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 ACCLAMATION 802108 SANTA SERVICE CLARITA ADJ8009655 MARIA PAEZ RUSKIN DAMPERS AND ACCLAMATION 802108 SANTA LOUVERS CLARITA ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES ACCLAMATION FRESNO ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ACCLAMATION FRESNO ANGELES/DPSS ADJ7117844 TOMMY ROBISON CITY OF MARICOPA ACCLAMATION FRESNO ADJ8162473 ONORIO SERRANO ESPARZA ENTERPRISES INC ACCLAMATION FRESNO ADJ8420600 JORGE LOZANO HARRIS RANCH BEEF ACCLAMATION FRESNO COMPANY ADJ8473212 DAREN HANDY KERN SCHOOLS FEDERAL ACCLAMATION SACRAMENTO CREDIT UNION ADJ8845092 CHAO HER FRESNO MOSQUITO ACCLAMATION SACRAMENTO ABATEMENT DIST ADJ1361532 THELMA JENNINGS LOS ANGELES COUNTY/DPSS ACCLAMATION SANTA CLARITA

ADJ1611037 ALICIA MORA ANDERSON BARROWS METALS ACE CORP 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 ACE DISTRICT ADJ246218 PAUL LIGAMMARI LOS ANGELES COLLEGE OF ACE CHIROPRACTIC ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF ACE EDUCATION 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 Management MediLab 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 TEMECULA ADJ2186466 AMADO URIAS VALLEY COUNTY WATER ACWA JPIA ROSEVILLE DISTRICT ADJ7920068 JOSE VILLEGAS ELSINORE VALLEY MUNICIPAL ACWA JPIA ROSEVILLE WATER DISTRICT

ADJ8097231 RICHARD SCOTT CRESCENTA VALLEY WATER ACWA JPIA ROSEVILLE DISTRICT 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 ADMINSURE DIAMOND BAR MEDICAL CENTE ADJ3735041 RAUL LINN CITY OF EL MONTE ADMINSURE DIAMOND BAR ADJ3992417 JOSE MACIEL WHITTIER UNION HIGH ADMINSURE DIAMOND BAR SCHOOL DISTRICT 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 ADMINSURE DIAMOND BAR MEDICAL CENTER ADJ7932934 JUDITH ORTEGA TARZANA TREATMENT ADMINSURE DIAMOND BAR CENTER INC ADJ8045665 JOSE LUIS ARCOS LOS ANGELES COMMUNITY ADMINSURE DIAMOND BAR COLLEGES 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 ADVENTIST HEALTH ROSEVILLE HOSP ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY ADVENTIST HEALTH ROSEVILLE HOSPITAL ADJ2136041 FELIX SCHOENEN GLENDALE ADVENTIST HOSP ADVENTIST HEALTH ROSEVILLE MEDICAL CNT

2 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ4437759 SALVADOR WHITE MEMORIAL MEDICAL ADVENTIST HEALTH ROSEVILLE HERNANDEZ CENTER ADJ4437759 SALVADOR WHITE MEMORIAL MEDICAL ADVENTIST HEALTH ROSEVILLE HERNANDEZ CNTR ADJ7693388 DANILO LARA SOUTH COAST MEDICAL ADVENTIST HEALTH ROSEVILLE CENTER ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY ADVENTIST HEALTH SYSTEM HOSP WEST ADJ1153404 BARBARA DIEFENBACH SAN JOAQUIN COMMUNITY ADVENTIST HEALTH SYSTEM HOSPITAL WEST ADJ2020155 BEATRIZ RAYA BOEING AIRCRAFT AIG AMERICAN INTL CLAIMS SERVICES ADJ2020155 BEATRIZ RAYA THE BOEING CO AIG AMERICAN INTL CLAIMS SERVICES ADJ120880 RAYMOND MORENO TAYLOR SHEA FRONTIER & AIG CLAIMS CONCORD KENNY ADJ2011045 JENNY BAUTISTA SILVERADO SENIOR LIVING AIG CLAIMS CONCORD JUAREZ INC ADJ3127463 ROSA ROMERO THE PLUS GROUP, INC. AIG CLAIMS CONCORD ADJ7475373 XIAOFANG WANG MONTEREY PARK AIG CLAIMS CONCORD CONVALESCENT HOSPITAL INC 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 AIG CLAIMS COSTA MESA AIRCRAFT 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 Management MediLab 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 AIG CLAIMS COSTA MESA TRANSPORTATION INC ADJ7166891 NORMA MENDEZ APPLIED POLYTECH SYSTEMS AIG CLAIMS COSTA MESA MUNOZ INC 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 AIG CLAIMS COSTA MESA HOLLYWOOD ROYALE GUEST HOME ADJ7472359 JEFF REESE NORT1ROP GRUMMAN AIG CLAIMS COSTA MESA CORPORATION ADJ7501233 ALFREDO MARQUEZ MAN POWER AIG CLAIMS COSTA MESA ADJ7518780 MACARIO VELASQUEZ ALGIERE CONSTRUCTION AIG CLAIMS COSTA MESA SERVICES 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 AIG CLAIMS COSTA MESA PROCESSING 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7784429 REYNALDO MJO STAFFING AIG CLAIMS COSTA MESA HERNANDEZ 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 AIG CLAIMS COSTA MESA HEATING CORP ADJ7860279 JULIO ORTEGA SIMMONS MANUFACTURING AIG CLAIMS COSTA MESA CO ADJ7872741 MARIO MORA CARLISLE TIRE AND WHEEL AIG CLAIMS COSTA MESA CO 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 AIG CLAIMS COSTA MESA STAFFING 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 AIG CLAIMS COSTA MESA SERVICES INC ADJ8238221 MICAELA LUCERO SERTA MATTRESS AIG CLAIMS COSTA MESA ADJ8293042 GLENDA BOATNER PROTOTYPES CENTERS FOR AIG CLAIMS COSTA MESA INNOVATIVE SERVIC ADJ8301839 CARMEN MORENO AMERICAN APPAREL AIG CLAIMS COSTA MESA ADJ8304392 ALEXANDRA SGL TECHNIC AIG CLAIMS COSTA MESA MELKISETIAN 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 AIG CLAIMS COSTA MESA COMPANY ADJ8683793 JAVAD SABOKPEY SEIU LOCAL AIG CLAIMS COSTA MESA ADJ8703512 MARIA MATA ZUMIEZ AIG CLAIMS COSTA MESA ADJ8747618 MARIA LIZAOLA AAA PROPERTY SERVICES AAA AIG CLAIMS COSTA MESA ELECTRICAL COMMUNICATIONS

5 Michael R. Drobot Industrial Pharmacy Management MediLab 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 AIG CLAIMS PHOENIX BEACH 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 AIG CLAIMS SAN DIEGO CORPORATION 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 AIG CLAIMS SAN DIEGO SOLUTIONS 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8613349 JOSE VALLADARES LEADING EDGE AVIATION AIG CLAIMS SAN DIEGO SERVICES ADJ8633475 LILIA TINOCO CARLISLE TIRE AND WHEEL AIG CLAIMS SAN DIEGO COMPANY 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 SERVICES ADJ2020155 BEATRIZ RAYA THE BOEING CO AIG/AMERICAN INT'L CLAIMS SERVICES ADJ3331812 THOMAS DAY LA COUNTY DEPT OF AIMS PROBATION ADJ5801811 HOWIDA ABDELMALAK COUNTY OF LOS ANGELES AIMS DPS ADJ3898913 ERICK RAMIREZ P & S MANAGEMENT ALASKA NATIONAL WALNUT CREEK ADJ7279785 DAWN HENSLEY INLAND VALLEY CARE REHAB ALASKA NATIONAL WALNUT CREEK ADJ7841605 AIDA GONYEA ALILITY PATHWAY ALASKA NATIONAL WALNUT CREEK ADJ8221452 PETRA MAGALLANES KNOTT AVENUE RESIDENTIAL ALASKA NATIONAL WALNUT MANOR CREEK ADJ8368230 EDUARDO PENA COUNSIL THRIFT SHOPS ALASKA NATIONAL WALNUT CREEK ADJ8423639 ROSA DELMY ESCOBAR NORMANDIE CASINO ALASKA NATIONAL WALNUT CREEK ADJ8820217 ALAN MARQUEZ ALBERTSONS ALBERTSONS ADJ3565194 TAMMY AGOSTA VONS GROCERY COMPANY ALBERTSONS HOLDINGS FULLERTON ADJ4577345 PATRISHIA DITTMER VONS GROCERY COMPANY ALBERTSONS HOLDINGS FULLERTON ADJ4672763 MARIA MEJIA VONS COMPANIES INC ALBERTSONS HOLDINGS FULLERTON ADJ6643301 DAVID ESTEL VONS RISK MANAGEMENT ALBERTSONS HOLDINGS WC CLAIMS FULLERTON ADJ7037440 ANTHONY READY SAFEWAY ALBERTSONS HOLDINGS FULLERTON ADJ7722018 JAIME GONZALEZ SAFEWAY ALBERTSONS HOLDINGS FULLERTON

7 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8025154 KAREN ELLIOT VONS ALBERTSONS HOLDINGS FULLERTON ADJ8034092 JOSE FLORES VONS ALBERTSONS HOLDINGS FULLERTON ADJ8623116 NATALIE HERNANDEZ VONS ALBERTSONS HOLDINGS FULLERTON ADJ8667338 FRANCIS APONTE ALBERTSONS INC ALBERTSONS INC ADJ1737557 ANDRES VALENCIA ATLAS MILL SUPPLY C/O CIGA ALISTAR INS CO IN FOR LIQUIDATION/PRIVATE ADJUSTING CLAIMS SERVICES ADJ743826 ANDRES VALENCIA ATLAS MILL SUPPLY C/O CIGA ALISTAR INS CO IN FOR LIQUIDATION/PRIVATE ADJUSTING CLAIMS SERVICES ADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES ALLIANZ BURBANK INC ADJ7457444 JOSE GAMINO PINNACLE PRECISION SHEET ALLIANZ RESOLUTION METAL PETALUMA ADJ9034875 SALVADOR SANCHEZ ELECTRO ADAPTER ALLIANZ RESOLUTION PETALUMA ADJ1554747 ELSY ZELAYA ROSAS ERIC HAUSER ALLIANZ RESOLUTION RANCHO CORDOVA ADJ1682467 RICHARD COTTO LOU EHLERS CADILLAC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ1682467 RICHARD COTTO STATE COMP. INSRUANCE ALLIANZ RESOLUTION RANCHO FUND CORDOVA ADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT ALLIANZ RESOLUTION RANCHO FURNITURE CORDOVA ADJ2651648 TERESA SANCHEZ HAWTHORNE SCHOOL ALLIANZ RESOLUTION RANCHO DISTRICT CORDOVA ADJ3355155 JIMMY GRANERA RAYPAK ALLIANZ RESOLUTION RANCHO CORDOVA ADJ6970812 ANTONIA REYNAGA BERTOLINI INC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES ALLIANZ RESOLUTION RANCHO INC CORDOVA ADJ7702149 DEBORAH HAASE SAFEWORK INC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7757838 CARLOS DUARTE JAX MARKET ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7774889 RAUL SOLORIO NL SERVICES ALLIANZ RESOLUTION RANCHO CORDOVA

8 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7956407 JANETTE JIMENEZ THE PIDGEON CO INC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8120851 CARLOS AGUILAR E&S RING MANAGEMENT CO ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8188433 JULIO MUNOZ INDUSTRIAL METAL SUPPLY ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8254867 EDWARDO ALMAZAN DOMINOS PIZZA ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9054263 JESUS NORIEGA TOWN AND COUNTRY ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9275615 JUAN ALEJO ALLIED RENT A CAR INC ALLIED RENT A CAR INC ADJ4143142 SANTIAGO TEVEZ CENTRAL PARKING SYSTEM ALTERNATIVE SERVICE CITRUS HEIGHTS ADJ3156199 CHUCK VAN DUYNE AMB ENGINEERING AMERICAN BLDG MAINTENANCE INDUSTRIE ADJ1649554 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 AMERICAN CLAIMS SAN DIEGO MERCHANDISING 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 AMERICAN CLAIMS SAN DIEGO COMPANY ADJ7206759 DAVID MAROLDA BITETTO TOW AND SERVICE AMERICAN CLAIMS SAN DIEGO CENTER 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 AMERICAN CLAIMS SAN DIEGO IN THE BOX 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7466937 SECILIO AVILA ORANGE COUNTY PATIO AMERICAN CLAIMS SAN DIEGO ADJ7519814 GABRIELA MOLINA MEXICAN AMERICAN AMERICAN CLAIMS SAN DIEGO SAPIENZA OPPORTUNITY FOUNDATION

ADJ7574498 MARIA RAMIREZ EMILIO L RIVERA GAP FARM AMERICAN CLAIMS SAN DIEGO LABOR CONTRACTING 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 AMERICAN CLAIMS SAN DIEGO DISTRIBUTORS INC ADJ7715543 ZAYDA ELIAS CASA MARAVILLA 99 2000 AMERICAN CLAIMS SAN DIEGO SENIOR NUTRITION ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN AMERICAN CLAIMS SAN DIEGO RESTAURANT ADJ7836287 ANTONIO OSUNA ECOPLAST COPRORATION AMERICAN CLAIMS SAN DIEGO WESTERN GOLD THERMOPLASTICS ADJ7841513 ADELINA CRUZ EL GALLO GIRO AMERICAN CLAIMS SAN DIEGO CORPORATION ADJ7867720 OSCAR SUAREZ ARTIMEX LLC AMERICAN CLAIMS SAN DIEGO ADJ7915372 SYLVIA CAZAREZ THE PARTY STAFF INC AMERICAN CLAIMS SAN DIEGO ADJ7959552 MARIA CHAVEZ RESTAURANT LEADERSHIP AMERICAN CLAIMS SAN DIEGO MARTINEZ GROUP LLC AKA JACK IN THE BOX ADJ7991048 JOSE LUIS VASQUEZ PASTA MAMA INC AMERICAN CLAIMS SAN DIEGO ADJ8020365 ALICIA FERIA GARSAN INC AKA AMERICAN CLAIMS SAN DIEGO MCDONALDS 16979 ADJ8028805 AMBROCIO VALENCIA JOHN S CARTER INC AMERICAN CLAIMS SAN DIEGO SANCHEZ ADJ8057449 JAIME LOPEZ GIALIANOS DELICATESSEN AMERICAN CLAIMS SAN DIEGO AND BAKERY 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 BURGER KING AMERICAN CLAIMS SAN DIEGO TOVAR ADJ8207654 MARIA ZAVALZA TACO BELL #5527 AMERICAN CLAIMS SAN DIEGO

10 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8233193 RICARDO AVILES PEERLESS BUILDING AMERICAN CLAIMS SAN DIEGO MAINTENANCE ADJ8233555 JASON BARNES CENTURY FAST FOOD AMERICAN CLAIMS SAN DIEGO ADJ8235398 MAKLIN MONGE KENTER CANYON FARMS AMERICAN CLAIMS SAN DIEGO ADJ8239858 EVA MIRANDA MANCHA DEVELOPMENT AMERICAN CLAIMS SAN DIEGO RODRIGUEZ COMPANY DBA BURGER KING

ADJ8284965 DOLORES DE JESUS BMAKK CORPORATION AMERICAN CLAIMS SAN DIEGO NIETO 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 AMERICAN CLAIMS SAN DIEGO PAVING 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 AMERICAN CLAIMS SAN DIEGO GRILL 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 AMERICAN CLAIMS SAN DIEGO JACK IN THE 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 AMERICAN CLAIMS SAN DIEGO INVESTMENTS ADJ9031986 MARTHA GUTIERREZ MCDONALDS AMERICAN CLAIMS SAN DIEGO ADJ9105549 ISABEL POKERSHING LOGANS ROAD HOUSE J A AMERICAN CLAIMS SAN DIEGO FOODS INC ADJ1059623 JOSE MORALES A-L WELDING & HARDWARE AMERICAN COMMERCIAL COMPANY 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 Management MediLab 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 DIEGO ADJ150939 CHARLES PERERA PACIFICA COMPANIES AMERICAN COMMERCIAL SAN DIEGO ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC AMERICAN COMMERCIAL SAN DIEGO ADJ1924185 GABRIEL TAPIA HERRON CONSTRUCTION INC AMERICAN COMMERCIAL SAN DIEGO ADJ1936131 TROY FUCONE PACIFIC WEST LITHO INC AMERICAN COMMERCIAL SAN DIEGO ADJ3811785 JEAN MOORE FELLINI AMERICAN COMMERCIAL SAN DIEGO ADJ3811785 JEAN MOORE FELLINI'S AMERICAN COMMERCIAL SAN DIEGO ADJ427746 JOSE LOPEZ ELITE SLIDES AMERICAN COMMERCIAL SAN DIEGO ADJ724651 OLIVIA ZAPOTE GADERA PROPERTY AMERICAN COMMERCIAL SAN MANAGEMENT DIEGO ADJ8196355 EDUARDO FLORES JACKSON LOGISTCS AMERICAN COMMERCIAL SAN DIEGO ADJ7298155 CARMEN MEDINA BARCO UNIFORMS AMERICAN COMMERCIAL SAN FRANCISCO ADJ1329271 OSCAR ALFARO SATELLITE TRUCK BODY CO AMERICAN HOME ASSURANCE CO/AMERICAN INT'L GROUP CLAIMS SERV ADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC AMERICAN PROTECTION CO ADJ2248303 ELEAZAR ENRIQUEZ YEAGER SKANSKA, INC. AMERICAN PROTECTION CO ADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL AMERON INTERNATIONAL CORPORATION CORPORATION ADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL AMERON PASADENA CORPORATION ADJ7568346 MOISES SALAZAR FRUIT PATCH AMTRUST CONCORD ADJ7658638 LUIS RODRIGUEZ MAJESTIC INSURANCE AMTRUST CONCORD COMPANY ADJ7658638 LUIS RODRIGUEZ VILLA AND SONS AMTRUST CONCORD ADJ7871044 BERTHA BASKERVILLE PRIORITY DENT REPAIR, INC AMTRUST CONCORD ADJ7940488 IVAN HERNANDEZ JC SALES GENERAL AMTRUST CONCORD MERCHANDISE WHOLESALE 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8398519 MARTHA MARICELA MANCHA DEVELOPMENT AMTRUST CONCORD RUIZ ADJ8417287 LETICIA POSADAS CALIFORNIA OFFICE AMTRUST CONCORD MAINTANANCE ADJ8482014 ALVARO ALCARAZ EMPIRE FARM LABOR AMTRUST CONCORD CONTRACTING ADJ8486093 MAURICIO GALEANA ALLEN TIRE COMPANY AMTRUST CONCORD RODRIGUEZ ADJ8581896 NOLBERTO PEDROZA ROCKER BROS MEAT AND AMTRUST CONCORD PROVISIONS 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 ACCUPRINT SERVICES INC AMTRUST IRVINE RODRIGUEZ ADJ6687390 GABRIELA OCHOA PERSONA 1 HR AMTRUST IRVINE RODRIGUEZ ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC AMTRUST IRVINE ADJ7342999 SANTOS BARRAGAN PARADIGM INDUSTRIES INC AMTRUST IRVINE ADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND AMTRUST IRVINE CULTURAL CENTER ADJ7825601 JOEL SANTOYO ADAME LANDSCAPE AMTRUST IRVINE ADJ7902734 ANDREA HUCHIM ROWLAND CONVALESCENT AMTRUST IRVINE HOSPITAL ADJ8226809 ISRAEL ZAVALA FRANK AND CESAR AMTRUST IRVINE HANDYMAN 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 AMTRUST NORTH AMERICA SERVICES ATLANTA ADJ7545631 ANDRES MONTANEZ SCHAEFERS AMBULANCE AMTRUST NORTH SERVICE AMERICA/TECHNOLOGY INSURANCE ADJ7125489 JOSE REYES HARRY SINGH AND SONS AMTRUST SAN DIEGO ADJ7623114 LORENZO EVOLUTION FRESH INC AMTRUST SAN DIEGO MALDONADO ADJ8017131 HEIDI BOLANOS NOVA STAFFING AMTRUST SAN DIEGO ADJ8030853 MARCO AHUMADA DAVES CUSTOM BOATS AMTRUST SAN DIEGO

13 Michael R. Drobot Industrial Pharmacy Management MediLab 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 APPLIED RISK OMAHA INC ADJ7659094 PEDRO SANDOVAL COMMERCIAL WOOD APPLIED RISK OMAHA PRODUCTS ADJ7844398 AMELIA MORENO FDS MANUFACTURING APPLIED RISK OMAHA COMPANY INC ADJ8200324 MARIBEL GUILLEN PRECISION ANODIZING APPLIED RISK OMAHA ADJ8321836 MARVIN MONCADA WILMINGTON RECYCLERS APPLIED RISK OMAHA ADJ8620402 FERNANDO SECURITY INDUSTRY APPLIED RISK OMAHA RODRIGUEZ SPECIALIST ADJ8684295 HUMBERTO GUERRA WHITED CEMENTERY SERVICE APPLIED RISK OMAHA

ADJ8749876 ELEAZAR GONZALEZ FIRST CLASS CONSTRUCTION APPLIED RISK OMAHA AND DEVELOPMENT INC

ADJ9139319 SILVESTRE CISNEROS OLYMPIC ROOFING COMPANY APPLIED RISK OMAHA

ADJ9684440 JOSE LUIS MEDINA ARCHDIOCESE OF LOS ARCHDIOCESE OF LOS ANGELES ANGELES ADJ1758002 WILLIAM JACKSON HENSEL PHELPS ARGONAUT FRESNO CONSTRUCTION ADJ4060549 SIBLEY KIRCHGESSNER AUNTIE ANNES PRETZELS ARGONAUT FRESNO ADJ4667408 VEDRAN BARBIC MURPHY INDUSTRIAL ARGONAUT FRESNO COATINGS 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 CHARLOTTE ADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL ARROWOOD INDEMNITY LANDSCAPE LIGHTING COMPANY CHARLOTTE

14 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ2651648 TERESA SANCHEZ HAWTHORNE SCHOOL ASCIP DISTRICT ADJ1653531 PATRICIA ROMO MCKESSON ATHENS ADMINISTRATORS PHARMACEUTICALS CONCORD ADJ1887565 JOHN SANDOVAL SPARKLETTS ATHENS ADMINISTRATORS CONCORD ADJ6708436 JORGE MORGAN DELOS INSURANCE ATHENS ADMINISTRATORS CONCORD ADJ6730950 MARCELO MUNDO VILLA REY SR ASSISTED LIVING ATHENS ADMINISTRATORS CONCORD ADJ6942006 GUSTAVO MORENO LITTLE JOHNS BODYWORKS ATHENS ADMINISTRATORS INC CONCORD ADJ6960471 CARMEN SEVILLA SOUTH BAY SCHOOL ATHENS ADMINISTRATORS DISTRICT CONCORD ADJ7478182 SONIA CUADRA FULL CIRCLE RECYCLING ATHENS ADMINISTRATORS COMPANY CONCORD ADJ7484472 MARK COBB FULL CIRCLE RECYCLING ATHENS ADMINISTRATORS COMPANY CONCORD ADJ7484495 MARK COBB FULL CIRCLE RECYCLING ATHENS ADMINISTRATORS COMPANY CONCORD ADJ7513093 CHITA AVALOS BRIGHT MEDICAL ASSOCIATES ATHENS ADMINISTRATORS CONCORD ADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC ATHENS ADMINISTRATORS CONCORD ADJ7741781 JULIO CARDENAS GENSIS FLOOR COVERING ATHENS ADMINISTRATORS CONCORD ADJ7852954 DAMIAN CORONA NAFTA DISTRIBUTORS ATHENS ADMINISTRATORS MALDONADO CONCORD ADJ8028639 MARIA SALCEDO SELECT STAFFING ATHENS ADMINISTRATORS CONCORD ADJ8073281 JOSE LUIS TORRES CONAWAY ICE INC ATHENS ADMINISTRATORS CONCORD ADJ8140942 SALVADOR GUZMAN JESUS R. RAMOS ATHENS ADMINISTRATORS CONCORD ADJ8168742 MARIA PEREZ GENESIS DEVELOPMENTAL ATHENS ADMINISTRATORS SERVICES CONCORD ADJ8169386 JACINTO MANJARREZ ELITE AG SERVICES ATHENS ADMINISTRATORS CONCORD ADJ8177364 JENNY GRANADOS AIR FORCE VILLAGE WEST ATHENS ADMINISTRATORS CONCORD ADJ8258776 SILVIA MORALES XCVI LLC ATHENS ADMINISTRATORS CONCORD

15 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8289905 THELMA GONZALEZ PRESBYTERIAN ATHENS ADMINISTRATORS INTERCOMMUNITY HOSPITAL CONCORD

ADJ8624610 MARIA MOLINA VILLALPANDO AG INC ATHENS ADMINISTRATORS CONCORD ADJ8658274 EDWIN MIRANDA CTC ENCINO CAFE LLC ATHENS ADMINISTRATORS CONCORD ADJ8911683 FELIX JIMENEZ LOPEZ BE PRODUCTS INC. BROMAR ATHENS ADMINISTRATORS ENGINEERING CONCORD ADJ8999435 DULCE PANIAGUA GILLS ONIONS ATHENS ADMINISTRATORS CONCORD ADJ9233379 MARIA CHAVEZ THE CALIFORNIA MUSHROOM ATHENS ADMINISTRATORS FARM INC CONCORD ADJ7230218 ROSALINDA PEREZ PRODUCT SOLUTIONS INC ATHENS ADMINISTRATORS ORANGE ADJ7381997 ESGAR BRAVO FDC MANAGEMENT ATHENS ADMINISTRATORS ORANGE ADJ7484495 MARK COBB FULL CIRCLE RECYCLING ATHENS ADMINISTRATORS COMPANY ORANGE ADJ8186292 MAURA PRECIADO MATTHEWS MANUFACTURING ATHENS ADMINISTRATORS INC ORANGE ADJ8263994 ANNETTE BUNTING FASONE CONSTRUCTION ATHENS ADMINISTRATORS ORANGE ADJ8349570 EDDY MERIDA ABF FREIGHT SYSTEM ATHENS ADMINISTRATORS ORANGE ADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION ATHENS ADMINISTRATORS ORANGE ADJ8777200 XIU ZHI DUAN AMERICAN APPAREL ATHENS ADMINISTRATORS ORANGE ADJ8834638 OSCAR OVIEDO SHEET METAL SERVICES ATHENS ADMINISTRATORS ORANGE ADJ9245786 ALBERTO GONZALEZ AMERICAN APPAREL USA ATHENS ADMINISTRATORS ORANGE ADJ7343152 ALBERTO RANGEL CANNON SAFE INC AVIZENT 4530 EL DORADO HILLS

ADJ8383873 RAMONA GONZALES BROOKSIDE HEALTHCARE AVIZENT 4530 EL DORADO HILLS HERNANDEZ ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY AVIZENT 4740 EL DORADO HILLS COMPANY ADJ7177578 JEREMY ARRIOLA WALMART STORES INC AVIZENT 4740 EL DORADO HILLS

16 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SACRAMENTO ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA BARRETT BUSINESS ANA SACRAMENTO ADJ6869542 VALENTIN BRAVO BARRETT BUSINESS SERVICES BARRETT BUSINESS INC SACRAMENTO ADJ7177577 JUAN MENDOZA BARRETT BUSINESS SERVICES BARRETT BUSINESS INC SACRAMENTO ADJ7217471 JESUS FAUSTO FOX TRANSPORTATION BARRETT BUSINESS SACRAMENTO ADJ7288448 DERVIS ESPINAL BARRETT BUSINESS SERVICES BARRETT BUSINESS INC SACRAMENTO ADJ7411979 JOSEFA SKY BACA PEGASSUS COMPANY BARRETT BUSINESS SACRAMENTO ADJ7518832 MICHAEL DUKE ENVIRONETICS DEVELOPMENT BARRETT BUSINESS CORP SACRAMENTO ADJ7518832 MICHAEL DUKE EROSION CONTROL BARRETT BUSINESS MATERIALS SACRAMENTO ADJ7518832 MICHAEL DUKE RIVERSIDE MINING LIMITED BARRETT BUSINESS SACRAMENTO ADJ7518832 MICHAEL DUKE ROCKHARD BARRETT BUSINESS TRANSPORTATION SACRAMENTO ADJ7518832 MICHAEL DUKE UEBTF LOS ANGELES BARRETT BUSINESS SACRAMENTO ADJ7635227 ROGELIO MALPICA BARRETT BUSINESS SERVICE BARRETT BUSINESS SACRAMENTO ADJ7992362 DEVIN DESVIGNE BBSI BARRETT BUSINESS SACRAMENTO ADJ8246436 SALVADOR LARIOS BRO PACK INC BARRETT BUSINESS SACRAMENTO ADJ8390068 SUSANA SALAZAR MOTEL 6 BARRETT BUSINESS SACRAMENTO ADJ8544677 RAUL DE JESUS REYES HEATH MACHINE INC BARRETT BUSINESS REYNOSA SACRAMENTO ADJ8929238 MANUEL CABRERA CHRIS STURM BARRETT BUSINESS SACRAMENTO ADJ8929238 MANUEL CABRERA FLORISTS MUTUAL INS BARRETT BUSINESS EDWARDSVILLE SACRAMENTO

17 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8929238 MANUEL CABRERA TROPICAL CREATIONS BARRETT BUSINESS SACRAMENTO ADJ9614817 SHANE MILLS FUSION SIGN AND DESIGN BARRETT BUSINESS SACRAMENTO ADJ8246436 SALVADOR LARIOS BRO PACK INC BARRETT BUSINESS SERVICES ADJ7288448 DERVIS ESPINAL BARRETT BUSINESS SERVICES BARRETT BUSINESS SERVICES INC INC ADJ8911683 FELIX JIMENEZ LOPEZ BE PRODUCTS INC. BROMAR BE PRODUCTS INC. BROMAR ENGINEERING ENGINEERING ADJ7935502 RUDY ORELLANA ARMO CONSTRUCTION INC BERKLEY SPECIALTY IRVING ADJ7935502 RUDY ORELLANA CAMTEC MOTION PICTURE BERKLEY SPECIALTY IRVING CAMERA ADJ1199001 STANLEY MATHEWS SYSTEMS INTEGRATED BERKSHIRE HATHAWAY PASADENA ADJ1333545 DAVID DIETZEL TRI-STAR PLUMBING, INC. BERKSHIRE HATHAWAY PASADENA ADJ166471 MARIA SANCHEZ PLAZA DE LA RAZA HEAD BERKSHIRE HATHAWAY START INC PASADENA ADJ2124365 HUGO MOURINO TONY'S TAVERN RESTAURANT BERKSHIRE HATHAWAY PASADENA ADJ3368174 JUAN GOMEZ WARE DISPOSAL BERKSHIRE HATHAWAY PASADENA ADJ3715166 OSCAR SANCHEZ ANDRE COLLECTION BERKSHIRE HATHAWAY PASADENA ADJ3904566 NOE VALENCIA FIBER CARE BATHS INC BERKSHIRE HATHAWAY PASADENA ADJ427746 JOSE LOPEZ ELITE SLIDES BERKSHIRE HATHAWAY PASADENA ADJ6484039 REYNALDA VARGAS US METRO GROUP INC BERKSHIRE HATHAWAY PASADENA ADJ6686269 PEDRO RAMIREZ STANDARD METAL PRODUCTS BERKSHIRE HATHAWAY PASADENA ADJ6992918 MARGARITA SOLIS MOSSMAN COFFEE SHOP BERKSHIRE HATHAWAY CATERING PASADENA ADJ7166891 NORMA MENDEZ APPLIED POLYTECH SYSTEMS BERKSHIRE HATHAWAY MUNOZ INC PASADENA ADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING BERKSHIRE HATHAWAY PASADENA ADJ7430667 BIN GUO J P ORIGINAL CORPORATION BERKSHIRE HATHAWAY PASADENA ADJ7507465 MARTHA ORTEGA JIMS BURGER BERKSHIRE HATHAWAY PASADENA

18 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8117175 SOFIA DE LA CRUZ KIKKA BERKSHIRE HATHAWAY PASADENA ADJ8162483 JUAN VILLAGRAN K BELL BERKSHIRE HATHAWAY PASADENA ADJ8404635 NANCY ARAMBULA WEISS FAMILY PROPERTIES LLC BERKSHIRE HATHAWAY CORONA PASADENA ADJ9154237 FEDERICO SUSTAITA GOOD WEST RUBBER LININGS BERKSHIRE HATHAWAY INC PASADENA ADJ916726 ABELINO GALLARDO GS BROTHERS, INC BERKSHIRE HATHAWAY PASADENA ADJ2516660 MARIA PACHECO PRIVATE BRAND BERKSHIRE HATHAWAY SAN MERCHANDISING DIEGO ADJ6526055 BRANDON ANDERSON PELLA ARTICUL BERKSHIRE HATHAWAY SAN DIEGO ADJ6669360 JOSE MORAN C AND T JAPANESE ENGINE BERKSHIRE HATHAWAY SAN INC DIEGO ADJ6976280 LARRY WILBORN SAFELITE AUTO GLASS BERKSHIRE HATHAWAY SAN DIEGO ADJ7122400 SHEILA BALL PEPPERMINT RIDGE BERKSHIRE HATHAWAY SAN INCORPORATED DIEGO ADJ7241420 GONZALO HUERTA BREAD BASKET CAKE BERKSHIRE HATHAWAY SAN COMPANY DIEGO ADJ7280678 RUBEN GALLARDO EMBEE INCORPORATED BERKSHIRE HATHAWAY SAN DIEGO ADJ7487053 AGUSTINA CONTRERAS RAYS WRAP INC. BERKSHIRE HATHAWAY SAN DIEGO ADJ7589734 PEDRO SANDOVAL BOB MCGRANN BERKSHIRE HATHAWAY SAN CONSTRUCTIONS INC DIEGO ADJ7771333 OCTAVIO MANZO URETHANE PRODUCTS CORP BERKSHIRE HATHAWAY SAN ZAMBRANO DIEGO ADJ7776704 FERNANDO MONROY RELIABLE SHEET METAL BERKSHIRE HATHAWAY SAN WORKS DIEGO ADJ7943421 ARTURO GARCIA LEON SEALY BROTHERS BERKSHIRE HATHAWAY SAN LOZANO DIEGO ADJ8002253 RENE CENICEROS WESTERN PACIFIC ROOFING BERKSHIRE HATHAWAY SAN DIEGO ADJ8864029 ANDREW ARANDA LIQUID GRAPHICS BERKSHIRE HATHAWAY SAN DIEGO ADJ3254765 ARTURO DELGADO PERFORMANCE PLUS BERKSHIRE HATHAWAY SAN FRANCISCO ADJ3368174 JUAN GOMEZ WARE DISPOSAL BERKSHIRE HATHAWAY SAN FRANCISCO

19 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ4626896 MARIEL ANGEL ERGONOMIC COMFORT BERKSHIRE HATHAWAY SAN DESIGN, INC. FRANCISCO ADJ6784275 GUADALUPE PORTILLO KINSBURSKY BROTHERS BERKSHIRE HATHAWAY SAN FRANCISCO ADJ6796109 MARIO MIRANDA KLEEN PLAYGROUND BERKSHIRE HATHAWAY SAN CONSTRUCTION INC FRANCISCO ADJ6831982 CARLOS MILLAN KEY DISPOSAL INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ6935860 LUCIO GONZALEZ STEVEN ANTHONY INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ6960319 FLORIDALMA LOPEZ DYNAMIC NURSING SERVICES BERKSHIRE HATHAWAY SAN FRANCISCO ADJ6992918 MARGARITA SOLIS MOSSMAN COFFEE SHOP BERKSHIRE HATHAWAY SAN CATERING FRANCISCO ADJ7024151 BERTHA QUINTERO DELTA SIGMA THETY HEAD BERKSHIRE HATHAWAY SAN START FRANCISCO ADJ7122400 SHEILA BALL PEPPERMINT RIDGE BERKSHIRE HATHAWAY SAN INCORPORATED FRANCISCO ADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7193675 RAMIRO GARCIA H & M POULTRY CO BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7219829 JESUS ALVAREZ BLOCK TOPS INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7231215 URBANO MARTINEZ QUICK CONCRETE PRODUCTS BERKSHIRE HATHAWAY SAN CORP FRANCISCO ADJ7251402 NANCY GARCIA WESTERN MEDICAL CENTER BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7267847 LOURDES HERNANDEZ INLAND COUNTIES REGIONAL BERKSHIRE HATHAWAY SAN CENTER FRANCISCO ADJ7285012 MARTA CASTILLO TOLUCA CROSSROADS BERKSHIRE HATHAWAY SAN SCHOOL FRANCISCO ADJ7406132 GREGORIA FUENTES HOLLYWOOD CARE INC DBA BERKSHIRE HATHAWAY SAN HOLLYWOOD ROYALE GUEST FRANCISCO HOME ADJ7434689 MAGDALENA PARAMO QUAKLEEN COMPANY INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7462062 HUGO ALVAREZ U F O INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7473433 TOMMIE ARMIJO LANGLOIS CO BERKSHIRE HATHAWAY SAN FRANCISCO

