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← Document results/DEP Box 52/123 FULTON STREET 1001265, 91/9
Document / 11 pages

Invoice for roof remediation work, 123 Fulton Street, Jul 2002

Machine-extracted title · confidence 95%

Invoice from Son Control Inc. for completed roof remediation services at 123 Fulton Street totaling $15,440.

NYC-WTC_000127825–000127835

Folder label: “123 FULTON STREET 1001265, 91/9

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Scanned page image, NYC-WTC_000127835
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NYC 9/11 Public Portal Document . q -.c .-.......- r ; ~. -. r —w - • «.. ~+-.o- .. _ .... . i'•' 'e Wm'~+xt + ~a:T•- "nr<

• IESI NY CUR OR ATION 110 5th Street • Brooklyn, NY 11215

MANIFEST Phone: 718-522-2263 • Fax: 718-522-2697 ~s 11107 DATE 1. Job Site Address Owner's name Wait and Load 123 Hilton Street Deptof Eaviroanoataal Time In N Y New' ork, N Y. Prc1eCtioo Time Out

2. C Drop Date 13L91fesllu! !>s1TI21Ji~ & 1248 Ralph Ague E &ooklyn, NY 11236 N E R 3. W Bt dk )Bgtion WDSphonenumber A P.Q. Boer 399 o Scotland, Pa 17234 Pere 01 1934 R

4. Name and address responsible agency (Local. District or EPA Office where notification was sent)

US EPA 290 Broadway, New York 10007

S. Description of materials 6.VEH. LIC. # 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE SIZE CUBICYARDS 8. Generator Certification

T 9.C NT CTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R abov by hipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by A high o o livable international government regulations. N S printedrryped Name Title Signature Date t P 10. Transporter #1 (Ac n owledaematt of icecipt of ma rials) I DEC Permit No. R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 215 I J R T E . / 5 /7l I~~y /*r `l t yy/G~ t~ R n yped ame Title Si ature Date 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W A ,S E I. Printed 12. ame Discrepancy indication space Title '` ________ Si u Date NffW

S - I T 13. 'Waste disposal site owner or operator. Certification of receipt of asbestos materials covered by this manifest except as noted in Item #12

r4kuOA*fia ated/I T de Signature Dace ( )

WHITE:LANDFILL • GREEN:IESI • PINK:GENERATOR • YELLOW:CONTRACTOR GOLD:JOB SITE

NYC-WTC 000127835

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NYC-WTC_000127835Source: NYC Law Department, mirrored locally

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