HomeMy WebLinkAbout01/2019 SITE TICKET `' _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417163 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
01/02/19 01/02/19 07:46 07:46 11114T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 73220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 36960 LB
41Y EEUNIT. TOTAL'
N
18.48 TON DUTGO.MSW 0.000 0.00 0.00 0.00
r¢. N\�y�
Operating hours 7:00 AM to 5:00 PM 7 days a week: ^� `•' ----- r ter` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76 ;85: 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ` v +� •i!, rj TENDERED:
HANG
CHECK-NO
SIGNATURE
SITE T ,-
ICKET" GRIDr WEIGHMAST-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417163 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIMEOUT VEHICLE _ `'ROLL OFF.
Cutchogue, NY 11935 -
01/02/19 01/02/19 07:46 07:46 11114T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 73220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weiaht 36960 LB
QTY, UNIT' ;,` '%,. "'„'' DESCRIPTION RATE A EXTENSION. FEE,' ^TOTJ�,�
18.48 TON DUTGO.MSW 0.000 0.00 0.00 0.00
11
a
Operating hours 7:00 AM to 5:00 PM 7 days a week �3 ;� `« ^�,-y i >''= fY •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.,'?° `` _.- ' {ftp 'J 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ',--. TENDERED
,,CHAN E
CHECK NO:`
SIGNATURE
,d -
NO. 23 .2
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: �J' U� ! °r C5L J SHIP DATE:C, G2
COMMODITY SHIPPED: M S L`\! : {
LOOSE: !i U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
,tlg f �j 4r G NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART,261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
�~�
TRANSPORTATION/FREIGHT CO. % I IL L �✓?I �'J J
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. I Cs LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDjABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT DESTINATION LISTED BELOW.
DRIVER:
..........
(PRINT NAME) � X/ (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: VAP A i�i� I � � )� DATE DELIVERED:
ADDRESS: f 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 _ice
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR plcP��
'DUPLICATE TICKET" SITE 'r_- TICKETS 'f GRID WEIGHMASTER =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417539 Pat H
PO BOX 962/6155 COX Lane DATE_IN" 'D4 OUT `_TIME'IN TIMEOUT, ,"VEHICLE u, ROLt.OFF
Cutchogue, NY 11935
01/03/19 01/03/19 14:43 14:43 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Wei ht 48640 LB
QTY ' :__ UNIT, ', DESCRIPTION RATE w EXTENSION_ " FEE. - TOTAL
24.32 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t} 1
L�L �5
Operating hours 7:00 AM to 5:00 PM 7 days a weeki`; -'R. --4 -"' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'' �� ., ° >>° ;, z:1 '„�, >' ' TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" ITE :,TICKET, GRID,';;"a- WEIG14 STER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417539 Pat H
PO BOX 962/6155 COX Lane DATE'--!N- DATE-OUT TIME,IN TIME OUT VEHICLE ROLL-OFF
Cutchogue, NY 11935 `
01/03/19 01/03/19 14:43 14:43 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 84840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Kipi Wf-inht 48640 IR
QTY. UNIT _ = - DESCRIPTION RATE EXTENSION _ FEE TOTAL
24.32 TON DUTGO.MSW 0.000 0.00 0.00 0.00
} '� t.�'•' Az-Z
7 I ii7 # i
r w 3
Operating hours 7:00 AM to 5:00 PM 7 days a week: 4's`?P '< �-M `,, e _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'-;� a?.,_' m - 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ` . ` ':°'„', ti ti a` =-_ TENDERED
.z r
CHECK-NO.
SIGNATURE
NO. 2369
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: y �a 11 w t. �. , SHIP DATE:
COMMODITY SHIPPED: ✓
LOOSE: ) G (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �' ; 'r `- GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. {� j ^=� , L j �%,J�1 /"o
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 ti
II
4 j �
DISPOSAL LOCATION: DATE DELIVERED: ) I 1
%• ,
ADDRESS: / f
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 ` - " TICKET, ', GRID WEId MI STER
SOUTkLD TOWN DEPT SOLID WASTE 01 01417452 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DarE IN." DATE CUT TIME-il3 YItvl> OUT- VEH1_CLE_ ,ROLL OFF
01/03/19 101/03/19 11:13 11:13 111 14T
009316 Town of Babylon
REFERENC
Scale 2 Gross Wt. 78900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42080 LB
Qty. UNIT � _ I
DESCRIPTION';_- RATEXIENSION -' FEE TOTAL_,
21.04 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Operating Hours o ays 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** �Sjftj TICKET" GRI
D WEIGHMASTER�
SOUTHOLD TOWN DEPT SOLID WASTE 31 01417452 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N DATE CUT TIME tN TIME OU F "VEHICLE ROLL OFF
31/03/19 01/03/19 1:13 111:13 11 114T
009316 Town of Babylon
REFERENCF ORIGIN
Scale 2 Gross Wt. 78900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42080 LB
QTY =UNIT -DESCRIPTION` RATE EXTENSION FEE TOTAL''
1.04 TON UTGO.MSW 0.000 0.00 0.00 0.00
t
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH "TENDERED` -_
SIGNATURE
NO. 2355
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: 4 ���Cl[A3 (i .1 i SHIP DATE-
t
COMMODITY SHIPPED: �r � .I Y
LOOSE: !�i U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: / - GROSS
TARE
` h ' 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. r S
TRUCK NO. - 1 LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
1 y �
DISPOSAL LOCATION: -JJ) f , N ���. ;'� d'j�/ �Ji } DATE DELIVERED: 0 1 0
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 101417394 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE W'" DATE OUT jitME1N TIME OUT' r . VEHICLE ,= ROLL 6FF,`',
1/03/19 01/03/19 7:26 7:26 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77700 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB _
Net Weight 41500 LB
QTY UNIT DESCRIPTION RATE EXTENSION, FEE JTOTAL ,,,
0.75 TON CUTGO.MSW 0.000 0.00 0.00 0.00
1
Operating hours o ays a wee _.,..`Yrv„ �U c.,__ - <. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: `Y Y..9 ' �� �' Xr 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`\-,s, `'fir „" � � TENDERED
CHANGE
C ECK NO
SIGNATURE
"DUPLICATE TICKET" SITE. ;:TICKETr11, GRID',`," _ ;,,..:,- WEIGHMASTER;
SOUTHOLD TOWN DEPT SOLID WASTE 1 01417394 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE` ROLL OFF,
)1/03/19 01/03/19 7:26 7:26 111 14T
009316 Town of Babylon REFERENCE - ORIGIN
Scale 2 Gross Wt. 77700 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 41500 LB
QTY _ UNIT DESCRIPTION RATE EXTENSION z FEE TOTAL
0.75 TON UTGO.MSW 0.000 0.00 0.00 0.00
A ' rP `
' d�-3��z t C� •
Operating hours 7:00 AM to 5:00 PM 7 days a wee .�-.;
,., �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�w.4�" 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH" TENDERED
� J
CHANGE"
CHECK NO.
