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HomeMy WebLinkAbout12/2018 SITE ;TICKET GRID�. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 011{10115 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE-I`N D,ATEOUT-, ,TIME,IN TIMEOUT VEHICLE ROLLOFF,, 12/01/18 12/01/18 11:14 11:14 111 14T 009297 Omni Recycling of Babylon _ REFERENCE 114 Alder Street • West Babylon NY 11704 Scale 2 Gross Wt. 64160 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 27940 LB QTY." UNIT DESCRIPTION RATE EXTENSION --FEE '` "TOTAL 13.97 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 4 m ,.�j� ,,�,•,��" `. '` `".,, r.sem� ,,g `i j S* d Operating hours 7:00 AM to 5:00 PM 7 days a week.; = ,. 't `` _ ;' <� ; ,Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685r��'%. `` _ g� : °� 0.00 NEXT HOLIDAY:TUES NOV 6 AND SUN, NOV 11Tu' "'_' ti F t„ TENDERED Zp ':CHANGE CHECK NO SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01.410115 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN,TIME OUT VEHICLE-� 0161-1—OFF, Cutchogue, NY 11935 12/01/18 12/01/18 11:14 11:14 111 14T 009297 Omni Recycling of Babylon e- 114 Alder Street West Babylon NY 11704 Scale 2 Gross Wt. 64160 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Ne Weiaht 27940 LB QTY. UNIT DESCRIPTION_ RATE - EXTENSION FEE'= TOTAL 13.97 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 (((j'��y( •e qac?gyp Av ICY " t h` .��'� �' rte.•..� ft � '� .�"i� Operating hours 7:00 AM to 5:00 PM 7 days a week: ' d .w`� r °�_ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 E >3�` _ J :'°, {,� 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH � asfY `% a ' TENDERED"" CHANGE ' ` HECK SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 2559 Islandia, NY 11749 , NO (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,NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t COMPANY: r 0 uk SHIP DATE: COMMODITY',,SHIPPEDt: LOOSE: 1 o U (CU YDS) / BALES: (COUNT): TRUCK WEIGHT: ; R£C� GROSS TARE I-) (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 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. Gig DRIVER: (PRINT NAME) _ / (SIGNATURE) " DESTINATION ' � f DISPOSAL LOCATION: i 1i DATE DELIVERED: g .�rr d. �Bio, a''� � I r a 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: I 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 I TICKET - GRID WEIGHMASTER-- SOUTHOLD TOWN DEPT SOLID WASTE 01 01410004 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/01/18 112/01/18 7:21 07:21 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81180 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 44920 LB QTY.= UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ` 22.46 TON 3UTGO.MSW 0.000 0.00 0.00 0.00 XV 0 6 Operating hours 7:00 AM to 5:00 PM 7 days a wee ,\ i • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , • ''r ` 3�' }"r 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' tµ a :, _ -.-TENDERED', 1 CHANGE - CHECK NO:::j SIGNATURE SITE I TICKET- _ GRID WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01410004 Steph PO BOX 962/6155 COX LaneDATE w,}- ,DATE OUT TIME IN- TI ME OUT 'VEHICLE"a ROLLOFF,', . -- Cutchogue, NY 11935 12/01/18 12/01/18 07:21 107:21 11114TC 009316 Town of Babylon REFERENCE = .- Scale 2 Gross Wt. 81180 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 44920 LB QTY UNIT = DESCRIPTION _ RATE EXTENSION FEE 7TOTAL _- 22.46 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:. i µ- 4 � f,.� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: �' 0.00 2 "' t�€'. —.,:. v° := TENDERED_ NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` °' " CHANGE- CHECK H O. ... SIGNATURE NO. 2213 GENERATOR THIS MANIFEST IS FOR REFEREN E 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\—1 I l 0t SHIP DATE: IE ' i COMMODITY SHIPPED: 1/1 �rJ 3 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: _z GROSS TARE t t •a{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 TO APPLICABLE REGULATION. r t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) {/ TRANSPORTER f 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. G,DRIVER: _``--- �C (PRINT NAME) (SIGNATURE) J DESTINATION DISPOSAL LOCATION: z , } YL(i DATE DELIVERED: ADDRESS: r -EBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED °ND ACCURATE: THORIZED AGENT(PRINT NAME) SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SITETICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01410609 Steph PO Box 962/6155 Cox Lane CUtChO9Ue, NY 11935 DAL, 1 �• =DATE-OUT" TIME IN;TIME OUT',; "VEHICLE; - = ROLL OFF_ 12/03/18 12/03/18 07:20 07:20 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 46680 LB 7 _QTY UNIT_ „_ " DESCRIPTION _ RATE- EXTENSION„ -FEE TOTAL 23.34 TON OUTGO.MSW 0.000 0.00 0.00 000 Opera mg Hours odays a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685., 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED - .- CHANGE CHECK NO:::j SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01410609 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN DATE OUT, TIME IN TIME OUT VEHICLE_" ROLL OFF 12/03/18 12/03/18 07:20 07:20 11114T 009316 Town of Babylon FScale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 46680 LB =77UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL 23.34 TON DUTGO.MSW 0.000 0.00 0.00 0.00 r Opera Ing ourso ays a wee M j.° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`_ -" TENDERED HECK-NO, SIGNATURE NO, 2220 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: it t SHIP DATE: 2 J COMMODITY SHIPPED: �V� c.r1,J ( 1 LOOSE: U (CU YDS) BALES: (COUNT): � c TRUCK WEIGHT: J 14 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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE.REGULATION. f / GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER f f ,r. _ TRANSPORTATION/FREIGHT CO. iJ ! } / �✓ {,�+F i TRUCK NO. LICENSE NO/STATE: TRAILER NO. !- }�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 DRIVER: (PRINT NAME) ®` (SIGNATURE) DESTINATION DISPOSAL LOCATION: ]ll/ ���I I 1 � � � ' J r 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** s1TE : _.;TICKET GRID wEIGHMascEa SOUTHOLD TOWN DEPT SOLID WASTE 01 01410689 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. •pA7ErOUT`= uTiME,W ,TIME OUT VEHICLE`s. r'< ROLLOFF_ _ 12/03/18 12/03/18 11:02 11:02 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85440 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 51460 LB QTY UNIT, DESCRIPTION ` ' -RATE EXTENSION,'' FEE: -µ TOTAL 25.73 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. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED "CHANGE - 'CHECK NO. SIGNATURE **DUPLICATE TICKET** SITEI TICKET - GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01410689 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE • ROLL OFF Cutchogue, NY 11935 12/03/18 12/03/18 11:02 11:02 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85440 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Wei ht 51460 LB QTY UNIT DESCRIPTION _ IRATE EXTENSION FEE TOTAL 25.73 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:TUES, NOV 6 AND SUN, NOV 11TH TENDERED ^ CHA GE HE K NO. SIGNATURE NO. 2214 s 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: "*DUPLICATE TICKET" ITE TICKET= GRID_ _ _ WEIGHMASTER,- SOUTHOLD TOWN DEPT SOLID WASTE 01 01411018 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT''. TIME INr TIME OUT VEH"CLE ,r -ROLL OFF 12/04/18 .'12/04/18 11:13 11:13 1 11114T 009316 Town of Babylon ' _' REFERENCE C I Scale 2 Gross Wt. 80620 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 44400 LB ;QTY UNITS DESCRIPTION RATE EXTENSION FEE ---TOTAL 22.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a wee -`, ' ° a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'"v, ti Y F ,` 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`•=;= ,= r ' R.,e; �` ;_TENDERED CHANGE CHECK NO SIGNATURE ""DUPLICATE TICKET"* SITE TICKET i` GflID' WEIGHMASTER'., SOUTHOLD TOWN DEPT SOLID WASTE 01 01411018 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/04/18 12/04/18 11:13 11:13 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80620 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wel ht 44400 LB QTY," UNIT = DESCRIPTION" - RATE,`...- ° "EXTENSION° " FEE TOTAL" ' 22.20 TON DUTGO.MSW 0.000 0.00 0.00 0.00 9 .I Operating hours 7:00 AM to 5:00 PM 7 days a week- n `w.:. y.„3yff-IMA14111 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '.¢ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`-: pia°,� ;=A: y TENDERED t i1 3f: �� =CHANGE HECK NO- SIGNATURE NO 2 216 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOWT~A ?SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. �ti COMPANY: �-- � ) - SHIP DATE: COMMODITY SHIPPED: Pit- kti) LOOSE: v (CU YDS) BALES: (COUNT): TRUCK WEIGHT: l `- ' GROSS TARE ?