HomeMy WebLinkAbout09/2018 SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01388771 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �! DATE IN DATE OUT TIME IN'TIME OUT VEHICLE -`ROLL OFF-`
- 9/01/18 09/01/18 7:14 7:14 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44940 LB
QTY., UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
22.47 TON CUTGO.MSW 0.000 0.00 0.00 0.00
s�F
t I ; r� i
Operating
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. : 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 � s `� r;=,.'f h \ j '>` TENDERED -
CHANGE
CHECK-NO.
SIGNATURE
SITE TICKET s °GRID,, ;, WEIGHMASTER, ,
SOUTHOLD TOWN DEPT SOLID WASTE A 01388771 Steph
PO Box 962/6155 Cox Lane I I -,
Cutchogue, NY 11935 -,DATEIN DATE OUT TIME IN TIME OUT VEHICLE ,ROLL-OFF
)9/01/18 D9/01/18 7:14 7:14 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 78920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44940 LB
QTY. UNIT' DESCRIPTION' RATE, ° EXTENSION' FEE TOTAL",'
2.47 TON UTGO.MSW �+ 0.000 0.00 0.00 0.00
Operating nours TOO 7AIVI to 5:0d I'M I days a weelktL3rf?Y ` �... = •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685::?�'4,. -' 0.00
yam` f i
NEXT HOLIDAY: Memorial Day, Monday, May 28 d} , {F ;� " � � TENDERED
-CHANGE,,-,
CHECK NO.
SIGNATURE
NO.
2268
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. '
COMPANY: �!� l ) SHIP DATE:
COMMODITY SHIPPED:
LOOSE: E-) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ! r' ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. l '► �f
TRUCK NO. Z-:5 LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
i
6 c
DRIVER: ----.._ .-�'
(PRINT NAME) �.' (SIGNATURE)
DESTINATION
/ r
DISPOSAL LOCATIONC -6 1✓ fIW TA I-V 6' `T LC)/J) DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND•TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITEJ -'TICKET ,,GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389517 Steph
PO Box 962/6155 Cox Lane - - -
Cutchogue, NY 11935 - DATE-iN'£ DATE OUT- TIME IN:TIME°OUT �- VEHICLE _ROLL OFF _
09/04/18 09/04/18 14:35 14:35 11114T
009316 Town of Babylon ROFERENCE •-
IGIN
Scale 2 Gross Wt. 93000 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 52600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL ----
26.30 TON 3UTGO.MSW 0.000 0.00 0.00 000
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 TENDERED-
CHANGE°'
CHECK NO. '
SIGNATURE
`SITE ,TICKET GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389517 Steph
PO Box 962/6155 Cox Lane -DATE IN .DATE OUT. TIME IN TIME'OUT, VEHICLE- ROLL-OFF"
Cutchogue, NY 11935
9/04/18 09/04/18 4:35 14:35 11114TC
009316 Town of Babylon REFERENCE
•-
ML
Scale 2 Gross Wt. 93000 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
NPt Wpinht 59ROn I R 7
QTY UN DESCRIPTION
RATE„- " . EXTENSION _ FEE TOTAL.
26.30 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.::, _ - L6111 H
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED�-
'CHANGE
j_ ---CHECKNO: _-
SIGNATURE
NO. 2283
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO,OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� �� — } L. I > SHIP DATE:
t
COMMODITY SHIPPED: u
LOOSE: 1 ) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ` GROSS
} ` `� a TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261-OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION.
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) ;i `'--`"'` (SIGNATURE)
-,TRANSPORTER
TRANSPORTATION/FREIGHT CO. ! , 1 / b "
s '
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ;� f J , LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: � ��"r--• � � '/'
(PRINT NAME) (SIGNATURE)
/ ,}DESTINATION ry
DISPOSAL LOCATION: _ x]"//I: I l / I DATE DELIVERED: !
ADDRESS: \ +
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" _SITE _ TICKET GRID - WLiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389436 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,. ;.DATE OUT,,,-' TIME.IN TIME OUT- VEHICLE _ ROLL OFF, „
09/04/18 09/04/18 11:04 11:04 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84400 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 50420 LB
;_•QTY - UNIT DESCRIPTION RATE EXTENSION_ FEE TOTAL
25.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
OperatIng hours 7.06 AIVI todays a WeeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.6.85.;a. ` Q;b � y r` 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ,, J ,,;TENDERED- ,
CHAbjQE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" SITE TICKET _ GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389436 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE:OUT TIME IN TIME OUT VEHICLE ROLLOFF "
09/04/18 09/04/18 11:04 11:04 11114T
009316 Town of Babylon
r REFERENCE ORIG N1,2 Gross Wt. 84400 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 50420 LB
QTY UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL
25.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4:------
-Y
" =•«.
Operating hours 7:00 AM to 5:00 PM 7 days a week!""
_ ___ G; = •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;`•; -, - J _~ 4_ =' "~ 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28
- ,- TENDERED
CHANGE
HEC NO:,,,
SIGNATURE
NO. 2282
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �I �'' }' SHIP DATE: �f r
COMMODITY SHIPPED: lti`l w I
LOOSE: U 6 (CU YDS) f
BALES: (COUNT):
TRUCK WEIGHT: 1 -{ �-;U GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITIOIJ�FOR TRANSPORTATION ACCORDING_r TQAP;' 1
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO
TRUCK NO. ' LICENSE NO/STATE:
TRAILER NO. i !` �' LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
' DESTINATION
DISPOSAL LOCATION: �( ; i! t, ,
,31
�fJ\1 '� )/',j DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET"' SITE "-"°TICKET°---=` =GRID WEIGH�MASTER s
SOUTHOLD TOWN DEPT SOLID WASTE 311 01389371 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN= TIME OUT _,VEHICLE ,ROLL OFF
9/04/18 9/04/18 8:47 8:47 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80680 LB Outbound-Charge ticket
Manual Tare Wt. 35540 LB
Net Weight 45140 LB
QTY° UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00
`N i
�_
Operating hours 7:00 AM to 5:00 PM 7 days a wee :� _ �,: `.; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_:'',, 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 % -`;,,, y l : ,,ry 6 TENDERED " ;.•
CHANGE
CHECK NO.
SIGNATURE
'*DUPLICATE TICKET'* SITE I TICKET-__. GRId - WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE Di 01389371 Steph
PO Box 962/6155 Cox Lane
DATE'IN DATE OUT TIME IN TIME OUT ""` :VEHICLE ROLL OFF
Cutchogue, NY 11935 _
NO.
1910
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: s' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
C— TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR_ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE_EIEGULA.T.ION:
GENERATOR AUTHORIZED AGENT(PRINT NAME) i __. --(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: 4 ,'
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW !`
b
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET""" SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389332 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN TIME OUT ' =VEHICLE -_ROLL OFFS
9/04/18 9/04/18 7:33 7:33 111 14T
009316 Town of Babylon
• r REFERENCE •-
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 40740 LB
QTY. UNIT° DESCRIPTION-- RATE EXTENSION FEE TOTAL '
0.37 TON UTGO.MSW 0.000 0.00 0.00 0.00
1 F"a s j t ^•.`���/' � �:•_ °''_'f'r'y ,i 0
} l
, F t
operating hours odays a wee ,, ; r e_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED _
CHANGE
CHECK NO.->-
SIGNATURE
"*DUPLICATE TICKET" SIT,E; TICKET" GRID,', WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389332 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT; TIME IN TIME OUT VEHICLE _ ROLL OFF
9/04/18 9/04/18 7:33 7:33 11 114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 40740 LB
QTY --._- UNIT DESCRIPTION RATE j, EXTENSION - FEE, TOTAL
0.37 TON UTGO.MSW 0.000 0.00 0.00 0.00
'0
i.. ;alp L' .._ e „e ••`"s f;3'
s
Operating hours 7:00 AM to 5:00 PM 7 days a week.", ° =. t ' -___�1. ,*� �'3; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 'r; a _M: ti j« r> ; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `'::a ;r "P ` TENDERED'
',CHANGE ,
CHECK-NO:
SIGNATURE
k ,. NO. 2281
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: '`jb U\1 y SHIP DATE:
COMMODITY SHIPPED:
1 I !
LOOSE: 1 U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: T1_.1; F GROSS
TARE
Ll
1 l ( (� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
F
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER _
I j
TRANSPORTATION/FREIGHT CO.
TRUCK NO. �� �1 LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
r�
-DESTINATION r� �
�!�
DISPOSAL LOCATION: 1Ll,� ( " f / j ` DATE DELIVERED:
ADDRESS: u
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE _; -TICKET ==GRID I 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389634 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -_DATE IN' . 'DATE OUT- TIME IM TIME'OUT _ VEHICLE '4`ROLLOFF"_,''
.09/05/18 09/05/18 11:19 11:19 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 90040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 56060 LB
QTY UNIT _ = DESCRIPTION__ RATE EXTENSION FEE TOTAL
28.03 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a wee F M __ t" •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "` „ 'F "` f' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 284, TENDERED
t; 't'.� � �i'
�
- .
