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.