NYC 9/11 Public Portal Document
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NYDEC 1A-371
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NYDCA 483056
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be Lo &XansporLaLion , 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 # Job # Floor or Location Cust # 122
G
1. Vork Site Name and Mailing Address Owner's Name, Address, Phone Number
BROWN BROTHERS HARRIMAN BROWN BROTHERS HARRIMAN
63 WALL ST. 63 WALL ST.
NEW YORK, N.Y. NEW YORK,N.Y.
Contractor's Name, Address Waste Disposal Site
TRIO NIEADOWFILL LANDFILL
14-20 129TH STREET RT. #2, BOX 68
COLLFOE POINT. NY BRIDGEPORT, WV. 26330
Name and Address of Responsible NESHAPS Agency Other 0
U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007
Description of Materials . : ,. Bags - Cubic Yds. -
RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other
Drums or Tons - OTHER -
❑ RQ Waste White Asbestos, Class 9, UN2590, PG1II
Special Handling Instructions and Additional Information
OPERATOR'S CERTIFICATION: I hereby declare that the contents ofthis consignment are fully and a curately described above by proper
shipping name and are classified, packed, marked and labeled and are in all respects in p er condition f transport by•highway according to
applicable international v rnment regulations. 1r7,r ~3 ~e
X
Prinled/Typed N e Title Signature Date (M /YY)
Transporter 1 (Acknowledgement of Receipt of Materials)
Telephone No.
Company Name and Address Signature:
1-924-5050
ASBESTOS TRANSPORTATION CO., INC. ~—
P.O. BOX 1044 Printed Name: Date
HAMPTON BAYS, NY 11946 —>
Title: DRIVER 7
Transporter 2 (Acknowledgement of Receipt of Materials)
elephone No.
Company Name and Address
Signat 631-924-5050
ASBESTOS TRANSPORTATION CO., INC.
P.O. BOX 1044 Printed Name• C(, L Date
HAMPTON BAYS, NY 11946
Title: DRIVER
Discrepancy Indication Space:
Waste Disposal Site 0 er or Operator's Certification (Receipt of Above Waste Accepted)
Telephone No.
MEADOWF I LL LANDFILL Signature: ^
1 (304 ) 842— 2784 Prints me:.1 /~ Date
9
Company Name and Address Title: / , O
er
NYC-WTC 000112578
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