Document ppJd2NbK6Yz5mMm7x9erMbmQk

GAR Q001C,* PE 4 CASUALTY Casualty & Sutty Ovrsion No. 3 Executive Campus Route 70 & Cuthbert Btvd, P.O. Box 5007 ChenyHiUNJ. 06034 (609)665-6360 Sacteaber 3, l?8l Oarlock, loo, 602 larth 10th Street Coadsa, lev Jersey 08102 Attn* David Sevmen, President Deer Mr, Isissnt BSt XBSHEED* GAELOCX - CLAIMAOT* AHram 01 STEFiHO - Tumi ap LOSS* 12/10/79 - PILE* H 26 CC 608121*0 0 ` This out vai concluded by v*y of a Seotiea 20 Disposition before Judge Gretkoveki in Casden an Sovsaber 13, 1981, Oar contribution vu |25,000 fias which & ootmsel fee far the petlticnar's attorney was deducted, I a enclosing a oopy of the Order approving aettlaaent fez yotxr files. Zf you have sny questiana, please call Sincerely, j^frJULu^l Karen litsoh Senior Clala Eepreesatstive ng Saelosure iECEIVEO oto 7\SSl' OP&LOCK VIP I rfa CAOTasaw / ^la I il< D:prtment of Libor and Industry OwriTon of Workm' Compensation CN 381 Trtnton, Nw Jtr#Y 08625 SOCIAL UCU<TT NUMJCA iivi jci iwLMcni WITH DISMISSAL N.J. S. A. 34:15-20 NUI( C P. No. , 8fl-2Q4.7f< o. o. - ca:-^: 140-26-5009_____________________________ NAM4 HrXDf DT STEFANO______________ aoomcss iikommi eMmrl Rt. 7-Friendship Road Vincentovn, New Jersey 08088 Burlington County_____________ NAMC VS oz OARLOCK. INC.____________ Aooacis [InO.elA, CHairl o 600 N. 10th Street & Camden, New Jersey GB.02 Camden County HARX A. CUNNINGHAM AOOUU mO 528 Benson Street It Camden, New Jersey 08103 < TlLt^Onl (A/.. CMal ( (fiOQl ^65-4Q76 NAMC (laaacata N MM Cinm bif.iawN) m ARTNS giSTTAT.TY A <aipm COWS' IISS AI5Kree Executive Campus Cherry Hill, New Jersey z" CLAIM MUMOCN Thi* b a lump uro lestltment between the parties In tha amount of * 75,000.00________ * substantial issues 1 pursuant to NJ.SJL 34:15-20 whirft has tfie affect of dismissal with prejudice, being final as to ad right and benefits < the petitioner and the petitioner's dependants end is a complete end abiolute surrender and release of ail their rigfv arising out of this/these daim(s). The payment hereunder shell be recognized at payments of workers' compensation oenefr tor insurance rating purposes only. ALLOWANCES MEDICAL FEES V. " . frfy TOTAL ALLOWED BY PETITIONER /L. r^> BY RESPONDENT ATTORNEYS FEES STENOGRAPHlC/EEs 1 . --< Ik'-w Vt ketby eonsatt ao the entry of l to -V o o O O 06- dpt of It: i r" ATTORNEY FOR PETITIONER ATTORNEY FOR RESPONDENT ie---7^3^ PETITIONS After considering afl the dreumnanen. I find this settlement fair and just. DATE /(} ?-r/.. <yiu jr - JUDOS, or VOXJUAS- CDMTEMU VO/T OTHERS, WHERE APPLICABLE:. ft- . ... >% my Department of Isbo* and Industry OIVISION Of WORKERS' COMPENSATION SOCIAL stcueiTr nummr L \ W I* O JUDGMENT APPROVING SETTLEMENT JO DISMISSAL DISCONTINUANCE District Office., .CAMEL recta**. cwn.orcss iocntificatiom Nuuua Ig-oWOj------------ psec lANr.rrn nr^Tmm----------------------------- |aOO*1> CimwiyI Rt. 7-Frlendahlp Road Vineon town, Nev Jersey 06088 Burlington County Us?*1**'?* > 2 z O pCT/AooJf _TT!>>VTvrgM^ rgn 528 Benson Street g^sf -^Troy 08103 tMARX A. CUKNIKGHAM. ESQ KAMI CARLOCK. INC. AOOiUS |law<ia Cawatf) 500 N. 10th Street Casden, Hev Jersey 68102 ^exaden County NAM( o *. *z TRP7VAW A filRTQH > " AOOKC-SS (IfMHiain* Caiwly) I*; i [20 Tanner Street-P.O. Box 10 HarMnnffnlrt, Nw JeraflyOSQ-^ APACAAlNC ynrriMP rptrcvAV, r^o.,. NAMC {Imwi ir N.l Ca~.e # If SaifuawiMt s: AETHA CASUALTY A SURETY COMPA? !a OATX OF ACCIOtNTl on OCWTIOMAI cxwunz, m mgrnrt z/TT /7 oucaiac iiranri 12/13/79 jPetltloner allegedly exposed t asbestos product*. Weekly Wapw Rat aft) IF RE-OPENED PETITION, INDICATE FOR LAST AWARD: DATE:. PERMANENT: S. TEMP: S. This matter haring coma on before the Court on thie. OROER FOR JUOGMENT: dy of ffovasbor i -Sl it appearing that tha Petitioner suffered a oompemable injury on tha above mentioned data while in the employ ol rewooden a Ordered and Adjudged that petitioner be awarded compensation benefits, payable n indicated on Paga 2. ORDER APPROVING SETTLEMENT: - . Tha parties having settled the matttr and a finding by tha Court having been made that the terms of the settlement are fair am just: it is Ordered that this settlement be approved and tha petitioner tie paid as indicated on Page 2. ORDER FOR DISMISSAL This matter having coma on for hearing upon tha resoondent's motion (or Dismissal which wee made and duly served and then being good cause shown, tha claim petition herein is hereby dismissed for O 1. Lack of Prosecution . OD 2. Petitioner unable to prove caspens able claim, under Compen sation L-ava. OROER FOR DISCONTINUANCE J rfti t/sl CusSG^*- -( A*S'' ' ,]C' j This matter having coma on before tha court and the court having received evidence that this matter should bo discontinued an for good cause shown. It d ORDERED AND ADJUDGED that this matter be discontinued for the following rt It is FURTHER OROERED that the payment itsdicatad on Paga 2 be made a part of the Order forOiscontinuanc* for petitioner* r 7 ({ Cdisability. (Percentages and members ImrohrtdJ ^ % K--c./ /re HEREBY CONSENT TO THE ENTRY AND 'ft -OHM Of THIS OROER ANO ACKNOWLEDGE HEECE^E OF A COFY. UEjyH m M / 7Vt,tTL. a v STEHO PH. r. +b- Y & .* .. f\ if rrmoNEA-j attomneys /( / IOAT 7 rETniONERTHtw/e AftUdtGr ST v&'iA a (r(& & i "VAtTORNEYI I' U (NAMEOF HEARING OFFICJAU IPRINT OR TVFO O Judge of Companeation f I EMa but* e< New Jersey ' ^ Department of Labor and Industry DIVISION OF WORKERS* COMPENSATION SOCIAC SCCUWTT MUAASCR JUDGMENT APPROVING SETTLEMENT DISMISSAL DISCONTINUANCE PCOCHAt. Oiitrict Office. CAHL-^-N lOSNTieiCAS ion NuMfta njaMI' " " " AGft AOiONRiCTUFIiKnHMTVMT4 C9iTdRTtTrlAVn Rt. 7-Friendship Road Yineentovn, Nev Jersey 08088 Burlington County C 2 NU>( . r. OC " AMoAoRaTui A. CUNNTNCHAM 523 Benson Street c< grrfnr Wav J>riy ORT O^ A^IUr AOAlMlteaA w w MABX A. CUNNINGHAM. ESQ. vs NAM( r,APT.OCX. INC. AOOSMS |l<KMMtCS*M>| 600 N. 10th Street Camden, Key Jersey 08102 Camden County NAM( a* **- TWETMAN ft BARTON V, IM AOOACSS (Incfe**** CuAty) issi 20 Tanner Street - P.0. Box 10 Psdifnnf 1 wl At New J>rRy ORO^B AmAKlNC ' ' VTLLTAH P. FREEMAN. ESQ._________ m NAMt IIMAIII II M.