HomeMy WebLinkAbout03/2019 DUPLICATE TICKET"* SITE = -^_TICKET,-,= GRID _ WEIGHMASTER,' -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424158 Liz H
PO Box 962/6155 Cox Lane• -
Cutchogue, NY 11935 DATE IN_ DATE„OUT., TIME IN TIME OUT VEHICLE- ROLL OFF
03/01/19 03/01/19 14:41 14:41 11 104T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket
Manual Tare Wt. 36300 LB
Net Weight 32480 LB
QTY., UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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Operating hours :00 AM to 5:00 PM 7 days a wee `z.bi aha a, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.eF/"f " ` ' a�;� �` 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDArY �', `t` "'d
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SIGNATURE
"DUPLICATE TICKET” SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424158 Liz H
PO Box 962/6155 Cox Lane DATE.IN- ,DATE OUT' 'TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
03/01/19 03/01/19 14:41 14:41 11104T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket
Manual Tare Wt. 36300 LB
Net Wei ht 32480 LB
QTY-1 UNIT,— DESCRIPTION ,,RATE EXTENSION FEE TOTAL-
16.24
OTAL-16.24 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. ~ra 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAYk § plt�l ; TENDERED
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SIGNATURE
NO. 2339
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. !!
COMPANY: SHIP DATE:
COMMODITY SHIPPED: i�; vi I
LOOSE: ) u (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_ TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ y i LICENSE NO/STATE:
TRAILER NO. 1 -` 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW ;="i'
DRIVER: --
(PRINT NAME) f' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: �i ,f ''' :� c f. �'f L Nt 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.
rt "DUPLICATE TICKET" _S[TE TtCKEf = GRID _ 1NEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424125 Liz H
PO Box 962/6155 Cox Lane „, „
Cutchogue, NY 11935 DATE IN DATE OUT - „TIME IN TIME,OUT VEHICLE ROLLOFF `
03/01/19 03/01/19 11:22 11:22 11104TC
009316 Town of Babylon - i
REFERENCE
Scale 2 Gross Wt. 75100 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 38840 LB
QTY.- ._ ''UNIT';'" " `DESCRIPTION `" „ ` RATE- EXTENSION -_" = ""FEE' TOTAL
19.42 TON DUTGO.MSW 0.000 0.00 000 000
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�,' c' ;' ° 0.00
TENDERED-
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY;
rCHANGE,r
CHECK NO.'
SIGNATURE
WEIGH
DUPLICATE TICKET TICKET GRID „ .
.. ** SITE MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424125 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN° ; DATE OUT , "TIME 1N;,TIME OUT „` VEHICLE ROLL OFF
03/01/19 03/01/19 11:22 11:22 11104TC
009316 Town of Babylon
Scale 2 Gross Wt. 75100 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 38840 LB 7
QTY UNIT' '" DESCRIPTION RATE_"" "EXTENSION FEE' TOTAL'
19.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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Operating hours 7:00 AM to 5:00 PM 7 days a week:; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY;
CHANGE-' .,
SIGNATURE
NO. 2388
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT7ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: L1 t� ''A .s' ,f :_ r �` SHIP DATE:
f
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 TO APPLICABLE REGULATION.
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER JJ
TRANSPORTATION/FREIGHT CO.
TRUCK NO. p— J LICENSE NO/STATE:
TRAILER NO. ( y 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.
v f
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION \t
DISPOSAL LOCATION: A `11 � � 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 I TICKET _- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424383 Steph
PO Box 962/6155 Cox Lane `-
Cutchogue, NY 11935 DATE IN„, -DATE OUT_" TIME IN'TIME-OUT - VEHICLE' ROLLOFF
03/04/19 03/04/19 09:40 09:40 11 104T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79060 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 42800 LB
QTY. UNIT DESCRIPTIONS RATE '-,_ EXTENSION FEE-; = TOTAL
21.40 TON DUTGO.MSW / 0.000 0.00 0.00 0.00
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M,P. ywx k
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.��;,AY - °>, {�' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAI' ' a�A ,'_' 'j TENDERED
}r" CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE ° TICKET GRID ,,,, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424383 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT.,I TIME IN TIME-OUT - VEHICLE ROLLOFF `
03/04/19 103/04/19 09:40 109:40 11 104T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79060 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 42800 LB
QTY.' UNIT DESCRIPTION;-° RATE EXTENSION „„r 'FEE' ,,” :TOTAL
21.40 TON UTGO.MSW 0.000 0.00 000 000
Operating hours 7:00 TM todays a wee .I `s; ;,� _ 6 . __ �_- ?; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. y gam`' _ 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY; n, ---. .TENDERED -: ..
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 1 IF u i_ i,; SHIP DATE: f `
d �
COMMODITY SHIPPED:
LOOSE: ;) (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
I
TRANSPORTATION/FREIGHT CO.
TRUCK NO. =— —f 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:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: � '' / ` f i' f' '' f ' / t_ r4 r'� DATE DELIVERED:
E 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.
630TICKET = GRID = wEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424436 Steph
PO Box 962/6155 Cox Lane - - -
Cutchogue, NY 11935 DATE IN " DATE,OUT %TIME IN TIME OUT -, VEHICLE ROLL OFF
03/05/19 03/05/19 07:27 07:27 11 104T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 37880 LB
y- p;QlY' UNIT ' -,'DESCRIPTION' RATE EXTENSION'Z., 'FEE - 'TOTAL
18.94 TON DUTGO.MSW 0.000 0.00 000 0.00
t w
Operating hours 7:00 AM to 5:00 PM 7 days a week:' ; , ' m._.:. '" ~rG r':,' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E �� �;< 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21 2019 EASTER SUNDAY. .. '" pp` TENDERED,'
CHANGE"
.,CHECK NO
SIGNATURE
-SITE ,TICKET`^ GRID' WEIGHMASTER'-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424436 Steph
PO Box 962/6155 Cox Lane *TE IN `_DATE'6UT TIME IN TIME50U7 VEHICLE`" ROLL OFF ^,
Cutchogue, NY 11935
03/05/19 03/05/19 07:27 07:27 11 104T
009316 Town of Babylon - REFERENCE ORIGIN
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
et Weiaht 37-880 LB
QTY_ aUNrf - -.DESCRIRTION . - RATE`' _ EXTENSION FEE TOTAL
18.94 TON UTGO.MSW 0.000 0.00 0.00 000
t p
" 46-
Operating hours 7:00 AM to 5:00 PM 7 days a week. e - — j4 " r,' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685._, 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY = °j 5 R. ."` -=-TENDERED
i` ",CHANGE ,* `
CHECK NO.
SIGNATURE
NO. 23®7
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:
1
COMMODITY SHIPPED: �� {
LOOSE: K (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ✓i - ) GROSS
rte€ 1 TARE
a U 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. `� l LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
;r
DRIVER: ---� - t
(PRINT NAME) ' (SIGNATURE)
f1 DESTINATION
t
DISPOSAL LOCATION: DATE DELIVERED: I v I 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 I v=- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424458 Steph
PO Box 962/6155 Cox Lane
0AT64 ' DATE OUT TIME1N TIME OUT -'' ;VEHICLE ROLLOFF
Cutchogue, NY 11935
03/05/19 03/05/19 11:28 11:28 11104TC
CE
009316 Town of Babylon
.-
Scale 2 Gross Wt. 81160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 47180 LB
QTY ,_:+ UNIT" DESCRIPTION RATE EXTENSION, FEE , ; TOTAL
23.59 TON DUTGO.MSW 0.000 0.00 0.00 0.00
h
Operating hours 7:00 AM to 5:00 PM 7 days a week ;; a�`�! •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,% _. 0.00
� .
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER 3UNDAY1 �'�
- "���•;�� �;�a�`
TENDERED
CHANGE
`,' CHECK NO
SIGNATURE
SITE TICKET;, ,GRID WEIGWMASTER',',`"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01424458 Steph
PO Box 962/6155 Cox Lane DATE IN-, DAT OJUT' --TIME IN TIME OUT VEHICLE, ROLL OFF,
Cutchogue, NY 11935
03/05/19 03/05/19 11:28 11:28 11104TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Npt Wpiaht 471 BO LB
QTY _ UNITl DESCRIPTION RATE - EXTENSION - _FEE TOTAL
23.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
_✓ y�,�.�,,,y rte, r.
y" 4^.�-edp y .. �L..✓�,�" 'Mfg
Operating hours 7:00 AM to 5:00 PM 7 days a week.i° °%> -- �` 4' :; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNAY ' err; ; 'TENDERED,
CHANGE
CHECK=NO.
