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

NYC 9/11 Public Portal Document

/v NYDEG 1A-371 NYDCA 483056

# CQ/8beesLo8 C~r~~port,ation ~. y 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 ICust # 229

1. Vork Site Name and Mailing Address Owner's Name, Address, Phone Number L IBERTY LLC C\O EPIC LLC 114 LIBERTY ST. 114 LIBERTY ST. JEW YORK, NY FEW YORK, NY Contractor's Name, Address Waste Disposal Site TS MEADOWFILL LANDFILL 160 CLAY STREET RT. #2, BOX 68 ROOKLYN, NY 11222 BRIDGEPORT. WV. 26330 Name and Address of Responsible NESHAPS Agency Other U

U.S. EPA REGION I1, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials IBags - ICubic Yds. -

i4 RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other ` ®0 Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII Special 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.

l Gê?liY. S / 4'-"-' '✓ X o3l/p7 03 Printed/Typed Na1e Title Signature Date (M/DDIYY) Transporter 1 (Acknowledgement of Receipt of Materials) o Telephone No. Company Name and Address Signature: 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. Date P.O. BOX 1044 Printed Name: 3 Eye HAMPTON BAYS, NY 11946 1 Transporter 2 (Acknowledgement of Receipt of Materials) Title: DRIVER

Telephone No. Company Name and Address Signature: ~~ / I— 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: Dat HAMPTON BAYS, NY 11946 Title: VE ✓ / Discrepancy Indication Space:

Waste Disposal Site Ow er or Operator's Certification (Receipt of Above Waste Accepted) MEADOWFILL LANDFILL Telephone No. I . 1(304)8422 784 Signature:

Printed Name: + ~,~ Date

Company Name and Address Title: c~ 3- {p - V

NYC-WTC 000101475