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

NYC 9/11 Public Portal Document

lop. 'NYDEC 1A-371 NYDCA 483056

C- besLos ~r~~portation 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"

Waite Manifest # _ Job # Floor or Location Cust # 229

1. Work Site Name and Mailing Address Owner' ~l i-Address Y bPhc 11 CCn\eONuEPIC PIC L LC 114 LIBERTY ST. 114 LIBERTY ST. NEW YORK, NY NEW YORK, NY

Contractor's Name, Address Waste Disposal Site ETS MEADOWFILL LANDFILL 1 160 CLAY STREET RT. #2, BOX 68 BROOKLYN, NY 11222 BRIDGEPORT, WV. 2630-0 Name and Address of Responsible NESHAPS Agency Other ❑

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

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.

Printed/Typed Name Title Signature Date /DD Y) Transporter 1 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signature: 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: ~ Date HAMPTON BAYS, NY 11946 Title: DRIVER i9 Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signatu 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name• 1` Date lJ HAMPTON BAYS, NY 11946 Title: DRIVER Discrepancy Indication Space:

MEADOW I L L LANDFILL Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) I I 1(304)842-2784 Signature: ~—~ - ~~~ Telephone No.

Printed Name: ~ 9 ~~ y / 3~ .> Date

Company Name and Address Title: J

NYC-WTC 000101476