Document wrXppjvVzJNpnmn1zKNO3QR4Q
Conf Identic, SafomiiSScg*
inquiry ha ablis!*edt t;m fmt tfr&t tixlm task mm
;
by mthaa.s *fclc$i
in gjpo* sliiTgsjtM <5f th rap2*tlc>xMi loimM
to Oran*; rtiv ei Oil Coaxoa&or by Ethyl
:
o Govern tSss| d$'pXt
tbo fact thtut the tr4 in cpe^ttan mm ^qpligwd ssSih a varnltiB s-Iga
dlroatlRg a&twifelcci i th* raj^atlax* ubisSi fe&4. boon pasted in 'Sh
offiea st til tjcnt*U St Smu i doveleptd tstsafc a&tantften fc&4 bsa
oaXS4 impost odly by & 3f*ty ^n^lnaer of Eti.iyl >noi; : Corparafxton
to the
for carrjri^
tbo ^sofitsad proaausiouary
&auro&# sm-5 that Che ro*ion*it*2a
or ^rsu-jg ttsto
012 coesjwuy Imo bea apv>rSe<l of tb dma^cra <u)QQti&od with tho
: ^loaning of sueh t&nk* Shoy liSfi slasa boon s^iuessa ropeatftd&y
to Xnfom ?ps7ditHmt $Xv of Ethyl v>. ;ll!t0 CorKratitrs !n sift? me
of their plan fc close* tSialr storage tanka to trot a Safety Tttsglmo^
couirt b preaonjt aaci austtnlao isueli clo&Kis^ ^roeecSui*** In all
of thr rog.ooet Orange state on o^pnisy agents f'oilo4 to &&tx
tfeaaae&MMi of tta mslstaaes m*ci ioffomatleii 'aioli isao ami Sable
to t]w $hl point 1 otressed* not for the parpam of racflmlmtloa
but .t onphy&Ss tJoo iit&eessiby f@s* safe lag.-each steps a$ X1 prevent
future tragic accident* of this typo*
i
Beport oji daee of
1 &CM&0s&.ad '13pt&jteQ: Of OrSiAf.e Btssi
QtX CimpUZX^
Oa Janj <m*y S, 1340, the u^e^r^ed,, Dr* dobert f* faboe*
received a lottos* of i*s*$itry froa 15f* fullivns f bod&ll of Jacket^**
vilio, Florida,! cneerairsg &s mlaira of the 111ms of a patimb^
Hr* lates be bad eon in conea;batten on Eeeetsber 01st, 1^50# Hiia lottos*, sent caylginally to J* A#Costello of ethyl O&seisne
corporation ymafi fesaj?dd* comw^ntiecHHi with bj*# Bedell .licitmi
61*30 entire a*@: iiletsory and ti record of the moray-sy of Erhard,
wise i\ml tiled on; Heomber Oarf following a brief aost lafeax&oetloo
:
which in Ita tyh* wad aeurae mo strongly suggestive of tctr&oilryi
load poisoning*! It* oeoupatienftX Metosgr of t*3 deceased revealed the pasalbill by of mrlxmm exposure to ons or ;.-ars of sowers! toxic
i;i&L..rlul&, euobl ac goaalioe i?pors# lifdro-^on alphlde, and engage loa coo^ou.^is*; although the latter w-s& only a watt 'r of ocstjeetura*
tiitb the idea of detersO&lriis the significance or insig**. nine ace of tl load #^o.surss m p^Xi^tnsrry sicmur*3, hr* b&doll
was requested to obbiiin, If ^ateible* portions of nbe blame of tl^o
.
