HomeMy WebLinkAbout02/2019 **DUPLICATE TICKET** SrrE TICKET- GRID WEIGHMAsTER
V
SOUTHOLD TOWN DEPT SOLID WASTE _ 1 01421353 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 [SATE[N ;'__'DATE-OUT TIME iN TIME OUT VEHICLE ROLL OFF-='
2/02/19 2/02/19 9:22 9:22 111 07T
009316 Town of Babylon — REFERENCE I ORIGIN
Scale 2 Gross Wt. 71680 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 37700 LB
QTY_ ,°UNIT DESCRiPTiON;;=- RATE.,,. EXTENSION, FEE' TOTAL
8.85 TON QUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED'
_' CHANGE
CHECK NO.""
SIGNATURE
**DUPLICATE TICKET** SITS `_ TICKET GRID_, wEIGHMASTER -,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01421353 Steph
PO Box 962/6155 Cox Lane DATE Iii DATE'IUT - TIME IN TIME OUT VEHIGLE:', ROLL OFF
Cutchogue, NY 11935
2/02/191)2/02/19 9:22 9:22 11 107T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 71680 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
NeVA/einht 37700 LB
OTY. UNIT DESCRIPTION RATE= EXTENSION: FEE TOTAL
885 TON QUTGO.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 rENDERED
CHA GE
HE K-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. i
f
COMPANY: \ )b l A_f 1,1c, L0 SHIP DATE: i `-' jc:� _
COMMODITY SHIPPED: ffP/I', w
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: s GROSS
' TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
�_. TRANSPORTER
J /f
T r
TRANSPORTATION/FREIGHT/CO. 'A/ I L__'
TRUCK NO. ``� { LICENSE NO/STATE:
TRAILER NO. 4 , LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDVABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) Z (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: J+ ,' � :( f - ! DATE DELIVERED: , �)
ADDRESS: \ ,�
I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"* SITE TICKET` " GRID ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421612 Liz H
PO Box 962/6155 Cox Lane 71
Cutchogue, NY 11935 DATE IN.. DATE OIJT,"` 71ME'IN` TIME OUT °'_VEHICLE., ;^_ t" ROLL OFF" . '
02/04/19 02/04/19 107:18 07:18 11107TC
009316 Town of Babylon ORIGINREFERENCE
FScale 2 Gross Wt. 73020 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 36820 LB
,;��7 -7-7 UNIT , DESCRIP-TION RATE 'EXTENSION" s"FEE TOTAL
18.41 TON CUTGO.MSW 0.000 0.00 0.00 0.00
t�.E �.:.> ,•- o� b- -i ,fit
Operating hours 7:00 AM to 5:00 PM 7 days a week.",,, �;;,,_ .. w �" •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH" � 'zr ne. TENDERED
CHANGE
CHECK'NO
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET GRID,:,,' WE16HMASTER.'.
SOUTHOLD TOWN DEPT SOLID WASTE 1 01421612 Liz H
PO Box 962/6155 Cox Lane DATE-IN DATE,OUT TIME IN TIME OUT -VEHICLE ROLL OFF
Cutchogue, NY 11935 -
2/04/19 2/04/19 7:18 7:18 11107TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73020 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 36820 LB
QTY. _ UNIT_ DESCRIPTION "RATE EXTENSION FEE = TOTAL
8.41 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.�. ro`° ` ,� ~ ° ra I •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH qs '.y � T, `' TENDERED
: `
a
CHANGE
CHECK NO.
SIGNATURE
NO. 2375
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: -' I
COMMODITY SHIPPED:
LOOSE: ) E (CU YDS)
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 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. E !�� } NJ 1 Imo, i •- ;)
TRUCK NO. { 1 LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �--`
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION_
DISPOSAL LOCATION:
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"* SITEI TICKET GRID .= WEtGHMASTER°
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421813 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN, :„ DATE OUT,`„ ^TIME'IN TIME OIJT „,, VEHICLE=' ROLL OFF,,„
2/0-5/19 02/05/19 114:10 114:10 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44300 LB
QTY. UNIT DESCRIPTION RATE -EXTENSION FEE -TOTAL
2.15 TON CUTGO.MSW 0.000 0.00 0.00 0.00
rJ
r! f4WS f 1 us
Operating nours odays a wee , f.z ,`F* � `- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -. - 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH`�•4 ` =' rf;s° 14. ,,o ",TENDERED
CHANGE
'- CHECK NO'
SIGNATURE
"*DUPLICATE TICKET`* SITE TICKET GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01421813 Steph
PO Box 962/6155 Cox Lane -
DATEEOUT,', „"TIME''IN TIME'OUT" ^'VEHICLIt ROLL OFI „,',%
Cutchogue, NY 11935
2/05/19 2/05/19 4:10 4:10 11107TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 84700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 44.300 LB
QTY UNIT . DESCRIPTION - RATE -,EXTENSION _ FEE TOTAL
2.15 TON UTGO.MSW 0.000 0.00 0.00 0.00
fit •^:,�``�^ ��^ t tab
6
Operating hours 7:00 AM to 5:00 PM 7 days a week... , �, i G tF11� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. fr. `v- _� a=_a 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH a' p_, F;h =u `:, '€a "TENDERED
CHANGE,
tCHECK O_,
SIGNATURE
NO. 2380
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: l irl) i�I ) SHIP DATE: ' f
COMMODITY SHIPPED:
LOOSE: I ? (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 5! } GROSS
TARE
I, ,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 f
TRANSPORTATION/FREIGHT CO.
TRUCK NO. f;'-���%f� i I LICENSE NO/STATE:
TRAILER NO. 1 �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 I
DISPOSAL LOCATION: _ ) r ''E I� ! ;r �� `! L! )! DATE DELIVERED: �j Illi
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET** SITE - TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421716 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DQTEIN > DATE-OUTTIMEIN, TIME,OUT - " VEHICLE,' ROLLOFF.,, ,
02/05/19 02/05/19 07:22 07:22 11 107T
009316 Town of Babylon � `
REFERENCE ORIGIN
Scale 2 Gross Wt. 67600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 33620 LB
QTY. UNIT DESCRIPTION_ RATE `EXTENSION - FEE _ - -TOTAL
16.81 TON DUTGO.MSW 0.000 0.00 0.00 0.00
X ' c � �
jul 16t
fs._
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED
CHANGE
CHECK NO.
_j
SIGNATURE
**DUPLICATE TICKET** SITE TICKET°, - GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421716 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,,DATE:OUT _,TIM�E,IN^TIME OUT vVEHICLE ROLL OFF
2/05/19 02/05/19 7:2207:22 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 67600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 33620 LB
QTY._ UNIT DESCRIPTION - RATE EXTENSION - FEE TOTAL
16.81 TON UTGO.MSW 0.000 0.00 0.00 0.00
CIA
f t SS
Open 3 ' ,. .._, .., r� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH
$
- {s. CHANGE -- ,'
HEGK NO:• ,,
SIGNATURE
NO. 2379
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1
COMPANY: �. � �( _ SHIP DATE:`
COMMODITY SHIPPED: ' Z t f
LOOSE: i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 1 GROSS
7 f � 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`APPLICAB,LE 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
LlTRANSPORTATION/FREIGHT CO. `' �`i /
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. z LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: '
(PRINT NAME) (SIGNATURE)
DESTINATION'.