| Ctmil ) If lall-liiw>H| z iACTNA CASUALTY & SURETY COMPANY c` Ia s OATS O* ACCIDENT) c.\i*dTJ?tL-Fi*2*yicAlleged j/l/76 < OUCMIOC ('fly) . "H/ZX//0 Weakly Waort Ratt(s) / IF RE-OPENED PETmON. INDICATE FOR LAST AWARD: OATE:. PERMANENT: S . ____ TEMP:*. This manar haying come on btfora the Court on this . Igth-- day of IS B1____ OROERFORJUOGMENT: . It appearing that the Petitioner suffered a compansabla injury on the abow mentioned data while in the employ of raipondmt Ordered and Adjudged that petitioner be awarded esmpentation benefits, payable as indicated on Page 2. OROER APPROVING SETTLEMENT: The parties having tattled the matter and 1 finding by the Court having bean made that the terms of the settlement are fair and just: it is Ordered that this settlement be approved and the petitioner be paid as indicated on Page 2. 3 ORDER FOR DISMISSAL Thd matter having coma on for hearing upon the respondent's motion for Dismissal which was made and duly served and there _ being good cause mown, the daim petition herein is hereby dismissed for Q 1. Lade of Prosecution O 2. Petitioner unable to prove condensable clala under Compen- _ aation Lava. ORDER FOR DISCONTINUANCE . /. . ^rflA Jv?jZ^Ua. L fT This matter having coma on before the court and the court having revived Evidence that this matter should be discontinued six for good cause shown. It is ORDERED AND ADJUDGED that this matter ba discontinued for the following reasons: ft is FURTHER ORDERED that the payment indicated on Page 2 be made a parrof the Order Jor Discoruinylnce for petitioner's disability. (Percentages and members irwotvedj ^ | C/i/a/I fiJ A WE HEREBY CONSENT TO TXE ENTRY AND FORM OP THIS OROER AND ACKNOWLEDGE RECEJ& OP A COPY.tS^n H aapricsbaet C/ * STENO PCI. JJL . //-/>- IOATI GnAk ^ (NAME OP HEARING OPPlCIAL) (PRINT OR T YPEJ V) Judge of Camsenaation Refer** . State of New Jritcy Orpartment of Libor and Industry DIVISION OF WORKERS' COMPENSATION IOCIA4- ICCUftlTV NUMUI JUDGMENT 0 APPROVING SETTLEMENT 3 DISMISSAL DISCONTINUANCE District Ollif CAMPON PIOIMA4. CMtVOTlA4* lOCNTlf (CATION NUW(I naMC " ACE CtBKHTT TIT 3TFTANO_______________ ____ AOOaUS (ln<iw.wt Cam,) Rt. 7-Friendahip Road Yincentovn, New Jersey 08088 Burlington County c NAMC ***** A. CIIKNTKGHAH i o w 528 Benoon Street . ts < fT-triww( AMCAAINO May Jarsay nWT OX MARK A CUNNINGHAM, ESO. NAMl VS tt q rficnrrr mwp&vr ABOlfSt iikiwm, Cawi,| 600 N. 10th Street Cenden, New Jersey Canden County OW * S OM NAUC ^&0*w>u ^vC*. . AOQRUS (t*Ou**t CD--fy) ^ /ArEArtva f jj ' **" / a*. NAMC {irtOtCAl* If Net is * If ARTNA Mrs A CASUALTY COMPANY H OATS or1 ACCIOLNTl on occupational cxeosunci ^ q^ *| gqg oucnisx t.wny) Petitioner allege* Weekly Wages Rateft) / F RE-OPENED PETITION. INDICATE FOR LAST AWARD: OATI:_____ This maner having coma on bafora the Court on this . PERMANENT: t. A. a day of. TEMP: S . 19 ORDER FOR JUDGMENT: It appearing that the Petitioner tuffarad a compensable injury on tha above mentioned date whila in tha employ of respondent: is Ordered and Adjudged that petitioner be awarded compensation benefits, payable as indicated on Page 2. ORDER APPROVING SETTLEMENT: - The parties having tattled tha matter and a finding by tha Court having been made that tha terms of tha settlement art fair erd just: it is Ordered that this settlement be approved and tha petitioner be paid as indicated on Page 2. ORDER FOR DISMISSAL . This matter having coma on for hearing upon the rasoondent'i motion for Dismissal whidi was made and ddy served and there being good caiea shown, the daim petition herein is hereby dismissed for O 1. Lick of Prosecution 2. Petitioner unable to sustain.burden of proving compensable cocoenaation claim. VJL/ IvIAa ORDER FOR DISCONTINUANCE *1 > /p /f This matter having coma on before the court and the court having received evidence that this matter should be discontinued and for good causa shown. It is ORDERED AND ADJUDGED that this miner be discontinued for the following rei 3 h is FURTHER ORDERED that da payment Indicated on Page 2 be made a part qf dhabtSTy. (Ptrcamagcs and members imohredj E HEREBY CONSENT TO THE ENTRY ANO TAM Of THIS ORDER ANO ACKNOWLEDGE CiFrpr A COfY. ISyn ITENO FEE for Dhcontinuance for oetitje s If ETITIONEa's ATTORNEY) </ IRESfONDENTI ATTORNEY) fOu !L ki (/' n IIHHEEAKRRllNNCpOf fPlCICIIAAL SIGNNAATTUURREE)*! (\DATE c<u.7&- TT-^o^vTK, INAMEOf HEARING Off ICiAU IfRlNT OR TYfEJ 'tn Judge of Comoenaetiow O Referee ______ jiail v* >*.* JCIttV 0:oaiimm of Libor and Industry ' DIVISION Of WORKERS* COMPENSATION SOCIAL SICWMITV NUMHi a JUDGMENT APPROVING SETTLEMENT J3 DISMISSAL DISCONTINUANCE Oistrict Office: CAMQEN rcocnAi. (Mokovian iocntivicatiom kuuhi TZtru?-*?nftQ K NAMC ACC so2 ____ uTT.rw nT-^TFrAwn________________________ AOeaUi (ln<lu..n, C.nlr, A Rt. 7-Friendshlp Road Vincentovm, New Jersey 08088 Burlington County * vs O k[namc > Z vtivr i. ntwtvrpjtk_______ AOOflUt IIo 528 Benson Street 5 C.nndrn, Scv-Jrr..vy HfllOi mark a. rnmiycMAy, fso NAM( __ us nism___ !______________ 2o o AOOAtSS 600 N. Cymy) 10th Street Camden, Nev Jersey 08102 Camden County MAMfc 2 FR-CTMAH Ae-RaRmH- 3 A. AOOAUi (lACltHiiAf COufttyl 20 Tanner Street Camden VP. lHAAaiNdOdoaf-Ield^, ^Nc*r-Jerse*y-Q8Q33- *rrr r t it/ r* r^TT-Tjr %f NAMC (Ineicjt. If Nef CmiM II iilMawM) 2 j AETNA CASUALTY & SURETY DIVISION C 2 OATC Of ACCIOCMTi ON OCCUNATIOMALf JtAOauNli^lJS^tO, JLJSS. oucNt isrwfiyi petitioner allegedly exposed to asbestos products. efclv Wsoes Retell) / E-OPENEO PETITION. INDICATE FOR LAST AWAR0: OATE: FERMANEMT-.S TEUF: > This riunN having coma on before the Court on thia - -- day of , It --S3 0R0RFOR JUDGMENT: It appearing that the Petitioner auffarad a compenssble injury on tha above mtntionad data while in tha employ of respondent: it Ordered and Adjudged that petitioner be awarded compensation benefits, payable u indicated on Page 2. ORDER APPROVING SETTLEMENT: The parties having tanled the matter and a finding by the Court haring betn made that the term, of the settlement are fair and just: it d Ordered that this am!ament