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Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7472102 ISMAEL TORRES VALLE 99 CENT ONLY STORES 99 CENT ONLY STORES ADJ1308567 CURTIS RIGGINS EMPIRE DISTRIBUTORS ACCA ADJ8768841 MARTIN AVILA TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ7014781 JEANETTE WILSON LA COUNTY ACCLAMATION 802108 SANTA CLARITA ADJ7200937 SUSAN NAVARRO DEPT OF PUBLIC SOCIAL SERVICE ACCLAMATION 802108 SANTA CLARITA ADJ8009655 MARIA PAEZ RUSKIN DAMPERS AND LOUVERS ACCLAMATION 802108 SANTA CLARITA ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES ACCLAMATION FRESNO ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES/DPSS ACCLAMATION FRESNO ADJ7117844 TOMMY ROBISON CITY OF MARICOPA ACCLAMATION FRESNO ADJ8162473 ONORIO SERRANO ESPARZA ENTERPRISES INC ACCLAMATION FRESNO ADJ8420600 JORGE LOZANO HARRIS RANCH BEEF COMPANY ACCLAMATION FRESNO ADJ8473212 DAREN HANDY KERN SCHOOLS FEDERAL CREDIT UNION ACCLAMATION SACRAMENTO ADJ8845092 CHAO HER FRESNO MOSQUITO ABATEMENT DIST ACCLAMATION SACRAMENTO ADJ1361532 THELMA JENNINGS LOS ANGELES COUNTY/DPSS ACCLAMATION SANTA CLARITA ADJ1611037 ALICIA MORA ANDERSON BARROWS METALS CORP ACE ADJ1995137 ALBERTO GUNDRAN ABLESTIK LABORATORIES ACE ADJ208633 SHAUN WIDNEY AMPAM ACE ADJ208633 SHAUN WIDNEY AMPAM RCR COMPANIES ACE ADJ208633 SHAUN WIDNEY PLUMBING CONCEPTS INC ACE ADJ2237965 JOSE CALDERON FMI EXPRESS ACE ADJ2353287 DEBORAH PRENTICE ANAHEIM CITY SCHOOL DISTRICT ACE ADJ246218 PAUL LIGAMMARI LOS ANGELES COLLEGE OF CHIROPRACTIC ACE ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF EDUCATION ACE ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC ACE ADJ463831 ELBA GONZALEZ MAIL MARKETING ACE ADJ463831 ELBA GONZALEZ U.S. SALES CORP. ACE ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION ACE ADJ677439 MARIA IGNACIO STAPLES ACE ADJ7492002 MARGARITA LOPEZ ITT INDUSTRIES ACE 1
Transcript

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7472102 ISMAEL TORRES VALLE 99 CENT ONLY STORES 99 CENT ONLY STORES

ADJ1308567 CURTIS RIGGINS EMPIRE DISTRIBUTORS ACCA

ADJ8768841 MARTIN AVILA TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE

ADJ7014781 JEANETTE WILSON LA COUNTY ACCLAMATION 802108 SANTA

CLARITAADJ7200937 SUSAN NAVARRO DEPT OF PUBLIC SOCIAL

SERVICE

ACCLAMATION 802108 SANTA

CLARITAADJ8009655 MARIA PAEZ RUSKIN DAMPERS AND

LOUVERS

ACCLAMATION 802108 SANTA

CLARITAADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES ACCLAMATION FRESNO

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS

ANGELES/DPSS

ACCLAMATION FRESNO

ADJ7117844 TOMMY ROBISON CITY OF MARICOPA ACCLAMATION FRESNO

ADJ8162473 ONORIO SERRANO ESPARZA ENTERPRISES INC ACCLAMATION FRESNO

ADJ8420600 JORGE LOZANO HARRIS RANCH BEEF

COMPANY

ACCLAMATION FRESNO

ADJ8473212 DAREN HANDY KERN SCHOOLS FEDERAL

CREDIT UNION

ACCLAMATION SACRAMENTO

ADJ8845092 CHAO HER FRESNO MOSQUITO

ABATEMENT DIST

ACCLAMATION SACRAMENTO

ADJ1361532 THELMA JENNINGS LOS ANGELES COUNTY/DPSS ACCLAMATION SANTA CLARITA

ADJ1611037 ALICIA MORA ANDERSON BARROWS METALS

CORP

ACE

ADJ1995137 ALBERTO GUNDRAN ABLESTIK LABORATORIES ACE

ADJ208633 SHAUN WIDNEY AMPAM ACE

ADJ208633 SHAUN WIDNEY AMPAM RCR COMPANIES ACE

ADJ208633 SHAUN WIDNEY PLUMBING CONCEPTS INC ACE

ADJ2237965 JOSE CALDERON FMI EXPRESS ACE

ADJ2353287 DEBORAH PRENTICE ANAHEIM CITY SCHOOL

DISTRICT

ACE

ADJ246218 PAUL LIGAMMARI LOS ANGELES COLLEGE OF

CHIROPRACTIC

ACE

ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF

EDUCATION

ACE

ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC ACE

ADJ463831 ELBA GONZALEZ MAIL MARKETING ACE

ADJ463831 ELBA GONZALEZ U.S. SALES CORP. ACE

ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION ACE

ADJ677439 MARIA IGNACIO STAPLES ACE

ADJ7492002 MARGARITA LOPEZ ITT INDUSTRIES ACE

1

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7512017 TERESA TREJO YUM BRANDS DBA TACO BELL ACE

ADJ7542187 LETICIA CARCAMO ADMINISTAFF CO ACE

ADJ7542187 LETICIA CARCAMO SEMTECH ACE

ADJ7949988 SILVAEL VIRGEN SELECT STAFFING ACE

ADJ7950917 SONIA LOPEZ OZOO INC ACE

ADJ8123751 SAUL CASTRO AEROTEK ACE

ADJ7724539 LETICIA TONCHE CITY OF MONTEBELLO ACME ADMINISTRATORS

TEMECULAADJ2186466 AMADO URIAS VALLEY COUNTY WATER

DISTRICT

ACWA JPIA ROSEVILLE

ADJ7920068 JOSE VILLEGAS ELSINORE VALLEY MUNICIPAL

WATER DISTRICT

ACWA JPIA ROSEVILLE

ADJ8097231 RICHARD SCOTT CRESCENTA VALLEY WATER

DISTRICT

ACWA JPIA ROSEVILLE

ADJ1400218 LEO RODRIGUEZ CITY OF LYNWOOD ADMINSURE DIAMOND BAR

ADJ1788202 IRENE NAVARRO CITY OF EL MONTE ADMINSURE DIAMOND BAR

ADJ3316438 MARIA JIMENEZ CITY OF HOPE NATIONAL

MEDICAL CENTE

ADMINSURE DIAMOND BAR

ADJ3735041 RAUL LINN CITY OF EL MONTE ADMINSURE DIAMOND BAR

ADJ3992417 JOSE MACIEL WHITTIER UNION HIGH

SCHOOL DISTRICT

ADMINSURE DIAMOND BAR

ADJ4471483 RONALD SAPP CITY OF LAGUNA BEACH ADMINSURE DIAMOND BAR

ADJ7663057 MARK PARKER CITY OF CYPRESS POLICE DEPT ADMINSURE DIAMOND BAR

ADJ7686451 MARIA JIMENEZ CITY OF HOPE NATIONAL

MEDICAL CENTER

ADMINSURE DIAMOND BAR

ADJ7932934 JUDITH ORTEGA TARZANA TREATMENT

CENTER INC

ADMINSURE DIAMOND BAR

ADJ8045665 JOSE LUIS ARCOS LOS ANGELES COMMUNITY

COLLEGES

ADMINSURE DIAMOND BAR

ADJ8166864 GARY DICKEY CITY OF HAWTHORNE ADMINSURE DIAMOND BAR

ADJ7622533 MARIA GOMEZ BOLTHOUSE FARMS ADVANTAGE ROCKLIN

ADJ7780200 NICHOLE LLAMAS KISHO JAPANESE RESTAURANT ADVANTAGE ROCKLIN

ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY

HOSP

ADVENTIST HEALTH ROSEVILLE

ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY

HOSPITAL

ADVENTIST HEALTH ROSEVILLE

ADJ2136041 FELIX SCHOENEN GLENDALE ADVENTIST HOSP

MEDICAL CNT

ADVENTIST HEALTH ROSEVILLE

2

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ4437759 SALVADOR

HERNANDEZ

WHITE MEMORIAL MEDICAL

CENTER

ADVENTIST HEALTH ROSEVILLE

ADJ4437759 SALVADOR

HERNANDEZ

WHITE MEMORIAL MEDICAL

CNTR

ADVENTIST HEALTH ROSEVILLE

ADJ7693388 DANILO LARA SOUTH COAST MEDICAL

CENTER

ADVENTIST HEALTH ROSEVILLE

ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY

HOSP

ADVENTIST HEALTH SYSTEM

WESTADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY

HOSPITAL

ADVENTIST HEALTH SYSTEM

WESTADJ2020155 BEATRIZ RAYA BOEING AIRCRAFT AIG AMERICAN INTL CLAIMS

SERVICESADJ2020155 BEATRIZ RAYA THE BOEING CO AIG AMERICAN INTL CLAIMS

SERVICESADJ120880 RAYMOND MORENO TAYLOR SHEA FRONTIER &

KENNY

AIG CLAIMS CONCORD

ADJ2011045 JENNY BAUTISTA

JUAREZ

SILVERADO SENIOR LIVING

INC

AIG CLAIMS CONCORD

ADJ3127463 ROSA ROMERO THE PLUS GROUP, INC. AIG CLAIMS CONCORD

ADJ7475373 XIAOFANG WANG MONTEREY PARK

CONVALESCENT HOSPITAL

INC

AIG CLAIMS CONCORD

ADJ8183301 AURORA CORONADO SARES REGIS GROUP AIG CLAIMS CONCORD

ADJ818480 MIRIAM CONTRERAS STAFFMARK INC WEST AIG CLAIMS CONCORD

ADJ8703512 MARIA MATA ZUMIEZ AIG CLAIMS CONCORD

ADJ1267762 ALEJANDRO JIMENEZ ONE HOUR HEATING & AIR AIG CLAIMS COSTA MESA

ADJ1587995 BERTA GUERRERO MJO STAFFING AIG CLAIMS COSTA MESA

ADJ2110458 GERARDO CUEVAS DIAZ CROWN DISPOSAL CO INC AIG CLAIMS COSTA MESA

ADJ2386214 MARIA CASAS CARSON INDUSTRIES INC AIG CLAIMS COSTA MESA

ADJ3225472 DAVID MCELROY MCLANE FOOD SERVICE AIG CLAIMS COSTA MESA

ADJ3992708 WILLIAM PANZA AKAL SECURITY INC AIG CLAIMS COSTA MESA

ADJ4316842 BIENVENIDO RIMANDO U-HAUL AIG CLAIMS COSTA MESA

ADJ4390779 MARY SCHIFF MCDONNELL DOUGLAG

AIRCRAFT

AIG CLAIMS COSTA MESA

ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC AIG CLAIMS COSTA MESA

ADJ463831 ELBA GONZALEZ MAIL MARKETING AIG CLAIMS COSTA MESA

ADJ463831 ELBA GONZALEZ U.S. SALES CORP. AIG CLAIMS COSTA MESA

ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION AIG CLAIMS COSTA MESA

ADJ6648649 STEPHEN FRUEH ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA

3

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6687388 JOSE VALDES SANCHEZ AECOM AIG CLAIMS COSTA MESA

ADJ6711321 JUAN CRUZ BAS RECYCLING INC AIG CLAIMS COSTA MESA

ADJ6860383 SALVADOR VASQUEZ PACIFIC AMERICAN FISH CO AIG CLAIMS COSTA MESA

ADJ6953214 LACHELLE BALLARD CRST VAN EXPEDITED AIG CLAIMS COSTA MESA

ADJ6961509 KAREN MAZON PORTS AMERICA AIG CLAIMS COSTA MESA

ADJ7131799 JORGE HERRERA GOLD POINT

TRANSPORTATION INC

AIG CLAIMS COSTA MESA

ADJ7166891 NORMA MENDEZ

MUNOZ

APPLIED POLYTECH SYSTEMS

INC

AIG CLAIMS COSTA MESA

ADJ7176275 MARIA PENA THE PORTICO COLLECTION AIG CLAIMS COSTA MESA

ADJ7227887 MARIA ELENA MOREY NICOLE GRAY AIG CLAIMS COSTA MESA

ADJ7277771 JANALYNN HOGAN GOLDEN SHEARS GROOMING AIG CLAIMS COSTA MESA

ADJ7277771 JANALYNN HOGAN UEBTF LOS ANGELES AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL AXIUM AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL CAPS, INC. AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL CAST & CREW PRODUCTION AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL FSI/FPS SERVICES INC. AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL MEDIA SERVICES AIG CLAIMS COSTA MESA

ADJ7390375 DON MCCALL TEAM ACQUISITION COPR AIG CLAIMS COSTA MESA

ADJ7392798 MAC FRAZIER PORTS AMERICA AIG CLAIMS COSTA MESA

ADJ7406132 GREGORIA FUENTES HOLLYWOOD CARE INC DBA

HOLLYWOOD ROYALE GUEST

HOME

AIG CLAIMS COSTA MESA

ADJ7472359 JEFF REESE NORT1ROP GRUMMAN

CORPORATION

AIG CLAIMS COSTA MESA

ADJ7501233 ALFREDO MARQUEZ MAN POWER AIG CLAIMS COSTA MESA

ADJ7518780 MACARIO VELASQUEZ ALGIERE CONSTRUCTION

SERVICES

AIG CLAIMS COSTA MESA

ADJ7585523 WILLIAM GUINEA CITI STAFF SOLUTION LNC AIG CLAIMS COSTA MESA

ADJ7590260 RANULFO GARCIA CROWN DISPOSAL CO INC AIG CLAIMS COSTA MESA

ADJ7663463 ROBERTO CERVANTES L I METAL SYSTEM AIG CLAIMS COSTA MESA

ADJ7664950 JESUS VELASCO MGD AIG CLAIMS COSTA MESA

ADJ7697382 ENRIQUE GONZALEZ AGI MARBLE CO AIG CLAIMS COSTA MESA

ADJ7697382 ENRIQUE GONZALEZ STONEWARE TILE INC AIG CLAIMS COSTA MESA

ADJ7702056 SILVIA SANCHEZ CAITAC GARMENT

PROCESSING

AIG CLAIMS COSTA MESA

ADJ7739433 MARIA ESQUEDA RICOH ELECTRONICS AIG CLAIMS COSTA MESA

ADJ7753946 HECTOR GOMEZ OERMAN ELECTRIC INC AIG CLAIMS COSTA MESA

4

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7784429 REYNALDO

HERNANDEZ

MJO STAFFING AIG CLAIMS COSTA MESA

ADJ7827900 ANATOLIO MERINO LUCKY CHINESE RESTAURANT AIG CLAIMS COSTA MESA

ADJ7841055 BERTHA BELLO SALUS HOME CARE AIG CLAIMS COSTA MESA

ADJ7852953 JOHN FERGUSON MURRAY PLUMBING AND

HEATING CORP

AIG CLAIMS COSTA MESA

ADJ7860279 JULIO ORTEGA SIMMONS MANUFACTURING

CO

AIG CLAIMS COSTA MESA

ADJ7872741 MARIO MORA CARLISLE TIRE AND WHEEL

CO

AIG CLAIMS COSTA MESA

ADJ7880082 BLAS ALARCON GOMEZ WESTCOR CONSTRUCTION AIG CLAIMS COSTA MESA

ADJ7897983 BEATRIZ SOLANO CITISTAFF SOLUTIONS INC AIG CLAIMS COSTA MESA

ADJ7910253 ANA MARIA PADILLA PARA LOS NINOS AIG CLAIMS COSTA MESA

ADJ7936821 HUMBERTO MATEUS EXCEL CABINETS INC AIG CLAIMS COSTA MESA

ADJ7950917 SONIA LOPEZ OZOO INC AIG CLAIMS COSTA MESA

ADJ7978773 ARACELI BARRERA VOLUNTEERS OF AMERICA AIG CLAIMS COSTA MESA

ADJ8112941 JUAN VASQUEZ AERO TEK COMMERCIAL

STAFFING

AIG CLAIMS COSTA MESA

ADJ8112941 JUAN VASQUEZ BRICE MANUFACTURING AIG CLAIMS COSTA MESA

ADJ8117073 PETRA TOLENTINO PELICAN PRODUCTS AIG CLAIMS COSTA MESA

ADJ8127299 OSCAR MARQUEZ PARKER PERSONAL AIG CLAIMS COSTA MESA

ADJ813420 PAUL WARD NORTHROP GRUMMAN AIG CLAIMS COSTA MESA

ADJ8136606 ZOILA LORA DIAMOND CONTRACT

SERVICES INC

AIG CLAIMS COSTA MESA

ADJ8238221 MICAELA LUCERO SERTA MATTRESS AIG CLAIMS COSTA MESA

ADJ8293042 GLENDA BOATNER PROTOTYPES CENTERS FOR

INNOVATIVE SERVIC

AIG CLAIMS COSTA MESA

ADJ8301839 CARMEN MORENO AMERICAN APPAREL AIG CLAIMS COSTA MESA

ADJ8304392 ALEXANDRA

MELKISETIAN

SGL TECHNIC AIG CLAIMS COSTA MESA

ADJ8408194 MARGARET WALTON KATE MANTILINI AIG CLAIMS COSTA MESA

ADJ8416282 THOMAS RILEY RJ J CONSTRUCTION INC AIG CLAIMS COSTA MESA

ADJ8498351 JIMMY GRANERA FUJI FOODS PRODUCTS INC AIG CLAIMS COSTA MESA

ADJ8633475 LILIA TINOCO CARLISLE TIRE AND WHEEL

COMPANY

AIG CLAIMS COSTA MESA

ADJ8683793 JAVAD SABOKPEY SEIU LOCAL AIG CLAIMS COSTA MESA

ADJ8703512 MARIA MATA ZUMIEZ AIG CLAIMS COSTA MESA

ADJ8747618 MARIA LIZAOLA AAA PROPERTY SERVICES AAA

ELECTRICAL

COMMUNICATIONS

AIG CLAIMS COSTA MESA

5

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8757120 DULCE MARIA SOTO PERSONNEL PLUS AIG CLAIMS COSTA MESA

ADJ8819716 ANTONIO DOMINGUEZ TEG LVI ENVIRONMENTAL AIG CLAIMS COSTA MESA

ADJ9024645 FERMIN DAVALOS ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA

ADJ9038230 GONZALO VILLASENOR LIFESTYLE LANDSCAPES AIG CLAIMS COSTA MESA

ADJ9208855 WILMER VASQUEZ BARON INC AIG CLAIMS COSTA MESA

ADJ6699171 JUAN ALVARADO RPS AIG CLAIMS PHOENIX

ADJ6737660 DIANA ARREDONDO MJO STAFFING INC AIG CLAIMS PHOENIX

ADJ6737660 DIANA ARREDONDO ROSS STORE AIG CLAIMS PHOENIX

ADJ6913608 CARMEN MOSTAJO ST. REGIS RESORT MONARCH

BEACH

AIG CLAIMS PHOENIX

ADJ7357085 ESPERANZA JIMENEZ PERSONNEL PLUS INC AIG CLAIMS PHOENIX

ADJ6601986 JUANA MAGDALENO KIMCO STAFFING AIG CLAIMS SAN DIEGO

ADJ6737660 DIANA ARREDONDO MJO STAFFING INC AIG CLAIMS SAN DIEGO

ADJ6737660 DIANA ARREDONDO ROSS STORE AIG CLAIMS SAN DIEGO

ADJ6953214 LACHELLE BALLARD CRST VAN EXPEDITED AIG CLAIMS SAN DIEGO

ADJ7136243 ROSA GUEVARRA FRESH FOOD CONCEPTS AIG CLAIMS SAN DIEGO

ADJ7176275 MARIA PENA THE PORTICO COLLECTION AIG CLAIMS SAN DIEGO

ADJ7178578 JOSE CORTEZ MJO STAFFING AIG CLAIMS SAN DIEGO

ADJ7237157 JUAN ESTRADA R&L BROSAMER INC AIG CLAIMS SAN DIEGO

ADJ7382347 RONDA HARRIS HAWAIIAN AIRLINES AIG CLAIMS SAN DIEGO

ADJ7449265 ANDRES BLANCAS A`S MATCHING DYING AIG CLAIMS SAN DIEGO

ADJ7472359 JEFF REESE NORT1ROP GRUMMAN

CORPORATION

AIG CLAIMS SAN DIEGO

ADJ7474341 ANTONIO PADILLA CRST AIG CLAIMS SAN DIEGO

ADJ7590260 RANULFO GARCIA CROWN DISPOSAL CO INC AIG CLAIMS SAN DIEGO

ADJ7816442 JOSE AGUILAR ALPHA STAFFING SERVICES AIG CLAIMS SAN DIEGO

ADJ7816442 JOSE AGUILAR ST GEORGE WAREHOUSE AIG CLAIMS SAN DIEGO

ADJ7816442 JOSE AGUILAR UEBTF LOS ANGELES AIG CLAIMS SAN DIEGO

ADJ7841961 JAMES MACK JC PENNEY LOGISTICS AIG CLAIMS SAN DIEGO

ADJ7910253 ANA MARIA PADILLA PARA LOS NINOS AIG CLAIMS SAN DIEGO

ADJ7914796 HECTOR MARTINEZ MISSION LANDSCAPE AIG CLAIMS SAN DIEGO

ADJ7969749 MARIO AZHOCAR MAINSTAY BUSINESS

SOLUTIONS

AIG CLAIMS SAN DIEGO

ADJ7969749 MARIO AZHOCAR TRI STATE STAFFING AIG CLAIMS SAN DIEGO

ADJ7984030 JESUS VALENZUELA ICR STAFFING INC AIG CLAIMS SAN DIEGO

ADJ8039263 FRANCISCO LOPEZ PERSONNEL PLUS AIG CLAIMS SAN DIEGO

ADJ8081691 MARIO INTROINI EIU OF CALIFORNIA AIG CLAIMS SAN DIEGO

ADJ8127299 OSCAR MARQUEZ PARKER PERSONAL AIG CLAIMS SAN DIEGO

ADJ8153172 JENNIFER PARADA JC PENNEY CORPORATION AIG CLAIMS SAN DIEGO

6

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8613349 JOSE VALLADARES LEADING EDGE AVIATION

SERVICES

AIG CLAIMS SAN DIEGO

ADJ8633475 LILIA TINOCO CARLISLE TIRE AND WHEEL

COMPANY

AIG CLAIMS SAN DIEGO

ADJ8703528 JOSEFINA SEGURA PREMIER STAFFING AIG CLAIMS SAN DIEGO

ADJ8855210 MAVI EDEZA TRI STAR ELECTRONICS AIG CLAIMS SAN DIEGO

ADJ8923300 OLIVIA JUAREZ MCLANE COMPANY AIG CLAIMS SAN DIEGO

ADJ1509120 PEDRO MICHEL FRESH FOOD CONCEPTS AIG DOMESTIC CLAIMS INC

ADJ2020155 BEATRIZ RAYA BOEING AIRCRAFT AIG/AMERICAN INT'L CLAIMS

SERVICESADJ2020155 BEATRIZ RAYA THE BOEING CO AIG/AMERICAN INT'L CLAIMS

SERVICESADJ3331812 THOMAS DAY LA COUNTY DEPT OF

PROBATION

AIMS

ADJ5801811 HOWIDA ABDELMALAK COUNTY OF LOS ANGELES

DPS

AIMS

ADJ3898913 ERICK RAMIREZ P & S MANAGEMENT ALASKA NATIONAL WALNUT

CREEKADJ7279785 DAWN HENSLEY INLAND VALLEY CARE REHAB ALASKA NATIONAL WALNUT

CREEKADJ7841605 AIDA GONYEA ALILITY PATHWAY ALASKA NATIONAL WALNUT

CREEKADJ8221452 PETRA MAGALLANES KNOTT AVENUE RESIDENTIAL

MANOR

ALASKA NATIONAL WALNUT

CREEKADJ8368230 EDUARDO PENA COUNSIL THRIFT SHOPS ALASKA NATIONAL WALNUT

CREEKADJ8423639 ROSA DELMY ESCOBAR NORMANDIE CASINO ALASKA NATIONAL WALNUT

CREEKADJ8820217 ALAN MARQUEZ ALBERTSONS ALBERTSONS

ADJ3565194 TAMMY AGOSTA VONS GROCERY COMPANY ALBERTSONS HOLDINGS

FULLERTONADJ4577345 PATRISHIA DITTMER VONS GROCERY COMPANY ALBERTSONS HOLDINGS

FULLERTONADJ4672763 MARIA MEJIA VONS COMPANIES INC ALBERTSONS HOLDINGS

FULLERTONADJ6643301 DAVID ESTEL VONS RISK MANAGEMENT

WC CLAIMS

ALBERTSONS HOLDINGS

FULLERTONADJ7037440 ANTHONY READY SAFEWAY ALBERTSONS HOLDINGS

FULLERTONADJ7722018 JAIME GONZALEZ SAFEWAY ALBERTSONS HOLDINGS

FULLERTON

7

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8025154 KAREN ELLIOT VONS ALBERTSONS HOLDINGS

FULLERTONADJ8034092 JOSE FLORES VONS ALBERTSONS HOLDINGS

FULLERTONADJ8623116 NATALIE HERNANDEZ VONS ALBERTSONS HOLDINGS

FULLERTONADJ8667338 FRANCIS APONTE ALBERTSONS INC ALBERTSONS INC

ADJ1737557 ANDRES VALENCIA ATLAS MILL SUPPLY C/O CIGA

FOR

ALISTAR INS CO IN

LIQUIDATION/PRIVATE

ADJUSTING CLAIMS SERVICESADJ743826 ANDRES VALENCIA ATLAS MILL SUPPLY C/O CIGA

FOR

ALISTAR INS CO IN

LIQUIDATION/PRIVATE

ADJUSTING CLAIMS SERVICESADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES

INC

ALLIANZ BURBANK

ADJ7457444 JOSE GAMINO PINNACLE PRECISION SHEET

METAL

ALLIANZ RESOLUTION

PETALUMAADJ9034875 SALVADOR SANCHEZ ELECTRO ADAPTER ALLIANZ RESOLUTION

PETALUMAADJ1554747 ELSY ZELAYA ROSAS ERIC HAUSER ALLIANZ RESOLUTION RANCHO

CORDOVAADJ1682467 RICHARD COTTO LOU EHLERS CADILLAC ALLIANZ RESOLUTION RANCHO

CORDOVAADJ1682467 RICHARD COTTO STATE COMP. INSRUANCE

FUND

ALLIANZ RESOLUTION RANCHO

CORDOVAADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT

FURNITURE

ALLIANZ RESOLUTION RANCHO

CORDOVAADJ2651648 TERESA SANCHEZ HAWTHORNE SCHOOL

DISTRICT

ALLIANZ RESOLUTION RANCHO

CORDOVAADJ3355155 JIMMY GRANERA RAYPAK ALLIANZ RESOLUTION RANCHO

CORDOVAADJ6970812 ANTONIA REYNAGA BERTOLINI INC ALLIANZ RESOLUTION RANCHO

CORDOVAADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES

INC

ALLIANZ RESOLUTION RANCHO

CORDOVAADJ7702149 DEBORAH HAASE SAFEWORK INC ALLIANZ RESOLUTION RANCHO

CORDOVAADJ7757838 CARLOS DUARTE JAX MARKET ALLIANZ RESOLUTION RANCHO

CORDOVAADJ7774889 RAUL SOLORIO NL SERVICES ALLIANZ RESOLUTION RANCHO

CORDOVA

8

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7956407 JANETTE JIMENEZ THE PIDGEON CO INC ALLIANZ RESOLUTION RANCHO

CORDOVAADJ8120851 CARLOS AGUILAR E&S RING MANAGEMENT CO ALLIANZ RESOLUTION RANCHO

CORDOVAADJ8188433 JULIO MUNOZ INDUSTRIAL METAL SUPPLY ALLIANZ RESOLUTION RANCHO

CORDOVAADJ8254867 EDWARDO ALMAZAN DOMINOS PIZZA ALLIANZ RESOLUTION RANCHO

CORDOVAADJ9054263 JESUS NORIEGA TOWN AND COUNTRY ALLIANZ RESOLUTION RANCHO

CORDOVAADJ9275615 JUAN ALEJO ALLIED RENT A CAR INC ALLIED RENT A CAR INC

ADJ4143142 SANTIAGO TEVEZ CENTRAL PARKING SYSTEM ALTERNATIVE SERVICE CITRUS

HEIGHTSADJ3156199 CHUCK VAN DUYNE AMB ENGINEERING AMERICAN BLDG MAINTENANCE

INDUSTRIEADJ1649554 MARIA MEZA ANZA APT AMERICAN CASUALTY

ADJ2447022 BLANCA MARTINEZ JACK IN THE BOX AMERICAN CASUALTY

ADJ2519895 ROBERTO PALENCIA TANIMURA & ANTLE INC AMERICAN CASUALTY

ADJ3433399 CRISPIN TORRES LEGGETT, LEGGETT & PLATT AMERICAN CASUALTY

ADJ3906873 CARLOS CANALES PIER 1 IMPORTS AMERICAN CASUALTY

ADJ4569447 RICHARD ACEVES ADOHR FARMS AMERICAN CASUALTY

ADJ4569447 RICHARD ACEVES SUIZA-ADHOR SWISS AMERICAN CASUALTY

ADJ4705683 VENANCIO PARRA PEDUS SERVICES AMERICAN CASUALTY

ADJ9254521 MARIA RIVAS T AND Y COIN LAUNDRY AMERICAN CASUALTY

ADJ979400 RANDAL WILSON CARROWS RESTAURANT AMERICAN CASUALTY

ADJ2332510 KATHRYN WOODLEY BURGER KING AMERICAN CLAIMS SAN DIEGO

ADJ2516660 MARIA PACHECO PRIVATE BRAND

MERCHANDISING

AMERICAN CLAIMS SAN DIEGO

ADJ6882074 ARTHUR COLEMAN TRI DELTA MANAGEMENT AMERICAN CLAIMS SAN DIEGO

ADJ7054900 SERGIO GUERRA JIM MATSON AUTOMOTIVE AMERICAN CLAIMS SAN DIEGO

ADJ7139146 RAUL REYES PAUL RIGHETTI RANCHO

COMPANY

AMERICAN CLAIMS SAN DIEGO

ADJ7206759 DAVID MAROLDA BITETTO TOW AND SERVICE

CENTER

AMERICAN CLAIMS SAN DIEGO

ADJ7265393 OLIVIA MURILLO SHR MANAGEMENT INC AMERICAN CLAIMS SAN DIEGO

ADJ7272944 JOSE GARCIA JB ASSETS AMERICAN CLAIMS SAN DIEGO

ADJ7351030 MARGARITA PEREZ JIB HOLDINGS 1 LLC DBA JACK

IN THE BOX

AMERICAN CLAIMS SAN DIEGO

ADJ7383942 DANIEL VELAZQUEZ BAKED IN THE SUN INC AMERICAN CLAIMS SAN DIEGO

ADJ7388039 PORFIRIO SOLORIO KRAMERS METALS INC AMERICAN CLAIMS SAN DIEGO

ADJ7416673 JUAN OROZCO HILL CONCRETE STRUCTURES AMERICAN CLAIMS SAN DIEGO

9

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7466937 SECILIO AVILA ORANGE COUNTY PATIO AMERICAN CLAIMS SAN DIEGO

ADJ7519814 GABRIELA MOLINA

SAPIENZA

MEXICAN AMERICAN

OPPORTUNITY FOUNDATION

AMERICAN CLAIMS SAN DIEGO

ADJ7574498 MARIA RAMIREZ EMILIO L RIVERA GAP FARM

LABOR CONTRACTING

AMERICAN CLAIMS SAN DIEGO

ADJ7603118 BENJAMIN OCHOA BROWNCO CONSTRUCTION AMERICAN CLAIMS SAN DIEGO

ADJ7605556 ROLANDO PEREZ LEGACY TRANSPORTATION AMERICAN CLAIMS SAN DIEGO

ADJ7657966 JUAN CERVANTES CHALMERS CORPORATION AMERICAN CLAIMS SAN DIEGO

ADJ7660745 MAURICIO MAJANO EFRAIM AND ASSOCIATES INC AMERICAN CLAIMS SAN DIEGO

ADJ7664950 JESUS VELASCO MGD AMERICAN CLAIMS SAN DIEGO

ADJ7679258 REINA BONILLA R&L NEWSPAPER

DISTRIBUTORS INC

AMERICAN CLAIMS SAN DIEGO

ADJ7715543 ZAYDA ELIAS CASA MARAVILLA 99 2000

SENIOR NUTRITION

AMERICAN CLAIMS SAN DIEGO

ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN

RESTAURANT

AMERICAN CLAIMS SAN DIEGO

ADJ7836287 ANTONIO OSUNA ECOPLAST COPRORATION

WESTERN GOLD

THERMOPLASTICS

AMERICAN CLAIMS SAN DIEGO

ADJ7841513 ADELINA CRUZ EL GALLO GIRO

CORPORATION

AMERICAN CLAIMS SAN DIEGO

ADJ7867720 OSCAR SUAREZ ARTIMEX LLC AMERICAN CLAIMS SAN DIEGO

ADJ7915372 SYLVIA CAZAREZ THE PARTY STAFF INC AMERICAN CLAIMS SAN DIEGO

ADJ7959552 MARIA CHAVEZ

MARTINEZ

RESTAURANT LEADERSHIP

GROUP LLC AKA JACK IN THE

BOX

AMERICAN CLAIMS SAN DIEGO

ADJ7991048 JOSE LUIS VASQUEZ PASTA MAMA INC AMERICAN CLAIMS SAN DIEGO

ADJ8020365 ALICIA FERIA GARSAN INC AKA

MCDONALDS 16979

AMERICAN CLAIMS SAN DIEGO

ADJ8028805 AMBROCIO VALENCIA

SANCHEZ

JOHN S CARTER INC AMERICAN CLAIMS SAN DIEGO

ADJ8057449 JAIME LOPEZ GIALIANOS DELICATESSEN

AND BAKERY

AMERICAN CLAIMS SAN DIEGO

ADJ8064159 FRANCISCO SALCEDO HIGHLIGHT ELECTRIC INC AMERICAN CLAIMS SAN DIEGO

ADJ8115463 ENRIQUETA LOPEZ MCDONALDS AMERICAN CLAIMS SAN DIEGO

ADJ8124676 TOMASA CHAVEZ MCDONALD S AMERICAN CLAIMS SAN DIEGO

ADJ8172055 ADRIANA ELIZABETH

TOVAR

BURGER KING AMERICAN CLAIMS SAN DIEGO

ADJ8207654 MARIA ZAVALZA TACO BELL #5527 AMERICAN CLAIMS SAN DIEGO

10

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

AMERICAN CLAIMS SAN DIEGO

ADJ8233555 JASON BARNES CENTURY FAST FOOD AMERICAN CLAIMS SAN DIEGO

ADJ8235398 MAKLIN MONGE KENTER CANYON FARMS AMERICAN CLAIMS SAN DIEGO

ADJ8239858 EVA MIRANDA

RODRIGUEZ

MANCHA DEVELOPMENT

COMPANY DBA BURGER KING

AMERICAN CLAIMS SAN DIEGO

ADJ8284965 DOLORES DE JESUS

NIETO

BMAKK CORPORATION AMERICAN CLAIMS SAN DIEGO

ADJ8301273 JOSE TORRES EL TEPEYAC RESTAURANT AMERICAN CLAIMS SAN DIEGO

ADJ8316938 ISMAEL RAMOS GALICIA PRIMECO PAINTING INC AMERICAN CLAIMS SAN DIEGO

ADJ8410853 JOSE MARTINEZ CHARLES C REGAN REGAN

PAVING

AMERICAN CLAIMS SAN DIEGO

ADJ8418006 DULCE POOT TAPCO SALES AMERICAN CLAIMS SAN DIEGO

ADJ8452377 RODRIGO JUAREZ GOLF INVESTMENT AMERICAN CLAIMS SAN DIEGO

ADJ8457168 GABRIEL BOBADILLA WOOD RANCH BBQ AND

GRILL

AMERICAN CLAIMS SAN DIEGO

ADJ8472479 JOSSELINE TOVAR BURGER KING AMERICAN CLAIMS SAN DIEGO

ADJ8492851 NATALIE LEVY ASSISTED HOME CARE AMERICAN CLAIMS SAN DIEGO

ADJ8547100 ROSARIO DURAN MALIHA AHMAD INC ADA

JACK IN THE

AMERICAN CLAIMS SAN DIEGO

ADJ8563723 KARLA RAMIREZ JCS BURGER KING #4552 AMERICAN CLAIMS SAN DIEGO

ADJ8578407 MARIA CASAREZ MARKET BROILER LLC AMERICAN CLAIMS SAN DIEGO

ADJ8616984 ADELA LOZANO MCDONALDS AMERICAN CLAIMS SAN DIEGO

ADJ8630894 OFELIA MENDOZA SENGA ENGINEERING INC AMERICAN CLAIMS SAN DIEGO

ADJ8658274 EDWIN MIRANDA CTC ENCINO CAFE LLC AMERICAN CLAIMS SAN DIEGO

ADJ8660144 AGUSTIN ORTEGA LIFESTYLE LANDSCAPES INC AMERICAN CLAIMS SAN DIEGO

ADJ8666275 KATHY BYRNE PANERA BREAD AMERICAN CLAIMS SAN DIEGO

ADJ8754994 LUIS ROSAS MATSUNAGA LANDSCAPING AMERICAN CLAIMS SAN DIEGO

ADJ8811432 SILVIA BARAHONA MB DOWNEY RESTAURANTS AMERICAN CLAIMS SAN DIEGO

ADJ8896903 SILVERIO ROMANO EAST WEST FRANCHISE

INVESTMENTS

AMERICAN CLAIMS SAN DIEGO

ADJ9031986 MARTHA GUTIERREZ MCDONALDS AMERICAN CLAIMS SAN DIEGO

ADJ9105549 ISABEL POKERSHING LOGANS ROAD HOUSE J A

FOODS INC

AMERICAN CLAIMS SAN DIEGO

ADJ1059623 JOSE MORALES A-L WELDING & HARDWARE

COMPANY

AMERICAN COMMERCIAL

ADJ2309248 SHIRLEY WALLACE THE CANA MEDICAL GROUP AMERICAN COMMERCIAL

ADJ2319214 ISABEL RODRIGUEZ DOOR KING INC AMERICAN COMMERCIAL

ADJ3811785 JEAN MOORE FELLINI AMERICAN COMMERCIAL

ADJ3811785 JEAN MOORE FELLINI'S AMERICAN COMMERCIAL

11

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ4591239 HUMBERTO PORTILLO GELSONS MARKET AMERICAN COMMERCIAL

ADJ1308567 CURTIS RIGGINS EMPIRE DISTRIBUTORS AMERICAN COMMERCIAL SAN

DIEGOADJ150939 CHARLES PERERA PACIFICA COMPANIES AMERICAN COMMERCIAL SAN

DIEGOADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC AMERICAN COMMERCIAL SAN

DIEGOADJ1924185 GABRIEL TAPIA HERRON CONSTRUCTION INC AMERICAN COMMERCIAL SAN

DIEGOADJ1936131 TROY FUCONE PACIFIC WEST LITHO INC AMERICAN COMMERCIAL SAN

DIEGOADJ3811785 JEAN MOORE FELLINI AMERICAN COMMERCIAL SAN

DIEGOADJ3811785 JEAN MOORE FELLINI'S AMERICAN COMMERCIAL SAN

DIEGOADJ427746 JOSE LOPEZ ELITE SLIDES AMERICAN COMMERCIAL SAN

DIEGOADJ724651 OLIVIA ZAPOTE GADERA PROPERTY

MANAGEMENT

AMERICAN COMMERCIAL SAN

DIEGOADJ8196355 EDUARDO FLORES JACKSON LOGISTCS AMERICAN COMMERCIAL SAN

DIEGOADJ7298155 CARMEN MEDINA BARCO UNIFORMS AMERICAN COMMERCIAL SAN

FRANCISCOADJ1329271 OSCAR ALFARO SATELLITE TRUCK BODY CO AMERICAN HOME ASSURANCE

CO/AMERICAN INT'L GROUP

CLAIMS SERVADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC AMERICAN PROTECTION CO

ADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA, INC. AMERICAN PROTECTION CO

ADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL

CORPORATION

AMERON INTERNATIONAL

CORPORATIONADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL

CORPORATION

AMERON PASADENA

ADJ7568346 MOISES SALAZAR FRUIT PATCH AMTRUST CONCORD

ADJ7658638 LUIS RODRIGUEZ MAJESTIC INSURANCE

COMPANY

AMTRUST CONCORD

ADJ7658638 LUIS RODRIGUEZ VILLA AND SONS AMTRUST CONCORD

ADJ7871044 BERTHA BASKERVILLE PRIORITY DENT REPAIR, INC AMTRUST CONCORD

ADJ7940488 IVAN HERNANDEZ JC SALES GENERAL

MERCHANDISE WHOLESALE

AMTRUST CONCORD

ADJ8047152 MARIO URUCHURTU CHIPOTLE MEXICAN GR1LL AMTRUST CONCORD

ADJ8047152 MARIO URUCHURTU THE HABIT BURGER GRILL AMTRUST CONCORD

ADJ8047152 MARIO URUCHURTU Z SPERE INC AMTRUST CONCORD

12

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8398519 MARTHA MARICELA

RUIZ

MANCHA DEVELOPMENT AMTRUST CONCORD

ADJ8417287 LETICIA POSADAS CALIFORNIA OFFICE

MAINTANANCE

AMTRUST CONCORD

ADJ8482014 ALVARO ALCARAZ EMPIRE FARM LABOR

CONTRACTING

AMTRUST CONCORD

ADJ8486093 MAURICIO GALEANA

RODRIGUEZ

ALLEN TIRE COMPANY AMTRUST CONCORD

ADJ8581896 NOLBERTO PEDROZA ROCKER BROS MEAT AND

PROVISIONS

AMTRUST CONCORD

ADJ8719516 NATALIE NAVES HOLIDAY INN AMTRUST CONCORD

ADJ8944428 ARASH MALEK MCKENNA PORSCHE AMTRUST CONCORD

ADJ8979889 GUSTAVO SOLORIO DAN DRAKE ENTERPRISES LLC AMTRUST CONCORD

ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC AMTRUST IRVINE

ADJ1936131 TROY FUCONE PACIFIC WEST LITHO INC AMTRUST IRVINE

ADJ6687390 GABRIELA OCHOA

RODRIGUEZ

ACCUPRINT SERVICES INC AMTRUST IRVINE

ADJ6687390 GABRIELA OCHOA

RODRIGUEZ

PERSONA 1 HR AMTRUST IRVINE

ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC AMTRUST IRVINE

ADJ7342999 SANTOS BARRAGAN PARADIGM INDUSTRIES INC AMTRUST IRVINE

ADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND

CULTURAL CENTER

AMTRUST IRVINE

ADJ7825601 JOEL SANTOYO ADAME LANDSCAPE AMTRUST IRVINE

ADJ7902734 ANDREA HUCHIM ROWLAND CONVALESCENT

HOSPITAL

AMTRUST IRVINE

ADJ8226809 ISRAEL ZAVALA FRANK AND CESAR

HANDYMAN

AMTRUST IRVINE

ADJ8727206 MIGUEL SALGADO DE VRIES AMTRUST IRVINE

ADJ9066226 JUAN FLORES HEYRI J INC AMTRUST IRVINE

ADJ9232901 ELMER NUFIO ISHR LLC AMTRUST IRVINE

ADJ7895274 JESUS FLORES SUPERIOR LANDSCAPE

SERVICES

AMTRUST NORTH AMERICA

ATLANTAADJ7545631 ANDRES MONTANEZ SCHAEFERS AMBULANCE

SERVICE

AMTRUST NORTH

AMERICA/TECHNOLOGY

INSURANCEADJ7125489 JOSE REYES HARRY SINGH AND SONS AMTRUST SAN DIEGO

ADJ7623114 LORENZO

MALDONADO

EVOLUTION FRESH INC AMTRUST SAN DIEGO

ADJ8017131 HEIDI BOLANOS NOVA STAFFING AMTRUST SAN DIEGO

ADJ8030853 MARCO AHUMADA DAVES CUSTOM BOATS AMTRUST SAN DIEGO

13

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8032536 JOSE AREVALO DAVES CUSTOM BOATS AMTRUST SAN DIEGO

ADJ8260775 OSCAR REYES CHINO VALLEY RANCHERS AMTRUST SAN DIEGO

ADJ8336813 MARIA HOLGUIN CASA LINDA FURNITURE AMTRUST SAN DIEGO

ADJ8657413 ALMA ENRIQUEZ HAMPTON INN AMTRUST SAN DIEGO

ADJ2172952 WALTER PORTILLO NIERA'S COLLISION CENTER APPLIED RISK OMAHA

ADJ2389836 NICOLAS CASILLAS CAMPESINO LANDSCAPE APPLIED RISK OMAHA

ADJ2720749 GREG CAMPBELL JERRY LEIGH OF CALIFORNIA APPLIED RISK OMAHA

ADJ3331582 MICHAEL LOPEZ SOLO TERMITE CONTROL APPLIED RISK OMAHA

ADJ6711321 JUAN CRUZ BAS RECYCLING INC APPLIED RISK OMAHA

ADJ7631358 ANTONIO GONZALEZ SANTA FE RUBBER PRODUCTS

INC

APPLIED RISK OMAHA

ADJ7659094 PEDRO SANDOVAL COMMERCIAL WOOD

PRODUCTS

APPLIED RISK OMAHA

ADJ7844398 AMELIA MORENO FDS MANUFACTURING

COMPANY INC

APPLIED RISK OMAHA

ADJ8200324 MARIBEL GUILLEN PRECISION ANODIZING APPLIED RISK OMAHA

ADJ8321836 MARVIN MONCADA WILMINGTON RECYCLERS APPLIED RISK OMAHA

ADJ8620402 FERNANDO

RODRIGUEZ

SECURITY INDUSTRY

SPECIALIST

APPLIED RISK OMAHA

ADJ8684295 HUMBERTO GUERRA WHITED CEMENTERY SERVICE APPLIED RISK OMAHA

ADJ8749876 ELEAZAR GONZALEZ FIRST CLASS CONSTRUCTION

AND DEVELOPMENT INC

APPLIED RISK OMAHA

ADJ9139319 SILVESTRE CISNEROS OLYMPIC ROOFING COMPANY APPLIED RISK OMAHA

ADJ9684440 JOSE LUIS MEDINA ARCHDIOCESE OF LOS

ANGELES

ARCHDIOCESE OF LOS ANGELES

ADJ1758002 WILLIAM JACKSON HENSEL PHELPS

CONSTRUCTION

ARGONAUT FRESNO

ADJ4060549 SIBLEY KIRCHGESSNER AUNTIE ANNES PRETZELS ARGONAUT FRESNO

ADJ4667408 VEDRAN BARBIC MURPHY INDUSTRIAL

COATINGS

ARGONAUT FRESNO

ADJ7337866 KARMEN LINDERMEN TOP HAT ARGONAUT FRESNO

ADJ7590790 CHI PHUONG NGUYEN GLIDEWELL LABORATORIES ARGONAUT FRESNO

ADJ990651 SALVADOR LANDA TRANSPACIFIC RESTAURANT ARGONAUT INSURANCE CO

ADJ1496510 SUSAN RHINEHART FACTORY 2-U ARROWOOD INDEMNITY

COMPANY CHARLOTTEADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL

LANDSCAPE LIGHTING

ARROWOOD INDEMNITY

COMPANY CHARLOTTE

14

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2651648 TERESA SANCHEZ HAWTHORNE SCHOOL

DISTRICT

ASCIP

ADJ1653531 PATRICIA ROMO MCKESSON

PHARMACEUTICALS

ATHENS ADMINISTRATORS

CONCORDADJ1887565 JOHN SANDOVAL SPARKLETTS ATHENS ADMINISTRATORS

CONCORDADJ6708436 JORGE MORGAN DELOS INSURANCE ATHENS ADMINISTRATORS

CONCORDADJ6730950 MARCELO MUNDO VILLA REY SR ASSISTED LIVING ATHENS ADMINISTRATORS

CONCORDADJ6942006 GUSTAVO MORENO LITTLE JOHNS BODYWORKS

INC

ATHENS ADMINISTRATORS

CONCORDADJ6960471 CARMEN SEVILLA SOUTH BAY SCHOOL

DISTRICT

ATHENS ADMINISTRATORS

CONCORDADJ7478182 SONIA CUADRA FULL CIRCLE RECYCLING

COMPANY

ATHENS ADMINISTRATORS

CONCORDADJ7484472 MARK COBB FULL CIRCLE RECYCLING

COMPANY

ATHENS ADMINISTRATORS

CONCORDADJ7484495 MARK COBB FULL CIRCLE RECYCLING

COMPANY

ATHENS ADMINISTRATORS

CONCORDADJ7513093 CHITA AVALOS BRIGHT MEDICAL ASSOCIATES ATHENS ADMINISTRATORS

CONCORDADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC ATHENS ADMINISTRATORS

CONCORDADJ7741781 JULIO CARDENAS GENSIS FLOOR COVERING ATHENS ADMINISTRATORS

CONCORDADJ7852954 DAMIAN CORONA

MALDONADO

NAFTA DISTRIBUTORS ATHENS ADMINISTRATORS

CONCORDADJ8028639 MARIA SALCEDO SELECT STAFFING ATHENS ADMINISTRATORS

CONCORDADJ8073281 JOSE LUIS TORRES CONAWAY ICE INC ATHENS ADMINISTRATORS

CONCORDADJ8140942 SALVADOR GUZMAN JESUS R. RAMOS ATHENS ADMINISTRATORS

CONCORDADJ8168742 MARIA PEREZ GENESIS DEVELOPMENTAL

SERVICES

ATHENS ADMINISTRATORS

CONCORDADJ8169386 JACINTO MANJARREZ ELITE AG SERVICES ATHENS ADMINISTRATORS

CONCORDADJ8177364 JENNY GRANADOS AIR FORCE VILLAGE WEST ATHENS ADMINISTRATORS

CONCORDADJ8258776 SILVIA MORALES XCVI LLC ATHENS ADMINISTRATORS

CONCORD

15

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8289905 THELMA GONZALEZ PRESBYTERIAN

INTERCOMMUNITY HOSPITAL

ATHENS ADMINISTRATORS

CONCORD

ADJ8624610 MARIA MOLINA VILLALPANDO AG INC ATHENS ADMINISTRATORS

CONCORDADJ8658274 EDWIN MIRANDA CTC ENCINO CAFE LLC ATHENS ADMINISTRATORS

CONCORDADJ8911683 FELIX JIMENEZ LOPEZ BE PRODUCTS INC. BROMAR

ENGINEERING

ATHENS ADMINISTRATORS

CONCORDADJ8999435 DULCE PANIAGUA GILLS ONIONS ATHENS ADMINISTRATORS

CONCORDADJ9233379 MARIA CHAVEZ THE CALIFORNIA MUSHROOM

FARM INC

ATHENS ADMINISTRATORS

CONCORDADJ7230218 ROSALINDA PEREZ PRODUCT SOLUTIONS INC ATHENS ADMINISTRATORS

ORANGEADJ7381997 ESGAR BRAVO FDC MANAGEMENT ATHENS ADMINISTRATORS

ORANGEADJ7484495 MARK COBB FULL CIRCLE RECYCLING

COMPANY

ATHENS ADMINISTRATORS

ORANGEADJ8186292 MAURA PRECIADO MATTHEWS MANUFACTURING

INC

ATHENS ADMINISTRATORS

ORANGEADJ8263994 ANNETTE BUNTING FASONE CONSTRUCTION ATHENS ADMINISTRATORS

ORANGEADJ8349570 EDDY MERIDA ABF FREIGHT SYSTEM ATHENS ADMINISTRATORS

ORANGEADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION ATHENS ADMINISTRATORS

ORANGEADJ8777200 XIU ZHI DUAN AMERICAN APPAREL ATHENS ADMINISTRATORS

ORANGEADJ8834638 OSCAR OVIEDO SHEET METAL SERVICES ATHENS ADMINISTRATORS

ORANGEADJ9245786 ALBERTO GONZALEZ AMERICAN APPAREL USA ATHENS ADMINISTRATORS

ORANGEADJ7343152 ALBERTO RANGEL CANNON SAFE INC AVIZENT 4530 EL DORADO HILLS

ADJ8383873 RAMONA GONZALES

HERNANDEZ

BROOKSIDE HEALTHCARE AVIZENT 4530 EL DORADO HILLS

ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY

COMPANY

AVIZENT 4740 EL DORADO HILLS

ADJ7177578 JEREMY ARRIOLA WALMART STORES INC AVIZENT 4740 EL DORADO HILLS

16

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7264915 ANA GONZALEZ WALMART AVIZENT 4740 EL DORADO HILLS

ADJ7387965 SALVADOR OLVERA WALMART AVIZENT 4740 EL DORADO HILLS

ADJ6674177 MIGUEL GARCIA AA 1SERVICE BARRETT BUSINESS

SACRAMENTOADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA

ANA

BARRETT BUSINESS

SACRAMENTOADJ6869542 VALENTIN BRAVO BARRETT BUSINESS SERVICES

INC

BARRETT BUSINESS

SACRAMENTOADJ7177577 JUAN MENDOZA BARRETT BUSINESS SERVICES

INC

BARRETT BUSINESS

SACRAMENTOADJ7217471 JESUS FAUSTO FOX TRANSPORTATION BARRETT BUSINESS

SACRAMENTOADJ7288448 DERVIS ESPINAL BARRETT BUSINESS SERVICES

INC

BARRETT BUSINESS

SACRAMENTOADJ7411979 JOSEFA SKY BACA PEGASSUS COMPANY BARRETT BUSINESS

SACRAMENTOADJ7518832 MICHAEL DUKE ENVIRONETICS DEVELOPMENT

CORP

BARRETT BUSINESS

SACRAMENTOADJ7518832 MICHAEL DUKE EROSION CONTROL

MATERIALS

BARRETT BUSINESS

SACRAMENTOADJ7518832 MICHAEL DUKE RIVERSIDE MINING LIMITED BARRETT BUSINESS

SACRAMENTOADJ7518832 MICHAEL DUKE ROCKHARD

TRANSPORTATION

BARRETT BUSINESS

SACRAMENTOADJ7518832 MICHAEL DUKE UEBTF LOS ANGELES BARRETT BUSINESS

SACRAMENTOADJ7635227 ROGELIO MALPICA BARRETT BUSINESS SERVICE BARRETT BUSINESS

SACRAMENTOADJ7992362 DEVIN DESVIGNE BBSI BARRETT BUSINESS

SACRAMENTOADJ8246436 SALVADOR LARIOS BRO PACK INC BARRETT BUSINESS

SACRAMENTOADJ8390068 SUSANA SALAZAR MOTEL 6 BARRETT BUSINESS

SACRAMENTOADJ8544677 RAUL DE JESUS REYES

REYNOSA

HEATH MACHINE INC BARRETT BUSINESS

SACRAMENTOADJ8929238 MANUEL CABRERA CHRIS STURM BARRETT BUSINESS

SACRAMENTOADJ8929238 MANUEL CABRERA FLORISTS MUTUAL INS

EDWARDSVILLE

BARRETT BUSINESS

SACRAMENTO

17

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8929238 MANUEL CABRERA TROPICAL CREATIONS BARRETT BUSINESS

SACRAMENTOADJ9614817 SHANE MILLS FUSION SIGN AND DESIGN BARRETT BUSINESS

SACRAMENTOADJ8246436 SALVADOR LARIOS BRO PACK INC BARRETT BUSINESS SERVICES

ADJ7288448 DERVIS ESPINAL BARRETT BUSINESS SERVICES

INC

BARRETT BUSINESS SERVICES INC

ADJ8911683 FELIX JIMENEZ LOPEZ BE PRODUCTS INC. BROMAR

ENGINEERING

BE PRODUCTS INC. BROMAR

ENGINEERINGADJ7935502 RUDY ORELLANA ARMO CONSTRUCTION INC BERKLEY SPECIALTY IRVING

ADJ7935502 RUDY ORELLANA CAMTEC MOTION PICTURE

CAMERA

BERKLEY SPECIALTY IRVING

ADJ1199001 STANLEY MATHEWS SYSTEMS INTEGRATED BERKSHIRE HATHAWAY

PASADENAADJ1333545 DAVID DIETZEL TRI-STAR PLUMBING, INC. BERKSHIRE HATHAWAY

PASADENAADJ166471 MARIA SANCHEZ PLAZA DE LA RAZA HEAD

START INC

BERKSHIRE HATHAWAY

PASADENAADJ2124365 HUGO MOURINO TONY'S TAVERN RESTAURANT BERKSHIRE HATHAWAY

PASADENAADJ3368174 JUAN GOMEZ WARE DISPOSAL BERKSHIRE HATHAWAY

PASADENAADJ3715166 OSCAR SANCHEZ ANDRE COLLECTION BERKSHIRE HATHAWAY

PASADENAADJ3904566 NOE VALENCIA FIBER CARE BATHS INC BERKSHIRE HATHAWAY

PASADENAADJ427746 JOSE LOPEZ ELITE SLIDES BERKSHIRE HATHAWAY

PASADENAADJ6484039 REYNALDA VARGAS US METRO GROUP INC BERKSHIRE HATHAWAY

PASADENAADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS BERKSHIRE HATHAWAY

PASADENAADJ6992918 MARGARITA SOLIS MOSSMAN COFFEE SHOP

CATERING

BERKSHIRE HATHAWAY

PASADENAADJ7166891 NORMA MENDEZ

MUNOZ

APPLIED POLYTECH SYSTEMS

INC

BERKSHIRE HATHAWAY

PASADENAADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING BERKSHIRE HATHAWAY

PASADENAADJ7430667 BIN GUO J P ORIGINAL CORPORATION BERKSHIRE HATHAWAY

PASADENAADJ7507465 MARTHA ORTEGA JIMS BURGER BERKSHIRE HATHAWAY

PASADENA

18

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8117175 SOFIA DE LA CRUZ KIKKA BERKSHIRE HATHAWAY

PASADENAADJ8162483 JUAN VILLAGRAN K BELL BERKSHIRE HATHAWAY

PASADENAADJ8404635 NANCY ARAMBULA

CORONA

WEISS FAMILY PROPERTIES LLC BERKSHIRE HATHAWAY

PASADENAADJ9154237 FEDERICO SUSTAITA GOOD WEST RUBBER LININGS

INC

BERKSHIRE HATHAWAY

PASADENAADJ916726 ABELINO GALLARDO GS BROTHERS, INC BERKSHIRE HATHAWAY

PASADENAADJ2516660 MARIA PACHECO PRIVATE BRAND

MERCHANDISING

BERKSHIRE HATHAWAY SAN

DIEGOADJ6526055 BRANDON ANDERSON PELLA ARTICUL BERKSHIRE HATHAWAY SAN

DIEGOADJ6669360 JOSE MORAN C AND T JAPANESE ENGINE

INC

BERKSHIRE HATHAWAY SAN

DIEGOADJ6976280 LARRY WILBORN SAFELITE AUTO GLASS BERKSHIRE HATHAWAY SAN

DIEGOADJ7122400 SHEILA BALL PEPPERMINT RIDGE

INCORPORATED

BERKSHIRE HATHAWAY SAN

DIEGOADJ7241420 GONZALO HUERTA BREAD BASKET CAKE

COMPANY

BERKSHIRE HATHAWAY SAN

DIEGOADJ7280678 RUBEN GALLARDO EMBEE INCORPORATED BERKSHIRE HATHAWAY SAN

DIEGOADJ7487053 AGUSTINA CONTRERAS RAYS WRAP INC. BERKSHIRE HATHAWAY SAN

DIEGOADJ7589734 PEDRO SANDOVAL BOB MCGRANN

CONSTRUCTIONS INC

BERKSHIRE HATHAWAY SAN

DIEGOADJ7771333 OCTAVIO MANZO

ZAMBRANO

URETHANE PRODUCTS CORP BERKSHIRE HATHAWAY SAN

DIEGOADJ7776704 FERNANDO MONROY RELIABLE SHEET METAL

WORKS

BERKSHIRE HATHAWAY SAN

DIEGOADJ7943421 ARTURO GARCIA LEON

LOZANO

SEALY BROTHERS BERKSHIRE HATHAWAY SAN

DIEGOADJ8002253 RENE CENICEROS WESTERN PACIFIC ROOFING BERKSHIRE HATHAWAY SAN

DIEGOADJ8864029 ANDREW ARANDA LIQUID GRAPHICS BERKSHIRE HATHAWAY SAN

DIEGOADJ3254765 ARTURO DELGADO PERFORMANCE PLUS BERKSHIRE HATHAWAY SAN

FRANCISCOADJ3368174 JUAN GOMEZ WARE DISPOSAL BERKSHIRE HATHAWAY SAN

FRANCISCO

19

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ4626896 MARIEL ANGEL ERGONOMIC COMFORT

DESIGN, INC.

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6784275 GUADALUPE PORTILLO KINSBURSKY BROTHERS BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6796109 MARIO MIRANDA KLEEN PLAYGROUND

CONSTRUCTION INC

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6831982 CARLOS MILLAN KEY DISPOSAL INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6935860 LUCIO GONZALEZ STEVEN ANTHONY INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6960319 FLORIDALMA LOPEZ DYNAMIC NURSING SERVICES BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6992918 MARGARITA SOLIS MOSSMAN COFFEE SHOP

CATERING

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7024151 BERTHA QUINTERO DELTA SIGMA THETY HEAD

START

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7122400 SHEILA BALL PEPPERMINT RIDGE

INCORPORATED

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7193675 RAMIRO GARCIA H & M POULTRY CO BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7219829 JESUS ALVAREZ BLOCK TOPS INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7231215 URBANO MARTINEZ QUICK CONCRETE PRODUCTS

CORP

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7251402 NANCY GARCIA WESTERN MEDICAL CENTER BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7267847 LOURDES HERNANDEZ INLAND COUNTIES REGIONAL

CENTER

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7285012 MARTA CASTILLO TOLUCA CROSSROADS

SCHOOL

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7406132 GREGORIA FUENTES HOLLYWOOD CARE INC DBA

HOLLYWOOD ROYALE GUEST

HOME

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7434689 MAGDALENA PARAMO QUAKLEEN COMPANY INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7462062 HUGO ALVAREZ U F O INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7473433 TOMMIE ARMIJO LANGLOIS CO BERKSHIRE HATHAWAY SAN

FRANCISCO

20

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7545257 GUADALUPE

CONTRERAS

ASOCIACION NACIONAL PRO

PERSONAS MAYORES

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7634198 ROSELIA BRITO MARISCOS ENSENADA BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7649573 FERNANDO GONZALEZ CARMEL PARTNERS BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7650093 ALFREDO ROJAS HUNTER LANDSCAPE BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7680680 ALEJANDRO ALEGRIA

VELAZQUEZ

LEONARD ROOFING INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND

CULTURAL CENTER

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7734848 AMPARO VAZQUEZ LOTUS CARE CENTER BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7781922 MARTHA MADRIGAL AMERICAN INTERNATIONAL BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7791035 DEMETRIO TORRES RELIABLE CABLE TV BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7796495 IRMA ORTIZ TAPE SPECIALTY BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7879974 REYNA HERNANDEZ INDEPENDENT BUILDING

MAINTENANCE

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ7965567 CHRISTOPHER HERRERA LENCO AIR CONDITIONING

SERVICES INC

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8004759 CARLOS GALEAS CALICO BUILDING SERVICES

INC

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8019173 PEDRO ESQUIVEL STEPHEN S WISE TEMPLE AND

SCHOOLS

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8022093 LEONEL SOTO SERRATO STAUFFERS LANDSCAPE INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8033206 HUMBERTO ROMO HUNTER LANDSCAPE INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8083206 DWAYNE MCCLENDON CITY WIDE ELECTRONICS

SYSTEMS

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8147139 JOSE AGUIRRE MOREN CRYSTAL ART GALLERY BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8162483 JUAN VILLAGRAN K BELL BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8202355 RAQUEL SANCHEZ LORTONS FRESH SQUEEZED

JUICES

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

BERKSHIRE HATHAWAY SAN

FRANCISCO

21

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8246017 ABEL VALENZUELA DELGADOS FRAMES BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8259618 JUAN NUNEZ RICO NOMURA & CO BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8278792 JOSE TERRAZAS SK TEXTILE INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8338540 CLARA SANDOVAL IMAGE OPTIONS INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8481876 JONG KIM BCD TOFU HOUSE BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8527376 JOSE MANUEL VALENCIA OUTDOOR RESORTS PALM

SPRINGS OWNER

ASSOCIATION

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8556870 GERRY TABORA OHLINE CORPORATION BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8567885 MARICRUZ TAPIA NHK LABORATORIES BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8683793 JAVAD SABOKPEY SEIU LOCAL BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8734489 ALEJANDRO GONZALEZ CHROME TECH INC BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8759400 SHAHIN SAHAKIAN ADULT DAY HEALTH CARE BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8842628 JOSE VIDAL CONTRERAS MIKE LOWRIE TRUCKING BERKSHIRE HATHAWAY SAN

FRANCISCOADJ8902881 MISON SUH COLIMA ROWLAND HEIGHTS

INC DBA B C D TOFU HOUSE

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ9030534 CELSO PALOS BAUMANN ENGINEERING BERKSHIRE HATHAWAY SAN

FRANCISCOADJ9206312 MICHAEL SIGNORIO AMERICAN INTERNATIONAL BERKSHIRE HATHAWAY SAN

FRANCISCOADJ9430469 JUAN ROA CITISTAFF SOLUTIONS BERKSHIRE HATHAWAY SAN

FRANCISCOADJ9430469 JUAN ROA RAMA FOOD MANUFACTURE

CORP

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ9614817 SHANE MILLS FUSION SIGN AND DESIGN BERKSHIRE HATHAWAY SAN

FRANCISCOADJ2345030 BERNARDINO

CERVANTES

SIERRA MADRE FOOD BERMUDEZ IRVINE

ADJ1026606 DEBRA CONWAY HEMET VALLEY HOSPITAL BETA HEALTHCARE GROUP

ROSEVILLE

22

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6975352 CONNIE CATON MAMMOTH HOSPITAL BETA HEALTHCARE GROUP

ROSEVILLEADJ7801441 LILIYA AVANESOVA POMERADO HOSPITAL BETA HEALTHCARE GROUP

ROSEVILLEADJ9057830 MARTHA ELIZABETH

CASTILLO VANEGAS

BEVERLY HILLS RESOURCES

CORPORATIONS

BEVERLY HILLS RESOURCES

CORPORATIONSADJ7900772 CARMEN BARRANCO BOEING BOEING

ADJ2054120 LEE MARTIN FIRST TRANSIT BROADSPIRE 12586 FRESNO

CLOSEDADJ7739382 JESUS CAMARENA

GUTTIEREZ

AEROTEK INC BROADSPIRE 12586 FRESNO

CLOSEDADJ8000347 KIMBERLYNN

KROMBERG

MV TRANSPORTATION BROADSPIRE 12586 FRESNO

CLOSEDADJ8012780 SILVIA LEON EGGS WEST MARK BROADSPIRE 12586 FRESNO

CLOSEDADJ1494703 DOLORES MURCIA MV TRANSPORTATION BROADSPIRE 24016 FRESNO

ADJ2301423 CALVIN JOHNSON LAIDLAW TRANSPORTATION BROADSPIRE 24016 FRESNO

ADJ2804761 RUBEN PEREZ ARAUJO CENTIMARK CORPORATION BROADSPIRE 24016 FRESNO

ADJ322433 JANET CRONIN HOLIDAY INN BROADSPIRE 24016 FRESNO

ADJ322433 JANET CRONIN NATIONAL BARTENDERS

SCHOOL

BROADSPIRE 24016 FRESNO

ADJ6868594 RAYMOND FUJIMOTO TESORO WEST COAST BROADSPIRE 24016 FRESNO

ADJ7055960 CESAR GONZALEZ SPORTS AUTHORITY BROADSPIRE 24016 FRESNO

ADJ7094095 IRMA LEMUS THE RITE SCREEN COMPANY

INC

BROADSPIRE 24016 FRESNO

ADJ7534083 REGINA SMITH MV OCTA TRANSPORTATION BROADSPIRE 24016 FRESNO

ADJ7706443 JESS SMITH TESORO PETROLEUM BROADSPIRE 24016 FRESNO

ADJ7759096 JOSE CASTRO MANHEIM RIVERSIDE BROADSPIRE 24016 FRESNO

ADJ8000347 KIMBERLYNN

KROMBERG

MV TRANSPORTATION BROADSPIRE 24016 FRESNO

ADJ8002436 JOSE ZULETA LANDRY`S RESTAURANTS INC BROADSPIRE 24016 FRESNO

ADJ8159649 JESUS AYALA ROCK TENN CP BROADSPIRE 24016 FRESNO

ADJ8207921 MIGUEL MEDINA MV TRANSPORTATION BROADSPIRE 24016 FRESNO

ADJ8252635 IRMA CASTANEDA CHEVRON BROADSPIRE 24016 FRESNO

ADJ8316557 LAUREN MARX THE SPORTS AUTHORITY BROADSPIRE 24016 FRESNO

ADJ8325588 MIGUEL BIRRUETA RICOH ELECTRONICS BROADSPIRE 24016 FRESNO

ADJ9256673 LUZ MALDONADO DIOCESE OF FRESNO

EDUCATIONAL CORP

BROADSPIRE 24016 FRESNO

ADJ1599137 MARIA FUENTES TICKET MASTER BROADSPIRE BREA

23

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1742256 JOHN ENRIQUEZ ENRIQUEZ TERMITE AND PEST

CONTROL

BROADSPIRE BREA

ADJ1896904 CAROL UYEHARA SOUTHERN CALIF GAS CO BROADSPIRE BREA

ADJ2323364 WILLIAM HARTMAN ADHOR FARMS BROADSPIRE BREA

ADJ3956431 RUBEN ZALAPA AEROTEX BROADSPIRE BREA

ADJ4569447 RICHARD ACEVES ADOHR FARMS BROADSPIRE BREA

ADJ4569447 RICHARD ACEVES SUIZA-ADHOR SWISS BROADSPIRE BREA

ADJ6659628 BRADFORD COSTLEY SECURITAS SECURITY SERVICES BROADSPIRE BREA

ADJ6687684 PETER VU THE BOEING COMPANY BROADSPIRE BREA

ADJ6755072 SUZANNE HOUK DAVITA INC BROADSPIRE BREA

ADJ6885803 VERONICA SANCHEZ SECURITAS USA INC BROADSPIRE BREA

ADJ6911111 EDWIN DELEON USC BROADSPIRE BREA

ADJ7033306 MARK HUERTA THE BOEING COMPANY BROADSPIRE BREA

ADJ7033614 ROSA CIBRIAN LARA ADECCO BROADSPIRE BREA

ADJ7176848 ROSA LINARES DE

RODRIGUEZ

ADECCO BROADSPIRE BREA

ADJ7231344 SHERIDAN REED 99 CENTS ONLY STORES BROADSPIRE BREA

ADJ7390375 DON MCCALL AXIUM BROADSPIRE BREA

ADJ7390375 DON MCCALL CAPS, INC. BROADSPIRE BREA

ADJ7390375 DON MCCALL CAST & CREW PRODUCTION BROADSPIRE BREA

ADJ7390375 DON MCCALL ENTERTAINMENT PARTNERS BROADSPIRE BREA

ADJ7390375 DON MCCALL FSI/FPS SERVICES INC. BROADSPIRE BREA

ADJ7390375 DON MCCALL MEDIA SERVICES BROADSPIRE BREA

ADJ7390375 DON MCCALL TEAM ACQUISITION COPR BROADSPIRE BREA

ADJ7412492 ROSA SAENZ 99 CENTS ONLY STORES BROADSPIRE BREA

ADJ7596388 MARIBEL TOVAR RAUDA ADECCO USA INC BROADSPIRE BREA

ADJ7641502 RAMON PALAFOX TEXTRON INC BROADSPIRE BREA

ADJ7650216 MARINA RIVERA WESTVIEW SERVICES BROADSPIRE BREA

ADJ7739382 JESUS CAMARENA

GUTTIEREZ

AEROTEK INC BROADSPIRE BREA

ADJ7834400 JOSE MARTINEZ ADDECO OFFICE INDUSTRIAL BROADSPIRE BREA

ADJ7836326 MARIA MOSQUEDA 99 CENTS ONLY STORE BROADSPIRE BREA

ADJ7881507 ANTONIA REYES THE PRESS ENTERPRISE BROADSPIRE BREA

ADJ7961729 SYLVIA MASTERS SUN HEALTH CARE GROUP BROADSPIRE BREA

ADJ7977177 SUSAN SALAZAR 99 CENT ONLY STORE BROADSPIRE BREA

ADJ8123751 SAUL CASTRO AEROTEK BROADSPIRE BREA

ADJ8152220 ANDRES LOPEZ INTERFACE BROADSPIRE BREA

24

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8160524 CARLOS VEGA ADDECO EMPLOYMENT

AGENCY

BROADSPIRE BREA

ADJ8290343 EMILIA BUENO NUTRILITE BROADSPIRE BREA

ADJ8310428 FILOMENO MENDEZ

PEREZ

THE PRESS ENTERPRISE BROADSPIRE BREA

ADJ8553988 FRANCISCO FLORES LABORATORY CORPORATION

OF AMERICA

BROADSPIRE BREA

ADJ8615814 ELENITA DE LEON LABCORP BROADSPIRE BREA

ADJ9156817 MARIA BARRERA MV TRANSPORTATION BROADSPIRE BREA

ADJ9230707 ANTHONY TERRY MV TRANSPORTATION BROADSPIRE BREA

ADJ1315320 SARA PEDRAZA SOUTH COAST MEDICAL

CENTER

BROADSPIRE CIGA GLENDALE

CLOSEDADJ2656707 MARTHA GONZALEZ DMN ENTERPRISES BROADSPIRE CIGA GLENDALE

CLOSEDADJ2656707 MARTHA GONZALEZ PARK REGENCY

CONVALESCENT HOSPITAL

BROADSPIRE CIGA GLENDALE

CLOSEDADJ2739240 CAROLYN MAGEE EASTER SEALS OF SO.

