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← Document results/DEP Box 52/44 ANN STREET 125 FULTON STREET 1079214, 91/11
Document / 19 pages

Invoice for roof cleanup, 125 Fulton Street

Machine-extracted title · confidence 95%

Invoice from Benjamin Kurzban & Son Control Inc. for roof decontamination work at 125 Fulton Street.

NYC-WTC_000127880–000127898

Folder label: “44 ANN STREET 125 FULTON STREET 1079214, 91/11”

Page image
Scanned page image, NYC-WTC_000127898
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document . wrrE• nr:ryr:Y~z.-~.cif,T. .~c,'wFe.,~.v.b'h:~'i'6Gst a:^3b'MF..`o.lA,~,~,p;yi~,twrv-..v..; --+v.~ ...- r .y;~.. .~.' 4'y'_ s .: ^"w.-_•'^r~+ rR . ~t!~ -a. - -.

IESI NY-.COf ORATION I

110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 f MANIFEST

11108 DATE owner Wait and Load 1 J 5i1rU LOS S5b1Cet of Fkvioma!>tt Time In N Y New York, N.Y. Protection Time Out

I 2. Drop Date 1248 Ralph Aveane G Brooklyn, NY 11236 E N E R 3. Wpsttyispgssl site,(,11J,QS) name, mailing address and ph sical site ovation WDS phone number A jj'' t~~iOO~z ~~ yyyy T Scotland, Pa. 17234 Permit # 100434 0 R

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

US EPA 290 Broadway, New York 10007

5. Description of materials 6.VEH. LIC. # 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE - BAGS SIZE CUBIC YARDS 8. Generator Certification

T 9.0 NTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R abov by r shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by A high c9Øf g to applicable international government regulations. N 1 S Printed/Typed Name Title Signature Date (M/D P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. 0 IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 1)2 15 JA-462 R

E Printed/Typed Name Title / ~sinumre Date M/D/Y 462 R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC7ERMIT # W A '► S T Printed/Typed Name Title Si ore Date M/D/Y E 12. Discrepancy indication space 4 S

T 13. Waste disposal site owner or operator: Certification of receipt of asbestos materials covered by this manifest except as noted in item #12 E

PrintedcrypeName file Signature Date (M/D )

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

NYC-WTC 000127898

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NYC-WTC_000127898Source: NYC Law Department, mirrored locally

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