Chris Guluarte 1/3/2022 - Laserfiche WebLink

CLAIM#4: SJ96226 - Claim Number SJ96226 Date of Injury September 17, 2015 Description of Accident Leaning on spreader while cutting pipe and felt chest pain. Date Claim Received by On or about September 17, 2015 Employer Date of Claim Allowance The Department of Labor& Industries issued an allowance order on October 14, 2015. Date Allowance Order The allowance order became final 60 days after it was Became Final received, which was on or about December 14, 2015. Nature and Extent of As a result of the industrial injury, Claimant sustained a Condition and Disability xiphoid cartilage strain. Claimant underwent conservative treatment for the condition. The claimant did not have any permanent partial disability as a result of this industrial injury. Attending Physician Unknown Claim Status The claim was closed on January 25. 2016 without any permanent partial disability. Condition(s) Accepted Conditions xiphoid cartilage strain Denied Conditions None (Hereafter referred to as Denied Conditions) Unrelated Conditions None (Hereafter referred to as Unrelated Conditions CLAIM#5 SH28547 Claim Number SH28547 Date of Injury June 26, 2013 Description of Accident Occupational disease claim from mowing, using hand tools and driving resulting in right hand carpal tunnel syndrome Date Claim Received by On or about November 7, 2013 Employer Date of Claim Allowance The Department of Labor& Industries issued an allowance order on March 5, 2014. Date Allowance Order The allowance order became final 60 days after it was Became Final received, which was on or about May 5, 2014. Nature and Extent of As a result of the occupational disease, Claimant Condition and Disability sustained right hand carpal tunnel syndrome. Chris Guluarte Page 6 of 14