CALIFORNIA

BROADSPIRE CIGA GLENDALE

CLOSEDADJ4459595 ALICIA TORRES CAPTEK SOFTGEL

INTERNATIONAL INC

BROADSPIRE CIGA GLENDALE

CLOSEDADJ4980394 SIMON FELIX SECHRIST INDUSTRIES INC BROADSPIRE CIGA GLENDALE

CLOSEDADJ4980394 SIMON FELIX SECHRIST INDUSTRIES INC BROADSPIRE CLAIMS SERVICES

ADJ6952003 MARIA MENJIVAR SEES CANDY BROADSPIRE CONCORD

ADJ403826 JOHNNIE BRUHANSKI THE BOEING CO BROADSPIRE INSURANCE

COMPANIESADJ1103642 GERARDO BANUELOS COCA COLA BROADSPIRE SACRAMENTO

ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA

CONSTRUCTION

BROADSPIRE SACRAMENTO

ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC BROADSPIRE SACRAMENTO

ADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT

FURNITURE

BROADSPIRE SACRAMENTO

ADJ2714154 CHARLIE WILSON CR ENGLAND & SONS INC BROADSPIRE SACRAMENTO

ADJ3057701 ADOLFO LLAMAS HANGER ORTHOPEDIC

GROUP

BROADSPIRE SACRAMENTO

ADJ3463051 MARIA GARCIA EDWARDS LIFESCIENCES BROADSPIRE SACRAMENTO

ADJ4031610 CYNTHIA JONES DEPT OF SOCIAL SERVICES BROADSPIRE SACRAMENTO

ADJ4378898 ALBERTA RANGEL SPEEDY CASH BROADSPIRE SACRAMENTO

ADJ4433032 CHARLIE MORENO ALCON LABORATORIES BROADSPIRE SACRAMENTO

ADJ4433032 CHARLIE MORENO ALCON SURGICAL BROADSPIRE SACRAMENTO

ADJ4571802 FAY FORSYTHE TRIMEDYNE INC BROADSPIRE SACRAMENTO

25

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ677439 MARIA IGNACIO STAPLES BROADSPIRE SACRAMENTO

ADJ6882300 CARLOS HUERTA MCDPETERSONHERB GA

ENTERPRISES

BROADSPIRE SACRAMENTO

ADJ6972089 DANA VAN AUKEN CAST AND CREW

PRODUCTION

BROADSPIRE SACRAMENTO

ADJ6972089 DANA VAN AUKEN ENTERTAINMENT PARTNERS BROADSPIRE SACRAMENTO

ADJ6972089 DANA VAN AUKEN FILM PAYMENT SERVICES BROADSPIRE SACRAMENTO

ADJ6972089 DANA VAN AUKEN REEL PAYROLL INC BROADSPIRE SACRAMENTO

ADJ7094095 IRMA LEMUS THE RITE SCREEN COMPANY

INC

BROADSPIRE SACRAMENTO

ADJ7300351 RANDY TRIMBLE EAGLE INTERNATIONAL

SERVICES

BROADSPIRE SACRAMENTO

ADJ7752234 AMELIA TAGLE NEUTROGENA CORPORATION BROADSPIRE SACRAMENTO

ADJ7871044 BERTHA BASKERVILLE PRIORITY DENT REPAIR, INC BROADSPIRE SACRAMENTO

ADJ7997446 TRINIDAD SANCHEZ GOLF CLUB AT RANCHO

CALIFORNIA

BROADSPIRE SACRAMENTO

ADJ8123162 PAULO RIBEIRO PORTO ALEGRE RESTAURANT BROADSPIRE SACRAMENTO

ADJ9227123 ADIEL HERNANDEZ

ESCALANTE

ANNING JOHNSON BROADSPIRE SACRAMENTO

ADJ9251014 FALICIA KNIGHT ADECCO BROADSPIRE SACRAMENTO

ADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC BROADSPIRE SACRAMENTO

ADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA, INC. BROADSPIRE SACRAMENTO

ADJ7726434 GABRIEL RODRIGUEZ BUN BOY BUN BOY

ADJ7554176 MARIO TEJEDA C S DRYWALL INC C S DRYWALL INC

ADJ1924892 ROBERTO JIMENEZ BURGER KING - GE

ENTERPRIESE

CALIF COMPENSATION & FIRE

CO/BROADSPIREADJ330307 JULIA SERRANO OCEAN BEAUTY SEAFOODS,

INC.

CALIF COMPENSATION & FIRE

CO/BROADSPIREADJ367455 VICTORIA SARGENT DENNY'S/QLC MANAGEMENT CALIF COMPENSATION & FIRE

CO/BROADSPIREADJ367455 VICTORIA SARGENT DONAHUE ENTERPRISES CALIF COMPENSATION & FIRE

CO/BROADSPIREADJ8115030 GERRY HARLAN CALIFORNIA HIGHWAY

PATROL

CALIFORNIA HIGHWAY PATROL

ADJ8321836 MARVIN MONCADA WILMINGTON RECYCLERS CALIFORNIA INSURANCE

COMPANYADJ7873579 JULIAN HURTADO VELA CALIFORNIA PIZZA KITCHEN

INC

CALIFORNIA PIZZA KITCHEN INC

ADJ7839926 JENNIFER WILSON ASSISTED HEALTH CARE CALIFORNIA SELF-INSURERS

ASSOC'N.

26

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1170420 BETTY MYLES DEPARTMENT OF SOCIAL

SERVICE

CAMBRIDGE INTEGRATED

ADJ1658145 ROSA AMADOR RIVER RANCH CAMBRIDGE PASADENA CLOSED

ADJ1658145 ROSA AMADOR RIVER RANCH/SUNNY SALLY CAMBRIDGE PASADENA CLOSED

ADJ1682467 RICHARD COTTO LOU EHLERS CADILLAC CAMBRIDGE PASADENA CLOSED

ADJ1682467 RICHARD COTTO STATE COMP. INSRUANCE

FUND

CAMBRIDGE PASADENA CLOSED

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES CAMBRIDGE PASADENA CLOSED

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS

ANGELES/DPSS

CAMBRIDGE PASADENA CLOSED

ADJ2403735 MICHAEL CROUGH MCDONNELL DOUGLAS CAMBRIDGE PASADENA CLOSED

ADJ2712036 STEVEN SELZNICH COUNTY OF LOS ANGELES CAMBRIDGE PASADENA CLOSED

ADJ2712036 STEVEN SELZNICH LOS ANGELES COUNTY PUBLIC

WORKS-690

CAMBRIDGE PASADENA CLOSED

ADJ3023840 CHERYL WESKE MC

KELVEY

CLASSIC INDUSTRIES CAMBRIDGE PASADENA CLOSED

ADJ3527864 LINDA ODE DEPT OF SOCIAL SERVICES CAMBRIDGE PASADENA CLOSED

ADJ3871208 GLORIA TREVINO LAC/USC MEDICAL CENTER CAMBRIDGE PASADENA CLOSED

ADJ4645734 MICHAEL CROUGH MCDONNELL DOUGLAG

AIRCRAFT

CAMBRIDGE PASADENA CLOSED

ADJ1440559 CANDELARIA VALDEZ REDD CARPET JANITORIAL CAMBRIDGE SAN DIEGO CLOSED

ADJ1506401 ROBERT GENTILE G.S. SIKAND, ET AL CAMBRIDGE SAN DIEGO CLOSED

ADJ3023840 CHERYL WESKE MC

KELVEY

CLASSIC INDUSTRIES CAMBRIDGE SAN DIEGO CLOSED

ADJ434306 LEODIS BREWER OKK TRADING INC. CAMBRIDGE SAN DIEGO CLOSED

ADJ4475241 BARBARA PHIPPS LAMPS PLUS CAMBRIDGE SAN DIEGO CLOSED

ADJ4475241 BARBARA PHIPPS LAMPS PLUS INC CAMBRIDGE SAN DIEGO CLOSED

ADJ6472001 JAIME QUEZADA JR NEIL JONES FOOD CANNON COCHRAN CONCORD

27

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7437672 MANUEL RAMIREZ CONSOLIDATED DISPOSAL

SERVICE

CANNON COCHRAN CONCORD

ADJ8708445 RAMON ESTRADA VERSA TRANSPORT CANNON COCHRAN CONCORD

ADJ8734231 KATHLEEN DUTKA CRABTREE & EVELYN LTD CANNON COCHRAN CONCORD

ADJ9152995 JAIME LOZOYA SBM SITE SERVICES LLC CANNON COCHRAN CONCORD

ADJ7105219 CARLOTA HOLLAWAY SNS WEST CANNON COCHRAN IRVINE

ADJ7196731 MARIA ALMANZA

GONZALEZ

ST JOHN KNITT CANNON COCHRAN IRVINE

ADJ7834774 MARTHA AGUIRRE ST JOHNS KNITTS INC CANNON COCHRAN IRVINE

ADJ7930087 FRANCISCO NOVOA EL DORADO NATIONAL CANNON COCHRAN IRVINE

ADJ8115200 LUCIANA GUERRA EKULO DISTRIBUTION CO CANNON COCHRAN IRVINE

ADJ8227162 RICHARD ECHAVARRIA DISCOUNT TIRE CENTERS CANNON COCHRAN IRVINE

ADJ8239682 JOSE LUIS HERNANDEZ

ROMERO

STAFFMARK CANNON COCHRAN IRVINE

ADJ8293512 MICHAEL

VANGRIMBERGEN

MR ROOTER CANNON COCHRAN IRVINE

ADJ8445976 RAUL BARRAGAN STAFFMARK INVESTMENT CANNON COCHRAN IRVINE

ADJ8570662 MARTIN FLORES EXCEL CABINETS CANNON COCHRAN IRVINE

ADJ8875022 JAIME DE LA TORRE STAFFMARK CANNON COCHRAN IRVINE

ADJ8958501 OSCAR AMEZQUITA FELBRO CANNON COCHRAN IRVINE

ADJ7331638 JOSE SORIANO REPUBLIC SERVICES CANNON COCHRAN

SCOTTSDALEADJ7093921 ALFREDO MORALES STAFFCHEX PAYROLL AND

HUMAN RESOURCES

SOLUTIONS

CARE WEST PEGASUS MODESTO

ADJ7327512 NICOLE MCCALEB DYNAMIC NURSING SERVICES

INC

CARE WEST PEGASUS MODESTO

ADJ7599474 MAUREEN HERNANDEZ FIRSTMED AMBULANCE

SERVICES INC

CARE WEST PEGASUS MODESTO

ADJ7669494 ESTHER THEVENAZ AMERICAN NURSING HOME

HEALTH

CARE WEST PEGASUS MODESTO

ADJ7914925 YVONNE LOPEZ SUPERIOR GROCERIES CARE WEST PEGASUS MODESTO

ADJ8243181 SARA TORRES SUPERIOR SUPER WAREHOUSE

HUNTINGTON 107

CARE WEST PEGASUS MODESTO

ADJ8308149 MILVIA RODAS OAK VIEW CONVALESCENT

HOME

CARE WEST PEGASUS MODESTO

28

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8418612 ANTONIO MONTOYA JA FARM LABOR CARE WEST PEGASUS MODESTO

ADJ9196445 OLIVIA PEREZ QUAIL H FARMS CARE WEST PEGASUS MODESTO

ADJ8246305 TIM GRANBERG CARGILL BEEF PACKERS CARGILL BEEF PACKERS

ADJ3024899 ANA CARRILLO MERCHANT'S BUILDING

MAINTENANCE

CARL WARREN TUSTIN

ADJ6954259 FEDELIA RAMOS QUALITY PARKING SERVICES CARL WARREN TUSTIN

ADJ6954259 FEDELIA RAMOS SERVICAON SYSTEMS CARL WARREN TUSTIN

ADJ7434552 FILEMON VAZQUEZ 10 4 PATROL SERVICES CARL WARREN TUSTIN

ADJ7434552 FILEMON VAZQUEZ CARDENAS MAKKETS INC CARL WARREN TUSTIN

ADJ7753843 ELOISA RAMOS

LEDEZMA

CARDENAS MARKET INC CARL WARREN TUSTIN

ADJ7772653 MANUELA GUERRERO PANORAMA GARDEN

HOSPITAL

CARL WARREN TUSTIN

ADJ8059623 SERGIO GALLARDO ICR STAFFING INC CARL WARREN TUSTIN

ADJ8059623 SERGIO GALLARDO TCR STAFFING CARL WARREN TUSTIN

ADJ8075191 HECTOR GALLARDAY DEL REAL CARL WARREN TUSTIN

ADJ8162044 ERNESTO MUNOZ ROTH STAFFING COMPANY

ULTIMATE STAFFING SERVICES

CARL WARREN TUSTIN

ADJ8162044 ERNESTO MUNOZ ULTIMATE STAFFING SERVICES CARL WARREN TUSTIN

ADJ8162467 CRUZ MAYA STRATEGIC OPERATIONS INC CARL WARREN TUSTIN

ADJ8188201 PATRICK TEEL FOOD EXPRESS INC CARL WARREN TUSTIN

ADJ8383873 RAMONA GONZALES

HERNANDEZ

BROOKSIDE HEALTHCARE CARL WARREN TUSTIN

ADJ8386378 JUAN RODRIGUEZ DEL REAL FOODS CARL WARREN TUSTIN

ADJ8415243 ALICIA VALDEZ MEDINA FIELD FRESH FOODS CARL WARREN TUSTIN

ADJ8539739 JOSE PEREZ DIG CORPORATION CARL WARREN TUSTIN

ADJ8811432 SILVIA BARAHONA MB DOWNEY RESTAURANTS CARL WARREN TUSTIN

ADJ9083532 KEITH JOHNSON SERVICON SYSTEM CARL WARREN TUSTIN

ADJ9353592 MANUEL CALERO FOOD EXPRESS CARL WARREN TUSTIN

ADJ9373807 JOSE LUIS HERNANDEZ CINGULAR STAFFIMG CARL WARREN TUSTIN

ADJ7391298 JOSEPH ALEJO PIRATE STAFFING CASTLEPOINT NATIONAL INS

IRVINEADJ8684295 HUMBERTO GUERRA WHITED CEMENTERY SERVICE CASTLEPOINT NATIONAL INS

IRVINEADJ8684296 HUMBERTO GUERRA WHITED CEMENTERY SERVICE CASTLEPOINT NATIONAL INS

IRVINE

29

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8993993 THELMA CORONADO EBM JANITORAL SERVICES INC CASTLEPOINT NATIONAL INS

IRVINEADJ7948653 NORMA CONRADO NATIONAL ORANGE SHOW

OF SAN BERNANDINO

CFSA SACRAMENTO

ADJ3369962 WELLINGTON PORTER CHECK MATE STAFFING CHECK MATE STAFFING

ADJ3369962 WELLINGTON PORTER CHECKMATE STAFFING INC CHECK MATE STAFFING

ADJ3369962 WELLINGTON PORTER UEBTF LOS ANGELES CHECK MATE STAFFING

ADJ2753948 HEATHER HUBBARD BUCHALTER & NEWER CHUBB GROUP LOS ANGELES

ADJ6622488 JESUS VALDEZ ALVAREZ AIR LOVERS CHUBB GROUP LOS ANGELES

ADJ6658921 CHARLES MCGEE PRIMARY STEEL CHUBB GROUP LOS ANGELES

ADJ6726579 JUAN DESIDERIO THE STANDARD HOTEL CHUBB GROUP LOS ANGELES

ADJ7038469 AZIZA SAYED GIORGIO ARMANI CHUBB GROUP LOS ANGELES

ADJ7166638 NINA HUYNH STEWART TITLE CHUBB GROUP LOS ANGELES

ADJ7325604 ANTHONY CONANT INTERNET BRANDS CHUBB GROUP LOS ANGELES

ADJ7361488 LOUIS RITTENHOUSE TIFFANY AND COMPANY CHUBB GROUP LOS ANGELES

ADJ7442367 THOMAS VERDUZCO HAYWARD POOL CHUBB GROUP LOS ANGELES

ADJ7518444 GUADALUPE

VELASQUEZ

CENTRIC GROUP LLC CHUBB GROUP LOS ANGELES

ADJ7542187 LETICIA CARCAMO ADMINISTAFF CO CHUBB GROUP LOS ANGELES

ADJ7542187 LETICIA CARCAMO SEMTECH CHUBB GROUP LOS ANGELES

ADJ7570641 MARIO QUINTANA TROY BURCH LLC CHUBB GROUP LOS ANGELES

ADJ7771337 JOSE QUESADA DECRA ROOFING SYSTEMS INC CHUBB GROUP LOS ANGELES

ADJ7957167 CECILIA VALLEZ ASPEN LOGISTICS CHUBB GROUP LOS ANGELES

ADJ7957167 CECILIA VALLEZ CDS CHUBB GROUP LOS ANGELES

ADJ8233579 TOMASA ALVARADO KENDALL FLORAL SUPPLY CHUBB GROUP LOS ANGELES

ADJ8307247 IRIS BAQUEDANO IZEK SHOMOF CHUBB GROUP LOS ANGELES

ADJ8307247 IRIS BAQUEDANO JONATHAN BEN SHOLOM CHUBB GROUP LOS ANGELES

ADJ8307247 IRIS BAQUEDANO V STYLES INC GREAT CLIPS

FOR HAIR

CHUBB GROUP LOS ANGELES

ADJ8384059 VICTOR ARGUETA AMBIANCE APPAREL

AMBIANCE USA INC

CHUBB GROUP LOS ANGELES

ADJ8471219 WINNIE TRAN INTEGRA NEUROSCIENCES CHUBB GROUP LOS ANGELES

ADJ8613789 JESSE PEREZ BONDED SERVICES CHUBB GROUP LOS ANGELES

ADJ8794369 RONDA BUCHANAN UEI COLLEGE CHUBB GROUP LOS ANGELES

ADJ8975889 VICENTE ESPINOZA HOTELS AB DOWNTOWN EMP

LLC DBA THE STANDARD

CHUBB GROUP LOS ANGELES

30

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9390388 VICENTE ESPINOZA HOTELS AB DOWNTOWN EMP

LLC DBA THE STANDARD

CHUBB GROUP LOS ANGELES

ADJ8290185 STEVEN MORRIS GRANTLAND AVE SO BAPTIST

CHURCH

CHURCH MUTUAL MERRILL

ADJ1443339 EDUARDO LEON EL AHORRO USED AUTO

PARTS

CIGA

ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS

SUPPLY

CIGA GLENDALE

ADJ2904717 ROSA AMADOR RIVER RANCH/SUNNY SALLY CIGA GLENDALE

ADJ3023840 CHERYL WESKE MC

KELVEY

CLASSIC INDUSTRIES CIGA GLENDALE

ADJ3823997 PATRICIA SOLA B & P PLASTICS CIGA GLENDALE

ADJ4398498 RICHARD SUTTON CERRITOS FORD INC CIGA GLENDALE

ADJ4398498 RICHARD SUTTON FORD WEST CIGA GLENDALE

ADJ7556202 VICTORIA ORGANISTA KAON INVESTMENT LLC CIGA GLENDALE

ADJ7632496 ROBERTO ROJAS TRISTATE STAFFING CIGA GLENDALE

ADJ8179699 OSCAR LOPEZ STAFFING SYSTEMS INC CIGA GLENDALE

ADJ8379904 LARONDA HULLABY FUTURE FORWARDING CO CIGA INTERCARE ORANGE

ADJ3750814 SUSANA URIAS SEE'S CANDIER CIGA TRISTAR RANCHO

CORDOVAADJ3750814 SUSANA URIAS SEE'S CANDY SHOP CIGA TRISTAR RANCHO

CORDOVAADJ7666378 ROSE PEREZ CIRCLE K STORES INC CIRCLE K STORES INC

ADJ7663057 MARK PARKER CITY OF CYPRESS POLICE DEPT CITY OF CYPRESS POLICE DEPT

ADJ8166864 GARY DICKEY CITY OF HAWTHORNE CITY OF HAWTHORNE

ADJ7831488 TRINH HO CITY OF LA DEPT OF WATER

AND POWER

CITY OF LA DEPT OF WATER

AND POWERADJ6485844 VICTOR AGUILAR CITY OF LA RECREATION AND

PARKS

CITY OF LA RECREATION AND

PARKSADJ2975020 ARTHUR BALL CITY OF LONG BEACH CITY OF LONG BEACH

ADJ3315411 MARIA GARCIA CITY OF LONG BEACH CITY OF LONG BEACH

ADJ629976 MAURICE WEINER CITY OF LONG BEACH CITY OF LONG BEACH

ADJ646823 ARCELIA DELGADO CITY OF LONG BEACH CITY OF LONG BEACH

ADJ1064238 GARRY TORRENCE CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1088713 ALFONSO AMAYA CITY OF LOS ANGELES/GSD CITY OF LOS ANGELES

ADJ1100037 ROBERT SALERNO CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ110702 INGRID GRIFFIN CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ110702 INGRID GRIFFIN LOS ANGELES POLICE

DEPARTMENT

CITY OF LOS ANGELES

ADJ1184729 GWEN COLLERAN CITY OF LOS ANGELES CITY OF LOS ANGELES

31

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1331525 MIGUEL GOMEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1337487 LOUIE BUSTAMANTE CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1464259 MICHAEL NUBY CITY OF L.A. GENERAL

SERVICES DEPT

CITY OF LOS ANGELES

ADJ149549 JOHN GALE CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1547810 BELEN CASTRO CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1714332 RICHARD HUTCHINSON CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ1954003 LARITA HENDERSON

FRIERSON

LOS ANGELES POLICE DEPT CITY OF LOS ANGELES

ADJ2207570 HECTOR GONZALEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2285767 JOSE CORRALES CITY OF L. A. RECREATION &

PARKS

CITY OF LOS ANGELES

ADJ228818 DORIS ANDREWS CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2352161 PATRICIA GREENWOOD CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2376339 JOHN MAK CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ241855 ANA MARIA WOLTKE CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2632535 GILBERT PALOMARES CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2695700 KIYOKO CLEMONS CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ2757394 GWENDOLYN BATTLES CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ3278703 TAE YUN CITY OF LOS ANGELES PSI CITY OF LOS ANGELES

ADJ361711 TERRY PORTER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ3879233 PATRICK SHELDON CITY OF LA DEPT OF AIRPORTS CITY OF LOS ANGELES

ADJ4181094 RAYMOND HOWARD CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ4324353 ROSEMARY

DOMINGUEZ

CITY OF L.A./POLICE DEPT. CITY OF LOS ANGELES

ADJ4330832 LARRY TUCKER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ4683987 VALERIE WRIGHT CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ4712163 PATRICIA ROSAS CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ506171 JESUS RODRIGUEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ549594 JOSEPH MOSLEY CITY OF LA BUREAU OF

STREET MAINT

CITY OF LOS ANGELES

ADJ6485844 VICTOR AGUILAR CITY OF LA RECREATION AND

PARKS

CITY OF LOS ANGELES

ADJ6651657 WILLIAM JACKSON CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6750633 JAMES STOUT CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6750686 BRENDA CURETON CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6759075 SANDRA RODRIGUEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6946243 BLANCA LOAIS CITY OF LOS ANGELES CITY OF LOS ANGELES

32

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6966408 DAVID BOMER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6972938 DONALD BRADY CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ6977046 WERNER FLORES CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7126713 FRANK MORALES LAPD ACADEMY CITY OF LOS ANGELES

ADJ7127679 JAVIER BERNAL CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7211521 SHELIA KELLY CITY OF LOS ANGELES

BUREAU OF SANITATION

CITY OF LOS ANGELES

ADJ7251075 KENNY TO CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7277959 JULIA PEAT CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7387832 CLELY MARIN CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7392528 ESTEBAN ROMERO CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7556205 EUOLA JOHNSON CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7598126 ERIKA NUTTMAN CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7699721 LARRY MEYERHOFER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7724499 CHARLENE CARTER CITY OF LOS ANGELES

AIRPORTS DEPT

CITY OF LOS ANGELES

ADJ7781596 DEANDRE SPENCER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ779674 CAESAR RIVAS CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7834580 CAMILLA HILL CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7987855 JOSE RUIZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8004527 DEONNE WATSON CITY OF LIA1 POLICE DEPT CITY OF LOS ANGELES

ADJ8071453 DOUG BELL CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8113530 BRIAN STRADER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8244449 CRYSTAL WALKER CITY OF LOS ANGELES OFFICE

OF FINANCE

CITY OF LOS ANGELES

ADJ8429815 KENNETH BAXTER CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8447853 JOHN NOLEN JR CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8572548 PATRICIA STOUT CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ884802 DANIEL HONESTO CITY OF LA-JANITORAL

SERVICES

CITY OF LOS ANGELES

ADJ7133129 TYREE GILBERT CITY OF LOS ANGELES DEPT

OF AIRPORTS

CITY OF LOS ANGELES DEPT OF

AIRPORTSADJ6543064 PEDRO MCKAY CITY OF RIVERSIDE CITY OF RIVERSIDE

ADJ6668361 DAVID CABRERA CITY OF RIVERSIDE CITY OF RIVERSIDE

ADJ6668361 DAVID CABRERA MITCHELL GEIGER CITY OF RIVERSIDE

ADJ6519716 HAO TRAN CITY OF SANTA ANA CITY OF SANTA ANA

ADJ7177094 JESSE TORRES CITY OF SANTA MONICA CITY OF SANTA MONICA

ADJ1865622 DORA MEZA FACILITIES SUPPORT CLAIMQUEST INC

ADJ1865622 DORA MEZA THE POWER PEO CLAIMQUEST INC

ADJ3208101 KATHLEEN MCGINNIS SAN ANTONIO COMMUNITY

HOSP

CLAIMQUEST INC

33

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3024899 ANA CARRILLO MERCHANT'S BUILDING

MAINTENANCE

CLAIMQUEST WALNUT

ADJ8136353 ROSA REYNOSO MERCHANTS BUILDING

MAINTENANCE

CLAIMQUEST WALNUT

ADJ8652802 MARIA GARCIA MERCHANTS BUILDING

MAINTANANCE

CLAIMQUEST WALNUT

ADJ8794684 CARLOS ESPINAL MERCHANTS BUILDING

MAINTENANCE

CLAIMQUEST WALNUT

ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSP CLARENDON NATIONAL

INSURANCE CO/BROADSPIREADJ2270033 DONNA HORNAK SHERMAN OAKS HOSPITAL CLARENDON NATIONAL

INSURANCE CO/BROADSPIREADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE

SERV.,INC.

CLARENDON NATIONAL

INSURANCE CO/INSERVEADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE

SERVICES INC

CLARENDON NATIONAL

INSURANCE CO/INSERVEADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE

SERV.,INC.

CLARENDON NATIONAL

INSURANCE CO/TARHEEL

INSURANCE MANAGEMENT CO

ADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE

SERVICES INC

CLARENDON NATIONAL

INSURANCE CO/TARHEEL

INSURANCE MANAGEMENT CO

ADJ661206 GEROGE MAGALLON CLOUGHTER PACKING CLOUGHERTY PACKING CO

ADJ7939542 ALEXANDRINA

MALDONADO

CLOUGHERTY PACKING

COMPANY

CLOUGHERTY PACKING

COMPANYADJ3730544 ELVIA REYES FARMER JOHN CLOUGHERTY PACKING LOS

ANGELESADJ7074258 MARIA DEL CARMEN

RAMIREZ

FARMER JOHN CLOUGHERTY

PACKING LLC

CLOUGHERTY PACKING LOS

ANGELESADJ7939542 ALEXANDRINA

MALDONADO

CLOUGHERTY PACKING

COMPANY

CLOUGHERTY PACKING LOS

ANGELESADJ7074258 MARIA DEL CARMEN

RAMIREZ

FARMER JOHN CLOUGHERTY

PACKING LLC

CLOUGHERY PACKING LLC DBA

FARMER JOHNSADJ3506843 VENANCIO PARRA DMS CNA CASUALTY OF

CALIFORNIA/RSKCOADJ1936297 DAVID WILLIAMS GRANITEROCK CO CNA CLAIMS PLUS BREA

ADJ2323364 WILLIAM HARTMAN ADHOR FARMS CNA CLAIMS PLUS BREA

ADJ2519895 ROBERTO PALENCIA TANIMURA & ANTLE INC CNA CLAIMS PLUS BREA

ADJ7006451 RODOLFO GRAJEDA UNIVERSAL BUILDING

MAINTENANCE

CNA CLAIMS PLUS BREA

34

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7008798 DECONJE SHAW PEFORMANCE CONTRACTING

GROUP

CNA CLAIMS PLUS BREA

ADJ7060008 MARY AGUIRRE AVNET INC CNA CLAIMS PLUS BREA

ADJ7165622 JAVIER PEREZ PWLC I INC CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL AXIUM CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL CAPS, INC. CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL CAST & CREW PRODUCTION CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL ENTERTAINMENT PARTNERS CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL FSI/FPS SERVICES INC. CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL MEDIA SERVICES CNA CLAIMS PLUS BREA

ADJ7390375 DON MCCALL TEAM ACQUISITION COPR CNA CLAIMS PLUS BREA

ADJ7398872 ROXANNE ODELL SUBWAY SANDWICHES CNA CLAIMS PLUS BREA

ADJ7444286 SINOY HERRERA ARISTO SUBWAY CO CNA CLAIMS PLUS BREA

ADJ7485187 FRANCISCA ZAMUDIO GEM AUTO WASH CNA CLAIMS PLUS BREA

ADJ7576248 VICTOR VACCARO UNIVERSAL PROTECTION CNA CLAIMS PLUS BREA

ADJ7680437 JEFFREY LUCKETT CEMAK TRUCKING CNA CLAIMS PLUS BREA

ADJ7767130 CONSUELO MIRANDA DELTA GAMMA FRATERNITY

INC

CNA CLAIMS PLUS BREA

ADJ7891135 EDGAR PARRA RAHN INDUSTRY CNA CLAIMS PLUS BREA

ADJ792225 YOLANDA CELAYA SUMMERVILLE SENIOR LIVING CNA CLAIMS PLUS BREA

ADJ7971047 EVERARDO ALCALA

ALMARAZ

VISION ELECTRONICS

CORPORATION

CNA CLAIMS PLUS BREA

ADJ8062552 LUIS MESTAS PANERA BREAD CNA CLAIMS PLUS BREA

ADJ8222757 DURWOOD SPENCER DURWOOD SPENCER DDS PC CNA CLAIMS PLUS BREA

ADJ8316840 FERNANDO RAMIREZ PRIDE LAUNDRY SYSTEMS CNA CLAIMS PLUS BREA

ADJ8323324 MARCO GALVAN US AIR CONDITIONING

DISTRIBUTORS

CNA CLAIMS PLUS BREA

ADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA

ITALIANA

CNA CLAIMS PLUS BREA

ADJ8368682 ERIKA RODRIGUEZ SPIN CYCLE LAUNDROMATS CNA CLAIMS PLUS BREA

ADJ8375234 ARCELIA RAMIREZ PORT LOGISTICS CNA CLAIMS PLUS BREA

ADJ8432543 DANIELLE STOWERS UNIVERSAL PROTECTIVE

SERVICE

CNA CLAIMS PLUS BREA

ADJ8951985 MARGARITA MENDEZ AVIS RENT A CAR CNA CLAIMS PLUS BREA

ADJ8993159 MIGUEL MEJIA AUTOMOTIVE CREATIONS CNA CLAIMS PLUS BREA

ADJ9112295 ROXANA SEVILLA JON DAVLER CNA CLAIMS PLUS BREA

ADJ9141669 NICHOLE BENTON DIAGNOSTICS LABORATORY

AND RADIOLOGY

CNA CLAIMS PLUS BREA

ADJ3156199 CHUCK VAN DUYNE AMB ENGINEERING CNA CLAIMS PLUS PORTLAND

35

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7008798 DECONJE SHAW PEFORMANCE CONTRACTING

GROUP

CNA CLAIMS PLUS PORTLAND

ADJ7574427 JOSE GARCIA ASSOCIATED READY MIXED

CONCRETE INC

CNA CLAIMS PLUS PORTLAND

ADJ8729490 ROGELIO TINOCO BELMONT MEMORIAL CNA CLAIMS PLUS PORTLAND

ADJ231248 MARY BLOUGH LORENZ RALPHS CNA CLAIMS PLUS SAN

FRANCISCOADJ231248 MARY BLOUGH LORENZ WORLDMARK CNA CLAIMS PLUS SAN

FRANCISCOADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA

ITALIANA

CNA CLAIMS PLUS SAN

FRANCISCOADJ8377058 ROSAURA GUEVARA PORT LOGISTICS GROUP INC CNA CLAIMS PLUS SAN

FRANCISCOADJ1505807 MARILYN SALONE COUNTY OF RIVERSIDE CNTY OF RIVERSIDE WORK

COMP DIVADJ4301180 BELINDA WINFIELD DEPT OF PUBLIC HEALTH /

RIVERSIDE

CNTY OF RIVERSIDE WORK

COMP DIVADJ7181016 TERRY GALLOWAY RIVERSIDE COUNTY REGIONAL

HOSPITAL

CNTY OF RIVERSIDE WORK

COMP DIVADJ3770534 PETE MAREZ WESTERN WASTE INDUSTRIES COMCO MANAGEMENT SIERRA

MADREADJ8136416 GILBERTO MORALES

GRANADOS

CITY OF OXNARD COMCO MANAGEMENT SIERRA

MADREADJ8004413 ANGEL APARICIO COMIDA MEXICANA

INCORPORATION

COMIDA MEXICANA

INCORPORATIONADJ1554194 BETZABE MARTINEZ

RADUENZ

HILTON ANAHEIM & TOWERS

HOTEL

COMPLINC

ADJ1536639 ANTONIO FARIAS MELISSA'S PRODUCE COMPWEST NEWPORT BEACH

ADJ6531645 BERTHA SALAZAR DAN GAMEL INC COMPWEST NEWPORT BEACH

ADJ6629390 ARTURO LUEVANO GLOBAL ELASTOMERIC

PRODUCTS

COMPWEST NEWPORT BEACH

ADJ6877055 RIGOBERTO CORTEZ

RIOS

EL MODENO GARDENS0 INC COMPWEST NEWPORT BEACH

ADJ6943627 BILL MCINNES VICENTE FOODS COMPWEST NEWPORT BEACH

ADJ6954259 FEDELIA RAMOS QUALITY PARKING SERVICES COMPWEST NEWPORT BEACH

ADJ6954259 FEDELIA RAMOS SERVICAON SYSTEMS COMPWEST NEWPORT BEACH

ADJ6999385 OLEGARIO GARCIA ROYAL TRUCK BODY INC COMPWEST NEWPORT BEACH

ADJ7180108 MATIAS MEJIA THE TAYLOR DESK CO COMPWEST NEWPORT BEACH

ADJ7202826 SORIA ROBERTO PEREZ EL MODENO GARDENS COMPWEST NEWPORT BEACH

ADJ7207615 CARLOS LEAL BAU FURNITURE

MANUFACTURING 1NC

COMPWEST NEWPORT BEACH

36

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7208185 DIGNA CRUZ EVER GREEN FARMS COMPWEST NEWPORT BEACH

ADJ7218527 IRMA CASTANEDA MCCONNELL CABINETS INC COMPWEST NEWPORT BEACH

ADJ7466789 ADRIANA GARCIA AUTOMAC PARKING 1NC COMPWEST NEWPORT BEACH

ADJ7491863 JUAN MANUEL PRADO THE IVY RESTAURANT DBA LA

DESSERTS INC

COMPWEST NEWPORT BEACH

ADJ7498330 NENITA MULCH DOUBLE TREE HOTEL COMPWEST NEWPORT BEACH

ADJ7498580 ANGELICA MARTINEZ QUICKSORT INC LA COMPWEST NEWPORT BEACH

ADJ7514025 LUIS REYES LA DESSERTS INC DBA THE IVY COMPWEST NEWPORT BEACH

ADJ7552613 PHILLIPS AGUILAR ASEPTIC SOLUTIONS USA COMPWEST NEWPORT BEACH

ADJ7593612 RONY GUTIERREZ LA MOUSSE COMPWEST NEWPORT BEACH

ADJ7623114 LORENZO

MALDONADO

EVOLUTION FRESH INC COMPWEST NEWPORT BEACH

ADJ7705607 DOMINGO CASTANEDA INTERNATIONAL HOUSE OF

PANCAKES

COMPWEST NEWPORT BEACH

ADJ7930350 AGUILINO NOYOLA WESSEX INDUSTRIES INC COMPWEST NEWPORT BEACH

ADJ8069341 JOSE SANCHEZ CANNERY SEAFOOD OF THE

PACIFIC

COMPWEST NEWPORT BEACH

ADJ8158065 MARIA RAYA ALLIED WEST PAPER

CORPORATION

COMPWEST NEWPORT BEACH

ADJ8299117 JESUS HERRERA JONATHAN LOUIS

INTERNATIONAL

COMPWEST NEWPORT BEACH

ADJ8450347 ISIDRO ZUNIGA

VERDUZCO

MARIE CALLENDERS NO 47 COMPWEST NEWPORT BEACH

ADJ8552200 JOSE PORTILLO PAYLESS FOODS SUPERMARKET COMPWEST NEWPORT BEACH

ADJ8725723 JOSE VASQUEZ PROACTIVE PACKAGING AND

DISPLAY

COMPWEST NEWPORT BEACH

ADJ8772155 CARLOS ALANIZ JBI COMPWEST NEWPORT BEACH

ADJ8958501 OSCAR AMEZQUITA FELBRO COMPWEST NEWPORT BEACH

ADJ8263165 LUIS TOBAR LA LOGGIA RISTORANTE COMPWEST SAN FRANCISCO

ADJ7017497 STEPHANIE FAIN BEVERLY HEALTH CARE

CALIFORNIA INC

CONSTITUTION FORT SMITH

ADJ7051794 DENISE SELLERS AMERICAN IMAGING

MANAGEMENT

CONSTITUTION SAINT PAUL

ADJ7051794 DENISE SELLERS TRAVELERS COMPANIES INC CONSTITUTION SAINT PAUL

ADJ1406622 LOA GRIFFITH MONTEBELLO UNIFIED

SCHOOL DISTRICT

CORVEL CHINO

ADJ205398 DANNY HENDERSON ANTELOPE VALLEY UNION

HIGH SCHOOL

CORVEL CHINO

ADJ2064820 CATHERINE PERRIOTT GOOD SAMARITAN HOSPITAL CORVEL CHINO

37

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2323352 VIRGINIA MITCHELL

STEMEN

LOS ANGELES COUNTY OFFICE

OF EDUCA.

CORVEL CHINO

ADJ4003163 PETER VITOLLO VISTA PAINT CORPORATION CORVEL CHINO

ADJ405182 CHERYL HUNTER LA COUNTY OFFICE OF

EDUCATION

CORVEL CHINO

ADJ4087514 ERMELINDA HARWOOD

OCHOA

DURHAM SCHOOL SERVICE CORVEL CHINO

ADJ4471483 RONALD SAPP CITY OF LAGUNA BEACH CORVEL CHINO

ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ661206 GEROGE MAGALLON CLOUGHTER PACKING CORVEL CHINO

ADJ6997253 HARRY WINBUSH COMPTON UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ7011336 BLANCA SERRANO PRIME HEALTH CARE SERVICES CORVEL CHINO

ADJ7174737 CAROLYN BLACKLEDGE LOS ANGELES COUNTY OFFICE

OF EDUCATION

CORVEL CHINO

ADJ7193990 JESUS JIM CLOUGHERTY PARKING LLC CORVEL CHINO

ADJ7198625 LILLIAN MONTALVO POMONA UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ7227226 ARLYN FERGUSON COUNTY OF RIVERSIDE CORVEL CHINO

ADJ7274056 MARIA LOURDES

ALMUINA

BETH RAUTIOLA AND JOHN

BITAR

CORVEL CHINO

ADJ7302337 HAITHAM AL NAJIM VLB ASSOCIATES CORVEL CHINO

ADJ7425504 JESUS PONCE SA RECYCLING CORVEL CHINO

ADJ7457433 PATRICIA GRIESBAUER PRIME HEALTH CARE

MANAGEMENT

CORVEL CHINO

ADJ7506084 YAZMIN JAQUEZ PASADENA UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ7614030 JENNIFER BUTLER COMPTON UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ7636466 REBECCA JILL PEARCE LOS ANGELES COUNTY OFFICE

OF EDUCATION

CORVEL CHINO

ADJ7646007 ANA ROQUE PARADISE VALLEY HOSPITAL CORVEL CHINO

ADJ7738082 JAMES FENTON MVUSD CORVEL CHINO

ADJ7852902 ELESHA AGUIRRE VENTURA SUPERIOR COURTS CORVEL CHINO

ADJ7872041 BRIAN MAIN MARIE KILBY BRUCE ROBBINS CORVEL CHINO

ADJ7886497 ROSA MILLAN POMONA UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

38

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8068762 LYDIA DYER GOOD SAMARITAN HOSPITAL CORVEL CHINO

ADJ8094750 IRIS TUCKER POMONA UNIFIED SCHOOL

DISTRICT

CORVEL CHINO

ADJ8124527 ANNA LIZA VELEZ CENTINELA HOSPITAL CORVEL CHINO

ADJ8209224 IMELDA MIRANDA DEL TACO CORVEL CHINO

ADJ8209224 IMELDA MIRANDA SPECIALTY RISK RIVERSIDE CORVEL CHINO

ADJ8645200 MARIA RAMIREZ HIOG MANAGEMENT SERVICES

LLC DBA RADISSON HOTEL

ONTARIO

CORVEL CHINO

ADJ8653778 JOE GARCIA HOLIDAY INN CORVEL CHINO

ADJ8660717 LUIS DUENAS ARIAS 0LREILLY AUTO PARTS CORVEL CHINO

ADJ3147179 JESUS CASTILLO COUNTY OF VENTURA CORVEL OXNARD

ADJ6754059 SYLVIA TORRES COUNTY OF VENTURA CORVEL OXNARD

ADJ6651555 JEFFERY TYNON CPCS INC CORVEL SACRAMENTO

ADJ7115587 ALEJANDRO ROMO

LOERA

INTEGRATED FOOD SERVICE CORVEL SACRAMENTO

ADJ7184116 MARIA REYNA AMERICAN FURNITURE

ALLIANCE

CORVEL SACRAMENTO

ADJ7500183 RAMON MARTIN T D COMMUNICATION CORVEL SACRAMENTO

ADJ7582849 ROGER ARREOLA TOWN OF COLMA

CALIFORNIA

CORVEL SACRAMENTO

ADJ7735476 IRMA RUIZ DEL TACO CORVEL SACRAMENTO

ADJ8062169 OFELINA ARROYO BARRETT BUSINESS SERVICES

INC

CORVEL SACRAMENTO

ADJ8135941 RAMON RUIZ

ONTIVEROS

MOORE FENCE CORVEL SACRAMENTO

ADJ8184742 JOSE FLORES BBSI CORVEL SACRAMENTO

ADJ8428924 MARCO CERVANTES BARRETT BUSINESS SERVICES

INC DBA FOX

TRANSPORTATION

CORVEL SACRAMENTO

ADJ9194215 RAMON E MENDOZA JR BARRETT BUSINESS SERVICES CORVEL SACRAMENTO

ADJ7489675 ANTONIO ALVARADO CHAMPION DODGE LLC CORVEL SAN DIEGO

ADJ7767137 SERVANDO MEJIA

BELTRAN

LA FOGATA RESTAURANT CORVEL SAN DIEGO

ADJ7782081 IGNACIO PIMENTEL CASA LA GOLONDRINA CORVEL SAN DIEGO

ADJ7894254 ANDRES SANCHEZ SEA EMPRESS SEAFOOD

RESTAURANT

CORVEL SAN DIEGO

ADJ8339101 JOSE MORENO J AND A IMPORTERS CORVEL SAN DIEGO

ADJ8429168 ROBERTO SOLIS GOSCH AUTO GROUP CORVEL SAN DIEGO

ADJ8431788 DARRYL WINSTON GRANADA MANAGEMENT CORVEL SAN DIEGO

39

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8509864 MARIA MORALES PROFESSIONAL BUILDING

MAINTENANCE

CORVEL SAN DIEGO

ADJ8526618 MARIA CASTANEDA ALLEN PROPERTIES CORVEL SAN DIEGO

ADJ9009512 MARIA SIERRA NIKI VIKI APPAREL INC CORVEL SAN DIEGO

ADJ7632834 JESUS PELAYO GILROY TOYOTA CORVEL STOCKTON

ADJ6674049 FELICIA DIVINITY COUNTY OF LA INTERNAL

SERVICE DEPT

COUNTY OF LA INTERNAL

SERVICE DEPTADJ8457575 MARTHA JONES COUNTY OF LA REGISTRAR

RECORDER COUNTY CLERK

COUNTY OF LA REGISTRAR

RECORDER COUNTY CLERKADJ8457575 MARTHA JONES COUNTY OF LOS ANGELES

REGISTRAR RECORDER

COUNTY OF LA REGISTRAR

RECORDER COUNTY CLERKADJ178064 NATALIE JOHNSON COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ6702693 CRISTINA HERNANDEZ COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ7106644 ISABEL CARSTEN COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ7721701 MARISSA DAYAO COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ7772599 EDNA QUEVEDO COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ7950973 ERIK MONTOYA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ8099625 MICHAEL YEPA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES

ADJ7477204 CHARLES WRIGHT COUNTY OF LOS ANGELES

ANGELES FIRE PROTECTION

COUNTY OF LOS ANGELES

ANGELES FIRE PROTECTIONADJ8261264 JASON TELLA COUNTY OF LOS ANGELES

DEPARTMENT OF PUBLIC

WORKS

COUNTY OF LOS ANGELES

DEPARTMENT OF PUBLIC WORKS

ADJ7174576 ELIZABETH PADILLA COUNTY OF LOS ANGELES

DPSS

COUNTY OF LOS ANGELES DPSS

ADJ8685063 ADRIANNA WEST COUNTY OF LOS ANGELES

FIRE DEPARTMENT

COUNTY OF LOS ANGELES FIRE

DEPARTMENTADJ6759082 DORAN JORDAN COUNTY OF LOS ANGELES

SHERIFFS DEPT

COUNTY OF LOS ANGELES

SHERIFFS DEPTADJ7092840 MARIA AIKIN COUNTY OF LOS ANGELES

SHERIFFS DEPT

COUNTY OF LOS ANGELES

SHERIFFS DEPTADJ7146120 CELINA HERRERA COUNTY OF LOS ANGELES

SHERIFFS DEPT

COUNTY OF LOS ANGELES

SHERIFFS DEPTADJ7354281 BRIAN LANGLAIS COUNTY OF LOS ANGELES

SHERIFFS DEPT

COUNTY OF LOS ANGELES

SHERIFFS DEPTADJ8063897 MILDRED DU COUNTY OF LOS ANGELES

SUPERIOR COURT OFFICERS

COUNTY OF LOS ANGELES

SUPERIOR COURT OFFICERSADJ3348385 MARY WESTBROOK RANCHO LOS AMIGOS COUNTY OF LOS

ANGELES/CAMBRIDGE

INTEGRATED SERVICES GROUP

40

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3348385 MARY WESTBROOK RANCHO LOS AMIGOS HWY COUNTY OF LOS

ANGELES/CAMBRIDGE

INTEGRATED SERVICES GROUPADJ7464397 ILIANA REVELEZ COUNTY OF LOS ANGELES-

DPSS

COUNTY OF LOS ANGELES-DPSS

ADJ7464397 ILIANA REVELEZ LA DEPT OF SOCIAL SERVICES COUNTY OF LOS ANGELES-DPSS

ADJ3851730 ESPERANZA SANCHEZ COUNTY OF SAN

BERNARDINO

COUNTY OF SAN BERNARDINO

ADJ4603948 CHRISTINE TODD COUNTY OF SAN BERNADINO COUNTY OF SAN BERNARDINO

ADJ4665136 RUTH FLORES SAN BERNARDINO COUNTY COUNTY OF SAN BERNARDINO

ADJ6868654 MARK PIRAINO SAN BERNARDINO COUNTY COUNTY OF SAN BERNARDINO

ADJ6886896 GUADALUPE BEHNCKE DEPARTMENT PUBLIC HEALTH COUNTY OF SAN BERNARDINO

ADJ6954893 TRISTA EVANS SAN BERNARDINO COUNTY

ANIMAL CONTROL

COUNTY OF SAN BERNARDINO

ADJ7942543 MARIA BAUTISTA COUNTY OF SAN

BERNARDINO

COUNTY OF SAN BERNARDINO

ADJ7942642 MARIA BAUTISTA COUNTY OF SAN

BERNARDINO

COUNTY OF SAN BERNARDINO

ADJ7764956 ANA PELAYO CPS SECURITY SOLUTIONS CPS SECURITY SOLUTIONS

ADJ2624340 SLOANE COLEMAN BELLE MARMICK/AMIGOS

FLOORING

CRAWFORD & CO

ADJ1742256 JOHN ENRIQUEZ ENRIQUEZ TERMITE AND PEST

CONTROL

CRAWFORD & CO.

ADJ1090401 ROBERT PALMER LOS ANGELES COUNTY FIRE CRAWFORD AND CO

ADJ1870162 DONALD HOGG L.A. CO./PARKS & RECREATION CRAWFORD AND CO

ADJ2201401 MARGIE DUARTE COUNTY OF LOS ANGELES CRAWFORD AND CO

ADJ3307940 MARGIE DUARTE COUNTY OF LOS ANGELES CRAWFORD AND CO

ADJ353229 LEEANN THOMAS

MCMILLAN

LOS ANGELES COUNTY

DISTRICT ATTY

CRAWFORD AND CO

ADJ4319219 LESLIE NORRIED COUNTY OF LOS ANGELES CRAWFORD AND CO

ADJ457472 VADA FRANKLIN INGLEWOOD MUNICIPAL

COURT

CRAWFORD AND CO

ADJ8061974 PEDRO PRECIADO IMPACT LOGISTICS CRAWFORD COLTON

ADJ7334329 SIMON FELIX LUMEA STAFFING CRAWFORD SAN JOSE

ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA

ANA

CRS COMMERCIAL BBSI SANTA

ANA

41

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ310772 FROILAN CASTANEDA BAKERY EXPRESS OF

SOUTHERN CALIFORN

CRUM & FORSTER

ADJ3012544 MANUEL GONZALEZ JOHNSON CONTROLS CRUM FORSTER ORANGE

ADJ3761692 AURA RAMIREZ LEVLAD INC CRUM FORSTER ORANGE

ADJ6407040 NAVIDAD REYES WEEKEND WARRIOR

TRAILERS, INC

CRUM FORSTER ORANGE

ADJ6880086 ANA LUGO OCEAN BEAUTY SEAFOOD CRUM FORSTER ORANGE

ADJ6925672 CAROLYN URQUIDEZ WESTCLIFF MEDICAL

LABORATORIES INC

CRUM FORSTER ORANGE

ADJ6955368 CRISTINA DURAN EL SUPER CRUM FORSTER ORANGE

ADJ7284207 JUAN TARELO POTENTIAL INDUSTRIES CRUM FORSTER ORANGE

ADJ7457867 CLARA RAMOS OPI PRODUCTS INC CRUM FORSTER ORANGE

ADJ7466497 DANIEL NIEBLAS MAUSER CORPORATION CRUM FORSTER ORANGE

ADJ7479532 ELIZABETH

COVARRUBIAS

EL SUPER CRUM FORSTER ORANGE

ADJ7646444 MARIA MUNOZ PAMA MANAGEMENT

COMPANY

CRUM FORSTER ORANGE

ADJ7666355 MARISELA HERRERA PAMA MANAGEMENT

COMPANY

CRUM FORSTER ORANGE

ADJ7722584 JOSE GARCIA PARKING CONCEPTS INC CRUM FORSTER ORANGE

ADJ7748879 DANIEL PEREZ BEAUCHAMP DISTRIBUTING CRUM FORSTER ORANGE

ADJ7809705 MARIA REYES TREND TECHNOLOGIES LLC CRUM FORSTER ORANGE

ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO CRUM FORSTER ORANGE

ADJ7874628 LIDIA BANUET GALVAN LEVLAD LLC CRUM FORSTER ORANGE

ADJ7904910 CARLOS ARIAS SOSA TACTICAL SERVICES INC CRUM FORSTER ORANGE

ADJ7906754 JUAN ARELLANO WAYNE PROVISION PREMIER

MEAT

CRUM FORSTER ORANGE

ADJ7930378 JUAN LEYVA FRIENDLY FRANCHISEES CORP CRUM FORSTER ORANGE

ADJ7930378 JUAN LEYVA PAPA JOHNS PJ MAT SERVICES CRUM FORSTER ORANGE

ADJ7942617 EMMA ROSALES EL SUPER CRUM FORSTER ORANGE

ADJ7942617 EMMA ROSALES MATRIX ABSENCE MGMT INC CRUM FORSTER ORANGE

ADJ8117073 PETRA TOLENTINO PELICAN PRODUCTS CRUM FORSTER ORANGE

ADJ8199766 ALBA RUIZ LIFEHOUSE RIVERSIDE

OPERATIONS

CRUM FORSTER ORANGE

ADJ8232001 MARIA JASSO BRYANT RUBBER CORP CRUM FORSTER ORANGE

ADJ8371218 DOLORES ALVARADO MISSION COMMUNITY

HOSPITAL

CRUM FORSTER ORANGE

42

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8580574 CARMEN ROMERO BOWMAN PLATING COMPANY CRUM FORSTER ORANGE

ADJ8587914 JOSEPH SANTILLAN PAPA JOHN S PIZZA CRUM FORSTER ORANGE

ADJ8645350 CYNDI ARISTA LUCKY FARMS INC CRUM FORSTER ORANGE

ADJ8669832 ROBERTO VELASQUEZ PELICAN PRODUCTS CRUM FORSTER ORANGE

ADJ8748964 VICTOR GARCIA RM HQ LLC CRUM FORSTER ORANGE

ADJ8772155 CARLOS ALANIZ JBI CRUM FORSTER ORANGE

ADJ9032880 TIFFANY LY BURKE WILLIAMS SPA CRUM FORSTER ORANGE

ADJ9064385 LOURDES CARRILLO EL SUPER CRUM FORSTER ORANGE

ADJ9526544 JUAN VALENCIA CALIFORNIA CITRUS

CORPORATION

CRUM FORSTER ORANGE

ADJ1559102 STEVE HUDSON PACIFIC CONSOLIDATED

INDUSTRIES

CRUM FORSTER RICHARDSON

ADJ1671206 ELPIDIO AVILA RAGEN LUXURY TOY HAULERS CRUM FORSTER RICHARDSON

ADJ7000809 ANITA REYES PARKING CONCEPTS INC CRUM FORSTER RICHARDSON

ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO CRUM FORSTER RICHARDSON

ADJ7874628 LIDIA BANUET GALVAN LEVLAD LLC CRUM FORSTER RICHARDSON

ADJ7934585 HERBERT GOMEZ WELL LUCK CO INC CRUM FORSTER RICHARDSON

ADJ1778350 WILLIAM VANBLARCOM LYONS CAR WASH CUNNINGHAM LINDSEY CLAIMS

ADJ7334329 SIMON FELIX LUMEA STAFFING DALLAS NATIONAL INSURANCE

ADJ7004137 KINA BROWN DEPARTMENT OF SOCIAL

SERVICES IHSS

DEPARTMENT OF SOCIAL

SERVICES IHSSADJ6930666 JAMES CAREY DEPARTMENT OF WATER

AND POWER/FLEET SERVICES

DEPARTMENT OF WATER AND

POWER/FLEET SERVICES

ADJ6886896 GUADALUPE BEHNCKE DEPARTMENT PUBLIC HEALTH DEPARTMENT PUBLIC HEALTH

ADJ7966991 AMBER ROBLES DISNEYLAND DISNEY ANAHEIM

ADJ7966991 AMBER ROBLES DISNEYLAND DISNEYLAND

ADJ7966991 AMBER ROBLES DISNEYLAND DISNEYLAND RESORT

ADJ6930666 JAMES CAREY DEPARTMENT OF WATER

AND POWER/FLEET SERVICES

DWP LOS ANGELES

ADJ7831488 TRINH HO CITY OF LA DEPT OF WATER

AND POWER

DWP LOS ANGELES

ADJ7848220 ROBERT PIERCE DWP JFB BUILDING DWP LOS ANGELES

ADJ3547497 ARTEMIO LOPEZ DIE CAST PRODUCTS EAGLE INSURANCE COMPANIES

43

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7684158 MAURICIO FIGUEROA EARL SCHEIB INC EARL SCHEIB INC

ADJ1542792 DOUGLAS MCFARLAND BLACK COW CAFE EMPLOYER OF EXCELLENCI

INSURANCEADJ5796561 NANCY GOMEZ ARROWHEAD ORTHOPEDICS EMPLOYERS COMP

ADJ202328 JUAN ALVAREZ BIEBER LIGHTING COMPANY EMPLOYERS COMP GLENDALE

ADJ202328 JUAN ALVAREZ BIEBER LIGHTING

CORPORATION

EMPLOYERS COMP GLENDALE

ADJ3105736 MANUEL GOMEZ GAYLORD ASSOCIATES EMPLOYERS COMP GLENDALE

ADJ3842624 JOSE CASTILLO BRYANT PROPERTIES EMPLOYERS COMP GLENDALE

ADJ5796561 NANCY GOMEZ ARROWHEAD ORTHOPEDICS EMPLOYERS COMP GLENDALE

ADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS EMPLOYERS COMP GLENDALE

ADJ6935860 LUCIO GONZALEZ STEVEN ANTHONY INC EMPLOYERS COMP GLENDALE

ADJ7006603 MARIA CORDERO MAGNOLIA CLINICA MEDICA

FAMILIAR

EMPLOYERS COMP GLENDALE

ADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS

ASSOCIATION

EMPLOYERS COMP GLENDALE

ADJ7194044 SUSANA LOPEZ CLINICA MEDICA BERNALES EMPLOYERS COMP GLENDALE

ADJ7219955 MIGUEL BECERRA 1ST STREET PAINTING EMPLOYERS COMP GLENDALE

ADJ7289127 JOSE ARELLANO SCENIC HIGHLIGHTS INC EMPLOYERS COMP GLENDALE

ADJ7331658 JAIME CASTILLO MO INDUSTRIES EMPLOYERS COMP GLENDALE

ADJ7475314 FRANK GARCIA SLEDGE USA INC EMPLOYERS COMP GLENDALE

ADJ7476702 QUINTILA CRUZ CROWN PLAZA VENTURA

BEACH

EMPLOYERS COMP GLENDALE

ADJ7491863 JUAN MANUEL PRADO THE IVY RESTAURANT DBA LA

DESSERTS INC

EMPLOYERS COMP GLENDALE

ADJ7514025 LUIS REYES LA DESSERTS INC DBA THE IVY EMPLOYERS COMP GLENDALE

ADJ7583476 NORMA GUZMAN

MORALES

MACROLIFE NATURALS INC EMPLOYERS COMP GLENDALE

ADJ7684343 JOSE PINEDA MARSA SPECIALTY PRODUCTS EMPLOYERS COMP GLENDALE

ADJ7693022 GLORIA RAMOS PETER G GEDDES MD EMPLOYERS COMP GLENDALE

ADJ7724386 JOSE SANDOVAL MILLWORKS ETC INC EMPLOYERS COMP GLENDALE

ADJ7798304 AMIRREZA ESHAGHBEIGI MICROWAVE DYNAMICS EMPLOYERS COMP GLENDALE

ADJ7886397 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC EMPLOYERS COMP GLENDALE

ADJ7886569 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC EMPLOYERS COMP GLENDALE

ADJ8042209 MIGUEL RUIZ ACRYLIC DISTRIBUTION CORP EMPLOYERS COMP GLENDALE

44

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8151898 MICHAEL STILLMAN AGR GROUP INC EMPLOYERS COMP GLENDALE

ADJ8202355 RAQUEL SANCHEZ LORTONS FRESH SQUEEZED

JUICES

EMPLOYERS COMP GLENDALE

ADJ8233792 JAMES FERGUSON SUNSHINE MARKET BYO EMPLOYERS COMP GLENDALE

ADJ8251105 JOSE GARCIA KEARNY MESA DLSCOVERY

INC

EMPLOYERS COMP GLENDALE

ADJ8290804 JOSUE DELGADO ARYA ICE CREAM

DISTRIBUTING CO

EMPLOYERS COMP GLENDALE

ADJ8319141 SIXTO RIVERA HARRY GROUP INC DBA MKC

EXPRESS DBA 3 DOG

EMPLOYERS COMP GLENDALE

ADJ8403167 SALVADOR FLORES LA AMAPOLA INC EMPLOYERS COMP GLENDALE

ADJ8427382 SUSANA GUAJARDO ALL STAR HR EMPLOYERS COMP GLENDALE

ADJ8427382 SUSANA GUAJARDO MCKENNA LABS EMPLOYERS COMP GLENDALE

ADJ8431788 DARRYL WINSTON GRANADA MANAGEMENT EMPLOYERS COMP GLENDALE

ADJ8434042 LETICIA ZARAGOZA MIGHTY FINE EMPLOYERS COMP GLENDALE

ADJ8488235 VERONICA SANCHEZ PIPEDREAM PRODUCTS INC EMPLOYERS COMP GLENDALE

ADJ8498211 JESUS AKA JESSE VALDEZ GLEN ROSE MEAT EMPLOYERS COMP GLENDALE

ADJ8514165 JESUS MONTOYA M AND M BOOK BINDERY EMPLOYERS COMP GLENDALE

ADJ8515856 MARIO JIMENEZ KAYLINE ENTERPRISES EMPLOYERS COMP GLENDALE

ADJ8567885 MARICRUZ TAPIA NHK LABORATORIES EMPLOYERS COMP GLENDALE

ADJ8580577 MARIA SALGADO GAMMALUX SYSTEMS EMPLOYERS COMP GLENDALE

ADJ8604162 NANCY QUIJAS LOS PRIMOS MOTORS EMPLOYERS COMP GLENDALE

ADJ8608343 MARTA MORENO COMPLETE AUTO SPA / D&D

CARWASH

EMPLOYERS COMP GLENDALE

ADJ8608833 JALAL AZIZI INTERGRATED CHROPRACTIC

GROUP

EMPLOYERS COMP GLENDALE

ADJ8620487 JAVIER MERCADO FAIRPLAY ELECTRI CARS EMPLOYERS COMP GLENDALE

ADJ8660864 JUAN PEREZ LLC PROPERTY MGMT EMPLOYERS COMP GLENDALE

ADJ8776777 GUILLERMO

HERNANDEZ PAZ

ISLAND CAR WASH EMPLOYERS COMP GLENDALE

ADJ8802552 CESAR LOPEZ TOSTADO A AND G AUTO SERVICES EMPLOYERS COMP GLENDALE

ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI

FASHION INC

EMPLOYERS COMP GLENDALE

ADJ8850695 CELIA OROZCO ZACATECAS CAFE EMPLOYERS COMP GLENDALE

ADJ8945298 OFELIA VILLASENOR EY JHENT DBA SUPER BARGAIN EMPLOYERS COMP GLENDALE

ADJ8958581 CARMEN MUNOZ

BARRON

CREY AND EMPLOYERS COMP GLENDALE

ADJ8998670 MARIA CARO SB PIZZA COMPANY INC EMPLOYERS COMP GLENDALE

ADJ9066858 ARACELY TRUJILLO STAR NAIL INTERNATIONAL EMPLOYERS COMP GLENDALE

45

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9113203 MARIA RODRIGUEZ PIPEDREAM PRODUCTS, INC. EMPLOYERS COMP GLENDALE

ADJ9228791 LUCIA ABUNDEZ D NU EGGROLLS EMPLOYERS COMP GLENDALE

ADJ9254521 MARIA RIVAS T AND Y COIN LAUNDRY EMPLOYERS COMP GLENDALE

ADJ9358919 ESTEBAN GARCIA LA DIJONAISE CAFE EMPLOYERS COMP GLENDALE

ADJ3822066 JANET MANDAC DELTONE HEARING AID

CENTER

EMPLOYERS COMP NEWBURY

PARKADJ7750506 MARIA ESCALANTE

HERNANDEZ

HARRYS TARTINE LLC EMPLOYERS COMP NEWBURY

PARKADJ8151898 MICHAEL STILLMAN AGR GROUP INC EMPLOYERS COMP NEWBURY

PARKADJ9088615 QUANG NGUYEN BE BEAUTY EMPLOYERS COMP NEWBURY

PARKADJ6941220 EDUARDO HERNANDEZ ADVANCED FLOW

ENGINEERING

EMPLOYERS COMP SAN

FRANCISCOADJ7581305 SOCORRO TAVERA ADVANCED PROFESSIONAL

IMAGING

EMPLOYERS COMP SAN

FRANCISCOADJ7581305 SOCORRO TAVERA LIFETIME DENTAL CARE EMPLOYERS COMP SAN

FRANCISCOADJ2408457 MARTIN ARMENTA LA SPIGA EMPLOYERS COMPENSATION

ADJ482232 CHRISTOPHER PACK MEDWAY PLASTICS

CORPORATION

EMPLOYERS COMPENSATION

ADJ7364703 GREGORIA CAMPOS HAMPTON INN EMPLOYERS COMPENSATION

ADJ7646436 KAREN ALVAREZ WIENERSCHNITZEL EMPLOYERS COMPENSATION

ADJ3979482 YORTIS WATERS COUNTY OF LOS ANGELES EMPLOYMENT & OCCUPATIONAL

SERVICESADJ7364477 BENJAMIN SALAS CALI JEANS ENDURANCE SAN FRANCISCO

ADJ8222757 DURWOOD SPENCER DURWOOD SPENCER DDS PC ENDURANCE SAN FRANCISCO

ADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION ENDURANCE SAN FRANCISCO