DISPOSAL LOCATION: %,f LDATE DELIVERED: ` # '
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) . SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID' -'_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01421871 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 °DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/06/19 02/06/19 08:44 08:44 11 107T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 81120 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 44200 LB
-OTY "'r: UNIT ;` DESCRIPTION RATE .A " EXTENSION, r FEE' -" -TOTAL-..
22.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
6/6
Operating hours 7:00 AM to 5:00 PM 7 days a week. `.';w �` T •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' _ '. " '3 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH '': _ 1 .�} IM 'TENDERED
y Z '� .p CHANGE.
CHECK NO
�j
SIGNATURE
SITE TICKET GRID* " WEIGHMASTER`
SOUTHOLD TOWN DEPT SOLID WASTE 1 01421871 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE`' ROLL OFF
2/06/19 2/06/19 8:44 8:44 11107TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 81120 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net ei 00 B
'.OTY rUNiT, DESCRIPTION FATE" EXTENSION-'+" FEE,-' TOTAL ,r
2.10 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. " : ..1 —' �` q •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.f '*' _ 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH 'rr a � TENDERED,:
-, CHANGE`
HECK NO.
SIGNATURE
NO. 2331
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 u �� SHIP DATE: �` i v(�
COMMODITY SHIPPED:
LOOSEN i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
r t._•I .,. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) -'' (SIGNATURE)
TRANSPORTER
i -
TRANS PORTATION/FREIGHT.fCO. 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. '/�
DRIVER: ,-� U'• t_. ��, . r--'7�s.',
(PRINT NAME) / (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:, i+ {f 1\3 i h i ` ,�U�''f tib+ DATE DELIVERED:
,M, ( /
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
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 31 01421982 Liz H
PO BOX 962/6155 COX Lane DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE--' ROLL OFF
Cutchogue, NY 11935
2/07/19 02/07/19 7:19 107:19 11107TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72360 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 36100 LB
" QTY. UNIT'x' `' 'DESCRIPTION"` - 'RATE ' EXTENSION FEE' TOTAL,'
18.05 TON UTGO.MSW 0.000 0.00 0.00 0.00
E .yh¢
J6,
Operating hours 7:00 AM to 5:00 PM 7 days a week?. } .__fir v .' , I •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ", w ;" �" 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH y. ;t& ` qeT 'l'p.A�4�} TENDERED.
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" `"SITE I TICKET.' I GRID" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01421982 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUTVEHICLE"e ` ROLL OFF,
Cutchogue, NY 11935
2/07/19 2/07/19 7,19 7:19 11107TC
009316 Town of Babylon REFERENCE
•-
Scale 2 Gross Wt. 72360 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
KNIL-t Piaht 36100 LB
QTY, " UNIT,'"',.. y!;' !,, DESCRIPTION' RATE EXTENSION '„'FEE TOTAL .”
18.05 TON UTGO.MSW 0.000 0.00 0.00 0.00
Y v,.
Operating hours 7:00 AM to 5:00 PM 7 days a week " '. 4°= -� � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. . `� 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ' s' ,, • TENDERED`
-CHECK NO:
SIGNATURE
' a
NO. 2359
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 ' i_ \
�_-0 SHIP DATE: I
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i/' - ' ;:. GROSS
.�� C! Z_(r (;' TARE
-, •"� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER,
TRANSPORTATION/FREIGHT CO.`
TRUCK NO. -�� LICENSE NO/STATE:
,t
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
fr ff
DESTINATION
DISPOSAL LOCATION: U.' / DATE DELIVERED: (% ( ( �
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET * SITE '- TICKET _ "_GRID WEIGHMASTEF
�<<
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422051 Pat H
PO Box 962/6155 Cox Lane "DATEIN'""°' DATE OUT `TIME'IN TIME'O_ UT 'VEHICLE T' "°'ROLLOFF
Cutchogue, NY 11935
02/07/19 02/07/19 13:49 13:49 11 107T
009316 Town of Babylon REFERENCE •
7- -
Scale 2 Gross Wt. 82700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 42300 LB
QTY- UNIT,,. DESCRIPTION RATE:, , = EXTENSION°.,; FEE , TOTAL;
21.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
e
Operating hours 7:00 AM to 5:00 PM 7 days a week:', r.; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. z __ w=' f0.00
``�`�� `
TENDERED
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH
.µc�' ✓" CHANGE
"CHECK-
SIGNATURE
SITE = '`.,TI,CKET GRID" `WEIGHMASTER'
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422051 Pat H
PO Box 962/6155 Cox Lane ,DATE IN DATE OUT TIME IN TIME OUT VEHICLE " ROLL-OFF
Cutchogue, NY 11935 -
2/07/19 02/07/19 3:49 13:49 11 107T
009316 Town of Babylon
Scale 2 Gross Wt. 82700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
QTY.` UNIT DESCRIPTION -` RATE EXTENSION FEE TOTAL
1.15 TON UTGO.MSW 0.000 0.00 0.00 0.00
' a
Y i
Operating hours 7:00 AM to 5:00 PM 7 days a week.`` " ' .- °' ' ' •
CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685.1--7,- TENDERED
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH
CHANGE",
CHECK NO.
SIGNATURE
NO. 2360
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'e i v 1 ' 1, SHIP DATE:
! I
COMMODITY SHIPPED: fL 4 )
LOOSE: —? (.' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 6 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. Tr
G• J
TRUCK NO. I LICENSE NO/STATE:
TRAILER NO. !f {"'i LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW .'
DRIVER:
(PRINT NAME) / (SIGNATURE)
h DESTINATION
DISPOSAL LOCATION:
DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE-BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
'"`DUPLICATE TICKET"' SITE TICKET- I GRID _ WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 1 01422213 Steph
PO Box 962/6155 Cox Lane DATEIN .DATE OUT' TIME IN TIME OUT VEHICLE,-„ - ROLL OFF
Cutchogue, NY 11935 _
2/09/19 2/09/19t
/09/19 1:46 1:46 11 107T
009316 Town of BabylonREFERENCE
•_
Scale 2 Gross Wt. 85740 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net eicht 45340 1_13
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL -
2.67 TON UTGO.MSW 0.000 0.00 0.00 0.00
eS^ t %i •y
Operating hours 7:00 AM to 5:00 PM 7 days a week. ° ..`',- - fi A7 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �� ~ —� -' p 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH v .. "' I `F TENDERED
€j O' ~ CHANGE
CHECK NO
SIGNATURE
SITE TICKET' GRID WEIGHMASTER
"*DUPLICATE TICKET`*
SOUTHOLD TOWN DEPT SOLID WASTE 1 01422213 Steph
PO BOX 962/6155 COX Lane DATE'IN DATE OUTTIME IN TIME OUT ,VEHICLE. ROLL OFF`.,
Cutchogue, NY 11935
2/09/19 2/09/19 1:46 1:46 11 107T
009316 Town of Babylon REFERENCE •.
IGIN
Scale 2 Gross Wt. 85740 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net-Al�iqhf 45340 1
- QTY_ U -- DESCRIPTION RATE EXTENSION FEE TOTAL -`
2.67 TON UTGO.MSW 0.000 0.00 0.00 0.00
i r _ ,
4
Operating hours 7:00 AM to 5:00 PM 7 days a week. �� ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.� v --- non
-,,TENDERED--, „
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH 'y
CHANGE
HEC NO.
