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FILE NAME Talc TALC DATE 1976 DOC TALC481 DOCUMENT DESCRIPTION Worker's Compensation Claim and Public Liability Report CORPORATION CORPORATION CORPORATION CORPORATION CORPORATION CORPORATION COMM Teron COMM ger LIABILITY/LIABILITY/ REPORT REPORT LIABILITY/ ry, By RO ee 1/5/76 LOMPOC LOMPOC R.G. BURDEN Division Code LaLa avo JOHNS HANVILLE CORPORATION ' WORKERS COMPENSATIONCOMPENSATIONCOMPENSATION and PUBLIC LIABILITYLIABILITY REPORT. Form 5080-8 11/76 Report of Actual Payroll 9/30/197 9/30/197 For Quarter Ending 9/30197 9/30/197 9/30/197 ' int int Gross > Insurance Code Insurance Classification Code Yr |] , Classification # . | | | i f Payrol Payrol Payroll Yr to DaDtaete el 2 3 4 Quarters Gross Payroll {4 Quarters Adjusted Excess Premium Gross Payroll Unit ( On Overtime -2 State Limit 5 Not Insurable Payroll 3-4 6 7 Rate Per Premium 100 of Accrued Payroll x ' Clerical 8310 nove nove 4 : Mersing MersinMgersingMersing 11/22 ae \ nace nace . u Nace . \ net * .31 OQ 12.59 12.59 etd . TOTAL OC SRN. TOTAL | TOTALTOTAL FFROM ROM ABOVE Hvac a a os 11/5/76 + Revision ** Addition + sere ~~ \ / - \ ; XXXX Did = XXXXXXXXXXXX EXXXXX XXXXX aS XXXXXXX > fl ae efle 18/6/20 Prepared by PlantPlant 18/620 boc 18/6/20 at : 18/620 boc 53,551,97,98,99 ~ Pog keg LOMPOC R.G.R.G. BURDEN JOJOHNSHNS MANVILE MANVILLE CORPORATION | . 9 | | | Sa Tale SSaa - ocation Rivision Tale Tale 075 - Tale 075 Tale PUBLIC LIABILITY REPORT man 11/76 5080-8 Form 1 /76 508- ; Calif aaseesme for State of . ; Report Actual Payroll Report of Actual Payroll For Quarter Ending 6/30/197 6/30/1977 6/30/1977 urance Gross i Code 1 Gross : Classification Payroll Payroll Yr to Date Clerical + 8310 - 5205 1 Quarters Gross Payroll ra Lo 2 Quarcers Premium i 3 7 } Adjusted Gross Payroll 4 5 " Excess Unit Net Insurable Payroll On Overtime 1 - 2 State Limit 3-4 3-4 3-4 a Cs a : io : -a we : ] 6 7 Rate Per Premium 100 of | Accrued Payroll 6 x 5 : f 0 0 _ { i - CRMC HT HT - | TALC ! 000240 | TOTAL FROM 13299 | G 111/5/76/1 /55/76/17/5766 - Revision ** Addition 7/15/77 | ; CERNERRR Re RS ARKXXXXXXXXXXXXX ai fo] 35 tb oe a an Prepared by LisLehted Taupic vw Plant at v Taupic Taupic Plant | oe | 53,551,97,98,99 53,51,97,98,9 53,5 1,97,98,9 | LOMPOC R.G. BURDEN 98 . | . : MANVILLE CORPORATION - ' WORKERS COMPENSATION - 025 PUBLIC LIABILITY REPORT | Form 5080-8 11/76 . ; 3931 aa . : Report of Actual Payroll . ; For For Quarter ~ Ending Ending Ending 3/31/197 3/31/1977 3/31/197 3/31/1977 3/31/1977 3/31/197 3/31/197 : : : . CRMC - HT TALC ... TALC ... 000241 z i : ; I 1122 12 % . f. ^' i i : ' i 2 } Quarters { 3 Adjusted |4 Excess {5 Net Insurable Premium Gross Payroll Unit Payroll On Overtime 1 ~ 2 State Limit 3 - 4 6 Rate Perl 100 of Payroll 7 Premium Accrued 6 x5 : 7. a . . eat . . ean . ae 4 . -- !SS j 12.59 12.59 od Oa _@ - . . 