ADJ3547497 ARTEMIO LOPEZ DIE CAST PRODUCTS ENSTAR US ORANGE

ADJ3690925 CASSANDRA ACKLIN COUNTRY VILLA BAY VISTA ENSTAR US ORANGE

ADJ7010896 VALERIE ARCE JUNIOR STEEL COMPANY ENSTAR US ORANGE

ADJ7022256 MANUEL LUNA CRUZ MODULAR INC DBA

SYSTECHS

ENSTAR US ORANGE

ADJ7041962 ADOLFO DIAZ PACIFIC EXTERIORS INC ENSTAR US ORANGE

ADJ7169245 LAZARO GOMEZ BCI FRAMING AND DRYWALL ENSTAR US ORANGE

ADJ7254403 HUMBERTO OLEA TRESIERRAS BROTHERS

CORPORATION

ENSTAR US ORANGE

ADJ7271453 MARIBEL MINERA SIMSO TEX SUBLIMATION

PRINTING & FINISHING INC

ENSTAR US ORANGE

ADJ7628089 LAURA BETANCOURT E S LABOR INC ENSTAR US ORANGE

46

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7867865 FRANCISCO SANCHEZ KRAMER METALS INC ENSTAR US ORANGE

ADJ7960543 MARIA RODRIGUEZ LONG BEACH CARE CENTER ENSTAR US ORANGE

ADJ7990697 DANIEL MACIAS GOLDEN STATE ENGINEERING ENSTAR US ORANGE

ADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC ENSTAR US ORANGE

ADJ8290987 SOFIA RAMIREZ

MARTINEZ

ACORNGENCON PLASTICS ENSTAR US ORANGE

ADJ8323603 JORGE HERNANDEZ ATLANTIS SEAFOOD LLC ENSTAR US ORANGE

ADJ8398527 JUAN GARCIA BASIC FIBRES INC ENSTAR US ORANGE

ADJ8418006 DULCE POOT TAPCO SALES ENSTAR US ORANGE

ADJ8423639 ROSA DELMY ESCOBAR NORMANDIE CASINO ENSTAR US ORANGE

ADJ8455836 JOEL URIBE CASTON INC ENSTAR US ORANGE

ADJ8471198 FLORENCIO BALDERAS INLAND PACIFIC RESOURCE

RECOVERY

ENSTAR US ORANGE

ADJ8482441 BLANCA VAZQUEZ SUNRISE FARM LABOR ENSTAR US ORANGE

ADJ8522450 NOELIA TEJADA ROYAL TERRACE HEALTH

CARE

ENSTAR US ORANGE

ADJ8602061 JOSE BERNAL OAKRIDGE LANDSCAPE ENSTAR US ORANGE

ADJ9010064 JOHN PHOMMAHAXAY SEACON ENSTAR US ORANGE

ADJ9233379 MARIA CHAVEZ THE CALIFORNIA MUSHROOM

FARM INC

ENSTAR US ORANGE

ADJ9243995 ANA MARIA MICHEL AMERICAN INTERNATIONAL ENSTAR US ORANGE

ADJ1056999 SCOTT DEWBERRY ICI AMERICAS,INC ESIS CHATSWORTH

ADJ1475587 JOSE TRUJILLO SUPERIOR INDUSTRIES

INTERNATIONAL

ESIS CHATSWORTH

ADJ2034588 ELVIA ALVAREZ MARINER HEALTH CARE INC ESIS CHATSWORTH

ADJ2384732 ARTURO JR RODRIGUEZ LOCKHEED MARTIN SKUNK

WORKS

ESIS CHATSWORTH

ADJ246218 PAUL LIGAMMARI LOS ANGELES COLLEGE OF

CHIROPRACTIC

ESIS CHATSWORTH

ADJ2989623 JUAN VARGAS SELECT BUILD ESIS CHATSWORTH

ADJ3156199 CHUCK VAN DUYNE AMB ENGINEERING ESIS CHATSWORTH

ADJ3605130 RYANNE TEJEDA TONY ROMAS ESIS CHATSWORTH

ADJ3890684 OTILIA MARTINEZ KING MEAT INC ESIS CHATSWORTH

ADJ3940759 RUTH LANTZ SHERMAN OAKS HOSPITAL ESIS CHATSWORTH

ADJ4008883 JUANA VILLASANO MEATLAND MARKET ESIS CHATSWORTH

ADJ4438636 MARIA ORELLANA ABM JANITORIAL SERVICES ESIS CHATSWORTH

ADJ4438636 MARIA ORELLANA ONE SOURCE ESIS CHATSWORTH

ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC ESIS CHATSWORTH

ADJ463831 ELBA GONZALEZ MAIL MARKETING ESIS CHATSWORTH

ADJ463831 ELBA GONZALEZ U.S. SALES CORP. ESIS CHATSWORTH

47

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION ESIS CHATSWORTH

ADJ6628352 MARSELO ROMERO SELECTBUILD ESIS CHATSWORTH

ADJ6686283 ROSA GONZALEZ NORTHGATE GONZALEZ

MARKET

ESIS CHATSWORTH

ADJ6751381 JOHNETTA HERNDON MAXIM HEALTHCARE SERVICES ESIS CHATSWORTH

ADJ6813310 ANDREW NEYER CONOCO PHILLIPS COMPANY ESIS CHATSWORTH

ADJ6859569 ROSA FLORES NORTHGATE MARKET ESIS CHATSWORTH

ADJ6913718 JOSE TORRES THE QUIKRETE COMPANIES ESIS CHATSWORTH

ADJ6967159 MARIA LINARES YMCA OF METROPOLITAN L A ESIS CHATSWORTH

ADJ6967287 MARIA LINARES YMCA OF METROPOLITAN L A ESIS CHATSWORTH

ADJ6968241 BELINDA JACKSON WAREHOUSE DEMO SERVICES ESIS CHATSWORTH

ADJ6980469 CRAIG SHEPHERD BIMBO BAKERIES USA ESIS CHATSWORTH

ADJ7043203 MIGUEL BRICENO HUSSMANN CORP ESIS CHATSWORTH

ADJ7046068 MARGARITA OLVERA KELLY SERVICES ESIS CHATSWORTH

ADJ7071264 EDITH MENDIETA SELECTSTAFFING ESIS CHATSWORTH

ADJ7082833 ALEJANDRO VASQUEZ HUTTING BUILDING

PRODUCTS

ESIS CHATSWORTH

ADJ7136028 MARIO HERNANDEZ CHIPOTLE MEXICAN GRILL ESIS CHATSWORTH

ADJ7148525 EFREN MORENO CMC REBAR ESIS CHATSWORTH

ADJ7148557 EFREN MORENO CMC REBAR ESIS CHATSWORTH

ADJ7181209 DOMINGO GARCIA PARSEC ESIS CHATSWORTH

ADJ7182092 CHRIS MORITA TIME WARNER CABLE ESIS CHATSWORTH

ADJ7203660 JUAN CABRERA QUIKRETE ESIS CHATSWORTH

ADJ7210068 MONICA SORIANO SELECT STAFFING

KOOSHAREM CORPORATION

ESIS CHATSWORTH

ADJ7220485 DEITRA LAWRENCE KERIAN JOBE SURGERY

CENTER

ESIS CHATSWORTH

ADJ7277718 MARIA SUAREZ VERTIS COMMUNICATION ESIS CHATSWORTH

ADJ7279142 AMBROSIO GONZALES PAR SEC ESIS CHATSWORTH

ADJ7284237 VIVIAN KHOR NDS AMERICAS INC ESIS CHATSWORTH

ADJ7352114 MANUEL AVALOS VERTIS COMMUNICATIONS ESIS CHATSWORTH

ADJ7411078 MARLA DEL CARMEN

HERNANDEZ

HAMPTON INN ESIS CHATSWORTH

ADJ7411078 MARLA DEL CARMEN

HERNANDEZ

YUM BRANDS/DBA TACO BELL ESIS CHATSWORTH

ADJ7474342 JESUS CRUZ NATIONAL BEEF ESIS CHATSWORTH

48

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7492000 MARIA TORRES FULLERTON POST ACUTE

CARE

ESIS CHATSWORTH

ADJ7492002 MARGARITA LOPEZ ITT INDUSTRIES ESIS CHATSWORTH

ADJ7492041 MARIA AVALOS KOOSHAREM CORP DBA

SELECT PERSONNEL SERVICES

ESIS CHATSWORTH

ADJ7536832 RICHARD YOUNG TIME WARNER CABLE ESIS CHATSWORTH

ADJ7542187 LETICIA CARCAMO ADMINISTAFF CO ESIS CHATSWORTH

ADJ7542187 LETICIA CARCAMO SEMTECH ESIS CHATSWORTH

ADJ7575241 KENNA YOUNG TIME WARNER CABLE ESIS CHATSWORTH

ADJ7590549 MARGARITA ALMUINA MARIE CALLENDERS INC ESIS CHATSWORTH

ADJ7641694 LAMAR SHAMBURGER DULUXE MANUFACTURING

LLC

ESIS CHATSWORTH

ADJ7647960 EDGAR BARRIOS AEROTEK ESIS CHATSWORTH

ADJ7676193 ANA ECHEVESTE B BRAUN MEDICAL ESIS CHATSWORTH

ADJ7690746 BALTASAR ROSALES CMC CONSTRUCTION

SERVICES

ESIS CHATSWORTH

ADJ7729297 DIONICIO RODRIGUEZ OMFC SERVICE COMPANY ESIS CHATSWORTH

ADJ7765376 JOSE HERNANDEZ KOOSHAREM CORP. DBA

SELECT STAFFING

ESIS CHATSWORTH

ADJ7768525 GLORIETTE CRAVEN TIME WARNER CABLE ESIS CHATSWORTH

ADJ7906266 MANUEL DE JESUS

TURCIOS

DIAMOND STAFFING INC ESIS CHATSWORTH

ADJ792225 YOLANDA CELAYA SUMMERVILLE SENIOR LIVING ESIS CHATSWORTH

ADJ7925394 TEODORO AQUINO MARIE CALENDARS ESIS CHATSWORTH

ADJ7926725 VICTOR MORENO SELECT STAFFING ESIS CHATSWORTH

ADJ7949988 SILVAEL VIRGEN SELECT STAFFING ESIS CHATSWORTH

ADJ7957875 ALEJANDRA BAZA ABM ESIS CHATSWORTH

ADJ7961469 EDUARDO MERCADO SNELLING STAFFING SERVICES ESIS CHATSWORTH

ADJ7976825 GUADALUPE VILLAMIL ABM JANITORIAL SERVICES

NORTHWEST INC

ESIS CHATSWORTH

ADJ8002363 ANDRES ACEVES GREATWIDE DISTIBUTION

LOGISTICS

ESIS CHATSWORTH

ADJ8009672 GARY HOLLIDAY LABOR READY ESIS CHATSWORTH

ADJ8013866 CLAUDIA CAZARES EL POLLO LOCO ESIS CHATSWORTH

ADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION

DBA SELECT STAFFING

ESIS CHATSWORTH

ADJ8028639 MARIA SALCEDO SELECT STAFFING ESIS CHATSWORTH

49

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8055573 SALOMON ROMERO

ROQUE

VALLEY CREST LANDSCAPE ESIS CHATSWORTH

ADJ8082076 MIRIAM PINEDA ABM SERVICES INC ESIS CHATSWORTH

ADJ8112941 JUAN VASQUEZ AERO TEK COMMERCIAL

STAFFING

ESIS CHATSWORTH

ADJ8112941 JUAN VASQUEZ BRICE MANUFACTURING ESIS CHATSWORTH

ADJ8128154 MARIA GONZALEZ

GOMEZ

PERKINS AND MARIE

CALLENDERS

ESIS CHATSWORTH

ADJ8132618 VIRGINIA ARIAS NELLSON NEUTRACEUTICAL ESIS CHATSWORTH

ADJ8132618 VIRGINIA ARIAS SELECT STAFFING ESIS CHATSWORTH

ADJ8176174 MARIBEL REYES SELECT STAFFING ESIS CHATSWORTH

ADJ8272379 GILMAN PADILLA VERTIS COMMUNICATIONS ESIS CHATSWORTH

ADJ8287155 REYNA NARVAEZ JJ FOOD ESIS CHATSWORTH

ADJ8314780 MARCO PEREZ SELECT STAFFING EXTRA MILE

SERVICE

ESIS CHATSWORTH

ADJ8338539 ADELLA GARCIA ALLIED BARTON SECURITY

SERVICE

ESIS CHATSWORTH

ADJ8425153 NARCISO RAYA SELECT STAFFING ESIS CHATSWORTH

ADJ8429476 JOSE CRUZ VALLEYCREST COMPANIES ESIS CHATSWORTH

ADJ8455836 JOEL URIBE CASTON INC ESIS CHATSWORTH

ADJ8480036 CELESTINA SANCHEZ

BERBER

SUN PACIFIC SHIPPERS LP ESIS CHATSWORTH

ADJ8537508 JOSE ALBERTO ALVAREZ MATHESON FIVE STAR GAS

AND GEAR

ESIS CHATSWORTH

ADJ8587866 FRANK MANUEL ABM ENGINERRING ESIS CHATSWORTH

ADJ8661516 REYNA SALAS SELECT STAFFING ESIS CHATSWORTH

ADJ8672078 ANSELMO SANCHEZ SELECT STAFFING ESIS CHATSWORTH

ADJ8681821 FERNANDO FLORES SELECT STAFFING ESIS CHATSWORTH

ADJ8723318 IESHIA CAREY AEROTEK IN ESIS CHATSWORTH

ADJ8839653 MARIA LUNA VERTIS COMMUNICATIONS ESIS CHATSWORTH

ADJ8893138 HILDA ZARAGOZA ABM INDUSTRIES INC ESIS CHATSWORTH

ADJ8965614 LA GORRA ANN TATE DELUXE LABORATORY ESIS CHATSWORTH

ADJ9010162 LUIS VERDUZCO

RODRIGUEZ

REAL TIME STAFFING ESIS CHATSWORTH

ADJ9057830 MARTHA ELIZABETH

CASTILLO VANEGAS

BEVERLY HILLS RESOURCES

CORPORATIONS

ESIS CHATSWORTH

ADJ9059021 GREGORIO AGUERO SELECT STAFFING ESIS CHATSWORTH

ADJ9080977 JESUS FIGUEROA

OSORIO

VALLEY CREST LANDSCAPE

DEVELOPMENT

ESIS CHATSWORTH

ADJ9092816 EDITH ENRIQUEZ SELECT STAFFING ESIS CHATSWORTH

ADJ9097522 LUIS AVILA NORTHGATE GONZALEZ ESIS CHATSWORTH

ADJ9288859 GUDELIA VIEYRA PLACEMENT PROS ESIS CHATSWORTH

50

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9323257 AURA BERRIOS JEFFREY H COHEN ESIS CHATSWORTH

ADJ9397923 ANGELA VELASQUEZ CCL TUBE ESIS CHATSWORTH

ADJ9526768 MARIA FLORES SELECT STAFFING ESIS CHATSWORTH

ADJ3105362 REINA SALAZAR AMERIPRIDE ESIS FREMONT

ADJ387887 THOMAS PRIETO BUTLER SERVICE GROUP ESIS FREMONT

ADJ7170323 TINA LOPEZ SNELLING STAFFING SERVICES ESIS FREMONT

ADJ7578765 THEODORE

RODRIGUEZ

STAFFING SYSTEMS INC ESIS FREMONT

ADJ7588748 ROSA ORTEGA ABM JANITORIAL ESIS FREMONT

ADJ7636756 VALENTIN ESPINOZA AMERIPRIDE SERVICES INC ESIS FREMONT

ADJ7712558 LORENZO VEGA THIN LITE CORPORATION ESIS FREMONT

ADJ7950917 SONIA LOPEZ OZOO INC ESIS FREMONT

ADJ8225329 REGINO RODRIGUEZ SEC 1 SERVICES INC ESIS FREMONT

ADJ8233561 EMERITA TORRES AIRSERV ESIS FREMONT

ADJ8425153 NARCISO RAYA SELECT STAFFING ESIS FREMONT

ADJ8462802 EDITH ROMERO COURTESY PARKING SERVICE ESIS FREMONT

ADJ8524476 VICTOR BAUTISTA B BRAUN MEDICAL ESIS FREMONT

ADJ9013593 GERALD SUAREZ BBU-INC. ESIS FREMONT

ADJ7818127 FELIX SILVA HK2 ESIS PORTLAND

ADJ7961469 EDUARDO MERCADO SNELLING STAFFING SERVICES ESIS PORTLAND

ADJ8018979 ANTONIO GUTIERREZ VALLEYCREST LANDSCAPE ESIS PORTLAND

ADJ8044085 FRANCISCO SEGURA DELUXE GARAGE DOOR ESIS PORTLAND

ADJ7955097 MARIA BAUTISTA BEST WESTERN BIG BEAR

CHATEAU

ESIS SAN DIEGO

ADJ8220628 JORGE OCHOA L3 SECURITY AND DETECTION ESIS SAN DIEGO

ADJ8233561 EMERITA TORRES AIRSERV ESIS SAN DIEGO

ADJ8511179 MARIA CUEVAS SELECT STAFFING ESIS SAN DIEGO

ADJ7352114 MANUEL AVALOS VERTIS COMMUNICATIONS ESIS SOUTHFIELD

ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF

EDUCATION

ESIS TAMPA

ADJ6702819 JOANN CHAVEZ FASHION GAL INC ESIS TAMPA

ADJ6813310 ANDREW NEYER CONOCO PHILLIPS COMPANY ESIS TAMPA

ADJ7071264 EDITH MENDIETA SELECTSTAFFING ESIS TAMPA

ADJ7170323 TINA LOPEZ SNELLING STAFFING SERVICES ESIS TAMPA

51

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7210068 MONICA SORIANO SELECT STAFFING

KOOSHAREM CORPORATION

ESIS TAMPA

ADJ7277718 MARIA SUAREZ VERTIS COMMUNICATION ESIS TAMPA

ADJ7279830 MIREYA PAZ VNA OF THE INLAND

COUNTIES

ESIS TAMPA

ADJ7339205 MARTINA ALVAREZ THE MENTOR NETWORK ESIS TAMPA

ADJ7445121 MARIA ESMERALDA

CORTEZ

MIND CANDY INC DBA

BELMONT APPARREL

ESIS TAMPA

ADJ7452278 MARCO PAREDES TIME WARNER CABLE SHARED

SERVICES

ESIS TAMPA

ADJ7584317 ANTONIO IBARRA COLE WILSON ESIS TAMPA

ADJ7586947 CECILIA VILLANUEVA GARDNER MANAGEMENT LTD ESIS TAMPA

ADJ7676193 ANA ECHEVESTE B BRAUN MEDICAL ESIS TAMPA

ADJ7788160 MICHAEL SALCIDO STAPLES ESIS TAMPA

ADJ7801560 RUTILO ZAMORANO SAROYAN LUMBER COMPANY

INC

ESIS TAMPA

ADJ8140896 NATALIA RICO SELECT STAFFING ESIS TAMPA

ADJ8145087 NATALY CERVANTES SELECT STAFFING ESIS TAMPA

ADJ8146557 FRANCISCO FLORES GOODWILL OF ORANGE

COUNTY

ESIS TAMPA

ADJ8334159 KELVIN STOKES TIME WARNER CABLE ESIS TAMPA

ADJ8453488 GERMAN LEON SNELLING STAFFING SERVICES ESIS TAMPA

ADJ8523510 JOSEFINA PADILLA LABOR READY 1576 ESIS TAMPA

ADJ8524476 VICTOR BAUTISTA B BRAUN MEDICAL ESIS TAMPA

ADJ9441809 PETRA ALARCON DE

NAVA

RUSH PERSONAL SERVICES ESIS TAMPA

ADJ1138106 CHEYNESE DAVIS PIONEER BOYS RANCH EVEREST NATINOAL INSURANCE

COADJ2216629 JORGE SANCHEZ GELSONS MARKETS EVEREST NATIONAL INSURANCE

OAKLANDADJ7190303 INEZ ARREDONDO LINDSEY AND HALL INC EVEREST NATIONAL INSURANCE

OAKLANDADJ7889541 JOSE FLORES SK LABORATORIES INC EVEREST NATIONAL INSURANCE

OAKLANDADJ7889541 JOSE FLORES STAFF CHEX INC EVEREST NATIONAL INSURANCE

OAKLANDADJ8450347 ISIDRO ZUNIGA

VERDUZCO

MARIE CALLENDERS NO 47 EVEREST NATIONAL INSURANCE

OAKLAND

52

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8660144 AGUSTIN ORTEGA LIFESTYLE LANDSCAPES INC EVEREST NATIONAL INSURANCE

OAKLANDADJ6750055 ARELI ACOSTA ARCADIA INC / WILSON

PARTITION

EVEREST NATIONAL ORANGE

INVALIDADJ8754994 LUIS ROSAS MATSUNAGA LANDSCAPING EVEREST NATIONAL ORANGE

INVALIDADJ2069638 OSCAR GALVEZ DIVERSE STAFFING SOLUTION FARA ORANGE

ADJ7390375 DON MCCALL AXIUM FARA ORANGE

ADJ7390375 DON MCCALL CAPS, INC. FARA ORANGE

ADJ7390375 DON MCCALL CAST & CREW PRODUCTION FARA ORANGE

ADJ7390375 DON MCCALL ENTERTAINMENT PARTNERS FARA ORANGE

ADJ7390375 DON MCCALL FSI/FPS SERVICES INC. FARA ORANGE

ADJ7390375 DON MCCALL MEDIA SERVICES FARA ORANGE

ADJ7390375 DON MCCALL TEAM ACQUISITION COPR FARA ORANGE

ADJ7895274 JESUS FLORES SUPERIOR LANDSCAPE

SERVICES

FARA ORANGE

ADJ8144819 ERNESTO SANCHEZ MARIPOSA LANDSCAPE FARA ORANGE

ADJ8639643 JESUS MARCELO SUNSET LANDSCAPE INC FARA ORANGE

ADJ9259179 JASON RUGLEY AMERICAN INTEGRATED

SERVICES

FARA ORANGE

ADJ7074258 MARIA DEL CARMEN

RAMIREZ

FARMER JOHN CLOUGHERTY

PACKING LLC

FARMER JOHN CLOUGHERTY

PACKING LLCADJ1210236 TALLY COLE MCCANN EAST BAY PEDIATRICS FARMERS PLEASANTON

ADJ1703548 MICHAEL BENEKE FRANCIS COLLISION CENTER FARMERS PLEASANTON

ADJ4008883 JUANA VILLASANO MEATLAND MARKET FARMERS PLEASANTON

ADJ4149141 RICK BLANCHARD CONCORD FURNITURE FARMERS PLEASANTON

ADJ7358763 LIDIA ROSALES ALEXANDER STEAK HOUSE FARMERS PLEASANTON

ADJ7483167 CONSUELO ZUNIGA CON AMORE INC FARMERS PLEASANTON

ADJ7525727 MARIA LARA LYCY`S RESTAURANT FARMERS PLEASANTON

ADJ7739371 KERRY MURPHY CALIFORNIA SUITES HOTEL FARMERS PLEASANTON

ADJ8062539 MIGUEL SOLORZANO UPHOLSTERY CARE FARMERS PLEASANTON

ADJ8193964 ZENAIDA RUIZ JACK BRADSHAW FARMERS PLEASANTON

ADJ8390563 JOHN WILSON APEX FARMERS PLEASANTON

ADJ1381093 CATHERINE

WOODWARD

PARAGON PARTNERS FARMERS SANTA ANA

ADJ1434207 MARIA ORTIZ BURGER KING FARMERS SANTA ANA

ADJ4398498 RICHARD SUTTON CERRITOS FORD INC FARMERS SANTA ANA

ADJ4398498 RICHARD SUTTON FORD WEST FARMERS SANTA ANA

ADJ6588519 SUSANA QUINTERO TOLE HOUSE CAFE FARMERS SANTA ANA

ADJ6638684 ROBERT VARNER NEW WEST FABRICATION FARMERS SANTA ANA

53

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6738732 CARLOS RODRIGUEZ HOF`S HUT RESTAURANTS FARMERS SANTA ANA

ADJ6739598 HILDA GORTH LAURA VIALL INSURANCE INC FARMERS SANTA ANA

ADJ6916632 RAFAEL LUCERO GIANT RV FARMERS SANTA ANA

ADJ6934397 ISRAEL SIERRA OSTIONERIA PLAYAS DE

SINALOA

FARMERS SANTA ANA

ADJ6934854 RAMON CARDENAS PEREZ MARKETS FARMERS SANTA ANA

ADJ7326182 VIRIDIANA ENRIQUEZ TMI PRODUCTCS INC FARMERS SANTA ANA

ADJ7379731 ANDREA GARREAU DENNYS FARMERS SANTA ANA

ADJ7619632 PAULO LOZADA CALIFORNIA PRODUCE FARMERS SANTA ANA

ADJ7652294 GRISELDA ORNELAS COTTI FOODS FARMERS SANTA ANA

ADJ7652294 GRISELDA ORNELAS TACO BELL FARMERS SANTA ANA

ADJ7676866 MARIA SALGADO JACK IN THE BOX FARMERS SANTA ANA

ADJ7726434 GABRIEL RODRIGUEZ BUN BOY FARMERS SANTA ANA

ADJ7752295 MARTIN MEJIA DARYA RESTAURANT FARMERS SANTA ANA

ADJ7802609 IBRAHIM WAHBEH NORTH PARK PRODUCE FARMERS SANTA ANA

ADJ7841835 MARIA RAMOS TORTAS AHOGADAS FARMERS SANTA ANA

ADJ7937086 CELIA CAMPOS COMMUNITY CONVALESCENT FARMERS SANTA ANA

ADJ8127348 JERONIMO RAMOS MEGA DULCES DISTRIBUTORS FARMERS SANTA ANA

ADJ8172039 MARCIAL POZO STATE COLLEGE

DISTRIBUTORS

FARMERS SANTA ANA

ADJ8181969 VICENTE VASQUEZ

MARTINEZ

EL TACO NAZO FARMERS SANTA ANA

ADJ8314711 HECTOR MARTINEZ DELTA SCIENTIFIC

CORPORTATION

FARMERS SANTA ANA

ADJ8434611 RUBEN ISLAS CALICO BRANDS INC FARMERS SANTA ANA

ADJ8635537 JON OLSON COMPLETE VISION FLOORS FARMERS SANTA ANA

ADJ8786109 JUANA TARRIOS LILIN1S CLEANING FARMERS SANTA ANA

ADJ8896903 SILVERIO ROMANO EAST WEST FRANCHISE

INVESTMENTS

FARMERS SANTA ANA

ADJ8996719 MARIA DE ROSARIO

CHAVARIN

FACILITY MASTERS INC FARMERS SANTA ANA

ADJ1277521 FERNANDO SIXTO

MACIAS

MAGIC CLEANERS & LAUNDRY,

INC

FARMERS WESTLAKE VILLAGE

ADJ1798302 MARIA LASSITER AMERICAN RECOVERY

SERVICES INC

FARMERS WESTLAKE VILLAGE

ADJ3024787 EVELYN ZAPANTA RAYMOND TODD FARMERS WESTLAKE VILLAGE

ADJ4398498 RICHARD SUTTON CERRITOS FORD INC FARMERS WESTLAKE VILLAGE

ADJ4398498 RICHARD SUTTON FORD WEST FARMERS WESTLAKE VILLAGE

ADJ6907648 ANTONIO CAMPOS DONATO VILLALOBOS FARMERS WESTLAKE VILLAGE

54

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7172622 JOSE GALEANO HOLMES BODY SHOP FARMERS WESTLAKE VILLAGE

ADJ7286547 SANTIAGO

MALDONADO

YEE YUEN LAUNDRY AND

CLEANERS INC

FARMERS WESTLAKE VILLAGE

ADJ7332439 SHANHAZ AGAHZADEH DENNYS RESTAURANT FARMERS WESTLAKE VILLAGE

ADJ7358763 LIDIA ROSALES ALEXANDER STEAK HOUSE FARMERS WESTLAKE VILLAGE

ADJ7519491 JOSE GALEANO HOLMES BODY SHOP INC FARMERS WESTLAKE VILLAGE

ADJ7590820 JUAN YEPEZ ROSENBURROUGH TOOL FARMERS WESTLAKE VILLAGE

ADJ7651935 ANGEL GONZALEZ CENTURY QUALITY

MANAGEMENT INC

FARMERS WESTLAKE VILLAGE

ADJ7802808 BENIGNO PINEDA HAWAII SUPERMARKET FARMERS WESTLAKE VILLAGE

ADJ7938091 IGNACIO SANCHEZ AVACOR FARMERS WESTLAKE VILLAGE

ADJ7957167 CECILIA VALLEZ ASPEN LOGISTICS FARMERS WESTLAKE VILLAGE

ADJ7957167 CECILIA VALLEZ CDS FARMERS WESTLAKE VILLAGE

ADJ8002436 JOSE ZULETA LANDRY`S RESTAURANTS INC FARMERS WESTLAKE VILLAGE

ADJ8109737 GILBERTO CASTILLO UMAX WAREHOUSE FARMERS WESTLAKE VILLAGE

ADJ8314711 HECTOR MARTINEZ DELTA SCIENTIFIC

CORPORTATION

FARMERS WESTLAKE VILLAGE

ADJ8326108 ANA DIAZ CARAVAN FASHION

WENTERPRISE

FARMERS WESTLAKE VILLAGE

ADJ8345043 HANY MIKHAEL ZAHLE RESTAURANT FARMERS WESTLAKE VILLAGE

ADJ8430225 YOLANDA MUNOZ COTTI FOODS FARMERS WESTLAKE VILLAGE

ADJ8430225 YOLANDA MUNOZ TACO BELL FARMERS WESTLAKE VILLAGE

ADJ8479822 EDUARDO CHACON WASH MASTER FARMERS WESTLAKE VILLAGE

ADJ8682301 FELIZARDO GARAY TIJUANA S PRODUCE FARMERS WESTLAKE VILLAGE

ADJ8754451 SERGIO CASTANEDA EUROTECH REFINISHING

COLLISION

FARMERS WESTLAKE VILLAGE

ADJ8782405 GERARDO MARRON SOUPS GRILL FARMERS WESTLAKE VILLAGE

ADJ9001965 ALBERTO LOPEZ

SEPULVEDA

LOS ANGELITOS BAKERY FARMERS WESTLAKE VILLAGE

ADJ6832054 JANETTE SOLARIO BARR FEDERAL EXPRESS FEDERAL EXPRESS

ADJ8081690 REX ROEDIGER FEDERAL EXPRESS CORP FEDERAL EXPRESS CORP

ADJ3234961 ANGEL HUERTA CERTIFIED AUTO COLLISION FIDELITY INSURANCE COMPANY

ADJ3234961 ANGEL HUERTA PARAMOUNT COLLISION

CENTER

FIDELITY INSURANCE COMPANY

ADJ1569604 MAUREEN MC

CONAHAY

CORONA NORCO UNIFIED

SCHOOL DIST

FLEMING & ASSOCIATES

ADJ3980297 JAKA LOVRIC LONG BEACH CITY COLLEGE FLEMING & ASSOCIATES

55

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7457654 EULOGIO PEREZ CASA VERDE LANDSCAPE FLORISTS MUTUAL INS

EDWARDSVILLEADJ8693571 LOAIZA CONTRERAS PALO VERDE SERVICES INC FLORISTS MUTUAL INS

EDWARDSVILLEADJ8165275 MARIO LOZANO FOOD FOR LESS FOOD FOR LESS

ADJ7734725 SILVIA PEREZ FORD OF MONTEBELLO INC FORD OF MONTEBELLO INC

ADJ1577675 LEONARD TALTON SEVEN UP/RC BOTTLING CO

OF SC

FRANK GATES SERVICE CO

ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS

SUPPLY

FREMONT COMPENSATION

INSURANCE COADJ3569362 KEVIN CAMPBELL ARCHITECTERAL SECURITY

PRODUCT

FREMONT COMPENSATION

INSURANCE COADJ1790976 JESUS ALCALA DUPARS STUDIO CITY FREMONT INDEMNITY

INSURANCE COADJ434306 LEODIS BREWER OKK TRADING INC. FREMONT INDEMNITY

INSURANCE COADJ4475241 BARBARA PHIPPS LAMPS PLUS FREMONT INDEMNITY

INSURANCE COADJ4475241 BARBARA PHIPPS LAMPS PLUS INC FREMONT INDEMNITY

INSURANCE COADJ518124 MANUEL MARTINEZ COLOR IMAGING PRINTING FREMONT INDEMNITY

INSURANCE COADJ3891664 JAMES DIAMOND FIVE ACRES BOYS AND GIRLS

SOCIETY

FREMONT/WORKERS COMP &

INDEMNITY COADJ8845092 CHAO HER FRESNO MOSQUITO

ABATEMENT DIST

FRESNO MOSQUITO ABATEMENT

DISTRICTADJ3296711 EZEQUIEL CISNEROS WASTE MANAGEMENT GALLAGHER BASSETT

ADJ7339829 DENESE DAVIDSON AMERICAN CORPORATE

SECURITY

GALLAGHER BASSETT 255397

SACRAMENTOADJ7402871 CONRADO MARTINEZ TCI CENTER INC GALLAGHER BASSETT 255397

SACRAMENTOADJ8504579 MANMOHAN MANN SWIFT TRANSPORTATION CO

AZ

GALLAGHER BASSETT 255397

SACRAMENTOADJ8627124 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT 255397

SACRAMENTOADJ8627172 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT 255397

SACRAMENTOADJ1653531 PATRICIA ROMO MCKESSON

PHARMACEUTICALS

GALLAGHER BASSETT 4040

SACRAMENTOADJ7074177 GLEN SUTHERLAND CRACK PATCHER INC GALLAGHER BASSETT 4040

SACRAMENTO

56

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL

LANDSCAPE LIGHTING

GALLAGHER BASSETT 4040

SACRAMENTOADJ7254310 VICTORIA BALVANEDA NEWPORT MANAGEMENT

SERVICES

GALLAGHER BASSETT 4040

SACRAMENTOADJ7461639 FRANK COLLINS POWER FORD TUSTIN GALLAGHER BASSETT 4040

SACRAMENTOADJ7587901 MARIA ANAYA CARDENAS MARKET GALLAGHER BASSETT 4040

SACRAMENTOADJ7734725 SILVIA PEREZ FORD OF MONTEBELLO INC GALLAGHER BASSETT 4040

SACRAMENTOADJ7750202 HECTOR NAVARRO SHERWIN WILLIAMS GALLAGHER BASSETT 4040

SACRAMENTOADJ7923711 ROGELIO VIVALDO FUSION METAL INC GALLAGHER BASSETT 4040

SACRAMENTOADJ8043266 JESUS VASQUEZ NEW MEAT CO GALLAGHER BASSETT 4040

SACRAMENTOADJ8064758 ENEDINA BAUTISTA BARRAZA FARM SERVICE GALLAGHER BASSETT 4040

SACRAMENTOADJ8448095 RUTH TULL VALOR SECURITY GALLAGHER BASSETT 4040

SACRAMENTOADJ8462555 PATRICIA MARTINEZ HOMEWOOD SUITE HILTON GALLAGHER BASSETT 4040

SACRAMENTOADJ8526723 GABRIEL MEZA YORBA LINDA CAR WASH GALLAGHER BASSETT 4040

SACRAMENTOADJ8871677 ALEJANDRO

RODRIGUEZ

BARON HR GALLAGHER BASSETT 4040

SACRAMENTOADJ8970065 LORENA ROCHA INCREDIBLE ENTERTAINMENT,

INC. -DBA- JOHN`S INCREDIBLE

P

GALLAGHER BASSETT 4040

SACRAMENTO

ADJ2977079 JUANA MARTINEZ WARNACO INC GALLAGHER BASSETT 70003

ANAHEIM CLOSEDADJ3673897 MICHAEL RUIZ NORTHROP GALLAGHER BASSETT 70003

ANAHEIM CLOSEDADJ3813035 ANA CASTRO UNITED AIRLINES GALLAGHER BASSETT 70003

ANAHEIM CLOSEDADJ4166687 GINA NEVARES MCMASTER-CARR SUPPLY CO GALLAGHER BASSETT 70003

ANAHEIM CLOSEDADJ445943 MARIA CAMARGO CRUNCH FITNESS

INTERNATIONAL

GALLAGHER BASSETT 70003

ANAHEIM CLOSEDADJ456739 CAROLYN MORAN ARCHDIOCESE OF LOS

ANGELES

GALLAGHER BASSETT 70003

ANAHEIM CLOSED

57

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ120222 MARTHA FRANCO VICORP RESTAURANTS

INC/BAKER SQUARE

GALLAGHER BASSETT BURBANK

ADJ1294284 ELSA VILLANUEVA DANIEL PANTELIZ GALLAGHER BASSETT BURBANK

ADJ1541821 JOSE MACHUCA CONEJO COMPLETE GALLAGHER BASSETT BURBANK

ADJ1542792 DOUGLAS MCFARLAND BLACK COW CAFE GALLAGHER BASSETT BURBANK

ADJ3190535 GUADALUPE LOPEZ JAWED ARAIN GALLAGHER BASSETT BURBANK

ADJ7094095 IRMA LEMUS THE RITE SCREEN COMPANY

INC

GALLAGHER BASSETT BURBANK

ADJ7726383 RUBEN CUEVAS READY PAC PRODUCE GALLAGHER BASSETT BURBANK

ADJ8332093 GUILLERMO MARTINEZ ACCURATE METAL

FABRICATORS

GALLAGHER BASSETT BURBANK

ADJ8652652 JOEL EQUIHUA KEY ENERGY SERVICES GALLAGHER BASSETT BURBANK

ADJ181469 ANDRES DEHARO FOAMEX GALLAGHER BASSETT

CALABASASADJ2516660 MARIA PACHECO PRIVATE BRAND

MERCHANDISING

GALLAGHER BASSETT

CALABASASADJ6470406 LUCIA FLORES HMS HOST GALLAGHER BASSETT

CALABASASADJ6880086 ANA LUGO OCEAN BEAUTY SEAFOOD GALLAGHER BASSETT

CALABASASADJ7078680 CHRISTOPHER LUONG RBC-ALL POWER MFG. GALLAGHER BASSETT

CALABASASADJ7144824 LUIS ORTEGA SOLAR INTEGRATED

TECHNOLOGIES

GALLAGHER BASSETT

CALABASASADJ7169037 MARIA BEJARANO SODEXO GALLAGHER BASSETT

CALABASASADJ7170154 JOSE AGUILAR TONE FRAMING GALLAGHER BASSETT

CALABASASADJ7234523 ENRIQUETA BLANCO READY PAC PRODUCE GALLAGHER BASSETT

CALABASASADJ7279580 HECTOR GAMEZ OMNI LOS ANGELES HOTEL GALLAGHER BASSETT

CALABASASADJ7714688 NAGDA SALAMA SODEXO GALLAGHER BASSETT

CALABASASADJ7726383 RUBEN CUEVAS READY PAC PRODUCE GALLAGHER BASSETT

CALABASAS

58

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8015567 GLORIA CALVILLO OMNI HOTEL GALLAGHER BASSETT

CALABASASADJ8053914 FLORENTINO GUZMAN SODEXO INC GALLAGHER BASSETT

CALABASASADJ8156814 CYNTHIA HENDERSON 20TH CENTURY FOX GALLAGHER BASSETT

CALABASASADJ8175696 ELVIRA ANTENOR TARZANA HEALTH AND

REHABILITATION

GALLAGHER BASSETT

CALABASASADJ8211927 EDILZAR VELASQUEZ WILLIAMS MEDICAL INC GALLAGHER BASSETT

CALABASASADJ8455836 JOEL URIBE CASTON INC GALLAGHER BASSETT

CALABASASADJ8901131 JOSE MIRANDA MALLCRAFT GALLAGHER BASSETT

CALABASASADJ511346 GUADALUPE

MALDONADO

PIZZA HUT GALLAGHER BASSETT CORONA

ADJ6474699 HOA DO KEYES MOTORS INC GALLAGHER BASSETT CORONA

ADJ6750534 FRANCISCO PEREZ KIBRIYA ENTERPRISES INC GALLAGHER BASSETT CORONA

ADJ6908131 JOAQUINA FERNANDEZ BROOKDALE SENIOR LIVING GALLAGHER BASSETT CORONA

ADJ7049898 JAVIER ZENDEJAS CBC FRAMING INC GALLAGHER BASSETT CORONA

ADJ7144824 LUIS ORTEGA SOLAR INTEGRATED

TECHNOLOGIES

GALLAGHER BASSETT CORONA

ADJ7150232 MARINO FLORES CROWN VALLEY CAR WASH GALLAGHER BASSETT CORONA

ADJ7252640 ROBERT GOUGH RCR PLUMBING GALLAGHER BASSETT CORONA

ADJ7512017 TERESA TREJO YUM BRANDS DBA TACO BELL GALLAGHER BASSETT CORONA

ADJ7573042 MILAGRITOS

CHUQUIPUL TORREJON

TACO BELL GALLAGHER BASSETT CORONA

ADJ7704768 ANTONIA AVILA VOLT GALLAGHER BASSETT CORONA

ADJ7775331 PEDRO NAVARRO PIZZA HUT GALLAGHER BASSETT CORONA

ADJ7902200 CARLOS VELASQUEZ RELIABLE RESOUCES INC GALLAGHER BASSETT CORONA

59

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7926381 DANNY CATALAN SOUTHLAND TRANSIT INC GALLAGHER BASSETT CORONA

ADJ7969138 ALEJANDRO LARIOS UNIVERSAL FOREST

PRODUCTS INC

GALLAGHER BASSETT CORONA

ADJ8357395 PATRICE LONERGAN SOUTHLAND TRANSIT INC GALLAGHER BASSETT CORONA

ADJ8375248 RAFAEL RUIZ VEGA CHIPOTE MEXICAN GRILL GALLAGHER BASSETT CORONA

ADJ8391148 ARCELIA ORTIZ TACO BELL GALLAGHER BASSETT CORONA

ADJ8420232 PEDRO ARREGUIN MARINA LANDSCAPE GALLAGHER BASSETT CORONA

ADJ8437168 JOSE MARTINEZ VOLT MANAGEMENT GALLAGHER BASSETT CORONA

ADJ8469673 ASHLEIGH RICE CHIPOTLE MEXICAN GRILL GALLAGHER BASSETT CORONA

ADJ8550881 RAYMUNDO MAGUEY C.A.N. TRANSPORT INC. GALLAGHER BASSETT CORONA

ADJ8627124 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT CORONA

ADJ8627172 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT CORONA

ADJ8741830 ARMANDO BARRAGAN PREMIERE FRAMING INC GALLAGHER BASSETT CORONA

ADJ8839623 MARIBEL CUATLAYOTL CERIDIAN GALLAGHER BASSETT CORONA

ADJ8958797 JESUS COVARRUBIAS SSC CONSTRUCTION GALLAGHER BASSETT CORONA

ADJ8960444 MIRSHA SALINAS VOLTO MANAGEMENT

CORPORATION

GALLAGHER BASSETT CORONA

ADJ8977396 EUFRACIA BARAJAS

RICO

PROFESSIONAL HOSPITAL

SUPPLY

GALLAGHER BASSETT CORONA

ADJ2959625 PEARL TAMEZ DURHAM SCHOOL SERVICES GALLAGHER BASSETT ELK GROVE

CLOSEDADJ3245886 RUTH CHAVEZ DURHAM SCHOOL SERVICES GALLAGHER BASSETT ELK GROVE

CLOSEDADJ6945389 GUADALUPE VAZQUEZ DIAL SECURITY GALLAGHER BASSETT ELK GROVE

CLOSEDADJ6939354 MARIA ELENA IBARRA PRICEWATERHOUSECOOPERS

LLP

GALLAGHER BASSETT GLENDALE

ADJ7365373 VICTOR MALDONADO LEADING EDGE AVIATION

SERVICES INC

GALLAGHER BASSETT GLENDALE

60

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8064293 MARTHA GONZALES HOT TOPIC INC GALLAGHER BASSETT GLENDALE

ADJ8142380 MARTHA RUIZ LEADING EDGE AVIATION

SERVICES

GALLAGHER BASSETT GLENDALE

ADJ8284097 LEONEL GONZALEZ PORTFOLIO HOTELS RESORTS

LLC DBA DOUBLE TREE LAX

GALLAGHER BASSETT GLENDALE

ADJ8735638 ENRIQUE QUIJADA ACE PARKING GALLAGHER BASSETT GLENDALE

ADJ3296711 EZEQUIEL CISNEROS WASTE MANAGEMENT GALLAGHER BASSETT GOLD

RIVERADJ6804588 ARMANDO TAPIA WASTE MANAGEMENT GALLAGHER BASSETT GOLD

RIVERADJ6926948 RAFAEL CARRILLO WASTE MANAGEMENT GALLAGHER BASSETT GOLD

RIVERADJ7551912 MARIA IBARRA BANK OF AMERICA GALLAGHER BASSETT GOLD

RIVERADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL

CORPORATION

GALLAGHER BASSETT GOLD

RIVERADJ7706707 RALPH JOHNSON JR AUTO ZONE INC GALLAGHER BASSETT GOLD

RIVERADJ7738115 MARTHA TALAVERA SECOND STREET CORP GALLAGHER BASSETT GOLD

RIVERADJ8028485 JESUS GONZALEZ VEGA MORRISON MANAGEMENT

SPECIALIST

GALLAGHER BASSETT GOLD

RIVERADJ8215027 MARJANCHE

GJOSHEVSKI

NEWPORT MEAT SYSCO GALLAGHER BASSETT GOLD

RIVERADJ8217241 JOSE ARANDA GALE TRIANGLE

PERFORMANCE TEAM FREIGHT

SYSTEM

GALLAGHER BASSETT GOLD

RIVER

ADJ8392008 JUAN MARIN SUSHI CONCEPTS SUNSET GALLAGHER BASSETT GOLD

RIVERADJ8643502 FRANCISCO

HERNANDEZ

NATIONAL OILWELL VARCO GALLAGHER BASSETT GOLD

RIVERADJ9041164 GEORGE DORTON BANK OF AMERICA GALLAGHER BASSETT GOLD

RIVERADJ9430469 JUAN ROA CITISTAFF SOLUTIONS GALLAGHER BASSETT GOLD

RIVERADJ9430469 JUAN ROA RAMA FOOD MANUFACTURE

CORP

GALLAGHER BASSETT GOLD

RIVERADJ1700643 CYNTHIA MARTIN ASIG GALLAGHER BASSETT LAGUNA

HILLS

61

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3813035 ANA CASTRO UNITED AIRLINES GALLAGHER BASSETT LAGUNA

HILLSADJ6675570 FRANCISCO

GUADARRAMA

NFI NATIONAL DISTRIBUTION

CENTER

GALLAGHER BASSETT LAGUNA

HILLSADJ6890427 CARLOS ARRIOLA UNITED PARCEL SERVICES GALLAGHER BASSETT LAGUNA

HILLSADJ6980439 CRISTINA GARAY MASSIVE INC GALLAGHER BASSETT LAGUNA

HILLSADJ7329615 JOSE ZAVALA FMF RACING INC GALLAGHER BASSETT LAGUNA

HILLSADJ7676224 BRANDON MCGLOVER G2 SECURE STAFF LLC GALLAGHER BASSETT LAGUNA

HILLSADJ7908386 DANIEL WALSH LIVE NATION INC GALLAGHER BASSETT LAGUNA

HILLSADJ8175696 ELVIRA ANTENOR TARZANA HEALTH AND

REHABILITATION

GALLAGHER BASSETT LAGUNA

HILLSADJ8197945 MARIANNE

BATTAGLINO

CVS PHARMACY GALLAGHER BASSETT LAGUNA

HILLSADJ8469356 MARIANNE

BATTAGLINO

CVS PHARMACY GALLAGHER BASSETT LAGUNA

HILLSADJ8819743 MARTINA GARCIA UNITED STAFFING ASSOCIATES GALLAGHER BASSETT LAGUNA

HILLSADJ6715558 LUIS TRUJILLO WASTE MANAGEMENT OF

NORTH COUNTY

GALLAGHER BASSETT LAS VEGAS

ADJ7043203 MIGUEL BRICENO HUSSMANN CORP GALLAGHER BASSETT LAS VEGAS

ADJ7503732 JUANA REYES BEST BUY INC GALLAGHER BASSETT LAS VEGAS

ADJ8192238 LETICIA FUENTES RAINMAKER STAFFING GALLAGHER BASSETT LAS VEGAS

ADJ8591039 RODRIC PHILLIPS G4S SECURITY SOLUTION GALLAGHER BASSETT LAS VEGAS

ADJ2626115 GUILLERMINA MENDEZ FOREST RIVER INC GALLAGHER BASSETT ONTARIO

ADJ6954259 FEDELIA RAMOS QUALITY PARKING SERVICES GALLAGHER BASSETT ONTARIO

ADJ6954259 FEDELIA RAMOS SERVICAON SYSTEMS GALLAGHER BASSETT ONTARIO

ADJ7140256 ALBA ALVARENGA CVS PHARMACY GALLAGHER BASSETT ONTARIO

ADJ7268907 NANCY TRABADO CVS PHARMACY GALLAGHER BASSETT ONTARIO

62

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8488724 ALI KARIM CORINTHIAN HOSPICE GALLAGHER BASSETT ONTARIO

ADJ8869734 KIMBERLY RAMIREZ SPRINT GALLAGHER BASSETT ONTARIO

ADJ2049770 MICHAEL STEWART CALIFORNIA COMMUNITY GALLAGHER BASSETT ORANGE

ADJ2049770 MICHAEL STEWART CALIFORNIA COMMUNITY

NEWS

GALLAGHER BASSETT ORANGE

ADJ3369962 WELLINGTON PORTER CHECK MATE STAFFING GALLAGHER BASSETT ORANGE

ADJ3369962 WELLINGTON PORTER CHECKMATE STAFFING INC GALLAGHER BASSETT ORANGE

ADJ3369962 WELLINGTON PORTER UEBTF LOS ANGELES GALLAGHER BASSETT ORANGE

ADJ6634000 JOSE ALAMILLA MILE SQUARE GOLF COURSE GALLAGHER BASSETT ORANGE

ADJ6720868 VERONICA VIDRIO DART CONTAINER

CORPORATION

GALLAGHER BASSETT ORANGE

ADJ6720868 VERONICA VIDRIO DART CONTAINER

CORPORATION OF

CALIFORNIA

GALLAGHER BASSETT ORANGE

ADJ7585118 ASHLEY MAGANA MENZIES AVIATION AGENCY GALLAGHER BASSETT ORANGE

ADJ7606405 LEE ACOSTA U-HAUL RENTALS GALLAGHER BASSETT ORANGE

ADJ7734628 LETICIA ESTRADA MCDONALDS GALLAGHER BASSETT ORANGE

ADJ7886682 JORGE LUIS OSEGUERA HYATT REGENCY IRVINE GALLAGHER BASSETT ORANGE

ADJ8007303 PATRICIA ANAYA BCBG MAXZRIA GRP GALLAGHER BASSETT ORANGE

ADJ8045665 JOSE LUIS ARCOS LOS ANGELES COMMUNITY

COLLEGES

GALLAGHER BASSETT ORANGE

ADJ8074704 GRACIELA MENDEZ EMERITUS CORP GALLAGHER BASSETT ORANGE

ADJ8108987 JACK STRICKLER LOS ANGELES TIMES GALLAGHER BASSETT ORANGE

ADJ8279792 HUBERTA HALL MENZIES AVIATION GALLAGHER BASSETT ORANGE

ADJ8351217 EULALITZ PUGA FRAZEE PAINT DISTRIBUTION GALLAGHER BASSETT ORANGE

63

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8390022 ANTONIA VARGAS CONSOLIDAIED CONTAINER GALLAGHER BASSETT ORANGE

ADJ8518285 ELENA MEDINA MCDONALDS CORPORATION GALLAGHER BASSETT ORANGE

ADJ8734339 ANGEL ELIZONDO DECTON IINC GALLAGHER BASSETT ORANGE

ADJ1777387 MANUEL REYES USF BESTWAY GALLAGHER BASSETT RANCHO

CUCAMONGAADJ3050954 FRANCISCO AHUMADA BROADWAY EXPRESS, INC. GALLAGHER BASSETT RANCHO

CUCAMONGAADJ3050954 FRANCISCO AHUMADA ROADWAY EXPRESS GALLAGHER BASSETT RANCHO

CUCAMONGAADJ6705178 JOSE MORALES PAYLESS SHOESOURCE #3520 GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7037251 DAN ALLEN COLVIN Y R C INC GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7268907 NANCY TRABADO CVS PHARMACY GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7810425 EMAD ELDOMYATY MERCEDES BENZ OF SOUTH

BAY

GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7970435 DONATAS BASKYS DCH GARDENA HONDA GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7970700 JOHNNY CALDERA YRC WORLDWIDE INC GALLAGHER BASSETT RANCHO

CUCAMONGAADJ7985024 JADON CRAWFORD TRADER JOES GALLAGHER BASSETT RANCHO

CUCAMONGAADJ8077181 JOSE AGUILERA VALSPAR GALLAGHER BASSETT RANCHO

CUCAMONGAADJ8241626 JESUS ESPINOZA YRC LOGISTICS SERVICES GALLAGHER BASSETT RANCHO

CUCAMONGAADJ8303094 CHRISTINA SUAREZ MOGNOLIA GARDENS

CONVALESCENT

GALLAGHER BASSETT RANCHO

CUCAMONGAADJ8488724 ALI KARIM CORINTHIAN HOSPICE GALLAGHER BASSETT RANCHO

CUCAMONGAADJ8869734 KIMBERLY RAMIREZ SPRINT GALLAGHER BASSETT RANCHO

CUCAMONGAADJ9203170 MANUEL GAMARRA CVS PHARMACY GALLAGHER BASSETT RANCHO

CUCAMONGAADJ1693715 LORNA NUNEZ HEALTH CARE RESOURCE

GROUP

GALLAGHER BASSETT ROSEVILLE

ADJ1693715 LORNA NUNEZ LTSC COMMUNITY

DEVELOPMENT CORP.

GALLAGHER BASSETT ROSEVILLE

64

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2989623 JUAN VARGAS SELECT BUILD GALLAGHER BASSETT ROSEVILLE

ADJ4018558 LOURDES GERARDO PASADENA SYMPHONY

ASSOCIATION

GALLAGHER BASSETT ROSEVILLE

ADJ4560524 MARCO NASSER CARPET WIZARDS INC GALLAGHER BASSETT ROSEVILLE

ADJ4560524 MARCO NASSER PEP BOYS GALLAGHER BASSETT ROSEVILLE

ADJ6882282 JENELL SHANNON HOMETOWN BUFFET GALLAGHER BASSETT ROSEVILLE

ADJ7043203 MIGUEL BRICENO HUSSMANN CORP GALLAGHER BASSETT ROSEVILLE

ADJ7196798 CECILIA REYNA OPTIONS GALLAGHER BASSETT ROSEVILLE

ADJ7240875 SUSAN PENNINGTON SAN GABRIEL CHILDRENS

CENTER

GALLAGHER BASSETT ROSEVILLE

ADJ7390427 MACEDONIA HERRERA EMPIRE GRAPHICS GALLAGHER BASSETT ROSEVILLE

ADJ7777011 CALIXTO VELASQUEZ JB WHOLESALE ROOFING AND

BUILDING

GALLAGHER BASSETT ROSEVILLE

ADJ7877197 ATILANO GUEVARA AMERICAN GUARD SERVICE

INC0

GALLAGHER BASSETT ROSEVILLE

ADJ7918395 CRISTINA BELTRAN LA QUINTA INN GALLAGHER BASSETT ROSEVILLE

ADJ7948536 CHRISTINE GRACE HOMETOWN BUFFET GALLAGHER BASSETT ROSEVILLE

ADJ8058225 JUAN GUTIERREZ WEST END PLUMBING GALLAGHER BASSETT ROSEVILLE

ADJ8324036 JESSICA EQUIHUAS ORANGE COUNTY HEAD

START

GALLAGHER BASSETT ROSEVILLE

ADJ8416225 HECTOR SALDIVAR AMERICAN GUARD SERVICE GALLAGHER BASSETT ROSEVILLE

ADJ8475334 ELOY NAVA MISSION VALLEY SANITATION GALLAGHER BASSETT ROSEVILLE

ADJ8820398 BELKIN ORTIZ SITE CREW GALLAGHER BASSETT ROSEVILLE

ADJ7461639 FRANK COLLINS POWER FORD TUSTIN GALLAGHER BASSETT

SACRAMENTOADJ8949353 JOSEFINA LEDESMA

MARTINEZ

BURLINGTON COAT FACTORY GALLAGHER BASSETT

SACRAMENTOADJ2054120 LEE MARTIN FIRST TRANSIT GALLAGHER BASSETT SAN DIEGO

65

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6914887 JOSE TREVIZO PACIFIC PRODUCTION

PLUMBING INC

GALLAGHER BASSETT SAN DIEGO

ADJ7133557 EDWIN MOLINA SHERATON SUITES FAIRPLEX GALLAGHER BASSETT SAN DIEGO

ADJ7493067 ROSINA CHICO JACK IN THE BOX INC GALLAGHER BASSETT SAN DIEGO

ADJ7651938 ZAYDA GARCIA JACK IN THE BOX GALLAGHER BASSETT SAN DIEGO

ADJ7679258 REINA BONILLA R&L NEWSPAPER

DISTRIBUTORS INC

GALLAGHER BASSETT SAN DIEGO

ADJ7946597 CHRISTINE BADER VIRGIN AMERICAN AIRLINES GALLAGHER BASSETT SAN DIEGO

ADJ7983550 JOSE BRISENO CLASSIC PARTY RENTALS GALLAGHER BASSETT SAN DIEGO

ADJ8134346 GLORIA LEYVA JACK IN THE BOX GALLAGHER BASSETT SAN DIEGO

ADJ8267338 SOFIA DEKERMENJIAN UNION BANK GALLAGHER BASSETT SAN DIEGO

ADJ8467096 MARIA VEGA JACK IN THE BOX GALLAGHER BASSETT SAN DIEGO

ADJ9381836 MARGARITA CARBAJAL PACIFICA HOTEL COMPANY GALLAGHER BASSETT SAN DIEGO

ADJ2535334 STACY HOLLOMON M & J ELECTRIC GALLAGHER BASSETT

SCOTTSDALEADJ6470406 LUCIA FLORES HMS HOST GALLAGHER BASSETT

SCOTTSDALEADJ6628352 MARSELO ROMERO SELECTBUILD GALLAGHER BASSETT

SCOTTSDALEADJ6673511 GUILLERMO AYALA J AND J OIL GALLAGHER BASSETT

SCOTTSDALEADJ7170154 JOSE AGUILAR TONE FRAMING GALLAGHER BASSETT

SCOTTSDALEADJ7257037 DAVE EDWARDS PROJECT MANAGER GALLAGHER BASSETT

SCOTTSDALEADJ7540085 OLGA HERNANDEZ VISTA COMMUNITY CLINIC GALLAGHER BASSETT

SCOTTSDALEADJ7673690 EVE SHOATS PORTS AMER1CA GALLAGHER BASSETT

SCOTTSDALEADJ7803021 ROSARIO ZAVALA FAMILY RANCH INC GALLAGHER BASSETT

SCOTTSDALEADJ8159399 ISABEL ACOSTA KELLERMEYER BERGENSONS

SERVICES

GALLAGHER BASSETT

SCOTTSDALE

66

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8252471 JESUS SILVA ANGELICA CORPORATION GALLAGHER BASSETT

SCOTTSDALEADJ646149 JUAN GALLEGOS SUPERIOR CONSTRUCTION GALLAGHER BASSETT SERVICES

ADJ1954863 JUANITA ALICIA BAXTER APTIUM ONCOLOGY GALLAGHER BASSETT SERVICES

INCADJ4192342 EMILIANO MENDEZ FOAMEX GALLAGHER BASSETT SERVICES

INCADJ7578368 MICHAEL VASQUEZ UPS GALLAGHER BASSETT UPS5141

LAKE FORESTADJ8171230 HECTOR RAMIREZ UNITED PARCEL SERVICE GALLAGHER BASSETT UPS5141

LAKE FORESTADJ3381093 JUAN BRIOSO TABC INC GARMI

ADJ6956128 ANA GONZALEZ RED BARD PET PRODUCTS GOLDEN EAGLE ALISO VIEJO

ADJ7816761 MARIA P DE RIOS FONTANA LOGISTICS CENTER

INC

GOLDEN EAGLE ALISO VIEJO

ADJ7983231 SARAH HOLGUIN FONTANA LOGISTIC CENTER

INC

GOLDEN EAGLE ALISO VIEJO

ADJ3190535 GUADALUPE LOPEZ JAWED ARAIN GOLDEN EAGLE ORANGE

ADJ7839453 ESTEBAN LUNA VAN PORT WAREHOUSING

INC

GOLDEN EAGLE ORANGE

ADJ7968605 ADRIAN ZUNO ASR FOOD DISTRIBUTORS INC GOLDEN EAGLE ORANGE

ADJ7502423 DORTHY FAIRWEATHER GRACE ADULT CARE GRACE ADULT CARE

ADJ6814929 E JOHN CRAM INDUSTRIAL MACHINE WORKS GRANITE STATE INSURANCE

CO/AMERICAN INT'L GROUP

CLAIMS SERVADJ2661848 ROSEMARIE MONTIJO PRINCESS CRUISES GREAT AMERICAN INSURANCE

COADJ8143138 KELITA BRADLEY CANON RECRUITING GREAT AMERICAN WALNUT

CREEKADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES

INC

GRILL CONCEPTS SERVICES INC

ADJ7411078 MARLA DEL CARMEN

HERNANDEZ

HAMPTON INN GUARD INSURANCE RANCHO

CORDOVAADJ7411078 MARLA DEL CARMEN

HERNANDEZ

YUM BRANDS/DBA TACO BELL GUARD INSURANCE RANCHO

CORDOVAADJ7732880 SAUL GIRON SUPERIOR 1 PLUMBING GUARD INSURANCE RANCHO

CORDOVAADJ8307247 IRIS BAQUEDANO IZEK SHOMOF GUARD INSURANCE RANCHO

CORDOVA

67

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8307247 IRIS BAQUEDANO JONATHAN BEN SHOLOM GUARD INSURANCE RANCHO

CORDOVAADJ8307247 IRIS BAQUEDANO V STYLES INC GREAT CLIPS

FOR HAIR

GUARD INSURANCE RANCHO

CORDOVAADJ7643410 HERMELO LUIS COMPETITIVE PIPELINE INC GUARD INSURANCE WILKES

BARREADJ7863437 JAMES HOLLAND AFAB SERVICES INC DBA

FONTANA EXPRESS CAR WASH

GUARD INSURANCE WILKES

BARRE

ADJ7866617 ELIAS PEREZ DELGADO PLUMBING GUARD INSURANCE WILKES

BARREADJ8019898 ANTONIO SOSA ASA GROUP CONSTRUCTION GUARD INSURANCE WILKES

BARREADJ8039367 GABRIELA MARTINEZ CAL PET SERVICES LLC GUARD INSURANCE WILKES

BARREADJ8612684 GERBER HERNANDEZ AMERICAN TRUCK OUT

FITTERS

GUARD INSURANCE WILKES

BARREADJ9275615 JUAN ALEJO ALLIED RENT A CAR INC GUARD INSURANCE WILKES

BARREADJ1679102 BEVERLY WEXLER IMMANUEL BAPTIST CHURCH GUIDEONE MUTUAL DES MOINES

ADJ3456900 KELLY ECOFF CROSS & CROWN LUTHERAN GUIDEONE MUTUAL DES MOINES

ADJ6657304 DANIEL PEREZ MILKEN COMMUNITY HIGH

SCHOOL

GUIDEONE MUTUAL DES MOINES

ADJ7434782 ISMAEL ESQUIVEL CALVARY CHAPEL GUIDEONE MUTUAL DES MOINES

ADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC HANOVER INSURANCE GROUP

WORCESTERADJ7671125 DOLORES CARABALLO IAG OIL ONCORPORATE HANOVER INSURANCE GROUP

WORCESTERADJ7872057 KASSANDRA

MATTHEWS

SAN DIEGO HUMANE SOCIETY HANOVER INSURANCE GROUP

WORCESTERADJ7900080 SUSANA MEZA KELLY SERVICES HANOVER INSURANCE GROUP

WORCESTERADJ8139048 ARMANDO REYES

VALDEZ

WEST COAST PETROLEUM HANOVER INSURANCE GROUP

WORCESTERADJ8252635 IRMA CASTANEDA CHEVRON HANOVER INSURANCE GROUP

WORCESTERADJ8314861 CARA WEISS SPORTS CLIPS FRANCHISE HANOVER INSURANCE GROUP

WORCESTER

68

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8361533 MARGARITO URBINA VILLAGE AUTO SPA INC HANOVER INSURANCE GROUP

WORCESTERADJ8459615 BLAKE BAILEY 4G WIRELESS HANOVER INSURANCE GROUP

WORCESTERADJ8529568 ERNEST ZARATE AVID BIOSERVICES HANOVER INSURANCE GROUP

WORCESTERADJ8948892 SANTOS MEJIA DOMINOS PIZZA HANOVER INSURANCE GROUP

WORCESTERADJ9052204 SILVIO JIMENEZ MALIBU SHELL HANOVER INSURANCE GROUP

WORCESTERADJ9656899 MARIA MARTINEZ TAYLORED SERVICES HANOVER INSURANCE GROUP

WORCESTERADJ8420600 JORGE LOZANO HARRIS RANCH BEEF

COMPANY

HARRIS RANCH BEEF COMPANY

ADJ8911920 VICENTE HERNANDEZ HARRISARIZONA REBAR INC HARRISARIZONA REBAR INC

ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL HARTFORD INS CO OF THE

MIDWESTADJ2842071 LUCIA CHAPPELLE PLANETOUT CORP HARTFORD SACRAMENTO

ADJ460944 LILIA AGUILAR PILLOWTEX CORP. HARTFORD SACRAMENTO

ADJ6614819 CATALINA DELGADILLO GRISWOLD INDUSTRIES DBA

CLAVAL

HARTFORD SACRAMENTO

ADJ6716717 KIRA JIMENEZ EBEN EZER CHILDRENS HARTFORD SACRAMENTO

ADJ6795839 MARIA GUZMAN MAG INSTRUMENT INC HARTFORD SACRAMENTO

ADJ6880086 ANA LUGO OCEAN BEAUTY SEAFOOD HARTFORD SACRAMENTO

ADJ6880954 ROSARIO CARMONA SENIOR SYSTEMS TECHOLOGY

INC

HARTFORD SACRAMENTO

ADJ6905674 RODOLFO DIAZ SENIOR SYSTEMS TECHOLOGY

INC

HARTFORD SACRAMENTO

ADJ7015819 GABRIEL PONCE SENIOR ASST TECH HARTFORD SACRAMENTO

ADJ7088754 JAVIER URIBE NUMARK WEST COAST HARTFORD SACRAMENTO

ADJ7165409 JUAN RAZO TNT PLASTIC MOLDING INC HARTFORD SACRAMENTO

ADJ7172210 SOHIER SHENODA THE DRESS BARN HARTFORD SACRAMENTO

ADJ7231088 GEORGE BRAMBILLA MICHAEL TRIMNELL HARTFORD SACRAMENTO

ADJ7241347 VERONICA BLANDON SMILE BRANDS INC HARTFORD SACRAMENTO

ADJ7261538 ALEJANDRA ACOSTA DUTCH INC HARTFORD SACRAMENTO

ADJ7343152 ALBERTO RANGEL CANNON SAFE INC HARTFORD SACRAMENTO

ADJ7345445 CATHERINE ALVAREZ DIRECT BUY HARTFORD SACRAMENTO

ADJ7360754 MARIA RAMOS CAN PRODUCTION LLC HARTFORD SACRAMENTO

ADJ7390427 MACEDONIA HERRERA EMPIRE GRAPHICS HARTFORD SACRAMENTO

ADJ7390437 MARIA DUARTE SHAKEYS USA INC HARTFORD SACRAMENTO

ADJ7475314 FRANK GARCIA SLEDGE USA INC HARTFORD SACRAMENTO

69

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7487053 AGUSTINA CONTRERAS RAYS WRAP INC. HARTFORD SACRAMENTO

ADJ7491728 ANGELICA RAMIREZ WILLIAM J STEELE HARTFORD SACRAMENTO

ADJ7502658 JESSICA LOPEZ KJM ENTERPRISES INC HARTFORD SACRAMENTO

ADJ7516382 RAUL ENRIQUEZ DATA SYSTEMS ANALYSIS INC HARTFORD SACRAMENTO

ADJ7534111 FRANCISCO VELARDE SPOTLESS ENTERPRISES INC

DAB PLASTIC BRAIFORM

SPOTLESS

HARTFORD SACRAMENTO

ADJ7541067 JESUS CARDENAS ADVANTAGE MAILING INC HARTFORD SACRAMENTO

ADJ7543140 MARIA GARCIA CANTAREFOODS HARTFORD SACRAMENTO

ADJ7576206 MAI VU ATRON INC HARTFORD SACRAMENTO

ADJ7643645 MACEDONIO BRAVO GIUMARRA VINEYARDS HARTFORD SACRAMENTO

ADJ7702294 JAVIER URBINA RIPP ENTERTAINMENT GROUP HARTFORD SACRAMENTO

ADJ7705409 DIODORA ESTRADA KF CASITAS LLC HARTFORD SACRAMENTO

ADJ7705464 AIDE SALAZAR CAPSTONE CARE LLC HARTFORD SACRAMENTO

ADJ7746696 ANA SANCHEZ OCEAN BEAUTY SEAFOODS

INC

HARTFORD SACRAMENTO

ADJ7750834 ENMA DE CRUZ SOEX WEST USA HARTFORD SACRAMENTO

ADJ7764690 MELISSA TUCKER OBAGI SKIN HEALTH

INSTITUTE

HARTFORD SACRAMENTO

ADJ7788375 KATIE JACKSON GOLDEN STATE MUTUAL LIFE

INSURANCE COMPANY

HARTFORD SACRAMENTO

ADJ7838790 RYAN SIFUENTES ABC LIOVIN DRILLING HARTFORD SACRAMENTO

ADJ7884330 BLANCA IRMA RAMOS ALWAYS AFFORDABLE

SERVICES

HARTFORD SACRAMENTO

ADJ7884330 BLANCA IRMA RAMOS ALWAYS AFFORDABLE

SERVICES, INC.