be approved and the petitioner be paid as indicated on Page 2. ORDER FOR DISMISSAL This matter having come on for hearing upon the rassondent's motion for Dismissal which was made and diiy served and there being good cause shown, the daim petition herein is hereby dismissed for O 1. Lack of Prowcution 3 2. Petitioner usable to prove compensable compensation claim. ORDER FOR DISCONTINUANCE This matter having come on before the court nd'Tht eoOrt having re l<nd evidence that this matter should be discontinued and for good cause shown. It is ORDERS AND AOJUOGED that this matter I discontinued for the foflowing reasons: It is FURTHER ORDERED that the payment indicated on Page 2 be made a pan of the Order tar Discontinuance for petitioner's disability. (Percentages and membeee invofvedL) L-- JT?) rl iREEY CONSENT TO THf ENTNY AND i OF THIS JT OF A oOoRrOrE.RtJfCr*HOAgfCpKikNaObWieLl EDGE JJLrrENOFKt. rr i---- irrriTiONER-s attorney) FETITIDNCR rnoani AgfiAtiait) Mil/ IREVONOENTS A/TORNEV] sS fPxh^cU (u LXhEAFFNG OFFICIALSIGNATURE) / (OATEI chu /^pe -n-Ko^Trc, (NAME OF NEARING OFFICJAU IFRlNT OR TyfU ' Judge of Compensation O Referee comment el Libor and Industry DIVISION OF WORKERS' COMPENSATION SOCIAL SCCURITY NlWid I I JUWVJi.lC.1V I APPROVING SETTLEMENT DISMISSAL O DISCONTINUANCE District OHict: CAMT,`N rcotRAi iwn.oun iointi icatiok nuu> lA0-26-500<J c NAUC 0 ACC z VTC-T W TIT Vl'tTiWtl___________________ 00tss Iiimiem CavwivI ' " * Rt 7-Friendship Road * Yincentovn, Ksv Jersey 06058 . Burlington County * c . -22-23W75 2 c NAM| - o WiPT A nTVNTNnwiM *; o 52S Benson Street C " PAm.Rnn Kaw APPIAAINO' -ratt ftfllflT *^ MARX A. CUNNINGHAM. ESQ. vs NAUC m NAM( If Nt c*ere r 11 $r^RM(e| z OARTDCK, TNG. o AOORLS! Hwc'mim Caumvl zzoM 600 N. 10th Street Camden, New Jersey 08102 K Camden County S 5 MTTNA CASUALTY & SURETY COMPA Cl . . 3 z < DATE OP ACCIOCMTt on NAJ44 KO rSFTM IN * BARTON > s AQQWCSS (lROw<Vn CAlifMY) * s I 20 Tanner Street P.0* Box 10 JL/1Z7occupationale*aosureAIT jJ ocscftiac (*nra ll/2I/7o D3ed t ao ts MAHHnnf 1 wl At A^ACAHINft ' New Jertey (Will ' <* Vrn.LT AM P. PRF7T4AN. PRO.______________ Weekly Waoes flattill IF RE-OPENED PETITION, INDICATE FOR LAST AWARO: DATE: _ PERMANENT: *. TEMP: S. This mitiM having coma on before the Court on this. ORDER FOR JUDGMENT: 1.3th. dry * Novmh^r. 19 ai_ ' It appearing that tha Patitionar tuflarad a eompantabla injury on the above mentioned data while in tha employ o! respond Ordered and Adjudged that petitioner be awarded eompertution benefit!, payable as indicated on Page 2. ORDER APPROVING SETTLEMENT: The parlies having tattled tha matter and finding by tha Court having been made that tha tarma of the tanlamam are fair jutt: it is Ordtrad that this aettlsment be approved and tha patitionar be paid as indicated on Page 2. ORDER FOR DISMISSAL This miner having coma on for hearing upon tha respondent's motion for Dismissal which was made and duly tarred and tf being good causa hown, tha daim petition herein it hereby dismissed for 1. Lade of Prosecution '. & 2- Petitioner unable to prove conpeqoable dels under Coopez>- eatlon Lavs* ` o ORDER FOR DISCONTINUANCE This matter having coma on before tha court and tha court having rm that this miner should be discontinue: for good cause shown. It is ORDERED AND ADJUDGED that this matter discontinued for tha following reasons: O It k FURTHER ORDERED disability. (Percentages and that die payment indicated memben involvedj on Page 2 be madejunbrtuof tihe-Order fqr DiscoruinAanc* for petitioner' WE HEREBY CONSENT TO THE ENTRY AND FORM OP THIS ORDER AMO ACKNOWLEDGE RECEIPT OP A COPT. STENO PEE. m. BY /slkiA/i? HRESPONDENTS ATTORNEY) REAAfNG OFPlClAL'SIGNATXlAU <Wa (HZ, S rZ-\C.e^s r x i " IMAMS OP HEARING OFFICIAL! IPRINT oA TYPEi ^ Judge of Compensation - Referee April 16. 1931 Mrs. Karon Nltsch Aetna Life and Casualty Casualty and Surety Division No. 3 Executive Campus Rou^e 70 h Cuthbcrt Boulevard Cherry Hill, New Jersey 08034 Re: INSURED: Garlock - CLAIMANT: Angelo DIStefano DATE OF ACCIDENT: 12/10/79 - FILE NO: H 26 CC 6081240 - RG Dear Karen: As requested by you, I have answered the Interrogatories on Mr. Angelo DIStefano below and am returning the blank Interrogatories. 1. Hr. DIStefano started working for us on September 7, 1943 and his last day worked was December 13, 1979. He was removed from our payroll June 5, 1980. 2. Conmon/Trade Name Chemical Name Asbestos millboard sheet Nylon Polypropylene Kel-F Teflon - FEP Kynar Delrln Deleon Penton Polyethylene Teflon - TFE Carbon particles Milled glass fibers Polyamlde Polypropylene Chlorotrlfluorethylene Fluorlnated ethylene - Propylene Polyvlnyl1 dene fluoride Acetal homopolymer Acetal copolymer Chlorinated polyether Polyethylene Polytetrafluoroethylane Carbon Fused silicate Mrs. Karen Nltsch 2 April 16. 1981 3. Yes - During the time when he was an Injection Holding Machine Operator. Injection molding machines generate heat up to 650F. One resin drying oven was In this area with temperatures of 225F (with doors closed). The petitioner's work station was approximately 40 feet from the oven. A. Yes B. During the start-up of an Injection molding machine, .a small amount of decomposition products from the particular thermoplastic resin being used Is emitted. C. Approximately 5-6 minutes a start-up, two to three times a week. The petitioner worked In this limited exposure for five years. 4. Spiral Mound Room - 80' X 80' X 18' high (approximate size) Injection Molding Room - 60' X 100' X 20' high " Automatic Slicing Room - 40' X 40' X 12' high " 5. Yes - All the rooms the petitioner worked in contained ventilation and/or exhaust systems. Spiral Wound Room - 8* celling exhaust fans emitting through roof to the outside atmosphere fan sizes were 30*. Two large archways at each end of room allowing inlet air from outside to be circulated. Injection Holding Room - 4 celling fans emitting through roof to the outside atmosohere. Also two archways and large overhead door for Inlet air. Automatic Slicing Room - 3 archways, 2 - 30", 1 - 36" ceiling exhaust fans (In Teflon Department) which draws air froa the automatic slicing area. 6. Hot Applicable 7. Prior to 1979 the petitioner had a hernia operation. 