License agreement for debris removal, 105 Reade Street, 2002

NYC 9/11 Public Portal Document

E.P.A. AGENCY #99 48741 CT, MA, RI, VT, NH, ME NY GENERATORS WASTE MANAGEMENT GENERATORS EPA Region 2 .. LOGANO EPA New England 290 Broadway, 26th Floor EMERGENCY RESPONSE P.O. Box 144 • Portland, CT 06480 1 Congress Street New York, NY 10007-1866 Boston, MA 02114-2023 (212) 264-6770 TELEPHONE (860,342-0667, Fax:(86~0)342-4866 Out of State 1-800-272-3867 (617) 918-1111 #1-800-272-3867

FB# 1 j? (j ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number O.# GENERATOR/BUILDING OWNER Contractor FIRFR CONTROE INC MARVIN STAHL

Address 3010 BURNS AVENUE Address 105 READE STREET City e City WANTAGH State NY Zip 11793 NEW YORK. NY 10013p Phone Number Telephone Number (516)781 00 0____ 2 0712.5102 GENERATING LOCATION Date Container Del. Date of Pickup Type of Container lm YARD Address 105-107 VOLUME 1 CY Friable1 ' Non-Friable ❑ City State Zip NEW YORK NY 10013 Bag' Drum ❑ Wrapped ❑ Other ❑ Phone Number NV #: F1041 RQ, ASBESTOS, 9, NA2212, PG III 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 in all respects in proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE Transporter 1:

Driver: #: NY 480139 AR Date: 07!24102 Signature State) # Acknowledgement of receipt of materials.

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

Driver: Registration #: /~~ ~f/ -~ Date: Signature State /# Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING-STREET • PORTLAND, CT 06480 I •_ PHONE: (800) 272-3867 PERMIT # SW 1130223 Received By: V uate: Certification of receipt of materials covered by this manifest.

Transporter 3:

Driver: Name '' JF Sign ure ckn Address Registration #: ledgement of receipt of materials. State /# Date: Telephone #

Landfill Name: Phone No: Location: Permit Volume of Asbestos Received: Discrepancy If Any: Received by: Certification of receipt of materials covered by this manifest.

COPY 1 - GENERATOR NYC-WTC 000114627