HARTFORD SACRAMENTO

ADJ7884330 BLANCA IRMA RAMOS UEBTF LOS ANGELES HARTFORD SACRAMENTO

ADJ7936821 HUMBERTO MATEUS EXCEL CABINETS INC HARTFORD SACRAMENTO

ADJ7946336 EZEQUIEL CASTILLO PRO TOUR MEMORABILIA HARTFORD SACRAMENTO

ADJ7971047 EVERARDO ALCALA

ALMARAZ

VISION ELECTRONICS

CORPORATION

HARTFORD SACRAMENTO

ADJ8020366 VICTOR TOSTADO E AND J LAUREN LLC HARTFORD SACRAMENTO

ADJ8049827 EVELYN ZERON WESTERN DENTAL CENTERS HARTFORD SACRAMENTO

ADJ8064851 GAMALIEL BARRIOS GOLDEN STATE

CONSTRUCTORS INC

HARTFORD SACRAMENTO

ADJ8096597 JASON LOVATI RODBAT MANAGEMENT

INVESTIGATION

HARTFORD SACRAMENTO

ADJ8144208 JOSE RAMIREZ GRISWOLD INDUSTRIES HARTFORD SACRAMENTO

ADJ8147199 PRIMITIVO SANCHEZ WESTERN MEDICAL CENTER HARTFORD SACRAMENTO

70

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8169238 NORA BERMUDEZ DELANO REGIONAL MEDICAL

CENTER

HARTFORD SACRAMENTO

ADJ8205106 EVELYN PEREZ

ZARAGOZA

TULAPHORN INC HARTFORD SACRAMENTO

ADJ8263165 LUIS TOBAR LA LOGGIA RISTORANTE HARTFORD SACRAMENTO

ADJ8319536 PATRICIA DE LA CRUZ ROMAN CATHOLIC BISHOP OF

SB

HARTFORD SACRAMENTO

ADJ8526747 ALFA HERNANDEZ MARCEL ELECTRONICS

INTERNATIONAL

HARTFORD SACRAMENTO

ADJ8578796 ALEJANDRO CASTRO EAST AND WEST GOURMET

AFGHAN FOOD INC

HARTFORD SACRAMENTO

ADJ8581326 INOCENTE ESCAMILLO JONSET CORP DVA SUNSET

PROPERTY SERVICE

HARTFORD SACRAMENTO

ADJ8583576 JULIA BRISENO BRAXTON MANUFACTURING HARTFORD SACRAMENTO

ADJ8595991 TIM BLOSSER TENACORE HOLDINGS HARTFORD SACRAMENTO

ADJ8802910 TONYA PRICE MILLER JONES MORTUARY

AND CREMATORY

HARTFORD SACRAMENTO

ADJ8804352 MARCELINO

BOJORQUEZ OLIVAS

ZANKOU CHICKEN HARTFORD SACRAMENTO

ADJ8822877 FRANCISCO VALENZO ALEA CAFE HARTFORD SACRAMENTO

ADJ9010064 JOHN PHOMMAHAXAY SEACON HARTFORD SACRAMENTO

ADJ9139970 HECTOR CAPETILLO CONTRACT SERVICES GROUP

INC

HARTFORD SACRAMENTO

ADJ9166552 RAUL ARREDONDO COMMERCIAL COOLING HARTFORD SACRAMENTO

ADJ9166552 RAUL ARREDONDO TEAM QUEST STAFFING

SERVICES

HARTFORD SACRAMENTO

ADJ9210776 ULISES GUERRERO AUTO ENGINE REBUILDERS R

US INC.

HARTFORD SACRAMENTO

ADJ9227447 MARTIN MULGADO PANADERIA Y TAQUERIA LA

COLMENA

HARTFORD SACRAMENTO

ADJ9473332 SERGIO TERRAZAS SEAL SCIENCE INC HARTFORD SACRAMENTO

ADJ4003163 PETER VITOLLO VISTA PAINT CORPORATION HAZELRIGG RISK MANAGEMENT

ADJ4584009 ALVIS NONAKA METROPOLITAN

TRANSPORTATION AUTH.

HCM/HERTZ CLAIM

MANAGEMENTADJ7506084 YAZMIN JAQUEZ PASADENA UNIFIED SCHOOL

DISTRICT

HCMS CHINO HILLS

ADJ9165008 MARTHA MARROQUIN SUPERIOR GROCERS HCMS CHINO HILLS

ADJ2533227 ANTONIO FERNANDEZ THE HOME DEPOT HELMSMAN MANAGEMENT

71

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6745741 DAVID CHAN FARMERS INSURANCE

EXCHANGE

HELMSMAN MANAGEMENT

GLENDALEADJ7357745 DEBRA PENA THE HOME DEPOT HELMSMAN MANAGEMENT

GLENDALEADJ7470365 MIRNA MENDICUTI MOTEL 6 HELMSMAN MANAGEMENT

GLENDALEADJ7955311 NANCI LIBAUER UNIVERSAL STUDIOS INC HELMSMAN MANAGEMENT

GLENDALEADJ8050004 SANDRA BLOMBERG HOME DEPOT HELMSMAN MANAGEMENT

GLENDALEADJ8455958 RYAN ALCALA UPS HELMSMAN MANAGEMENT

GLENDALEADJ8696473 ALFREDO RUIZ ALTADENA DAIRY HELMSMAN MANAGEMENT

GLENDALEADJ2530241 JAMES TRUSTY THE HOME DEPOT HELMSMAN MANAGEMENT

ROCKLINADJ2530241 JAMES TRUSTY UEBTF LOS ANGELES HELMSMAN MANAGEMENT

ROCKLINADJ3656933 JAMES CORGAN HOME DEPOT HELMSMAN MANAGEMENT

ROCKLINADJ6759341 ERIC LE ALCOA FASTENING SYSTEMS HELMSMAN MANAGEMENT

ROCKLINADJ6814904 GUADALUPE MATIN ALCOA GLOBAL FASTNERS

INC

HELMSMAN MANAGEMENT

ROCKLINADJ6929168 AMADO MARTINEZ COSTCO WHOLESALE HELMSMAN MANAGEMENT

ROCKLINADJ7584933 AMADO MARTINEZ COSTCO WHOLESALE

CORPORATION

HELMSMAN MANAGEMENT

ROCKLINADJ7961729 SYLVIA MASTERS SUN HEALTH CARE GROUP HELMSMAN MANAGEMENT

ROCKLINADJ8092755 MARTIN HERNANDEZ BROWNS METAL HELMSMAN MANAGEMENT

ROCKLINADJ8208317 JORGE ARAGON AMERICAN PAPER AND

PLASTIC INC

HELMSMAN MANAGEMENT

ROCKLINADJ8286155 FELIPE MORALES COSTCO WHOLESALE HELMSMAN MANAGEMENT

ROCKLINADJ3713457 WALTER JOHNSON L.A.U.S.D HELMSMAN MANAGEMENT

SERVICESADJ3713457 WALTER JOHNSON LAUSD HELMSMAN MANAGEMENT

SERVICESADJ7416673 JUAN OROZCO HILL CONCRETE STRUCTURES HILL CONCRETE STRUCTURES

72

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7619983 MARIA HERNANDEZ IDS USA WEST INC IDS USA WEST INC

ADJ6622574 CHERY YAHNEL TEMECULA VALLEY

COMMUNICATIONS

ILLINOIS MIDWEST SPRINGFIELD

ADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS ILLINOIS MIDWEST SPRINGFIELD

ADJ7061725 JOSE ALVAREZ SIPPER PRODUCTS ILLINOIS MIDWEST SPRINGFIELD

ADJ7145556 ISRAEL CERDA DWR ILLINOIS MIDWEST SPRINGFIELD

ADJ7329994 ALEJANDRO

CERVANTES

B AND C INC DBA HODORI

RESTAURANT

ILLINOIS MIDWEST SPRINGFIELD

ADJ7364477 BENJAMIN SALAS CALI JEANS ILLINOIS MIDWEST SPRINGFIELD

ADJ7382446 FIDENCIO ESPINOZA MASTER BODY WORKS ILLINOIS MIDWEST SPRINGFIELD

ADJ7411078 MARLA DEL CARMEN

HERNANDEZ

HAMPTON INN ILLINOIS MIDWEST SPRINGFIELD

ADJ7411078 MARLA DEL CARMEN

HERNANDEZ

YUM BRANDS/DBA TACO BELL ILLINOIS MIDWEST SPRINGFIELD

ADJ7411105 MARLA DEL CARMEN

HERNANDEZ

HAMPTON INN ILLINOIS MIDWEST SPRINGFIELD

ADJ7439668 MARIA GAYTAN MEDALI INC ILLINOIS MIDWEST SPRINGFIELD

ADJ7476321 RONALD CARDONA

ACEITUNO

CALIFORNIA MARKET ILLINOIS MIDWEST SPRINGFIELD

ADJ7507465 MARTHA ORTEGA JIMS BURGER ILLINOIS MIDWEST SPRINGFIELD

ADJ7590260 RANULFO GARCIA CROWN DISPOSAL CO INC ILLINOIS MIDWEST SPRINGFIELD

ADJ7599406 JOSE MENDOZA VALLEY CAR WASH ILLINOIS MIDWEST SPRINGFIELD

ADJ7630704 PABLO ARTEAGA

RAMIREZ

DOWN N DIRTY INC ILLINOIS MIDWEST SPRINGFIELD

ADJ7730712 HERCULANO NAVIDAD CITYSCAPE INC DC MILLER CO ILLINOIS MIDWEST SPRINGFIELD

ADJ7965478 LUCIANO GARCIA

CORTEZ

POMONA COIN LAUNDRY ILLINOIS MIDWEST SPRINGFIELD

ADJ7968764 FERDINAND AGITO AMGEM HOMECARE ILLINOIS MIDWEST SPRINGFIELD

ADJ8028990 JORGE CHAVEZ MI PIACE RESTAURANTS ILLINOIS MIDWEST SPRINGFIELD

73

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8094821 MARIA HERNANDEZ MODERNICA INC ILLINOIS MIDWEST SPRINGFIELD

ADJ8123025 ROLANDO GARCIA NEW WORLD MAINTENANCE

CO

ILLINOIS MIDWEST SPRINGFIELD

ADJ8222165 DANIEL OCHOA HOUSTON SALEM INC ILLINOIS MIDWEST SPRINGFIELD

ADJ8275865 CARMEN FLORES FAMOUS DAVES BBQ ILLINOIS MIDWEST SPRINGFIELD

ADJ8374965 KC KO YASUDA MIYABI JAPANESE RESTAURANT ILLINOIS MIDWEST SPRINGFIELD

ADJ8399641 JOSE GUERRERO MSP GROUP INC ILLINOIS MIDWEST SPRINGFIELD

ADJ8527376 JOSE MANUEL VALENCIA OUTDOOR RESORTS PALM

SPRINGS OWNER

ASSOCIATION

ILLINOIS MIDWEST SPRINGFIELD

ADJ8648183 MARY BOULTON NORTH L A COUNTY

REGIONAL CENTER

ILLINOIS MIDWEST SPRINGFIELD

ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI

FASHION INC

ILLINOIS MIDWEST SPRINGFIELD

ADJ8902739 HESIQUIO JIMENEZ LA AURORA MARKET ILLINOIS MIDWEST SPRINGFIELD

ADJ9358919 ESTEBAN GARCIA LA DIJONAISE CAFE ILLINOIS MIDWEST SPRINGFIELD

ADJ7902145 ALFREDO SOLORZANO IMPERIAL PIPE SERVICES LLC IMPERIAL PIPE SERVICES LLC

ADJ7541279 MARLON MAIRENA IMPORT GLASS CORP IMPORT GLASS CORP

ADJ8416282 THOMAS RILEY RJ J CONSTRUCTION INC INDEMNITY INSURANCE OF

NORTH AMERICAADJ7548288 MARIBEL BARAJAS INDEX FRESH INC INDEX FRESH INC

ADJ2871094 MICHAEL BUCK SANTA BARBARA FIRE DEPT. INNOVATIVE CLAIMS RANCHO

CORDOVAADJ7457444 JOSE GAMINO PINNACLE PRECISION SHEET

METAL

INS CO OF THE WEST

WOODLAND HILLSADJ7603118 BENJAMIN OCHOA BROWNCO CONSTRUCTION INS CO OF THE WEST

WOODLAND HILLSADJ7785454 VERENICE CADENA VEG-LAND INC INS CO OF THE WEST

WOODLAND HILLSADJ9034875 SALVADOR SANCHEZ ELECTRO ADAPTER INS CO OF THE WEST

WOODLAND HILLSADJ7171753 DOMINGO MOTA METAL ART OF CALIFORNIA INSURANCE CO OF THE WEST

PLEASANTON

74

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7659094 PEDRO SANDOVAL COMMERCIAL WOOD

PRODUCTS

INSURANCE CO OF THE WEST

PLEASANTONADJ7726446 JOSE MARTINEZ EPLASTERING INSURANCE CO OF THE WEST

PLEASANTONADJ8497094 ALFREDO INFANTE POSO RIDGE INSURANCE CO OF THE WEST

PLEASANTONADJ8527000 ANTONIA CHAVEZ ABEL PRODUCE INSURANCE CO OF THE WEST

PLEASANTONADJ8719056 PEDRO RODRIGUEZ PREMIER TRAILER

MANUFACTURING

INSURANCE CO OF THE WEST

PLEASANTONADJ8948892 SANTOS MEJIA DOMINOS PIZZA INSURANCE CO OF THE WEST

PLEASANTONADJ1147999 HERMINIO PONCE SUN LEE, INC. INSURANCE CO OF THE WEST

SAN DIEGOADJ1267762 ALEJANDRO JIMENEZ ONE HOUR HEATING & AIR INSURANCE CO OF THE WEST

SAN DIEGOADJ3427631 JOSE FLORES HOOMAN PONTAIC INSURANCE CO OF THE WEST

SAN DIEGOADJ460259 MARY VALTIERRA THE EBERLY CO INSURANCE CO OF THE WEST

SAN DIEGOADJ6818414 BENJAMIN MORALES WESTERN TUBE & CONDUIT

CORP

INSURANCE CO OF THE WEST

SAN DIEGOADJ6846179 WILLIAM LINARES NATIONAL SALES CORP INSURANCE CO OF THE WEST

SAN DIEGOADJ6916374 MARCO MEONOZ WEST PICO FOODS INSURANCE CO OF THE WEST

SAN DIEGOADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS

ASSOCIATION

INSURANCE CO OF THE WEST

SAN DIEGOADJ7128820 CARLOS HERNANDEZ

MORENO

PAVOR DECOR MASONRY INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7130936 JORGE MORALES ALL AMERICAN PRODUCTS

GROUP

INSURANCE CO OF THE WEST

SAN DIEGOADJ7139464 OLIVIA TREVINO MCDONALD S INSURANCE CO OF THE WEST

SAN DIEGOADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING INSURANCE CO OF THE WEST

SAN DIEGOADJ7298155 CARMEN MEDINA BARCO UNIFORMS INSURANCE CO OF THE WEST

SAN DIEGOADJ7504685 JANET COLLMAN CARRIAGE INN INSURANCE CO OF THE WEST

SAN DIEGOADJ7505525 ENRIQUE GIL OROZCO PACIFIC SHORES MASONRY

INC

INSURANCE CO OF THE WEST

SAN DIEGO

75

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7554176 MARIO TEJEDA C S DRYWALL INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7623114 LORENZO

MALDONADO

EVOLUTION FRESH INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7644011 JENNIFER YSAIS AMERAFLEX INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC INSURANCE CO OF THE WEST

SAN DIEGOADJ7684296 ISIDRO HERNANDEZ HALLMARK SOUTHWEST CORP INSURANCE CO OF THE WEST

SAN DIEGOADJ7689152 MARTINA IRAHETA BALSEAL ENGINEERING INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7705527 JIM WEST A 1 ELECTRIC INSURANCE CO OF THE WEST

SAN DIEGOADJ7705529 JIM WEST A 1 ELECTRIC INSURANCE CO OF THE WEST

SAN DIEGOADJ7712427 SELVIN REYES MOBILE TRAILER WORKS INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7726446 JOSE MARTINEZ EPLASTERING INSURANCE CO OF THE WEST

SAN DIEGOADJ7732343 ENRIQUE CISNEROS CRANEVEYOR CORPORATION INSURANCE CO OF THE WEST

SAN DIEGOADJ7750788 OTILIO CHIRINO HOLLYWOOD PARK CASINO INSURANCE CO OF THE WEST

SAN DIEGOADJ7918373 SALVADOR

MALDONADO

DIVERSIFIED PRINTERS INC INSURANCE CO OF THE WEST

SAN DIEGOADJ7942590 JORGE LOPEZ BODEGA LATINA

CORPORATION

INSURANCE CO OF THE WEST

SAN DIEGOADJ7987505 MARIA SANDOVAL GRAZLANOS PLZZA LT KIDS

INC

INSURANCE CO OF THE WEST

SAN DIEGOADJ8027549 MARIA MEZA OMNIA ITALIAN DESIGN INC INSURANCE CO OF THE WEST

SAN DIEGOADJ8050144 DARRELL HARRELL SOUTHERN WINE SPIRITS INSURANCE CO OF THE WEST

SAN DIEGOADJ8083786 DAVID GUTIERREZ MOTHERS NUTR1TLONAL

CENTER INC

INSURANCE CO OF THE WEST

SAN DIEGOADJ8124553 CLAUDE FLOWERS BENDER WAREHOUSE

COMPANY

INSURANCE CO OF THE WEST

SAN DIEGOADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC INSURANCE CO OF THE WEST

SAN DIEGOADJ8319141 SIXTO RIVERA HARRY GROUP INC DBA MKC

EXPRESS DBA 3 DOG

INSURANCE CO OF THE WEST

SAN DIEGO

76

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8445752 JOSE AGUAYO RAMIREZ FOAM CONCEPTS INC INSURANCE CO OF THE WEST

SAN DIEGOADJ8566294 FRANCISCA ARELLANO JEM SPORTS WEAR INC INSURANCE CO OF THE WEST

SAN DIEGOADJ8616787 MIGUEL TAPIA NFM RECYCLING INSURANCE CO OF THE WEST

SAN DIEGOADJ8715739 JUAN JOSE CARILLO SHARPE INTERIOR SYSTEMS

INC

INSURANCE CO OF THE WEST

SAN DIEGOADJ8786770 BERTHA ACOSTA QUALITY ALUMINUM INSURANCE CO OF THE WEST

SAN DIEGOADJ8975312 JAIME ORTIZ SGF PRODUCE HOLDING

CORP.

INSURANCE CO OF THE WEST

SAN DIEGOADJ9054910 LINO LICEA SOUTHWEST OFFSET

PRINTING COMPANY INC

INSURANCE CO OF THE WEST

SAN DIEGOADJ9081611 PAULA ROSALES MICHAEL STARS INC INSURANCE CO OF THE WEST

SAN DIEGOADJ9204823 JESUS PEDROZA WEST COAST PAINTING INSURANCE CO OF THE WEST

SAN DIEGOADJ9211193 MARIA RAMIREZ DMSI STAFFING INSURANCE CO OF THE WEST

SAN DIEGOADJ1090401 ROBERT PALMER LOS ANGELES COUNTY FIRE INTERCARE 14243 ORANGE

ADJ1230843 CORINA CASTRO LA COUNTY PARKS &

RECREATIONS

INTERCARE 14243 ORANGE

ADJ1503207 THOMAS PAIGE COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE

ADJ1848499 MANUEL MARTINEZ COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE

ADJ2100016 YVONNE DELGADO COUNTY OF LOS ANGELES

CHILDREN SER

INTERCARE 14243 ORANGE

ADJ2689701 OLIVIA ORTIZ COUNTY OF LA/CHILD

SUPPORT SERVICES

INTERCARE 14243 ORANGE

ADJ3634862 ERNEST MARLIN COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE

ADJ6480152 YOLANDA BONNER LA COUNTY SUPERIOR COURT INTERCARE 14243 ORANGE

ADJ6626310 SANDRA THOMPSON COUNTY OF LOS ANGELES

SUPERIOR COURT

INTERCARE 14243 ORANGE

ADJ6674049 FELICIA DIVINITY COUNTY OF LA INTERNAL

SERVICE DEPT

INTERCARE 14243 ORANGE

ADJ6674530 SUSAN WATERMAN LOS ANGELES COUNTY

SUPERIOR COURT

INTERCARE 14243 ORANGE

ADJ6940258 DORIS DOWNS LA COUNTY INTERNAL SVCS

DPT

INTERCARE 14243 ORANGE

ADJ6974921 EWANDA MOSLEY LOS ANGELES COUNTY

SUPERIOR COURTQ

INTERCARE 14243 ORANGE

77

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7457434 ROSA MARIA

CONCEPCION

COUNTY OF L A CHILD

SUPPORT

INTERCARE 14243 ORANGE

ADJ7477204 CHARLES WRIGHT COUNTY OF LOS ANGELES

ANGELES FIRE PROTECTION

INTERCARE 14243 ORANGE

ADJ7567231 ROSE MACHADO LOS ANGELES SUPERIOR

COURT

INTERCARE 14243 ORANGE

ADJ7774976 JUDITH BERNARD

CROW

COUNTY OF LA CHILD

SUPPORT SERVICES

INTERCARE 14243 ORANGE

ADJ8063897 MILDRED DU COUNTY OF LOS ANGELES

SUPERIOR COURT OFFICERS

INTERCARE 14243 ORANGE

ADJ8321396 SOCORRO VALENZUELA LOS ANGELES SUPERIOR

COURT

INTERCARE 14243 ORANGE

ADJ8455925 VIVIAN REVILLA LOS ANGELES SUPERIOR

COURT

INTERCARE 14243 ORANGE

ADJ8467416 MICHELLE SILVERMAN COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE

ADJ8685063 ADRIANNA WEST COUNTY OF LOS ANGELES

FIRE DEPARTMENT

INTERCARE 14243 ORANGE

ADJ6940258 DORIS DOWNS LA COUNTY INTERNAL SVCS

DPT

INTERCARE 5915 ORANGE

ADJ7374985 JEREMY REYNA LA SUPERIOR COURT INTERCARE 5915 ORANGE

ADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC INTERCARE 5915 ORANGE

ADJ8518637 ROGELIO BELTRAN EL PASO LOS ANGELES

LIMOUSINE EXPRESS

INTERCARE 5915 ORANGE

ADJ8266758 CAROLINA

HERNANDEZ

SUPER CENTER INTERCARE CIGA GLENDALE

ADJ991368 MARIA HERNANDEZ STATE FISH CO INTERCARE CIGA GLENDALE

ADJ3660972 JOSE MACIAS JACK PINHEIRO DAIRY INTERCARE FRESNO

ADJ7179388 NICOMEDES AVITIA JENELL MAHAFFEY INTERCARE FRESNO

ADJ8644952 ROGELIO GONZALEZ MID VALLEY LABOR SERVICE INTERCARE FRESNO

ADJ8895029 MARIA DE JESUS LOPEZ GARZA CONTRACTING INTERCARE FRESNO

ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC INTERCARE IRVINE CLOSED

ADJ463831 ELBA GONZALEZ MAIL MARKETING INTERCARE IRVINE CLOSED

ADJ463831 ELBA GONZALEZ U.S. SALES CORP. INTERCARE IRVINE CLOSED

ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION INTERCARE IRVINE CLOSED

ADJ739708 MARY RAMOS CALIFORNIA PROFESSIONAL

EMPLOYERS

INTERCARE IRVINE CLOSED

ADJ3634862 ERNEST MARLIN COUNTY OF LOS ANGELES INTERCARE PASADENA

ADJ3856863 JUAN CASTILLO RUDY PEREZ INTERCARE PASADENA

ADJ4398498 RICHARD SUTTON CERRITOS FORD INC INTERCARE PASADENA

ADJ4398498 RICHARD SUTTON FORD WEST INTERCARE PASADENA

78

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6687390 GABRIELA OCHOA

RODRIGUEZ

ACCUPRINT SERVICES INC INTERCARE PASADENA

ADJ6687390 GABRIELA OCHOA

RODRIGUEZ

PERSONA 1 HR INTERCARE PASADENA

ADJ6698166 JOHN HARDING SAVVY CONSULTANTS INC INTERCARE PASADENA

ADJ7391298 JOSEPH ALEJO PIRATE STAFFING INTERCARE PASADENA

ADJ7511648 JUAN SULVARAN VALLEY COURIERS INC INTERCARE PASADENA

ADJ7539018 FRANCISCO RAMIREZ ROSE & SHORE RITE WAY INTERCARE PASADENA

ADJ7560234 BENJAMIN GALLEGOS BUNNIN BUICK PONTIAC GMC

CADILLAC

INTERCARE PASADENA

ADJ7727152 MARIA GONZALEZ PREFERRED PERSONNEL INTERCARE PASADENA

ADJ7813309 JOSE GUTIERREZ STAFF SUPPORT DEPOT INC INTERCARE PASADENA

ADJ7877186 MOISES SANCHEZ SIMPLE STAFFING INC INTERCARE PASADENA

ADJ7902589 CAJETAN OZOIGBO VISTA HOSPITAL INTERCARE PASADENA

ADJ7940895 NANCY NORRID FOUR SULLIVAN ENTERPRISES INTERCARE PASADENA

ADJ8002408 FEDERICO RODRIGUEZ FONTANA TRUCKING INTERCARE PASADENA

ADJ8207315 OFELIA NIETO LEON UNLIMITED FRONTIERS INTERCARE PASADENA

ADJ8207318 PRECILIANO ZEPEDA DE LA GARZA TRUCKING INTERCARE PASADENA

ADJ8386508 JOAQUIN GUTIERREZ QUALITY FIRST WOODWORKS INTERCARE PASADENA

ADJ8842330 RAMON CASTREJON

ESCOBAR

NEWPORT WINDOW

MAINTENANCE

INTERCARE PASADENA

ADJ9127037 ERIKA PEREZ DISCOVERY PRACTICE INTERCARE PASADENA

ADJ991368 MARIA HERNANDEZ STATE FISH CO INTERCARE PASADENA

ADJ1745614 FRANCISCA MEDINA CHECK MATE INTERCARE ROSEVILLE

ADJ1745614 FRANCISCA MEDINA PROCLAIMS SERVICES INTERCARE ROSEVILLE

ADJ2049770 MICHAEL STEWART CALIFORNIA COMMUNITY INTERCARE ROSEVILLE

ADJ2049770 MICHAEL STEWART CALIFORNIA COMMUNITY

NEWS

INTERCARE ROSEVILLE

ADJ2332510 KATHRYN WOODLEY BURGER KING INTERCARE ROSEVILLE

ADJ4168210 NEIL ALLEN LABOR CONNECTION INTERCARE ROSEVILLE

ADJ7265393 OLIVIA MURILLO SHR MANAGEMENT INC INTERCARE ROSEVILLE

ADJ7401755 MARCELO GATICA JACK IN THE BOX INTERCARE ROSEVILLE

ADJ7437597 JERRY HENSLEY PANERA BREAD RISEN BREAD

INC

INTERCARE ROSEVILLE

ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN

RESTAURANT

INTERCARE ROSEVILLE

ADJ8746840 GUILIBALDO DUENAS UNITED METAL PRODUCTS

INC

INTERCARE ROSEVILLE

79

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9122599 CARLOS GOVEA

ALCOCER

CREAM OF THE CROP AG

SERVICE

INTERCARE ROSEVILLE

ADJ9212779 TIBURCIO ALVARADO REYES BROS INTERCARE ROSEVILLE

ADJ7500776 JOSE VILLA NAVA JENSEN PRECAST CONCRETE JENSEN PRECAST CONCRETE

ADJ7061724 PATSY LEHMAN CLTY OFFONTANA JT2 INTEGRATED ONTARIO

ADJ8647331 CARLOS GONZALEZ K C QUALITY JEANS INC K C QUALITY JEANS INC

ADJ7580416 LONNIE BRAZDA KAISER FOUNDATION HEALTH

PLAN

KAISER OAKLAND

ADJ8271030 MARQUITTA MCCULLIN KAISER PERMANENTE KAISER OAKLAND

ADJ8653933 YUREIDY CARRIZOZA KAISER PERMANENTE KAISER OAKLAND

ADJ8703790 MIYE MARSHALL KAISER PERMANENTE KAISER OAKLAND

ADJ6703259 BRENDA GORDON KAISER PERMANENTE MEDICAL

GROUP

KAISER PERMANENTE MEDICAL

GROUPADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN & ASSOC

ADJ483352 DEBRA ANDREFF ANAHEIM UNION HIGH

SCHOOL DISTRICT

KEENAN & ASSOCIATES

ADJ8049560 LILIA ZETINA VAL VERDE UNIFIED SCHOOL

DIST

KEENAN ASSOCIATES RANCHO

CORDOVAADJ2285987 BRIAN FAUX CANYON SPRINGS HIGH

SCHOOL

KEENAN ASSOCIATES RIVERSIDE

ADJ6608617 ROSEMARY LOPEZ RIALTO UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES RIVERSIDE

ADJ7066372 MARTHA MAYORGA GLENDALE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES RIVERSIDE

ADJ7072179 JACQUELINE

DUPERRON

PERRIS SCHOOL DISTRICT KEENAN ASSOCIATES RIVERSIDE

ADJ7171668 MAYRA PICAZO CORONA NORCO UNIFIED

SCHOOL DISTRICT

KEENAN ASSOCIATES RIVERSIDE

ADJ7297064 DAVID WOLFE PERRIS SCHOOL DISTRICT KEENAN ASSOCIATES RIVERSIDE

ADJ8162315 JANICE BENFORD VAL VERDE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES RIVERSIDE

ADJ2340846 DONNA SCOTT

ROBERTSON

CYPRESS SCHOOL DISTRICT KEENAN ASSOCIATES TORRANCE

ADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN ASSOCIATES TORRANCE

ADJ273599 NANCY KARPOFF BEVERLY HILLS UNIFIED

SCHOOL DISTRI

KEENAN ASSOCIATES TORRANCE

ADJ3418087 CLANCELL SHARP MT SAN ANTONIO COLLEGE KEENAN ASSOCIATES TORRANCE

80

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3669310 NANCY LUNA GLENDALE COMMUNITY

COLLEGE

KEENAN ASSOCIATES TORRANCE

ADJ3980297 JAKA LOVRIC LONG BEACH CITY COLLEGE KEENAN ASSOCIATES TORRANCE

ADJ483352 DEBRA ANDREFF ANAHEIM UNION HIGH

SCHOOL DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ6435716 LUSINE MANUKYAN CLAIM QUEST INC KEENAN ASSOCIATES TORRANCE

ADJ6435716 LUSINE MANUKYAN SOUTHERN CALIFORNIA

PRESBYTERIAN HOMES

KEENAN ASSOCIATES TORRANCE

ADJ6957398 CATHERINE CICI PRESBYTERIAN

INTERCOMMUNITY HOSPITAL

KEENAN ASSOCIATES TORRANCE

ADJ7198864 ADRIANA CRUZ

SANDOVAL

EL CAMINO

COLLEGEJCOMPTON

COMMUNITY COLLEGE

KEENAN ASSOCIATES TORRANCE

ADJ7204710 TINA NGUYEN COAST COMMUNITY COLLEGE

DISTRICT ORANGE COAST

COLLEGE

KEENAN ASSOCIATES TORRANCE

ADJ7265476 JOSE SANCHEZ IRVINE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ7309301 BRIAN MCMAHON NORTH ORANGE COUNTY

REGIONAL OCCUPATIONAL

PROGRAM

KEENAN ASSOCIATES TORRANCE

ADJ7394827 ROSARIO VILLAFANA DE

YANEZ

CULVER CITY UNIFIED

SCHOOL DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ7412806 LORETTA PADRON HOAG HOSPITAL KEENAN ASSOCIATES TORRANCE

ADJ7513093 CHITA AVALOS BRIGHT MEDICAL ASSOCIATES KEENAN ASSOCIATES TORRANCE

ADJ7533845 MARTHA DIAZ GLENDALE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ8004073 EVELEEN IBRAHIM TORRANCE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ8501284 SHANE CASSIDY NORTH ORANGE COUNTY

ROP

KEENAN ASSOCIATES TORRANCE

ADJ8473212 DAREN HANDY KERN SCHOOLS FEDERAL

CREDIT UNION

KERN SCHOOLS FEDERAL CREDIT

UNIONADJ1922126 JOHN SPRANKLE CITY OF LOS ANGELES L.A. CITY ATTORNEY'S OFFICE

ADJ3438177 RONALD BORST CITY OF LOS ANGELES L.A. CITY ATTORNEY'S OFFICE

ADJ8403167 SALVADOR FLORES LA AMAPOLA INC LA AMAPOLA INC

81

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7503817 BARBARA PRICE LA COUNTY DPSS

HAWTHORNE MEDICAL

REGIONAL

LA COUNTY DPSS HAWTHORNE

MEDICAL REGIONAL

ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT LA COUNTY SHERIFFS DEPT

ADJ8166512 MARYANNE VIRGINIA

THOMPSON

LA UNIFIED SCHOOL DISTRICT LA UNIFIED SCHOOL DISTRICT

ADJ7477035 GEORGE SANDOVAL LACMTA LACMTA

ADJ7499028 WANDA PEGG LACMTA LACMTA

ADJ122192 DANIEL NESBITT LANCE CAMPER LANCASTER LANCE CAMPER LANCASTER

ADJ6622828 ROSA GUTIERREZ LANCE CAMPER MFG CORP LANCE CAMPER LANCASTER

ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC LIBERTY MUTUAL

ADJ1682467 RICHARD COTTO LOU EHLERS CADILLAC LIBERTY MUTUAL

ADJ1682467 RICHARD COTTO STATE COMP. INSRUANCE

FUND

LIBERTY MUTUAL

ADJ1936131 TROY FUCONE PACIFIC WEST LITHO INC LIBERTY MUTUAL

ADJ104874 JIMMY CHAVEZ UNITED PARCEL SERVICE LIBERTY MUTUAL 29073

GLENDALEADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED

SCHOOL DIST

LIBERTY MUTUAL 29073

GLENDALEADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED

SCHOOL DISTRICT

LIBERTY MUTUAL 29073

GLENDALEADJ1218134 ANNIE KEATON USC MEDICAL CENTER LIBERTY MUTUAL 29073

GLENDALEADJ1435429 SHERRILL WALKER

HALLIDAY

LAUSD LIBERTY MUTUAL 29073

GLENDALEADJ1797324 DANIEL DOYLE BRINKS INCORPORATION LIBERTY MUTUAL 29073

GLENDALEADJ1879966 DAVID ANTHONY

CHARLES

LAUSD LIBERTY MUTUAL 29073

GLENDALEADJ1978684 HERNAN NARVAEZ UPS LIBERTY MUTUAL 29073

GLENDALEADJ2083382 SANDRA WOMELY KING DREW MEDICAL CENTER LIBERTY MUTUAL 29073

GLENDALEADJ2388316 ROSA SALAS COUNTY OF LOS

ANGELES/DPSS

LIBERTY MUTUAL 29073

GLENDALEADJ2396233 STEVEN BECKER SCHNEIDER NATIONAL

CARRIERS

LIBERTY MUTUAL 29073

GLENDALEADJ3282003 RITA HAMILTON HIGH DESERT HOSPITAL LIBERTY MUTUAL 29073

GLENDALEADJ3790090 GEORGE GRISOLIA LOS ANGELES UNIFIED

SCHOOL DIST.

LIBERTY MUTUAL 29073

GLENDALE

82

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3925146 NADINE REDMOND LAUSD LIBERTY MUTUAL 29073

GLENDALEADJ4131670 VERNISE DORSEY LOS ANGELES UNIFIED

SCHOOL DISTRICT

LIBERTY MUTUAL 29073

GLENDALEADJ441941 TOM TINH HUA SMC PNEUMATICS INC LIBERTY MUTUAL 29073

GLENDALEADJ4609061 MIRIAM PORTER LAUSD LIBERTY MUTUAL 29073

GLENDALEADJ469162 DORIS COLEMAN LOS ANGELES COUNTY KING LIBERTY MUTUAL 29073

GLENDALEADJ497261 RAYMOND DELAYO ALTA DENA CERTIFIED DAIRY LIBERTY MUTUAL 29073

GLENDALEADJ6443985 GRACIELA CHAVARRIA BORDERS GROUP LIBERTY MUTUAL 29073

GLENDALEADJ6610200 MANUEL RENDEROS SAN GABRIEL TRANSIT INC LIBERTY MUTUAL 29073

GLENDALEADJ6658921 CHARLES MCGEE PRIMARY STEEL LIBERTY MUTUAL 29073

GLENDALEADJ6726111 JOSE DE LA CRUZ CHARLES EVERETT RADNEY LIBERTY MUTUAL 29073

GLENDALEADJ6726111 JOSE DE LA CRUZ JOSEPH CHARLES LANG AS SUB

SHLDR OF MSR

CONSTRUCTION INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ6726111 JOSE DE LA CRUZ MARIA MUNOZ SUB

SHAREHOLDER OF MSR

CONSTRUCTION INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ6726111 JOSE DE LA CRUZ MARK STEVEN RYCZ DBA MSR

CONSTRUCTION CO

LIBERTY MUTUAL 29073

GLENDALEADJ6773365 STANLEY JOHNSON ATLANTIC EXPRESS OF

CALIFORNIA

LIBERTY MUTUAL 29073

GLENDALEADJ6960571 GILBERTO SALAS WEB PAINTING AND

WALLCOVERING INC

LIBERTY MUTUAL 29073

GLENDALEADJ7124781 TOMAS LOPEZ DIAZ STRAHM FARMS INC LIBERTY MUTUAL 29073

GLENDALEADJ7209096 EFREN CAMPA RASCON WEST COAST ARBORIST INC LIBERTY MUTUAL 29073

GLENDALEADJ7215235 MARIO ANTONIO

ANGEL

SKY CHEFS INC LIBERTY MUTUAL 29073

GLENDALEADJ7249543 DALE HUGHESMAN HANSON AGGRAGATES LIBERTY MUTUAL 29073

GLENDALEADJ7322718 VICTOR RAMIREZ UPS FREIGHT LIBERTY MUTUAL 29073

GLENDALE

83

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7331492 PAULA ARTEAGA ALLSTYLE APPAREL AND

ACTIVE WEAR

LIBERTY MUTUAL 29073

GLENDALEADJ7343900 FELIX ADAME CALLAWAY GOLF COMPANY LIBERTY MUTUAL 29073

GLENDALEADJ7479130 SILVERIO JUAREZ GLOBAL BUILDING SERVICES

INC

LIBERTY MUTUAL 29073

GLENDALEADJ7584683 ANTONIO OLIVARES WEST COAST ARBORIST LIBERTY MUTUAL 29073

GLENDALEADJ7590260 RANULFO GARCIA CROWN DISPOSAL CO INC LIBERTY MUTUAL 29073

GLENDALEADJ7728133 LIZET CORONA CUSTOM FOOD PRODUCTS

LLC

LIBERTY MUTUAL 29073

GLENDALEADJ7732284 SUSAN BAKER JCPENNY LIBERTY MUTUAL 29073

GLENDALEADJ7776297 GLORIA ALVAREZ

LERMA

SOUTHERN CALIFORNIA PIZZA

DBA PIZZA HUT

LIBERTY MUTUAL 29073

GLENDALEADJ7872648 MARINA NAVARRO CERADYNE, INC LIBERTY MUTUAL 29073

GLENDALEADJ7895643 LISA ELDER UPS LIBERTY MUTUAL 29073

GLENDALEADJ7926725 VICTOR MORENO SELECT STAFFING LIBERTY MUTUAL 29073

GLENDALEADJ7942505 MARIA FLORES BORDERS GROUP LIBERTY MUTUAL 29073

GLENDALEADJ7949988 SILVAEL VIRGEN SELECT STAFFING LIBERTY MUTUAL 29073

GLENDALEADJ8019009 PEGGY VAN DEN

EECKHOUT

COOP FINANCIAL SERVICES LIBERTY MUTUAL 29073

GLENDALEADJ8050378 JOSE GARCIA J B HUNT TRANSPORT INC LIBERTY MUTUAL 29073

GLENDALEADJ8099214 LUCIA BARRAGAN FRESH AND EASY

NEIGHBORHOOD MARKET

LIBERTY MUTUAL 29073

GLENDALEADJ8405909 FRANCISCO MARTINEZ ALSTYLE APPAREL LIBERTY MUTUAL 29073

GLENDALEADJ8427136 VICTOR TORRES WEST COAST ARBORIST INC LIBERTY MUTUAL 29073

GLENDALEADJ8451232 JUAN CARLOS OCHOA TRI STATE STAFFING LIBERTY MUTUAL 29073

GLENDALEADJ8455958 RYAN ALCALA UPS LIBERTY MUTUAL 29073

GLENDALEADJ8516421 RAFAEL MELCHOR SBARRO PIZZA LIBERTY MUTUAL 29073

GLENDALE

84

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8804340 CHRISTOPHER ROMERO UPS LIBERTY MUTUAL 29073

GLENDALEADJ8854867 FAUSTINO HERNANDEZ

GONZALEZ

SIM FARM LABOR LIBERTY MUTUAL 29073

GLENDALE

ADJ8867088 MAGDALENO CRUZ AVX FILTERS LIBERTY MUTUAL 29073

GLENDALEADJ9204823 JESUS PEDROZA WEST COAST PAINTING LIBERTY MUTUAL 29073

GLENDALEADJ9484538 KAREN VARELA TRANSTAR INDUSTRIES LIBERTY MUTUAL 29073

GLENDALEADJ6531645 BERTHA SALAZAR DAN GAMEL INC LIBERTY MUTUAL BEAVERTON

ADJ6805770 JUAN CARDENAS LIFOAM INDUSTRIES LIBERTY MUTUAL BEAVERTON

ADJ7011391 JESUS AKA SAMUEL

MARTINEZ ARELLANO

PACIFIC MAINTENANCE

SERVICS INC

LIBERTY MUTUAL BEAVERTON

ADJ7135094 SANDRA GAMBOA AEROSOLES LIBERTY MUTUAL BEAVERTON

ADJ7279788 ANGEL LOPEZ MYER S POWER INC LIBERTY MUTUAL BEAVERTON

ADJ7395301 CARLOS MEZA ANAPLEX LIBERTY MUTUAL BEAVERTON

ADJ7458183 ERNESTO MEDINA BAUSMAN AND COMPANY

INC

LIBERTY MUTUAL BEAVERTON

ADJ7474342 JESUS CRUZ NATIONAL BEEF LIBERTY MUTUAL BEAVERTON

ADJ7516382 RAUL ENRIQUEZ DATA SYSTEMS ANALYSIS INC LIBERTY MUTUAL BEAVERTON

ADJ7578827 MARCOS COTA JORDAN MANUFACTURING LIBERTY MUTUAL BEAVERTON

ADJ7579331 ORLANDO CASTRO JK RESIDENTIAL SERVICES LIBERTY MUTUAL BEAVERTON

ADJ7809268 BRANDON JACKSON ASHLEY FURNITURE

INDUSTRIES INC

LIBERTY MUTUAL BEAVERTON

ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO LIBERTY MUTUAL BEAVERTON

ADJ7907962 PATRICIA ORTIZ PLATINUM GROUP OF

COMPANIES

LIBERTY MUTUAL BEAVERTON

ADJ8223518 JOSUE GARCIA PRIORITTY PALLET LIBERTY MUTUAL BEAVERTON

ADJ8331138 LUIS RIVERA GONZALEZ NORMAN S NURSERY LIBERTY MUTUAL BEAVERTON

ADJ8375582 JORGE VARGAS PRIDE TRANSPORT LIBERTY MUTUAL BEAVERTON

ADJ8389014 GILBERT CASTILLO GOLDS GYM LIBERTY MUTUAL BEAVERTON

ADJ8407006 ARTURO SANCHEZ SHIMS BARGAIN INC DBA JC

SALES

LIBERTY MUTUAL BEAVERTON

ADJ8418006 DULCE POOT TAPCO SALES LIBERTY MUTUAL BEAVERTON

ADJ8574154 ALVARO SAMAYOA

CARRERA

ASHLEY FURNITURE

INDUSTRIES

LIBERTY MUTUAL BEAVERTON

ADJ8593960 OLIVER GOMEZ FRESH AND EASY

NEIGHBORHOOD MARKET

LIBERTY MUTUAL BEAVERTON

85

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8617185 GRISELDA HERRERA ASHLEY FURNITURE LIBERTY MUTUAL BEAVERTON

ADJ8752135 AIDA TELLO SWANGEL SUN GROUP OF COMPANIES LIBERTY MUTUAL BEAVERTON

ADJ8754148 HECTOR CARINO ALMANSOR COURT INC LIBERTY MUTUAL BEAVERTON

ADJ1315320 SARA PEDRAZA SOUTH COAST MEDICAL

CENTER

LIBERTY MUTUAL ORANGE

ADJ208633 SHAUN WIDNEY AMPAM LIBERTY MUTUAL ORANGE

ADJ208633 SHAUN WIDNEY AMPAM RCR COMPANIES LIBERTY MUTUAL ORANGE

ADJ208633 SHAUN WIDNEY PLUMBING CONCEPTS INC LIBERTY MUTUAL ORANGE

ADJ2185538 GUSTAVO MARRON SATCO INC LIBERTY MUTUAL ORANGE

ADJ3425104 JINTANA

AKARACHAIWAT

FLYING FOOD GROUP PACIFIC LIBERTY MUTUAL ORANGE

ADJ3722598 MAURICIO MENDIVAR MERCADO LATINO LIBERTY MUTUAL ORANGE

ADJ4277063 JUVENTINO BACA VANGUARD LIBERTY MUTUAL ORANGE

ADJ587621 RAUL MORALES BURRTEC WASTE INDUSTRIES LIBERTY MUTUAL ORANGE

ADJ7129023 MARIA BARAJAS NORLYN BUILDERS NEWPORT

BEACH PLAZA

LIBERTY MUTUAL ORANGE

ADJ7248840 FRANCISCA ARIAS NATURAL PRODUCTS GROUP

LLC

LIBERTY MUTUAL ORANGE

ADJ7274556 REFUGIO NAVARRO MODULAR STRUCTURES

INTERNATIONAL INC

LIBERTY MUTUAL ORANGE

ADJ7761976 JULIAN OJEDA HILTON GARDEN INN LIBERTY MUTUAL ORANGE

ADJ8609163 MARIA MARQUEZ PRINTEGRA LIBERTY MUTUAL ORANGE

ADJ8947865 LILIANA GARCIA DOUBLE TREE BY HILTON LIBERTY MUTUAL ORANGE

ADJ9403088 LUIS MORATAYA A C LANDSCAPE LIBERTY MUTUAL ORANGE

ADJ7801560 RUTILO ZAMORANO SAROYAN LUMBER COMPANY

INC

LIBERTY MUTUAL PLEASANTON

ADJ7905996 ISAIAS ESTRADA RIVERSIDE LAMINATION LIBERTY MUTUAL PLEASANTON

ADJ8895905 EDUARDO FLORES

GARCIA

NEW FRENCH BAKERY LIBERTY MUTUAL PLEASANTON

ADJ2530241 JAMES TRUSTY THE HOME DEPOT LIBERTY MUTUAL ROCKLIN

ADJ2530241 JAMES TRUSTY UEBTF LOS ANGELES LIBERTY MUTUAL ROCKLIN

ADJ2567099 JOSE DE JESUS ZEPEDA INLAND TIMBER LIBERTY MUTUAL ROCKLIN

ADJ279206 HERMINIO FLORES INTERMODAL MAINTENANCE

SERVICES

LIBERTY MUTUAL ROCKLIN

ADJ3553127 REYNA VILLA GATE GOURMET INC LIBERTY MUTUAL ROCKLIN

ADJ4023489 SANDRA OLMOS PMI LIBERTY MUTUAL ROCKLIN

ADJ4206842 MANUELA REYNA NOVA CAP LIBERTY MUTUAL ROCKLIN

ADJ6490751 CRUZ PALMA CORE MARK INTERNATIONAL LIBERTY MUTUAL ROCKLIN

86

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6693667 YOSEL MEDRANO RADIO SHACK CORPORATION LIBERTY MUTUAL ROCKLIN

ADJ6993507 FERNANDO CORTES MARRIOTT CORPORATION LIBERTY MUTUAL ROCKLIN

ADJ7130853 CANDACE BAILEY JP MORGAN CHASE LIBERTY MUTUAL ROCKLIN

ADJ7148839 JOSE JIMENEZ OLIVE GARDEN LIBERTY MUTUAL ROCKLIN

ADJ7402871 CONRADO MARTINEZ TCI CENTER INC LIBERTY MUTUAL ROCKLIN

ADJ7405452 GILBERT MONTOYA 180 CONNECT INC DIRECTV LIBERTY MUTUAL ROCKLIN

ADJ7798120 FERNANDO CAMARENA ADP TOTALSOURCE LII INC

DAZIAN RENTAL WEST

LIBERTY MUTUAL ROCKLIN

ADJ7818696 TINA LA BOSSIERE HOME DEPOT LIBERTY MUTUAL ROCKLIN

ADJ7825303 BERTHA HERNANDEZ NEW BREED LOGISTICS LIBERTY MUTUAL ROCKLIN

ADJ7831956 DEBORAH GREEN JP MORGAN CHASE BANK LIBERTY MUTUAL ROCKLIN

ADJ7854058 RUBEN SALDANA DIRECT TV LIBERTY MUTUAL ROCKLIN

ADJ7930941 MARY OLID JANI KING OF LOS ANGELES LIBERTY MUTUAL ROCKLIN

ADJ8075719 ESAU VAZQUEZ

HUERTA

COTO DE GOLF RACQUET

CLUB

LIBERTY MUTUAL ROCKLIN

ADJ8162332 SILVIA ROSALES RED LOBSTER LIBERTY MUTUAL ROCKLIN

ADJ8193894 ROSALINDA ACOSTA KREBS ENTERPRISES INC LIBERTY MUTUAL ROCKLIN

ADJ8208317 JORGE ARAGON AMERICAN PAPER AND

PLASTIC INC

LIBERTY MUTUAL ROCKLIN

ADJ8270169 RICHARD GOMEZ CHILIS GRILL AND BAR LIBERTY MUTUAL ROCKLIN

ADJ8331070 MARLANA NEWBREY US XPRESS ENTERPRISES INC LIBERTY MUTUAL ROCKLIN

ADJ8370868 JOSE DIAZ GREENBERRY TANK AND IRON LIBERTY MUTUAL ROCKLIN

ADJ8415452 MICHAEL DUARTE RESTAURANT DEPOT LIBERTY MUTUAL ROCKLIN

ADJ8624434 ROSELIA GOMEZ MOZZARELLA FRESCA LIBERTY MUTUAL ROCKLIN

ADJ9174802 ENRIQUE VAZQUEZ IKEA DISTRIBUTION SERVICES LIBERTY MUTUAL ROCKLIN

ADJ9254617 KELLY BONILLA RADIO SHACK LIBERTY MUTUAL ROCKLIN

ADJ7310937 JENNIFER HERRERA

BIRKENBEUEL

LOMA LINDA UNIVERSITY

MEDICAL CENTER

LOMA LINDA UNIVERSITY LOMA

LINDAADJ7310937 JENNIFER HERRERA

BIRKENBEUEL

LOMA LINDA UNIVERSITY

MEDICAL CENTER

LOMA LINDA UNIVERSITY

MEDICAL CENTERADJ6883592 PAMELA BROWN LONG BEACH UNIFIED

SCHOOL DISTRICT

LONG BEACH UNIFIED SCHOOL

DISTRICTADJ8202355 RAQUEL SANCHEZ LORTONS FRESH SQUEEZED

JUICES

LORTONS FRESH SQUEEZED

JUICESADJ8690819 SILVIA BECERRA LOS ANGELES COUNTY DPSS LOS ANGELES COUNTY DPSS

ADJ8690819 SILVIA BECERRA STATE OF CALIFORNIA IN

HOME SUPPORTIVE SERVICES

LOS ANGELES COUNTY DPSS

87

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1485800 ROSA NUNEZ LOS ANGELES COUNTY/M.L.K.

HOSPITAL

LOS ANGELES COUNTY/KING

DREW MED CTADJ1388972 DEBRA BEAVERS LACMTA LOS ANGELES METROPOLITAN

AUTHORITYADJ222353 JACQUELINE AMAH LACMTA LOS ANGELES METROPOLITAN

AUTHORITYADJ6996238 DAPHNE FEIMSTER LOS ANGELES COUNTY MTA LOS ANGELES METROPOLITAN

AUTHORITYADJ7477035 GEORGE SANDOVAL LACMTA LOS ANGELES METROPOLITAN

AUTHORITYADJ7499028 WANDA PEGG LACMTA LOS ANGELES METROPOLITAN

AUTHORITYADJ7572224 JACQUELINE TRAPP MTA LOS ANGELES METROPOLITAN

AUTHORITYADJ7847637 ANNIE HUNTER MTA LOS ANGELES METROPOLITAN

AUTHORITYADJ8689418 LONNIE STAFFORD MTA LOS ANGELES METROPOLITAN

AUTHORITYADJ8799431 MARTHA SAMPANG LOS ANGELES METROPOLITAN

TRANSIT AUTHORITY

LOS ANGELES METROPOLITAN

AUTHORITY

ADJ937838 JACQUELINE AMAH LACMTA LOS ANGELES METROPOLITAN

AUTHORITYADJ8799431 MARTHA SAMPANG LOS ANGELES METROPOLITAN

TRANSIT AUTHORITY

LOS ANGELES METROPOLITAN

TRANSIT AUTHORITY

ADJ6641906 KATIUSKA CASTANEDA LOS ANGELES UNIFIED

SCHOOL DISTRICT

LOS ANGELES UNIFIED SCHOOL

DISTRICTADJ7366412 SHERRILL WALKER

HALLIDAY

LOS ANGELES UNIFIED

SCHOOL DISTRICT

LOS ANGELES UNIFIED SCHOOL

DISTRICTADJ7452188 EUGENE FAIR LOS ANGELES UNIFIED

SCHOOL DISTRICT

LOS ANGELES UNIFIED SCHOOL

DISTRICTADJ8152220 ANDRES LOPEZ INTERFACE LUMBERMENS MUTUAL

CASUALTYADJ8327797 JOHNNY BUSTOS DIAMOND STAFFING LUMBERMENS MUTUAL

CASUALTYADJ2310447 BORIS GUTIERREZ M.C. GILL CORPORATION LUMBERMEN'S UNDERWRITING

ALLIANCEADJ6916764 MIGUEL ZARAGOZA OAKMONT EL RIVINO LLC LUMBERMENS UNDERWRITING

BOCA RATONADJ7218207 DOMINGO MEJIA TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATON

88

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7265287 CRISTINA QUINTANILLA STAFF CHEX LUMBERMENS UNDERWRITING

BOCA RATONADJ7265287 CRISTINA QUINTANILLA STAFFCHEX TRI STATE

STAFFING

LUMBERMENS UNDERWRITING

BOCA RATONADJ7505328 BRITTANIE JENSEN PREMIER MEDICAL

TRANSPORTATION

LUMBERMENS UNDERWRITING

BOCA RATONADJ7522199 ALFONSO AREVALO UNITED PERSONNEL

SOLUTIONS

LUMBERMENS UNDERWRITING

BOCA RATONADJ7523890 TODD STIER MAGNOLIA SPECIAL CARE

CENTER

LUMBERMENS UNDERWRITING

BOCA RATONADJ7599957 JOSE DE LA TORRE TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ7648215 EDILVERTO ADRIAN DE

PAZ

AMERICAN WORK FORCE LUMBERMENS UNDERWRITING

BOCA RATONADJ7678864 MIGUEL FRIAS MR CLEAN LUMBERMENS UNDERWRITING

BOCA RATONADJ7744200 RYAN BOBLETER TRI DIAMOND STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ7829727 JANET ARIAS STAFFCHEX INC LUMBERMENS UNDERWRITING

BOCA RATONADJ7906266 MANUEL DE JESUS

TURCIOS

DIAMOND STAFFING INC LUMBERMENS UNDERWRITING

BOCA RATONADJ7959440 ERICKA ROMERO TRISTATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ7969749 MARIO AZHOCAR MAINSTAY BUSINESS

SOLUTIONS

LUMBERMENS UNDERWRITING

BOCA RATONADJ7969749 MARIO AZHOCAR TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ8013445 ARISTEO HERMOSILLO MR CLEAN MAIINTENANCE

SYSTEMS

LUMBERMENS UNDERWRITING

BOCA RATONADJ8017131 HEIDI BOLANOS NOVA STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ8031501 FRANCISCO MONTUFAR SPECIALTY INTERNATIONAL LUMBERMENS UNDERWRITING

BOCA RATONADJ8064724 MAURO DEL VALLE IS STAFFING INC LUMBERMENS UNDERWRITING

BOCA RATONADJ8092937 WILLIAM BARNWELL FAST UNDERCAR LUMBERMENS UNDERWRITING

BOCA RATONADJ8164871 SOCORRO LOPEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ8214820 MARTHA VERONICA

SOTELO

TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATON

89

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8247077 BLANCA AGUILAR VANITAS MANUFACTURERS

INC

LUMBERMENS UNDERWRITING

BOCA RATONADJ8338529 RAUL JOSE VASQUEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ8386253 ERNESTO ALVAREZ TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ8413729 RENE ROSALES JIMENEZ TS STAFFING CORPORATION

DBA TRI STATE

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8511826 JESSIE GOMEZ TRISTATE STAFFING DBA

DIAMOND STAFFING SERVICES

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8608576 DAVID YOUNGER TRI STATE STAFFING INC LUMBERMENS UNDERWRITING

BOCA RATONADJ8615415 MIGUEL TORRES DIAMOND CONTRACT

SERVICES INC

LUMBERMENS UNDERWRITING

BOCA RATONADJ8704723 PRESILIANA HUANTE ACCOUNTABILITY LUMBERMENS UNDERWRITING

BOCA RATONADJ8859160 FELIPE HERNANDEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING

BOCA RATONADJ9166552 RAUL ARREDONDO COMMERCIAL COOLING LUMBERMENS UNDERWRITING

BOCA RATONADJ9166552 RAUL ARREDONDO TEAM QUEST STAFFING

SERVICES

LUMBERMENS UNDERWRITING

BOCA RATONADJ9480924 JORGE REYES ACCOUNT ABILITIES LUMBERMENS UNDERWRITING

BOCA RATONADJ8013348 DANIEL LUCERO PRECISION RELOCATION LWP CLAIMS GLENDALE

ADJ8319536 PATRICIA DE LA CRUZ ROMAN CATHOLIC BISHOP OF

SB

LWP CLAIMS GLENDALE

ADJ8433979 AGUSTIN RAMIREZ HARRIS GLASS COMPANY LWP CLAIMS GLENDALE

ADJ8822627 GONZALO BERNACHE COAST CITRUS DISTRIBUTORS LWP CLAIMS GLENDALE

ADJ8827724 MARIA PERALTA MCDONALS RESTAURANT LWP CLAIMS GLENDALE

ADJ6882300 CARLOS HUERTA MCDPETERSONHERB GA

ENTERPRISES

LWP CLAIMS SACRAMENTO

ADJ7322421 ESTEBAN VALDOVINOS AUTO PARTS PRO LWP CLAIMS SACRAMENTO

ADJ8260775 OSCAR REYES CHINO VALLEY RANCHERS LWP CLAIMS SACRAMENTO

ADJ8433979 AGUSTIN RAMIREZ HARRIS GLASS COMPANY LWP CLAIMS SACRAMENTO

ADJ8562736 JOSE FRAUSTO NORTHSTAR MOVING

CORPORATION

LWP CLAIMS SACRAMENTO

ADJ8949552 TATIANA BUILES PREMIERE PROPS INC LWP CLAIMS SACRAMENTO

90

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2313702 RODNEY MARX MEEKS BUILDING CENTER LWP CLAIMS SOLUTIONS

ADJ7507382 SALVADOR OCHOA PICK A PART AUTO DIMANTLE

INC

LWP CLAIMS SOLUTIONS

ADJ8091194 FRANCISCO

VILLANUEVA

PACIFIC DAY CASTING CORP LWP CLAIMS SOLUTIONS

ADJ4530447 HELEN ANN

LANCASTER

MACY'S MACYS

ADJ7203639 BELIA DE FELICE MACYS MACYS

ADJ7636824 CARLTON CLAY MACYS MACYS

ADJ4530447 HELEN ANN

LANCASTER

MACY'S MACYS REDONDO BEACH

ADJ6816521 MADELINE WRIGHT MACYS MACYS REDONDO BEACH

ADJ7127761 MARIA CASILLAS MACYS INC MACYS REDONDO BEACH

ADJ7203639 BELIA DE FELICE MACYS MACYS REDONDO BEACH

ADJ7636824 CARLTON CLAY MACYS MACYS REDONDO BEACH

ADJ7827727 MIRALBA CASTRO

ROSAS

MACYS REDONDO BEACH MACYS REDONDO BEACH

ADJ7847817 ANAHID

CHEKERDEMIAN

MACYS WEST MACYS REDONDO BEACH

ADJ8351516 JOSE ROMERO MACYS MACYS REDONDO BEACH

ADJ8873014 KALENE PARKER MACY'S WEST STORES MACYS REDONDO BEACH

ADJ8873014 KALENE PARKER MACY'S WEST STORES MACY'S WEST STORES

ADJ7773154 MARICELA OSUNA MAINSTAY BUSINESS

SOLUTIONS

MAINSTAY BUSINESS SOLUTIONS

ADJ7741676 MARIA FLORES MARIA ROCIO ASCENCION MARIA ROCIO ASCENCION

ADJ7741676 MARIA FLORES MARIA ROCIO SENCION AN

IND DBA HAMNER MANOR

MARIA ROCIO ASCENCION

ADJ7741676 MARIA FLORES UEBTF LOS ANGELES MARIA ROCIO ASCENCION

ADJ7329945 IRMA ARZU MARINA DEL REY HOSPITAL MARINA DEL REY HOSPITAL

ADJ6726111 JOSE DE LA CRUZ CHARLES EVERETT RADNEY MARK STEVEN RYCZ DBA MSR

CONSTRUCTION COADJ6726111 JOSE DE LA CRUZ JOSEPH CHARLES LANG AS SUB

SHLDR OF MSR

CONSTRUCTION INC

MARK STEVEN RYCZ DBA MSR

CONSTRUCTION CO

ADJ6726111 JOSE DE LA CRUZ MARIA MUNOZ SUB

SHAREHOLDER OF MSR

CONSTRUCTION INC

MARK STEVEN RYCZ DBA MSR

CONSTRUCTION CO

ADJ6726111 JOSE DE LA CRUZ MARK STEVEN RYCZ DBA MSR

CONSTRUCTION CO

MARK STEVEN RYCZ DBA MSR

CONSTRUCTION COADJ493060 HECTOR TRETO TODAYS WAY

INCORPORATED

MARKEL SERVICES OMAHA

ADJ6634000 JOSE ALAMILLA MILE SQUARE GOLF COURSE MARKEL SERVICES OMAHA

91

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6680899 MARIA TORRES KING LEO CONFECTIONS MARKEL SERVICES OMAHA

ADJ6932850 JULIO ABREGO NORTH HOLLYWOOD

FRAMING INC

MARKEL SERVICES OMAHA

ADJ6998509 OSBALDO ORTIZ CAR BODY REPAIR MARKEL SERVICES OMAHA

ADJ7027950 CRISANTO CENOVIO SANSAI JAPANESE GRILL MARKEL SERVICES OMAHA

ADJ7074177 GLEN SUTHERLAND CRACK PATCHER INC MARKEL SERVICES OMAHA

ADJ7170364 FERNANDO

RODRIGUEZ

NUMARK TKANSPORTATION MARKEL SERVICES OMAHA

ADJ7190303 INEZ ARREDONDO LINDSEY AND HALL INC MARKEL SERVICES OMAHA

ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC MARKEL SERVICES OMAHA

ADJ7198209 MIGUEL ALVAREZ ATLAS HEATING AND AIR MARKEL SERVICES OMAHA

ADJ7216272 ANDREW GRAD WEST LA MUSIC INC MARKEL SERVICES OMAHA

ADJ7241420 GONZALO HUERTA BREAD BASKET CAKE

COMPANY

MARKEL SERVICES OMAHA

ADJ7252560 CARMEN MERLAN HAMPTON INN MARKEL SERVICES OMAHA

ADJ7254883 FULGENCIO CASTRO LANDMARK CUSTOM

LANDSCAPE

MARKEL SERVICES OMAHA

ADJ7274892 BLAS VALENZUELA ARCH HARDWARE INC MARKEL SERVICES OMAHA

ADJ7318636 DANNY BANKS CPR CARPET AND UPHOLSTRY

CARE

MARKEL SERVICES OMAHA

ADJ7337866 KARMEN LINDERMEN TOP HAT MARKEL SERVICES OMAHA

ADJ7360754 MARIA RAMOS CAN PRODUCTION LLC MARKEL SERVICES OMAHA

ADJ7397380 GABRIELA GARCIA PARTY MAKERS INC MARKEL SERVICES OMAHA

ADJ7397693 DAVID HERNANDEZ EXPRESS ENERGY SERVICES MARKEL SERVICES OMAHA

ADJ7465599 EVARISTO CARRASCO RINEHART ELECTRIC MARKEL SERVICES OMAHA

ADJ7472101 EMIGDIO GONZALES PACIFIC MECHANICAL

CONTRACTORS

MARKEL SERVICES OMAHA

ADJ7502826 MARIA MAGDALENA

HERNANDEZ

ANAHEIM CROWN PLAZA MARKEL SERVICES OMAHA

ADJ7646436 KAREN ALVAREZ WIENERSCHNITZEL MARKEL SERVICES OMAHA

ADJ7740056 ROBERT FLORES SULLIVAN PROPERTIES INC MARKEL SERVICES OMAHA

ADJ7776704 FERNANDO MONROY RELIABLE SHEET METAL

WORKS

MARKEL SERVICES OMAHA

ADJ7777454 ARMANDO CRUZ AIRDYNE MECHANICAL MARKEL SERVICES OMAHA

ADJ7805644 MARITSA ESPINOZA DENNIS FOLAND INC MARKEL SERVICES OMAHA

ADJ7839847 MARIA ANGEL SALCEDO PARK VENTURA RETIREMENT

HOTEL

MARKEL SERVICES OMAHA

ADJ8009675 MIGUEL ZAVALA RECISION AND COMMERCIAL

TOOL

MARKEL SERVICES OMAHA

ADJ8058225 JUAN GUTIERREZ WEST END PLUMBING MARKEL SERVICES OMAHA

ADJ8184292 DANIEL PADILLA HAPPY HARBOR RESTAURANT MARKEL SERVICES OMAHA

92

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8274926 ELIZABETH TAYLOR MOBILITY PLUS EQUIPMENT

SUPPLIES

MARKEL SERVICES OMAHA

ADJ8519963 RENETTA SMITH PEAK PERFORMANCE

TANSPORTATION

MARKEL SERVICES OMAHA

ADJ8568036 AURELIO GONZALEZ KB CAR WASH MARKEL SERVICES OMAHA

ADJ8583810 JOSE GUZMAN SMITH INDUSTRIAL TIRES MARKEL SERVICES OMAHA

ADJ6993507 FERNANDO CORTES MARRIOTT CORPORATION MARRIOTT HOT SPRINGS

ADJ6996046 LEOPOLDO VELASQUEZ MAIUUOTT MARRIOTT HOT SPRINGS

ADJ7427404 GLORIA GARCIA MARRIOTT INTERNATIONAL

INC

MARRIOTT HOT SPRINGS

ADJ7983386 ROSA SERNA MARRIOTT HOT SPRINGS MARRIOTT HOT SPRINGS

ADJ8007940 MARIBEL ARCEGA MARRIOTT MARRIOTT HOT SPRINGS

ADJ8130062 GERTRUDIS MENA LXR LUXUARY RESORTS MARRIOTT HOT SPRINGS

ADJ8130062 GERTRUDIS MENA WHM LLC MARRIOTT HOT SPRINGS

ADJ8288938 GUADALUPE PEREZ MARRIOTT MARRIOTT HOT SPRINGS

ADJ8387809 ANGELA VILLANUEVA RESIDENCE INN OF MARRIOTT MARRIOTT HOT SPRINGS

ADJ8857178 RAUL GONZALEZ MARRIOT HOTEL MARRIOTT HOT SPRINGS

ADJ1680748 RAMON GONZALEZ SUPERIOR SUPER WAREHOUSE MATRIX LAS VEGAS

ADJ7914632 RUBEN GOMEZ EL SUPER MATRIX LAS VEGAS

ADJ8033345 JOSE GONZALEZ EL SUPER MATRIX LAS VEGAS

ADJ8588490 GLORIA HERNANDEZ DIAMOND CONTRACT

SERVICES INC

MATRIX LAS VEGAS

ADJ8045892 ROSARIO GASTELUM EL SUPER MATRIX RANCHO CUCAMONGA

ADJ9310075 ESPERANZA

MARROQUIN

PACIFIC ALLIANCE MEDICAL

CENTER

MATRIX RANCHO CUCAMONGA

ADJ2164554 MARTA GOMEZ MICROSEMI MATRIX ROCKLIN

ADJ6860471 SHIRLEY VILLARREAL SOUTH BAY FAMILY MEDICAL

GROUP

MATRIX ROCKLIN

ADJ7155054 SANTOS ESPARZA VINTAGE PLASTERING INC MATRIX ROCKLIN

ADJ8740666 MARIA PALACIOS DIAMOND CONTRACT

SERVICES

MATRIX ROCKLIN

ADJ8754448 JOSE ZAMORA SUPER CENTER CONCEPTS INC MATRIX ROCKLIN

ADJ8921819 ALFONSO FLORES SPECIALTY RESTAURANTS MATRIX ROCKLIN

ADJ9204823 JESUS PEDROZA WEST COAST PAINTING MATRIX ROCKLIN

ADJ525050 HENRY CAMARENA CALIFORNIA WATER SVCS MATRIX SAN JOSE

ADJ7790885 VICTORIA MARTINEZ MAXI FOODS LLC MAXI FOODS LLC

ADJ6989064 OSCAR LARA MAXUM PETROLIUM INC MAXUM PETROLIUM INC

93

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7193345 TOMAS AVILA S P CARPET PROS INC MEADOWBROOK INSURANCE

LAS VEGASADJ7279929 EUSTORGIO NUNEZ TROPICAL PLAZA NURSERY MEADOWBROOK INSURANCE

LAS VEGASADJ7548288 MARIBEL BARAJAS INDEX FRESH INC MEADOWBROOK INSURANCE

LAS VEGASADJ7645724 ALEJANDRA CLEMENTE MEMOS FARM LABOR MEADOWBROOK INSURANCE

LAS VEGASADJ7647708 MARIA LOPEZ GONZALEZ FARM LABOR

CONTRACTING

MEADOWBROOK INSURANCE

LAS VEGASADJ7674761 ROBERT ANDERSON MILLER SUPPLY INC MEADOWBROOK INSURANCE

LAS VEGASADJ7686519 JUAN MARTINEZ INTERNATIONAL TREND 3

CORP

MEADOWBROOK INSURANCE

LAS VEGASADJ8018376 HILARIO LOPEZ MA LABOR CONTRACTING

INC

MEADOWBROOK INSURANCE

LAS VEGASADJ8047152 MARIO URUCHURTU CHIPOTLE MEXICAN GR1LL MEADOWBROOK INSURANCE

LAS VEGASADJ8047152 MARIO URUCHURTU THE HABIT BURGER GRILL MEADOWBROOK INSURANCE

LAS VEGASADJ8047152 MARIO URUCHURTU Z SPERE INC MEADOWBROOK INSURANCE

LAS VEGASADJ8056229 MARIA TAMAYO HMN INC MEADOWBROOK INSURANCE

LAS VEGASADJ8090967 MIRIAM MONTAY LOS ANGELES EARLY

INTERVENTION CENTER

MEADOWBROOK INSURANCE

LAS VEGASADJ8124897 MARIA SOSA HUERTA FARMS MEADOWBROOK INSURANCE

LAS VEGASADJ8163003 GORGONIO DUARTE JJ VALENCIA HARVESTING MEADOWBROOK INSURANCE

LAS VEGASADJ8241861 GLORIA LOPEZ NUNEZ AG INC MEADOWBROOK INSURANCE

LAS VEGASADJ8265733 CONSTANTINO LOPEZ WATSON AG CHEMICALS MEADOWBROOK INSURANCE

LAS VEGASADJ8499515 GABRIEL VILLEGAS CENTRESCAPES MEADOWBROOK INSURANCE

LAS VEGASADJ8504574 SONIA LOPEZ CLASSIC CONTAINERS MEADOWBROOK INSURANCE

LAS VEGASADJ8702264 ENRIQUE MANJARREZ ROSELL CONTRACTING MEADOWBROOK INSURANCE

LAS VEGASADJ8797437 ALEJANDRA

CASTELLANOS

VELORIA DL CONTRACTING MEADOWBROOK INSURANCE

LAS VEGAS

94

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI

FASHION INC

MEADOWBROOK INSURANCE

LAS VEGASADJ8855449 PABLO GARCIA BAR 20 DAIRY FARMS MEADOWBROOK INSURANCE

LAS VEGASADJ8945298 OFELIA VILLASENOR EY JHENT DBA SUPER BARGAIN MEADOWBROOK INSURANCE

LAS VEGASADJ8989388 LUCIA MONTANO N GONZALEZ FARM LABOR

SERVICES

MEADOWBROOK INSURANCE

LAS VEGASADJ8794684 CARLOS ESPINAL MERCHANTS BUILDING

MAINTENANCE

MERCHANTS BUILDING

MAINTENANCEADJ6816775 GEORGE HERNANDEZ

GARCIA

GOLDEN STATE HEALTH

CENTERS

METRO RISK LONG BEACH

ADJ7155054 SANTOS ESPARZA VINTAGE PLASTERING INC METRO RISK LONG BEACH

ADJ7406255 MARIA RAMIREZ 098 NORWALK SKILLED NRS

WELLNESS CENTER

METRO RISK LONG BEACH

ADJ7407148 MARIA RAMIREZ 098 NORWALK SKILLED NRS

WELLNESS CENTER

METRO RISK LONG BEACH

ADJ7773154 MARICELA OSUNA MAINSTAY BUSINESS

SOLUTIONS

METRO RISK LONG BEACH

ADJ7839926 JENNIFER WILSON ASSISTED HEALTH CARE METRO RISK LONG BEACH

ADJ7969749 MARIO AZHOCAR MAINSTAY BUSINESS

SOLUTIONS

METRO RISK LONG BEACH

ADJ7969749 MARIO AZHOCAR TRI STATE STAFFING METRO RISK LONG BEACH

ADJ8492851 NATALIE LEVY ASSISTED HOME CARE METRO RISK LONG BEACH

ADJ7406255 MARIA RAMIREZ 098 NORWALK SKILLED NRS

WELLNESS CENTER

METRO RISK LONG BEACH

ADJ7407148 MARIA RAMIREZ 098 NORWALK SKILLED NRS

WELLNESS CENTER

METRO RISK LONG BEACH

ADJ7724139 JUAN ALVAREZ

(INVALID)

PRIORITY PERSONNEL METRO RISK MANAGEMENT

ADJ7800446 MARIA ALVAREZ CAMBRIAN HOMECARE METRO RISK MANAGEMENT

ADJ7902589 CAJETAN OZOIGBO VISTA HOSPITAL METRO RISK MANAGEMENT

ADJ9184214 MARGARITA GIL THRIFTY PETROLEUM INC MID CENTURY INSURANCE

ORANGEADJ7652294 GRISELDA ORNELAS COTTI FOODS MID CENTURY INSURANCE

PLEASANTONADJ7652294 GRISELDA ORNELAS TACO BELL MID CENTURY INSURANCE

PLEASANTONADJ9060923 BENITO SANTIAGO MIS STAFFING SERVICES INC. MIS STAFFING SERVICES INC.

