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← Document results/DEP Box 34/118 NASSAU STREET 1001274, 92/26
Document / 7 pages

Invoice for work at 118 Nassau Street, July 2002

Machine-extracted title · confidence 95%

Invoice from Benjamin Kurzban & Son Control Inc. for services completed at 118 Nassau Street totaling $7,674.

NYC-WTC_000098778–000098784

Folder label: “118 NASSAU STREET 1001274, 92/26

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Scanned page image, NYC-WTC_000098784
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

4

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

11242 DATE 1. Job Site Address Owner's name Wait and Load 118 Natsw Stred Dept Of Eaiiironm.en Time In New K.Y. Protection Yoek' Time Out

2. Drop Date C V Ti i1it & 1248 Ralph Awe G Brooklyn, NY 11236 E N E R 3. antion WDS phone number A P_0. Box 399 0 Scotland, Pa 17254 Permit # 100934 R

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.

$ Pnnted/f Name Title Signature Date s '} P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 11215 JA-462 R / E Printed/Typed ame Title - Signature TTCJ rate(M/DN1 + t< R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W A ^J T PrintedtTypedName Title Si u ' 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

~/ t t ~~ rinted/fyped Name Title , 4 Signature ~`1► i4k Date (M/D/Y)

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

NYC-WTC 000098784

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NYC-WTC_000098784Source: NYC Law Department, mirrored locally

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