SIGNATURE
X NO. 2362
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: ,}�) -A T SHIP DATE: j
COMMODITY SHIPPED:
i ,
LOOSE: f ul �Jl (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 CFVR PART 261'OR ANY APPLICABLE-E•STATE"LAW HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION'FOR TRANSPOR�T,ATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ` "' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 1 LICE INSE NO/STATE:
TRAILER NO. t , 1 LICENSE NO/STATE:
. I -
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)
4 DESTINATION
DISPOSAL LOCATION: ���='m/"j ' l 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" SITE TICKET- GRID I - WEIGHMASTER
5OUYHOLD TOWN DEPT SOLID WASTE 01 01422089 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' ' DATE OUT_` TIME IN=TIME OUT VEHICLE ROLL OFF" "
02/08/19 02/08/19 08:43 08:43 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 79480 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 42860 LB
QTY UNIT DESCRIPTION'_ RATE EXTENSION FEE- TOTgL
21.43 TON UTGO.MSW 0.000 0.00 0.00 0.00
.
"b W �k
1
° l C
Operating hours odays a weeAlois,
� � -� . '
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. ''p 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ° ,, �Y 3° TENDERED
t =
CHANGE
G ECK'NO
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET ,' ',,GRID.- WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01422089 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =DATE IN .DATE OUT, TIME IN TIME,OUTJ_ VEHICLE I ROLL OFF
2/08/19 2/08/19 8:43 8:43 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 79480 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 42860 LB
QTY w'UNIT"!' _ DESCRIPTION, RATE EXTENSION" FEE' TOTAL'S'
1.43 TON UTGO.MSW 0.000 0.00 0.00 0.00
... f,
I h: L ;=
Operating hours 7:00'AM to 5:00days a wee . °a �_. w� .,f ,� ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' 4 0.00
4f ,
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH " :'" • , '�'„ '
r (w' TENDERED
A,N
qj-
CHANGE,:'-•'"
CHECK NO: r
SIGNATURE
NO. 2361
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.
ff ti
COMPANY: [ _1 l ) LAT 1, 1 u') SHIP DATE:
COMMODITY SHIPPED: , �r
LOOSE: (CU YDS)
BALES: (COUNT):
Ll
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
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) -•(SIGNATURE)
TRANSPORTER /
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 4 LICENSE NO/STATE:
TRAILER NO. I c� LICENSE NO/STATE:
-"-I"HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: i
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: / t�fJ 1 ' ' DATE DELIVERED. s
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.
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01422533 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 J DATE IN = .DATE'OUT TIME IN TIME OUTI,, VEHICLE ROLL OFF
� 2/11/19 02/11/19 4:34 14:34 11107TC
009316 Town of Babylon ORIGINREFERENCE I
Scale 2 Gross Wt. 77500 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 37100 LB
QTY.>, _, ' ' 'UNIT DESCRIPTION RASE - EXTENSION FEE `TOTAL ,-
18.55 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.s`. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685. ' 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED--
CHA GE•:•
CHECK NO:
SIGNATURE
SITE ' TICKET; -GRID wEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01422533 Steph
PO Box 962/6155 Cox Lane DATE IN. DATE'OUT TIME IN TIME OUT - ' VEHICLE R_ OLE OFF
Cutchogue, NY 11935
2/11/19 2/11/19 4:34 114:34 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77500 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net eiaht LB
QTY' -UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL
18.55 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. VLOJIJ
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH TENDERED-
' CHANGE -
C ECK NO.
SIGNATURE
NO. 2364
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: J L) ;) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: l' `' 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. .41
;l LICENSE NO/STATE:
c
TRAILER NO. i i ! LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) f" (SIGNATURE)
T.,
/- A }} JJJDESTINATION �' }
DISPOSAL LOCATION: .- it +f'�'�1 rJf %� `�' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE.THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE `TICKET'- - GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422453 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN_ DATE OUT TIME IN_TIME OUT VEHICLE ROLL OFF
` 02/11/19 02/11/19 08:44 08:44 11 107T
009316 Town of Babylon -^-
Scale 2 Gross Wt. 67360 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 31100 LB
QTY UNIT`,' DESCRIP--TION° RATE' 'EXTENSION_ = 'FEE F- ,,TOTAL
15.55 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week? y °,;4 >;° .� r ;f Q •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- _ ° . E 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH n `g� /gig j„ -TENDERED
CHANGE
_•CHE K,N
SIGNATURE
SITE SICKET`=' GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422453 Steph
PO BOX 962/6155 COX Lane DATE IN- DATE OUT TIME INI TIME OUT VEHICLE = ROLL OFF
Cutchogue, NY 11935
02/11/19 02/11/19 08:44 08:44 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 67360 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 31100 LB
OTY' y ,: r, RATE, EXTENSION= FEE."', „ TOTAL
UNIT°"^^^' DESCRIPTION'
15.55 TON CUTGO.MSW 0.000 0.00 0.00 0.00
4
Operating hours 7:00 AM to 5:00 PM 7 days a week. `"y 4 _ > ".- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,;''_ 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH fir: TENDERED=
a
_2z CHANGE
+,.-CHECK NO:
SIGNATURE
NO., 2363
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: ,) uvi `(?_)C_ ( SHIP DATE:AA lf�
COMMODITY SHIPPED: l^) f
LOOSE: (CU YDS)
BALES: (COUNT):
s
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. Cf �� 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:'! �`l DATE DELIVERED:
S
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 WEIOHMASTER
"DUPLICATE TICKET*"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422592 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT =-TIME IN_TIME OU_T -VEHICLE ROLL OFF
Cutchogue, NY 11935
02/12/19 02/12/19 11:26 11:26 11 107T
009316 Town of BabylonREFERENCE ORIGIN
Scale 2 Gross Wt. 83020 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 49040 LB
„ QTY 'UNIT w „ 'DESCRIPTION' RATE """EXTENSION - ;FEE,,,--,-' TOTAL,"
24.52 TON UTGO.MSW 0.000 0.00 0.00 0.00
NV
;S b
Operating hours 7:00 AM to 5:00 PM 7 days a week„ -:kkt- -� o •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,.°
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH k,"` q, � `,.4 �_ ` TENDERED'
CHANGE
-C ECK NO.