-=CHANGE
CHECK NO._
SIGNATURE
"DUPLICATE TICKET*" SITE ,,r TICKET -GRID WEIGHMASTER„,,,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389634 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN I DATE OUT TIME INTIME-OUT , VEHICLE -ROLL OFF
9/05/18 9/05/18 1:19 1:19 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 90040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 56060 LB
QTY.,;
UNIT,,' '"DESCRIPTION_ RATE"4 "EXTENSION FEE 4 TOTAL -
28.03 TON UTGO.MSW 0.000 0.00 0.00 0.00
Ai
01
Operating hours odays a wee .1
"ZZ �; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,.�- yM T ,;� 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ., Y, o, s"``�, _ TENDERED
ell
.'--” ,r CHECK'NO:
SIGNATURE
. r NO. 2285
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASS�UM�E;ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. C T•
COMPANY: vti i (-,A L–T) SHIP DATE:
COMMODITY SHIPPED: r Irli 1
LOOSE: ) a.J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ( ' ` "' GROSS
TARE
�- �•r i= �fU NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATIION-A�R,DING TQ~APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ('SIGNATURE)
/ TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) r (SIGNATURE)
DESTINATION
DISPOSAL LOCATION.%—�4f��'� =r ,�/ 41 ( DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE„ TICKET GRID `_ WEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01389587 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE -` ROLL OFF
09/05/18 09/05/18 07:43 07:43 111 14T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 83220 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 46220 LB
' -.`, _UNIT DESCRIPTION, RATE EXTENSION , FEE ,TOTAL_"
23.11 TON UTGO.MSW 0.000 0.00 0.00 0.00
,.��V <.�, tfit• ,'f Jf,i;. ff . y, .
-�r,! zip`: J _rte'" ..",1+• .[ '`�.,
Operating hours 7:00 AM to 5:00 PM 7 days a week. `; 5," •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;, '4 h 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 r " t , 'TENDERED-,
CHANGE
+CHECK NO =
SIGNATURE
SITE TICKET' GRID'' '" WEIGHMA$TER-
SOUTHOLD TOWN DEPT SOLID WASTE A 01389587 Steph
PO Box 962/6155 Cox Lane
""DATE IN°" � DATE'OUT_'' TIME IN TIME OUT " VEHICLE - ' `,,°ROLLOFF
Cutchogue, NY 11935
9/05/18 9/05/18 7:43 7:43 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83220 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 46220 LB 7
QTY UNIT DESCRIPTION _ RATE .- EXTENSION, FEE TOTAL
3.11 TON UTGO.MSW 0.000 0.00 0.00 0.00
All, `
Operating hours 7:00 AM to 5:00 PM 7 days a week.".,' r +_ `.; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 M ",� .a ,;j R __`"} TENDERED
j
CHANGE'
CHECK.NO. "-
SIGNATURE
NO. 2284
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOf ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t
COMPANY: � � ( t �� {- 6 SHIP DATE:, ! {�
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: FJ�y GROSS
TARE
�At `j NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
l �
GENERATOR AUTHORIZED AGENT(PRINT NAME) ��-fes-- (SIGNATURE)
TRANSPORTER
s
TRANSPORTATION/FREIGHT CO.
TRUCK NO. % LICENSE NO/STATE:
TRAILER NO. f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEeABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
t r
DRIVER: ` - \0 -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: I/ U! j I v t .� DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
.**[.IUPLICATE TICKET** SITE = TICKET =. `GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389807 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE'OUT e' T[ME IN TIME OUT,: VEHICLE' :-ROLL-OFF =_
Cutchogue, NY 11935
09/06/18 09/06/18 11:21 11:21 11114TC
009316 Town of Babylon ORIGIN
Scale 2 Gross Wt. 92640 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net e'
QTY UNIT DESCRIPTION RATE „ EXTENSION FEE TOTAL
26.12 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' s 10-00
ti
NEXT HOLIDAY: Memorial Day, Monday, May 28 ` -' t `' i TENDERED
,F CHANGE
CHECK NO -_
SIGNATURE
**DUPLICATE TICKET** -SITE . TIC=KET-1—TICKEr — GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389807 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN_ TIME OUT VEHICLE -ROLL_OFF
Cutchogue, NY 11935
9/06/18 9/06/18 1:21 1:21 111 14T
009316 Town of Babylon REFERENCE i O.
IGIN
Scale 2 Gross Wt. 92640 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
QTY UN T DESCRIPTION', RATE EXTENSION FEE TOTAL
6.12 TON UTGO.MSW 0.000 0.00 0.00 0.00
K f"I, = a
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✓ ^i !` a, wv�
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Operating hours 7:00 AM to 5:00 PM 7 days a week.'! ✓` --?y` - ' r',= •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, '-'-,,,_':: - - `; ' - 0-00
NEXT HOLIDAY: Memorial Day, Monday, May 28 °r't; TENDERED _
'CHANGE
--CHECK O.'
SIGNATURE
NO. 2287
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:
SHIP DATE:
COMMODITY SHIPPED: ��
LOOSE: I Cl" U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i `' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. E 1 til JJul 1'
TRUCK NO. !! )} LICENSE NO/STATE:
TRAILER NO. I i I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
Af/
l ,
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED: J
ADDRESS-:
t
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
1� 4ICATE TICKET"* ,SITE 'TICKET ti GRID WEIGHMASTER,
SOI:JOLD TOWN DEPT SOLID WASTE 01 01389744 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN °;`DATE OUT TIME IN'TIME OUT '',_ VEHICLE ROLL OFF
09/06/18 09/06/18 107:14 07:14 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 40740 LB
QTY `UNIT = DESCRIPTION RATE EXTENSION` FEE - TO_TAL
20.37 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Opwating huals 7.00 AM to 5.08 PIVI 7 days a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`'--' ' f`£' 0.00
TENDERED
NEXT HOLIDAY: Memorial Day, Monday, May 28 ,J r
S r
.9 -
__ ° CHANGE
HECK NO
SIGNATURE
"'DUPLICATE TICKET" SITE I -TICKET _ GRID ,WE16HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389744 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE IN ;;, DATEOUT,,, . TIME IN` TIME OUT VEHICLE ROLL OFF
9/06/18 9/06/187:14 7:14 11114T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 40740 LB
QTY .UNIT _ a
RATEEXTENSION
FEE_" TOTAL_'
20.37 TON UTGO.MSW 0.000 0.00 0.00 0.00
, r
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,". _ r
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
-CHANGE-,
,
CHECK NO.
SIGNATURE
.c:
NO. 2286-
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0 L I SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ) (CU YDS)
BALES: (COUNT): !�
TRUCK WEIGHT: / € ' ' GROSS
' TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. � % 'J
TRUCK NO. f LICENSE NO/STATE:
TRAILER NO. ,' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) ,i='" (SIGNATURE)
DESTINATION
r
DISPOSAL LOCATION: / d' �1�1 /''. 1 / �'/ 11 -- /' DATE DELIVERED:
ADDRESS: y J—
I
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
l ; SITE - TICKET GRip WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01389911 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE KN "`DATE OUT TIME'IN TIME OUT VEHICLE ROLL"OFF
9/07/18 09/07/18 1 07:16 07:16 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84160 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 48160 LB
QTY. UNIT DESCRIPTION_ RATE =_ EXTENSION FEE TOTAL
24.08 TON CUTGO.MSW 0.000 0.00 0.00 0.00
i
i
Ope _.P _ r ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: �.
0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `
TENDERED
P ;.. CHANGE,
CHECK NO
SIGNATURE
SITE I TICKET GRID= WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01389911 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,`DATE,IN = DATE,OUT, TIME IN-TIME,OUT VEHICLE ROLLOFF
9/07/18 9/07/18 7:16 7:16 11114TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 84160 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 48160 LB
QTY UNIT „; •`DESCRIPTION RATE ._' EXTENSION ;'` FEE' ',_ TOTAI', ,
24.08
TON UTGO.MSW 0.000 0.00 0.00 0.00
- tea;^ tiY,` _ •�£4j`r, ;rM vi��.
Operating hours o s s a - F
CLOSED HOLIDAYS-QUESTIONS CALL-631-734-7685'. �' ' t - ~
NEXT HOLIDAY: Memorial Day, Monday, May 28 " TENDERED
- CHAN E
CHECK NO!
�j
SIGNATURE
C �
NO. 2289
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. !i
COMPANY: j ,: ; # j (_s SHIP DATE: `
COMMODITY SHIPPED:
LOOSE: % ? (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ' '�'� '
TRUCK NO.
