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

NYC 9/11 Public Portal Document

I _ NYDCC 1A-371 NYDCA 483056

Qsbe sLos portation o., 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 # l,Job # Floor or Location ICust # 229 1 j' - 1. Work Site Name and Mailing Address Owner's Name, Address, Phone Number NYC-DEP 1 14 LIBERTY ST. 59-17 JUNCTION BLVD. NEW YORK, NY FLUSHING, NY Contractor's Name, Address Waste Disposal Site

ETS MEADOWFILL LANDFILL 160 CLAY STREET RT. #2, BOX 68 BROOKLYN, NY 11222 BRIDGEPORT, WV. 26330 Name and Address of Responsible NESHAPS Agency Other ❑ I U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials IBags - Cubic Yds. -

ARQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other / oO Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII pecial 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.

__Q ____ su_erutsov X 03/17/03 Printed/Typed Name Title Signature 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 N ' J Date HAMPTON BAYS, NY 11946 3 Title: DRIVER J Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Signature: Telephone No. (p„~ 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: vL Date HAMPTON BAYS, NY 11946 _ ___ Title: DRIVER _ Discrepancy Indication Space;

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

Printed Name: J ,~,. '. , , _j Date

Company Name and Address Title:

NYC-WTC 000101480