8. To the best of our knowledge, no x-rays were ever taken during his employment. Mrs. Karen Nltsch 3 April 16, 1981 9. Yes - Such samplings of the facility air were made In the past (specific dates not available) by the sampling of the air being exhausted through our blower systems by our then current Insurance carrier. Employer's Insurance of Wausau, and later by an EPA subcontractor. In neither case was there noted to be any trace of harmful materials or Irritants. More recently an Industrial hygiene survey, was performed to evaluate employee exposure- to asbestos In the manufacturing of gaskets. This survey which was performed by a Senior Industrial Hygienist of our current Insurance carrier, Aetna Life and Casualty, on 11/15/79. It found that the level of asbestos whether measured at the location of the employees working In the Handmade Area where gaskets are made, or In the area where the asbestos sheet was stored, was below the present OSHA limit. - - 10. Work Classification ................................... Time Period Spiral Wound Machine Operator Injection Holding Machine Operator Automatic Slicing Machine Set-Up Han 9/7/43 - 8/11/68 8/12/68 - 9/29/72 9/30/72 - 12/14/79* * Employee left on this day to go on vacation but went 1nto the hospital. .................. A Spiral Wound Machine Operator's basic task would be to set up the machine with the proper template. The template would be attached to the rotating spindle on the machine. He would then begin to spirally wind a given length of a ribbon of steel (1/4" wide X .007" thick) and a like amount of a ribbon of millboard asbestos (1/4" wide X .015" thick). On completion of the finished size, he would apply three spot welds and remove finished oroduct from template. He would repeat this orocess during his work day at an averaqe of 500 to 1000 production pieces. An Injection Molding Machine Operator would make minor adjustments to the molding tool, regulate temperatures on molding tool and material chamber. Introduce raw material Into feed hopper, open and close machine during cycle, trim sprue and deflash finished part making It ready for shipment. ................... Automatic Slicing Machine Set-Up Man was required to make sure the parts feeder was properly aligned so that the parts feed to the machine on a continuous basis.- lie was also required to replace and sharpen the tool which cut the parts, and to adjust Its depth of cut. He also adjusted the spacing of the cuts so that parts of the proper dimensions Mrs. Karen Nltsch --4- April 16. 1931 were produced. He was also responsible for the Inspection, and replacement, when necessary of the cutting mandrels uoon which the parts were machined. He was required to maintain records of production and .recards of machinery adjustments. 11. See above (10) .............................. 12. Machine Operators - * ..........................Addresses George Rehfuss, 1124 N. 24th Street, Camden, N.J. 03105 Carmen DIPatre, 27 Center Street, Elmer, N.J. 08318 Angelo DIStefano - deceased Joseph Sims, 104 N. Valley Brook Road, Cherry Hill, N.J. 08034 Kenneth Sims, 1004 Highland Avenue, Glendora, N.J. 08029 William Shay, 1103 Greenbrlar Road, Cherry Hill, N.J. 03034 Antonio Smarrlto, 1340 Princeton Avenue, Gastonia, N.C. 23052 Robert Santo, 107 Cedar Avenue, Woodlynne, N.J. 08107 William Brutchey, 824 longwood Avenue, Cherry Hill, N.J. 03034 Charles Pregartner, 10A Cherry Street, Parkertown, N.J. 03087 Florence (Chapman) Pregartner, 10A Cherry St., Parkertown, N.J. 03027 A.J. McMullen, c/o Garlock Inc, 1250 Midtown Tower, Rochester, New York 14604 - .. Center Pullers ------- ---........... Edith Bishop, 203 South 28th Street, Apt. A, Camden, N.J. 03105 Dorothy Nelson, 2230 Hollinshed Avenue, Pennsauken, N.J. 08110 Very truly yours. 0. E. Newman President DEN/Jb Enclosures February 2, 1981 Mr. Harry Hickey I NA Route 38 Moores town. New Jersey 08057 Re: Angelo OlStefano Claim # 390C453118 Dear Mr. Hickey: In response to your phone call, I have listed below Mr. DIStefano's job classifications, dates and gross rate of pay. Job Classification" Date Rate of Pav Injection Mold Operator 8/12/68 * 5/15/69 * 5/15/69 1/5/70 9/7/70 11/15/71 9/30/72 $ 108.40 111.60 114.80 117.60 127.20 134.30 142.80 Auto. Machine Area Set-Up Man 4/23/73 5/23/73 147.20 151.60 Molding Press Set-Up Man 6/4/73 9/30/73 I5C.00 181.20 Auto. Machine Area Set-Up Man Speed Room 10/1/76 217.60 I have gone through our entire file on Mr. DIStefano and the only hospitalization date I was able to obtain from a copy of a New Jersey State disability form submitted by Mr. OlStefano was from 12/14/79 to 12/29/79. I hope that the above Information Is of help to you. If I can be of any further assistance, please contact tne. Very truly yours, , y // >-*- " ' ^ Jo-Ann H. Bowman Executive Secretary " * Taken exactly off records. Could be an error, have no way of telling now. October 16, 1980 Mrs. Karen Nltsch Aetna Casualty & Surety Company P.0. Box 5007 Cherry Hill, New Jersey 08034 Re: A. D1 Stefano Dear iKaren: As I discussed with you previously, the spiral wound gasket product line and manufacturing facility was transferred from Garlock's Camden facility to Its Precision Seal Division facility In Gastonia, North Carolina during 1968. When the manufacturing facility was moved, It was moved llntact with all the equipment and Inventory loaded on trucks and shipped to North Carolina. Within less than a week after arrival In Gastonia, the spiral wound gasket facility was back In full operation turning out finished product. Since then. It has been In operation without Interruption In the Gastonia facility being operated exactly as It was In Camden. Since I can locate no reports of any measurements being taken of airborne asbestos fibers during the period the spiral wound equipment was being operated In Camden, I contacted our people at Gastonia and they assure me the equipment has not been modified In any way since It was transferred from Camden. With this In'mlnd, I requested copies of any asbestos exposure surveys that have been taken In their facility since 1968. In response to this, they have supplied me with copies of two (2) such surveys which In turn I am providing to you (copies enclosed). Very truly yours, L# , . i. , n President DEN/jb Enclosures: (2) X X 'i 71 i O *! . ts June 2, 1980 Mrs. Karen Nltsch Aetna Casualty & Surety P.0. Box 5007 Cherry Hill, New Jersey 08034 Dear Karen: ' I recently supplied you with a list of our suppliers of asbestos products In reference to a claim. Since supplying you the list, another supplier has come to light. This additional supplier Is: Philadelphia Asbestos Corporation Tenth and Norris Streets Philadelphia, Pennsylvania 19122 Very truly yours D. E. Newman President DEN/Jb Hay 30, 1980 Mr. Frank Bayer Wausau Insurance Company . 