Fiber Control Inc. Invoice, 98 Chambers Street, June 2002

NYC 9/11 Public Portal Document

E.P.A. AGENCY NY GENERATORS #99 48711 W7Y 4 CT, MA, RI, VT, NI-f, ME, ~MANAG'11 _. GENERATORS WAS/TEE EPA Region 2 LOGANO EPA New England 290 Broadway, 26th Floor EMERGENCY RESPONSE 1 Congress Street New York, NY 10007-1866 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# 6024 STOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # GENERATOR/BUILDING OWNER

Contractor FIBER CONTROL INC. HERBERT MOSKOWITZ Address 70 LAFAYETTE STREET BURNS AVENUE Address 3010 Chy WANTAGH State NY Zip 11793 NEW TO tK. NY 100' ' City Phone Number 1S'781-3000 Telephone Number GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 100 YARD Address VOLUME ilia CV Friable ' Non-Friable ❑ city NEW 4K, NY 10007 Bags Drum ❑ Wrapped ❑ Other ❑ Phone Number ii

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 all respects in proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE Transporter 1: FIBER CONTROL INC. 3010 N A NLJI WANTAGH.N117 3 o j e ress Telephone # N 15185.9 AL Date: 06119A2 Driver: __________________________________________Registration #: e. ~r State / # ---^'~ Acknowledgement of receipt of materials.

Transporter 2: Waste Mana rr nt N.E.E.T., Inc., PO Box 144, Portland, CT 06480 1-800-272-3867

Driver: #: //+/. ~' 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 1130723 Received By: N/A Date: Certification of receipt of materials covered by this manifest.

Transporter 3: Telephone # Name Address Driver: N/A Registration #: Date: Signature State / knowledgem of receipt of materials.

Landfill N e. Phone Location: PermitQ .r11 1 Approximate Volume of Asbestos Received: 1/16 Discrepancy If Any: Received by: Dater Certification of receipt of materials covered by this manifest.

NYC-WTC 000122019