` (• 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 REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTERS { } TRANSPORTATION/FREIGHT CO. TRUCK NO. -->'') ( LICENSE NO/STATE: TRAILER NO. 1 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTE67ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW d' DRIVER: (PRINT NAME) �f (SIGNATURE) } DESTINATION DISPOSAL LOCATION: � DATE DELIVERED: 12 k 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" slrE. TICK1 r-=. ,£: _ 9Rld"-,,- WEIGHIY4stE SOUTHOLD TOWN DEPT SOLID WASTE01 01410911 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT_ -,T1ME IN,TIME DUT '` VEHICLE_= a '' .` "ROLL OFFn 12/01/48 12/04/18 07:13 07:13 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 47500 LB OTY _ UNIT r-DESCRIPTION_ ' -RATE. EXTENSION -`FEE 23.75 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED CHANGE CHECK N0:`- SIGNATURE "DUPLICATE TICKET"" sITE TICKET GRID wEIGHMAsrEri- SOUTHOLD TOWN DEPT SOLID WASTE 01 01410911 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN, DATE OUT . , TIME IN, TIME OUT VEHICLE ­'ROLLOFF 12/04/18 12/04/18 07:13 07:13 11114TC 009316 Town of Babylon C I Scale 2 Gross Wt. 83760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 47500 LB OTY. UNIT, DESCRIPTION' RATE, EXTENSION FEE TOTAL 23.75 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours TO ays a wee ;` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH°', ,TENDERED_ CHANGE: H C O:. `- SIGNATURE � . NO. 2215 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: t l L)� l- : b 1_ ) SHIP DATE: I COMMODITY SHIPPED: 1 `� I j LOOSE: s i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: =i�" GROSS Vit, 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 REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) �f (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. � ) :� ` �-'�. -o 7- 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: rf)it In Nt I ! d r 1 DATE DELIVERED. I 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"' (S-171-T-711111 TICKET = GRID',` WEIbHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01411362 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE`IN' DATE TIME,IN TIME OUT -,VEHICLE ROLLOFF 12/05/18 12/05/18 11:07 11:07 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80260 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 46280 LB QTY. UNIT- DESCRIPTION RATE EXTENSION_ FEE TOTAL 23.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685._ -`> W 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH. - - ., TENDERED w _a "CHANGE:' CHECK NO --j SIGNATURE "DUPLICATE TICKET" SITE TICKET : , =GRID WEIGH-MASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411362 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 12/05/18 12/05/18 11:07 11:07 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80260 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 46280 LB QTY. UNIT'. -,'DESCRIPTION RATE' EXTENSION FEE TOTAL` 23.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00 IV'l. Z OperaIng ours toays a wee .:i = _-. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ ;'y}`: " .: ;� ' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ,' .i TENDERED 'CHANGE CHECK-NO.- SIGNATURE r ' NO. 2218 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: C.) f ` -1 u I—i ) SHIP DATE: � 2- � 5 � ' � COMMODITY SHIPPED: LOOSE: '��t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ul GROSS r ` -f 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-AGCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER I � TRANSPORTATION/FREIGHT CO. ;``� t 1 `f l y J I TRUCK NO.- Fes- LICENSE NO/STATE: TRAILER NO. 12- LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTTED"'ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. , DRIVER: o(' ( f/ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION a si .I I A n � F �� � . , � �� ! � tJ DATE DELIVERED: r� ADDRESS: 1 K 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" SrFE TICKET _M%° GR6 ° WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411263 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF - r 12/05/18 12/05!18 07:17 07:17 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 76640 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 40380 LB QTY UNIT" DESCRIPTION RATE EXTENSION FEE-` TOTAL 20.19 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours TUU AM to ays a wee K -, "< ,,, ;, ;, - y- , , , A • CLOSED HOLIDAYS-QUESTIONS CALL 631-734J_686'.,,_*;'-, _ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` - ,_ " ,�� TENDERED -- CHANGE Z5RECF(NO::::::j SIGNATURE "DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411263 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE:IN %i' ,DATE'OUT TIME'IN TIME OUT _` VEHICLE°" ROLLOFF 12/05/18 12/05/18 07:17 07:17 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76640 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 40380 LB QTY UNIT DESCRIPTION. _ RATE I EXTENSION FEE , TOTAL 20.19 TON UTGO.MSW 0.000 0.00 0.00 0.00 fir" ,- { VA r- l= Y b Operating hours 7:00 AM to 5:00 PM 7 days a week--, TM? ___ ,' .:` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,_' 11,1 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH-_ _ y,—o -'o T j a �.,r`- TENDERED _= CHANGE ".CHECK NO. - SIGNATURE r NO. 2217 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: R� �l r �> L_ ;�'S SHIP DATE: f r (Ca �1 C• 1 l COMMODITY SHIPPED: LOOSE: t t_. ( (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ;. . L- GROSS f _ TARE a f 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. TRUCK NO. 2--- 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) jI^ DESTINATION , DISPOSAL LOCATION: S '� '1•�` r` `� � � �-- �/ � '�4 � � DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNrl' IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAAI--- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTFP YELLOW TO TRANP" PINK TO GF"'- GOLD "DUPLICATE TICKET" „SITE =TICKET _ - GRID; >' WEIGHMASTER SOU'i-HOLD`F OWN DEPT SOLID WASTE 01 01411583 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- DATE-OUT. TIME IN' TIME OUT VEHICLE ROLL OFF 12/06/18 12/06/18 07:17 07:17 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 53240 LB QTY UNIT - DESCRIPTION RATE EXTENSION- FEE TOTAL- 26.62 TON UTGO.MSW 0.000 0.00 0.00 0.00 a ui y4 Operating hours oclays a wee ': ,. c M� ° Ilk CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 %o ia`'{ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH"•, „A aa�� 'w;f� '� :s '��`y�:t ��' TENDERED --CHANGE CHECK NO SIGNATURE "*DUPLICATE TICKET" I(SITE TICKET a GRID w WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411583 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 --DATE IN,. DATE OUT TIME IN, TIME OUT VEHICLE =ROLL OFF 12/06/18 12/06/18 07:17 07:17 11 114T 009316 Town of Babylon REFERENCE = Scale 2 Gross Wt. 89460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 53240 LB QTY _ UNIT 'DESCRIPTION RATE EXTENSION-` - FEE, TOTAL_ 26.62 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ,�;' _,��``• fes""__�`�`� v-� � � L i Operating hours 7:00 AM to 5:00 PM 7 days a week `' ~ .- .,M u_T' = < , ¢' r:; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. X/,`£ °-_._,._- �a 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ,g ;? �t z �'Y �' TENDERED_ m .. m. � �",°�'• CHANGE_ CHECK NO9 SIGNATURE ,.TRJ.NITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 2 5 6 7 Islandia, NY 11749 NO. (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 DOESOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:_ , CI SHIP DATE: 1 (_9 COMMODITY SHIPPED: LOOSE: (7 C (CU YDS) - BALES: (COUNT): TRUCK WEIGHT: GROSS :a ? o TARE `-a (_, NET I HEREBY-CERTIFY•THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIOUID'AS DEFINED BY 40 CFR-PART 260.10OR 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. ci 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: o ,f (PRINT NAME), - (SIGNATURE), DESTINATION! DISPOSAL'LOCATION: ' VAf\) !� I f':!' Loj\e 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. lc"'j�LICATE TICKET" SITE I, TICKET"` GRID -WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411680 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN TIME OUT VEHICLE - ROLL OFF, 12/06/18 12/06/18 10:52 10:52 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75380 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39120 LB FQTY.' UNIT- DESCRIPTION _ RATE EXTENSION _ FEE TOTAL ` 19.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00 • ,: gig:;• - ... _ '^v ., Operating ours odays a wee . {:, _ _ >°> • CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685.N—", °' " = �.. . . ,� �}j 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TWW' `''J'`f n:... ' ; :�'�.