NYC 9/11 Public Portal Document
PP .00., INC. 31744
Till-STATE TRANSF MANIFEST NO.
1199 Randall Avenue
Bronx, New York 1 _
4 718/ 617-0771 - Fax: 718/ 378-5858
JBT. NY DEC 1A375
NJ DEP SW1896
DATE 09 002
NON - HAZARDOUS WASTE MANIFEST
D.E.C.1A-375
nR(C 1A-4%
FRIABLE AT POINT OF ORIGIN, DOUBLE BAGGED AND MADE NON-FRIABLE FOR HANDLING AND TRANSPORTATION.
(FRIABLE ASBESTOS ONLY)ASBESTOS ,9,NA2212.111,RQ DEP WASTE TYPE ID27A
USEPA AIR COMPLIANCE BRANCH, REGION 11290 BROADWAY NEW YORK, NY 10007 212-637, 4249
120 LIBERTY LLC 99-77 QUEENS BLVD. FLUSHING NY 11374 (516)781-3000
BUILDING OWNER'S NAME AND MAILING ADDRESS PHONE NO.
125 CEDAR STREET NEW YORK NY
SITE OF GENERATION (if d1~lrreffi fl-om mailing address) DEPT. NO.
J.B.T DEC#1A-375 OR TRI-STATE TRANSFER ASSOC. INC DEC#2A-4561199 RANDALL AVENUE BRONX, NY 10474
ASBESTOS HAULERS COMPANY NAM
TRI-STATE TRANSFER ASSOC. INC. ~40►1-0000611_1199RANDALLAVE. BRONX, NY_,__,104',4 71S-617-(Y7,1
TRANSFER STATION DISPOSAL FACILITY PERMIT NO. (I I digits) ADDRESS ! PHONE #
(724-695-0900) .
BFI IMPERIAL LANDFILL 11 BOGGS ROAD. P.O. BOX 47 IMPERIAL, PA 15126 . 100620
DESIGNATED DISPOSAL FACILITY NAM$, SITE ADDRESS, TELEPHONE NO., d PERMIT N0.
ROLL-OFF (1) 40 CYDS TRL 40 CYDS TRL
TYPE OF CONTAINERS NO. OF CONTAINERS UNITS (WT. /VOL.) QUANTITY
FIBER CONTROL INC.
ABATEMENT COMPANY NAME
3010 BURNS AVENUE WANTAGH NY 11793 (516)781-3000
ABATEMENT COMPANY ADDRESS PHONE NO
PROGRAM MANAGER'S NAME PROGRAM MANAGER'S AFFILIATION
/en Cas'7a S. "L d
nF LVI 111W vAkva m * OT A TTDV U !A /VD
BUILDING OWNERS CERTIFICATION: I CERTIFY THAT THE ABOVE DESCRIBED WASTE CONTAINING ASBESTOS IS
FULLY AND ACCURATELY DESCRIBED AND HAS BEEN THOROUGHLY WET DOWN. PACKED AND LABELED IN
FULL COMPLIANCE WITH THE PROVISIONS OF SECTION 16-117.1 OF THE ADMINISTRATIVE CODE OF THE CITY
OF NEW YORK AS AMENDED BY LOCAL LAW 21 OF 1987. Og' g 7 -
-'N SPAC6
-- ;l-Ntr' Y 1NU1CA.1 iU
U15J;W
DESIGNATED DISPOSAL FACILITY'S OWNER OR OPERATOR CERTIFICATION OF RECEIPT OF WASTE COVERED
BY THIS MANIFEST, EXCEPT AS NOTED IN THE DISCREPANCY INDICATION SPACE
TST COPY
NYC-WTC 000108042
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