SIGNATURE
NO. ® � � 7
GENERATOR .
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS'
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS.
COMPANY: c `i F ' ) �, (� sa SHIP DATE: y' f 1
I
COMMODITY-.SHIPPED:
LOOSE: 1 CI. (CU YDS)
BALES: (COUNT): .
TRUCK WEIGHT: �, I t, GROSS
7i TARE
NO 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 � *'-� ti.�'' �
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
r'
DRIVER: `-'
(PRINT NAME) (SIGNATURE)
DESTINATION j
DISPOSAL LOCATION: � �Ot Fr\,I i i1 � �1 DATE DELIVERED: -3 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 4 - `GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE D1 01424504 Steph
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 DATE IN, QATE,OUT 'TIME IN T1NIE„OUT VEHICLEF '_,,,ROLLOFF
D3/06/1 9 .03/06/19 7:39 107:39 11104T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 94180 LB Outbound-Charge ticket-
Manual Tare Wt. 36620 LB
Net Weight 57560 LB
QTY_ UNIT --DESCRIPTION.*' RATE EXTENSION FEE- , TOTAL
8.78 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.. ,` Ns ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �''�� _= -' T 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SNDfAYt..0„. .d
r
”TENDEREC.
CHANGE ".
CHECK NO:r`- '
SIGNATURE
SITE - TICKET-- GRID _ = WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 1 01424504 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE;IN„- 'eDATE:OUT.,.' TIME IN ,TIME OUT, ,''}'•VEHICLE iA ",.,ROLL'OFF
3/06/19 3/06/19 7:39 7:39 1110REFERENCE 4TC
009316 Town of Babylon
Scale 2 Gross Wt. 94180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net ei 57560 LB
QTY_f UNIT DESCRIPTION RATE - `EXTENSION FEE _' T7OTAL,
8.78 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 631-734-76850.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ''; =iJ„TENDERED
' r C A GE• ',''J
wC E K O-
SIGNATURE
:r NO. ®2®,8
GENERATOR -'-,
THIS MANIFEST IS FOR,REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE'POSSESSION OR'TITLE OF ANY.CARGO OR.MATERIALS
BEING SHIPPED�AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. `
COMPANY:=' i-; ' L if SHIP DATE: f
COMMODITY SHIPPED `"
LOOSE: ; li' (CU YDS)
BALES:(COUNT):
TRUCKWEIGHT: z -% GROSS
" TARE
ri t NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT-CONTAIN FREEXIGU ADI ADI S�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. y 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. y
DRIVER:
(PRINT NAME) 3r-`' (SIGNATURE)
DESTINATION' q
DISPOSAL LOCATION: ,?�} tI n _ ( 1 f `fir 4/( i i J\j 1) DATE DELIVERED: ��
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) ' "SIGNATURE/DATE
KEY: WHITE TO'DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE _-TICKET GRID WE(GHMASTER +
SOUTHOLD TOWN DEPT SOLID WASTE 31 01424591 Liz H
PO Box 962/6155 Cox Lane
Cutch`ogue, NY 11935 --DATE IN DATE OUT -TIME IN TIME OUT 'VEHICLE ROLL OFF
13/07/19 3/07/19 1:39 11:39 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83440 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 46680 LB
_ rQTY UNIT DESCRIPTION RATE EXTENSION FEE_ __ � TOTAL °
3.34 TON UTGO.MSW 0.000 0.00 0.00 0.00
t
C
`ra S� ` .
Operating hours TIJU AIVI to ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..° ' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY .,r �:. g *" TENDERED
Y,
CHECKNO'
SIGNATURE
'*DUPLICATE TICKET`* SITE TICKET,` GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01424591 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN = DATE OUT TIME IN- TIME OUT VEHICLE ROLL OFF
3/07/19 3/07/19 1:39 1:39 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83440 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 46680 LB
QTY ',r„„': UNIT, DESCRIPTION” AFIATE' "'EXTENSION' s:', `FEE,' TOTAL
3.34 TON UTGO.MSW 0.000 0.00 0.00 0.00
:-..,tib � ,�.-' a`•
Operating hours 7:00 AM to 5:00 PM 7 days a wee p}� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. . 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ,"�{} �,:;, .a`e Pte . TENDERED
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151
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SIGNATURE
020.1.
GENERATOR-.
THIS MANIFEST IS•FOR•REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE'POSSESSION OR TITLE OF'ANY CARGO'OR MATERIALS
',BEING SHIPPED AND DOES,NOT ASSUME ANY LIABILITY-ASSOCIATED-WITH•THE SHIPMENT OF SUCH MATERIALS.'
C_CIMPANY: ) i A .7 (' L ) 1 SHIP,DATE: �r 1
COMMODITY SHIPPED: l �4
LOOSE: d u ( (CU YDS)
BALES: (COUNT)::
TRUCK WEIGHT: =t;c.:a 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,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26,1.OR AJNY 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,',--
TRANS PORTATION/FREIG HT
RANSPORTER,',TRANSPORTATION/FREIGHT CO. , - ! ?J t / ' A
TRUCK NO. i 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.
f rr
DRIVER:
(PRINT NAME) / (SIGNATURE)
DESTINATION%
DISPOSAL LOCATION: �f �! t 1 � t >' ! 0 ``I ) DATE DELIVERED:
.31 I 1 )
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.
-'"'brAICATE TICKET" SITE TICKET-_ GRID f WE16HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01424568 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-` DATE OUT TIME IN TIME OUT -VEHICLE= -ROLL OFF
3/07/19 3/07/19 7:39 7:39 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80020 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 43760 LB
QTY UNIT= DESCRIPTION ;`->; " RATE EXTENSION -',FEE -; TOTgL,
1.88 TON UTGO.MSW 0.000 0.00 0.00 0.00
e ;fir � .
N I f7 A{4^1
Operating hours 7:00 AM to 5:00 PM 7 days a weeti,�� � �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , , w 0.00
�-
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ^ p,; 5pj a � wg° TENDERED
til%A8�
CHANGE
CHECK NO.,
SIGNATURE
"DUPLICATE TICKET"* ('SITE- _TICKET _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01424568 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE R4: DATE OUT - TIME IN TIME OUT VEHICLE_ ROLL OFF
3/07/19 3/07/19 7:39 7:39 11 107T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 80020 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 43760 LB
QTY- UNIT,' °" .DESCRIPTION RATE, :EXTENSION,' FEE TOTAL
1.88 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
2-
I v fti
Operating hours 7:00 AM to 5:00 PM 7 days a week. ; �s ` ,` � `-+ ? •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. P 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY,>>'"%?t �r ',,.Y' JENDERED_
4 CHANGE-
CHECK NO..q
SIGNATURE
NO. ® 2®
GENERATOR -,-
THIS
ENERATOR '•-,'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.- -
IN
COMPANY: C} ,. _ �. _� )' SHIP-DATE:
COMMODITY SHIPPED:,- ,
LOOSE: Q -(CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
4
o 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 ANYAPPUCABLE,STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND,IS IN PROPER CONDITION FOR TRANS PORTATION`ACCORDING TO APPLICABLE REGULATION. -
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
------'-TRANSPORTER
TRANSPORTATION/FREIGHT CO. I ` ; / lam'}i ! 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: - tri C.n
(PRINT NAME) r' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: VA NTA f;7V DATE DELIVERED:"
ADDRESS: J 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:-- t
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
SOUTHOL�TOWN DEPT SOLID WASTE V 01424634 Dan
PO Box 962/6155 Cox Lane ; DATE^IN;W DATE OUT` .TIME W'TIIME'OUT ' p VEHICLE-. _= ;ROLL OFF
Cutchogue, NY 11935
3/08/19 3/08/19 7:28 7:28 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77700 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
80 LB
QTY', UNIT DESCRIPTION RATE 'EXTENSION' FEE TOTAL=
0.39 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Vyi . �A't�}:�
jy
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Operating hours 7:00 AM to 5:00 PM 7 days a week. ` .,�''a arm ' t •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 6' �,,,> _ -' >. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY 9 ''1r -TENDERED
„q fir' "CHANGE'
CHECK NO
SIGNATURE
SITE TICKET GRID _ WEfGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01424634 Dan
PO Box 962/6155 Cox Lane DATE aN,, •DATE OUT, ,TIME IN TIME OUT, VEHICLE-. 1, ROLL OFF,,,
Cutchogue, NY 11935
3/08/19 3/08/19 7:28 7:28 11 107T
009316 Town of Babylon -
Scale 2 Gross Wt. 77700 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
,QTY., U T.,. DESCRIPTION _ RATE. EXTENSION` FEE TOTAL'-a "
0.39 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
fP
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 J' v "' d TENDERED
a. ,
,-CHANGE
CHECK NO.
