Asbestos transportation manifest, 47 Broadway, Jun 2002

NYC 9/11 Public Portal Document

'-(?&DADWA'1 ,* I NYDEC 1A-371 NYDCA 483056

be~to~ &/ranesporLdion o., 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 # 4O 122 1. Work Site N e and Mailing Address Owner's Name, Address, Phone Number D.E.P. 23 TRINITY L. 531" JLXCTION BLVD. NEW YORK . \ . V t'OR0N—A N . Y Contractor's Name, Address Waste Dispgae}k- tF Is L - L:~ND.~.' ',i ~+ ry S

ER _DCiEPORT. Wt~ . 26330 —=~ 1'~::'r: iT~:FET COLLEGE POIINT. `.Y Name and Address of Responsible NESHAPS Agency Other 0

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials IBags - Cubic Yds. - ❑ RQ Waste Asbestos, Class 9, NA2212, PGIII 0 Other DnmiS or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII Special Handling Instructions and Additional Information

OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled and are In all respects In proper condition for transport by highway according to applicable international government regulations.

PrintedtTyped Name Title Signatur Date (M)D/YY) Transporter I (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signature: 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: Date. HAMPTON BAYS, NY 11946 Title: DRIVER Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signature 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: D M HAMPTON BAYS, NY 11946 Title: DRIVER Discrepancy Indication Space:

Waste Disposal 3 er o Opera is Ce lion (Receipt of Above Waste Accepted) NTE .D0WF I LL LA DI I L1- Telephone No. 1 ( 304 )3.3-2'34 Signature:

AAA Printed Name. / Company Name and Address Title:

V VV NYC-WTC 000118039