LICENSE NO/STATE:
TRAILER NO. 7- 3 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. of
DRIVER:
(PRINT NAME) f (SIGNATURE)
f
i
� // t DESTINATION
DISPOSAL LOCATION: ;t�1 rf l 1._J�1j��,�
t� DATE DELIVERED.,
ADDRESS:
J /
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
V**0UP1bCATE TICKET*` SITE '- TICKET", 4- GRID " 5 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE DI 01389966 Liz H
PO Box 962/6155 Cox Lane
DATE-1N DATE_OUT T(ME'IN TIME'OUT r VEHICLE _ ROLLOFF
Cutchogue, NY 11935 -
9/07/18 09/07/18 1:12 11:12 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 88260 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 52040 LB
QTY UNIT " DESCRIPTION RATE EXTENSION FEE TOTAL
26.02 TON QUTGO.MSW 0.000 0.00 0.00 0.00
Ope %�,,, t< Y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:; r, ___p"_ 'J ;p` 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28u rr�lx.t Fzw ,°. TENDERED
CHANGE
CHECK NO
SIGNATURE
*r
SITE TICKET
DUPLICATE TICKET. GRID WEIGHMA,STER,
SOUTHOLD TOWN DEPT SOLID WASTE 31 01389966 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF
9/07/18 9/07/18 1:12 1:12 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 88260 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 52040 LB
QTY.-_ UNIT DESCRIPTION RATE EXTENSION_ FEE TOTAL
6.02 TON UTGO.MSW 0.000 0.00 0.00 0.00
t•y'~'1 d' fir, m � �,��,
Operating hours odays a wee . V ~t A- �,; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ' `, — µ. ` ' TENDERED
Zy-
CHA GE
CHECK NO
SIGNATURE
� - t
N0. 2288
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'A�SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: tSHIP DATE:
e �
COMMODITY SHIPPED: P/I 5 \Ij
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
f
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ¢—' LICENSE NO/STATE:
TRAILER NO. i LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
f>
DESTINATION,,
si f;
DISPOSAL LOCATION:(k6) ,l` f r�} i—% /1' `/ .`— 1 ! DATE DELIVERED:
/ 1 /
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" SITE TICKET GRID WE[GHMASTER
SOUTHOLD T.OWN [SEPT SOLID WASTE 31 01390088 Dan
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN _ DATE OUT a- TIME IN-TIME OUT -VEHICLE _ =ROLL OFF
9/08/18 9/08/18 7:27 7:27 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49440 LB
QTY UNIT' `DESCRIPTION RATE' EXTENSION-=- FEE __- TOTAL
24.72 TON UTGO.MSW 0.000 0.00 0.00 000
j =
OperaIng ours oaysa wee .r rt, 1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,,"',,`, ;;f' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ; .^` TENDERED '
CHANGE
SIGNATURE t-CHECK NO.'
"DUPLICATE TICKET"* S)TE TICKET_-- GRID' " - WE(GHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01390088 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE fi 'ROLL OFF
9/08/18 9/08/18 7:27 7:27 111 14T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 83420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49440 LB
" QTY„ UNIT,; DESCRIPTION»'°- ,,,=RATE; EXTENSION,. FEE',' TOTAL=
24.72 TON QUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.t ;: ,t' __ I _;�- Y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;;; '_- _ a` - *., 0.00
NEXT HOLIDAY:Memorial Day, Monday, May 28 `°
CHANGE..,
CHECK NO.
SIGNATURE
1 r
NO. 2200
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILIT'YY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: V ��� C L_,J ; SHIP DATE:
COMMODITY SHIPPED: f � `' v I !f
LOOSE: / ( (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �fCs GROSS
�7 <�
TARE
' /CSC NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ; (� �' ) 'L�nk P"i t
TRUCK NO. % / LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: /r
(PRINT NAME) (SIGNATURE)
r
DESTINATION
DISPOSAL LOCATION: Cc'/ /^� E l , L,/ljDATE DELIVERED: J
ADDRESS: (
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET _- J,,y_< GRID ,'WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390601 Steph
PO Box 962/6155 Cox Lane
DATE'IN DATE-OUT TIME IN TIME OUT VEHICLE - ROLLOFFCutchogue, NY 11935
•, 1 09/10/18 09/10/18 07:13 07:13 111 14T
;009316 Town of Babylon
ORIGINREFERENCE
I
Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket
j Manual Tare Wt. 36260 LB
Net Weight 48760 LB
QTY. - UNIT = DESCRIPTION -RATE EXTENSION ---FEE TOTAL
24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:: 0.00 •
NEXT HOLIDAY: Memorial Day, Monday, May 28 ",_ `, -TENDERED-
CHANGE-
SIGNATURE
-CHECK:NO.
"DUPLICATE TICKET"" SITE TICKET, _ %GRID : WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390601 Steph
PO Box 962/6155 Cox Lane
DATE IN - DATE OUT TIME IN TIME OUT " VEHICLE` ROLL OFF
Cutchogue, NY 11935 - _
09/10/18 09/10/18 F07-:13 107:13 1 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 48760 LB
QTY- `UNIT DESCRIPTION `-RATE .- EXTENSION FEE TOTAL
24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734.7685.,,=,, = 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED:
CHANGE-=.
HE
NO
SIGNATURE
NO.
if 2275
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I h
r
COMPANY: L. 1-b SHIP DATE: �7
COMMODITY SHIPPED: PI NJ °
LOOSE: 1 u (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
f (x �� TARE
(rf -79 J NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261OR-ANY APPLICABLE STATE LAW,HAS BEEN.PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDINGGTTQ_APP_LICABEE"REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) `�-- (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. I I - �, Vi iQ )
TRUCK NO. '� LICENSE NO/STATE:
TRAILER NO. ) LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,L--ISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r�
DRIVER:
(PRINT NAME) I' (SIGNATURE)
vy
DESTINATION,
DISPOSAL LOCATION: 1'��'���Aj /� �tf DATE DELIVERED: T1
ADDRESS: J l
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET _ GRID WEIGHMASTER
,SOUTHOLD TOWN DEPT SOLID WASTE 01 01390637 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_ DATE OUT . TIME IN TIME OUT VEHICLE ROLL OFF-
09/10/18 09/10/18 11:25 11:25 11114TC
1009316 Town of BabylonREFERENCE
•-
Scale 2 Gross Wt. 67700 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 33720 LB
QTY UNIT- DESCRIPTION RATE EXTENSION' FEE'`, - TOTAL,--
! 16.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
e '
3
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.-, t a {_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ; _ TENDERED
-CHANGE'
CHECK NO.a
SIGNATURE
SITE I - TICKET'" GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390637 Steph
PO Box 962/6155 Cox Lane DATE IN-- DATE OUT -TIME IN TIME OUT VEHICLE_ `3ROLL OFF
Cutchogue, NY 11935
09/10/18 09/10/18 11:25 11:25 11114TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 67700 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 33720 LB
OTY UNITS '_ ' ";..,DESCRIP-TIONv RATE" ''EXTENSION FEE " NOTAL
16.86 TON DUTGO.MSW 0.000 0.00 0.00 0.00
rL ,
x 1
Operating hours 7:00 AM to 5:00 PM 7 days a week:,,- 0111111111111==
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.,' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 :TENDERED`
CHANGE-,`_
CHECK,NO:
SIGNATURE
r =
NO. 2276
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,I SHIP DATE-
f t
COMMODITY SHIPPED:
LOOSE: C t (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: '' , GROSS
. ! TARE
- r
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
- TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _` ! LICENSE NO/STATE:
TRAILER NO. ' —f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDfABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) / ' (SIGNATURE)
DESTINATION""
J r• _ c !
DISPOSAL LOCATION: ' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION,PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.,
7
**DUPLICATE TICKET** SITE ¢;, TICKET _' GRID - WEIGHMASTER
'SOUTHOLD TOWN DEPT SOLID WASTE 01 01390704 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE=I DATE OUT A '"TIME'IN TIME OUT VEHICLE .=- _ r ROLLOFF'
09/11/18 09/11/18 08:11 08:11 111 14T
1009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 81560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 45300 LB
QTY., UNIT. DESCRIPTION, _ RATE EXTENSION, FEE TOTAL
22.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours TU8o ays
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.: 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 - J TENDERED
CHANGE
" CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE,',F TICKET, GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390704 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 . DATE 1N. DATE`0UT TIME IN, TIME OUT VEHICLE ROLL OFF
09/11/18 09/11/18 08:11 08:11 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 81560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 45300 LB
CITY _ UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
22.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
^t.
Operating ours 0 AM to 5:00 PM 7 days a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685." '., } . 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -
TENDERED
HECK NO.
SIGNATURE
NO. 2263
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: o u�_J �-I ct L�) SHIP DATE:
COMMODITY SHIPPED: M.5
�� 1
LOOSE: Cl L} (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: Vu c) GROSS l
TARE
u' NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPO_RT`A1TION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) �. • ..__=' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. I \j
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
2
DRIVER: �----` C /�"�
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: i0il-J 1'l'� ! DATE DELIVERED: l�'
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_ {
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SUITE '_` WEIGHMASTER, -,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390770 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN „" "°DATE OUT TllIE IN TIME OUT '" VEHICLE ROLLOFF' "
109/11/18 09/11/18 11:47 11:47 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82800 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 48820 LB
QTY UNIT; DESCRIPTION _ RATE ;EXTENSION FEE TOTAL
24.41 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:.,` ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., _~ 'ti 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 - ;.,,, _ ,.,', TENDERED
_. CHANGE
-- CHECK-NO
I
SIGNATURE
"DUPLICATE TICKET"* SITE- "'-TICKET = °" ''''GRIDwEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390770 Steph
PO Box 962/6155 Cox Lane DATE IN- DATE OUT TIME IN TIME-OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
09/11/18 09/11/18 11:47 11:47 11114T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 82800 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
NP Wpinht 4889n IR
QTY UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
24.41 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t ,
IN
Operating hours 7:00 AM to 5:00 PM 7 days a week.-,,_ `. ;``_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1 , `t.'frry y- - - `
NEXT HOLIDAY: Memorial Day, Monday, May 28. ;;,';'„ TENDERED
CHANGE'
CHECK NO:11
SIGNATURE
i"
NO. 2266
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED
SSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: Vc! �)u L--),) SHIP DATE: rl
COMMODITY SHIPPED: N
LOOSE: t3 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
;e U TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.,
a
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. , � LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
1, G I
DRIVER: o c
(PRINT NAME) f (SIGNATURE),.,
DESTINATION '
DISPOSAL LOCATION: _ 13 ' t r,/ ` ( 6A t 7 �� DATE DELIVERED- I
ADDRESS: 4, d
.I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE'THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION -`
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO.
