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

NYC 9/11 Public Portal Document

I ' . . NYDEC 1A-371 NYDCA 483056

1 29 . -sbeLosd~ramporLabon o. Inc. 1 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 # 7~ 2 ~9 1. Work Site Name and Mailing Address Owner's Name, Address, Phone Number 229

LIBERTY LLC C\O EPIC LLC 1 114 LIBERTY ST. 114 LIBERTY ST. NY Contractor's Name, A dress Waste D s sal i e '

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

I BROOKLYN, NY 11222 Name and Address of Responsible NESHAPS Agency

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

1 Description of Materials RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Bags -

Drums or Tons Cubic YYds

OTHER - 1

❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII

II pecial 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

1 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.

1 Printed/Typed Na a Title Transporter 1 (Acknowledgement of Receipt of Materials) Signature Date (M/DD/YY)

Telephone No. Company Name and Address Signature: 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: j ib Date ~✓

1 HAMPTON BAYS, NY 11946

Transporter 2 (Acknowledgement of Receipt of Materials) Title: DRIVER _ Telephone No. Company Name and Address Signature: g 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: {'IBC ' t'- IV. t?/tV.e S Da HAMPTON BAYS, NY 11946 Title: DRIVER ~~ Discrepancy Indication Space:

MEADOWFILL LANDFILL Waste Disposal Site Owner or Operator's Certification (Receipt Above Waste Accepted) 1(304)842-2784 , Telephone No. Signature: ~e - - P— Date Printed Name: ,-~

Company Name and Address Title: ' / J 'O J

NYC-WTC 000101473