ADJ6809067 SHAHID MANSOOR 7 11 STORES HOSAENG AND

HELEN KANG OWNERS

MITSUI SUMITOMO CINCINNATI

95

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6875500 ISABEL LANDUCCI 7 ELEVEN FRANCHISE MITSUI SUMITOMO CINCINNATI

ADJ4221357 JACOBO JIMENEZ SATSUMA LANDSCAPE &

MAINTENANCE

MITSUI SUMITOMO UNIVERSAL

CITYADJ6818414 BENJAMIN MORALES WESTERN TUBE & CONDUIT

CORP

MITSUI SUMITOMO UNIVERSAL

CITYADJ7619983 MARIA HERNANDEZ IDS USA WEST INC MITSUI SUMITOMO UNIVERSAL

CITYADJ7699311 GUADALUPE CARRILLO IDS USA WEST

INCORPORATION

MITSUI SUMITOMO UNIVERSAL

CITYADJ7705393 VICTORIA SOLORZANO

CASTRO

HIROSE ELECTRIC INC MITSUI SUMITOMO UNIVERSAL

CITYADJ7714819 VICTOR VAZQUEZ CARROWS MITSUI SUMITOMO UNIVERSAL

CITYADJ8233220 GILBERTO GOMEZ DSS DOUGLAS STEEL SUPPLY MITSUI SUMITOMO UNIVERSAL

CITYADJ8337251 CUAUHUTEMOC

VALDIVIA

CANNON SAFE IN MITSUI SUMITOMO UNIVERSAL

CITYADJ8560411 EDUARDO UMANA 7 ELEVEN MITSUI SUMITOMO UNIVERSAL

CITYADJ8979349 BRIAN BARNETT CARROWS RESTAURANT MITSUI SUMITOMO UNIVERSAL

CITYADJ9405322 ELIDA GALLEGOS MIYAKO HIBRID HOTEL MITSUI SUMITOMO UNIVERSAL

CITYADJ9405322 ELIDA GALLEGOS RECANA SOLUTIONS MITSUI SUMITOMO UNIVERSAL

CITYADJ7470365 MIRNA MENDICUTI MOTEL 6 MOTEL 6

ADJ8689418 LONNIE STAFFORD MTA MTA

ADJ3645002 EMILIANO BANDERAS PARAMOUNT'S GREAT

AMERICA

MURPHY BEANE CULVER CITY

ADJ8083836 ESTHER LEON BURGER KING MURPHY BEANE CULVER CITY

ADJ8670595 PATRICIO PEREZ FRONT PORCH MURPHY BEANE CULVER CITY

ADJ6796094 JAMES BRANCH GIESE TRUCKING INC NATIONAL INTERSTATE

RICHFIELDADJ7483621 ROSIE NAVARRO UNITED OIL CO NATIONAL INTERSTATE

RICHFIELDADJ8455836 JOEL URIBE CASTON INC NATIONAL LIA AND FIRE SAN

FRANCISCOADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC NATIONAL UNION FIRE

INSURANCE PITTSBURGADJ8416282 THOMAS RILEY RJ J CONSTRUCTION INC NATIONAL UNION FIRE

INSURANCE PITTSBURG

96

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8063851 HASSAAN SALAAM TRADESMAN INTERNATIONAL NEW HAMPSHIRE INSURANCE

COMPANYADJ8616787 MIGUEL TAPIA NFM RECYCLING NFM RECYCLING

ADJ8649770 OLGA CANNADY NORDSTROMS NORDSTROM SANTA ANA

ADJ7757351 ORLANDO MORENO WORKFORCE OUTSOURCING NOVAPRO RISK LAKE FOREST

ADJ8602061 JOSE BERNAL OAKRIDGE LANDSCAPE OAKRIDGE LANDSCAPE

ADJ7829411 FRANCISCO

MOROYOQUI

OAKVIEW CONSTRUCTION

INC

OAKVIEW CONSTRUCTION INC

ADJ7274615 RICHARD REGAMBAL OCTA OCTA

ADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

OLD REPUBLIC BROOKFIELD

ADJ9137515 THELMA WILLIAMS VEOLIA TRANSPORTATION

SERVICES

OLD REPUBLIC BROOKFIELD

ADJ151490 HARVEY EDER MILMAN LOCKSMITH

COMPANY

ONE BEACON ANAHEIM

ADJ151490 HARVEY EDER UEBTF LOS ANGELES ONE BEACON ANAHEIM

ADJ7671125 DOLORES CARABALLO IAG OIL ONCORPORATE ONE BEACON ANAHEIM

ADJ7478168 MICHAEL MONAHAN NORTH VALLEY EMERGENCY

VETERINARY CLINIC

ONE BEACON CANTON

ADJ7478168 MICHAEL MONAHAN NORTH VALLEY EMERGENCY

VETERINARY CLINIC

ONE BEACON ENGLEWOOD

ADJ7796445 LUIS MACIAS ORCO BLENDING ORCO BLENDING

ADJ1865622 DORA MEZA FACILITIES SUPPORT ORISKA INSURANCE

ADJ1865622 DORA MEZA THE POWER PEO ORISKA INSURANCE

ADJ2152092 OFELIA LUCATERO AMERICAN INTERNATIONAL

INDUSTRIES

PACIFIC COMP CLAIM THOU

OAKSADJ2900586 FIDELINA CATALAN DUNKLEMAN INC PACIFIC COMP CLAIM THOU

OAKSADJ347863 BERNARD GARI TOYOTA OF GARDEN

GROVE/NOARUS AUTO

PACIFIC COMP CLAIM THOU

OAKSADJ4004260 ALFREDO DUARTE LOS ANGELES COLD STORAGE PACIFIC COMP CLAIM THOU

OAKSADJ4700525 CARLOS FUENTES WORLD VARIETY PRODUCE PACIFIC COMP CLAIM THOU

OAKSADJ482232 CHRISTOPHER PACK MEDWAY PLASTICS

CORPORATION

PACIFIC COMP CLAIM THOU

OAKSADJ520016 CHRISTOPHER PACK MEDWAY PLASTICS PACIFIC COMP CLAIM THOU

OAKS

97

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6546546 INOCENCIO OBREGON HOLMES BODY SHOP INC PACIFIC COMP CLAIM THOU

OAKSADJ6564695 SILVIA ESCOBEDO TMI PRODUCTS INC PACIFIC COMP CLAIM THOU

OAKSADJ6602428 JOB CARDER VINE DINING ENTERPRISES

DBA LEFT BANK

PACIFIC COMP CLAIM THOU

OAKSADJ6702803 JUAN MARTINEZ MONTROY SUPPLY COMPANY PACIFIC COMP CLAIM THOU

OAKSADJ6795839 MARIA GUZMAN MAG INSTRUMENT INC PACIFIC COMP CLAIM THOU

OAKSADJ6903508 RUDY ESQUEDA MONTROY SUPPLY COMPANY PACIFIC COMP CLAIM THOU

OAKSADJ6916635 RAFAEL LUCERO GIANT RV PACIFIC COMP CLAIM THOU

OAKSADJ6979604 FERNANDO CHINO

JUAREZ

BEDROSIANS PACIFIC COMP CLAIM THOU

OAKSADJ6985806 MIGUEL SANCHEZ WESCO METAL FABRICATIONS PACIFIC COMP CLAIM THOU

OAKSADJ7023714 MIRNA DURAN MOLDING MASTER INC PACIFIC COMP CLAIM THOU

OAKSADJ7177092 MIGUEL ANGEL

CERVANTES

CAL WEST UNDER GROUND PACIFIC COMP CLAIM THOU

OAKSADJ7231387 OLGA FRAGOSO LE CHEF BAKERY LE PAFE INC PACIFIC COMP CLAIM THOU

OAKSADJ7270336 ARTURO AGUINIGA NATIONAL DRYWALL PACIFIC COMP CLAIM THOU

OAKSADJ7282693 MIGUEL OLIVARES TROPICAL PLAZA NURSERY

INC

PACIFIC COMP CLAIM THOU

OAKSADJ7310615 LUIS MORENO DOUBLEVISION GLASS AND

MIRROR

PACIFIC COMP CLAIM THOU

OAKSADJ7332349 JOSE AGUIRRE CARDENAS MARKET INC PACIFIC COMP CLAIM THOU

OAKSADJ7339475 JOSE LOPEZ R H PETERSON PACIFIC COMP CLAIM THOU

OAKSADJ7526346 OSCAR GOMEZ PARKWOOD LANDSCAPE PACIFIC COMP CLAIM THOU

OAKSADJ7592078 JILL CULVER CALZADA PARAGON INDUSTRIES PACIFIC COMP CLAIM THOU

OAKSADJ7623114 LORENZO

MALDONADO

EVOLUTION FRESH INC PACIFIC COMP CLAIM THOU

OAKSADJ7781922 MARTHA MADRIGAL AMERICAN INTERNATIONAL PACIFIC COMP CLAIM THOU

OAKS

98

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7886397 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC PACIFIC COMP CLAIM THOU

OAKSADJ7886569 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC PACIFIC COMP CLAIM THOU

OAKSADJ8062061 MARIANO ESTRADA STERLING BMW PACIFIC COMP CLAIM THOU

OAKSADJ8072776 ANGELINA MURATALLA COSMETIC INDUSTRIES INC PACIFIC COMP CLAIM THOU

OAKSADJ8109748 SIMON GARIBO CANYON LAKE PROPERTY

OWNERS

PACIFIC COMP CLAIM THOU

OAKSADJ8241570 OLINSSER MURILLO PAMA MANAGEMENT

COMPANY

PACIFIC COMP CLAIM THOU

OAKSADJ8314148 BELEN CAMACHO DUNKLEMAN INC DBA MC

DONALDS

PACIFIC COMP CLAIM THOU

OAKSADJ8418006 DULCE POOT TAPCO SALES PACIFIC COMP CLAIM THOU

OAKSADJ9206312 MICHAEL SIGNORIO AMERICAN INTERNATIONAL PACIFIC COMP CLAIM THOU

OAKSADJ7505525 ENRIQUE GIL OROZCO PACIFIC SHORES MASONRY

INC

PACIFIC SHORES MASONRY INC

ADJ1942794 SAMUEL RICHARDSON CARDIS CORP PACIFIC STATES CASUALTY

COMPANY/CALIFORNIA INS

GUARANTEE ASSOCADJ1942794 SAMUEL RICHARDSON CARDIS CORPORATION PACIFIC STATES CASUALTY

COMPANY/CALIFORNIA INS

GUARANTEE ASSOCADJ7646444 MARIA MUNOZ PAMA MANAGEMENT

COMPANY

PAMA MANAGEMENT COMPANY

ADJ7666355 MARISELA HERRERA PAMA MANAGEMENT

COMPANY

PAMA MANAGEMENT COMPANY

ADJ1680748 RAMON GONZALEZ SUPERIOR SUPER WAREHOUSE PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7459410 ANTHONY STEWART GLAD ENTERTAINMENT INC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7512776 JOSE RAMIREZ GTECH MANAGEMENT LLC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7734848 AMPARO VAZQUEZ LOTUS CARE CENTER PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7839847 MARIA ANGEL SALCEDO PARK VENTURA RETIREMENT

HOTEL

PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7889541 JOSE FLORES SK LABORATORIES INC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSED

99

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7889541 JOSE FLORES STAFF CHEX INC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7914925 YVONNE LOPEZ SUPERIOR GROCERIES PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7959784 RUTH MARIA VELOS VISITING ANGELS PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7975744 SONIA HERNANDEZ BEST MAIDS INC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ8045248 MARIA LUQUIN SUPER CENTER CONCEPTS PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ8266758 CAROLINA

HERNANDEZ

SUPER CENTER PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ8405747 SELVYN LOPEZ BOOK CITY NEWS INC DBA

CIRCUS DISCO

PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ8495157 MARTHA HERNANDEZ SUPERIOR PATRIOT RISK CIGA RANCHO

CORDOVA CLOSEDADJ7426442 BETTY LOTTIE LAS FLORES CONVALESCENT PATRIOT RISK SERVICES

WOODLAND HILLSADJ7816442 JOSE AGUILAR ALPHA STAFFING SERVICES PATRIOT RISK SERVICES

WOODLAND HILLSADJ7816442 JOSE AGUILAR ST GEORGE WAREHOUSE PATRIOT RISK SERVICES

WOODLAND HILLSADJ7816442 JOSE AGUILAR UEBTF LOS ANGELES PATRIOT RISK SERVICES

WOODLAND HILLSADJ7974483 HILDA TORRES BARON HR MONTEBELLO

RANCH

PATRIOT RISK SERVICES

WOODLAND HILLSADJ7974483 HILDA TORRES HORMEL FOODS CORP PATRIOT RISK SERVICES

WOODLAND HILLSADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION

DBA SELECT STAFFING

PATRIOT RISK SERVICES

WOODLAND HILLS

ADJ8733807 MARTHA RODRIGUEZ SUPERIOR GROCERS PATRIOT RISK SERVICES

WOODLAND HILLSADJ8754448 JOSE ZAMORA SUPER CENTER CONCEPTS INC PATRIOT RISK SERVICES

WOODLAND HILLSADJ8937882 VICTOR SEPULVEDA FAIR PRICE CARPETS PATRIOT RISK SERVICES

WOODLAND HILLSADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT

FURNITURE

PAULA INSURANCE

COMPANY/INTERCARE

INSURANCE SERVICES

100

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6965826 ELVIRA CARDENAS SUPERIOR SUPER PEGASUS MODESTO

ADJ7653856 ADA ABIFARAH SAN MARINO MANOR PEGASUS MODESTO

ADJ7762738 HECTOR ARENAS CALIFORNIA BOX COMPANY PEGASUS MODESTO

ADJ8754448 JOSE ZAMORA SUPER CENTER CONCEPTS INC PEGASUS MODESTO

ADJ9196445 OLIVIA PEREZ QUAIL H FARMS PEGASUS MODESTO

ADJ3254019 LEONARD FACIO COUNTY OF FRESNO PEGASUS RISK MANAGEMENT

ADJ7146190 JUANA ALMAZAN NAVA PERFORANCE BUILDING

SERVICES

PERFORANCE BUILDING

SERVICESADJ8897379 HAI TRAN POLARA ENGINEERING INC POLARA ENGINEERING INC

ADJ8094750 IRIS TUCKER POMONA UNIFIED SCHOOL

DISTRICT

POMONA UNIFIED SCHOOL

DISTRICTADJ7230218 ROSALINDA PEREZ PRODUCT SOLUTIONS INC PRAETORIAN INSURANCE CO

SACRAMENTOADJ2543390 FELICIANO FLORES FOO-CHOW RESTUARANT PREFERRED EMPLOYERS SAN

DIEGOADJ7236420 JUAN MARTINEZ MAVIS PLAZA APARTMENTS PREFERRED EMPLOYERS SAN

DIEGOADJ7526530 MINERVA DE LA CRUZ LANDWIN MANGEMENT INC PREFERRED EMPLOYERS SAN

DIEGOADJ7736448 SENIDA SANTOYO MARTIN GOLDFARB MD PREFERRED EMPLOYERS SAN

DIEGOADJ7960164 MANUEL MEJIA ALI GOLRIZ PREFERRED EMPLOYERS SAN

DIEGOADJ8089166 JORGE RAMIREZ OASIS MOBILE ESTATES PREFERRED EMPLOYERS SAN

DIEGOADJ8214042 ISMAEL LINARES CUSTOM CANOPIES INTL INC PREFERRED EMPLOYERS SAN

DIEGOADJ8305757 MIKE WHEELER DETAILED OFFICE SOLUTIONS PREFERRED EMPLOYERS SAN

DIEGOADJ8410558 FRANCISCO BARRON RON CINQUINI PREFERRED EMPLOYERS SAN

DIEGOADJ8442109 FRANCISCO

HERNANDEZ

ANDERSENS DANISH BAKERY PREFERRED EMPLOYERS SAN

DIEGOADJ8814313 HUBER FIGUEROA SVS VITICULTURE LLC PREFERRED EMPLOYERS SAN

DIEGOADJ8830448 PATRICIA MICHEL INLAND MEDIATION BOARD PREFERRED EMPLOYERS SAN

DIEGOADJ7727152 MARIA GONZALEZ PREFERRED PERSONNEL PREFERRED PERSONNEL

ADJ8401930 ENEDINA SORIANO AUCTION DETAIL SERVICES PRESERVER INSURANCE IRVINE

ADJ6816775 GEORGE HERNANDEZ

GARCIA

GOLDEN STATE HEALTH

CENTERS

PRIVATE ADJUSTING RANCHO

CUCAMONGA

101

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7800446 MARIA ALVAREZ CAMBRIAN HOMECARE PRIVATE ADJUSTING RANCHO

CUCAMONGAADJ7902589 CAJETAN OZOIGBO VISTA HOSPITAL PRIVATE ADJUSTING RANCHO

CUCAMONGAADJ2284131 NORMA BELVIZ ST VINCENT MEDICAL CENTER PROFESSIONAL RISK MGMT LOS

ANGELESADJ1095789 BART THOMAS THE GAS COMPANY PSI/SOUTHERN CALIFORNIA GAS

COMPANYADJ8345819 LIDIA RODRIGUEZ MOLLY MAID OF ANAHEIML LA

MIRADA FWHITTIER

PUBLIC SERVICE MUTUAL LOS

ANGELESADJ8431788 DARRYL WINSTON GRANADA MANAGEMENT PUBLIC SERVICE MUTUAL LOS

ANGELESADJ8920250 RAYMUNDO AGUIRRE AMERICAN HOLIDAY TOUR

LLC

QBE SPECIALTY INS

SACRAMENTOADJ4656909 RALPH RAMIREZ RALPHS RALPHS

ADJ4177036 JESUS VALDEZ RALPHS RALPHS GROCERY COMPANY

ADJ3070248 JUDITH HUNTIMER RALPH'S GROCERY CO RALPHS/KROEGER CO/RALPHS

GROCERY COADJ6960319 FLORIDALMA LOPEZ DYNAMIC NURSING SERVICES REDWOOD FIRE CASUALTY NOT

A UANADJ7902200 CARLOS VELASQUEZ RELIABLE RESOUCES INC RELIABLE RESOUCES INC

ADJ2469368 ZOILA PINEDA AMBROSIO GRANO, JR. AND

JUAN GRANO

RELIANCE INSURANCE

COMPANY/STERLING CLAIMS

MANAGEMENT SERVICESADJ2469368 ZOILA PINEDA JUAN & AMBROSIO GRANO RELIANCE INSURANCE

COMPANY/STERLING CLAIMS

MANAGEMENT SERVICESADJ2469368 ZOILA PINEDA LAS PALMAS CLUB RELIANCE INSURANCE

COMPANY/STERLING CLAIMS

MANAGEMENT SERVICESADJ2469368 ZOILA PINEDA UEBTF LOS ANGELES RELIANCE INSURANCE

COMPANY/STERLING CLAIMS

MANAGEMENT SERVICESADJ1704344 RANDY SALLING RUSS ELLIOTT REPUBLIC INDEM. CO OF

AMERICAADJ1433352 DENNIS PETERMAN MUFFIN PATCH REPUBLIC INDEMNITY ENCINO

ADJ1704344 RANDY SALLING RUSS ELLIOTT REPUBLIC INDEMNITY ENCINO

ADJ463831 ELBA GONZALEZ AIG CLAIM SERVICES INC REPUBLIC INDEMNITY ENCINO

ADJ463831 ELBA GONZALEZ MAIL MARKETING REPUBLIC INDEMNITY ENCINO

ADJ463831 ELBA GONZALEZ U.S. SALES CORP. REPUBLIC INDEMNITY ENCINO

ADJ463831 ELBA GONZALEZ U.S. SALES CORPORATION REPUBLIC INDEMNITY ENCINO

102

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS REPUBLIC INDEMNITY ENCINO

ADJ7846181 STEVE CAMACHO CARDIC MACHINE PRODUCTS REPUBLIC INDEMNITY ENCINO

ADJ7993820 JOSE BARAJAS BINDER METAL PRODUCTS

INC

REPUBLIC INDEMNITY ENCINO

ADJ8079578 MARIA ARROYO KIDS TIME MONTESSORI REPUBLIC INDEMNITY ENCINO

ADJ9263100 SALVADOR ALCALA GEORGE LIBERMAN

ENTERPRISES INC

REPUBLIC INDEMNITY ENCINO

ADJ9526544 JUAN VALENCIA CALIFORNIA CITRUS

CORPORATION

REPUBLIC INDEMNITY ENCINO

ADJ9605342 FERNANDO GOMEZ CORONA MILLWORKS REPUBLIC INDEMNITY ENCINO

ADJ7913144 GEORGINA CASTANEDA EAST WEST EYE INSTITUTE REPUBLIC INDEMNITY SAN

DIEGOADJ8274926 ELIZABETH TAYLOR MOBILITY PLUS EQUIPMENT

SUPPLIES

REPUBLIC INDEMNITY SAN

DIEGOADJ9136310 PABLO ALVARADO SOHNEN ENTERPRISES REPUBLIC INDEMNITY SAN

DIEGOADJ8263165 LUIS TOBAR LA LOGGIA RISTORANTE REPUBLIC INDEMNITY SAN

FRANCISCOADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION REPUBLIC INDEMNITY SAN

FRANCISCOADJ1621717 RAMON CASTILLO MEADOW FARMS SAUSAGE

CO.

RISICO CLAIMS MANAGEMENT

FRESNOADJ6804908 ELISEO JUAREZ

MALDONADO

BOLTHOUSE FARMS RISICO CLAIMS MANAGEMENT

FRESNOADJ7240068 AMER PALOMO WESTERN STATES

MAINTENANCE &

ENGINEERING INC

RISICO CLAIMS MANAGEMENT

FRESNO

ADJ7390467 JANETTE BENITEZ DIGITAL CURRENCY SERVICES

INC

RISICO CLAIMS MANAGEMENT

FRESNOADJ739708 MARY RAMOS CALIFORNIA PROFESSIONAL

EMPLOYERS

RISICO CLAIMS MANAGEMENT

FRESNOADJ7526346 OSCAR GOMEZ PARKWOOD LANDSCAPE RISICO CLAIMS MANAGEMENT

FRESNOADJ7974946 ALFREDO

CASTROREVELES

MILLER JONES MORTUARY RISICO CLAIMS MANAGEMENT

FRESNOADJ8271907 ISABEL VELAZQUEZ LUCKY PICTURE FRAME RISICO CLAIMS MANAGEMENT

FRESNOADJ8374577 CHARLOTTE TRENT COUNTY OF FRESNO RISICO CLAIMS MANAGEMENT

FRESNOADJ2871094 MICHAEL BUCK SANTA BARBARA FIRE DEPT. RISK MANAGEMENT

103

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8467406 ERIC SALSBERRY ROBERTSONS READY MIX LTD ROBERTSONS READY MIX

CORONAADJ8467406 ERIC SALSBERRY ROBERTSONS READY MIX LTD ROBERTSONS READY MIX LTD

ADJ8061776 JUAN PEGO ROSECRANS KING CAR WASH

INC

ROSECRANS KING CAR WASH

INCADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL

LANDSCAPE LIGHTING

ROYAL INSURANCE COMPANY

ADJ1321695 DAVID PARIS SAVOLT, INC. SAFECO LOS ANGELES CLOSED

ADJ4688179 GREGORY GADBOIS Q M C SAFECO LOS ANGELES CLOSED

ADJ6790993 MARIA MERAZ THE CLASSIC SOFT TRIM

GROUP

SAFECO LOS ANGELES CLOSED

ADJ6836538 AGUSTINA AGUILAR OLIVER`S ARTESIAN BREADS

INC

SAFECO LOS ANGELES CLOSED

ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY

COMPANY

SAFECO LOS ANGELES CLOSED

ADJ6956128 ANA GONZALEZ RED BARD PET PRODUCTS SAFECO LOS ANGELES CLOSED

ADJ7890942 DARON BRYANT VANPORT WAREHOUSING INC SAFECO LOS ANGELES CLOSED

ADJ6868654 MARK PIRAINO SAN BERNARDINO COUNTY SAN BERNARDINO COUNTY

ADJ6954893 TRISTA EVANS SAN BERNARDINO COUNTY

ANIMAL CONTROL

SAN BERNARDINO COUNTY

ANIMAL CONTROLADJ3042528 JUDITH LYNT SAN DIEGO GAS & ELECTRIC SAN DIEGO GAS & ELECTRIC

ADJ3042528 JUDITH LYNT SAN DIEGO GAS & ELECTRIC SAN DIEGO GAS ELECTRIC SAN

DIEGOADJ8579379 STEVE ACOSTA SANTA ANA UNIFIED SCHOOL

DISTRICT

SANTA ANA UNIFIED SCHOOL

DISTRICTADJ1679301 MARK MONROE AMERICAN CAB SCIF INSURED BAKERSFIELD

ADJ1679301 MARK MONROE KERN AMERICAN TRANSPORT SCIF INSURED BAKERSFIELD

ADJ6707109 ANGEL PENA GOMEZ GDN CONSTRUCTION

COMPANY INC

SCIF INSURED BAKERSFIELD

ADJ6786421 VINCENT CALLOWAY C AND C TRANSPORTATION SCIF INSURED BAKERSFIELD

ADJ7906084 GILBERT CHAVEZ DAVIS ENTERPRISES SCIF INSURED BAKERSFIELD

ADJ7907053 OLIVERIA PERALTA RICHARD MANASSERO FARMS

INC

SCIF INSURED BAKERSFIELD

ADJ8082275 AGUSTIN CAMACENA SUNSHINE METAL CLAD INC SCIF INSURED BAKERSFIELD

ADJ8175778 ANTONIO TORRES

OCHOA

ST AMOULES PRODUCE

COMPANY

SCIF INSURED BAKERSFIELD

ADJ8871966 JOEL ROBLES JA ELECTRIC SCIF INSURED BAKERSFIELD

104

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6653116 ENRIQUE NAVARRO MONTGOMERY ROOF SERVICE SCIF INSURED EUREKA

ADJ1309071 GEORGINA ZAMORA DUNCAN ENTERPRISES SCIF INSURED FRESNO

ADJ1554611 BOBBY ALVAREZ QUILL DRIVER BOOKS SCIF INSURED FRESNO

ADJ1679301 MARK MONROE AMERICAN CAB SCIF INSURED FRESNO

ADJ1679301 MARK MONROE KERN AMERICAN TRANSPORT SCIF INSURED FRESNO

ADJ1839488 ANDRES SALADO VINCO CONSTRUCTION CORP SCIF INSURED FRESNO

ADJ1842026 FRED DELGADO L&S HEATING & COOLING

REPAIR

SCIF INSURED FRESNO

ADJ1956870 ROSEMARY VERCHER CALIFORNIA FRESNO OIL

COMPANY

SCIF INSURED FRESNO

ADJ2097997 FAUSTINO BRITO ABC WIPING CLOTH SCIF INSURED FRESNO

ADJ2303350 BENJAMIN MARTINEZ BOGHOSIAN RAISIN PACKING SCIF INSURED FRESNO

ADJ2471603 OMAR CAMACHO R.A. CAMPBELL INC. SCIF INSURED FRESNO

ADJ2471603 OMAR CAMACHO RA CAMPBELL INC SCIF INSURED FRESNO

ADJ2745400 DAVID BARRON FAGUNDES AGRIBUSINESS SCIF INSURED FRESNO

ADJ3300223 JUAN NAVARRO RIVERVIEW RANCHES SCIF INSURED FRESNO

ADJ3637693 JOSE FISCHER UNIVERSITY MEDICAL

PRODUCTS

SCIF INSURED FRESNO

ADJ372888 MIGUEL TAMAYO KROKER INCORP SCIF INSURED FRESNO

ADJ3804251 BRENDA BAKER JAN & GAIL'S CARE HOME SCIF INSURED FRESNO

ADJ3944384 JESUS RAMIREZ COLONIAL CONVALESCENT

HOSPITAL

SCIF INSURED FRESNO

ADJ3996366 BOBBY CROSSLEY GLEIM CROWN PUMP CO SCIF INSURED FRESNO

ADJ4062795 ALEJANDRO SILVA DEL REY PACKING COMPANY SCIF INSURED FRESNO

ADJ4667408 VEDRAN BARBIC MURPHY INDUSTRIAL

COATINGS

SCIF INSURED FRESNO

ADJ635784 REFUGIO FLORES TULARE IRON AND METAL SCIF INSURED FRESNO

ADJ6648319 ERNESTINA ESCOBAR TORRANCE HEALTH CLUB SCIF INSURED FRESNO

ADJ6781469 JUAN OCHOA KULVIR SINGH AND SATVIR SCIF INSURED FRESNO

ADJ6786421 VINCENT CALLOWAY C AND C TRANSPORTATION SCIF INSURED FRESNO

ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC SCIF INSURED FRESNO

ADJ729659 MARIA VALENZUELA VALLEY FIG GROWERS SCIF INSURED FRESNO

ADJ7454342 ROSE ANN SANCHEZ NEW HORIZONS SCIF INSURED FRESNO

ADJ7464523 LISA WILLIAMS MACHADO CUSTOM

HAYLOADING INC

SCIF INSURED FRESNO

105

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7510757 SHERI COGBURN CENTRAL VALLEY DAIRY

BREEDERS

SCIF INSURED FRESNO

ADJ7906084 GILBERT CHAVEZ DAVIS ENTERPRISES SCIF INSURED FRESNO

ADJ7935502 RUDY ORELLANA ARMO CONSTRUCTION INC SCIF INSURED FRESNO

ADJ7935502 RUDY ORELLANA CAMTEC MOTION PICTURE

CAMERA

SCIF INSURED FRESNO

ADJ7941983 JAVIER TAFOLLA EAGLE AG INC SCIF INSURED FRESNO

ADJ8272791 JOSE SANDOVAL ISLAND ENTERPRISES SCIF INSURED FRESNO

ADJ8273781 MARIO ABONCE

PARTIDA

GREEN VALLEYAG SCIF INSURED FRESNO

ADJ8320478 FRANCISCO OCHOA OCC CONSTRUCTION SCIF INSURED FRESNO

ADJ8558143 ANTONIO PALOMARES ALL AMERICAN FRAME NAD

BEDDING

SCIF INSURED FRESNO

ADJ8731606 ANTONIO BAZAN KANES LANDSCAPING INC SCIF INSURED FRESNO

ADJ902111 TERRI ROBERTS THE LAW LIMO SCIF INSURED FRESNO

ADJ9225481 ANTHONY PFEIFER PROTECTION FORCE PRIVATE

SECURITY INC

SCIF INSURED FRESNO

ADJ1009926 RICHARD CALVILLO THE ASTRUP COMPANY SCIF INSURED GLENDALE

ADJ1063830 JUSTO TADERO JIMENEZ PARAMOUNT WINDOWS SCIF INSURED GLENDALE

ADJ1068326 VICENTE ESPINOZA INDUSTRIAL FIELD LABOR SCIF INSURED GLENDALE

ADJ1145465 RODOLFO SANCHEZ CAREER COLLEGES OF

AMERICA

SCIF INSURED GLENDALE

ADJ1187184 JULIO SZMUCH NATIONWIDE JANITORIAL

SERVICES INC.

SCIF INSURED GLENDALE

ADJ1197266 ALFREDO DUARTE LOS ANGELES COLD STORAGE SCIF INSURED GLENDALE

ADJ1199001 STANLEY MATHEWS SYSTEMS INTEGRATED SCIF INSURED GLENDALE

ADJ136676 OLIVIA GARCIA KATZKIN INTERIORS SCIF INSURED GLENDALE

ADJ136676 OLIVIA GARCIA KATZKIN LEATHER INC. SCIF INSURED GLENDALE

ADJ1470621 NORA CUENCA REPUBLIC MASTER CHEFS SCIF INSURED GLENDALE

ADJ1499079 JORGE SANDOVAL FALCONES WEST VALLEY

ROOFER

SCIF INSURED GLENDALE

ADJ1516187 DOUGLAS HERNANDEZ TUNSTILL PLASTERING INC SCIF INSURED GLENDALE

ADJ1621717 RAMON CASTILLO MEADOW FARMS SAUSAGE

CO.

SCIF INSURED GLENDALE

ADJ1871570 CATHERINE SPRINGER ABLE HOME HEALTH SCIF INSURED GLENDALE

ADJ187555 IGNACIO ZENDEJAS SALSBURY ENGINEERING &

GRADING

SCIF INSURED GLENDALE

ADJ1932192 JOSEPHINE PADILLA PLANNED PARENTHOOD

WORLD

SCIF INSURED GLENDALE

106

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1932824 HERMELINDA NOJ BERGLAS & GARFIELD SCIF INSURED GLENDALE

ADJ1949704 SIMITRIO PEDROZA KRAMERS MASONRY

CONSTRUCTION

SCIF INSURED GLENDALE

ADJ1970654 JOSE RODRIGUEZ HANAN CONSTRUCTION

COMPANY, INC.

SCIF INSURED GLENDALE

ADJ2036131 HERIBERTO JUAREZ ABM ENTERPRISES SCIF INSURED GLENDALE

ADJ2192339 ERIK RODRIGUEZ AAA GLASS SCIF INSURED GLENDALE

ADJ2228561 ARTURO AVILA CARIMEX INC. SCIF INSURED GLENDALE

ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSP SCIF INSURED GLENDALE

ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSPITAL SCIF INSURED GLENDALE

ADJ2345838 RAUL RODRIGUEZ U PICK & SAVE SCIF INSURED GLENDALE

ADJ236297 MARIA DE LA TORRE CALIFORNIA PROFESSIONAL

EMPLOYERS

SCIF INSURED GLENDALE

ADJ2503116 GUADALUPE

VELASQUEZ

SOFTUB INC SCIF INSURED GLENDALE

ADJ2635077 BETTY CARTER CHARLES DREW UNIVERSITY SCIF INSURED GLENDALE

ADJ2679748 JOSE SANCHEZ CUSTOM PROCESSORS/P &C

POULTRY

SCIF INSURED GLENDALE

ADJ2753948 HEATHER HUBBARD BUCHALTER & NEWER SCIF INSURED GLENDALE

ADJ2872928 MARIA ROSALES REPUBLIC MASTER CHEFS SCIF INSURED GLENDALE

ADJ2903561 DOLORES MURCIA PRO COURIER SCIF INSURED GLENDALE

ADJ2903561 DOLORES MURCIA TRANS BOX SYSTEMS SCIF INSURED GLENDALE

ADJ2987160 JUAN MEJIA ROBERT CASTONGIA INC. SCIF INSURED GLENDALE

ADJ3027979 IRMA MENDOZA RMR PRODUCTS INC SCIF INSURED GLENDALE

ADJ3062466 JUAN PABLO MENA PIRATE STAFFING SCIF INSURED GLENDALE

ADJ308660 BENITO GOMEZ PERVO PAINT CO SCIF INSURED GLENDALE

ADJ3162324 MIGUEL ANGEL

MORALES

H&N FOODS INTERNATIONAL SCIF INSURED GLENDALE

ADJ322433 JANET CRONIN HOLIDAY INN SCIF INSURED GLENDALE

ADJ322433 JANET CRONIN NATIONAL BARTENDERS

SCHOOL

SCIF INSURED GLENDALE

ADJ3234961 ANGEL HUERTA CERTIFIED AUTO COLLISION SCIF INSURED GLENDALE

ADJ3234961 ANGEL HUERTA PARAMOUNT COLLISION

CENTER

SCIF INSURED GLENDALE

ADJ3369688 TRACY WASHINGTON KEDREN ACUTE PSYCHIATRIC

HOSPITAL

SCIF INSURED GLENDALE

ADJ3408070 CARLOS LOPEZ

CASTILLO

COBBLESTONE SCIF INSURED GLENDALE

ADJ3484713 RAFAELA CHAVEZ VALLEY BRASS, INC. SCIF INSURED GLENDALE

ADJ3710404 EDWIN ACEVEDO ANGELINA'S FRIEGHT SCIF INSURED GLENDALE

ADJ3722598 MAURICIO MENDIVAR MERCADO LATINO SCIF INSURED GLENDALE

ADJ3725101 ALICIA POST CHARLY J NETEL CPA SCIF INSURED GLENDALE

107

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3725101 ALICIA POST CHARLY J. NETEL, CPA SCIF INSURED GLENDALE

ADJ3759286 RICHARD WEAVER WINFIELD SUMMIT &

ASSOCIATES

SCIF INSURED GLENDALE

ADJ3907837 JUANA QUINTANA CREATIVE PERSPECTIVES PLUS

INC

SCIF INSURED GLENDALE

ADJ3907837 JUANA QUINTANA N-STYLE WAREHOUSE SCIF INSURED GLENDALE

ADJ3936245 JULIETA TEJADA RIDGLASS SHINGLE MFG CO SCIF INSURED GLENDALE

ADJ3961534 CONCEPCION GARCIA CONSOLIDATED FOUNDRIES SCIF INSURED GLENDALE

ADJ4004260 ALFREDO DUARTE LOS ANGELES COLD STORAGE SCIF INSURED GLENDALE

ADJ4072665 RUTH BERRY GARR CHILD CARE SCIF INSURED GLENDALE

ADJ416478 OSWALDO CRUZ KLEER VU PLASTICS CORP SCIF INSURED GLENDALE

ADJ418546 BERNARDA MOLINA PLAZA COMMUNITY CENTER,

INC.

SCIF INSURED GLENDALE

ADJ4304204 JACQUELYN HEDLUND ENVIRONMENTAL

FEDERATION OF CALIF

SCIF INSURED GLENDALE

ADJ4311594 HOA NGUYEN PACIFIC ASIAN CONSORTIUM SCIF INSURED GLENDALE

ADJ4379849 HUGO SOTO ABUNDANT LIFE AND

ADOLESCENT GROWTH

SCIF INSURED GLENDALE

ADJ4455893 LEONARD SCHREINER APEX PAINTING SCIF INSURED GLENDALE

ADJ4533313 CONCEPCION

NAVARRETE

CHILDEREN'S CENTER OF AV SCIF INSURED GLENDALE

ADJ4560524 MARCO NASSER CARPET WIZARDS INC SCIF INSURED GLENDALE

ADJ4560524 MARCO NASSER PEP BOYS SCIF INSURED GLENDALE

ADJ4718967 WILLIAM VANBLARCOM GALLEY ENTER/VILLAGE

CARWASH

SCIF INSURED GLENDALE

ADJ4718967 WILLIAM VANBLARCOM GALLEY ENTERPRISES/VILLIAGE

CAR

SCIF INSURED GLENDALE

ADJ499443 BYRON SALAZAR WEST LA PIZZA/DOMINOS SCIF INSURED GLENDALE

ADJ554932 NORA BARAKAT THE BAKER SCIF INSURED GLENDALE

ADJ587515 BERNARDO AGUILAR

DIAZ

DO+ABLE PRODUCTS SCIF INSURED GLENDALE

ADJ608360 BONITA FANDUWARD ANTELOPE VALLEY HEALTH

CARE CENTER

SCIF INSURED GLENDALE

ADJ608360 BONITA FANDUWARD ENTELOPE VALLEY

HEALTHCARE

SCIF INSURED GLENDALE

ADJ6429961 ROBERTO ALCARAZ CENTURY WEST PLUMMER SCIF INSURED GLENDALE

ADJ6484039 REYNALDA VARGAS US METRO GROUP INC SCIF INSURED GLENDALE

108

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6542633 CATHY LOZANO SOUTH COAST AUTO

INSURANCE MARKETING, INC.

SCIF INSURED GLENDALE

ADJ6573698 ALFREDO MONTES ELITE LEATHER COMPANY SCIF INSURED GLENDALE

ADJ6707109 ANGEL PENA GOMEZ GDN CONSTRUCTION

COMPANY INC

SCIF INSURED GLENDALE

ADJ6711321 JUAN CRUZ BAS RECYCLING INC SCIF INSURED GLENDALE

ADJ6716717 KIRA JIMENEZ EBEN EZER CHILDRENS SCIF INSURED GLENDALE

ADJ6729528 MARIA ARAGON THE CLASSIC SOFT TRIM

GROUP

SCIF INSURED GLENDALE

ADJ6746016 DAVID SAAVEDRA THE BEDFORD GROUP SCIF INSURED GLENDALE

ADJ6773383 ARELI ACOSTA ARCADIA INC WILSON

PARTITION

SCIF INSURED GLENDALE

ADJ6818204 RAMIRO ORTEGA MUSCOY MUTUAL WATER SCIF INSURED GLENDALE

ADJ6819866 CHARLENE LEON MCKINLEY CHILDRENS

CENTER

SCIF INSURED GLENDALE

ADJ6885797 PEDRO CASILLAS SAS TEXTILES SCIF INSURED GLENDALE

ADJ6914642 JOSE QUINONES HECTORS PALLETS SCIF INSURED GLENDALE

ADJ6968798 WENCESLAO PEREZ HOWARD KING WORLD

AGAPE MISSION CHURCH

SCIF INSURED GLENDALE

ADJ7106833 VICTOR BARRIENTOS QUICK AUTO HELP INC SCIF INSURED GLENDALE

ADJ7203623 DOMINIC YANEZ HEALTH DEVICES INC SCIF INSURED GLENDALE

ADJ7222561 SOPHIA CURRY K LINE FIRE EQUIPMENT SCIF INSURED GLENDALE

ADJ7231245 BLAS VALENZUELA QUALITY CLEANUP SCIF INSURED GLENDALE

ADJ7240068 AMER PALOMO WESTERN STATES

MAINTENANCE &

ENGINEERING INC

SCIF INSURED GLENDALE

ADJ7263783 SHANA MACK SMS TRANSPORTATION SCIF INSURED GLENDALE

ADJ7298155 CARMEN MEDINA BARCO UNIFORMS SCIF INSURED GLENDALE

ADJ7360754 MARIA RAMOS CAN PRODUCTION LLC SCIF INSURED GLENDALE

ADJ7435118 GWENDOLYN WALKER INTEGRATED SUPPORT

SOLUTIONS INCI

SCIF INSURED GLENDALE

ADJ7440496 DAVID FLORES EFFICIENT STAFF SCIF INSURED GLENDALE

ADJ7494391 CRISTINA ESPINOZA EL POTRERO NIGHT CLUB SCIF INSURED GLENDALE

ADJ7514129 ROBERTO JIMENEZ TOWER MARBLE SCIF INSURED GLENDALE

ADJ7584557 VERONICA VASQUEZ MARTHA PINAL AN

INDIVIDUAL MARTHAIS

CLEANING SERVICE

SCIF INSURED GLENDALE

ADJ7634153 JONATHAN CURL BJK INC DBA GALLERY

SERVICES

SCIF INSURED GLENDALE

ADJ7635055 JONATHAN CURL BJK INC GALLERY SERVICE SCIF INSURED GLENDALE

109

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7702518 EDWARD SANCHEZ BAY CITIES METAL PRODUCTS SCIF INSURED GLENDALE

ADJ7767171 FELIPE ESTRADA ACAPULCO MOTORS SCIF INSURED GLENDALE

ADJ7772770 FRANCISCA SOTO HEY BABY OF CALIFORNIA SCIF INSURED GLENDALE

ADJ7798336 JUAN SALDANA MORILLO CONSTRUCTION SCIF INSURED GLENDALE

ADJ7802638 LEONEL EGUINO SUNSET MASONRY AND

CONCRETE INC

SCIF INSURED GLENDALE

ADJ7863037 NEMESIO DIAZ ESTRADA CONSOLIDATED SMART

SYSTEMS

SCIF INSURED GLENDALE

ADJ7875082 ROSA CARLOS CARNATION DRAPERIES SCIF INSURED GLENDALE

ADJ7935523 MARCO ORTEGA SERVPRO SCIF INSURED GLENDALE

ADJ7957925 RAFAEL RODRIGUEZ BOB GILBERT ROOFING INC SCIF INSURED GLENDALE

ADJ800677 FAROUQ SAYID TEDCO PRINTING SCIF INSURED GLENDALE

ADJ8097160 ARMANDO GARCIA CENTRAL COAST CIRTRUS SCIF INSURED GLENDALE

ADJ8222757 DURWOOD SPENCER DURWOOD SPENCER DDS PC SCIF INSURED GLENDALE

ADJ8243968 LORENZO MEDRANO BEST CARE FUMIGATION SCIF INSURED GLENDALE

ADJ8321836 MARVIN MONCADA WILMINGTON RECYCLERS SCIF INSURED GLENDALE

ADJ8401930 ENEDINA SORIANO AUCTION DETAIL SERVICES SCIF INSURED GLENDALE

ADJ8534438 EMMA RUIZ CHOIX VOCATIONAL

SERVICES

SCIF INSURED GLENDALE

ADJ8600970 SONIA SANTACRUZ KENNEDY NAME PLATE SCIF INSURED GLENDALE

ADJ8637635 JUAN GIL CALIFORNIA PALLET SUPPLY SCIF INSURED GLENDALE

ADJ8682275 OSCAR CASTILLO SONIC TOWING SCIF INSURED GLENDALE

ADJ8690819 SILVIA BECERRA LOS ANGELES COUNTY DPSS SCIF INSURED GLENDALE

ADJ8690819 SILVIA BECERRA STATE OF CALIFORNIA IN

HOME SUPPORTIVE SERVICES

SCIF INSURED GLENDALE

ADJ888525 MERCEDES GONZALEZ ESCUELA DE COSTURA SCIF INSURED GLENDALE

ADJ9012110 JEANNETH RENDEROS SOUTH BAY WORK FORCE

INVESTMENT BOARD

SCIF INSURED GLENDALE

ADJ970543 MILAGRO GOMEZ DOUBLE K

INDUSTRIES/ENVELOP INC

SCIF INSURED GLENDALE

ADJ1063830 JUSTO TADERO JIMENEZ PARAMOUNT WINDOWS SCIF INSURED INLAND EMPIRE

ADJ1890371 MARTHA COURTNEY APPLE VALLEY CHRISTIAN

CARE CENTER

SCIF INSURED INLAND EMPIRE

ADJ2465041 TOMAS RAMOS PERFORMANCE CONCRETE SCIF INSURED INLAND EMPIRE

ADJ2476768 JESUS FLORES SUNNYLANDS GOLF COURSE SCIF INSURED INLAND EMPIRE

ADJ2727959 LUIS CARRANZA

CLEMENTE

BALDWIN PARK PLAZA CO SCIF INSURED INLAND EMPIRE

110

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3345656 BRAULIO GARCIA LA BART CORP SCIF INSURED INLAND EMPIRE

ADJ3738270 PAULINO MORA S.J. BURKHARDT SCIF INSURED INLAND EMPIRE

ADJ3822066 JANET MANDAC DELTONE HEARING AID

CENTER

SCIF INSURED INLAND EMPIRE

ADJ4114324 JESUS CARDOSO UEBTF LOS ANGELES SCIF INSURED INLAND EMPIRE

ADJ4114324 JESUS CARDOSO VARGAS FURNITURE SCIF INSURED INLAND EMPIRE

ADJ4114324 JESUS CARDOSO VARGAS FURNITURE CO SCIF INSURED INLAND EMPIRE

ADJ444230 ELVIDA SANTOS AB-HR COMPANY, INC. SCIF INSURED INLAND EMPIRE

ADJ583012 JANUAR SIHOMBING

DECEASED

J & L DAY CARE SCIF INSURED INLAND EMPIRE

ADJ6799896 FRANCISCO MARTINEZ EJ JURE ROOFING CO SCIF INSURED INLAND EMPIRE

ADJ6929655 LUIS DANIEL GARCIA WHITEHAWK

CONSTRUCTION

SCIF INSURED INLAND EMPIRE

ADJ7003634 HERBERT STARK THE CULTON CORPORATION SCIF INSURED INLAND EMPIRE

ADJ7041962 ADOLFO DIAZ PACIFIC EXTERIORS INC SCIF INSURED INLAND EMPIRE

ADJ729833 JOHN PROKOP SOCIAL CONTRACTING INC SCIF INSURED INLAND EMPIRE

ADJ7523647 JAIME ALVARADO J BROTHERS

TRANSPORTATION INC

SCIF INSURED INLAND EMPIRE

ADJ8218776 ISRAEL LARA GREEN LEAF SCIF INSURED INLAND EMPIRE

ADJ8235583 URIEL RAMIREZ PACIFIC SOUTHWEST LUMBER SCIF INSURED INLAND EMPIRE

ADJ1072155 JUAN ARELLANO CENTRAL COAST SCIF INSURED OXNARD

ADJ1379646 BLANCA QUINTANILLA POLY TRAINER CORP SCIF INSURED OXNARD

ADJ1535724 EDELMIRA ESTRADA WATERWAY PLASTICS SCIF INSURED OXNARD

ADJ1750593 ANGELINA GARNICA GOODWILL INDUSTRIES SCIF INSURED OXNARD

ADJ1926859 REYNA URIAS FLORENCE MEAT PACKING,

INC.

SCIF INSURED OXNARD

ADJ1955352 JEANNIE SILVA EVOLVING RESOURCES, INC SCIF INSURED OXNARD

ADJ2295179 ANNETTE FRANCO TECHSTYLES SCIF INSURED OXNARD

ADJ2313802 MARIA VEGA RESCUE MISSION ALLIANCE SCIF INSURED OXNARD

ADJ2872928 MARIA ROSALES REPUBLIC MASTER CHEFS SCIF INSURED OXNARD

ADJ3424059 JUAN RAMIREZ BROWKAW NURSERY, INC. SCIF INSURED OXNARD

ADJ4381616 ISMAEL HERNANDEZ KOTAKE FARMS SCIF INSURED OXNARD

ADJ4477481 MIGUEL MARTINEZ METRO BUILDING

MAINTENANCE

SCIF INSURED OXNARD

ADJ4477481 MIGUEL MARTINEZ METRO BUILDING MAINTENCE SCIF INSURED OXNARD

ADJ6429195 CLARA CONNELLY DEPT OF DEVELOPMENTAL

SERVICES

SCIF INSURED OXNARD

111

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7664950 JESUS VELASCO MGD SCIF INSURED OXNARD

ADJ3187374 MICHAEL PROVASI AV RENTAL SCIF INSURED PLEASANTON

ADJ7459329 LEONARDO SEPULVEDA MARIN AUTOMART SCIF INSURED PLEASANTON

ADJ7741770 MARIA GARCIA ROYAL CATERING CO SCIF INSURED PLEASANTON

ADJ8812853 RONNIE BROWN REM CONSTRUCTION SCIF INSURED REDDING

ADJ1402410 TERRA SEIDEL DEVELOPMENTAL DISABILITIES

SERVICES

SCIF INSURED SACRAMENTO

ADJ3661278 CHRISTOPHER LOPEZ PARAMOUNT PEST CONTROL

SERVICE

SCIF INSURED SACRAMENTO

ADJ6767123 JULIO CLARO BUTLER AMUSEMENTS SCIF INSURED SACRAMENTO

ADJ6845987 RYAN MCGUYER ALPH CONSTRUCTION SCIF INSURED SACRAMENTO

ADJ8121187 MARCOS HERNANDEZ GALA CONSTRUCTION SCIF INSURED SACRAMENTO

ADJ1809318 AURORA BRISENO FRESH FOOD CONCEPTS, INC. SCIF INSURED SAN DIEGO

ADJ2036131 HERIBERTO JUAREZ ABM ENTERPRISES SCIF INSURED SAN DIEGO

ADJ2990999 MARIA GUTIERREZ JCF PARK MANUFACTURING SCIF INSURED SAN DIEGO

ADJ6406873 JESSICA HIGHT STOCKWELL, HARRIS, WIDOM,

WOOLVERTON

SCIF INSURED SAN DIEGO

ADJ6551590 SERGIO HURTADO CHORE YONKE SCIF INSURED SAN DIEGO

ADJ7489648 JOSE LIRA SOUTH BAY DRIVE-IN

THEATRE

SCIF INSURED SAN DIEGO

ADJ8872153 ELOISA SILVA COUNTY OF SAN DIEGO IHSS

PUBLIC AUTHORITY

SCIF INSURED SAN DIEGO

ADJ3162324 MIGUEL ANGEL

MORALES

H&N FOODS INTERNATIONAL SCIF INSURED SAN JOSE

ADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

SCIF INSURED SAN JOSE

ADJ1116314 JOSE HERRERA SKYCRAFT ROOFING INC SCIF INSURED SANTA ANA

ADJ1514961 GERARDO CEDILLO ALEX ZAIDI DBA AZ AUTO

DETAILING

SCIF INSURED SANTA ANA

ADJ1514961 GERARDO CEDILLO FABCON CORP SCIF INSURED SANTA ANA

ADJ1514961 GERARDO CEDILLO UEBTF LOS ANGELES SCIF INSURED SANTA ANA

ADJ1536807 ROSARIO JUAREZ THE J CAR WASH CO INC SCIF INSURED SANTA ANA

ADJ1682467 RICHARD COTTO LOU EHLERS CADILLAC SCIF INSURED SANTA ANA

ADJ1682467 RICHARD COTTO STATE COMP. INSRUANCE

FUND

SCIF INSURED SANTA ANA

ADJ1976676 TEDDY DENMAN CONCEPT TECHNOLOGY INC SCIF INSURED SANTA ANA

ADJ208633 SHAUN WIDNEY AMPAM SCIF INSURED SANTA ANA

ADJ208633 SHAUN WIDNEY AMPAM RCR COMPANIES SCIF INSURED SANTA ANA

ADJ208633 SHAUN WIDNEY PLUMBING CONCEPTS INC SCIF INSURED SANTA ANA

112

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2301335 JONG HAHM DALMA PAINTING &

MAINTENANCE

SCIF INSURED SANTA ANA

ADJ2471603 OMAR CAMACHO R.A. CAMPBELL INC. SCIF INSURED SANTA ANA

ADJ2471603 OMAR CAMACHO RA CAMPBELL INC SCIF INSURED SANTA ANA

ADJ2503255 MANUEL RODRIGUEZ BAU FURNITURE

MANFACTURING

SCIF INSURED SANTA ANA

ADJ2507982 RENEE COLEMAN INTEGRATED CARE SYSTEMS SCIF INSURED SANTA ANA

ADJ2931117 MAELI RIQUELME THE INDUSTRIAL LABOR

MANAGEMENT

SCIF INSURED SANTA ANA

ADJ2987160 JUAN MEJIA ROBERT CASTONGIA INC. SCIF INSURED SANTA ANA

ADJ3190535 GUADALUPE LOPEZ JAWED ARAIN SCIF INSURED SANTA ANA

ADJ3299688 GRZEGORZ BOBER INTRA COUNTY BUSINESS

MAIL

SCIF INSURED SANTA ANA

ADJ3331118 LUIS TORRES SEVENTH STREET GARAGE,

INC.

SCIF INSURED SANTA ANA

ADJ3349713 SABAS TORRES FENCE PRO'S SCIF INSURED SANTA ANA

ADJ3368955 ROSSCO CAHILL CBI CONSTRUCTION SCIF INSURED SANTA ANA

ADJ3482332 NOE HERNANDEZ FRENCH #75 RESTAURANT SCIF INSURED SANTA ANA

ADJ3502798 FERNANDO GONZALEZ DOCTOR FUME, INC. SCIF INSURED SANTA ANA

ADJ3737215 MIKE SCHOWENGERDT COSMO STORE SERVICE SCIF INSURED SANTA ANA

ADJ383618 GERMAN RODRIGUEZ PLASTIC PAINT PRODUCTION SCIF INSURED SANTA ANA

ADJ4048801 LEONARDO CANALES BUENA VISTA CONSTRUCTION

J & A INC.