SIGNATURE
NO. 2357
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. s
1 � r— ,
COMPANY: �) ) i I {� o SHIP DATE: ( — r
COMMODITY SHIPPED:
LOOSE: 'J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: {� GROSS
_= c� TARE
c_J NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. i - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: #i{" �j•N /`
(PRINT NAME) (SIGNATURE)
DESTINATION
fl�
DISPOSAL LOCATION: �( DATE DELIVERED: `"� 0-1 P 1 <7
ADDRESS:
J t
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""CSUP'L1C&TE TICKET"" SITE TICKET,'-,, . 'GRID wEiG�MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417580 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT. IIMEiNrTIME'OUT VEHIGLEf'', ROLLOFF -
01/04/19 01/04/19 08:39 08:39 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45840 LB
QTY _ UNIT DESCRIPTION," RATE :, EXTENSION„ FEE' TOTAL <
22.92 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Ope s a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. - 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' TENDERED
'CHANGE
'C ECK O:
SIGNATURE
"DUPLICATE TICKET" •SITE TICKET I GRID '' . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417580 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 OATE,IN. DATE OUT TIME,IN TIME'WT" VEHICLE. ROLL OFF
01/04/19 01/04/19 08:39 08:39 11114T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 82660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45840 LB
QTY. ' UNIT` DESCRIPTION' RATE EXTENSION FEE :'-,,TOTAL
2292 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating Hours odays a wee . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED, .
-CHAN E -
' 0HECKM::q
SIGNATURE
NO. 2354
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
AS��S-.""UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t }'t� i i1 ;- SHIP DATE:
COMMODITY SHIPPED: �!
LOOSE: ) io u (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS -
(_:'; s' TARE M, `
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
/7 `
TRANSPORTATION/FREIGHT CO. I Ul Ul-AN I
TRUCK NO. ICENSE 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: •kJ�r t, t � � ..� /���� � DATE DELIVERED: 0 0 � J
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** rimi: TICKET , GRID WEiGHMASTER _ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417678 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE
Ti OUl - TIME IN `TIME OU F VEHICLE " DOLLOFF
01/04/19 01/04/19 12:59 12:59 111 14T
009316 Town of Babylon
REFERENCE
CE
Scale 2 Gross Wt. 88080 LB Outbound-Charge ticket
F
Manual Tare Wt. 40400 LB
Net Weight 47680 LB
QTY - UNIT -_ DESCRIPTION r... RATE' EXTENSION , FEE TOTAL
23.84 TON DUTGO.MSW 0.000 0.00 0.00 0.00
F
Operating houl s Pud Alvi to ays a WEER.`-
CLOSED
ee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'- '. TENDERED,
• •..-'C ANGE=
"CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET--• GRID_- WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417678 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE'OUT " TIME IN TIME OUT, VEHICLE ROLL OFF
01/04/19 01/04/19 12:59 112:59 111 14T
009316 Town of Babylon
7" 1
Scale 2 Gross Wt. 88080 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 47680 LB
QTY UNIT DESCRIPTION -
RA EXTENSION„ FEE T::j
23.84 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
' " 'CHANG
N .
SIGNATURE CHECK
NO. 237 ®
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.11 Z
COMPANY: tel' t 1 u �1 j SHIP DATE: } `'�� i ��
t
COMMODITY SHIPPED: h `4,j
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 6 {` b 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
. r
TRANSPORTATION/FREIGHT CO. I r} I / / t/ mt f" ;
TRUCK NO. r--w --) ?LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
i C
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINAtTION
! J
yt . 0 r tt1 i I
DISPOSAL LOCATION: U, t^/+ ! �. -`'%} �s 1\ f �- �� DATE DELIVERED:
ADDRESS:
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 TICKET .- "GRID ' WEIGHMASTEF2
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417855 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' _ DATE OUT TIME IN T{ME O"UT ROLLOFF
01/05/19 01/05/19 13:22 13:22
009297 Omni Recycling of Babylon REFERENCE
114 Alder Street
West Babylon NY 11704
Scale 2 Gross Wt. 66500 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 29580 LB
QTY., UNIT- DESCRIPTION_- , RATE _ EXTENSION - ,FEE':. - TOTAL
14.79 TON Single Stream Recycl 0.000 0.00 0.00 0.00
Opera Ing hours odays a week,. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" sirs -, , TICKET,.,'' G9 ID r wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417855 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN, TIME-OUT L,
'VEHICLE - ROLOFF
01/05/19 01/05/19 13:22 13:22 11114TC
009297 Omni Recycling of Babylon REFERENCE _
114 Alder Street •
West Babylon NY 11704
Scale 2 Gross Wt. 66500 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Wei ht 29580 LB
QTY. UNIT DESCRIPTION' RATE 'EXTENSION. FEE ,TOTAL
14.79 TON Single 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 w
° CHA GE
CHECK
NO.
SIGNATURE
NO. 2372
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: j ,j�-r i- ! a
SHIP DATE: '!
COMMODITY SHIPPED: ' C C 1
r
LOOSE: I Cr ', (CU'YDS)
BALES: (COUNT):
TRUCK WEIGHT: ,' GROSS
TARE
' r NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. J LICENSE NO/STATE:
TRAILER NO. i 11 =' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITEsLISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i
DRIVER:
(PRINT NAME) %' (SIGNATURE)
J '
DESTINATION
i r,' {
DISPOSAL LOCATION:
DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SrrE I • TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417786 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE_IN DATE OUT TIME IN TIME OUT VEHICLE' ` ROLLOFF =
01/05119 01/05/19 07:22 07:22 111 14T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42700 LB
QTY UNIT,, DESCRIPTION., RATE EXTENSION r, FEE_ TOTAL ,
21.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00
.t <^ z,�4,,
`,.+,» -•.. iii,'_jr ';�..
Opera Ing hours odays a wee rA �, > 4 ___ A v.<. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x,` v4,n "_ 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11T14it ;,,.: TENDERED
CHANGE
'CHECK-NO
SIGNATURE
SITE TICKET'- GRID, WEIGHMASTER '.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01417786 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
01/05/19 11 01/05/19 07:22 07:22 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42700 LB
QTY ",.'.' UNIT"" 'DESCRIRTION °" RATE EXTENSION. FEE 7TOTAL
21.35 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f
Operating hours 7:00 AM to 5:00 PM 7 days a week.,, 0111111111111==
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH _ `t. ' "•" _'Y TENDERED
H K' O.=__
SIGNATURE
- NO.
