. 304 Shav Hoad South Son Francisco, Calif.
90S *CtlO*f...J
"*ffOMATlDN r5 ^ C ^ '( f c C ^ t i ) L ^ 6 6 > " n . ... g f t ^ j igygfeatcS Sfe
53flP- 1 ^ ^ ' 'c g > - |
Employers Mutuals of Wausam
G R ANT BUILDING SA N FRANCISCO, CALIFORNIA 3*194 GARFIELD N J
Armstrong Cork Company 304 Shaw Road South San Francisco, California
January 6, 1964
Robert 0. Goans v. Armstrong Cork Company, et al Or file: A27-46462 IAC file: 63 OAK H52
Gentlemen:
We have been joined with a number of other employers in a claim by Robert 0 Goans, Social Security Ho. 559-10-6873> adise return address is 4232 25th Street, San Francisco, in a claim for the industrial disease of pneumonpconiosis., The. allegation in the'application is that the appli cant has been working for the various employers listed., doing insulation work for a number of years The applicant's employers date from 1926 to date.
We are concerned vdth.verifying the above applicant's employment with you hiring our policy period of January 1,.1944 to January 1, 1952. He claims to have worked for tire Armstrong Cork Company in 1950, as well as in 1954, 1956 and 1957 and other dates not specified.
Would you please indicate the periods worked between our policy period of January , 1944 and January 1, 1952? Also, indicate the total wages earned during this period of time, and the applicant's Job title during that time.
Also, please indicate the name of the applicant's foreman or immediate super visor. Also, give us a brief description of the type, of work he was perform ing for you during his employment with you within the above indicated dates.
This matter is now set for hearing in Oakland on January 29, 1964, and we would appreciate your prompt response to this request.
Thank you for your anticipated cooperation.
159
FO R M IM I Prfntl In U .5.A .
. *,
'
Tl
160
BEFORE THE EBJJSSRIAL ACCUSE? COMMISSION OF THE STATE OF CALIFORNIA CLAIM 63 Oak IIO52
ROBERT 0. GOANS,
)
Applicant, )
VS
)
LSERTZ5IT is COMPART (and others) and
ARGONAUT INSURANCE COMPANY, et al )
Defendants )
NOTICE OF TIME AND PLACE OF
FURTHER HEARING
' NOTICE TO ALL PARTIES
You are hereby notified that further hearing will be held
la the above-entitled action at
. ..
3000 State Building 1111 Jackson Street Oakland, California
January 89* 1964
9|0O A.H. (ALL LAY) (Before Witt)
Bated at Oakland, California
INDUSTRIAL ACCIDENT COMMISSION
NOTE; CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED,
HAKE AND ADDRESS OF PERSONS. SERVED!
Late! December 18, 19^3
SEE ATTACKED LIST
fe
)A1TS .052
FIXED 11JD SERVED:
(fo)
Robert 0* Goons, 4232 25th Straet, S tn Francisco, California Smith, iarrish, .Paduck af.fi Sltucy, 315 Financial Carter
Building, Oakland 32, California Dorcntfen & Co.', 1155 5th Street//Oakland, California , Warren in n lo y , c/o Kstlcnal Insulation Company, 503 Folic Street,
San Iranoloso, CaXliiniti Aigor-avi. Snsyzcnce Cw&i'any, 550 California Street, San Franei.aoo,
California
Henna : srepfy, 1540 S m Pablo Avenue, Oakland 12, California J. Fatzicl-:-Goofvlxt, 41'Satt ir>'3a Fs saeisoo 4, Cali.fpr:jla ?. . Ccricna, 0/0 Azcsicai. llotorioto Insm'anoo Company, '
417 ttentgcicoxy Strest, iiaa Rraneiecc 4, California Western Asbestos, P.0,"Box 3784, lilr.icn Annex, sn Francisco,
California Mum'et Coiic Cctpany, 410 i'albort Street, San Fronde eo, Calif.