SIGNATURE
NO. ®202
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.�i` ) i"� i )}
SHIP DATE: _
COMMODITY SHIPPED: `
LOOSEN i1 (CU YDS) , _
BALES:(COUNT):
'
TRUCK WEIGHT: '-'.r f GROSS
TARE
t 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 TQ4PPLICABLE REGULATION. "
GENERATOR AUTHORIZED AGENT(PRINT NAME) P (SIGNATURE)•
TRANSPORTER "' -
TRANSPORTATION/FREIGHT CO.
_411 f
TRUCK NO. ► LICENSE NO/STATE:
TRAILER NO. t 2, -D 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: - � j
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: P t lJAAj 1 -A _(o / 1 1 �' 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.
"DUPLICATE TICKET*" SITE ___jICKET'_11 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1,. _ 01424939 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN_- DATE OUT TIME IN- TIME OUT VEHICLE_ _ -ROLL OFF -
)3/11/19 )3/11/19 t9:00 9:00 1 11107TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69740 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35760 LB
QTY. UNIT' _ DESCRIPTION RATE' EXTENSION `^ FEE' -,,,'TOTAL-
-
7.88 TON UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685",ff'." ..`
j>v,P, "",w ._ *,� 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ;` ,_ TENDERED
CHANGE,
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" S17E :TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01424939 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE- ROLL OFF
3/11/19 3/11/19 9.00 9:00 11107TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 69740 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35760 LB
QTY."" UNIT„ DESCRIPTION RATE','" EXTENSION FEE TOTAL
1788 TON UTGO.MSW 0.000 0.00 0.00 0.00
Xy
operating hours O ays a wee -sy _ .� - e ;,s, � kY •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: fr
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY'"r"i{;qq('I _TENDERED"
�.e. kPY` r r -CHAN E,
"'-CHECK NO:
SIGNATURE
-0-216
NO.
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: mow.V-1 C 3 L`V) SHIP DATE:
COMMODITY SHIPPED:" `� l.1' )
LOOSE:- YDS)
BALES: (COUNT): =
TRUCK WEIGHT: ( GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE^L`IOUID'AS DEFINED 8Y 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY40 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. 3 Aja { / 1 A) }
TRUCK NO. I t LICENSE NO/STATE:
TRAILER NO. " LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED- BOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. .
DRIVER:
(PRINT NAME) f (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 1f �' ?A'`' I . 1 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
r
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
y -
SITE ,",_"TICKET•';"? ,GRID "_{=__` _ WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 1 01425089 Steph
PO BOX 962/6155 COX Lane DATE,IN" , BATE OUT` ' TIME IN TIME OUT VEHICLE; ROLL,
Cutchogue, NY 11935
3/12/19 3/12/19 1:25 1,
1:25 11107T
009316 Town of Babylon
- REFERENCE •-
Scale 2 Gross Wt. 83420 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 47160 LB
UNIT DESCRIP..TION ",,,, _ , y„ .uRATEF,, EXTENSION
FQTYIQTYFEE TOTAL
3.58 TON UTGO.MSW 0.000 0.00 0.00 0.00
I` 5
Operating hours 7:00 AM to 5:00 PM 7 days a week., , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. w,; 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,' y <. ' ;_� TENDERED
.;
CHANGE
CHECK,NO.
SIGNATURE
SITE „TICKET: ;> STER
,;GRID " "u'^'' � 1NEIGHMA r
SOUTHOLD TOWN DEPT SOLID WASTE 1 01425089 Steph
PO Box 962/6155 Cox Lane DATE IN ' ,DATE,OUT„ TIME',IN TIME-OUT ,pVEHICLE ROLLOFF
Cutchogue, NY 11935
3/12/19 3/12/19 1:25 1:25 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83420 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
et e' 47160 LB
:- QTY .- UNIT=_. -- DESCRIPTION RATE EXTENSION -FEE TOTAL
3.58 TON UTGO.MSW 0.000 0.00 000 0.00
q
Operating hours 7:00 AM to 5:00 PM 7 days a week.`;t011111111111==
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - ,a w, 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY =3 ;= ,<_ TENDERED'
%AW,CHANG 16-0 1,
=. CHECK-NO.
SIGNATURE
NO.
-
""_
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.LIABIL'ITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.- }}
COMPANY: .��• ;,i'I 1— ( � SHIP DATE: `-'
COMMODITYZHIPPED:
LOOSE: " ' I (7 (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
=k`gamy TARE
t" 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,'CL'ASSIFIED'AND PACKAGED,AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING,TQ APPLICABLE REGULATION.. .
GENERATOR AUTHORIZED AGENT(PRINT NAME) �'f __-`(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO., � '� ; 3 3 a ��; 01AA) I
TRUCK NO. f /LICENSE NO/STATE: `
TRAILER NO. +� LICENSE NO/STATE-
1 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) _
DESTINATIONV�
DISPOSAL LOCATION: 1,IJ `f t V I ,, - 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.
SITE _TICKET_'' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01425216 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INE_ DATE OUT TIME IN_ TIME OUT VEHICLE >_ ROLL OFF
3/13/19 3/13/19 1:27 1:27 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78000 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 41000 LB
`OTY- UNIT.Y' DESCRIPTION' 3'_ "''- - "RATE EXTENSION .' FEE'. TOTAL—
"
0.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
h's
Operating hours 7:00 AM to 5:00 PM 7 days a wee ~ lily•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY � i; ,y .,+` ''° TENDERED'
-CHECK NO
SIGNATURE
SITE ' TICKET~__ GRID:` WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01425216 Steph
PO Box 962/6155 Cox Lane
DATE IN ' DATE-OUT =TIME IN'TIME OUT VEHICLE- .-,ROLL OFF
Cutchogue, NY 11935
3/13/19 3/13/19 1:27 11:27 11107TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78000 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 41000 LB
"'OTY UNIT","e DESCRIPTION =' RATE EXTENSION FEE` TOTAL
0.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
f
Operating hours 7:00 AM to 5:00 PM 7 days a week.(,,) 6 "¢ _-- -@; ' � m ,=�" •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,�� 4 'w 0.00
_
NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY =TENDERED
,._ :,,,,•.;- ,i ;z,='..
,t
SIGNATURE
_ NO. : 02.10
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 ASSUMEANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. s
COMPANY:, o LA I _SHIP DATE:
, COMMODITY SHIPPED: =.i'-1� 1� I ) -
LOOSE: on_I (CU YDS).
BALES:(COUNT):-
TRUCK'WEIGHT: �- �; 1-;b GROSS
' ,, �,c• TARE-
L_ �. NET -,
I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN-FREE LIQUID AS-DEFINED BYAD CFR PART-260.10,OR ANY
APPLICABLE STATE LAW,ISNOT 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
TRANS PORTATION/FREIGHT,CO. f ti( t `}l�``� r�1
TRUCK NO. 7 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:ADDRESS: DATE DELIVERED:
_ 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 t
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 01425280 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,,DATIN =,Cr:ATE,OUT=, TIMEIN TIME OUT ;'VEHICLE: ROLLOFF
03/13/19 03/13/19 ;15:02 15:02 11 107T
009316 Town of Babylon
REFERENCE
L I I
Scale 2 Gross Wt. 80880 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40480 LB
QTY"_ UNIT DESCRIPTION__`_ RATE EXTENSION _ -FEE-_ TOTgL `
20.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Ope 'a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:.:<' ,h 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY'r;,
, TENDERED`
r� 1 ,i kv. Y)✓d.
- ..
CHANGE, `..,
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET ;. GRID,._= WEIGHMASTER a
SOUTHOLD TOWN DEPT SOLID WASTE 01 01425280 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN','°' DATE"OUT -- '"TIME;IN, TIME''OUT ' ''_A EHICLE ROLL"OFF
03/13/19 03/13/19 15:02 15:02 11 107T
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 80880 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40480 LB
QTY UNIT DESCRIPTION.—', RATE ,- --EXTENSION----_ ---FEEy- ,-TOTAL r
20.24 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
operating hours o ays a wee .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAYS TENDERED--
CHANGE'
ENDEREpCHAN E"
HEC NO:-.=`°
SIGNATURE
NO. - 0211
GENERATOR `.
