NYC Law Department release
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← Document results/DEP Box 52/111 FULTON STREET 1001263, 91/1
Document / 3 pages

License agreement for facade cleanup, 111 Fulton Street, July 2002

Machine-extracted title · confidence 95%

Legal agreement between the City of New York and a building owner for WTC debris removal.

NYC-WTC_000128757–000128759

Folder label: “111 FULTON STREET 1001263, 91/1

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Scanned page image, NYC-WTC_000128757
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

'IESI NY ,t* RPORATION 110 5th Street •Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST

1 1 778 DATE. 131 I. Wait and Load psJfeFes,p j N.Y. Time In Time Out

2. Cod dJI rasa Drop Date 1l &oudylns NY 11236 G E N E lESI PikBiue Ridge Coi ri R 3. is t S) name, mailing address and physical site location WDS phone number

T S*gtlad. Pa 17234 M ii#1 O 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. # 2j 7. TOTAL QUANTITY (RQ) WASTE ASBESTOS 9, NA2212, III TYPE BAGS SIZE 3 CUBICYARDS 8. Generator Certification u

T 9. CONTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R above by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper conditio for transport by A highway according to applicable international government regulations.

S Printedfryped Name Title Signature Date(M!DIY) P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. IESI NY CORPORATION • 110 5th Street, Brooklyn, NY 1 15 JA- 2 R T R~ DRIVER E Printed/r Name Title i natu Date M /Y R 11. Transporter #2 (Acknowledgement of of materials) DEC PERMIT # W SN • l Printed/typed Name Title Si a re DS IL/ /Y E 12. Discrepancy indication space

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

Ptinted/fyped Name Title Signature Date (M/D/Y)

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

NYC-WTC 000128757

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NYC-WTC_000128757Source: NYC Law Department, mirrored locally

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