Plant Foibber & /itibestor Worsa, 1300 64th Street, Oakland, California
Plant /e'oestes Company, 2331 64th Street, Emeryville 3, California Army Pert Co"trc.ufcors, 1501 Uaritims .Street, .Oakland, California Van Artdale Kerris Lumber Co., 5th azd Brennan Streets,
San rTanoiifC:?, Califenla Bay Cilice Astsstos Co., Ltd,, 6th and Eaet 12th Street, Oakland,
California Harry A. Dutton, Jr., luitoi Asbestos Company, 532 Batons Strest,
.Sen Irandueo, Califcrsia C. F, Braun 5Company, 1C00 South Fremont Auenrie, Alaaabra,
California Aebz-ctcs Company of California, 941 l6th Street, San Fi*aneicuo 7
California
Johns Fansvilla. Sales Corp., P.0. Box 3784, Ittncon Annex, San irenciec?, Calllb rrjla
Marins Engineering fc Supply Go*,. 941 East 12th Street, Ic-3 Angeles,
California Araetreng Cork, 304 Shew lioad, So, San Frriscisoo, California M, R. Carpenter, 507 Fxoht street, Sacramento, CcliSania Caw Inrulaticns, 3500 3th Avenue, Sacramento 17 California Fiberglass Engineering & Supply, 1200 17th Street, San Francisco,
California Owens Corning fiberglass Ccrp,, 1200 17th Street, San Frsnelcco,
California Charisi' Ayres Company, 6s8 ilinneaota Stx*eet, San Prahd3eo,
California Department of Eaployttstt, P.O. Box 3534 San Francisco, Califorvda
2
Coast Insulation Producta, 2316 San Fernando Road, Loa Angeles, California
Themas C.IPug2a3, Jr., LougIclb Innulatlng Company, 2233 iiigalls, San. Francisco, California
J. f . Oiorpo ; Sons, 1351 Ocean Avenue, Emeryville, California Arentrens Contracting s Supply, c/o Armstrong Cork, 304 Shavr
Load, So. San Francisco, California national Insulation Inc., 503 Polk Strict, San Francisco,
California Jacicucn Hopldna Company, Inc., P.O. Box 490, Bakersfield,
California Kelly Asbestos Inc., 2030 Grand Avenue, Kansas City 8, Missouri Asbeetos Products Inc,, 710 Hsyiuond Avenue, St. Paul 4,
Minnesota Asbestos Products & Fabricators Corp., 2316 San Fernando Road,
1>>3 Angolea, California Aetna Casualty St Surety Co,, 926 J Building, Boon. 1308,
Sucrsacnto 14, California Employers Mutual Liability Insurance Company of Wisconsin,
114 San3eae Street, San Francisco 4, California Standard Accident Insurance Company, 433 California, San
Frsneieco, California Industrial Indemnity Company, 350 Sanscaae> San Francisco,
California . United Statee Fidelity & Guarantee Co,, 444 California St.,
San Francisco, California Employers Liability Assurance Corporation, Ltd., 1050 Russ
Building, San Francisco 4, California Fireman1b Fond Insurance Company, 330 19th Street, Oakland 12,
California State Compensation Insurance .Pond, Personal Service Travelogs Insurtmce Ciwrpsny, 1956 Webster Street, Oakland 12,
California American Motorists Insurance Ccsnpany, 417 Montgomery Street,
San Francisco 4, California American Employers ` liourano Company, Zurich General Accident, 417 Montgomery Street, San Francisco,
California Industrial Indemnity Exchange, 350 Sansoae. San Francisco,
California Associated Indemnity Corporation, 332 Pine, San Francisco,
California California Casualty Indensnlty Exchange, 550 Kearny Street,
San Francisco 8,. California . Pacific Employers Insurance Company, 244 Pine Street,
San Francisco 4, California Zenith national Insurance Co., 582 Harket Street, San Francisco,
California Argonaut insurance Exchange, 550 California Street, San Francisco,
California
"3
163
1 BEFORE m E lilDOSTRIAIi .CCirENT COiMISSION OF THE STATE OF CALIFORNIA
2
CLAIM 63 Oal: 21052
3
4
ORDER
' JOINING PARTIES DEFENDANT
5
6
7
8
)
9
GOOD CAUSE APPEARDJG SKEREFOR; 10
IT IS H2REEY 0RE3SED that the following parties be, and
11
thay hereby are Joined as parties defendant in the above entitled 12
causeJ WESTERN ASBESTOS, MUNDET CORK COMPANY, PLANT KUEEER &
13
ASBESTOS WORKS, PLANT ASBESTOS COMPANY, ARMY PORT CONTRACTORS,
14
VAN ARSEALE HARRIS LUMBER CO., BAX CITIES ASBESTOS CO., LTD.,
15
HARR? A. BUTTON, JR., C, F,, ERAUM & COMPANY, ASBESTOS COMPANY OF 16
CALIFORNIA,- JOHNS MAHSVHLE SALES COR?., MARINE ISIGB1EERING &
17 supply co., Armstrong cork , m . r . c ar pe n te r , caw lnsohations,
18 FIBERGLASS W W M E B X m & SUPPLY, OWENS CORNING FIBERGLASS CORF.,
19
CHARLES AYRES COMPANY, COAST DEFLATION PRODUCTS, THOMAS C.