THIS MANIFEST IS FOR REFERENCE PURPOSES,ONLY.GENERATOR DOES NOT'TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS-,
BEING SHIPPED AND DOES NO,T.ASSUME ANY LIABILITY'ASSOCIATED•WITH THE SHIPMENT OF SUCH MATERIALS. ,-, f
COMPANY: ���a i_t t t s SHIP DATE:
;COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
Ly c,t• TARE
�'; • �.E C NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 ORAN.Y_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) t_'__----(SIGNATURE)
a
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ' A1 ,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. B LICENSE NO/STATE:
. w
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)
Y
DESTINATION
DISPOSAL LOCATION: } ' J�, � t ' ,I � '� DATE DELIVERED:
w�
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.
iNEIGHMASTER-,
"`DIJPtICATE TICKET*" -SITE TICKET ss,; = GRID,-= ;
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01425382 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- :DATE OUT TIME IN TIME OUT _, VEHICLE a ROLL OFF
03/14/19 03/14/19 11:47 11:47 11107T
009316 Town of Babylon REFERENCE
•-
Scale 2 Gross Wt. 73040 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Wei ht 36280 LB
QTy< n -„'UNIT, °” DESCRIPTION RATE" EXTENSION FEE TOTAL,°
18.14 TON UTGO.MSW 0.000 0.00 0.00 0.00
22
ew
Operating hours 7:00 AM to 5:00 PM 7 days a week.' '§; `a,` a'' ate" r§ ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1 0.00
NEXT HOLIDAY. SUNDAY,APRIL 21, 2019 EASTER SUNDAY., '? f, µfl- TENDERED
--' Y CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SE `
IT ' TICKETS' GRID WEIGHMA$TER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01425382 Liz H
PO BOX 962/6155 COX Lane °'"DATE'IN- -DATFkOUT- TIME IN'TIME'OUT VEHICLE"' ROLLOFF
Cutchogue, NY 11935
3/14/19 03/14/19 11:47 11:47 11107T
009316 Town of Babylon REFERENCE ORIGI I N_
Scale 2 Gross Wt. 73040 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Pt pig t 36280 LR
QTY UNIT DESCRIPTION - RATE = _ EXTENSION -,FEE "TOTAL.
18.14 TON QUTGO.MSW 0.000 0.00 0.00 0.00
J>i
Operating hours 7:00 AM to 5:00 PM 7 days a week." ` "a V:-_ �:ti 4�..= �'t - �yLOIN
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e`9�_�, ' __ _ p �. 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY =TENDERED
_,,CljANGE
"--CHECK NO. `
SIGNATURE
NO. ®2-1 2
GENERATOR
THIS MANIFEST IS FOR REFERENCE�PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT•ASSUMEANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� i A 1r; sz _ ; SHIP DATE:
COMMODITY SHIPPED:
LOOSE: t} (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �.' � ? +.'} GROSS
TARE
4j .. 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(PRIN_T NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. i7 �� 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: --� - -1���''•,_ \�} Gr'
(PRINT NAME) (SIGNATURE)
1!f
2
DESTINATION
DISPOSAL LOCATION: t} ! � t . �Y€'i:� -i1d DATE DELIVERED: I
ADDRESS: _ s
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.
`'�`"*D!lrLICATETICKET"* SITE "'s TICKET" GRID" WEIGHMASTER'._ '.
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01425545 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 " 'DATE'IN. DATE,OUT ;TIME IN,TIME OUT "',vEHICLE ,� ROLLOFF';`'
03/15/19 03/15/19 11:45 11:45 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75260 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 38340 LB
QTY: UNIT DESCRIPTION RATE EXTENSION `FEE TOTAL
19.17 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.'
wtl �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. x' `4 �A_.._ r ,$°,� � 0.00
TENDERED
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY p` 'u t n'
���
F�
- CHANGE
CHECK NO n
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET ` GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01425545 Liz H
PO Box 962/6155 Cox Lane DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
3/15/19 3/15/19 1:45 1:45 11 107T
009316 Town of Babylon
Scale 2 Gross Wt. 75260 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
et e*aht 38340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
9.17 TON UTGO.MSW 0.000 0.00 0.00 0.00
�kr �� r{.
Operating hours 7:00 AM to 5:00 PM 7 days a week. "; ° - � �_- ' ���
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.61 - �
0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAYI �' TENDERED
N
, CHANGE
CHECKNO.
SIGNATURE
NO. ® 215
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 0} CA_ � SHIP DATE:
COMMODITY SHIPPED: ,
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:, 0 GROSS
^"� u` z u✓ 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.
9
Lro N.i R
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANS PORTATION/FREIGHT CO. i N I t_JI "`� h) ;
i
TRUCK NO. Y LICENSE NO/STATE:
TRAILER NO. t LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) z,"" (SIGNATURE)
r
DESTINATION
DISPOSAL LOCATION: } DATE DELIVERED: ' - 1
1
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 _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426104 Steph
PO Box 962/6155 Cox Lane ' 1
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN tTIMEOUT VEHICLE - =ROLLOFF03/18/19 03/18/19 10:37 7 11 107T
REFERENCE ORIGIN
009316 Town of Babylon
Scale 2 Gross Wt. 68620 LB Outbound-Charge ticket
Manual Tare Wt. 37000_ LB
Net Weight 31620 LB
QTY UNIT . ,.I, DESCRfPTION• RATE - - ,"IXTENSION - 'FEE TOTAL ,
15.81 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: SUNDAY,APRIL 21,2019 EASTER SUNDAY,-,`-1,/-,P,. --3, "" *' TENDERED
CHANGE
CHECK NO.,
SIGNATURE
""DUPLICATE TICKET"` -SITE TICKET` GRID-, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426104 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIMEOUT- VEHICLE ROLLOFF,
Cutchogue, NY 11935
03/18/19 03/18/19 10:37 10:37 11 107T
009316 Town of Babylon REFERENCE
o�
Scale 2 Gross Wt. 68620 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 31620 LB
"QTY %UNIT' DESCRIPTION " RATE'" EXTENSION FEE :'TdOTAL��-'
15.81 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.r A �' .'_ .yam' _' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,' -__-- �" �> 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY;i ;t?x; " '" '` i TENDERED5,.
4 q;l 9 CHANGE>'
" HECK NO:--
SIGNATURE
` GENERATOR
.THIS MANIFEST IS FOR REFERENCE PURPOSES.ONLY:GENERATOR DOES NOT=TAKE,POSSESSION:OR TITLE OF,-ANY CARGO OR MATERIALS-
BEING SHIPPED AND•DOES•NOTjASSUME ANY..•LIABIL'ITY'ASSOCIATED.WITH THE SHIPMENT OF SUCH MATERIALS. _ }
COMPANY`. ' 3 E ;� 3 1-1 t� f SHIP DATE: • >
COMMODITY SHIPPED:_ An �.f � t
LOOSE: ,J 1� 1 1 (CU YDS) '
BALES: (COUNT)•:
TRUCK WEIGHT: .' t 11 �' GROSS_
TARE_ '
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED'MATERIAL DOES NOT CONTAIN FREE.L-IQUID AS_DEFINED BY 40 CFR PART 260.1D OR ANY`
APPLICABLE STATE LAW,ISNOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR-,PART261 OR ANY APPLICABLE STATE'L'AW,HAS-BEEN'PROPERLY-
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS,IN PROPER CONDITION FOR TRANSPORTATION ACCORDING .Q APPLICABLE-REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)' `,.� (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ! ( , IA)//
TRUCK NO. A LICENSE NO/STATE:
TRAILER NO. I s� 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: tai 1 I lfx N /I! ! A 16Y C 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.
TICKETGRID STER* DUPLICATE TICKET " SITE
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426168 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 PATE IN DATE OUT -TIME Ilii TIME OUT - VEHICLE -. ',ROLL OFF "
03/18/19 03/18/19 14:03 14:03 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74800 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 38540 LB
QTY UNIT — -.DESCRIPTION - RATE _ EXTENSION FEE _ TOTAL`
19.27 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a wee ..<- =- - __ ° ;. F. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.dY. 0.00
yf a9�' "I`' TENDERED
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY`�il'�,�: ;,- _:;��. �,
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"` SITE _ TICKET GRID,, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426168 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE w,, -DATE OUT, "TIME IN TIME OUT , VEHICLE 'ROLL OFF
03/18/19 03/18/19 14:03 14:03 11107TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 74800 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 38540 LB
"CITY'
UNIT DESCRIPTION " " - " = " , " �-" " ' RATE '" EXTENSION_; "FEE TOTAL' ' n
19.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.` , VW
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.!e��°'P ` -� �• 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY `'r 4a TENDERED
CHANGE-u„ �,,,,
SIGNATURE CHECK NO
NO. 0214
GENERATOR - '
THIS MANIFEST-IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES-NOWT ASSUME•ANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS.