20 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7545257 GUADALUPE ASOCIACION NACIONAL PRO BERKSHIRE HATHAWAY SAN CONTRERAS PERSONAS MAYORES FRANCISCO ADJ7634198 ROSELIA BRITO MARISCOS ENSENADA BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7649573 FERNANDO GONZALEZ CARMEL PARTNERS BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7650093 ALFREDO ROJAS HUNTER LANDSCAPE BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7680680 ALEJANDRO ALEGRIA LEONARD ROOFING INC BERKSHIRE HATHAWAY SAN VELAZQUEZ FRANCISCO ADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND BERKSHIRE HATHAWAY SAN CULTURAL CENTER FRANCISCO ADJ7734848 AMPARO VAZQUEZ LOTUS CARE CENTER BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7781922 MARTHA MADRIGAL AMERICAN INTERNATIONAL BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7791035 DEMETRIO TORRES RELIABLE CABLE TV BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7796495 IRMA ORTIZ TAPE SPECIALTY BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7879974 REYNA HERNANDEZ INDEPENDENT BUILDING BERKSHIRE HATHAWAY SAN MAINTENANCE FRANCISCO ADJ7965567 CHRISTOPHER HERRERA LENCO AIR CONDITIONING BERKSHIRE HATHAWAY SAN SERVICES INC FRANCISCO ADJ8004759 CARLOS GALEAS CALICO BUILDING SERVICES BERKSHIRE HATHAWAY SAN INC FRANCISCO ADJ8019173 PEDRO ESQUIVEL STEPHEN S WISE TEMPLE AND BERKSHIRE HATHAWAY SAN SCHOOLS FRANCISCO ADJ8022093 LEONEL SOTO SERRATO STAUFFERS LANDSCAPE INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8033206 HUMBERTO ROMO HUNTER LANDSCAPE INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8083206 DWAYNE MCCLENDON CITY WIDE ELECTRONICS BERKSHIRE HATHAWAY SAN SYSTEMS FRANCISCO ADJ8147139 JOSE AGUIRRE MOREN CRYSTAL ART GALLERY BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8162483 JUAN VILLAGRAN K BELL BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8202355 RAQUEL SANCHEZ LORTONS FRESH SQUEEZED BERKSHIRE HATHAWAY SAN JUICES FRANCISCO ADJ8233193 RICARDO AVILES PEERLESS BUILDING BERKSHIRE HATHAWAY SAN MAINTENANCE FRANCISCO

21 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8246017 ABEL VALENZUELA DELGADOS FRAMES BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8259618 JUAN NUNEZ RICO NOMURA & CO BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8278792 JOSE TERRAZAS SK TEXTILE INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8338540 CLARA SANDOVAL IMAGE OPTIONS INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8481876 JONG KIM BCD TOFU HOUSE BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8527376 JOSE MANUEL VALENCIA OUTDOOR RESORTS PALM BERKSHIRE HATHAWAY SAN SPRINGS OWNER FRANCISCO ASSOCIATION ADJ8556870 GERRY TABORA OHLINE CORPORATION BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8567885 MARICRUZ TAPIA NHK LABORATORIES BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8683793 JAVAD SABOKPEY SEIU LOCAL BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8734489 ALEJANDRO GONZALEZ CHROME TECH INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8759400 SHAHIN SAHAKIAN ADULT DAY HEALTH CARE BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8842628 JOSE VIDAL CONTRERAS MIKE LOWRIE TRUCKING BERKSHIRE HATHAWAY SAN FRANCISCO ADJ8902881 MISON SUH COLIMA ROWLAND HEIGHTS BERKSHIRE HATHAWAY SAN INC DBA B C D TOFU HOUSE FRANCISCO

ADJ9030534 CELSO PALOS BAUMANN ENGINEERING BERKSHIRE HATHAWAY SAN FRANCISCO ADJ9206312 MICHAEL SIGNORIO AMERICAN INTERNATIONAL BERKSHIRE HATHAWAY SAN FRANCISCO ADJ9430469 JUAN ROA CITISTAFF SOLUTIONS BERKSHIRE HATHAWAY SAN FRANCISCO ADJ9430469 JUAN ROA RAMA FOOD MANUFACTURE BERKSHIRE HATHAWAY SAN CORP FRANCISCO ADJ9614817 SHANE MILLS FUSION SIGN AND DESIGN BERKSHIRE HATHAWAY SAN FRANCISCO ADJ2345030 BERNARDINO SIERRA MADRE FOOD BERMUDEZ IRVINE CERVANTES ADJ1026606 DEBRA CONWAY HEMET VALLEY HOSPITAL BETA HEALTHCARE GROUP ROSEVILLE

22 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6975352 CONNIE CATON MAMMOTH HOSPITAL BETA HEALTHCARE GROUP ROSEVILLE ADJ7801441 LILIYA AVANESOVA POMERADO HOSPITAL BETA HEALTHCARE GROUP ROSEVILLE ADJ9057830 MARTHA ELIZABETH BEVERLY HILLS RESOURCES BEVERLY HILLS RESOURCES CASTILLO VANEGAS CORPORATIONS CORPORATIONS ADJ7900772 CARMEN BARRANCO BOEING BOEING ADJ2054120 LEE MARTIN FIRST TRANSIT BROADSPIRE 12586 FRESNO CLOSED ADJ7739382 JESUS CAMARENA AEROTEK INC BROADSPIRE 12586 FRESNO GUTTIEREZ CLOSED ADJ8000347 KIMBERLYNN MV TRANSPORTATION BROADSPIRE 12586 FRESNO KROMBERG CLOSED ADJ8012780 SILVIA LEON EGGS WEST MARK BROADSPIRE 12586 FRESNO CLOSED ADJ1494703 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 BROADSPIRE 24016 FRESNO SCHOOL ADJ6868594 RAYMOND FUJIMOTO TESORO WEST COAST BROADSPIRE 24016 FRESNO ADJ7055960 CESAR GONZALEZ SPORTS AUTHORITY BROADSPIRE 24016 FRESNO ADJ7094095 IRMA LEMUS THE RITE SCREEN COMPANY BROADSPIRE 24016 FRESNO INC 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 MV TRANSPORTATION BROADSPIRE 24016 FRESNO KROMBERG 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 BROADSPIRE 24016 FRESNO EDUCATIONAL CORP ADJ1599137 MARIA FUENTES TICKET MASTER BROADSPIRE BREA

23 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1742256 JOHN ENRIQUEZ ENRIQUEZ TERMITE AND PEST BROADSPIRE BREA CONTROL 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 ADECCO BROADSPIRE BREA RODRIGUEZ 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 AEROTEK INC BROADSPIRE BREA GUTTIEREZ 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8160524 CARLOS VEGA ADDECO EMPLOYMENT BROADSPIRE BREA AGENCY ADJ8290343 EMILIA BUENO NUTRILITE BROADSPIRE BREA ADJ8310428 FILOMENO MENDEZ THE PRESS ENTERPRISE BROADSPIRE BREA PEREZ ADJ8553988 FRANCISCO FLORES LABORATORY CORPORATION BROADSPIRE BREA OF AMERICA

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 BROADSPIRE CIGA GLENDALE CENTER CLOSED ADJ2656707 MARTHA GONZALEZ DMN ENTERPRISES BROADSPIRE CIGA GLENDALE CLOSED ADJ2656707 MARTHA GONZALEZ PARK REGENCY BROADSPIRE CIGA GLENDALE CONVALESCENT HOSPITAL CLOSED ADJ2739240 CAROLYN MAGEE EASTER SEALS OF SO. BROADSPIRE CIGA GLENDALE CALIFORNIA CLOSED ADJ4459595 ALICIA TORRES CAPTEK SOFTGEL BROADSPIRE CIGA GLENDALE INTERNATIONAL INC CLOSED ADJ4980394 SIMON FELIX SECHRIST INDUSTRIES INC BROADSPIRE CIGA GLENDALE CLOSED ADJ4980394 SIMON FELIX SECHRIST INDUSTRIES INC BROADSPIRE CLAIMS SERVICES ADJ6952003 MARIA MENJIVAR SEES CANDY BROADSPIRE CONCORD ADJ403826 JOHNNIE BRUHANSKI THE BOEING CO BROADSPIRE INSURANCE COMPANIES ADJ1103642 GERARDO BANUELOS COCA COLA BROADSPIRE SACRAMENTO ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA BROADSPIRE SACRAMENTO CONSTRUCTION ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA INC BROADSPIRE SACRAMENTO ADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT BROADSPIRE SACRAMENTO FURNITURE ADJ2714154 CHARLIE WILSON CR ENGLAND & SONS INC BROADSPIRE SACRAMENTO ADJ3057701 ADOLFO LLAMAS HANGER ORTHOPEDIC BROADSPIRE SACRAMENTO GROUP 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ677439 MARIA IGNACIO STAPLES BROADSPIRE SACRAMENTO ADJ6882300 CARLOS HUERTA MCDPETERSONHERB GA BROADSPIRE SACRAMENTO ENTERPRISES ADJ6972089 DANA VAN AUKEN CAST AND CREW BROADSPIRE SACRAMENTO PRODUCTION 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 BROADSPIRE SACRAMENTO INC ADJ7300351 RANDY TRIMBLE EAGLE INTERNATIONAL BROADSPIRE SACRAMENTO SERVICES ADJ7752234 AMELIA TAGLE NEUTROGENA CORPORATION BROADSPIRE SACRAMENTO

ADJ7871044 BERTHA BASKERVILLE PRIORITY DENT REPAIR, INC BROADSPIRE SACRAMENTO ADJ7997446 TRINIDAD SANCHEZ GOLF CLUB AT RANCHO BROADSPIRE SACRAMENTO CALIFORNIA ADJ8123162 PAULO RIBEIRO PORTO ALEGRE RESTAURANT BROADSPIRE SACRAMENTO

ADJ9227123 ADIEL HERNANDEZ ANNING JOHNSON BROADSPIRE SACRAMENTO ESCALANTE 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 CALIF COMPENSATION & FIRE ENTERPRIESE CO/BROADSPIRE ADJ330307 JULIA SERRANO OCEAN BEAUTY SEAFOODS, CALIF COMPENSATION & FIRE INC. CO/BROADSPIRE ADJ367455 VICTORIA SARGENT DENNY'S/QLC MANAGEMENT CALIF COMPENSATION & FIRE CO/BROADSPIRE ADJ367455 VICTORIA SARGENT DONAHUE ENTERPRISES CALIF COMPENSATION & FIRE CO/BROADSPIRE ADJ8115030 GERRY HARLAN CALIFORNIA HIGHWAY CALIFORNIA HIGHWAY PATROL PATROL ADJ8321836 MARVIN MONCADA WILMINGTON RECYCLERS CALIFORNIA INSURANCE COMPANY ADJ7873579 JULIAN HURTADO VELA CALIFORNIA PIZZA KITCHEN CALIFORNIA PIZZA KITCHEN INC INC ADJ7839926 JENNIFER WILSON ASSISTED HEALTH CARE CALIFORNIA SELF-INSURERS ASSOC'N.

26 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1170420 BETTY MYLES DEPARTMENT OF SOCIAL CAMBRIDGE INTEGRATED SERVICE 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 CAMBRIDGE PASADENA CLOSED FUND ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES CAMBRIDGE PASADENA CLOSED

ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS CAMBRIDGE PASADENA CLOSED ANGELES/DPSS 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 CAMBRIDGE PASADENA CLOSED WORKS-690 ADJ3023840 CHERYL WESKE MC CLASSIC INDUSTRIES CAMBRIDGE PASADENA CLOSED KELVEY 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 CAMBRIDGE PASADENA CLOSED AIRCRAFT 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 CLASSIC INDUSTRIES CAMBRIDGE SAN DIEGO CLOSED KELVEY 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7437672 MANUEL RAMIREZ CONSOLIDATED DISPOSAL CANNON COCHRAN CONCORD SERVICE 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 ST JOHN KNITT CANNON COCHRAN IRVINE GONZALEZ 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 STAFFMARK CANNON COCHRAN IRVINE ROMERO ADJ8293512 MICHAEL MR ROOTER CANNON COCHRAN IRVINE VANGRIMBERGEN 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 SCOTTSDALE ADJ7093921 ALFREDO MORALES STAFFCHEX PAYROLL AND CARE WEST PEGASUS MODESTO HUMAN RESOURCES SOLUTIONS ADJ7327512 NICOLE MCCALEB DYNAMIC NURSING SERVICES CARE WEST PEGASUS MODESTO INC ADJ7599474 MAUREEN HERNANDEZ FIRSTMED AMBULANCE CARE WEST PEGASUS MODESTO SERVICES INC ADJ7669494 ESTHER THEVENAZ AMERICAN NURSING HOME CARE WEST PEGASUS MODESTO HEALTH ADJ7914925 YVONNE LOPEZ SUPERIOR GROCERIES CARE WEST PEGASUS MODESTO

ADJ8243181 SARA TORRES SUPERIOR SUPER WAREHOUSE CARE WEST PEGASUS MODESTO HUNTINGTON 107

ADJ8308149 MILVIA RODAS OAK VIEW CONVALESCENT CARE WEST PEGASUS MODESTO HOME

28 Michael R. Drobot Industrial Pharmacy Management MediLab 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 CARL WARREN TUSTIN MAINTENANCE 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 CARDENAS MARKET INC CARL WARREN TUSTIN LEDEZMA ADJ7772653 MANUELA GUERRERO PANORAMA GARDEN CARL WARREN TUSTIN HOSPITAL 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 CARL WARREN TUSTIN ULTIMATE STAFFING SERVICES

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 BROOKSIDE HEALTHCARE CARL WARREN TUSTIN HERNANDEZ 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 IRVINE ADJ8684295 HUMBERTO GUERRA WHITED CEMENTERY SERVICE CASTLEPOINT NATIONAL INS IRVINE ADJ8684296 HUMBERTO GUERRA WHITED CEMENTERY SERVICE CASTLEPOINT NATIONAL INS IRVINE

29 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8993993 THELMA CORONADO EBM JANITORAL SERVICES INC CASTLEPOINT NATIONAL INS IRVINE ADJ7948653 NORMA CONRADO NATIONAL ORANGE SHOW CFSA SACRAMENTO OF SAN BERNANDINO 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 CENTRIC GROUP LLC CHUBB GROUP LOS ANGELES VELASQUEZ 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 CHUBB GROUP LOS ANGELES FOR HAIR ADJ8384059 VICTOR ARGUETA AMBIANCE APPAREL CHUBB GROUP LOS ANGELES AMBIANCE USA INC 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 CHUBB GROUP LOS ANGELES LLC DBA THE STANDARD

30 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ9390388 VICENTE ESPINOZA HOTELS AB DOWNTOWN EMP CHUBB GROUP LOS ANGELES LLC DBA THE STANDARD

ADJ8290185 STEVEN MORRIS GRANTLAND AVE SO BAPTIST CHURCH MUTUAL MERRILL CHURCH ADJ1443339 EDUARDO LEON EL AHORRO USED AUTO CIGA PARTS ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS CIGA GLENDALE SUPPLY ADJ2904717 ROSA AMADOR RIVER RANCH/SUNNY SALLY CIGA GLENDALE ADJ3023840 CHERYL WESKE MC CLASSIC INDUSTRIES CIGA GLENDALE KELVEY 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 CORDOVA ADJ3750814 SUSANA URIAS SEE'S CANDY SHOP CIGA TRISTAR RANCHO CORDOVA ADJ7666378 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 CITY OF LA DEPT OF WATER AND POWER AND POWER ADJ6485844 VICTOR AGUILAR CITY OF LA RECREATION AND CITY OF LA RECREATION AND PARKS PARKS ADJ2975020 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 CITY OF LOS ANGELES DEPARTMENT ADJ1184729 GWEN COLLERAN CITY OF LOS ANGELES CITY OF LOS ANGELES

31 Michael R. Drobot Industrial Pharmacy Management MediLab 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 CITY OF LOS ANGELES SERVICES DEPT 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 LOS ANGELES POLICE DEPT CITY OF LOS ANGELES FRIERSON ADJ2207570 HECTOR GONZALEZ CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ2285767 JOSE CORRALES CITY OF L. A. RECREATION & CITY OF LOS ANGELES PARKS 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 CITY OF L.A./POLICE DEPT. CITY OF LOS ANGELES DOMINGUEZ 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 CITY OF LOS ANGELES STREET MAINT ADJ6485844 VICTOR AGUILAR CITY OF LA RECREATION AND CITY OF LOS ANGELES PARKS 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 Management MediLab 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 CITY OF LOS ANGELES BUREAU OF SANITATION 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 CITY OF LOS ANGELES AIRPORTS DEPT 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 CITY OF LOS ANGELES OF FINANCE 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 CITY OF LOS ANGELES SERVICES ADJ7133129 TYREE GILBERT CITY OF LOS ANGELES DEPT CITY OF LOS ANGELES DEPT OF OF AIRPORTS AIRPORTS ADJ6543064 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 CLAIMQUEST INC HOSP

33 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3024899 ANA CARRILLO MERCHANT'S BUILDING CLAIMQUEST WALNUT MAINTENANCE ADJ8136353 ROSA REYNOSO MERCHANTS BUILDING CLAIMQUEST WALNUT MAINTENANCE ADJ8652802 MARIA GARCIA MERCHANTS BUILDING CLAIMQUEST WALNUT MAINTANANCE ADJ8794684 CARLOS ESPINAL MERCHANTS BUILDING CLAIMQUEST WALNUT MAINTENANCE ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSP CLARENDON NATIONAL INSURANCE CO/BROADSPIRE ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSPITAL CLARENDON NATIONAL INSURANCE CO/BROADSPIRE ADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE CLARENDON NATIONAL SERV.,INC. INSURANCE CO/INSERVE ADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE CLARENDON NATIONAL SERVICES INC INSURANCE CO/INSERVE ADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE CLARENDON NATIONAL SERV.,INC. INSURANCE CO/TARHEEL INSURANCE MANAGEMENT CO

ADJ1506394 ROGELIO MENDOZA RELIANCE MAINTENANCE CLARENDON NATIONAL SERVICES INC INSURANCE CO/TARHEEL INSURANCE MANAGEMENT CO

ADJ661206 GEROGE MAGALLON CLOUGHTER PACKING CLOUGHERTY PACKING CO ADJ7939542 ALEXANDRINA CLOUGHERTY PACKING CLOUGHERTY PACKING MALDONADO COMPANY COMPANY ADJ3730544 ELVIA REYES FARMER JOHN CLOUGHERTY PACKING LOS ANGELES ADJ7074258 MARIA DEL CARMEN FARMER JOHN CLOUGHERTY CLOUGHERTY PACKING LOS RAMIREZ PACKING LLC ANGELES ADJ7939542 ALEXANDRINA CLOUGHERTY PACKING CLOUGHERTY PACKING LOS MALDONADO COMPANY ANGELES ADJ7074258 MARIA DEL CARMEN FARMER JOHN CLOUGHERTY CLOUGHERY PACKING LLC DBA RAMIREZ PACKING LLC FARMER JOHNS ADJ3506843 VENANCIO PARRA DMS CNA CASUALTY OF CALIFORNIA/RSKCO ADJ1936297 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 CNA CLAIMS PLUS BREA MAINTENANCE

34 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7008798 DECONJE SHAW PEFORMANCE CONTRACTING CNA CLAIMS PLUS BREA GROUP 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 CNA CLAIMS PLUS BREA INC ADJ7891135 EDGAR PARRA RAHN INDUSTRY CNA CLAIMS PLUS BREA ADJ792225 YOLANDA CELAYA SUMMERVILLE SENIOR LIVING CNA CLAIMS PLUS BREA ADJ7971047 EVERARDO ALCALA VISION ELECTRONICS CNA CLAIMS PLUS BREA ALMARAZ CORPORATION 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 CNA CLAIMS PLUS BREA DISTRIBUTORS ADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA CNA CLAIMS PLUS BREA ITALIANA ADJ8368682 ERIKA RODRIGUEZ SPIN CYCLE LAUNDROMATS CNA CLAIMS PLUS BREA ADJ8375234 ARCELIA RAMIREZ PORT LOGISTICS CNA CLAIMS PLUS BREA ADJ8432543 DANIELLE STOWERS UNIVERSAL PROTECTIVE CNA CLAIMS PLUS BREA SERVICE 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 CNA CLAIMS PLUS BREA AND RADIOLOGY

ADJ3156199 CHUCK VAN DUYNE AMB ENGINEERING CNA CLAIMS PLUS PORTLAND

35 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7008798 DECONJE SHAW PEFORMANCE CONTRACTING CNA CLAIMS PLUS PORTLAND GROUP ADJ7574427 JOSE GARCIA ASSOCIATED READY MIXED CNA CLAIMS PLUS PORTLAND CONCRETE INC ADJ8729490 ROGELIO TINOCO BELMONT MEMORIAL CNA CLAIMS PLUS PORTLAND ADJ231248 MARY BLOUGH LORENZ RALPHS CNA CLAIMS PLUS SAN FRANCISCO ADJ231248 MARY BLOUGH LORENZ WORLDMARK CNA CLAIMS PLUS SAN FRANCISCO ADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA CNA CLAIMS PLUS SAN ITALIANA FRANCISCO ADJ8377058 ROSAURA GUEVARA PORT LOGISTICS GROUP INC CNA CLAIMS PLUS SAN FRANCISCO ADJ1505807 MARILYN SALONE COUNTY OF RIVERSIDE CNTY OF RIVERSIDE WORK COMP DIV ADJ4301180 BELINDA WINFIELD DEPT OF PUBLIC HEALTH / CNTY OF RIVERSIDE WORK RIVERSIDE COMP DIV ADJ7181016 TERRY GALLOWAY RIVERSIDE COUNTY REGIONAL CNTY OF RIVERSIDE WORK HOSPITAL COMP DIV ADJ3770534 PETE MAREZ WESTERN WASTE INDUSTRIES COMCO MANAGEMENT SIERRA MADRE ADJ8136416 GILBERTO MORALES CITY OF OXNARD COMCO MANAGEMENT SIERRA GRANADOS MADRE ADJ8004413 ANGEL APARICIO COMIDA MEXICANA COMIDA MEXICANA INCORPORATION INCORPORATION ADJ1554194 BETZABE MARTINEZ HILTON ANAHEIM & TOWERS COMPLINC RADUENZ HOTEL ADJ1536639 ANTONIO FARIAS MELISSA'S PRODUCE COMPWEST NEWPORT BEACH ADJ6531645 BERTHA SALAZAR DAN GAMEL INC COMPWEST NEWPORT BEACH ADJ6629390 ARTURO LUEVANO GLOBAL ELASTOMERIC COMPWEST NEWPORT BEACH PRODUCTS ADJ6877055 RIGOBERTO CORTEZ EL MODENO GARDENS0 INC COMPWEST NEWPORT BEACH RIOS 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 COMPWEST NEWPORT BEACH MANUFACTURING 1NC

36 Michael R. Drobot Industrial Pharmacy Management MediLab 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 COMPWEST NEWPORT BEACH DESSERTS INC 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 EVOLUTION FRESH INC COMPWEST NEWPORT BEACH MALDONADO ADJ7705607 DOMINGO CASTANEDA INTERNATIONAL HOUSE OF COMPWEST NEWPORT BEACH PANCAKES ADJ7930350 AGUILINO NOYOLA WESSEX INDUSTRIES INC COMPWEST NEWPORT BEACH ADJ8069341 JOSE SANCHEZ CANNERY SEAFOOD OF THE COMPWEST NEWPORT BEACH PACIFIC ADJ8158065 MARIA RAYA ALLIED WEST PAPER COMPWEST NEWPORT BEACH CORPORATION ADJ8299117 JESUS HERRERA JONATHAN LOUIS COMPWEST NEWPORT BEACH INTERNATIONAL ADJ8450347 ISIDRO ZUNIGA MARIE CALLENDERS NO 47 COMPWEST NEWPORT BEACH VERDUZCO ADJ8552200 JOSE PORTILLO PAYLESS FOODS SUPERMARKET COMPWEST NEWPORT BEACH

ADJ8725723 JOSE VASQUEZ PROACTIVE PACKAGING AND COMPWEST NEWPORT BEACH DISPLAY 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 CONSTITUTION FORT SMITH CALIFORNIA INC ADJ7051794 DENISE SELLERS AMERICAN IMAGING CONSTITUTION SAINT PAUL MANAGEMENT ADJ7051794 DENISE SELLERS TRAVELERS COMPANIES INC CONSTITUTION SAINT PAUL ADJ1406622 LOA GRIFFITH MONTEBELLO UNIFIED CORVEL CHINO SCHOOL DISTRICT ADJ205398 DANNY HENDERSON ANTELOPE VALLEY UNION CORVEL CHINO HIGH SCHOOL ADJ2064820 CATHERINE PERRIOTT GOOD SAMARITAN HOSPITAL CORVEL CHINO

37 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ2323352 VIRGINIA MITCHELL LOS ANGELES COUNTY OFFICE CORVEL CHINO STEMEN OF EDUCA. ADJ4003163 PETER VITOLLO VISTA PAINT CORPORATION CORVEL CHINO

ADJ405182 CHERYL HUNTER LA COUNTY OFFICE OF CORVEL CHINO EDUCATION ADJ4087514 ERMELINDA HARWOOD DURHAM SCHOOL SERVICE CORVEL CHINO OCHOA ADJ4471483 RONALD SAPP CITY OF LAGUNA BEACH CORVEL CHINO ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ661206 GEROGE MAGALLON CLOUGHTER PACKING CORVEL CHINO ADJ6997253 HARRY WINBUSH COMPTON UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7011336 BLANCA SERRANO PRIME HEALTH CARE SERVICES CORVEL CHINO

ADJ7174737 CAROLYN BLACKLEDGE LOS ANGELES COUNTY OFFICE CORVEL CHINO OF EDUCATION ADJ7193990 JESUS JIM CLOUGHERTY PARKING LLC CORVEL CHINO ADJ7198625 LILLIAN MONTALVO POMONA UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7227226 ARLYN FERGUSON COUNTY OF RIVERSIDE CORVEL CHINO ADJ7274056 MARIA LOURDES BETH RAUTIOLA AND JOHN CORVEL CHINO ALMUINA BITAR ADJ7302337 HAITHAM AL NAJIM VLB ASSOCIATES CORVEL CHINO ADJ7425504 JESUS PONCE SA RECYCLING CORVEL CHINO ADJ7457433 PATRICIA GRIESBAUER PRIME HEALTH CARE CORVEL CHINO MANAGEMENT ADJ7506084 YAZMIN JAQUEZ PASADENA UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7614030 JENNIFER BUTLER COMPTON UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7636466 REBECCA JILL PEARCE LOS ANGELES COUNTY OFFICE CORVEL CHINO OF EDUCATION 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 CORVEL CHINO DISTRICT

38 Michael R. Drobot Industrial Pharmacy Management MediLab 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 CORVEL CHINO DISTRICT 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 CORVEL CHINO LLC DBA RADISSON HOTEL ONTARIO 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 INTEGRATED FOOD SERVICE CORVEL SACRAMENTO LOERA ADJ7184116 MARIA REYNA AMERICAN FURNITURE CORVEL SACRAMENTO ALLIANCE ADJ7500183 RAMON MARTIN T D COMMUNICATION CORVEL SACRAMENTO ADJ7582849 ROGER ARREOLA TOWN OF COLMA CORVEL SACRAMENTO CALIFORNIA ADJ7735476 IRMA RUIZ DEL TACO CORVEL SACRAMENTO ADJ8062169 OFELINA ARROYO BARRETT BUSINESS SERVICES CORVEL SACRAMENTO INC ADJ8135941 RAMON RUIZ MOORE FENCE CORVEL SACRAMENTO ONTIVEROS ADJ8184742 JOSE FLORES BBSI CORVEL SACRAMENTO ADJ8428924 MARCO CERVANTES BARRETT BUSINESS SERVICES CORVEL SACRAMENTO INC DBA FOX TRANSPORTATION ADJ9194215 RAMON E MENDOZA JR BARRETT BUSINESS SERVICES CORVEL SACRAMENTO

ADJ7489675 ANTONIO ALVARADO CHAMPION DODGE LLC CORVEL SAN DIEGO ADJ7767137 SERVANDO MEJIA LA FOGATA RESTAURANT CORVEL SAN DIEGO BELTRAN ADJ7782081 IGNACIO PIMENTEL CASA LA GOLONDRINA CORVEL SAN DIEGO ADJ7894254 ANDRES SANCHEZ SEA EMPRESS SEAFOOD CORVEL SAN DIEGO RESTAURANT 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8509864 MARIA MORALES PROFESSIONAL BUILDING CORVEL SAN DIEGO MAINTENANCE 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 COUNTY OF LA INTERNAL SERVICE DEPT SERVICE DEPT ADJ8457575 MARTHA JONES COUNTY OF LA REGISTRAR COUNTY OF LA REGISTRAR RECORDER COUNTY CLERK RECORDER COUNTY CLERK ADJ8457575 MARTHA JONES COUNTY OF LOS ANGELES COUNTY OF LA REGISTRAR REGISTRAR RECORDER RECORDER COUNTY CLERK ADJ178064 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 COUNTY OF LOS ANGELES ANGELES FIRE PROTECTION ANGELES FIRE PROTECTION ADJ8261264 JASON TELLA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC DEPARTMENT OF PUBLIC WORKS WORKS ADJ7174576 ELIZABETH PADILLA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES DPSS DPSS ADJ8685063 ADRIANNA WEST COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES FIRE FIRE DEPARTMENT DEPARTMENT ADJ6759082 DORAN JORDAN COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES SHERIFFS DEPT SHERIFFS DEPT ADJ7092840 MARIA AIKIN COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES SHERIFFS DEPT SHERIFFS DEPT ADJ7146120 CELINA HERRERA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES SHERIFFS DEPT SHERIFFS DEPT ADJ7354281 BRIAN LANGLAIS COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES SHERIFFS DEPT SHERIFFS DEPT ADJ8063897 MILDRED DU COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES SUPERIOR COURT OFFICERS SUPERIOR COURT OFFICERS ADJ3348385 MARY WESTBROOK RANCHO LOS AMIGOS COUNTY OF LOS ANGELES/CAMBRIDGE INTEGRATED SERVICES GROUP

40 Michael R. Drobot Industrial Pharmacy Management MediLab 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 GROUP ADJ7464397 ILIANA REVELEZ COUNTY OF LOS ANGELES- COUNTY OF LOS ANGELES-DPSS DPSS ADJ7464397 ILIANA REVELEZ LA DEPT OF SOCIAL SERVICES COUNTY OF LOS ANGELES-DPSS

ADJ3851730 ESPERANZA SANCHEZ COUNTY OF SAN COUNTY OF SAN BERNARDINO 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 COUNTY OF SAN BERNARDINO ANIMAL CONTROL ADJ7942543 MARIA BAUTISTA COUNTY OF SAN COUNTY OF SAN BERNARDINO BERNARDINO ADJ7942642 MARIA BAUTISTA COUNTY OF SAN COUNTY OF SAN BERNARDINO BERNARDINO ADJ7764956 ANA PELAYO CPS SECURITY SOLUTIONS CPS SECURITY SOLUTIONS ADJ2624340 SLOANE COLEMAN BELLE MARMICK/AMIGOS CRAWFORD & CO FLOORING ADJ1742256 JOHN ENRIQUEZ ENRIQUEZ TERMITE AND PEST CRAWFORD & CO. CONTROL 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 LOS ANGELES COUNTY CRAWFORD AND CO MCMILLAN DISTRICT ATTY ADJ4319219 LESLIE NORRIED COUNTY OF LOS ANGELES CRAWFORD AND CO ADJ457472 VADA FRANKLIN INGLEWOOD MUNICIPAL CRAWFORD AND CO COURT ADJ8061974 PEDRO PRECIADO IMPACT LOGISTICS CRAWFORD COLTON ADJ7334329 SIMON FELIX LUMEA STAFFING CRAWFORD SAN JOSE ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA CRS COMMERCIAL BBSI SANTA ANA ANA

41 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ310772 FROILAN CASTANEDA BAKERY EXPRESS OF CRUM & FORSTER SOUTHERN CALIFORN ADJ3012544 MANUEL GONZALEZ JOHNSON CONTROLS CRUM FORSTER ORANGE ADJ3761692 AURA RAMIREZ LEVLAD INC CRUM FORSTER ORANGE ADJ6407040 NAVIDAD REYES WEEKEND WARRIOR CRUM FORSTER ORANGE TRAILERS, INC ADJ6880086 ANA LUGO OCEAN BEAUTY SEAFOOD CRUM FORSTER ORANGE ADJ6925672 CAROLYN URQUIDEZ WESTCLIFF MEDICAL CRUM FORSTER ORANGE LABORATORIES INC 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 EL SUPER CRUM FORSTER ORANGE COVARRUBIAS ADJ7646444 MARIA MUNOZ PAMA MANAGEMENT CRUM FORSTER ORANGE COMPANY ADJ7666355 MARISELA HERRERA PAMA MANAGEMENT CRUM FORSTER ORANGE COMPANY 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 CRUM FORSTER ORANGE MEAT 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 CRUM FORSTER ORANGE OPERATIONS ADJ8232001 MARIA JASSO BRYANT RUBBER CORP CRUM FORSTER ORANGE ADJ8371218 DOLORES ALVARADO MISSION COMMUNITY CRUM FORSTER ORANGE HOSPITAL

42 Michael R. Drobot Industrial Pharmacy Management MediLab 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 CRUM FORSTER ORANGE CORPORATION ADJ1559102 STEVE HUDSON PACIFIC CONSOLIDATED CRUM FORSTER RICHARDSON INDUSTRIES 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 DEPARTMENT OF SOCIAL SERVICES IHSS SERVICES IHSS ADJ6930666 JAMES CAREY DEPARTMENT OF WATER DEPARTMENT OF WATER AND AND POWER/FLEET SERVICES 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 DWP LOS ANGELES AND POWER/FLEET SERVICES

ADJ7831488 TRINH HO CITY OF LA DEPT OF WATER DWP LOS ANGELES AND POWER ADJ7848220 ROBERT PIERCE DWP JFB BUILDING DWP LOS ANGELES ADJ3547497 ARTEMIO LOPEZ DIE CAST PRODUCTS EAGLE INSURANCE COMPANIES

43 Michael R. Drobot Industrial Pharmacy Management MediLab 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 INSURANCE ADJ5796561 NANCY GOMEZ ARROWHEAD ORTHOPEDICS EMPLOYERS COMP

ADJ202328 JUAN ALVAREZ BIEBER LIGHTING COMPANY EMPLOYERS COMP GLENDALE ADJ202328 JUAN ALVAREZ BIEBER LIGHTING EMPLOYERS COMP GLENDALE CORPORATION 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 EMPLOYERS COMP GLENDALE FAMILIAR ADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS EMPLOYERS COMP GLENDALE ASSOCIATION 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 EMPLOYERS COMP GLENDALE BEACH ADJ7491863 JUAN MANUEL PRADO THE IVY RESTAURANT DBA LA EMPLOYERS COMP GLENDALE DESSERTS INC ADJ7514025 LUIS REYES LA DESSERTS INC DBA THE IVY EMPLOYERS COMP GLENDALE

ADJ7583476 NORMA GUZMAN MACROLIFE NATURALS INC EMPLOYERS COMP GLENDALE MORALES 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 Management MediLab 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 EMPLOYERS COMP GLENDALE JUICES ADJ8233792 JAMES FERGUSON SUNSHINE MARKET BYO EMPLOYERS COMP GLENDALE ADJ8251105 JOSE GARCIA KEARNY MESA DLSCOVERY EMPLOYERS COMP GLENDALE INC ADJ8290804 JOSUE DELGADO ARYA ICE CREAM EMPLOYERS COMP GLENDALE DISTRIBUTING CO ADJ8319141 SIXTO RIVERA HARRY GROUP INC DBA MKC EMPLOYERS COMP GLENDALE EXPRESS DBA 3 DOG 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 EMPLOYERS COMP GLENDALE CARWASH ADJ8608833 JALAL AZIZI INTERGRATED CHROPRACTIC EMPLOYERS COMP GLENDALE GROUP ADJ8620487 JAVIER MERCADO FAIRPLAY ELECTRI CARS EMPLOYERS COMP GLENDALE ADJ8660864 JUAN PEREZ LLC PROPERTY MGMT EMPLOYERS COMP GLENDALE ADJ8776777 GUILLERMO ISLAND CAR WASH EMPLOYERS COMP GLENDALE HERNANDEZ PAZ ADJ8802552 CESAR LOPEZ TOSTADO A AND G AUTO SERVICES EMPLOYERS COMP GLENDALE

ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI EMPLOYERS COMP GLENDALE FASHION INC ADJ8850695 CELIA OROZCO ZACATECAS CAFE EMPLOYERS COMP GLENDALE ADJ8945298 OFELIA VILLASENOR EY JHENT DBA SUPER BARGAIN EMPLOYERS COMP GLENDALE

ADJ8958581 CARMEN MUNOZ CREY AND EMPLOYERS COMP GLENDALE BARRON 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 Management MediLab 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 EMPLOYERS COMP NEWBURY CENTER PARK ADJ7750506 MARIA ESCALANTE HARRYS TARTINE LLC EMPLOYERS COMP NEWBURY HERNANDEZ PARK ADJ8151898 MICHAEL STILLMAN AGR GROUP INC EMPLOYERS COMP NEWBURY PARK ADJ9088615 QUANG NGUYEN BE BEAUTY EMPLOYERS COMP NEWBURY PARK ADJ6941220 EDUARDO HERNANDEZ ADVANCED FLOW EMPLOYERS COMP SAN ENGINEERING FRANCISCO ADJ7581305 SOCORRO TAVERA ADVANCED PROFESSIONAL EMPLOYERS COMP SAN IMAGING FRANCISCO ADJ7581305 SOCORRO TAVERA LIFETIME DENTAL CARE EMPLOYERS COMP SAN FRANCISCO ADJ2408457 MARTIN ARMENTA LA SPIGA EMPLOYERS COMPENSATION ADJ482232 CHRISTOPHER PACK MEDWAY PLASTICS EMPLOYERS COMPENSATION CORPORATION ADJ7364703 GREGORIA CAMPOS HAMPTON INN EMPLOYERS COMPENSATION ADJ7646436 KAREN ALVAREZ WIENERSCHNITZEL EMPLOYERS COMPENSATION ADJ3979482 YORTIS WATERS COUNTY OF LOS ANGELES EMPLOYMENT & OCCUPATIONAL SERVICES ADJ7364477 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 ENSTAR US ORANGE SYSTECHS ADJ7041962 ADOLFO DIAZ PACIFIC EXTERIORS INC ENSTAR US ORANGE ADJ7169245 LAZARO GOMEZ BCI FRAMING AND DRYWALL ENSTAR US ORANGE