2371
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: )01 LA ) 0 )`) SHIP DATE:
COMMODITY SHIPPED: J v t : yi
LOOSE: Q U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: � ' GROSS
` d 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. E d � `✓� I" f
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �( LICENSE NO/STATE:
Y
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
0
jj�
DISPOSAL LOCATION: 1yfni7f DATE DELIVERED: I i �
ADDRESS:
/f 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- F
GRID': WEfGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418205 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-; ' DATE OUT" TIMEtIN TIME OUT OUT ROLLOFF',
01/07/19 01/07/19 11:44 11:44 11114T
009316 Town of Babylon
REFERENCE
FScale 2 Gross Wt. 85620 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 46920 LB
7QTy., , UNIT' = DESCRIPTION; ';'r „RATE', EXTENSION r ' 'FEE, TOTAL
23.46 TON DUTGO.MSW 0.000 0.00 0.00 0.00
l/-'" _
1
1 i `4s
Operating hours 7:00 AM to 5:00 PM 7 days a weeks`;. • •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x',; ,t;, 0.00
NEXT HOLIDAY-TUES, NOV 6 AND SUN, NOV 11TH s,: �'; TENDERED
CHANGE
CHECK-NO
---j
SIGNATURE
, SITE ",;°,,,',TICKET{ < G<RID t„ WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418205 Steph
PO Box 962/6155 Cox Lane DATE IN°, ,DATE OUT ;TIME IN TIME-OUT -VEHICLE '"^ ROLL OFF-
Cutchogue, NY 11935
01/07/19 01/07/19 11:44 11:44 11114T
009316 Town of Babylon
Scale 2 Gross Wt. 85620 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Wei ht 46920 LB
QTY- ' UNIT_,' DESCRIPTION RATE EXTENSION FEE 7TOTAL
23.46 TON DUTGO.MSW 0.000 0.00 0.00 0.00
g
f '4
Operating hours 7:00 AM to 5:00 PM 7 days a week.,-
CLOSED
eek.,CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH - TENDERED'
.ti, „'OHANGE
HECK- O.
SIGNATURE
NO. 2344
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOTIWSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0 uk,—" %I (._,o (. 1 SHIP DATE: ° `��-7 1 }G
1,�1 t }
COMMODITY SHIPPED: i" V
LOOSE: I {- (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: '� s_rr < `M" 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)"""---M---
TRANSPORTER
r �
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 1 Ll `? 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: �1 '4 I/ a t �l + r
DATE DELIVERED: o
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 01418146 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 PDATE_1N', " `' DATE OUT TIME IN TIME-OUT -'VEHICLE _" " ROLLOFF
/67--IQ 101/07/19 08:02 08:02 11114TC -
009316 Town of Babylon l
REFERENCE ORIGIN
Scale 2 Gross Wt. 83720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49740 LB
QTY UNIT.' DESCRIPTION RATE EXTENSION, FEE, TOTAL",
24.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00
� ZZz
Opera Ing hours o ays a wee : ^:,p •. - -,r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:�..rr = __ "_ ';,�:; ~ t ` 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` ; • 'a'"-.'
TENDERED
CHANGE
" CHECK-NO
SIGNATURE
SITE TICKET, GRID " - WEIGHMASTER,,, '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418146 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT , TIME IN TIME OUT .VEHICLE ROLL OFF
01/07/19 101/07/19 08:02 08:02 111 14T
009316 Town of Babylon
•-
Scale 2 Gross Wt. 83720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49740 LB
QTY UNIT" - DESCRIPTION RATE EXTENSION FEE TOTAL
24.87 TON DUTGO.MSW 0.000 0.00 0.00 0.00
10
19
1
Opera Ing ours o 5536 PM 7 days a week:, r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. „; 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH-' _.' _ .., - TENDERED
CHANGE'-
CHECK K NO- °
SIGNATURE
NO. 2343
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 , 1 l� { 1 } SHIP DATE:
COMMODITY SHIPPED: V;) `
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ``> ��f7 7 v 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 F TRANSPORTATION ACGORDING-TQ APPEICABEE`REGCJL-ATIGN--
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
/ TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. f - LICENSE NO/STATE:
TRAILER NO. I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. >
DRIVER:
(PRINT NAME) / (SIGNATURE)
.F
DESTINATION
I
DISPOSAL LOCATIONN:f ,�fI ' v / ` '�' A(
DATE DELIVERED: `
ADDRESS:
J
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE _ TICKET GRIDWEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ti 01 01418314 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE O [TIME IMEiN:TIMEOUT VEHICLE ROLLOFF '
01/08/19 01/08/19 07:21 07:21 11 114T
009316 Town of Babylon �
Scale 2 Gross Wt. 87720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 53740 LB
QTY.. UNIT' DESCRIPTION,' RATE EXTENSION FEE ` TOTAL -
26.87 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. ,
CHANGE'..
CHECK NO ..
SIGNATURE
SITE TICKET GRID "EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418314 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 PATE IN ' -,DATE OUT 71ME IN'TIME OUT `VEHICLE 'ROLL-OFF
01/08/19 01/08/19 07:21 07:21 11 114T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 87720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 53740 LB
QTY; UNIT DESCRIPTION RATE' EXTENSION, FEE TOTAL
26.87 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' TENDERED
GRANGE'
NO.'
SIGNATURE
NO. 2345
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED-AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r s �
COMPANY: b SHIP DATE: I �(
COMMODITY SHIPPED: 1\/15w
LOOSE: (CU YDS)
i
BALES: (COUNT): �"'`� ••�
TRUCK WEIGHT: $~ c ' GROSS
TARE
• `�%��'� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261-ORANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
f
TRANSPORTATION/FREIGHT CO. r . \t
TRUCK NO. - v /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: c
(PRINT NAME) (SIGNATURE)
` DESTINATION
DISPOSAL LOCATION: s�> 4� r t � Fes`�'1 LTJ 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.
"DUPLICATE TICKET** SITE TIO�EiET,=y GRID ' ' WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418346 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 `DATE IN DATE OUT' TIME,IN=TIME OUT ` _.VEHICLE ,ROLL OFF
01/08/19 01/08/19 11:14 11:14 11114T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 76300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 39480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.74 TON DUTGO.MSW 0.000 0.00 0.00 0.00 f
Operating hours 7:00 AM to 5:00 PM 7 days a week,; =a --> a'' '�>Y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
.TENDERED
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH "kr ;`'�+1{ j3 .t f lV ,°
-CHANGE
-.-CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID " WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418346 Steph
PO Box 962/6155 Cox Lane "DATE'IN "DATE OUT TIME IN TIME OUT "'-",VEHICLE _ ROLL OFF'
Cutchogue, NY 11935
01/08/19 01/08/19 11:14 11:14 11114T
009316 Town of Babylon
Scale 2 Gross Wt. 76300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Wei ht 39480 LB 7
QTY UNIT '; i"u DESCRIPTION'` mii", RATE EXTENSION FEEBi, TOTAL,
19.74 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 `=.h, .'.r`,.' ENDERED
* tr
;^
CHANGE
HE K NO
SIGNATURE
NO. 2346
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: Imo;%` `i✓'ti Y1 L ' J SHIP DATE: I
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 ACCORDIINNG�TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISA DA'BOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: '
(PRINT NAME) f` (SIGNATURE)
DESTINATION��
DISPOSAL LOCATION: 1b!/ J 1 DATE DELIVERED: 1
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED,AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE- TICKET GRIb WEIGHMAS7ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418421 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN " DATE OUT TIME 1N TIMEOUT VEHICLE ROLL OFF_
01/09/19 01/09/19 07:30 07:30 111 14T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 86020 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 45620 LB
QTY.' UNIT „DESCRIPTION RATE -, EXTENSIONS FEE TOTAL
22.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r .
