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← Document results/DEP Box 34/111 NASSAU STREET 1001257, 90/18
Document / 8 pages

Invoice for roof remediation services, 111 Nassau Street, Jul 2002

Machine-extracted title · confidence 96%

Invoice from a contractor to DEP for roof remediation work completed at 111 Nassau Street on July 11, 2002.

NYC-WTC_000099065–000099072

Folder label: “111 NASSAU STREET 1001257, 90/18

Page image
Scanned page image, NYC-WTC_000099072
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

11247 I. Job Site Address Owners name Wait and Load 111 Nassau Street Dept Of Envl c ent Time In New Yele('k, N.Y. Protection Time Out

2. C r ~r s n a addrebs & Drop Date

1248 Ralph Avenue GE Brooktyn, NY 11236 N E R 3. ~tion WDS phone number

A P.G. BOX 319 - o Scotland, Pa. 17254 Permit # 100334 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, NA 212, III TYPE ' BAGS SIZE CUBIC YARDS 8. GeneratorCetafication

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.

NS Printed/r Name Title Signature Date (M/D/ 3 t P GAP 10. Transporter #1 (AGrnowtedgemem of receipt of moerialo) DEC Permit No. O R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 11215 JA-462

E Printed/Typed N me 41'L DRiVER Title Signature Date M/D/Y __7 ( ( I 0 R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W

T Printed/rypeo Name Title Si an Date (M/DIY) 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

Printed/ryped Name Title 4Snte itJ 1w - 7! t Date (M/D/Y)

WHITE:LANDFILL • GREEN:IESI • PINKO NERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE

NYC-WTC 000099072

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NYC-WTC_000099072Source: NYC Law Department, mirrored locally

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