10 Rooney Circle West Orange, New Jersey 07052 Dear Mr. Bayer: Re: Claim # A- 50- 1 58292 Angelo 01 Stefano As promised while you were here Investigating the claim of Angelo 01 Stefano, I have obtained the composition of a part for you. The part Is called-a sleeve and piston rings are cut from It. The sleeves are made of the following: 851 Teflon 15X glass , 75X Teflon 25X -glass 90S Teflon 1 OS graphite If I can be of any further assistance, please contact me. Very truly yours. Jo-Ann H. Bowman Executive Secretary May 28. 1980 Mrs. Karen Nltsch Aetna Casualty and Surety Company P.O. Box 5007 Cherry Hill. New Jersey 08034 Re: A. DIStefano Dear Karen: While attending the viewing for Mr. OlStefano, I was appraised by family members that In the past two years both a brother and brother- n-law of the deceased had passed away from lung cance . Neither of these other two gentlemen worked for Ga lock. It would appear more than a little unusual that three died of the same cause In a short period of time from one family, but yet Garlock Is supposedly responsible for the one Illness because A. DIStefano worked here. Very truly yours. v ~ ' i. 0. E. Newman President DEN/Jb Hay 27. 1980 Mrs. Karen Nltsch Aetna Life and Casualty Casualty and Surety Division P.Q. Box 5007 Cherry Hill, Hew Jersey 08034 Re: Angelo DIStefano Dear Karen: In response to your letter of May 19, 1930, I am supplying you the following list of vendors that supplied this facility with asbestos products In ore form or another. Unfortunately, I cannot be certain that this list Is complete as we have neither records or purchasing personnel that date back to the period when Mr. DIStefano started with our original entity, U.S. Gasket. Pioneer Latex Company Camden, New Jersey Nlcholet Inc. Maple Avenue Ambler, Pennsylvania Philip Carey Manufacturlng Company 24th and Sedgley Avenue Philadelphia, Pennsylvania GAP Corporation Erie, Pennsylvania Rogers Corporation Rogers, Connecticut In addition to the above known vendors, various asbestos products were also obtained from the Garlock facility In Palmyra, New York." Very truly yours, - D. E. Newman Presldwnt UFE&CASUAtfY Casualty Surety Division No. 3 Executive Campus Route 70 4 Cuthbert Blvd, P.O. Box 5007 Cherry H.II.NJ. 08034 (609) 665-8360 Nay 19, 1980 Carlock 602 H. 10th Street Caadea, H J. 08103 Attentions David Herman, Freeideat Dear Mr. Neaoaas Ul INSURED - OARLOCK - CLAIMANT ANGELO Di STEFANO - DATE Of ACCIDENT - 12/10/79 - PILE NUMBER - H 26 CC 6081240 - EC Aa you kaoer,'Angelo Di Stefaao is aakinf a elaia for Workers' Compensation benefits. la corresponding with the clat's atty, he advised ae that he oas interested in filing a third party action against the suppliers of asbestos. I would appreciate it if yon could sead ae a list of your suppliers of asbestos. Z will need the aaaes of the flras as well as th4r addresses so that Z nay write to than. If you have aay questions retardin* this letter, please feel free to contact ae at the above amber. Sincerely yours, ' Karen Nitsch, C Claias Representative eh >. i I. RECEIVED - MAY21T980 GAnLOCK VIP i.r: irtd'jstrica Gartccic Inc Valves end iR-Juauif-l Pfaatics ace H. ion Straat . Cmtti. Jwnty 06101 ' SUBJECT /'- MESSAGE S .T\ J, - - --^ ^. ; 'S~C_y. /'<''',C7 --d*-..|-^ / OJj &*< J e.-Lets-^-d s-/ /j J. v Af' _,.- & f/ Employers Insurance of Wausau 10 Woowt QrcW a Ww Or*ngm New Jenev 070S2 o 12011 736-SOOO Garlock Inc. 600 N. 10th St. Camden, NJ Hay 8, 1980 Gentlemen: Claim Member Name of Jhplcyee Alleged Accident Date Alleged Injury A-50-158292 Angelo D1 Stefano 2/29/76 Occupational disease Your employee has filed a formal petition for compensation through his attorney which has been referred to our Legal Department for the necessary attention. You can assist us in the disposition of this claim by answering the questions listed below. It will not be necessary for anycne from your organisation to be present when this case is called for hearing unless our attorney informs you of that necessity. icm: Claim Correspondent 1. Is this claimant still in your employ? Yes Doing the same type of work performed prior to the alleged acci dent? On Short-Term Disability & Getting Ready to go on Long-Term. n 2. If esployment was terminate, when and why? 3. Do you have any information which you believe is pertinent and will assist us in disposing of this claim? 1*. Retain this letter for your records. Return the copy with requested information. J Lynn A 01 Stefano OE Newman .April 23. 1930 As I discussed with you on the phone we have Just received the Employee's Claim Petition from A. OlStefano (copy attached) Indicating Injury due to asbestos exDosure. This claim petition Is being forwarded to our workmen's compensation carrler. In addition, we discussed the workmen's compensation claim of WJ Gross wherein he alleges injury due to inhalation of asbestos and Teflon as well as other Injuries. This claim was filed during 1979 and as per our conversation Is being handled by the compensation carrier. I am not enclosing a copy of this claim as you Indicated It was not needed at this time. DE Newman/jb Attachment cc: JE Brennan *% **>' Statu oi' N itw >lntmr.y DCI'aNTNKNI UK I.AIlOH ANP InOHSTXY OIVISION Oi WORKERS' COMPENSATION Of O* C 90* DC* jcfict ;mii Of 'Cl C f( O'AtC'C. HOTICE 07 HEiaEJC TO: UaS. Gasket Company 600 N. 10th St. Camden, N.J. 80-20U65 ' 80-20U67 CUm FETTTIOU HO: S0-20U70 s.S.HO. 1 57-05-2035 rt:Helen Distefano VS U.S. Gasket Company - -55?? - -59?? MTS 12-13-79''? 