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Home My WebLink About04/2019 SITE _ TICKET` GRID ->- WEIGHMASTER, ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01429343 Steph PO Box 962/6155 Cox Lane ` Cutchogue, NY 11935 -DATE IN _ DATE OUT 'TIME IN TIME OUT "; _VEHICLE ' ROLLOFF 04/01/19 04/01/19 11:44 11:44 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71840 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 35620 LB I:_ 'QTYUNIT, DESCRIPTION'" ',RATE" EXTENSION- 'FEE TOTAL'" 17.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , ::. ffi— � Cit,,, �,p f!_ � S ay`✓""�.F✓i \°LT^}p^v . S OpdIIIIIIIIIIII1111iffAv• CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685: „'`. � 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ..:- . ` `°p TENDERED' "CHECK NO. SIGNATURE SITE I 7101QET -" GRID-.. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01429343 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN DATE OUT 3° TIME•IN TIME OUT VEHICLE ROLL OFF 04/01/19 04/01/19 11:44 11:44 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71840 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 35620 LB =_ UNIT ._ DESCRIPTION RATE _-EXTENSION-__ FEE_ . TOTAL QTY. L 17.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ..- °°<�":'<;"•rte'-' .� c r 1 Opera i g ours :0toays a wee \�,% • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY,'. TENDERED CHANGE CHECK NO. SIGNATURE i• NO. ® 27� 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: . _iC 1-i of i !.l t _ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ! :k-$ ( GROSS / a TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY " APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. r GENERATOR AUTHORIZED AGENT(PRINT NAME) (:: ---(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. i' DRIVER: (PRINT NAME) �f` (SIGNATURE) / /DESTINATION" .` DISPOSAL LOCATION: 4 i .% j t ! l_ DATE DELIVERED: `1 1 ADDRESS: Y _ r t 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 01429239 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN,-"_; 'DATE OUT , TIME IN TIME OUT VEHICLE' ROLL OFF ' j4/01/19 104/01/19 07:17 07:17 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81320 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 44700 LB QTY-` ', " UNIT ' DESCRIPTION - RATE EXTENSION- FEE_ TOTAL 22.35 TON OU I GO.MSW �• ��v e+°f lit ar-. S � �' � 8, ~ Zz 19z `4 T Opeffltifl�-Fs:7.9&AM to 649 Pm 7 da A z r MALTA • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.�'' °� z" NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER'SUNDAY-„ ?.TENDERED CHECK NO. " SIGNATURE "DUPLICATE TICKET" (SITE• TICKET -GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01429239 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT NO. ® 269 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 r I a ; r ; ( SHIP DATE: - COMMODITY_SHIPPED: ' LOOSE: r) (CU YDS) BALES: (COUNT): r'= TRUCK WEIGHT: GROSS TARE e _ 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) � re-- ` (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. !""\f TRUCK NO. / LICENSE NO/STATE: TRAILER NO. w_= 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_: t iR, t ,4' J 1 i'll; = DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE TICKET', . = GRID- , WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01429619 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE -ROLL OFF` " 04/02/19 04/02/19 11:55 11:55 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75760 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 36620 LB - QTY. UNIT DESCRIPTION RATE EXTENSION FEE , „TOTAL 18.31 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. T v„ '`.;>, w' _ _;- =: F;' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685...,; l} 6 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY ' TENDERED 41 w CHANGE CHECK N SIGNATURE **DUPLICATE TICKET** SITE TICKET--- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01429619 Steph PO Box 962/6155 Cox Lane DATE IN - DATE OUT TIME IN TIME OUT VEHICLE - - ROLL OFF. Cutchogue, NY 11935 04/02/19 04/02/19 11:55 11:55 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75760 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB QTY UNIT _ DESCRIPTION RATE EXTENSION EEE- TOTAL 18.31 TON CUTGO.MSW 0.000 0.00 0.00 0.00 Y t E i f V` Et 5•m 4 t �f Operating hours 7:00 AM to 5:00 PM 7 days a week.°'; < V CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`Z'' `°y ` '• # 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER SUNDAY,:;;'1',hr�, ;' .r i ta" TENDERED _•.s,;"�_`a',, �° - CHANGE "CHECK NO. SIGNATURE NO. ®278 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:,, LIE I SHIP DATE: ` COMMODITY SHIPPED' �1 LOOSE: I t U (CU YDS) BALES: (COUNT):- TRUCK WEIGHT: I 1 GROSS- ' . k� TARE 'k• 4P 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 LAWJS 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 AEP_LICABL-E-REGULATION:' e • GENERATOR AUTHORIZED AGENT(PRINT NAME) `— SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS"• DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) /� ` j (SIGNATURE) DESTINATION DISPOSAL LOCATION: . ( : _ 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. 1 PINK TO GENERATOR ' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.- SITE ,., TICKET a GRID WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01429531 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT _ TIME IN .TIME OUT _'`VEHICLE' " -,ROLLOFF,' 04/Q2/19 04/02/19 08:21 08:21 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82060 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 48080 LB QTY. UNIT DESCRIPTION _ RATE_ EXTENSION FEE TOTAL 24.04 TON CUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week..__, ''.f _' �_ __ y �,: , r' ` • CLOSED HOLIDAYS-QUESTIONS CALL 631-73446,85..m%y',., _w ` ",, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY Y' ;t` TENDERED CHANGE CHE K N SIGNATURE SITE - TICKET _ -,GRID WEIGHMASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 1 01429531 Steph PO Box 962/6155 Cox Lane DATE-IN - DATE OUT TIME IN TIME_-OUT VEHICLE ROLL OFF Cutchogue, NY 11935 4/02/19 04/02/19 8:21 08:21 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82060 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB et em t 48080 LB QTY UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL " 4.04 TON QUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.'"- CLOSED eek."CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. „ = 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ; «! TENDERED-—_ = x CHANGE, = CHECK NO. - " SIGNATURE . ? NO. , 0276 GENERATOR. THIS MANIFEST IS'FOR REFERENCE PURPOSES ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITLE"OF ANY CAR_GO-OR MATERIALS - BEING - BEING SHIPPED AND'DOES NOTeASSUME ANY-LIABILITY"ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:..- COMPANY: �p `" r, � t �-$ � . f_� ' SHIP DATE: - ! •-1 If - COMMODITY-SH_ IPPED- , = iVi 5: t_i LOOSE:• L 1 (CU YDS) BALES: (COUNT)--.- TRUCK WEIGHT: ur_ GROSS - 1 �= TARE NET:F I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS-DEFINEDIBY 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. E � I GENERATOR AUTHORIZED AGENT(PRINT NAME) '"` (SIGNATURE)' TRANSPORTER TRANSPORTATION/FREIGHT CO. t� : /`,7 i �t �-' r 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. al 1 DRIVER: �"�-=`n-)�' - (PRINT NAME) J (SIGNATURE) _ rid DESTINATION ` DISPOSAL LOCATION: li °?