SO DOUBLAS, JR,, BOUGLAS imsULATEIG COMPANY, J. T. THORPS & SONS,
21 ARMSTRONG CONTRACTING & SUPPLY. NATIONAL INSULATION INC.,
22 LORBNTZEM COMPANY, JACKSON HOPKINS COMPANY, INC., KELLY ASBESTOS
23
INC., ASBESTOS PRODUCTS INC., ASBESTOS PROOTCTS & FABRICATORS
24
CORP., AETNA CASUALTY & SURETY CO., EMPLOYERS HOTUAL LIABILITY
25
INSURANCE CO. OF WISCONSIN, STANDARD ACCIDENT INSURANCE COMPANY, 26
INDUSTRIAL INBE-BJITY COMPANY, ARGONAUT INSURANCE EXCHANGE,
27 UNITED STATES FIISLITY & GUARANTEE CO., EMPLOYERS LIABILITY
28 ASSURANCE CORPORATION, FIREMAN'S FUND INSURANCE COMPANY,
29 STATE COMPENSATION INSURANCE FUND, TRAVELERS D jSURANCB
30 COMPANY, AMERICAN MOTORISTS DISGRA1ICE COMPANY, AMERICAN
31 EMPLOYERS' INSURANCE COMPANY, ZURICH GENERAL ACCIDENT,
164
1
mCVSTRIAL X ramssr bhgizafbh,. a s s o c i a t e d "Bnasoranf
2
CORPORATION, california 'c m / s i E x s c a s a m e x c h a n g e ,
3
P A C IP IC EM PJOTIStS ESCItlSIte' CO KPAEP, 22KTIH N ATIONAL
4
D iSU IU CE CO .
5 6
7
8
KSWsJvh
in t o s t r ia i, A c c iK z iiT c c ii'iis a io ii
9
f i x e d m .s e r v e d *
M)
10
Robert O. C-oann, 4232 2$th Street, San francisco, California
Saith, Parrish, PadueSc and Clancy, 315 Financial Center
11
uildirs, Oakland 12, California
Eornatzon & to., 15S 5tR Street, Oakland, California
12
Wrrsn Tienlcy, e/o National Insulation Company, 503 Folk
Street, Sfii -rancisco, California
13
Argonaut Inturance Company, 550 California St,, San Francisco,
California
14
Hanna & Evcphy,.1540 San Pablo Aye., Oakland 12, California
J. Patrick ooditln. 4l Suitor,. Ban Francisco 4, California
15
F..K. Cx-.rdgr.En, e/o American Motorists Insurance Ccercuny,
41? Kor.t0faarjr street, Sea Prnnclseo 4, California
16
Western Asbestos, P.O. los. 3784, Rincon Annex, Saa Francisco,
California :
17
Kondet (Jerk Ccrpnny, 410 Talbert Street, San Francisco, Calif.
Plant Rubles* & Asbestos Works, 1300 64th Street, Oakland,
18
Califrdn
.
^
Plant Asfcoofcos Ctsspany, 1300 -64th'.Street,' Steerydlle 8, Calif.
