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Invoice from Fiber Control Inc., June 2002

Machine-extracted title · confidence 95%

Invoice from Fiber Control Inc. for DEP environmental protection services at 12 Barclay Street.

NYC-WTC_000119769–000119779

Folder label: “12 BARCLAY ST.

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NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME . E.P.A. AGENCY • NY GENERATORS . #99 48723 WASTE MANAGEMENT GENERATORS • EPA Region 2 LOGANO EPA New England 1 Congress Street • 290 Broadway, 26th Floor New York, NY 10007-1866 EMERGENCY RESPONSE P.O. Box 144 • Portland, CT 06480 TELEPHONE (860) 342-0667 • Fax: (860) 342-4866 Boston, MA 02114-2023 (212) 264-6770 Out of State 1-800-272-3867 (617) 918-1111 #1-800-272-3867

FB# (Z,s'"l ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number .O.# GENERATOR/BUILDING OWNER Contractor FIRFR CONTROL INC STREETREA1_TV RARCI AY Address Address 3010 BURNS AVENUE 1200 UNION TPKE City State City WANTAGH State NY Zip 11793 NEW HYDE PARK. NY 11040 Phone Number Telephone Number (516)781.3000 OL1t202 GENERATING LOCATION Date Container Del. Date of Pickup 2 Type of Container 100 YARD Address VOLUME I CV Friable t4 Non-Friable ❑ I aay Bag Drum ❑ Wrapped ❑ Other ❑ Phone Number "~" ' """• "' """' INV #. F11027 I certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law, is not a hazardous waste as defined,by 40 CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeted/placarded, and are In all respects in proper condition for transport according to applicable international and national government regulations. ~--- AUTHORIZED SIGNATURE _~~ Transporter 1: Mr.1t c oli3Rrn INC 3010 su_ y tsue wj'1 GH. NY 11753_516-781-3000 Name Address Telephone # Driver: Registration #: NY 1400139 AR Date: 0425102 Signature State! # Acknowledgement of receipt of materials.

Transporter 2: N.E.E. CT

Date:________ State! # Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING•STREET' PORTLAND, CT 0648 PHONE: (800) 272-3867 PERMIT # SW 1130223 Received By: ti Date: Certification of receipt of materials covered by this manifest.

Transporter 3: Name i eiepnone Driver: A Date: Signature State / # Acknowledgement of receipt of materials.

Landfill Name: ..S Al No: gg-47q -- z ' Location:/ [LOU Pte! ,s"`, 'ermit # Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: C - Date: f2(, /97/4 Certification of receipt of materials covered by this manifest.

NYC-WTC 000119779

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NYC-WTC_000119779Source: NYC Law Department, mirrored locally

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