Opera Ing hours oclays 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 I 'TICKET,, GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE �011 01418421 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE IN" DATE OUT "TIME IN`TIMI bUT , " 'VEHICLE =' ROLL OFF
01/09/19 01/09/19 07:30 07:30 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86020 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 45620 LB
QTY. UNIT _ DESCRIPTION RATEEXTENSION ' FEE TOTAL
22.81 TON DUTGO.MSW 0.000 0.00 000 000
Operating hours o ays a week., ANEW=
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHAN E
SIGNATURE
NO. 2347
GENERATOR
f
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOTA".A,SSUME ANY LIABILITY;ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `, (0) E 1�j �-� �,' ( - 1� SHIP DATE: � � loot I I "
COMMODITY SHIPPED: "
LOOSE: Do (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: G-c GROSS
�4C,L�(,6 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 CONDITIONFOR-TRANSPORTATJQNN ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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 LISTLD ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: # i! A �=�/ � ��' �� LO t DATE DELIVERED: �Vt
ADDRESS:
t
'I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO-THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET`* SITE `; TICKET GRID _ WEIGHMASTER
S.gUT, QjLD TOWN DEPT SOLID WASTE 01 01418611 Liz H
PO Box 962/6155 Cox Lane "•yEi�icLE `, , "
Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT ROLL OFF"„
01/10/19 01/10/19 07:23 07:23 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 38180 LB
,r
—`, aQTY..> - `UNIT, - E .DESCRIPTION -`„_ RATE; EXTENSION FEE TOTAL
19.09 TON OUTGO.MSW 0.000 0.00 000 0.00
,05L
tl
e`
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685; `- "4 �~Y s' 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH -� =j„C}yl ffi 4;"� TENDERED
CHANGE”
CHECK NO
SIGNATURE
"DUPLICATE TICKET" 'SITE,,'- TICKET":' GRIDWEIGHMASTER„
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418611 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_„ DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF,,
01/10/19 01/10/19 07:23 07:23 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 38180 LB
- QTY. - UNIT,; = DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
s ,,,t
0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`;oa,i
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH
:a- TENDERED
CHANGE,
CHECK NO.
SIGNATURE
NO. 2343
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES`NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f
COMPANY: L J 1 1 L SHIP DATE: f
COMMODITY SHIPPED: 1 vI V'w'
LOOSE: '� �� (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: 'f ` {' GROSS
TARE
?— Pc� 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
a r '
TRANSPORTATION/FREIGHT CO. f\j ' / ! f t '`'' f
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. „rte
DRIVER: 1 r
(PRINT NAME) {=' (SIGNATURE)
r61iDESTINATION
� X11 Id ( 3 3 '.� i
",\l
DISPOSAL LOCATION: ti f t —�' 1' t) DATE DELIVERED: ;
ADDRESS:
f a
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST'OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET`* sITE _, , TICKET GRID ` WEIGHWa YER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01418795 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN pATE.OUT TIME-IN TIME.OUT VEHICLE,' ; , ROLLOFF-
1/11/19 101/11/19 0:47 10:47 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 37580 LB
QTY -UNIT- DESCRIPTION' RATE.' EXTENSION FEE. ° TOTAL
18.79 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,
" � RANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE _-' TICKET TICKET GRID' wE1GHMAiTE
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418795 Liz H
PO BOX 962/6155 COX Lane
DATE-W DATE,OUT' rl TIME'IN TIME OUT A VEHICLE ° ROLL OFF
Cutchogue, NY 11935
01/11/19 01/11/19 110:47 110:47 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weiaht 37580 LB
QTY. UNIT, DESCRIPTION RATE EXTENSION" -FEE TOTAL-
18.79 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
.CRA GE
H
SIGNATURE
NO. 2349
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: Ly �c) SHIP DATE: !
r t
COMMODITY SHIPPED: I
LOOSE: } ( b (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.
ry f &
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 4 t / A #\j I
r -
TRUCK NO. 1 LICENSE NO/STATE:
TRAILER NO. ( G 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%' (SIGNATURE)
DESTINATION
,� j
DISPOSAL LOCATION: ' )(J x 3�1\
c'�! L 0 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" rSITEJ TICKET , GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418887 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN `DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
01/12/19 01/12/19 07:22 07:22 11121 TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69480 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32660 LB
4TY. UNIT DESCRIPTION ,` RATE` EXTENSION' 'FEE- _ TOTAL
16.33 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f
0�pleraflrlg hours s atell,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
• . fCHANGE
CHECK O:".
SIGNATURE
"DUPLICATE TICKET" SITE I T! KET .GRID- 1iWEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418887 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE;IN DATE OUT TIME IN,TIME OUT VEHICLE 'ROLL OFF
01/12/19 01/12/19 07:22 07:22 11121TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69480 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32660 LB
QTY. UNIT DESCRIPTION-, RATE EXTENSION FEE TOTAL
16.33 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours TOU AM to ays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.!O
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CAN E
H CK NO.
SIGNATURE
NO. 2303
' GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ s %'` t r ' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ; -' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: _ (7 r-' J GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATI.ON ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. t ) ;'. s ,.,. '�E}' p ��jf'' .1's�{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
DISPOSAL LOCATION: ` � ` ERED:DATE DELIVrt _
1
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
STfE TICKET, GRID -„, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418940 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN` - GATE Our . , iME IN MEf OUT VEHICLE ROLL OFF _ -
01/12/19 01/12/19 11:00 11:00 111 14T
REFERENCE
009316 Town of Babylon
•-
Scale 2 Gross Wt. 70220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 L-E - .
Net Weight 33960 LB
--QTY.-_ UNIT' .DESCRIPTION' . .: RATS EXTENSION _ FEE,', TOTAL
16.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating ours 7:00 AM to 5:00 PM 7 days a week: I •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHAN E
.CHECK NO...
SIGNATURE
517E TICKET - GRID'; ;WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01418940 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE tN "= - DATE OUT - TIME IN TIME OUT VMCLE. ROLL OFF' ”
01/12/19 01/12/19 11:00 11:00 111 14T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 33960 LB
QTY -,,;UNIT 'DESCRIPTION. . -RATE EXTENSION FEE
7TOTAL
16.98 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--
HECK NO `
SIGNATURE
NO. 23® 4
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 A&SOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �-3! f ! ly SHIP DATE:
COMMODITY SHIPPED: ``
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
r NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TQAPPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. -' LICENSE NO/STATE:
TRAILER NO. G, 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: --A ,l
(PRINT NAME) (SIGNATURE)
DESTINATION'
DISPOSAL LOCATION: �A� � rN^ �{ 1, I ,' 1 f`fit r( DATE DELIVERED: (11 1
ADDRESS: ></
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET*" SITE TICKETGRID _- VHEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419255 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE.OUT TIME'IN TIME OUT ' "�,VEHICLE' ROLL OFF
01/14/19 01/14/19 08:45 08:45 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77600 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 37200 LB
QTY UNIT .DESCRIPTION RATE EXTENSION .FEE TOTAU ",-
18.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0.. A L�
Up rating o o a s a eek:. ;.�, k:: &w:,... ." r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. =a " _ e. `� ;" 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` '^r ''
�, �: ,� .�, � ,„ �" TENDERED
CHANGE
C ECK NO:
SIGNATURE
"*DUPLICATE TICKET" SITE °TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419255 Steph
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11935 ,DATEIN, DATE TIME IN,TIME OUT VEHICLE ROLL OFF
01/14/19 01/14/19 08:45 08:45 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77600 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 37200 LB
- :::I
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
,operating nours TO ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,%ff.'s _.y ".. ?� 0,00
NEXT HOLIDAY:TUES, NOV 6 AND SUN NOV 11TH -:Y TENDERED
CHANGE
CHECK`NO.