SCIF INSURED SANTA ANA

ADJ4089116 DONALD COLLINS JDI CONSTRUCTION SCIF INSURED SANTA ANA

ADJ4292736 LEOBALDO PEREZ CASSADY ROOFING INC SCIF INSURED SANTA ANA

ADJ4377743 ALBERTO AYALA BARGAIN TOWN THRIFT

STORE

SCIF INSURED SANTA ANA

ADJ4506034 ANTONIA JUAREZ PURPLE HEART SCIF INSURED SANTA ANA

ADJ6914642 JOSE QUINONES HECTORS PALLETS SCIF INSURED SANTA ANA

ADJ6970812 ANTONIA REYNAGA BERTOLINI INC SCIF INSURED SANTA ANA

ADJ7231292 RICARDO MUNOZ KELLOG AND ASSOCIATES SCIF INSURED SANTA ANA

ADJ724651 OLIVIA ZAPOTE GADERA PROPERTY

MANAGEMENT

SCIF INSURED SANTA ANA

ADJ7450195 FRANCISCO GARCIA

VIERA

CD ALEXANDER LLC SCIF INSURED SANTA ANA

ADJ7511648 JUAN SULVARAN VALLEY COURIERS INC SCIF INSURED SANTA ANA

ADJ7712427 SELVIN REYES MOBILE TRAILER WORKS INC SCIF INSURED SANTA ANA

ADJ7884463 GRICEL GONZALEZ EL MARES RESTAURANT SCIF INSURED SANTA ANA

113

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7907053 OLIVERIA PERALTA RICHARD MANASSERO FARMS

INC

SCIF INSURED SANTA ANA

ADJ7938631 RIGOBERTO HERRERA ROLLING GREEN INC SCIF INSURED SANTA ANA

ADJ8394852 PABLO GONZALEZ MIK CONSTRUCTION SCIF INSURED SANTA ANA

ADJ9058758 LUIS ROCHA

FERNANDEZ

J S RESTAURANTS SCIF INSURED SANTA ANA

ADJ163167 MICHAEL VITALI ULTIMATE JUICE COMPANY SCIF INSURED SANTA ROSA

ADJ2270440 JOSEPH CROSSETTI PACIFIC TRANSPORTATION SCIF INSURED SANTA ROSA

ADJ1402410 TERRA SEIDEL DEVELOPMENTAL DISABILITIES

SERVICES

SCIF INSURED STOCKTON

ADJ6781469 JUAN OCHOA KULVIR SINGH AND SATVIR SCIF INSURED STOCKTON

ADJ7754217 JESUS PIZANO BEN CORREIRO AND SONS SCIF INSURED STOCKTON

ADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS SCIF LONGSHORE PLEASANTON

ADJ6967055 PHILIP SCOTT ISLAND ENTERPRISES INC SCIF LONGSHORE PLEASANTON

ADJ6564673 MIGUEL MENDOZA ANGEL JEWELERS SCIF SCIF EMPLOYEES ALL

ADJ688610 VINCENT YANNIELLO STATE COMPENSATION

INSURANCE FUND

SCIF SCIF EMPLOYEES ALL

ADJ1494703 DOLORES MURCIA MV TRANSPORTATION SCIF SCO MONTEREY PARK

ADJ6931057 FRANCISCO MUNOZ STRATEGIC STAFFING

ALLIANCE

SCIF SCO MONTEREY PARK

ADJ7129857 TIM ALMEIDA NATIONAL CONTAINER

GROUP

SCIF SCO MONTEREY PARK

ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC SCIF SCO MONTEREY PARK

ADJ7572160 MELIZA BELTRAN MARISCOS LA SIRENA INC SCIF SCO MONTEREY PARK

ADJ7664950 JESUS VELASCO MGD SCIF SCO MONTEREY PARK

ADJ7702056 SILVIA SANCHEZ CAITAC GARMENT

PROCESSING

SCIF SCO MONTEREY PARK

ADJ7740025 MICHAEL STAFFORD HANDYMAN CONNECTIONS SCIF SCO MONTEREY PARK

ADJ7740959 JAIME ALVARADO J BROTHERS

TRANSPORTATION

SCIF SCO MONTEREY PARK

ADJ7879753 DEBRA MILLER PALMCREST GRAND CARE

CENTER & RESIDENCE & PALM

CREST CIR

SCIF SCO MONTEREY PARK

ADJ8423612 TERI BURKO SCOTT PUBLIC RELATIONS SCIF SCO MONTEREY PARK

ADJ7004137 KINA BROWN DEPARTMENT OF SOCIAL

SERVICES IHSS

SCIF SCO SAN BERNARDINO

ADJ7592580 RONNIE MARTINEZ SC VILLAGE PAINTBALL PARK SCIF SCO SAN BERNARDINO

ADJ8390068 SUSANA SALAZAR MOTEL 6 SCIF SCO SAN BERNARDINO

114

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8392183 AMY EVANS IHSS SCIF SCO SAN BERNARDINO

ADJ9397923 ANGELA VELASQUEZ CCL TUBE SCIF SCO SAN BERNARDINO

ADJ7838790 RYAN SIFUENTES ABC LIOVIN DRILLING SCIF SCO SANTA ANA

ADJ7457800 MICHAEL BRINGETTO ROLINDA MOTOR SALES SCIF STATE EMPLOYEES OXNARD

ADJ7559746 JEROME JOHNSON PLEASANT VALLEY STATE

PRISON

SCIF STATE EMPLOYEES OXNARD

ADJ1141411 WILLIAM HORTON ALBERT V O'NEAL SCIF STATE EMPLOYEES RIVERSIDE

ADJ1141411 WILLIAM HORTON ALBERT'S TRUCKING SCIF STATE EMPLOYEES RIVERSIDE

ADJ1141411 WILLIAM HORTON UEBTF LOS ANGELES SCIF STATE EMPLOYEES RIVERSIDE

ADJ1531319 MARIA THERESA

BOIKANYO

DEPT MOTOR VEHICLES SCIF STATE EMPLOYEES RIVERSIDE

ADJ1531319 MARIA THERESA

BOIKANYO

DEPT. OF MOTOR VEHICLES SCIF STATE EMPLOYEES RIVERSIDE

ADJ1987653 SOPHIE HERNANDEZ COUNTY OF LA DSS IN HOME SCIF STATE EMPLOYEES RIVERSIDE

ADJ258909 RALPH CARPIO STATE OF CALIF/CALIF INST

FOR MEN

SCIF STATE EMPLOYEES RIVERSIDE

ADJ2724902 MARIA CRUZ

MEMBRANO

IHSS DPSS SCIF STATE EMPLOYEES RIVERSIDE

ADJ4031610 CYNTHIA JONES DEPT OF SOCIAL SERVICES SCIF STATE EMPLOYEES RIVERSIDE

ADJ7653720 HEATHER LILLY C.I.W/CDCR SCIF STATE EMPLOYEES RIVERSIDE

ADJ3758614 GABRIEL POPESCU VETERANS HOME OF

YOUNTVILLE

SCIF STATE EMPLOYEES

ROHNERT PARKADJ1668946 BRUCE COOKE DEPT OF CORRECTIONS-

CORCORAN

SCIF STATE EMPLOYEES

SACRAMENTOADJ2250297 HERMELINDO

SANDOVAL

NORTH KERN STATE PRISON SCIF STATE EMPLOYEES

SACRAMENTOADJ4483905 JACK SHELBY CALIFORNIA HIGHWAY

PATROL

SCIF STATE EMPLOYEES

SACRAMENTOADJ467009 JOHN WILSON T-0079220 SCIF STATE EMPLOYEES

SACRAMENTOADJ7169694 TODD COGDILL CSP KINGS COUNTY AT

CORCORAN

SCIF STATE EMPLOYEES

SACRAMENTOADJ8115030 GERRY HARLAN CALIFORNIA HIGHWAY

PATROL

SCIF STATE EMPLOYEES

SACRAMENTO

115

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1489438 THANH NGUYEN DEPARTMENT OF

CORRECTIONS-WASCO

SCIF STATE EMPLOYEES SANTA

ANAADJ1531319 MARIA THERESA

BOIKANYO

DEPT MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA

ANAADJ1531319 MARIA THERESA

BOIKANYO

DEPT. OF MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA

ANAADJ173709 NICK CIMARUSTI CDC SCIF STATE EMPLOYEES SANTA

ANAADJ222117 WILLIAM MOSS DEPARTMENT OF

CORRECTIONS

SCIF STATE EMPLOYEES SANTA

ANAADJ222117 WILLIAM MOSS DEPT OF CORRECTIONS SCIF STATE EMPLOYEES SANTA

ANAADJ2918788 CHERYL BARNETTE

POWELL

DEPT. OF CORRECTIONS SCIF STATE EMPLOYEES SANTA

ANAADJ2949275 IOWN FIELDS STATE OF CALIFORNIA EDD SCIF STATE EMPLOYEES SANTA

ANAADJ3077661 ALI KIUMARSI DEPT OF TRANS SCIF STATE EMPLOYEES SANTA

ANAADJ3077661 ALI KIUMARSI STATE OF CALIFORNIA SCIF STATE EMPLOYEES SANTA

ANAADJ3603383 JOAN NITAO CAMPOS DEPT OF MOTOR VEHICLE SCIF STATE EMPLOYEES SANTA

ANAADJ4705961 TERESA MORAN METROPOLITAN STATE

HOSPITAL

SCIF STATE EMPLOYEES SANTA

ANAADJ6713272 RAY DURAN STATE OF CALIFORNIA SCIF STATE EMPLOYEES SANTA

ANAADJ8005751 DIANA GONZALEZ STATE OF CALIFORNIA IHSS SCIF STATE EMPLOYEES SANTA

ANAADJ790408 TODD JORDAN CITY OF PORT HUENEME SCRMA

ADJ8979889 GUSTAVO SOLORIO DAN DRAKE ENTERPRISES LLC SEC NATIONAL INS RISICO

FRESNOADJ9268715 GAUDENCIA REYES WEST SIDE AG SEC NATIONAL INS RISICO

FRESNOADJ8715739 JUAN JOSE CARILLO SHARPE INTERIOR SYSTEMS

INC

SECURITY NATIONAL

INSURANCE DALLASADJ9066858 ARACELY TRUJILLO STAR NAIL INTERNATIONAL SECURITY NATIONAL

INSURANCE DALLASADJ1074414 RAHEL ASRAT ALBERSONS/SAVONS SEDGWICK 14153 RIVERSIDE

ADJ7339475 JOSE LOPEZ R H PETERSON SEDGWICK 14153 RIVERSIDE

ADJ8226373 LUIS BANUELOS DARLING INTERNATIONAL SEDGWICK 14153 RIVERSIDE

ADJ8301839 CARMEN MORENO AMERICAN APPAREL SEDGWICK 14153 RIVERSIDE

116

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8345092 IRMA PALACIOS AMERICAN STORES CO LLC A

SUPERVALU DBA ALBERTSONS

SEDGWICK 14153 RIVERSIDE

ADJ8390763 FABIOLA SANCHEZ NEXXOFINANCIAL

CORPORATION PBS OF

AMERICA

SEDGWICK 14153 RIVERSIDE

ADJ8599315 JOSE LOPEZ ALBERTSONS SEDGWICK 14153 RIVERSIDE

ADJ8609298 MANUEL AMEZCUA DAVE MOODY SEDGWICK 14153 RIVERSIDE

ADJ8622008 KATHLEEN HARTFIELD INTERNATIONAL RECTIFIER SEDGWICK 14153 RIVERSIDE

ADJ8667338 FRANCIS APONTE ALBERTSONS INC SEDGWICK 14153 RIVERSIDE

ADJ8755213 GUILLERMINA

RODRIGUEZ

ARBYS SEDGWICK 14153 RIVERSIDE

ADJ8766910 MARGARITA ORNELAS OASIS OUTSOURCE SEDGWICK 14153 RIVERSIDE

ADJ9013945 WILLIAM VASQUEZ OFC MANAGEMENT SEDGWICK 14153 RIVERSIDE

ADJ1214217 CARLOS FLORES NATIONAL OILWELL VARCO SEDGWICK 14154 SACRAMENTO

ADJ2554492 FRANCISCO VELASCO CAMEO EMPLOYMENT SERVICE SEDGWICK 14154 SACRAMENTO

ADJ5824105 MARIA RODRIGUEZ ADSI OSCO SAV ON CVS SEDGWICK 14154 SACRAMENTO

ADJ6662157 LASHONDA BROWN PIER 1 IMPORTS INC SEDGWICK 14154 SACRAMENTO

ADJ8200960 JUAN PEREZ ROMO CARGILL MEAT SOLUTIONS SEDGWICK 14154 SACRAMENTO

ADJ8246305 TIM GRANBERG CARGILL BEEF PACKERS SEDGWICK 14154 SACRAMENTO

ADJ8275758 KELLY MORALES WILLIAMS SONOMA SEDGWICK 14154 SACRAMENTO

ADJ8464397 EMMA MONTGOMERY FREEMAN COMPANIES SEDGWICK 14154 SACRAMENTO

ADJ8592445 MICHAELINE PONCE DE

LEON

WELLS FARGO SEDGWICK 14154 SACRAMENTO

ADJ8630609 ANGELICA PERALES TWO CHEFS INSPERITY PEO

SERVICES LP

SEDGWICK 14154 SACRAMENTO

ADJ6800939 ERIKA LARA RAMIREZ SISTERS OF CHARITY OF

LEAVENWORTH

SEDGWICK 14424 ORANGE

ADJ2533227 ANTONIO FERNANDEZ THE HOME DEPOT SEDGWICK 14442 ORANGE

ADJ4087514 ERMELINDA HARWOOD

OCHOA

DURHAM SCHOOL SERVICE SEDGWICK 14442 ORANGE

ADJ4143142 SANTIAGO TEVEZ CENTRAL PARKING SYSTEM SEDGWICK 14442 ORANGE

ADJ6429713 ZOILA JIMENEZ TYCO INTERNATIONAL SEDGWICK 14442 ORANGE

117

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6626267 DONNA TROYN WESTCO EQUITIES INC SEDGWICK 14442 ORANGE

ADJ6788433 GAIL CAPLAN ST JOSEPHS HOSPITAL SEDGWICK 14442 ORANGE

ADJ6800111 CARLOS AGUILAR PROPSERV INC DBA ARNEL

MANAGEMENT

SEDGWICK 14442 ORANGE

ADJ6929168 AMADO MARTINEZ COSTCO WHOLESALE SEDGWICK 14442 ORANGE

ADJ7188312 JOANNE LANAGAN ST JOSEPHS HEALTH SYSTEMS SEDGWICK 14442 ORANGE

ADJ7213236 FRANCISCO SALGADO CLAIM JUMPER RESTAURANT SEDGWICK 14442 ORANGE

ADJ7271453 MARIBEL MINERA SIMSO TEX SUBLIMATION

PRINTING & FINISHING INC

SEDGWICK 14442 ORANGE

ADJ7324295 JOSE GARCIA WEST COAST LIQUIDATORS SEDGWICK 14442 ORANGE

ADJ7406608 EVELYN REVOLORIO PROVIDENCE HEALTH SYSTEMS SEDGWICK 14442 ORANGE

ADJ7423806 CAROL REAY FIRST STUDENT SEDGWICK 14442 ORANGE

ADJ7425504 JESUS PONCE SA RECYCLING SEDGWICK 14442 ORANGE

ADJ7449548 ANICETO VAZQUEZ COSTCO WHOLESALE SEDGWICK 14442 ORANGE

ADJ7481656 NELLY PEREZ 99 CENTS ONLY STORE SEDGWICK 14442 ORANGE

ADJ7552459 SYED HUSAIN 3 M COMPANIES SEDGWICK 14442 ORANGE

ADJ7584933 AMADO MARTINEZ COSTCO WHOLESALE

CORPORATION

SEDGWICK 14442 ORANGE

ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL SEDGWICK 14442 ORANGE

ADJ7610239 LUCYLYN MENDOZA SUNRISE SENIOR LIVING INC SEDGWICK 14442 ORANGE

ADJ7621877 JUDITH VASQUEZ BIG LOTS SEDGWICK 14442 ORANGE

ADJ7686497 EUNICE SERRATOS VERIZON WIRELESS SEDGWICK 14442 ORANGE

ADJ7694898 TERESA RIVAS BIG LOTS SEDGWICK 14442 ORANGE

ADJ7726446 JOSE MARTINEZ EPLASTERING SEDGWICK 14442 ORANGE

ADJ7761872 VICTORIA PENA KINDRED DEVELOPMENT SEDGWICK 14442 ORANGE

ADJ7811688 JUAN ONTIVEROS FIRESTONE TIRE & AUTO

SERVICE

SEDGWICK 14442 ORANGE

ADJ7814216 CESAR ELIAS BIG LOTS/PNS STORES INC SEDGWICK 14442 ORANGE

ADJ7816783 JOSE JESUS MOJICA CLAIM JUMPER RESTAURANT SEDGWICK 14442 ORANGE

ADJ7841517 PAM CARTWRIGHT VERIZON SEDGWICK 14442 ORANGE

ADJ7930589 DIANA BLANCO LITTLE CO OF MARY HOSPITAL SEDGWICK 14442 ORANGE

ADJ8029175 GONZALO BERNACHE COAST CITRUS DISTRIBUTORS SEDGWICK 14442 ORANGE

ADJ8040060 MARGARITA ROBLES BIG LOTS SEDGWICK 14442 ORANGE

ADJ8056245 GEORGINA SALTER BIG LOTS SEDGWICK 14442 ORANGE

ADJ8126663 SANDRA JIMENEZ AMERICAN MEDICAL

RESPONSE

SEDGWICK 14442 ORANGE

ADJ8150639 MICHELE MENDEZ RALPHS MARKET SEDGWICK 14442 ORANGE

ADJ8177827 MARTHA BERNAL DEL TACO SEDGWICK 14442 ORANGE

118

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8189702 MARIA GOETA RESCARE, INC. SEDGWICK 14442 ORANGE

ADJ8301839 CARMEN MORENO AMERICAN APPAREL SEDGWICK 14442 ORANGE

ADJ8305729 THERESE

ALLENSWORTH

BIG LOTS SEDGWICK 14442 ORANGE

ADJ8374729 JOSE RODRIGUEZ

CAMACHO

VALLEY FRUIT AND PRODUCT

CO

SEDGWICK 14442 ORANGE

ADJ8402739 GERARDO VALENCIA AIRFLITE SEDGWICK 14442 ORANGE

ADJ8428800 GEORGE FLORES WORLDWIDE PRODUCE SEDGWICK 14442 ORANGE

ADJ8529516 BENJAMIN ARREOLA MISSION HOSPITAL SEDGWICK 14442 ORANGE

ADJ8628530 JOSE MIGUEL LOPEZ HALL MANAGEMENT CORP SEDGWICK 14442 ORANGE

ADJ8764237 GONZALO PLASCENCIA COAST CITRUS DISTRIBUTORS SEDGWICK 14442 ORANGE

ADJ8774210 LADONNA WILLIAMS VERIZON WIRELESS SEDGWICK 14442 ORANGE

ADJ8774643 MIGUEL HIDALGO VAL PRO SEDGWICK 14442 ORANGE

ADJ8788655 SANDRA NAVA ACT FULFILLMENT SEDGWICK 14442 ORANGE

ADJ8854516 FIDEL GOMEZ

RODRIGUEZ

KINDRED HEALTHCARE SEDGWICK 14442 ORANGE

ADJ8860629 SALLY MOHAMED STARWOOD HOTELS RESORTS SEDGWICK 14442 ORANGE

ADJ8945471 RICHARD JOSEPH PICK YOUR PART AUTO

WRECKING

SEDGWICK 14442 ORANGE

ADJ8993159 MIGUEL MEJIA AUTOMOTIVE CREATIONS SEDGWICK 14442 ORANGE

ADJ9135117 REFUGIO GARCIA SCHEV STEEL SUPPLY SEDGWICK 14442 ORANGE

ADJ9160325 MARCUS GARSDEAN PROVIDENCE HOLY CROSS

MEDICAL CENTER

SEDGWICK 14442 ORANGE

ADJ9336523 ANTONIO AGUILAR BIG LOTS SEDGWICK 14442 ORANGE

ADJ227719 JORGE DIEGUEZ NESTLE USA SEDGWICK 14450 LONG BEACH

ADJ2479359 JULIETTE GONZALEZ LOWES HOME IMPROVEMENT SEDGWICK 14450 LONG BEACH

ADJ6755072 SUZANNE HOUK DAVITA INC SEDGWICK 14450 LONG BEACH

ADJ6759923 SONIA JIMENEZ ROSS SEDGWICK 14450 LONG BEACH

ADJ6961904 JUAN FLORES LOWES HOME IMPROVEMENT

WAREHOUSE

SEDGWICK 14450 LONG BEACH

ADJ7028462 DONNA WILLIAMS SEARS HOLDINGS

CORPORATION

SEDGWICK 14450 LONG BEACH

ADJ7033306 MARK HUERTA THE BOEING COMPANY SEDGWICK 14450 LONG BEACH

ADJ7213900 ANGELIQUE

DICKERSON

KMART SEDGWICK 14450 LONG BEACH

119

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7304937 JUAN MORENO KMART SEDGWICK 14450 LONG BEACH

ADJ7397863 FRANCISCA MEDEL LOWE'S HOME CENTERS INC SEDGWICK 14450 LONG BEACH

ADJ7414192 MARIA PARADA SEARS SEDGWICK 14450 LONG BEACH

ADJ7470549 DANIEL CONRY SMART & FINAL SEDGWICK 14450 LONG BEACH

ADJ7591874 CHRISTIE KATHARY

EDWARDS

KMART SEDGWICK 14450 LONG BEACH

ADJ7592651 OSCAR PAZ LOWES SEDGWICK 14450 LONG BEACH

ADJ7638636 ABDULL BOWMAN SMART AND FINAL SEDGWICK 14450 LONG BEACH

ADJ7652752 JULIE FERRELL SEARS HOLDINGS

CORPORATION

SEDGWICK 14450 LONG BEACH

ADJ7772502 SALVADOR DELGADO HARBOR DISTRICT COMPANY SEDGWICK 14450 LONG BEACH

ADJ7775441 CYNTHIA BROWN JENNY CRAIG SEDGWICK 14450 LONG BEACH

ADJ7841961 JAMES MACK JC PENNEY LOGISTICS SEDGWICK 14450 LONG BEACH

ADJ7891436 CAREY BROWNING BARSTOW NATIONAL VAN

LINES

SEDGWICK 14450 LONG BEACH

ADJ7957213 MARIA VEGA LOWES INC SEDGWICK 14450 LONG BEACH

ADJ7957338 MARIA VEGA LOWES INC SEDGWICK 14450 LONG BEACH

ADJ8039088 LAWRENCE BELCOURT LOWES HIW INC SEDGWICK 14450 LONG BEACH

ADJ8102864 JESUS MARTINEZ MIMIS CAFE SEDGWICK 14450 LONG BEACH

ADJ8157433 ERICA HERRERA LAUSD SEDGWICK 14450 LONG BEACH

ADJ8178066 ANASTACIA TORRES FOOD FOR LESS SEDGWICK 14450 LONG BEACH

ADJ8198539 RAFAEL FONSECA SEARS HOLDING

CORPORATION

SEDGWICK 14450 LONG BEACH

ADJ8278030 ELSA NICOLI J C PENNEY CORPORATION

INC

SEDGWICK 14450 LONG BEACH

ADJ8307252 PHILIP CUNNINGHAM THE BOEING COMPANY SEDGWICK 14450 LONG BEACH

120

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8329554 BARBARA FALO LOWES HOME CENTERS SEDGWICK 14450 LONG BEACH

ADJ8368523 KARLA RANGEL VERIZON SEDGWICK 14450 LONG BEACH

ADJ8550677 YOLANDA AVILA SEARS SEDGWICK 14450 LONG BEACH

ADJ8622859 MARIA TORRES INSPERITY SEDGWICK 14450 LONG BEACH

ADJ9173269 VILMA AYALA PICAR FARM LABOR SEDGWICK 14450 LONG BEACH

ADJ6652244 RAFAEL CASTILLO COCA COLA ENTERPRISES SEDGWICK 14458 ONTARIO

ADJ7838798 CARMEN SALINAS SPS TECHNOLOGIES SEDGWICK 14458 ONTARIO

ADJ8198539 RAFAEL FONSECA SEARS HOLDING

CORPORATION

SEDGWICK 14458 ONTARIO

ADJ8727752 CARLOS RAMIREZ LKQNGA KEYSSTONE

AUTOMOTIVE INSDUSTRIES

SEDGWICK 14458 ONTARIO

ADJ9050007 ALFONSO SOLIS ODWALLA INC SEDGWICK 14458 ONTARIO

ADJ1392822 FRANCISCO CARDENAS KIMKO SEDGWICK 14479 MCU IVOS VAN

NUYSADJ6601986 JUANA MAGDALENO KIMCO STAFFING SEDGWICK 14479 MCU IVOS VAN

NUYSADJ7760131 NARCIZO CALDERON KIMCO STAFFING SERVICES

INC / KIMSTAFF HR

SEDGWICK 14479 MCU IVOS VAN

NUYSADJ7760131 NARCIZO CALDERON WESTERN SENIORS HOUSING SEDGWICK 14479 MCU IVOS VAN

NUYSADJ8657668 MANUEL RAMOS KIMCO STAFFING SERVICE SEDGWICK 14479 MCU IVOS VAN

NUYSADJ2284131 NORMA BELVIZ ST VINCENT MEDICAL CENTER SEDGWICK 14522 VAN NUYS

ADJ3790090 GEORGE GRISOLIA LOS ANGELES UNIFIED

SCHOOL DIST.

SEDGWICK 14522 VAN NUYS

ADJ525636 MODESTO CATALAN COLOR SPOT SEDGWICK 14522 VAN NUYS

ADJ6949659 ROSA MURILLO VALLARTA SUPERMARKETS SEDGWICK 14522 VAN NUYS

ADJ7329945 IRMA ARZU MARINA DEL REY HOSPITAL SEDGWICK 14522 VAN NUYS

ADJ7491933 CATALINA FIGUEROA VALLARTA SUPER MARKET SEDGWICK 14522 VAN NUYS

ADJ7836457 ELIZABETH

CHOWDHURY

VALLARTA MARKET 22 SEDGWICK 14522 VAN NUYS

ADJ7875305 ARACELY MOLINA HUNTINGTON MEMORIAL

HOSPITAL

SEDGWICK 14522 VAN NUYS

ADJ7879848 MARY CAMPOS SECURITAS SEDGWICK 14522 VAN NUYS

ADJ7904401 CLAUDIA SANTOS KIMCO SEDGWICK 14522 VAN NUYS

ADJ7926368 ANNE OTZEN HEALTHNET INC SEDGWICK 14522 VAN NUYS

121

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7987513 KATHLEEN GIVENS HEALTHNET FEDERAL

SERVICES

SEDGWICK 14522 VAN NUYS

ADJ8114480 EHAB SAAD WALGREENS SEDGWICK 14522 VAN NUYS

ADJ8186610 MARIA RODRIGUEZ VALLARTA SUPERMAKETS SEDGWICK 14522 VAN NUYS

ADJ8252526 MARTINA VIDES FIRST DATA CORPORATION SEDGWICK 14522 VAN NUYS

ADJ8460658 MARCO CASTRO HENRY S FARMERS MARKET SEDGWICK 14522 VAN NUYS

ADJ9032914 RUBY WALTON VEOLIA TRANSPORTATION SEDGWICK 14522 VAN NUYS

ADJ9312463 VIRGINIA ARDON SECURITAS SEDGWICK 14522 VAN NUYS

ADJ7487021 MATTHEW SHIRLEY SECURITAS SEDGWICK 14535 OAKLAND

ADJ1926394 FRANCISCO COSTA RALPHS SEDGWICK 14563 LONG BEACH

ADJ2376339 JOHN MAK CITY OF LOS ANGELES SEDGWICK 14563 LONG BEACH

ADJ4177036 JESUS VALDEZ RALPHS SEDGWICK 14563 LONG BEACH

ADJ420940 ARSENIO CRUZ RALPHS GROCERY COMPANY SEDGWICK 14563 LONG BEACH

ADJ6951887 ROSA SUAREZ RALPHS GROCERY SEDGWICK 14563 LONG BEACH

ADJ7392909 CELESTE CASTANEDA FOOD 4 LESS SEDGWICK 14563 LONG BEACH

ADJ7412310 ROBERT SMITH RALPHS GROCERY COMPANY SEDGWICK 14563 LONG BEACH

ADJ7472102 ISMAEL TORRES VALLE 99 CENT ONLY STORES SEDGWICK 14563 LONG BEACH

ADJ7591874 CHRISTIE KATHARY

EDWARDS

KMART SEDGWICK 14563 LONG BEACH

ADJ7597528 ARSENIO CRUZ RALPHS DISTRIBUTION

CENTER

SEDGWICK 14563 LONG BEACH

ADJ7655943 HECTOR ROMERO RALPHS GROCERY COMPANY SEDGWICK 14563 LONG BEACH

ADJ7781678 RODOLFO MORENO RALPHS GROCERY SEDGWICK 14563 LONG BEACH

ADJ7880581 CARNELLA JOHNSON LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK 14563 LONG BEACH

ADJ8039088 LAWRENCE BELCOURT LOWES HIW INC SEDGWICK 14563 LONG BEACH

ADJ8059853 BELEN REZA LOWES SEDGWICK 14563 LONG BEACH

ADJ8121168 RENITA BROWN RALPH S GROCERY STORES SEDGWICK 14563 LONG BEACH

122

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8165275 MARIO LOZANO FOOD FOR LESS SEDGWICK 14563 LONG BEACH

ADJ8298862 VICTOR VARGAS HARBOR DISTRIBUTING SEDGWICK 14563 LONG BEACH

ADJ8462645 HARRY PORTER RALPHS GROCERY SEDGWICK 14563 LONG BEACH

ADJ8857300 VICKY TALBOTT RALPHS SEDGWICK 14563 LONG BEACH

ADJ1259359 HANNE WARD SOUTHWEST AIRLINES SEDGWICK 14573 SACRAMENTO

ADJ1658145 ROSA AMADOR RIVER RANCH SEDGWICK 14573 SACRAMENTO

ADJ1658145 ROSA AMADOR RIVER RANCH/SUNNY SALLY SEDGWICK 14573 SACRAMENTO

ADJ2904717 ROSA AMADOR RIVER RANCH/SUNNY SALLY SEDGWICK 14573 SACRAMENTO

ADJ4667408 VEDRAN BARBIC MURPHY INDUSTRIAL

COATINGS

SEDGWICK 14573 SACRAMENTO

ADJ4767638 ROSALVA RUIZ CINTAS CORP SEDGWICK 14573 SACRAMENTO

ADJ4767638 ROSALVA RUIZ CINTAS CORPORATION SEDGWICK 14573 SACRAMENTO

ADJ7256986 ALFONSO MONTERO FED-EX NATIONAL LTL INC SEDGWICK 14573 SACRAMENTO

ADJ7265287 CRISTINA QUINTANILLA STAFF CHEX SEDGWICK 14573 SACRAMENTO

ADJ7265287 CRISTINA QUINTANILLA STAFFCHEX TRI STATE

STAFFING

SEDGWICK 14573 SACRAMENTO

ADJ7299082 SALVADOR ROMERO FED EX NATIONAL SEDGWICK 14573 SACRAMENTO

ADJ7731080 JAVIER GUZMAN FED EX NATIONAL SEDGWICK 14573 SACRAMENTO

ADJ8207169 JOSE JIMAREZ THERMAL DYNAMICS

CORPORATION

SEDGWICK 14573 SACRAMENTO

ADJ8214560 LINDA VALDIVIA WESTERN SOUTHERN LIFE

INSURANCE

SEDGWICK 14573 SACRAMENTO

ADJ4168210 NEIL ALLEN LABOR CONNECTION SEDGWICK 14627 ONTARIO

ADJ6429713 ZOILA JIMENEZ TYCO INTERNATIONAL SEDGWICK 14627 ONTARIO

ADJ7658804 DEBORAH WELCKER AT T SEDGWICK 14627 ONTARIO

ADJ7959232 JEANETTE VILLA PACIFIC BELL SBC AT&T SEDGWICK 14627 ONTARIO

ADJ7987710 EVA BELTRAN TARGET SEDGWICK 14627 ONTARIO

ADJ8642674 EDGAR PEREZ AT&T MOBILITY SERVICE LLC SEDGWICK 14627 ONTARIO

123

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2059684 CHRISTOPHER MARTIN L.A.U.S.D. SEDGWICK 14667 ORANGE

ADJ2059684 CHRISTOPHER MARTIN LAUSD SEDGWICK 14667 ORANGE

ADJ7172159 NEREIDA HERNANDEZ STARBUCKS COFFEE SEDGWICK 14667 ORANGE

ADJ8094969 SANDRA AVERILL STARBUCKS SEDGWICK 14667 ORANGE

ADJ8486609 MICHAEL CURTIS STARBUCKS COFFEE

COMPANY

SEDGWICK 14667 ORANGE

ADJ8485301 MARTHA HERRERA ST FRANCIS MEDICAL CENTER SEDGWICK 2065 OAKLAND

ADJ8852717 MIGUEL MENDOZA KIMKO STAFFING SERVICES

INC

SEDGWICK 2065 OAKLAND

ADJ9229093 JUAN PLATERO THE PENINSULA HOTEL SEDGWICK 2065 OAKLAND

ADJ9307388 AGUEDA DOMINGUEZ DEL MONTE FOODS 25 SEDGWICK 2065 OAKLAND

ADJ7426442 BETTY LOTTIE LAS FLORES CONVALESCENT SEDGWICK 3110 RANCHO

CORDOVAADJ4118368 LUIS VASQUEZ CSUF FOUNDATION SEDGWICK 3170 RANCHO

CORDOVAADJ8227086 ENRIQUE RODRIGUEZ AO THE UNIVERSITY CORP

CSU

SEDGWICK 3170 RANCHO

CORDOVAADJ7185118 ERIC COX A T AND T SEDGWICK 51460 ONTARIO

ADJ3392561 CARMELITA ALVARADO ALBERTSONS SEDGWICK ALBERTSONS BREA

ADJ8925040 LETICIA ALVAREZ BIG LOTS SEDGWICK ALBERTSONS BREA

ADJ1214217 CARLOS FLORES NATIONAL OILWELL VARCO SEDGWICK BREA

ADJ126314 MARIA VILLA TECHNICOLOR HOME

ENTERTAINMENT SERV

SEDGWICK BREA

ADJ1479326 JONATHAN DUONG AUTOMOBILE CLUB OF SO

CALIFORNIA

SEDGWICK BREA

ADJ164955 ESTHER MONTORO STATE FARM SEDGWICK BREA

ADJ2216629 JORGE SANCHEZ GELSONS MARKETS SEDGWICK BREA

ADJ2228561 ARTURO AVILA CARIMEX INC. SEDGWICK BREA

ADJ2350493 CURTIS UYEDA STATE FARM INSURANCE SEDGWICK BREA

ADJ2479359 JULIETTE GONZALEZ LOWES HOME IMPROVEMENT SEDGWICK BREA

ADJ2658719 JOSE RODRIGUEZ GELSONS MARKETS SEDGWICK BREA

ADJ3312441 MARTHA LEPE VOLT SEDGWICK BREA

ADJ3312441 MARTHA LEPE VOLT INFORMATION SCIENCE SEDGWICK BREA

ADJ3327727 VICTORIA UNUTOA

WHITE

WESTERN MEDICAL CENTER SEDGWICK BREA

ADJ3522844 MARIA ANAYA MMS MALL MAINTENANCE SEDGWICK BREA

ADJ3522844 MARIA ANAYA UEBTF LOS ANGELES SEDGWICK BREA

ADJ3612946 IGNACIO ESCARCEGA ALBERTSON'S SEDGWICK BREA

124

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3612946 IGNACIO ESCARCEGA ALBERTSONS SEDGWICK BREA

ADJ3802723 MARICELA AYON DOUBLE TREE HOTEL SEDGWICK BREA

ADJ4210130 BRAULIO GARCIA CABO YACHTS SEDGWICK BREA

ADJ4423572 NORMA GUERRERO ZALES THE DIAMOND STORE SEDGWICK BREA

ADJ4571802 FAY FORSYTHE TRIMEDYNE INC SEDGWICK BREA

ADJ6746016 DAVID SAAVEDRA THE BEDFORD GROUP SEDGWICK BREA

ADJ6759341 ERIC LE ALCOA FASTENING SYSTEMS SEDGWICK BREA

ADJ6759488 MARTHA ESPINOZA NATIONAL PEDIATRIC

SUPPORT SERVICES

SEDGWICK BREA

ADJ6783101 LISBETE CARNAHAN RESCARE INC SEDGWICK BREA

ADJ6814904 GUADALUPE MATIN ALCOA GLOBAL FASTNERS

INC

SEDGWICK BREA

ADJ6865726 CAROLINA DELEON DEL TACO SEDGWICK BREA

ADJ6960560 DORA ORTIZ TRADER JOES COMPANY SEDGWICK BREA

ADJ6961904 JUAN FLORES LOWES HOME IMPROVEMENT

WAREHOUSE

SEDGWICK BREA

ADJ6977463 JOSEFINA AVALOS ELEMENT SKATEBOARD INC SEDGWICK BREA

ADJ7022200 MARIA AYALA NEDCO ELECTRONICS INC SEDGWICK BREA

ADJ7041425 LETICIA APARICIO NEDCO ELECTRONICS INC SEDGWICK BREA

ADJ7113117 DANNY ALCANTARA SAN DIEGO LAND SYSTEM SEDGWICK BREA

ADJ7225855 VERONICA CALDERON DEL TACO SEDGWICK BREA

ADJ7296809 INGRID CORRALES CLUB SPORT ALISO SEDGWICK BREA

ADJ7337837 AXEL FERNANDEZ UNIVERSAL FACTORIES CORP SEDGWICK BREA

ADJ7339475 JOSE LOPEZ R H PETERSON SEDGWICK BREA

ADJ7362675 VERONICA CALDERON DEL TACO SEDGWICK BREA

ADJ7712558 LORENZO VEGA THIN LITE CORPORATION SEDGWICK BREA

ADJ7805556 ANA ALVAREZ ALCOA GLOBAL FASTENER SEDGWICK BREA

ADJ7861568 CONNIE BACA

GONZALES

EDUCATION MANAGEMENT

SYSTEMS

SEDGWICK BREA

ADJ7880028 HUONG MAI ALBERTSONS SEDGWICK BREA

ADJ7949440 ROSENDO DIAZ BENITO M URENA SEDGWICK BREA

ADJ7954912 CIRA MARTINEZ AMERICAN APPAREL SEDGWICK BREA

ADJ8276967 MARIA PEREZ CARL AND WENDY BOLTE SEDGWICK BREA

ADJ8345387 KARLA PEREZ DEL TACO SEDGWICK BREA

ADJ8890142 IRENE KOPECZY CVS PHARMACY SEDGWICK BREA

ADJ901733 IZABELLA

GRYGLASZEWSKI

VISITING NURSES ASSC OF

INLAND CTRS

SEDGWICK BREA

125

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ901733 IZABELLA

GRYGLASZEWSKI

VISITNG NURSES SEDGWICK BREA

ADJ1295708 FRANKLIN CHUTE ARAMARK MGMT SERVICES

LIMITED

SEDGWICK BURBANK

ADJ7798120 FERNANDO CAMARENA ADP TOTALSOURCE LII INC

DAZIAN RENTAL WEST

SEDGWICK BURBANK

ADJ7926088 ANA FLORES SANCHEZ ARAMARK SEDGWICK BURBANK

ADJ8244599 ALEJANDRA

VILLANUEVA

ARAMARK CLEANROOM

SERVICES

SEDGWICK BURBANK

ADJ8458913 JANET SOLANO ARAMARK HIGHER

EDUCATION

SEDGWICK BURBANK

ADJ8636107 MARIA GONZALEZ

ARZIGA

ARAMARK UNIFORM SERVICE SEDGWICK BURBANK

ADJ8052363 MARIA CHAVEZ COMPASS GROUP USA INC SEDGWICK CHARLESTON

ADJ1440559 CANDELARIA VALDEZ REDD CARPET JANITORIAL SEDGWICK CIGA GLENDALE

ADJ204732 EVERARDO TOVAR BOONE INTERNATIONAL INC. SEDGWICK CIGA GLENDALE

ADJ2552580 ROBERT DUGGAN BESTWAY DISTRIBUTING CO SEDGWICK CIGA GLENDALE

ADJ2863095 SILVESTRE RAMOS CUSTOM LIGHT AND IRON SEDGWICK CIGA GLENDALE

ADJ2863095 SILVESTRE RAMOS EMPLOYERS RESOURCE SEDGWICK CIGA GLENDALE

ADJ338885 GUADALUPE FELIX AMERICAN GOLF

CORPORATION

SEDGWICK CIGA GLENDALE

ADJ3866602 KARLA METZGER BRITTANY HOUSE SEDGWICK CIGA GLENDALE

ADJ388925 ELIS MORENO PRIME WHEEL SEDGWICK CIGA GLENDALE

ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION SEDGWICK CIGA GLENDALE

ADJ4168210 NEIL ALLEN LABOR CONNECTION SEDGWICK CIGA GLENDALE

ADJ4357871 MIGUEL ESCOTO KRUSE & SONS MEAT CO SEDGWICK CIGA GLENDALE

ADJ4390779 MARY SCHIFF MCDONNELL DOUGLAG

AIRCRAFT

SEDGWICK CIGA GLENDALE

ADJ4411690 KARENLEE SCHELL CUPERTINO UNION SCHOOL

DISTRICT

SEDGWICK CIGA GLENDALE

ADJ4645734 MICHAEL CROUGH MCDONNELL DOUGLAG

AIRCRAFT

SEDGWICK CIGA GLENDALE

ADJ7612267 FRANK ANCONA MORENO VALLEY CHEVY GEO

OLDSMOBILE

SEDGWICK CIGA GLENDALE

ADJ7612267 FRANK ANCONA MOSS BROTHERS CHEVROLET SEDGWICK CIGA GLENDALE

ADJ7734848 AMPARO VAZQUEZ LOTUS CARE CENTER SEDGWICK CIGA GLENDALE

ADJ231248 MARY BLOUGH LORENZ RALPHS SEDGWICK CLAIMS

MANAGEMENT SERVICES

126

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ231248 MARY BLOUGH LORENZ WORLDMARK SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ2786977 ANTHONY DUFAULT VERIZON SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ2886819 JINOUS BAHRAMI RALPHS SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ293247 MICHAEL GONZALES RALPHS GROCERY CO SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ4125807 LINDA CORTEZ LAUSD SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ4437759 SALVADOR

HERNANDEZ

WHITE MEMORIAL MEDICAL

CENTER

SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ4437759 SALVADOR

HERNANDEZ

WHITE MEMORIAL MEDICAL

CNTR

SEDGWICK CLAIMS

MANAGEMENT SERVICESADJ3814780 MARTIN VENEGAS AMERICAN HONDA SEDGWICK CLAIMS

MANAGEMENTSERVICESADJ3325831 GLORIA DE ANDA LAUSD SEDGWICK CLAIMS MANAGMENT

SERVICESADJ4130493 OLIVIA RIVERA RALPHS GROCERY CO SEDGWICK CLAIMS MANAGMENT

SERVICESADJ1685518 VICTOR BUSTAMANTE TARGET SEDGWICK CMS

ADJ4176877 ROSEMARY EUBANKS VERIZON SEDGWICK CMS-ORANGE OFFICE

ADJ1664105 LACAROL MATTHEWS LA COUNTY DEPT OF SOCIAL

SERVICES

SEDGWICK COLA ONTARIO

ADJ178064 NATALIE JOHNSON COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ1811482 JOE ESQUEDA LOS ANGELES COUNTY

PROBATION DEPT

SEDGWICK COLA ONTARIO

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS

ANGELES/DPSS

SEDGWICK COLA ONTARIO

ADJ2001498 CARLETTA BURNS LOS ANGELES COUNTY/ DFCS SEDGWICK COLA ONTARIO

ADJ2172372 DEBORAH WEBB

CARTER

COUNTY OF LA PROBATION

DEPT

SEDGWICK COLA ONTARIO

ADJ2339263 MARIA ROSALES LOS ANGELES COUNTY SEDGWICK COLA ONTARIO

ADJ2712036 STEVEN SELZNICH COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ2712036 STEVEN SELZNICH LOS ANGELES COUNTY PUBLIC

WORKS-690

SEDGWICK COLA ONTARIO

ADJ2878074 VANNESSA ESPY DPSS SEDGWICK COLA ONTARIO

ADJ5801811 HOWIDA ABDELMALAK COUNTY OF LOS ANGELES

DPS

SEDGWICK COLA ONTARIO

127

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6463091 MARYANN DRYDEN COUNTY OF LOS ANGELES

DPSS

SEDGWICK COLA ONTARIO

ADJ6684709 ALTHEIA KEESEE LA COUNTY PROBATION DEPT SEDGWICK COLA ONTARIO

ADJ6702693 CRISTINA HERNANDEZ COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ6728487 FRANK VIERRA LOS ANGELES COUNTY

PROBATION DEPARTMENT

SEDGWICK COLA ONTARIO

ADJ6803135 SOFIA DELGADO COUNTY OF LA PROBATION

DEPT

SEDGWICK COLA ONTARIO

ADJ6899721 SALLY MARTINEZ COUNTY OF LOS

ANGELES/DPSS

SEDGWICK COLA ONTARIO

ADJ6950820 SHARON ENIX COUNTY OF LOS ANGELES

DEPARTMENT OF ASSESSORS

SEDGWICK COLA ONTARIO

ADJ7014781 JEANETTE WILSON LA COUNTY SEDGWICK COLA ONTARIO

ADJ7015548 EUGENIA MARROQUIN LOS ANGELES COUNTY/DPSS SEDGWICK COLA ONTARIO

ADJ7109103 MARILYN MANNING LOS ANGELES COUNTY DPSS SEDGWICK COLA ONTARIO

ADJ7140352 DENISE DAVIS THOMAS REGISTRAR RECORDER

COUNTY CLERK

SEDGWICK COLA ONTARIO

ADJ7174524 JORGE CISNEROS LOS ANGELES COUNTY OF

PUBLIC WORKS

SEDGWICK COLA ONTARIO

ADJ7174576 ELIZABETH PADILLA COUNTY OF LOS ANGELES

DPSS

SEDGWICK COLA ONTARIO

ADJ7200937 SUSAN NAVARRO DEPT OF PUBLIC SOCIAL

SERVICE

SEDGWICK COLA ONTARIO

ADJ7240992 SHANTE CLARK COUNTY OF LOS ANGELES

DCFS

SEDGWICK COLA ONTARIO

ADJ7257383 PEGGY LIMONES LOS ANGELES COUNTY

SOCIAL SERVICES

SEDGWICK COLA ONTARIO

ADJ7288490 JUAN GARCIA LA COUNTY DEPT OF

AGRICULTURE

SEDGWICK COLA ONTARIO

ADJ7451416 SHIRLEY WALKER COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ7464397 ILIANA REVELEZ COUNTY OF LOS ANGELES-

DPSS

SEDGWICK COLA ONTARIO

ADJ7464397 ILIANA REVELEZ LA DEPT OF SOCIAL SERVICES SEDGWICK COLA ONTARIO

ADJ7503817 BARBARA PRICE LA COUNTY DPSS

HAWTHORNE MEDICAL

REGIONAL

SEDGWICK COLA ONTARIO

128

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7636484 MARIA GARCIA COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO

ADJ7688715 JAMES ADEKAYODE COUNTY OF LOS ANGELES

TREASURER AND TAX

SEDGWICK COLA ONTARIO

ADJ7875457 CYNTHIA ALEXANDER COUNTY OF LOS ANGELES

PROBATION DEPT

SEDGWICK COLA ONTARIO

ADJ7991749 MOI FOU COUNTY OF LOS ANGELES

DPSS

SEDGWICK COLA ONTARIO

ADJ8028634 BETTYE TAYLOR COUNTY OF LOS ANGELES

DPSS

SEDGWICK COLA ONTARIO

ADJ8031511 TIFFANY ARCHILLE LOS ANGELES DPSS HR DEPT SEDGWICK COLA ONTARIO

ADJ8151840 SANDRA AMARILLAS LA COUNTY DEPARTMENT OF

SOCIAL SERVICES

SEDGWICK COLA ONTARIO

ADJ8271029 SILVIA MCDONALD LOS ANGELES COUNTY DEPT

OF SOCIAL SERVICES

SEDGWICK COLA ONTARIO

ADJ8274327 RHEA TEVES LOS ANGELES COUNTY DPSS SEDGWICK COLA ONTARIO

ADJ8457575 MARTHA JONES COUNTY OF LA REGISTRAR

RECORDER COUNTY CLERK

SEDGWICK COLA ONTARIO

ADJ8457575 MARTHA JONES COUNTY OF LOS ANGELES

REGISTRAR RECORDER

SEDGWICK COLA ONTARIO

ADJ9042228 RANITA DODSON LOS ANGELES COUNTY

PROVATION

SEDGWICK COLA ONTARIO

ADJ2937944 JANET GOMEZ OWENS BROCKWAY SEDGWICK CONCORD

ADJ8064790 LILIA LUIS ENRIQUEZ ADRIANAS INSURANCE INC SEDGWICK CONCORD

ADJ6703259 BRENDA GORDON KAISER PERMANENTE MEDICAL

GROUP

SEDGWICK KAISER LEXINGTON

ADJ7511959 LINDA MCGENSY SO CAL PERMANENTE

MEDICAL GROUP

SEDGWICK KAISER LEXINGTON

ADJ7714970 DANITA MITCHELL KAISER PERMANENTE SEDGWICK KAISER LEXINGTON

ADJ7839578 JUANA BRITO KAISER SEDGWICK KAISER LEXINGTON

ADJ8079938 RAINEE REDMOND ASSOCIATED STUDENTS INC SEDGWICK KAISER LEXINGTON

ADJ8271030 MARQUITTA MCCULLIN KAISER PERMANENTE SEDGWICK KAISER LEXINGTON

ADJ1106993 DEBORAH BOWSER LAUSD SEDGWICK PASADENA

ADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED

SCHOOL DIST

SEDGWICK PASADENA

ADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ1277846 SONIA ESPINOZA LAUSD SEDGWICK PASADENA

129

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1312204 ALEX FLORES FULTON COLLEGE & PREP

SCHOOL

SEDGWICK PASADENA

ADJ1456099 DAVID BURLEIGH L.A.U.S.D. SEDGWICK PASADENA

ADJ1879966 DAVID ANTHONY

CHARLES

LAUSD SEDGWICK PASADENA

ADJ2059684 CHRISTOPHER MARTIN L.A.U.S.D. SEDGWICK PASADENA

ADJ2059684 CHRISTOPHER MARTIN LAUSD SEDGWICK PASADENA

ADJ2119518 JAVIER QUINONES L.A. UNIFIED SCHOOL

DISTRICT

SEDGWICK PASADENA

ADJ2142389 EVELYN SILVA MEZA LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ2508012 STEVE ARNOLD LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ2685707 LAURETTA JACKSON LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ2798403 ARTURO HERNANDEZ LAUSD SEDGWICK PASADENA

ADJ3279302 MANUEL MABRA LA UNIFIED SCHOOL DISTRICT SEDGWICK PASADENA

ADJ3279302 MANUEL MABRA LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ3287449 RUBEN WRIGHT LAUSD SEDGWICK PASADENA

ADJ3332279 WALTER JOHNSON LAUSD SEDGWICK PASADENA

ADJ3641055 CAROL MATTERN LAUSD SEDGWICK PASADENA

ADJ3713457 WALTER JOHNSON L.A.U.S.D SEDGWICK PASADENA

ADJ3713457 WALTER JOHNSON LAUSD SEDGWICK PASADENA

ADJ4312279 MELINDA DINSMORE LAUSD SEDGWICK PASADENA

ADJ4697867 ROBERTO MENDEZ L.A. UNIFIED-BUILD. &

GROUNDS

SEDGWICK PASADENA

ADJ582712 MOROCCO KING LAUSD SEDGWICK PASADENA

ADJ6641906 KATIUSKA CASTANEDA LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ6921027 EDUARDO DINEROS LAUSD JUSTICE ELEMENTARY

SCHOOL

SEDGWICK PASADENA

ADJ7219996 ERNESTINE GREEN LAUSD SEDGWICK PASADENA

ADJ7283752 ARLENE BONDS LAUSD SEDGWICK PASADENA

ADJ732478 SHARON RICE LOS ANGELES UNIFIED

SCHOOL DIST

SEDGWICK PASADENA

ADJ7361024 MHCHELLE SMITH CAL STATE LONG BEACH SEDGWICK PASADENA

ADJ7361024 MHCHELLE SMITH CITY OF SANTA MONICA SEDGWICK PASADENA

ADJ7361024 MHCHELLE SMITH LAUSD SEDGWICK PASADENA

ADJ7361024 MHCHELLE SMITH NARBONNE AVENUE BAPTIST

CHURCH

SEDGWICK PASADENA

130

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7366412 SHERRILL WALKER

HALLIDAY

LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ7452188 EUGENE FAIR LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ7461906 JUDY PATTERSON LOS ANGELES UNIFIED

SCHOOL DISTRICT MARLTON

SCHOOL

SEDGWICK PASADENA

ADJ761387 JANET CORENA LAUSD SEDGWICK PASADENA

ADJ7750163 DIANA VILLEGAS LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ7880581 CARNELLA JOHNSON LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ7990559 LINDA EVERETT LAUSD SEDGWICK PASADENA

ADJ8157524 KEVIN CASEY LOS ANGELES UNIFED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ8166512 MARYANNE VIRGINIA

THOMPSON

LA UNIFIED SCHOOL DISTRICT SEDGWICK PASADENA

ADJ8190118 KIM REED LAUSD SEDGWICK PASADENA

ADJ8290154 ROBERT BARTSCH LAUSD SEDGWICK PASADENA

ADJ8342384 MARY JACKSON LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ8392882 DEANNA PITTS LATHAN LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ8437246 CHARITA PENNIMAN LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ883007 IRENE YARKONI L.A.U.S.D. SEDGWICK PASADENA

ADJ8859312 LYDIA MORALES LOS ANGELES UNIFIED

SCHOOL DISTRICT

SEDGWICK PASADENA

ADJ1288454 DERICK MOLETT AMERICAN AIRLINES SEDGWICK PLEASANTON

ADJ2054120 LEE MARTIN FIRST TRANSIT SEDGWICK PLEASANTON

ADJ2554492 FRANCISCO VELASCO CAMEO EMPLOYMENT SERVICE SEDGWICK PLEASANTON

ADJ3784616 MARIA MARTINEZ ABX AIR SEDGWICK PLEASANTON

ADJ6976280 LARRY WILBORN SAFELITE AUTO GLASS SEDGWICK PLEASANTON

ADJ7081343 KATHY VOSTAD DOUBLETREE GOLF RESORT

SAN DIEGO

SEDGWICK PLEASANTON

ADJ7384707 JOSE CORDERO ADMINSTAFF DBA RENT A

WHEEL

SEDGWICK PLEASANTON

ADJ8239856 CARMEN CARRILLO WELLS FARGO SEDGWICK PLEASANTON

ADJ8484844 SHEMEKA WILLIAMS WELLS FARGO SEDGWICK PLEASANTON

ADJ6407040 NAVIDAD REYES WEEKEND WARRIOR

TRAILERS, INC

SEDGWICK PORTLAND

131

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7218207 DOMINGO MEJIA TRI STATE STAFFING SEDGWICK PORTLAND

ADJ7638117 JOSE SOTO BOWMAN FIELD INC SEDGWICK PORTLAND

ADJ7648215 EDILVERTO ADRIAN DE

PAZ

AMERICAN WORK FORCE SEDGWICK PORTLAND

ADJ8214820 MARTHA VERONICA

SOTELO

TRI STATE STAFFING SEDGWICK PORTLAND

ADJ283788 VICTORIA DELOS

SANTOS

INSTRUMENT INVOLVED

SERVICES

SEDGWICK RIVERSIDE

ADJ4533925 MARY ANN STEELE CONSOLIDATED

FREIGHTWAYS, INC.

SEDGWICK RIVERSIDE

ADJ494509 JOSE ASCENCIO TYCO PLASTIC SEDGWICK RIVERSIDE

ADJ587515 BERNARDO AGUILAR

DIAZ

DO+ABLE PRODUCTS SEDGWICK RIVERSIDE

ADJ6426750 ROBERT CHAVIRA BLOCKBUSTER INC SEDGWICK RIVERSIDE

ADJ6800939 ERIKA LARA RAMIREZ SISTERS OF CHARITY OF

LEAVENWORTH

SEDGWICK RIVERSIDE

ADJ7056632 DARIA AGUAYO TARGET SEDGWICK RIVERSIDE

ADJ7060526 CARLOS CORADO PITNEY BOWES SEDGWICK RIVERSIDE

ADJ7072832 BRIAN SAVILLE LANCASTER COMMUNITY

HOSPITAL

SEDGWICK RIVERSIDE

ADJ7140559 JOSE CHAPARRO COVIDEN SEDGWICK RIVERSIDE

ADJ7375361 ROSA VILLAREAL 99 CENT STORES ONLY SEDGWICK RIVERSIDE

ADJ7412492 ROSA SAENZ 99 CENTS ONLY STORES SEDGWICK RIVERSIDE

ADJ7590790 CHI PHUONG NGUYEN GLIDEWELL LABORATORIES SEDGWICK RIVERSIDE

ADJ7705463 ALMA GAYTAN CORONA REGIONAL MEDICAL SEDGWICK RIVERSIDE

ADJ7834418 GLORIA GARCIA CARDINAL HEALTH SEDGWICK RIVERSIDE

ADJ7847673 TED TALAMANTES HENRY S MARKET SEDGWICK RIVERSIDE

ADJ7887171 ADELINA QUINILLA TARGET SEDGWICK RIVERSIDE

ADJ7948536 CHRISTINE GRACE HOMETOWN BUFFET SEDGWICK RIVERSIDE

ADJ7977177 SUSAN SALAZAR 99 CENT ONLY STORE SEDGWICK RIVERSIDE

ADJ8241626 JESUS ESPINOZA YRC LOGISTICS SERVICES SEDGWICK RIVERSIDE

ADJ8493753 ENRIQUETA LOPEZ 99 CENT ONLY STORES SEDGWICK RIVERSIDE

ADJ8583223 CESARIA RIOS DE

ANAYA

SPHERION SEDGWICK RIVERSIDE

ADJ8645902 ATILANO ALMAZAN LAY Z BOY USA SEDGWICK RIVERSIDE

ADJ8855915 ESMERALDA GARCIA CLOSET MAID SEDGWICK RIVERSIDE

ADJ8935323 MARIA HERRERA SCRIPPS HOSPITAL SEDGWICK RIVERSIDE

ADJ9092811 PATRICIA SOTO THE WENDY S SEDGWICK RIVERSIDE

ADJ7427375 MARIA ZARAGOZA MCDONALD 5619 SEDGWICK ROSEVILLE

ADJ7501233 ALFREDO MARQUEZ MAN POWER SEDGWICK ROSEVILLE

132

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7705383 RICHARD CARRILLO MANPOWER SEDGWICK ROSEVILLE

ADJ7792304 RUBEN AYALA

HERNANDEZ

ANAWALT LUMBER CO SEDGWICK ROSEVILLE

ADJ7860656 ELIZABETH ARNOLD SEARS SEDGWICK ROSEVILLE

ADJ8132273 JOSEPH MUNOZ EXEL INC SEDGWICK ROSEVILLE

ADJ8324561 STEVE RANDALL PRECISION CASTPARTS SEDGWICK ROSEVILLE

ADJ8429599 YESICA MIRANDA MCDONALDS 16133 SEDGWICK ROSEVILLE

ADJ8433866 CRISTINA VEGA US BANK SEDGWICK ROSEVILLE

ADJ8592540 PABLO MUNGUIA PIRATE STAFFING SEDGWICK ROSEVILLE

ADJ8651393 LEANDRO TINAJERO MCDONALDS SEDGWICK ROSEVILLE

ADJ8654162 JOYCE SCHROEDER WALGREENS FAMILY OF

COMPANIES

SEDGWICK ROSEVILLE

ADJ8759952 ALMA SERRANO MCDONALDS SEDGWICK ROSEVILLE

ADJ107101 JOSE DE LA CRUZ UCLA SEDGWICK UC 14533 LOS

ANGELESADJ2514546 GINGER GARDNER UCLA SEDGWICK UC 14533 LOS

ANGELESADJ3287868 LILIANA CHALABI UCLA MEDICAL CNTR SEDGWICK UC 14533 LOS

ANGELESADJ3555060 JEANNE LAPORTE AKA

MCCONNEL

UCLA SEDGWICK UC 14533 LOS

ANGELESADJ6975549 BLANCA ROQUE UCI MEDICAL CENTER SEDGWICK UC 14533 SAN DIEGO

ADJ2042374 MARTHA CASTRO COMMUNITY HOSPITAL OF

SAN BERNARDIN

SEDGWICK VAN NUYS

ADJ3551362 ANTONIA LOPEZ ST BERNARDINE MEDICAL

CENTER

SEDGWICK VAN NUYS

ADJ7180229 MICHAEL ANASTASI COMMUNITY HOSPITAL OF

SAN BERNARDINO

SEDGWICK VAN NUYS

ADJ7728250 GUILLERMO GOMEZ KIMKO STAFFING SEDGWICK VAN NUYS

ADJ8079938 RAINEE REDMOND ASSOCIATED STUDENTS INC SEDGWICK VAN NUYS

ADJ2959625 PEARL TAMEZ DURHAM SCHOOL SERVICES SEDGWICK WALNUT CREEK

ADJ3237962 WANDA HUNTER OFFICE DEPOT SEDGWICK WALNUT CREEK

ADJ3245886 RUTH CHAVEZ DURHAM SCHOOL SERVICES SEDGWICK WALNUT CREEK

ADJ4087514 ERMELINDA HARWOOD

OCHOA

DURHAM SCHOOL SERVICE SEDGWICK WALNUT CREEK

ADJ6759923 SONIA JIMENEZ ROSS SEDGWICK WALNUT CREEK

ADJ6832054 JANETTE SOLARIO BARR FEDERAL EXPRESS SEDGWICK WALNUT CREEK

ADJ7091228 ANIQUE EVANS TARGET SEDGWICK WALNUT CREEK

ADJ7231344 SHERIDAN REED 99 CENTS ONLY STORES SEDGWICK WALNUT CREEK

ADJ7324335 MARIA HERNANDEZ TARGET SEDGWICK WALNUT CREEK

133

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7340960 KAREN MAY TARGET CORPORATION SEDGWICK WALNUT CREEK

ADJ7709073 ELVIA DE LA LLATA TARGET 0228 SEDGWICK WALNUT CREEK

ADJ7743761 CARMEN RODRIGUEZ ROSS STORES, INC SEDGWICK WALNUT CREEK

ADJ7775441 CYNTHIA BROWN JENNY CRAIG SEDGWICK WALNUT CREEK

ADJ7895597 DENISE OWENS TARGET SEDGWICK WALNUT CREEK

ADJ8081690 REX ROEDIGER FEDERAL EXPRESS CORP SEDGWICK WALNUT CREEK

ADJ8267507 MORGAN WILLIAMS MC KESSON ZEE MEDICAL SEDGWICK WALNUT CREEK

ADJ8279716 ROSHUNDA VAUGHN CIGNA HEALTHCARE SEDGWICK WALNUT CREEK

ADJ8319536 PATRICIA DE LA CRUZ ROMAN CATHOLIC BISHOP OF

SB

SEDGWICK WALNUT CREEK

ADJ8571787 BARBARA JIMENEZ ROSS STORES INC SEDGWICK WALNUT CREEK

ADJ8667246 MARCOS SALAZAR TARGET CORPORATION SEDGWICK WALNUT CREEK

ADJ8755213 GUILLERMINA

RODRIGUEZ

ARBYS SEDGWICK WALNUT CREEK

ADJ9427407 MARIA REGINA

MARQUEZ

HILTON WORLDWIDE

MEMPHIS SHARED SERVICES

SEDGWICK WALNUT CREEK

ADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION

DBA SELECT STAFFING

SELECT PEO INCORPORATION

DBA SELECT STAFFING

ADJ7926725 VICTOR MORENO SELECT STAFFING SELECT STAFFING

ADJ3665104 DEBORAH ACOSTA BAKERSFIELD CITY SCHOOL

DIST

SELF INSURED SCHOOLS

BAKERSFIELDADJ7818126 TWYLA MUSKRAT CARUTHERS UNIFIED SCHOOL

DISTRICT

SELF INSURED SCHOOLS

BAKERSFIELDADJ7844583 EVA MIRELES KERN HIGH SCHOOL DISTRICT SELF INSURED SCHOOLS

BAKERSFIELDADJ8069409 JOANNA JANDRO MADERA COUNTY OFFICE OF

EDUCATION

SELF INSURED SCHOOLS

BAKERSFIELDADJ1724871 THELMA CRUZ SOUTHERN CALIFORNIA GAS

CO

SEMPRA ENERGY

ADJ8007952 PATRICIA HERNANDEZ OSCAR GRATIANNA DBA

SENOR BAJA

SENOR BAJA

ADJ8007952 PATRICIA HERNANDEZ SENOR BAJA SENOR BAJA

ADJ8007952 PATRICIA HERNANDEZ TERESA GRATAINNE AN

INDIVIDUAL

SENOR BAJA

ADJ8007952 PATRICIA HERNANDEZ UEBTF LOS ANGELES SENOR BAJA

ADJ1405005 FLAVIO RODRIGUEZ

DECEASED

SANTEE DAIRIES, INC. SENTRY SELECT STEVENS POINT

ADJ3427631 JOSE FLORES HOOMAN PONTAIC SENTRY SELECT STEVENS POINT

134

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ702499 RUDY GARCIA FOREST RIVER INC SENTRY SELECT STEVENS POINT

ADJ7275524 ESMERALDA

FERNANDEZ

TEVA PARENTERAL MEDICINES SENTRY SELECT STEVENS POINT

ADJ7584855 IGNACIO RODRIGUEZ BEST BRANDS CORPORATION

/CMS BAKERY PRODUCTS

SENTRY SELECT STEVENS POINT

ADJ7946553 MARCELINO

CERVANTES

KAP MEDICAL SENTRY SELECT STEVENS POINT

ADJ8205843 LIONEL HERON VITAS HEALTHCARE

CORPORATION

SENTRY SELECT STEVENS POINT

ADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA

ITALIANA

SENTRY SELECT STEVENS POINT

ADJ8382160 HONORIO TRUJILLO JARDEN SAFETY & SECURITY SENTRY SELECT STEVENS POINT

ADJ8897346 ROSALINA RAMOS HUNTER INDUSTRY SENTRY SELECT STEVENS POINT

ADJ8987063 MARIA HERNANDEZ COORSTEK SENTRY SELECT STEVENS POINT

ADJ9080973 JESUS PEREZ PAPA CANTELLAS SENTRY SELECT STEVENS POINT

ADJ1405005 FLAVIO RODRIGUEZ

DECEASED

SANTEE DAIRIES, INC. SENTRY WISCONSIN

ADJ6932934 RAMONA REYNAGA SPENCER GIFTS SENTRY WISCONSIN

ADJ7084520 MARINA KOUNTOURIS VITAS HOSPICE SENTRY WISCONSIN

ADJ7186156 FERNANDO FABIAN BARON HR LLC SENTRY WISCONSIN

ADJ7186156 FERNANDO FABIAN MILLARD REFRIGERATED

SERVICE

SENTRY WISCONSIN

ADJ7275524 ESMERALDA

FERNANDEZ

TEVA PARENTERAL MEDICINES SENTRY WISCONSIN

ADJ8345056 LINDA JOST PRINCIPAL FINANCIAL GROUP SENTRY WISCONSIN

ADJ8700067 ARTURO ESPITIA SPARTECH CORPORATION SENTRY WISCONSIN

ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF

EDUCATION

SHASTA COUNTY OFFICE OF

EDUCATIONADJ7511959 LINDA MCGENSY SO CAL PERMANENTE

MEDICAL GROUP

SO CAL PERMANENTE MEDICAL

GROUPADJ1214890 ALEXANDER ROGERS SOLAR TURBINES INC SOLAR TURBINES SAN DIEGO

ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA

EDISON CO

SOUTHERN CAL EDISON

ROSEMEADADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEAD

135

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA

EDISON CO

SOUTHERN CAL EDISON

ROSEMEADADJ2303797 RANDALL BUZZO SOUTHERN CALIF EDISON CO SOUTHERN CAL EDISON

ROSEMEADADJ2664799 MICHELLE

CUNNINGHAM

SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEADADJ2664799 MICHELLE

CUNNINGHAM

SOUTHERN CALIFORNIA

EDISON CO

SOUTHERN CAL EDISON

ROSEMEADADJ4266794 GERALD FARLEY SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEADADJ627156 JAMES WOODWORTH SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEADADJ7403864 RICHARD SERAFIN SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEADADJ7904327 JEFFREY MCKENNEY SOUTHERN CALIFORNIA

EDISON COMPANY

SOUTHERN CAL EDISON

ROSEMEADADJ8724792 RAFAEL CASTILLO SOUTHERN CALIFORNIA

EDISON

SOUTHERN CAL EDISON

ROSEMEADADJ1724871 THELMA CRUZ SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ2927133 FRANK FRUTOS SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ3608872 STELLA BAVARO SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ649840 BELINDA MIRANDA SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ6509450 PATTY RAMIREZ SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELESADJ7212889 ANGELA CLUTTERHAM SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELESADJ7415044 WILLIAM THOMPSON SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELESADJ7747933 JOEL CHAVEZ SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ8001857 ADAM SHINDLE SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CAL GAS LOS

ANGELESADJ8248755 ARTHUR LOZANO SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELESADJ8340391 DEBORAH OZIMA SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELESADJ8416094 JESSICA WHITED SOUTHERN CALIFORNIA GAS

COMPANY

SOUTHERN CAL GAS LOS

ANGELES

136

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA

EDISON CO

SOUTHERN CALIF. EDISON

ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA

EDISON

SOUTHERN CALIFORNIA EDISON

COADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA

EDISON CO

SOUTHERN CALIFORNIA EDISON

COADJ7904327 JEFFREY MCKENNEY SOUTHERN CALIFORNIA

EDISON COMPANY

SOUTHERN CALIFORNIA EDISON

COMPANYADJ7747933 JOEL CHAVEZ SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CALIFORNIA GAS CO

ADJ2927133 FRANK FRUTOS SOUTHERN CALIFORNIA GAS

CO

SOUTHERN CALIFORNIA GAS

COMPANYADJ6824006 JOSE MONCADA C.B.M.I. SOUTHERN INSURANCE DALLAS

ADJ7871044 BERTHA BASKERVILLE PRIORITY DENT REPAIR, INC SOUTHERN INSURANCE DALLAS

ADJ8184292 DANIEL PADILLA HAPPY HARBOR RESTAURANT SOUTHERN INSURANCE DALLAS

ADJ8271907 ISABEL VELAZQUEZ LUCKY PICTURE FRAME SOUTHERN INSURANCE DALLAS

ADJ8401930 ENEDINA SORIANO AUCTION DETAIL SERVICES SOUTHERN INSURANCE DALLAS

ADJ8526723 GABRIEL MEZA YORBA LINDA CAR WASH SOUTHERN INSURANCE DALLAS

ADJ7320711 MARIA CERVANTES STEVEN & MYRAJO J TOTTEN SOUTHLAND CLAIMS GARDEN

GROVEADJ8696372 HECTOR CERVANTES SADDLEBACK CHURCH SOUTHLAND CLAIMS GARDEN

GROVEADJ3392561 CARMELITA ALVARADO ALBERTSONS SPECIALTY RISK BREA

ADJ3612946 IGNACIO ESCARCEGA ALBERTSON'S SPECIALTY RISK BREA

ADJ3612946 IGNACIO ESCARCEGA ALBERTSONS SPECIALTY RISK BREA

ADJ3839660 ROBIN ORLANDO NEW ALBERTSONS INC SPECIALTY RISK BREA

ADJ4226864 ROMULO AREVALO BRISTOL FARMS SPECIALTY RISK BREA

ADJ7239351 DOLORES FLORES PHYSICIANS FORMULA SPECIALTY RISK BREA

ADJ7339475 JOSE LOPEZ R H PETERSON SPECIALTY RISK BREA

ADJ7636447 MILAGRO FRANCO ALCOA FASTENING SYSTEMS SPECIALTY RISK BREA

ADJ7659341 INEZ ARREDONDO LINDSEY AND HALL INC SPECIALTY RISK BREA

ADJ7730760 JAIME RODRIGUEZ ALBERTSONS SPECIALTY RISK BREA

ADJ7735476 IRMA RUIZ DEL TACO SPECIALTY RISK BREA

ADJ7781734 GABRIEL COVARRUBIAS ALBERTSONS MARKET SPECIALTY RISK BREA

137

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7818375 JAIME TEON SOUTHERN WINE AND SPIRITS SPECIALTY RISK BREA

ADJ7907021 ANDRES FUENTES FRAZIER MASONRY

CORPORATION

SPECIALTY RISK BREA

ADJ7960184 GUILLERMO DIAZ WAMC COMPANY INC SPECIALTY RISK BREA

ADJ8075084 ROMELIA DAVILA HILLCREST COUNTRY CLUB SPECIALTY RISK BREA

ADJ8121434 JUAN ESCOBAR HOLLYWOOD COMMUNITY

HOSPITAL

SPECIALTY RISK BREA

ADJ8152220 ANDRES LOPEZ INTERFACE SPECIALTY RISK BREA

ADJ8166036 ARELI HERRERA BENEFICIAL MAINTENANCE

SVC

SPECIALTY RISK BREA

ADJ8182711 TERESA GOMEZ DEL TACO SPECIALTY RISK BREA

ADJ8239856 CARMEN CARRILLO WELLS FARGO SPECIALTY RISK BREA

ADJ8240141 GUILLERMO SANDOVAL BARRISTER EXECUTIVE SUITES SPECIALTY RISK BREA

ADJ8345387 KARLA PEREZ DEL TACO SPECIALTY RISK BREA

ADJ8667338 FRANCIS APONTE ALBERTSONS INC SPECIALTY RISK BREA

ADJ8674308 TERESA MARTINEZ ARAMARK SPECIALTY RISK BREA

ADJ8820217 ALAN MARQUEZ ALBERTSONS SPECIALTY RISK BREA

ADJ8345092 IRMA PALACIOS AMERICAN STORES CO LLC A

SUPERVALU DBA ALBERTSONS

SPECIALTY RISK DALLAS

ADJ1214217 CARLOS FLORES NATIONAL OILWELL VARCO SPECIALTY RISK LEXINGTON

ADJ6506267 BIANCA KIME PENSKE MERCEDES BENZ SPECIALTY RISK LEXINGTON

ADJ7176275 MARIA PENA THE PORTICO COLLECTION SPECIALTY RISK LEXINGTON

ADJ7620220 PORFIRIO BAZALDUA CR&R INCORPORATED SPECIALTY RISK LEXINGTON

ADJ7676224 BRANDON MCGLOVER G2 SECURE STAFF LLC SPECIALTY RISK LEXINGTON

ADJ7697813 MARIA OLMEDO WENDYS RESTAURANT SPECIALTY RISK LEXINGTON

ADJ7803143 EDWIN ORELLANA PACIFIC INVESTMENTS I AND

M LLC

SPECIALTY RISK LEXINGTON

ADJ7925815 EDWARD RAMIREZ MILLARD MALL SERVICES SPECIALTY RISK LEXINGTON

ADJ7948536 CHRISTINE GRACE HOMETOWN BUFFET SPECIALTY RISK LEXINGTON

ADJ8075084 ROMELIA DAVILA HILLCREST COUNTRY CLUB SPECIALTY RISK LEXINGTON

ADJ8124527 ANNA LIZA VELEZ CENTINELA HOSPITAL SPECIALTY RISK LEXINGTON

ADJ8541629 JULIO MEJIA SMC GREASE SPECIALIST SPECIALTY RISK LEXINGTON

ADJ4418894 NADJA ARADAS KNOTTS BERRY FARM SPECIALTY RISK RIVERSIDE

ADJ6609976 JESUS ORTEGA PAC1FLC CLAY PRODUCTS

INC

SPECIALTY RISK RIVERSIDE

ADJ6730086 SHYISHA TAYLOR STATER BROS MARKET SPECIALTY RISK RIVERSIDE

ADJ6762402 MARIA CRUZ VALLARTA SUPERMARKETS SPECIALTY RISK RIVERSIDE

ADJ7019308 ISMAEL GUTIERREZ ABLE RESTORATION SPECIALTY RISK RIVERSIDE

138

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7105219 CARLOTA HOLLAWAY SNS WEST SPECIALTY RISK RIVERSIDE

ADJ7113117 DANNY ALCANTARA SAN DIEGO LAND SYSTEM SPECIALTY RISK RIVERSIDE

ADJ7177098 GARY PARR BENRICH SERVICE COMPANY

INC

SPECIALTY RISK RIVERSIDE

ADJ7401866 MICHELLE NGUYEN JP MORGAN CHASE AND CO SPECIALTY RISK RIVERSIDE

ADJ7425787 CLARA ARROYO STATER BROS SPECIALTY RISK RIVERSIDE

ADJ7457433 PATRICIA GRIESBAUER PRIME HEALTHCARE

MANAGEMENT

SPECIALTY RISK RIVERSIDE

ADJ7460779 ESTHER MESA STATER BROTHERS SPECIALTY RISK RIVERSIDE

ADJ7716992 JOSE SORIANO ATHENS SERVICES SPECIALTY RISK RIVERSIDE

ADJ8209224 IMELDA MIRANDA DEL TACO SPECIALTY RISK RIVERSIDE

ADJ8209224 IMELDA MIRANDA SPECIALTY RISK RIVERSIDE SPECIALTY RISK RIVERSIDE

ADJ8241485 CLAUDIA CARRASCO CORVEL CHINO SPECIALTY RISK RIVERSIDE

ADJ8241485 CLAUDIA CARRASCO RADISON ONTARIO AIRPORT SPECIALTY RISK RIVERSIDE

ADJ8534231 PATRICIA HERNANDEZ INTERDENT SERVICE

CORPORATION

SPECIALTY RISK RIVERSIDE

ADJ4423572 NORMA GUERRERO ZALES THE DIAMOND STORE SPECIALTY RISK SERVICES

ADJ1290785 MICHAEL PALMER AMERICAN AIRLINES SPECIALTY RISK SERVICES INC

ADJ3648139 MICHAEL PALMER AMERICAN AIRLINES SPECIALTY RISK SERVICES INC

ADJ1826513 MARIA BALLESTEROS CARDENAS MARKETS SPRINGFIELD COVINA

ADJ2343679 GUSTAVO GARCIA UNIFIED WESTERN GROCERS SPRINGFIELD COVINA

ADJ6531883 SERGIO SALAZAR UNIFIED WESTERN GROCERS SPRINGFIELD COVINA

ADJ7176558 ENRIQUE PINA TOLEDO BUY LOW MARKET NUMBER

ONE

SPRINGFIELD COVINA

ADJ7198508 SERGIO MARTINEZ JACKS WHOLESALE CANDY SPRINGFIELD COVINA

ADJ7790885 VICTORIA MARTINEZ MAXI FOODS LLC SPRINGFIELD COVINA

ADJ8066279 MARTHA HERRERA K V MART SPRINGFIELD COVINA

ADJ8226628 PEDRO HERNANDEZ PENGUIN NATURAL FOODS SPRINGFIELD COVINA

ADJ8328980 KEITH CLUGSTON UNIFIED GROCERS SPRINGFIELD COVINA

ADJ8442626 ENRIQUE ESTRADA FRESH GRILL SPRINGFIELD COVINA

ADJ8672067 RAMIRO FRANCO FB HOLDING COMPANY SPRINGFIELD COVINA

ADJ8772251 JULIO TORRES MAXI FOODS SPRINGFIELD COVINA

ADJ3312441 MARTHA LEPE VOLT SRS INSURANCE COMPANY

ADJ3312441 MARTHA LEPE VOLT INFORMATION SCIENCE SRS INSURANCE COMPANY

ADJ4705961 TERESA MORAN METROPOLITAN STATE

HOSPITAL

STATE COMP

ADJ2295179 ANNETTE FRANCO TECHSTYLES STATE COMP INS FUND

139

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2313802 MARIA VEGA RESCUE MISSION ALLIANCE STATE COMP INS FUND

ADJ4477481 MIGUEL MARTINEZ METRO BUILDING

MAINTENANCE

STATE COMP INS FUND

ADJ4477481 MIGUEL MARTINEZ METRO BUILDING MAINTENCE STATE COMP INS FUND

ADJ3961534 CONCEPCION GARCIA CONSOLIDATED FOUNDRIES STATE COMPENSATION INS

FUNDADJ902111 TERRI ROBERTS THE LAW LIMO STATE COMPENSATION INS.