COMPANY: G u1 1 Li �. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS) -
BALES: (COUNT):
TRUCK WEIGHT: '-' `� -' GROSS
F
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE•AS DEFINED BY 40 CFR.PART 261 OR'ANY APPLICABLE STATE-L-AW;HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITIO rFOR TRANS
RA�NSPORTA-TON CA CORDING TQ APPLICABLE REGULATION.'
GENERATOR AUTHORIZED AGENT(PRINT NAME)• (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. t tti t �! 1``� ►
f
TRUCK NO. Ci LICENSE NO/STATE:
TRAILER NO. f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTE,D'ABOVE,`AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r�
DRIVER:
(PRINT NAME) � (SIGNATURE)
t DESTINATION
y
DISPOSAL LOCATION: ' 1 r � / ; ,�f( (;,�J DATE DELIVERED: tic) I �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 WEIGHMASTER 7 `" `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426324 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN+ DATE OUT TIME,IN TIME OUT . VEHICLE ROLL OFF-
03/19/19 03/19/19 11:52 11:52 11 107T
REFERENCE 009316 Town of Babylon ,
ORIGIN
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35120 LB
"QTY - UNIT DESCRIPTION RATE EXTENSION FEE_ TOTAL
17.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f f
•� a �,Y w
Ope s o ays a Wee!K>; ;,= :p Fh„; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�”',' ''``; #''�"`" ,3 4` 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,-a',,__, , , t TENDERED"
21
CHANGE
CHECK NO°
SIGNATURE
SITE I TICKET GRID,,,, - = WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426324 Steph
PO Box 962/6155 Cox Lane 11 "
REFERENCE
Cutchogue, NY 11935 „DATE IN ,'DATE OUT v, TIME-IN TIME OUT ,„- VEHICLE ROLL OFF
03/19/19 03/19/19 11:52 11:52 11107TC
009316 Town of Babylon
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket 77
Manual Tare Wt. 39140 LB
Net Weight 35120 LB
QTY. „
UNIT' '; DESCRIPTION RATE EXTENSION ;' F,EE' TOTAL
17.56 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
� f__
operating hours o mud FIM I clays a wee ;`fir A, a �, � _ �. �,, P`F;, •
.� _
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,-'P ; ` =, .. `' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SON DAY,,,�5,,,,, _�.��.�a�3�v=fir _'TENDERED} -=
z
-CHANGE:
,CHECK NO,,,,
SIGNATURE
Y NO, O 2- 8
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.
t
COMPANY: a y i i`1 SHIP Di
COMMODITY SHIPPED: t''1 5A-) t
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:,-,- 1 '' GROSS ,
TARE
J c
NET
THEREBY 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'
TRANS PORTATION/FREIGHT'CO.
TRUCK NO. Z � LICENSE NO/STATE:'
TRAILER NO. l C9 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: 'Toc, I
"(PRINT NAME) �` (SIGNATURE)
' DESTINATION
DISPOSAL LOCATION: 1 ;' `! 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
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR • DISPOSAL LOCATION TICKET NO.
sn-Ell TICKET-" GRID " - WEIGHAi1ASTER " -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426251 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 --DATE IN .`DATE OUT, .TIME IN TIME-OUT ` - VEHICLE RQLC_OFF
03/19/19 103119119 08:35 08:35 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78780 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44800 LB
QTY. UNIT - DESCRIPTION iRATE- EXTENSION FEE, TOTAL
22.40 TON DUTGO.MSW 0.000 0.00 0.00 0.00� �! % ;\Y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685""l,'r y- prix 0 00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY' �t-. ,. 4 :` ,'TENDERED, .
CHANGE
CHECK NO
SIGNATURE
SITE TICKET,` ; GRID' WEIGHMASTER .,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426251 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN' _'DATE OUT TIME IN TIME OUT "VEHICLE' ROLL OFF`
03/19/19 03/19/19 08:35 08:35 11107TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 78780 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44800 LB
°"-QT - UNIT' DESCRIPTION _ RATE 'EXTENSION -'FEE TOTAL
22.40 TON CUTGO.MSW 0.000 0.00 0.00 0.00
t
cy
Operating nours o ays a wee . 3
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,, 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED `-
(x! 0.r� CHANGE
.y
SIGNATURE
NO. ® 289
GENERATOR :;.
THIS MANIFEST IS FOR•REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
.BEING SHIPPED AND DOES NOT('ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ��)({; f ` )r l t 1 SHIP DATE:
COMMODITY SHIPPED:
LOOSE: 4 t 1 t) (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 CFR PART 260.10 OR ANY
APPLICABE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CER-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.
c-,
TRUCK NO. ! t LICENSE NO/STATE:
TRAILER NO. f �� LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTER-ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i
F
DRIVER:
(PRINT NAME) J f (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ;I`t! t`! c`�� �i i �l \ t "; / �'•! ,1 DATE DELIVERED: �' C I cf
ADDRESS:- / t
� s
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 1 01426486 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN; DATE OUT TIME IN_;TIME,OUT ,,VEHICLE-, _, ROLLOFF.-- "
3/20/19 03/20/19 10:47 10:47 11 107T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 73300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36300 LB
QW. . UNIT DESCRIPTION, = RATE`, r =' EXTENSION^ =FEE TOTAL,
18.15 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
� r a
Operating hours 7:00 AM to 5.00 PM 7 days a week r,^ A W •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SUNDAY, APRIL 21, 2019 EASTER SUNDAY
1 '� � t• TENDERED
=c ,•-�; 4yn^" mst°fi
CHANGE
CHECK NO
SIGNATURE
SITE ` -"TICKET GRID' " WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01426486 Steph
PO Box 962/6155 Cox Lane 'DATE IN° DATE OUT TIME IN TIME OUT 'VEHICLE ROLLOFF.
Cutchogue, NY 11935
3/20/19 03/20/19 0:47 10:47 11 107T
009316 Town of Babylon ORIGINREFEREN CE
Scale 2 Gross Wt. 73300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net eiaht
QTY ` `_" `UNIT 3 Q
DE3CRIPTION B a 'RATE,,° _"°EXTENSION FEE TOTAL'
18.15 TON UTGO.MSW 0.000 0.00 0.00 0.00
27
Operating hours 7 00 AM to 5:00 PM 7 days a week."=. r\ •
�.�, - --- ~�__-_-- _• ..� � .�,
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 0.00
~ �K t ' 'A.
TENDERED—,,
NEXT NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY r'iuYFri;_ s�., 5
����;->.�'`'u ., e= a "•
,CHANGE,
HECK NO
SIGNATURE
NO 0290
GENERATOR
THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE-POSSESSION OR TITLE OF ANY CARGO-OR MATERIALS
BEING SHIPPED AND DOES NOTr'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH"MATERIALS:<
COMPANY: L V ut I� SHIP DATE:
I I _-
COMMODITY SHIPPED: . - N `f l 1
LOOSE: i C (CU YDS) ,
BALES: (COUNT):
TRUCK WEIGHT: " .f . �r .1.- GROSS
J! TARE
sty° < 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. '� ' '�'�� '` P Z
TRUCK NO. `'E 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: 1 a-
(PRINT NAME) (SIGNATURE) .
l
DESTINATION
DISPOSAL LOCATION: 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.
-.SITE , TICKET_ ,• GRID,'--= -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426564 Steph
PO Box 962/6155 Cox Lane = -
'"•� • •---i DATE IN ;DATE OUT TIME IN TIME OUT '- VEHICLE ,._ ROLLOFF
Cutchogue, NY 11935
3/20/19 03/20/19 14:10 114:10 11107TC
009316 Town of Babylon REFERENCEL �.
Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
NetWei ht 43640 LB
QTY.,
UNIT ' DESCRIPTION RATE,; %,-EXTENSION FEE, r TOTAL
1.82 TON VUTGO.MSW 0.000 0.00 0.00 0.00
w `y
4 (i
Operating hours 7 00 AM to 5 00 PM 7 days a week.�Zl its r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685 c�' :°.� `-•._, -f" •� 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY
- Ya CHANGE
CHECK NO'
SIGNATURE
'SITE TICKET"= `''' `GRID= ' '_WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 31 01426564 Steph
PO Box 962/6155 Cox Lane DATE'IN" "DATE OUT T(ME'IN TIME OUT "'VEHICLE'' ROLLOFF'`
Cutchogue, NY 11935
3/20/19 03/20/19 14:10 14:10 11 107T
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
- QTY UN , DESCRIPTION _ RATE . EXTENSION -FEE TOTAL, ,
1.82 TON CUTGO.MSW 0.000 0.00 0.00 0.00
'' , `-•a a�`` IAF�• �+ -," ¢+rl,. �i
Operating hours 7.00 AM to 5 00 PM 7 days a week. "', �;�- �� "} ` r �3,-' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:'4 ,4' • _'- 0.00
NEXT HOLIDAY: SUNDAY, APRIL 21, 2019 EASTER SUNDAYr P,:My ;F „4 ;'' " TENDERED
,CHANGE
CHECK NO.
