Invoice for facade work, Cortland Street, Aug 2002

NYC 9/11 Public Portal Document

#99 49010 A.IXII\ WASTE MANAGEMENT CT, MA, RI, VT, NH, ME GENERATORS E.P.A. AGENCY , NY pENERATORS EPA Region 2 LOGANO EPA New England 290 Broadway, 26th Floor EMERGENCY RESPONSE 1 Congress Street New York, NY 10007-1866 P.O. Box 144 • Portland, CT 06480 TELEPHONE (260) 342-0867 • Fax: (860) 342-4866 Boston, MA 02114-2023 (212) 264-6770 #1-800-272-3867 Out of State 1-800-272-3867 (617) 918-1111

FB# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number GENERATOR/BUILDING OWNER

Contractor FIBER CONTROL INC. ANDREWS BUILDING CORP Address 382 LAFAYETTE STREET Address 3010 BURNS AVENUE NY Zip 11793 city NEW NY 100thp City WANTAGH State Phone Number Number____(516)781 00 Telephone GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 10fl YARD Address

VOLUME 1116 CV Friable ( Non-Friable ❑ City Zic NEW YORK. NY 10003 Bag.( Drum ❑ Wrapped ❑ Other ❑ Phone Number INV #. F1059 I certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law, is not a hazardous waste as detinea by to 40 CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shippers Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national government regulations, ~ ~~ AUTHORIZED SIGNATURE Transporter 1: FIBER CONTROL INC 3010 BURNS KVENUE WANTAGH NY 11733 3116_4 ~~-.R■! Address Telephone # (j_ 1 Name 4 Registration #: NY 1480 139 AR Date: 07124A2 Driver: Signature State / # Acknowledgement of receipt of materials.

Transporter 2: Waste Mana e n E.E.T., Inc., PO Box 144, Portland, CT 06480 1-800-272-3867

Driver: Re9istration #: P I I i------------------- -~,. -. -- ------------------- _Date: C~Z ig ure Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING STREET • PORTLAND, CT 0648 PHONE: (800) 272-3867 PERMIT # SW 1130273 Received By: Date: Certification of receipt of materials covered by this manifest.

Transporter 3: Address Telephone # Name Driver: Registration #: Date: Signature State / # Ac nowledgement of receipt of materials.

Phone No: G Landfill Name: Location: Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: Date: 7'o 2 L _&- Certification of receipt of materials covered by this manifest.

OFY TOR GENERATOR

NYC-WTC 000100141