FUNDADJ1531319 MARIA THERESA

BOIKANYO

DEPT MOTOR VEHICLES STATE COMPENSATION

INSURANCE FUNDADJ1531319 MARIA THERESA

BOIKANYO

DEPT. OF MOTOR VEHICLES STATE COMPENSATION

INSURANCE FUNDADJ632809 CATALINA SEGURA SABA TEXTILES INC STATE COMPENSATION

INSURANCE FUNDADJ910855 SUZANNE BRUNSVOLD COURTESY TEMPORARY STATE COMPENSATION

INSURANCE FUNDADJ2147000 ARTURO NAJERA KISMAT ENTERPRISES DBA JIFFY

LUBE

STATE FARM 21567 BAKERSFIELD

CLOSEDADJ6689543 MARIA ORTEGA LILAC FLOWER AND GIFTS STATE FARM 21567 BAKERSFIELD

CLOSEDADJ1498258 SIMINDOHT SHAFIGI DAVID B. ANDERSON, M.D. STATE FARM BAKERSFIELD

ADJ399293 CINDY PIERCE PALMER CANINE CAROUSEL STATE FARM BAKERSFIELD

ADJ6496382 MANUEL MORENO MARK FRADELLA STATE FARM BAKERSFIELD

ADJ6557021 VICTOR STURCKE JAMES CARMINE FALL DBA

ROCK POOLS AND SPAS

STATE FARM BAKERSFIELD

ADJ6557021 VICTOR STURCKE UNINSURED EMPLOYERS FUND STATE FARM BAKERSFIELD

ADJ6689543 MARIA ORTEGA LILAC FLOWER AND GIFTS STATE FARM BAKERSFIELD

ADJ6762022 RIGOBERTO CEDANO FURNITURE TOWN INC STATE FARM BAKERSFIELD

ADJ6976280 LARRY WILBORN SAFELITE AUTO GLASS STATE FARM BAKERSFIELD

ADJ7115523 SANDRA TERRONES GIDEON GALLERY LDT STATE FARM BAKERSFIELD

ADJ7146451 DONATO AKE FIRESTONE HAND WASH LLC STATE FARM BAKERSFIELD

ADJ7211849 GUILLERMO VELASCO

PALACIOS

JAVIER SILVA STATE FARM BAKERSFIELD

ADJ7224751 MIRIAM TORRES THOMAS LUTZ AND LAURIE

WINER

STATE FARM BAKERSFIELD

ADJ7361194 ALICIA ESTONILO ASSOCIATED TAX RELIEF

INCORPORATED

STATE FARM BAKERSFIELD

ADJ7513841 BRENDA BARKLEY NORWALK DENTAL VILLAGE STATE FARM BAKERSFIELD

140

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7525663 PAULINO SARMIENTOS INTEGRATIVE INDUSTRIAL

FAMILY PRACTICE

STATE FARM BAKERSFIELD

ADJ7626627 ALEJANDRA GONZALEZ THANG VI DUONG STATE FARM BAKERSFIELD

ADJ7765428 MARIA DIAZ APPAREL PROJECTS EXPRESS STATE FARM BAKERSFIELD

ADJ7876007 NICOLE JACOBS THE BONE ADVENTURE INC STATE FARM BAKERSFIELD

ADJ7918973 SHANAY RICHARD SAMERH H KAMAL DBA ALLEN

ROAD VETERINARY HOSPITAL

STATE FARM BAKERSFIELD

ADJ7957815 MARITZA ANTOLINO GHASSAN HADI MD STATE FARM BAKERSFIELD

ADJ7983275 JUANA GOCHEZ APPAREL PROJECTS EXPRESS STATE FARM BAKERSFIELD

ADJ8307247 IRIS BAQUEDANO IZEK SHOMOF STATE FARM BAKERSFIELD

ADJ8307247 IRIS BAQUEDANO JONATHAN BEN SHOLOM STATE FARM BAKERSFIELD

ADJ8307247 IRIS BAQUEDANO V STYLES INC GREAT CLIPS

FOR HAIR

STATE FARM BAKERSFIELD

ADJ8347817 ALFREDO TADEO ICS STATE FARM BAKERSFIELD

ADJ8428999 CARLOS ARRIAGA CARL D BARNES STATE FARM BAKERSFIELD

ADJ8608833 JALAL AZIZI INTERGRATED CHROPRACTIC

GROUP

STATE FARM BAKERSFIELD

ADJ9008199 JUAN CARLOS GALINDO BIG PENNY CAR WASH STATE FARM BAKERSFIELD

ADJ924734 VARDAN ESSAIAN CAD FABULOUS INC STATE FARM BAKERSFIELD

ADJ1865622 DORA MEZA FACILITIES SUPPORT STUART BARON & ASSOCIATES

ADJ1865622 DORA MEZA THE POWER PEO STUART BARON & ASSOCIATES

ADJ2989134 JOSE RANGEL SUPERIOR INDUSTRIES SUPERIOR

INDUSTRIES/SOUTHERN CALIF

RISK MNGMNT ASSOCADJ2285767 JOSE CORRALES CITY OF L. A. RECREATION &

PARKS

SUPERIOR NATIONAL

ADJ3066955 STEPHEN SPOTVILLE POMONA UNIFIED SCHOOL

DISTRICT

SUPERIOR NATIONAL

INSURANCE COADJ7852954 DAMIAN CORONA

MALDONADO

NAFTA DISTRIBUTORS SUSSEX INSURANCE COLUMBIA

ADJ8158065 MARIA RAYA ALLIED WEST PAPER

CORPORATION

SUSSEX INSURANCE COLUMBIA

ADJ8259411 VILMA AYALA PICAR FARM LABOR SUSSEX INSURANCE COLUMBIA

ADJ8284965 DOLORES DE JESUS

NIETO

BMAKK CORPORATION SUSSEX INSURANCE COLUMBIA

ADJ8416225 HECTOR SALDIVAR AMERICAN GUARD SERVICE SUSSEX INSURANCE COLUMBIA

ADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION SUSSEX INSURANCE COLUMBIA

ADJ8746840 GUILIBALDO DUENAS UNITED METAL PRODUCTS

INC

SUSSEX INSURANCE COLUMBIA

141

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8667246 MARCOS SALAZAR TARGET CORPORATION TARGET CORPORATION

ADJ6710173 JACQUELINE AGUIRRE TELCO/BEST BRANDS TELCO/BEST BRANDS

ADJ7033306 MARK HUERTA THE BOEING COMPANY THE BOEING COMPANY

ADJ6795839 MARIA GUZMAN MAG INSTRUMENT INC THE HARTFORD SYRACUSE

ADJ8345819 LIDIA RODRIGUEZ MOLLY MAID OF ANAHEIML LA

MIRADA FWHITTIER

THE HARTFORD SYRACUSE

ADJ8533149 SHIVA SOLEIMANPOUR WESTERN DENTAL THE HARTFORD SYRACUSE

ADJ8884857 MIRIAM BERMUDEZ AZTEC UNIFORM AND TOWEL

RENTAL

THE HARTFORD SYRACUSE

ADJ7536832 RICHARD YOUNG TIME WARNER CABLE TIME WARNER CABLE

ADJ7768525 GLORIETTE CRAVEN TIME WARNER CABLE TIME WARNER CABLE

ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN

RESTAURANT

TIO LEOS MEXICAN

RESTAURANTADJ2037034 HSIU CHU WANG KORAKU GROUP, INC. TOKIO MARINE PASADENA

ADJ6641883 SAMANTHA JIMENEZ MORRIS NATIONAL TOKIO MARINE PASADENA

ADJ7467016 MARIA ALVAREZ KOMYO AMERICA CO INC TOKIO MARINE PASADENA

ADJ7551802 ROSALILIA MAGDALENO MARUCHAN INC TOKIO MARINE PASADENA

ADJ7888553 OLGA SERVELLON NYK GROUP YUSEN LOGIC TOKIO MARINE PASADENA

ADJ8527882 KARINA PACHECO YUSEN LOGISTICS AMERICAS TOKIO MARINE PASADENA

ADJ8004073 EVELEEN IBRAHIM TORRANCE UNIFIED SCHOOL

DISTRICT

TORRANCE UNIFIED SCHOOL

DISTRICTADJ7539018 FRANCISCO RAMIREZ ROSE & SHORE RITE WAY TOWER NATIONAL INSURANCE

IRVINEADJ7691178 RIAD TASHMAN REDLANDS AUTO PLAZA TOWER NATIONAL INSURANCE

IRVINEADJ8007952 PATRICIA HERNANDEZ OSCAR GRATIANNA DBA

SENOR BAJA

TOWER NATIONAL INSURANCE

IRVINEADJ8007952 PATRICIA HERNANDEZ SENOR BAJA TOWER NATIONAL INSURANCE

IRVINEADJ8007952 PATRICIA HERNANDEZ TERESA GRATAINNE AN

INDIVIDUAL

TOWER NATIONAL INSURANCE

IRVINEADJ8007952 PATRICIA HERNANDEZ UEBTF LOS ANGELES TOWER NATIONAL INSURANCE

IRVINEADJ8017131 HEIDI BOLANOS NOVA STAFFING TOWER NATIONAL INSURANCE

IRVINEADJ8053762 CALLI MANDERINO WATERWORKS AQUATICS TOWER NATIONAL INSURANCE

IRVINEADJ8171570 DELKIS CHIRINOS JACK IN THE BOX TOWER NATIONAL INSURANCE

IRVINEADJ8258776 SILVIA MORALES XCVI LLC TOWER NATIONAL INSURANCE

IRVINE

142

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8292652 JORGE ORTIZ EXCEL RESIDENTIAL SERVICES TOWER NATIONAL INSURANCE

IRVINEADJ8388386 PETRA NAVA DE

GABRIEL

QUANTUM STAFFING TOWER NATIONAL INSURANCE

IRVINEADJ8481876 JONG KIM BCD TOFU HOUSE TOWER NATIONAL INSURANCE

IRVINEADJ8824782 FATOLLAH FATHI NEW SUNRISE ADULT HEALTH

CARE INC AND SOUTHEAST

PERSONN

TOWER NATIONAL INSURANCE

IRVINE

ADJ8984429 SILVIA YANEZ JACK IN THE BOX TBS FOODS

INC 287

TOWER NATIONAL INSURANCE

IRVINEADJ9061671 VINCENT LYNCH JM FARNAM TOWER NATIONAL INSURANCE

IRVINEADJ2152092 OFELIA LUCATERO AMERICAN INTERNATIONAL

INDUSTRIES

TOWER SELECT INSURANCE

IRVINEADJ7636185 CLAUDIA GODIVA KISSBEKRY JUICE SMOOTHIE TOWER SELECT INSURANCE

IRVINEADJ7992362 DEVIN DESVIGNE BBSI TOWER SELECT INSURANCE

IRVINEADJ8226809 ISRAEL ZAVALA FRANK AND CESAR

HANDYMAN

TOWER SELECT INSURANCE

IRVINEADJ8266845 JOSE SOTO PREMIER BUILDING

MAINTENANCE SERVICES

TOWER SELECT INSURANCE

IRVINEADJ8405747 SELVYN LOPEZ BOOK CITY NEWS INC DBA

CIRCUS DISCO

TOWER SELECT INSURANCE

IRVINEADJ8704641 ANGEL CAMACHO DON PEDROS MEAT TOWER SELECT INSURANCE

IRVINEADJ8063851 HASSAAN SALAAM TRADESMAN INTERNATIONAL TRADESMAN INTERNATIONAL

ADJ117636 ANNA VILLAREAL OFFICE DEPOT TRAVELERS DIAMOND BAR

ADJ1244075 JUAN MARTINEZ SUPREME TRUCK & BODIES TRAVELERS DIAMOND BAR

ADJ1283520 MARIA HIDALGO AERO ELECTRIC CONNECTOR,

INC.

TRAVELERS DIAMOND BAR

ADJ1460538 JORGE GONZALES VENTURA FOODS TRAVELERS DIAMOND BAR

ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA

CONSTRUCTION

TRAVELERS DIAMOND BAR

ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC TRAVELERS DIAMOND BAR

ADJ1777387 MANUEL REYES USF BESTWAY TRAVELERS DIAMOND BAR

ADJ1796624 BILLIE JOHNSON RITE AID TRAVELERS DIAMOND BAR

ADJ199335 LIBRADA ROMO SHERATON PASADENA HOTEL TRAVELERS DIAMOND BAR

ADJ2691904 MARIA ANDERSON FOUNTAIN CARE CENTER TRAVELERS DIAMOND BAR

143

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ2815503 FRANCISCO MORALES CAL SPAS TRAVELERS DIAMOND BAR

ADJ3078712 GONZALO BEDOLLA

RUIZ

AGRICULTURAL PRODUCTS TRAVELERS DIAMOND BAR

ADJ3191727 JUAN BELTRAN HOLLANDER HOME FASHIONS

CORP

TRAVELERS DIAMOND BAR

ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS DIAMOND BAR

ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS DIAMOND BAR

ADJ3957764 LUZ VILLAREAL LITTLE CAESAR'S/MAYWOOD

574

TRAVELERS DIAMOND BAR

ADJ4015871 DONALD ROBERTSON EQUITY RESIDENTIAL

PROPERTIES

TRAVELERS DIAMOND BAR

ADJ4126887 SHEILA SMITH MTA TRAVELERS DIAMOND BAR

ADJ4313145 SONIA FIESCO ISS/ONE SOURCE TRAVELERS DIAMOND BAR

ADJ4352642 MIREYA SALAZAR PHARMAVITE TRAVELERS DIAMOND BAR

ADJ4431437 JORGE HERNANDEZ NISSAN INTERNATIONAL

TRANSPORT,USA.

TRAVELERS DIAMOND BAR

ADJ4686687 PRAMESH SINGH ALLIED SIGNAL CORP TRAVELERS DIAMOND BAR

ADJ5827037 JUAN RAMIREZ AEROSPACE DYNAMICS TRAVELERS DIAMOND BAR

ADJ587515 BERNARDO AGUILAR

DIAZ

DO+ABLE PRODUCTS TRAVELERS DIAMOND BAR

ADJ6665985 EMMA RAMIREZ DISTINCTIVE INDUSTRIAL TRAVELERS DIAMOND BAR

ADJ6729528 MARIA ARAGON THE CLASSIC SOFT TRIM

GROUP

TRAVELERS DIAMOND BAR

ADJ6790993 MARIA MERAZ THE CLASSIC SOFT TRIM

GROUP

TRAVELERS DIAMOND BAR

ADJ691810 BLAINE FODRAN HASS AUTOMATION TRAVELERS DIAMOND BAR

ADJ6952003 MARIA MENJIVAR SEES CANDY TRAVELERS DIAMOND BAR

ADJ7022040 MICHAEL BUCK CITY OF LOS ANGELES TRAVELERS DIAMOND BAR

ADJ7023714 MIRNA DURAN MOLDING MASTER INC TRAVELERS DIAMOND BAR

ADJ7034961 DANIEL AGUINIGA NEW HAMPSHIRE BALL

BEARINGS

TRAVELERS DIAMOND BAR

ADJ7110741 MANUEL MADRIGAL MISSION LINEN SUPPLY TRAVELERS DIAMOND BAR

ADJ7144016 ROBERT BRIGANTI LEONARD CHAIDEZ TREE

SERVICE INC

TRAVELERS DIAMOND BAR

ADJ7150929 ANDRES JARAMILLO

GOMEZ

C D ZODIAC INC TRAVELERS DIAMOND BAR

ADJ7156811 EDUARDO RODRIGUEZ ADIR INTERNATIONAL LLC

AKA LA CURACAO

TRAVELERS DIAMOND BAR

ADJ7173568 MARVIN BERMUDEZ EDELBROCK FOUNDRY CORP TRAVELERS DIAMOND BAR

ADJ7176644 LINDA SHAFRAN QUEST DIAGNOSTICS TRAVELERS DIAMOND BAR

144

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7231405 JULIA ONTIVEROS DE

LUNA

PACIFIC BUILDING CARE TRAVELERS DIAMOND BAR

ADJ7241757 DORA VAZQUEZ YAMAMOTO OF ORIENT INC TRAVELERS DIAMOND BAR

ADJ7249185 ALICIA MARTINEZ

GARCIA

COMMUNITY MEMORIAL

HOSPITAL

TRAVELERS DIAMOND BAR

ADJ7267847 LOURDES HERNANDEZ INLAND COUNTIES REGIONAL

CENTER

TRAVELERS DIAMOND BAR

ADJ7275587 SANTIAGO GUZMAN JMS BUILDING SOLUTIONS LLC TRAVELERS DIAMOND BAR

ADJ7284237 VIVIAN KHOR NDS AMERICAS INC TRAVELERS DIAMOND BAR

ADJ7349995 FRANCISCO MARIN PACIFIC RESTORATION TRAVELERS DIAMOND BAR

ADJ7394540 BERTINA GREEN YOSHINOYA WEST INC TRAVELERS DIAMOND BAR

ADJ7399121 RICARDO VAZQUES DREW CHAIN SECURITY CORP TRAVELERS DIAMOND BAR

ADJ740506 MARGARITA CORTEZ FORT JAMES CORP. TRAVELERS DIAMOND BAR

ADJ7486857 ALBERTO NUNEZ SEPHORA USA INC TRAVELERS DIAMOND BAR

ADJ7505606 CARMEN SALCEDO GRUMA CORPORATION TRAVELERS DIAMOND BAR

ADJ7523784 ALBERTINA MENDOZA WINDSOR FOODS TRAVELERS DIAMOND BAR

ADJ7528915 LOUIS HERNANDEZ RITE AID TRAVELERS DIAMOND BAR

ADJ7548542 EDGAR MEDINA FAMSA TRAVELERS DIAMOND BAR

ADJ7573043 ARMANDO TRUJILLO APC LOGISTICS TRAVELERS DIAMOND BAR

ADJ7592967 RAPI TAGOAI NATIONAL RETAIL

TRANSPORTATION

TRAVELERS DIAMOND BAR

ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL TRAVELERS DIAMOND BAR

ADJ7650612 FELIX MARQUEZ

SANCHEZ

MISSION FOODS GRUMA

CORPORATION

TRAVELERS DIAMOND BAR

ADJ7666378 ROSE PEREZ CIRCLE K STORES INC TRAVELERS DIAMOND BAR

ADJ7724579 MARGARITA MARTINEZ HID GLOBAL CORPORATION TRAVELERS DIAMOND BAR

ADJ7779112 BLANCA PERALTA QUEST DIAGNOSTICS TRAVELERS DIAMOND BAR

ADJ7796770 GABRIEL ESTRADA AERO ELECTRIC CONNECTOR

INC

TRAVELERS DIAMOND BAR

ADJ7852954 DAMIAN CORONA

MALDONADO

NAFTA DISTRIBUTORS TRAVELERS DIAMOND BAR

ADJ7888338 ANTONIO GRANATA NIAGARA BOTTLING

COMPANY

TRAVELERS DIAMOND BAR

ADJ7926053 LAURA AVILA LA CURACAO TRAVELERS DIAMOND BAR

ADJ7948997 OLIVIA GARCIA LINDO MICHOACAN JR

RESTAURANT

TRAVELERS DIAMOND BAR

ADJ7957480 KRISTA BODILY RICHARD HEALTH AND

ASSOCIATES INC

TRAVELERS DIAMOND BAR

145

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7959180 GUADALUPE DE LA

CRUZ

DATA CLEAN CORPORATION TRAVELERS DIAMOND BAR

ADJ7965593 MARISOL ESCALONA INTERNATIONAL SEAL TRAVELERS DIAMOND BAR

ADJ7979970 WINSTON TERAN FAMSA INC TRAVELERS DIAMOND BAR

ADJ7998292 JOSE CORDOVA VENTURA FOODS TRAVELERS DIAMOND BAR

ADJ8002566 MARTIN RIVAS PENA

JULIAN

INTERNATIONAL SEAL INC TRAVELERS DIAMOND BAR

ADJ8030940 LINO SANCHEZ SOUPLANTATION AND SWEET

TOMATOES

TRAVELERS DIAMOND BAR

ADJ8066711 FIDEL EVANGELISTA MEDINAS PROTECTIVE SERVICE TRAVELERS DIAMOND BAR

ADJ8078762 JOSE SOSA MOUNTAIN VIEW TIRE SERVICE

DBA GOODYEAR

TRAVELERS DIAMOND BAR

ADJ8095703 MARGARITO MORENO CD ZODIAC TRAVELERS DIAMOND BAR

ADJ8118914 ANTONIO MORENO N RICOH ELECTRONICS INC TRAVELERS DIAMOND BAR

ADJ8122935 JUAN DE LA CRUZ VIRCO MFG CORP TRAVELERS DIAMOND BAR

ADJ8152220 ANDRES LOPEZ INTERFACE TRAVELERS DIAMOND BAR

ADJ8180398 LUIS MEDINA CERTIFIED STEEL TREATING

CORP

TRAVELERS DIAMOND BAR

ADJ8182045 MARCELO OLIVE FAMSA INC TRAVELERS DIAMOND BAR

ADJ8219844 SARA SANTIAGO CARLS JR TRAVELERS DIAMOND BAR

ADJ8222032 DANDI QUEMUEL GEOTEST MARVIN TEST

SYSTEMS INC

TRAVELERS DIAMOND BAR

ADJ8226884 CHRISTOPHER FOOSE LOS ANGELES FILM SCHOOL TRAVELERS DIAMOND BAR

ADJ8230225 SUSAN MANILDI LA-Z BOY INCORPORATED TRAVELERS DIAMOND BAR

ADJ8263069 ALVARO CAMPOS CARMAX TRAVELERS DIAMOND BAR

ADJ8279617 DANA DIAZ IFCO SYSTEMS NORTH

AMERICA INC

TRAVELERS DIAMOND BAR

ADJ8321915 JORGE LOPEZ

GALLARDO

CALIFORNIA TRANSIT TRAVELERS DIAMOND BAR

ADJ8325588 MIGUEL BIRRUETA RICOH ELECTRONICS TRAVELERS DIAMOND BAR

ADJ8328517 VICTORIA REGALADO CHARLOTTE RUSSE INC TRAVELERS DIAMOND BAR

ADJ8357395 PATRICE LONERGAN SOUTHLAND TRANSIT INC TRAVELERS DIAMOND BAR

ADJ8451232 JUAN CARLOS OCHOA TRI STATE STAFFING TRAVELERS DIAMOND BAR

ADJ8506596 EMILIA GARCIA

GALINDO

THERMAL STRUCTURES INC TRAVELERS DIAMOND BAR

ADJ8511789 VICTOR HERRERA EL METATE TRAVELERS DIAMOND BAR

ADJ8581896 NOLBERTO PEDROZA ROCKER BROS MEAT AND

PROVISIONS

TRAVELERS DIAMOND BAR

ADJ8619626 JOSE CASTRO DAY LEE FOODS TRAVELERS DIAMOND BAR

ADJ8619626 JOSE CASTRO DAYF LEE FOODS INC0 TRAVELERS DIAMOND BAR

146

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8641021 MARIA GUZMAN FIVE STAR GOURMET FOODS

INC

TRAVELERS DIAMOND BAR

ADJ8696111 AGUSTIN HERNANDEZ CALIFORNIA PIZZA KITCHEN TRAVELERS DIAMOND BAR

ADJ8706743 JUAN NUNEZ CRUZ BLATTNER ENERGY TRAVELERS DIAMOND BAR

ADJ8719594 NORMA SANTOS MARTIN LINEN SUPPLY TRAVELERS DIAMOND BAR

ADJ8727796 THAMAR MARTINEZ DE

COLORADO

FOREST LAWN TRAVELERS DIAMOND BAR

ADJ8728699 ANA LUGO CONSOLIDATED RESTAURANT

OF CALIFORNIA INC DBA

WENDYS

TRAVELERS DIAMOND BAR

ADJ8800167 TOMASA ZAMORA

MORENO

APPA SEAFOOD7 INCI TRAVELERS DIAMOND BAR

ADJ8801338 CARMEN AGUILAR APPA FINE FOODS TRAVELERS DIAMOND BAR

ADJ8852335 ANA MARIA DON JUAN CARLS JR TRAVELERS DIAMOND BAR

ADJ8855461 JOSE ROJAS WESTERN GROWERS TRAVELERS DIAMOND BAR

ADJ8867627 NANCY VELASQUEZ IDA WANG MD TRAVELERS DIAMOND BAR

ADJ8881290 MONSERRATE ORTIZ VIRCO MANUFACTURING

CORP

TRAVELERS DIAMOND BAR

ADJ8953573 BLANCA CORTEZ SOLAR LINK INTERNATIONAL

INC

TRAVELERS DIAMOND BAR

ADJ925800 MARY REBELO NORTHROP GRUMMAN

CORPORATION

TRAVELERS DIAMOND BAR

ADJ9269736 JOSE GONZALEZ POWER CIRCUITS TRAVELERS DIAMOND BAR

ADJ9313803 JOSE VIVEROS GLOBAL ENVIRONMENTAL

PRODUCTS

TRAVELERS DIAMOND BAR

ADJ9316836 ALMA MALAGON AMERICAN TEXTILE

MAINTENANCE

TRAVELERS DIAMOND BAR

ADJ9616700 JORGE RAMIREZ RESOURCES EMPLOYMENT

SERVICES

TRAVELERS DIAMOND BAR

ADJ9706838 JORGE RUIZ LAKESHORE EQUIPMENT CO TRAVELERS DIAMOND BAR

ADJ7579331 ORLANDO CASTRO JK RESIDENTIAL SERVICES TRAVELERS INSURANCE

HARTFORDADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL TRAVELERS INSURANCE

HARTFORDADJ8987063 MARIA HERNANDEZ COORSTEK TRAVELERS INSURANCE

HARTFORDADJ1949671 JAVIER GARCIA SEVERN TRENT SERV. TRAVELERS ORANGE

ADJ2093134 NARCISA PEREZ ST JOHN KNITS TRAVELERS ORANGE

ADJ313572 PETER DOVER FRESH START BAKERIES TRAVELERS ORANGE

147

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3844244 INEZ LILLYCROP CONSOLIDATED

REPROGRAPHICS

TRAVELERS ORANGE

ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS ORANGE

ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS ORANGE

ADJ6750055 ARELI ACOSTA ARCADIA INC / WILSON

PARTITION

TRAVELERS ORANGE

ADJ7110778 YVONNE CISNEROS EUROSTAR INC TRAVELERS ORANGE

ADJ7430248 JUAN PENA DNA SPECIALTY INC TRAVELERS ORANGE

ADJ7593574 RAUL DURAN GYU KAKU RESTAURANT TRAVELERS ORANGE

ADJ7656401 ADRIANA VERGARA CARLS JR TRAVELERS ORANGE

ADJ8117175 SOFIA DE LA CRUZ KIKKA TRAVELERS ORANGE

ADJ8423509 REBECA CASTILLO SEES CANDIES TRAVELERS ORANGE

ADJ8427408 MARTA ROMERO FLYING FOOD GROUP LLC TRAVELERS ORANGE

ADJ8556870 GERRY TABORA OHLINE CORPORATION TRAVELERS ORANGE

ADJ8732308 FRANCISCO MARIN QUALITY CUSTOM

DISTRIBUTION SERVICES INC

TRAVELERS ORANGE

ADJ6452812 DANILO FLORES HANNIBAL INDUSTRIES INC TRAVELERS SACRAMENTO

ADJ6790993 MARIA MERAZ THE CLASSIC SOFT TRIM

GROUP

TRAVELERS SACRAMENTO

ADJ6906006 OLA VALDEZ RITE AID TRAVELERS SACRAMENTO

ADJ6947681 RAGHBIR BAGGA LA PALMA DIALYSIS CENTEK

LLC

TRAVELERS SACRAMENTO

ADJ6998042 JOSE SANCHEZ AMERICAN TIRE DEPOT TRAVELERS SACRAMENTO

ADJ7541279 MARLON MAIRENA IMPORT GLASS CORP TRAVELERS SACRAMENTO

ADJ7581305 SOCORRO TAVERA ADVANCED PROFESSIONAL

IMAGING

TRAVELERS SACRAMENTO

ADJ7581305 SOCORRO TAVERA LIFETIME DENTAL CARE TRAVELERS SACRAMENTO

ADJ7628280 ARGENIS DEL TORO CRYSTAL STUDY MODEL LAB TRAVELERS SACRAMENTO

ADJ7682458 DOROTEO HERNANDEZ MOZZA LLC TRAVELERS SACRAMENTO

ADJ7754394 ISABEL

CHRISTOPHERSEN

KENNETH GEIGER MD TRAVELERS SACRAMENTO

ADJ7848311 LOUIS EYLER RITE AIDE TRAVELERS SACRAMENTO

ADJ7902373 CONSUELO GALLEGOS RITE AID TRAVELERS SACRAMENTO

ADJ7968951 THONG VO B K CORPORATION DBA B K

PRECISION ELECTRONIC TEST

INSTRU

TRAVELERS SACRAMENTO

ADJ7974483 HILDA TORRES BARON HR MONTEBELLO

RANCH

TRAVELERS SACRAMENTO

ADJ7974483 HILDA TORRES HORMEL FOODS CORP TRAVELERS SACRAMENTO

148

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8191866 VERONICA VAZQUEZ GCA SERVICE GROUP OF

TEXAS LP

TRAVELERS SACRAMENTO

ADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

TRAVELERS SACRAMENTO

ADJ8624434 ROSELIA GOMEZ MOZZARELLA FRESCA TRAVELERS SACRAMENTO

ADJ8796621 LUCIA PARTIDA GARGIULO TRAVELERS SACRAMENTO

ADJ8813271 JERRY BUTLER SUBURBAN MORTGAGE HOME

LENDER

TRAVELERS SACRAMENTO

ADJ8867627 NANCY VELASQUEZ IDA WANG MD TRAVELERS SACRAMENTO

ADJ9656899 MARIA MARTINEZ TAYLORED SERVICES TRAVELERS SACRAMENTO

ADJ3747520 ANTHONY SANCHEZ ADEX CORP TRAVELERS SAINT PAUL

ADJ7296840 MYHANH NGUYEN CAL QUALITY ELECTRONICS

INC

TRAVELERS SAINT PAUL

ADJ7570355 ALFREDO ALONA MAKITA USA INC TRAVELERS SAINT PAUL

ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL TRAVELERS SAINT PAUL

ADJ8619626 JOSE CASTRO DAY LEE FOODS TRAVELERS SAINT PAUL

ADJ8619626 JOSE CASTRO DAYF LEE FOODS INC0 TRAVELERS SAINT PAUL

ADJ8658245 CARMEN MENDOZA IWCODIRECT TRAVELERS SAINT PAUL

ADJ1171666 RICARDO LEMUS ALDIK TRAVELERS WALNUT CREEK

ADJ3601255 TYLER PUTNAM THERATZ, INC. TRAVELERS WALNUT CREEK

ADJ6994001 JOSE SALCEDO VOSE TECHNICAL SYSTEMS TRAVELERS WALNUT CREEK

ADJ7114855 RICHARD ECHAVARRIA PARK NEWPORT APARTMENTS TRAVELERS WALNUT CREEK

ADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL

LANDSCAPE LIGHTING

TRAVELERS WALNUT CREEK

ADJ7280264 ROBERT FINNERAN KWK TRUCKING INC TRAVELERS WALNUT CREEK

ADJ7310892 RITA GARCIA CENTURY BLINDS TRAVELERS WALNUT CREEK

ADJ7386758 SIMON ANDRADE WEST COAST PIPELINING TRAVELERS WALNUT CREEK

ADJ7457444 JOSE GAMINO PINNACLE PRECISION SHEET

METAL

TRAVELERS WALNUT CREEK

ADJ7459795 BELINDA GROSS TRICOR AMERICA INC TRAVELERS WALNUT CREEK

ADJ7501335 MARIO ARRIETA OCCIDENTAL COLLEGE TRAVELERS WALNUT CREEK

ADJ7514341 STACY LARGY HIGH DESERT MEDICAL

GROUP

TRAVELERS WALNUT CREEK

ADJ7646679 GENARO ESTRADA SAMMY S WOODFIRED PIZZA TRAVELERS WALNUT CREEK

ADJ7664949 JOVITA PEREZ HUNTINGTON PACIFIC

HOTELS LLC MARRIOTT

COURTYARD CARLSBA

TRAVELERS WALNUT CREEK

ADJ7809800 RONALD MIRANDA US POLYMERS INC TRAVELERS WALNUT CREEK

ADJ7905955 JUAN GOMEZ COREY NURSERY CO INC TRAVELERS WALNUT CREEK

149

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7934591 RAFAEL GUTIERREZ MODULAR METAL

FABRICATORS INC

TRAVELERS WALNUT CREEK

ADJ7961608 JOSE CASTILLO YESCO YOUNG ELECTRIC SIGN

COMPANY

TRAVELERS WALNUT CREEK

ADJ7977173 CLAUDIA TAPIA CHUN YU WORKS USA INC TRAVELERS WALNUT CREEK

ADJ8188269 MICHAEL RAMOS PORTOS BAKERY CAFE TRAVELERS WALNUT CREEK

ADJ8233193 RICARDO AVILES PEERLESS BUILDING

MAINTENANCE

TRAVELERS WALNUT CREEK

ADJ8257119 CARLOS CHITIC ROGERS POULTRY COMPANY TRAVELERS WALNUT CREEK

ADJ8322275 MICHAEL DUNBAR CLUB ASSIST US LLC TRAVELERS WALNUT CREEK

ADJ8390272 OSCAR MONTES FOOD COLLECTIVE INC TRAVELERS WALNUT CREEK

ADJ8496950 JAMES THOMPSON PM REALITY GROUP LP TRAVELERS WALNUT CREEK

ADJ8511789 VICTOR HERRERA EL METATE TRAVELERS WALNUT CREEK

ADJ8512859 AURELIO CASTILLO HYDE AND HYDE INC TRAVELERS WALNUT CREEK

ADJ8521103 ANDRES CRUZ COREY NURSERY CO INC TRAVELERS WALNUT CREEK

ADJ8617677 ROSA DUARTE HOLLANDER HOME FASHIONS

LLC

TRAVELERS WALNUT CREEK

ADJ8715666 ISRAEL ARROYO AVILES ANTEX KNITTING MILLS TRAVELERS WALNUT CREEK

ADJ8721314 CARLOS TORRES MIKE THOMPSON

RECREATIONAL VEHICLES

TRAVELERS WALNUT CREEK

ADJ8897379 HAI TRAN POLARA ENGINEERING INC TRAVELERS WALNUT CREEK

ADJ9209248 MARTHA TRIGO SANTA MONICA SEAFOOD TRAVELERS WALNUT CREEK

ADJ9352619 ARMANDO GARCIA LA COLONIAL TORTILLA

PRODUCTS INC

TRAVELERS WALNUT CREEK

ADJ8608576 DAVID YOUNGER TRI STATE STAFFING INC TRI STATE STAFFING INC

ADJ7582410 SANDRA ALATORRE THE ARC OF SAN DIEGO TRIBAL FIRST AFFINITY SAN

DIEGOADJ7697379 CHERYL WILLIAMS LA COUNTY CHILD SUPPORT

SERVICES

TRISTAR 10480 SANTA ANA

ADJ8148550 CEDRICK BUCKNER COUNTY OF LOS ANGELES

DEPT OF PARKS AND

RECREATION

TRISTAR 10480 SANTA ANA

ADJ2305441 JOSE CERVANTES FAIRCHILD FASTENERS TRISTAR 2805 SANTA ANA

ADJ7511613 ANGELICA OTERO COUNTY OF LOS ANGELES

DEPARTMENT

TRISTAR 2805 SANTA ANA

ADJ1081233 DOUGLAS ROACH CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ1169784 JOSE PADILLA CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ121195 DEBORAH MANN CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ1218516 BLAS FLORES CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ1531535 LEONDIS GOOD CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

150

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3044263 JOHNNY BALTAZAR CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ3624653 DOUGLAS CAPLES CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ3920561 DOUGLAS ROACH CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ3965278 RONALD DREVS CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6750633 JAMES STOUT CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6750686 BRENDA CURETON CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6972938 DONALD BRADY CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6977046 WERNER FLORES CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ7127679 JAVIER BERNAL CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ7277959 JULIA PEAT CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ7307001 KAMRAN KHAN CITY OF LA LAPD TRISTAR 29106 GLENDALE

ADJ7598126 ERIKA NUTTMAN CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ8113530 BRIAN STRADER CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ8429815 KENNETH BAXTER CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ8572548 PATRICIA STOUT CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ947217 VICTOR ROSARIO CITY OF LOS ANGELES/L.A.P.D. TRISTAR 29106 GLENDALE

ADJ1209718 PHYLLIS WILSON LAC/USC MEDICAL TRISTAR BREA

ADJ1909369 SANTOS MORALES ASSOCIATED ROOFERS, INC TRISTAR BREA

ADJ4693920 RAUL GRAGEOLA ATOM COMPANY INC TRISTAR BREA

ADJ7041570 STEVE ROMERO AMERIPRIDE UNIFORM

SERVICES

TRISTAR BREA

ADJ7211849 GUILLERMO VELASCO

PALACIOS

JAVIER SILVA TRISTAR BREA

ADJ7381997 ESGAR BRAVO FDC MANAGEMENT TRISTAR BREA

ADJ7392448 ANA ARANA SIMPLE STAFFING INC TRISTAR BREA

ADJ7553659 DIONICIO SALINAS USA STAFFING TRISTAR BREA

ADJ7738947 JEFFREY ALLEN RESEDA DODGE SALES INC TRISTAR BREA

ADJ7858953 RACHEL BONILLA EXTRA SPACE STORAGE TRISTAR BREA

ADJ7872354 RICKEY BOYD TURNKEY TRISTAR BREA

ADJ7877186 MOISES SANCHEZ SIMPLE STAFFING INC TRISTAR BREA

ADJ7877197 ATILANO GUEVARA AMERICAN GUARD SERVICE

INC0

TRISTAR BREA

ADJ7899737 MICHELLE SOMMERS ENTECH MEDICAL TRISTAR BREA

ADJ7940895 NANCY NORRID FOUR SULLIVAN ENTERPRISES TRISTAR BREA

ADJ8088846 FERNANDO LONA

PANTOJA

RAFAEL BECERRA RACING

STABLES

TRISTAR BREA

ADJ8308829 JOSE GUTIERREZ MARTIN J JONES RACING

STABLES

TRISTAR BREA

ADJ8317127 CELSO MARTINEZ JUST IN TIME LOGISTICS INC TRISTAR BREA

ADJ8357395 PATRICE LONERGAN SOUTHLAND TRANSIT INC TRISTAR BREA

151

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8418853 ANA ORELLANA AMERIPRIDE UNIFORM

SERVICES

TRISTAR BREA

ADJ8471975 MANUEL QUINONEZ TECHNICOLOR

TECHNICOLOR FILM SERVICES

TRISTAR BREA

ADJ8535161 ZAIDA RIVERA E E HALL INC TRISTAR BREA

ADJ8963156 JOSE CHAVEZ GRAND VALLEY MANOR TRISTAR BREA

ADJ8981366 ROSA OROPEZA RANDSTAD US LP TRISTAR BREA

ADJ3418391 VICKIE MENDOZA L A MUNICIPAL COURT TRISTAR CONCORD

ADJ7582849 ROGER ARREOLA TOWN OF COLMA

CALIFORNIA

TRISTAR CONCORD

ADJ8389941 MARTHA GUEVARA CEDAR SINAL MEDICAL

CENTER

TRISTAR CONCORD

ADJ6836960 PATRICIA MANRIQUEZ GRIMMWAY TRISTAR FRESNO

ADJ7332831 SANTA PEREZ KINGSBURG ELEMENTARY

SCHOOL DISTRICT

TRISTAR FRESNO

ADJ7943274 JOSEFINA VELA ALVAREZ GRIMMWAY ENTERPRISES INC TRISTAR FRESNO

ADJ8136492 ISAIAS ESPINOZA

TORRES

HARRIS FARMS INC TRISTAR FRESNO

ADJ8414200 BERTHA RIVERA WAWONA PACKING TRISTAR FRESNO

ADJ8859213 EMILIA VALENCIA GRIMMWAY ENTERPRESISES

INC

TRISTAR FRESNO

ADJ8859213 EMILIA VALENCIA KING PAK POTATO COMPANY,

LLC.

TRISTAR FRESNO

ADJ7814650 NATALIA KNOX MARTIN LUTHER KING TRISTAR IRVINE CLOSED

ADJ1887085 ARSENIA LIWANAG LONG BEACH UNIFIED

SCHOOL DISTRICT

TRISTAR LOS ANGELES

ADJ2753948 HEATHER HUBBARD BUCHALTER & NEWER TRISTAR LOS ANGELES

ADJ4004127 OTILIA ESCOBAR TOPANGA TERRACE

CONVALESCENT CENTER

TRISTAR LOS ANGELES

ADJ4061890 RHENITA WHITE

MCMILLAN

WATTS HEALTH

FOUNDATION

TRISTAR LOS ANGELES

ADJ4074391 MARIA ACUNA DREW MEDICAL CENTER TRISTAR LOS ANGELES

ADJ4093413 MARVA ROSS SUBSEQUENT INJURIES

BENEFITS

TRISTAR LOS ANGELES

ADJ4093413 MARVA ROSS UHP HEALTH CARE TRISTAR LOS ANGELES

ADJ6883592 PAMELA BROWN LONG BEACH UNIFIED

SCHOOL DISTRICT

TRISTAR LOS ANGELES

ADJ7238964 LAURA ALVARADO SAN MARINO SKILLED

NURSING AND WELLNESS

TRISTAR LOS ANGELES

152

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7875152 ROSALIE LATCHISON LONG BEACH UNIFIED

SCHOOL

TRISTAR LOS ANGELES

ADJ8131037 JEANEEN ALCANTARA CEDARS SINAI MEDICAL

CENTER LOS ANGELES

TRISTAR LOS ANGELES

ADJ8190263 REYNA ROSAS LONG BEACH USD TRISTAR LOS ANGELES

ADJ8482649 SHENAE BERRY COMMUNITY HOSPITAL LONG

BEACH

TRISTAR LOS ANGELES

ADJ8859213 EMILIA VALENCIA GRIMMWAY ENTERPRESISES

INC

TRISTAR LOS ANGELES

ADJ8859213 EMILIA VALENCIA KING PAK POTATO COMPANY,

LLC.

TRISTAR LOS ANGELES

ADJ4548177 NELLY DE LA MORA SANTA MONICA MUNICIPAL

COURT

TRISTAR RISK MANAGEMENT

ADJ602785 SANDRA CANDLER RANCHO LOS AMIGOS TRISTAR RISK MANAGEMENT

ADJ1462133 RITA GARCIA CEDAR SINAI MEDICAL

CENTER

TRISTAR SAN DIEGO

ADJ3044109 WANDA RUIZ CEDARS-SINAI MEDICAL

CENTER

TRISTAR SAN DIEGO

ADJ5791557 ORVIN BORROW CEDARS SINAI TRISTAR SAN DIEGO

ADJ6975525 BLANCA GARCIA PLOTT NURSING HOME TRISTAR SAN DIEGO

ADJ7636592 DESIREE BAPTIST CEDAR SINAI MEDICAL

CENTER

TRISTAR SAN DIEGO

ADJ7662766 RHONDA ALANIS JEFFREY PEARSONS DO TRISTAR SAN DIEGO

ADJ847881 JESSICA EMEYA CEDAR SINAI HOPSITAL TRISTAR SAN DIEGO

ADJ1209527 GERARD VERITY OLIVE VIEW UCLA MEDICAL

CENTER

TRISTAR SANTA ANA

ADJ1209718 PHYLLIS WILSON LAC/USC MEDICAL TRISTAR SANTA ANA

ADJ1757158 NEJIA RECER HARBOR UCLA MEDICAL

CENTER

TRISTAR SANTA ANA

ADJ1998313 JUDY BASHAM KING DREW MEDICAL CENTER TRISTAR SANTA ANA

ADJ2265759 RENEE KELLY LOS ANGELES COUNTY TRISTAR SANTA ANA

ADJ2567722 MIRIAM MUT KING DREW MEDICAL CENTER TRISTAR SANTA ANA

ADJ3133302 GLADYS SUAREZ LAC USC MEDICAL CENTER TRISTAR SANTA ANA

ADJ3222944 LENELL WEBB L A COUNTY KING DREW

MEDICAL CENTER

TRISTAR SANTA ANA

ADJ3261830 ESPERANZA BRIONES COUNTY OF LA OLIVE VIEW

MED CNTR

TRISTAR SANTA ANA

ADJ3348385 MARY WESTBROOK RANCHO LOS AMIGOS TRISTAR SANTA ANA

ADJ3348385 MARY WESTBROOK RANCHO LOS AMIGOS HWY TRISTAR SANTA ANA

153

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3387561 VERONICA YABES COUNTY OF LOS

ANGELES/USC MEDICAL

TRISTAR SANTA ANA

ADJ3420677 DARRYL BROWN USC MEDICAL CENTER TRISTAR SANTA ANA

ADJ3570005 ANA DUARTE LOS ANGELES HEALTH

SERVICES

TRISTAR SANTA ANA

ADJ3623274 AIDA BRIMBUELA HARBOR UCLA CENTER TRISTAR SANTA ANA

ADJ3735060 ROSA RAMIREZ MARTIN LUTHER KING HOSP

RADIOLOGY

TRISTAR SANTA ANA

ADJ3929569 CHERYLANN WILLIS HARBOR/UCLA MEDICAL

CENTER

TRISTAR SANTA ANA

ADJ4028452 NANCY VASQUEZ COUNTY OF LA/PROBATIN

DEPT.

TRISTAR SANTA ANA

ADJ434005 DOROTHY WAFER MARTIN LUTHER KING

HOSPITAL

TRISTAR SANTA ANA

ADJ540524 MARCO MALDONADO COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ570695 FLORA CABALLERO WOMENS & CHILDRENS

HOSPITAL

TRISTAR SANTA ANA

ADJ6633492 TERESA SHAPARD LOS ANGELES COUNTY TRISTAR SANTA ANA

ADJ6772786 ESTHER FLORIMON LA COUNTY HEALTH SERVICES TRISTAR SANTA ANA

ADJ6894081 GRACIELA NUNEZ COUNTY OF LOS ANGELES

LAC USC MED

TRISTAR SANTA ANA

ADJ6921435 DEBRA GRANT RANCHO LOS AMIGOS REHAB

CENTER

TRISTAR SANTA ANA

ADJ6975049 CONSUELO VIEYRA COUNTY OF LOS ANGELES

DEPARTMENT OF HEALTH

SERVICES

TRISTAR SANTA ANA

ADJ7106644 ISABEL CARSTEN COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ7171751 YVONNE MENDEZ COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ7205423 KEVIN FOSTER USC MEDICAL CENTER TRISTAR SANTA ANA

ADJ7227226 ARLYN FERGUSON COUNTY OF RIVERSIDE TRISTAR SANTA ANA

ADJ7274615 RICHARD REGAMBAL OCTA TRISTAR SANTA ANA

ADJ7350156 LYDIA GUTIERREZ COUNTY OF LOS ANGELES

DEPT OF HEALTH

TRISTAR SANTA ANA

ADJ7363786 MONICA MENDOZA CITY OF LOS ANGELES DEPT

OF PUBLIC HEALTH

TRISTAR SANTA ANA

ADJ7548397 IRENE VALMIDIANO COUNTY OF LOS ANGELES

RANCHO LOS AMIGOS

TRISTAR SANTA ANA

ADJ7650641 CARLOS PEDROZA COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ7721701 MARISSA DAYAO COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ7748207 DELONEUS WATTS LACUSC MEDICAL CENTER TRISTAR SANTA ANA

ADJ7814650 NATALIA KNOX MARTIN LUTHER KING TRISTAR SANTA ANA

154

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7821698 CHIYAUKAA ARCHER COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ796531 BERTHA GUERRERO COUNTY OF LA/HEALTH

SERVICES

TRISTAR SANTA ANA

ADJ8091169 OMOYI MVUEMBA LOS ANGELES COUNTY DMH TRISTAR SANTA ANA

ADJ8099625 MICHAEL YEPA COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ8169105 DAVID TERAN IMPERIAL IRRIGATION

DISTRICT

TRISTAR SANTA ANA

ADJ8226518 LOUIS CEVALLOS COUNTY OF LOS ANGELES

DEPT OF MENTAL HEALTH

TRISTAR SANTA ANA

ADJ8261903 JESSIE TIVAO COUNTY OF LOS ANGELES

DEPT OF MENTAL HEALTH

TRISTAR SANTA ANA

ADJ8413343 VICTORIA GUZMAN COUNTY OF LOS ANGELES

AUDITOR CONTROLLER

TRISTAR SANTA ANA

ADJ8522227 TEODOLINDA

MENDOZA

COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ6975549 BLANCA ROQUE UCI MEDICAL CENTER UCI MEDICAL CENTER

ADJ2535334 STACY HOLLOMON M & J ELECTRIC ULICO CASUALITY

ADJ8797437 ALEJANDRA

CASTELLANOS

VELORIA DL CONTRACTING ULLICO CASUALTY CO SILVER

SPRINGADJ7860694 NOEMI FONSECA PEOPLES CARE ULLICO INC

ADJ6531883 SERGIO SALAZAR UNIFIED WESTERN GROCERS UNIFIED WESTERN GROCERS

ADJ9252320 DIONICIA DELGADILLO DAYS INN MOTEL US ADMINISTRATOR CLAIMS OAK

RIDGEADJ8013348 DANIEL LUCERO PRECISION RELOCATION VANLINER INSURANCE FENTON

ADJ7686497 EUNICE SERRATOS VERIZON WIRELESS VERIZON WIRELESS

ADJ8774210 LADONNA WILLIAMS VERIZON WIRELESS VERIZON WIRELESS

ADJ8282959 DAVID VILLANUEVA VIDEO AND AUDIO CENTER VIDEO AND AUDIO CENTER

ADJ2982698 JAMES CROSBY JOURNEY AIR CONDITIONG WARD NORTH AMERICA

ADJ6792236 JULIE SMITH WARNER BROS STUDIO

ENTERPRISES

WARNER BROS BURBANK

ADJ7075991 STEPHEN ALTUNA WARNER BROTHERS STUDIO

ENTERPRISES

WARNER BROS BURBANK

ADJ7156200 ROBERT MCCOY WARNER BROTHERS WARNER BROS BURBANK

ADJ7697242 EVELYN SANCHEZ WARNER BROS

ENTERTAINMENT INC

WARNER BROS BURBANK

ADJ7697242 EVELYN SANCHEZ WARNER BROS

ENTERTAINMENT INC

WARNER BROS ENTERTAINMENT

INCADJ6792236 JULIE SMITH WARNER BROS STUDIO

ENTERPRISES

WARNER BROS STUDIO

ENTERPRISES

155

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7156200 ROBERT MCCOY WARNER BROTHERS WARNER BROTHERS

ADJ3277926 ROBERT REED WARNER BROTHERS

ENTERTAINMENT

WARNER BROTHERS STUDIO

ADJ1267762 ALEJANDRO JIMENEZ ONE HOUR HEATING & AIR WAUSAU

ADJ1480199 TANYA JOHNSON BAGS OF CALIFORNIA WAUSAU BEAVERTON

ADJ2308409 PEDRO PEREZ PLUMAS LUMBER WAUSAU BEAVERTON

ADJ2631666 HERMELINDA RAMIREZ RADISON HOTEL WAUSAU BEAVERTON

ADJ6531645 BERTHA SALAZAR DAN GAMEL INC WAUSAU BEAVERTON

ADJ6592080 LORRAINE GODINEZ BUNCH & ASSOCIATES WAUSAU BEAVERTON

ADJ6638857 JUAN MEZA HOFS HUT RESTAURANT WAUSAU BEAVERTON

ADJ6693928 WILMER ESCOBAR GARED GRAPHICS WAUSAU BEAVERTON

ADJ7072833 ANA SANCHEZ WORKFORCE WAUSAU BEAVERTON

ADJ7281714 LEONARDO DELGADO MOLDED FIBER GLASS

COMPANIES WEST

WAUSAU BEAVERTON

ADJ7484472 MARK COBB FULL CIRCLE RECYCLING

COMPANY

WAUSAU BEAVERTON

ADJ7484495 MARK COBB FULL CIRCLE RECYCLING

COMPANY

WAUSAU BEAVERTON

ADJ7501335 MARIO ARRIETA OCCIDENTAL COLLEGE WAUSAU BEAVERTON

ADJ7628835 MARCO TORRES THARALDSON EMPLOYEE

MANAGEMENT CO

WAUSAU BEAVERTON

ADJ7664949 JOVITA PEREZ HUNTINGTON PACIFIC

HOTELS LLC MARRIOTT

COURTYARD CARLSBA

WAUSAU BEAVERTON

ADJ7783887 RICARDO CARCAMO WIRETECH INC WAUSAU BEAVERTON

ADJ7809268 BRANDON JACKSON ASHLEY FURNITURE

INDUSTRIES INC

WAUSAU BEAVERTON

ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO WAUSAU BEAVERTON

ADJ7934591 RAFAEL GUTIERREZ MODULAR METAL

FABRICATORS INC

WAUSAU BEAVERTON

ADJ8061024 JOSE LIBRADO

HERNANDEZ

ORCO BLOCK CO WAUSAU BEAVERTON

ADJ6585912 JUAN HERNANDEZ ASHLEY FURNITURE

INDUSTRIES

WAUSAU WAUSAU

ADJ7239351 DOLORES FLORES PHYSICIANS FORMULA WAUSAU WAUSAU

ADJ7570355 ALFREDO ALONA MAKITA USA INC WAUSAU WAUSAU

ADJ3770534 PETE MAREZ WESTERN WASTE INDUSTRIES WESTERN WASTE

INDUSTRIES/COM COADJ3340389 ANABERTA VILLALOBOS NORWALK-LA MIRADA

SCHOOL DIST

YORK 1498 SANTA ANA

ADJ7342999 SANTOS BARRAGAN PARADIGM INDUSTRIES INC YORK 1498 SANTA ANA

156

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7530544 GUADALUPE

GONZALEZ

HESPERIA RECREATION AND

PARK DISTRICT

YORK 1498 SANTA ANA

ADJ7814265 ESTANISLAO PASILLAS X-ACT FINISH & TRIM INC YORK 1498 SANTA ANA

ADJ8127299 OSCAR MARQUEZ PARKER PERSONAL YORK 1498 SANTA ANA

ADJ8937308 ROBERT TAFOLLA MARK COMPANY YORK 1498 SANTA ANA

ADJ9039936 MARIA VASQUEZ MILLARD MALL SERVICES INC YORK 1498 SANTA ANA

ADJ1081635 TRINIDAD TAPIA COUNTY OF ORANGE YORK 1738 SANTA ANA

ADJ2365983 GEORGE PHILLIPS COUNTY OF ORANGE

CAO/RISK MANAGEMEN

YORK 1738 SANTA ANA

ADJ6484814 NANCY DO ORANGE COUNTY LEAGUE OF

VOTERS

YORK 1738 SANTA ANA

ADJ7169910 FREDRICK GILBERT JR COUNTY OF ORANGE YORK 1738 SANTA ANA

ADJ7263785 BARBARA MARTINEZ COUNTY OF ORANGE YORK 1738 SANTA ANA

ADJ7333384 ROBERT SANCHEZ HOME GARDENS COUNTRY

WATER DISTRICT

YORK 1738 SANTA ANA

ADJ7931176 MARTHA ZAPATA SAN DIEGO UNIFIED SCHOOL

DISTRICT

YORK 1738 SANTA ANA

ADJ7950915 FRANCISCO SALAZAR DESERT COSTAL TRANSPORT YORK 1738 SANTA ANA

ADJ8234693 HENRY COATS PALOS VERDES PENINSULA

USD

YORK 1738 SANTA ANA

ADJ8500154 MANUEL CARRERA EMERALD LANDSCAPE

SERVICES INC

YORK 1738 SANTA ANA

ADJ8715666 ISRAEL ARROYO AVILES ANTEX KNITTING MILLS YORK 1738 SANTA ANA

ADJ4565584 KELLY MAAG DEPARTMENT OF SOCIAL

SERVICES

YORK 619058 ROSEVILLE

ADJ7220485 DEITRA LAWRENCE KERIAN JOBE SURGERY

CENTER

YORK 619058 ROSEVILLE

ADJ7240706 SABINO RIVERA TULE RIVER RANCH INC YORK 619058 ROSEVILLE

ADJ7742174 EVERETT JOHNSON LOS ANGELES COUNTY OFFICE YORK 619058 ROSEVILLE

ADJ8406553 JOSE RAMOS SAN DIEGO UNIFIED SCHOOL

DISTRICT

YORK 619058 ROSEVILLE

ADJ8777351 CRISPIN ROSALES WEST COAST & SONS

DEMOLITION BUBEK SOLIS

YORK 619058 ROSEVILLE

ADJ9060313 QUIRINO TORRES ROYAL DINING FOODS YORK 619058 ROSEVILLE

ADJ9090511 MATILDE OROPEZA YUEN S ENTERPRISE TWO INC

DBA MCDONALD S

YORK 619058 ROSEVILLE

ADJ2277677 HIGINIO NIZ CARBAJAL GARDNER POOL PLASTERING YORK 619062 ROSEVILLE CLOSED

157

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1100645 LUPE GUZMAN JASON FU & NINA YU DDS,

INC.

YORK ANAHEIM

ADJ1941820 DEBORAH KNIGHT RBF CONSULTING YORK ANAHEIM

ADJ2836517 SUZANNE MACK CASSIDY MEDICAL GROUP/PPS YORK ANAHEIM

ADJ3637693 JOSE FISCHER UNIVERSITY MEDICAL

PRODUCTS

YORK ANAHEIM

ADJ4277063 JUVENTINO BACA VANGUARD YORK ANAHEIM

ADJ7078680 CHRISTOPHER LUONG RBC-ALL POWER MFG. YORK ANAHEIM

ADJ7256960 JOHN MARTELL SERCO INC YORK ANAHEIM

ADJ7343152 ALBERTO RANGEL CANNON SAFE INC YORK ANAHEIM

ADJ7462062 HUGO ALVAREZ U F O INC YORK ANAHEIM

ADJ7462368 JUAN BECERRA STAFFMARK YORK ANAHEIM

ADJ7852860 EMERY RAMOS GILLS ONIONS YORK ANAHEIM

ADJ7889504 RICHARD ARIOLA STAFF MARK CO YORK ANAHEIM

ADJ7977045 DAISY GONZALEZ STAFFMARK YORK ANAHEIM

ADJ8239682 JOSE LUIS HERNANDEZ

ROMERO

STAFFMARK YORK ANAHEIM

ADJ8294739 LUZ MAHER VENTURA ADULT DAY CARE YORK ANAHEIM

ADJ8428996 MARIA ARROYO STAFF MARK VSP KILGORE YORK ANAHEIM

ADJ8445976 RAUL BARRAGAN STAFFMARK INVESTMENT YORK ANAHEIM

ADJ8530568 LUCERO DURAN CARLS JR YORK ANAHEIM

ADJ8562944 MARIA ORDAZ CARLS JR YORK ANAHEIM

ADJ199815 ANTONIA CLOUGH WALMART YORK EL DORADO HILLS

ADJ2271111 DANIEL HERNANDEZ WALMART YORK EL DORADO HILLS

ADJ2689685 SANDRA ANDERSON WAL MART YORK EL DORADO HILLS

ADJ2838724 ALBERTA CARRASC DE

ORTIZ

WAL-MART YORK EL DORADO HILLS

ADJ3239188 BLANCA RAMIREZ WAL MART YORK EL DORADO HILLS

ADJ6755745 ESTELLE HOWARD WAL MART YORK EL DORADO HILLS

ADJ6799128 ANA YNDA WALMART YORK EL DORADO HILLS

ADJ6848896 DONALD GRUBE MANCHU WOK YORK EL DORADO HILLS

ADJ7879617 BOBBIE SALAZAR SAMS CLUB YORK EL DORADO HILLS

ADJ7934553 ROBERT CALDERILLA WALMART YORK EL DORADO HILLS

ADJ8107265 MICHAEL CAINE WAL MART YORK EL DORADO HILLS

ADJ8160772 CHARLENE RUSSELL WALMART YORK EL DORADO HILLS

ADJ8203336 RAJAA HAMMOUD WALMART YORK EL DORADO HILLS

ADJ8246568 ALEJANDRO DEL RIO WALMART YORK EL DORADO HILLS

ADJ8260791 MARIA BARRIOS WAL-MART STORES INC YORK EL DORADO HILLS

ADJ8981845 OLGA UMANZOR WAL MART STORE INC YORK EL DORADO HILLS

ADJ7263785 BARBARA MARTINEZ COUNTY OF ORANGE YORK INSURANCE SERVICES

SACRAMENTO

158

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8067195 PEDRO CHAVEZ CONSOLIDATED PRECISION

PRODUCTS

YORK INSURANCE SERVICES

SACRAMENTOADJ8252378 AMBER BEGANDO ACTIVE MAGNETIC

INSPECTION

YORK INSURANCE SERVICES

SACRAMENTOADJ8332093 GUILLERMO MARTINEZ ACCURATE METAL

FABRICATORS

YORK INSURANCE SERVICES

SACRAMENTOADJ9033107 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK INSURANCE SERVICES

SACRAMENTOADJ9060923 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK INSURANCE SERVICES

SACRAMENTOADJ7426483 JOSE GONZALEZ CONSOLIDATED PRECSION YORK OXNARD

ADJ8142617 MANUEL CASTILLO TEMPLOY, INC YORK OXNARD

ADJ102303 GERALD HIMANGO COUNTY OF LOS ANGELES YORK PASADENA

ADJ1068408 SHIRLEY DOWELL JAMES LA COUNTY DEPT OF

CHILDREN AND FAMILY

YORK PASADENA

ADJ1235030 LINDA CAMMISO

EARLEY

LOS ANGELES COUNTY

SHERIFF'S DEPT.

YORK PASADENA

ADJ1496850 KEVIN PORTER LOS ANGELES COUNTY

SHERIFF DEPT

YORK PASADENA

ADJ2195894 RITA MOSBY L.A. COUNTY YORK PASADENA

ADJ2320046 GEORGE AZER L.A. SHERIFF'S DEPARTMENT YORK PASADENA

ADJ2634831 CHELLATHAI

AYYAPPANAICKER

HARBOR/UCLA MEDICAL

CENTER

YORK PASADENA

ADJ3028804 SHERI HARDY COUNTY OF LOS ANGELES YORK PASADENA

ADJ3269632 CARRIE HUNT COUNTY OF LOS ANGELES YORK PASADENA

ADJ3460787 CANDIS CRAWFORD LOS ANGELES COUNTY

SHERIFFS DEPT.