"*DUPLICATE TICKET"" SrrE MCKE7` GC�!�_ WEtGHMASTER.
SOUTHOLD TC NN DEPT SOLID WASTE 01 01390864 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT.. TIME IN,]TIME OUT VEHICLE- _ROLL OFF_-,
09/12/18 09/12/18 07:20 07.20 111 14T
009316 Town of Babylon
ORIGIN- REFERENCE
Scale 2 Gross Wt. 89760 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 53500 LB
QTY UNIT' _' _ DESCRIPTION
. RATE' :-``EXTENSfON',. ; : FEE - - TOTAL ;
26.75 TON OUTGO.MSW 0 000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., - 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE _
CHECK N,,j
SIGNATURE
*"DUPLICATE TICKET" rSITE1 TICKET GFi1D_ - wEIGHMASTI✓R•
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390864 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT,' VEHICLE ROLLOFF
09/12/18 09/12/18 07:20 07:20 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 89760 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 53500 LB
QTY UNIT DESCRIPTION _- RATE EXTENSION FEE -- TOTAL
26.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 = TENDERED '
:
-,CHANGE .
-,CHECK NOr-
SIGNATURE
NO. 2277
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITYY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� LA-1 �JSHIP DATE: Z I L5
COMMODITY SHIPPED: e1y`I I
LOOSE: f U J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ;f`t��1 GROSS
_>� TARE
"=��'
55-`o NIET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATIOR ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
/ f
TRANSPORTATION/FREIGHT CO.
TRUCK NO. r � LICENSE NO/STATE:
TRAILER NO. I Z LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: — or/ c— '� ._--�
(PRINT NAME) (SIGNATURE)
DESTINATION
M" ,DISPOSAL LOCATION:4 " I\ A I�! t' � Vy1 /
DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET' '* GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390903 Dan
PO Box 962/6155 Cox Lane --
Cutch 04gue
Cutchugue- 11935 DATE IN„- DATE OUT., ;TIME-IN TIME OUT VEHICLE7 ROLL OFF-•'„
09/12/18 09/12/18 11:10 11:10 11114TC
1009316 Town of Babylon REFERENCE - ORIGIN
i
Scale 2 Gross Wt. 81520 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 44520 LB
QTY` UNIT DESCRIPTION _ RATE EXTENSION _ FEE___ TOTAL -
I
22.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.` i 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK NO -
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390903 Dan
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE°IN, _ -,..DATE OWT T,IME`IN,TIME OUT .v' VEHICLE ROLLOFF
09/12/18 09/12/18 11:10 11:10 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81520 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 44520 LB
QTY. UNIT_ DESCRIPTION RATE EXTENSION - FEE'= TOTAL
22.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r_a�wr��• x•11• `'t Ar lr•J' e 'w S
Opera Ing hours odays a wee :T. -
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 a. TENDERED---CHANGE-
HEC NO.__.
SIGNATURE
NO. 2278
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ��tii lam ) � (J i__}� SHIP DATE: I
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
1/ G� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26a-OR-ANY-AP-PLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER `
TRANSPORTATION/FREIGHT CO.
TRUCK NO. �-}% LICENSE NO/STATE:
TRAILER NO. ( LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
{( n) pDESTIN(ATI, N�
S POSAL LOCATION. DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET," SITE _TICKET GRID. WEIGHMASTER_
SO&THOLD TOWN DEPT SOLID WASTE 01 01391033 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT, .TIME IN TIME OUT VEHICLE _ ROLLOFF }
09/13/18 09/13/18 10:56 110:56 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73400 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 37180 LB
QTY.' w ,UNIT, ,- DESCRIPTION "RATE, - EXTENSION;, FEE TOTAL '
18.59 TON DUTGO.MSW 0.000 0.00 0.00 0.00
4' 5
Opera Ing ours o ays a-weeT.-, - wJ r t e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,r . '' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `" '`A`
e Y sw, ,TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" -SITE , -°TICKET ; "GRID '" ' VVEIGHMASTER,'
SOUTHOLD TOWN DEPT SOLID WASTE Di 01391033 Liz H
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11935 DATE IN DATE OUT, ,TIME_IN"TIME'OUT VEHICLE ROLL"OFF =-
9/13/18 9/13/18 0:56 0:56 111 14T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 73400 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 37180 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
18.59 TON CUTGO.MSW 0.000 0.00 0.00 0.00
'
�
�
Operating hours 7:OOAM to :00 PM 7 days a wee .� e rt_ . ,:�r�. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"� . `' �,,,:, '' -`' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ` �~
TENDERED
r r`` CHANGE'
`----CHECK NO"`�j`�j
SIGNATURE
NO. 2280
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: u '�'� L� u �� SHIP DATE:
COMMODITY SHIPPED: 1
LOOSE: Q Q (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: ' — ' ` — GROSS
TARE
c NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
#) 1
TRANSPORTATION/FREIGHT CO. I 1
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATIONS
DISPOSAL LOCATION: (/1i J`! O A (l uw ) DATE DELIVERED: )
ADDRESS: '
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET --_ I GRID WEIGHMASTER
SOUTALD TOWN DEPT SOLID WASTE 01 01390991 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN= TIMEOUT VEHICLE' ` _;ROLLOFF
09/13/18 09/13/18 07:15 07:15 111 14T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 89100 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 53100 LB
QTY. UNIT DESCRIPTION, "- RATE EXTENSION FEE TOTAL
26.55 TON DUTGO.MSW 0.000 0.00 0.00 0.00
IV
Operating ours odays a wee �%, _. ,r __: _ AdEff 2115MYLVIrem
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685..`f _ , t 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 , ;% �„ °ti '.i "TENDERED
LL CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE : ' TICKET F-: _,GRID WEIGH ASTER „
SOUTHOLD TOWN DEPT SOLID WASTE 01 01390991 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _DATE IN _ DATE OUT I TIME IN TIME OUT _ VEHICLE ROLL OFF
9/13/18 09/13/18 7:15 7:15 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 89100 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 53100 LB
QTY -'UNIT,,, DESCRIPTION RATE' EXTENSION''„ FEE 'TOTAL
26.55 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 clays a wee .+ `'v uq ., .q - :� ,;; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.< _"v` 0.00
TENDERED
NEXT HOLIDAY: Memorial Day, Monday, May 28 ? ' - '
<, itM
��
-CHAN E '
CHEG O.`, +
SIGNATURE
s � .
NO. 2279
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. l �}
COMPANY: �,) �J ice\ �,r �; - }� SHIP DATE: 1 I J
COMMODITY SHIPPED:
LOOSE: I i r ) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 3 j {-' GROSS
{ TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
C-'_l ?
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. Z-6 LICENSE NO/STATE:
TRAILER NO. 1 2- ' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
n
DRIVER: U l i
(PRINT NAME) zz"J (SIGNATURE)
(, r/� A
DATE DELIVERED
DESTINATION\
DISPOSAL LOCATION: �11 �" 1 "f tel ! \ {1 LC) f
/ :
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUF�LICATE TICKET** (SIT,g , TICKET , . GRID
"WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01391212 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN''" DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF ~'
9/14/18 9/14/18 1:50 1:50 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81940 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 45940 LB
QT_Y.` UNIT -DESCRIPTION RATE EXTENSION FEE = TOTAL;•
22.97 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:..'':" - ` ` 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 .A-
„ TENDERED
£ „ is y.• ...
f,. CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE ,_ TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01391212 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE QT TIME IN-TIME OUT „VEHICLE ROLL OFF,
9/14/18 9/14/18 1:50 1:50 11114TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 81940 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 45940 LB
'QTY UNIT: DESCRIPTION-- RATE EXTENSION"' •-FEE- TOTAL_
22.97 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours ruuAm to ays a wee .-- M}•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 µ - _- ' ''' ,-p` 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED'
CHANGE-,, ,
CHECKO.
SIGNATURE
NO. 2294
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES N-T,ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1 � !