7;u Aft hereby notified that the above Vorkare' Coapenaatisn claln(t) Is'are; Ziated for Trialat 9:00 A.H. . on November 13, 1961 U00 Market Street, larnden, N.J. 08102 lu. '.tt the Honorable Judge Stephen M. Gretzkowakl TOC IRE REQUIRED TO iS OH TIME E If you ire Inaurtd, kindly forward thie nctieo to your Jcix.rs Conpeneitlon lneurance carrier for their attention. 7f you are not covered by Workers' Compensation insurance you arc requested to be present or be represented by eounctl. Please bring any medical reccrde you may have in your poesetticn which apply to your eaee. \-i y<f'. i / irtt.jui i RECE1VHO 0CT3 01S81 GARUOCK VIP imp1.- . > c 0jHnn 4 MO*N Statk or Nr.w .Jr.hht.v lli:i`*NTMt:Ni or f^now wn Inoiivtu-v DIVISION Cl- WCHKI.nO' rOMPLNSATiON oil o^*'C C l*)i Cw TOm mC iCICf :ill O* TnC Oir Cw series or msiro TC-i U.S. Gasket Company 600 N. 10th St. Camden, S.J. v j m iI I I CI.'-'M lETITiaS K0: ^S-jSko? S.S.SO. 157-05-2035 12-13 HATE . 0U-fi.U400 Helen Pi3tefano VS U.S. Gp.sket To-i are hereby notified tint the above Worker*1 Compenoaticn clair'c) i i(are) i ., ! .. listed for Pretrial at 9:00 A.M. on August 5, 1981 IV at ________ i;00 Market St., Camden, N.J. 08102 before the Honorable Jndire Donald A. Curtis TOC AES HiXlUIlO TO ES CS TIME If you are Insured, kindly forward this notice to your Worit-ro' Coapene.vtioa Insurance carrier for their attention. If you are not covered by Workers' Condensation insurance you are requested to be precast or be represented by councel. m Please bring any nodical records you nay have in your poaseeoloa which apply ts your case. i ,1. t .1 4 a . 1... - t I $\ LTm.m JOMM i. HOAN Acting Statu or Nr.w Jnimr.Y UCI'ANTMI'.NT OK IjtnOll ANO INDUSTHY DIVISION or WORKERS' COMfCHSATION 0**lCE O* THC OiBCCtOC Carroll Building 123 C. State Street Trenton, New Jersey December 16, 1980"' 08606 - U.S. Gasket Co. 602 N. 10th Street Camden, New Jersey He: 'Angelo Distefa.no vs U.S. Gasket Co. SW157-05-2035 c.p.Ms 30-11055,30-20165, 30-20167 80-20170 k 80-20171 The captioned case is scheduled for ai an.a k * on mkn V"-i*av. January 5. 1QS1 (o-.CC a.n.) at address above It is requested that you immediately forward this notice to your insurance carrier, If you do not carry workers' compensation insurance, you are requested to appear in person or be represented by counsel. Very truly yours, Telephone Ho. (609) 292-2500 supervising judge /0.-/9- P* i r: ct o r Nor4 o ,4 aon n. c. C 2L a f= O O r/ s3 B > 01 in u 0) 3 0> 7. tr U o u ^4 X oc 5-2 S =J rs 5 X 2S 5 5 2 S. 2 1 4 23 Ia R a 22 >-J- G- 22 & 11 e* 32 G *-h S? << to 3 2H Ho >* cr;j 9 7CJ3 a n c -5 o 0) c 5 o L. 'T'* t 3 CJ u"\ k. -J >* mJ* i. <1 ? 3 ^3 ei M -- <3 t-4 -sJ aI -H V cn E J Cal ^ rs 3 "2 aura s^:3*5 cm o to Im o ^ t- -K < 0NM GO CO CO to CO 52 t w > u; 55 y 5 u3 o*o s "0 c 1 S 2 m a. e* 3 a*4 a -X o tt Ed 3 cn O ox R 8 s u o r3 o rr. fi! u *R Ki V*<3 8 O to 8 0 a g H 3 1 Z 3 & to 54 : H O --:. r^N c\ 11 CP -7 6 -f o CM 1 O > r- r- CO co r- CM CM 33 ^=2 2w a M 7D X) a-- to GO a*. 3 3 2e a 8 3 to CO nto* 33 Q 3 3a a CJ CoJ o a Gcr 2 < o > 3 Co 3 2' <* > tc cn a a a a' 5 2 CL 3 3 3 2 3 o r> 7 CD CM o CO H sA (E ri o* r~\ CM O mo r> 1 -i o CO o o O' .? 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B to H S r-O *0 H f*\ w o ev o u r- u-\ t/N kA cwo On -*-4 -4 (0 >4 H H O oc -7 3 7 c wr\ 1t o ys ^ 0s F- ocn u f C* H 6 < o CO ^ c*v< ra\ -rtt -O' U. a3 Nil i 2o X 2 ' ecto J? >u Qat >wi0Un>* *2 - c< S i 3 53 o Z2 5 a z< 5 u 3 z 2 3 3 3 , -T* a 33 o 3 o z 3 co 3 1 o 325 O I-* 3SU S i5U 5 c= Sa 1-4 | u 3 | o 5 R su 3 z a 3 3 o5 53 | u 3 uS 3 s su 3 So 3W 3W 3 g 1 o 1u so t oon V) 3 O * c O C 'U ^4 CO --o J 0) u u"\ u > > I/} U to 5 ffj 3* to rj <-** ^ tf-* .1 c E < jj Xa > w -- -- X C V* P < a co tw3 o 2 (" Sc-o<o U 5 o2 con r= <r a 3 3 n u2 co 5 n JO 3 CrT. U . . nCO o2 2 C25 C2J >t3d a C/3 < : o < < . > s ^1e! * U <>3 (*->vi'olio*8* u; * U 8) a} ^4 3 * -- 2 O Ooo oo oo 3 335 33 , ^ 3 sa emesis C*. Cu Cjl. h h 11 m i i-*r CO CO CO CO |g CO O o r* o u. o 3 Oo M iJ CO aa tt S--C. --< -r-J xa- 2ri a-< ---<O9> A2 3 w ft. > k M o z M 3 I tA ITS rN cj A 5 P2? o 2? 8 2? *1 H fV CNrf `3V CM 53 3 CM CM o O ^4 o r* -J -) 3 c? CM rv CM 25 CM 8 CM NO r- CO r- r- r- 25 25 2? r: (0 CM CM tv 6 6 4 444 4 ci TO TO TO CO o o CJ L r' 3 . Uq c a -J p*4 aH a 3 a a ^4 c a C a o a Q, a r* > a a a* STATE OF NEW JERSEY QCFARTMCNT UAJO ANO IN OUST* Y OIVWOAAOS WOAKtW COMMNSATION ItSUToTSSSa - T/1/W l^b'Vwor.. IQ Vto a k A*fl PVTITILM wao MO* VX39or or a . HMilwrin weal 10. AHO*^ fob ORnM rarao r * T- p xxx. Tsueu>, IJ. 00068 . h. pawn 600 v. ion ar. caa,LJ. u. ArrotMr: ar. c52fl BDcb BW. XJ. 0fit03 IB. CO. V u. mociu ium tw uNoasiCNfo MciBT acxnowiidgis iicnrr ON;tf OF rm CLAIM KTTTION IN THI AJOVt CAif pooom ucivm gum prrmoM iwcmavuui obuom ucsvc oan nrmoM inuu f^*rr umi nru m mm dQr~- o' --. *ACt .25.U? _D_u_scrijj_____ {---- ] Orthopedic PROOF OF SERVICE MO ' t*fl *' "'Jur>' ,enccK PPWe injury and explain in deuil): 1 * 1 N'eunlorrical [_ Neuropsychiatric j x I Other *fe-ronajy & Catriiac .P?y?.?lAa'tric disabilities, Petitioner*#^ <DrD NOT) seek compensation at any inA6rma! hearing. A true copy of Petitioner's tnuAtinfc' physician's rvjwrt is attached hereto Ov. Mvslal aid iWAS NOT) furnished by Petitioner's employer. ....... No I'etHKiner submiu the folio*imr additional information: i Enter none, if appropriate) Petitioner asserts that he w.s Ferraner.tlv -- * tataiiv - from any fora of gainful ecnlo.^c-r. ** t0-ally dlsabl\- ~ LOSS NOTICE fold HEKt Gentlemen: Attached is a copy of the notification of loss we received. Please note the claim numoer assigned m the upper right comer and refer to it in any future correspondence. Direct all questions or information on this claim to: ). Claim Service PO. Box 345 Mimrniiiwn. N- Jersey 08057 Tel. 0 609-235-8100 - FOLD HIKE JF-JIJ nt. m U-S>. j:-z i. c-iran^ix 1 1 *K*AC1 CA&IKt .5SS73 JOTSAL 153. 