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Cover sheet for 148 Chambers Street WTC records, Feb 2002

Machine-extracted title · confidence 85%

Document cover sheet identifying records related to environmental assessments at 148 Chambers Street following the World Trade Center collapse.

NYC-WTC_000127123–000127130

Folder label: “148 CHAMBERS STREET 1001496, 137/32

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Scanned page image, NYC-WTC_000127130
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NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, M E.R.A. AGENCY + NY (ENERATORS #99 49008 WASTE MAriA13EMENT GENERATORS ~. + EPA Region 2 LOGANO Broadway, Floor EMERGENCY RESPONSE P.O. Box 144 • Po t1arut, cr o6480 E0 n ow~sEnglan • 290 ro a a , 26t (860) 342-0667 • Pax: (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

F~3# 0 ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # GENERATOR/BUILDING OWNER Contractor FIBER CONTROL INC. WASHINGTON WT DEVL CORP Address Address 3010 BURNS AVENUE 148 CHAMBERS STREET WANTAGH City City State NY Zip 11793 NEW RK. NY 10othp (516)781.3000 Phone Number Telephone Number uusrs Date Container Del. Date of Pickup GENERATING LOCATION Type of Container 100 YARD Address VOLUME 1!8 CY FriableX Non-Friable Q city Bag Drum 0 NEW NY 1001' Wrapped 0 Other Phone Number INV #. F40S9

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 property 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 labetedipiacarded, and are in all respects in proper condition for transport according to applicable international and national government regulations. ... AUTHORIZED SIGNATURE Transporter 1: Driver: ''MY 1480139 AR ate: O7i2'2 Signature State / # Acknowledgement of receipt of materials.

Transporter 2: Waste Manaa1ment N,E.E.T., Inc., PO Box 144, Portland, CT 06480 1-800-272-3867

Driver: _ Signature `— _ Registration #: c ?d//V_ State / # Date: Acknowledgement of receipt of materials. '

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING-STREET * PORTLAND, CT 06481 •, • ,,, - PHONE: (800) 2772-3867 PERMIT # SW 1130223 Received By: Certification of receipt of materials covered by this manifest.

Transporter 3: _ Driver: #: Date: State / # of receipt of materials.

Landfill Name: Phone No: Location: Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: j .mot I Certification of receipt of materials covered by this manifest.

COPY 1 - GENERATOR NYC-WTC 000127130

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NYC-WTC_000127130Source: NYC Law Department, mirrored locally

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