Fiber Control invoice for facade work, 143 Chambers St, Jul

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 4 0 5 STE MANAGEMENT GENERATORS EPA Region 2 LOGANO EPA New England 290 Broadway, 26th Floor EMERGENCY RESPONS 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# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O. # GENERATOR/BUILDING OWNER Contractor FIBER CONTROL INC. PLAHGER AND CROWL ASSOC Address Address 3010 BURNS AVENUE 157 HUDSON STREET City WANTAGH State NY Zip 11793 fit' NEW'V6 tK, NY 10016P (516)781-3000 Phone Number Telephone Number Date Container Del. Date of Pickup GENERATING LOCATION Type of Container 100 YARD 143 CHAMBERS STREET Address VOLUME 114 CV Friable Non-Friable ❑ pit, Bag f Drum ❑ Wrapped ❑ Other ❑ NEW YdkK, NY 100a T 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 tc 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 nationa government regulations. AUTHORIZED SIGNATURE - Transporter 1: FIBER CONTROL INC. NY 11733 516-781000 Address Telephone # Driver: #: NY 1480139 AR Date: 01124402 Signature State / # Acknowledgement of receipt of materials.

Transporter 2: N.E.E.T., Inc., PO Box 144, Portl 1-800-272-3867

Driver: Registration #: c '/// , I 1,9 Date: Signature i? State / # Acknowledgement of receipt of materials.

TEMPORARY STORAGE / TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING-STREET • PORTLAND, CT 0648 " I ^ PHONE: (800) 272-3867 PERMIT # SW 11302x3 Received By: Certification of receipt of materials covered by this manifest.

Transporter 3: k •\~ Address Telephone # Driver: #: Date: State / # of receipt of materials.

Landfill Name: Phone No: Location: Permit Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: 7: k -O Certification of receipt of materials covered by this manifest.

C E.4ERATOR

NYC-WTC 000127249