Invoice for asbestos roof cleanup at 49 Nassau Street, July

NYC 9/11 Public Portal Document

NYDEC 1A-371 37 NYDCA 483056

C becsLo~ &/rcrinesp,orLdion Inc. P.O. BOX 1044 TOLL FREE PHONE 631-924-5050 HAMPTON BAYS, N.Y. 11946 1-800-755-OATC FAX 631-924-5085 "EMERGENCY NUMBER"

W e Manifest # Job # Floor or Location Cust # .,

G 1. Work Site Name and Mailing Address Owner's Name, Address, Phone Number Iii ft . ` UIi S'. iR1 s N .

.N v , :. N ,y. . . N . V Contractor's Name, Address Waste Disposal Site

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Name and Address of Responsible NESHAPS Agency Other 0

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials Bags - Cubic Y RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Dram or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII Special Handling Instructions and Additional Information

OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled and are in all respects in proper condition for transport by highway according to applicable international government regulations.

________

Printed/Typed Name Title 7f4WJ A ' nature e 1 / f Date (M/ D/Y ) 0

Transporter 1 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. ASBESTOS TRANSPORTATION CO., INC. Signature: 631-924-5050 P.O. BOX 1044 Printed Name: Date HAMPTON BAYS, NY 11946 [ Title: DRIV R Z -1 Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. ASBESTOS TRANSPORTATION CO., INC. u 631-924- 50 P.O. BOX 1044 Printed Name: I D e HAMPTON BAYS, NY 11946

Discrepancy Indication Space: Title: DRIVER e:;7G cz

Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) 31.:1I) )« I- . , . . , ..\ \ Ii ; i ., i.. Telephone No. r; - ^~ Signature: 4 Printed Name: Date

Company Name and Address Title: 5 7 Z to

NYC-WTC 000099767