Asbestos inspection form, 48 Beaver Street, 2002

NYC 9/11 Public Portal Document

37 NYDEC 1A-371 NYDCA 483056

Q besLo Q nporaLion ., 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 6. a 1. Work Site Name and Mailing Address _ Owner's Name, Address, 7177 Phone Number • 77 .T. .E Z <~i..I: aES

4/56 BEAVER ST. O u/5r: EE?,VER. ST. ~ NEW NEW i

Contractor's Name, Address Waste Disposal Site TRIG t1E<1DOWFIt t. LANDFILL 14.91; 12 9T-. STREET RT. #2. BOX 6S COLLEGE Pf'- T.' L , :'z 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 fBags - Cubic s. - RQ Waste Asbestos, Class 9, NA2212, PG111 0 Other Drums or Tons - JOTH 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.

Printedfryped Name tie tm ' Signature C Date (M D ) 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 r - l5 Transporter 2 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. re: ' 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Na e,{jc, HAMPTON BAYS, NY 11946 Title, DRIVER (► J Discrepancy Indication Space:

Waste Disposal Site Owner or Operator's Certification (Receipt of Above Waste Accepted) MEADOWrILL LAND? ;LL Telephone No. Signature: I i 304 )842-27$4 Printed Name: Date --fir Company Name and Address Title: , 01

NYC-WTC 000118954