Capital Properties FOIL Response Cover Letter, Feb 2002

NYC 9/11 Public Portal Document

,NYDEG 1A-371 a . NYDCA 483056

QS2be4os 0~rrcqn,sportation ., Inc. P.O. BOX 1044 TOLL FREE HAMPTON BAYS, N.Y. 11946 •~ PHONE 631-924.5050 1-800-755.OATC "EMERGENCY NUMBER" FAX 631-924-5085

QO +r Floor or Location r Work Site Name ana Mailing Address r - jOust #

OWner's Name, Address, Phone Number

CAPITOL PROPERTIES 115 BROADWAY 115 BROADWAY NEW YORK, NY, NEW YORK, NY,

COM.E'LETE ENVIRONMENTAL SERVICES SOUTHERN ALLEGRENIZS DISPOSAL SVCS. 3500-A HAMPTON Rb. RD 3 BOX 310 VALLEYVIEW DRIVE OCEANSIDE, NEW YORK 12.572 HOLLSO PLS PA 15935 Name and Address of Responsible NESHAPS Agency Other t] 173. EPA REGION II, 290 BROADWAY, NEW YORK, NY 10007 Description of Materials sags; Cubic Yds. - U RQ Waste Asbestos, Class 9, NA2212, PGIII 0 Other arms or > -OTHER - 0 RQ Waste White Asbestos, Class 9, UN2S90, P6111

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

c <.:•✓a c ~ r~" ~ .~ A, X PrinteWTyped Name Title Signs Date (MIDD/YY) Transporter 1 (Acknowledgement of Receipt of Materials) Company Name and Address Telephone No. Signature; ASBESTOS TRANSPORTATION CO., XNC. 631-924-5050 P.O. BOX I044 Printed Name- Date HAMPTON BAYS, NY 11946 into: R Transporter 2 (Acknowledgement of Receipt of Materials) Q Company Name and Address Telephone No. ASBESTOS TRANSPORTATION CO., ING. 8tgnature. 631-924-SOSO P.O. BOX 1044 Printed Name: Dat HAMPTON BAYS, NY 11946 Discrepancy Indication Space: Titles DRIVI:Xt 1 ,

Waste Disposal Alto Owner or Operator'e•Certificettlon (Receipt of Move Waste Acce

Telephone No, C4 jMjNa r` RNIES DISP.SVCS Signature: 1(8i.4)479...2483 Printed Name; IG~f•~#4 . M4 —#C. Date Title:

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NYC-WTC 000132684