Invoice from Fiber Control Inc., June 2002

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 48710 WASTE MANAGEMENT GENERATORS '~erirt—. 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 (860)342-0667 • Fax:(860) 342-4866 Boston, MA 02114-2023 (212) 264-6770 TELEPHONE Out of State 1-800-272-3867 (617)918-1111 #1-800-272-3867

FB# 6024 ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number GENERATOR/BUILDING OWNER Contractor H R ERTMOSKQWITz._.. Address Address City 3010 BURNS AVENUE WANTAGH State NY Zip 11793 City P ._._._._._._._._._._._._._._._._._._._._._._._._._._._ 16)Th1000 Phone Number Telephone Number 051.23!02 06120102 Date Container Del. Date of Pickup GENERATING LOCATION Type of Container 100 YARD I Address VOLUME 1116 CV Friable,' Non-Friable ❑ City Bags Drum ❑ Wrapped ❑ Other ❑ NEW YORK NY 10001 Phone Number

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: Address Telephone # Driver: ration #: NY 1151859 AL Date: 06/19102 State / # Acknowledgement of receipt of materials.

Transporter 2: Waste M PO Box 1 1-800-272-3867

Driver: #: Date: re State / # V ` Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING STREET • PORTLAND, CT 06481 PHONE: (800) 272-3867 PERMIT# SW 1130223 Received By: N/A Certification of receipt of materials covered by this manifest.

Transporter 3: Name Address Telephone # Driver: N/A Registration #: Date: Signature State / # of y2k€ipt of materials.

Landfill N hone No: Location: rmit Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: ~~ -2/-d Certification of receipt of materials covered by this manifest.

CAW NYC-WTC 000122181