Asbestos removal invoice, 67 Greenwich Street, June 2002

NYC 9/11 Public Portal Document

NYbE 13fi' ~,. NYDCA AWU1ca

to C'rarisporaLion o., Inc. P.O. BOX 1044 TOLL FREE PHONE 631-924-5050----r HAMPTON BAYS, N.Y. 11946 1-800-755-OATC FAX 631-924-5085 "EMERGENCY NUMBER"

Waste Manifest # Ijob # Floor or Location Cust # t

Owner's Name, Address, Phone Number H 1. Work Site Name and Mailing Address D.E.P. 67 GREENWICH ST. 5517 JUNCTION BLVD. NEW YORK.N.V. CORONA,N.Y. Contractor's Name, Address Waste Disposal Site

TRIO MIEADOWFILL LANDFILL 14-20 129TH STREET RT. t2. BOX 68 COLLEGE POINT, NY BRIDGEPORT, WV. 26330.

Nameand Address of Responsible NESHAPS Agency Other 0

U.S. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials Bags - Cubic Yds. -

❑ RQ Waste Asbestos, Class 9, NA2212, PGIII ❑ Other Drums or Tons - OTHER - ❑ RQ Waste White Asbestos, Class 9, UN2590, PGIII Special Handling Instructions and Additional Information

OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled and are in all respects in proper condition for transport by highway according to applicable international government regulations.

Printed/Typed Name Title Signature Date (M D/YY) Transporter 1 (Acknowledgement of Receipt of Materials) Telephone No. Company Name and Address Signature• 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: Date HAMPTON BAYS, NY 11946 Title: DRIVER L Transporter 2 (Acknowledgement of Receipt of Materials) Telephone No. Company Name and Address Signature: 631-924-5050 ASBESTOS TRANSPORTATION CO., INC. P.O. BOX 1044 Printed Name: ( Date HAMPTON BAYS, NY 11946 Title: DRIVER Discrepancy Indication Space:

Waste Disposa i Ow er e ator' C i 'cation (Receipt of Above Waste Accepted) Telephone No. 11EADOW LL LANDS I LL Signature: 1(304)842-2781

A1v', Printed Nam Dat

Company Name and Address Title: I

NYC-WTC 000128265