NYC 9/11 Public Portal Document
TSrlt TRI-STATE TRANSFF A~.,ut;., INC.
1199 Randall Avenue
Bronx, New York 10474
718/ 617-0771 - Fax: 718/ 378-5858
MANIFEST NO. 31596
JBT. NY DEC 1A3/5
NJ DEP SW1896
NON - HAZARDOUS WASTE MANIFEST DATE 09-24-2002
D.E.C.IA375
D.EC.2A456
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 ID77A
USEPA AIR COMPLIANCE BRANCH, REGION 11 290 BROADWAY NEW YORK, NY 100(17 212-637.4249
120 LIBERTY LLC 99-77 QUEENS BLVD. FLUSHING N.Y. 11374 (516)781 3000
BUILDING OWNER'S NAME AND MAILING ADDRESS PHONE NO
125 CEDAR ST. N.Y. N.Y. 10006
SITE OF GENERATION (it difereme from mailing address) DEPT. NO.
1.8.7 DEC#1A-375 OR TRl-STATE TRANSFER ASSOC. INC DEC#2A•4561199 RANDALL AVENUE BRONX. NY 10474
ASBESTOS HAULERS COMPANY N
TRISTATE TRANSFER ASSOC. ]NCI2.600?-00006/1 1199 RANDALL AVE. BRONX, NY _10474_718-617-0771
TRANSFER STATION DISPOSAL FACILITY PERMIT NO. (II digits) ADDRESS PHONE #
BFI IMPERIAL LANDFILL 11 BOGGS ROAD, P.O. BOX 47 IMPERIAL, PA 15126 (724-695-0900) 100620
DESIGNATED DISPOSAL FACILITY NAME SITE ADDRESS, TELEPHONE NO.. & PERMIT NO.
ROLL-OFF (1) 40 CYDS TRL 40 CYDS TRL _
TYPE OF CONTAINERS NO. OF CONTAINERS UNITS (WT. IVOL) QUANTITY
FIBER CONTROL INC.
ABATEMENT COMPANY NAME
3010 BURNS AVE WANTAGH N.Y. 11793 (516) 7813000
ABATEMENT COMPANY ADDRESS PHONE NO
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
FULL COMPLIANCE WITH THE PROVISIONS OF SECTION 16-117.1 OF THE ADMINISTRATIVE CODE OF CITY
OF NEW YORK AS AMENDED BY LOCAL LAW 21 OF 1987.
1 r — . TRUCK LICENSE !4F/ I? V `~"
w
HAULER #2 ACKNOWLEDGEMENT AS DESCRIBED ABOVE
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 000108277
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