�ift/1( f A t 1//jV. 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 :�,r WEIGHMASTER'� DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE L 01429790 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT,' TIME IN TIME OUT VEHICLE ROLL OFF 4/03/19 04/03/19 08:23 08:23 11 121T 009316 Town of Babylon J REFERENCE` Scale 2 Gross Wt. 90280 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53660 LB QTY. UNIT DESCRIPTION RATE EXTENSION - ,FEE TOTAL 26.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours to 0 PM 7 days a wee • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY ' TENDERED; CHANGE CHECK NO' SIGNATURE "DUPLICATE TICKET** SITE TICKET GRID' wE1GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01429790 Steph PO Box 962/6155 Cox Lane DATE IN ` DATE OUT -TIME IN TIME OUT VEHICLE= ROLL OFF_ Cutchogue, NY 11935 4/03/19 4/03/19 8:23 8:23 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 90280 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53660 LB UNIT DESCRIPTION RATE EXTENSION FEE TOTAL' 6.83 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. w • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685__-_,' '. , , 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY- TENDERED=-- CHANGE ENDERED=--CHAN E CHECK-NOL�_j SIGNATURE NO. O2 ® O 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: dl ✓� COMMODITY SHIPPED: I'1 =' Lam' LOOSE: 100 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: / cr _> GROSS . TARE ✓`� r i) NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS-DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR,ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. t I� GENERATOR AUTHORIZED AGENT(PRINT NAME) ,",-_L---.,(SIGNATURE) - I TRANSPORTER ' t I TRANSPORTATION/FREIGHT CO. (r ) !`�� 't/ U 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) f' (SIGNATURE) DESTINATION DISPOSAL LOCATION: S ;I ;^, -' r .t r fir, L C i DATE DELIVERED: j a ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION ' GREEN TO TRANSPORTER YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - SITE I TICKET GRID WEIGHMASTERr. ✓' SOUTHOLD TOWN DEPT SOLID WASTE 01 01429870 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATBIN'`. 'DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF: 4/03/19 04/03/19 12:04 12:04 11121TC REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 73120 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 36360 LB QTY UNIT DESCRIPTION -RATE- -EXTENSION, FEE TOTAL 18.18 TON UTGO.MSW 0.000 0.00 0.00 0.00 _. <_ Operating hours IM AM to ays a wee .;i, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.f: 4 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER SUNDAY ° :. TENDERED -• .. r CHANGE CRECK NO SIGNATURE SITE '-'TICKET`- GRID= WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Di 01429870 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF Cutchogue, NY 11935 4/03/19 04/03/19 2:04 112:04 11121TC 009316 Town of Babylon Scale 2 Gross Wt. 73120 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 36360 LB QTY UNIT ,;DESCRIPTION _ RATE- . EXTENSION° 'FEE 'TOTAL 18.18 TON QUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.'', ." • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ., ,;, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY,.r'i; ,`;,4 - fi ;, TENDERED CHANGE "CHECK NO' SIGNATURE NO. ®,2 ® 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 NOTASSUME°ANY'LIABILITY ASSOCIATED WITH THE'SHIPMENT-OF SUCH MATERIALS. _ COMPANY:`., (A i a f' - SHIP DATE: COMMODITY SHIPPED:.. � Z 3 LOOSE: u 'o (CU YDS) „ .. BALES: (COUNT): TRUCK WEIGHT:.• GROSS,, TARE . . f NET 4 HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL-".DOES NOT-CONTAIN'FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN-PROPERLY DESCRIBED,CLASSIFIED.AND PACKAGED,AND IS IN,PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. ' J�.Y i-�+-" s�✓is_vy�{L GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)' TRANSPORTER TRANSPORTATION/FREIGHT CO. ,'ti + `''/ J ° J TRUCK NO. LICENSE NO/STATE: TRAILER-NO. If % 'LICENSE NO/STATE: I HEREBY`CERTIFY THAT THE ABOVE NAMED-MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: i! (PRINT NAME) ;=" (SIGNATURE) DESTINATION - a ' DISPOSAL LOCATION: 1 ; 1 '` f t ! �, "1. r ? DATE DELIVERED: ADDRESS: v , _ - 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. J NO. 02 ® 4 GENERATOR - ` THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR-DOES NOT TAKE POSSESSION OR TITLE OF ANY'CARGO OR MATERIALS BEING SHIPPED-AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH.THE SHIPMENT OF SUCH MATERIALS. COMPANY:, i i } Y t._ 'i Y SHIP DATE: "1 4 1 C-1 i COMMODITY SHIPPED: �y't_1 � LOOSE: ) (� t£ (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) f .F (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. - L- 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: :' + f./ i f�� 1 / t /r� , 9`� Y - ` /� DATE DELIVERED: ADDRESS: I I HEREBY CERTIFY THAT•THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01430426 Dan PO Box-962,_155 Cox Lane Cutchogue, NY 11935 DATE IN _DATE OUT I TIME IN TIME OUT VEHICLE' "�ROLLOFF 04/05/19 04/05/19 11:47 11:47 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 76880 LBOutbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 39880 LB QTY UNIT DESCRIPTION. RATE EXTENSION 'FEE TOTAL 9.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.- 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER°�SUNDAY ; TENDERED CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKETS I GRID % WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01430426 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/05/19 04/05/19 11:47 11:47 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76880 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 39880 LB QTY UNIT DESCRIPTION RATE EXTENSION -.FEE --TOTAL , 19.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED „y CHANGE = CHECK NO. _j SIGNATURE NO. ®2 ® GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY-CARGO OR MATERIALS- ' BEING SHIPPED AND•DOES NOT ASSUME ANY'LIABILITY'ASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS. j COMPANY: 1() LI 1 'Ll f ; t I SHIP DATE: COMMODITY SHIPPED: LOOSE: 3 ': i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ,rf s Y ��` GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY ' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)" TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) r r� (SIGNATURE) i DESTINATION, DISPOSAL LOCATION: L ,:: ,l ;N t � "C hkS DATE DELIVERED: l `=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: f RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r J _ ="DUPLSCATE TICKET" SITE TICKET`' GRID" WEIGHMASTER -, SOUTHOLD TOWN DEPT SOLID WASTE 01 01431501 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N' DATE OUTTIME IN TIME OUT VEHICLE ROLL OFF, 04/08/19 04/08/19 12:56 12:56 11 121T 009298 Universal Commodity Services, 2315 82nd Street 1 st FI REFERENCE •" Brooklyn NY 11214 FQTY. Scale 2 Gross Wt. 65160 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 24760 LB UNIT - ` DESCRIPTION = RATE EXTENSION FEE TOTAL 12.38 TON Out. Shrink Wrap UCS 30.000 371.40 0.00 371.40 s �kT1 3 ate, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-.73685?"),- 371.40 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY s,� ._ ~a">: - TENDERED CHANGE CHEC O. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRI15 J -WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01431501 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN °-DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/08/19 04/08/19 12:56 12:56 11121 TC 009298 Universal Commodity Services, 2315 82nd Street 1st FI ORIGINREFERENCE Brooklyn NY 11214 Scale 2 Gross Wt. 65160 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 24760 LB QTY UNIT' DESCRIPTION RATE EXTENSION FEE' ' TOTAL 12.38 TON Out. Shrink Wrap UCS 30.000 371.40 0.00 371.40 Operating hours 7: 0 AM to :00 PM 7 days a wee ', =°= r` ' `'' ,4 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. w �a�' ` 371.40 � �$ .'-°,. � �` t � �- NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY T ®, _TENDERED ; mow CHANGE CHECK NO " SIGNATURE NO.: 0256 i -GENERATOR"' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OF-ANY CARGO OR MATERIAL'S BEING SHIPPED AND DOES;NO rASSUME ANY LIABILITY ASSOCIATED WITH THE'SHIPMENT'OF-SUCH'MATERIALS. COMPANY: E:SHIP DAT '1 1 9 COMMODITY SHIPPED:': v P-1 A "�_T t C AP LOOSE: (CU YDS) BALES: (COUNT): ' TRUCK WEIGHT:- ` :/('o C) GROSS ` r TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40 CFR-PART 260.10 OR ANY -APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED'BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASS IFIED'AND•PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)- (SIGNATURE) /TRANSPORTER .O1 f Si A � TRANSPORTATION/FREIGHT CO: ) r I I -, t �( JI �y f TRUCK NO. 2—? LICENSE NO/STATE: TRAILER NO. - 1 I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITELISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _(PRINT NAME) i',! (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: 41 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 GRID _ I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01431633 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE IM OUT - TE'IN TIME-OUT VEHICLE- ROLL OFF 04/09/19 04/09/19 08:59 08:59 11 121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79800 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43540 LB :"QTY. :,UNIT DESCRIPTION' RATE' _ EXTENSION "FEE TOTAL ' 21.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., - 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER'SUNDAY TENDERED 'CHANGE'" CHECK NO. SIGNATURE SITE a^ TICKET - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01431633 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT , TIME IN TIME OUT 'VEHICLE ROLL OFF 04/09/19 04/09/19 08:59 08:59 11121 TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 79800 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43540 LB QTY. UNIT DESCRIPTION RATE EXTENSION _ - FEE TOTAL 21.77 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours TOdays a wee ,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ; . 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED ' CHANGE CHECK NO. SIGNATURE NO. ®272 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 C, w LOOSE: , (CU YDS) BALES: (COUNT): TRUCK WEIGHT: p / ' GROSS TARE l j NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. f GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. { ; t`.J ! r 0 TRUCK NO. jj - LICENSE NO/STATE: TRAILER NO. f r �, LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: (PRINT NAME) (SIGNATURE) r DESTINATION DISPOSAL LOCATION: U)fit '. 1 P) ' /Ai) 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 001 01432038 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1W DATE:OUT TIME IN°TIME OUT VEHICLE ROLLOFF= 04/10/19 04/10/19 13:15 13:15 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75780 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41800 LB QTY.` UNIT '', DESCRIPTION RATE EXTENSION, FEE„- TOTAL 20.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r� f 194 d I l 1 Opera Ing ours oclays a wee :,� Tt CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�:,�pb„�._ A ; -r „4a, ' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY� jq .; tn; , / TENDERED - ` CHANGE CHECK SIGNATURE SITE _ TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01432038 Steph PO Box 962/6155 Cox Lane I zl - - - Cutchogue, NY 11935 [ATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 04/10/19 04/10/19 13:15 13:15 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75780 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41800 LB QTY_ s . UNIT -DESCRIPTION ., =' RATE- EXTENSION FEE TOTAL,, 20.90 TON DUTGO.MSW 0.000 0.00 0.00 0.00 / # A it $ � � • �� >¢ —` t Operating hours 7:00 AM to 5:00 PM 7 days a week: a_ �� :�.?` e.:- y .: • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76856,;'v �.-� ' ,.��. � Ay' 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SU.NDAYjgfgp_;;q<,, `- 0 7� TENDERED '. CHANGE CHE K NO. - SIGNATURE NO. ® 59 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. 3 t COMPANY: f 'i t ';: t._ S_ HIP DATE: COMMODITY SHIPPED: `1 LOOSE: 1 t� 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: _ `` GROSS I _ k TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. a TRUCK NO. LICENSENO/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) J (SIGNATURE) P j s f DESTINATION DISPOSAL LOCATION. ifl ( ,t;.``J 3' DATE DELIVERED. � - ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS'BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "'DUPLICATE TICKET" SITE `` 'TICKET_ _ GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01431938 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-0I�r .;DATE OUT ' ,TIME IN TIME OUT VEHICLE ?ROLL OFF 04/10/19 04/10/19 09:45 09:45 11121T 009316 Town of Babylon REFERENCE ORIGIN F5TTScale 2 Gross Wt. 81140 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 40740 LB UNIT' 'DESCRIPTION,,, ``, RATE , T EXTENSION FEE _ TOTAL 20.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 v� 6 S Operating hours todays a wee - __ , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685.b f,f .44, r _ _ 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY:"'.n, ,k �ri`; TENDERED CHANGE C"111 NO.. —j SIGNATURE "*DUPLICATE TICKET" SITE TICKET` GRID .,WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01431938 Steph PO BOX 962/6155 COX Lane DATE IN'• DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 04/10/19 04/10/19 09:45 09:45 11121TC 009316 Town of Babylon Scale 2 Gross Wt. 81140 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Ne Weiaht 40740 LB 7 QTY UNIT DESCRIPTION ` _ RATE EXTENSION FEE TOTAL 20.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . . , . �-� : • , ate, Operating hours 7:00 AM to 5:00 PM 7 days a week a- _,l` 4,�_= - .-' .;�^` r; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76854 4, - 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY` j;i; , ,. .` TENDERED 'CHANGE CHECK-NO. - SIGNATURE =-i ®258 NO. GENERATOR j:'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 SUCWMATERIALS:" '-= COMPANY: ' I_I l) SHIP_DATE: I COMMODITY SHIPPED: 5 W LOOSE:. } o t) - ,(CU YDS) BALES:-(COUNT):' TRUCK WEIGHT: '°,`.} i ? GROSS t; �, TARE NET 1.