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← Document results/Asbestos - BOX 2/88 NASSAU STREET 1001204, 78/42
Document / 8 pages

License agreement for exterior clean-up, 2002

Machine-extracted title · confidence 95%

Agreement between DEP and landowners at 88 Nassau Street for the removal of foreign debris.

NYC-WTC_000099254–000099261

Folder label: “88 NASSAU STREET 1001204, 78/42”

Page image
Scanned page image, NYC-WTC_000099261
OCR text

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NYC 9/11 Public Portal Document ,,,,. .,. .. .., _. . .-. .. ,.. .. ..~.. .. .,,. -y,~r. . ~s•?:r. - .... _ .,.. ... i-w y iF 1r17r4i'^.c . . ',,.,, y , ► .

I,ESI NY CORPORATION 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST 1

11357 DATE

owners name Wait and Load 1. Job Site Address 88 Nassau Street Dept Of Etwro Pt4ectio Time In A1ew York, N.Y. Time Out

2. tractors name a.pi adds Drop Date Is itJc'ttst!fl tal'l "zoi ~i & Son

124g Ralph Avenue E Brooklyn, NY 11236 N E R 3• s- In tion WDS phone number 4Wp8br

TT P.O. Box 399 O Scotland, Pa 17254 Permit 0100934 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

c //o7 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 Name Title Ac'— Signature 1 Imo_ Date (M/D ( r 9 P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O IESI NY CORPORATION • 110 5th Street, Brooklyn, NY l 15 JA-462 R T / U — DRIVER f' 1 f7 E Printed/Typed Name Title Si nature jjy Date M/D/Y R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W

T E Printedliyped Name 12. Discrepancy indication space Titl Si at DatE 1 /Y

S rR 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

Pnnted/Typed Name /

Title ?Signature Date (M/D // WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE

NYC-WTC 000099261

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NYC-WTC_000099261Source: NYC Law Department, mirrored locally

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