COMPANY: (-� I �. � ' 1� SHIP DATE:
COMMODITY SHIPPED:
LOOSE: I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `i �' GROSS
TARE
6• NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
r- Et
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. g'� y LICENSE NO/STATE:
TRAILER NO. t Z LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
r
DRIVER:
(PRINT NAME) /` (SIGNATURE)
DESTINATION
It
DISPOSAL LOCATION: '�/ ! DA� � ��%� � DATE DELIVERED:
ADDRESS: \ /
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET. GRID - WEIGHMASTER
50UTTHOLD TOWN DEPT SOLID WASTE 31 01391136 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 DATE IN _DATE OUT TIME_IN TIME OUT__ VEHICLE. ;,, ROLL OFF `
9/14/18 9/14/18 7:16 7:16 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 87800 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 51540 LB
QTY. -- „` UNIT, DESCRIPTION_ RATE' EXTENSION ",, = ' FEE _> -TOTAL
25.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00
z S
Operating Hours odays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -_- 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK NO g
SIGNATURE
71)
"DUPLICATE TICKET" SITE " '`.:TICKET;_ ° GRID _ VIIEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01391136 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE'1NW"' ,DATE OUT TIME IN'TIME'OUT VEHICLE ROLL OFF" _-`
9/14/18 9/14/18 7:16 7:16 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 87800 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 51540 LB
QTY= UNIT " DESCRIPTION- = RATE EXTENSION FEE TOTAL
25.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00
S ry
Operating hours odays a wee .: A, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ;kV? =f '._ TENDERED-
CHANGE'
ENDERED-CHANGE° '-4L-
CHECK
L_CHEC NO.- "
SIGNATURE
NO. 2293
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� cc SHIP DATE:
COMMODITY SHIPPED: w I 1
LOOSE: J v� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: r�_ , GROSS
i TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
i TRANSPORTER
I •l t / ( � � J
TRANSPORTATION/FREIGHT CO.
TRUCK NO. -� LICENSE NO/STATE:
TRAILER NO. L 3 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE L -E-Dr--ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
�l �-
DRIVER: b /�
(PRINT NAME) �/f (SIGNATURE)
r
DESTINATION
yyf �DISPOSAL LOCATION: �i i_ 0_3A,
. i �) h� DATE DELIVERED: ,}
ADDRESS: a
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET = GRID - = WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01391327 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .=DATE IN e. DATE OUT TIME IN TIME OUT -VEHICLE` —ROLL OFF
C' 9/15/18 9/15/18 7:20 7:20 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84080 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 47820 LB
QTY UNIT =DESCRIPTION_,_' - RATE EXTENSION -=N'FEE TO_TAL_
23.91 TON QUTGO.MSW 0.000 0.00 0.00 0.00
,1•~ w> ,J't �.. Cly.
' 3
3
Ope -
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ; ' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -TENDERED.
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" ('§ITE'l TICKET,-- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01391327 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D&EIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/15/18 9/15/18 7:20 7:20 11114TC
009316 Town of Babylon
REFERENCEWell 2 Gross Wt. 84080 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 47820 LB
QTY' `.-°' UNIT';r ,,' :.a'.^`°',A. _",;,„, -”DESCRIPTION• RATE EXTENSION FEE , TOTAL
23.91 TON QUTGO.MSW 0.000 0.00 0.00 0.00
�wr
Operating nours o days
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685. -
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED.
CHANGE'.'s,,
'CHECK NO:
SIGNATURE
NO. 2295
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 11 }
COMPANY: U\7 1 (> SHIP DATE: J 5 / L
COMMODITY SHIPPED: S vi
LOOSE: U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: L •s ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) y� (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. J I �,1 `�;'
TRUCK NO. `�- f LICENSE NO/STATE:
TRAILER NO. / 7 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) /. (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ` V 1 p'--'J' i 'A '—`� i � % �( � '� DATE DELIVERED: � t
ADDRESS:
f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
j GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
f
SITE TICKET z GRID--' = `` WEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01391885 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN--- ` DATE°OUT -`__TIME IRI;TIME OUT -VEHICLE=_`_ ; _ROLL OFF.
09117/18 09/17/18 7:14 7:14 11114T
009316 Town of Babylon
REFERENCE ORIGIN.
Scale 2 Gross Wt. 76240 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42260 LB
QTY UNIT - aDESCRIRTION RATE: + '`. - =E ',EXTENSION- FEE TOTAL=
21.13 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a wee :-. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. ,' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 "TENDERED_'
CHANGE
.'CHECK NO: :
SIGNATURE
SITE :TICKET -- GRID _= WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01391885 Steph
PO Box 962/6155 Cox Lane -
-
Cutchogue, NY 11935 =DATE IN;` DATE OUT,T TIME`IN-TIME OUT VEH'ICLE'--- ==ROLL OFF
09/17/18 09/17/18 7:14 7:14 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76240 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42260 LB
;QTYj DESCRIPTION "RATE''`ti EXTENSION FEE" NOTAL'
21.13 TON UTGO.MSW 0.000 0.00 0.00 0.00
t
Operating hours 7:00 AM to 5:00 PM 7 days a week:,: µ :, _r, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686..' >' . _ f 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 �TENDERED,,"
=CHECK NO.
SIGNATURE
NO. 2296
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r
COMPANY: o 'LAI U _� d,) SHIP DATE: f
� � , t
COMMODITY SHIPPED: m �
LOOSE: ) ity (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �` �!rC1 GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,)S NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCO,RDING TQ APPLICABLE REGULATION.
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) ; (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 2 i LICENSE NO/STATE:
TRAILER NO. I : LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: �J
(PRINT NAME) ,6` (SIGNATURE)
DESTINATION
DISPOSAL LO ATION: t� ( -�'! 11`� v DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
(SSITEF
T TICKET'< 'GRID E wEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01391962 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN"' DATE OUT Y-TIME IN TIMEOUT . 'VEHICLE''" ROLL OFF
09/17/18) 09/REFERENCE
17/18 11:10 11:10 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 81700 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 45480 LB
QTY:' ,, UNIT° DESCRIPTION, RATE EXTENSION. FEE ,TOTAL
22.74 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 0 AM todays a wee v •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.__, 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE'
°CHECK NO '
SIGNATURE
SITE _ „TICKET ti ,GRID„ w,E1GHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01391962 Steph
PO Box 962/6155 Cox Lane
CUfChOgUe, NY 11935 DATE IN DATE OUT ;TIME.IN TIME�OUT ° -;VEHICLE ROLL OFF
09/17/18 09/17/18 11-1:10 11:10 111 14T
009316 Town of Babylon
REFERENCE •-
7
Scale 2 Gross Wt. 81700 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 45480 LB
QTY UNIT- DESCRIPTION RATE EXTENSION -FEE TOTAL
22.74 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4-
r
Operating hours 7:00 AM to 5:00 PM 7 days a week: _- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685::> 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 �? -- TENDERED
CHECK NO.
SIGNATURE
Xv NO. 2297
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT;rS�SUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 1 `� c) lr SHIP DATE:
COMMODITY SHIPPED:
1
LOOSE: (-' U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: r C_ GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
f f
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
i TRANSPORTER
f
TRANSPORTATION/FREIGHT CO.
I
TRUCK NO. ({ 5 LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT
-T-O�--THE DESTINATION LISTED BELOW
1
DRIVER: f
(PRINT NAME) �` (SIGNATURE)
rj
DESTINATION % \\
DISPOSAL LOCATION: t ,� �I r��, f � _J ; d. ' i �- /SATE DELIVERED:
ADDRESS:
t
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" SITE -,1: TICKET- ----'GRID WEiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392171 Steph
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11935 DATE-IN{ DATE OUT TIME IN T1NIE,OUT VEHICLE,,_ ROLL OFF
•, ` 09/18/18 09/18/18 10:50 10:50 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
FQTY. Scale 2 Gross Wt. 92580 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 55580 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
27.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
it E
Opera ng ours Tud AM to ays a weeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK NO
SIGNATURE
*"DUPLICATE TICKET'" SITE, TICKED GRID WEIGHMASTER
-SOUTHOLD TOWN DEPT SOLID WASTE 01 01392171 Steph
'PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT ,`VEHICLE ROLL OFF
09/18/18 09/18/18 10:50 10:50 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 92580 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 55580 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.79 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:,G, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. >> 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
•CHANGE
HE O.
SIGNATURE
NO. 2298
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: C Lk-T-�-I C.) ' _ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FO,R TRANSPORTiATION.AtiCCORDING TO!-APPL"ICABLE REGULATION--
'
GENERATOR AUTHORIZED AGENT(PRINT NAME) -`" - f (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 1 /�I I �--�'� L) r�}
TRUCK NO. = LICENSE NO/STATE:
TRAILER NO. ( '' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: '
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 8 1/ A--°IA � -�` � �'J�_f =) � DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** SITE _3f TICKET�°_�' ---,--GRID WEIGHMASTER
,SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01392121 Steph
iPO Box 962/6155 Cox Lane
Cutchogue, NY 11935
DPIIN DATE, OUT -TIME IN TIME OUT . "VEHICLE, = ROLL OFF
j 09/18/18 09/18/18 7:13 7:13 1 11114TC
,009316 Town of Babylon
. REFERENCE ORIGIN
I
Scale 2 Gross Wt. 80040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46060 LB
I QTY. UNIT DESCRIPTION RATE, 'EXTENSION" -FEE TOTAL
23.03 TON DUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. >l-,, `` - 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** (17
SITE : TICKET - GRID WEIGWfVIASTER, "
'SOUTHOLD TOWN DEPT SOLID WASTE 01 01392121 Steph
PO Box 962/6155 Cox Lane
•Cutchogue, NY 11935 DATE-IN - DATE OUT I „TIME IN TIME OUT , VEHICLE ROLL-OFF
09/18/18 09/18/18 07:13 07:13 111 14T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46060 LB
QTY '__ UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
23.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00
perating o s o 04 pm days aA — •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. A ;` 0./—"` 0
NEXT HOLIDAY: Memorial Day, Monday, May 28i° -� „F,__ TENDERED
• - CHANGE " '
' = HECK NO.