ADJ7254403 HUMBERTO OLEA TRESIERRAS BROTHERS ENSTAR US ORANGE CORPORATION ADJ7271453 MARIBEL MINERA SIMSO TEX SUBLIMATION ENSTAR US ORANGE PRINTING & FINISHING INC ADJ7628089 LAURA BETANCOURT E S LABOR INC ENSTAR US ORANGE

46 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ACORNGENCON PLASTICS ENSTAR US ORANGE MARTINEZ 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 ENSTAR US ORANGE RECOVERY ADJ8482441 BLANCA VAZQUEZ SUNRISE FARM LABOR ENSTAR US ORANGE ADJ8522450 NOELIA TEJADA ROYAL TERRACE HEALTH ENSTAR US ORANGE CARE ADJ8602061 JOSE BERNAL OAKRIDGE LANDSCAPE ENSTAR US ORANGE ADJ9010064 JOHN PHOMMAHAXAY SEACON ENSTAR US ORANGE ADJ9233379 MARIA CHAVEZ THE CALIFORNIA MUSHROOM ENSTAR US ORANGE FARM INC ADJ9243995 ANA MARIA MICHEL AMERICAN INTERNATIONAL ENSTAR US ORANGE ADJ1056999 SCOTT DEWBERRY ICI AMERICAS,INC ESIS CHATSWORTH ADJ1475587 JOSE TRUJILLO SUPERIOR INDUSTRIES ESIS CHATSWORTH INTERNATIONAL ADJ2034588 ELVIA ALVAREZ MARINER HEALTH CARE INC ESIS CHATSWORTH ADJ2384732 ARTURO JR RODRIGUEZ LOCKHEED MARTIN SKUNK ESIS CHATSWORTH WORKS ADJ246218 PAUL LIGAMMARI LOS ANGELES COLLEGE OF ESIS CHATSWORTH CHIROPRACTIC 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 Management MediLab 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 ESIS CHATSWORTH MARKET 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 ESIS CHATSWORTH PRODUCTS 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 ESIS CHATSWORTH KOOSHAREM CORPORATION

ADJ7220485 DEITRA LAWRENCE KERIAN JOBE SURGERY ESIS CHATSWORTH CENTER 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 HAMPTON INN ESIS CHATSWORTH HERNANDEZ ADJ7411078 MARLA DEL CARMEN YUM BRANDS/DBA TACO BELL ESIS CHATSWORTH HERNANDEZ ADJ7474342 JESUS CRUZ NATIONAL BEEF ESIS CHATSWORTH

48 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7492000 MARIA TORRES FULLERTON POST ACUTE ESIS CHATSWORTH CARE ADJ7492002 MARGARITA LOPEZ ITT INDUSTRIES ESIS CHATSWORTH ADJ7492041 MARIA AVALOS KOOSHAREM CORP DBA ESIS CHATSWORTH SELECT PERSONNEL SERVICES

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 ESIS CHATSWORTH LLC ADJ7647960 EDGAR BARRIOS AEROTEK ESIS CHATSWORTH ADJ7676193 ANA ECHEVESTE B BRAUN MEDICAL ESIS CHATSWORTH ADJ7690746 BALTASAR ROSALES CMC CONSTRUCTION ESIS CHATSWORTH SERVICES ADJ7729297 DIONICIO RODRIGUEZ OMFC SERVICE COMPANY ESIS CHATSWORTH

ADJ7765376 JOSE HERNANDEZ KOOSHAREM CORP. DBA ESIS CHATSWORTH SELECT STAFFING ADJ7768525 GLORIETTE CRAVEN TIME WARNER CABLE ESIS CHATSWORTH ADJ7906266 MANUEL DE JESUS DIAMOND STAFFING INC ESIS CHATSWORTH TURCIOS 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 ESIS CHATSWORTH NORTHWEST INC ADJ8002363 ANDRES ACEVES GREATWIDE DISTIBUTION ESIS CHATSWORTH LOGISTICS ADJ8009672 GARY HOLLIDAY LABOR READY ESIS CHATSWORTH ADJ8013866 CLAUDIA CAZARES EL POLLO LOCO ESIS CHATSWORTH ADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION ESIS CHATSWORTH DBA SELECT STAFFING

ADJ8028639 MARIA SALCEDO SELECT STAFFING ESIS CHATSWORTH

49 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8055573 SALOMON ROMERO VALLEY CREST LANDSCAPE ESIS CHATSWORTH ROQUE ADJ8082076 MIRIAM PINEDA ABM SERVICES INC ESIS CHATSWORTH ADJ8112941 JUAN VASQUEZ AERO TEK COMMERCIAL ESIS CHATSWORTH STAFFING ADJ8112941 JUAN VASQUEZ BRICE MANUFACTURING ESIS CHATSWORTH ADJ8128154 MARIA GONZALEZ PERKINS AND MARIE ESIS CHATSWORTH GOMEZ CALLENDERS 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 ESIS CHATSWORTH SERVICE ADJ8338539 ADELLA GARCIA ALLIED BARTON SECURITY ESIS CHATSWORTH SERVICE ADJ8425153 NARCISO RAYA SELECT STAFFING ESIS CHATSWORTH ADJ8429476 JOSE CRUZ VALLEYCREST COMPANIES ESIS CHATSWORTH ADJ8455836 JOEL URIBE CASTON INC ESIS CHATSWORTH ADJ8480036 CELESTINA SANCHEZ SUN PACIFIC SHIPPERS LP ESIS CHATSWORTH BERBER ADJ8537508 JOSE ALBERTO ALVAREZ MATHESON FIVE STAR GAS ESIS CHATSWORTH AND GEAR 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 REAL TIME STAFFING ESIS CHATSWORTH RODRIGUEZ ADJ9057830 MARTHA ELIZABETH BEVERLY HILLS RESOURCES ESIS CHATSWORTH CASTILLO VANEGAS CORPORATIONS ADJ9059021 GREGORIO AGUERO SELECT STAFFING ESIS CHATSWORTH ADJ9080977 JESUS FIGUEROA VALLEY CREST LANDSCAPE ESIS CHATSWORTH OSORIO DEVELOPMENT 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 Management MediLab 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 STAFFING SYSTEMS INC ESIS FREMONT RODRIGUEZ 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 ESIS SAN DIEGO CHATEAU 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 ESIS TAMPA EDUCATION 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7210068 MONICA SORIANO SELECT STAFFING ESIS TAMPA KOOSHAREM CORPORATION

ADJ7277718 MARIA SUAREZ VERTIS COMMUNICATION ESIS TAMPA ADJ7279830 MIREYA PAZ VNA OF THE INLAND ESIS TAMPA COUNTIES ADJ7339205 MARTINA ALVAREZ THE MENTOR NETWORK ESIS TAMPA ADJ7445121 MARIA ESMERALDA MIND CANDY INC DBA ESIS TAMPA CORTEZ BELMONT APPARREL ADJ7452278 MARCO PAREDES TIME WARNER CABLE SHARED ESIS TAMPA SERVICES 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 ESIS TAMPA INC ADJ8140896 NATALIA RICO SELECT STAFFING ESIS TAMPA ADJ8145087 NATALY CERVANTES SELECT STAFFING ESIS TAMPA ADJ8146557 FRANCISCO FLORES GOODWILL OF ORANGE ESIS TAMPA COUNTY 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 RUSH PERSONAL SERVICES ESIS TAMPA NAVA ADJ1138106 CHEYNESE DAVIS PIONEER BOYS RANCH EVEREST NATINOAL INSURANCE CO ADJ2216629 JORGE SANCHEZ GELSONS MARKETS EVEREST NATIONAL INSURANCE OAKLAND ADJ7190303 INEZ ARREDONDO LINDSEY AND HALL INC EVEREST NATIONAL INSURANCE OAKLAND ADJ7889541 JOSE FLORES SK LABORATORIES INC EVEREST NATIONAL INSURANCE OAKLAND ADJ7889541 JOSE FLORES STAFF CHEX INC EVEREST NATIONAL INSURANCE OAKLAND ADJ8450347 ISIDRO ZUNIGA MARIE CALLENDERS NO 47 EVEREST NATIONAL INSURANCE VERDUZCO OAKLAND

52 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8660144 AGUSTIN ORTEGA LIFESTYLE LANDSCAPES INC EVEREST NATIONAL INSURANCE OAKLAND ADJ6750055 ARELI ACOSTA ARCADIA INC / WILSON EVEREST NATIONAL ORANGE PARTITION INVALID ADJ8754994 LUIS ROSAS MATSUNAGA LANDSCAPING EVEREST NATIONAL ORANGE INVALID ADJ2069638 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 FARA ORANGE SERVICES ADJ8144819 ERNESTO SANCHEZ MARIPOSA LANDSCAPE FARA ORANGE ADJ8639643 JESUS MARCELO SUNSET LANDSCAPE INC FARA ORANGE ADJ9259179 JASON RUGLEY AMERICAN INTEGRATED FARA ORANGE SERVICES ADJ7074258 MARIA DEL CARMEN FARMER JOHN CLOUGHERTY FARMER JOHN CLOUGHERTY RAMIREZ PACKING LLC PACKING LLC ADJ1210236 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 PARAGON PARTNERS FARMERS SANTA ANA WOODWARD 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 Management MediLab 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 FARMERS SANTA ANA SINALOA 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 FARMERS SANTA ANA DISTRIBUTORS ADJ8181969 VICENTE VASQUEZ EL TACO NAZO FARMERS SANTA ANA MARTINEZ ADJ8314711 HECTOR MARTINEZ DELTA SCIENTIFIC FARMERS SANTA ANA CORPORTATION 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 FARMERS SANTA ANA INVESTMENTS ADJ8996719 MARIA DE ROSARIO FACILITY MASTERS INC FARMERS SANTA ANA CHAVARIN ADJ1277521 FERNANDO SIXTO MAGIC CLEANERS & LAUNDRY, FARMERS WESTLAKE VILLAGE MACIAS INC ADJ1798302 MARIA LASSITER AMERICAN RECOVERY FARMERS WESTLAKE VILLAGE SERVICES INC 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7172622 JOSE GALEANO HOLMES BODY SHOP FARMERS WESTLAKE VILLAGE ADJ7286547 SANTIAGO YEE YUEN LAUNDRY AND FARMERS WESTLAKE VILLAGE MALDONADO CLEANERS INC 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 FARMERS WESTLAKE VILLAGE MANAGEMENT INC 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 FARMERS WESTLAKE VILLAGE CORPORTATION ADJ8326108 ANA DIAZ CARAVAN FASHION FARMERS WESTLAKE VILLAGE WENTERPRISE 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 FARMERS WESTLAKE VILLAGE COLLISION ADJ8782405 GERARDO MARRON SOUPS GRILL FARMERS WESTLAKE VILLAGE ADJ9001965 ALBERTO LOPEZ LOS ANGELITOS BAKERY FARMERS WESTLAKE VILLAGE SEPULVEDA 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 FIDELITY INSURANCE COMPANY CENTER ADJ1569604 MAUREEN MC CORONA NORCO UNIFIED FLEMING & ASSOCIATES CONAHAY SCHOOL DIST ADJ3980297 JAKA LOVRIC LONG BEACH CITY COLLEGE FLEMING & ASSOCIATES

55 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7457654 EULOGIO PEREZ CASA VERDE LANDSCAPE FLORISTS MUTUAL INS EDWARDSVILLE ADJ8693571 LOAIZA CONTRERAS PALO VERDE SERVICES INC FLORISTS MUTUAL INS EDWARDSVILLE ADJ8165275 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 FRANK GATES SERVICE CO OF SC ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS FREMONT COMPENSATION SUPPLY INSURANCE CO ADJ3569362 KEVIN CAMPBELL ARCHITECTERAL SECURITY FREMONT COMPENSATION PRODUCT INSURANCE CO ADJ1790976 JESUS ALCALA DUPARS STUDIO CITY FREMONT INDEMNITY INSURANCE CO ADJ434306 LEODIS BREWER OKK TRADING INC. FREMONT INDEMNITY INSURANCE CO ADJ4475241 BARBARA PHIPPS LAMPS PLUS FREMONT INDEMNITY INSURANCE CO ADJ4475241 BARBARA PHIPPS LAMPS PLUS INC FREMONT INDEMNITY INSURANCE CO ADJ518124 MANUEL MARTINEZ COLOR IMAGING PRINTING FREMONT INDEMNITY INSURANCE CO ADJ3891664 JAMES DIAMOND FIVE ACRES BOYS AND GIRLS FREMONT/WORKERS COMP & SOCIETY INDEMNITY CO ADJ8845092 CHAO HER FRESNO MOSQUITO FRESNO MOSQUITO ABATEMENT ABATEMENT DIST DISTRICT ADJ3296711 EZEQUIEL CISNEROS WASTE MANAGEMENT GALLAGHER BASSETT ADJ7339829 DENESE DAVIDSON AMERICAN CORPORATE GALLAGHER BASSETT 255397 SECURITY SACRAMENTO ADJ7402871 CONRADO MARTINEZ TCI CENTER INC GALLAGHER BASSETT 255397 SACRAMENTO ADJ8504579 MANMOHAN MANN SWIFT TRANSPORTATION CO GALLAGHER BASSETT 255397 AZ SACRAMENTO ADJ8627124 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT 255397 SACRAMENTO ADJ8627172 JORGE DUQUE OMEGA EXTRUDING GALLAGHER BASSETT 255397 SACRAMENTO ADJ1653531 PATRICIA ROMO MCKESSON GALLAGHER BASSETT 4040 PHARMACEUTICALS SACRAMENTO ADJ7074177 GLEN SUTHERLAND CRACK PATCHER INC GALLAGHER BASSETT 4040 SACRAMENTO

56 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL GALLAGHER BASSETT 4040 LANDSCAPE LIGHTING SACRAMENTO ADJ7254310 VICTORIA BALVANEDA NEWPORT MANAGEMENT GALLAGHER BASSETT 4040 SERVICES SACRAMENTO ADJ7461639 FRANK COLLINS POWER FORD TUSTIN GALLAGHER BASSETT 4040 SACRAMENTO ADJ7587901 MARIA ANAYA CARDENAS MARKET GALLAGHER BASSETT 4040 SACRAMENTO ADJ7734725 SILVIA PEREZ FORD OF MONTEBELLO INC GALLAGHER BASSETT 4040 SACRAMENTO ADJ7750202 HECTOR NAVARRO SHERWIN WILLIAMS GALLAGHER BASSETT 4040 SACRAMENTO ADJ7923711 ROGELIO VIVALDO FUSION METAL INC GALLAGHER BASSETT 4040 SACRAMENTO ADJ8043266 JESUS VASQUEZ NEW MEAT CO GALLAGHER BASSETT 4040 SACRAMENTO ADJ8064758 ENEDINA BAUTISTA BARRAZA FARM SERVICE GALLAGHER BASSETT 4040 SACRAMENTO ADJ8448095 RUTH TULL VALOR SECURITY GALLAGHER BASSETT 4040 SACRAMENTO ADJ8462555 PATRICIA MARTINEZ HOMEWOOD SUITE HILTON GALLAGHER BASSETT 4040 SACRAMENTO ADJ8526723 GABRIEL MEZA YORBA LINDA CAR WASH GALLAGHER BASSETT 4040 SACRAMENTO ADJ8871677 ALEJANDRO BARON HR GALLAGHER BASSETT 4040 RODRIGUEZ SACRAMENTO ADJ8970065 LORENA ROCHA INCREDIBLE ENTERTAINMENT, GALLAGHER BASSETT 4040 INC. -DBA- JOHN`S INCREDIBLE SACRAMENTO P ADJ2977079 JUANA MARTINEZ WARNACO INC GALLAGHER BASSETT 70003 ANAHEIM CLOSED ADJ3673897 MICHAEL RUIZ NORTHROP GALLAGHER BASSETT 70003 ANAHEIM CLOSED ADJ3813035 ANA CASTRO UNITED AIRLINES GALLAGHER BASSETT 70003 ANAHEIM CLOSED ADJ4166687 GINA NEVARES MCMASTER-CARR SUPPLY CO GALLAGHER BASSETT 70003 ANAHEIM CLOSED ADJ445943 MARIA CAMARGO CRUNCH FITNESS GALLAGHER BASSETT 70003 INTERNATIONAL ANAHEIM CLOSED ADJ456739 CAROLYN MORAN ARCHDIOCESE OF LOS GALLAGHER BASSETT 70003 ANGELES ANAHEIM CLOSED

57 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ120222 MARTHA FRANCO VICORP RESTAURANTS GALLAGHER BASSETT BURBANK INC/BAKER SQUARE 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 GALLAGHER BASSETT BURBANK INC ADJ7726383 RUBEN CUEVAS READY PAC PRODUCE GALLAGHER BASSETT BURBANK

ADJ8332093 GUILLERMO MARTINEZ ACCURATE METAL GALLAGHER BASSETT BURBANK FABRICATORS ADJ8652652 JOEL EQUIHUA KEY ENERGY SERVICES GALLAGHER BASSETT BURBANK

ADJ181469 ANDRES DEHARO FOAMEX GALLAGHER BASSETT CALABASAS ADJ2516660 MARIA PACHECO PRIVATE BRAND GALLAGHER BASSETT MERCHANDISING CALABASAS ADJ6470406 LUCIA FLORES HMS HOST GALLAGHER BASSETT CALABASAS ADJ6880086 ANA LUGO OCEAN BEAUTY SEAFOOD GALLAGHER BASSETT CALABASAS ADJ7078680 CHRISTOPHER LUONG RBC-ALL POWER MFG. GALLAGHER BASSETT CALABASAS ADJ7144824 LUIS ORTEGA SOLAR INTEGRATED GALLAGHER BASSETT TECHNOLOGIES CALABASAS ADJ7169037 MARIA BEJARANO SODEXO GALLAGHER BASSETT CALABASAS ADJ7170154 JOSE AGUILAR TONE FRAMING GALLAGHER BASSETT CALABASAS ADJ7234523 ENRIQUETA BLANCO READY PAC PRODUCE GALLAGHER BASSETT CALABASAS ADJ7279580 HECTOR GAMEZ OMNI LOS ANGELES HOTEL GALLAGHER BASSETT CALABASAS ADJ7714688 NAGDA SALAMA SODEXO GALLAGHER BASSETT CALABASAS ADJ7726383 RUBEN CUEVAS READY PAC PRODUCE GALLAGHER BASSETT CALABASAS

58 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8015567 GLORIA CALVILLO OMNI HOTEL GALLAGHER BASSETT CALABASAS ADJ8053914 FLORENTINO GUZMAN SODEXO INC GALLAGHER BASSETT CALABASAS ADJ8156814 CYNTHIA HENDERSON 20TH CENTURY FOX GALLAGHER BASSETT CALABASAS ADJ8175696 ELVIRA ANTENOR TARZANA HEALTH AND GALLAGHER BASSETT REHABILITATION CALABASAS ADJ8211927 EDILZAR VELASQUEZ WILLIAMS MEDICAL INC GALLAGHER BASSETT CALABASAS ADJ8455836 JOEL URIBE CASTON INC GALLAGHER BASSETT CALABASAS ADJ8901131 JOSE MIRANDA MALLCRAFT GALLAGHER BASSETT CALABASAS ADJ511346 GUADALUPE PIZZA HUT GALLAGHER BASSETT CORONA MALDONADO 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 GALLAGHER BASSETT CORONA TECHNOLOGIES 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 TACO BELL GALLAGHER BASSETT CORONA CHUQUIPUL TORREJON

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 Management MediLab 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 GALLAGHER BASSETT CORONA PRODUCTS INC 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 GALLAGHER BASSETT CORONA CORPORATION ADJ8977396 EUFRACIA BARAJAS PROFESSIONAL HOSPITAL GALLAGHER BASSETT CORONA RICO SUPPLY ADJ2959625 PEARL TAMEZ DURHAM SCHOOL SERVICES GALLAGHER BASSETT ELK GROVE CLOSED ADJ3245886 RUTH CHAVEZ DURHAM SCHOOL SERVICES GALLAGHER BASSETT ELK GROVE CLOSED ADJ6945389 GUADALUPE VAZQUEZ DIAL SECURITY GALLAGHER BASSETT ELK GROVE CLOSED ADJ6939354 MARIA ELENA IBARRA PRICEWATERHOUSECOOPERS GALLAGHER BASSETT GLENDALE LLP ADJ7365373 VICTOR MALDONADO LEADING EDGE AVIATION GALLAGHER BASSETT GLENDALE SERVICES INC

60 Michael R. Drobot Industrial Pharmacy Management MediLab 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 GALLAGHER BASSETT GLENDALE SERVICES ADJ8284097 LEONEL GONZALEZ PORTFOLIO HOTELS RESORTS GALLAGHER BASSETT GLENDALE LLC DBA DOUBLE TREE LAX

ADJ8735638 ENRIQUE QUIJADA ACE PARKING GALLAGHER BASSETT GLENDALE

ADJ3296711 EZEQUIEL CISNEROS WASTE MANAGEMENT GALLAGHER BASSETT GOLD RIVER ADJ6804588 ARMANDO TAPIA WASTE MANAGEMENT GALLAGHER BASSETT GOLD RIVER ADJ6926948 RAFAEL CARRILLO WASTE MANAGEMENT GALLAGHER BASSETT GOLD RIVER ADJ7551912 MARIA IBARRA BANK OF AMERICA GALLAGHER BASSETT GOLD RIVER ADJ7575974 BYRON CASTELLANOS AMERON INTERNATIONAL GALLAGHER BASSETT GOLD CORPORATION RIVER ADJ7706707 RALPH JOHNSON JR AUTO ZONE INC GALLAGHER BASSETT GOLD RIVER ADJ7738115 MARTHA TALAVERA SECOND STREET CORP GALLAGHER BASSETT GOLD RIVER ADJ8028485 JESUS GONZALEZ VEGA MORRISON MANAGEMENT GALLAGHER BASSETT GOLD SPECIALIST RIVER ADJ8215027 MARJANCHE NEWPORT MEAT SYSCO GALLAGHER BASSETT GOLD GJOSHEVSKI RIVER ADJ8217241 JOSE ARANDA GALE TRIANGLE GALLAGHER BASSETT GOLD PERFORMANCE TEAM FREIGHT RIVER SYSTEM ADJ8392008 JUAN MARIN SUSHI CONCEPTS SUNSET GALLAGHER BASSETT GOLD RIVER ADJ8643502 FRANCISCO NATIONAL OILWELL VARCO GALLAGHER BASSETT GOLD HERNANDEZ RIVER ADJ9041164 GEORGE DORTON BANK OF AMERICA GALLAGHER BASSETT GOLD RIVER ADJ9430469 JUAN ROA CITISTAFF SOLUTIONS GALLAGHER BASSETT GOLD RIVER ADJ9430469 JUAN ROA RAMA FOOD MANUFACTURE GALLAGHER BASSETT GOLD CORP RIVER ADJ1700643 CYNTHIA MARTIN ASIG GALLAGHER BASSETT LAGUNA HILLS

61 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3813035 ANA CASTRO UNITED AIRLINES GALLAGHER BASSETT LAGUNA HILLS ADJ6675570 FRANCISCO NFI NATIONAL DISTRIBUTION GALLAGHER BASSETT LAGUNA GUADARRAMA CENTER HILLS ADJ6890427 CARLOS ARRIOLA UNITED PARCEL SERVICES GALLAGHER BASSETT LAGUNA HILLS ADJ6980439 CRISTINA GARAY MASSIVE INC GALLAGHER BASSETT LAGUNA HILLS ADJ7329615 JOSE ZAVALA FMF RACING INC GALLAGHER BASSETT LAGUNA HILLS ADJ7676224 BRANDON MCGLOVER G2 SECURE STAFF LLC GALLAGHER BASSETT LAGUNA HILLS ADJ7908386 DANIEL WALSH LIVE NATION INC GALLAGHER BASSETT LAGUNA HILLS ADJ8175696 ELVIRA ANTENOR TARZANA HEALTH AND GALLAGHER BASSETT LAGUNA REHABILITATION HILLS ADJ8197945 MARIANNE CVS PHARMACY GALLAGHER BASSETT LAGUNA BATTAGLINO HILLS ADJ8469356 MARIANNE CVS PHARMACY GALLAGHER BASSETT LAGUNA BATTAGLINO HILLS ADJ8819743 MARTINA GARCIA UNITED STAFFING ASSOCIATES GALLAGHER BASSETT LAGUNA HILLS ADJ6715558 LUIS TRUJILLO WASTE MANAGEMENT OF GALLAGHER BASSETT LAS VEGAS NORTH COUNTY 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 Management MediLab 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 GALLAGHER BASSETT ORANGE NEWS 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 GALLAGHER BASSETT ORANGE CORPORATION ADJ6720868 VERONICA VIDRIO DART CONTAINER GALLAGHER BASSETT ORANGE CORPORATION OF CALIFORNIA 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 GALLAGHER BASSETT ORANGE COLLEGES 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 Management MediLab 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 CUCAMONGA ADJ3050954 FRANCISCO AHUMADA BROADWAY EXPRESS, INC. GALLAGHER BASSETT RANCHO CUCAMONGA ADJ3050954 FRANCISCO AHUMADA ROADWAY EXPRESS GALLAGHER BASSETT RANCHO CUCAMONGA ADJ6705178 JOSE MORALES PAYLESS SHOESOURCE #3520 GALLAGHER BASSETT RANCHO CUCAMONGA ADJ7037251 DAN ALLEN COLVIN Y R C INC GALLAGHER BASSETT RANCHO CUCAMONGA ADJ7268907 NANCY TRABADO CVS PHARMACY GALLAGHER BASSETT RANCHO CUCAMONGA ADJ7810425 EMAD ELDOMYATY MERCEDES BENZ OF SOUTH GALLAGHER BASSETT RANCHO BAY CUCAMONGA ADJ7970435 DONATAS BASKYS DCH GARDENA HONDA GALLAGHER BASSETT RANCHO CUCAMONGA ADJ7970700 JOHNNY CALDERA YRC WORLDWIDE INC GALLAGHER BASSETT RANCHO CUCAMONGA ADJ7985024 JADON CRAWFORD TRADER JOES GALLAGHER BASSETT RANCHO CUCAMONGA ADJ8077181 JOSE AGUILERA VALSPAR GALLAGHER BASSETT RANCHO CUCAMONGA ADJ8241626 JESUS ESPINOZA YRC LOGISTICS SERVICES GALLAGHER BASSETT RANCHO CUCAMONGA ADJ8303094 CHRISTINA SUAREZ MOGNOLIA GARDENS GALLAGHER BASSETT RANCHO CONVALESCENT CUCAMONGA ADJ8488724 ALI KARIM CORINTHIAN HOSPICE GALLAGHER BASSETT RANCHO CUCAMONGA ADJ8869734 KIMBERLY RAMIREZ SPRINT GALLAGHER BASSETT RANCHO CUCAMONGA ADJ9203170 MANUEL GAMARRA CVS PHARMACY GALLAGHER BASSETT RANCHO CUCAMONGA ADJ1693715 LORNA NUNEZ HEALTH CARE RESOURCE GALLAGHER BASSETT ROSEVILLE GROUP ADJ1693715 LORNA NUNEZ LTSC COMMUNITY GALLAGHER BASSETT ROSEVILLE DEVELOPMENT CORP.

64 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ2989623 JUAN VARGAS SELECT BUILD GALLAGHER BASSETT ROSEVILLE

ADJ4018558 LOURDES GERARDO PASADENA SYMPHONY GALLAGHER BASSETT ROSEVILLE ASSOCIATION 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 GALLAGHER BASSETT ROSEVILLE CENTER ADJ7390427 MACEDONIA HERRERA EMPIRE GRAPHICS GALLAGHER BASSETT ROSEVILLE

ADJ7777011 CALIXTO VELASQUEZ JB WHOLESALE ROOFING AND GALLAGHER BASSETT ROSEVILLE BUILDING ADJ7877197 ATILANO GUEVARA AMERICAN GUARD SERVICE GALLAGHER BASSETT ROSEVILLE INC0 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 GALLAGHER BASSETT ROSEVILLE START 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 SACRAMENTO ADJ8949353 JOSEFINA LEDESMA BURLINGTON COAT FACTORY GALLAGHER BASSETT MARTINEZ SACRAMENTO ADJ2054120 LEE MARTIN FIRST TRANSIT GALLAGHER BASSETT SAN DIEGO

65 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6914887 JOSE TREVIZO PACIFIC PRODUCTION GALLAGHER BASSETT SAN DIEGO PLUMBING INC 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 GALLAGHER BASSETT SAN DIEGO DISTRIBUTORS INC 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 SCOTTSDALE ADJ6470406 LUCIA FLORES HMS HOST GALLAGHER BASSETT SCOTTSDALE ADJ6628352 MARSELO ROMERO SELECTBUILD GALLAGHER BASSETT SCOTTSDALE ADJ6673511 GUILLERMO AYALA J AND J OIL GALLAGHER BASSETT SCOTTSDALE ADJ7170154 JOSE AGUILAR TONE FRAMING GALLAGHER BASSETT SCOTTSDALE ADJ7257037 DAVE EDWARDS PROJECT MANAGER GALLAGHER BASSETT SCOTTSDALE ADJ7540085 OLGA HERNANDEZ VISTA COMMUNITY CLINIC GALLAGHER BASSETT SCOTTSDALE ADJ7673690 EVE SHOATS PORTS AMER1CA GALLAGHER BASSETT SCOTTSDALE ADJ7803021 ROSARIO ZAVALA FAMILY RANCH INC GALLAGHER BASSETT SCOTTSDALE ADJ8159399 ISABEL ACOSTA KELLERMEYER BERGENSONS GALLAGHER BASSETT SERVICES SCOTTSDALE

66 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8252471 JESUS SILVA ANGELICA CORPORATION GALLAGHER BASSETT SCOTTSDALE ADJ646149 JUAN GALLEGOS SUPERIOR CONSTRUCTION GALLAGHER BASSETT SERVICES ADJ1954863 JUANITA ALICIA BAXTER APTIUM ONCOLOGY GALLAGHER BASSETT SERVICES INC ADJ4192342 EMILIANO MENDEZ FOAMEX GALLAGHER BASSETT SERVICES INC ADJ7578368 MICHAEL VASQUEZ UPS GALLAGHER BASSETT UPS5141 LAKE FOREST ADJ8171230 HECTOR RAMIREZ UNITED PARCEL SERVICE GALLAGHER BASSETT UPS5141 LAKE FOREST ADJ3381093 JUAN BRIOSO TABC INC GARMI ADJ6956128 ANA GONZALEZ RED BARD PET PRODUCTS GOLDEN EAGLE ALISO VIEJO ADJ7816761 MARIA P DE RIOS FONTANA LOGISTICS CENTER GOLDEN EAGLE ALISO VIEJO INC ADJ7983231 SARAH HOLGUIN FONTANA LOGISTIC CENTER GOLDEN EAGLE ALISO VIEJO INC ADJ3190535 GUADALUPE LOPEZ JAWED ARAIN GOLDEN EAGLE ORANGE ADJ7839453 ESTEBAN LUNA VAN PORT WAREHOUSING GOLDEN EAGLE ORANGE INC 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 SERV ADJ2661848 ROSEMARIE MONTIJO PRINCESS CRUISES GREAT AMERICAN INSURANCE CO ADJ8143138 KELITA BRADLEY CANON RECRUITING GREAT AMERICAN WALNUT CREEK ADJ7661732 JUAN GUTIERREZ GRILL CONCEPTS SERVICES GRILL CONCEPTS SERVICES INC INC ADJ7411078 MARLA DEL CARMEN HAMPTON INN GUARD INSURANCE RANCHO HERNANDEZ CORDOVA ADJ7411078 MARLA DEL CARMEN YUM BRANDS/DBA TACO BELL GUARD INSURANCE RANCHO HERNANDEZ CORDOVA ADJ7732880 SAUL GIRON SUPERIOR 1 PLUMBING GUARD INSURANCE RANCHO CORDOVA ADJ8307247 IRIS BAQUEDANO IZEK SHOMOF GUARD INSURANCE RANCHO CORDOVA

67 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8307247 IRIS BAQUEDANO JONATHAN BEN SHOLOM GUARD INSURANCE RANCHO CORDOVA ADJ8307247 IRIS BAQUEDANO V STYLES INC GREAT CLIPS GUARD INSURANCE RANCHO FOR HAIR CORDOVA ADJ7643410 HERMELO LUIS COMPETITIVE PIPELINE INC GUARD INSURANCE WILKES BARRE ADJ7863437 JAMES HOLLAND AFAB SERVICES INC DBA GUARD INSURANCE WILKES FONTANA EXPRESS CAR WASH BARRE

ADJ7866617 ELIAS PEREZ DELGADO PLUMBING GUARD INSURANCE WILKES BARRE ADJ8019898 ANTONIO SOSA ASA GROUP CONSTRUCTION GUARD INSURANCE WILKES BARRE ADJ8039367 GABRIELA MARTINEZ CAL PET SERVICES LLC GUARD INSURANCE WILKES BARRE ADJ8612684 GERBER HERNANDEZ AMERICAN TRUCK OUT GUARD INSURANCE WILKES FITTERS BARRE ADJ9275615 JUAN ALEJO ALLIED RENT A CAR INC GUARD INSURANCE WILKES BARRE ADJ1679102 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 GUIDEONE MUTUAL DES MOINES SCHOOL ADJ7434782 ISMAEL ESQUIVEL CALVARY CHAPEL GUIDEONE MUTUAL DES MOINES

ADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC HANOVER INSURANCE GROUP WORCESTER ADJ7671125 DOLORES CARABALLO IAG OIL ONCORPORATE HANOVER INSURANCE GROUP WORCESTER ADJ7872057 KASSANDRA SAN DIEGO HUMANE SOCIETY HANOVER INSURANCE GROUP MATTHEWS WORCESTER ADJ7900080 SUSANA MEZA KELLY SERVICES HANOVER INSURANCE GROUP WORCESTER ADJ8139048 ARMANDO REYES WEST COAST PETROLEUM HANOVER INSURANCE GROUP VALDEZ WORCESTER ADJ8252635 IRMA CASTANEDA CHEVRON HANOVER INSURANCE GROUP WORCESTER ADJ8314861 CARA WEISS SPORTS CLIPS FRANCHISE HANOVER INSURANCE GROUP WORCESTER

68 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8361533 MARGARITO URBINA VILLAGE AUTO SPA INC HANOVER INSURANCE GROUP WORCESTER ADJ8459615 BLAKE BAILEY 4G WIRELESS HANOVER INSURANCE GROUP WORCESTER ADJ8529568 ERNEST ZARATE AVID BIOSERVICES HANOVER INSURANCE GROUP WORCESTER ADJ8948892 SANTOS MEJIA DOMINOS PIZZA HANOVER INSURANCE GROUP WORCESTER ADJ9052204 SILVIO JIMENEZ MALIBU SHELL HANOVER INSURANCE GROUP WORCESTER ADJ9656899 MARIA MARTINEZ TAYLORED SERVICES HANOVER INSURANCE GROUP WORCESTER ADJ8420600 JORGE LOZANO HARRIS RANCH BEEF HARRIS RANCH BEEF COMPANY COMPANY ADJ8911920 VICENTE HERNANDEZ HARRISARIZONA REBAR INC HARRISARIZONA REBAR INC ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL HARTFORD INS CO OF THE MIDWEST ADJ2842071 LUCIA CHAPPELLE PLANETOUT CORP HARTFORD SACRAMENTO ADJ460944 LILIA AGUILAR PILLOWTEX CORP. HARTFORD SACRAMENTO ADJ6614819 CATALINA DELGADILLO GRISWOLD INDUSTRIES DBA HARTFORD SACRAMENTO CLAVAL 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 HARTFORD SACRAMENTO INC ADJ6905674 RODOLFO DIAZ SENIOR SYSTEMS TECHOLOGY HARTFORD SACRAMENTO INC 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 Management MediLab 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 HARTFORD SACRAMENTO DAB PLASTIC BRAIFORM SPOTLESS 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 HARTFORD SACRAMENTO INC ADJ7750834 ENMA DE CRUZ SOEX WEST USA HARTFORD SACRAMENTO ADJ7764690 MELISSA TUCKER OBAGI SKIN HEALTH HARTFORD SACRAMENTO INSTITUTE ADJ7788375 KATIE JACKSON GOLDEN STATE MUTUAL LIFE HARTFORD SACRAMENTO INSURANCE COMPANY ADJ7838790 RYAN SIFUENTES ABC LIOVIN DRILLING HARTFORD SACRAMENTO ADJ7884330 BLANCA IRMA RAMOS ALWAYS AFFORDABLE HARTFORD SACRAMENTO SERVICES ADJ7884330 BLANCA IRMA RAMOS ALWAYS AFFORDABLE HARTFORD SACRAMENTO SERVICES, INC. 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 VISION ELECTRONICS HARTFORD SACRAMENTO ALMARAZ CORPORATION ADJ8020366 VICTOR TOSTADO E AND J LAUREN LLC HARTFORD SACRAMENTO ADJ8049827 EVELYN ZERON WESTERN DENTAL CENTERS HARTFORD SACRAMENTO ADJ8064851 GAMALIEL BARRIOS GOLDEN STATE HARTFORD SACRAMENTO CONSTRUCTORS INC ADJ8096597 JASON LOVATI RODBAT MANAGEMENT HARTFORD SACRAMENTO INVESTIGATION ADJ8144208 JOSE RAMIREZ GRISWOLD INDUSTRIES HARTFORD SACRAMENTO ADJ8147199 PRIMITIVO SANCHEZ WESTERN MEDICAL CENTER HARTFORD SACRAMENTO