19
Arry Port Contractors, 1501 Maritisse Street, Oakland, Califoraia
Vea Aradale Harris Lusher Co., 5th and Braman Streets,
20
Son Francisco, California
Bay Cities Aabosto3 Co,, Ltd., 6th and East 12th. Street,
21
Oakland, California
Harry A. Button, Jr., Button Asbestos Company, 532 Matarse Street,
22
San Fraoeloco, California
C. P. Braun & Company, 1000 South Fremont Avenue, Alhaavara,
23
California
Asbestos Cor4pany of California, 941 lth Street, San Francisco 7,
24
California
Joiui3 ijraisrills Sales Corp., P.0, Box 3784, Rincon Annex,
25
Saa Fj'criOl.sBO, Califoxida
Marine Itosdneerlng & Supply Co., 941 East 12th St., Los Angeles,
25
California
Amofcreng Cork,'34 Sfcaw Road, So. Stir. Froreloco, California
27
15, II. Carpenter, 907 I-rcj-rfc Street, Sacramento, Califcroia
Caw Innulat pn, 3630 ,20th Avohua, Sacresmto 17, Califomia
28
Fiberglass Itiginaering At Supply, 1200 17th Street, San Francisco,
California
29
Owen3 Corning Fiberglass Carp., 1200 17th Street, San Francisco,
California
30
Charles Ayres Company, 698 Minnesota Street, San Francisco,
California
m S .V'
165
1 Coast Insulation Products* 2315 Sen Fernando Road., Lob Angela, CM! li'cmla
2 Thorno 0, Douglas. Jr,, Douglas Insulating Company, 2233 Ingallii, San franc!r.eo,: California
3 j.-f, iiioiT' Sous, 1331 Ocean Avenue, Eaaeryvllle, California
Ar.'istrors Contract.Mag & Supply, c/o Ara.Ttrcrg Cor!;, 304 Snail
4 Road* So, S.mi FraneiBco, California
Bitlcual Insuiatloa Inc., 03 Polls Street, San Francisco,
5 California
Jackson Kopkins Company, Inc., P.0. Eox 490, Bakersfield,
6 California
Kelly Aobeetea, Inc,., 2030 Grand Avenue, !Cai:sa&. City S, Missouri
T
Aaacsto.t Products Inc., 710 Raymond Avenue, St. Paul 4, !-tiru\o.,ota
8 As'seatcs Frodaet Fabricators Corp,, 2316 San Fernando Road,
Tos Angelesr CsliStoraia-.
9 Act1a Cktr-nlty & Surety Co,, 926 J Building, Room 1305,
ivsixr.er.to 1.4, .Sallfosnla
10 ftHpljyeis Mutual liability .Ihsurancq C-cirpany of vrisaonein,
3.14 Sineons street. Sen Iransisco. 4, Califo:mla :
11 Staiidar AceldenS Icsurencc Company, 4:3 California, San Franci&eo Califorrla ;
12 ir-irntriai Inccuolty Cojspary, 350 Sanscue, San-Francis30,
Crtl^i^crrJ.s
13 Ti7.itcu states Fiislity & Guarantee Co., 444 California St., Saa 'Frenoisco, Cili-fomle.
14 Src-loyors
Ity-Assuranea Corporation, ltd., 1050 Russ
Gilding, Sir fcfvmoiec K , Califorals
15 Flrsisiai's'l'icid Xaiurtnee Ccjapaiy, 330 19th' Street, Oakland 12,
. California
16 3tMt*s Ccirpenaatio.n Insurance Fund, Personal Service
Travelers .3ijs?ra-.t50 Company, 1956 Webster Street, Oakland 12,
ir
Califcrbia
AEfiilear. iic-to::l."i" Insuranca Company, .417 McnfcEoxery Strict,
18 .San Francisco 4, California AnbrAcai, Smplcy'r??! riinurairee Company, 235 Kontgonery, San
19
Francisso, California
;
iur.'laM General Aicidfcnfc, 417 'Hptttgcaaery Street,-San Francisco,
20
California
-
Associated indesriity Corporation,.332 Fine, San Franci3C3,
21
Califcmla
Califcrrla Casualty 3l70:rn?.ty Exchange, 550 Kearny Street,
22
Sail Francisco California
Pacific Employers 'insurance Company, &44 Pine Street,
23
.Sen Francisco Califcmia Sonitn rational T-isuranoe Co., 582 Karfcafc Street, San Fraaiciccc,
24
California
25
26
27
28
-3 -
29 GOARS
11052
30
ir.fi
$Ta t i ov c a l O a. , : a IN D U STR IA L ACCIDENT COMMISSION
P'ukm rf Wvilrnl Wch'
j
FILED
w a y ui) i3
/Q & eS'
'j - A P P L I C A f l N
O a k l a n d vilce
FU* JIONF.D OIGINAT >Nti 5X COMFS
(PiriS n m oa m v i m m c k b b p
CASE NO. 6' '
ROBERT 0. GOARS
Ag32 -- gSth-St ree t
I f F l t t t k f t #PB*1M
Sfln Francisco, California
IOFXNTZEN 3c CO. (and others)
Socul Security N.
