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← Document results/DEP Box 47/50 ANN ST. / 119 Fulton Street BIN #: 1001264
Document / 13 pages

Invoice for asbestos abatement, 119 Fulton Street, July 2002

Machine-extracted title · confidence 95%

Invoice from Kurzban & Son Control Inc. for roof work completed at 119 Fulton Street.

NYC-WTC_000119587–000119599

Folder label: “50 ANN ST. / 119 Fulton Street BIN #: 1001264”

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Scanned page image, NYC-WTC_000119599
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document -s. . '. v w3" .,r~- : r-., , ,•-. ~ .. _. ' "T "--^'3

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

11105 DATE I. Job Site Address Owner's name Wait and Load 119 Fulton Street Dept of En%jrC mental Time In N Y New York, N.Y. Protection Time Out

2. C rector's name aa}addregs Drop Date

1248 Ralph Avenue E Brooklyn, NY 11236 N E R 3. W ijphtl c,etJji j1 ts tion WDS phone number

A P.O. Bole 399 O Scotland, Pa. 1.254 Permit # 100934 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 'BAGS SIZE CUBIC YARDS 8. Generator Certification

r T 9. CO TRACTOR CERTIFICATION: I hereby declarethat the contents of this consignment are fully and accutately described R above y p ~er s ' ping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by A highwa a r to appli ble international government regulations. N S Printed edName Title Signature Date M/D . TT y P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. O IESI NY CORPORATION • 110 5th Street, Brooklyn, NAG 215 JA-462 R i S/i cy Q,f Printed/ryped Name ________ ___________ , /'_ Title Si nature Date M/D/Y R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # , W

Printed/l Name Title Sigiattire Date /DIY 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 u nted/ryped Name Title ignature Date (M/

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

NYC-WTC 000119599

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NYC-WTC_000119599Source: NYC Law Department, mirrored locally

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