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

NYC 9/11 Public Portal Document

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NYDEC 1A-371 NYDCA 483056

CQ/8bekoQ5 an~portation 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. Work Site Name and Mailing Address Owner's Name, Address, Phone Number LIBERTY LLC C\O EPIC LLC 114 LIBERTY ST. 114 LIBERTY ST. NEW YORK, NY NEW YORK, NY Contractor's Name, Address Waste Disposal Site MEADOWFILL LANDFILL ETS 160 CLAY STREET RT. #2, BOX 68 BRIDGEPORT, WV. 26330 BROOKLYN, NY 11222 Name and Address of Responsible NESHAPS Agency Other 0

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

RQ Waste Asbestos, Class 9, NA2212, PGIII 0 Other Cubic®d~ Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII

'I 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 shipping name and are classified, packed, marked and labeled and are in all respects in prop r condition for transport by highway according to applicable international government regulations.

x 3-/C rint /Typed Name Title Signa r Date (M/DD/YY) 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 r~ Title: DRIVER -' —" / - Transporter 2 (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: / L/~ Date / HAMPTON BAYS, NY 11946 Title: DRIVER "l ~1 Discrepancy Indication Space:

MEADOWFILL LANDFILL Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) 1(304 842-2784 Telephone No. I I Signature: 44k A ,JL Printed Name: Date 9 Company Name and Address Title: ,L. 32O -0 3

NYC-WTC 000101479