•,'i TENDERED - CHANGE, CHECK NO SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 01 01411680 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE]N, ` "DATE OUT , JIME IN,TIMEOUT , VEHICLE "ROLLOFF { , 12/06/18 12/06/18 10:52 10:52 11114TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 75380 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39120 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE "TOTAL 19.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00 al Operating hours 7:00 AM to 5:00 PM 7 days a week:: CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6f'/' , NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' , "' . P°;E`}' ';' r ° _ TENDERED CHANGE CHECK NO: SIGNATURE NO. 2219 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 l�` fL '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 TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I 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. E ` DRIVER: (PRINT NAME) { (SIGNATURE) J DESTINATION` I 1 - ` � LDISPOSAL LOCATION: P 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. PUPLICATE TICKET"" SITE TICKET GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01411925 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ==DATE IN - DATE OUT TIME IN TIME OUT VEHICLE,-.=- ROLL OFF- 12/07/18 112/07/18 7:20 07:20 11114T 009297 Omni Recycling of Babylon 114 Alder Street ORIGIN West Babylon NY 11704 Scale 2 Gross Wt. 52060 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 16060 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 8.03 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 operating nours TOO Am todays a wee :!; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.3 , } �zv"*' . `# 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ; D} t,` TENDERED 4 =l -CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01411925 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, . DATE OUT 'TIME IN TIME OUT VEHICLE` ROLL OFF 12/07/18 12/07/18 07:20 07:20 11114TC 009297 Omni Recycling of Babylon REFERENCE _ 114 Alder Street • West Babylon NY 11704 Scale 2 Gross Wt. 52060 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Wei ht 16060 LB QTY." 'UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 8.03 TON Single Stream Recycl 0.000 0.00 0.00 0.00 pyo ,may •�St "`a`'i� � JJ � �[ Operating hours 7:00 AM to 5:00 PM 7 days a week., .j • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,, 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH �t�,,r;, TENDERED HECK NO. SIGNATURE "TRINITY TRANSPORTATION CORPORATION '214 Blydenburgh-,Rbad NO. 2569 Islandia, NY 11749 (63'l -342.19.673 l 8 t THIS MANIFESTAIS,FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT 'S LIME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: f ' COMMODITY SHIPPED: S' cc :-j LOOSE: _ ;� `C 1 (CADS) BALES: (COUNT): TRUCK WEIGHT: _2 c� ;GROSS t ^ ? TARE• '° - ` NET I HEREBY CERTIFY,,-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS'DEFINED'BYd`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) r'4` TRANSPORTER " - s } A �'t •ty �i/ `'sem 'g v TRANSPORTATION/FREIGHT CO.' ' TRUCK NO. 23LICESE NO/STATE: TRAILER-NO._ - Z_ 3 LICENSE NO/STATE: 1 HEREBY CERTIFY�THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP'•AT-THE GENERATOR SITE-LISTED ABOVEAND THAT IT-WAS DELIVERED WITHOUT'INCIDENTTO.THE DESTINATION LISTED.BELOW. DRIVER: o t (PRINT NAME)= (SIGNATURE) ' DESTINATION DISPOSAL LOCATION:" . ! DATEDELIVERED: 1 ' ADDRESS: 1 / 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 :TICKETS ; GRID WEIGHMASTER SOl?I HOLD TOWN DEPT SOLID WASTE 011 01412010 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE., , -TIME INTIME OUT VEHICLE `_ a ROLL OFF 2/07/18 12/07/18 1:00 111:00 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79860 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 43640 LB QTY. UNIT_ = DESCRIPTION RATE EXTENSION FEE TOTAL 21.82 TON CUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to :00 PM 7 days a wee = > dM10ZLL CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E�� _''{�_ ,„r .,3 -” ' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'_ arf ,I a .-N,t} j:fr_ -TENDERED ..' it:Ii• � J t f r CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01412010 Liz H PO BOX 962/6155 COX Lane DATE IN= DATE OUT, TIME IN T!ME,OUT ;VEHICLE,,`, ROLL OFF Cutchogue, NY 11935 12/07/18 12/07/18 11:00 11:00 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 79860 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 43640 LB QTY` UNIT DESCRIPTION _ RATE EXTENSION`- FEE - _ TOTAL. 21.82 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week R `"-'^ `'y._>_ ;-� =" � `� A,i • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. +9. _ _. . z ' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH N' 1.1i - -� '� �' -TENDERED` CHANGE CHECK NO SIGNATURE —,TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 2568 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: SHIP DATE: = t COMMODITY SHIPPED: jy' LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 `f't,t GROSS ` r TARE NET 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. '2"> /LICENSE NO/STATE: TRAILER NO. 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) (SIGNATURE) DESTINATIONS } t 11 DISPOSAL-LOCATION: ��; �i ! r'f ��t( a ;/V) DATE DELIVERED: I ADDRESS:. e 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 01412240 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N DATE OUT _ TIME IN TIME OUT VEHICLE' ROLLOFF, _ 1 12/08/18 12/08/18 07:47 07:47 111 14T 009316 Town of Babylon REFERENCE e- Scale 2 Gross Wt. 76360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 40100 LB QTY. UNIT DESCRIPTION RATE, EXTENSION - FEE - TOTAL..r 20.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' " 7 1 ti� Operating hours 7:00 AM to 5:00 PM 7 days a week wY Y ,;, -_ .`*`Y „�, -Y CLOSED • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685%A% 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`,,," ,e,:='f �.4;,,- T ' , ',(�f TENDERED CHANGE- CHECK N0= SIGNATURE "DUPLICATE TICKET"* SITE1, TICKET, GRID , .,WEIGHMASTER• SOUTHOLD TOWN DEPT SOLID WASTE 01 01412240 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN,, „DATE OUT TIME IN TIME OUT VEHICLE„ ROLLOFF,,,, 12/08/18 12/08/18 07:47 07:47 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 40100 LB QTY UNIT _ DESCRIPTION, RATE% = EXTENSION ,FEE ;'K, dTOTAC,� 20.05 TON DUTGO.MSW 0.000 0.00 0.00 0.00 �._ Operating hours 7:00 AM to 5:00 PM 7 days a weekt -QUESTIONS CALL 631-734-768f5�: ,�p CLOSED HOLIDAYS • 0.00 TENDERED NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH > -� df -_CHANGE -CHECK NO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road - _ NO. 2553 ' 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. 'r COMPANY: - 5 s 'v,j 1 Y; SHIP DATE: 4 ¢ z COMMODITY SHIPPED: lvI: � i � � LOOSE: 1 0 l_ (CU YDS) SALES: (COUNT): TRUCK WEIGHT: p _ '; f,' _ GROSS � . TARE '( t_1 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. _ r- LICENSE NO/STATE: TRAILER NO. r 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 INCIDENTTO THE DESTINATION LISTED BELOW. - DRIVER: (PRINT NAME) `" (SIGNATURE) _y DESTINATIONS C � <� e { "' CC)VA � ' DATE DELIVERED: DISPOSAL LOCATION. :� . -' c ; ,. }} , 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 01412969 Steph PO Box 962/6156 Cox Lane Cutchogue, NY 11935 MTE IW- DATE OUT TIME W:TIME OUT „VEHICLE. ROLL OFF 12/10/18 12/10/18 07:16 07:16 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 72540 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 38560 LB QTY. UNIT DESCRIPTION - RATE EXTENSION_`__ FEE TOTAL 19.28 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a wee : ti: r nu • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,*� ._ _ '-_. '' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`=� Yr;z ;F,y :_ ' «a " TENDERED -CHANGE CHECK'NO SIGNATURE SITE TICKET. - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01412969 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN.. DATE OUT TIME IN'TIME OUT VEHICLE ROLL OFF 12/10/18 12/10/18 07:16 07:16 111 14T 009316 Town of Babylon REFERENCE 7 Scale 2 Gross Wt. 72540 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 38560 LB QTY UNIT_ DESCRIPTION RATE EXTENSION;— FEE TOTAL 19.28 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ✓� . ti^' .