4 i : : i + i : i 3 . : : s ; : $ tyes lvsvvx | it 3 si 13299 13299 1329 13299 13299 13299 13299 13299 1329 E es ae . en yA rararavarirap rarurarararapaeurtraririeae aries - NXE? AA }NXXENMANERARXNNED SN! XX SARL ineeeeririn RNaAcist ate NXANARERKANANNAX! BOUP NEQUEN A SCACANNER t pom ; Prepared by at CORPORATION COMPENSATION COMPENSATION COMPENSATION REPORTREPORT REPORT ( 1/76 1/76 11/76 ) i Code a R t : 8510 . ia } i i . i i ; | 4 t | fs Insurable Rate Per PPaayryolrloll - H a - 440.65 4 0.65 1 q | } nnn . T i H | | : . t }i : : 4 | } { i 3 i i } iT \ } : n i t ere es | . XXXXXXXXXXXXXX XXXXXX XXXXXX ] ReXXXXXXXXXXXX XXXXXXXXXXX (hnrate. megt 1 mpm Peaeen a Oe 810 Wages (TIL : 1 h ue SN La er catecare VR pore ogre w E lebn | uw : ? . ~ a : r 4 2 ce Mae * _ MANVILLE CORPORATION . -7 WORKMEN'SCOMPENSATION : . . PUBLIC LIABILITY REPORT cs a ae - enn RE dA chingching Report of Actual Pabl For Quarter Ending : ta t Code Code 4 Code ; j Number : i ; : 1 Gross Payroll . T 7 > z t { Premium i [ ! + On Overtime i H 3 Adjusted Adjusted Gross Payroll 12 4 5 ^ T . Net i Net Insurable Ratz Per . : : Premium Premium Excess Unit | State Limit | t Payroll 3-4 S100 of . Payroll * ; Accrued 6X5 | . 8810 53205 53205 Ten : 8810 7 ! 3495 53205 53205 } 3495 aI i 2 roots bo , : i : : es| i ; Ped i H tee | 3505 3505 3505 t 3505 ' fl ; 151 151 151 13.59 13.59 j - : 2 eed 0.04f 0.04f CRMC A - | CRMC ; HT ij - TALC i TALC TALC 7 000244 . i 0002040244 000244 _ TOTAL TOTAL TOTAL TOTAL TOTAL | 4 {. i> . {. : ft 2 : 1 - i { : . : XXXXXX oo ag H ! INA MMAXREM EA at hed : a ae RO RETR AAS TI XXXXXXXXXXX XXX Ix KA RN XXXXXXXXXXX XXXXXX 7424 BARREN KAMRAN MMMM KKK XM KX KK KKK KX KKXKKXK XXX 2 35 . : . 81998 3/30 3/30 re o regbadh 1 me ant ich copeec nage ses. AI I. Beta 22 f. ee ' ~ MANVILLE CORPORATION 000246 COMPENSATION . WORKMEN'S ' 00246 and 0 0246 - PUBLIC LIABILITY REPORT TALC Tala Mining Tala Tala Mining HT - Mining Mining Mining 075 - 075 . . Report of Actual Payroll - ao. TALC For Quarter Ending Juice 3019 1976 CRMC 1 2 3 | 4 5 6 7 CRMC |t Code . Adjusted i i Number | | - Payroll i Gross : Payroll Premium . Ff On Overtime Adjusted Gross Payroll 1 -2 Excess Unit State Limit Net Insurable 3-4 Rate Per 100 of Payroll Premium Premium _ . Accrued 6X 5 _ 23 ive. 2910 | 2249 a 3249 1122 | 104 | 2732 | 101393 3249 70/39703/39 70/393 20 6:50 10.96 | 11112.67 112.67 f L 1 N ; i H oO 2732 TOTAL 107374 104642 , XXXXXX | XXXXXX | 107374 107374 2732 2732 2732 704642 ' : 704642 - - . : 104642 TOTAL XXXXXX XXXXXXXXXXXXX MK TOTAL FROM XXXXXX 107374 107374 07374 XXXXXXX XXXXXXXXXXXXX XXXXXXXXXX RK XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX . | | XXXXX KIA XXXXXXXXXXXXXXXXXX | 07374 XXXXX XXXX XXXX AX XX KKK ER KK XXXXX 665 665 ! a 7 ; _ , : Quarterly Payroll Report General Instructions Systems 3931 SucctedAnnually byCorporateCorporate Insurance Department ' Prepared by . Day 5030-8 0774 BO _ oe Approved by optLote erty ttt JM HennessyLompocLompoc Plant " ; RIG Burden Plant Controller ~ PIL LATE a J P0 STYLEY tie OWS reg ee Vebee e Ra cr 2 ae WORKMEN'S COMPENSATION Mining Div PUBLIC LIABILITY REPORT . . Report of Actual Payroll For Quarter Ending Mar Mar 31 1976 1976 i Number | i | | Gross Payroll Premium | On Overtime Adjusted Gross Fayt oll 1 - 21 _ Net Insurable ! Excess Unit State Limit . Payroll 3-4 Por 100 of Payroll Premium ~ Accrued 6X5 wot =. 