Asbestos roof cleanup invoice for multiple sites, June 2002

NYC 9/11 Public Portal Document E.P.A. AGENCY NY GENERATORS #99 48707 CT, MA, RI, VT, NH, ME WASTE MANAGEMENT GENERATORS 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 ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # I GENERATOR/BUILDING OWNER

Contractor FIBER CONTROL INC. ROSLYN HALPER Address 329 DOUGLAS ROAD AVENUE Address 3010 BURNS City WANTAGH State NY Zip 11793 CHAH PPWObA, NY 1054P City Phone Number (516)781000 Telephone Number GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 10111 YARD Address

VOLUME 314 CV Friablef Non-Friable ❑ City NEW YORK. NY 1000_ Bag Drum ❑ Wrapped ❑ Other ❑ Phone Number INV #. F1018 aenne0 py 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 and is in proper condition for transportation according to 40 CFR part 261 or any applicable state law, has been properly described, classified and packaged, NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. proper shipping name, and are Shipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the in all respects in proper condition for transport according to applicable international and national classified, packaged, marked and labeled/placarded, and are government regulations. AUTHORIZED SIGNATURE Transporter 1:

Driver: _(,~._. t 4'_Ch,v1 ( j► Registration #: NY 1480139 AR State / # Date: tianature Acknowledgement of receipt of materials.

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

Driver: Registration #: l~~75 V Date: d ~-- .— Signature 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 N/A Received By: Certification of receipt of materials covered by this manifest.

Transporter 3: Telephone # Name Address Driver: Registration #: Date: Signature State / # Acknowledgement of receipj.. naterials.

Landfill Name: hone No:

Location: v - it

Approximate Volume of Asbestos Received: Discrepancy If Any: 4. Received by: 2(—cz— Certification of receipt of materials covered by this manifest.

NYC-WTC 000122095