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← Document results/DEP Box 02/44 WALL STREET Block: 43 Lot: 1
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Invoice for asbestos sample analysis, 44 Wall Street

Machine-extracted title · confidence 100%

Invoice detailing billing for bulk and air sample analysis results including PLM, PCM, and TEM testing at 44 Wall Street.

NYC-WTC_000094912–000095002

Folder label: “44 WALL STREET Block: 43 Lot: 1

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Scanned page image, NYC-WTC_000094962
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

IESI NY,CO.RPORATION Os Knk 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST 4 ' st

DATE , . 0(4- 47 I. Job Site Address Owner's name Wait and Load $ Y %` ?ta;s' ;R:"S faeJ+ :t"$Rsll#) '. W k es;? f,Y. . `fi'tne In # Time Out r

2. Contractor's name and addn s Drop Date

N E R 3. Waste disposal site (WDS) name, mailing address and physical site location WDS phone number IA P.O

4. Name and address responsible agency (Local, District or EPA Office where notification was sent)

US EPA 290 Broadway, New York 10007

5. Description of materials 6.VEH. LIC. # 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE ° '? Y BAGS SIZE .' CUBIC YARDS 8. Generator Certification

T 9. CONTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and agcutately described R above byproper shipping name and are classified, packed, marked and labeled, and are in all respects in •proper condition for transport by A highway according to applicable international government regulations. ~. N S PrintedfG '" Name Title Si Date P O 10. Transporter p~ #1 (Acknowledgement of receipt of materials) DEC Permit No. ` .. ;. IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 1.1•x°15 _' •,,) R

E Printedfryped Name Title ' Si iatdre Date M/D R 11. Transporter P #2 (Acknowledgement of receipt of materials) DEC PERMIT# +.. ..L{:4 W A T Printed/Typed Name Printed/Typed Title Signature Date (M/D/Y) E 12. Discrepancy indication space

S I ' T 13. Waste disposal site owner or operator. Certification of receipt of asbestos materials covered by this manifest except as noted in item #12 E

Printed/Typed Name Title Signature Date (M/D/Y)

WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE

NYC-WTC 000094962

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NYC-WTC_000094962Source: NYC Law Department, mirrored locally

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