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. [3i 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 LOCA_ TION: ('i l `i p i f _ �i I f0\ DATE DELIVERED: t ADDRESS: a / I HEREBY CERTIFY THAT THE ABOVE MATERIAL•HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **D,UPLICATE TICKET" SITE ;; TICKET GR16 =' WEIGHMASTER° SOUTHOLD TOWN DEPT SOLID WASTE 01 01432276 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE, •' ROLL OFF ` 04/11/19 04/11/19 12:08 12:08 11 121TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 87900 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 48760 LB QTY UNIT DESCRIPTIONRATE EXTENSION- FEE-, TOTAL 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 71 Ii{ { . f # L f CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685."Y"' q> „ 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER$UND,AYa s TENDERED .` CHANGE CHECK N SIGNATURE ""DUPLICATE TICKET** SITE TICKET, =GRID` M WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01432276 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ ROLL OFF 04/11/19 04/11/19 12:08 12:08 11121TC 009316 Town of Babylon REFERENCE OR1GIN Scale 2 Gross Wt. 87900 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 48760 LB QTY. UNIT DESCRIPTION `= RATE ' EXTENSION- FEE TOTAL 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �... Operating hours o ays a wee . _,- �*`� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,: % *' 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER4SUNDAY ' TENDERED `t CHANGE --CHECK=NO. _ SIGNATURE NO. ® 61 - GENERATOR _ THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOT TAKE'POSSESSION'OR TITLE OF-ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTA (A l SUME ANY LIABILITY �ASSOCIATED WITH THE--SHIPMENT OF.SUCH MATERIALS. it COMPANY:. - ( I.- (f ; L'I ) SHIP DATE: COMMODITY SHIPP_ ED: " - Ew LOOSE: (CU YDS)., - BALES: (COUNT): TRUCK WEIGHT: ~? t _- zr GROSS-. f TARE r` NET I HEREBY CERTIFY'THAT THE ABOVE NAMED-MATERIAL DOES NOT'CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY -APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261-.OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY ,DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER I` 1 Imo) t t ve TRANSPORTATION/FREIGHT CO. � � f TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: .r (PRINT-NAME) (SIGNATURE) DESTINATION, DISPOSAL LOCATION:• (b V MIT (11-?V1 t? ! a DATE DELIVERED:. 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. L"`DUCKET* SITE TICKET GRID WEIGHMASTER OWN DEPT SOLID WASTE 01 01432193 Liz H F �ocio155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN, TIME OUT VEHICLE ROLL OFF 04/11/19 04/11/19 08:40 108:40 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81260 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 40860 LB QTY. UNIT DESCRIPTION = RATE EXTENSION=" _ FEE TOTAL_ 20.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' C t iN Op e a s - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.o�9�, M. ' r p' �, , , 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER SUNDAY.Y1; TENDERED CHANGE'- 'CHECK NO E SIGNATURE '*DUPLICATE TICKET'* SITE TICKET GRID f" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01432193 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT �-VEHICLE ROLL OFF 04/11/19 04/11/19 08:40 08:40 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81260 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 40860 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL 20.43 TON DUTGO.MSW 0.000 0.00 0.00 0.00 P,y 5 t . a Operating hours 7:00 AM to 5:00 PM 7 days a week:° Y' " ,,�, >, �.u, _ ��:, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SU,NDAYh'dr-lp L=:gag " ' ;TENDERED CHANGE C ECK N SIGNATURE NO. 0260 I 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 � c= COMPANY: 1:1 { ;�' SHIP DATE:- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS , TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) TRANSPORTER ) TRANSPORTATION/FREIGHT CO. F i `�' TRUCK NO. Z_ _ LICENSE NO/STATE: TRAILER NO. c1 I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: o c �J` ✓ (PRINT NAME) (SIGNATURE) � I DESTINATION`-~ DISPOSAL LOCATION: ri I I/�\� I 1/ ' `7 C1 r^ DATE DELIVERED: `I cl ADDRESS: \ J I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .-"DUPLICATE TICKET"" SITE _ TICKET GRID _ "'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01432515 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 BATE IN, _ DATE-OUT TIMEIN TIME OUT VEHICLE'', ROLL OFF'_ 04/12/19 04/12/19 11:08 11:08 11121TC 009316 Town of Babylon F Scale 2 Gross Wt. 80880 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 40480 LB UNIT, = _ DESCRIPTION-, v RATE EXTENSION FEE TOTAL 20.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a week-.,$ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_;."} 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY_ '. ,.• " TENDERED CHANGE, CHECK NO.- SIGNATURE "DUPLICATE TICKET" SITE ` TICKET GRID °-WEIGHMASTER'" SOUTHOLD TOWN DEPT SOLID WASTE 01 01432515 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT - ' VEHICLE_ 2 ROLE OFF 04/12/19 04/12/19 11:08 11:08 11121TC 009316 Town of Babylon REFERENCE ORIGIN (7 Scale 2 Gross Wt. 80880 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 40480 LB `QTY° UNIT `- DESCRIPTION RATE EXTENSION FEE TOTAL 20.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:,' �9 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.w;=f 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY '" 4,, .^ TENDERED"' CHECK NO SIGNATURE NO. 026 GENERATOR - THIS MANIFEST IS'FOR REFERENCE-PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION ORTITLE OF ANY CARGO OR MATERIALS ' BEING SHIPPED AND,DOES NOT ASSUME-ANY LIABILITY ASSOCIATED"WITH THE SHIPMENT:OF.SUCH MATERIALS: COMPANY: •LUA, % ;;; I`� SHIP DATE: ,COMMODITY SHIPPED: LOOSE: - t`, (CU YDS) - BALES: (COUNT): TRUCK WEIGHT: GROSS- TARE ROSS-TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL" DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10-OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS'DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER r; r' } TRANSPORTATION/FREIGHT CO. TRUCK NO. f LICENSE NO/STATE: ' TRAILER NO. i 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 -1A -him } I DISPOSAL LOCATION: J V 11 1�� 1 l i r ' DATE DELIVERED: 1 w� ADDRESS: t 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. "`"DUF LICATE TICKET" SITE ' TICKET GRID-` - WEI'GHMASTER "'''` SOUTHOLD TOWN DEPT SOLID WASTE 01 01433445 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 = DATE 1N-- DATE OUT 'TIME IN TIME OUT VEHICLE ROLL OFF , 04/15/19 04/15/19 09:14 09:14 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79780 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43780 LB QTY,,, ` UNIT=, _ - DESCRIPTION RATE ' EXTENSION - FEE- TOTAL 21.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a wee., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. 0.00 y . NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED-------------------- CHANGE '' CHECK NO.. SIGNATURE ""DUPLICATE TICKET"" SITE _ TICKET GRID WE(GHMASTER''' " SOUTHOLD TOWN DEPT SOLID WASTE 01 01433445 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT'_ TIME IN TIMEAUT VEHICLE ROLL OFF, 04/15/19 04/15/19 09:14 09:14 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79780 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43780 LB -QTY. '_ UNIT,, ` DESCRIPTION` RATE EXTENSION _FEE=' ,aR ='''TOTAL =< 21.