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Asbestos waste manifest for 49 Nassau Street project

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Waste transport manifest dated July 2002 tracking asbestos removal debris from 49 Nassau Street to a disposal facility.

NYC-WTC_000099786

Folder label: “49 NASSAU STREET 1001083, 64/7

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NYC 9/11 Public Portal Document

NYDEC 1A-371 37 NYDCA 483056

0/ /r"IamporLation CQ-AbekoQ5 C~ po., 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"

• WaJe Manifest # Job # Floor or Location Cust #

1. Work Site Name and Mailing Address Owner's Name, Address, Phone Number TRtDEL FOOD STORES INC. 49 NASSAU ST. 49 NASSAU ST. NEW YORK, N. V. N.Y. , N.Y. Contractor's Name, Address Waste Disoosal Site :, .~. .•fE_l_ O~tiF. -;. ...\\D5' I LL 4-20 . _ 9T =- STREET RT . =2. BOX 68 ^OLLEGE I'C??T\T, NY BRIDGEPORT, Wt'. 26330

Name and Address of Responsible NESHAPS Agency Other O U.S. EPA REGION 11, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials IBags - Cubic Y RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other 1Dnzns or Tons - OTHE - ❑ 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 #*wA Title Cc - x -- ,~-m ,. a nature Date (M D/Y ) Transporter 1 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone Signature: ASBESTOS TRANSPORTATION CO., INC. ne No. -924-5050 P.O. BOX 1044 Printed Name: Date HAMPTON BAYS, NY 11946 Title: D R 'i - f Transporter 2 (Acknowledgement of Receipt of Materials) 7' e .0 _ ._' 4

Company Name and Address Telephone No. ASBESTOS TRANSPORTATION CO., INC. 631-924- 50 P.O. BOX 1044 Printed Name:" 1 D HAMPTON BAYS, NY 11946 Title: DRIVER ~ aG 4 Discrepancy Indication Space:

Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) !E aDOWF I LL LANDFILL Telephone No. Signature: 1(304)S42-234 Printed Name: Date Company Name and Address Tide: S 7 Z t- Q

NYC-WTC 000099786

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NYC-WTC_000099786Source: NYC Law Department, mirrored locally

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