Invoice for facade cleaning services, July 2002

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 49003 WASTE MANAGEMENT GENERATORS EPA Regi ri'z ' LOGANO EPA New England 290 Broadway, 26th door EMERGENCY RESPONSE P.O. Box l44 • Portland, CT 06480 1 Congress Street New York, NY 10007-1866 (860) 342-0667 • Fax: (860) 342-4866 Boston, MA 02114-2023 (212) 264-6770 TELEPHONE Out of State 1-800-272-3867 (617) 918-1111 #1-800-272-3867

FB# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # I GENERATOR/BUILDING OWNER Contractor FIBER CONTROL INC. F PFEIFER CORP Address 53 WARREN STREET Address__ 3010 BURNS AVENUE City City WANTAGH NY Zip 11793 NEW NY 1006 (516)7813000 Phone Number Telephone Number 06/26102 07125102 GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 10D YARD Address VOLUME 1116 CV Friable Non-Friable ❑ City State Zi Other ❑ NEW YORK, NY 10007P Bag Drum ❑ Wrapped L Phone Number INV #. F1059

I certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law, is not a hazardous waste as defined,by 40 CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded and are i all respects in proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE Transporter 1: FIBER CONTROL INC. 3010 8J1RIS A r . NY 11733 516-781-3000 cam,._ Nine ( s Telephone # Driver: `~ `~~ Registration #: NY 1480 139 AR Date: 07QAA2 Signature State / # Acknowledgement of receipt of materials.

Transporter 2: Waste Mana em N.E.E.T., Inc., PO Box 144, Portland, CT 06480 1-800-272-3867

Driver: Registration #: 0 111/ - _ Date: Si nature State / # Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING STREET • PORTLAND, CT 0648( PHONE: (800) 272-3867 PERMIT # SW 1130223 Received By: Date: Certification of receipt of materials covered by this manifest.

Transporter 3:

Driver: Name -'\\ F Address Registration #: Date: Telephone #

Signature State / # Acknowle ement of receipt of materials.

Landfill Name: Phone No: Location: S Permi Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: Date: 7— O~ Certification of receipt of materials covered by this manifest.

COPY ' NYC-WTC 000113232