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.- CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685... - , 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER SUNDAY _v',TENDERED,,.. I HANGE`s F HECK`NO.= SIGNATURE NO. ® 253 GENERATOR,•, -_ ,. THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY,CARGO.OR MATERIALS-. BEING SHIPPED AND.DOES'NOTASSUME=ANY LIABILITY,ASSOCIATED WITH•THE•SHIPMENT;OF-SUCH MATERIALS.-- . COMPANY: . ( (_1►' 4,.1 C I jai SHIP DATE: COMMODITY SHIPPED: LOOSE: I Q (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 O. .TRUCK NO. 1 ) LICENSE NO%STATE: TRAILER NO.- LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ( (PRINT NAME) (SIGNATURE) DESTINATION"" ' DISPOSAL LOCATION: (AIAA AAMI I DATE DELIVERED- � � lie, ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE:, RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL-LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE _- 'TICKET GRID ; _ WEIGHMASTER, SOW HQLD TOWN DEPT SOLID WASTE 01 01433519 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT-' ;TIME IN TIME OUT VEHICLE ROLL OFF 04/15/19 04/15/19 12:27 12:27 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 35320 LB QTY UNIT_ DESCRIPTION- RATE EXTENSION FEE "TOTAL r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER�SUNDAY TENDERED CHECK+NO: SIGNATURE "DUPLICATE TICKET" SITE ' TICKET' GRID `` W_EIGHMASTE_R SOUTHOLD TOWN DEPT SOLID WASTE 01 01433519 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, „TIME,IN TIME OUT VEHICLE, ROLL OFF,„ 04/15/19 04/15/19 12:27 12:27 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 35320 LB QTY - . UNIT DESCRIPTION RATE -EXTENSION'_ FEE ,TOTAL', 17.66 TON UTGO.MSW 0.000 0.00 0.00 0 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED , CHANGE CHEC 'NO. SIGNATURE NO. ®254 GENERATOR THIS MANIFESTJS 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: �0P A_ 00 L C) SHIP_ DATE: �? COMMODITY SHIPPED:-_ AA 7 SAI J 1 LOOSE: k 0 0 (CU•YDS) BALES: (COUNT): TRUCK WEIGHT: r� `_ GROSS TARE NET I HEREBY-CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY• APPLICABLE'STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. • 9 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. l f! 1 �``� �,% A TRUCK NO. 2- j f 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: \f_) c- ( , a (PRINT'NAME) /f (SIGNATURE) DESTINATION DISPOSAL LOCATION: V ren! J��rN I of 1 DATE DELIVERED: �D ADDRESS: t \ J I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01433606 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 04/16/19 04/16/19 107:19 07:19 19606TC 009316 Town of Babylon ,r ORIGIN Scale 2 Gross Wt. 87140 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 53160 LB QTY UNIT DESCRIPTION' RATE_- EXTENSION FEE - TOTAL AM tG 5.0k RDA 7 day CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7Q85_.,,, , + NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER`SUNDAY, _ TENDERED F_ CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET, _ GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01433606 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ~DATEIN DATE OUT - TIME IN TIME OUT ''VEHICLE_'' '' ROLL-OFF 04/16/19 04/16/19 07:19 07:19 19606TC 009316 Town of Babylon REFERENCE 7, Scale 2 Gross Wt. 87140 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 53160 LB QTY,•„ UNIT DESCRIPTION RATE_ EXTENSION FEE TOTAL i 0 J 4ka 1 CLOSED HOLIDAYS-QUESTIONS CALL 631-73467,685:,., ,a h NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER`SUNDAY , TENDERED CHANGE, CHECK NO: SIGNATURE NO. 19 ® 6 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (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 TRANS PORTATION,ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01433699 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 04/16/19 04/16/19 11:20 11:20 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 78720 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43180 LB 21.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY "*DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01433699 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 04/16/19 04/16/19 11:20 11:20 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 78720 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43180 LB 21.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY NO. 19® 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: 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 TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL,LOCATION: DATE DELIVERED: ADDRESS: 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. J **DUPLICATE TICKET"' slTf TicKET- GRID WEIGHMASTEf3 SOUTHOLD TOWN DEPT SOLID WASTE 01 01434060 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 - DATE IN _ ;DATE OUT, TIME IN TIME OUT - VEHICLE ROLLOFF 04/17/19 04/17/19 12:59 12:59 11121TC 009316 Town of Babylon REFERENCE .y Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43680 LB QTY-71 -: UNIT DESCRIPTION RATE EXTENSION FEE"- TOTAL , 21.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a weeK.. • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685-.' - 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ' TENDERED' . CHANGE CHECK NO.. SIGNATURE *"DUPLICATE TICKET" SfTE " TICKEr GRID. WEIGHMASTER ,F SOUTHOLD TOWN DEPT SOLID WASTE 01 01434060 Steph PO BOX 962/6155 COX Lane DATEIN , . DATE OUT TIME IN TIME.OUT VEHICLE, RO Cutchogue, NY 11935 LLOFF,,, 04/17/19 04/17/19 12:59 12:59 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43680 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE.. TOTAL 21.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. : 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY "TENDERED CHANGE CHECK ECK NO. SIGNATURE NO. ® 275 �. 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 ; SHIP DATE: COMMODITY SHIPPED: ` ? ,� LOOSE: 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i r' `` GROSS TARE NET Z ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR MANY APPLICABLE-STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26.1-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. uivi } TRUCK NO. LICENSE NO/STATE: TRAILER NO. CA 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) f '` (SIGNATURE) ✓f DESTINATION\ fi DISPOSAL LOCATION: C-�-' ! �! ' r \/ DATE DELIVERED: ADDRESS: . I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN'ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION•TICKET NO. SITE - -TICKET-,- GRID' WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01433879 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 TATE IN DATE OUT - TIME-IN TIMEOUT VEHICLE ROLL OFF, 04/17/19 04/17/19 07:19 07:19 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 44960 LB 'CIT; UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL;; 22.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED" CHANGE CHECK NO. SIGNATURE SITE[, -TICKET GRID' WEtGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01433879 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE-OUT ;TIME IN TIME-.OUT `VEHICLE ROLL OFF 04/17/19 04/17/19 07:19 07:19 19606TC 009316 Town of Babylon .REFERENCE ORIGIN (7 FScale 2 Gross Wt. 78940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 44960 LB ry UNIT DESCRIPTION RATE_ _' EXTENSION FEE. TOTAL 22.