SIGNATURE
517E TICKET- GRID" WEIGHMASTER
**DUPLICATE TICKET"*
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422592 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT - TIME IN. TIME OUT VEHICLE' ROLL 6fF
Cutchogue, NY 11935
2/12/19 02/12/19 11:26 11:26 11 107T
009316 Town of BabylonREFERENCE
•.
Scale 2 Gross Wt. 83020 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
`<
Q ,,; :DESCRIPTION' ~, �',, - 'r. °' RATE,,,"'<< '
TY, UN
EXTENSION FEE TOTAL
4.52 TON UTGO.MSW 0.000 0.00 0.00 0.00
16/1
.1
Operating hours 7:00 AM to 5:00 PM 7 days a week. '< ?-,`- '�°;,:' sur , •
INJ
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' n no
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH :may` i '" k i- 3ENDERER'
CHANGE
CHECK NO.
SIGNATURE
NO. 2365
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t SHIP DATE:
COMMODITY SHIPPED: '4
LOOSE: i t ) ; (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: - GROSS
TARE
. r
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) `` (SIGNATURE)
f TRANSPORTER
TRANSPORTATION/FREIGHT CO. A,jpJ
�I :'3
TRUCK NO. ! LICENSE NO/STATE:
4
TRAILER NO. 1 =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`
DRIVER:
(PRINT NAME) % (SIGNATURE)
f DESTINATION`S
DISPOSAL LOCATION: --,' DATE DELIVERED: t
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** stTe TicKEr GR�O_y °`m. _ _ VVEIGHWISTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422609 Steph
PO Box 962/6155 Cox Lane .-
Cutchogue, NY 11935 f DATE IN -DATE OUT TIME IN TIME OUT _°._; VEHICLE ROLL OFF
` ~ 02/1`3/19 02/13/19 08:38 08:38 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78760 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44780 LB
•QTY. -UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.39 TON DUTGO.MSW 0.000 0.00 0.00 000
:.. A
T e yy��q` vy f as
Operating hours 7:00 AM to 5:00 PM 7 days a week:. ® ° _:, ' 1 _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �.. t 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ` "�' r°,;•; TENDERED .
g t. CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** "SITE I TICKET _ _ GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE D1 01422609 Steph
PO Box 962/6155 Cox Lane " DATE°IN` DATE OUT, TIME IN, TIME OUT "" 'VEHICLE' ROLL OFF',
Cutchogue, NY 11935
2/13/19 02/13/19 8:38 08:38 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78760 LB Outbound-Charge ticket
Manual Tare Wt.- 33980 LB
Net Weight 44780 LB
QTY° ;,' UNIT., 'r, ;.. , `DESCRIPTION ,,,,u „ 'RATE. EXTENSION, FEE;, TOTAL
2.39 TON QUTGO.MSW 0.000 0.00 0.00 0.00
�.
Operating hours 7:00 AM to 5:00 PM 7 days a week.' ', F ' , ;°�j •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�_',4' - .- :. 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH `;: ?` 'r�:° „ - - �':` =-TENDERED
CHANGE
'"CHECK NO.
SIGNATURE
NO. 2366
' GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: l� L'A' ! ! ' LA" SHIP DATE:
COMMODITY SHIPPED: JvI f
LOOSE: I L' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: {. _f GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ,t
TRANSPORTATION/FREIGHT CO. / '�! _ / / L)
TRUCK NO. 24 C, LICENSE NO/STATE:
TRAILER NO. i 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. r/
DRIVER: �!t' (-.,o `
(PRINT NAME) (SIGNATURE)
DESTINATION•
DISPOSAL LOCATION: ,,t t �l }N 1 -''/ 1 / DATE DELIVERED: '� (
ADDRESS: /
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"`DlJP�KATE TICKET"" SITE TICKET' 'GRID '° "WEIGHtv1ASTEFi'`'_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422656 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN'.`" .'bATEouTM,' `TIMEIN TIME-OUT VEHICLE _:_ '_ "NROLLOFF'''
02/14/19 02/14/19 107:18 07:18 11 107T
009316 Town of Babylon REFERENCE •
Scale 2 Gross Wt. 73800 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 37600 LB
QTY"
DESCRIPTION, `RATE 'EXTENSION~ FEE TOTAL
18.80 TON DUTGO.MSW 0.000 0.00 0.00 0.00
fVS
Operating hours 7:00 AM to 5:00 PM 7 days a week 'e As, a Vie' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E`` ,f 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ardr ;fift}sA = ,� 4y�`�� � '' TENDERED
CHANGE
° CHECK NO ,.
SIGNATURE
SITE TICKET_: „qe , GRID WEIGHMASTER
""DUPLICATE TICKET""
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422656 Liz H
PO Box 962/6155 Cox Lane DATE'IN DATE OUT ` TIME IN.TIME OUTVEHICLE ROLL-OFF
Cutchogue, NY 11935
2/14/19 02/14/19 7:18 07:18 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73800 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 37600 LB
QTY UNrr. DESCRIPTION RATE EXTENSION --- FEE TOTAL
18.80 TON UTGO.MSW 0.000 0.00 0.00 0.00
� y 9
Operating hours 7:00 AM to 5:00 PM 7 days a week.+ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
,�« roc . _-__ <,���~ 0.00
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH q �� r6. �1�= „ —TENDERED-
CHANGE
CHECK NO
SIGNATURE
1
NO. 2333
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: j s
} SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' GROSS
— TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 7 t
TRUCK NO. � LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) �� (SIGNATURE)
r
/ DESTINATION
DISPOSAL LOCATION:i DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
r
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
" `�CU!►LICATE TICKET'* SITE `-TICKET '_ GRID WEICaHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01422735 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 -=DATE IN DATE OUT TIME IN=TIME OUT VEHICLE=- ROLL OFF
02/15/19 02/15/19 07:23 07:23 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80560 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43940 LB
QTY UNIT' = DESCRIPTION, °~ RATE EXTENSION_' FEE'"' TOTAL'
1.97 TON QUTGO.MSW 0.000 0.00 0.00 0.00
Operating ours 7:00 AM to 5:00 PM 7 days a week. ` e > 4... •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76E85. ''
-�>_ �;.��,�` t " 0.00
R �
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH yrr %�� TENDERED
-CHANGE ,
CHECK NO..
SIGNATURE
"DUPLICATE TICKET** SITE ^ TICKET,'" GRID" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01422735 Liz H
PO BOX 962/6155 COX Lane DATE IN DATE`OUT TIME IN TIME OUT ''VEHICLE` ROLL OFF
Cutchogue, NY 11935
2/15/19 2/15/19 7:23 7:23 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80560 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 43940 LB
,QTv. UNIT', DESCRIPTION RATE" EXTENSION FEE TOTAL.
1.97 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. `� µ PQ � a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 A A 000
NEXT HOLIDAY:TUES, NOV 6 AND SUN, NOV 11TH ��. �� ' M, P ,=j `TENDERED
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.
