Invoice from Fiber Control Inc., 119 Chambers Street, July 2002

NYC 9/11 Public Portal Document

1A1 \ CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 48737 WASTE MANAGEMENT GENERATORS ( _ EPA Region 2 LOGANO EPA New England 290 Broadway, 26th Floor • EMERGENCY RESPONSE P.O. Box 144 • Portland, CT 06480 1 Congress Street New York, NY 10007-1866 TELEPHONE (860) 342-0667 • Fax: (860) 342-4866 Boston, MA 02114-2023 (212) 264-6770 Out ofrState 1-800-272-3867 (617) 918-1111 #1-800-272-3867

FB# j?j o ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number GENERATOR/BUILDING OWNER Contractor FIBER CONTROL INC. ESTATE OF WILLIAM STONE Address 110 CHAMBERS STREET Address 3010 BURNS AVENUE City City WANTAGH State NY Zip 11793 NEW NY 1001) Phone Number (516)781000 Telephone Number I262 0TI252 GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 1m YARD Address VOLUME 1N6 CV Friable Non-Friable ❑ City State Zio NEW YORK, NY 10007 BagX Drum ❑ Wrapped fl Other ❑ Phone Number INV #. F1040

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 labeled/placarded and are in, ects in proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE Transporter 1: F16ER CONTROL INC. 3010 6UN.S AVENUE WA GH. NY 11733 516-T81-3lX Name Telephone # _~ Driver: J ~~.~=- C Registration #: NY 420 139 AR Date: 07f24M Signature State / # Acknowledgement of receipt of materials.

Transporter 2: Waste M e nt N.E.E.T., Inc., PO Box 144, Portland, CT 06480 1-8800-272-3867 r~ Driver: Registration #: 02 1~ /ZfLP Date: i . i nature State / # Acknowledgement of receipt of materials. '

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING STREET • PORTLAND, CT 0648 9_ PHONE: (800) 272-3867 PERMIT # SW 1130223 Received By: Certification of receipt of materials covered by this manifest.

Transporter 3: t 1 Name Address Telephone # Driver: egistration #: Date: Signature State / # of receipt of materials.

Landfill Name: No: Location: / Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: Q Certification of receipt of materials covered by this manifest.

NYC-WTC 000121973