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED, r CHANGE CHEC NO. = SIGNATURE NO. 1908 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: t LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t f� GROSS IJ``' TARE NET 1 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. - - 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) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINKTO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATIONJICKET NO. SITE • ,,TICKET ~GRID WEIGHMASTER` SOUTHOLD TOWN DEPT SOLID WASTE 01 01433919 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT_ TIME IN TIME OUT -VEHICLE -," ROLL OFF', 04/17/19 04/17/19 09:00 09:00 11 121T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 47120 LB QTY UNIT DESCRIPTION' RATE EXTENSION FEE :TOTAL 23.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER'SUNDAY"v�,. t` : ' "' TENDERED z✓ t'�� CHANGE CHECK NO.' SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01433919 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 =DATE IN DATE OUT TIME IN TIME OUT VEHICLE- ROLL OFF_ 04/17/19 04/17/19 09:00 09:00 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 47120 LB QN UNIT' DESCRIPTION RATE EXTENSION FEE JOTAL" 23.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours :00 AM todays a wee , ;F • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686., "'�_ 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY`',:e� ,,.;_t. i TENDERED_ CHANGE 'CHECK NO. SIGNATURE NO. ®264 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: �� %t 1 l f I SHIP DATE: COMMODITY SHIPPED: f,L,,�, ��► • i LOOSE: 11 ) t. (CU•YDS) BALES: (COUNT): TRUCK WEIGHT: `. '3 € GROSS ti r TARE t I 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 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 JJ TRANSPORTATION/FREIGHT CO. ) a TRUCK NO. 2 : 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: —,Tc) c �D r�d� (PRINT NAME) � (SIGNATURE) DESTINATION, / f DISPOSAL LOCATION: r(l)"11A r� I A I A��'�/ � �f' IQ, DATE DELIVERED: � � � � f Gl ADDRESS: d l ) 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 S3UT14OLD TOWN DEPT SOLID WASTE 01 01434249 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OUT, TIME IN TIME OUT VEHICLE ROLL OFF' 04/18/19 04/18/19 09:07 09:07 11121TC 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 70660 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34400 LB ,-,--�QTY, _ „ UNIT ,' - ry,DESCRIPTION RATE EXTENSION FEE `' TOTAL 17.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. , � �;,� ��.�' .�_, � ,,�� 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER�SUNDAY,p�. TENDERED .r ,=• CHANGE CHECK'NO. "' SIGNATURE "DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434249 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE --ROLL OFF 04/18/19 04/18/19 09:07 09:07 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 70660 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34400 LB QTY.- UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL 17.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a wee - y ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , .� 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAYR1 TENDERED ' `< { CHANGE CHECK NO. SIGNATURE NO. _0249 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•ITYY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS." ' 4 COMPANY:. c ��4 LAM� f 0 t E 1 SHIP DATE: - '� \ k' h 1 COMMODITY SHIPPED:.-. _J 1„-,j LOOSE: f J C (CU YDS)` BALES: (COUNT): TRUCK WEIGHT: GROSS ; Z5V7_ C) TARE ?N. L{ C71 NET I HEREBY CERTIFY THAT_THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIQUID-AS DEFINED BY 40=CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE,LAW;HAS BEEN PROPERLY. 'DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER _ �r TRANSORTATION/FREIGHT CO. ' ' ' _ 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 THATAT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION.LISTED BELOW. DRIVER: ` (PRINT NAME) (SIGNATURE) DESTINATIO14 DISPOSAL LOCATION: DATE D . _ - ELIVERED: t ADDRESS: - ) I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE'INFORMATION PROVIDED IS TRUE AND ACCURATE: - RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. '*"D'UPI.:LCATE TICKET" SITE TICKET ,GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434546 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE -- ROLL'OFF' 04/19/19 04/19/19 07:37 07:37 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 68000 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 31180 LB QTY UNIT DESCRIPTION, __-_ RATE EXTENSION FEE `TOTAL 9 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ^' X"p N CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 t685. '_ ` " ~� a 0.00 , L°" NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY, TENDERED, N: .s 3f " qty u ; J 7—CHANGE - CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434546 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -_ DATE OUT TIME IN, TIME.OUT VEHICLE _ ROLL OFF 04/19/19 04/19/19 07:37 07:37 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 68000 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 31180 LB QTY-- _ UNIT- - _>=_DESCRIPTION' `_-' RATE EXTENSION FEE = TOTAL 15.59 TON DUTGO.MSW 0.000 0.00 0.00 0.00 fad-.:. a r mm- t Operating hourb o ays a wee ,7� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.2,1,1, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ',,.-` c". '. " , i` TENDERED -CHANGE, CHECK NO. --j SIGNATURE NO. 19® 9 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: a SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: !��'C u`" 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. i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE.MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE _TICKET ' _ GRID- _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434686 Liz H PO Boz b/6155 Cox Lane Cutchogue, NY 11935 DATE IN =DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 04/19/19 04/19/19 11:39 11:39 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 35600 LB QTY. ' 'UNIT- DESCRIPTION- RATE EXTENSION" FEE TOTAL 17.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i f • • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ; 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY r>,;; - + _ r;:&A'< " ,,`: TENDERED- CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" (_kE - TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434686 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1W DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF 04/19/19 04/19/19 11:39 11:39 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 35600 LB QTY.' UNIT DESCRIPTIO_N RATE EXTENSION FEE TOTAL 17.80 TON DUTGO.MSW 0.000 0.00 0.00 0.00 _ • ,;, . ., !; >'f fes' Fx. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ",'< "` 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY, r TENDERED .. F CHANGE CHECK NO.-: SIGNATURE NO. 0251 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-ASSOC IATED W1TH'THE'SHIPMENT'OF SUCH MATERIALS. COMPANY: : i (-A i 1A 0 L L 1 SHIP DATE: COMMODITY,SHIPPED: -)'y , u ( j LOOSE: _ ! b (CU YDS) ' BALES: (COUNT): TRUCK WEIGHT:. - , E GROSS TARE_ 3(7- 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. ) t 4.,j \ j t TRUCK NO. ice. LICENSE NO/STATE: TRAILER NO. - t 2 +'i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: A-,^,]-/ n Y J/`\� � DATE DELIVERED: ADDRESS: i I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE . -TICKET,-.,,- -GRID _ - WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01434895 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUTF07:17 TIME-OUT VEHICLE ROLL OFF . 