��J• �'^��� :jib'"", t.R� Operating hours 7:00 AM to 5:00 PM 7 days a week,. �;, _;, ,, _... SSI • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E_ µA, 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH a �F'' f CHANGE _ .CHECKNO� SIGNATURE NO. 23® 1 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 j SHIP DATE: S f 1 s COMMODITY SHIPPED: LOOSE: i {': (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �'� GROSS TARE 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.APP_LICABLE_REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) s (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO — TRUCK NO. 1 LICENSE NO/STATE: TRAILER NO. C 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 TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) /~ f (DESTINATION DISPOSAL LOCATION: ` j ' DATE DELIVERED: ADDRESS: r 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 01413056 Steph PO Box 962/6155 Cox Lane DATE IN DATEOUT . JIM E.IN TIME OUT VEHICLE - ROLLOFF Cutchogue, NY 11935 " 12/10/18 12/10/18 11:19 111:19 11114TC 009316 Town of Babylon REFERENCE ORIGINI Scale 2 Gross Wt. 69220 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 32960 LB QTY. UNIT, DESCRIPTION _ RATE __EXTENSION FEE TOTAL 16.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 k f� 4J Operating hours 7:00 AM to 5:00 PM 7 days a week:;,,Y .w ,V • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685t 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'.,,- "` `' ? r ===.+; ,`YF .T31` TENDERED .e it P CHECK NO SIGNATURE "DUPLICATE TICKET"* SITE TICKET; _ :GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413056 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/10/18 12/10/18 11:19 11:19 11114TC 009316 Town of BabylonREFERENCE ORIGIN Scale 2 Gross Wt. 69220 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Npt Wpinht -49960 IR QTY. : UNIT: DESCRIPTION RATE EXTENSION FEE TOTAL 16.48 TON CUTGO.MSW 0.000 0.00 0.00 0.00 err- ��v�'`v,•. _—.--,.._, `IJ,z�%' ; Operating hours 7:00 AM to 5:00 PM 7 days a week'' ',i1`-- `,' � ' ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .y'; a _� In on NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11Tr I .d TENDERED CHANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 2548 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 3 COMPANY: V` L14 i SHIP DATE: I 6 E t COMMODITY SHIPPED: LOOSE: i D J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE z -INET 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, - h TRANSPORTATION/FREIGHT CO. TRUCK NO. '{{ -' LICENSE NO/STATE:- TRAILER NO. I t 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SI,TE`LISTED ABOVE, AND THAT IT WAS'- DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) f "''(SIGNATURE) f DESTINATION. / f 1 ! } DISPOSAL LOCATION I'W" g" /� I_J� ; .�.1 DATE DELIVERED: ADDRESS: P 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 81TE .:_' 'TICKET 'GRID,, g `, WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE D1 01413333 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME-OUT „.VEHICLE ROLLOFF Cutchogue, NY 11935 2/11/18 12/11/18 1:22 11:22 111 14T 009297 Omni Recycling of Babylon ORIGIN 114 Alder Street West Babylon NY 11704 Scale 2 Gross Wt. 61660 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net eight 24660 LB QTY. UNITS DESCRIPTION RATE EXTENSION FEE TOTAL 12.33 TON Single Stream Recycl 0.000 0.00 0.00 0.00 u; « ,1 � Operating hours 7:00 AM to 5:00 PM 7 days a week?�s CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.: " „ , �, 0.00 ; ;`, NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' `�:, z " ' TENDERED ,r� , CHANGE CHECK-NO SIGNATURE SITE 4 TICKET I GRID WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01413333 Steph PO Box 962/6155 Cox Lane DATEINE OUT TIME E IN TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 12/11/1 1 8 12/11/18 11:22 111:22 11114TC 009297 Omni Recycling of Babylon REFERENCE �. 114 Alder Street West Babylon NY 11704 Scale 2 Gross Wt. 61660 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB QTY° UN ," -DESCRIPTION RATE, -EXTENSION FEE TOTAL 12.33 TON 3ingle Stream Recycl 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. ; v> r 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH y 9 _ , P _ r � 'v` TENDERED CHANGE CHECK NO. SIGNATURE NO. 23 . 5 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 SHIP DATE: a COMMODITY SHIPPED: v 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. 'l i 4 , r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 '~ t t ' i I✓` o '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 TED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. j DRIVER: �- ----� �_- (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: !. 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. SITE TICKET GRID WEIC,HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413240 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT , VEHICLE ',.,, ROLL OFF Cutchogue, NY 11935 12/11/R8 12/11/18 07:17 07:17 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Npt Wpiaht 4766() LB QTY. UNIT-- ` DESCRIPTION RATE EXTENSION - FEE TOTAL 23.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - e), r ?,� f. f� i ; r t• � �9 Operating hours 7:00 AM to 5:00 PM 7 days a week��! ;`. ' .•' ~ ' ` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;, b r k 0 .00 t,, TENDERED NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH .; ;✓G "� 1 s` z. t {; ' CHECK NO::j SIGNATURE SITE TICKET - I °GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413240 Steph PO Box 962/6155 Cox Lane DATE IN DATE.OUT TIME IN TIME_OUT VEHICLE ROLL OFF Cutchogue, NY 11936 12/11/18 12/11/18 07:17 07:17 11114T 009316 Town of Babylon REFERENCE .. Scale 2 Gross Wt. 81640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB QTY UN DESCRIPTION RATE EXTENSION -- 'FEE TOTAL 23.83 TON DUTGO.MSW 0.000 0.00 0.00 0.00 5 A Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:°=' A: n nn ` ,TENDERED" NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH CHANGE HECK O. -�j SIGNATURE NO. 2302 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: \Jcl } I t L.`•,1 SHIP DATE: COMMODITY SHIPPED: LOOSE: i 1-�` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: !�j GROSS F � 1 . f 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 PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRA RORTATI ACCORD INGTQ APPL-IGABLE_REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) 1' f� (SIGNATURE) TRANSPORTER ! TRANSPORTATION/FREIGHT CO. I ' `ter ll % J 1 TRUCK NO. i LICENSE NO/STATE: TRAILER NO. 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) ' (SIGNATURE) DESTINATO N } DISPOSAL LOCATION: IJ ' DATE DELIVERED: � J f i! I f �'/ t( f 1 i l� f i 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 01413528 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,DATE I I�TEOUTr TIME IN.TIME OUT `12`;'VEHICLE' '' ' , _`'.ROLL OFF :t 12/12/18 12/12/18CE� 07:20 07:20 11121 TC 009316 Town of Babylon REFERENCE 7 Scale 2 Gross Wt. 71160 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34900 LB QTYUNIT = DESCRIPTION RATEa• EXTENSION _;FEE -TOTAL 17.45 TON DUTGO.MSW 0.000 0.00 0.00 0.00 hi Opera mgours o ays a wee . .r [fill CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`!�; TENDERED CHANGE CHECK'NO „ " ° SIGNATURE ""DUPLICATE TICKET"" S(TE TICKET" GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01413528 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 - -DATE IN DATE OUT TIME IN•TIME OUT VEHICLE -ROLL OFF 12/12/18 12/12/18 107:20 07:20 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71160 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34900 LB QTY. ,y UNIT DESCRIPTION RATE EXTENSION' FEE' TOTAL' 17.45 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days aweek =� = L_ �-•_ . s qtAIIIIIIIIIII2 M IVA LOIS, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.2^'�' S� 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH `, PO4 .; i '�,'„ TENDERED -CHANGE., CHECK NO s SIGNATURE NO. 2316 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. � •J COMPANY: {% '�� I ? 1 :t ti-i l SHIP DATE: i E t COMMODITY SHIPPED: Iz� LOOSE: i t ,' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t ) I �`' GROSS TARE NET F 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. A /LICENSE NO/STATE: TRAILER NO. 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 f' DRIVER: (PRINT NAME) f �` (SIGNATURE) DESTINATION, DISPOSAL LOCATION: t1� ft,A 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, WEIGHMAS TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413623 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 RAT6N DATE OUT TIME-IN:TIME OUT ' VEHICLE := ROLLOFF -�.. 