Clearance letter regarding asbestos air samples, July 2002

NYC 9/11 Public Portal Document

IESI NY CORPORATION 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST

11360 DATE I. Job Site Address Owner's name Wait and Load 5 Beekman Stneet Dept Of Eavlro P*edi rrime In New York, N.Y. Time Out

2. C tractor s name a~ a_dd s Drop Date B!'tl~~ii iii n3i.12fV & ~J(!~ t 1248 Ralph Avenue G E Brooklyn, NY 11236 N E R 3. ai IM tion WDS phone number

AT P.O. &'x 399 O Scotland, Pa 17254 Permi 0100934 R 1

4. Name and address responsible agency (Local. District or EPA Office where notification was sent)

US EPA 290 Broadway, New York 10007

5. Description of materials V 6.VEH. LIC. # 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE ' BAGS SIZE CUBICYARDS 8. Generator Certification

T 9. CONTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R above by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by A highway according to applicable internationa vernment regulations. > NS Pnnted/T edName Title (- Signature L o v l ._ Date (M 10. Transporter #1 (Acknowlsdaement of receipt of materials) I DEC Permit No. O R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 1 15 JA-462 T 4., DRIVER 7 / / '/ E Printedrfyped ame Title 4ign re TT T Date M/D/Y R II. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W

S Printed/Typed Name Title Signature Date M/D/Y T E 12. Discrepancy indication space S

T 13. Waste disposal site owner or operator; Certification of receipt of asbestos materials covered by this manifest except as noted in item #12 E

K .~,edl~~Name Title Signature

WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE Date (M/DIY)

NYC-WTC 000119059