41123 4122 4122 ..220 0 8.24 00248 7 ~s a 86941 8968 88968 202 88968 8968 88968 86941 XXX XXX ) XXX XXKMK KKKXXXXXXXXX Report General Instructions Systems 3931 Insurance Department , cg KX | KANN KXXKKK LANARK XXXXXX XKXKKKKK XXX sO .665 591.64 591.64 1 PL PL 967696.76.848To4tal WHY pe Tt e 6PZO0-TVLAEWNRI OTE JOHNS - MANVILLEMANVILLE CORPORATION WORKMEN'S WORKMEN'S COMPENSATIONCOMPENSATION LAT LAT LAT LAT Ne 075 075 Mining Div Div , cation Division / Mining : porting for State of Solitarnia Solitarnia Solitarnia = PUBLIC LIABILITY REPORT a - Report Actual Payroll For Quarter Ending Mar Code . Number | : | | Gross Payroll Premium On Overtime f 6810 7 -1123 ( ... a...g/a LOVER RO 84846 84846 : * *: j i 7 2027 a Adjustl Gross Fayroll I 21 Excess Unit State Limit Net Insureble Payrol 3-4 4122 ee \ : 82819 \ ! 41122 87819 * . * ; . \ Rate 100 Payroll 20 10.96 . CRMC HT HT _ TALC 000250 - 0 0250 000250 000250 ! i an i ul j : _. VJ : /\ \ \ oo. inns 4 ; ' i : : X X X X X X X X X X X X X X X XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXXXXI XXX . XXXXXXXX X X X I XXXXXX 88968 XXXXXXXXXXXXXIX X APAKAX XXXXXXXXX | 88968 8968 88968 | XAXAKMXXKXMAKARNCMM XXXXXXXXX ANAXK XXXXXXXXXXX | . Systems 3931 rs ; .CRMTALC TALC .CRM JOHNSMANVIL CORPORATION WORKMEN'S COMPENSATION ^"t PUBLIC LIABILITY REPORT . : enn NS Report of Actual Payroll For Quarter Ending 19 ;, Code fj Number f : i 3 i 3 _ Gross Payroll ob 2 | - Premium ; | On Overtime 3 af Adjusted Adjusted Gross Fayal . 1-) 4 Excess Unit State Limit 5 7 Net Insurable . Payroll _ 3-4 3-4 3-4 Rate Por 100 of Payroll ; Premium Accruad 6 X5 1 e2to | t1 aN wan | H | | | 1359143594 | 270458 270458 _ 18683 18683 - i 13594 %: . 251775 4 - 251775 % 7 > . \__/ 20 10.96 10.96 2719 | i 27594.54 27594.54 | i | { y _ | 284052 18683 18683 a | 265369 XXX XXX 26536X X9X 228405284052 XXXXXXXXOXAXKXXXXNEXRXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXxXXXXXXXXXXXXX XXXXXXXXXXXXX 27621.73 27621.73 27621.73 1888.95 1888.95 igre dee State of JOHNS MARMVARVI I 12 WORKMEN'S COMPENSATION Worksheet ; ; PUBLIC LIABILITY REPORT ; i aa Report of Actual Payroll : a : For Quarter Ending 19 ; [ 3 1 7 Code ; Number i. . 2 - 3 a Adjusted 4 :~ 5 ' ' Net Insurable . 6 Rate Per } bo. : Premium : i _ Gross Premium : Gross Faali | Excess Unit Payroll ; - i Payroll } On Overtime . -2 State Limit 3-4 3-4 3-4 H } : ~ 100 of . Accrued ; Payroll ( X5 a : . : : | i 88 | | - 13594 | | 13594 | .20 2719 . MAX MAX 270458 270458 270458270458270458 270458 1868318683 1868318683 1 251775 \ 251775 10.96 10.96 27594.54 27594.54 i ; CRMC ./ . 000251 -- 0 0251 [ 284052 XXXXXX XXXXXX XXXXX | 1 18683 265369 if ait XXXXXXXXXXXX XXX| fy 28.4052 | |XXXXXXXXX XXXXXX XX XXX XXX XXXXX XXXXXXX XXX XXXXXXXXX RNKN XXX XXXXX XXXXXXX XXXXXXX XXXXXXX | fF 665 665 27621.73 27621.73 27621.73 27621.7327621.73 27621.73 18 8.95 1888.95 1888.95 1888.95 1888.95 PL ROR Soest ep iaRet CeNe REST rai Taaste eS ae tea ee new we A on Talc Salos Domestic and Canada . Month Analysis by Distribution of Grades by Market _ . ; Ceramic Paint Plastic Paper - Total Plann Tota , 1973 2,343 1,458 397 639 ' 2 Sept 1,805 897 386 865 _ i | 1973 2,637 1,151 301 848 : 1973 2,640 1,118 530 1,365 | 1973 1,989 808 317 1,365 1974 2,377 944 334 1,018 1974 1,653 1,002 343 1,069 1974 Apr 1974 1974 June July 1974 1974 Sept 1,731 2,086 1,973 2,037 1,769 1,941 1.918 1,106 1,059 1,090 1,011 1,246 1,006 881 650 789 547 1,145 433 110 " 204 1,338 1,007 1,190 1,128 151 901 1974 1974 1974 1975 1975 2,652 2,161 1,846 1,594 2,117 1,092 552 - 506 807 619 251 165 149 273 101 971 554 404 484 443 | | | 3,158 | 3,280 .3,2 3,2 000205