SIGNATURE
NO. 2305
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: .s L�� Li�l L ',, L_i';
SHIP DATE: �
COMMODITY SHIPPED:
LOOSE: i ;1 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: / ' ' ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) ,(SIGNATURE)
,TRANSPORTER
TRANSPORTATION/FREIGHT CO. fr P`
TRUCK NO. �-J- LICENSE NO/STATE:
TRAILER NO. �� 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 r j�
DRIVER: , ?
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ��.� l'{.N � ,I t �;� _? DATE DELIVERED:
ADDRESS: 4
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" J•SITE TICKET_ - GRID wEIGHMASTER_'.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419469 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ===DA?E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
01/15/19 01/15/19 13:27 13:27 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 36820 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
�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.°`,,,/, 0.00
N"
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11THv . >�u '„ x; y 'a; , =i TENDERED
rt r ,air CHANGE
”'CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET, I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419469 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN: TIME OUT "VEHICLE ROLL OFF
01/15/19 01/15/19 13:27 13:27 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 39460 LB
QTY_.;, UNIT DESCRIFdTION'- "'" RATE EXTENSION„ 4 FEEP'^ " TOTAL,;"
19.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a weeK. ,,, _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..'.:, ;= 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH` °_ :;; },,rJ -" TENDERED
CHANGE—,",
HECK NO.
SIGNATURE
NO. 2351
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 V I 6, i C__ t 1 SHIP DATE:
a f
COMMODITY SHIPPED: h - )r,)
LOOSE: 1 L (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) 4„ ..�f` (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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
„F
DRIVER: `)
(PRINT NAME) (SIGNATURE)
r�
DESTINATION
DISPOSAL LOCATION: ''1, ^.r� l ( iI !ij 1 . '" 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.
SITE TICKET'- .GRID, ,u_ WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE R01/15/19
01419384 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 N", " DATE-OUT ,' 'TIMEIN',TIME OUT '4 VEHICLE ROLLOFF`
,- 01/15/19 07:19 07:,19 11114TC
REFERENCE 009316 Town of Babylon
1.110111,411111
Scale 2 Gross Wt. 62680 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 26420 LB
QTY. `_ UNIT„ DESCRIPTION RATE- "EXTENSION TEE TOTAL- ,
13.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours :00 AM to 5A05 PM 7 days a wee ._ w;<;. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-=s, Y 0.00
NEXT HOLIDAY:TUES NOV 6 AND SUN, NOV 11TH �,`�» 'p `'� "
G' 1.T,"}3°= Vit. M t TENDERED
CHANGE
CHECK NO
SIGNATURE
SITE TICKET E GRID. WEIGHIVIASTER•
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419384 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
01/15/19 01/15/19 07:19 07:19 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 62680 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 26420 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.21 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
"°CHAN E
CHECK-NO.
SIGNATURE
�....E s NO.
2350
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOTIASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t (�� ) — l a SHIP DATE- ``3 t f
COMMODITY SHIPPED: �Aj
LOOSE: 0 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' ` �� GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCOJ3DING-T-Q APPt"fCABLE REG-GI7,TION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
--rf
TRANSPORTATION/FREIGHT CO. (tt" d / OmAh
#
TRUCK NO. 25 LICENSE NO/STATE:
TRAILER NO. Ll 3 LICENSE NO/STATE:
I HEREBY CERTIFY THAT.THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _AW.6 T �)2Aq DATE DELIVERED: �O
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 01419549 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEINDATE'OUT. TIME`IN'TIME OUT `=VEHICLE,' -` ROLL OFF'
01/16/19 01/16/19 09:27 09:27 11114T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 80680 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 44460 LB
QTY .`,;<, UNIT; DESCRIPTION ,* RATE' EXTENSION, '-FEE TOTAL
22.23 TON DUTGO.MSW 0.000 0.00 0.00 000
Al
Operating hours 7:00 AM to 5:00 PM 7 days a week:-,, s' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6: ;5,^ Y1�� 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH iLt M1 4,,p;i=.:. : ,,;.' f¢ TENDERED
`' t^ CHANGE
CHEC7NO.
SIGNATURE
SITE,- 'TICKET' "GRID WEIGHMASTER„,.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419549 Steph
PO Box 962/6155 Cox Lane DATE IN, DATE:OUT „TIME,IN TIME OUT ,VEHICLE ROLLOFF
Cutchogue, NY 11935
01/16/19 01/16/19 09:27 09:27 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 80680 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Wei ht 4.4460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.23 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f;
p
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 -..,"' , ar3; ,n„ - '`".-t ,r TENDERED
CHAN E'ti
HECK-NO.
9
SIGNATURE
NO. 2353
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ` 1 C�ppU1}�--i t; } SHIP DATE: C' �t
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
`iI `-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. k r-1 /J )
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 %
k f
DRIVER: ---� L
(PRINT NAME) j (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: f ? t
DATE DELIVERED:_-' ) I
ADDRESS: � � t �
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 ` t TICKET ,' i GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Di 01419665 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' "DATEPUT TIME IN' ,TIME OUT �','^=VEHICLE , ROLL OFF "
D1/17/19 01/17/19 7:22 7:22 11114TC
009316 Town of Babylon
REFERENCE
F�:_
Scale 2 Gross Wt. 72240 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 36040 LB
UNIT DESCRIPTION . "
-RATE EXTENSION FEE TOTAL
18.02 TON UTGO.MSW 0.000 0.00 0.00 0.00
� x r L v Yb'
P S p _+
' ..y mss,`
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ "�' v 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ? § � TENDERED
L 2 •f,.d
.. r % CHANGE
CHECK NO
9
SIGNATURE
""DUPLICATE TICKET** SITE �•TICKET GRID,, WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE A 01419665 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE „-' ROLL OFF
1/17/19 1/17/19 722 7:22 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72240 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 36040 LB 7
QTY _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.02 TON UTGO.MSW 0.000 0.00 0.00 0.00
'SnieX"e ? :
Operating hours o A, a T11mWA Leff]
"'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00,�,rr�` � �;
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH _ ;` = TENDERED
a,<..
CHANGE,
CHECK-NO.