12/12/18 12/1.2/18 11:42 111:42 11121 TC 009297 Omni Recycling of Babylon 114 Alder Street REFERENCE • West Babylon NY 11704 Manual Gross Wt. 57520 LB Outbound-Charge tickel Manual Tare Wt. 36220 LB Net Weight 21300 LB QTY.:'-. -` UNIT ; DESCRIPTION RATE- EXTENSION ,x ' FEE TOTAL 10.65 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 d ` t' Operating hours 7:00 AM to 5:00 PM 7 days a week: • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED •CHANGE CHECK NO. , SIGNATURE 'SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413623 Dan PO BOX 962/6155 COX Lane DATE IN _DATE OUT TIME'IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/12/18 12/12/18 111:42 111:42 11 121TC 009297 Omni Recycling of Babylon ORIGINRE FERENCE 114 Alder Street West Babylon NY 11704 Manual Gross Wt. 57520 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 21300 LB QTY- UNIT` DESCRIPTION RATE , EXTENSION FEE TOTAL 10.65 TON 3ingle Stream Recycl 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:TUES, NOV 6 AND SUN, NOV 11TH TENDERED 17— CHECK NO. SIGNATURE NO. 2317 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: ,+ t� V'� 4-( C} �- SHIP DATE: ` 1 � COMMODITY SHIPPED: LOOSE: y U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~' GROSS -'TARE t } ! -NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE_LIOUID-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 APPLICABLESTATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TQ APP_L-ICABL-'E=REGUL-'ATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER J TRANSPORTATION/FREIGHT CO. TRUCK NO. D 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 AB VE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. t = DRIVER: f (PRINT NAME) * (SIGNATURE) DESTINATION DISPOSAL LOCATION: INN 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 TICKET NO. "DUPLICATE TICKET" SITE TICKET-` GRID WEIGHMASTER=. SOUTHOLD TOWN DEPT SOLID WASTE 01 01413902 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN DATEOUT. TIME IN TIME OUT VEHICLE, ROLLOFF' 12/13/18 12/13/18 11:27 11:27 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 67940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 31120 LB QTY. UNIT_, `' DESCRIPTION. RATE EXTENSION FEE _TOTAL 15.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00 sem, tf � ! � L- `'• f A Mme i}~ }g v.tE _ry• � - � � ire :a Operating hours 7:00 AM to 5:00 PM 7 days a weeK: • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:!•'. -°,, _. ' y P 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH '�� `'•?'Y: j , ,; ,-�s ; 's,� TENDERED CHANGE CHECK NO::::l SIGNATURE "DUPLICATE TICKET" "SITE „-. TICKET--'- GRID ,r; WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413902 Liz H PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/13/18 12/13/18 11:27 11:27 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 67940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Ne Weiaht 31120 LB QTY UNIT DESCRIPTION'" RATE- EXTENSION FEE TOTAL 15.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week'-".'-,,, ' ' °• ate; ` - = ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-785:���"', w � ,y`` 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH' ' '" {r }t TENDERED CHANGE CHECK NO SIGNATURE NO. 2318 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 LIABILLIITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: it1 .�. t C) L I} SHIP DATE: ( COMMODITY SHIPPED: f( w LOOSE: y (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 r ; GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER f TRANSPORTATION/FREIGHT CO. ,III j i L `•J �I •� TRUCK NO. LICENSE NO/STATE: TRAILER NO. 169 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED AJBOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: � � ° (PRINT NAME) // (SIGNATURE) C DESTINATION DISPOSAL LOCATION: 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. `*GPLtSTE TICKET"" SITE TICKET_`- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413799 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATEOUT_' TIME IN TIME OUT VEHICLE, ROLL OFF 12/13/18 12/13/18 07:27 07:27 11121 TC REFERENCE 009297 Omni Recycling of Babylon ORIGIN 114 Alder Street West Babylon NY 11704 Scale 2 Gross Wt. 51280 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 15020 LB QTY. UNIT° DESCRIPTION RATE EXTENSION FEE` TOTAL 7.51 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 �-e w21 JI b k•4 .{ { A.j Operating hours 7:00 AM to 5:00 PM 7 days a week: %a 4? ' ," • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.J;j':," -. ' ' ,:.'_ ; 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH °f i :'`� ''>` TENDERED CHANGE CHECK-NO SIGNATURE **DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01413799 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE,IN - "DATE OUT TIMEIW TIMEOUT ; ",,,VEHICLE ROLLOFF -,,, 12/13/18 12/13/18 07:27 107:27 11121 TC 009297 Omni Recycling of Babylon x- 114 Alder Street REFERENCE West Babylon NY 11704 E I Scale 2 Gross Wt. 51280 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 15020 LB QTY UNIT DESCRIPTION RATE '-,EXTENSION FEE._. 7TOTAL 7.51 TON 3ingle Stream Recycl 0.000 0.00 0.00 0.00 'z r e y- Operating hours 7:00 AM to 5:00 PM 7 days a week g • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.k=�,- ` -,` 4 �^ r ;ly 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH '- 'A'' " ` � ° ° V `, TENDERED CHANGE_.: CHECK NO. SIGNATURE NO. 2319 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: Lr ; I/ j 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 TO APPLICABLE REGULATION. I � GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) W,TRANSPORTER TRANSPORTATION/FREIGHT CO ! ��J i 4 del f1`.j I 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 �� � z 1t DISPOSAL LOCATION: I J ( / DATE DELIVERED: i f 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. 71 "i`DUPLICATE TICKET" SITE ',,,TICKET GRID WEIGHMA&ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01414062 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN>TIME OUT, VEHICLE w ROLL OFF- 12/14/18 12/14/18 07:19 07:19 11121TC 009316 Town of Babylon REFERENCE Fvry •- Scale 2 Gross Wt. 76540 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 40540 LB UNIT DESCRIPTION= RATE EXTENSION .-` FEE TOTAL -; 20.27 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating Hours TOO Alvi to ays a wee :, ,,•'?. ^� , �' Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.t ', 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` CHANGE' -CHECK NO SIGNATURE "DUPLICATE TICKET" SITE ' TICKEr GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01414062 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TiNIE IN TIME OUT ,.. 'VEHICLE--'-' ROLLOFF 12/14/18 12/14/18 07:19 07:19 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 76540 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 40540 LB QTY UNIT = DESCRIPTION - RATE EXTENSION -= FEE TOTAL -,- 20.27 TON DUTGO.MSW 0.000 0.00 0.00 0.00 _i 1R, t~ Opera ing hours odays a wee : ':. _ w • t s ye:� Ps CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- ,3 _, __ ;?, 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH -v *` 1 '. ., `a I Yee,, n TENDERED-.- II# !moi CHANGE=_ CHECK NO. SIGNATURE r NO. 2320 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/I ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �� ice' L`l V1 t_i — SHIP DATE: . COMMODITY SHIPPED: LOOSE: 1 w% (CU YDS) 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 TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER ;r t TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. J 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) o (SIGNATURE) DESTINATION DISPOSAL LOCATIOkf -�� r �, f ; � � DATE DELIVERED: r ADDRESS: 1 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 ","e SOUTHOLD TOWN DEPT SOLID WASTE 01 01414328 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 c DATE th- -_DATE OUT _TIME IN TIME OUT- , VEHICLE„ ROLL OFF 12/15/18 12/15/18 07:33 07:33 11121TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 67580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 31320 LB -QTY UNIT' DESCRIPTION N"" " RATE ` '" EXTENSIOFEE' TOTAL 15.66 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a wee . - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` . . - :_ ,:TENDERED^ CHANGE CHECK NO SIGNATURE SITE TICKET GRID WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01414328 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/15/18 12/15/18 7:33 07:33 11121TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 67580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 31320 LB QTY " 'UNIT, DESCRIPTION RATE := EXTENSION FEE, TOTAL- 15.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a wee : u CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ,!­ , 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH .` ,- : ' TENDERED CHECK-NO."