SIGNATURE
NO. 2299
`GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: G s ! i U L t")' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: 0 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: "> GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
` TRANSPORTER
TRANSPORTATION/FREIGHT CO. � !� \J
TRUCK NO. i )LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE L -D ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
1 f
DRIVER:
(PRINT NAME) (SIGNATURE)
f
DESTINATION
Lll
(3A
DISPOSAL LOCATION: / DATE DELIVERED:
ADDRESS: /
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" L SITE TICKET--; GRID,_ "._° WEIGHMASTER°,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392243 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE I•N DATE-OUT TIME IN TIME OUT, °, -VEHICLE ,' ROLL OFF
09/19/18 09/19/18 07:22 07:22 11114TC
009316 Town of Babylon
REFERENCE
•-
i
I
Scale 2 Gross Wt. 90380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
i
Net Weight 53760 LB
j CITY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
26.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Q
,
I _
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED''.
CHANGE
-CHECK NO °
SIGNATURE
"DUPLICATE TICKET"* StTE TICKET GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392243 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _"DATE IN , DATE'OUT ; TIME IN TIME'OUT "_VEHICLE ROLLOFF
09/19/18 09/19/18 07:22 07:22 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 90380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 53760 LB
" + _ :^,
UNIT DESCRIPTION; ,r .,:RATE„ EXPENSION FEE>„ ,o TOTAL ; .��'
CITY
26.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00
` y ,
O e •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , - 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 --, TENDERED
— -, CHANGE
-_-H CK NO.
SIGNATURE
NO. 2300
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r�
COMPANY: j t/ ) -I SHIP DATE:
t
COMMODITY SHIPPED: 11-1 Sy
LOOSE: L •U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: t .!, GROSS
'7 C.> TARE
CNET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS-DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
i
y GENERATOR AUTHORIZED AGENT(PRINT NAME) 1�-- (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO y�
TRUCK NO. ) 2 LICENSE NO/STATE:
TRAILER NO. I 2- % LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,-AND THAT IT WAS;
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
Jp
DISPOSAL LOCATION: -o I� / }>� / l ,1,)ESTINATION
J 1�811 C_.-f--- DATE DELIVERED: / f
ADDRESS: !
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
� d
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** sITE Ti'Ci<Er WEIGHMASTER"
SOUTHOLDVOWN DEPT SOLID WASTE 01 01392387 Pat H
PO Box 962/6155 Cox Lane
f DATE'IN° -DATE OUT-: -'--RMF-- TINIE.OU_ ,-` VEHICLE "_ROLL"OFF
Cutchogue, NY 11935 =
09/20/18 09/20/18 7:18 07:18 11114T
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 83080 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 46820 LB
OTY' UMT `; DESCRIPTION;e".'''_ '_`' : l3gTE ' -, EXTENSION.- FEE TOTAL
23.41 TON DUTGO.MSW 0.000 0.00 0.00 0.00
operating hours o 5M PM I days a Week.. , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
- CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE, TICKET' GRID WEIGHMASTER,=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392387 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN"- -DATE OUT IMEIN 'f]ME OUT VEHICLE ROLL OFF
09/20/18 09/20/18 7:18 07:18 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 83080 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 4.6820 LB
OTY. - UNIT; DESCRIPTION RATE " ` EXTENSION FEE TOTAL
23.41 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.', • 011—MA
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685...- 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 '.TENDERED-0: =,
CHANGE
SIGNATURE
. TRINITY TRANSPORTATION-CORPORATION _
14-i-Blydenburgh Road . No 2456
f Islandia, NY 11749 k
x(631) 342-9673
THIS:MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: L'� I I-I o Cr I"N K SHIP DATE:
COMMODITY SHIPPED: ' ,.1 2
LOOSE: I t, (CU YDS)
BALES: (COUNT): '
TRUCK WEIGHT: . { '�' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT-CONTAIN•-FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY,
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY?
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER,CONDITION FOR'TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO: 1 !' } !f 'd ��,j Aj
TRUCK NO.-'- 2- 3 LICENSE NO/STATE:
TRAILER,NO. LICENSE,NO/STATE: `
I HEREBY CERTIFY THAT-THE'ABOV,E.NAMED MATERIAL WAS-PICKED-UP AT THE-GENERATOR SITE-LISTED ABOVE,,AND THAT IT WAS
DELIVERED,WITHOUT INCIDENT TO THE'DESTINATION LISTED BELOW`.
DRIVER: ---. _._ l _ C? I /
(PRINT NAME) �/ (SIGNATURE)
DESTINATION
f_,
DISPOSAL LOCATION.,,.,.-.. A '` \ 2 4 C 1 J DATE DELIVERED: .
ADDRESS: \ I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL"HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: "
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR '` DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET*" SITE ." v TICKET=_ ` GRID` wEiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392459 Pat H
PO Box.962/6155 Cox Lane - - -
CUtCh0gue, NY 11935 `DATE IN-== DATE OUT _-TIME IN TIME OUT VEHICLE _ FIOLLOFF
09/20/18 09/20/18 12:19 112:19 111 14T
009346 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76240 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39240 LB
QTY UNIT `DESCRIPTION = :RATE+ EXTENSION "'FEE' <,TOTAL`_"'
19.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating ours 7:Od AM todays a week. , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 _� � .
TENDERED
"'CHE K"NO:
SIGNATURE
"DUPLICATE TICKET"" d'S(TE TICKET" GRID WEIGHMA6TER, '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392459 Pat H
PO Box 962/6155 Cox Lane -
CUtCF109Ue, NY 11935 =DATE IN=-' DATE OUT " 'TIME IN_TIME'OUT 'VEHICLE _-ROLL OFF
09/20/18 09/20/18 12:19 12:19 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76240 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 39240 LB
QTY UNrf' "'/iu;%'" "">r"' DESCRIPTION' '' RATE'-"rw EXTENSION 'FEE;`'_ TOTAL
19.62 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t
1
Operating hours 7:00 AM to 5:00 PM 7 days a week: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ~-TENDERED
HANGS=`,,,
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
14 B-lydenburgh Road NO. 2455
` J
'Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: V bVf_ W() I_ SHIP DATE: i -
COMMODITY SHIPPED: M 5y\j
LOOSE: o r (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f ( ' �-�; GROSS
i' -e TARE
NET
a
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE-•"LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY"
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. I
TRUCK NO. 5 LICENSE NO/STATE:
TRAILER NO. I LICENSE NQ/STATE,:
HEREBY CERTIFY THAT'THE ABOVE NAMED-AAATERIAL WAS-PICKED UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO'THE DESTINATION LISTED BELOW.,-
DRIVER:
ELOW.,- '`DRIVER:
(PRINT NAME) (SIGNATURE)
STINATION '
DISPOSAL LOCATION: � -,- A /� pd 1 A )DEV W� DATE DELIVERED: 1 Z I t
„ L � .v e
ADDRESS:
HEREBY CERTIFY THAT THE-ABOVE MATERIAL•HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED "
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR-
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
411-W
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392756 Steph
PO Box 962/6155 Cox Lane �-1- - - — "
oAirJW, - 6 qyT] -- v
Cutchogue, NY 11935 ME
09/22/18 09/22/18 107:15 107:15 1 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79460 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 42460 LB
VOTY, TOTAL.
DESCRIPTION UNIT;=r: �-L N 1"-_: ENTENStON TOTAL�.
