Clearance letter regarding asbestos air samples, July 2002

NYC 9/11 Public Portal Document

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

11494 DATE I/E I _ Owner's name Wait and Load I. h S,, 5 Dept Of Enviro Protect s3bne In New Work, N Y Time Out

2. C Drop Date ~ a~ rlt1 + i c L48 Ri h Avenue G Btookl n, N' 11.146 E N E R 3. iZ I' a d {i dlbt$tion WDS phone number

A P 0 BOX X99 o ScktImid. Pa t i, '3 Permit * 10093.1 R

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 6.VEH. LIC. # 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE f_ i- (~ ' BAGS SIZE _ , '?/ ~. ~. CUBIC YARDS ^w_. 8. f Generator Certification

T 9. C :) + t ;: ..i : . n. + F ,.:i [ E ! is .; F i { % 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 international government regulations. .. s N dt ~• 7/' //u S Printed/ Name Title Si nattlfe Date M P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 11215 JA-462 R T " DRIVERS - '~ ~G . 1 ~4,', E Printed/fypedName Title Signature ifc Date M/D/Y "? R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W A + S S Printed/Typed Name Title ~rSi nature Date (M/DIY)

E 12. Discrepancy indication space

S I T 3. Waste disposal site owner or operator: Certification of receipt of asbestos materials covered by this manifest except as noted in item #12 E i

Printed/Typed Name Title P ) / k1A/ Signature 7/ / 2 Date (M/D/X)

WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE

NYC-WTC 000119060