_ " SIGNATURE NO. 2321 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 u-1 I,1 b L_�i SHIP DATE: 1 COMMODITY SHIPPED: LOOSE: i 0 t} (CU YDS) SALES: (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. 1f GENERATOR AUTHORIZED AGENT(PRINT NAME) !t� �'� (SIGNATURE) 'L 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 l l DRIVER: - ---,U (PRINT NAME) f,� (SIGNATURE) r�,fes DESTINATION 6� j� r fi DISPOSAL LOCATION: , 1 //I N f 1 1✓'/ p J :� DATE DELIVERED: I d 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 01414669 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 :bATE IN- DATE OU7 . TIME IN TIME OUT VEHICLE i.ROLL OFt - "12/17/18 12/17/18 07:21 07:21 11121 TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76760 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 39940 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.97 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o ays a wee -', • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. F ' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ;` r'-t TENDERED . i _ -CHANGE CHECK NO` SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01414669 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -,, DATE OUT,, ;TIME IN=TIME OUT w -VEHICLE, ROLL OFF, 12/17/18 12/17/18 07:21 07:21 11121 TC 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt. 76760 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 39940 LB QTY UNIT' = DESCRIP--TION RATE EXTENSION= "= FEE TOTAL 19.97 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 631-734-7685. :.. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH .' ,, ` .,M TENDERED -CHANGE- 1 CHA GE- "CHECK'NO.a, SIGNATURE T - NO. 2322 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�SSUME ANY LIABILITYY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: t!� LOOSE: b ' % (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1'`� 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_BEGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) S --(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 0 &J, t TRUCK NO. t LICENSE NO/STATE: TRAILER NO. t� 7 Ci 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) DESTINATIONf DISPOSAL LOCATION: ' �I,'"1!� 1 I J� `r``f ` "1� DATE DELIVERED: Z 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 01414901 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 5_DATE IN ,; 'DATE OUT TIME IN TI­11ME OUT VEHICLE.._- 'ROLL OFF 12/18/18 12/18/18 11:13 11:13 11121 TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82420 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 46160 LB QTY. UNIT DESCRIPTION RATE EXTENSION -.FEE TOTAL- 23.08 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 631-734-76.85. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED CHANGE. CHECK N SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01414901 Steph PO BOX 962/6155 COX Lane -DATE IN ,, DATE OUT TIME IN TIME OUT VEHICLE ti ROLL OFF Cutchogue, NY 11935 12/18/18 12/18/18 11:13 11:13 11121 TC 009316 Town of Babylon REFERENCE- Scale 2 Gross Wt. 82420 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weiaht 401 60 LB QTY UNIT' DESCRIPTION RATE EXTENSION FEE NO. 2327 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: ` . z' : (� j';, SHIP DATE: COMMODITY SHIPPED: L�1 LOOSE: i [ (CU YDS) BALES: (COUNT): J . TRUCK WEIGHT: GROSS TARE t { ` 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 t" GENERATOR AUTHORIZED AGENT(PRINT NAME) �.__ ._ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I 4 '� ? r � '' J�` " j 9 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 LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) / DESTINATION DISPOSAL LOCATION: bs't�' �1 1 �� { /A 1 Z; 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 01415102 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OU7. TIME tN•.TIME OUT, F,, _VEHICLE „•y ROLL OFF, 12/19/18 12/19/18 13:23 13:23 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77720 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 41460 LB QTY._ UNIT _; DESCRIPTION, RATE EXTENSION FEE TOTAL 20.73 TON DUTGO.MSW 0.000 0.00 0.00 0.00 L40. eq ft � Operating hours 7:00 AM to 5:00 PM 7 days a week.,� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-_J , _ ,s�Gr 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`Z'�4. "f: TENDERED -CHANGE CHECK NO::j SIGNATURE SITE "„TICKET_", GRID s `r WEIGHMASTER-;- ° SOUTHOLD TOWN DEPT SOLID WASTE 01 01415102 Steph PO Box 962/6155 Cox Lane 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE `-ROLL OFF Cutchogue, NY 11935 12/19/18 12/19/18 13:23 13:23 11114TC 009316 Town of Babylon REFERENCE C I. FScale 2 Gross Wt. 77720 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 4 460 LB ---OT-y7— UNIT' ,_" DESCRIPTION RATE: EXTENSION -FEE .TOTAL' " 20.73 TON DUTGO.MSW 0.000 0.00 0.00 0.00 .�4, Operating hours 7:00 AM to 5:00 PM 7 days a week'.' `` `1;� ?. =Y %° .� �' ¢ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' '', �. .:a01 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH a"f` ry/� '�ati '`z TENDERED 4 "��:.,.., .-.. •.�, "�� GRANGE CHECK NO:�::j SIGNATURE • NO. 2329 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: Z �) J ? . i 4 t i }'t SHIP DATE: / t r it i'' / c COMMODITY SHIPPED: LOOSE: ! (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 3 - ` 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) f--P: --"(SIGNATURE) TRANSPORTER ;- ,� 1� ` TRANSPORTATION/FREIGHT CO. TRUCK NO. -? �' LICENSE NO/STATE: TRAILER NO. I C 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,t DISPOSAL LOCATION:C.". tNi, ; \I l ` ' `� l DATE DELIVERED: ) !( I° j / 1 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. SITE GRID GVEIGHMASTERa,- SOUTHOLD TOWN DEPT SOLID WASTE 01 01415008 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1H•', bATE OUT TIME IN TIME OUT .V VEHICLE ROLL OFF 12/19/18 12/19/18 07:18 07:18 1111 4T 009316 Town of Babylon REFERENCE ORIGIN FScale 2 Gross Wt. 73640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Wei ht 39660 LB . UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.83 TON CUTGO.MSW 0.000 0.00 0.00 0°00 r _ i M111111116 Well, Operating hours 7:00 AM to 5:00 PM 7 days a week.'., u CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' t: `'¢ i TENDERED ,F` CHANGE,,"',,, CHECK NO SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01415008 Steph PO Box 962/6155 Cox Lane DATE IN DATE_OUT TIME IN TIME-OUT VEHICLE ROLL OFF Cutchogue, NY 11935 2/19/18 2/19/18 7:18 7:18 11114TC 009316 Town of Babylon REFERENCE •_ IGIN Scale 2 Gross Wt. 73640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Npt t-iaht 39660 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ` 9.83 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.s,z >- • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 3 --',;,,?~ _ s '. x 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH `h' ..Spr TENDERED' ' L CHANGE �-�-CHECK NO. SIGNATURE NO. 2323 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: I � tri LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ``> � `. GROSS TARE y�? 0 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) (SIGNATOFiE)_____ TRANSPORTER 1 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 r DRIVER: (PRINT NAME) `ter (SIGNATURE) f' DESTINATION I }�, �' � � DISPOSAL LOCATION: J1.�tri 1 /\ !_�il ��' _ ( ;!r�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_ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01415313 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN „ DATE OUT TIME W'_TIME OUT JVEHICLE," e'.,ROLL;OFF 12/20/18 12/20/18 13:05 13:05 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 79860 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 39460 LB QTY= UNIT' = DESCRIPTION. RATE _ EXTENSION FEE 'TOTAL 19.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00 $ S Operating hours odays a wee 1 a.; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`4 ' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN NOV 11TH`°: ri "3�1, ., e'" `~ 1-% TENDERED -CHANGE CHECK NO SIGNATURE "DUPLICATE TICKET" ,SITE, TICKET GRED,, WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01415313 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -_DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/20/18 12/20/18 13:05 13:05 111 14T 009316 Town of Babylon REFERENCE ORIGIN FScale 2 Gross Wt. 79860 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 39460 LB 77-3-Try UNIT," DESCRIPTION RATE EXTENSION - FEE —r TOTAL 19.73 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 eek '�. ` i F>'<°: • T,-L_ _ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`'..' ,, ._, -'C- ., 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' ` i ;t „; « j .4rj TENDERED- CHANGE CHECK NO. SIGNATURE NO. 233 ® 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: Z II ' 1 COMMODITY SHIPPED: ��� 1r•.� LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS t,' ;w 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 TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION l ; GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.21 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 TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 4 )�1/ /~J 1 I \ t %I�ii \l �- '�1 _ DATE DELIVERED: ADDRESS: v v 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 , Tlci<& - GRID WEiGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01415508 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - _DATE IK, -6ATE OUT - "TIME IN,TIME,OUT VENIGLE,„ ROLL OFF' 12/21/18 12/21/18 13:09 13:09 111 14T 009316 Town of Babylon REFERENCE 7 Scale 2 Gross Wt. 74720 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 38720 LB QTY UNIT DESCRIPTION` _`- ' . RATE'- EXTENSIONFEE.=, TOTAL 19.36 TON DUTGO.MSW 0.000 0.00 0.00 0.00 O MA • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED 'CHANGE.. - CHECK N SIGNATURE **DUPLICATE TICKET** slrE TIC i<ET; GRID WEIG,HMASTEk SOUTHOLD TOWN DEPT SOLID WASTE 01 01415508 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,'DATE PUT', TIME.IN- TWIE OUT VEHICLE- 8013.OFF_ 12/21/18 12/21/18 13:09 13:09 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 74720 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 38720 LB _ ExTENSONQUNIT DESCRIPTION, RATE',' _ FEE' TOTALY 19.36 TON UTGO.MSW 0.000 0.00 0.00 0.00 (CIperating I to 0606 PIVI 7 days a weeR. " • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH,- _ TENDERED='_ CHAN E `C EC Nd::s- . SIGNATURE NO. 2332 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: ti �i is i� ; ' ; — SHIP DATE: ! ! `t' COMMODITY SHIPPED: ✓t `� ',.,{ I LOOSE: !1 r r (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �� r 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT CO. 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 s' DRIVER: To r (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION:ti� �,� ref � �l°# _i.;P DATE DELIVERED: ADDRESS: f o ,,r 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 I -TICKET-,_ GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01415557 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 ,,`DATE IN DATE'OUT, ;TIME IN TIME OUT, , VEHICLEr `ROLUOFF„ " 1.2/22/18 112/22/18 9:19 9:19 11114TC 009316 Town of Babylon ' REFERENCE •- Scale 2 Gross Wt. 81280 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45020 LB QTY UNIT DESCRIPTION RATE EXTENSION=- FEE TOTAL,- 22.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ,4 : ZZ, Opera Ing ours :0 0 ays a week. ' ;) • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ;Po, _ X. f:' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` TENDERED CHANGE CHECK NO.. SIGNATURE SITE I _TICKET- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01415557 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 = DATE IN ' ,DATE OUT :TIME IN TIME OUT VEHICLE` ROLLOFF 12/22/18 12/22/18 9:19 9:19 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81280 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45020 LB QTY UNIT DESCRIPTION RATE EXTENSION'- -'FEE TOTAL 22.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00 -_ t _7 , 1 L Operating hours 7.00 AM to 5:00 PM 7 days a week: =,' d - Y e :. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'-, ` a^_ _N 0.00 TENDERED NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH _" d 't= rfr s, --CHANGE--' •.CHECK N09 SIGNATURE 4 -04 NO. 2333 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 ( h i` L� L _> SHIP DATE: r COMMODITY SHIPPED: } t LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: °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) ��J,fy (SIGNATUREj' TRANSPORTER / 0l TRANSPORTATION/FREIGHT CO. I"r I ,moi i` ` J 1J✓I—L '�� TRUCK NO. 2-.J LICENSE NO/STATE: V(f ) TRAILER NO. 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 DRIVER: T (PRINT NAME) (SIGNATURE) DESTINATIONS I DISPOSAL LOCATION: ��'F t r 1 I S lJ f ,_{ ._ C•,�i f .•' ; / '•�1 ' DATE DELIVERED: � � � •` r • 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, t GRID_ 1NEIGHMASTER'' f SOUTHOLD TOWN DEPT SOLID WASTE 01 01416008 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN„ DATE OUT TIME IN,,TIME OUT VEHICLE _ ROLL OFF '12/24/18 12/24/18 10:57 10:57 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 65660 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 29400 LB QTY UNIT . DESCRIPTION - 'RATE EXTENSION "FEE,_ TOTAL 14.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ''tam `b') Opera Ing ours o ays a wee ^h , �77 nJ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. E,FE, '' _ `" - , °' 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` .. <; ,�,t _ ri f ', TENDERED, 'CHECK NO. SIGNATURE ""DUPLICATE TICKET"" SITE TICKET' GRID WEIGHIVIASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01416008 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN ,,`' ;DATE_OUT-_"TIMEIN TIMEOUT ' ''VEHICLE. "'' '', ROL"LOFT,_," ' 12/24/18 12/24/18 10:57 10:57 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 65660 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 29400 LB QTY UNIT DESCRIPTION RATE EXTENSION - FEE -` TOTAL 14.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 -, = l eE Operating hours 7AAM to :00' PM 7 clays a wee ` ,� Fa, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:!vX ` I- w f 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' =j# jg `{y>3 -'-TENDERED-_' ' �-�.�✓`..�.:.�.'�• CHANGE. CHECK NO._ • SIGNATURE NO. 2323 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'� f ! ; i �U SHIP DATE: ? `� � f COMMODITY SHIPPED: ty" LOOSE: I (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` r GROSS r14 r 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) cr ., TRANSPORTER /i TRANSPORTATION/FREIGHT CO. 'i �J , '� / ! ,� 1�" "' TRUCK NO. '--7 LICENSE NO/STATE: TRAILER NO. 1 r': 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: - -s- (PRINT NAME) i ! (SIGNATURE) r' DESTINATION DISPOSAL LOCATION: `-- ' J '` � / f �' ' `f �_; � �1 - 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' 1NEIGHMASTERh SOUTHOLD TOWN DEPT SOLID WASTE 01 01415965 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 '{ DATEIN,'1 DATE OUT, TIME IN TIME OUT- ;VEHICLE,; '_; ROLLOFF, , 12/24/18 12/24/18 07:13 07:13 11114T 009316 Town of Babylon - ORIGIN Scale 2 Gross Wt 75940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 39120 LB QTY' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,� J a� � '•1 r Operating hioums to 5:Ob PM 7 days a wee :e_ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685­'A1 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11T '` a;' of - , , P TENDERED H ` a .•�`;, �"CHANGE,,^,�,, HECK NO' SIGNATURE "DUPLICATE TICKET" SITE TICKET',' , GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01415965 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF 12/24/18 12/24/18 07:13 07.13 11114T 009316 Town of Babylon REFERENCE - Scale 2 Gross Wt. 75940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Wei ht 39120 LB ,QTY — UNIT DESCRIPTION - ` RATE 'EXTENSION "FEE TOTAL 19.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week=r � 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:?moi Es ` _, ,� . ,: Y=' TENDERED NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH f` CHANGE CHECK NO.:�j SIGNATURE NO. 2335 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. COMPANY: SHIP DATE: u COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 'r GROSS TARE e r� 0NET 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. 2-5 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: la iytr, r�1 /E / ;�t fit/ r } ? DATE DELIVERED: I � 1• I 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. "DUPLICATE TICKET"" SITE TICKET°_; "° GRID', WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01416140 Dan PO Box.96Z/615j Cox Lane Cutchogue, NY 11935 WE IN _ DATE OUT= TIME IN- TIME OUT, . _VEHICLE ROLL OFF 12/26/18 12/26/18 11:49 11:49 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 75020 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38760 LB 7 QTY UNIT DESCRIPTION' RATE EXTENSION FEETOTAL 19.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00 I1 ✓y n 11.ft;Ar �a Opera Ingours o ays a Wee:,, v,t,y 0. " ~ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.._3;- 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED`. -. CHANGE, CHECK NQ.