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Document / 12 pages

Invoice for roof work at 15 Dutch Street, 2002

Machine-extracted title · confidence 50%

Invoice from Benjamin Kurzban & Son Control, Inc. for roof work completed at 15 Dutch Street.

NYC-WTC_000130799–000130810

Folder label: “15 DUTCH STREET 1001197, 78/7504

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Scanned page image, NYC-WTC_000130810
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NYC 9/11 Public Portal Document -~, ,:r-~~•..-r..e .:ai$rr«~t~'.:Y ~'rrres•q'•9 E~. ice - '(:'✓-ir'o`.' t t ri.tR4y't , •r~G P9'~ .i:. . "4'. - `wi'F ~r;• °+rwr q::.3'29"A.~ Te"4 i°c'ru'.L.nr {r.~.L . 'a-+:. ,:Y % -

IESI NY COR. l TION 110 5th Street • Brooklyn, NY 11215 Phone: 718-522-2263 • Fax: 718-522-2697 MANIFEST f

DATE 1. Job Site Address Owner's name Wait and Load

15 Strew `Dutch Dept of EDE~'obb welt l Time In N I f New York, 1' -Y - Pr ot ec ti~ Time Out

2. C~ra~tgry ~r @/pgaet#add~re8 Drop Date & Son 124k8RalphAti 2 Ralph Av rue EG Brtaoklpn, NY 11236 N E R 3, wlL&L WDS phone number

A P.O. Box 399 T O Scotland, Pa.17234 Pe!mit # 100934 R

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

US EPA 290 Broadway, New York 10007

5. Descriptionofmaterials 6.VEH. LIC. # 7. TOTAL QUANTITY

(RQ) WASTE ASBESTOS 9, NA2212, III TYPE - BAGS SIZE CUBIC YARDS 8. Generator Certification

T 9. CONTRACTOR CERTIFICATION: I hereby declare that the contents of this consignment are fully and accutately described R abo a by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by A highway o g to plicable international government regulations. N ~ S Print ypeci Name Title Signature Date (M/D "1 P 10. Transporter #1 (Acknowledgement of receipt of materials) DEC Permit No. 0 R IESI NY CORPORATION • 110 5th Street, Brooklyn, NY) 15 JA-462

E Printed/ryped Name Title Signature TT J Date M/D/Y q °e R 11. Transporter #2 (Acknowledgement of receipt of materials) DEC PERMIT # W

T E • PrinteUTyped Name 12. Discrepancy indication space Title Si atu "- Date /DIY `

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

nted/1'yped Name Title t+l.Laq AC[. Signature ?YL Date (M/DIY

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

NYC-WTC 000130810

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NYC-WTC_000130810Source: NYC Law Department, mirrored locally

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