SIGNATURE
NO. 2352
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT,(ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 1,21 -ri a d cf SHIP DATE: '
COMMODITY SHIPPED: 1 '
LOOSE: `J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: / GROSS
3(cl TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
J ,
TRANSPORTATION/FREIGHT CO. f
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �'-- > LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: �" s a 8 r f✓/f//
(PRINT NAME) (SIGNATURE)
DESTINATION
f ✓` \f �
tr ', �
DISPOSAL LOCATION: ' d�� , � j 1`
`)i\1
d` , DATE DELIVERED:
'ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANDTO 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.
""DLLPLjCATE TICKET" SITE ' TICKET' `GRID WEIGHMAS?ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419840 Liz H
PO Box 962/6155 Cox Lane '
Cutchogue, NY 11935 DATE7N -DAreoUT'. TIMEIN,TIMEOLIT VEHICLE ROLLOFF, '
01/18/19 01/18/19 07:21 07:21 11114TC
009316 Town of Babylon
I REFERENCE •-
Scale 2 Gross Wt. 71820 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 35560 LB
QTY.,, UNIT' 'DESCRIPTION, '' RATE EXTENSION FEE TOTAL
17.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0 •
CLOSED HOLIDAYS-QUESTIONS CALL,631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
` CHANGE' '
CHECKNO.'-
SIGNATURE
"*DUPLICATE TICKET" AWE I PICKET GR!D, WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01419840 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DATE ICUT TIME IN- TIME OUT VEHfOLE . ROLLOFF
31/18/19 01/18/19 7:21 07:21 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71820 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 35560 LB
QTY. UNIT s DESCRIPTION- -RATE EXTENSION FEE TOTAL
17.78 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a ee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH
.TENDERED --
CHANGE
CHECK NO. -
SIGNATURE
NO. 2377
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT�ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: o u , 1,� !' �- 1 ) SHIP DATE: 0
� 1
COMMODITY SHIPPED: P- yi
LOOSE: I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 'y, 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
S t 1
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �'/46/1/4151; LICENSE NO/STATE:
.If v
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) l (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ��. � fA
kIDATE 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"* 517E, ,TICKET° GRI[]_ 1NEIGkiMA51ER
:;SOYITHOLD TOWN DEPT SOLID WASTE 01 01419924 Liz H
PO Box 962/6155 Cox Lane -- oaTE'IN DATE OUT TIME IN TIME OUT_ 'VEHICLE ROLLOFF
Cutchogue, NY 11935
01/18/19 01/18/19 14:39 14:39 11114TC
009316 Town of Babylon REFER ENCE ORIGIN
Scale 2 Gross Wt. 69580 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Ne Weiaht
QTY. „- UNIT DESCRIPTION.; RATE EXTENSION' F£E TOTAL"'
16.38 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., n on
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ,TENDERED
-CHANGE,
CHECK O.
SIGNATURE
*"DUPLICATE TICKET** SITE , 'TICKET r{*. , GRID wEIGHMASTE14 .
SOUTHOLD TOWN DEPT SOLID WASTE D1 01419924 Liz H
PO Box 962/6155 Cox Lane DATE'IN DATE OUT I TIMEIN', TIME;OUT, ','VEHICLE, ROLL OFF
Cutchogue, NY 11935
1/18/19 1/18/19 4:39 14:39 111 14T
009316 Town of Babylon REFERENCE
•.
Scale 2 Gross Wt. 69580 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
QTY.' U DESCRIPTION- RATE EXTENSION. FEE TOTAL
6.38 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED,
CAGE
CHECK-NO-
SIGNATURE
EC -NO_SIGNATURE
z
•rte,,
J
NO. 2397
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 `..A , SHIP DATE:
COMMODITY SHIPPED:
^I y
LOOSE: { ' `� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: (= `Jr` = GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ! '� ` ✓ a f ,-i�`�� 1
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,,ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
M1 f
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
p1
DISPOSAL LOCATION: :, ,`' , r'� I i I� 1i j(i f Lu f1! ! DATE DELIVERED: ! 1 cE
DISPOSAL LOCATION- ,, G�
ADDRESS: i
i
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** sriE TICKET" GRID, WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 4: 01419993 Steph
PO Box 962/6155 Cox Lane ,�
Cutchogue, NY 11935 'DATE IN`- 'DATE OUT TIME ItV TIME OUT. , - VEH(LE Rq0 tL OFF,
1/19/19 1/19/19 0:03 0:03 11114TC
009316 Town of Babylon •
REFERENCE
.-
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44900 LB
QTY - UNIT .-._ DESCRIPTION' ;; RATE EXTENSION _ 'FEE, , TOTAL,
2.45 TON UTGO.MSW 0.000 0.00 0.00 0.00
t 4
4
Operating hours o Fud PIVI 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" SITE I TICKET I GRID, wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01419993 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - ;,DATE OUT,, TIME IN TIME OUT, VEHICLE ROLL`-OFF
)1/19/19 01/19/19 0:03 0:03 11114TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket 77
Manual Tare Wt. 33980 LB
Net Weight 44900 LB
QTYUNIT DESCRIPTION RATE EXTENSION ,FEE TOTAL _
2.45 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 Pm 7 days a weeAmmamliffafflelvi
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED,
RANGE
CH CK NO.
SIGNATURE
r
• 1
NO. 2398
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: '/- ' ���{� �, 1 t, SHIP DATE: c' ! 1 e
COMMODITY SHIPPED: AA1 <,-
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: '{ s`r r``. S� (� GROSS
s 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-AP-P-L-ICABLE_REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) % (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. I .f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ' -
(PRINT NAME) (SIGNATURE)
1 DESTINATION
DISPOSAL LOCATION: ( A)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.
"*DUPLICATE TICKET"* SIfE TIcxET GRID -wEi6HMASTER_ .
SOUTHOLD TOWN DEPT SOLID WASTE 1 01420218 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 d7ATE-INV AATE'OUT TIMEIN'TIMEOUT VEHICLE
ROLLOFF"
1/22/191/22/19 7:24 7:24 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75120 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38300 LB
OTT` UNIT _ - `;_DESCRIBTION_ 'RATE. EXTENSION fEE TOTAL
9.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours TOO Am todays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
RANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET`* SITE : TICKET : GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420218 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE IM DATE OUT TIME IN,TIME OUT VEHICLE ROLL OFF"
1/22/19 1/22/19 7:24 7:24 11114T
009316 Town of Babylon REFERENCE - ORIGIN
Scale 2 Gross Wt. 75120 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38300 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
9.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a weel?. Leis]
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2400
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY.CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ;
COMPANY: ' ! 1_1 SHIP DATE:
COMMODITY SHIPPED:
LOOSE: '•J (CU YDS)
BALES: (COUNT):'--
TRUCK WEIGHT: i r : ? GROSS
TARE
NET
ff�
d -
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
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
z.
fr. TRANSPORTER
TRANSPORTATION/FREIGHT CO. ��
TRUCK NO. 1 LICENSE NO/STATE:
TRAILER NO. ;f 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE;L•ISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
(({f DESTINATION
DISPOSAL LOCATION:u If / f f V i f tt 11." y U_ % i DATE DELIVERED:
` t
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" rrE. TICKET GRID itiEiGkrwAsrEA
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420322 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DkTE IN-,, DATE OUT- , ,TIME IN TIME.QUT_` VEHICLE ' RQLt't7FF
01/23/19 01/23/19 07:26 07:26 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 38620 LB
QTY
UNIT DESCRIPTiQN RATE-. EXTENSION FEE, :_ TOTAL
19.31 TON OUTGO.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
. „ CHANG
CHECK O.