YORK PASADENA

ADJ3807712 ROBERT CHABOYA COUNTY OF LOS ANGELES YORK PASADENA

ADJ4554179 TRACY WHITE COUNTY OF LOS ANGELES YORK PASADENA

ADJ4588481 CARLOS RIVAS LOS ANGELES COUNTY YORK PASADENA

ADJ627612 LYNN GILLIAM COUNTY OF LOS ANGELES YORK PASADENA

ADJ6550835 IRENE VALENCIA MURO LA COUNTY SHERIFF

DEPARTMENT

YORK PASADENA

ADJ6759082 DORAN JORDAN COUNTY OF LOS ANGELES

SHERIFFS DEPT

YORK PASADENA

ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT YORK PASADENA

ADJ6894991 MARIA MAGDALENO COUNTY OF LOS

ANGELES/SDHERIFF`S DEPT

YORK PASADENA

ADJ6928750 WILL LARA LOS ANGELES COUNTY JAIL YORK PASADENA

ADJ7086060 ANITA LIMBRICK COUNTY OF LOS ANGELES

SHERIFF

YORK PASADENA

159

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7088797 RODOLFO LACSON LOS ANGELES COUNTY

SHERIFF`S DEPARTMENT

YORK PASADENA

ADJ7092840 MARIA AIKIN COUNTY OF LOS ANGELES

SHERIFFS DEPT

YORK PASADENA

ADJ7146120 CELINA HERRERA COUNTY OF LOS ANGELES

SHERIFFS DEPT

YORK PASADENA

ADJ7171612 FRANCISCO ALONSO LOS ANGELES COUNTY

SDHERIFFS DEPT

YORK PASADENA

ADJ7277573 JOSE SANDOVAL

MENDOZA

COUNTY OF LOS ANGELES YORK PASADENA

ADJ728926 JANICE JACKSON COUNTY OF LA/DISTRICT

ATTORNEY

YORK PASADENA

ADJ7354281 BRIAN LANGLAIS COUNTY OF LOS ANGELES

SHERIFFS DEPT

YORK PASADENA

ADJ7477103 FERNANDO ACEVES COUNTY OF LOS ANGELES YORK PASADENA

ADJ7772599 EDNA QUEVEDO COUNTY OF LOS ANGELES YORK PASADENA

ADJ7950973 ERIK MONTOYA COUNTY OF LOS ANGELES YORK PASADENA

ADJ8057129 JUAN OLIVA LA COUNTY SHERRIFF DEPT YORK PASADENA

ADJ839078 LINDA CAMMISO

EARLEY

LOS ANGELES COUNTY

SHERIFFS DEPT

YORK PASADENA

ADJ1157589 BARBARA PETERSON PLACENTIA-YORBA LINDA USD YORK RANCHO CUCAMONGA

ADJ1475587 JOSE TRUJILLO SUPERIOR INDUSTRIES

INTERNATIONAL

YORK RANCHO CUCAMONGA

ADJ1597252 ELIZABETH RODRIGUEZ BALDWIN PARK USD YORK RANCHO CUCAMONGA

ADJ1616851 EDITH BATEMAN DPSS YORK RANCHO CUCAMONGA

ADJ1788202 IRENE NAVARRO CITY OF EL MONTE YORK RANCHO CUCAMONGA

ADJ2651648 TERESA SANCHEZ HAWTHORNE SCHOOL

DISTRICT

YORK RANCHO CUCAMONGA

ADJ2755703 CATHY LEDESMA ALHAMBRA UNIFIED SCHOOL

DIST

YORK RANCHO CUCAMONGA

ADJ3129365 SANDRA SANTANA LOS ANGELES COMMUNITY

SOUTHWEST COL

YORK RANCHO CUCAMONGA

ADJ3884991 OTTO RIOS ARCADIA UNIFIED SCHOOL

DISTRICT

YORK RANCHO CUCAMONGA

ADJ4024963 SHARON CAMPBELL NORWALK TRANSPORTATION YORK RANCHO CUCAMONGA

ADJ4357871 MIGUEL ESCOTO KRUSE & SONS MEAT CO YORK RANCHO CUCAMONGA

ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL

DISTRICT

YORK RANCHO CUCAMONGA

160

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ4627105 VALARIE CORTEZ SNOWLINE JOINT UNIFIED

SCHOOL DIST

YORK RANCHO CUCAMONGA

ADJ6483095 DENNIS FULK LUXFOR INC YORK RANCHO CUCAMONGA

ADJ6694045 FREDDY ALVARADO LENNOX SCHOOL DISTRICT YORK RANCHO CUCAMONGA

ADJ6790427 RICHARD NUNEZ BONITA UNIFIED SCHOOL

DISTRICT

YORK RANCHO CUCAMONGA

ADJ6806433 DEBRA LUCERO SAN BERNARDINO CO DAAS

IHSS

YORK RANCHO CUCAMONGA

ADJ6948923 JANET GOMEZ CHINO VALLEY UNIFIED

SCHOOL DISTRICT

YORK RANCHO CUCAMONGA

ADJ7198625 LILLIAN MONTALVO POMONA UNIFIED SCHOOL

DISTRICT

YORK RANCHO CUCAMONGA

ADJ7693811 WADE ORANGE INGLEWOOD UNIFIED

SCHOOL DISTRICT

YORK RANCHO CUCAMONGA

ADJ7704747 SANDRA MARQUEZ BALDWIN PARK USD YORK RANCHO CUCAMONGA

ADJ7880581 CARNELLA JOHNSON LOS ANGELES UNIFIED

SCHOOL DISTRICT

YORK RANCHO CUCAMONGA

ADJ790408 TODD JORDAN CITY OF PORT HUENEME YORK RANCHO CUCAMONGA

ADJ7955241 PAMELA WOODARD SRO HOUSING CORPORATION YORK RANCHO CUCAMONGA

ADJ8145922 MICAELA ORTIZ DEPARTMENT OF SOCIAL

SERVICES IHSS

YORK RANCHO CUCAMONGA

ADJ8167431 MARTIN MEDINA DEPT OF SOCIAL SERVICES IHS YORK RANCHO CUCAMONGA

ADJ8392183 AMY EVANS IHSS YORK RANCHO CUCAMONGA

ADJ6550799 MAURO DE LA TORRE MONROVIA UNIFIED SCHOOL

DISTRICT

YORK RIVERSIDE

ADJ6798187 ANA FRANCO HOUSING AUTHORITY OF THE

CITY OF LOS ANGELES

YORK RIVERSIDE

ADJ6913608 CARMEN MOSTAJO ST. REGIS RESORT MONARCH

BEACH

YORK RIVERSIDE

ADJ7530544 GUADALUPE

GONZALEZ

HESPERIA RECREATION AND

PARK DISTRICT

YORK RIVERSIDE

ADJ7704747 SANDRA MARQUEZ BALDWIN PARK USD YORK RIVERSIDE

ADJ2724902 MARIA CRUZ

MEMBRANO

IHSS DPSS YORK ROSEVILLE

ADJ3653079 ROSEMARY NUNEZ OPAL SNEED BY & THRU DEPT

OF SOC

YORK ROSEVILLE

ADJ7051910 SARAH ALLEN IN HOME SUPPORT SERVICES YORK ROSEVILLE

ADJ7215080 JUAN TAPIA WRITZ TILE AND STONE INC YORK ROSEVILLE

ADJ7371408 SILVIA SANABIA RIOS ADDUS HEALTHCAREI INC YORK ROSEVILLE

161

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7397711 REYNALDA GUERRERO IHSS CHULA VISTA YORK ROSEVILLE

ADJ7530544 GUADALUPE

GONZALEZ

HESPERIA RECREATION AND

PARK DISTRICT

YORK ROSEVILLE

ADJ7547129 PETRA CABANAS PINO INGLEWOOD USD YORK ROSEVILLE

ADJ7574225 MANUEL RUBIO DEPT OF SOCIAL SERVICES IHSS YORK ROSEVILLE

ADJ7682250 JOSE MARTIN CHAVEZ PRIME CO PAINTING YORK ROSEVILLE

ADJ7693469 LUIS LOPEZ STANDARD FEEDING YORK ROSEVILLE

ADJ7724539 LETICIA TONCHE CITY OF MONTEBELLO YORK ROSEVILLE

ADJ8079456 ROCIO TORRES GARCIA M STAR MANAGEMENT IN

CARLS JR

YORK ROSEVILLE

ADJ8186256 ANDRES COTA SAN DIEGO UNIFIED SCHOOL

DISTRICT

YORK ROSEVILLE

ADJ8234693 HENRY COATS PALOS VERDES PENINSULA

USD

YORK ROSEVILLE

ADJ8246817 MARTHA ESPINOZA MC DONALDS YORK ROSEVILLE

ADJ8316938 ISMAEL RAMOS GALICIA PRIMECO PAINTING INC YORK ROSEVILLE

ADJ8320352 NICOLASA ORNELAS COUNTY OF RIVERSIDE IN

HOME SUPPORTIVE SERVICES

YORK ROSEVILLE

ADJ8406406 JOHN A DOLAN MINUTEMAN PARKING CO YORK ROSEVILLE

ADJ8598323 MARIA CHACON LAWNDALE ELEMENTARY

SCHOOL

YORK ROSEVILLE

ADJ9033107 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK ROSEVILLE

ADJ9054263 JESUS NORIEGA TOWN AND COUNTRY YORK ROSEVILLE

ADJ9060923 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK ROSEVILLE

ADJ9139528 ELIA SANTANA CITY OF HAWTHORNE YORK ROSEVILLE

ADJ9586666 JOSUE PENO ADC ENTERPRISSES INC YORK ROSEVILLE

ADJ8563310 MARIA ARMAS PACOIMA CHARTER YORK SAN BERNARDINO

ADJ8615819 MARIA GONZALEZ POMONA VALLEY WORKSHOP YORK SAN BERNARDINO

ADJ205398 DANNY HENDERSON ANTELOPE VALLEY UNION

HIGH SCHOOL

YORK VALENCIA

ADJ4586044 MIGUEL ORTEGA HOUSING AUTHORITY OF LOS

ANGELES

YORK VALENCIA

ADJ7342999 SANTOS BARRAGAN PARADIGM INDUSTRIES INC YORK VALENCIA

ADJ7419163 MARGARITO AYALA PALMDALE SCHOOL DISTRICT YORK VALENCIA

ADJ7498300 SERGIO PINA BAKERY DEPOT INC YORK VALENCIA

ADJ7521292 JOSE MORENO GOLDEN STATE WATER

COMPANY

YORK VALENCIA

162

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7803063 MARIA MALANCO AMPM MAINTENANCE

SERVICES

YORK VALENCIA

ADJ7841181 SYLVIA WALTERS ANTELOPE VALLEY SCHOOL YORK VALENCIA

ADJ7955241 PAMELA WOODARD SRO HOUSING CORPORATION YORK VALENCIA

ADJ801794 LATONIA BROWN LONG BEACH USD YORK VALENCIA

ADJ8246817 MARTHA ESPINOZA MC DONALDS YORK VALENCIA

ADJ8410853 JOSE MARTINEZ CHARLES C REGAN REGAN

PAVING

YORK VALENCIA

ADJ8613679 HECTOR NEVAREZ EAGLE CONSTRUCTIONS

SOLUTIONS INC

YORK VALENCIA

ADJ8702618 ANTOLIN PEREZ ANTEX KNITTING MILLS YORK VALENCIA

ADJ8711087 ELISEO ORTIZ ANTEX KNITTING MILLS YORK VALENCIA

ADJ8712029 ELISEO ORTIZ ANTEX KNITTING MILLS YORK VALENCIA

ADJ8715666 ISRAEL ARROYO AVILES ANTEX KNITTING MILLS YORK VALENCIA

ADJ9684440 JOSE LUIS MEDINA ARCHDIOCESE OF LOS

ANGELES

YORK VALENCIA

ADJ6905674 RODOLFO DIAZ SENIOR SYSTEMS

TECHNOLOGY

ZENITH

ADJ7664950 JESUS VELASCO MGD ZENITH

ADJ6500366 MARIO MARTINEZ LUCICH FARMS ZENITH FRESNO

ADJ7851059 TERESA MOSQUEDA YOUNGSTOWN GRAPE

DISTRIBUTORS

ZENITH FRESNO

ADJ7864112 RAMON DIAZ HETTINGA HEIN DAIRY ZENITH FRESNO

ADJ7910801 MARIO LUCAS HEIN ELLEN HETTINGA DAIRY ZENITH FRESNO

ADJ7944027 MELVIN VALDEZ NEVA GAYLE FARMS ZENITH FRESNO

ADJ7994253 JORGE LARA SAN DIEGO CAR CARE ZENITH FRESNO

ADJ8092440 CHRISTINA OCEGUEDA ISA CONTRACTING ZENITH FRESNO

ADJ8481699 ROSA FRAGA PROVISIONS FOOD ZENITH FRESNO

ADJ8527004 FRANCISCO LOPEZ AG SOURCE SERVICES ZENITH FRESNO

ADJ8608614 JUAN NORDET AERO PORT SERVICES ZENITH FRESNO

ADJ8990377 ROGELIO TRINIDAD NETTO AG INC ZENITH FRESNO

ADJ9193425 EVARISTO BARRERA

PALMA

SILENT SPRING LLC ZENITH FRESNO

ADJ9226731 BERTOLDO CARRILLO DEL SOL FARM LABOR ZENITH FRESNO

ADJ6697419 SALVADOR SANCHEZ T M MANUFACTURING INC ZENITH ORANGE

ADJ6895978 BLAS CARRIZALES ALEWYN DAIRY ZENITH ORANGE

ADJ7077578 ELIAS QABILLE SOLARI ENTERPRISES INC ZENITH ORANGE

ADJ7349651 RIGOBERTO DE ANDA DICK DYKSTRA DAIRIES ZENITH ORANGE

163

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7727284 JOSE MIRELES ARTISTIC MAINTENANCE INC ZENITH ORANGE

ADJ7767174 ANA PEREZ DE

VILLANUEVA

CAPAY INC DBA FARM FRESH

TO YOU

ZENITH ORANGE

ADJ7815991 RIGOBERTO

RODRIGUEZ

MAINAS FARMS ZENITH ORANGE

ADJ7917792 ALEX CABALLERO YALE CHASE EQUIPMENT AND

SERVICES INC

ZENITH ORANGE

ADJ8220432 LUIS PONCE RAMONA DAIRY ZENITH ORANGE

ADJ8451156 MAGARITA BARRON PINNACLE CONVENIENCE

STATIONS

ZENITH ORANGE

ADJ8734489 ALEJANDRO GONZALEZ CHROME TECH INC ZENITH ORANGE

ADJ8864029 ANDREW ARANDA LIQUID GRAPHICS ZENITH ORANGE

ADJ1685818 JOHNNY MIRANDA GOLDEN STATE FRAMERS ZENITH PLEASANTON

ADJ7505399 ROBERTO TORRES MOTION PICTURE AND

TELEVISION FUND

ZENITH SACRAMENTO

ADJ7319242 JESUS LOZADA TACOS EL GORDO ZENITH SAN DIEGO

ADJ7319247 FRANCISCO GASTELUM GENERAL ATOMICS ZENITH SAN DIEGO

ADJ7492078 PETER ARVIZU GENERAL ATOMIC

AERONAUTICAL

ZENITH SAN DIEGO

ADJ7768774 JESUS PIMENTEL LA JOLLA BEACH AND TENNIS

CLUB

ZENITH SAN DIEGO

ADJ7847490 GREGORIO MURILLO SUN VALLEY HARVESTING ZENITH SAN DIEGO

ADJ7939856 SALVADOR OCHOA BREWER LAWN AND

LANDSCAPE

ZENITH SAN DIEGO

ADJ8266759 LUZ LOPEZ DE MEDINA GENERAL ATOMIC

TECHNOLOGIES CORP

ZENITH SAN DIEGO

ADJ841280 ADRIEL DE LA CRUZ PROTECH PAINTING ZENITH SAN DIEGO

ADJ260742 MARYELLEN JORDAN DENNIS KALEBJIAN DDS ZENITH WOODLAND HILLS

ADJ260742 MARYELLEN JORDAN THEODORE FALK ZENITH WOODLAND HILLS

ADJ274596 JOSE SAUCEDO NATIONAL STORES ZENITH WOODLAND HILLS

ADJ4231219 HILDA GARCIA ROERT MANUFACTURING ZENITH WOODLAND HILLS

ADJ6847126 MARIA RIBEIRO GUS JR RESTAURANT ZENITH WOODLAND HILLS

ADJ6903715 HECTOR HERNANDEZ CERAMIC TILE ART INC ZENITH WOODLAND HILLS

ADJ7231387 OLGA FRAGOSO LE CHEF BAKERY LE PAFE INC ZENITH WOODLAND HILLS

ADJ7252500 CARMEN BARNETT INTEL SECURITY ZENITH WOODLAND HILLS

ADJ7491863 JUAN MANUEL PRADO THE IVY RESTAURANT DBA LA

DESSERTS INC

ZENITH WOODLAND HILLS

ADJ7534721 LUIS HURTADO ALEWYN DAIRY ZENITH WOODLAND HILLS

164

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7562334 CUAUHTEMOC

BLANCAS

SINAI CONSTRUCTION ZENITH WOODLAND HILLS

ADJ7567245 MAYRA MARTINEZ COLORADO FARMS ZENITH WOODLAND HILLS

ADJ7719738 ENRIQUE MACIEL STERLING MEAT COMPANY ZENITH WOODLAND HILLS

ADJ7881601 ROSARIO RUIZ TNT ALOHA CAFE ZENITH WOODLAND HILLS

ADJ7910801 MARIO LUCAS HEIN ELLEN HETTINGA DAIRY ZENITH WOODLAND HILLS

ADJ7917792 ALEX CABALLERO YALE CHASE EQUIPMENT AND

SERVICES INC

ZENITH WOODLAND HILLS

ADJ7931373 MARIO OCAMPO D E L T A RESCUE ZENITH WOODLAND HILLS

ADJ7948974 MARIO OCAMPO D E L T A RESCUE ZENITH WOODLAND HILLS

ADJ8086342 LUZ MARIA SOTO COMPEX LEGAL SERVICES INC ZENITH WOODLAND HILLS

ADJ8110698 LEOBARDO ARREGUIN ARTISTIC MAINTENANCE INC ZENITH WOODLAND HILLS

ADJ8251974 DANI KOLLIN JEWISH FEDERATION COUNCIL

OF GREATER LA

ZENITH WOODLAND HILLS

ADJ8390505 GILDARDO GREGOSO DA MOORRS FEED AND

TRACK

ZENITH WOODLAND HILLS

ADJ8477174 DAVID SANCHEZ MALIBU BEACH R V PARK ZENITH WOODLAND HILLS

ADJ8581705 JOSE CONTRERAS HERCULES TIRE & RUBBER CO.

DBA TWD

ZENITH WOODLAND HILLS

ADJ9200824 MARIA MARQUEZ WEST COAST AMBULANCE ZENITH WOODLAND HILLS

ADJ6805770 JUAN CARDENAS LIFOAM INDUSTRIES ZURICH AMERICAN DALLAS

ADJ7697382 ENRIQUE GONZALEZ AGI MARBLE CO ZURICH AMERICAN DALLAS

ADJ7697382 ENRIQUE GONZALEZ STONEWARE TILE INC ZURICH AMERICAN DALLAS

ADJ9256725 LORENA MERCADO ABLE BUILDING

MAINTENANCE COMPANY

ZURICH AMERICAN DALLAS

ADJ1171666 RICARDO LEMUS ALDIK ZURICH LOS ANGELES

ADJ1491029 MARIA OLIVARES HEALTHCARE PARTNERS

MEDICAL

ZURICH LOS ANGELES

ADJ2105735 DAISY FLORES DAVIDSON HOTEL CO. ZURICH LOS ANGELES

ADJ2292661 MARVIN MAGANA DMS INC ZURICH LOS ANGELES

ADJ2533080 ENEDINA MENDOZA CUSTOM DESIGNS ZURICH LOS ANGELES

ADJ2926596 JORGE QUINTANA ID INVESTIGATORS ZURICH LOS ANGELES

ADJ3113707 JORGE ALVARADO WARNER BROS ZURICH LOS ANGELES

ADJ3750814 SUSANA URIAS SEE'S CANDIER ZURICH LOS ANGELES

ADJ3750814 SUSANA URIAS SEE'S CANDY SHOP ZURICH LOS ANGELES

ADJ4133580 ANDREW HARPER ULTIMATE STAFFING HARBOR

FREIGHT

ZURICH LOS ANGELES

ADJ4308017 BRIAN PEREZ WARNER BROS

ENTERTAINMENT INC

ZURICH LOS ANGELES

165

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ4497673 MARIA AMAYA TOLCO INC ZURICH LOS ANGELES

ADJ6672469 GERARDO MAGANA PRECISION WIRE PRODUCTS ZURICH LOS ANGELES

ADJ6710173 JACQUELINE AGUIRRE TELCO/BEST BRANDS ZURICH LOS ANGELES

ADJ6813310 ANDREW NEYER CONOCO PHILLIPS COMPANY ZURICH LOS ANGELES

ADJ6821713 JOB BAUTISTA US GARMENT ZURICH LOS ANGELES

ADJ6832115 ESPERANZA AVILA OUR COUNTRYSIDE RESORT ZURICH LOS ANGELES

ADJ6842280 CRISTINA GARCIA ATOMIC BOX LOGISTICS ZURICH LOS ANGELES

ADJ6842280 CRISTINA GARCIA UEBTF LOS ANGELES ZURICH LOS ANGELES

ADJ6846197 NIDA LUNA AMPHASTAR ZURICH LOS ANGELES

ADJ7022200 MARIA AYALA NEDCO ELECTRONICS INC ZURICH LOS ANGELES

ADJ7041228 URIEL VELASCO CUSTOM PIPE AND COUPLING ZURICH LOS ANGELES

ADJ7045665 EFREN ROSALES AYALA PRECISION WIRE PRODUCTS

INC

ZURICH LOS ANGELES

ADJ7051794 DENISE SELLERS AMERICAN IMAGING

MANAGEMENT

ZURICH LOS ANGELES

ADJ7051794 DENISE SELLERS TRAVELERS COMPANIES INC ZURICH LOS ANGELES

ADJ7063024 ANNA OWENS NURSEFINDERS ZURICH LOS ANGELES

ADJ7074177 GLEN SUTHERLAND CRACK PATCHER INC ZURICH LOS ANGELES

ADJ7204794 CESAREO GARCIA HUNT BUILDING CO LTD ZURICH LOS ANGELES

ADJ7247717 MARIA FLORES HEALTH CARE SERVICES

GROUP

ZURICH LOS ANGELES

ADJ7334329 SIMON FELIX LUMEA STAFFING ZURICH LOS ANGELES

ADJ7380433 DAVID CHAVEZ SAN MARINO PLASTERING INC ZURICH LOS ANGELES

ADJ7415401 MARIA MARTINEZ HEALTHCARE SERVICES

GROUP

ZURICH LOS ANGELES

ADJ7421940 MARTHA ANGEL MARSHALLS ZURICH LOS ANGELES

ADJ7463424 HECTOR AKA JESUS

LOPEZ

ADRIAN'S TRANSPORTATION ZURICH LOS ANGELES

ADJ7532844 LIDIA CASTUERA DOUBLE TREE HOTEL ZURICH LOS ANGELES

ADJ7584776 SHERRI GEIGER G AND M OIL COMPANY INC ZURICH LOS ANGELES

ADJ7584855 IGNACIO RODRIGUEZ BEST BRANDS CORPORATION

/CMS BAKERY PRODUCTS

ZURICH LOS ANGELES

ADJ7636480 CELIA GARCIA JAYS ZURICH LOS ANGELES

ADJ7664949 JOVITA PEREZ HUNTINGTON PACIFIC

HOTELS LLC MARRIOTT

COURTYARD CARLSBA

ZURICH LOS ANGELES

ADJ7680801 JORGE VEGA SAN MARINO PLASTERING ZURICH LOS ANGELES

166

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7684158 MAURICIO FIGUEROA EARL SCHEIB INC ZURICH LOS ANGELES

ADJ7712460 PUNG ON WESTERN FREIGHT CARRIER

INC

ZURICH LOS ANGELES

ADJ7764229 LUIS PAREDES MC COY CONSTRUCTION

SERVICE INC

ZURICH LOS ANGELES

ADJ7794410 JAMES BOTILLER SPECTRUM SECURITY SVCS INC ZURICH LOS ANGELES

ADJ7816698 MELENCIO INOCENCIO DIVERSIFIED

TRANSPORTATION CO

ZURICH LOS ANGELES

ADJ7816761 MARIA P DE RIOS FONTANA LOGISTICS CENTER

INC

ZURICH LOS ANGELES

ADJ7873579 JULIAN HURTADO VELA CALIFORNIA PIZZA KITCHEN

INC

ZURICH LOS ANGELES

ADJ7875947 OMAR MARQUINA TRUSFRAME INC ZURICH LOS ANGELES

ADJ7898222 CARMEN GODINEZ MAG INSTRUMENT INC ZURICH LOS ANGELES

ADJ7901828 OSCAR LUPERCIO COAST IRON STEEL CORP ZURICH LOS ANGELES

ADJ7902145 ALFREDO SOLORZANO IMPERIAL PIPE SERVICES LLC ZURICH LOS ANGELES

ADJ7913189 HERMELINDA RAMIREZ RADISON HOTEL ZURICH LOS ANGELES

ADJ7957475 IRMA RUIZ SVC HOSPITALITY LLC ZURICH LOS ANGELES

ADJ7974483 HILDA TORRES BARON HR MONTEBELLO

RANCH

ZURICH LOS ANGELES

ADJ7974483 HILDA TORRES HORMEL FOODS CORP ZURICH LOS ANGELES

ADJ7976530 PONCIANO

CONTRERAS

PF CHANG S ZURICH LOS ANGELES

ADJ7998888 GARY HERNANDEZ WESTERN TEAR OFF

DISPOSAL

ZURICH LOS ANGELES

ADJ8010025 ROSA CRUZ MARRIOTT ZURICH LOS ANGELES

ADJ8047152 MARIO URUCHURTU CHIPOTLE MEXICAN GR1LL ZURICH LOS ANGELES

ADJ8047152 MARIO URUCHURTU THE HABIT BURGER GRILL ZURICH LOS ANGELES

ADJ8047152 MARIO URUCHURTU Z SPERE INC ZURICH LOS ANGELES

ADJ8083786 DAVID GUTIERREZ MOTHERS NUTR1TLONAL

CENTER INC

ZURICH LOS ANGELES

ADJ8103377 MARIA RAMIREZ HEALTHCARE SERVICES

GROUP INC

ZURICH LOS ANGELES

ADJ8126456 CELESTINO SANTIZO CANOGA CARE CENTER ZURICH LOS ANGELES

ADJ8130062 GERTRUDIS MENA LXR LUXUARY RESORTS ZURICH LOS ANGELES

ADJ8130062 GERTRUDIS MENA WHM LLC ZURICH LOS ANGELES

ADJ8132530 JOHN HAGER CUPERTINO ELECTRIC ZURICH LOS ANGELES

ADJ8173299 JOSE GONZALEZ JENSEN PRECAST ENTERPRISE ZURICH LOS ANGELES

167

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8205574 BRADLEY SMITH CONTEMPORARY SERVICES

CORP

ZURICH LOS ANGELES

ADJ8211515 DEBORAH GARCIA NFI INDUSTRIES ZURICH LOS ANGELES

ADJ8259466 GERTRUDIZ ROMAN MICRO SOLUTIONS

ENTERPRISES

ZURICH LOS ANGELES

ADJ8266845 JOSE SOTO PREMIER BUILDING

MAINTENANCE SERVICES

ZURICH LOS ANGELES

ADJ8361227 SANDRA EGUINO GELSONS MARKET ZURICH LOS ANGELES

ADJ8362248 SALVADOR GARNICA ALPERT AND ALPERT IRON

AND METAL INC

ZURICH LOS ANGELES

ADJ8395795 JASON MILLS STRAIGHT LINE

CONSTRUCTION CO

ZURICH LOS ANGELES

ADJ8455836 JOEL URIBE CASTON INC ZURICH LOS ANGELES

ADJ8475768 SOCORRO SALAS HYDE AND HYDE INC ZURICH LOS ANGELES

ADJ8513992 ASTRID RODRIGUEZ TJ MAX ZURICH LOS ANGELES

ADJ8592676 TED GADDY A A FOOD SERVICE ZURICH LOS ANGELES

ADJ8592685 TED GADDY A A FOOD SERVICE ZURICH LOS ANGELES

ADJ8610114 CHRISTOPHER

MATTHEWS

KENAN HOPKIN SUDER

STOWELL CONTRACTORS

ZURICH LOS ANGELES

ADJ8622008 KATHLEEN HARTFIELD INTERNATIONAL RECTIFIER ZURICH LOS ANGELES

ADJ8630599 ABEL ESCAMILLA JMS BUILDING SOLUTIONS ZURICH LOS ANGELES

ADJ8659331 ANA MURGA FEDERAL CLEANING

CONTRACTORS INC

ZURICH LOS ANGELES

ADJ8699718 PAULA GARCIA QUALITY STAFFING

SOLUTIONS

ZURICH LOS ANGELES

ADJ8703528 JOSEFINA SEGURA PREMIER STAFFING ZURICH LOS ANGELES

ADJ8887836 MARIA ALFARO N. F. I. ZURICH LOS ANGELES

ADJ8911920 VICENTE HERNANDEZ HARRISARIZONA REBAR INC ZURICH LOS ANGELES

ADJ8923676 BERNICE GARCIA PROVIDIAN STAFFING ZURICH LOS ANGELES

ADJ8923806 HONORINA ROQUE

VALERIO

CASTLE AND COOKE INC ZURICH LOS ANGELES

ADJ8947679 MARIA DELGADO

RAMIREZ

STAYBRIDGE SUITES ZURICH LOS ANGELES

ADJ9058612 YOLANDA

MAGALLANES

RUIZ FOOD PRODUCTS INC ZURICH LOS ANGELES

ADJ9080977 JESUS FIGUEROA

OSORIO

VALLEY CREST LANDSCAPE

DEVELOPMENT

ZURICH LOS ANGELES

ADJ9125642 JOSE SAN ELIAS FOUR RESORT RESORT ZURICH LOS ANGELES

ADJ9256725 LORENA MERCADO ABLE BUILDING

MAINTENANCE COMPANY

ZURICH LOS ANGELES

ADJ9405322 ELIDA GALLEGOS MIYAKO HIBRID HOTEL ZURICH LOS ANGELES

ADJ9405322 ELIDA GALLEGOS RECANA SOLUTIONS ZURICH LOS ANGELES

168

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9504465 JUAN CARLOS SALAS GHP MANAGEMENT

CORPORATION

ZURICH LOS ANGELES

ADJ9336069 WALTER HUGGINS HIGH COUNTRY

TRANSPORTATION

ZURICH NORTH AMERICA

CHICAGOADJ8923676 BERNICE GARCIA PROVIDIAN STAFFING ZURICH NORTH AMERICA

INVALIDADJ1970654 JOSE RODRIGUEZ HANAN CONSTRUCTION

COMPANY, INC.

ZURICH SACRAMENTO

ADJ4133580 ANDREW HARPER ULTIMATE STAFFING HARBOR

FREIGHT

ZURICH SACRAMENTO

ADJ6795839 MARIA GUZMAN MAG INSTRUMENT INC ZURICH SACRAMENTO

ADJ7500776 JOSE VILLA NAVA JENSEN PRECAST CONCRETE ZURICH SACRAMENTO

ADJ7597819 NOHE LOPEZ RUTHS CHRIS STEAK HOUSE ZURICH SACRAMENTO

ADJ7983550 JOSE BRISENO CLASSIC PARTY RENTALS ZURICH SACRAMENTO

ADJ8103764 BENITO RUIZ LOPEZ HEALTHCARE SERVICES

GROUP INC

ZURICH SACRAMENTO

ADJ8512859 AURELIO CASTILLO HYDE AND HYDE INC ZURICH SACRAMENTO

ADJ8647917 GALINDA MONTOYA HEALTH CARE SERVICES GRAP

COUNTRY VILLA

ZURICH SACRAMENTO

ADJ8800167 TOMASA ZAMORA

MORENO

APPA SEAFOOD7 INCI ZURICH SACRAMENTO

ADJ9028111 ROSALBA GARCIA MERRY MAIDS ZURICH SACRAMENTO

ADJ7483279 MELCHOR SEGURA

BERNAL

WACKER CHEMICAL CORP ZURICH SAN FRANCISCO

ADJ7555713 JOSE GONZALEZ EARL SCHEIB INC ZURICH SAN FRANCISCO

ADJ7902567 PASCUAL MALDONADO JANUS CORPORATION ZURICH SAN FRANCISCO

ADJ8188639 MARIO GIRON POLI CLINIC MEDICAL CENTER

INC

ZURICH SAN FRANCISCO

ADJ8855210 MAVI EDEZA TRI STAR ELECTRONICS ZURICH SAN FRANCISCO

ADJ8977686 INOCENCIA

VALLADARES

MICRO SOLUTIONS

ENTERPRISES

ZURICH SAN FRANCISCO

ADJ9100103 SALVADOR VILLASENOR REC SOLAR INC ZURICH SAN FRANCISCO

ADJ1205211 GERMAN VALDES FLOR MONTES RODRIGUEZ UEF

ADJ1205211 GERMAN VALDES JAIME TAPIA DEBA EL PATRON

AUTO

UEF

ADJ1205211 GERMAN VALDES UEBTF LOS ANGELES UEF

ADJ1287064 SHIRLEY CRATER PERRIS ELEMENTARY SCHOOL

DISTRICT

KEENAN ASSOCIATES RIVERSIDE/Cambridge San

Diego

169

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ1288937 ELISA SANCHEZ OLIVE GARDEN LIBERTY MUTUAL

ADJ1301400 ALEJANDRO BARBA ARMANDO VILLEGAS DBA J-

ROCK

UEF

ADJ1301400 ALEJANDRO BARBA UEBTF OAKLAND UEF

ADJ1358039 FRANK VIERRA L.A. COUNTY PROBATION

DEPT.

Cambridge Pasadena Closed

ADJ1597481 RAYMUNDO VASQUEZ WESTERN STEEL CUTTING INC EVEREST NATIONAL ORANGE INVALID

ADJ1929477 DOLLY WELLS COMMUNITY HOME SUPPORT BERKSHIRE HATHAWAY SAN

FRANCISCOADJ2245821 DAVID BASURTO ARCHIES TRANSMISSION

NCS/LLC

UEF

ADJ2245821 DAVID BASURTO UEBTF LOS ANGELES UEF

ADJ2261945 JOSE SERRANO DONA MILLER NONE

ADJ2379135 DAVID HARVEY GLENDALE UNIFIED SCHOOL

DISTYORK INSURANCE SERVICES

SACRAMENTO

ADJ2411855 PEDRO DELGADO HONG KONG BBQ AND DIM

SUM

NONE

ADJ2593284 JASON KING MOUNTAIN HOME CHECK UEF

ADJ2593284 JASON KING UEBTF LOS ANGELES UEF

ADJ2635693 ABRAHAM NAVA RENAISSENCE DOORS Cambridge San Diego Closed

ADJ2710232 RUTHIE FISHER COUNTY OF LOS ANGELES Cambridge Pasadena Closed

ADJ2852078 JOSE FISCHER UNIVERSITY MEDICAL

PRODUCTS

SCIF Insured Fresno

ADJ2867328 EDUARDO RAMIREZ JACKIES AUTOMOTIVE UEF

ADJ2867328 EDUARDO RAMIREZ UEBTF LOS ANGELES UEF

ADJ2959318 ALBERTO LOPEZ EL BUEN GUSTO BAKERY NONE

ADJ3110395 JOSE JIMENEZ LUIS PELAYO DBA QUICK

AUTO CENTER

UEF

ADJ3110395 JOSE JIMENEZ UEBTF LOS ANGELES UEF

ADJ3110395 JOSE JIMENEZ URENA'S AUTO SMOG & TOW

SERVICE

UEF

ADJ3276569 LONNIE CURTIS SAN DIEGO COUNTY WATER

AUTHORITY BROADSPIRE CIGA FOLSOM

ADJ340650 MARIA YOLANDA

LUNDGREN

PACTIV CORPORATION NONE

ADJ3484515 HECTOR BRECEDA LOS ANGELES COUNTY NONE

ADJ3530814 SHARNA LEE ANTELOPE VALLEY HOSPITAL

SEDGWICK VAN NUYS

ADJ3548604 MINERVA REZA NONE NONE

ADJ3675920 FRANCISCA PEREZ FUJI NATURAL FOODS NONE

170

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ3845427 RUTH DAZA GARDEN GROVE

CONVALESCENT HOSPITAL

NONE

ADJ3845427 RUTH DAZA GARDEN GROVE GUEST HOME NONE

ADJ3975231 RONALD DICKENSON CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ4051141 LUCIANO BARANDA MILLENIUM INSUTRIAL TIRE NONE

ADJ407801 WILFREDO MELGAR M S I TRAVELERS ORANGE

ADJ4085709 ADRIANA RAMIREZ

CHAPPERO

SELECTED STAFFING

ESIS CHATSWORTH

ADJ4303253 PATRICE SCOTT LA COUNTY/DEPT OF

CHILDREN & FAMILY

NONE

ADJ4403079 JOEL PLACENSIA BUR-CAL TERMITE & PEST

CONTROL

SCIF

ADJ4539794 MARIA MARTINEZ MCDONALDS NONE

ADJ4562597 LORENA CORONA SEAFOOD PLANT UEF

ADJ4562597 LORENA CORONA UEBTF LOS ANGELES UEF

ADJ4607119 JOSE JIMENEZ LUIS PELAYO DBA QUICK

AUTO CENTER

UEF

ADJ4607119 JOSE JIMENEZ UEBTF LOS ANGELES UEF

ADJ4607119 JOSE JIMENEZ URENA'S AUTO SMOG & TOW

SERVICE

UEF

ADJ4652075 RUBY ROBINSON COUNTY OF LOS ANGELES NONE

ADJ4652449 JAMIE SALAZAR HSNCOMPWEST NEWPORT BEACH

ADJ591894 JESUS CARDOSO VARGAS FURNITURE MFG CO

SCIF INSURED GLENDALE

ADJ599680 LUIS PENA BROADWAY CORPS UEF

ADJ599680 LUIS PENA HERMAN AGUIRRE UEF

ADJ599680 LUIS PENA UEBTF LOS ANGELES UEF

ADJ6413729 KENNETH HARRIS GLOBAL PARATRANSIT INC BERKSHIRE HATHAWAY PASADENA

ADJ6438249 EDMOND ARLINGTON TYLER PIPES NONE

ADJ6576954 HECTOR VILLASENOR DESIGN CENTER STATE FARM BAKERSFIELD

ADJ6609173 MIGUEL PINA TAQUERIA DE ANDA EAGLE

ENTERPRISES, INC. FARMERS WESTLAKE VILLAGE

ADJ6633267 JORGE ALLENDE MAG INSTRUMENT1 INC. NONE

ADJ6639473 PAUL MEZA ARC G AIG CLAIMS COSTA MESA

ADJ6662674 LEONARD FINLEY TAHITIAN POOLS UEF

ADJ6662674 LEONARD FINLEY UEBTF LOS ANGELES UEF

ADJ6671257 GERALDINE GUIMONT PAGE LEARNING ACADEMY

INC MARKEL SERVICES OMAHA

ADJ6671257 GERALDINE GUIMONT UEBTF LOS ANGELES MARKEL SERVICES OMAHA

171

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ6701422 DOMINGO LORENZO QUICK CRETE PRODUCTS

CORP

BERKSHIRE HATHAWAY SAN

FRANCISCOADJ6715678 WANDA LUNNIE COUNTY OF LOS ANGELES ACCLAMATION Santa Clarita

ADJ6721903 GORA SINGH ASHOKKUMAR A PATEL DBA

LUCKY LIQUOR

NONE

ADJ6721903 GORA SINGH UEBTF LOS ANGELES NONE/UEF

ADJ6751693 DARNELL HARRIS TRANSCO SYSTEMS NONE

ADJ6764907 ANTONIO CASTRO NICKS BURGERS ZENITH ORANGE

ADJ6774536 MARIA ACOSTA UEBTF LOS ANGELES ILLINOIS MIDWEST SPRINGFIELD

ADJ6794296 SADOT REYES RYADON,. INCFARMERS WESTLAKE VILLAGE

ADJ6868691 ANTONIO CABUTO

ZAMBRANO

HANSON TRUSS INC

ZURICH LOS ANGELES

ADJ6878320 LILIA CERVANTES ARBYS/SOUTHLAND FOODS

INC

FARMERS

ADJ6885988 JOSE GONZALEZ CARLOS GOMEZ NONE

ADJ6892059 ANTONIO GALVEZ MACEACHERN

CONSTRUCTION

UEF

ADJ6892059 ANTONIO GALVEZ UNINSURED EMPLOYERS FUND UEF

ADJ6901600 HUGO REYES MAR PIZZA DBA DOMINOS

PIZZA SCIF SCO MONTEREY PARK

ADJ6907797 ELADIO DE LA TORRE MAINSTAY BUSINESS

SOLUTIONS METRO RISK LONG BEACH

ADJ6907801 NAZARE ANDRE EMERITUS ASSISTED LIVING CNA Insurance Brea

ADJ6919780 ELIZABETH SINGH DEPARTMENT OF MOTOR

VEHICLES

SCIF Santa Ana

ADJ694922 JAMES FINN JR NEW YORK GIANTS TRAVELERS DALLAS

ADJ6997538 MARIA REZA ISIDRA AGUIRRE NONE

ADJ7000583 ALEJANDRO ANDAN THE HELP GROUP NONE

ADJ7003460 SAL SANCHEZ THOMAS SIRIGANO UEF

ADJ7003460 SAL SANCHEZ UEBTF LOS ANGELES UEF

ADJ7013207 EULOGIO JAIME TIRADO ORTIZ CUTTING SERVICE NONE

ADJ7037635 JOSE CEBALLOS GUARDS SYSTEMS INC NONE

ADJ7041284 ANGELICA GOMEZ REGINAS FOOD FARMERS SANTA ANA

ADJ7041284 ANGELICA GOMEZ REGINAS GOAYO FOR

REGINAS FOOD FARMERS SANTA ANA

ADJ7041284 ANGELICA GOMEZ UEF FARMERS SANTA ANA

ADJ7069342 GERARDO SANCHEZ SANTA ANA COUNTRY CLUB PACIFIC COMP CLAIM THOU OAKS

172

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7087486 RONTE CHAFE DALE VALVOLINE INSTANT OIL TRAVELERS WALNUT CREEK

ADJ7088563 NATHANIEL PHELPS CRAFTSMEN STEEL BLDG AIG CLAIMS COSTA MESA

ADJ7088563 NATHANIEL PHELPS CRAFTSMEN STEEL BUILDING AIG CLAIMS COSTA MESA

ADJ7088563 NATHANIEL PHELPS KIMBERLY JOANN HOUSTON AIG CLAIMS COSTA MESA

ADJ7088563 NATHANIEL PHELPS RANDALL JAMES HOUSTON AIG CLAIMS COSTA MESA

ADJ7088563 NATHANIEL PHELPS UEBTF OAKLAND AIG CLAIMS COSTA MESA

ADJ7108720 JUANA E RAMIREZ BRYANS CLEANERS &

LAUNDRY

NONE

ADJ7119471 DANIEL MEZA STRUCTURE DESIGN AND

SOURCING INC

NONE

ADJ7124819 WELDON GOODEN THE BOEING COMPANY NONE

ADJ7126712 JUAN LOPEZ JOSE MIRELES FLC NONE

ADJ7131167 JESUS RAMOS MONTGOMERY KEITH

COMPANY

FIRSTCOMP OMAHA FOR

SOUTHERN INSURANCEADJ7138768 LORENZO PEREZ

JIMENEZ

EDCO DISPOSAL

CORPORATION TRAVELERS DIAMOND BAR

ADJ7141330 SATURINO DE LEON PROFESSIONAL GROUNDS

WORKGUARD INSURANCE WILKES

BARRE

ADJ7143791 JUAN REYES ALOCA FASTENING SYSTEM SEDGWICK

ADJ7144072 JUNIOR GARCIA GDW CONSTRUCTION FARMERS PLEASANTON

ADJ7145662 MARIA DEL CARMEN

ESPINOZA

LA QUERENCIA RESTAURANT NONE

ADJ7157297 MARYLU VENEGAS SAN ANTONIO REGIONAL

HOSPITAL

NONE

ADJ7162169 MARIBEL MINERA SIMSO TEX SEDGWICK 14424 ORANGE

ADJ7166984 JUAN CASTILLO PIEDRA`S MACHINE

CORPORATION

CIGA INTERCARE ORANGE/PATRIOT RISK CIGA

RANCHO CORDOVA

ADJ7198380 PEDRO TAFOLLA EL TORITO RESTAURANTS NONE

ADJ7198931 OSVIN SALAZAR SUPERIOR DUCT FABRICATION

ONC FARMERS SANTA ANA

ADJ7200550 MARIA PERAZA CITY OF LOS ANGELES

AIRPORT POLICE CITY OF LOS ANGELES

ADJ7222302 TARIK ISLAM APOLLO GROUP DBA

UNIVERSITY OF PHOENIX TRAVELERS DIAMOND BAR

ADJ7227186 DANIEL SIQUEIROS STANLEY STEEMER INT GALLAGHER BASSETT

ADJ7249317 REBECA RAMOS R M QUALITY MAINTENANCE

METRO RISK LONG BEACH

ADJ7254348 MALNOR GIRON VERSI STAFF SOLUTIONS INC TOWER NATIONAL INSURANCE IRVINE

ADJ7262126 JOSE PARDO VARGAS FANTASY DYING AND FINISH

INCTOWER NATIONAL INSURANCE

IRVINE

ADJ7262126 JOSE PARDO VARGAS FANTASY TEXTILES

173

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7265546 JOSE TREVINO MAXZONE AUTO PARTS CORP SEDWICK BREA

ADJ7268906 REFUGIO NAVARRO MODULAR STRUCTURES

INTERNATIONAL CNA CLAIMS PLUS BREA

ADJ7269626 CINDY LOU RUCKER COUNTY OF SAN DIEGO

HEALTH AND HUMAN

SERVICES AGENCY SCIF SCO SAN BERNARDINO

ADJ7279614 ANGELA YOUNG VEOLIA TRANSPORTATION GALLAGHER BASSETT

ADJ7282462 LUCIANO GUILTRON ATLANT USA INCAMERICAN CLAIMS SAN DIEGO

ADJ7282911 LUCE GAUTHIER ERICKSEN ARBUTHNOT SPECIALTY RISK SERVICES

ADJ7290235 JAIME COBOS GATOR MACHINERY CO NONE

ADJ7303859 ISABEL HERNANDEZ SODEXO INC NONE

ADJ7324336 NAZARIO

MALDONADO

T L FABRICATION NONE

ADJ7344104 MELVIN AGUIRRE MACYS INC MACYS REDONDO BEACH

ADJ7345315 MANUEL CERVANTES AAA INTERNATIONAL

SEAFOOD CORP

FARMERS

ADJ7365727 DAYSSI NAVARRETE CREST NATIONAL VIDEOTAPE

AND FILM LABORATORIES

ZURICH

ADJ7416473 ANA VASQUEZ FUN FACTORY INC MEADOWBROOK INSURANCE LAS VEGAS

ADJ7417102 FELIPE BOLANOS WEST STOR RECREATION INC BERKSHIRE HATHAWAY SAN

DIEGOADJ7417157 FELIPE BOLANOS WEST STOR RECREATION INC BERKSHIRE HATHAWAY SAN

DIEGOADJ7424148 RAMON SERVIN G P TRUCKING UEF

ADJ7424148 RAMON SERVIN GLENDALE PLUMBING AND

FIRE SUPPLIES

UEF

ADJ7424148 RAMON SERVIN UEBTF LOS ANGELES UEF

ADJ7426177 REFUGIO RAMOS PICK YOUR PART SEDGWICK VAN NUYS

ADJ7447252 OSCAR JIMENEZ ANTHONY ASAM & CINDY

ARNADO

UEF

ADJ7447252 OSCAR JIMENEZ UEBTF LOS ANGELES UEF

ADJ7453025 WILLIAM YOUNG THREE GUYS & A MOVING

TRUCK SCIF SANTA ANA

ADJ7454746 FERNANDO AGUILAR BARRETT BUSINESS SERVICE BARRETT BUSINESS SACRAMENTO

ADJ7454746 FERNANDO AGUILAR LEISURE MAX BARRETT BUSINESS SACRAMENTO

ADJ7474390 HUGO BONILLA BRIANIS TRUCKING INC UEF

ADJ7474390 HUGO BONILLA UEBTF LOS ANGELES UEF

174

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7476980 CANDELARIA GUIZAR MISSION FOODS TRAVELERS DIAMOND BAR

ADJ7479422 JOSE MERCADO FUTURE LANDSCAPE

MAINTENANCE

UEF

ADJ7479422 JOSE MERCADO UNINSURED EMPLOYERS FUND UEF

ADJ7484074 ESMERALDA GOMEZ GARY AROUCHIAN DBA DEL

TACO

NONE

ADJ7493822 GUSTAVO OCTAVIANO FENG LIN UEF

ADJ7493822 GUSTAVO OCTAVIANO HARMONY WAY UEF

ADJ7493822 GUSTAVO OCTAVIANO TOM Y LEE UEF

ADJ7493822 GUSTAVO OCTAVIANO UNINSURED EMPLOYERS FUND UEF

ADJ7495411 CELIA RAMIREZ MAGIC PLASTICS NONE

ADJ7504826 FRANCISCO SOTO UNITED AMERICAN

MERCHANDISING GROUP AIG CLAIMS COSTA MESA

ADJ7505631 RAMIRO MENDEZ S & H CONTRACTING INC NONE

ADJ7521141 YEONG RYU TRICAFFE CNA CLAIMS PLUS BREA

ADJ7526484 MANUEL ALVARADO CSM BAKERY PRODUCTS SENTRY SELECT STEVENS POINT

ADJ7526614 MABIA KHATUN NASEEM SIDDIQUI FARMERS PLEASANTON

ADJ7541725 MIGUEL GOMEZ ROYAL ROOFING UEF

ADJ7541725 MIGUEL GOMEZ UEBTF LOS ANGELES UEF

ADJ7562028 JUANA MOYA SPORT CHALET SPECIALTY RISK

ADJ7563962 DAVID KANG BEDJAKIAN ENTERPRISES INC UEF

ADJ7563962 DAVID KANG DERTAD BEDJAKIAN SUBSH OF

BEDJAKIAN ENTERPRISES INC

UEF

ADJ7563962 DAVID KANG TEDDY BEDJAKIAN UEF

ADJ7563962 DAVID KANG UEBTF LOS ANGELES UEF

ADJ7565940 JOSUE HERNANDEZ

NAVARRO

UEBTF ANAHEIM UEF

ADJ7565940 JOSUE HERNANDEZ

NAVARRO

WOLFEE DONUTS UEF

ADJ7578479 MANUEL GIL AMERIPRIDE SERVICES INCESIS FREMONT and Tristar Brea

ADJ7584624 LUCY DE PAZ JAX MARKET NO 2 NONE

ADJ7590179 MARGARITA MORA HANGMAN PRODUCTS UEF

ADJ7591928 MIGUEL GUTIERREZ LDI Mechanical GALLAGHER BASSETT SCOTTSDALE

175

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7592527 ENRIQUE GOMEZ AMILCAR JR. PLUMBING-

AMILCAR RODRIGUEZ

UEF

ADJ7592527 ENRIQUE GOMEZ UNINSURED EMPLOYERS FUND UEF

ADJ7607475 JOSE MACEDO EL SUPER #4 DBA BODEGA

LATINA CORP

CRUM AND FORSTER

ADJ7610144 JOSE LUIS CORTES R AND G`S FOOD BASKET NONE

ADJ7633140 RONY RODRIGUEZ STAFFING SOLUTIONS YORK Roseville

ADJ7636147 LEOBALDO PEREZ TRI-STATE STAFFINGLUMBERMENS UNDERWRITING

BOCA RATON

ADJ7644801 PHILIPPE ZATTA ROGERSON AIRCRAFT CORP NONE

ADJ7658097 JOHN CUMMINS VIP LIMOUSINE AND COACHES BARRETT BUSINESS SACRAMENTO

ADJ7660043 EVA LEVARIO WALMART AVIZENT 4530 EL DORADO HILLS

ADJ7665192 JOSE GOMEZ V& V FARM LABOR

CONTRACTOSBERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7677937 MARIO SUAREZ HYCORAMERICAN CLAIMS SAN DIEGO

ADJ7678362 MARICELA PEREZ COUNTY OF LOS ANGELES

DISTRICT ATTORNEYS OFFICEINTERCARE ROSEVILLE

ADJ7692582 CESAR SANTIZO KJB METALS UEF

ADJ7693043 LYDIA MORAN LEON ARISBETH A HERNANDEZ NONE

ADJ7709032 WILLIAM GARCIA

MARTINEZ

NORTH PARK PRODUCE NONE

ADJ7760343 DAVID GARCIA TSCM CORPORATION SPECIALTY RISK LEXINGTON

ADJ7762496 JOSAFAT CHAVEZ SMC GREASE SPECIALIST SPECIALTY RISK RIVERSIDE

ADJ7762497 JESUS REYES MARIO CAMARILLO NEW

DIMENSION PAINTING

UEF

ADJ7762497 JESUS REYES UEBTF OAKLAND UEF

ADJ7762521 CLEMENTE CAMPOS PARAISO DEL MAR

RESTAURANT

NONE

ADJ7772759 FRANSISCO NAJARRO NE-MO`S BAKERY INC TRAVELERS WALNUT CREEK

ADJ7779144 ISAVEL AMAVIZCA PEPITOS RESTAURANT AIG CLAIMS COSTA MESA

ADJ7782917 MARCELLA KNIFFIN BLUE CROSS & BLUE SHIELD ZURICH SACRAMENTO

ADJ7783294 MARIA CHAVEZ LITTLE STARZ CHILD CARE UEF

ADJ7783294 MARIA CHAVEZ UEBTF OAKLAND UEF

ADJ7803881 EFREN FLORENTINO

GARCIA

SERRA CATHOLIC SCHOOL

HARTFORD SACRAMENTO

176

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ7825404 JAMIE RAMOS REGENTS OF UNIVERSITY OF

CALIFORNIA LOS ANGELES COMPWEST NEWPORT BEACH

ADJ7836621 GABRIEL MAGDALENO FARMER BOYSAMERICAN CLAIMS SAN DIEGO

ADJ7851199 MARIA SANCHEZ FLEXSTEEL INC NONE

ADJ7884360 MARIA AMAYA TOLCO COMPANY ZURICH SACRAMENTO

ADJ7893395 IRMA GARCIA KINO FLO INC TRAVELERS SACRAMENTO

ADJ7897824 MARINA VEGA EG DRIVING & TRAFFIC

SCHOOL

NONE

ADJ7915056 MARIA GUARDADO C G INVESTMENTS INCAMERICAN CLAIMS SAN DIEGO

ADJ7915900 SANTA CRUZ SOTO CALIFORNIA BREAD CO BOBB1 RICHARDSON

ADJ7921674 AGUSTIN DIAZ ECOLOGY AUTO PARTS INC SEDGWICK 14627 ONTARIO

ADJ7921674 AGUSTIN DIAZ ECOLOGY AUTOPARTS INC SEDGWICK 14627 ONTARIO

ADJ7926621 PEDRO ORTEGA CAPITAL REAL ESTATE

MANAGEMENT AIG CLAIMS Shawnee Mission

ADJ7931356 JUAN HERNANDEZ YOUSEF AWAIDA DBA JOE`S

AUTO CENTER

UEF

ADJ7935023 ALFREDO MARCELO DENNYS NONE

ADJ7937748 AURA SANDOVAL

DAVILA

SHORELINE HEALTHCARE

CENTER

NONE

ADJ7937893 RIGOBERTO HERRERA ROLLING GREEN INC NONE

ADJ7940890 KATHERINE HUNTER CEDARS SINAI MEDICAL

CENTER

NONE

ADJ7951550 CHARLES SABEDRA EXXON MOBIL CORPORATION Exxon Mobil Corporation

ADJ7952149 MANUEL HERNANDEZ SELECT STAFFING NONE

ADJ7957582 MARIA FONTANEZ PEGASUS BUILDING SERVICE BARRETT BUSINESS SACRAMENTO

ADJ7960463 MIGUEL VARELA APPLIANCE DISCOUNTERS NONE

ADJ7961540 ORLANDO NAVARRO AMERICAN SERVICES

INDUSTRIES

NONE

ADJ7968558 VENACIO ZAVALA GOLDEN STATE CONTAINER LIBERTY MUTUAL 29073 GLENDALE

ADJ7977088 SAMUEL ASHLEY PERMASWAGE TRAVELERS DIAMOND BAR

ADJ797979 GEORGE SANTIAGO IHSS SCIF SCO SAN BERNARDINO

ADJ7983096 GLORIA JERONIMO CLEAR VIEW CONVALESCENT PATRIOT RISK SERVICES WOODLAND HILLS

ADJ7989778 JOSE RODRIGUEZ INNOVATION METAL

INDUSTRIESINSURANCE CO OF THE WEST

SAN DIEGO

ADJ7998863 DELIA CORTEZ ROQUE ORTHO LAB INC FARMERS INSURANCE

ADJ8013975 YESENIA RAMIREZ 99 CENT STORES SEDGWICK RIVERSIDE

ADJ8047075 ESPERANZA TELLEZ WINDSOR FOODS TRAVELERS DIAMOND BAR

177

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8054075 FRANCISCO MONTES EAGLE BUILDERS TORRANCE SCIF INSURED GLENDALE

ADJ8064950 HECTOR PIVARAL UEBTF LOS ANGELES TRINITY INSURE SERVICES MANDEVILLE

ADJ8066278 ARMEDA MAXWELL CEDAR SINAI MEDICAL

CENTER TRISTAR SAN DIEGO

ADJ8069167 JAIME ACEVES SPECIALTY MEATS INC TRAVELERS WALNUT CREEK

ADJ8071300 JESUS CHAVEZ BUILDING MATERIAL

CONSTRUCTION ESIS CHATSWORTH

ADJ8071483 JOSE POLANCO HACOR NONE

ADJ8071484 JOSE POLANCO HACOR NONE

ADJ8077392 FRANCISCO SANTANA

VASQUEZ

AEROTEK COMMERCIAL

STAFFING TRAVELERS DIAMOND BAR

ADJ8079446 MAYRA MONTOYA MARRIOT DBA PINNACLE

RIVERSIDE HOSPITALITY

FIREMANS FUND SACRAMENTO

ADJ8079478 HILARIO REYES INTERCONTINENTAL ART NONE

ADJ8090764 ALICIA CORTEZ AG SOURCE SERVICESCOMPWEST NEWPORT BEACH

ADJ8098653 JOSE LARA EPLICA CORPORATE SERVICES

TRISTAR SAN DIEGO

ADJ8098849 ROSALIN JEFFERSON TUMBLEWEED

TRANSPORTATIONQBE SPECIALTY INS

SACRAMENTO

ADJ8101170 JOSE COBIAN EXIDE AIG CLAIMS COSTA MESA

ADJ8113417 JOSE RAMIREZ JBO STONE INC AIG CLAIMS COSTA MESA

ADJ8116771 DAVID MCCALLISTER JASPAL SINGH UEF

ADJ8116771 DAVID MCCALLISTER PARMINDER GILL UEF

ADJ8116771 DAVID MCCALLISTER RUPINER KAUR GILL UEF

ADJ8116771 DAVID MCCALLISTER SADHU BROTHERS INC UEF

ADJ8116771 DAVID MCCALLISTER UEBTF LOS ANGELES UEF

ADJ8121446 JOSE RODRIGUEZ LA MYADA INC UEF

ADJ8121446 JOSE RODRIGUEZ UEBTF LOS ANGELES UEF

ADJ8126423 JOSE ELEMEN PHUKET LLC AIG CLAIMS SAN DIEGO

ADJ8133393 SHIRLEY WALLACE HOME INSTEAD SENIOR CARE INSURANCE CO OF THE WEST SAN DIEGO

ADJ8134718 TEBERIH KIFLAY RAYTHEON SPACE AND

AIRBORNE SYSTEMSLIBERTY MUTUAL 29073

GLENDALE

ADJ8138895 OLGA GONZALEZ OLDCASTLE BU1LDING

ENVELOPE LIBERTY MUTUAL ROCKLIN

ADJ8144155 BYRON STEWART THE DOOR AND WINDOW

CONSULTANTS INC

NONE

ADJ8150667 MARIA TORRES BRIGHT EXPECTATIONS INC AIG CLAIMS COSTA MESA

ADJ8159346 RAUL SANDOVAL GW ASSOCIATION SEDGWICK 14442 ORANGE

ADJ8171667 DAVID BENITEZ PACIFIC CAR WASH NONE

178

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8173668 MIGUEL JIMENEZ JENSEN ENTERPRISES INC TRAVELERS DIAMOND BAR

ADJ8176199 RAMON RIVERA MARIAK INDUSTRIES INC SEDGWICK 14442 ORANGE

ADJ8178116 MICHAEL DELGADO CATTRAC CONSTRUCTION SEABRIGHT INSURANCE

ADJ8178116 MICHAEL DELGADO EXCEL PAVING SEABRIGHT INSURANCE

ADJ8178116 MICHAEL DELGADO EXCEL PAVING COMPANY SEABRIGHT INSURANCE

ADJ8178116 MICHAEL DELGADO LALONDE EQUIPMENT RENTAL

HUMAN RESOURCES

SEABRIGHT INSURANCE

ADJ8179864 RAFAEL ANDRADE WEST COAST DISTRIBUTION HARTFORD SACRAMENTO

ADJ8183648 ERNESTO OCAMPO SHEENAN FOUNDRY INC SCIF INSURED

ADJ8185942 JORGE RECINOS JK RESIDENTIAL SERVICESLUMBERMENS UNDERWRITING

BOCA RATON

ADJ8188030 CHRISTINA NEWSOME CORINTHIAN COLLEGES, INC

DBA EVEREST COLLEGES

NONE

ADJ8189239 IRMA MONTANO DAMCO DISTRIBUTION SEDGWICK 14450 LONG BEACH

ADJ8193845 RUBEN GIRON SOUTHWEST TRANSPORT Southwest Transport

ADJ8194130 DAVID REYNALDO

CANDELAS

KINECTA FEDERAL CREDIT

UNIONGALLAGHER BASSETT GOLD

RIVER

ADJ8207566 MARIA CONTRERAS THE TJX COMPANIES INC NONE

ADJ8209408 LUIS GRANILLO BELLFLOWER PETROLEUM INC UEF

ADJ8209408 LUIS GRANILLO FAOUZIA JOUHARI SECTY AS

SUBSH OF BELLFLOWER

PETROLEUM

UEF

ADJ8209408 LUIS GRANILLO TAREK RAMADAN CEO AS

SUBSH OF BELLFLOWER

PETROLEUM INC

UEF

ADJ8209408 LUIS GRANILLO UEBTF LOS ANGELES UEF

ADJ8211236 JOSE AGUILAR SQUIRES LUMBER GALLAGHER BASSETT GOLD RIVER

ADJ8221162 CHAHE TCHERKEZIAN GOHAR MINASIAN SSH

RAINBOW SUV DBA AIG CLAIMS COSTA MESA

ADJ8221162 CHAHE TCHERKEZIAN MINAS MINASIAN SSH

RAINBOW SUV DBA AIG CLAIMS COSTA MESA

ADJ8221162 CHAHE TCHERKEZIAN RAINBOW SUV DISMANTLING

INC DBA BIG THREE AUTO

DISMANTLING AIG CLAIMS COSTA MESA

ADJ8225298 VILMA GONZALEZ LORA MARTORANO DBA

COMPLETE PROPERTIES DBA

UNITED AGENCI FARMERS WESTLAKE VILLAGE

179

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8226334 BASILIO CERRILLO RENICK CADILLAC SUBARY INSURANCE CO OF THE WEST SAN DIEGO

ADJ8233339 MARIA MENDEZ US MOTOR WORKS LLC GOLDEN EAGLE ALISO VIEJO

ADJ8239987 MANUELA GARCIA Ashley Furniture NONE

ADJ8240881 ROBERT HAPPENY STATE OF CALIFORNIA CIW NONE

ADJ8250663 ADOLFO CALDERON MARINA LANDSCAPE GALLAGHER BASSETT CORONA

ADJ8252811 GRISELDA POLANCO LESLIE LOCKE SENTRY CLAIM SERVICE

ADJ8256901 ROBERTO GARCIA TRAFFIC MANAGEMENT INC LIBERTY MUTUAL 29073 GLENDALE

ADJ8277556 IMELDA RAMOS MARQUEZ BROTHERS

ENTERPRISES INC TRAVELERS WALNUT CREEK

ADJ8284938 CRYSTAL MENDIOLA POLLO CAMPERO NONE

ADJ8288746 LUCIA BIRRUETA ILDELFONSO LOMBERA ILDELFONSO LOMBERA

ADJ8298782 ALVARO GUILLEN CENTRAL REFRIGERATED INC CENTRAL REFRIGERATED INC

ADJ8303751 MARIA VILLASENOR EL DIABLO RESTAURANT EL DIABLO RESTAURANT

ADJ8318967 ELENA GARCIA 1WCO DLRECT IWCO

ADJ8323531 AURA LAZARO TOUS TOUS

ADJ8327445 DINA AMAYA US CONTINENTAL

MARKETING CRUM FORSTER ORANGE

ADJ8367764 AGUSTIN NUNEZ TORN AND GLASSERLIBERTY MUTUAL BEAVERTON

ADJ8371464 JASMINE PEDROZA NIGHTINGALE ASSISTED

LIVING

UEF

ADJ8371464 JASMINE PEDROZA UEBTF OAKLAND UEF

ADJ8374459 HECTOR BAROJAS COMPREHENSIVE

DISTRIBUTION SERVICE INC INTERCARE CIGA GLENDALE

ADJ8374570 JOHN MURRIETA CAPTEK SOFTGEL

INTERNATIONAL INC CHUBB GROUP LOS ANGELES

ADJ8381663 MAYRA DIAZ SECURITAS SECURITY SVCS

USASEDGWICK 14450 LONG

BEACH

ADJ8384753 KIMBERLY MENDEZ CORIX UTILITIES TRAVELERS DIAMOND BAR

ADJ8392867 MARIA VELAZQUEZ SANTA FE BUILDING

MAINTENANCE

SANTA FE BUILDING

MAINTENANCEADJ8397850 FELIX FLORES BUDGET RENT A CAR BUDGET RENT A CAR

ADJ8399677 MARIA ALARCON PARVIZ ELIHU AND SIMIN

ELIHU

UEF

ADJ8399677 MARIA ALARCON UEBTF LOS ANGELES UEF

ADJ8414085 PATRICIA SALGADO BURGER KINGAMERICAN CLAIMS SAN DIEGO

ADJ8427941 JESUS AYALA CALIFORNIA MEDICAL

INNOVATION LUMBERMENS UNDERWRITING BOCA RATON

180

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8436564 JOSE MARTINEZ WAREHOUSE SOUTIONS WAREHOUSE SOUTIONS

ADJ8438375 ALICIA VASQUEZ

GAMEZ

AMPCO SYSTEM PARKING ESIS

ADJ8438476 ANTONIO REVELES BARRETT BUSINESS SERVICE

INC

BARRETT BUSINESS SERVICE INC

ADJ8442107 JAIME SALAZAR TRADESMEN INTERNATIONAL GALLAGHER BASSETT ORANGE

ADJ8453460 PABLO RAMOS SECURITAS SECURITY SERVICES

USA INCSEDGWICK 14450 LONG

BEACH

ADJ8464981 DAMARES ROCHA

PEREZ

GREGORIO ENTERPRISES

MCDONALDS

Midwest Insurance

ADJ8472632 ROGELIO ARELLANO PREMIER MURSHROOMS CIGA

ADJ8476796 EDUARDO MUNOZ SOUTH BAY LOGISTICS UEF

ADJ8476796 EDUARDO MUNOZ UEBTF LOS ANGELES UEF

ADJ8479226 ALEJANDRO DIAZ KANGAROOTER SCIF Insured Fresno

ADJ8487944 SOCORRO HARO SETTON PISTACHIO OF TERRA The Hartford Sacramento

ADJ8488574 MARCO URBINA PLE INC ATHENS ADMINISTRATORS CONCORD

ADJ8493210 JOE DANIEL WHITE B R ROAD SERVICE B R ROAD SERVICE

ADJ8500418 FERNANDO

RODRIGUEZ

ROBERT PRECISION

ENGINEERING

Nova Casualty admin York

ADJ8501718 ESTELLA ARANA SUPERIOR GROCERS Ciga for Ullico Casualty servicing

facility IntercareADJ8503788 SALVADOR LOPEZ ACTIVE AIRCRAFT WELDING ACTIVE AIRCRAFT WELDING

ADJ8514573 MARIA VALDEZ UEBTF LOS ANGELES UEF

ADJ8516635 IRMA ALVAREZ TRI STATE STAFFING PEOPLE

TO PEOPLE STAFFING

Intercare Holdings

ADJ8523459 JULIAN UBIARCO HOUSING AUTHORITY OF THE

CITY OF LOS ANGELES

York

ADJ8532225 MARTHA SAUCEDO SELECT STAFFING SELECT STAFFING

ADJ8535203 GUADALUPE VALDIVIA NTS NTS

ADJ8539879 ARTURO ORTEGA SELECT STAFFING ESIS for ACE American Insurnace

ADJ8540427 BLANCA MONGE ACCOUNTABILITIES LUMBERMENS UNDERWRITING

AllianceADJ8541647 GRACE DAY DESIRED BEAUTY SURGICAL THE HARTFORD SYRACUSE

ADJ8567466 LEONOR RAMIREZ HOMEWOOD SUITES HOMEWOOD SUITES

ADJ8567941 MARIA URIBE INTERNATIONAL RUBBER

PRODUCTS INC

INTERNATIONAL RUBBER

PRODUCTS INCADJ8569278 BERTHA MARTINEZ PERSONNEL PLUS INC Carl Warren and Company and

Companion Prop and Cas

181

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ8578596 GLADYS MARTINEZ I.H.O.P. ILLINOIS MIDWEST SPRINGFIELD

ADJ8584215 BERTHA MAURICIO BROTHERS SECURITY INC

BUILDING

BROTHERS SECURITY INC

BUILDINGADJ8596440 RONALD TURNAGE FOYTT L P UEF

ADJ8596440 RONALD TURNAGE UEBTF LOS ANGELES UEF

ADJ8603966 SANDRA GEACOMAN SUNNY HILLS ASSISTED LIVING SUNNY HILLS ASSISTED LIVING

ADJ8618214 MARIA MARIN USA STAFFING USA STAFFING

ADJ8619988 YESSICA GOMEZ KIMCO STAFFING Sedgwick CMS

ADJ8621460 JOSE MEDRANO CREATIVE INVENTIONS ACCA/NLI

ADJ8650007 BLANCA SANTOYO PROMAID THE HARTFORD SYRACUSE

ADJ8651439 KARLA MONTECINOS KING TACO Valley Forge Ins Co CNA

ADJ869725 HOSEA

HICKSINBOTTOM

R.W. CONTRACTORS

STAFFING

UEF

ADJ869725 HOSEA

HICKSINBOTTOM

UEBTF LOS ANGELES UEF

ADJ869725 HOSEA

HICKSINBOTTOM

WAYNE MARSHALL & MARTHA

MARSHALL

UEF

ADJ8719138 ELADIO DE LA TORRE PROVIDIAN STAFFING PROVIDIAN STAFFING

ADJ8722120 FLORA PAREDES VICTORIA RODRIGUEZ VICTORIA RODRIGUEZ

ADJ8724773 KENNETH MIXON APOLLO LOGISTICS LLC APOLLO LOGISTICS LLC

ADJ8727150 MISAEL CARMONA RED ROBIN INTERNATIONAL

INC

CCMSI for Arch

ADJ8733740 MIGUEL AGUILAR WILSON AG WILSON AG

ADJ8733744 ELVIRA VENTURA LA VINA CONTRACTING MEADOWBROOK INSURANCE LAS VEGAS

ADJ8753406 ALVARO DELGADO GLORIAS COCINA SCIF

ADJ8765139 JOEL VARGAS ROMEROS FOOD PRODUCTS

INC

ROMEROS FOOD PRODUCTS INC

ADJ8771612 FIDEL AGUILAR ARK LIGHTING ARK LIGHTING

ADJ8786571 WALTER LEYVA LA FREIGHTLINERS Corvel

ADJ8801081 SEAN MANARY SUNSET PACIFIC

TRANSPORTATION

SUNSET PACIFIC

TRANSPORTATIONADJ8844833 ANTONIO CHAVEZ LEONARD MEAT CO ICW Group

ADJ886168 MARTIN LOVATO AMELCO ELECTRIC Argonaut

ADJ8864381 CARMEN SEBASTIAN EL HUARACHITO Travelers

ADJ8873495 LUIS SERRANO FREEDOM PROPERTIES DBA

THE VILLAGE

FREEDOM PROPERTIES DBA THE

VILLAGEADJ8876835 NORMA AGUILAR

MENDOZA

A4

ENSTAR US ORANGE

ADJ8989266 PATRICIA MAGANA LA GLORIA SUPERMERCADO SCIF INSURED OXNARD

182

Michael R. Drobot Industrial Pharmacy ManagementMediLab Corp

California Pharmacy Management

Case

Number Injured Worker Employer Claims Administrator

ADJ9182023 EDGAR BENAVIDES 818 AUTO BODY Employers Comp Ins Co

ADJ9183956 ELOY SANCHEZ ABM SERVICES INC DBA

JANITORIAL SERVICES

ABM Services Inc DBA Janitorial

ServicesADJ9217362 ISAURA CEDILLO KIMCO STAFFING KIMCO STAFFING

ADJ9226720 ENOC ORENOS RE PLANET LLC RE PLANET LLC

ADJ9260832 CLAUDIA LOPEZ

SANCHEZ

LEES MAINTENANCE SERVICE Gallagher Bassett

ADJ9265032 MAGDALENA FELIX CARLS JR RESTAURANTS LLC CRUM FORSTER

ADJ9319303 FRANCISCO TAPIA MARMALADE American Claims Management

ADJ9336525 ADRIAN BARRERA KATOS AUTO SERVICE HANOVER INSURANCE GROUP

WORCESTER

ADJ9544395 IGNACIO APODACA FERNANDO ESPARZA DBA J

AND J DELIVERY INC

FERNANDO ESPARZA DBA J AND

J DELIVERY INC

183


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