......... ................
1155 ~ 5th Street.
itriiin fin Oakland, California
ARGQHAUT IHSURAMCE CO, ......______ , HKtm'i muKi unt.
_55Q_.C.a^~i'i;.i*A
c*t;* 1 t w i n .
San Francisco , California
I. Robert 0. Goars
e u r e r n e in
...
-- ,lt* tiutVniittmploytdon.. .APl'.lA.3 , . . Cj
Nrl. ni*
Mfl *f .n
M asbe s*^op_Jipje ke'r and /*B8ul atIon mover__ Va riou 9jplcea
M ctfM tw i At n e t tf i * w
cm fm 1ci v iiti
-, C ilifo fn , by
varioujr.s?._ _____-- ' . ___ _ -...hriwtamcd injuryirisiogoutoftndtothecourseoftheemployment,tx follufj: UU MMS
dolns insulation work for many years .. ..
.. _
.multi
I f i U l l I n itr tI T #aI I K I l f t l
pnoumonochoniosls
^ __
_
*__
.
i r m v w t tittvi i r r v t i i i o m i b m u n o r H T t n i '. n
2.
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'____0KJt.ud,a2J.riiirQrla.________ _ *
a m n i i i u 9m m r i u t iM i o i m i
Glencourt 2-2000
BALTIMORE NEW' YORK CLARKSBURG TULSA ST. LOUIS CHICAGO l o s An g e l e s ATLANTA
PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA
AosxArcaDjjsas _&
INCORPORATED
INS U R A N C E
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE IB, MD:
.
November 4th, 1963
teleph o n e
TUXEOO 9-43D*
BELL SYSTEM TELETYPE BA 5A3
CABLE ADDRESS "AlEXeLUE"
Mr, Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr, Hofferth:
Workmen's Compensation re: Robert 0, Goans Policy RUB 7226992 ARMSTRONG CORK COMPANY
Referring to previous correspondence with
you in connection with the above case, we attach hereto
copy of letter dated October 28th which we received from
th-e Oakland, California Office of the Travelers Insurance
Company, for the completion of your file.
.
When we have a further report, the information will be passed on to you*
S in ce rely
ALEXANDER & ALEXANDER, INC.
GENERAL AD JUSTER R
1A8
KOMI OFFICEAt HAttrotO.CONNECTICUT
THE TSAVELEBS INSURANCE COMPANY
THE TiAYiUiS INDEMNITY COMPANY
OctaJjer 28, 1963
Alexander & Alexander 2255 North Charles Street
A d d n u off r e p fr e it o
Claim Deportment, The Traveler 1956 W ebster Street, O akland 12, Calif,
Baltimore 18, 141.
YMF fmMW / A C
Attn! Mr. Finlay General Adjuster
3-58pop_
\n a
Araistrong Cork Go* xHeihecke^' Cp. !
Be: Robert Goans ' J
d/a 11-22-5'
Gentleman:
Please be advised that we have received the amended application ...i the *- above captioned claim and are protecting your insureds interests
.. A hearing was held 9-16-63 but little was accomplished sir, the matter will be reset for further hearing
Very
WJSscea
w* J* Saake ^ Compensation Adjuster
169
' '
t N iW YORK ATLANTA
BALTIMORE
CHICAGO
CLARKSBURG
LOS ANGELES MIAMI .MONTREAL
NEWARK
NEW ORLEANS PHILADELPHIA PITTSBURGH SAN FRANCISCO ST. .LOUIS TORONTO TULSA
A l e x a m m s k ^ A iL a s x A ^ n D U s iR
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES .
