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

NYC 9/11 Public Portal Document

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' NYD,C 1A-371 NYDCA 483056

besLcs PtXrcan,sporLaLion or C O.9 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 2

1. Work ite Name and Mailing Address Owner's Name, Address, Phone Number NYC-DEP 114 LIBERTY ST. 59-17 JUNCTION BLVD. NEW YORK, NY FLUSHING, NY Contractor's Name, Address Waste Disposal Site

ETS 160 CLAY STREET MEADOWFILL LANDFILL BROOKLYN, NY 11222 RT. #2, BOX 68 DRIDGEPORT, 26330 Name and Address of Responsible NESHAPS Agency Other O WV.

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 ription of Materials ' Bags - lCubi Yd Des. LY RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Drums or Tons OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII pecial Handling Instructions and Additional Information I I OPERATOR'S CERTIFICATION: I hereby declare that the contents of this nment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled and are in al aspects i roper condition for transport by highway according to applicable international government regulations.

h ~., 1aC~ S '1 Lfl . _, rt ~3 1 PrintedlType N/aa Title atu Date (M/DD/YY) Transporter 1 (Acknowledgement of Receipt of Materials) Telephone No. Company Name and Address Signature: ASBESTOS TRANSPORTATION CO., INC. 631-924-5050 P.O. BOX 1044 Printed Name: r ate HAMPTON BAYS, NY 11946 Title: DRIVER -r q4y Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Signatu : ,,~/ Telephone No. /s 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Nam (. (-zG If ate HAMPTON BAYS, NY 11946 Title: DRIVER Discrepancy Indication Space:

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

Printed Name: ® o Date f7 Company Name and Address Title: or

NYC-WTC 000101484