70 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8169238 NORA BERMUDEZ DELANO REGIONAL MEDICAL HARTFORD SACRAMENTO CENTER ADJ8205106 EVELYN PEREZ TULAPHORN INC HARTFORD SACRAMENTO ZARAGOZA ADJ8263165 LUIS TOBAR LA LOGGIA RISTORANTE HARTFORD SACRAMENTO ADJ8319536 PATRICIA DE LA CRUZ ROMAN CATHOLIC BISHOP OF HARTFORD SACRAMENTO SB ADJ8526747 ALFA HERNANDEZ MARCEL ELECTRONICS HARTFORD SACRAMENTO INTERNATIONAL ADJ8578796 ALEJANDRO CASTRO EAST AND WEST GOURMET HARTFORD SACRAMENTO AFGHAN FOOD INC ADJ8581326 INOCENTE ESCAMILLO JONSET CORP DVA SUNSET HARTFORD SACRAMENTO PROPERTY SERVICE ADJ8583576 JULIA BRISENO BRAXTON MANUFACTURING HARTFORD SACRAMENTO

ADJ8595991 TIM BLOSSER TENACORE HOLDINGS HARTFORD SACRAMENTO ADJ8802910 TONYA PRICE MILLER JONES MORTUARY HARTFORD SACRAMENTO AND CREMATORY ADJ8804352 MARCELINO ZANKOU CHICKEN HARTFORD SACRAMENTO BOJORQUEZ OLIVAS ADJ8822877 FRANCISCO VALENZO ALEA CAFE HARTFORD SACRAMENTO ADJ9010064 JOHN PHOMMAHAXAY SEACON HARTFORD SACRAMENTO ADJ9139970 HECTOR CAPETILLO CONTRACT SERVICES GROUP HARTFORD SACRAMENTO INC ADJ9166552 RAUL ARREDONDO COMMERCIAL COOLING HARTFORD SACRAMENTO ADJ9166552 RAUL ARREDONDO TEAM QUEST STAFFING HARTFORD SACRAMENTO SERVICES ADJ9210776 ULISES GUERRERO AUTO ENGINE REBUILDERS R HARTFORD SACRAMENTO US INC. ADJ9227447 MARTIN MULGADO PANADERIA Y TAQUERIA LA HARTFORD SACRAMENTO COLMENA ADJ9473332 SERGIO TERRAZAS SEAL SCIENCE INC HARTFORD SACRAMENTO ADJ4003163 PETER VITOLLO VISTA PAINT CORPORATION HAZELRIGG RISK MANAGEMENT

ADJ4584009 ALVIS NONAKA METROPOLITAN HCM/HERTZ CLAIM TRANSPORTATION AUTH. MANAGEMENT ADJ7506084 YAZMIN JAQUEZ PASADENA UNIFIED SCHOOL HCMS CHINO HILLS DISTRICT ADJ9165008 MARTHA MARROQUIN SUPERIOR GROCERS HCMS CHINO HILLS ADJ2533227 ANTONIO FERNANDEZ THE HOME DEPOT HELMSMAN MANAGEMENT

71 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6745741 DAVID CHAN FARMERS INSURANCE HELMSMAN MANAGEMENT EXCHANGE GLENDALE ADJ7357745 DEBRA PENA THE HOME DEPOT HELMSMAN MANAGEMENT GLENDALE ADJ7470365 MIRNA MENDICUTI MOTEL 6 HELMSMAN MANAGEMENT GLENDALE ADJ7955311 NANCI LIBAUER UNIVERSAL STUDIOS INC HELMSMAN MANAGEMENT GLENDALE ADJ8050004 SANDRA BLOMBERG HOME DEPOT HELMSMAN MANAGEMENT GLENDALE ADJ8455958 RYAN ALCALA UPS HELMSMAN MANAGEMENT GLENDALE ADJ8696473 ALFREDO RUIZ ALTADENA DAIRY HELMSMAN MANAGEMENT GLENDALE ADJ2530241 JAMES TRUSTY THE HOME DEPOT HELMSMAN MANAGEMENT ROCKLIN ADJ2530241 JAMES TRUSTY UEBTF LOS ANGELES HELMSMAN MANAGEMENT ROCKLIN ADJ3656933 JAMES CORGAN HOME DEPOT HELMSMAN MANAGEMENT ROCKLIN ADJ6759341 ERIC LE ALCOA FASTENING SYSTEMS HELMSMAN MANAGEMENT ROCKLIN ADJ6814904 GUADALUPE MATIN ALCOA GLOBAL FASTNERS HELMSMAN MANAGEMENT INC ROCKLIN ADJ6929168 AMADO MARTINEZ COSTCO WHOLESALE HELMSMAN MANAGEMENT ROCKLIN ADJ7584933 AMADO MARTINEZ COSTCO WHOLESALE HELMSMAN MANAGEMENT CORPORATION ROCKLIN ADJ7961729 SYLVIA MASTERS SUN HEALTH CARE GROUP HELMSMAN MANAGEMENT ROCKLIN ADJ8092755 MARTIN HERNANDEZ BROWNS METAL HELMSMAN MANAGEMENT ROCKLIN ADJ8208317 JORGE ARAGON AMERICAN PAPER AND HELMSMAN MANAGEMENT PLASTIC INC ROCKLIN ADJ8286155 FELIPE MORALES COSTCO WHOLESALE HELMSMAN MANAGEMENT ROCKLIN ADJ3713457 WALTER JOHNSON L.A.U.S.D HELMSMAN MANAGEMENT SERVICES ADJ3713457 WALTER JOHNSON LAUSD HELMSMAN MANAGEMENT SERVICES ADJ7416673 JUAN OROZCO HILL CONCRETE STRUCTURES HILL CONCRETE STRUCTURES

72 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ILLINOIS MIDWEST SPRINGFIELD COMMUNICATIONS 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 B AND C INC DBA HODORI ILLINOIS MIDWEST SPRINGFIELD CERVANTES RESTAURANT ADJ7364477 BENJAMIN SALAS CALI JEANS ILLINOIS MIDWEST SPRINGFIELD

ADJ7382446 FIDENCIO ESPINOZA MASTER BODY WORKS ILLINOIS MIDWEST SPRINGFIELD

ADJ7411078 MARLA DEL CARMEN HAMPTON INN ILLINOIS MIDWEST SPRINGFIELD HERNANDEZ ADJ7411078 MARLA DEL CARMEN YUM BRANDS/DBA TACO BELL ILLINOIS MIDWEST SPRINGFIELD HERNANDEZ ADJ7411105 MARLA DEL CARMEN HAMPTON INN ILLINOIS MIDWEST SPRINGFIELD HERNANDEZ ADJ7439668 MARIA GAYTAN MEDALI INC ILLINOIS MIDWEST SPRINGFIELD

ADJ7476321 RONALD CARDONA CALIFORNIA MARKET ILLINOIS MIDWEST SPRINGFIELD ACEITUNO 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 DOWN N DIRTY INC ILLINOIS MIDWEST SPRINGFIELD RAMIREZ ADJ7730712 HERCULANO NAVIDAD CITYSCAPE INC DC MILLER CO ILLINOIS MIDWEST SPRINGFIELD

ADJ7965478 LUCIANO GARCIA POMONA COIN LAUNDRY ILLINOIS MIDWEST SPRINGFIELD CORTEZ ADJ7968764 FERDINAND AGITO AMGEM HOMECARE ILLINOIS MIDWEST SPRINGFIELD

ADJ8028990 JORGE CHAVEZ MI PIACE RESTAURANTS ILLINOIS MIDWEST SPRINGFIELD

73 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ILLINOIS MIDWEST SPRINGFIELD CO 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 ILLINOIS MIDWEST SPRINGFIELD SPRINGS OWNER ASSOCIATION ADJ8648183 MARY BOULTON NORTH L A COUNTY ILLINOIS MIDWEST SPRINGFIELD REGIONAL CENTER ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI ILLINOIS MIDWEST SPRINGFIELD FASHION INC 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 AMERICA ADJ7548288 MARIBEL BARAJAS INDEX FRESH INC INDEX FRESH INC ADJ2871094 MICHAEL BUCK SANTA BARBARA FIRE DEPT. INNOVATIVE CLAIMS RANCHO CORDOVA ADJ7457444 JOSE GAMINO PINNACLE PRECISION SHEET INS CO OF THE WEST METAL WOODLAND HILLS ADJ7603118 BENJAMIN OCHOA BROWNCO CONSTRUCTION INS CO OF THE WEST WOODLAND HILLS ADJ7785454 VERENICE CADENA VEG-LAND INC INS CO OF THE WEST WOODLAND HILLS ADJ9034875 SALVADOR SANCHEZ ELECTRO ADAPTER INS CO OF THE WEST WOODLAND HILLS ADJ7171753 DOMINGO MOTA METAL ART OF CALIFORNIA INSURANCE CO OF THE WEST PLEASANTON

74 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7659094 PEDRO SANDOVAL COMMERCIAL WOOD INSURANCE CO OF THE WEST PRODUCTS PLEASANTON ADJ7726446 JOSE MARTINEZ EPLASTERING INSURANCE CO OF THE WEST PLEASANTON ADJ8497094 ALFREDO INFANTE POSO RIDGE INSURANCE CO OF THE WEST PLEASANTON ADJ8527000 ANTONIA CHAVEZ ABEL PRODUCE INSURANCE CO OF THE WEST PLEASANTON ADJ8719056 PEDRO RODRIGUEZ PREMIER TRAILER INSURANCE CO OF THE WEST MANUFACTURING PLEASANTON ADJ8948892 SANTOS MEJIA DOMINOS PIZZA INSURANCE CO OF THE WEST PLEASANTON ADJ1147999 HERMINIO PONCE SUN LEE, INC. INSURANCE CO OF THE WEST SAN DIEGO ADJ1267762 ALEJANDRO JIMENEZ ONE HOUR HEATING & AIR INSURANCE CO OF THE WEST SAN DIEGO ADJ3427631 JOSE FLORES HOOMAN PONTAIC INSURANCE CO OF THE WEST SAN DIEGO ADJ460259 MARY VALTIERRA THE EBERLY CO INSURANCE CO OF THE WEST SAN DIEGO ADJ6818414 BENJAMIN MORALES WESTERN TUBE & CONDUIT INSURANCE CO OF THE WEST CORP SAN DIEGO ADJ6846179 WILLIAM LINARES NATIONAL SALES CORP INSURANCE CO OF THE WEST SAN DIEGO ADJ6916374 MARCO MEONOZ WEST PICO FOODS INSURANCE CO OF THE WEST SAN DIEGO ADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS INSURANCE CO OF THE WEST ASSOCIATION SAN DIEGO ADJ7128820 CARLOS HERNANDEZ PAVOR DECOR MASONRY INC INSURANCE CO OF THE WEST MORENO SAN DIEGO ADJ7130936 JORGE MORALES ALL AMERICAN PRODUCTS INSURANCE CO OF THE WEST GROUP SAN DIEGO ADJ7139464 OLIVIA TREVINO MCDONALD S INSURANCE CO OF THE WEST SAN DIEGO ADJ7183478 PATRICIA CARRILLO DUNHAM METAL PROCESSING INSURANCE CO OF THE WEST SAN DIEGO ADJ7298155 CARMEN MEDINA BARCO UNIFORMS INSURANCE CO OF THE WEST SAN DIEGO ADJ7504685 JANET COLLMAN CARRIAGE INN INSURANCE CO OF THE WEST SAN DIEGO ADJ7505525 ENRIQUE GIL OROZCO PACIFIC SHORES MASONRY INSURANCE CO OF THE WEST INC SAN DIEGO

75 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7554176 MARIO TEJEDA C S DRYWALL INC INSURANCE CO OF THE WEST SAN DIEGO ADJ7623114 LORENZO EVOLUTION FRESH INC INSURANCE CO OF THE WEST MALDONADO SAN DIEGO ADJ7644011 JENNIFER YSAIS AMERAFLEX INC INSURANCE CO OF THE WEST SAN DIEGO ADJ7662737 CANDIDO CRUZ FOAMY CAR WASH LLC INSURANCE CO OF THE WEST SAN DIEGO ADJ7684296 ISIDRO HERNANDEZ HALLMARK SOUTHWEST CORP INSURANCE CO OF THE WEST SAN DIEGO ADJ7689152 MARTINA IRAHETA BALSEAL ENGINEERING INC INSURANCE CO OF THE WEST SAN DIEGO ADJ7705527 JIM WEST A 1 ELECTRIC INSURANCE CO OF THE WEST SAN DIEGO ADJ7705529 JIM WEST A 1 ELECTRIC INSURANCE CO OF THE WEST SAN DIEGO ADJ7712427 SELVIN REYES MOBILE TRAILER WORKS INC INSURANCE CO OF THE WEST SAN DIEGO ADJ7726446 JOSE MARTINEZ EPLASTERING INSURANCE CO OF THE WEST SAN DIEGO ADJ7732343 ENRIQUE CISNEROS CRANEVEYOR CORPORATION INSURANCE CO OF THE WEST SAN DIEGO ADJ7750788 OTILIO CHIRINO HOLLYWOOD PARK CASINO INSURANCE CO OF THE WEST SAN DIEGO ADJ7918373 SALVADOR DIVERSIFIED PRINTERS INC INSURANCE CO OF THE WEST MALDONADO SAN DIEGO ADJ7942590 JORGE LOPEZ BODEGA LATINA INSURANCE CO OF THE WEST CORPORATION SAN DIEGO ADJ7987505 MARIA SANDOVAL GRAZLANOS PLZZA LT KIDS INSURANCE CO OF THE WEST INC SAN DIEGO ADJ8027549 MARIA MEZA OMNIA ITALIAN DESIGN INC INSURANCE CO OF THE WEST SAN DIEGO ADJ8050144 DARRELL HARRELL SOUTHERN WINE SPIRITS INSURANCE CO OF THE WEST SAN DIEGO ADJ8083786 DAVID GUTIERREZ MOTHERS NUTR1TLONAL INSURANCE CO OF THE WEST CENTER INC SAN DIEGO ADJ8124553 CLAUDE FLOWERS BENDER WAREHOUSE INSURANCE CO OF THE WEST COMPANY SAN DIEGO ADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC INSURANCE CO OF THE WEST SAN DIEGO ADJ8319141 SIXTO RIVERA HARRY GROUP INC DBA MKC INSURANCE CO OF THE WEST EXPRESS DBA 3 DOG SAN DIEGO

76 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8445752 JOSE AGUAYO RAMIREZ FOAM CONCEPTS INC INSURANCE CO OF THE WEST SAN DIEGO ADJ8566294 FRANCISCA ARELLANO JEM SPORTS WEAR INC INSURANCE CO OF THE WEST SAN DIEGO ADJ8616787 MIGUEL TAPIA NFM RECYCLING INSURANCE CO OF THE WEST SAN DIEGO ADJ8715739 JUAN JOSE CARILLO SHARPE INTERIOR SYSTEMS INSURANCE CO OF THE WEST INC SAN DIEGO ADJ8786770 BERTHA ACOSTA QUALITY ALUMINUM INSURANCE CO OF THE WEST SAN DIEGO ADJ8975312 JAIME ORTIZ SGF PRODUCE HOLDING INSURANCE CO OF THE WEST CORP. SAN DIEGO ADJ9054910 LINO LICEA SOUTHWEST OFFSET INSURANCE CO OF THE WEST PRINTING COMPANY INC SAN DIEGO ADJ9081611 PAULA ROSALES MICHAEL STARS INC INSURANCE CO OF THE WEST SAN DIEGO ADJ9204823 JESUS PEDROZA WEST COAST PAINTING INSURANCE CO OF THE WEST SAN DIEGO ADJ9211193 MARIA RAMIREZ DMSI STAFFING INSURANCE CO OF THE WEST SAN DIEGO ADJ1090401 ROBERT PALMER LOS ANGELES COUNTY FIRE INTERCARE 14243 ORANGE ADJ1230843 CORINA CASTRO LA COUNTY PARKS & INTERCARE 14243 ORANGE RECREATIONS 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 INTERCARE 14243 ORANGE CHILDREN SER ADJ2689701 OLIVIA ORTIZ COUNTY OF LA/CHILD INTERCARE 14243 ORANGE SUPPORT SERVICES 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 INTERCARE 14243 ORANGE SUPERIOR COURT ADJ6674049 FELICIA DIVINITY COUNTY OF LA INTERNAL INTERCARE 14243 ORANGE SERVICE DEPT ADJ6674530 SUSAN WATERMAN LOS ANGELES COUNTY INTERCARE 14243 ORANGE SUPERIOR COURT ADJ6940258 DORIS DOWNS LA COUNTY INTERNAL SVCS INTERCARE 14243 ORANGE DPT ADJ6974921 EWANDA MOSLEY LOS ANGELES COUNTY INTERCARE 14243 ORANGE SUPERIOR COURTQ

77 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7457434 ROSA MARIA COUNTY OF L A CHILD INTERCARE 14243 ORANGE CONCEPCION SUPPORT ADJ7477204 CHARLES WRIGHT COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ANGELES FIRE PROTECTION ADJ7567231 ROSE MACHADO LOS ANGELES SUPERIOR INTERCARE 14243 ORANGE COURT ADJ7774976 JUDITH BERNARD COUNTY OF LA CHILD INTERCARE 14243 ORANGE CROW SUPPORT SERVICES ADJ8063897 MILDRED DU COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE SUPERIOR COURT OFFICERS ADJ8321396 SOCORRO VALENZUELA LOS ANGELES SUPERIOR INTERCARE 14243 ORANGE COURT ADJ8455925 VIVIAN REVILLA LOS ANGELES SUPERIOR INTERCARE 14243 ORANGE COURT ADJ8467416 MICHELLE SILVERMAN COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ8685063 ADRIANNA WEST COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE FIRE DEPARTMENT ADJ6940258 DORIS DOWNS LA COUNTY INTERNAL SVCS INTERCARE 5915 ORANGE DPT 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 INTERCARE 5915 ORANGE LIMOUSINE EXPRESS ADJ8266758 CAROLINA SUPER CENTER INTERCARE CIGA GLENDALE HERNANDEZ 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 INTERCARE IRVINE CLOSED EMPLOYERS 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6687390 GABRIELA OCHOA ACCUPRINT SERVICES INC INTERCARE PASADENA RODRIGUEZ ADJ6687390 GABRIELA OCHOA PERSONA 1 HR INTERCARE PASADENA RODRIGUEZ 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 INTERCARE PASADENA CADILLAC 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 NEWPORT WINDOW INTERCARE PASADENA ESCOBAR MAINTENANCE 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 INTERCARE ROSEVILLE NEWS 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 INTERCARE ROSEVILLE INC ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN INTERCARE ROSEVILLE RESTAURANT ADJ8746840 GUILIBALDO DUENAS UNITED METAL PRODUCTS INTERCARE ROSEVILLE INC

79 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ9122599 CARLOS GOVEA CREAM OF THE CROP AG INTERCARE ROSEVILLE ALCOCER SERVICE 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 KAISER OAKLAND PLAN 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 KAISER PERMANENTE MEDICAL GROUP GROUP ADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN & ASSOC ADJ483352 DEBRA ANDREFF ANAHEIM UNION HIGH KEENAN & ASSOCIATES SCHOOL DISTRICT ADJ8049560 LILIA ZETINA VAL VERDE UNIFIED SCHOOL KEENAN ASSOCIATES RANCHO DIST CORDOVA ADJ2285987 BRIAN FAUX CANYON SPRINGS HIGH KEENAN ASSOCIATES RIVERSIDE SCHOOL ADJ6608617 ROSEMARY LOPEZ RIALTO UNIFIED SCHOOL KEENAN ASSOCIATES RIVERSIDE DISTRICT ADJ7066372 MARTHA MAYORGA GLENDALE UNIFIED SCHOOL KEENAN ASSOCIATES RIVERSIDE DISTRICT ADJ7072179 JACQUELINE PERRIS SCHOOL DISTRICT KEENAN ASSOCIATES RIVERSIDE DUPERRON ADJ7171668 MAYRA PICAZO CORONA NORCO UNIFIED KEENAN ASSOCIATES RIVERSIDE SCHOOL DISTRICT ADJ7297064 DAVID WOLFE PERRIS SCHOOL DISTRICT KEENAN ASSOCIATES RIVERSIDE

ADJ8162315 JANICE BENFORD VAL VERDE UNIFIED SCHOOL KEENAN ASSOCIATES RIVERSIDE DISTRICT ADJ2340846 DONNA SCOTT CYPRESS SCHOOL DISTRICT KEENAN ASSOCIATES TORRANCE ROBERTSON ADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN ASSOCIATES TORRANCE

ADJ273599 NANCY KARPOFF BEVERLY HILLS UNIFIED KEENAN ASSOCIATES TORRANCE SCHOOL DISTRI ADJ3418087 CLANCELL SHARP MT SAN ANTONIO COLLEGE KEENAN ASSOCIATES TORRANCE

80 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3669310 NANCY LUNA GLENDALE COMMUNITY KEENAN ASSOCIATES TORRANCE COLLEGE ADJ3980297 JAKA LOVRIC LONG BEACH CITY COLLEGE KEENAN ASSOCIATES TORRANCE

ADJ483352 DEBRA ANDREFF ANAHEIM UNION HIGH KEENAN ASSOCIATES TORRANCE SCHOOL DISTRICT ADJ6435716 LUSINE MANUKYAN CLAIM QUEST INC KEENAN ASSOCIATES TORRANCE

ADJ6435716 LUSINE MANUKYAN SOUTHERN CALIFORNIA KEENAN ASSOCIATES TORRANCE PRESBYTERIAN HOMES ADJ6957398 CATHERINE CICI PRESBYTERIAN KEENAN ASSOCIATES TORRANCE INTERCOMMUNITY HOSPITAL

ADJ7198864 ADRIANA CRUZ EL CAMINO KEENAN ASSOCIATES TORRANCE SANDOVAL COLLEGEJCOMPTON COMMUNITY COLLEGE ADJ7204710 TINA NGUYEN COAST COMMUNITY COLLEGE KEENAN ASSOCIATES TORRANCE DISTRICT ORANGE COAST COLLEGE ADJ7265476 JOSE SANCHEZ IRVINE UNIFIED SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ7309301 BRIAN MCMAHON NORTH ORANGE COUNTY KEENAN ASSOCIATES TORRANCE REGIONAL OCCUPATIONAL PROGRAM ADJ7394827 ROSARIO VILLAFANA DE CULVER CITY UNIFIED KEENAN ASSOCIATES TORRANCE YANEZ SCHOOL DISTRICT ADJ7412806 LORETTA PADRON HOAG HOSPITAL KEENAN ASSOCIATES TORRANCE

ADJ7513093 CHITA AVALOS BRIGHT MEDICAL ASSOCIATES KEENAN ASSOCIATES TORRANCE

ADJ7533845 MARTHA DIAZ GLENDALE UNIFIED SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ8004073 EVELEEN IBRAHIM TORRANCE UNIFIED SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ8501284 SHANE CASSIDY NORTH ORANGE COUNTY KEENAN ASSOCIATES TORRANCE ROP ADJ8473212 DAREN HANDY KERN SCHOOLS FEDERAL KERN SCHOOLS FEDERAL CREDIT CREDIT UNION UNION ADJ1922126 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7503817 BARBARA PRICE LA COUNTY DPSS LA COUNTY DPSS HAWTHORNE HAWTHORNE MEDICAL MEDICAL REGIONAL REGIONAL ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT LA COUNTY SHERIFFS DEPT ADJ8166512 MARYANNE VIRGINIA LA UNIFIED SCHOOL DISTRICT LA UNIFIED SCHOOL DISTRICT THOMPSON 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 LIBERTY MUTUAL FUND ADJ1936131 TROY FUCONE PACIFIC WEST LITHO INC LIBERTY MUTUAL ADJ104874 JIMMY CHAVEZ UNITED PARCEL SERVICE LIBERTY MUTUAL 29073 GLENDALE ADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED LIBERTY MUTUAL 29073 SCHOOL DIST GLENDALE ADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED LIBERTY MUTUAL 29073 SCHOOL DISTRICT GLENDALE ADJ1218134 ANNIE KEATON USC MEDICAL CENTER LIBERTY MUTUAL 29073 GLENDALE ADJ1435429 SHERRILL WALKER LAUSD LIBERTY MUTUAL 29073 HALLIDAY GLENDALE ADJ1797324 DANIEL DOYLE BRINKS INCORPORATION LIBERTY MUTUAL 29073 GLENDALE ADJ1879966 DAVID ANTHONY LAUSD LIBERTY MUTUAL 29073 CHARLES GLENDALE ADJ1978684 HERNAN NARVAEZ UPS LIBERTY MUTUAL 29073 GLENDALE ADJ2083382 SANDRA WOMELY KING DREW MEDICAL CENTER LIBERTY MUTUAL 29073 GLENDALE ADJ2388316 ROSA SALAS COUNTY OF LOS LIBERTY MUTUAL 29073 ANGELES/DPSS GLENDALE ADJ2396233 STEVEN BECKER SCHNEIDER NATIONAL LIBERTY MUTUAL 29073 CARRIERS GLENDALE ADJ3282003 RITA HAMILTON HIGH DESERT HOSPITAL LIBERTY MUTUAL 29073 GLENDALE ADJ3790090 GEORGE GRISOLIA LOS ANGELES UNIFIED LIBERTY MUTUAL 29073 SCHOOL DIST. GLENDALE

82 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3925146 NADINE REDMOND LAUSD LIBERTY MUTUAL 29073 GLENDALE ADJ4131670 VERNISE DORSEY LOS ANGELES UNIFIED LIBERTY MUTUAL 29073 SCHOOL DISTRICT GLENDALE ADJ441941 TOM TINH HUA SMC PNEUMATICS INC LIBERTY MUTUAL 29073 GLENDALE ADJ4609061 MIRIAM PORTER LAUSD LIBERTY MUTUAL 29073 GLENDALE ADJ469162 DORIS COLEMAN LOS ANGELES COUNTY KING LIBERTY MUTUAL 29073 GLENDALE ADJ497261 RAYMOND DELAYO ALTA DENA CERTIFIED DAIRY LIBERTY MUTUAL 29073 GLENDALE ADJ6443985 GRACIELA CHAVARRIA BORDERS GROUP LIBERTY MUTUAL 29073 GLENDALE ADJ6610200 MANUEL RENDEROS SAN GABRIEL TRANSIT INC LIBERTY MUTUAL 29073 GLENDALE ADJ6658921 CHARLES MCGEE PRIMARY STEEL LIBERTY MUTUAL 29073 GLENDALE ADJ6726111 JOSE DE LA CRUZ CHARLES EVERETT RADNEY LIBERTY MUTUAL 29073 GLENDALE ADJ6726111 JOSE DE LA CRUZ JOSEPH CHARLES LANG AS SUB LIBERTY MUTUAL 29073 SHLDR OF MSR GLENDALE CONSTRUCTION INC ADJ6726111 JOSE DE LA CRUZ MARIA MUNOZ SUB LIBERTY MUTUAL 29073 SHAREHOLDER OF MSR GLENDALE CONSTRUCTION INC ADJ6726111 JOSE DE LA CRUZ MARK STEVEN RYCZ DBA MSR LIBERTY MUTUAL 29073 CONSTRUCTION CO GLENDALE ADJ6773365 STANLEY JOHNSON ATLANTIC EXPRESS OF LIBERTY MUTUAL 29073 CALIFORNIA GLENDALE ADJ6960571 GILBERTO SALAS WEB PAINTING AND LIBERTY MUTUAL 29073 WALLCOVERING INC GLENDALE ADJ7124781 TOMAS LOPEZ DIAZ STRAHM FARMS INC LIBERTY MUTUAL 29073 GLENDALE ADJ7209096 EFREN CAMPA RASCON WEST COAST ARBORIST INC LIBERTY MUTUAL 29073 GLENDALE ADJ7215235 MARIO ANTONIO SKY CHEFS INC LIBERTY MUTUAL 29073 ANGEL GLENDALE ADJ7249543 DALE HUGHESMAN HANSON AGGRAGATES LIBERTY MUTUAL 29073 GLENDALE ADJ7322718 VICTOR RAMIREZ UPS FREIGHT LIBERTY MUTUAL 29073 GLENDALE

83 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7331492 PAULA ARTEAGA ALLSTYLE APPAREL AND LIBERTY MUTUAL 29073 ACTIVE WEAR GLENDALE ADJ7343900 FELIX ADAME CALLAWAY GOLF COMPANY LIBERTY MUTUAL 29073 GLENDALE ADJ7479130 SILVERIO JUAREZ GLOBAL BUILDING SERVICES LIBERTY MUTUAL 29073 INC GLENDALE ADJ7584683 ANTONIO OLIVARES WEST COAST ARBORIST LIBERTY MUTUAL 29073 GLENDALE ADJ7590260 RANULFO GARCIA CROWN DISPOSAL CO INC LIBERTY MUTUAL 29073 GLENDALE ADJ7728133 LIZET CORONA CUSTOM FOOD PRODUCTS LIBERTY MUTUAL 29073 LLC GLENDALE ADJ7732284 SUSAN BAKER JCPENNY LIBERTY MUTUAL 29073 GLENDALE ADJ7776297 GLORIA ALVAREZ SOUTHERN CALIFORNIA PIZZA LIBERTY MUTUAL 29073 LERMA DBA PIZZA HUT GLENDALE ADJ7872648 MARINA NAVARRO CERADYNE, INC LIBERTY MUTUAL 29073 GLENDALE ADJ7895643 LISA ELDER UPS LIBERTY MUTUAL 29073 GLENDALE ADJ7926725 VICTOR MORENO SELECT STAFFING LIBERTY MUTUAL 29073 GLENDALE ADJ7942505 MARIA FLORES BORDERS GROUP LIBERTY MUTUAL 29073 GLENDALE ADJ7949988 SILVAEL VIRGEN SELECT STAFFING LIBERTY MUTUAL 29073 GLENDALE ADJ8019009 PEGGY VAN DEN COOP FINANCIAL SERVICES LIBERTY MUTUAL 29073 EECKHOUT GLENDALE ADJ8050378 JOSE GARCIA J B HUNT TRANSPORT INC LIBERTY MUTUAL 29073 GLENDALE ADJ8099214 LUCIA BARRAGAN FRESH AND EASY LIBERTY MUTUAL 29073 NEIGHBORHOOD MARKET GLENDALE ADJ8405909 FRANCISCO MARTINEZ ALSTYLE APPAREL LIBERTY MUTUAL 29073 GLENDALE ADJ8427136 VICTOR TORRES WEST COAST ARBORIST INC LIBERTY MUTUAL 29073 GLENDALE ADJ8451232 JUAN CARLOS OCHOA TRI STATE STAFFING LIBERTY MUTUAL 29073 GLENDALE ADJ8455958 RYAN ALCALA UPS LIBERTY MUTUAL 29073 GLENDALE ADJ8516421 RAFAEL MELCHOR SBARRO PIZZA LIBERTY MUTUAL 29073 GLENDALE

84 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8804340 CHRISTOPHER ROMERO UPS LIBERTY MUTUAL 29073 GLENDALE ADJ8854867 FAUSTINO HERNANDEZ SIM FARM LABOR LIBERTY MUTUAL 29073 GONZALEZ GLENDALE

ADJ8867088 MAGDALENO CRUZ AVX FILTERS LIBERTY MUTUAL 29073 GLENDALE ADJ9204823 JESUS PEDROZA WEST COAST PAINTING LIBERTY MUTUAL 29073 GLENDALE ADJ9484538 KAREN VARELA TRANSTAR INDUSTRIES LIBERTY MUTUAL 29073 GLENDALE ADJ6531645 BERTHA SALAZAR DAN GAMEL INC LIBERTY MUTUAL BEAVERTON ADJ6805770 JUAN CARDENAS LIFOAM INDUSTRIES LIBERTY MUTUAL BEAVERTON ADJ7011391 JESUS AKA SAMUEL PACIFIC MAINTENANCE LIBERTY MUTUAL BEAVERTON MARTINEZ ARELLANO SERVICS INC 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 LIBERTY MUTUAL BEAVERTON INC 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 LIBERTY MUTUAL BEAVERTON INDUSTRIES INC ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO LIBERTY MUTUAL BEAVERTON ADJ7907962 PATRICIA ORTIZ PLATINUM GROUP OF LIBERTY MUTUAL BEAVERTON COMPANIES 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 LIBERTY MUTUAL BEAVERTON SALES ADJ8418006 DULCE POOT TAPCO SALES LIBERTY MUTUAL BEAVERTON ADJ8574154 ALVARO SAMAYOA ASHLEY FURNITURE LIBERTY MUTUAL BEAVERTON CARRERA INDUSTRIES ADJ8593960 OLIVER GOMEZ FRESH AND EASY LIBERTY MUTUAL BEAVERTON NEIGHBORHOOD MARKET

85 Michael R. Drobot Industrial Pharmacy Management MediLab 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 LIBERTY MUTUAL ORANGE CENTER 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 FLYING FOOD GROUP PACIFIC LIBERTY MUTUAL ORANGE AKARACHAIWAT 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 LIBERTY MUTUAL ORANGE BEACH PLAZA ADJ7248840 FRANCISCA ARIAS NATURAL PRODUCTS GROUP LIBERTY MUTUAL ORANGE LLC ADJ7274556 REFUGIO NAVARRO MODULAR STRUCTURES LIBERTY MUTUAL ORANGE INTERNATIONAL INC 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 LIBERTY MUTUAL PLEASANTON INC ADJ7905996 ISAIAS ESTRADA RIVERSIDE LAMINATION LIBERTY MUTUAL PLEASANTON

ADJ8895905 EDUARDO FLORES NEW FRENCH BAKERY LIBERTY MUTUAL PLEASANTON GARCIA 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 LIBERTY MUTUAL ROCKLIN SERVICES 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 Management MediLab 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 LIBERTY MUTUAL ROCKLIN DAZIAN RENTAL WEST 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 COTO DE GOLF RACQUET LIBERTY MUTUAL ROCKLIN HUERTA CLUB ADJ8162332 SILVIA ROSALES RED LOBSTER LIBERTY MUTUAL ROCKLIN ADJ8193894 ROSALINDA ACOSTA KREBS ENTERPRISES INC LIBERTY MUTUAL ROCKLIN ADJ8208317 JORGE ARAGON AMERICAN PAPER AND LIBERTY MUTUAL ROCKLIN PLASTIC INC 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 LOMA LINDA UNIVERSITY LOMA LINDA UNIVERSITY LOMA BIRKENBEUEL MEDICAL CENTER LINDA ADJ7310937 JENNIFER HERRERA LOMA LINDA UNIVERSITY LOMA LINDA UNIVERSITY BIRKENBEUEL MEDICAL CENTER MEDICAL CENTER ADJ6883592 PAMELA BROWN LONG BEACH UNIFIED LONG BEACH UNIFIED SCHOOL SCHOOL DISTRICT DISTRICT ADJ8202355 RAQUEL SANCHEZ LORTONS FRESH SQUEEZED LORTONS FRESH SQUEEZED JUICES JUICES ADJ8690819 SILVIA BECERRA LOS ANGELES COUNTY DPSS LOS ANGELES COUNTY DPSS

ADJ8690819 SILVIA BECERRA STATE OF CALIFORNIA IN LOS ANGELES COUNTY DPSS HOME SUPPORTIVE SERVICES

87 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1485800 ROSA NUNEZ LOS ANGELES COUNTY/M.L.K. LOS ANGELES COUNTY/KING HOSPITAL DREW MED CT ADJ1388972 DEBRA BEAVERS LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ222353 JACQUELINE AMAH LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ6996238 DAPHNE FEIMSTER LOS ANGELES COUNTY MTA LOS ANGELES METROPOLITAN AUTHORITY ADJ7477035 GEORGE SANDOVAL LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ7499028 WANDA PEGG LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ7572224 JACQUELINE TRAPP MTA LOS ANGELES METROPOLITAN AUTHORITY ADJ7847637 ANNIE HUNTER MTA LOS ANGELES METROPOLITAN AUTHORITY ADJ8689418 LONNIE STAFFORD MTA LOS ANGELES METROPOLITAN AUTHORITY ADJ8799431 MARTHA SAMPANG LOS ANGELES METROPOLITAN LOS ANGELES METROPOLITAN TRANSIT AUTHORITY AUTHORITY

ADJ937838 JACQUELINE AMAH LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ8799431 MARTHA SAMPANG LOS ANGELES METROPOLITAN LOS ANGELES METROPOLITAN TRANSIT AUTHORITY TRANSIT AUTHORITY