SIGNATURE
"DUPLICATE TICKET" SITS TICKET GRID WEiGFiMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420322 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE,OUT ° TIME IN' TIME OUT- VEHICLE . ROLG'OFF
01/23/19 01/23/19 07:26 07:26 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 38620 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE' _ "TOTAL
19.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing Hours o U.UU VIVI 7 clays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH -TENDERED. -'
CHAN
CHECK NO:
SIGNATURE
NO.
2399
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,—1 t i L s SHIP DATE:
I
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i �-i ; GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
J'
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ( /LICENSE NO/STATE:
TRAILER NO. { LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ( t^ 19 1
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `� t I `-` I DATE DELIVERED:
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.
R' I*DLLPLICATE TICKET" SITE -: TICKET `, GRID " ; ' WEIGAMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420428 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE`IN? DATE OUT TIME IN"TIMEOUT VEHICLE ROLL OFF'
01/24/19 0REFERENCE
1/24/19 07:28 07:28 11114TC
009316 Town of Babylon
•-
C -LE
Scale 2 Gross Wt. 71040 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34780 LB
QTY UNIT, DESCRIPTION RATE, EXTENSION =, FEE „ TOTAL
17.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t Y ( s {k"�
Opera Ing hours odays a weeK" n56111
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:yf ~_ _ ,;ti; r' 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
ZZx�, - ' CHANGE
ECK NO
SIGNATURE
"`DUPLICATE TICKET"` ,SITE, ,� TICKET,,, GRID,, " WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420428 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
01/24/19 01/24/19 07:28 07:28 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 71040 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34780 LB
QTY. UNIT _ DESCRIPTION RATE EXTENSION - FEE TOTAL
1739 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~fir-a�,�
- :-,,ate• VV�.j �l F.. ,i� 'w•i
Operating hours 7:00 AM to 5:00 PM 7 days a wee s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E` 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH `` ', ° F.'; �..{:° TENDERED
y V,
ya, q
CHECK N0.
SIGNATURE
NO. 2395
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: ��%�; Lei A.1 SHIP DATE:
COMMODITY SHIPPED: '�'� W
LOOSE: i U J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: -'q -D 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,
e
GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE)
TRANSPORTER (
TRANSPORTATION/FREIGHT CO.
TRUCK NO. J LICENSE NO/STATE:
TRAILER NO. i 1c i LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. "
DRIVER:
(PRINT NAME) (SIGNATURE)
f� DESTINATION
/t } ,
DISPOSAL LOCATION: I it l r�I t l''� ;! 16';'VLs , 1r DATE DELIVERED: t 1 '; j 1t.,
ADDRESS: v \ 1
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.
"DUi'•LICATE TICKET" St7E TICKET -• GRID . , WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01420588 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935
'DATE IN DATE OUT TIME IN- TIME OUT VEHICLE ROLL OFF
101/25/19 01/25/19 14:30 14:30 11114TC
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 79080 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Wei ht 42160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.08 TON DUTGO.MSW 0.000 0.00 0.00 0.00
s
F
Operating hours 7:00 AM to 5:00 PM 7 days a week. . .-• �',� a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..> - t� °� 0.00
c a r „
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH 'r�1, �;__;,' it aj X, TENDERED
h. a '
%? -CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET. I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420588 Liz H
PO BOX 962/6155 COX Lane ,= DATE IN DATE OUT 'TIME IN: TIME OUT[-' ':VEHICLE ROLLOFF
Cutchogue, NY 11935
01/25/19 01/25/19 14:30 14:30 11114TC
009316 Town of Babylon REFERENCE
•.
Scale 2 Gross Wt. 79080 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
QTY UNIT ,,, ,„°+ „ DESCRIPTION FATE EXTENSION FEE''' - TOTAL
21.08 TON CUTGO.MSW 0.000 0.00 0.00 0.00
3.2
/f 3
Operating hours 7:00 AM to 5:00 PM 7 days a week. v`n - v � �'� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,�� ` -' - q 0.00
r;a
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH "„ ¢ it'{F =3° c �'` TENDERED
4® w � CHANGE
CHECK NO.
SIGNATURE
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.
AjSHIP DATE:
COMPANY: j-
SHIP•<< -. I
J t
COMMODITY SHIPPED:
LOOSE: I L-' ' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �` ' f" 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.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
. TRANSPORTER
TRANSPORTATION/FREIGHT CO. J ( "-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �` LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW 'y
DRIVER: °1
(PRINT NAME) (SIGNATURE)
DESTINATION E
DISPOSAL LOCATION: _ v 1 r`' / t t t / A,� 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** Slim flclk _, GRID wEiGHMXSTER� _;
SOUTFiOLD TOWN DEPT SOLID WASTE 01 01420490 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATErIN; DATEOUT - TIMEIN TIMEOUT VEHICLE ROLLOFF,'.=
01/25/19 01125/19 07:21 07:21 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82680 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 42280 LB
OTY. UNIT-,.- DESCRIPTION RATE_ EXTENSfON. FEE`., TOTAL
21.14 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. : 000
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHANGE "
CHECK'NO. •,
SIGNATURE
"*DUPLICATE TICKET"* SITE , TICKET GRID wEiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420490 Liz H
PO Box 962/6155 Cox Lane DATE IN- , DATE OUT TIME' JN, TIME-OUT VEHICLE,- ROI I OFF
Cutchogue, NY 11935
01/25/19 01/25/19 07.21 07:21 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 82680 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
QTY UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
21.14 TON DUTGO.MSW 0.000 0.00 0.00 000
Operating hours 7:00 AM to 5:00 PM 7 days a week. WWWWWWWAAAAAA1 IVA•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHANGE
HECK NO.
SIGNATURE
NO. 2394
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT`ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0 L iSHIP l DATE: �I
COMMODITY SHIPPED: l\-A l� f
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.
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO. i I I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW"
DRIVER: a l
(PRINT NAME) (SIGNATURE)
rf
.'ter
r
DESTINATION}
DISPOSAL LOCATION: �-'Uvl Ni r''� ( t ��. E c: �,.i ) DATE DELIVERED:
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 I , TICKET' GRIQ -r I I `-wEI&MASTEh
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420621 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -_ DATE IN DATE OUT-= 'TIME IN'TIME OUT: =VEHICLE ROLLOFF,
01/26/19 01/26/19 10:03 10:03 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 48880 LB
QTY .`; UNIT; _ DESCRIPTION _ RATE_ EXTENSION. `. FEE . TOTAL -
24.44 TON DUTGO.MSW 0.000 0.00 0.00 0.00
1
Opera Ing ours oclays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH '' - TENDERED `
CHANGE
`C ECK NO.