COMPANY: �\CIL a (" 21 1 ! 1 '
�� ??%L_� SHIP DATE:
COMMODITY SHIPPED:
LOOSE: l (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: +� CJS r" GROSS
c_'_ 1' c TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. I c .); __ J F� )f'J i
( r
TRUCK NO. E LICENSE NO/STATE:
TRAILER NO. Cl } 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 J-j { 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** $ITE TICKET` " GRID =". WEiGHMASTER 7.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423212 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 - DATE IN • DATE OUT TIME IN TIME OUT VEHICLE=__ -.ROLL OFF
02/19/19 02/19/19 13:14 13:14
009316 Town of Babylon
ORIGIN
11100TC
Scale 2 Gross Wt. 86900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 50080 LB
QTY UNIT'" it)ESCRIPTION RATE -,--FEE!` TOTAL F
25.04 TON UTGO.MSW 0.000 0.00 0.00 0.00
.r�G �`� , .- ,_rte}t,'��� •"'`,,{��}�1�j}
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Operating hours TOdays a wee . - v t>t ;. �� 1111111111=1111hy•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685",,_-, ..P ".�, ; 0.00
NEXT HOLIDAY: MONDAY, FEB 19, 2019 PRESIDENTS•-DAsY 4 � ,,- `' rsrR TENDERED
y p'l
w"A.• CHANGE
CHECK NO,,
SIGNATURE
**DUPLICATE TICKET** SITE "' TICKET-'` " GRID WEIGHMASTER"„
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423212 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
2/19/19 02/19/19 3:14 13:14
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 50080 LB
QTY^ UNIT DESCRiP-TION' "'!RATE' EXTENSION- FEE' TOTAL
5.04 TON UTGO.MSW 0.000 0.00 0.00 0.00
O b
ql
3:a 'y
Operating hours 7:00 AM to 5:00 PM 7 days a week. V
...
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.; � t 0.00
NEXT HOLIDAY: MONDAY, FEB 19, 2019 PRESIDENTS>DAY _ h�t,,,, rt r= "'TENDERED;_
-CHANGE
CHECK'NO:,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2503
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED,WITH THE SHIPMENT OF SUCH MATERIALS
s -
COMPANY: ; SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
r . A
TRUCK WEIGHT: `, :% ( i) GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) t_ \' f (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
-
TRAILER NO. ` r" LICENSE-NO/STATE:
I HEREBY CERTIFY THAT THE-ABOVE NAMED,MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO"THE DESTINATION LISTED BELOW. :"-
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
r'
DISPOSAL LOCATION: :rrs r','r` f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE'ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED `
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY. WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"*DUPLICATE TICKET" SITE -TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01423152 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN_- DATE OUT TIME IN TIME OUT VEHICLE "ROLL OFF
2/19/19 02/19/19 7:16 07:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44320 LB
QTY. UNIT' -DESCRIPTION RATE 'EXTENSION;' FEE ITOTAL_ .
2.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00
q • r '=~ ,
Opera Ing nours o ayS a wee .-4- $ _� r � � •
�1'°' �`�-.:�•--*.-. � ;,-' a"`� 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �� »
NEXT HOLIDAY: MONDAY, FEB 19, 2019 PRESIDENTS.DAY �'' ''✓°
"' �,'�,y.� R f TENDERED'
•�'.�� r ,�'"'- > CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" (SITEl" -"=TICKET e I GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01423152 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT - TIME IN TIME OUT VEHICLE ROLL OFF
2/19/19 2/19/19 7:16 7:16 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44320 LB
QTY" UNIT, r4 - DESCRIPTION r>: RATE EXTENSION FEE TOTAL
2.16 TON UTGO.MSW 0.000 0.00 0.00 0.00
{ , 1AN
Operating ours odays a wee .r
t; 2 ( •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'(n--,'- q 0.00
NEXT HOLIDAY: MONDAY, FEB 19, 2019 PRESIDENTS_DAY _ `�' � "TENDERED
CHANGE'
CHECK.NO.
SIGNATURE
T'RINIT'Y TRANSPORTATION CORPORATION w
214 Blydenburgh Road NO 10923
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATER11 IALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: f f
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �' GROSS
TARE
C NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR Af4Y
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 "
J/
GENERATOR AUTHORIZED AGENT(PRINT NAME) (4_ --'� (SIGNATURE)
TRANSPORTER
-TRANSPORTATION/FREIGHT CO. dl� � � ' `'�
TRUCK NO. LICENSE NO/STATE:
- -
TRAILER NO. LICENSE NO/STATE:
•.-1 HEREBY CERTIFY,THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE OSTED'ABOVE, AND'THAT-IT'WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTfNATION LISTED BELOW
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION -'
DISPOSAL LOCATION: € �-"' j> '.:_ DATE DELIVERED: r
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 mm
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER
PINK TO GENERATOR,
GOLD TO GENERATOR ':_ DISPOSAL LOCATION TICKET-NO ••
i
SITE- TICKET -°GRID° WEIGHMASTEfi
SOUTHOLD TOWN DEPT SOLID WASTE A 01423259 Steph
PO Box 962/6155 Cox Lane
[ '-
Cutchogue, NY 11935 DATE,IN' DATE-OUT TIME IN,'71ME;OUT. VEHICLE,;'° ROLLOFF
• �_ 2/20/19 2/20/19 8:27 8:27
009316 Town of Babylon
.-
11100TC
Scale 2 Gross Wt. 80320 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 41180 LB
QTY''
UNIT„ M DESCRIPTION ..,RATE "_ 2. EXTENSION, FEE, ' TOTAL
0.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
Y'71-2
? g er .
Operating hours 7:00 AM to 5:00 PM 7 days a week.iq _~ z. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
'P r S—`!'4ab
NEXT HOLIDAY: MONDAY, FEB 19,2019 PRESIDENTS'DAYS ;?„ . =i; r TENDERED
CHANGE
CHECK NO
SIGNATURE
SITE TICKET GRID , WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01423259 Steph
PO Box 962/6155 Cox Lane DATE-IN” .DATE+OU,T .TIME WIM
TE OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
2/20/19 2/20/19 8:27 8:27
009316 Town of Babylon
REFERENCE
11100TC
Scale 2 Gross Wt. 80320 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Npt Pinht 41180 LB
- QTY,=. UNIT DESCRIPTION = RATE EXTENSION FEE n TOTAL
0.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
Sz
S`^>.°
Operating hours 7:00 AM to 5:00 PM 7 days a week.;' g '? N' ,' ��Y ,4' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685."ss° 0.00
a,> 5}
NEXT HOLIDAY: MONDAY, FEB 19, 2019 PRESIDENTS-DAY ,n._ TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ 2504
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ,t
COMPANY: `r'^- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' < GROSS
TARE
Li ( r 1 NET
HEREBY CERTIFY THAT THE•ABOVE,NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. a LICENSE NO/STATE:
TRAILER NO. `'" LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIALWAS 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: .?
DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
- GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER --
SOUTHOLD TOWN DEPT SOLID WASTE Di 01423314 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/20/19 02/20/19 4:30 14:30 11100TC
009306 Town of Brookhaven Waste Manag ORIGIN
One Independence Hill REFERENCE
Farmingville NY 11738
Scale 2 Gross Wt. 79880 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Piaht 42960 LB
QTY. UNIT DESCRIPTION -RATE EXTENSION FEE TOTAL
1.48 TON UTGO.MSW 0.000 0.00 0.00 0.00
A 4; 10tuif'A
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.L ° _ q , }' 0.00
NEXT HOLIDAY: MONDAY, FEB 19,2019 PRESIDENTS DAY`,` , TENDERED
CHANGE
CHECK NO.""
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE 02 00083710 Valerie DeFio
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
02/20/19 02/27/19 12.49 12:49 11100TC
009316 Town of Babylon
1423314
Manual Gross Wt. 79880 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 42960 LB
21.48 TON OUTGO MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 Days per Week
CLOSED HOLIDAYS-QUESTIONS-Call 631-734-7685 0.00
NEXT HOLIDAY: Memorial Day, Monday May 28
SOUTHOLD TOWN DEPT SOLID WASTE 02 00083710 , Valerie DeFio
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
02/20/19 02/27/19 12:49 12:49 11100TC
009316 Town of Babylon
1423314
Manual Gross Wt. 79880 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 42960 LB
21.48 TON OUTGO MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 Days per Week
CLOSED HOLIDAYS-QUESTIONS-Call 631-734-7685 0.00
NEXT HOLIDAY: Memorial Day, Monday May 28
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 10924
.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOC IATER,WITH THE SHIPMENT OF SUCH MATERIA,S
COMPANY: - ;� SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f ( ' *` GROSS
TARE
t 4
III& ONET
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.A000RDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) e' (SIGNATURE)
TRANSPORTER `!
TRANSPORTATION/FREIGHT-CO:
�,-
TRUCK NO. } LICENSE NO/STATE: I
TRAILER NO. r`� z LICENSE NO/STATE:
I•HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL.WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT.IT WAS-`
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'L•ISTED BELOW
DRIVER: I g' L _-
(PRINT NAME) (SIGNATURE)
DESTINATION-
DISPOSAL LOCATION: �' �' ''' '- 'r DATE DELIVERED:
s
ADDRESS: '
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE:THE INFORMATION PROVIDED v
IS TRUE AND ACCURATE: '
s
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 311 01423366 Pat H
PO Box 962/6155 Cox Lane
'DATE IN ;DATE OUT— TIME IN'TIME'OUT__- VEHICLE" ,-' ROLL.OFF -
Cutchogue, NY 11935
2/21/19 02/21/19 1:50 1:50 11121 TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 70660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33840 LB
QTY. UNIT DESCRIPTION RATE ° EXTENSION - FEE TOTAL
6.92 TON UTGO.MSW 0.000 0.00 0.00 0.00
{ a m _X�
E Jry () (}(by5
Operating hours 7:00 AM to 5:00 PM 7 days a week., °' tea >�; ^f ,� e �' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.ems; . •: �?
0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER S'UND'A'fl f , � TENDERED
-CHANGE
CHECK NO .
SIGNATURE
"DUPLICATE TICKET" SITE '. TICKET; ", ,,GRID;„ I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01423366 Pat H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
)2/21/19 2/21/19 1:50 1:50 11121 TC
009316 Town of Babylon ORIGINREFER ENCE
Scale 2 Gross Wt. 70660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
mpt Pinht 33840 LB
QTY UNIT DESCRIPTION `"' s'' RATE EXTENSION ;FEE- TOTAL
6.92 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. ,> w- 0.00
` '61 TENDERED __
NEXT HOLIDAY: SUNDAY,APRIL 21 2019 EASTER SUNDAYS
CHANGE
CHECK NO:q
SIGNATURE
T'RfNIT'Y TRANSPORT'AT'ION CORPORATION
214 Blydenburgh Road NO. 10925
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANYLIABILITYASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
` TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.T0 OP ANY `
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: f' _
TRAILER NO. F' - �' LICENSE NO/STATE: � ' �� `1 '� y 'J
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP'AT THE-GENERATOR TSITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED`BELOW
DRIVER: ;/'J t a e `y
(PRINT NAME) M(SIGNATURE)
DESTINATION
DISPOSAL LOCATION: . "' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY-THAT THE ABOVE MATERIAL'HAS BEEN ACCEPTED AND TO_TH_E'BE-ST OF MY KNOWLEDGE'THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE: 3
RECEIVE_D 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. .
ti•.
**DUPLICAT6TICKET** SITE TIQKET`_. wGRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE A 01423444 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE_IN ''~ DATE OUT= TIME IN=TIME-OU7 " VEHICLE ROLL OFF '
2/22/19 2/22/19 1:23 1:23 11121 TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79500 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 43280 LB
QTY.. ., r.UNIT DESCRIPTION', RATE, EXTENSION FEE=
1.64 TON UTGO.MSW 0.000 0.00 0.00 0.00
r� �: tai �,'' ��, •. >`•;'.� �,: '}
e t
Operating hours 7:00 AM to 5:00 PM 7 days a wee .- s PL' z •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,;s: 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ` TENDERED
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE I,, TICKET GRID', WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01423444 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN- TIME OUT, VEHICLE ROLL OFF
2/22/19 2/22/19 1:23 11:23 11121TC
009316 Town of Babylon
Scale 2 Gross Wt. 79500 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net eight 43280 LB
QTY UNIT'""' "DESCRIPTION "RATE"" , EXTENSION- FEE--
TOTAL
1.64 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.', ° ��,.4` µ� _ 'r ; �; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685.,; - ;4 _ 1 tl' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED
CHANGE .--
CHECK NO..
SIGNATURE
�TR NIT'Y T'RANSPORTAT'ION CORPORATION
214 Blydeuburgh Road NO 10927
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED ANDYDOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: �� -f, _ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ` ' �' GROSS
-7 `' TARE
NET
I HEREBY CERTIFY THAT'THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 GFR 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 TRANSPORTATIQN.ACCORDING TO APPLICASLE REGULATION
GENERATOR AUTHORIZED AGENTIPRINT NAME) (SIGNATURE
TRANSPORTER
TRANSPO_RTATION/FREIGHT CO.