ADJ6641906 KATIUSKA CASTANEDA LOS ANGELES UNIFIED LOS ANGELES UNIFIED SCHOOL SCHOOL DISTRICT DISTRICT ADJ7366412 SHERRILL WALKER LOS ANGELES UNIFIED LOS ANGELES UNIFIED SCHOOL HALLIDAY SCHOOL DISTRICT DISTRICT ADJ7452188 EUGENE FAIR LOS ANGELES UNIFIED LOS ANGELES UNIFIED SCHOOL SCHOOL DISTRICT DISTRICT ADJ8152220 ANDRES LOPEZ INTERFACE LUMBERMENS MUTUAL CASUALTY ADJ8327797 JOHNNY BUSTOS DIAMOND STAFFING LUMBERMENS MUTUAL CASUALTY ADJ2310447 BORIS GUTIERREZ M.C. GILL CORPORATION LUMBERMEN'S UNDERWRITING ALLIANCE ADJ6916764 MIGUEL ZARAGOZA OAKMONT EL RIVINO LLC LUMBERMENS UNDERWRITING BOCA RATON ADJ7218207 DOMINGO MEJIA TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON

88 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7265287 CRISTINA QUINTANILLA STAFF CHEX LUMBERMENS UNDERWRITING BOCA RATON ADJ7265287 CRISTINA QUINTANILLA STAFFCHEX TRI STATE LUMBERMENS UNDERWRITING STAFFING BOCA RATON ADJ7505328 BRITTANIE JENSEN PREMIER MEDICAL LUMBERMENS UNDERWRITING TRANSPORTATION BOCA RATON ADJ7522199 ALFONSO AREVALO UNITED PERSONNEL LUMBERMENS UNDERWRITING SOLUTIONS BOCA RATON ADJ7523890 TODD STIER MAGNOLIA SPECIAL CARE LUMBERMENS UNDERWRITING CENTER BOCA RATON ADJ7599957 JOSE DE LA TORRE TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ7648215 EDILVERTO ADRIAN DE AMERICAN WORK FORCE LUMBERMENS UNDERWRITING PAZ BOCA RATON ADJ7678864 MIGUEL FRIAS MR CLEAN LUMBERMENS UNDERWRITING BOCA RATON ADJ7744200 RYAN BOBLETER TRI DIAMOND STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ7829727 JANET ARIAS STAFFCHEX INC LUMBERMENS UNDERWRITING BOCA RATON ADJ7906266 MANUEL DE JESUS DIAMOND STAFFING INC LUMBERMENS UNDERWRITING TURCIOS BOCA RATON ADJ7959440 ERICKA ROMERO TRISTATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ7969749 MARIO AZHOCAR MAINSTAY BUSINESS LUMBERMENS UNDERWRITING SOLUTIONS BOCA RATON ADJ7969749 MARIO AZHOCAR TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ8013445 ARISTEO HERMOSILLO MR CLEAN MAIINTENANCE LUMBERMENS UNDERWRITING SYSTEMS BOCA RATON ADJ8017131 HEIDI BOLANOS NOVA STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ8031501 FRANCISCO MONTUFAR SPECIALTY INTERNATIONAL LUMBERMENS UNDERWRITING BOCA RATON ADJ8064724 MAURO DEL VALLE IS STAFFING INC LUMBERMENS UNDERWRITING BOCA RATON ADJ8092937 WILLIAM BARNWELL FAST UNDERCAR LUMBERMENS UNDERWRITING BOCA RATON ADJ8164871 SOCORRO LOPEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ8214820 MARTHA VERONICA TRI STATE STAFFING LUMBERMENS UNDERWRITING SOTELO BOCA RATON

89 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8247077 BLANCA AGUILAR VANITAS MANUFACTURERS LUMBERMENS UNDERWRITING INC BOCA RATON ADJ8338529 RAUL JOSE VASQUEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ8386253 ERNESTO ALVAREZ TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ8413729 RENE ROSALES JIMENEZ TS STAFFING CORPORATION LUMBERMENS UNDERWRITING DBA TRI STATE BOCA RATON

ADJ8511826 JESSIE GOMEZ TRISTATE STAFFING DBA LUMBERMENS UNDERWRITING DIAMOND STAFFING SERVICES BOCA RATON

ADJ8608576 DAVID YOUNGER TRI STATE STAFFING INC LUMBERMENS UNDERWRITING BOCA RATON ADJ8615415 MIGUEL TORRES DIAMOND CONTRACT LUMBERMENS UNDERWRITING SERVICES INC BOCA RATON ADJ8704723 PRESILIANA HUANTE ACCOUNTABILITY LUMBERMENS UNDERWRITING BOCA RATON ADJ8859160 FELIPE HERNANDEZ TRI STATE STAFFING LUMBERMENS UNDERWRITING BOCA RATON ADJ9166552 RAUL ARREDONDO COMMERCIAL COOLING LUMBERMENS UNDERWRITING BOCA RATON ADJ9166552 RAUL ARREDONDO TEAM QUEST STAFFING LUMBERMENS UNDERWRITING SERVICES BOCA RATON ADJ9480924 JORGE REYES ACCOUNT ABILITIES LUMBERMENS UNDERWRITING BOCA RATON ADJ8013348 DANIEL LUCERO PRECISION RELOCATION LWP CLAIMS GLENDALE ADJ8319536 PATRICIA DE LA CRUZ ROMAN CATHOLIC BISHOP OF LWP CLAIMS GLENDALE SB 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 LWP CLAIMS SACRAMENTO ENTERPRISES 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 LWP CLAIMS SACRAMENTO CORPORATION ADJ8949552 TATIANA BUILES PREMIERE PROPS INC LWP CLAIMS SACRAMENTO

90 Michael R. Drobot Industrial Pharmacy Management MediLab 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 LWP CLAIMS SOLUTIONS INC ADJ8091194 FRANCISCO PACIFIC DAY CASTING CORP LWP CLAIMS SOLUTIONS VILLANUEVA ADJ4530447 HELEN ANN MACY'S MACYS LANCASTER ADJ7203639 BELIA DE FELICE MACYS MACYS ADJ7636824 CARLTON CLAY MACYS MACYS ADJ4530447 HELEN ANN MACY'S MACYS REDONDO BEACH LANCASTER 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 MACYS REDONDO BEACH MACYS REDONDO BEACH ROSAS ADJ7847817 ANAHID MACYS WEST MACYS REDONDO BEACH CHEKERDEMIAN 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 MAINSTAY BUSINESS SOLUTIONS SOLUTIONS ADJ7741676 MARIA FLORES MARIA ROCIO ASCENCION MARIA ROCIO ASCENCION ADJ7741676 MARIA FLORES MARIA ROCIO SENCION AN MARIA ROCIO ASCENCION IND DBA HAMNER MANOR 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 CO ADJ6726111 JOSE DE LA CRUZ JOSEPH CHARLES LANG AS SUB MARK STEVEN RYCZ DBA MSR SHLDR OF MSR CONSTRUCTION CO CONSTRUCTION INC ADJ6726111 JOSE DE LA CRUZ MARIA MUNOZ SUB MARK STEVEN RYCZ DBA MSR SHAREHOLDER OF MSR CONSTRUCTION CO CONSTRUCTION INC ADJ6726111 JOSE DE LA CRUZ MARK STEVEN RYCZ DBA MSR MARK STEVEN RYCZ DBA MSR CONSTRUCTION CO CONSTRUCTION CO ADJ493060 HECTOR TRETO TODAYS WAY MARKEL SERVICES OMAHA INCORPORATED ADJ6634000 JOSE ALAMILLA MILE SQUARE GOLF COURSE MARKEL SERVICES OMAHA

91 Michael R. Drobot Industrial Pharmacy Management MediLab 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 MARKEL SERVICES OMAHA FRAMING INC 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 NUMARK TKANSPORTATION MARKEL SERVICES OMAHA RODRIGUEZ 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 MARKEL SERVICES OMAHA COMPANY ADJ7252560 CARMEN MERLAN HAMPTON INN MARKEL SERVICES OMAHA ADJ7254883 FULGENCIO CASTRO LANDMARK CUSTOM MARKEL SERVICES OMAHA LANDSCAPE ADJ7274892 BLAS VALENZUELA ARCH HARDWARE INC MARKEL SERVICES OMAHA ADJ7318636 DANNY BANKS CPR CARPET AND UPHOLSTRY MARKEL SERVICES OMAHA CARE 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 MARKEL SERVICES OMAHA CONTRACTORS ADJ7502826 MARIA MAGDALENA ANAHEIM CROWN PLAZA MARKEL SERVICES OMAHA HERNANDEZ ADJ7646436 KAREN ALVAREZ WIENERSCHNITZEL MARKEL SERVICES OMAHA ADJ7740056 ROBERT FLORES SULLIVAN PROPERTIES INC MARKEL SERVICES OMAHA ADJ7776704 FERNANDO MONROY RELIABLE SHEET METAL MARKEL SERVICES OMAHA WORKS ADJ7777454 ARMANDO CRUZ AIRDYNE MECHANICAL MARKEL SERVICES OMAHA ADJ7805644 MARITSA ESPINOZA DENNIS FOLAND INC MARKEL SERVICES OMAHA ADJ7839847 MARIA ANGEL SALCEDO PARK VENTURA RETIREMENT MARKEL SERVICES OMAHA HOTEL ADJ8009675 MIGUEL ZAVALA RECISION AND COMMERCIAL MARKEL SERVICES OMAHA TOOL ADJ8058225 JUAN GUTIERREZ WEST END PLUMBING MARKEL SERVICES OMAHA ADJ8184292 DANIEL PADILLA HAPPY HARBOR RESTAURANT MARKEL SERVICES OMAHA

92 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8274926 ELIZABETH TAYLOR MOBILITY PLUS EQUIPMENT MARKEL SERVICES OMAHA SUPPLIES ADJ8519963 RENETTA SMITH PEAK PERFORMANCE MARKEL SERVICES OMAHA TANSPORTATION 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 MARRIOTT HOT SPRINGS INC 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 MATRIX LAS VEGAS SERVICES INC ADJ8045892 ROSARIO GASTELUM EL SUPER MATRIX RANCHO CUCAMONGA

ADJ9310075 ESPERANZA PACIFIC ALLIANCE MEDICAL MATRIX RANCHO CUCAMONGA MARROQUIN CENTER ADJ2164554 MARTA GOMEZ MICROSEMI MATRIX ROCKLIN ADJ6860471 SHIRLEY VILLARREAL SOUTH BAY FAMILY MEDICAL MATRIX ROCKLIN GROUP ADJ7155054 SANTOS ESPARZA VINTAGE PLASTERING INC MATRIX ROCKLIN ADJ8740666 MARIA PALACIOS DIAMOND CONTRACT MATRIX ROCKLIN SERVICES 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7193345 TOMAS AVILA S P CARPET PROS INC MEADOWBROOK INSURANCE LAS VEGAS ADJ7279929 EUSTORGIO NUNEZ TROPICAL PLAZA NURSERY MEADOWBROOK INSURANCE LAS VEGAS ADJ7548288 MARIBEL BARAJAS INDEX FRESH INC MEADOWBROOK INSURANCE LAS VEGAS ADJ7645724 ALEJANDRA CLEMENTE MEMOS FARM LABOR MEADOWBROOK INSURANCE LAS VEGAS ADJ7647708 MARIA LOPEZ GONZALEZ FARM LABOR MEADOWBROOK INSURANCE CONTRACTING LAS VEGAS ADJ7674761 ROBERT ANDERSON MILLER SUPPLY INC MEADOWBROOK INSURANCE LAS VEGAS ADJ7686519 JUAN MARTINEZ INTERNATIONAL TREND 3 MEADOWBROOK INSURANCE CORP LAS VEGAS ADJ8018376 HILARIO LOPEZ MA LABOR CONTRACTING MEADOWBROOK INSURANCE INC LAS VEGAS ADJ8047152 MARIO URUCHURTU CHIPOTLE MEXICAN GR1LL MEADOWBROOK INSURANCE LAS VEGAS ADJ8047152 MARIO URUCHURTU THE HABIT BURGER GRILL MEADOWBROOK INSURANCE LAS VEGAS ADJ8047152 MARIO URUCHURTU Z SPERE INC MEADOWBROOK INSURANCE LAS VEGAS ADJ8056229 MARIA TAMAYO HMN INC MEADOWBROOK INSURANCE LAS VEGAS ADJ8090967 MIRIAM MONTAY LOS ANGELES EARLY MEADOWBROOK INSURANCE INTERVENTION CENTER LAS VEGAS ADJ8124897 MARIA SOSA HUERTA FARMS MEADOWBROOK INSURANCE LAS VEGAS ADJ8163003 GORGONIO DUARTE JJ VALENCIA HARVESTING MEADOWBROOK INSURANCE LAS VEGAS ADJ8241861 GLORIA LOPEZ NUNEZ AG INC MEADOWBROOK INSURANCE LAS VEGAS ADJ8265733 CONSTANTINO LOPEZ WATSON AG CHEMICALS MEADOWBROOK INSURANCE LAS VEGAS ADJ8499515 GABRIEL VILLEGAS CENTRESCAPES MEADOWBROOK INSURANCE LAS VEGAS ADJ8504574 SONIA LOPEZ CLASSIC CONTAINERS MEADOWBROOK INSURANCE LAS VEGAS ADJ8702264 ENRIQUE MANJARREZ ROSELL CONTRACTING MEADOWBROOK INSURANCE LAS VEGAS ADJ8797437 ALEJANDRA VELORIA DL CONTRACTING MEADOWBROOK INSURANCE CASTELLANOS LAS VEGAS

94 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8813173 AURELIO VACA NNJ MODE INCYOUNG YI MEADOWBROOK INSURANCE FASHION INC LAS VEGAS ADJ8855449 PABLO GARCIA BAR 20 DAIRY FARMS MEADOWBROOK INSURANCE LAS VEGAS ADJ8945298 OFELIA VILLASENOR EY JHENT DBA SUPER BARGAIN MEADOWBROOK INSURANCE LAS VEGAS ADJ8989388 LUCIA MONTANO N GONZALEZ FARM LABOR MEADOWBROOK INSURANCE SERVICES LAS VEGAS ADJ8794684 CARLOS ESPINAL MERCHANTS BUILDING MERCHANTS BUILDING MAINTENANCE MAINTENANCE ADJ6816775 GEORGE HERNANDEZ GOLDEN STATE HEALTH METRO RISK LONG BEACH GARCIA CENTERS ADJ7155054 SANTOS ESPARZA VINTAGE PLASTERING INC METRO RISK LONG BEACH ADJ7406255 MARIA RAMIREZ 098 NORWALK SKILLED NRS METRO RISK LONG BEACH WELLNESS CENTER ADJ7407148 MARIA RAMIREZ 098 NORWALK SKILLED NRS METRO RISK LONG BEACH WELLNESS CENTER ADJ7773154 MARICELA OSUNA MAINSTAY BUSINESS METRO RISK LONG BEACH SOLUTIONS ADJ7839926 JENNIFER WILSON ASSISTED HEALTH CARE METRO RISK LONG BEACH ADJ7969749 MARIO AZHOCAR MAINSTAY BUSINESS METRO RISK LONG BEACH SOLUTIONS 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 METRO RISK LONG BEACH WELLNESS CENTER ADJ7407148 MARIA RAMIREZ 098 NORWALK SKILLED NRS METRO RISK LONG BEACH WELLNESS CENTER ADJ7724139 JUAN ALVAREZ PRIORITY PERSONNEL METRO RISK MANAGEMENT (INVALID) 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 ORANGE ADJ7652294 GRISELDA ORNELAS COTTI FOODS MID CENTURY INSURANCE PLEASANTON ADJ7652294 GRISELDA ORNELAS TACO BELL MID CENTURY INSURANCE PLEASANTON ADJ9060923 BENITO SANTIAGO MIS STAFFING SERVICES INC. MIS STAFFING SERVICES INC. ADJ6809067 SHAHID MANSOOR 7 11 STORES HOSAENG AND MITSUI SUMITOMO CINCINNATI HELEN KANG OWNERS

95 Michael R. Drobot Industrial Pharmacy Management MediLab 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 & MITSUI SUMITOMO UNIVERSAL MAINTENANCE CITY ADJ6818414 BENJAMIN MORALES WESTERN TUBE & CONDUIT MITSUI SUMITOMO UNIVERSAL CORP CITY ADJ7619983 MARIA HERNANDEZ IDS USA WEST INC MITSUI SUMITOMO UNIVERSAL CITY ADJ7699311 GUADALUPE CARRILLO IDS USA WEST MITSUI SUMITOMO UNIVERSAL INCORPORATION CITY ADJ7705393 VICTORIA SOLORZANO HIROSE ELECTRIC INC MITSUI SUMITOMO UNIVERSAL CASTRO CITY ADJ7714819 VICTOR VAZQUEZ CARROWS MITSUI SUMITOMO UNIVERSAL CITY ADJ8233220 GILBERTO GOMEZ DSS DOUGLAS STEEL SUPPLY MITSUI SUMITOMO UNIVERSAL CITY ADJ8337251 CUAUHUTEMOC CANNON SAFE IN MITSUI SUMITOMO UNIVERSAL VALDIVIA CITY ADJ8560411 EDUARDO UMANA 7 ELEVEN MITSUI SUMITOMO UNIVERSAL CITY ADJ8979349 BRIAN BARNETT CARROWS RESTAURANT MITSUI SUMITOMO UNIVERSAL CITY ADJ9405322 ELIDA GALLEGOS MIYAKO HIBRID HOTEL MITSUI SUMITOMO UNIVERSAL CITY ADJ9405322 ELIDA GALLEGOS RECANA SOLUTIONS MITSUI SUMITOMO UNIVERSAL CITY ADJ7470365 MIRNA MENDICUTI MOTEL 6 MOTEL 6 ADJ8689418 LONNIE STAFFORD MTA MTA ADJ3645002 EMILIANO BANDERAS PARAMOUNT'S GREAT MURPHY BEANE CULVER CITY AMERICA 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 RICHFIELD ADJ7483621 ROSIE NAVARRO UNITED OIL CO NATIONAL INTERSTATE RICHFIELD ADJ8455836 JOEL URIBE CASTON INC NATIONAL LIA AND FIRE SAN FRANCISCO ADJ7191125 CARLOS RODRIGUEZ AH FLOORS INC NATIONAL UNION FIRE INSURANCE PITTSBURG ADJ8416282 THOMAS RILEY RJ J CONSTRUCTION INC NATIONAL UNION FIRE INSURANCE PITTSBURG

96 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8063851 HASSAAN SALAAM TRADESMAN INTERNATIONAL NEW HAMPSHIRE INSURANCE COMPANY ADJ8616787 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 OAKVIEW CONSTRUCTION OAKVIEW CONSTRUCTION INC MOROYOQUI INC ADJ7274615 RICHARD REGAMBAL OCTA OCTA ADJ8233193 RICARDO AVILES PEERLESS BUILDING OLD REPUBLIC BROOKFIELD MAINTENANCE ADJ9137515 THELMA WILLIAMS VEOLIA TRANSPORTATION OLD REPUBLIC BROOKFIELD SERVICES ADJ151490 HARVEY EDER MILMAN LOCKSMITH ONE BEACON ANAHEIM COMPANY ADJ151490 HARVEY EDER UEBTF LOS ANGELES ONE BEACON ANAHEIM ADJ7671125 DOLORES CARABALLO IAG OIL ONCORPORATE ONE BEACON ANAHEIM ADJ7478168 MICHAEL MONAHAN NORTH VALLEY EMERGENCY ONE BEACON CANTON VETERINARY CLINIC

ADJ7478168 MICHAEL MONAHAN NORTH VALLEY EMERGENCY ONE BEACON ENGLEWOOD VETERINARY CLINIC

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 PACIFIC COMP CLAIM THOU INDUSTRIES OAKS ADJ2900586 FIDELINA CATALAN DUNKLEMAN INC PACIFIC COMP CLAIM THOU OAKS ADJ347863 BERNARD GARI TOYOTA OF GARDEN PACIFIC COMP CLAIM THOU GROVE/NOARUS AUTO OAKS ADJ4004260 ALFREDO DUARTE LOS ANGELES COLD STORAGE PACIFIC COMP CLAIM THOU OAKS ADJ4700525 CARLOS FUENTES WORLD VARIETY PRODUCE PACIFIC COMP CLAIM THOU OAKS ADJ482232 CHRISTOPHER PACK MEDWAY PLASTICS PACIFIC COMP CLAIM THOU CORPORATION OAKS ADJ520016 CHRISTOPHER PACK MEDWAY PLASTICS PACIFIC COMP CLAIM THOU OAKS

97 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6546546 INOCENCIO OBREGON HOLMES BODY SHOP INC PACIFIC COMP CLAIM THOU OAKS ADJ6564695 SILVIA ESCOBEDO TMI PRODUCTS INC PACIFIC COMP CLAIM THOU OAKS ADJ6602428 JOB CARDER VINE DINING ENTERPRISES PACIFIC COMP CLAIM THOU DBA LEFT BANK OAKS ADJ6702803 JUAN MARTINEZ MONTROY SUPPLY COMPANY PACIFIC COMP CLAIM THOU OAKS ADJ6795839 MARIA GUZMAN MAG INSTRUMENT INC PACIFIC COMP CLAIM THOU OAKS ADJ6903508 RUDY ESQUEDA MONTROY SUPPLY COMPANY PACIFIC COMP CLAIM THOU OAKS ADJ6916635 RAFAEL LUCERO GIANT RV PACIFIC COMP CLAIM THOU OAKS ADJ6979604 FERNANDO CHINO BEDROSIANS PACIFIC COMP CLAIM THOU JUAREZ OAKS ADJ6985806 MIGUEL SANCHEZ WESCO METAL FABRICATIONS PACIFIC COMP CLAIM THOU OAKS ADJ7023714 MIRNA DURAN MOLDING MASTER INC PACIFIC COMP CLAIM THOU OAKS ADJ7177092 MIGUEL ANGEL CAL WEST UNDER GROUND PACIFIC COMP CLAIM THOU CERVANTES OAKS ADJ7231387 OLGA FRAGOSO LE CHEF BAKERY LE PAFE INC PACIFIC COMP CLAIM THOU OAKS ADJ7270336 ARTURO AGUINIGA NATIONAL DRYWALL PACIFIC COMP CLAIM THOU OAKS ADJ7282693 MIGUEL OLIVARES TROPICAL PLAZA NURSERY PACIFIC COMP CLAIM THOU INC OAKS ADJ7310615 LUIS MORENO DOUBLEVISION GLASS AND PACIFIC COMP CLAIM THOU MIRROR OAKS ADJ7332349 JOSE AGUIRRE CARDENAS MARKET INC PACIFIC COMP CLAIM THOU OAKS ADJ7339475 JOSE LOPEZ R H PETERSON PACIFIC COMP CLAIM THOU OAKS ADJ7526346 OSCAR GOMEZ PARKWOOD LANDSCAPE PACIFIC COMP CLAIM THOU OAKS ADJ7592078 JILL CULVER CALZADA PARAGON INDUSTRIES PACIFIC COMP CLAIM THOU OAKS ADJ7623114 LORENZO EVOLUTION FRESH INC PACIFIC COMP CLAIM THOU MALDONADO OAKS ADJ7781922 MARTHA MADRIGAL AMERICAN INTERNATIONAL PACIFIC COMP CLAIM THOU OAKS

98 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7886397 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC PACIFIC COMP CLAIM THOU OAKS ADJ7886569 VIRIDIANA ENRIQUEZ TMI PRODUCTS INC PACIFIC COMP CLAIM THOU OAKS ADJ8062061 MARIANO ESTRADA STERLING BMW PACIFIC COMP CLAIM THOU OAKS ADJ8072776 ANGELINA MURATALLA COSMETIC INDUSTRIES INC PACIFIC COMP CLAIM THOU OAKS ADJ8109748 SIMON GARIBO CANYON LAKE PROPERTY PACIFIC COMP CLAIM THOU OWNERS OAKS ADJ8241570 OLINSSER MURILLO PAMA MANAGEMENT PACIFIC COMP CLAIM THOU COMPANY OAKS ADJ8314148 BELEN CAMACHO DUNKLEMAN INC DBA MC PACIFIC COMP CLAIM THOU DONALDS OAKS ADJ8418006 DULCE POOT TAPCO SALES PACIFIC COMP CLAIM THOU OAKS ADJ9206312 MICHAEL SIGNORIO AMERICAN INTERNATIONAL PACIFIC COMP CLAIM THOU OAKS ADJ7505525 ENRIQUE GIL OROZCO PACIFIC SHORES MASONRY PACIFIC SHORES MASONRY INC INC ADJ1942794 SAMUEL RICHARDSON CARDIS CORP PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC ADJ1942794 SAMUEL RICHARDSON CARDIS CORPORATION PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC ADJ7646444 MARIA MUNOZ PAMA MANAGEMENT PAMA MANAGEMENT COMPANY COMPANY ADJ7666355 MARISELA HERRERA PAMA MANAGEMENT PAMA MANAGEMENT COMPANY COMPANY ADJ1680748 RAMON GONZALEZ SUPERIOR SUPER WAREHOUSE PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7459410 ANTHONY STEWART GLAD ENTERTAINMENT INC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7512776 JOSE RAMIREZ GTECH MANAGEMENT LLC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7734848 AMPARO VAZQUEZ LOTUS CARE CENTER PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7839847 MARIA ANGEL SALCEDO PARK VENTURA RETIREMENT PATRIOT RISK CIGA RANCHO HOTEL CORDOVA CLOSED ADJ7889541 JOSE FLORES SK LABORATORIES INC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED

99 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7889541 JOSE FLORES STAFF CHEX INC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7914925 YVONNE LOPEZ SUPERIOR GROCERIES PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7959784 RUTH MARIA VELOS VISITING ANGELS PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7975744 SONIA HERNANDEZ BEST MAIDS INC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ8045248 MARIA LUQUIN SUPER CENTER CONCEPTS PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ8236162 CLAUDIA CARDONA FUEL CIRCLE FUEL INC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ8266758 CAROLINA SUPER CENTER PATRIOT RISK CIGA RANCHO HERNANDEZ CORDOVA CLOSED ADJ8405747 SELVYN LOPEZ BOOK CITY NEWS INC DBA PATRIOT RISK CIGA RANCHO CIRCUS DISCO CORDOVA CLOSED ADJ8495157 MARTHA HERNANDEZ SUPERIOR PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7426442 BETTY LOTTIE LAS FLORES CONVALESCENT PATRIOT RISK SERVICES WOODLAND HILLS ADJ7816442 JOSE AGUILAR ALPHA STAFFING SERVICES PATRIOT RISK SERVICES WOODLAND HILLS ADJ7816442 JOSE AGUILAR ST GEORGE WAREHOUSE PATRIOT RISK SERVICES WOODLAND HILLS ADJ7816442 JOSE AGUILAR UEBTF LOS ANGELES PATRIOT RISK SERVICES WOODLAND HILLS ADJ7974483 HILDA TORRES BARON HR MONTEBELLO PATRIOT RISK SERVICES RANCH WOODLAND HILLS ADJ7974483 HILDA TORRES HORMEL FOODS CORP PATRIOT RISK SERVICES WOODLAND HILLS ADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION PATRIOT RISK SERVICES DBA SELECT STAFFING WOODLAND HILLS

ADJ8733807 MARTHA RODRIGUEZ SUPERIOR GROCERS PATRIOT RISK SERVICES WOODLAND HILLS ADJ8754448 JOSE ZAMORA SUPER CENTER CONCEPTS INC PATRIOT RISK SERVICES WOODLAND HILLS ADJ8937882 VICTOR SEPULVEDA FAIR PRICE CARPETS PATRIOT RISK SERVICES WOODLAND HILLS ADJ2162389 ENEDINA MONTES MANUFACTURERS DISCOUNT PAULA INSURANCE FURNITURE COMPANY/INTERCARE INSURANCE SERVICES

100 Michael R. Drobot Industrial Pharmacy Management MediLab 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 PERFORANCE BUILDING SERVICES SERVICES ADJ8897379 HAI TRAN POLARA ENGINEERING INC POLARA ENGINEERING INC ADJ8094750 IRIS TUCKER POMONA UNIFIED SCHOOL POMONA UNIFIED SCHOOL DISTRICT DISTRICT ADJ7230218 ROSALINDA PEREZ PRODUCT SOLUTIONS INC PRAETORIAN INSURANCE CO SACRAMENTO ADJ2543390 FELICIANO FLORES FOO-CHOW RESTUARANT PREFERRED EMPLOYERS SAN DIEGO ADJ7236420 JUAN MARTINEZ MAVIS PLAZA APARTMENTS PREFERRED EMPLOYERS SAN DIEGO ADJ7526530 MINERVA DE LA CRUZ LANDWIN MANGEMENT INC PREFERRED EMPLOYERS SAN DIEGO ADJ7736448 SENIDA SANTOYO MARTIN GOLDFARB MD PREFERRED EMPLOYERS SAN DIEGO ADJ7960164 MANUEL MEJIA ALI GOLRIZ PREFERRED EMPLOYERS SAN DIEGO ADJ8089166 JORGE RAMIREZ OASIS MOBILE ESTATES PREFERRED EMPLOYERS SAN DIEGO ADJ8214042 ISMAEL LINARES CUSTOM CANOPIES INTL INC PREFERRED EMPLOYERS SAN DIEGO ADJ8305757 MIKE WHEELER DETAILED OFFICE SOLUTIONS PREFERRED EMPLOYERS SAN DIEGO ADJ8410558 FRANCISCO BARRON RON CINQUINI PREFERRED EMPLOYERS SAN DIEGO ADJ8442109 FRANCISCO ANDERSENS DANISH BAKERY PREFERRED EMPLOYERS SAN HERNANDEZ DIEGO ADJ8814313 HUBER FIGUEROA SVS VITICULTURE LLC PREFERRED EMPLOYERS SAN DIEGO ADJ8830448 PATRICIA MICHEL INLAND MEDIATION BOARD PREFERRED EMPLOYERS SAN DIEGO ADJ7727152 MARIA GONZALEZ PREFERRED PERSONNEL PREFERRED PERSONNEL ADJ8401930 ENEDINA SORIANO AUCTION DETAIL SERVICES PRESERVER INSURANCE IRVINE ADJ6816775 GEORGE HERNANDEZ GOLDEN STATE HEALTH PRIVATE ADJUSTING RANCHO GARCIA CENTERS CUCAMONGA

101 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7800446 MARIA ALVAREZ CAMBRIAN HOMECARE PRIVATE ADJUSTING RANCHO CUCAMONGA ADJ7902589 CAJETAN OZOIGBO VISTA HOSPITAL PRIVATE ADJUSTING RANCHO CUCAMONGA ADJ2284131 NORMA BELVIZ ST VINCENT MEDICAL CENTER PROFESSIONAL RISK MGMT LOS ANGELES ADJ1095789 BART THOMAS THE GAS COMPANY PSI/SOUTHERN CALIFORNIA GAS COMPANY ADJ8345819 LIDIA RODRIGUEZ MOLLY MAID OF ANAHEIML LA PUBLIC SERVICE MUTUAL LOS MIRADA FWHITTIER ANGELES ADJ8431788 DARRYL WINSTON GRANADA MANAGEMENT PUBLIC SERVICE MUTUAL LOS ANGELES ADJ8920250 RAYMUNDO AGUIRRE AMERICAN HOLIDAY TOUR QBE SPECIALTY INS LLC SACRAMENTO ADJ4656909 RALPH RAMIREZ RALPHS RALPHS ADJ4177036 JESUS VALDEZ RALPHS RALPHS GROCERY COMPANY ADJ3070248 JUDITH HUNTIMER RALPH'S GROCERY CO RALPHS/KROEGER CO/RALPHS GROCERY CO ADJ6960319 FLORIDALMA LOPEZ DYNAMIC NURSING SERVICES REDWOOD FIRE CASUALTY NOT A UAN ADJ7902200 CARLOS VELASQUEZ RELIABLE RESOUCES INC RELIABLE RESOUCES INC ADJ2469368 ZOILA PINEDA AMBROSIO GRANO, JR. AND RELIANCE INSURANCE JUAN GRANO COMPANY/STERLING CLAIMS MANAGEMENT SERVICES ADJ2469368 ZOILA PINEDA JUAN & AMBROSIO GRANO RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES ADJ2469368 ZOILA PINEDA LAS PALMAS CLUB RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES ADJ2469368 ZOILA PINEDA UEBTF LOS ANGELES RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES ADJ1704344 RANDY SALLING RUSS ELLIOTT REPUBLIC INDEM. CO OF AMERICA ADJ1433352 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 Management MediLab 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 REPUBLIC INDEMNITY ENCINO INC ADJ8079578 MARIA ARROYO KIDS TIME MONTESSORI REPUBLIC INDEMNITY ENCINO ADJ9263100 SALVADOR ALCALA GEORGE LIBERMAN REPUBLIC INDEMNITY ENCINO ENTERPRISES INC ADJ9526544 JUAN VALENCIA CALIFORNIA CITRUS REPUBLIC INDEMNITY ENCINO CORPORATION ADJ9605342 FERNANDO GOMEZ CORONA MILLWORKS REPUBLIC INDEMNITY ENCINO ADJ7913144 GEORGINA CASTANEDA EAST WEST EYE INSTITUTE REPUBLIC INDEMNITY SAN DIEGO ADJ8274926 ELIZABETH TAYLOR MOBILITY PLUS EQUIPMENT REPUBLIC INDEMNITY SAN SUPPLIES DIEGO ADJ9136310 PABLO ALVARADO SOHNEN ENTERPRISES REPUBLIC INDEMNITY SAN DIEGO ADJ8263165 LUIS TOBAR LA LOGGIA RISTORANTE REPUBLIC INDEMNITY SAN FRANCISCO ADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION REPUBLIC INDEMNITY SAN FRANCISCO ADJ1621717 RAMON CASTILLO MEADOW FARMS SAUSAGE RISICO CLAIMS MANAGEMENT CO. FRESNO ADJ6804908 ELISEO JUAREZ BOLTHOUSE FARMS RISICO CLAIMS MANAGEMENT MALDONADO FRESNO ADJ7240068 AMER PALOMO WESTERN STATES RISICO CLAIMS MANAGEMENT MAINTENANCE & FRESNO ENGINEERING INC ADJ7390467 JANETTE BENITEZ DIGITAL CURRENCY SERVICES RISICO CLAIMS MANAGEMENT INC FRESNO ADJ739708 MARY RAMOS CALIFORNIA PROFESSIONAL RISICO CLAIMS MANAGEMENT EMPLOYERS FRESNO ADJ7526346 OSCAR GOMEZ PARKWOOD LANDSCAPE RISICO CLAIMS MANAGEMENT FRESNO ADJ7974946 ALFREDO MILLER JONES MORTUARY RISICO CLAIMS MANAGEMENT CASTROREVELES FRESNO ADJ8271907 ISABEL VELAZQUEZ LUCKY PICTURE FRAME RISICO CLAIMS MANAGEMENT FRESNO ADJ8374577 CHARLOTTE TRENT COUNTY OF FRESNO RISICO CLAIMS MANAGEMENT FRESNO ADJ2871094 MICHAEL BUCK SANTA BARBARA FIRE DEPT. RISK MANAGEMENT

103 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8467406 ERIC SALSBERRY ROBERTSONS READY MIX LTD ROBERTSONS READY MIX CORONA ADJ8467406 ERIC SALSBERRY ROBERTSONS READY MIX LTD ROBERTSONS READY MIX LTD

ADJ8061776 JUAN PEGO ROSECRANS KING CAR WASH ROSECRANS KING CAR WASH INC INC ADJ7172158 LUIS PINONES ALLSCAPE ARCHITECTURAL ROYAL INSURANCE COMPANY LANDSCAPE LIGHTING 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 SAFECO LOS ANGELES CLOSED GROUP ADJ6836538 AGUSTINA AGUILAR OLIVER`S ARTESIAN BREADS SAFECO LOS ANGELES CLOSED INC ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY SAFECO LOS ANGELES CLOSED COMPANY 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 SAN BERNARDINO COUNTY ANIMAL CONTROL ANIMAL CONTROL ADJ3042528 JUDITH LYNT SAN DIEGO GAS & ELECTRIC SAN DIEGO GAS & ELECTRIC ADJ3042528 JUDITH LYNT SAN DIEGO GAS & ELECTRIC SAN DIEGO GAS ELECTRIC SAN DIEGO ADJ8579379 STEVE ACOSTA SANTA ANA UNIFIED SCHOOL SANTA ANA UNIFIED SCHOOL DISTRICT DISTRICT ADJ1679301 MARK MONROE AMERICAN CAB SCIF INSURED BAKERSFIELD ADJ1679301 MARK MONROE KERN AMERICAN TRANSPORT SCIF INSURED BAKERSFIELD

ADJ6707109 ANGEL PENA GOMEZ GDN CONSTRUCTION SCIF INSURED BAKERSFIELD COMPANY INC ADJ6786421 VINCENT CALLOWAY C AND C TRANSPORTATION SCIF INSURED BAKERSFIELD

ADJ7906084 GILBERT CHAVEZ DAVIS ENTERPRISES SCIF INSURED BAKERSFIELD ADJ7907053 OLIVERIA PERALTA RICHARD MANASSERO FARMS SCIF INSURED BAKERSFIELD INC ADJ8082275 AGUSTIN CAMACENA SUNSHINE METAL CLAD INC SCIF INSURED BAKERSFIELD ADJ8175778 ANTONIO TORRES ST AMOULES PRODUCE SCIF INSURED BAKERSFIELD OCHOA COMPANY ADJ8871966 JOEL ROBLES JA ELECTRIC SCIF INSURED BAKERSFIELD

104 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SCIF INSURED FRESNO REPAIR ADJ1956870 ROSEMARY VERCHER CALIFORNIA FRESNO OIL SCIF INSURED FRESNO COMPANY 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 SCIF INSURED FRESNO PRODUCTS ADJ372888 MIGUEL TAMAYO KROKER INCORP SCIF INSURED FRESNO ADJ3804251 BRENDA BAKER JAN & GAIL'S CARE HOME SCIF INSURED FRESNO ADJ3944384 JESUS RAMIREZ COLONIAL CONVALESCENT SCIF INSURED FRESNO HOSPITAL 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 SCIF INSURED FRESNO COATINGS 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 SCIF INSURED FRESNO HAYLOADING INC

