Invoice for facade work, 156 Chambers Street, June 2002

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 48713 WASTE MANAGEMENT 'GENERATORS ' ' .,_• EPA Region 2 LOGANO EPA New England 1 Congress Street • 290 Broadway, 26th Floor New York, NY 10007-1866 EMERGENCY RESPONSE P.O. Box 144 • Portland, CT 06480 Boston, MA 02114-2023 (212) 264-6770 TELEPHONE (860)342-0667 • Fax:(860) 342-4866 Out of State 1-800-272-3867 (617) 918-1111 #1-800-272-3867

FB# 6024 DISPOSAL & :UMENTATION FORM Job Number P.O. # GENERATORBUILDING OWNER Contractor FIBER CONTROL INC. HERBERT MOSKOW11Z Address Address 3010 BURNS AVENUE City WANTAGH State NY Zip 11793 city P Phone Number (516)781-3000 Telephone Number Date Container Del. Date of Pickup GENERATING LOCATION

Type of Container 100 YARD Address 1116 156 CHA ERS STREET VOLUME CV Friable,N' Non-Friable ❑ city NEW hlt• NY 1 Bag ' Drum ❑ Wrapped ❑ Other ❑ 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 ice= . Transporter 1:

Driver: #: NY 1151 859 AL Date: State / # Acknowledgement of receipt of materials.

Transporter 2:

v Acknowledgement of receipt of matenais.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING-STREET • PORTLAND, CT 0648C PHONE: (800) 272-3867 PERMIT # SW 1130223 Received By: N/A Date: Certification of receipt of materials covered by this manifest. i11 I~I•I • I.~~~ I I II

Transporter 3: Name N/ A Address Telephone # Driver: Registration #: Date: Signature ~f State / # - ,s Acknowledgement of 1Aiot of materials.

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

- GENE TOR

NYC-WTC 000127026