SIGNATURE
SfTE - TICKET GRID wEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420621 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN,_ DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
1/26/19 01/26/19 10:03 10:03 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82860 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 48880 LB
QTY UNIT DESCRIPTION- RATE EXTENSION FEE, TOTAL
24.44 TON QUTGO.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 TENDERED-
CHANGE
CHECK NO.
9
SIGNATURE
r
NO. 2391
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 U' � f i t) J 1 SHIP DATE:' ? �"
p i
COMMODITY SHIPPED:
LOOSE: L= '-% (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
'`. TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART,.261-OR ANY APPLICABLE STATE LAW,HAS BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FO R-TRANS PORT'ATION ACCORDING TQ APPLICABLE REGULATION.
�1 �t
GENERATOR AUTHORIZED AGENT(PRINT NAME) f (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. >'
e'
f"
DRIVER:
(PRINT NAME) i" (SIGNATURE)
DESTINATION
��i' 111w / f !f 'l j �/ ` -o/ DATE DELIVERED:DISPOSAL LOCATION: /
ADDRESS: / 4
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';"> ." W,EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420921 Steph
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN_TIME OUT VEHICLE `ROLL OFF
01/28/19 101/28/19 107:17 07:17 11114TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 78180 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40760 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
C
Opera Ing ourso :0ays a wee Ay
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "�; ' ,, 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH . ez h 1f? -'TENDERED
ZI
CHANGE
CHECKNO
SIGNATURE
SITE TICKET "` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01420921 Steph
PO BOX 962/6155 COX Lane -,DATE IN °. DATE OUT TIME,IN'TIME OUT VEHICLE -'ROLL OFF
Cutchogue, NY 11935 -
01/28/19 01/28/19 07:17 07:17 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78180 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40760 LB
OTY '; UNIT
DESCRIPTION' RATE w EXTENSION FEE TOTAL
20.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
'L y
7 ,
Operating hours 7:00 AM to 5:06 PM 7 days a wee ti ..� µ � 5 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5.; ` r' �. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH'a TENDERED
,1
14. .E
4 t i he
7 F pdrg F a
CHANGE
CHECK NO.
SIGNATURE
NO.
2390
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. % g
COMPANY: � , l r �� 1) SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: } (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
- $ b
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. { i 'j ? ' ol
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 ED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) �,' (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION: i � f t61AI' -' °`7 1 DATE DELIVERED: ( i I
ADDRESS: L /
-1 HEREBY CERTIFY•THAT THE ABOVE MATERIAL HAS BEEN ACCEP.TED'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 01421028 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN .DATE'OUT TIME IN:TIME OUT- VEHICLE _ ROLL OFF,
01/29/19 01/29/19 07:19 07:19 11 114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73100 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 39120 LB
QTY: UNIT" DESCRIPTION-"- :" - RATI EXTENSION ,, '-,-,'--FEE ' TOTAL"
19.56 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opera mg ours o ays 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' Gmb 1NEIGHMASTEft ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421028 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 O&E,1N, '. DATE OUT- TIME IN- TIME'OUT ,`VEHICLE ROLL OFF
01/29/19 01/29/19 07:19 07:19 111 14T
009316 Town of Babylon REFERENCE ORIGIN
FScale 2 Gross Wt. 73100 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 39120 LB
�IQTY UNIT DESCRIPTION' - RATE - EXrENSION' FEE - TOTAL
19.56 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7.00 AIVI to ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH' TENDERED
CHAN
-CHECK-NO. -
SIGNATURE
NO. 2392
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 L U SHIP DATE: ` 1 1 ) y
COMMODITY SHIPPED: J}''i `'j - ' t
LOOSE: �- ` (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
(J TARE
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) (SIGNATURE)
TRANSPORTER
r- I
� , !✓1N i
TRANS PORTATIONIFREIGHT 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. N
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: f �I r / . 1�"I 4 l/I C DATE DELIVERED:
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.
**DUPLICATE TICKET** SkTE TIcxET GkID. wEIGHMASTER, _
SOUTHOLD TOWN DEPT SOLID WASTE 31 1 01421188 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN FDATE OUT TIME IN TIME OUT-`,, .VEHICLE,- - ROLLOFF
31/30/19 01/30i19 14:18 14:18 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 85360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44960 LB
QTY _ UNIT DESCRIPTION- -RATE- EXTENSION FEE TOTAL -
2.48 TON QUTGO.MSW 0.000 0.00 0.00 0.00
Ope . . •
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** SITE I TI,6kET- GRID, wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01421188 Steph
PO Box 962/6155 Cox Lane I I -
Cutchogue, NY 11935 DATE-IN'' DATE OUT '• TIME IN'TIME OUT -„,, VEHICLE ROLL OFF
1/30/19 01/30/19 4:18 14:18 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 85360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44960 LB
7
QTY 'r UNIT DESCRIPTION RATE EXTENSION _ FEE TOTAL
2.48 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PIVI 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
NO. 2373
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�.t'ti`t i ti ► SHIP DATE:
COMMODITY SHIPPED: rl �) 1
LOOSE: ! °w' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: " GROSS
L
TARE
V 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
t t
TRANSPORTATION/FREIGHT CO. ` t `� f
TRUCK NO. `I LICENSE NO/STATE:
TRAILER NO. I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) ,' (SIGNATURE)
DESTINATION` �
DISPOSAL LOCATION: r 'f t(�;;n`� �'{ t r'�t f i.` Il `� ! 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 Till GRID w tGNrnaSrER`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421130 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, ,DATE OUT,-_-- TIME-IN TIME OUT[ ,- VEHICLE ROLL OFF
01/30/19 01/30/19 07:21 07:21 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35100 LB
QTY= UNIT ` _ DESCRIPTION RATE_ - ;`EXTENSION FEE<: TOTAI',
17.55 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Ope
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH" TENDERED-
.. GRANGE'
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE I TICKET GRID WEIdHMASiEA
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421130 Steph
PO Box 962/6155 Cox Lane r.
Cutchogue, NY 11935 - DATE 1N DATE"OUT TIME'IN_TIME OUT VEHICLE
01/30/19 101/30/19 107:21 107:21 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35100 LB
QTY., UNIT DESCRIPTION PATE _ EXTENS(O_N FEE TOTAL.'.,,
17.55 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a wee .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED•= :-.
CFiAN E
CHECK O:
SIGNATURE
NO. 2374
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: i0cX—F 'I�' 'L SHIP DATE:
COMMODITY SHIPPED: )"A lo'1
LOOSE: t C' -� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ? ' ( GROSS
TARE
3 { 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
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. Cf 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. =
s
DRIVER: ---._.._�..0~��7 • -�'}
(PRINT NAME) �r (SIGNATURE)
DESTINATION f
5
DISPOSAL LOCATION: J''� VA S. . !�'r! `i/ {. : I DATE DELIVERED: �' I
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.