00. i Ho;m utu _zs-aa r;2!0 t-j-lo 7 nt.fc*it 1 *0>'.Si *-* 7 /.*-O t ^jtv?! rj c*ij3 Sm h. ic-ih n.f c;r.3f rj . I i 400*111 * " '' -- -- -- 523 I2T3C3 ST., C.'JCZ3, HJ C3l03 THf IXOrtSIGNCO KI*UY ACKNOWU3GIS IICIIPT ON. or TNI CLAIM PITITION IN TNI AIOVI CAU .*>1 ot \UrKi UU )U*t0 M0 UtvtO FOR DIVISION'S PROCESS SERVER JUN 1 0 1330 - r:uOM ncuvmc Cu- nnns. n-c-. -jtii 'KJO. UCli.MC Cum NHIiOm .r.l.U M --I mu pr iam *nmi PROOF OF SERVICE Your Petitioner therefore requests that the Division of Workers' Compensation dticrm.nc :he amount of compensation due your Petitioner from said Respondent, under Revised Statutes of Ne Jersr>\ Title 34. Chapter IS. and the Acts supplemental thereto and amendatory thereof, and that your !\ titioi.t r may be awarded Petitioner's costs in this proceeding:, and such other or further relief as may be prop, r. STATE OF NEW JERSEY COUNTY OF Helen DiCtefar.o /) ** * of full age. being duly sworn, according to law, tlt|?os i.nd says that: , Deponent is the Petitioner named in the foregoing Claim Petition; has read the same, is faimhar with the contents thereof; and the matters and things therein set forth are true according io the best of deponent's knowledge and belief. ' Suliseribed and sworn to before me this day of. 19 ................................................................ ....................... I Pi : it .l ni r> (The foregoing affidavit may be sworn to before any person authorired to administer an oath. In heu <*/ on affducit, an attorney Uccnxcd to practice law in this Stole may mmplttt the ctrufcotem beinu > I certify that the forerjaimj ntntcmentx mode by me are trie. Jam flo-arr tint! if any of the fonijon*statement* made by me are wilfully false. I am subject to punish merit. Doted: Kay 29, 1980 Nark A. a n orL\rt' for petitioner The foregoing Gaim Petition haa been presented by the Petitioner to the Division of Workers' Compen sation for hearing and determination. Unless an Answer is filed within 10 days of the date of service of the Claim Petition upon you. with the assignment clerk at the office to which the claim is assigned as indicated on the reverse side, and acopy served upon the Petitioner's attorney. THE PETITIONER WILLPROCEED WITH PROOF OF CLAIM ACCORDING TO LAW AND MAY OBTAIN JUDCMENTLAGAlNST YOU. . DIVISION OF WORKERS'COMPENSATION WC 4-1 - -- -.11 >.T. -r T i '# t / Vr . \ 'TV-T T *- T . i i ;* D*ci7u:Tii<kM -- - - ---- - .3 cn:-:i co. 3*":oStt o hmcmi - - -- -_ i. cscia 'iZSlGSSZZZS ICTJil XL'S. CO. a mociu uim 2-XZTTQJ (ni.) ';) 7 m- r -i k .. .ik ! >.;. ?, " -4 riii:--*, :-j c:;- ;5 t r : *. . -.;i or o h. sj iT A';Tcr.i> i a;;":*!! ^*2'53 m.r.5 1., C1ICL3, SJ C`CI*3 T>it UNOKSIGNtD H!*!1T ACKNOwUDGtS IICltfT On19 Of TKl CLAIM MllTiON IN TMt AlOVl CAU EOR DIVISION'S PROCESS SERVER nuoiR CmAm HTno* R!MOH ir.irvAQ tllil.O* M\l * M N4MII mu * ixm conn PROOF OF SERVICE ntt mi i\ V.itc of ltr'e> ?!' 2 0 iKr^'li^cni o' i-Pur jnil Ir.JjMri IMON OK V. OKLERS' COMI'ENSA l ION DEPENDENCY CLvIM PETITION a> KIM MHIIIl SI V HI ft I. M I'l * M iMI'U'NtK i UC-26-3009 _ -> M-V Li ST-' AKO_______ Burlk STY <V II Mill MI. 7 - Friendship Road IIUnTIMCaTION NLMitl - --I ?Mo Kc ' iIf <*. Sm t ?-*c. :-413Q ^ is m S 4 Mt I ->> ?oz *= ''ARK A. CTJKT.'TNCWAy . "SCr^i 2 m*i* ns i o: 528 Eer.son Street Vincentcvr., New Jersey C8088 Carden, Hew Jersey C81C3 ; 1 \ S. ^ i^ ;yyin ',*<-VTV.W CardenOk HI ftl.Mlil N< L dumu>s oOO N# 10 Street Carden, Kew Jersey pmm' n s... i ... n iv.m, u2 cm i- .. rA i "- -T'"'> ct ----*"-<'!-<--7i--:*i>ti 5 Ic I N ~miic^. I___ Springfield, Massachusetts _____________ OiiOi u e c to tN i iTH K D1 VISION OK WORK KKS'CC.\;i`KN RATION- PETITIONER. alleging that th- decedent hereinafter named sustained (lersonal injury by an accident arising out and in the courc of employment with the Rcsjmndent. resulting, in death, respectfully states: 1 'OCUISICUHIVM Mill I 157-05-2035 VsamL ! Angelo HiStefano AIM)ML** Sarce NAklk i .Helen DiStefano in Si s Dl J AOt date Oi :TH 49 7/21/31 wife l:v wrur.te illltl if required LX IiaTLUI MIMTH *>OxTb ISJt occtaiin u\ ri. tun o' ts had pau inii.sv KNO* l tfV.l 01 INJL*> M ItOkTI.I) Datl sTorrto XORK 1 DaTk ttTK MSLD 1 70 0X DATE 0, Jt A I _e 61 yrs. Occ. er.ip. Filing CF Filing C? 12/13/79 1Ceceased 5/22/SO #( I POTION AM) tvrt Ufr *OKk set-up mar, and gasket ran. iUTTvIUlY OCCLtttO _____ _Fetitioner_exr,'r.t*5l_ tr hnrnful pulrror.-iry irritants, including asbesvv--. AHkKL Respondent's orenises. u\ o> ixji;*y CAI SI OF DEATH lunrs and rssoth<:-Iior.a Ml UK AL LXn-.NW.N ~~ ] It.klAL tXl'Ts.SIX I rAIAn'll. lo" sane t to he sumnonilliet d * to be supptied Helen DiStefano .HUNS A I kk.LV WAlik MATEO* LUMFL.NLATIUK lOMCkSSATlOS MECU'kO loa INJO IV t 251.20 156.00 ii week tnone * CP CS> ta.^c3 EtoMtPaLOl YcComl pt ln_nn_oa_nti_eon taov ' MCI O'I I FUBM.SMC& SIUMCAL AID IHCrnFNT f.AVI IITTES NOTICE of am in I I : I \l Mr I ION nici ivtnt iFruvrn stmts notici of AKIKIl ; I \LMMlON ir.Yes I No -uc copy uf trimting physicians report is attacned m-ictw. No ves No Yes No thinner sulimiu the following additional information (Enter nonr, if appropriate. Use additional sheet*, if required) Occupational exposure 1955 to 1959. VCB Case Ho. 77H06115, 77509iUi . Hazel Beadle 11-6-01 ' Page 2 sure in terms of duration and concentration. Dr. Amdur further testified that decedent's death was due to '`metastasizing small cell bronchogenic carcinoma'1 not causally related to his employment and that there was no evidence of carcinoma until iJ-2-75. He admitted that the etiology of dece dent's tumor is unknown. Upon review of the whole record the Majority of the Board Panel finds, basec on the probative medical evidence in the record, particularly the testimony of Drs. Amdur and Bennett; that there is no evidence of asbestosls, that th: decedent did not sustain an occupational disease within the meaning of the Law and that his death was not causally related to his employment. Accordingly, the decision filed 12-23-80 is AFFIRMED. The