Loading...
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 \X y'?' 4✓' C �,� t•-&7 w � t i� i All 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 �d�� gyp , r,J vl TENDERED,. CHANGE CHECK N 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 < - .-CHANGE-, CHECK'NO', j, 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 ter-;^s•"?'.ate;:-��,-ga� gs� , ;�'�i� -;its>;,�°� °"�''•a Opera mg ours oays a wee` -} j _., .e , ;° • 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 'rr s c fr , i h 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 ., tt ;L {r t t " a M,P. ywx k Opera Ing ours odays a wee ; r • 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 �5. ,iii����d.i� d� ..f•..,p°�.9 151 CHANGE" ',°CHE KNO.. - 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 r 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 - DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION.' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) t ` TRANSPORTER TRANSPORTATION/FREIGHT CO: `j ) f 1 ,1tl AJ 1 TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS,PICKED UP AT'THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW. DRIVER: (PRINT NAME) ;� �' (SIGNATURE) DESTINATION" DISPOSAL LOCATION: _wi.r' r✓/; r / 1 �a-= Y �' '�� �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.