deceased vz&si for ebmloal analysis# ilwch samples t#or received at
:
the lettering labcratorf of applied fhyelolagy iv Cincinnati, Ohio :
on February ISth eM t&m results of their sm&Iyst war# imported
by on Fstorttargr 30th tu tsa?# ffoo* who at this tt:m \-y s in
Saiarsl, Florida*; these remits, f?iwn in detail bel?>w# were emc!i$ a
to justify the diagnosis of smxtm lead poisoainB, in view of the
case history, abs, therefore* they'provided the starting point for a. thorou,<da investigation of the epportucd bias afforded to the deceased
for hazardous leaS exposure* through the Atlanta office of tlthyl
Gsseor.nd Corporation, Information was c&tttlr&d which, led to mi
&e 0021101
Interview betoNMjn &r* Sefcoe end STr* H. s* Van
seoretary of
Orange ntete bill Ca&jpNoqr* at Hlat#. end &r* Carte' of the ssuao |
casspatsy# At this confersme it developed that $ C* IIubbard and
1
others* under teli* supervision f 2* F* Gloves? of Orange State CH
Company* had been engaged in a&eanlng offiHaisi gasoline storage
tank, up to tla> dte of onset of M# liineea* Further inquiry
'
elicited feha- fact that a number of storage tarsias* at ^seksonvllle*
l*al msd 'fwapa* had b* msployed for special Meade of leaded
gasoline c* ariy In X9M* these bleutds Imving been aadar by Sr* tMns I
Kurphy* a foyssej* assplos'C of sthyi ttaaoiiui corporation in a later
interview xsh Hr* v> l*runt and Sr* *?* * Bill, representing the
i
Earyla^d Carnalfcy conpany* Sr* foboo outl nod hie intention of In**
veatigatirsig all;of the eiroumtaneea coisnectcd Mfch tbs a&ae* and rer-psorsted that Iso as felon of any Bind -be taken fey repueK&ntsj M VK of
the frsgjgo State Gil Cosspeny or tbs Bsnyl&nd Casualty Ga&uuny until
such investigation cM ho ocaplotad ass& reported*
On the; follcsrin day* is?* Ketoa mt I&*# v9 it* mtpp& of
Ethyl Gasoils* Corporation in Jaaksmwllle and In Ms wsipeny
eonfapvod iritis trs* * 0*.
;
ml I?* 0* Bode&l* and In the
'
absence of Dsv &# 3T*. tyreisfortts* pathologist of ft* Oak1 Hospital*
visited the - pathological laboratory to obtain inTomatlon fraa the ;
technical staff! sd to e*aiae tfm mieroecepio sections of the
tissues of the deceased* 2afcaseation ae required elso ae to the
mdo of onbalnlnis* eince the body of the deceased bad born eribained
before the ssecrbpey* iti*- 3&ertaker w j * visited therefore and
'
3cmjl& of fctse K.lmlssing fluids 'wore obtained for anMyahs to deferral***
tiio poasibiilfellee of error frm this soared In roles.ion to tho lead
content of the tissues of tho dooosaed &s deteminod by analysis at
0ofctaring z^orefcory* Subsequently* In* Frederick Ootgon*. consultant
',
K& 0021102
.
3
of XfsiryX.as.st Ca.njjaXtSf Company In JaeksorwlXXo #aa visits mad
iafonaod of tfc* jatatus of tho eas9 In so fas? as 3h* faot* ws
than sw&iXabis,.
hater 4ohn Morphy ms XeoaSM aiid consulted os to tho
pl&eoa -and d^itoa inwolrod In Ida peit$X blend# of luadad sasoltna
on behalf of Oran^ f tsi# oil c &rg* Shrtbeat investigation of the dntsdd* of the
;
of. the deceased i during, the s>siss& of tfo s^fe@ tss^odiaiei^ proeading
Ms donfch* was 0atruitod to- Mr# fMpjjs# frees bh fact that h&s&rdona
load osspoMiro 14 eXMtiing tm$m hm# in our ostpor.torso, basil Xislioa
to task bo whi4h enofAmrita6 flu 14 has boon
fros th
knowledge of ths. work sc^cdul of the doecasod, and fte th* infer**
rmtton gimn by ;8r*
it sM virtually certain that a
"spilrsd* tank at
fad hn the eoureo of the? font o:|>a#r of
the doeeraaed# Jlr* rhippa plmaeA to Xee&t the tank os'* tm^m involved,
to obinin samples of i*lnd|p for ana-Xysf is and to round <&vt fh infci*
:
nation ro?pxs*4ito et&&l&>i th* *et#
- All of ith pertSami: fast# sir new available us to the
origin of tt:m load mpQm.r-9 the eairs of the nines*. ms& t&
cauee of the death of the deceased* .SMood all of the &oooiftt4
! facts are known:except as bo the ooaurrcma or lack of ooearrnnea
;
of IXInse# In the tsea working with ita* doooawl at the tine his
Illness was contrasted# She fseta are detailed bo low in the asqnonoo
of their oceuriHinco*. together wSMr the ovMohe ot% which tM dir^nool
of fatal tetraethyl lead poisoning ros&s*
According to Mr# TJurphy# concurred in by Mr# Carter, end
I
subsequently by Mr# P# 0* Ho Cranio#' one tank at the Hgeipa fcamin&X
of Oktng fta'O ).!!
