NYC 9/11 Public Portal Document
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T TRI-STATE TRANSFER ASSOC., INC.
1199 Randall Avenue
Bronx, New York 10474
718/ 617-0771 - Faxr7 7 378-5858
MANIFEST NO. 31490
JBT. NY DEC 1A375
NJ DEP SW1896
DATE 9/1511002
NON - HAZARDOUS WASTE MANIFEST
D.E.C.1A-375
D. K C.1A-456
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 11 290 BROADWAYNEW YORK. NY 10007 212-637-4249
120 LIBERTY LLC 97-77 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 di83erezi from mailing address) DEPT. NO.
J.B.T DEC#1A-375 OR TRI-STATE TRANSFER ASSOC. INC DEC#2A-456 1199 RANDALL AVENUE BRONX, NY 10474
ASBESTOS HAULERS COMPANY NAME
TRISTATE TRANSFER ASSOC. INC. 2-6007-00006/1 1199 RANDALL AVE. BRONX, NY _10474_718-617-(Y77 I
TRANSFER STATION DISPOSAL F I1TY PBRMTT NO. (11 digits) ADDRESS PHONE #
BFI IMPERIAL LANDFILL 11 BOGGS ROAD, P.O. BOX 47 IMPERIAL, PA 15126 (724-695-090 100620
DESIGNATED DISPOSAL FACILITY NAME SITE ADDRESS, TELEPHONE NO.. & PERMIT NO.
ROLL-OFF (1) 40 CYDS TRL 40 CYDS TEL _
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.
•s NAM1t PROGRAM MANAGER'S AFFILIATION
7
BUILDING OWNER'S 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
OFg 1H$E CITY
FULL COMPLIANCE WITH THE PROVISIONS OF SECTION 16-117.1 OF THE ADMINISTRATIVE CODE o
OF NEW YORK AS, AMENDED BY LOCAL LAW 21 OF 1987. ~s
w A ^ TRUCK LICENSE AT- lwn
- I S-o-L
ER #2 ACKNOWLEDGEMENT~OF A MATERIAL
VI5CREPKNCT INDICATION SPACE
NV ifi lllj~~ l rfl r 19?/c.
DESIGNATED DISPOSAL FACILITY'S OWNER OR OPERATOR CERTIFICATION OF RECEIPT OF WASTE COVERED
BY THIS MANIFEST, EXCEPT AS NOTED IN THE DISCREPANCY INDICATION SPACE
1ST COPY
NYC-WTC 000108274
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