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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.