105 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7510757 SHERI COGBURN CENTRAL VALLEY DAIRY SCIF INSURED FRESNO BREEDERS ADJ7906084 GILBERT CHAVEZ DAVIS ENTERPRISES SCIF INSURED FRESNO ADJ7935502 RUDY ORELLANA ARMO CONSTRUCTION INC SCIF INSURED FRESNO ADJ7935502 RUDY ORELLANA CAMTEC MOTION PICTURE SCIF INSURED FRESNO CAMERA ADJ7941983 JAVIER TAFOLLA EAGLE AG INC SCIF INSURED FRESNO ADJ8272791 JOSE SANDOVAL ISLAND ENTERPRISES SCIF INSURED FRESNO ADJ8273781 MARIO ABONCE GREEN VALLEYAG SCIF INSURED FRESNO PARTIDA ADJ8320478 FRANCISCO OCHOA OCC CONSTRUCTION SCIF INSURED FRESNO ADJ8558143 ANTONIO PALOMARES ALL AMERICAN FRAME NAD SCIF INSURED FRESNO BEDDING ADJ8731606 ANTONIO BAZAN KANES LANDSCAPING INC SCIF INSURED FRESNO ADJ902111 TERRI ROBERTS THE LAW LIMO SCIF INSURED FRESNO ADJ9225481 ANTHONY PFEIFER PROTECTION FORCE PRIVATE SCIF INSURED FRESNO SECURITY INC 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 SCIF INSURED GLENDALE AMERICA ADJ1187184 JULIO SZMUCH NATIONWIDE JANITORIAL SCIF INSURED GLENDALE SERVICES INC. 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 SCIF INSURED GLENDALE ROOFER ADJ1516187 DOUGLAS HERNANDEZ TUNSTILL PLASTERING INC SCIF INSURED GLENDALE

ADJ1621717 RAMON CASTILLO MEADOW FARMS SAUSAGE SCIF INSURED GLENDALE CO. ADJ1871570 CATHERINE SPRINGER ABLE HOME HEALTH SCIF INSURED GLENDALE ADJ187555 IGNACIO ZENDEJAS SALSBURY ENGINEERING & SCIF INSURED GLENDALE GRADING ADJ1932192 JOSEPHINE PADILLA PLANNED PARENTHOOD SCIF INSURED GLENDALE WORLD

106 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1932824 HERMELINDA NOJ BERGLAS & GARFIELD SCIF INSURED GLENDALE ADJ1949704 SIMITRIO PEDROZA KRAMERS MASONRY SCIF INSURED GLENDALE CONSTRUCTION ADJ1970654 JOSE RODRIGUEZ HANAN CONSTRUCTION SCIF INSURED GLENDALE COMPANY, INC. 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 SCIF INSURED GLENDALE EMPLOYERS ADJ2503116 GUADALUPE SOFTUB INC SCIF INSURED GLENDALE VELASQUEZ ADJ2635077 BETTY CARTER CHARLES DREW UNIVERSITY SCIF INSURED GLENDALE ADJ2679748 JOSE SANCHEZ CUSTOM PROCESSORS/P &C SCIF INSURED GLENDALE POULTRY 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 H&N FOODS INTERNATIONAL SCIF INSURED GLENDALE MORALES ADJ322433 JANET CRONIN HOLIDAY INN SCIF INSURED GLENDALE ADJ322433 JANET CRONIN NATIONAL BARTENDERS SCIF INSURED GLENDALE SCHOOL ADJ3234961 ANGEL HUERTA CERTIFIED AUTO COLLISION SCIF INSURED GLENDALE ADJ3234961 ANGEL HUERTA PARAMOUNT COLLISION SCIF INSURED GLENDALE CENTER ADJ3369688 TRACY WASHINGTON KEDREN ACUTE PSYCHIATRIC SCIF INSURED GLENDALE HOSPITAL ADJ3408070 CARLOS LOPEZ COBBLESTONE SCIF INSURED GLENDALE CASTILLO 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 Management MediLab 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 & SCIF INSURED GLENDALE ASSOCIATES ADJ3907837 JUANA QUINTANA CREATIVE PERSPECTIVES PLUS SCIF INSURED GLENDALE INC 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, SCIF INSURED GLENDALE INC. ADJ4304204 JACQUELYN HEDLUND ENVIRONMENTAL SCIF INSURED GLENDALE FEDERATION OF CALIF ADJ4311594 HOA NGUYEN PACIFIC ASIAN CONSORTIUM SCIF INSURED GLENDALE

ADJ4379849 HUGO SOTO ABUNDANT LIFE AND SCIF INSURED GLENDALE ADOLESCENT GROWTH ADJ4455893 LEONARD SCHREINER APEX PAINTING SCIF INSURED GLENDALE ADJ4533313 CONCEPCION CHILDEREN'S CENTER OF AV SCIF INSURED GLENDALE NAVARRETE ADJ4560524 MARCO NASSER CARPET WIZARDS INC SCIF INSURED GLENDALE ADJ4560524 MARCO NASSER PEP BOYS SCIF INSURED GLENDALE ADJ4718967 WILLIAM VANBLARCOM GALLEY ENTER/VILLAGE SCIF INSURED GLENDALE CARWASH ADJ4718967 WILLIAM VANBLARCOM GALLEY ENTERPRISES/VILLIAGE SCIF INSURED GLENDALE CAR ADJ499443 BYRON SALAZAR WEST LA PIZZA/DOMINOS SCIF INSURED GLENDALE ADJ554932 NORA BARAKAT THE BAKER SCIF INSURED GLENDALE ADJ587515 BERNARDO AGUILAR DO+ABLE PRODUCTS SCIF INSURED GLENDALE DIAZ ADJ608360 BONITA FANDUWARD ANTELOPE VALLEY HEALTH SCIF INSURED GLENDALE CARE CENTER ADJ608360 BONITA FANDUWARD ENTELOPE VALLEY SCIF INSURED GLENDALE HEALTHCARE 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6542633 CATHY LOZANO SOUTH COAST AUTO SCIF INSURED GLENDALE INSURANCE MARKETING, INC.

ADJ6573698 ALFREDO MONTES ELITE LEATHER COMPANY SCIF INSURED GLENDALE ADJ6707109 ANGEL PENA GOMEZ GDN CONSTRUCTION SCIF INSURED GLENDALE COMPANY INC 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 SCIF INSURED GLENDALE GROUP ADJ6746016 DAVID SAAVEDRA THE BEDFORD GROUP SCIF INSURED GLENDALE ADJ6773383 ARELI ACOSTA ARCADIA INC WILSON SCIF INSURED GLENDALE PARTITION ADJ6818204 RAMIRO ORTEGA MUSCOY MUTUAL WATER SCIF INSURED GLENDALE ADJ6819866 CHARLENE LEON MCKINLEY CHILDRENS SCIF INSURED GLENDALE CENTER ADJ6885797 PEDRO CASILLAS SAS TEXTILES SCIF INSURED GLENDALE ADJ6914642 JOSE QUINONES HECTORS PALLETS SCIF INSURED GLENDALE ADJ6968798 WENCESLAO PEREZ HOWARD KING WORLD SCIF INSURED GLENDALE AGAPE MISSION CHURCH 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 SCIF INSURED GLENDALE MAINTENANCE & ENGINEERING INC 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 SCIF INSURED GLENDALE SOLUTIONS INCI 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 SCIF INSURED GLENDALE INDIVIDUAL MARTHAIS CLEANING SERVICE ADJ7634153 JONATHAN CURL BJK INC DBA GALLERY SCIF INSURED GLENDALE SERVICES ADJ7635055 JONATHAN CURL BJK INC GALLERY SERVICE SCIF INSURED GLENDALE

109 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SCIF INSURED GLENDALE CONCRETE INC ADJ7863037 NEMESIO DIAZ ESTRADA CONSOLIDATED SMART SCIF INSURED GLENDALE SYSTEMS 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 SCIF INSURED GLENDALE SERVICES 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 SCIF INSURED GLENDALE HOME SUPPORTIVE SERVICES ADJ888525 MERCEDES GONZALEZ ESCUELA DE COSTURA SCIF INSURED GLENDALE ADJ9012110 JEANNETH RENDEROS SOUTH BAY WORK FORCE SCIF INSURED GLENDALE INVESTMENT BOARD ADJ970543 MILAGRO GOMEZ DOUBLE K SCIF INSURED GLENDALE INDUSTRIES/ENVELOP INC ADJ1063830 JUSTO TADERO JIMENEZ PARAMOUNT WINDOWS SCIF INSURED INLAND EMPIRE

ADJ1890371 MARTHA COURTNEY APPLE VALLEY CHRISTIAN SCIF INSURED INLAND EMPIRE CARE CENTER ADJ2465041 TOMAS RAMOS PERFORMANCE CONCRETE SCIF INSURED INLAND EMPIRE ADJ2476768 JESUS FLORES SUNNYLANDS GOLF COURSE SCIF INSURED INLAND EMPIRE

ADJ2727959 LUIS CARRANZA BALDWIN PARK PLAZA CO SCIF INSURED INLAND EMPIRE CLEMENTE

110 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SCIF INSURED INLAND EMPIRE CENTER 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 J & L DAY CARE SCIF INSURED INLAND EMPIRE DECEASED ADJ6799896 FRANCISCO MARTINEZ EJ JURE ROOFING CO SCIF INSURED INLAND EMPIRE

ADJ6929655 LUIS DANIEL GARCIA WHITEHAWK SCIF INSURED INLAND EMPIRE CONSTRUCTION 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 SCIF INSURED INLAND EMPIRE TRANSPORTATION INC 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, SCIF INSURED OXNARD INC. 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 SCIF INSURED OXNARD MAINTENANCE ADJ4477481 MIGUEL MARTINEZ METRO BUILDING MAINTENCE SCIF INSURED OXNARD

ADJ6429195 CLARA CONNELLY DEPT OF DEVELOPMENTAL SCIF INSURED OXNARD SERVICES

111 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SCIF INSURED SACRAMENTO SERVICES ADJ3661278 CHRISTOPHER LOPEZ PARAMOUNT PEST CONTROL SCIF INSURED SACRAMENTO SERVICE 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, SCIF INSURED SAN DIEGO WOOLVERTON ADJ6551590 SERGIO HURTADO CHORE YONKE SCIF INSURED SAN DIEGO ADJ7489648 JOSE LIRA SOUTH BAY DRIVE-IN SCIF INSURED SAN DIEGO THEATRE ADJ8872153 ELOISA SILVA COUNTY OF SAN DIEGO IHSS SCIF INSURED SAN DIEGO PUBLIC AUTHORITY ADJ3162324 MIGUEL ANGEL H&N FOODS INTERNATIONAL SCIF INSURED SAN JOSE MORALES ADJ8233193 RICARDO AVILES PEERLESS BUILDING SCIF INSURED SAN JOSE MAINTENANCE ADJ1116314 JOSE HERRERA SKYCRAFT ROOFING INC SCIF INSURED SANTA ANA ADJ1514961 GERARDO CEDILLO ALEX ZAIDI DBA AZ AUTO SCIF INSURED SANTA ANA DETAILING 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 SCIF INSURED SANTA ANA FUND 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ2301335 JONG HAHM DALMA PAINTING & SCIF INSURED SANTA ANA MAINTENANCE 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 SCIF INSURED SANTA ANA MANFACTURING ADJ2507982 RENEE COLEMAN INTEGRATED CARE SYSTEMS SCIF INSURED SANTA ANA ADJ2931117 MAELI RIQUELME THE INDUSTRIAL LABOR SCIF INSURED SANTA ANA MANAGEMENT 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 SCIF INSURED SANTA ANA MAIL ADJ3331118 LUIS TORRES SEVENTH STREET GARAGE, SCIF INSURED SANTA ANA INC. 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 SCIF INSURED SANTA ANA J & A INC. 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 SCIF INSURED SANTA ANA STORE 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 SCIF INSURED SANTA ANA MANAGEMENT ADJ7450195 FRANCISCO GARCIA CD ALEXANDER LLC SCIF INSURED SANTA ANA VIERA 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7907053 OLIVERIA PERALTA RICHARD MANASSERO FARMS SCIF INSURED SANTA ANA INC ADJ7938631 RIGOBERTO HERRERA ROLLING GREEN INC SCIF INSURED SANTA ANA ADJ8394852 PABLO GONZALEZ MIK CONSTRUCTION SCIF INSURED SANTA ANA ADJ9058758 LUIS ROCHA J S RESTAURANTS SCIF INSURED SANTA ANA FERNANDEZ ADJ163167 MICHAEL VITALI ULTIMATE JUICE COMPANY SCIF INSURED SANTA ROSA ADJ2270440 JOSEPH CROSSETTI PACIFIC TRANSPORTATION SCIF INSURED SANTA ROSA ADJ1402410 TERRA SEIDEL DEVELOPMENTAL DISABILITIES SCIF INSURED STOCKTON SERVICES 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 SCIF SCIF EMPLOYEES ALL INSURANCE FUND ADJ1494703 DOLORES MURCIA MV TRANSPORTATION SCIF SCO MONTEREY PARK ADJ6931057 FRANCISCO MUNOZ STRATEGIC STAFFING SCIF SCO MONTEREY PARK ALLIANCE ADJ7129857 TIM ALMEIDA NATIONAL CONTAINER SCIF SCO MONTEREY PARK GROUP 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 SCIF SCO MONTEREY PARK PROCESSING ADJ7740025 MICHAEL STAFFORD HANDYMAN CONNECTIONS SCIF SCO MONTEREY PARK ADJ7740959 JAIME ALVARADO J BROTHERS SCIF SCO MONTEREY PARK TRANSPORTATION ADJ7879753 DEBRA MILLER PALMCREST GRAND CARE SCIF SCO MONTEREY PARK CENTER & RESIDENCE & PALM CREST CIR ADJ8423612 TERI BURKO SCOTT PUBLIC RELATIONS SCIF SCO MONTEREY PARK ADJ7004137 KINA BROWN DEPARTMENT OF SOCIAL SCIF SCO SAN BERNARDINO SERVICES IHSS 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 Management MediLab 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 SCIF STATE EMPLOYEES OXNARD PRISON 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 DEPT MOTOR VEHICLES SCIF STATE EMPLOYEES RIVERSIDE BOIKANYO ADJ1531319 MARIA THERESA DEPT. OF MOTOR VEHICLES SCIF STATE EMPLOYEES RIVERSIDE BOIKANYO ADJ1987653 SOPHIE HERNANDEZ COUNTY OF LA DSS IN HOME SCIF STATE EMPLOYEES RIVERSIDE

ADJ258909 RALPH CARPIO STATE OF CALIF/CALIF INST SCIF STATE EMPLOYEES RIVERSIDE FOR MEN ADJ2724902 MARIA CRUZ IHSS DPSS SCIF STATE EMPLOYEES RIVERSIDE MEMBRANO 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 SCIF STATE EMPLOYEES YOUNTVILLE ROHNERT PARK ADJ1668946 BRUCE COOKE DEPT OF CORRECTIONS- SCIF STATE EMPLOYEES CORCORAN SACRAMENTO ADJ2250297 HERMELINDO NORTH KERN STATE PRISON SCIF STATE EMPLOYEES SANDOVAL SACRAMENTO ADJ4483905 JACK SHELBY CALIFORNIA HIGHWAY SCIF STATE EMPLOYEES PATROL SACRAMENTO ADJ467009 JOHN WILSON T-0079220 SCIF STATE EMPLOYEES SACRAMENTO ADJ7169694 TODD COGDILL CSP KINGS COUNTY AT SCIF STATE EMPLOYEES CORCORAN SACRAMENTO ADJ8115030 GERRY HARLAN CALIFORNIA HIGHWAY SCIF STATE EMPLOYEES PATROL SACRAMENTO

115 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1489438 THANH NGUYEN DEPARTMENT OF SCIF STATE EMPLOYEES SANTA CORRECTIONS-WASCO ANA ADJ1531319 MARIA THERESA DEPT MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA BOIKANYO ANA ADJ1531319 MARIA THERESA DEPT. OF MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA BOIKANYO ANA ADJ173709 NICK CIMARUSTI CDC SCIF STATE EMPLOYEES SANTA ANA ADJ222117 WILLIAM MOSS DEPARTMENT OF SCIF STATE EMPLOYEES SANTA CORRECTIONS ANA ADJ222117 WILLIAM MOSS DEPT OF CORRECTIONS SCIF STATE EMPLOYEES SANTA ANA ADJ2918788 CHERYL BARNETTE DEPT. OF CORRECTIONS SCIF STATE EMPLOYEES SANTA POWELL ANA ADJ2949275 IOWN FIELDS STATE OF CALIFORNIA EDD SCIF STATE EMPLOYEES SANTA ANA ADJ3077661 ALI KIUMARSI DEPT OF TRANS SCIF STATE EMPLOYEES SANTA ANA ADJ3077661 ALI KIUMARSI STATE OF CALIFORNIA SCIF STATE EMPLOYEES SANTA ANA ADJ3603383 JOAN NITAO CAMPOS DEPT OF MOTOR VEHICLE SCIF STATE EMPLOYEES SANTA ANA ADJ4705961 TERESA MORAN METROPOLITAN STATE SCIF STATE EMPLOYEES SANTA HOSPITAL ANA ADJ6713272 RAY DURAN STATE OF CALIFORNIA SCIF STATE EMPLOYEES SANTA ANA ADJ8005751 DIANA GONZALEZ STATE OF CALIFORNIA IHSS SCIF STATE EMPLOYEES SANTA ANA ADJ790408 TODD JORDAN CITY OF PORT HUENEME SCRMA ADJ8979889 GUSTAVO SOLORIO DAN DRAKE ENTERPRISES LLC SEC NATIONAL INS RISICO FRESNO ADJ9268715 GAUDENCIA REYES WEST SIDE AG SEC NATIONAL INS RISICO FRESNO ADJ8715739 JUAN JOSE CARILLO SHARPE INTERIOR SYSTEMS SECURITY NATIONAL INC INSURANCE DALLAS ADJ9066858 ARACELY TRUJILLO STAR NAIL INTERNATIONAL SECURITY NATIONAL INSURANCE DALLAS ADJ1074414 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8345092 IRMA PALACIOS AMERICAN STORES CO LLC A SEDGWICK 14153 RIVERSIDE SUPERVALU DBA ALBERTSONS

ADJ8390763 FABIOLA SANCHEZ NEXXOFINANCIAL SEDGWICK 14153 RIVERSIDE CORPORATION PBS OF AMERICA 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 ARBYS SEDGWICK 14153 RIVERSIDE RODRIGUEZ 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 WELLS FARGO SEDGWICK 14154 SACRAMENTO LEON ADJ8630609 ANGELICA PERALES TWO CHEFS INSPERITY PEO SEDGWICK 14154 SACRAMENTO SERVICES LP ADJ6800939 ERIKA LARA RAMIREZ SISTERS OF CHARITY OF SEDGWICK 14424 ORANGE LEAVENWORTH ADJ2533227 ANTONIO FERNANDEZ THE HOME DEPOT SEDGWICK 14442 ORANGE

ADJ4087514 ERMELINDA HARWOOD DURHAM SCHOOL SERVICE SEDGWICK 14442 ORANGE OCHOA ADJ4143142 SANTIAGO TEVEZ CENTRAL PARKING SYSTEM SEDGWICK 14442 ORANGE ADJ6429713 ZOILA JIMENEZ TYCO INTERNATIONAL SEDGWICK 14442 ORANGE

117 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SEDGWICK 14442 ORANGE MANAGEMENT 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 SEDGWICK 14442 ORANGE PRINTING & FINISHING INC 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 SEDGWICK 14442 ORANGE CORPORATION 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 SEDGWICK 14442 ORANGE SERVICE 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 SEDGWICK 14442 ORANGE RESPONSE ADJ8150639 MICHELE MENDEZ RALPHS MARKET SEDGWICK 14442 ORANGE ADJ8177827 MARTHA BERNAL DEL TACO SEDGWICK 14442 ORANGE

118 Michael R. Drobot Industrial Pharmacy Management MediLab 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 BIG LOTS SEDGWICK 14442 ORANGE ALLENSWORTH ADJ8374729 JOSE RODRIGUEZ VALLEY FRUIT AND PRODUCT SEDGWICK 14442 ORANGE CAMACHO CO 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 KINDRED HEALTHCARE SEDGWICK 14442 ORANGE RODRIGUEZ ADJ8860629 SALLY MOHAMED STARWOOD HOTELS RESORTS SEDGWICK 14442 ORANGE

ADJ8945471 RICHARD JOSEPH PICK YOUR PART AUTO SEDGWICK 14442 ORANGE WRECKING ADJ8993159 MIGUEL MEJIA AUTOMOTIVE CREATIONS SEDGWICK 14442 ORANGE ADJ9135117 REFUGIO GARCIA SCHEV STEEL SUPPLY SEDGWICK 14442 ORANGE ADJ9160325 MARCUS GARSDEAN PROVIDENCE HOLY CROSS SEDGWICK 14442 ORANGE MEDICAL CENTER 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 SEDGWICK 14450 LONG BEACH WAREHOUSE ADJ7028462 DONNA WILLIAMS SEARS HOLDINGS SEDGWICK 14450 LONG BEACH CORPORATION ADJ7033306 MARK HUERTA THE BOEING COMPANY SEDGWICK 14450 LONG BEACH

ADJ7213900 ANGELIQUE KMART SEDGWICK 14450 LONG BEACH DICKERSON

119 Michael R. Drobot Industrial Pharmacy Management MediLab 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 KMART SEDGWICK 14450 LONG BEACH EDWARDS ADJ7592651 OSCAR PAZ LOWES SEDGWICK 14450 LONG BEACH

ADJ7638636 ABDULL BOWMAN SMART AND FINAL SEDGWICK 14450 LONG BEACH

ADJ7652752 JULIE FERRELL SEARS HOLDINGS SEDGWICK 14450 LONG BEACH CORPORATION 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 SEDGWICK 14450 LONG BEACH LINES 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 SEDGWICK 14450 LONG BEACH CORPORATION ADJ8278030 ELSA NICOLI J C PENNEY CORPORATION SEDGWICK 14450 LONG BEACH INC ADJ8307252 PHILIP CUNNINGHAM THE BOEING COMPANY SEDGWICK 14450 LONG BEACH

120 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SEDGWICK 14458 ONTARIO CORPORATION ADJ8727752 CARLOS RAMIREZ LKQNGA KEYSSTONE SEDGWICK 14458 ONTARIO AUTOMOTIVE INSDUSTRIES ADJ9050007 ALFONSO SOLIS ODWALLA INC SEDGWICK 14458 ONTARIO ADJ1392822 FRANCISCO CARDENAS KIMKO SEDGWICK 14479 MCU IVOS VAN NUYS ADJ6601986 JUANA MAGDALENO KIMCO STAFFING SEDGWICK 14479 MCU IVOS VAN NUYS ADJ7760131 NARCIZO CALDERON KIMCO STAFFING SERVICES SEDGWICK 14479 MCU IVOS VAN INC / KIMSTAFF HR NUYS ADJ7760131 NARCIZO CALDERON WESTERN SENIORS HOUSING SEDGWICK 14479 MCU IVOS VAN NUYS ADJ8657668 MANUEL RAMOS KIMCO STAFFING SERVICE SEDGWICK 14479 MCU IVOS VAN NUYS ADJ2284131 NORMA BELVIZ ST VINCENT MEDICAL CENTER SEDGWICK 14522 VAN NUYS

ADJ3790090 GEORGE GRISOLIA LOS ANGELES UNIFIED SEDGWICK 14522 VAN NUYS SCHOOL DIST. 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 VALLARTA MARKET 22 SEDGWICK 14522 VAN NUYS CHOWDHURY ADJ7875305 ARACELY MOLINA HUNTINGTON MEMORIAL SEDGWICK 14522 VAN NUYS HOSPITAL 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7987513 KATHLEEN GIVENS HEALTHNET FEDERAL SEDGWICK 14522 VAN NUYS SERVICES 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 KMART SEDGWICK 14563 LONG BEACH EDWARDS ADJ7597528 ARSENIO CRUZ RALPHS DISTRIBUTION SEDGWICK 14563 LONG BEACH CENTER 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 SEDGWICK 14563 LONG BEACH SCHOOL DISTRICT 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 Management MediLab 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 SEDGWICK 14573 SACRAMENTO COATINGS 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 SEDGWICK 14573 SACRAMENTO STAFFING ADJ7299082 SALVADOR ROMERO FED EX NATIONAL SEDGWICK 14573 SACRAMENTO

ADJ7731080 JAVIER GUZMAN FED EX NATIONAL SEDGWICK 14573 SACRAMENTO

ADJ8207169 JOSE JIMAREZ THERMAL DYNAMICS SEDGWICK 14573 SACRAMENTO CORPORATION ADJ8214560 LINDA VALDIVIA WESTERN SOUTHERN LIFE SEDGWICK 14573 SACRAMENTO INSURANCE 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 Management MediLab 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 SEDGWICK 14667 ORANGE COMPANY ADJ8485301 MARTHA HERRERA ST FRANCIS MEDICAL CENTER SEDGWICK 2065 OAKLAND

ADJ8852717 MIGUEL MENDOZA KIMKO STAFFING SERVICES SEDGWICK 2065 OAKLAND INC 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 CORDOVA ADJ4118368 LUIS VASQUEZ CSUF FOUNDATION SEDGWICK 3170 RANCHO CORDOVA ADJ8227086 ENRIQUE RODRIGUEZ AO THE UNIVERSITY CORP SEDGWICK 3170 RANCHO CSU CORDOVA ADJ7185118 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 SEDGWICK BREA ENTERTAINMENT SERV ADJ1479326 JONATHAN DUONG AUTOMOBILE CLUB OF SO SEDGWICK BREA CALIFORNIA 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 WESTERN MEDICAL CENTER SEDGWICK BREA WHITE 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 Management MediLab 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 SEDGWICK BREA SUPPORT SERVICES ADJ6783101 LISBETE CARNAHAN RESCARE INC SEDGWICK BREA ADJ6814904 GUADALUPE MATIN ALCOA GLOBAL FASTNERS SEDGWICK BREA INC ADJ6865726 CAROLINA DELEON DEL TACO SEDGWICK BREA ADJ6960560 DORA ORTIZ TRADER JOES COMPANY SEDGWICK BREA ADJ6961904 JUAN FLORES LOWES HOME IMPROVEMENT SEDGWICK BREA WAREHOUSE 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 EDUCATION MANAGEMENT SEDGWICK BREA GONZALES SYSTEMS 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 VISITING NURSES ASSC OF SEDGWICK BREA GRYGLASZEWSKI INLAND CTRS

125 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ901733 IZABELLA VISITNG NURSES SEDGWICK BREA GRYGLASZEWSKI ADJ1295708 FRANKLIN CHUTE ARAMARK MGMT SERVICES SEDGWICK BURBANK LIMITED ADJ7798120 FERNANDO CAMARENA ADP TOTALSOURCE LII INC SEDGWICK BURBANK DAZIAN RENTAL WEST ADJ7926088 ANA FLORES SANCHEZ ARAMARK SEDGWICK BURBANK

ADJ8244599 ALEJANDRA ARAMARK CLEANROOM SEDGWICK BURBANK VILLANUEVA SERVICES ADJ8458913 JANET SOLANO ARAMARK HIGHER SEDGWICK BURBANK EDUCATION ADJ8636107 MARIA GONZALEZ ARAMARK UNIFORM SERVICE SEDGWICK BURBANK ARZIGA 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 SEDGWICK CIGA GLENDALE CORPORATION 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 SEDGWICK CIGA GLENDALE AIRCRAFT ADJ4411690 KARENLEE SCHELL CUPERTINO UNION SCHOOL SEDGWICK CIGA GLENDALE DISTRICT ADJ4645734 MICHAEL CROUGH MCDONNELL DOUGLAG SEDGWICK CIGA GLENDALE AIRCRAFT ADJ7612267 FRANK ANCONA MORENO VALLEY CHEVY GEO SEDGWICK CIGA GLENDALE OLDSMOBILE 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ231248 MARY BLOUGH LORENZ WORLDMARK SEDGWICK CLAIMS MANAGEMENT SERVICES ADJ2786977 ANTHONY DUFAULT VERIZON SEDGWICK CLAIMS MANAGEMENT SERVICES ADJ2886819 JINOUS BAHRAMI RALPHS SEDGWICK CLAIMS MANAGEMENT SERVICES ADJ293247 MICHAEL GONZALES RALPHS GROCERY CO SEDGWICK CLAIMS MANAGEMENT SERVICES ADJ4125807 LINDA CORTEZ LAUSD SEDGWICK CLAIMS MANAGEMENT SERVICES ADJ4437759 SALVADOR WHITE MEMORIAL MEDICAL SEDGWICK CLAIMS HERNANDEZ CENTER MANAGEMENT SERVICES ADJ4437759 SALVADOR WHITE MEMORIAL MEDICAL SEDGWICK CLAIMS HERNANDEZ CNTR MANAGEMENT SERVICES ADJ3814780 MARTIN VENEGAS AMERICAN HONDA SEDGWICK CLAIMS MANAGEMENTSERVICES ADJ3325831 GLORIA DE ANDA LAUSD SEDGWICK CLAIMS MANAGMENT SERVICES ADJ4130493 OLIVIA RIVERA RALPHS GROCERY CO SEDGWICK CLAIMS MANAGMENT SERVICES ADJ1685518 VICTOR BUSTAMANTE TARGET SEDGWICK CMS ADJ4176877 ROSEMARY EUBANKS VERIZON SEDGWICK CMS-ORANGE OFFICE

ADJ1664105 LACAROL MATTHEWS LA COUNTY DEPT OF SOCIAL SEDGWICK COLA ONTARIO SERVICES ADJ178064 NATALIE JOHNSON COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ1811482 JOE ESQUEDA LOS ANGELES COUNTY SEDGWICK COLA ONTARIO PROBATION DEPT ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ1993776 ROBERTA VILLARREAL COUNTY OF LOS SEDGWICK COLA ONTARIO ANGELES/DPSS ADJ2001498 CARLETTA BURNS LOS ANGELES COUNTY/ DFCS SEDGWICK COLA ONTARIO

ADJ2172372 DEBORAH WEBB COUNTY OF LA PROBATION SEDGWICK COLA ONTARIO CARTER DEPT 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 SEDGWICK COLA ONTARIO WORKS-690 ADJ2878074 VANNESSA ESPY DPSS SEDGWICK COLA ONTARIO ADJ5801811 HOWIDA ABDELMALAK COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPS

127 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6463091 MARYANN DRYDEN COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPSS 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 SEDGWICK COLA ONTARIO PROBATION DEPARTMENT ADJ6803135 SOFIA DELGADO COUNTY OF LA PROBATION SEDGWICK COLA ONTARIO DEPT ADJ6899721 SALLY MARTINEZ COUNTY OF LOS SEDGWICK COLA ONTARIO ANGELES/DPSS ADJ6950820 SHARON ENIX COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DEPARTMENT OF ASSESSORS

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 SEDGWICK COLA ONTARIO COUNTY CLERK ADJ7174524 JORGE CISNEROS LOS ANGELES COUNTY OF SEDGWICK COLA ONTARIO PUBLIC WORKS ADJ7174576 ELIZABETH PADILLA COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPSS ADJ7200937 SUSAN NAVARRO DEPT OF PUBLIC SOCIAL SEDGWICK COLA ONTARIO SERVICE ADJ7240992 SHANTE CLARK COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DCFS ADJ7257383 PEGGY LIMONES LOS ANGELES COUNTY SEDGWICK COLA ONTARIO SOCIAL SERVICES ADJ7288490 JUAN GARCIA LA COUNTY DEPT OF SEDGWICK COLA ONTARIO AGRICULTURE ADJ7451416 SHIRLEY WALKER COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ7464397 ILIANA REVELEZ COUNTY OF LOS ANGELES- SEDGWICK COLA ONTARIO DPSS ADJ7464397 ILIANA REVELEZ LA DEPT OF SOCIAL SERVICES SEDGWICK COLA ONTARIO

ADJ7503817 BARBARA PRICE LA COUNTY DPSS SEDGWICK COLA ONTARIO HAWTHORNE MEDICAL REGIONAL

128 Michael R. Drobot Industrial Pharmacy Management MediLab 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 SEDGWICK COLA ONTARIO TREASURER AND TAX ADJ7875457 CYNTHIA ALEXANDER COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO PROBATION DEPT ADJ7991749 MOI FOU COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPSS ADJ8028634 BETTYE TAYLOR COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPSS ADJ8031511 TIFFANY ARCHILLE LOS ANGELES DPSS HR DEPT SEDGWICK COLA ONTARIO ADJ8151840 SANDRA AMARILLAS LA COUNTY DEPARTMENT OF SEDGWICK COLA ONTARIO SOCIAL SERVICES ADJ8271029 SILVIA MCDONALD LOS ANGELES COUNTY DEPT SEDGWICK COLA ONTARIO OF SOCIAL SERVICES ADJ8274327 RHEA TEVES LOS ANGELES COUNTY DPSS SEDGWICK COLA ONTARIO

ADJ8457575 MARTHA JONES COUNTY OF LA REGISTRAR SEDGWICK COLA ONTARIO RECORDER COUNTY CLERK ADJ8457575 MARTHA JONES COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO REGISTRAR RECORDER ADJ9042228 RANITA DODSON LOS ANGELES COUNTY SEDGWICK COLA ONTARIO PROVATION ADJ2937944 JANET GOMEZ OWENS BROCKWAY SEDGWICK CONCORD ADJ8064790 LILIA LUIS ENRIQUEZ ADRIANAS INSURANCE INC SEDGWICK CONCORD ADJ6703259 BRENDA GORDON KAISER PERMANENTE MEDICAL SEDGWICK KAISER LEXINGTON GROUP ADJ7511959 LINDA MCGENSY SO CAL PERMANENTE SEDGWICK KAISER LEXINGTON MEDICAL GROUP 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 SEDGWICK PASADENA SCHOOL DIST ADJ1180827 FRANCES PIKHART LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ1277846 SONIA ESPINOZA LAUSD SEDGWICK PASADENA

129 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1312204 ALEX FLORES FULTON COLLEGE & PREP SEDGWICK PASADENA SCHOOL ADJ1456099 DAVID BURLEIGH L.A.U.S.D. SEDGWICK PASADENA ADJ1879966 DAVID ANTHONY LAUSD SEDGWICK PASADENA CHARLES ADJ2059684 CHRISTOPHER MARTIN L.A.U.S.D. SEDGWICK PASADENA ADJ2059684 CHRISTOPHER MARTIN LAUSD SEDGWICK PASADENA ADJ2119518 JAVIER QUINONES L.A. UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ2142389 EVELYN SILVA MEZA LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ2508012 STEVE ARNOLD LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ2685707 LAURETTA JACKSON LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ2798403 ARTURO HERNANDEZ LAUSD SEDGWICK PASADENA ADJ3279302 MANUEL MABRA LA UNIFIED SCHOOL DISTRICT SEDGWICK PASADENA

ADJ3279302 MANUEL MABRA LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT 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. & SEDGWICK PASADENA GROUNDS ADJ582712 MOROCCO KING LAUSD SEDGWICK PASADENA ADJ6641906 KATIUSKA CASTANEDA LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ6921027 EDUARDO DINEROS LAUSD JUSTICE ELEMENTARY SEDGWICK PASADENA SCHOOL ADJ7219996 ERNESTINE GREEN LAUSD SEDGWICK PASADENA ADJ7283752 ARLENE BONDS LAUSD SEDGWICK PASADENA ADJ732478 SHARON RICE LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DIST 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 SEDGWICK PASADENA CHURCH

130 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7366412 SHERRILL WALKER LOS ANGELES UNIFIED SEDGWICK PASADENA HALLIDAY SCHOOL DISTRICT ADJ7452188 EUGENE FAIR LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ7461906 JUDY PATTERSON LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT MARLTON SCHOOL ADJ761387 JANET CORENA LAUSD SEDGWICK PASADENA ADJ7750163 DIANA VILLEGAS LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ7880581 CARNELLA JOHNSON LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ7990559 LINDA EVERETT LAUSD SEDGWICK PASADENA ADJ8157524 KEVIN CASEY LOS ANGELES UNIFED SEDGWICK PASADENA SCHOOL DISTRICT ADJ8166512 MARYANNE VIRGINIA LA UNIFIED SCHOOL DISTRICT SEDGWICK PASADENA THOMPSON ADJ8190118 KIM REED LAUSD SEDGWICK PASADENA ADJ8290154 ROBERT BARTSCH LAUSD SEDGWICK PASADENA ADJ8342384 MARY JACKSON LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ8392882 DEANNA PITTS LATHAN LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ8437246 CHARITA PENNIMAN LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT ADJ883007 IRENE YARKONI L.A.U.S.D. SEDGWICK PASADENA ADJ8859312 LYDIA MORALES LOS ANGELES UNIFIED SEDGWICK PASADENA SCHOOL DISTRICT 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 SEDGWICK PLEASANTON SAN DIEGO ADJ7384707 JOSE CORDERO ADMINSTAFF DBA RENT A SEDGWICK PLEASANTON WHEEL ADJ8239856 CARMEN CARRILLO WELLS FARGO SEDGWICK PLEASANTON ADJ8484844 SHEMEKA WILLIAMS WELLS FARGO SEDGWICK PLEASANTON ADJ6407040 NAVIDAD REYES WEEKEND WARRIOR SEDGWICK PORTLAND TRAILERS, INC

