Letter of transmittal, ETS Contracting, 114 Liberty Street, April 2003

NYC 9/11 Public Portal Document

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1 NYDEC 1A-371 NYDCA 483056

• CS~(QsbeQ5Lo(?5d~~~ :-`//ramporLahon 0.9 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"

Waste Manifest # Job # Floor or Location Cust # 229 r ZS - 1. Work Site Name and Mailing Address Owner's Name, Address, Phone Number LIBERTY LLC C\O EPIC LLC 1 14 LIBERTY ST. 114 LIBERTY ST. NEW YORK, NY NEW YORK, NY Contractor's Name, Address Waste Disposal Site

1 ETS 160 CLAY STREET BROOKLYN, NY 11222 MEADOWFILL LANDFILL RT. #2, BOX 68 BRIDGEPORT, WV. 26330

1 Name and Address of Responsible NESHAPS Agency

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Other ❑

Description of Materials Bags - Cubic Yds. -

RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII ecial Handling Instructions and Additional Information II 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.

& r55 s'v~e' *r ~ • x Printed/Typed Name Title Signature Date (M/DD/YY) Transporter 1 (Acknowledgement of Receipt of Materials) Telephone No. Company Name and Address Signature: r ASBESTOS TRANSPORTATION CO., INC. 631-924-5050 P.O. BOX 1044 Printed Name: Date HAMPTON BAYS, NY 11946 Title: DRIVER / p Transporter 2 (Acknowledgement of Receipt of Materials) Telephone No. Company Name and Address Signature: ASBESTOS TRANSPORTATION CO., INC. 631-924-5050 P.O. BOX 1044 Printed Name: S' C.i ,~/9 Date HAMPTON BAYS, NY 11946 Title: DRIVER ____ Discrepancy Indication Space: 1

is Ce "cation (Receipt of Above Waste Accepted) MEADOW FILL LANDFILL Waste Disposal Site Owner or Ope 1( 304) 842-2784 Signatur . Telephone No. I I Printed Name: ate

Company Name and Address Title:

NYC-WTC 000101472