va used for the Mnlng of leudad. ^aeoir.ns
in Swxjm'y
X0S4# Uo other tmte at this t^rsainal %*tw so tlaXt vith*
' K? 0021103
** * **
'Sno dnisse of Fluid were Introduced is*to tds tautc, h? taping the
g&s-oUn lines on the -.loch, eosvwotlag am eductor and crawiiyt tt
Fluid Into g.wsol .'.ue entering th& Stsnk !>; a hhiy* She ' .'p-n
PEip outlied th=e oduotima stress*
;proy#llofi this- traa luto
:
the toidatnal tank:* Do reelreulatlon w* ^osuIbXo* Oihor Indian
operations oar carried out ah gtml (one tank ocslyj and at J-ackan
vliloH or 3 tanke)* Imt at mo other loeations*
By reason of certain projected ohim*i* in eq^iseaont, it
hoesr. ncce&awry for Orany State oil da^ps^, to olossm a series of
tanks at its fesmimls* ihspX^aafifc rooorie show t&nt f f rty&toard :
and <i>tlir& wore; cnge^ed In this and otisor v?ork in mrioaa locations*
The foXltMism ds?
locations re^er only to t jjeried which la
significant frob the viewpoint of the possibility of d&Bgercm le-*d
o in theI work*
hatg-
UOCOV'
foeodber X s-o > l-solisaivo
beeataber O' lo IjS
r
Peees&cp 13 to 13 st
Voat hah' 'wnch TTTapSi
?^r--. ' each
of time pieces* tgpfjii tm%$ wmM B-m to to
to the miaplntoxi
of having provided iserioua X#&d o^oouro* since It is Vom m.l& place
at whidbi a darti^rou- tmk appears to im bc@a .in oilstone* imm**
;
ttgatlrtn revealed that fit tea*)* now designated sa $ SOI* uaod tot
blending iarly in 1^34* w&s cleaned by Tkibh&rn and his .as6<3le?@*t
under tbe mzp&rv'Lfiion $m& -with the amlefcatie of Sr* S* T!* filewer*
over a period between i:ocstitr S5s*d and Dumber nth IcoXuaiv, it
having gom ur.elosned In $*
botwssan 1034 aril i:eeebsr 103&*
BltKigW whleb ioad boon renewed rrcss- l^ip tank in tfee process
of cio^iiBg v&o obtained sirs a
by h(r* fMppa for ^aaiyisla* focli
KS 0021204
*** u **
analysis i-KivoaXdd In th# Inspissated statarial 0^63"J of organic
load# end 1SQ$ :of inbrxjsai lead# hjsjto&fc on this
aiaterlsi
-the
sinnlfie^t ana tosao *$**nt& tt a*
ot volatile Xad# tonr t?y establishing the pete&tlsl si&tlflesneft
:
or the ssp-oeur ieosatnsd by Its presence la tb tank#
ih Illness
accordInn to infom&tlnn
obtained, by big; physiei*me in Jack Seville# appears to h&v#' bsgun
In prodreefSl forts on Eese&*r XX ih or 12 th* Xszt v--ns tsro- life to n^nt
or possibly &eeatui&sl on Dscesa&or ICiih by o report* received just
before Ms !dsrr;4 fiepwtua? free*. I's^pa* th&fc hi a wife* in J-ok ; >?>*
vine* ms acutely ill* !lo !>ecf!is highly oncitod. xuu behaved
irrationally# sfosB h arrlbvA at Ms boa in Jacksonville*'lx
&&& in & state of partial enjtaslcn# By the mrmilm of bcmbr
80th he
hay ing hallucinati #m* * dof X*& fe2gr aXeorisnfcod and
had to bo restrained# After unsuccessful nodical trc&mmfc at hoso,
ii was adsilfcted to St* lads* Hospital on thornier 23rd la m
irrational etnq** later bocam wildly sfcscifeod nd violent* developed
conyu Isive-lSSs ssascalar Switchings* seta a lad In thin a tat on this
sase 4y# xoesasbsr SSnd* The daareeter of tit illness was so unceual
that it wm not M@iitifS.s4 by the afct4X arid vaulting physicians*
Aiad a necropsy* p@rfomd ass h*.*r later# after th body Imd bcoo !'
