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

NYC 9/11 Public Portal Document

1. 1NYDEC 1A-371 NYDCA 483056

C2beLo~ C~r~ksportation 0.9 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

1 "EMERGENCY NUMBER"

Waste Manifest # Job # Floor or Location Icust #

1 2.7 C 1. Work Site Nam and Mailing Address Owner's Name, Address, Phone Number 229

LIBERTY LLC C\O EPIC LLC 1 114 LIBERTY ST. NEW YORK NY 114 LIBERTY ST. NW YCRK, NY Contractor's Name, Address Waste Disposal Site

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

1 U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Name and Address of Responsible NESHAPS Agency Other ❑

1 Description of Materials RQ Waste Asbestos, Class 9, NA2212, PGIII ❑Other IBags - Cubic ds -

Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII

Ii ecial 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 ~4t '9d Printed/Typed Name s x Title Transporter 1 (Acknowledgement of Receipt of Materials) Signature Date (M/DD/YY)

1 Company Name and Address ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Signature:

Printed Name: , ~~ Telephone No. 631-924-5050 Date ~~~/~

1 HAMPTON BAYS, NY 11946

Transporter 2 (Acknowledgement of Receipt of Materials) Title: DRIVER

Company Name and Address elephone No.

1 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Sign re:

Printed Name: k,, ~C r 631-924-5050 Date HAMPTON BAYS, NY 11946 3(1(1)3 1 Discrepancy Indication Space: Title: DRIVER

''

1 MEADOWFILL LANDFILL Waste Disposal Site Ow or Operator's Certification (Receipt of Above Waste Accepted) 1(304)842-2784 Telephone No. i i Signature

Prin ed Name: r Date

Company Name and Address Title: y+ ~~✓ ~~

NYC-WTC 000101474