SIGNATURE
02-91
GENERATOR '
THI&MANIFEST IS FOR REFERENCE PURPOSES-ONLY.'GENERATOR DOES-NOT TAKE POSSESSION•OR TITLE OF ANY-CARGO OR MATERIALS'
BEING SHIPPED AND-DOES NO—rASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCH-MATERIALS:
COMPANY: , UN 7 SHIP DATE:
COMMODITY-SHIPPED:`
LOOSE:- (CU YD-S)
BALES: (COUNT):':
TRUCK WEIGHT: GROSS_.
TARE -
f NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR-ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE-STATE LAW-,,HAS BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN'PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) `
TRANSPORTER .
TRANSPORTATION/FREIGHT CO. /-j I
A
TRUCK NO. � LICENSE NO%STATE:
TRAILER NO. 2, =' 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)
of
DESTINATION
DISPOSAL LOCATION: L ,? `tI lJ} I"� _i d � '� DATE DELIVERED: 1 I 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.
W,RuP,�ICATE TICKET" SITE ' TICKET GRID WEIGHMASTER
%,SOUTijOLD TOWN DEPT SOLID WASTE 01 1 01426698 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE = ROLL OFF-
3/21/19 03/21/19 11:43 111:43 11107TC
REFERENCE
009316 Town of Babylon
ICE
Scale 2 Gross Wt. 67200 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 30940 LB
QTY. UNIT DESCRIPTION, RATE„ EXTENSION FEE TOTAL
15.47 TON OUTGO MSW 0.000 0.00 0.00 0.00
.wrq$y t} „ t, ,�Jx P
operating hours odays a wee !: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,f9�, r "` ; 0.00
�. -�--._ . , �,
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY a,, ,:: TENDERED
CHECK N
SIGNATURE
"DUPLICATE TICKET" SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01426698 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE 0 U TIME IN TIME OUT VEHICLE ROLL OFF
3/21/19 3/21/19 1:43 1:43 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 67200 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 30940 LB
QTY. UNIT DESCRIPTION RATE , EXTENSION. FEE TOTAL
5.47 TON UTGO.MSW 0.000 0.00 0.00 000
Operating hours 7:00 AM to 5:00 PM 7 days a week. Y� °f = •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. e Q _�m �" 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED
CHANGE
CHECK O.
SIGNATURE
NO. ®292
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: 2 � � � `%
COMMODITY SHIPPED:
LOOSE: U U (CU YDS)-
.
BALES: (COUNT):
-TRUCK WEIGHT: C ' ? 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 TO APPLICABLE REGULATION.
Pte'
its
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
4
TRANSPORTER-
TRANSPORTATION/FREIGHT
RANSPORTERTRANSPORTATION/FREIGHT CO. f`)
TRUCK NO. dll 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)
I�o
_ DESTINATION';
�
DISPOSAL LOCATION: }�J A! DATE DELIVERED: t `l
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.
DUPLrCATE TICKET ` SITE °_-TICKET`_ _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426834 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 -DATE IN_= DATE OUT TIME IN TIME OUT VEHICLE _ 'ROLL OFF
03/22/19 03/22/19 11:03 11:03 11107T
009316 Town of Babylon REFERENCE
•-
Scale 2 Gross Wt. 77100 LB Outbound-Charge ticket
Manual Tare Wt 37000 LB
Net Wel ht 40100 LB
QTY UNIT, DESCRIPTION RATE EXTENSION `'FEE TOTAL_
2005 TON UTGO.MSW 0.000 0.00 0.00 0.00
r1
Operating hours 7 00 ANI to 5 00 PM 7 days a week.,� •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. ',, 0. _ "
r �,. 0.00
NEXT HOLIDAY- SUNDAY, APRIL 21, 2019 EASTER SUN. 4'' >_ ; a TENDERED
-cut., syY CHANGE
CHECK NO.-
SIGNATURE
GRID
SITE =TICKET WEIGHMASTER
"DUPLICATE TICKET`*
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426834 Liz H
PO BOX 962/6155 COX Lane -' bATE IN DATE OUT TIME IN'TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/22/19 03/22/19 11:03 11:03 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 77100 LB Outbound-Charge ticket
Manual Tare Wt 37000 LB
Net 40100 LB
—7-0 "UNIT'' DESCRIPTION RATE'; 'EXTENSION• FEE, TOTAL
2005 TON VUTGO.MSW 0.000 0.00 0.00 0.00
r J,
fV
( i _
Operating hours 7 00 AM to 5 00 PM 7 days a week. ", ,` e �_ .;==-_ .=ar` ��:-' �pY •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. t";' ' 0.00
NEXT HOLIDAY SUNDAY,APRIL 21, 2019 EASTER SUNDAY ': r;,, ' ' ,°`.> TENDERED`
CHANGE
HECK NO.-r`
SIGNATURE
NO, ®294
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'A+SSUME ANY-LIABILITY.,ASSOCIATED WITH:THE'SHIPMENT"OF SUCH MATERIALS."
COMPANY:' t �� 1�S �) 1 SHIP DATE:M I (
COMMODITY SHIPPED:
LOOSE:-- Hf u (CU YDS),
BALES:(COUNT):
TRUCK WEIGHT:' lit GROSS'
:5-1 o(,'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 CON DITION'FOR-TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. '
N1,
GENERATOR AUTHOR IZED'AGENT(PRINT NAME) _ (SIGNATURE) -
TRANSPORTER
1 ;
TRANSPORTATION/FREIGHT CO.-
TRUCK
O: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.
/� . r 'r
/fes
DRIVER: �.
(PRINT NAME) � ' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: f T s� � '' 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 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01426791 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN+, DATE;OUT TIME IN TIME OUT11, ;VEHICLE' ROLLOFF'"
3/22/19 03/22/19 07:13 07:13 11107TC
REFERENCE
009316 Town of Babylon
•-
Scale 2 Gross Wt 73020 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36400 LB
QW. ,- •, UNIT DESCRIPTION ; RATE EXTEN510N FEE TOTAL
18 20 TON OUTGO MSW 0.000 0.00 0.00 0.00
a hvy� Y•� s� SS E.'Eyv' �rJ. e
Operating hours 7 00 AM to 5:00 PM 7 days a week.,'- ti ` .; r A �' •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY SUNDAY,APRIL 21, 2019 EASTER SUNDAY r.:, tF.:,; ;a,v K f,' TENDERED
-
.: CHANGE
.'CHECK-NO
SIGNATURE
SITE ',
""DUPLICATE TICKET"" -..TICKET' � --GRID,' ",WEIGHMASTER^,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01426791 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN' 'DATE OUT .TIME IN I TIME OUTI,, VEHICLE ROLL OFF
3/22/19 3/22/19 7:13 7'13 11107TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt 73020 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36400 LB
QTY - UNIT - = DESCRIPTION RATE EXTENSION• " FEE TOTAL
1820 TON UTGO MSW 0.000 0.00 0.00 0.00
((R
(0 i g• 't
Operating hours 7:00 AM to 5:00 PM 7 days a week. E; _ •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. >9� -
0.00
NEXT HOLIDAY SUNDAY, APRIL 21, 2019 EASTER SUNDAY ,'`' ' °a�, x Y ,, TENDERED
CHANGE
CHECKNO.
SIGNATURE
NO. ® 29"5
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS' -
BEING SHIPPED AND DOES NOT-ASSUME ANY'LIABILITY ASSOCIATED WITH'THE SHIPMENT.OF SUCH MATERIALS. J
COMPANY:" 1 t�f�i a- ;- !i _ SHIP DATE: t �!
A", <
COMMODITY SHIPPED:'
,
LOOSE:-' C) (CU YDS)
BALES: (COUNT):"
TRUCK WEIGHT: ; t`? GROSS
L, ( TARE
F;-__�) NET
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES•NOT CONTAIN FREE LIQUID.AS DEFINED BY 40 CFR PART-260.10 OR ANY
APPLICABLE STATE LAW;ISNOT 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. t `') -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
DATE DELIVERED: 1
DISPOSAL LOCATION: r
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.
