Asbestos inspection form, 90 Maiden Lane, 2002

NYC 9/11 Public Portal Document

NYDEC 1A-371 37 NYDCA 483056

sbesto an sporbtlon 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 It Job # Floor or Location Cust #

Work Site Name and Mailing Address Owner's Name, Address, Phone Number YM PROPERTY M0L1)1 NO CO. f.-\. L. - \ w YORK. N.Y. N.Y.. Contractor's Name, Address Waste Disposal Site !i. ADOWF—f L L. YPEI T 1 4_20 BOX (S )S pp RIDOpe r I _OLL_:GE POINT. NV

Name and Address of Responsible NESHAPS Agency Other ❑

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials Bags - Cubic Y LRQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Drums or Tons. OTHER- ] RQ Waste White Asbestos, Class 9, UN2590, PGIII Special 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 proper condition for transport by highway according to applicable international government regulations.

Printed/Typed Name Title Signature 7) Date (M/DD/YY) J -

Transporter 1 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signature: ASBESTOS TRANSPORTATION CO., INC. 631-924-5050 P.O. BOX 1044 Printed Name: Date HAMPTON BAYS, NY 11946 Title: DRIVER LLi6Z_. Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address - Telephone No. e. ASBESTOS TRANSPORTATION CO., INC. 631-924-5050 P.O. BOX 1044 HPr1ned me: to HAMPTON BAYS, NY 11946 DRIVER '(o Discrepancy Indication Space:

t ?~ Waste Disposal Site Owner or Operator's C ification (Receipt of Above Waste Accepted) E?,±%JItFTLL LANDEIT.T. Telephone No. ( 3 O4) S 42-2734 Signature:

Printed Name: ,4L;:: Date

Company Name and Address Title: j LIZ 1... , V

NYC-WTC 000102495