�l SIGNATURE "DUPLICATE TICKET" SITE I TICKET"' GRID = WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01416140 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 " DATE I'N - bATE'OUT TIME dN TIME OUT VEHICLE " `ROLL OFF 12/26/18 12/26/18 11:49 11:49 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 75020 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38760 LB QTY UNIT DESCRIPTION-3 RATE EXTENSION FEE. TOTAL 19.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00 11 ', Operating hours 7:00 AM to 5:00 PM 7 days a weeK:.r �Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ..n = _a ;A ys 7 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH , 'F��I;=}I, :" : TENDERED_3 _-CHANGE'-- V- CHECK NO.`_ ' SIGNATURE NO. 2336 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE 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: - . `, `'° '° "s : �; `�_ '! t SHIP DATE: F t COMMODITY SHIPPED: 1 ='; '' .t' LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: w =` c.� GROSS r,r-Z`l�_j 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 t _ TRANSPORTATION/FREIGHT CO. i 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. .._.rte,>>. - �`�• �• +� J� fes- ��- t DRIVER: ~ (PRINT NAME) ' ' (SIGNATURE) DESTINATION Y DISPOSAL LOCATION: L { I `} ; t `t" '�`' / DATE DELIVERED: ADDRESS: r 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 _. 1NEIGHNIASTER '_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01416045 Dan P&,Box 9 /6155 Cox Lane Cutchogue, NY 11935 DATE IN _' ' DATE OUT ,_ TIME IN TIME OUT VEHICLE ROLL OFF 12/26/18 12/26/18 07:58 07:58 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 45360 LB QTY.______ UNIT- DESCRIPTION• _ _ RATE -EXTENSION _ FEE TOTAL 22.68 TON DUTGO.MSW 0.000 0.00 0.00 0.00 lrl t `=l)5 f tJr 7 S:�,.,j -+'.•q Operating hours 7:00 AM to 5:00 PM 7 days a week , 4111111111111111== CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ; 0.00 TENDERED`. NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH CHANGE­ CHECK . ' CHECK NO! �) SIGNATURE "DUPLICATE TICKET" SITE , TICKET GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01416045 Dan PO Box 962/6155 Cox Lane DATE,IN , DATE OUT, ,,,TIME IN„ TIME OUT VEHICLE , .,,„ROLL,OFF n„ Cutchogue, NY 11935 12/26/18 12/26/18 07:58 07:58 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Wei ht 45360 LB QTY UNIT- DESCRIPTION RATE EXTENSION FEE`- TOTAL 22.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00 _y Operating hours 7:00 AM to 5:00 PM 7 days a week " • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:7 ' $,_ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH - ; r TENDERED_ ts_S __Glifjr; CHANGE„ CHECK NO=" SIGNATURE NO. 2324 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: `? � ) 3-1,CU 1� '1 1 SHIP DATE: ) 2— 12-6 COMMODITY SHIPPED: LOOSE: f ! 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: j=-''r,%J GROSS TARE -/ _7C �=� NET 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) i TRANSPORTER, lJ �,%'f�AJ TRANSPORTATION/FREIGHT CO. h y 1 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: i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ' V ' ^ ^`/'� l s ,l� ;'1^' ;� .� z DATE DELIVERED: ts 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 -WEtGHMASTER S0U-r TOLD TOWN DEPT SOLID WASTE01 01416270 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN--_TIME OUT VEHICLE-, ROLL OFF 12/27/18 12/27/18 07:18 107:18 1 11 114T 009316 Town of Babylon •- FScale 2 Gross Wt. 80700 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 44480 LB ", UNIT -- DESGRIP_TION RATE _ EXTENSION_ - FEE TOTAL` 22.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opa :b.x <r,,: `°, rc`,� ._. 5, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED" 4• fid: wa7-1,z ^" -� CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET" stTE 'TICKET' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01416270 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 'DATE OUT _TIME IN TIME OUT VEHICLE ROLL OFF 12/27/18 12/27/18 07:18 07:18 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80700 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 44480 LB ,QTY UNIT DESCRIPTION, ,.. RATE ,, EXTENSION = `,FEE TOTAL, -- 22.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I" Opera Ing ours odays a wee rr • ;w CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685r "'::' r:, j" 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH-'.. ;g � �'r:��.. =P �..,4°'^�.> ,.� ,TENDERED,,-, '_CHANGE �CHECK NOa SIGNATURE No. 2325 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� C (��; ! .' 1 'I SHIP DATE: COMMODITY SHIPPED: LOOSE: ; f.'• U (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) s TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 1 =l ~? 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 DISPOSAL LOCATION: V ;t V 1 f� C .`.�'? f i��l ( , rt!/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 "WEIGHMASTER SOU,THOLD TOWN DEPT SOLID WASTE 01 01416516 Dan PO Pox 962x6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/28/18 12/28/18 10:46 10:46 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 74960 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38700 LB QTY. UNI7 DESCRIPTION - RATE- EXTENSION_ FEE TOTAL 19.35 TON DUTGO.MSW 0.000 0.00 0.00 0.00 AJ Opera mg ours o ays a weer , r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,='�'- "_ ` `'" ` „, `° .N 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`,= ; `f='=r' ''ju= .: a . ;`:y, `' ,j- •TENDERED '-4:;. ,:"':., `'-.`• CHANGE C ECWNO._', SIGNATURE "DUPLICATE TICKET" -•SITE -, ,,,'=,TICKET,. ,--' `GRID, . 'WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01416516 Dan PO Box 962/6155 Cox Lane DATE IN -,, bATE OUT 'TIMEIN TIME OUT VEHICLE, ,ROLL OFF Cutchogue, NY 11935 009316 Town of Babylon 12/28/18 12/28/18 10:46 10:46 11114T REFERENCE •- Scale 2 Gross Wt. 74960 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38700 LB QTY°"' UNIT-;,. - 'DESCRIP.TION. RATE-y EXTENSION; FEE'" TOTAL 19.35 TON DUTGO.MSW 0.000 0.00 0.00 0.00 tj Operating hours 7:00 AM to 5:00 PM 7 days a week e" __ ;, ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 e.,,=TENDERED NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ='CHECK NO:' SIGNATURE NO. 2339 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 1 y SHIP DATE: L f ► COMMODITY SHIPPED: LOOSE: i s (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: / �� � GROSS TARE 1Cr��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 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. � ► �'-' t l- -'� IJ /v\ � ; + 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) � s+ DESTINATION` , k I DISPOSAL LOCATION: :t , !i ,\J--, A ! �� ,r✓ 1,// -a i DATE DELIVERED: ADDRESS: �r 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 1,, WEIGHMASTER,,,,,,„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01416588 Dan PO Bo)t 962/6i1',5 Cox Lane Cutchogue, NY 11935 _DATE IN _ .DATE OUT a TIME IN=TIME OUT VEHICLE ROLL OFF 12/29/18 12/29/18 07:52 07:52 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76680 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 39860 LB 7 QTY., UNIT DESCRIPTION, r - RATE- EXTENSION FEE--, TOTAL,. 1993 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r: m1 �as "Ply ly t6 3 Opera Ing hours o b:Ub FIM I days a wee .,t ,: ;a ';{E.,,.w. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685/�-'" m` _.",� -{ 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'�; °';` ,J'r,�:=,,� _r n ;,' rr • TENDERED CHANGE- CHECK'NO - SIGNATURE "*DUPLICATE TICKET" SITE ` ;"TICKET GRID ,. ,WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01416588 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATE OUT TIME INr TIME OUT, ., VEMCLE; ROLL OFF- „ 12/29/18 12/29/18 07:52 07:52 11 114T 009316 Town of Babylon REFERENCE o- Scale 2 Gross Wt. 76680 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB r Net Weight 39860 LB OTY, ^ UNIT,, .DESCRIPTION„ „ RATE EXTENSION ,,', x,FEE.- TOTAL 19.93 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ..,if k\ Opera Ing ours to :0 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;';4 0.00 NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH �N TENDERED= --CHANGE _ CHECK NO;; SIGNATURE NO. 2341 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOESNOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �� (A l ) C) C_r� SHIP DATE: Z 2 U COMMODITY SHIPPED: -,I wl l LOOSE: L) U (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) c (SIGNA-URE)--- TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. tt -D /LICENSE NO/STATE: TRAILER NO. t `'! 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: r' (PRINT NAME) f,y� (SIGNATURE) DESTINATION J DISPOSAL LOCATION: �� I i I �� I �� %l 6 1V CJ � DATE DELIVERED: Z 2 `E C 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. r PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.