1� , T10
21.23 -TON - OUTGO.MSW 0.000 0.00 0.00 0.00
Operating- o-ursr-00M_to_5V_7 ays a week. WIN OR I
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -TENDERED
CHECK NO
SIGNATURE
$1TEj`-' TICKET, GRitiI VVEIGHMASTER"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392756 Steph
PO Box 962/6155 Cox Lane ',DATE IN DATE 0U-T,' TIMErINITIME OUT yg�l0LE ROLL OFF'
Cutchogue, NY 11935 ,
009316 Town of Babylon 09/22/18 09/22/18 07:15 107:15 1 11 114TC I
REFERENCE
2/1
_�2L 8 0 7,E15
E
Scale 2 Gross Wt. 79460 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 42460 LB
QTY. UNIT DESCRIPTION'_ E)TENSION, FEE' TOTAL -
21.23 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 __,TENDERED`.-'__z1
7 777EPMq5ff77777
,CH!tj<NO .-
SIGNATURE
NO. 2291
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NO�A//S''SUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: (A I 1 U t—> SHIP DATE:
a /
COMMODITY SHIPPED: ) -
LOOSE: ! Ls (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 1 "# GROSS
TARE
" ko(. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
j 4
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. I J —T LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
s -
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION �
DISPOSAL LOCATION: "/ > {' i/jV DATE DELIVERED: )
ADDRESS: \
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET`* ,-ftTF - . TiCf=KE-_ _%'' .(jRID}.- aWEIGHMAST£R
SOUTHOLGTOWN DEPT SOLID WASTE 01 01392621 Liz H
PO box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE_OUT TIME 11l TIME OUT : VEHICLE =ROLL OFF
09/21/18 09/21/18 112:04 12:04 11114T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 37000 LB
CITY._ UNIT - DESCRIPTION -RATE EXTENSION - FEE 'TOTAL
18.50 TON DUTGO.MSW 0.000 0.00 0.00 0.00
art''1�`=" - � e�•�._
Operating hours o ays a wee .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. f-, .. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED',;
CHANGE
--CHECK NO
SIGNATURE
"DUPLICATE TICKET*" SITE , TICKET;= GRID,y WEIGHMASTER=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01392621 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 ., SATE IN' DATE,OUT'. TIME IN;TIME OUT ;_=VEHICLE- ' ROLLOFF
09/21/18 09/21/18 12:04 112:04 11114T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 37000 LB 7
EXTENSION ,;'r"'; FEE; :TOTAL'1,,':;,?,'
18.50 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t
IL
!I
Operating hours 7:00 AM to 5:00 PM 7 days a week: ".__._ � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�' -� 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `' TENDERED
CHANGE'
'z-CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION.CORPORATION , `
214 Blydenburgh Road2
NO.
Islandia, NY 11749 `
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME'ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. l
ti 1 4
COMPANY: } !t h i { I ', L. 1 ,SHIP DATE: 1 i
COMMODITY SHIPPED: KA <-, 1 �,
LOOSE: ( l (CU YDS) µ
.BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY"40 CFR PART 260 10-;OR.ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.•AND IS IN PROPER CONDITION FOR TRANS PORTA.TION-ACCORDING•TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) Y (SIGNATURE)
TRANSPORTER
� -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE/NO/STATE:
TRAILER NO. ) ;f `�' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP AT THE-GENERATOR SITE LISTED ABOVE;AND THAT"IT WAS-
DELIVERED WITHOUT INCIDENT TO`THE-DESTINATION LISTED BELOW. '. j
DRIVER: _ t 0 n
" "(PRINT NAME) f/ (SIGNATURE) 3 '
DESTINATION
DISPOSAL-LOCATION: -�# 11 r t� 1��` -1 i `/ �p DATE DELIVERED:
ADDRESS.
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKETNO. ;
SITE w TICKET' GRID WEIGHMASTER
ISOUTHOLD TOWN DEPT SOLID WASTE 01 01393297 Steph
IPO Box 962/6155 Cox Lane
- £`DATE IN DATE OUT TIME IN_TIME OUT ;=VEHICLE ROLL OFF
ICutchogue, NY 11935 -
� 09/24/18 09/24/18 10:54 10:54 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42440 LB
QTY. UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL
21.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
n
Opera mg ours [:U6 AM toomb Pmt days a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - ' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
'CHECK NO
SIGNATURE
SITE TICKET GRID WEIGHMASTER
I'SOUTHOLD TOWN DEPT SOLID WASTE 01 01393297 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATE OUT TIME'IN TIME OUT ',,'VEHICLE' ;ROLL OFF
09/24/18 09/24/18 10:54 10:54 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 76420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42440 LB
QTY', ,UNIT ,DESCRIPTION,,;, "",° FATE: EXTENSION' FEE;;,, TOTAL°,,,
21.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'Y
a
Opera Ing ours :0 to ays a wee .`a - , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: `= 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 a. -=TENDERED
HECK
SIGNATURE CNO
F
NO. 2292
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: k ) -' �✓ `� �_ i ; SHIP DATE: �-
COMMODITY SHIPPED: 1�`= IvIi 1
LOOSE: t } (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f GROSS "
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
�ON
GENERATOR AUTHORIZED AGENT(PRINT NAME) t (SIGNATURE)
TRANSPORTER,
pj
TRANSPORTATION/FREIGHT CO. ! ''/ l'` l' '
{ , TRUCK NO. N 'LICENSE NO/STATE:
TRAILER NO. I
LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: �` !
(PRINT NAME) f (SIGNATURE)
/ DESTINATION,,
DISPOSAL LOCATION: /I i f fA 13/{ 1��� � �''�J� DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** SITE ,TICKET ` GRIo _ -WEiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393224 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 " DATE IN `_ ` DATE OUT ._ TIME IN TIME OUT VEHICLE ROLL OFF,-r
09/24/18 09/24/18 07:15 07:15 111 14T
009316 Town of Babylon REFERENC
FScale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 39060 LB
rQTY UNIT; _ _ - _ - DESCRIPTION RATE ' ,','EXTENSION FEE TOTAL '
19.53 TON DUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED,,
'. CHANGE
..CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE[ TICKET GRID . wEIGHMASTER
[SOUTHOLD TOWN DEPT SOLID WASTE 01 01393224 Steph
'PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT. 7{ME'IN TIME OUT VEHICLE ROLL OFF
09/24/18 09/24/18 07:15 07:15 11114TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 39060 LB
QTY, -UNIT DESCRIPTION . RATE EXTENSION ,- FEE TOTAL, .
19.53 TON DUTGO.MSW 0.000 0.00 0.00 0.00
' f ,
01
. f
Operating hours 7:00 AM to 5:00 PM 7 days a week.-,' _ -ANT1191516
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED=-
CHAN E-, - .,,
F�CHECKNO.-
SIGNATURE
l
TRINITY TRANSPORTATION 'Oh—ORATION `
214 Blydenburgh Road 2453
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCfE,PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: L�j 1 _j 1 SHIP DATE:
COMMODITY SHIPPED: `'
LOOSEN (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ~ ,) GROSS
' TARE
r � ' bNET
r
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID-AS-DEFINED IL Q IU DIU D`AS.DEFINED BY 40 CFR PART 260 tO-OR-ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICAABBL.E_STATE-LAW71;XS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
-GENERATOR AUTHORIZED AGENT(PRINT NAME) "" (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. f
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO. , LICENSE NO/STATE:•
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED' UP•AT'THE.GENERATOR SITE LISTED;,ABOVE, AND,THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-' r�
DRIVER: ( c
(PRINT NAME) �`'" (SIGNATURE)
DESTINATION',,
DISPOSAL LOCATION: ; `1 /t I\ A DATE DELIVERED:
v 9
ADDRESS: ,
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
F I I I
"'DUPLICATE TICKET" "_:_' TICKET'_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393467 Steph
iPO Box 962/6155 Cox Lane ,-
Cutchogue, NY 11935 DATE'1N 'DATE
-OUT 'TIME IN TIME OUT VEHICLE "; °ROLLOFF
i 09/25/18 109/25/1:8 07:13 07:13 11 114T
,009316 Town of Babylon
i REFERENCE
•.
Scale 2 Gross Wt. 88600 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 52340 LB
` QTY, UNIT "DESCRIPTION RATE `,;EXTENSION FEE TOTAL °
26.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
' 4 . 4
Op _j •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK N
SIGNATURE
'*DUPLICATE TICKET**
,SITE TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393467 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT, VEHICLE ROLLOFF
09/25/18 09/25/18 07:13 07:13 11114TC
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 88600 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 52340 LB
QTY UNIT __ DESCRIPTION - RATE EXTENSION = FEE TOTAL
26.17 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op _ 1 a WAJ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,;" 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED =
CHANGE „
HECK NO.
SIGNATURE
NO. 2202
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� b L"k I SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
'BALES: (COUNT):
TRUCK WEIGHT: ` } r. � C' GROSS
TARE
S ,' Li NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) '; +�✓'` (SIGNATURE)
TRANSPORTER f
TRANSPORTATION/FREIGHT CO. t` t V / �' ^ I
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ! t LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) /`f (SIGNATURE)
DESTINATION C
� )�>\
DISPOSAL LOCATION: b VI_T `A\, l iI'� _� �. y �I DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
I"DUPLICATE TICKET*" _srTE' „° TICK r_ '." GRID _ :WEIGHNIASTER"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393499 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME 1N--TIME OUT =VEHICLE ?==_-ROLL OFF
09/25/18 09/25/18 11:19 11:19 111 14T
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 74240 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 38020 LB
CITY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
I — -
19.01 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Ope a Ing ours rud AIVI todays a wee .- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED'
__CHANGE
GHECK.NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393499 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _D'ATE,IN 'DATE OUT TIME]N 'TIME-OUT -.VEHICLE ROLL OFF
09/25/18 09/25/18 11:19 11:19 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 74240 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 38020 LB
QTY UNIT a' „; DESCRIPTION;,, .RATE >"`4-EXTENSION ',FEE„ TOTAL
19.01 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours rud AM toclays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 --=TENDERED
-CHA E:
-.-CHECK NO. -
SIGNATURE
NO. 22® 3
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1
COMPANY: SHIP DATE: ) 2- 5 t
COMMODITY SHIPPED: 1
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: I GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26LOR ANY-APPLICABLE-STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING T�PLICABLE REGULATION.
