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← Document results/DEP Box 49/176 BROADWAY 1001100, 65/17
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Asbestos waste manifest, 176 Broadway, Aug 2002

Machine-extracted title · confidence 90%

Manifest documenting transport of asbestos waste from 176 Broadway to a disposal site in Pennsylvania.

NYC-WTC_000122721

Folder label: “176 BROADWAY 1001100, 65/17

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Scanned page image, NYC-WTC_000122721
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document IESI NY CORPORATION 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST 11779 1. Jdbsue Nay New Yort, N.Y. 8/13/02 Dept 0E Enyiro Fr DATE Wait and Load Time In: Time Out Drop Date 0Z*<0x- NE KO Adenue Brooklyn, NY 11236 IEST Pa Blve Ridge Landfili Corporatien 3. Tadisdoasirel S) name, mailing address and physical site location Scotland, Pa 17254 WDS phone number Permit #100934 HA W A E S 4. Name and address responsible agency (Local, District or EPA Office where notification was sent) US EPA 290 Broadway, New York 10007 S. Description of materials (RQ) WASTE ASBESTOS 9, NA2212, III 6.VEH. LIC.# TYPE SIZE 29676฿a Closco 7. TOTAL QUANTITY 8. Generator Certification ozyE BAGS 2 CUBICYARDS 1775 9.CONTRACTOR CERTIFICATION: Thereby declare that the contents of this consignment are fully and accutately described highway according to applicable intermational government regulations. 10. Transporter #1 (Acknöwledgement of receipt of materials) IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 1 Paitol DRIVER: Printed/ Tf ped Name Tile 11. Transporter #2 (Acknowledgement of receips of materials) TESI JOSUS Printed/Typed Name 12. Discrepancy indication space DEC Permit No. JA-$62 813/020:462 Date (M/DA DEC PERMIT # Si5/62 Date (MD/Y) 13. • Wasté disposal site owner or operator: Certification of receipt of asbestos materials covered by this manifest except as noted in item #12 Kstrna kikırk Printed/Typed Name Datskeeper Signature KKK 8liceloz Date (M/D/Y) WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR • GOLD:JOB SITE NYC-WTC_000122721

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NYC-WTC_000122721Source: NYC Law Department, mirrored locally

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