2225 NORTH CHARLES STREET, BALTIMORE IS, MO.
TELEPHONE TUXEDO 9.cm
CABLE ADDRESS "A LE X B LU E "
August 23, 1963
Mr. Wallace B. Hofferth, Assistant General Manager
Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
.ul ^
" __ .
re: Travelers' Policy: RUB 7226992 Workmen's Compensation re; Robert 0. Goans
Dear Mr. Kofferth:
This will acknowledge your letter of August 22nd enclosing Amended Application for Workmen's Compensation. Claim and letter from attorneys, Smith, Parrish, Faduck & 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 of your interests, We shall advise you of developments in this ease.
Tours very truly, ALEXANDER & ALEXANDER, INC,
GENERAL ADJUSTER 8jm
170
August 22, I963
Mr. G. H. Finlay Alexander & Alexander, Inc. 2225 North- Charles Street Baltimore 18, Maryland
Dear Mr. Finley:
-
Subject:
Robert 0* Goans
vs Lorentzen & Company and Argonaut Insurance Ccaroany and others Case No. 63 OAK. 11052
A hearing on the emended Application of Robert 0. Goans is scheduled before the California Industrial Accident Commission on September 16, 1963, in Room 3000 of the State Building, 1111 Jackson Street, Oakland, at 9.A.M. Both Armstrong ani Armstrong Contracting and Supply Corporation ore named
in the Application.
Me, Goons 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 thewiges earned during 1955 have been destroyed.
Mr. Goans was in the employ of our subsidiary, Armstrong Contracting and Supply Corporation from October 1, 195&, to December 23, 1959*
Please forward this amended Application for Workmen's Compensation Claim to the proper office of The Travelers for handling end protection of our interests.
. Very truly yours,
SDK Enclosure
Wallace B. Hofferth Assistant General Manager . Insurance Department
171
M T fRs L
0'O1 f f i c e CC M M I I N IC A n o
.To J. E. Zeller, Lancaster From A. L. Stokely,. San Francisco $ubjci Robert 0. Goans
Industrial Accident Commission Case Ho. 63 OAK-11052
Attached are amended, applications for the subject case, covering both Armstrong Cork Company and Armstrong Contracting & Supply Corporation, You will note that both the Travelers and Aetna have also been served with these papers. DIM
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FORM ISOt P rin te d In U.S.A.
STATE O f CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION
APPLICATION
t l U H O ORIGINAL ANO SIX COPIES
(PIE8S PRINT Of TYPE NAMES ADD ADDRESSES)
ROBERT.0. GOANS
__________'
imiuaT-
CASE NO. & J? <*>**?<: //o^r. ->J
*taS3 - 25th Street
__
w n ic M r i iBMiH
Sari Franci3c o . Califomia
ft.
.
IQRENTZEK & COMPANY ( a n d o t h e r s ) m uni
Social Security N o ._____ ___ ________ ______________
1155 - 5th S treet
_____________ _
H n n n iM iu
O a k l a n d , C a l i f o r n i a _______
ARQONAOT INSURANCE COMPANY ' uruTtrihvuhci CMtict
.550 C a lifo r n ia S tr e e t
________
. inimn(t<tiiiiriitiui
S a n F r a n c i s c o , C a l i f o r n i a ____
i . R o b e r t 0 . G o a n s______________ ^ / O O ^
^
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V a r i o u s ___ -- , -- aias or seesaw, .
,,.--he sustained injury arising out of and in the courte of the employment, as follow
j ^ r i s - X P - r - j n a n y - y e a r ^ ______________ __ ______________________ -suiting m isrui* iwr MJUtTvai nani
TATITHATMITIJTA0TVIMUluliAlItttlnUtll flCIOlTI
I.
Va r i o u s _________ _______ ! - - - _ - -- -- w cho employer1 inaurane carrier on date of injury,
h i prtuMvuttc*comentoji, u*lenoTiu vai tot imiviu, itati vmtm*tur-iNm umNiun
t.
A p r i l ? f 1 9 6 3 t o p r e s e n t . -- -- !___________ : -----------;-------------------------- ^ ------;---------- --- --
Meraerrawe sec eeTeaauiur
eMeue eaieeaae wee* est U*Teieiess fnee
A. Was compensation paid?, kLQ___ - ___ - I--............... ,, . .
m eteo
reme,le
. ------------ . . . --..-- --------- --
mnunn .