ITE TICKET '.^ GRID. WEIGHMASTER
S -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427530 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935Lane '--DATE IN DATE OUT TIME IN,TIME OUT - VEHICLE =ROLL OFF
03/25/19 03/25/19 13:16 13:16 11107TC
009316 Town of Babylon REFERENCE •
Scale 2 Gross Wt. 77160 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 40540 LB
QTY UNIT DESCRIPTION RATE EXTENSION - FEE :' TOJTAL
20.27 TON DUTGO.MSW 0.000 0.00 000 0.00
Operating hours 7:00 AM to 5.00 PM 7 days a week:r >. F •
0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,FA� ,,"
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY; '), w'? ;. :TENDERED
CHANGE
' CHECK NO
SIGNATURE
SITE I TICKET-- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427530 Steph
PO BOX 962/6155 COX Lane ". DATE IN DATE"OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/25/19 03/25/19 13:16 13:16 11107TC
009316 Town of Babylon REFERENCE
•.
Scale 2 Gross Wt. 77160 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
QTY UN4T"', ;_, „"t,. ¢";DESCRIPTION" RATE,,`;, EXTENSION' FEE TOTAIo
0.27 TON QUTGO.MSW 0.000 0.00 0.00 0.00
trm~' 7
Operating hours 7:00 AM to 5:00 PM 7 days a week.` :fir=,4 :'_•_.a9.A; - Y -- Loll]
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. =�"° - _— -"t R ° s 0.00 `
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,"",'(
` TENDERED
�-1 -CHANGE:,
-CHECK NO.
SIGNATURE
NO:- - 0295
GENERATOR-
-THIS
ENERATOR_--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 MATERIAL'S, ' R A 1 "
COMPANY: C E It ; %I !� f #1 SHIP DATE: • d
- _ . f {
COMMODITY SHIPPED:
LOOSE: l i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: : GROSS .
` TARE
f k_ CNdII 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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY. `
DESCRIBED,CLASSIFIED AND PACKAGED:AND IS IN PROPER-CONDITION FOR TRANSPORTATION ACCORDING.TOt APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) �. '(SIGNATURE)
_ 4
/ TRANSPORTER ,
TRANSPORTATION/FREIGHT—CO. If I r:) 9 CNN " i
a
TRUCK NO. " t 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. r f
DRIVER:
(PRINT NAME) !' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: � !_ I`1 d � )AA °I 4 _ � DATE DELIVERED: ,> 14
ADDRESS: r J l
I HEREBY CERTIFYTHAT 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"' " '" GRIDWEIGHMASTER•
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427417 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT'_" TIME°IN TIME OUT ``, VEHICLE ROLL OFF
03/25/19 03/25/19 07:11 07:11 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 40020 LB
QTY` UNIT '- DESCRIPTION— - RATE EXTENSION FEE TOTAL_
20.01 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours odays a weeK.','
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..;s`fb;, ' >; 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED
CHANGE
CHECK NO
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427417 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/25/19 03/25/19 07:11 07:11 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 40020 LB
QTY UNIT DESCRIPTION, =
RATE= EXTENSION,A FEE, TOTAL
0.01 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
%
A
Operating hours 7:00 AM to 5:00 PM 7 days a wee .;•-•,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685} ' T = ;4� 0.00
t s d .
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY '.;;{., a. r �'" TENDERED �.
CHANGE^' '
CHECK'
SIGNATURE
�-` NO. 0300
GENERATOR
THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPEDAND DOES NOT.ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS. r
COMPANY: SHIP DATE: `
COMMODITY SHIPPED:
LOOSE: j .(CU YDS) _f
BALES:(COUNT):
TRUCK WEIGHT: i .s � GROSS-
i, � 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 HAZARDOUSWASTE 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. ° f f
TRUCK NO. I LICENSE NO/STATE:
TRAILER NO. t�,a. 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
Pyr
DRIVER: _'_--�►�' ' ,!r"�%
(PRINT NAME) " (SIGNATURE)
.r
jJj/ tt DESTINATION
DISPOSAL LOCATION: �? / N ;" " `/t ?,° '`! a f DATE DELIVERED:
ADDRESS: /r
LHEREBY 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
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427627 Steph
PO Box 962/6155 Cox Lane .,. '—]
Cutchogue, NY 11935 DATE IN " DATE OUT= " TIME IN TIME OUT VEHICLE _ ROLL OFF
03/26/19 03/26/19 07:14 07:14 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76180 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39180 LB
QTY- UNIT DESCRIPTION" "RATE' EXTENSION "`FEE' "_ -TOTAL"'
19.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
ti}
dd� a 1--j
Operating hours 7:00 AM to 5:00 PM 7 days a week.K "; `; >.° __ _. µ:< f.;` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.c< 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTERSUNDAY f t;,;,, . �ry TENDERED
CHANGE
CHECK NO --
SIGNATURE
SITE F, `TICKET -GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE D1 01427627 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT , ,_,- VEHICLE ,. ROLL OFF,
Cutchogue, NY 11935
3/26/19 3/26/19 7:14 07:14 11107TC
009316 Town of Babylon
REFERENCE
•-
FScale 2 Gross Wt. 76180 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net We' 391-80 LB
, QT ,UNIT, „DESCRIPTION,, RATE . EXTENSION FEE _ TOTAL ,
9.59 -TON UTGO.MSW 0.000 0.00 0.00 0.00
" t F
Operating hours 7:00 AM to 5:00 PM 7 days a week. ;. Lois]
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,, `` - _...- '` n 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY `, TENDERED
>1, l 4[ s>
CHANGE
-CHECK NO
SIGNATURE
NO. ® 297
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.SHIPMENTOF SUCH,MATERIALS.
_ j
COMPANY: `1l�i./1 T)- it`' ( i) SHIP DATE:
COMMODITY SHIPPED:-'
LOOSE: i (CU_YDS)
BALES:(COUNT):
TRUCK WEIGHT: i`' ! �, GROSS •
TARE
-'' ,l NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY `
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS-DEFINED BY.40 CFR PART 261 O_R__ANY APPLICABLE STATE LAW,HAS BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ ARRL-IGABC REGULATION.
1
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.
(� 1
DRIVER: �J J
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `']E (-�, ��f -C '`� DATE DELI-VERED: 2 C� 1
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" S '
ITE ._ ,:TICKET GRID r WEIGHMASTER=
SOUTHOLD TOWN DEPT SOLID WASTE 101a 01427767 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IiV , DATE'OUT TIME IN TIME OUT VENICE"E' "' _ "_ ROLLOFF= `
03/26/19 103/26/19 14:10 14:10 11 107T
009316 Town of Babylon REFERENCE •
Scale 2 Gross Wt. 72060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 35300 LB
QTY. " UNIT _ DESGRIPTION' RATE ': EXTENSION FEE_` TOTAL=
17.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.` �. :" 'r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,y w°f ., `' '' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ,"< .-;, E .a ': „, '`Y TENDERED
CHANGE
-CHECK NO. -.
SIGNATURE
"DUPLICATE TICKET"" SITE, TICKET. .GRID' _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE D1 01427767 Steph
PO BOX 962/6155 COX Lane DATE IN.,, . DATE OUTTIME IN TIME OUT VEHICLE„ ROLL OFF .
Cutchogue, NY 11935
3/26/19 03/26/19 4:10 114:10 11107TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72060 LB Outbound- Charge ticket
Manual Tare Wt. 36760 LB
- , ro .-"QTY .. '. UNIT `,,DESCRIPTIOtd„ ", :'RATE' .., EXTENSION" „ FEE TOTAL,
7.65 TON UTGO.MSW 0.000 0.00 0.00 0.00
.w
Operating hours 7:00 AM to 5:00 PM 7 days a week.'zr •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.0
i.
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY
CHANGE,'-L-,,-
CHECK NO.:
SIGNATURE
NO: 0296
GENERATOR
' ' THIS MANIFESTIS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NO.T.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: ULA-r-1, SHIP DATE:
COMMODITY,SHIPPED:. 1 _ I
LOOSE: _100 ,(CU YDS) -
BALES: (COUNT):
TRUCK WEIGHT:- ` .; t ,,s> 0 GROSS*
0 TARE_
r4 > f J NET
-1 HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID"A&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 T (SIGNATURE)TRANSPORTER -
TRANSPORTATION/FREIGHT CO. 1 / o fir.
TRUCK NO. ('� LICENSE NO/STATE:
TRAILER NO. 3 )- LICENSE NO/STATE:
1 HEREBY CERTIFY'THAT THE ABOVE NAMED MATERIAL WAS PICKED-UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: t'
(PRINT NAME) (SIGNATURE)
DESTINATION -
,�-� /t ;
-DISPOSAL LOCATION: / r A � 1 1� �`j`f '`� DATE DELIVERED: 11
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
RANSPORTER.PINK TO GENERATOR -
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET'* SITE", '-'TICkEr 696` ' _ = ` '` wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427951 Steph
PO Boz 962/6155 Cox Lane11 -
Cutchogue, NY 11935 °DATE IN , DATE OUT TIME'IN=TIME OUT ' VEHICLE' ' ROLL OFF;.