131 Michael R. Drobot Industrial Pharmacy Management MediLab 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 AMERICAN WORK FORCE SEDGWICK PORTLAND PAZ ADJ8214820 MARTHA VERONICA TRI STATE STAFFING SEDGWICK PORTLAND SOTELO ADJ283788 VICTORIA DELOS INSTRUMENT INVOLVED SEDGWICK RIVERSIDE SANTOS SERVICES ADJ4533925 MARY ANN STEELE CONSOLIDATED SEDGWICK RIVERSIDE FREIGHTWAYS, INC. ADJ494509 JOSE ASCENCIO TYCO PLASTIC SEDGWICK RIVERSIDE ADJ587515 BERNARDO AGUILAR DO+ABLE PRODUCTS SEDGWICK RIVERSIDE DIAZ ADJ6426750 ROBERT CHAVIRA BLOCKBUSTER INC SEDGWICK RIVERSIDE ADJ6800939 ERIKA LARA RAMIREZ SISTERS OF CHARITY OF SEDGWICK RIVERSIDE LEAVENWORTH ADJ7056632 DARIA AGUAYO TARGET SEDGWICK RIVERSIDE ADJ7060526 CARLOS CORADO PITNEY BOWES SEDGWICK RIVERSIDE ADJ7072832 BRIAN SAVILLE LANCASTER COMMUNITY SEDGWICK RIVERSIDE HOSPITAL 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 SPHERION SEDGWICK RIVERSIDE ANAYA 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7705383 RICHARD CARRILLO MANPOWER SEDGWICK ROSEVILLE ADJ7792304 RUBEN AYALA ANAWALT LUMBER CO SEDGWICK ROSEVILLE HERNANDEZ 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 SEDGWICK ROSEVILLE COMPANIES ADJ8759952 ALMA SERRANO MCDONALDS SEDGWICK ROSEVILLE ADJ107101 JOSE DE LA CRUZ UCLA SEDGWICK UC 14533 LOS ANGELES ADJ2514546 GINGER GARDNER UCLA SEDGWICK UC 14533 LOS ANGELES ADJ3287868 LILIANA CHALABI UCLA MEDICAL CNTR SEDGWICK UC 14533 LOS ANGELES ADJ3555060 JEANNE LAPORTE AKA UCLA SEDGWICK UC 14533 LOS MCCONNEL ANGELES ADJ6975549 BLANCA ROQUE UCI MEDICAL CENTER SEDGWICK UC 14533 SAN DIEGO

ADJ2042374 MARTHA CASTRO COMMUNITY HOSPITAL OF SEDGWICK VAN NUYS SAN BERNARDIN ADJ3551362 ANTONIA LOPEZ ST BERNARDINE MEDICAL SEDGWICK VAN NUYS CENTER ADJ7180229 MICHAEL ANASTASI COMMUNITY HOSPITAL OF SEDGWICK VAN NUYS SAN BERNARDINO 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 DURHAM SCHOOL SERVICE SEDGWICK WALNUT CREEK OCHOA 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 Management MediLab 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 SEDGWICK WALNUT CREEK SB ADJ8571787 BARBARA JIMENEZ ROSS STORES INC SEDGWICK WALNUT CREEK ADJ8667246 MARCOS SALAZAR TARGET CORPORATION SEDGWICK WALNUT CREEK ADJ8755213 GUILLERMINA ARBYS SEDGWICK WALNUT CREEK RODRIGUEZ ADJ9427407 MARIA REGINA HILTON WORLDWIDE SEDGWICK WALNUT CREEK MARQUEZ MEMPHIS SHARED SERVICES ADJ8017494 VERONICA PICENO SELECT PEO INCORPORATION SELECT PEO INCORPORATION DBA SELECT STAFFING DBA SELECT STAFFING

ADJ7926725 VICTOR MORENO SELECT STAFFING SELECT STAFFING ADJ3665104 DEBORAH ACOSTA BAKERSFIELD CITY SCHOOL SELF INSURED SCHOOLS DIST BAKERSFIELD ADJ7818126 TWYLA MUSKRAT CARUTHERS UNIFIED SCHOOL SELF INSURED SCHOOLS DISTRICT BAKERSFIELD ADJ7844583 EVA MIRELES KERN HIGH SCHOOL DISTRICT SELF INSURED SCHOOLS BAKERSFIELD ADJ8069409 JOANNA JANDRO MADERA COUNTY OFFICE OF SELF INSURED SCHOOLS EDUCATION BAKERSFIELD ADJ1724871 THELMA CRUZ SOUTHERN CALIFORNIA GAS SEMPRA ENERGY CO ADJ8007952 PATRICIA HERNANDEZ OSCAR GRATIANNA DBA SENOR BAJA SENOR BAJA ADJ8007952 PATRICIA HERNANDEZ SENOR BAJA SENOR BAJA

ADJ8007952 PATRICIA HERNANDEZ TERESA GRATAINNE AN SENOR BAJA INDIVIDUAL ADJ8007952 PATRICIA HERNANDEZ UEBTF LOS ANGELES SENOR BAJA

ADJ1405005 FLAVIO RODRIGUEZ SANTEE DAIRIES, INC. SENTRY SELECT STEVENS POINT DECEASED ADJ3427631 JOSE FLORES HOOMAN PONTAIC SENTRY SELECT STEVENS POINT

134 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ702499 RUDY GARCIA FOREST RIVER INC SENTRY SELECT STEVENS POINT

ADJ7275524 ESMERALDA TEVA PARENTERAL MEDICINES SENTRY SELECT STEVENS POINT FERNANDEZ ADJ7584855 IGNACIO RODRIGUEZ BEST BRANDS CORPORATION SENTRY SELECT STEVENS POINT /CMS BAKERY PRODUCTS

ADJ7946553 MARCELINO KAP MEDICAL SENTRY SELECT STEVENS POINT CERVANTES ADJ8205843 LIONEL HERON VITAS HEALTHCARE SENTRY SELECT STEVENS POINT CORPORATION ADJ8363674 VICTORIA LIMA LILLYS GASTRONOMIA SENTRY SELECT STEVENS POINT ITALIANA 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 SANTEE DAIRIES, INC. SENTRY WISCONSIN DECEASED 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 SENTRY WISCONSIN SERVICE ADJ7275524 ESMERALDA TEVA PARENTERAL MEDICINES SENTRY WISCONSIN FERNANDEZ ADJ8345056 LINDA JOST PRINCIPAL FINANCIAL GROUP SENTRY WISCONSIN

ADJ8700067 ARTURO ESPITIA SPARTECH CORPORATION SENTRY WISCONSIN ADJ4124021 JAN HAMILTON SHASTA COUNTY OFFICE OF SHASTA COUNTY OFFICE OF EDUCATION EDUCATION ADJ7511959 LINDA MCGENSY SO CAL PERMANENTE SO CAL PERMANENTE MEDICAL MEDICAL GROUP GROUP ADJ1214890 ALEXANDER ROGERS SOLAR TURBINES INC SOLAR TURBINES SAN DIEGO ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON CO ROSEMEAD ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON ROSEMEAD

135 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON CO ROSEMEAD ADJ2303797 RANDALL BUZZO SOUTHERN CALIF EDISON CO SOUTHERN CAL EDISON ROSEMEAD ADJ2664799 MICHELLE SOUTHERN CALIFORNIA SOUTHERN CAL EDISON CUNNINGHAM EDISON ROSEMEAD ADJ2664799 MICHELLE SOUTHERN CALIFORNIA SOUTHERN CAL EDISON CUNNINGHAM EDISON CO ROSEMEAD ADJ4266794 GERALD FARLEY SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON ROSEMEAD ADJ627156 JAMES WOODWORTH SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON ROSEMEAD ADJ7403864 RICHARD SERAFIN SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON ROSEMEAD ADJ7904327 JEFFREY MCKENNEY SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON COMPANY ROSEMEAD ADJ8724792 RAFAEL CASTILLO SOUTHERN CALIFORNIA SOUTHERN CAL EDISON EDISON ROSEMEAD ADJ1724871 THELMA CRUZ SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ2927133 FRANK FRUTOS SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ3608872 STELLA BAVARO SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ649840 BELINDA MIRANDA SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ6509450 PATTY RAMIREZ SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES ADJ7212889 ANGELA CLUTTERHAM SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES ADJ7415044 WILLIAM THOMPSON SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES ADJ7747933 JOEL CHAVEZ SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ8001857 ADAM SHINDLE SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS CO ANGELES ADJ8248755 ARTHUR LOZANO SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES ADJ8340391 DEBORAH OZIMA SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES ADJ8416094 JESSICA WHITED SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS COMPANY ANGELES

136 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA SOUTHERN CALIF. EDISON EDISON CO ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA EDISON EDISON CO ADJ1695906 WENDY THOMAS SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA EDISON EDISON CO CO ADJ7904327 JEFFREY MCKENNEY SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA EDISON EDISON COMPANY COMPANY ADJ7747933 JOEL CHAVEZ SOUTHERN CALIFORNIA GAS SOUTHERN CALIFORNIA GAS CO CO ADJ2927133 FRANK FRUTOS SOUTHERN CALIFORNIA GAS SOUTHERN CALIFORNIA GAS CO COMPANY ADJ6824006 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 GROVE ADJ8696372 HECTOR CERVANTES SADDLEBACK CHURCH SOUTHLAND CLAIMS GARDEN GROVE ADJ3392561 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 Management MediLab 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 SPECIALTY RISK BREA CORPORATION ADJ7960184 GUILLERMO DIAZ WAMC COMPANY INC SPECIALTY RISK BREA ADJ8075084 ROMELIA DAVILA HILLCREST COUNTRY CLUB SPECIALTY RISK BREA ADJ8121434 JUAN ESCOBAR HOLLYWOOD COMMUNITY SPECIALTY RISK BREA HOSPITAL ADJ8152220 ANDRES LOPEZ INTERFACE SPECIALTY RISK BREA ADJ8166036 ARELI HERRERA BENEFICIAL MAINTENANCE SPECIALTY RISK BREA SVC 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 SPECIALTY RISK DALLAS SUPERVALU DBA ALBERTSONS

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 SPECIALTY RISK LEXINGTON M LLC 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 SPECIALTY RISK RIVERSIDE INC 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 Management MediLab 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 SPECIALTY RISK RIVERSIDE INC ADJ7401866 MICHELLE NGUYEN JP MORGAN CHASE AND CO SPECIALTY RISK RIVERSIDE ADJ7425787 CLARA ARROYO STATER BROS SPECIALTY RISK RIVERSIDE ADJ7457433 PATRICIA GRIESBAUER PRIME HEALTHCARE SPECIALTY RISK RIVERSIDE MANAGEMENT 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 SPECIALTY RISK RIVERSIDE CORPORATION 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 SPRINGFIELD COVINA ONE 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 STATE COMP HOSPITAL ADJ2295179 ANNETTE FRANCO TECHSTYLES STATE COMP INS FUND

139 Michael R. Drobot Industrial Pharmacy Management MediLab 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 STATE COMP INS FUND MAINTENANCE ADJ4477481 MIGUEL MARTINEZ METRO BUILDING MAINTENCE STATE COMP INS FUND

ADJ3961534 CONCEPCION GARCIA CONSOLIDATED FOUNDRIES STATE COMPENSATION INS FUND ADJ902111 TERRI ROBERTS THE LAW LIMO STATE COMPENSATION INS. FUND ADJ1531319 MARIA THERESA DEPT MOTOR VEHICLES STATE COMPENSATION BOIKANYO INSURANCE FUND ADJ1531319 MARIA THERESA DEPT. OF MOTOR VEHICLES STATE COMPENSATION BOIKANYO INSURANCE FUND ADJ632809 CATALINA SEGURA SABA TEXTILES INC STATE COMPENSATION INSURANCE FUND ADJ910855 SUZANNE BRUNSVOLD COURTESY TEMPORARY STATE COMPENSATION INSURANCE FUND ADJ2147000 ARTURO NAJERA KISMAT ENTERPRISES DBA JIFFY STATE FARM 21567 BAKERSFIELD LUBE CLOSED ADJ6689543 MARIA ORTEGA LILAC FLOWER AND GIFTS STATE FARM 21567 BAKERSFIELD CLOSED ADJ1498258 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 STATE FARM BAKERSFIELD ROCK POOLS AND SPAS 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 JAVIER SILVA STATE FARM BAKERSFIELD PALACIOS ADJ7224751 MIRIAM TORRES THOMAS LUTZ AND LAURIE STATE FARM BAKERSFIELD WINER ADJ7361194 ALICIA ESTONILO ASSOCIATED TAX RELIEF STATE FARM BAKERSFIELD INCORPORATED ADJ7513841 BRENDA BARKLEY NORWALK DENTAL VILLAGE STATE FARM BAKERSFIELD

140 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7525663 PAULINO SARMIENTOS INTEGRATIVE INDUSTRIAL STATE FARM BAKERSFIELD FAMILY PRACTICE 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 STATE FARM BAKERSFIELD ROAD VETERINARY HOSPITAL

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 STATE FARM BAKERSFIELD FOR HAIR ADJ8347817 ALFREDO TADEO ICS STATE FARM BAKERSFIELD ADJ8428999 CARLOS ARRIAGA CARL D BARNES STATE FARM BAKERSFIELD ADJ8608833 JALAL AZIZI INTERGRATED CHROPRACTIC STATE FARM BAKERSFIELD GROUP 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 ASSOC ADJ2285767 JOSE CORRALES CITY OF L. A. RECREATION & SUPERIOR NATIONAL PARKS ADJ3066955 STEPHEN SPOTVILLE POMONA UNIFIED SCHOOL SUPERIOR NATIONAL DISTRICT INSURANCE CO ADJ7852954 DAMIAN CORONA NAFTA DISTRIBUTORS SUSSEX INSURANCE COLUMBIA MALDONADO ADJ8158065 MARIA RAYA ALLIED WEST PAPER SUSSEX INSURANCE COLUMBIA CORPORATION ADJ8259411 VILMA AYALA PICAR FARM LABOR SUSSEX INSURANCE COLUMBIA ADJ8284965 DOLORES DE JESUS BMAKK CORPORATION SUSSEX INSURANCE COLUMBIA NIETO ADJ8416225 HECTOR SALDIVAR AMERICAN GUARD SERVICE SUSSEX INSURANCE COLUMBIA ADJ8718970 JUAN HERNANDEZ SUPERIOR COLLISION SUSSEX INSURANCE COLUMBIA ADJ8746840 GUILIBALDO DUENAS UNITED METAL PRODUCTS SUSSEX INSURANCE COLUMBIA INC

141 Michael R. Drobot Industrial Pharmacy Management MediLab 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 THE HARTFORD SYRACUSE MIRADA FWHITTIER ADJ8533149 SHIVA SOLEIMANPOUR WESTERN DENTAL THE HARTFORD SYRACUSE ADJ8884857 MIRIAM BERMUDEZ AZTEC UNIFORM AND TOWEL THE HARTFORD SYRACUSE RENTAL ADJ7536832 RICHARD YOUNG TIME WARNER CABLE TIME WARNER CABLE ADJ7768525 GLORIETTE CRAVEN TIME WARNER CABLE TIME WARNER CABLE ADJ7760292 VICTOR ARROYO TIO LEOS MEXICAN TIO LEOS MEXICAN RESTAURANT RESTAURANT ADJ2037034 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 TORRANCE UNIFIED SCHOOL DISTRICT DISTRICT ADJ7539018 FRANCISCO RAMIREZ ROSE & SHORE RITE WAY TOWER NATIONAL INSURANCE IRVINE ADJ7691178 RIAD TASHMAN REDLANDS AUTO PLAZA TOWER NATIONAL INSURANCE IRVINE ADJ8007952 PATRICIA HERNANDEZ OSCAR GRATIANNA DBA TOWER NATIONAL INSURANCE SENOR BAJA IRVINE ADJ8007952 PATRICIA HERNANDEZ SENOR BAJA TOWER NATIONAL INSURANCE IRVINE ADJ8007952 PATRICIA HERNANDEZ TERESA GRATAINNE AN TOWER NATIONAL INSURANCE INDIVIDUAL IRVINE ADJ8007952 PATRICIA HERNANDEZ UEBTF LOS ANGELES TOWER NATIONAL INSURANCE IRVINE ADJ8017131 HEIDI BOLANOS NOVA STAFFING TOWER NATIONAL INSURANCE IRVINE ADJ8053762 CALLI MANDERINO WATERWORKS AQUATICS TOWER NATIONAL INSURANCE IRVINE ADJ8171570 DELKIS CHIRINOS JACK IN THE BOX TOWER NATIONAL INSURANCE IRVINE ADJ8258776 SILVIA MORALES XCVI LLC TOWER NATIONAL INSURANCE IRVINE

142 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8292652 JORGE ORTIZ EXCEL RESIDENTIAL SERVICES TOWER NATIONAL INSURANCE IRVINE ADJ8388386 PETRA NAVA DE QUANTUM STAFFING TOWER NATIONAL INSURANCE GABRIEL IRVINE ADJ8481876 JONG KIM BCD TOFU HOUSE TOWER NATIONAL INSURANCE IRVINE ADJ8824782 FATOLLAH FATHI NEW SUNRISE ADULT HEALTH TOWER NATIONAL INSURANCE CARE INC AND SOUTHEAST IRVINE PERSONN ADJ8984429 SILVIA YANEZ JACK IN THE BOX TBS FOODS TOWER NATIONAL INSURANCE INC 287 IRVINE ADJ9061671 VINCENT LYNCH JM FARNAM TOWER NATIONAL INSURANCE IRVINE ADJ2152092 OFELIA LUCATERO AMERICAN INTERNATIONAL TOWER SELECT INSURANCE INDUSTRIES IRVINE ADJ7636185 CLAUDIA GODIVA KISSBEKRY JUICE SMOOTHIE TOWER SELECT INSURANCE IRVINE ADJ7992362 DEVIN DESVIGNE BBSI TOWER SELECT INSURANCE IRVINE ADJ8226809 ISRAEL ZAVALA FRANK AND CESAR TOWER SELECT INSURANCE HANDYMAN IRVINE ADJ8266845 JOSE SOTO PREMIER BUILDING TOWER SELECT INSURANCE MAINTENANCE SERVICES IRVINE ADJ8405747 SELVYN LOPEZ BOOK CITY NEWS INC DBA TOWER SELECT INSURANCE CIRCUS DISCO IRVINE ADJ8704641 ANGEL CAMACHO DON PEDROS MEAT TOWER SELECT INSURANCE IRVINE ADJ8063851 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, TRAVELERS DIAMOND BAR INC. ADJ1460538 JORGE GONZALES VENTURA FOODS TRAVELERS DIAMOND BAR ADJ1562286 ELEAZAR ENRIQUEZ YEAGER SKANSKA TRAVELERS DIAMOND BAR CONSTRUCTION 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ2815503 FRANCISCO MORALES CAL SPAS TRAVELERS DIAMOND BAR ADJ3078712 GONZALO BEDOLLA AGRICULTURAL PRODUCTS TRAVELERS DIAMOND BAR RUIZ ADJ3191727 JUAN BELTRAN HOLLANDER HOME FASHIONS TRAVELERS DIAMOND BAR CORP ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS DIAMOND BAR ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS DIAMOND BAR

ADJ3957764 LUZ VILLAREAL LITTLE CAESAR'S/MAYWOOD TRAVELERS DIAMOND BAR 574 ADJ4015871 DONALD ROBERTSON EQUITY RESIDENTIAL TRAVELERS DIAMOND BAR PROPERTIES 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 TRAVELERS DIAMOND BAR TRANSPORT,USA. ADJ4686687 PRAMESH SINGH ALLIED SIGNAL CORP TRAVELERS DIAMOND BAR ADJ5827037 JUAN RAMIREZ AEROSPACE DYNAMICS TRAVELERS DIAMOND BAR ADJ587515 BERNARDO AGUILAR DO+ABLE PRODUCTS TRAVELERS DIAMOND BAR DIAZ ADJ6665985 EMMA RAMIREZ DISTINCTIVE INDUSTRIAL TRAVELERS DIAMOND BAR ADJ6729528 MARIA ARAGON THE CLASSIC SOFT TRIM TRAVELERS DIAMOND BAR GROUP ADJ6790993 MARIA MERAZ THE CLASSIC SOFT TRIM TRAVELERS DIAMOND BAR GROUP 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 TRAVELERS DIAMOND BAR BEARINGS ADJ7110741 MANUEL MADRIGAL MISSION LINEN SUPPLY TRAVELERS DIAMOND BAR ADJ7144016 ROBERT BRIGANTI LEONARD CHAIDEZ TREE TRAVELERS DIAMOND BAR SERVICE INC ADJ7150929 ANDRES JARAMILLO C D ZODIAC INC TRAVELERS DIAMOND BAR GOMEZ ADJ7156811 EDUARDO RODRIGUEZ ADIR INTERNATIONAL LLC TRAVELERS DIAMOND BAR AKA LA CURACAO ADJ7173568 MARVIN BERMUDEZ EDELBROCK FOUNDRY CORP TRAVELERS DIAMOND BAR

ADJ7176644 LINDA SHAFRAN QUEST DIAGNOSTICS TRAVELERS DIAMOND BAR

144 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7231405 JULIA ONTIVEROS DE PACIFIC BUILDING CARE TRAVELERS DIAMOND BAR LUNA ADJ7241757 DORA VAZQUEZ YAMAMOTO OF ORIENT INC TRAVELERS DIAMOND BAR

ADJ7249185 ALICIA MARTINEZ COMMUNITY MEMORIAL TRAVELERS DIAMOND BAR GARCIA HOSPITAL ADJ7267847 LOURDES HERNANDEZ INLAND COUNTIES REGIONAL TRAVELERS DIAMOND BAR CENTER 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 TRAVELERS DIAMOND BAR TRANSPORTATION ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL TRAVELERS DIAMOND BAR ADJ7650612 FELIX MARQUEZ MISSION FOODS GRUMA TRAVELERS DIAMOND BAR SANCHEZ CORPORATION 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 TRAVELERS DIAMOND BAR INC ADJ7852954 DAMIAN CORONA NAFTA DISTRIBUTORS TRAVELERS DIAMOND BAR MALDONADO ADJ7888338 ANTONIO GRANATA NIAGARA BOTTLING TRAVELERS DIAMOND BAR COMPANY ADJ7926053 LAURA AVILA LA CURACAO TRAVELERS DIAMOND BAR ADJ7948997 OLIVIA GARCIA LINDO MICHOACAN JR TRAVELERS DIAMOND BAR RESTAURANT ADJ7957480 KRISTA BODILY RICHARD HEALTH AND TRAVELERS DIAMOND BAR ASSOCIATES INC

145 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7959180 GUADALUPE DE LA DATA CLEAN CORPORATION TRAVELERS DIAMOND BAR CRUZ 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 INTERNATIONAL SEAL INC TRAVELERS DIAMOND BAR JULIAN ADJ8030940 LINO SANCHEZ SOUPLANTATION AND SWEET TRAVELERS DIAMOND BAR TOMATOES ADJ8066711 FIDEL EVANGELISTA MEDINAS PROTECTIVE SERVICE TRAVELERS DIAMOND BAR

ADJ8078762 JOSE SOSA MOUNTAIN VIEW TIRE SERVICE TRAVELERS DIAMOND BAR DBA GOODYEAR 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 TRAVELERS DIAMOND BAR CORP ADJ8182045 MARCELO OLIVE FAMSA INC TRAVELERS DIAMOND BAR ADJ8219844 SARA SANTIAGO CARLS JR TRAVELERS DIAMOND BAR ADJ8222032 DANDI QUEMUEL GEOTEST MARVIN TEST TRAVELERS DIAMOND BAR SYSTEMS INC 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 TRAVELERS DIAMOND BAR AMERICA INC ADJ8321915 JORGE LOPEZ CALIFORNIA TRANSIT TRAVELERS DIAMOND BAR GALLARDO 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 THERMAL STRUCTURES INC TRAVELERS DIAMOND BAR GALINDO ADJ8511789 VICTOR HERRERA EL METATE TRAVELERS DIAMOND BAR ADJ8581896 NOLBERTO PEDROZA ROCKER BROS MEAT AND TRAVELERS DIAMOND BAR PROVISIONS 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8641021 MARIA GUZMAN FIVE STAR GOURMET FOODS TRAVELERS DIAMOND BAR INC 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 FOREST LAWN TRAVELERS DIAMOND BAR COLORADO ADJ8728699 ANA LUGO CONSOLIDATED RESTAURANT TRAVELERS DIAMOND BAR OF CALIFORNIA INC DBA WENDYS

ADJ8800167 TOMASA ZAMORA APPA SEAFOOD7 INCI TRAVELERS DIAMOND BAR MORENO 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 TRAVELERS DIAMOND BAR CORP ADJ8953573 BLANCA CORTEZ SOLAR LINK INTERNATIONAL TRAVELERS DIAMOND BAR INC ADJ925800 MARY REBELO NORTHROP GRUMMAN TRAVELERS DIAMOND BAR CORPORATION ADJ9269736 JOSE GONZALEZ POWER CIRCUITS TRAVELERS DIAMOND BAR ADJ9313803 JOSE VIVEROS GLOBAL ENVIRONMENTAL TRAVELERS DIAMOND BAR PRODUCTS ADJ9316836 ALMA MALAGON AMERICAN TEXTILE TRAVELERS DIAMOND BAR MAINTENANCE ADJ9616700 JORGE RAMIREZ RESOURCES EMPLOYMENT TRAVELERS DIAMOND BAR SERVICES ADJ9706838 JORGE RUIZ LAKESHORE EQUIPMENT CO TRAVELERS DIAMOND BAR ADJ7579331 ORLANDO CASTRO JK RESIDENTIAL SERVICES TRAVELERS INSURANCE HARTFORD ADJ7599520 ZOILA JIMENEZ TYCO INTERNATIONAL TRAVELERS INSURANCE HARTFORD ADJ8987063 MARIA HERNANDEZ COORSTEK TRAVELERS INSURANCE HARTFORD ADJ1949671 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3844244 INEZ LILLYCROP CONSOLIDATED TRAVELERS ORANGE REPROGRAPHICS ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS ORANGE ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS ORANGE

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148 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8191866 VERONICA VAZQUEZ GCA SERVICE GROUP OF TRAVELERS SACRAMENTO TEXAS LP ADJ8233193 RICARDO AVILES PEERLESS BUILDING TRAVELERS SACRAMENTO MAINTENANCE ADJ8624434 ROSELIA GOMEZ MOZZARELLA FRESCA TRAVELERS SACRAMENTO ADJ8796621 LUCIA PARTIDA GARGIULO TRAVELERS SACRAMENTO ADJ8813271 JERRY BUTLER SUBURBAN MORTGAGE HOME TRAVELERS SACRAMENTO LENDER 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 TRAVELERS SAINT PAUL INC 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 TRAVELERS WALNUT CREEK LANDSCAPE LIGHTING 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 TRAVELERS WALNUT CREEK METAL ADJ7459795 BELINDA GROSS TRICOR AMERICA INC TRAVELERS WALNUT CREEK ADJ7501335 MARIO ARRIETA OCCIDENTAL COLLEGE TRAVELERS WALNUT CREEK ADJ7514341 STACY LARGY HIGH DESERT MEDICAL TRAVELERS WALNUT CREEK GROUP ADJ7646679 GENARO ESTRADA SAMMY S WOODFIRED PIZZA TRAVELERS WALNUT CREEK

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149 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7934591 RAFAEL GUTIERREZ MODULAR METAL TRAVELERS WALNUT CREEK FABRICATORS INC ADJ7961608 JOSE CASTILLO YESCO YOUNG ELECTRIC SIGN TRAVELERS WALNUT CREEK COMPANY 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 TRAVELERS WALNUT CREEK MAINTENANCE 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 TRAVELERS WALNUT CREEK LLC ADJ8715666 ISRAEL ARROYO AVILES ANTEX KNITTING MILLS TRAVELERS WALNUT CREEK

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150 Michael R. Drobot Industrial Pharmacy Management MediLab 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

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ADJ8088846 FERNANDO LONA RAFAEL BECERRA RACING TRISTAR BREA PANTOJA STABLES ADJ8308829 JOSE GUTIERREZ MARTIN J JONES RACING TRISTAR BREA STABLES ADJ8317127 CELSO MARTINEZ JUST IN TIME LOGISTICS INC TRISTAR BREA ADJ8357395 PATRICE LONERGAN SOUTHLAND TRANSIT INC TRISTAR BREA

151 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8418853 ANA ORELLANA AMERIPRIDE UNIFORM TRISTAR BREA SERVICES ADJ8471975 MANUEL QUINONEZ TECHNICOLOR TRISTAR BREA TECHNICOLOR FILM SERVICES

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 TRISTAR CONCORD CALIFORNIA ADJ8389941 MARTHA GUEVARA CEDAR SINAL MEDICAL TRISTAR CONCORD CENTER ADJ6836960 PATRICIA MANRIQUEZ GRIMMWAY TRISTAR FRESNO ADJ7332831 SANTA PEREZ KINGSBURG ELEMENTARY TRISTAR FRESNO SCHOOL DISTRICT ADJ7943274 JOSEFINA VELA ALVAREZ GRIMMWAY ENTERPRISES INC TRISTAR FRESNO

ADJ8136492 ISAIAS ESPINOZA HARRIS FARMS INC TRISTAR FRESNO TORRES ADJ8414200 BERTHA RIVERA WAWONA PACKING TRISTAR FRESNO ADJ8859213 EMILIA VALENCIA GRIMMWAY ENTERPRESISES TRISTAR FRESNO INC ADJ8859213 EMILIA VALENCIA KING PAK POTATO COMPANY, TRISTAR FRESNO LLC. ADJ7814650 NATALIA KNOX MARTIN LUTHER KING TRISTAR IRVINE CLOSED ADJ1887085 ARSENIA LIWANAG LONG BEACH UNIFIED TRISTAR LOS ANGELES SCHOOL DISTRICT ADJ2753948 HEATHER HUBBARD BUCHALTER & NEWER TRISTAR LOS ANGELES ADJ4004127 OTILIA ESCOBAR TOPANGA TERRACE TRISTAR LOS ANGELES CONVALESCENT CENTER ADJ4061890 RHENITA WHITE WATTS HEALTH TRISTAR LOS ANGELES MCMILLAN FOUNDATION ADJ4074391 MARIA ACUNA DREW MEDICAL CENTER TRISTAR LOS ANGELES ADJ4093413 MARVA ROSS SUBSEQUENT INJURIES TRISTAR LOS ANGELES BENEFITS ADJ4093413 MARVA ROSS UHP HEALTH CARE TRISTAR LOS ANGELES ADJ6883592 PAMELA BROWN LONG BEACH UNIFIED TRISTAR LOS ANGELES SCHOOL DISTRICT ADJ7238964 LAURA ALVARADO SAN MARINO SKILLED TRISTAR LOS ANGELES NURSING AND WELLNESS

152 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7875152 ROSALIE LATCHISON LONG BEACH UNIFIED TRISTAR LOS ANGELES SCHOOL ADJ8131037 JEANEEN ALCANTARA CEDARS SINAI MEDICAL TRISTAR LOS ANGELES CENTER LOS ANGELES ADJ8190263 REYNA ROSAS LONG BEACH USD TRISTAR LOS ANGELES ADJ8482649 SHENAE BERRY COMMUNITY HOSPITAL LONG TRISTAR LOS ANGELES BEACH ADJ8859213 EMILIA VALENCIA GRIMMWAY ENTERPRESISES TRISTAR LOS ANGELES INC ADJ8859213 EMILIA VALENCIA KING PAK POTATO COMPANY, TRISTAR LOS ANGELES LLC. ADJ4548177 NELLY DE LA MORA SANTA MONICA MUNICIPAL TRISTAR RISK MANAGEMENT COURT ADJ602785 SANDRA CANDLER RANCHO LOS AMIGOS TRISTAR RISK MANAGEMENT ADJ1462133 RITA GARCIA CEDAR SINAI MEDICAL TRISTAR SAN DIEGO CENTER ADJ3044109 WANDA RUIZ CEDARS-SINAI MEDICAL TRISTAR SAN DIEGO CENTER ADJ5791557 ORVIN BORROW CEDARS SINAI TRISTAR SAN DIEGO ADJ6975525 BLANCA GARCIA PLOTT NURSING HOME TRISTAR SAN DIEGO ADJ7636592 DESIREE BAPTIST CEDAR SINAI MEDICAL TRISTAR SAN DIEGO CENTER 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 TRISTAR SANTA ANA CENTER ADJ1209718 PHYLLIS WILSON LAC/USC MEDICAL TRISTAR SANTA ANA ADJ1757158 NEJIA RECER HARBOR UCLA MEDICAL TRISTAR SANTA ANA CENTER 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 TRISTAR SANTA ANA MEDICAL CENTER ADJ3261830 ESPERANZA BRIONES COUNTY OF LA OLIVE VIEW TRISTAR SANTA ANA MED CNTR 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3387561 VERONICA YABES COUNTY OF LOS TRISTAR SANTA ANA ANGELES/USC MEDICAL ADJ3420677 DARRYL BROWN USC MEDICAL CENTER TRISTAR SANTA ANA ADJ3570005 ANA DUARTE LOS ANGELES HEALTH TRISTAR SANTA ANA SERVICES ADJ3623274 AIDA BRIMBUELA HARBOR UCLA CENTER TRISTAR SANTA ANA ADJ3735060 ROSA RAMIREZ MARTIN LUTHER KING HOSP TRISTAR SANTA ANA RADIOLOGY ADJ3929569 CHERYLANN WILLIS HARBOR/UCLA MEDICAL TRISTAR SANTA ANA CENTER ADJ4028452 NANCY VASQUEZ COUNTY OF LA/PROBATIN TRISTAR SANTA ANA DEPT. ADJ434005 DOROTHY WAFER MARTIN LUTHER KING TRISTAR SANTA ANA HOSPITAL ADJ540524 MARCO MALDONADO COUNTY OF LOS ANGELES TRISTAR SANTA ANA ADJ570695 FLORA CABALLERO WOMENS & CHILDRENS TRISTAR SANTA ANA HOSPITAL 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 TRISTAR SANTA ANA LAC USC MED ADJ6921435 DEBRA GRANT RANCHO LOS AMIGOS REHAB TRISTAR SANTA ANA CENTER ADJ6975049 CONSUELO VIEYRA COUNTY OF LOS ANGELES TRISTAR SANTA ANA DEPARTMENT OF HEALTH SERVICES 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 TRISTAR SANTA ANA DEPT OF HEALTH ADJ7363786 MONICA MENDOZA CITY OF LOS ANGELES DEPT TRISTAR SANTA ANA OF PUBLIC HEALTH ADJ7548397 IRENE VALMIDIANO COUNTY OF LOS ANGELES TRISTAR SANTA ANA RANCHO LOS AMIGOS 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 Management MediLab 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 TRISTAR SANTA ANA SERVICES 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 TRISTAR SANTA ANA DISTRICT ADJ8226518 LOUIS CEVALLOS COUNTY OF LOS ANGELES TRISTAR SANTA ANA DEPT OF MENTAL HEALTH ADJ8261903 JESSIE TIVAO COUNTY OF LOS ANGELES TRISTAR SANTA ANA DEPT OF MENTAL HEALTH ADJ8413343 VICTORIA GUZMAN COUNTY OF LOS ANGELES TRISTAR SANTA ANA AUDITOR CONTROLLER ADJ8522227 TEODOLINDA COUNTY OF LOS ANGELES TRISTAR SANTA ANA MENDOZA ADJ6975549 BLANCA ROQUE UCI MEDICAL CENTER UCI MEDICAL CENTER ADJ2535334 STACY HOLLOMON M & J ELECTRIC ULICO CASUALITY ADJ8797437 ALEJANDRA VELORIA DL CONTRACTING ULLICO CASUALTY CO SILVER CASTELLANOS SPRING ADJ7860694 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 RIDGE ADJ8013348 DANIEL LUCERO PRECISION RELOCATION VANLINER INSURANCE FENTON

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155 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7156200 ROBERT MCCOY WARNER BROTHERS WARNER BROTHERS ADJ3277926 ROBERT REED WARNER BROTHERS WARNER BROTHERS STUDIO ENTERTAINMENT 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 WAUSAU BEAVERTON COMPANIES WEST ADJ7484472 MARK COBB FULL CIRCLE RECYCLING WAUSAU BEAVERTON COMPANY ADJ7484495 MARK COBB FULL CIRCLE RECYCLING WAUSAU BEAVERTON COMPANY ADJ7501335 MARIO ARRIETA OCCIDENTAL COLLEGE WAUSAU BEAVERTON ADJ7628835 MARCO TORRES THARALDSON EMPLOYEE WAUSAU BEAVERTON MANAGEMENT CO ADJ7664949 JOVITA PEREZ HUNTINGTON PACIFIC WAUSAU BEAVERTON HOTELS LLC MARRIOTT COURTYARD CARLSBA ADJ7783887 RICARDO CARCAMO WIRETECH INC WAUSAU BEAVERTON ADJ7809268 BRANDON JACKSON ASHLEY FURNITURE WAUSAU BEAVERTON INDUSTRIES INC ADJ7815954 SERGIO GARCIA TW SERVICES INC CISCO WAUSAU BEAVERTON ADJ7934591 RAFAEL GUTIERREZ MODULAR METAL WAUSAU BEAVERTON FABRICATORS INC ADJ8061024 JOSE LIBRADO ORCO BLOCK CO WAUSAU BEAVERTON HERNANDEZ ADJ6585912 JUAN HERNANDEZ ASHLEY FURNITURE WAUSAU WAUSAU INDUSTRIES 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 CO ADJ3340389 ANABERTA VILLALOBOS NORWALK-LA MIRADA YORK 1498 SANTA ANA SCHOOL DIST ADJ7342999 SANTOS BARRAGAN PARADIGM INDUSTRIES INC YORK 1498 SANTA ANA