claim is disallow and the case is closed. Daniel J. Higgins) . ) Concur - Ferdinand Tremlti) Daniel J. Higgins . * Ferdinand Tremlti FRANCIS . GRIFFIN DISSENTS: I dissent from tbe majority opinion and vote to restore the case to .the trial calendar for testimony of Dr. Mark, pathologist, from the state of Massachusetts. Francis J. Griffin TO: FILE MEMO RE: Asbescosis Litigation Harold V. Beadle Workmen's Comp Claim LP 135:2 14 June 1979 . This refers to Employers Mutual Letter of June 7, 1979, under the above reference. Today (6/14) I contacted the following people: Richard Calkins Charles Nichols Henry Ververs Peter Archbold I advised them of the preliminary meeting on Tuesday, 6/19/79 at 1:00 P.M. in Palmyra; and of the second meeting on Thursday, 6/21/79 at 10:00 a.m. in Rochester. The above employees will all attend the 6/19 meeting. All except C. Nicholswill attend the 6/21 meeting in Rochester. Mr. Calkins will be working the 2:00-10:00 [?] shift next week, but he will be at the meeting 6/19 at one. Jack, you asked me to record the fact in this memo that you talked to Bill Bow this morning (6/14) in accordance with PSH's instructions yesterday. Bill said that we do not need the services of Mr. Chapman, our labor lawyer in this case. We never have used any outside counsel on workmen's compensation cases. Bill said he would advise PSH accordingly. I Klaeysen P.S. Advised Mr. Reid's office (Employers Mutual) chat C Nichols will not be able to attend the 6/21 meeting in Rochester. 6/21/79 - See over. RECEIVED AUG 15 78 LA.V 2i?R7MEN1 GASLOCK INC. Employers Insurance of Wausau 57 Monro* Avothji RinXaU. Not York 14634 ona 17161 3610460 John D. Lynn, Esq. August 14, 1978 Counsel - Mechanical Picking Cirlock, Inc. Palmyra, New York 14522 Re: Harold V. Beadle, Deceased - Carlock, Inc. File #D64-68539 Dear Jack: The above deceased eoployee applied for New York State Disability Benflts in Apirl of 1975 and that claim was handled by your Personnel Department. In September of 1975 Dr. Jack Resnick filed a supplemental report and diagnosed carcinoma of the lung, stating that it should be covered by compensation. It was on the basis of that report that ve index the above file and investigated the claim. On October 13, 1975, this claimant filed a formal claim (C-3) with the New York State Workmen's Compensation Board for lung cancer and this cllam was controverted by us. There have been numerous hearings in the case during which we have maintained our controversy. Until recently the claimant's attorney had been unable to establish a prlma facia case lacking the necessary medical opinion on the question of causal relationship. Dr. Sidney Sobel's report of September 8, 1977 changed the status. The Special Fund has now become involved under Section 15-8EE of the Workmen's Compenstaion lav. They obtained and served a subpoena on Carlock requiring all X rays and medical reports be made available at the Buffalo District office of the Workmen's Compensation Board. This is what Dr. Kapur has referred to. The Special Fund intends to have these records examined by their consultant. Since this claim is still in the preliminary stages it is difficult to predict what the final outcome will be and what form it will taka. Very truly yours. y Richard R. Reid Hearing Representative RRR/mt l ,,* &ne<ovn fchituai USid'tY Inaunnea Company oi Wiaconain Noma Otfica: man. Wiaeonam f1- jnmtm J 2* * ` .i * ' Statk or N i:w )kmhrv bLt'AHTMCNI Or f.Al'OM Awn InOuntwy DIVISION 01- WORKM'S' COUPLNSATION on oM'tc >> AlHTOM an> j[Ht :! ECTICE OP EEA2UIG TCi U.S. Gasket Company 600 N. 10th St. Camden, N.J. 0**Ct O' ThC 0*C fi i-251:75 157-05-2035 fetitice so: cc-zogb7 s.s.so. \. . . OU-uwiUO;? \ * 12: Helen Dlstefano VS TJ.S. Ggsket n *7 - -;o v~ Ij Tou are liereby notified thut the above Worker*' Compensation clain(c) i i(are) lieted for P7etrlal at 9;0 A*M* . on Au8UJt 5. ^8l U00 Market St., Camden, N.J. 08102 t .. ;K before the Honorable Judge Donald A. Curtis . TOU IBS EEQUTTED TO EE OS TEE If you are Insured, kindly forvtixd this notice to your '.'urLwra ' Cospenc.rtloa ineuxsnce carrier for their attention. If you are not corered by Vorkr.r*' Conpensntica insurance you are requested to be precant or be represented by counsel. m Please brin^ any nodical records you nay have in your poeeeeoion which apply to your case. I 1 \>4* t*Pt. I* An Fn-j-il dnf^triunitv llrtw'tn cr - 'TD f ! 11 79 c *. I*-',. Employers Insurance of Wausau 57 Monro* Avanua krrnrtord. Htm York 145M Am 1715) as 1-0*80 June 7, 1979 John D. Lynn, Esquire Counsel - Kechenlcel Pecking Garlock, Inc. Palmyra, New York 14522 Be: Berold V. Beadle, Deceased - Garlock, Inc. D64-68539 Dear Jack, At the outset, please refer to ay August 14, 1978 summary regarding this matter, which was in response to your July 20, 1978 inquiry. Since that summary there have been a number of hearings at which time, testimony was taken from Dr. John Bennett, an impartial specialist assigned by the Worker's Compensation Board to review the file for his medical opinion. As a result of chat testimony, the presiding judge is desirous of developing the record regarding the claimant's work history and exposure at the plant. This case has been set for further testimony on these Issues on thursday, June 21, 1979 at 10:00 A.M. at the Worker's Compensation Board, 155 West Main Street, Rochester, New York 14614. The employer is being directed to produce Richard Calkins and Chuck Nichols. The employer is also bslng dlreccsd to produce the plant Safety Director with records pertaining to all tests performed in the Textile Department^ along with an industrial engineer who can describe the operation in which the claimant was involved. Your employment records will give you the dates involved. I would like to meet with all the witnesses as soon as possible to go over their records and possible testimony. Please give me a >-i 1 so we can arrange for a mutually convenient appointment. Beat regards 1 Ud- lUlJ C-xa G* Very trubr^yours. ard"~R. Raid Hearing Raprasentlve BHl/lh Emptoyan Mutual LaMity ' Company ot W,