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I, Earnings it time of injury j_JiaXifflUHi---- @
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The ha of pay was,-------------------- ;---- :------------ m u m R M tM m in H itin u in im n n in u
t,Was medica] treatment needed?__YSL.---------- Who furnished treatment?-------- S l --------
--------
ana m a n a, w e n a , m e m aTiTul uaer M e e m m e h b n u i m u
7. T h ap p licatio n is filed to determ in e lia b ility ton
S. T e m p o ra ry disabU ity__3fiS b. P e rm a n e n t d isab ility -- Y .3. c. M ed ic al t r a t o * o t _ J 6 S -- d . M ed ical c o a ts -
*. litigation ezpense-
t i m u t erase Staten
u n m t n n u iu iu a n u u tu tn iu t n u i
WHEREFORE, it It requrited that a timeand piece befixed for bearing and that an award be made granting ittrb relief at may be
prober tender the Workmen't Compentation Lawt of California.
.
.
_ ,
D a te d . r . ____ O a k l a n d , _ . _ _ ,c e K f o r n i a ,_____A f f i a s j L i L - 1 2 6 3 ----------
0TT
M TI
H earing requeued at-- Q S k .lg .jT d , Number of uritnosej.______ Estimated time of trial..QnG_z}),fl.l-C._5g-lL
/a/ Robert 0. Goans
im K u r i iiia im t
SMITH, PARRISH, PADUCK & CLANCY 315 Financial Center Building__
ATTUIMI*
Oakland 12, California
OLencourt 2-2000
'
i m u i f 'i u n t i l m i w
< in m u i iN H M la a i o ra, l u i a i u * i *it r u c u r uiiira m a h M m T > H n iH r o n , iv h h i h s , m e M i n i a r its ran * im k i m ? M ia i h r m ii a am tiag iM iw tf r n s e n i m i m 11 iu a a ,i* t a n n i m a t i i m n a N iw is k ti,
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i n r M n n i i r m t M < a r i ( n n l r <1 |laa taMMfH M n r t a n , rn* a n?c**r a m ta tt i ra ff n l t (M i( carl## Pe re# am 1 u r r i m r r r . >*** o rn tro -
t a n a n * *> m v a * r a t , m n e a n nn><ai if a u tr *1 o n * W'* * * , h m * t * * **" " " * <
M t m a t M n w i i H a W ia t t m a r . I n Mitica n u i m w M I* *
* n e i m i m i he * r a u t m . l i n n r u n a n n i M i H u *
EMPLOYER'S
1. Western Asbestos . P,0. Box 3784
Rincon Annex San Francisco, California
2. Mundet Cork Company . 410 Talbert Street San Francisco, California
3. Plant Rubber & Asbestos Works 1300 - 64th Street Oakland, California
4. Plant Asbestos Company 1300 - 64th Street Emeryville 8, California
5. Army Port Contractos 1501 Maritime Street Oakland, California
6. Van Arsdale Harris Lumber Co, 5th and Brannan Streets San Francisco, California
7. Bay Cltie3 Asbestos Co., Ltd. 6th .and East 12th Street Oakland, California
8. Harry A. Dutton, Jr., Dutton Asbestos Company 532 Natoma Street San Francisco, California
9. C. F. Braun & Company 1000 South Fremont Avenue Alhambra, California
10. Asbestos Company of California 941 - l6tii Street San Francisco 7, California
11. John Mansville Sales Corp. P.O. Box 3784 Rincon Annex San Francisco, California
12. Marine Engineering & Supply Co, 941 East 12th Street Los Angeles, California
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, 19551963 and others 1937, 1939, 1940, 1941, 1962 and others 1941-1944 and others 1957, 1959, i960 and others 1941 and 1942 and others 1942 and others 1944-1946 and others 1941, i954 and.others
1938 and others 1944 and 1945 and others 1949 and 1950 and others
1938, 1950 1950, 1954, 1955, 1957, and others 1950-1953, 1959, 1962 and others . 1950, 1961 and 1962 and other 1953, 1954 and others 1955-1957, 1961, 1962 and others
