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← Document results/DEP Box 34/88 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

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document —.,. ..-. - .... . .. w•... )' ., ..4 fi t. ...nnaa. , ~,.».. - .~. t - ., .. •~ _ ..

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

11357 DATE 1. Job Site Address Owners name Wait and Load 88 Nassau Street Dept (3f Etvro Pt4ectio Time In New York, N.Y. Time Out

2. tractors name 5410 add s Drop Date .tf+ D a st !f1 3`akltZi7an & Son 1238 Ralph Avenue E Broakly , NY 11236 N E R 3. ( DRie tksn1ilL k, *p fl 6ation WDS phone number i TT P.Q. Box 394 "" O Scot.land, 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

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 Title ( ' Signature Date (M/D'1 ..,, / / (f/ Z. S PrintedfFyped Name P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O IESI NY CORPORATION • 110 5th Street, Brooklyn, NY lJ. 15 JA-462 R T 7' DRIVER ~ f/ G+...1..~ / ..r/ t,. E Printed/Typed Name Title Si nature Date M/D/Y R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W

T E Printed/iyped Name 12. Discrepancy indication space Titl Si et DatE / ,Y

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 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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