04/20/19 04/20/19 07:17 11 121T 009316 Town of Babylon Scale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 40760 LB QTY. _ UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL 20.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f t Opera mg hours o ays a wee .,, ,,, _ _ =; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_,, ;_' 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 01434895 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _ DATE OUT,- TIMEJN-TIME OUT VEHICLE ROLL OFF 04/20/19 04/20/19 07:17 07:17 11121TC 009316 Town of Babylon REFERENCE - FQTYScale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 40760 LB UNIT - DESCRIPTION :` _- _ RATE- EXTENSION` -FEE TOTAL" 20.38 20.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' j f - Operating hours 7:00 AM to 5:00_PM 7 days a week.-; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'',' ,� ;t 4.< 0.00 1 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY-,`' ;, •, TENDERED 114" GRAN E CHECK NO. SIGNATURE NQ -0244 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: ti G"1 # f c. I SHIP_DATE: -" COMMODITY SHIPPED: ''A'I LOOSE: } ; (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 GROSS TARE \A� tl=y"i` NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE-STATE LAW,HAS BEEN PROPERLY DESCRIBED,.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. { GENERATOR AUTHORIZED AGENT(PRINT NAME)• `--'f (SIGNATURE) TRANSPORTER i / /11, TRANSPORTATION/FREIGHT CO. } I ; ,- L-')M A) / 2) TRUCK NO. �- LICENSE NO/STATE: TRAILER NO. t LICENSE NO/STATE: a I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) f DESTINATION I DISPOSAL LOCATION: /�1,'�1 / i �l � �I d i"t /") i DATE DELIVERED: , ADDRESS: k i I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "`DUPLICATE TICKET" SITE TICKET _ I G_141D ,_- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434959 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEW IDATEOUT TfMEIN TIME„OUT , VEHICLE, ,' ROLLOFF 04/20/19 04/20/19 10:57 10:57 11 121TC 009298 Universal Commodity Services, 2315 82nd Street 1 st FI ORIGIN Brooklyn NY 11214 Scale 2 Gross Wt. 73240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 32840 LB QTY, UNIT, DESCRIPTION RATE. EXTENSION FEE TOTAL' 16.42 ITYN7 Out. Shrink rap \? rI-S-1 f° CLOSED HOLIDAYS-QUESTIONS CALL 631-734{7685'- NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTEI AUNDAY;r��f TENDERED ? r -CHANGE CHECK.NO.` SIGNATURE "DUPLICATE TICKET" (SITE , ,, TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01434959 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME"OUT VEHICLE ROLL OFF 04/20/19 04/20/19 10:57 10:57 11121TC 009298 Universal Commodity Services, 2315 82nd Street 1st FI REFERENCE •' Brooklyn NY 11214 Scale 2 Gross Wt. 73240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 32840 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE_ TOTAL 16.42 TON Out. Shrink Wrap UCS 30.000 492.60 0.00 492.60 CPU,ad,iq I wo,ts?.0d AM to 5.06 PIVI:7 days d vvtjvr.",� b5p•- €�.p.,{-;qml, ,Jspy ,.; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685., NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ,N TENDERED- is '” CHANGE I . CHECK NO. SIGNATURE NO. ® 243 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR.DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS, BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I COMPANY: j I 1` 1,I ( ? 1 -1) SHIP DATE: 41 Z-o l 1 c( COMMODITY SHIPPED: l,^ %7,—k LOOSE: C f (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ^-; j GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. � 1 n) I /// TRUCK NO. .LICENSE NO/STATE: TRAILER NO. 1 " i y LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LIED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: - o n (PRINT-NAME) (SIGNATURE) DESTINATION L' f � 1 DISPOSAL LOCATION: ----af A t— 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. SITE TICKET- GRID ' _.WEIGHMASTER ,' SOUTHOLD TOWN DEPT SOLID WASTE 01 01435192 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIO DATEOur TIME IN]TIME VEHICLE'..'' ROLLOFF', 04/22/19 04/22/19 110:57 10:57 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82600 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 46380 LB * QrY UNIT .DESCRIPTION RATE EXTENSION '-'FEE, TOTAL .' 23.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O 'Felt CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0. NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTEWSUNDAY TENDERED; CHANGE CHECK NO..Lj SIGNATURE SITE TICKET I GRID=' VEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01435192 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _DATE OUT TIME 1N;TIME{3UT VEHICLE ROLLOFF 04/22/19 04/22/19 10:57 10:57 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82600 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 46380 LB '_QTY.' ' UNIT DESCRIPTION RATE' EXTENSION FEE -TOTAL, 'T . 23.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Si 5 k Operating hours o ays a weeK,; AIIIIIIIIIIIIIIIIII 0 1 a w-TT-T-1111111 LVA• CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY, TENDERED',: CHANGE - CK NO"' SIGNATURE ' I NO. ® 245 GENERATOR -THIS MANIF15MIS 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 l�'1 A 1 L t; ! _ J SHIP DATE: �^'` cd COMMODITY SHIPPED: !� " LOOSE: (CU YDS)" BALES: (COUNT): TRUCK WEIGHT: .t 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. 1 $ ! I `~�, t 0 PVj A) d I TRUCK-NO. LICENSE NO/STATE: TRAILER NO. 1 ? LICENSE NO/STATE: I f I HEREBY CERTIFY'THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: k. (PRINT NAME) (SIGNATURE) DESTINATION,- _ DISPOSAL LOCATION: I� / f 't }f �/ { �l �l f DATE DELIVERED: ADDRESS: _ I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR - GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .SITEJ, TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01435352 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN DATE OUT, TIMEIN 'TIME.OUT VEHICLE.' -`. ROLL'OPF 04/23/19 04/23/19 07:28 07:28 11119TC REFERENCE ORIGIN 009316 Town of Babylon Scale 2 Gross Wt. 97480 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 57080 LB QTY„ UNIT DESCRIPTION RATE; EXTENSION_ FEE TOTAL' . 28.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY n —TENDERED CHANGE . , - SIGNATURE =SITE , TICKET GRID WEIGHMAST15R SOUTHOLD TOWN DEPT SOLID WASTE 01 01435352 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - BATE OUT - TIME'IN, TIME-OUT 'VEHICLE ROLL OFF 04/23/19 04/23/19 07:28 07:28 11119T 009316 Town of Babylon Scale 2 Gross Wt. 97480 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 57080 LB QTY UNIT- DESCRIPTION_ RATE EXTENSION: FEE TOTAL 28.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o ays a wee . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY TENDERED.- CHANGE, SIGNATURE NO. 1911 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE ` t 1. 