EMPLOYEES
18. Charles A y r e s 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
1. J.T. Thorpe & Sons 1351 Ocean Avenue.. Emeryville, California
PERIODS 1955 1957-1959 and others
1956 and others 1956 and others
1959, I960, 1957 and others
22. Armstrong Contracting & Supply c/o Armstrong Cork 304 Shaw. Road So. San Francisco, California
23 National Insulation Inc, 503 Polk Street San Francisco, California
1958 and others 1962 and others
24. Lorentzen Company
1155 - 5th Street Oakland, California
1955. 1962 and others
25. Jackson Hopkins Company, Inc, P.0. Box 490 Bakersfield, California
1957 and -others
26. Kelly Asbestos Inc. 2030 Grand Avenue Kansas City 8, Mo.
1949 and others
27. Asbestos products Inc, 710 Raymond Avenue St. Paul'4, Minnesota
1949 and others
INSURANCE COMPANIES -
State Compensation Insurance `und, 525 Golden Gate Avenue San Francisco, California
Industrial Indemnity, 300 Grand Avenue, Oakland, California
Aetna Casualty Insurance Company, 1330 Broadway; Oakland, . California
Travelers Insurance Company, I956 Webster Street, Oakland, California
American, Motorists, Russ Building, San Francisco, California
Argonaut Insurance Company, 550 California Street, San Francisco, California
Standard Accident, 433 California Street, San Francisco, Calif.
American Employers, Russ Building, San Francisco, California
Hanna & Brophy, 1540 San Pablo, Oakland, California
(PROOF OP SERVICE BY MAIL-1013a, 2015.5 C.C.P.)
STATE OP CALIFORNIA COUNTY OF ALAMEDA )
I am a resident of the United States arid a resident of the aforesaid county; I am ever the age of eighteen years and not a party to the within above action; my business address
is: 315 Financial Center Building, Oakland 12, California
On
MS 9
`1
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 378*1, Rincon Annex, S.F. Calif. Mundet Cork Company, 420 Talbert Street, S.F., Calif.
Plant Rubber & Asbestos Works, 1300 - 64th St.,. Oakland, Calif. Plant Asbestos Company, 13Q0 - 64th Street, Emeryville 6, Calif.
Army Port, Contractors, 1501 Maritime Street, Oakland, Calif.
Van Arsdale Karris Lumber, 5th and Brannah 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 ttansville Sales, P.O. Box 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, 507 Front Street; :Sacto.-, Calif. Caw Insulations, 3S00 - 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., 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., 030 Grand Avenue, Kansas City 8, Mo. Asbestos Products, 710 Raymond Ave., St. Paul Minn. State Compensation Insurance Fund,- 525- Golden Gate, S.F., Calif. Industrial Indemnity, 300 Grand Ave., Oakland, calif, Aetna Casualty Insurance Company,: 133 Broadway, Oakland, Calif. Travelers Insurance Companyj 1956 Webster St., Oakland, Calif. . American Motorists, Russ Euildirig, 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, 154o San Pablo, Oakland, Calif.
I certify, under penalty of perjury,* that the foregoing la true
and correct. Executed on
AUG 9
_____
. 1963, at Oakland, California
/a/ Sharon McKay ____
*The p r o o f o f s e r v i c e by m a ll fo rm , b e in g s ig n e d u n d e r p e n a lt y o f p e r ju r y , doe3 n o t re q u ire n o t a r iz a t io n .
DWJN 4. cunt. .
OBT I JUKI RtiQERT H. U W S, JR e. RAUL PADUCfK
WM SHANNON PARRISH
MMES 8. SCHNAKE JOSEPK P'.VARO SMITH
OUR W. WRlCHT
LAW OFFICES OF
SMITH, P A R R ISH , P A D U C K 8c C L A N C Y
LftMCOUftT 2-SO0O
FIN A N C IA L CEN TER. BUILD IN G A0 B ..I4 TH S T R E IT O AKLAN D I 3<C A LIFO R N IA
August 8, 1963
# *
Industrial Accident Commission 1111 Jackson. Street Oakland, California
re: Robert 0. Goans vs Lorentzen is 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 pre-trial' conference tp get the names of the. employ ers and employment.
With a copy of this letter, I am sending a copy of the Amended Application with a total list of employers and advising that the Hearing is scheduled for September l6, 1963. Room 3000, State Building,, llll Jackson Street, Oakland, California, at 9:00 A.M. before Referee Witt.
Very truly yours,
SMITH, PRRISH, PADUCK & CLANCY
JES :skiu
Joseph E. Smith