156 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7530544 GUADALUPE HESPERIA RECREATION AND YORK 1498 SANTA ANA GONZALEZ PARK DISTRICT 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 YORK 1738 SANTA ANA CAO/RISK MANAGEMEN ADJ6484814 NANCY DO ORANGE COUNTY LEAGUE OF YORK 1738 SANTA ANA VOTERS 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 YORK 1738 SANTA ANA WATER DISTRICT ADJ7931176 MARTHA ZAPATA SAN DIEGO UNIFIED SCHOOL YORK 1738 SANTA ANA DISTRICT ADJ7950915 FRANCISCO SALAZAR DESERT COSTAL TRANSPORT YORK 1738 SANTA ANA

ADJ8234693 HENRY COATS PALOS VERDES PENINSULA YORK 1738 SANTA ANA USD ADJ8500154 MANUEL CARRERA EMERALD LANDSCAPE YORK 1738 SANTA ANA SERVICES INC ADJ8715666 ISRAEL ARROYO AVILES ANTEX KNITTING MILLS YORK 1738 SANTA ANA

ADJ4565584 KELLY MAAG DEPARTMENT OF SOCIAL YORK 619058 ROSEVILLE SERVICES ADJ7220485 DEITRA LAWRENCE KERIAN JOBE SURGERY YORK 619058 ROSEVILLE CENTER 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 YORK 619058 ROSEVILLE DISTRICT ADJ8777351 CRISPIN ROSALES WEST COAST & SONS YORK 619058 ROSEVILLE DEMOLITION BUBEK SOLIS ADJ9060313 QUIRINO TORRES ROYAL DINING FOODS YORK 619058 ROSEVILLE ADJ9090511 MATILDE OROPEZA YUEN S ENTERPRISE TWO INC YORK 619058 ROSEVILLE DBA MCDONALD S ADJ2277677 HIGINIO NIZ CARBAJAL GARDNER POOL PLASTERING YORK 619062 ROSEVILLE CLOSED

157 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ1100645 LUPE GUZMAN JASON FU & NINA YU DDS, YORK ANAHEIM INC. ADJ1941820 DEBORAH KNIGHT RBF CONSULTING YORK ANAHEIM ADJ2836517 SUZANNE MACK CASSIDY MEDICAL GROUP/PPS YORK ANAHEIM

ADJ3637693 JOSE FISCHER UNIVERSITY MEDICAL YORK ANAHEIM PRODUCTS 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 STAFFMARK YORK ANAHEIM ROMERO 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 WAL-MART YORK EL DORADO HILLS ORTIZ 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8067195 PEDRO CHAVEZ CONSOLIDATED PRECISION YORK INSURANCE SERVICES PRODUCTS SACRAMENTO ADJ8252378 AMBER BEGANDO ACTIVE MAGNETIC YORK INSURANCE SERVICES INSPECTION SACRAMENTO ADJ8332093 GUILLERMO MARTINEZ ACCURATE METAL YORK INSURANCE SERVICES FABRICATORS SACRAMENTO ADJ9033107 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK INSURANCE SERVICES SACRAMENTO ADJ9060923 BENITO SANTIAGO MIS STAFFING SERVICES INC. YORK INSURANCE SERVICES SACRAMENTO ADJ7426483 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 YORK PASADENA CHILDREN AND FAMILY ADJ1235030 LINDA CAMMISO LOS ANGELES COUNTY YORK PASADENA EARLEY SHERIFF'S DEPT. ADJ1496850 KEVIN PORTER LOS ANGELES COUNTY YORK PASADENA SHERIFF DEPT ADJ2195894 RITA MOSBY L.A. COUNTY YORK PASADENA ADJ2320046 GEORGE AZER L.A. SHERIFF'S DEPARTMENT YORK PASADENA ADJ2634831 CHELLATHAI HARBOR/UCLA MEDICAL YORK PASADENA AYYAPPANAICKER CENTER ADJ3028804 SHERI HARDY COUNTY OF LOS ANGELES YORK PASADENA ADJ3269632 CARRIE HUNT COUNTY OF LOS ANGELES YORK PASADENA ADJ3460787 CANDIS CRAWFORD LOS ANGELES COUNTY YORK PASADENA SHERIFFS DEPT. 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 YORK PASADENA DEPARTMENT ADJ6759082 DORAN JORDAN COUNTY OF LOS ANGELES YORK PASADENA SHERIFFS DEPT ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT YORK PASADENA ADJ6894991 MARIA MAGDALENO COUNTY OF LOS YORK PASADENA ANGELES/SDHERIFF`S DEPT ADJ6928750 WILL LARA LOS ANGELES COUNTY JAIL YORK PASADENA ADJ7086060 ANITA LIMBRICK COUNTY OF LOS ANGELES YORK PASADENA SHERIFF

159 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7088797 RODOLFO LACSON LOS ANGELES COUNTY YORK PASADENA SHERIFF`S DEPARTMENT ADJ7092840 MARIA AIKIN COUNTY OF LOS ANGELES YORK PASADENA SHERIFFS DEPT ADJ7146120 CELINA HERRERA COUNTY OF LOS ANGELES YORK PASADENA SHERIFFS DEPT ADJ7171612 FRANCISCO ALONSO LOS ANGELES COUNTY YORK PASADENA SDHERIFFS DEPT ADJ7277573 JOSE SANDOVAL COUNTY OF LOS ANGELES YORK PASADENA MENDOZA ADJ728926 JANICE JACKSON COUNTY OF LA/DISTRICT YORK PASADENA ATTORNEY ADJ7354281 BRIAN LANGLAIS COUNTY OF LOS ANGELES YORK PASADENA SHERIFFS DEPT 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 LOS ANGELES COUNTY YORK PASADENA EARLEY SHERIFFS DEPT ADJ1157589 BARBARA PETERSON PLACENTIA-YORBA LINDA USD YORK RANCHO CUCAMONGA

ADJ1475587 JOSE TRUJILLO SUPERIOR INDUSTRIES YORK RANCHO CUCAMONGA INTERNATIONAL 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 YORK RANCHO CUCAMONGA DISTRICT ADJ2755703 CATHY LEDESMA ALHAMBRA UNIFIED SCHOOL YORK RANCHO CUCAMONGA DIST ADJ3129365 SANDRA SANTANA LOS ANGELES COMMUNITY YORK RANCHO CUCAMONGA SOUTHWEST COL ADJ3884991 OTTO RIOS ARCADIA UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ4024963 SHARON CAMPBELL NORWALK TRANSPORTATION YORK RANCHO CUCAMONGA

ADJ4357871 MIGUEL ESCOTO KRUSE & SONS MEAT CO YORK RANCHO CUCAMONGA ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT

160 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ4627105 VALARIE CORTEZ SNOWLINE JOINT UNIFIED YORK RANCHO CUCAMONGA SCHOOL DIST ADJ6483095 DENNIS FULK LUXFOR INC YORK RANCHO CUCAMONGA ADJ6694045 FREDDY ALVARADO LENNOX SCHOOL DISTRICT YORK RANCHO CUCAMONGA ADJ6790427 RICHARD NUNEZ BONITA UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ6806433 DEBRA LUCERO SAN BERNARDINO CO DAAS YORK RANCHO CUCAMONGA IHSS ADJ6948923 JANET GOMEZ CHINO VALLEY UNIFIED YORK RANCHO CUCAMONGA SCHOOL DISTRICT ADJ7198625 LILLIAN MONTALVO POMONA UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ7693811 WADE ORANGE INGLEWOOD UNIFIED YORK RANCHO CUCAMONGA SCHOOL DISTRICT ADJ7704747 SANDRA MARQUEZ BALDWIN PARK USD YORK RANCHO CUCAMONGA ADJ7880581 CARNELLA JOHNSON LOS ANGELES UNIFIED YORK RANCHO CUCAMONGA SCHOOL DISTRICT 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 YORK RANCHO CUCAMONGA SERVICES IHSS 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 YORK RIVERSIDE DISTRICT ADJ6798187 ANA FRANCO HOUSING AUTHORITY OF THE YORK RIVERSIDE CITY OF LOS ANGELES ADJ6913608 CARMEN MOSTAJO ST. REGIS RESORT MONARCH YORK RIVERSIDE BEACH ADJ7530544 GUADALUPE HESPERIA RECREATION AND YORK RIVERSIDE GONZALEZ PARK DISTRICT ADJ7704747 SANDRA MARQUEZ BALDWIN PARK USD YORK RIVERSIDE ADJ2724902 MARIA CRUZ IHSS DPSS YORK ROSEVILLE MEMBRANO ADJ3653079 ROSEMARY NUNEZ OPAL SNEED BY & THRU DEPT YORK ROSEVILLE OF SOC 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7397711 REYNALDA GUERRERO IHSS CHULA VISTA YORK ROSEVILLE

ADJ7530544 GUADALUPE HESPERIA RECREATION AND YORK ROSEVILLE GONZALEZ PARK DISTRICT 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 YORK ROSEVILLE CARLS JR ADJ8186256 ANDRES COTA SAN DIEGO UNIFIED SCHOOL YORK ROSEVILLE DISTRICT ADJ8234693 HENRY COATS PALOS VERDES PENINSULA YORK ROSEVILLE USD ADJ8246817 MARTHA ESPINOZA MC DONALDS YORK ROSEVILLE ADJ8316938 ISMAEL RAMOS GALICIA PRIMECO PAINTING INC YORK ROSEVILLE

ADJ8320352 NICOLASA ORNELAS COUNTY OF RIVERSIDE IN YORK ROSEVILLE HOME SUPPORTIVE SERVICES ADJ8406406 JOHN A DOLAN MINUTEMAN PARKING CO YORK ROSEVILLE ADJ8598323 MARIA CHACON LAWNDALE ELEMENTARY YORK ROSEVILLE SCHOOL 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 YORK VALENCIA HIGH SCHOOL ADJ4586044 MIGUEL ORTEGA HOUSING AUTHORITY OF LOS YORK VALENCIA ANGELES 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 YORK VALENCIA COMPANY

162 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7803063 MARIA MALANCO AMPM MAINTENANCE YORK VALENCIA SERVICES 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 YORK VALENCIA PAVING ADJ8613679 HECTOR NEVAREZ EAGLE CONSTRUCTIONS YORK VALENCIA SOLUTIONS INC 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 YORK VALENCIA ANGELES ADJ6905674 RODOLFO DIAZ SENIOR SYSTEMS ZENITH TECHNOLOGY ADJ7664950 JESUS VELASCO MGD ZENITH ADJ6500366 MARIO MARTINEZ LUCICH FARMS ZENITH FRESNO ADJ7851059 TERESA MOSQUEDA YOUNGSTOWN GRAPE ZENITH FRESNO DISTRIBUTORS 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 SILENT SPRING LLC ZENITH FRESNO PALMA 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7727284 JOSE MIRELES ARTISTIC MAINTENANCE INC ZENITH ORANGE

ADJ7767174 ANA PEREZ DE CAPAY INC DBA FARM FRESH ZENITH ORANGE VILLANUEVA TO YOU ADJ7815991 RIGOBERTO MAINAS FARMS ZENITH ORANGE RODRIGUEZ ADJ7917792 ALEX CABALLERO YALE CHASE EQUIPMENT AND ZENITH ORANGE SERVICES INC ADJ8220432 LUIS PONCE RAMONA DAIRY ZENITH ORANGE ADJ8451156 MAGARITA BARRON PINNACLE CONVENIENCE ZENITH ORANGE STATIONS 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 ZENITH SACRAMENTO TELEVISION FUND ADJ7319242 JESUS LOZADA TACOS EL GORDO ZENITH SAN DIEGO ADJ7319247 FRANCISCO GASTELUM GENERAL ATOMICS ZENITH SAN DIEGO

ADJ7492078 PETER ARVIZU GENERAL ATOMIC ZENITH SAN DIEGO AERONAUTICAL ADJ7768774 JESUS PIMENTEL LA JOLLA BEACH AND TENNIS ZENITH SAN DIEGO CLUB ADJ7847490 GREGORIO MURILLO SUN VALLEY HARVESTING ZENITH SAN DIEGO ADJ7939856 SALVADOR OCHOA BREWER LAWN AND ZENITH SAN DIEGO LANDSCAPE ADJ8266759 LUZ LOPEZ DE MEDINA GENERAL ATOMIC ZENITH SAN DIEGO TECHNOLOGIES CORP 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 ZENITH WOODLAND HILLS DESSERTS INC ADJ7534721 LUIS HURTADO ALEWYN DAIRY ZENITH WOODLAND HILLS

164 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7562334 CUAUHTEMOC SINAI CONSTRUCTION ZENITH WOODLAND HILLS BLANCAS 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 ZENITH WOODLAND HILLS SERVICES INC 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 ZENITH WOODLAND HILLS OF GREATER LA ADJ8390505 GILDARDO GREGOSO DA MOORRS FEED AND ZENITH WOODLAND HILLS TRACK ADJ8477174 DAVID SANCHEZ MALIBU BEACH R V PARK ZENITH WOODLAND HILLS ADJ8581705 JOSE CONTRERAS HERCULES TIRE & RUBBER CO. ZENITH WOODLAND HILLS DBA TWD 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 ZURICH AMERICAN DALLAS MAINTENANCE COMPANY ADJ1171666 RICARDO LEMUS ALDIK ZURICH LOS ANGELES ADJ1491029 MARIA OLIVARES HEALTHCARE PARTNERS ZURICH LOS ANGELES MEDICAL 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 ZURICH LOS ANGELES FREIGHT ADJ4308017 BRIAN PEREZ WARNER BROS ZURICH LOS ANGELES ENTERTAINMENT INC

165 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ZURICH LOS ANGELES INC ADJ7051794 DENISE SELLERS AMERICAN IMAGING ZURICH LOS ANGELES MANAGEMENT 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 ZURICH LOS ANGELES GROUP ADJ7334329 SIMON FELIX LUMEA STAFFING ZURICH LOS ANGELES ADJ7380433 DAVID CHAVEZ SAN MARINO PLASTERING INC ZURICH LOS ANGELES

ADJ7415401 MARIA MARTINEZ HEALTHCARE SERVICES ZURICH LOS ANGELES GROUP ADJ7421940 MARTHA ANGEL MARSHALLS ZURICH LOS ANGELES ADJ7463424 HECTOR AKA JESUS ADRIAN'S TRANSPORTATION ZURICH LOS ANGELES LOPEZ 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 ZURICH LOS ANGELES /CMS BAKERY PRODUCTS

ADJ7636480 CELIA GARCIA JAYS ZURICH LOS ANGELES ADJ7664949 JOVITA PEREZ HUNTINGTON PACIFIC ZURICH LOS ANGELES HOTELS LLC MARRIOTT COURTYARD CARLSBA ADJ7680801 JORGE VEGA SAN MARINO PLASTERING ZURICH LOS ANGELES

166 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ZURICH LOS ANGELES INC ADJ7764229 LUIS PAREDES MC COY CONSTRUCTION ZURICH LOS ANGELES SERVICE INC ADJ7794410 JAMES BOTILLER SPECTRUM SECURITY SVCS INC ZURICH LOS ANGELES

ADJ7816698 MELENCIO INOCENCIO DIVERSIFIED ZURICH LOS ANGELES TRANSPORTATION CO ADJ7816761 MARIA P DE RIOS FONTANA LOGISTICS CENTER ZURICH LOS ANGELES INC ADJ7873579 JULIAN HURTADO VELA CALIFORNIA PIZZA KITCHEN ZURICH LOS ANGELES INC 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 ZURICH LOS ANGELES RANCH ADJ7974483 HILDA TORRES HORMEL FOODS CORP ZURICH LOS ANGELES ADJ7976530 PONCIANO PF CHANG S ZURICH LOS ANGELES CONTRERAS ADJ7998888 GARY HERNANDEZ WESTERN TEAR OFF ZURICH LOS ANGELES DISPOSAL 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 ZURICH LOS ANGELES CENTER INC ADJ8103377 MARIA RAMIREZ HEALTHCARE SERVICES ZURICH LOS ANGELES GROUP INC 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8205574 BRADLEY SMITH CONTEMPORARY SERVICES ZURICH LOS ANGELES CORP ADJ8211515 DEBORAH GARCIA NFI INDUSTRIES ZURICH LOS ANGELES ADJ8259466 GERTRUDIZ ROMAN MICRO SOLUTIONS ZURICH LOS ANGELES ENTERPRISES ADJ8266845 JOSE SOTO PREMIER BUILDING ZURICH LOS ANGELES MAINTENANCE SERVICES ADJ8361227 SANDRA EGUINO GELSONS MARKET ZURICH LOS ANGELES ADJ8362248 SALVADOR GARNICA ALPERT AND ALPERT IRON ZURICH LOS ANGELES AND METAL INC ADJ8395795 JASON MILLS STRAIGHT LINE ZURICH LOS ANGELES CONSTRUCTION CO 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 KENAN HOPKIN SUDER ZURICH LOS ANGELES MATTHEWS STOWELL CONTRACTORS ADJ8622008 KATHLEEN HARTFIELD INTERNATIONAL RECTIFIER ZURICH LOS ANGELES ADJ8630599 ABEL ESCAMILLA JMS BUILDING SOLUTIONS ZURICH LOS ANGELES ADJ8659331 ANA MURGA FEDERAL CLEANING ZURICH LOS ANGELES CONTRACTORS INC ADJ8699718 PAULA GARCIA QUALITY STAFFING ZURICH LOS ANGELES SOLUTIONS 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 CASTLE AND COOKE INC ZURICH LOS ANGELES VALERIO ADJ8947679 MARIA DELGADO STAYBRIDGE SUITES ZURICH LOS ANGELES RAMIREZ ADJ9058612 YOLANDA RUIZ FOOD PRODUCTS INC ZURICH LOS ANGELES MAGALLANES ADJ9080977 JESUS FIGUEROA VALLEY CREST LANDSCAPE ZURICH LOS ANGELES OSORIO DEVELOPMENT ADJ9125642 JOSE SAN ELIAS FOUR RESORT RESORT ZURICH LOS ANGELES ADJ9256725 LORENA MERCADO ABLE BUILDING ZURICH LOS ANGELES MAINTENANCE COMPANY ADJ9405322 ELIDA GALLEGOS MIYAKO HIBRID HOTEL ZURICH LOS ANGELES ADJ9405322 ELIDA GALLEGOS RECANA SOLUTIONS ZURICH LOS ANGELES

168 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ9504465 JUAN CARLOS SALAS GHP MANAGEMENT ZURICH LOS ANGELES CORPORATION ADJ9336069 WALTER HUGGINS HIGH COUNTRY ZURICH NORTH AMERICA TRANSPORTATION CHICAGO ADJ8923676 BERNICE GARCIA PROVIDIAN STAFFING ZURICH NORTH AMERICA INVALID ADJ1970654 JOSE RODRIGUEZ HANAN CONSTRUCTION ZURICH SACRAMENTO COMPANY, INC. ADJ4133580 ANDREW HARPER ULTIMATE STAFFING HARBOR ZURICH SACRAMENTO FREIGHT 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 ZURICH SACRAMENTO GROUP INC ADJ8512859 AURELIO CASTILLO HYDE AND HYDE INC ZURICH SACRAMENTO ADJ8647917 GALINDA MONTOYA HEALTH CARE SERVICES GRAP ZURICH SACRAMENTO COUNTRY VILLA ADJ8800167 TOMASA ZAMORA APPA SEAFOOD7 INCI ZURICH SACRAMENTO MORENO ADJ9028111 ROSALBA GARCIA MERRY MAIDS ZURICH SACRAMENTO ADJ7483279 MELCHOR SEGURA WACKER CHEMICAL CORP ZURICH SAN FRANCISCO BERNAL ADJ7555713 JOSE GONZALEZ EARL SCHEIB INC ZURICH SAN FRANCISCO ADJ7902567 PASCUAL MALDONADO JANUS CORPORATION ZURICH SAN FRANCISCO

ADJ8188639 MARIO GIRON POLI CLINIC MEDICAL CENTER ZURICH SAN FRANCISCO INC ADJ8855210 MAVI EDEZA TRI STAR ELECTRONICS ZURICH SAN FRANCISCO ADJ8977686 INOCENCIA MICRO SOLUTIONS ZURICH SAN FRANCISCO VALLADARES ENTERPRISES ADJ9100103 SALVADOR VILLASENOR REC SOLAR INC ZURICH SAN FRANCISCO

ADJ1205211 GERMAN VALDES FLOR MONTES RODRIGUEZ UEF ADJ1205211 GERMAN VALDES JAIME TAPIA DEBA EL PATRON UEF AUTO ADJ1205211 GERMAN VALDES UEBTF LOS ANGELES UEF ADJ1287064 SHIRLEY CRATER PERRIS ELEMENTARY SCHOOL KEENAN ASSOCIATES DISTRICT RIVERSIDE/Cambridge San Diego

169 Michael R. Drobot Industrial Pharmacy Management MediLab 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- UEF ROCK ADJ1301400 ALEJANDRO BARBA UEBTF OAKLAND UEF ADJ1358039 FRANK VIERRA L.A. COUNTY PROBATION Cambridge Pasadena Closed DEPT. ADJ1597481 RAYMUNDO VASQUEZ WESTERN STEEL CUTTING INC EVEREST NATIONAL ORANGE INVALID ADJ1929477 DOLLY WELLS COMMUNITY HOME SUPPORT BERKSHIRE HATHAWAY SAN FRANCISCO ADJ2245821 DAVID BASURTO ARCHIES TRANSMISSION UEF NCS/LLC ADJ2245821 DAVID BASURTO UEBTF LOS ANGELES UEF ADJ2261945 JOSE SERRANO DONA MILLER NONE ADJ2379135 DAVID HARVEY GLENDALE UNIFIED SCHOOL YORK INSURANCE SERVICES DIST SACRAMENTO ADJ2411855 PEDRO DELGADO HONG KONG BBQ AND DIM NONE SUM 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 SCIF Insured Fresno PRODUCTS 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 UEF AUTO CENTER ADJ3110395 JOSE JIMENEZ UEBTF LOS ANGELES UEF ADJ3110395 JOSE JIMENEZ URENA'S AUTO SMOG & TOW UEF SERVICE ADJ3276569 LONNIE CURTIS SAN DIEGO COUNTY WATER AUTHORITY BROADSPIRE CIGA FOLSOM ADJ340650 MARIA YOLANDA PACTIV CORPORATION NONE LUNDGREN 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ3845427 RUTH DAZA GARDEN GROVE NONE CONVALESCENT HOSPITAL 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 SELECTED STAFFING CHAPPERO ESIS CHATSWORTH ADJ4303253 PATRICE SCOTT LA COUNTY/DEPT OF NONE CHILDREN & FAMILY ADJ4403079 JOEL PLACENSIA BUR-CAL TERMITE & PEST SCIF CONTROL 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 UEF AUTO CENTER ADJ4607119 JOSE JIMENEZ UEBTF LOS ANGELES UEF ADJ4607119 JOSE JIMENEZ URENA'S AUTO SMOG & TOW UEF SERVICE ADJ4652075 RUBY ROBINSON COUNTY OF LOS ANGELES NONE ADJ4652449 JAMIE SALAZAR HSN COMPWEST 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ6701422 DOMINGO LORENZO QUICK CRETE PRODUCTS BERKSHIRE HATHAWAY SAN CORP FRANCISCO ADJ6715678 WANDA LUNNIE COUNTY OF LOS ANGELES ACCLAMATION Santa Clarita ADJ6721903 GORA SINGH ASHOKKUMAR A PATEL DBA NONE LUCKY LIQUOR 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,. INC FARMERS WESTLAKE VILLAGE ADJ6868691 ANTONIO CABUTO HANSON TRUSS INC ZAMBRANO ZURICH LOS ANGELES ADJ6878320 LILIA CERVANTES ARBYS/SOUTHLAND FOODS FARMERS INC ADJ6885988 JOSE GONZALEZ CARLOS GOMEZ NONE ADJ6892059 ANTONIO GALVEZ MACEACHERN UEF CONSTRUCTION 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 SCIF Santa Ana VEHICLES 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 Management MediLab 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 & NONE LAUNDRY ADJ7119471 DANIEL MEZA STRUCTURE DESIGN AND NONE SOURCING INC ADJ7124819 WELDON GOODEN THE BOEING COMPANY NONE ADJ7126712 JUAN LOPEZ JOSE MIRELES FLC NONE ADJ7131167 JESUS RAMOS MONTGOMERY KEITH FIRSTCOMP OMAHA FOR COMPANY SOUTHERN INSURANCE ADJ7138768 LORENZO PEREZ EDCO DISPOSAL JIMENEZ CORPORATION TRAVELERS DIAMOND BAR ADJ7141330 SATURINO DE LEON PROFESSIONAL GROUNDS GUARD INSURANCE WILKES WORK BARRE ADJ7143791 JUAN REYES ALOCA FASTENING SYSTEM SEDGWICK ADJ7144072 JUNIOR GARCIA GDW CONSTRUCTION FARMERS PLEASANTON ADJ7145662 MARIA DEL CARMEN LA QUERENCIA RESTAURANT NONE ESPINOZA ADJ7157297 MARYLU VENEGAS SAN ANTONIO REGIONAL NONE HOSPITAL ADJ7162169 MARIBEL MINERA SIMSO TEX SEDGWICK 14424 ORANGE ADJ7166984 JUAN CASTILLO PIEDRA`S MACHINE CIGA INTERCARE CORPORATION 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 TOWER NATIONAL INSURANCE INC IRVINE ADJ7262126 JOSE PARDO VARGAS FANTASY TEXTILES

173 Michael R. Drobot Industrial Pharmacy Management MediLab 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 INC AMERICAN 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 T L FABRICATION NONE MALDONADO ADJ7344104 MELVIN AGUIRRE MACYS INC MACYS REDONDO BEACH ADJ7345315 MANUEL CERVANTES AAA INTERNATIONAL FARMERS SEAFOOD CORP ADJ7365727 DAYSSI NAVARRETE CREST NATIONAL VIDEOTAPE ZURICH AND FILM LABORATORIES

ADJ7416473 ANA VASQUEZ FUN FACTORY INC MEADOWBROOK INSURANCE LAS VEGAS ADJ7417102 FELIPE BOLANOS WEST STOR RECREATION INC BERKSHIRE HATHAWAY SAN DIEGO ADJ7417157 FELIPE BOLANOS WEST STOR RECREATION INC BERKSHIRE HATHAWAY SAN DIEGO ADJ7424148 RAMON SERVIN G P TRUCKING UEF ADJ7424148 RAMON SERVIN GLENDALE PLUMBING AND UEF FIRE SUPPLIES ADJ7424148 RAMON SERVIN UEBTF LOS ANGELES UEF ADJ7426177 REFUGIO RAMOS PICK YOUR PART SEDGWICK VAN NUYS ADJ7447252 OSCAR JIMENEZ ANTHONY ASAM & CINDY UEF ARNADO 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7476980 CANDELARIA GUIZAR MISSION FOODS TRAVELERS DIAMOND BAR ADJ7479422 JOSE MERCADO FUTURE LANDSCAPE UEF MAINTENANCE ADJ7479422 JOSE MERCADO UNINSURED EMPLOYERS FUND UEF

ADJ7484074 ESMERALDA GOMEZ GARY AROUCHIAN DBA DEL NONE TACO 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 UEF BEDJAKIAN ENTERPRISES INC

ADJ7563962 DAVID KANG TEDDY BEDJAKIAN UEF ADJ7563962 DAVID KANG UEBTF LOS ANGELES UEF ADJ7565940 JOSUE HERNANDEZ UEBTF ANAHEIM UEF NAVARRO ADJ7565940 JOSUE HERNANDEZ WOLFEE DONUTS UEF NAVARRO ADJ7578479 MANUEL GIL AMERIPRIDE SERVICES INC ESIS 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 Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ7592527 ENRIQUE GOMEZ AMILCAR JR. PLUMBING- UEF AMILCAR RODRIGUEZ ADJ7592527 ENRIQUE GOMEZ UNINSURED EMPLOYERS FUND UEF

ADJ7607475 JOSE MACEDO EL SUPER #4 DBA BODEGA CRUM AND FORSTER LATINA CORP ADJ7610144 JOSE LUIS CORTES R AND G`S FOOD BASKET NONE ADJ7633140 RONY RODRIGUEZ STAFFING SOLUTIONS YORK Roseville ADJ7636147 LEOBALDO PEREZ TRI-STATE STAFFING LUMBERMENS 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 BERKSHIRE HATHAWAY SAN CONTRACTOS FRANCISCO ADJ7677937 MARIO SUAREZ HYCOR AMERICAN CLAIMS SAN DIEGO ADJ7678362 MARICELA PEREZ COUNTY OF LOS ANGELES DISTRICT ATTORNEYS OFFICE INTERCARE ROSEVILLE ADJ7692582 CESAR SANTIZO KJB METALS UEF ADJ7693043 LYDIA MORAN LEON ARISBETH A HERNANDEZ NONE ADJ7709032 WILLIAM GARCIA NORTH PARK PRODUCE NONE MARTINEZ ADJ7760343 DAVID GARCIA TSCM CORPORATION SPECIALTY RISK LEXINGTON ADJ7762496 JOSAFAT CHAVEZ SMC GREASE SPECIALIST SPECIALTY RISK RIVERSIDE ADJ7762497 JESUS REYES MARIO CAMARILLO NEW UEF DIMENSION PAINTING ADJ7762497 JESUS REYES UEBTF OAKLAND UEF ADJ7762521 CLEMENTE CAMPOS PARAISO DEL MAR NONE RESTAURANT 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 SERRA CATHOLIC SCHOOL GARCIA HARTFORD SACRAMENTO

176 Michael R. Drobot Industrial Pharmacy Management MediLab 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 BOYS AMERICAN 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 NONE SCHOOL ADJ7915056 MARIA GUARDADO C G INVESTMENTS INC AMERICAN 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 UEF AUTO CENTER ADJ7935023 ALFREDO MARCELO DENNYS NONE ADJ7937748 AURA SANDOVAL SHORELINE HEALTHCARE NONE DAVILA CENTER ADJ7937893 RIGOBERTO HERRERA ROLLING GREEN INC NONE ADJ7940890 KATHERINE HUNTER CEDARS SINAI MEDICAL NONE CENTER 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 NONE INDUSTRIES 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 INSURANCE CO OF THE WEST INDUSTRIES 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 Management MediLab 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 AEROTEK COMMERCIAL VASQUEZ STAFFING TRAVELERS DIAMOND BAR ADJ8079446 MAYRA MONTOYA MARRIOT DBA PINNACLE FIREMANS FUND SACRAMENTO RIVERSIDE HOSPITALITY ADJ8079478 HILARIO REYES INTERCONTINENTAL ART NONE ADJ8090764 ALICIA CORTEZ AG SOURCE SERVICES COMPWEST NEWPORT BEACH ADJ8098653 JOSE LARA EPLICA CORPORATE SERVICES TRISTAR SAN DIEGO ADJ8098849 ROSALIN JEFFERSON TUMBLEWEED QBE SPECIALTY INS TRANSPORTATION 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 LIBERTY MUTUAL 29073 AIRBORNE SYSTEMS GLENDALE ADJ8138895 OLGA GONZALEZ OLDCASTLE BU1LDING ENVELOPE LIBERTY MUTUAL ROCKLIN ADJ8144155 BYRON STEWART THE DOOR AND WINDOW NONE CONSULTANTS INC 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 Management MediLab 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 SEABRIGHT INSURANCE HUMAN RESOURCES

ADJ8179864 RAFAEL ANDRADE WEST COAST DISTRIBUTION HARTFORD SACRAMENTO ADJ8183648 ERNESTO OCAMPO SHEENAN FOUNDRY INC SCIF INSURED ADJ8185942 JORGE RECINOS JK RESIDENTIAL SERVICES LUMBERMENS UNDERWRITING BOCA RATON ADJ8188030 CHRISTINA NEWSOME CORINTHIAN COLLEGES, INC NONE DBA EVEREST COLLEGES ADJ8189239 IRMA MONTANO DAMCO DISTRIBUTION SEDGWICK 14450 LONG BEACH ADJ8193845 RUBEN GIRON SOUTHWEST TRANSPORT Southwest Transport ADJ8194130 DAVID REYNALDO KINECTA FEDERAL CREDIT GALLAGHER BASSETT GOLD CANDELAS UNION RIVER ADJ8207566 MARIA CONTRERAS THE TJX COMPANIES INC NONE ADJ8209408 LUIS GRANILLO BELLFLOWER PETROLEUM INC UEF

ADJ8209408 LUIS GRANILLO FAOUZIA JOUHARI SECTY AS UEF SUBSH OF BELLFLOWER PETROLEUM ADJ8209408 LUIS GRANILLO TAREK RAMADAN CEO AS UEF SUBSH OF BELLFLOWER PETROLEUM INC 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 Management MediLab 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 GLASSER LIBERTY MUTUAL BEAVERTON ADJ8371464 JASMINE PEDROZA NIGHTINGALE ASSISTED UEF LIVING 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 SEDGWICK 14450 LONG USA BEACH ADJ8384753 KIMBERLY MENDEZ CORIX UTILITIES TRAVELERS DIAMOND BAR ADJ8392867 MARIA VELAZQUEZ SANTA FE BUILDING SANTA FE BUILDING MAINTENANCE MAINTENANCE ADJ8397850 FELIX FLORES BUDGET RENT A CAR BUDGET RENT A CAR ADJ8399677 MARIA ALARCON PARVIZ ELIHU AND SIMIN UEF ELIHU ADJ8399677 MARIA ALARCON UEBTF LOS ANGELES UEF ADJ8414085 PATRICIA SALGADO BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ8427941 JESUS AYALA CALIFORNIA MEDICAL INNOVATION LUMBERMENS UNDERWRITING BOCA RATON

180 Michael R. Drobot Industrial Pharmacy Management MediLab Corp California Pharmacy Management Case Number Injured Worker Employer Claims Administrator ADJ8436564 JOSE MARTINEZ WAREHOUSE SOUTIONS WAREHOUSE SOUTIONS ADJ8438375 ALICIA VASQUEZ AMPCO SYSTEM PARKING ESIS GAMEZ ADJ8438476 ANTONIO REVELES BARRETT BUSINESS SERVICE BARRETT BUSINESS SERVICE INC INC ADJ8442107 JAIME SALAZAR TRADESMEN INTERNATIONAL GALLAGHER BASSETT ORANGE ADJ8453460 PABLO RAMOS SECURITAS SECURITY SERVICES SEDGWICK 14450 LONG USA INC BEACH ADJ8464981 DAMARES ROCHA GREGORIO ENTERPRISES Midwest Insurance PEREZ MCDONALDS 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 ROBERT PRECISION Nova Casualty admin York RODRIGUEZ ENGINEERING ADJ8501718 ESTELLA ARANA SUPERIOR GROCERS Ciga for Ullico Casualty servicing facility Intercare ADJ8503788 SALVADOR LOPEZ ACTIVE AIRCRAFT WELDING ACTIVE AIRCRAFT WELDING ADJ8514573 MARIA VALDEZ UEBTF LOS ANGELES UEF ADJ8516635 IRMA ALVAREZ TRI STATE STAFFING PEOPLE Intercare Holdings TO PEOPLE STAFFING

ADJ8523459 JULIAN UBIARCO HOUSING AUTHORITY OF THE York CITY OF LOS ANGELES 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 Alliance ADJ8541647 GRACE DAY DESIRED BEAUTY SURGICAL THE HARTFORD SYRACUSE ADJ8567466 LEONOR RAMIREZ HOMEWOOD SUITES HOMEWOOD SUITES ADJ8567941 MARIA URIBE INTERNATIONAL RUBBER INTERNATIONAL RUBBER PRODUCTS INC PRODUCTS INC ADJ8569278 BERTHA MARTINEZ PERSONNEL PLUS INC Carl Warren and Company and Companion Prop and Cas

181 Michael R. Drobot Industrial Pharmacy Management MediLab 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 BROTHERS SECURITY INC BUILDING BUILDING ADJ8596440 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 R.W. CONTRACTORS UEF HICKSINBOTTOM STAFFING ADJ869725 HOSEA UEBTF LOS ANGELES UEF HICKSINBOTTOM ADJ869725 HOSEA WAYNE MARSHALL & MARTHA UEF HICKSINBOTTOM MARSHALL 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 CCMSI for Arch INC 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 ROMEROS FOOD PRODUCTS INC INC ADJ8771612 FIDEL AGUILAR ARK LIGHTING ARK LIGHTING ADJ8786571 WALTER LEYVA LA FREIGHTLINERS Corvel ADJ8801081 SEAN MANARY SUNSET PACIFIC SUNSET PACIFIC TRANSPORTATION TRANSPORTATION ADJ8844833 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 FREEDOM PROPERTIES DBA THE THE VILLAGE VILLAGE ADJ8876835 NORMA AGUILAR A4 MENDOZA ENSTAR US ORANGE ADJ8989266 PATRICIA MAGANA LA GLORIA SUPERMERCADO SCIF INSURED OXNARD

182 Michael R. Drobot Industrial Pharmacy Management MediLab 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 ABM Services Inc DBA Janitorial JANITORIAL SERVICES Services ADJ9217362 ISAURA CEDILLO KIMCO STAFFING KIMCO STAFFING ADJ9226720 ENOC ORENOS RE PLANET LLC RE PLANET LLC ADJ9260832 CLAUDIA LOPEZ LEES MAINTENANCE SERVICE Gallagher Bassett SANCHEZ 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 FERNANDO ESPARZA DBA J AND AND J DELIVERY INC J DELIVERY INC

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