Invoice for fiber control services, 154 Chambers St, July 2002

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH,A4E E.P.A. AGENCY NY GENERATORS #99 49009 WASTE MANAGEMENT GENERATORS . EP ho a c' 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 (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# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # GENERATOR/BUILDING OWNER Contractor CHANRERS HOUSE PARTNERS LI C Address Address 3010 BURNS AVENUE 154 CHA~NBERS STREET City WANTAGH State NY Zip 11793 City NEW YORK. NY 70WT Phone Number Telephone Number (5 7813000 IXVA 1Q2 07/23J02 GENERATING LOCATION Date Container Del. Date of Pickup Type of Container 100 YARD Address VOLUME 1M CV Friable, Non-Friable ❑ City State Zip Bag% Drum ❑ Wrapped ❑ Other ❑ NEW YORK NY 10001 Phone Number INV * F1059 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: Name Address Telephone # Driver: Registration #: NY! 480 139 AR Date: 07124AJ2 Signature State / # Acknowledgement of receipt of materials.

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

Driver: Registration #: 73M7 _- c Date: ~-~ ignature 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 Received By: Date: Certification of receipt of materials covered by this manifest.

Transporter 3: Name Address Driver: istration #: Signature State / # it of receipt of materials. Landfill Name: Phone No: Location: Approximate Volume of Asbestos Received: Discrepancy If Any: —J Received by: ' [ /1 6,~ ' Certification of receipt of materials covered by this manifest.

COP . i . ER TOR NYC-WTC 000127097