es&ateMd* failed to rw&X the osl of death -so the satisfaction
of th pl^sloism am the pathologists* ;
Cn points# a positive ssrologie mcU.jii on bl.;?4 obtained
shortly twjtaMj death* fiu^gewtod a possible diagnosis of fulminating
syphilis as the b-.sckgsoui3d of* the fatal Illness* h@ oigsalficanc
of this diagpeatte tost, wiicb hois bean foarjd to tw positive In at
least two ot2ij oosos of Imotm tofaraetbyl load intoosie^ tien* an b
0021105
I ft *' ; dieeoanbed la view of a negative history end prevtou negative ;
/ ,*a
V"'
,'i
erelogie
a# eeli *. the ;*to?tsp end dewree &f to
Uln#* which ^n biim,;'tad|Sl' li .wnlf#ili6!oa of
but quit typical of tetraethyl lead pt#entg*
Analysis of the-' tissue"of '.the deae#d disclosed- (woa*
traticme of lead cottpetlfele with the dlsgenet* of fatal lead;. ;: .
potecning* ad in keeping elthih# type of. lead ***** Si feet-
the lead oaM*t$r*tieguft 1a.ifeft liver end brain (the neet tortisoti
ttl V'6| ^I'f^l!
f -5
&
tieaa.ee frota e dlAQoonHn'" point of tiw) of fth* eeno order of . ssafpii.^clo as those found is two. etbor fatal' edse of totraetbyl lead poisoning* Oppe&pfcinttles for ehexiMi dontmimtlon of tbso
vi
si, f<
tissues with lead fres extranaou* ource mm imm&' m
.:'.
oeaeloaeat* flam a daterBlnetion of the lead eoo&ani of the fluid
1
used by ih enbisteer in .feokoonv&llo diaelohed.fee paaascMMi of only
the woat jaissat! and it^ignlfiohnb
of load tberaia* while an
inquiry into the taeana* of handling the bias* by ttaa petboloi^ot `
'i .
".`'
(br* iyrettforthj} proporetrar, too aandiag tfteni to- the lottoping ;
teboratpy# ha Hoaa tfeefe m aigntfleaiafc eontneioatiim- sld have ,,
occurred*
. *'
' in awajsBay*. it dab nee bo mid that; fee .actur* of the
'r
_>
.' i
;
-**'.
_
* ;
heeerdeoci'leed a&oeure of '.tfea/daaoA&ed h been- Mcniifioi* that
the onset cmieiiMool,course of thla.iltnasa were-typical ;.' ** :
................* - - .'-.: '-;' 3..', i, ,,. . '
- -ii.. . '& ' ' ' ' - ;" }>' '* --- /i'-. '^x- I _? .
V'-,-v .. ' ;-1 '. .
` .- > '/' ;. `- < ; V,' /, >' ; .1 -"v
i '" y*'K.;
tetreethyi'"lowdi p0ia&ni!'ss"'a^ prwimaaly. 80on. if)i ' doaoribod in j^dioal
lite^afes^# that the ^ath^Xogieal findingo wof-o in feoopli^i vitb the
lil
diagonal# of to?aothyl -lead 'poisoning* and finally that' the enelytleel
roeuita obtained the tissuo -b&ve dhaonetretMl the proeenee' of
qomtltlee ofle^d eoffieleat' to oeeae death*' So ot'tdendo of the
eadetatiee of other swrtel diseeee..fooeee hae boeadtoclosed in :
c<mneoti.on wiiat feJw oaso*
- ..'.
r('
msmmamA
0021 lOo
.`a
. 'V;
w ?
?
On th Vasili at $tmm
#h<i are *uftx&to4
by adoquoto and Inoontoetablo s^its**l0||aX avSdmct-*.f tfim
t
of cma^s f-tft* oil cofeii^say is strengly
to acoopfc o* e i3uflW3r4ii
&oth m duo tittmtiy %& tls ofTbcslis of totataotfe?! Xd po&Ntt&iig
and to Initiate ouch t$ as will ^swido &<$i*,ttmlM cag&tftoatiafk
:
to. ihs f! iy i? tha &m&isM without
fc llt>t&dn*
is- ifurttsfH?
tfa&t mil ^asuaw- for Uaa pr~
!
vmtii>x% of futus?o sailer accidents, bo put- Sato offeet at <.**
tlirmi-gfe. tha <KM;*ura1&V9 offo^tR of thslp
and Shoe
of Stfcsrl tfoaoUjn* O&Tpcr^xtim*
01gnKtf Robert "V* J<febO lia&leaX Rir^otor
r.thyl 0nm l lm . corpoctati on
0021107