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← Document results/DEP Box 34/124 NASSAU STREET 1001277, 92/29
Document / 10 pages

Invoice for work at 124 Nassau Street, 2002

Machine-extracted title · confidence 95%

Invoice from Benjamin Kurzban & Son Control Inc. for services performed at 124 Nassau Street totaling $7,210.10.

NYC-WTC_000098736–000098745

Folder label: “124 NASSAU STREET 1001277, 92/29”

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Scanned page image, NYC-WTC_000098745
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

•

IESI NY CORPORATION 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST

11244 DATE % /0( /o1.

1. Job Site Address Owners name Wait and Load 124 Naai Stred Dept Of Envuoaneftta Time In New York, N.Y. Protection Time Out

2. Drop Date ' W9Ti tr Ei1a 1SZUi ~t & S 124.8E Ralph Avenue G Brooklyn, NY 11236 E N E R 3. $t p ~tion WDS phone number

A P.O.Box3 o Scotland, Pi. 17254 Permit ## 10034 R a

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 ' BAGS SIZE CUBIC YARDS 8. Generator Certification

T 9. CONTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R above by proper 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 Printed/Typed Name Title 4 Signature /_- Date ,r` J 1 if r -i P 10. Transporter >~ # 1 t Acknowledeanent of receiPt of materials) DEC Permit No. O R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY I 15

,, ~, -mac., :.,..- ar f E Printed/fyped Na a Title Signature 7 Date(M/D/Y) R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W A \ ~ r T Print Name Title Si tore 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

Pnnted/fypedName a ( Y jn.L&:t Title Signature Date(M/D/Y)

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

NYC-WTC 000098745

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NYC-WTC_000098745Source: NYC Law Department, mirrored locally

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