03/27/19 03/27/19 12:14 12:14 11107TC
009316 Town of Babylon REFERENCE ORIGIN
FScale 2 Gross Wt. 76660 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 39740 LB
QTY`' -, I_ '_ UNIT" "" DESCRIPTION- RATE- EXTENSION' ' '" "` FEE,' } TOTAL
19.87 TON UTGO.MSW 0.000 0.00 0.00 0.00
..
Operating hours odays a wee .�, ° 4` tea. 4r> ; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.',% ,x^, �p .' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY; ,r,, , ; '; -- R "TENDERED'
CHANGE
CHECK NO
SIGNATURE
`"DUPLICATE TICKET"' SITE "TICKEr' ', GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427951 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF""
03/27/19 03/27/19 12:14 12:14 11107TC
009316 Town of Babylon REFERENCE
L I.
Scale 2 Gross Wt. 76660 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Wei ht 39740 LB
QTY `UNIT,"" DESCRIPTION 'RATE -"EXTENSION;'; "FEE '_' TOTAL
19.87 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
UYy fF� _ `.� •,_ +.""S A 0 µk.,,,
Operating hours 7:00 AM to 5:00 PM 7 days a week. f •
J'r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,��?®.. _.__� -A � 0.00
NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY(" `aHH.;r• ~' g TENDERED 4 r;
-CHANGE,-+• r
• HE K NO.
SIGNATURE
NO. 0299
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 .1 ! Ir i 1 SHIP DATE:
COMMODITY SHIPPED:
LOOSE:' (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT:. / f` 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.
TRUCK NO. ''i LICENSE NO/STATE:
f _
TRAILER NO. ? L '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.
r•
DRIVER: i
(PRINT NAME) _ (SIGNATURE)
r'r
DESTINATION
DISPOSAL LOCATION: �?�✓ !rn `u` 1 ;�" i?' ►''i'/ — ,�; DATE DELIVERED: I
U
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, „01427871 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN :„ DATE OUT-, TIME IN TIME OUT VEHICLE ROLL O"FF +
03/27/19 03/27/19 08:54 08:54 11107TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 82980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 46360 LB
-QTY.- UNIT DESCRIPTION-' - ` RATE " . EXTENSION FEE' `-TOTAL -
23.18 TON DUTGO.MSW 0.000 0.00 0.00 0.00
�'r✓�` `(5 �. t<?(til�r�'j[.`-9.� 'i
.q rV
4
Operating hours 7:00 AM to 5:00 PM 7 days a week: a .; _. m�ti: � •
e 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:`x' f .
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY„ } ` '.d a',, .TENDERED
CHANGES
CHECK NO
SIGNATURE
SITE TIPKET ` GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01427871 Steph
PO Box 962/6155 Cox Lane DATE IN DATE I'OUT' TIME IN TIME OUT ' VEHICLE ROLLOFFCutchogue, NY 11935
03/27/19 03/27/19 08:54 108:54 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 82980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 46360 LB 7
UNIT - TOTAL
,
3.18 TON QUTGO.MSW 0.000 0.00 0.00 0.00
t�'` �`(("4`;tt ,rf Il•'i'.J: _ 'tom
.i
Operating hours 7:00 AM to 5:00 PM 7 days a week.°� :Y, .'_ r>xe � ” •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:"a''� 3 `,. j� 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY `r``;, rfl",_ _ ;"_ _ TENDERED.
"CHECK NO:
SIGNATURE
NO. ; 0298
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY-.!,GENERATOR DOES NOT TAKE POSSESSION.OF1 TITLE OF ANY CARGO OR MATERIALS-:,
BEING SHIPPED-AND DOES NOT-ASSUME ANY LIABILITY.ASSOCIATED'WITH-THE SHIPMENTOF,SUCH MATERIALS.
COMPANY: - ii I �' � 3 SHIP DATE:
COMMODITY
• SHIPPED: r:
/
LOOSE: P (CU YDS)
BALES:(COUNT):
.TRUCK WEIGHT: �`s � i�� �� GROSS
TARE
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 BEENPROPERLY,
DESCRIBED,CLASSIFIED AND PACKAGED,AND-IS IN PROPER CONDITION'FOR TRANSPORTATION ACCORDING TO.APPLICABLE-REGULATION.
f
GENERATOR AUTHORIZED AGENT(PRINT NAME) ` ��` (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. If I '` t ` / Ll XIA)
TRUCK NO. � LICENSE NO/STATE:
TRAILER NO. t ell 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: Jy 1 1 r'�! I f'� I ! 13 DA_TE DELIVERED:
ADDRESS: -
I HEREBY CERTIFY THATTHE 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 T1cKEr- GR]Lj' _.° welGHrAASrER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01428147 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT..„ 'VEHICLE ,,'- . '�,ROLL OFF
03/28/19 03/28/19 11:07 1 11:07 11107TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70980 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34720 LB
QTY UNIT : DESCRIPTION RATE _ EXTENSION,,, - FEE TOTAL -'
17.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
g
JI
333 SSS s 7<`y�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734°7685,;�'-O, ' 0.00
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER`'SUNDAY.'
ry J TENDERED-
CHANGE ;
CHECK NO,
SIGNATURE
"DUPLICATE TICKET" SITE TICKET _° GRID'' ' _ wEIGHMASTER :
SOUTHOLD TOWN DEPT SOLID WASTE 01 01428147 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF;`
03/28/19 03/28/19 11:07 11:07 11107TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 70980 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34720 LB
UNIT DESCRIPTION" - RATE :_ ` EXTENSION FEE" _TOd' --
;QW.17.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o bmb Pm t aays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -'� . °'-. 0.00
7 ,,
:" „
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY }i�� i' TENDERED:+-:��� � ��.
CHECK NO.
SIGNATURE
NO. ® 267
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 i y E__- ..- � SHIP-DATE:
COMMODITY SHIPPED: W
LOOSE: _t .; • (CU YDS) =
BALES: (COUNT):
TRUCK WEIGHT: 1 ,r—'; GROSS
r E' 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 -
I)ESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.-
GENERATOR
EGULATION.GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. Yf s ) �/` �,{{ `+f A)
TRUCK NO. # �'� LICENSE NO/STATE:
TRAILER NO. I 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: 1 ,.•
(PRINT NAME) (SIGNATURE)
r
r
DESTINATION -
S {{ { J / 71
f
DISPOSAL LOCATION: l' I ti�1 •.i DATE DELIVERED: <j , Z
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE"AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL.LOCATION TICKET NO.
'"DUPLICATE TICKET" SITE I TI KEr - °GRID ; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01428350 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE zIN '__DATEOUTs, TIME IN`IIMEOUT - VEHICLE ROLLOFF r
S' ��' 03/29/19 03/29/19 10:59 10:59 11 107T
009316 Town of Babylon
7MEMORIGIN
Scale 2 Gross Wt. 73100 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36100 LB
QTY' 9, UNIT• DESCRIPTION' i; RATE ;ExTENSION FEE, TOTAL;, `
`"a 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-7342685,,-j }
NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER-SUNDAYS . G 11
TENDERED '
"CHANGE
- ,CHECK N09,
SIGNATURE
"*DUPLICATE TICKET`" SITE TICKET' GRID "' WEI'GHMASTEgi,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01428350 Dan
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE OUT " TIME IwN, TIME OUT VEHICLE ROL'LLOFF,,
DATE,IN
03/29/19 03/29/19 10:59 10:59 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73100 LB Outbound-Charge ticket 7
Manual Tare Wt. 37000 LB
Net Weight 36100 LB
QTY _UNIT'
DESCRIPTION RATE EXTENSION. r 4'' FEE. JOTA_L'
18.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685;��' " ;y r 0.00
"..q
NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTERSUNDAY, ` .fig' ,;TENDERED."
CHANGE,,
CHECK NO. __._'-
SIGNATURE
0268
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: { fZ I V l " l - 1 ``a SHIP DATE: > f j-�4
COMMODITY SHIPPED: �� v
LOOSE:- U (CU-YDS),•_ • , , .
BALES: (COUNT):
�` -�
TRUCK WEIGHT: " -: GROSS
_-TARE,_NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY'
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261-OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
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DRIVER:
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DESTINATION"
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