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

NYC 9/11 Public Portal Document

NYDEC 1A-371 1617 NYDCA 483056

• c besLo~ ~r 8porLahon Wo., Inc. I P.O. BOX 1044 HAMPTON BAYS, N.Y. 11946 TOLL FREE 1-800-755-OATC PHONE 631-924-5050 FAX 631-924-5085 'EMERGENCY NLIMBER"

nnn Waste Manife t Job # Floor or Location Cust # ~i~ I 1 . Work Site Name and Mailing Address OwneT4"mjDLAgdress, Phone Number

114 LIBERTY ST. 59-17 JUNCTION BLVD.

NEW YORK,, NY NY &ROMA 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 Respons'Ne NESHAPS Agency Other '7

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials Bags Cubic ~Yds. I2O Waste Asbestos, Class 9, NA2212, PGIII -1 Other Drums or Tons - OTHER 0 J IYQ➢ Write White Asbestos, Class 9, UN2590, PGIII Special Handling Instructions and Additional Information

II OPERATORS CERTIFICATION: I hereby declare that the contents of s consignment a ully and accurately described above by proper shipping name and are classified, packed, marked and labeled and are in II respects in proper co dition for transport by highway according to applicable international government regulations.

Pnnte Typed Name Title atur Date (M/DD/YY) Transporter 1 (Acknowledgement of Receipt of Materials) ompany Name and Address Telephone No. Signature: 631-924-5050 tiBES"IY)S TRANSPORTATION CO., INC. C.O. BOX 1044 Printed Name: Date lIAE1PI'ON BAYS, INN 11946 Title: DRIVER ®lj Transporter 2 (Acknowledgement of Receipt of Materials) ` 0 Company Name and Address Teleph e o. ASBESTOS TRANSPORTATION CO., INC. Signature. 631-924-5050 P.O. BOX 1044 Printed Name: arC t cL Date 1 IIAIIPTON BAYS, NY 11946 —~ Title: DRIVER Discrepancy Indication Space:

MEADOWFILL LANDFILL Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) 1 (304)842-2784 Telephone No. Signature: I I Date Printed Name: i Company Name and Address Title:

NYC-WTC 000101486