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← Document results/DEP Box 34/116 NASSAU STREET Block: 92 Lot: 24 BIN: 1079094 45 Ann St
Document / 7 pages

Asbestos inspection form, 116 Nassau Street, June 2002

Machine-extracted title · confidence 100%

Inspection record for 116 Nassau Street detailing floor F, squad number, and contractor information for the asbestos survey conducted in June 2002.

NYC-WTC_000098887–000098893

Folder label: “116 NASSAU STREET Block: 92 Lot: 24 BIN: 1079094 45 Ann St

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Scanned page image, NYC-WTC_000098892
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NYC 9/11 Public Portal Document

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

11245 DATE I • Job Site Address Owner's name Wait and Load

116 Nassau Stred Dept Of EnviXo ent Time In New York, N.Y. Prate coon Time Out

2• Drop Date ' 90 I LilitZegan & 5on 1248 Ralph Avenue c &oeklyn. NY 11236 E N E R 3. slry @t t tp glj tion WDS phone number A P.O. 39 o Sc tland, Pa.17234 Pam it # 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. N S _______________

Printed/Typed Name ___________

Title Signature / 4 Date (M/D 7 /, / P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 11215 JA-462 ~y ~ T 7' X -` , ( /0 t E Printedlfyped Name Title Si ` ature Date M/D/Y R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT #

T Printed/Typed Name Title Si na se Date(M/L)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 Vt Title r('pr Signature V L I ________________

Date (M/D/Y)

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

NYC-WTC 000098892

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NYC-WTC_000098892Source: NYC Law Department, mirrored locally

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