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) _�--(SIGNATURE)--
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
T-' o
DRIVER: c � �•
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: �'i V A f\J1 / 1 ( I r v DATE DELIVERED: )
ADDRESS: \
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET" SITE TICKET-- _ ,' ,GRID`„ " WEIGHMASTER_
!SOUTHOLD TOWN DEPT SOLID WASTE 01 01393589 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 t, DATE IN DATE OUT TIME IN_TIME OUT _VEHICLE -,-ROLL OFF
09/26/18 09/26/18 11:12 11:12 111 14T
009316 Town of BabylonREFERENCE •-
IGIN
I - 7 1 -1
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 41880 LB
QTY. UNIT DESCRIPTION RATE __EXTENSION FEE TOTAL
20.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
� .sem `4.`:ti'y _ _ '';,^y,✓ 2K.,
Operating hours 7:00 AM to 5:00 PM 7 days a week; . ;. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 _ TENDERED
-CHANGE
i
CHECK NO '
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER"
!SOUTHOLD TOWN DEPT SOLID WASTE 01 01393589 Steph
PO BOX 962/6155 COX Lane DATE IN "'DATE OUT TIME IN TIME OUT 'VEHICLE- ROLL OFF
Cutchogue, NY 11935
09/26/18 09/26/18 11:12 11:12 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Ne Weiaht 41880 EB
Ty, UNIT- DESCRIPTION ';,RATE EXTENSION "; FEE; '-TOTAL,
20.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.,`� '¢<; ' ,. • 014 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ". r 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
-,CHANGE
CHECK NO.
SIGNATURE
f _
NO. 2204
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
i
COMPANY:_ L.A i L- U P b SHIP DATE:
COMMODITY SHIPPED: M S W
LOOSE: U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
"2- TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26-1-OR-AN„Y+APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FORtTRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
�. TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 3 LICENSE NO/STATE:
TRAILER NO. ! U LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISA D—BOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: o� t/
(PRINT NAME) // (SIGNATURE)
DESTINATION
,' �f ,� I %l' `O C1 IBJ
DISPOSAL LOCATION: F DATE DELIVERED: ;
ADDRESS: 1
i
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE I- TICKET' : - GRID wE1GriMASTER',: _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393544 Steph
IPO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 w� _ . DATE IN_ ' z,DATE OUT. TIME IN TIME VEHICLE -ROLL'OFF
09/26/18 09/26/18 07:25 07:25 11114T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 86780 LB Outbound-Charge ticket
i Manual Tare Wt. 33980 LB
i Net Weight 52800 LB
- QTY _..,' "-UNIT `,,, _ _. 'DESCRIPTION RATE _ EXTENSION- - , FEE TOTAL
26.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
I
�I
Operating ou s o mob vivi 7 days a wee •
,CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 JENDERED `
CHANGE
I
� 1 CHECK NO.'
SIGNATURE
"*DUPLICATE TICKET" (SnT TICKET -GRIb , %1( 16HMASTE1`1
---------------
jSOUTHOLD TOWN DEPT SOLID WASTE 01 01393544 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DAT.EOUT TIME IN'TIME OUT �VEHICLE ROLL OFF
09/26/18 09/26/18 07:25 07:25 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86780 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 52800 LB
OTY UNIT DESCR1PTiON RATE` EXTENSION FEE NOTAL-
26.40 TON OUTGO.MSW 0.000 0.00 0.00 000
j
Opera Ing nours IM AM to ays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED_-
CHANGE- `
E K O.
SIGNATURE
�\ Y
NO. 2205
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT�WSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: "J (AT 1-10, C_._) SHIP DATE: 2 1
COMMODITY SHIPPED: ' 5
LOOSE: D t% (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: A-YV?5 U GROSS
}c .) TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATR:k'ACCORDING TQ APPLICABLE�y_ REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 2.- LICENSE NO/STATE:
TRAILER NO. Z LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
�A DESTINATIO' N\
DISPOSAL LOCATION: ( A/1i �A � i �,� �-y�9� DATE DELIVERED: q
ADDRESS: f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUE- I LATE TICKET"* srrE T(CKEr, GFiQ;=-_r_ w IGHMASTER'-,-'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393691 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 DATE IN. :RATE OUT TIME tN TIME OUT , 'VEHICLE_+ ,`: _- ROLL OFF'•
09/27/18 09/27/18 07:16 07:16 111 14T
009316 Town of Babylon
REFERENCE
ZScale 2 Gross Wt. 78580 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 42320 LB
ly., {_, UNiT, %`_DESCRfPTtON RATE EXTENSION . ' "FEE TOTAL,'
t
21.16 TON DUTGO.MSW 0.000 0.00 0.00 0.00
,Operating hours 7:00 AM to 5:00 PM 7 days a week. _ _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
'NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED,
CHANGE
CHECK NO '
SIGNATURE t
"*DUPLICATE TICKET"* SITE TICKET- GRID °wEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01393691 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME-OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
09/27/18 09/27/18 107:16 107:16 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78580 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 42320 LB
QTY UNIT DESCRIPTION` RATE EXTENSION FEE TOTAL
21.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week'' _ _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.411"' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
GRANGE-
CHECK
RAN -HE K NO:::j
SIGNATURE
NO. 2206
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f) f
COMPANY: : , 0 cj � )� SHIP DATE:
COMMODITY SHIPPED:
LOOSE: } �� �I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: = GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. N ' �4 o s j t
TRUCK NO. 5 LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �f
DRIVER:
(PRINT NAME) / (SIGNATURE)
DESTINATIONo
\
DISPOSAL LOCATION: rLVA1\J"-lA te' ] DATE DELIVERED: }
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET*" SITE', TICKET . = GRID' WEIGHMASTER`;
,SOUTHOLD TOWN DEPT SOLID WASTE 01 01393947 Steph
IPO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE w DATE OUT TIME IN TIME OUT VEHICLE --ROLL OFF
,
09/29/18 09/29/18 07:17 07:17 111 14T
1009316 Town of BabylonREFERENCE
•-
I
I
Scale 2 Gross Wt. 80880 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 43880 LB 7
QTY. UNIT- _ DESCRIPTION RATE EXTENSION -<- FEE TOTAL
21.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' f r
Operating ours :00 to :00 -days a week,.--,, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERM
`CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393947 Steph
PO Box 962/6155 Cox Lane oaTE i
Cutchogue, NY 11935 N DATE OUT TIME IN,TIME OUT ""�A_VEHICLE ROLL OFF „
09/29/18 09/29/18 07:17 07:17 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 80880 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 43880 LB
. QTY',,,, UNIT `;+, DESCRIPTION RATE'; EXTENSION, FEE `TOTAL
21.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
1pp`eraingg hours todays a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 --TENDERED
HANG
CHECK NO: -
SIGNATURE
NO. 22® 8
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT�ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 1 1 1 'l-; 0 L SHIP DATE: cI
COMMODITY SHIPPED: fin,'
loo / t
LOOSE: U o (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
_, N i'> NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR,TRANSPORTATION ACCORDING TO APPLICABLE_RE,GULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRAN1111TER
_ 1
TRANSPORTATION/FREIGHT CO.
t
TRUCK NO. p -f-,) LICENSE NO/STATE:
TRAILER NO. 1 .5 -1 LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. orf
DRIVER:
(PRINT NAME) (SIGNATURE)
l DESTINATION
DISPOSAL LOCATION: I� '>A 1'`J � DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
eMPLICATE TICKET" SITE "= TICKET -' GRID WEIGH_MASTERu _ bu
SOUTHOLD TOWN DEPT SOLID WASTE 01 01393832 Liz H
'PO Box 962/6155 Cox Lane
•Cutchogue, NY 11935 DAT-E'IN. DATEQOUT TIME"IN TIW66T [ XtHIOLE ROLLOFF
09/28/18 09/28/18 08:41 08:41 11114T
REFERENCE
1009316 Town of Babylon
i .-
I
Scale 2 Gross Wt. 86300 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 50300 LB
QTY' UNIT -`DESCRIPTION 'RATE EXTENSION' `'FEE TOTAL
25.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' Tt
OP
CLOSED HOLIDAYS-QUESTIONS CALL 631-734.7685.' 0.00
,NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE
CHECK NO',
I
SIGNATURE
' "DUPLICATE TICKET" SITE -TICKET 'GRID',.• WEIGHMASTER
!SOUTHOLD TOWN DEPT SOLID WASTE 01 01393832 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME-OUT VEHICLE ROLLOFF
09/28/18 09/28/18 08:41 08:41 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 86300 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 50300 LB
QTY UNIT- DESCRIPTION RATE EXTENSION N FEE TOTAL
25.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing nours Tud AM to ays a weeK., _ , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:_'; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `= TENDERED
CHANGE'
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SIGNATURE
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NO. 2207
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NO`T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
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COMPANY: �J V �1 1 ( C j SHIP DATE: �( ( u
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: -' `µ GROSS
TARE
~' NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
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DESTINATION;
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ADDRESS: �' 1
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