Exterior cleaning agreement, 143 Chambers Street, May 2002

NYC 9/11 Public Portal Document

CT, MA, RI, VT, NH, ME E.P.A. AGENCY NY GENERATORS #99 49005 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, Cl' 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. if GENERATOR/BUILDING OWNER Contractor FIBER CONTROL INC. PLAHGER AND CROWL ASSOC BtJRNS AVENUE Address Address 3010 157 HUDSON STREET

City WANTAGH State NY_Zip 11793 ° m' NEW %PtK. NY iBIi 15' 781.3000 Phone Number Telephone Number uflR Date Container Del. Date of Pickup GENERATING LOCATION Type of Container 1130 YARD Address 143 CHA ERS STREET VOLUME 131 CV Friable Non-Friable ❑ City NEW C. NY 100 ' BagX Drum ❑ Wrapped ❑ Other ❑ Phone Number INV FIO$ * RQ, ASBESTOS, 9, NA2212, PG III 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: FIBER CONTROL INC. NY 11793 51-781-M

Driver NY1480139 A R Date: Signature State / # Acknowledgement of receipt of materials.

Transporter 2:

Driver: //r/ Date: Signature State I# Acknowledgement of receipt of materials.

TEMPORARY STORAGE 1TRANSFER FACILITY: WASTE MANAGEMENT N.E.E.T., INC. • 203 PICKERING'STREET • PORTLAND, CT 06480 a 1 e% PHONE: (800) 272-3867 PERMIT # SW1130223 Received By: Date: Certification of receipt of materials covered by this manifest.

Transporter 3: Naml\::) Address Telephone # Driver. Registration A Date: Sig ature State / # Aci wiedgement of receipt of materials.

Landfill Name: Phone No: Location: "- Permit +~~ t~2J✓ ~~/1~.1.~~ ' Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: Certification of receipt of materials covered by this manifest.

COPY 1- GENERATOR NYC-WTC 000127261