TRUCK NO. j,` LICENSE NO/STATE: � f
TRAILER NO. LICENSE NO/STATE:
I HEREBY'CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE;'AND-THATAT WAS '
DELIVERED WITHOUT INCIDENT,TO THE DESTINATION LISTED BELOW- , `
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
r _
DISPOSAL LOCATION: 3 DATE DELIVERED:
ADDRESS`. -
,, I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST 01-.MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AG'ENT(PRINT=NAME)• SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
• -i-DUPLICATE TICKET** SITE TICKET - GRID- WEIG1 MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01423403 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN. DATE OUT TIML IN TIME OUT VEHICLE ROLL OFF
2/22/19 2/22/19 8:07 8:07 11 121T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70820 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 34820 LB
QTY. UNIT "DESCRIPTION,"' _ _ RATE_ EXTENSION _ FEE -, TOTAL
7.41 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a week., VON
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET_ "GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE Di 01423403 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN ,' DATE'OUT �71ME IN TIME OUT' VEHICLE I ROLL OFF
2/22/19 2/22/19 8:07 8:07 11121TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 70820 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 34820 LB
QTY UNIT DESCRIPTION - --RATE EXTENSION FEE -TOTAL,
17.41 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY _ TENDERED--,
.CHANGE" -
-CHECK O..-.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 10926
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANWLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: ` " -
SHIP DATE:
� k '
COMN40DITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: ��� ` ` GROSS
- TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 GFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �`r 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
l r
DRIVER:
(PRINT NAME) • (SIGNATURE)
DESTINATION '
DATE DISPOSAL LOCATION: x%J'7t �-, t z °ter f' r`: T
A E 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�-,
i
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" I(SITE ;TICKET GRID WE!GHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423512 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 ''DATE IN s •-DATE OUT 'TIME IN TIME OUT ,VEHICLE ROLL OFF
2/23/19 02/23/19 07:13 07:13 11121 TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78620 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39480 LB
OTY UNIT' - =DESCRIPTION RATE ; EXTENSION FEE TOTAL``
19.74 TON UTGO.MSW 0.000 0.00 0.00 0.00
-
ta ,
"d
Operating hours 7:00 AM to 5:00 PM 7 days a week.'-' ' " ! N _ €, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85. a k,. ` f 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUN,DAY 4` 7-;y s•n< ` "� TENDERED
CHANGE':
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01423512 Steph
PO Box 962/6155 Cox Lane DATE„IN:, DATEOUT TIME,IN' TIME OUT, VEHICLE ROLLOFF
Cutchogue, NY 119351.
2/23/19 2/23/19 7:13 7:13 11121 TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78620 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Wei ht 39480 LB
QTY '” 17NIT', ... ? „4,.
-AESCRIPTION .r° "RATE ='EXTENSION „';" "FEE � TOTAL
9.74 TON UTGO.MSW 0.000 0.00 0.00 0.00
Z�
Operating hours 7:00 AM to 5:00 PM 7 days a week.1', °'� 3 `, d •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' ®., ~� 1 : 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY g11 'm= y d `:r{° —TENDERED
CHANGE
CHECK NO. __
SIGNATURE
NO. ® 8597
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `.�: " ' %' SHIP DATE:
COMMODITY SHIPPED:
6
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �, `"lG'�' ��" 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.
X11
TRUCK NO. LICENSE NO/STATE: ? { ---
TRAILER NO. ',f LICENSE NO/STATE: -` - f
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: f f' -:rte •s
(PRINT-NAME)' - (SIGNATURE)
DESTINATION
J
DISPOSAL LOCATION: �-,', :, . A >> FF ^ .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.
SITE I TICKET_ GRID WE16HMASTE4
SOUTHOLD TOWN DEPT SOLID WASTE 1 01423828 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "+,DATE,IN. DATEAUT< TIME IN TIME dUT VEHICLE : :ROLL OFF -
2/25/19 2/25/19CE 3:42 3:42 11 104T
REFERENCE
009316 Town of Babylon
e-
Scale 2 Gross Wt. 69740 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 33480 LB
QTY.-. UNIT DESCRi[TION " .RATE EXTENSIONI., FEE `_ TOTAL_`
6.74 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: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED
CHANGE-'
CHECK NO
9
SIGNATURE
SITE TICKET I GRID WbGHMASTE14
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423828 Steph
PO BOX 962/6155 COX Lane Ir
DATE IN' s DATE OUT, 1, TIME IN TIME OUTJ' VEHICLE j ROLL OFF
Cutchogue, NY 11935
2/25/19 2/25/19 3.42 3:42 11 104T
009316 Town of Babylon REFERENCE
CE •-
Scale 2 Gross Wt 69740 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Ne Neiaht 33480 LB
QTY. UNIT', DESCRIPTION;, ,RATE- EXTENSION FEE TOTAL
6.74 TON QUTGO.MSW 0.000 0.00 0.00 0.00
`k
Operating hours 7:00 AM to 5:00 PM 7 days a week. AMMON ILI IVI 101110
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED:,
-CHANGE ;
-CHECK NO.
SIGNATURE
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: L ! A; l ? L SHIP DATE: t
COMMODITY SHIPPED: m Ivi t
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
t
l
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. _--
TRUCK NO. - ' LICENSE NO/STATE:
TRAILER NO. 1 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: ____---1L-'�� �`�.n .� --°''�^'�
(PRINT NAME) (SIGNATURE)
DESTINATION �}
DISPOSAL LOCATION: % �I'I ��� : � �'' ''/` � �- `�% �� ; DATE DELIVERED:
ADDRESS: Y f J l
s
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
A'
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 1 - 01423773 Steph
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 DATE r1N DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/25/19 2/25/19 7:18 7:18 11 104T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77220 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43240 LB
QTY UNIT, ;=DESCRIPTION -RATE EXTENSION FEE TOTAL,;'
1.62 TON UTGO.MSW 0.000 0.00 0.00 0.00
' i 1 .F , >
t�
operating hours odays a wee . °, . .�»`^ j r' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .° 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY'N' ' r'q -
'TENDERED ''
CHANGE"
-CHECK NO:
SIGNATURE
SITE YICKET' ' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 011 01423773 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =°DATE IN DATE OUT TIME IN TIME OUT VEHICLE -'ROLL OFF
2/25/19 2/25/19 7:18 7:18 11 104T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 77220 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43240 LB
OTY,'" UNIT"- "' ;" DESCRIPTION' .RATE, EXTENSION,; FEE°„',,;! TOTAL
1.62 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Ay
ZJ
Operating hours 7:00 AM to 5:00 PM 7 days a week. t: e.:wlr 9. �:, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r� ” . - a _' 000
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ", _TENDERED
-CHANGE,' '
CHECK NO:
SIGNATURE
NO. 2367
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: ' '-� E' () L 1 J SHIP DATE: i 1
COMMODITY SHIPPED:
LOOSE: I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i GROSS
TARE
1 i J NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPL'ICABL"E-REGULATION.
j.-
GENERATOR AUTHORIZED AGENT(PRINT NAME) �� ` �f (SIGNATURE)
i TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ' J LICENSE NO/STATE:
TRAILER NO. Z J LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) r (SIGNATURE)
f
DESTINATION ti
f r
DISPOSAL LOCATION: UVA I r� i� C,' '�� DATE DELIVERED: ` 2
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.
SITE TICKET° WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE _ 1 01423898 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN's_ . DATE OUT_I ,TIME IN TIME OUT VEHICLE• ,. ^< ROLL OFF,,, .
2/26/19 02/26/19 11:40 11:40 11104T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 82360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45540 LB
- QTY.` UNIT _DESCRIPTION - RATE EXTENSION _ FEE TOTAL
2.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week=p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5. %, -. ,:� ` ' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ,." .- - ' ` ` TENDERED
CHANGE
CHECK NO
SIGNATURE
SITE I TICKET, GRIDWEIGHMASTER--
SOUTHOLD TOWN DEPT SOLID WASTE DI 1 01423898 Steph
PO Box 962/6155 Cox Lane 134E w"'. DATE OUT-;= TIME IN TIME OUT 'i 4;'VEHICLE ROLLOFF
Cutchogue, NY 11935 -
2/26/19 02/26/19 11:40 11:40 11104TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 82360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
pin t 55 LB
QTY. UNIT - DESCRIPTION_. RATE „=EXTENSION FEE TOTAL
2.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
c �.
8
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. +' ;��_ •
� , � a �;•�,e �.��.._.. s.�.� �,�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `° s�`' _ : ..= 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY o ' _ >A ,;TENDERED- ,
=gym
CHANGE; ^,.
^,C ECK O.
SIGNATURE
NO. 2384
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. 1i t
COMPANY: SHIP DATE: ` !
COMMODITY SHIPPED:
LOOSE: ! `ti 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' ANY APPLICABLE STA_T.E.LAW,.HAS-BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPO ONAC I R NIDGTQ APPLICABLE REGULATION
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
um
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ,f LICENSE NO/STATE:
TRAILER NO. i i t LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) / fes' (SIGNATURE)
.r
DESTINATION.
DISPOSAL LOCATION: � I r''4,�/I I�% 1 /' I,i 1 - `� 1 DATE DELIVERED: G 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.
SITE , TICKET� -'GRI
_D INEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423989 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT= TIME IN-TIME OUT VEHICLE ROLL OFF'-
02/27/19 02/27/19 12:19 12:19 11 104T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 42240 LB
QTY.°.„ UNIT, DESCRIPTION RATE„ EXTENSION, -- FEE. TOTAL
21.12 TON CUTGO.MSW 0.000 0.00 0.00 0.00
IC
Operating hours 7:00 AM to 5:00 PM 7 days a week. - ._ t a. ? ._� , 4 k j •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ""„ ° _ ' 0.00
:� �r \� .Y•5 -
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAYk ;� _ eri TENDERED
' CHANGE
_ C.ECK,NO
_j
SIGNATURE
SITE TICKET „ GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423989 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN- TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/27/19 02/27/19 12:19 12:19 11 104T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
NPt eiaht 42240 LB
QTYUNIT';.” .„i. „DESCRIPTION " "- ' � "' '°" ""' RATE .--="' ="'EXTENSION -FEE : � NOTAL
1.12 TON UTGO.MSW 0.000 0.00 0.00 0.00
zz `
cjl
" j
Al'
Operating hours 7:00 AM to 5:00 PM 7 days a week."'-, ``,:'; .: --„ .' ate 'i �` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E wr r " --. ._ A ; fr 0.0
-TENDERED
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUND'AYyt
CHAN E`
'CHECK NO:=' '
SIGNATURE
NO. 2386
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: t�. !..r��i !—� �-� t.., SHIP DATE:
COMMODITY SHIPPED:
LOOSE: I 'J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: I `. 3 =a' GROSS
TARE
� 'I L L,"NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
ti ,r
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.
, 1
DRIVER: ~To ,
-
(PRINT NAME) (SIGNATURE)
ljffDESTINATION •`j
DISPOSAL LOCATION: 7 L"—' ?� I DATE DELIVERED: t t
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.
SITE TICKET GRID WEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01': . . 0,1423961 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =DATE IN DATE OUT-'; TIME IN TIME OUT VEHICLE ROLL OFF
02/27/19 02/27/19 09:10 09:10 11 104T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45480 LB
QTY. UNIT DESCRIPTION - RATE, EXTENSION FEE, TOTAL,
2.74 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
, t
Operating hours 7:00 AM to 5:00 PM 7 days a week: _el
3 •' a01111111100M•
. ..,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,, ,,, f .d _ N 2>, 0.00
NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER SUNDAY `E' ' �> TENDERED
P o .
,i CHANGE
- CHECK NO.
SIGNATURE
SITE TICKET,,- ,,GRID,' WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01423961 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE _�ROLL OFF
Cutchogue, NY 11935
02/27/19 02/27/19 09:10 09:10 11 104T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei h 45480 LB
QTY. "UN1T' DESCRIPTION RATE" EXTENSION FEE TOTAL
2.74 TON UTGO.MSW 0.000 0.00 0.00 0.00
ey� }.a
Operating hours 7:00 AM to 5:00 PM 7 days a week.'�,� ' r. ti`,` .�_` � . ", •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.f,�%r`, r., "' i 0.00
NEXT HOLIDAY: SUNDAY APRIL 21,2019 EASTER SUNDAY,` A? w r TENDERED."''
CHANGE
C E K O.
SIGNATURE
NO. 2335
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. i 4
i
COMPANY: ' /o'u {-t i i ii SHIP DATE: z r ! `
COMMODITY SHIPPED: IPJ
LOOSE: i1 w (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 ACCORDINGIQ-APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) -- (SIGNATURE)
TRANSPORTER
TRANS PORTATION/FREIGHT,
CO. #
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:Uliy f ( 1 �J � �% �I' / DATE DELIVERED: 2 l
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.
1 J1`"DU?LICATE TICKET" SITE ..3_-TICKET_ GRID 1 N, , '_kVEIGHMASTER3,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424031 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 119351,' PATEIN DATE OUT :TIME=IN TIME .OUT , VEHICLE ° ROLL OFF „
02/28/19 02/28/19 09:04 09:04 11114T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 42240 LB
QTY UNIT" „_ ^'-- _, DESCRIPTION' _ _ "RATE: "=EXTENSION _ FEE TOTAL ' -
1.12 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
9
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. v,:. w>y �y >'? •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e,#!�',,p p -:: ;
� ��. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY
4 Irv\
CHANGE
CHECK NOf_
SIGNATURE
*'DUPLICATE TICKET*" SITE -�TICKET. '' GRID-"' 'WEIGHMASTER n
SOUTHOLD TOWN DEPT SOLID WASTE Di 01424031 Liz H
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11935 DATE IN DATE OUT "TIME IN TIME�OUT VEHICLE ROLL OFF
2/28/19 02/28/19 9:04 09:04 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net eiaht 42240 LB
QTY. UNIT DESCRIPTION RATE_ EXTENSION, FEE TOTAL„
1.12 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weekA , _ ---.M�-. °,% ., s - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 4-.'.��- _ 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY a",,�-.,` �< g>
T ,. � ���_, a�A. -."TENDERED
;CHANGE
CHECK NO.
SIGNATURE
NO. 2337
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: X1'1 `: 1,.1
LOOSE: 1 .: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' GROSS
TARE
`j -L NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
o— fe
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER /
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. i r'_ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SIT�E.LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: �i "` / DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.