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. f TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE _TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01435399 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN , DATE T,„, TIME)N TIME'OUT'' VEHICLE'',, ROLLOFF' ou '^ 04/23/19 04/23/19 10:24 10:24 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 77760 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 38620 LB :- OTY ` , UNIT DESCRIPTION'- V. RATE EXTENSION < FEE TOTAL 19.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , < ":pz ” • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76�8!f,, 0.00, NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTERS,UNDAY TENDERED.' -CHANGE CHECK NO,--j SIGNATURE (SITE1, TICKET =GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01435399 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,.DATE IN DATE OUT TIME TIME'OUT'- VEHICLE ROLL OFF"" 04/23/19 04/23/19 10:24 10:24 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77760 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 38620 LB QTY.; UNIT___Z___ ` DESCRIPTION RATE EXTENSION- - -FEE `-TOTAL 19.31 TON DUTGO.MSW 0.000 0.00 0.00 0.00 t Opera Ing ours odays a wee ,, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685%_')11 w:T° ;- ` ' 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER`SUNDAY ; TENDERED f CHANGE. -CHECK NO. --j SIGNATURE No. 0233 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. i. COMPANY: SHIP DATE:• Z ! C .. COMMODITY-SHIPPED: LOOSE' I ( i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: -~i�R4 € GROSS - �` TARE k., NET 1 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,JS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART 261,OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TQAPPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER : ' -TRANS PORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. I c 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: ( (7 ,^ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: U �nI I /� � 7\! Co 7- � DATE DELIVERED: ADDRESS: ✓ r I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: • I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** sirE,;,,.,. TICKET - GRID - wE1GHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01435744 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME Our 1/EHICLE �ROLL OFF " 04/24/19 04/24/19 11:03 111:03 1 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82040 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45780 LB 7 QTY. UNIT DESCRIPTION RATE EXTENSION . , 'FEE, TOTAL_. ; 22.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED,'-,— CHECK O. SIGNATURE ' **DUPLICATE TICKET** SITE TICKET GRID '-WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01435744 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DAAIN DATE OUT` - TIME IN TIME OUT , VEHICLE ROLL OFF 04/24/19 04/24/19 11:03 11:03 11 107T 009316 Town of Babylon REFEREN.CE •- 77 Scale 2 Gross Wt. 82040 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45780 LB QlY. _ UNIT, DESCRIPTION RATE. EXTENSION FEE_ TOTAL 22.89 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o TO ul PIVI 7 days a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY. ` ' TENDERED CHECK NOJ SIGNATURE NO. ®236 GENERtATOR, THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.-GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY_:CARGO OR MATERIALS- BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. i } COMPANY: x I rA I ) E SHIP DATE: I '} r COMMODITY SHIPPED: II V 1 LOOSE: 7 f; (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `' -� _. '�; GROSS TARE t NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED'•BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTER TRANSPORTATION/FREIGHT CO. i TRUCK NO. 4 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: r (PRINT NAME) (SIGNATURE) DESTINATION f t DISPOSAL LOCATION: iSr �i ; ,� f {' 1 /`� `�� :1..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. '*DUPLICATE TICKET"' SITE TICsrER KET -GRID WE16HMA SOUTHOLD TOWN DEPT SOLID WASTE 01 01435996 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;DATE IIJ . DATE OUT TIME IN TIME OU7 VEHICLE" -,ROLbQFF 04/25/19 04/25/19 07:33 07:33 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86900 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB NefWeight' 50680 LB QTY UNIT. DESCRIPTION` RATE EXTENSION FEE; '' TQTAL, 25.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED C NG ::CHECK NO:" SIGNATURE "DUPLICATE TICKET*" SiTE I TICKET - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01435996 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT_ VEHICLE ROLLOFF"" 04/25/19 04/25/19 07.33 07:33 19606TC 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 86900 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 50680 LB QTY.".:- UNIT -DESCRIPTION.'', RATE,-, EXTENSION FEE. TOTAL 25.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o ays a wee ._ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY -TENDERED CHECK NO SIGNATURE NO. 1912 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 6� GROSS '{ TARE �7 J c_- �� r - NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLIPABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. .= LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPL.`��LATE TICKET'* SITE: TICKET- -GRID WEIGHMASLER SOUTHOCD TOWN DEPT SOLID WASTE 01 01436108 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IW bAtE OUT_ TIME 1N, TIME OUT VEHICLE-<. ROLL OFF 04/25/19 04/25/19 11:20 11:20 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75020 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 38800 LB QTY.- UNIT, DESCRiPT10N RATE EXTENSION FEE, TOTAL 19.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours oclays a wee . Ilk • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,!,,; 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY "TENDERED. CHECK NO: SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01436108 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE our FINE-IN TIME 011T ` VEIiIGLE, ROLLOFF 04/25/19 04/25/19 11:20 11:20 11 107T 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 75020 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 38800 LB ,QTY, UNIT' DESCRIPTION RATE - EXTENSION ` :'. FEE TOTAL, 19.40 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 TENDERED 'C EC NO:. " SIGNATURE NO. = ® 239 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(KSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATERIALS: k COMPANY:. LA SHIP DATE: COMMODITY SHIPPED:--, , .t LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT:' o GROSS 4 7_.2 0 TARE " >'�_,6 NET- 1 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., (, `N �t GENERATOR AUTHORIZED AGENT(PRINT NAME) T (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. - a I TRUCK NO'S' LICENSE-NO/STATE: TRAILER NO.. O' 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: f (PRINT NAME) ;� '" (SIGNATURE) DESTINATION j DISPOSAL LOCATION: �)��l`tn)`i I► ' -'1I"� LA DATE DELIVERED: ADDRESS: Y 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 .f 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 I GRID WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01436150 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT - VEHICLE ROLL OFF 04/25/19 04/25/19 112:35 12:35 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71140 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34880 LB QTY UNIT DESCRIPTION - RATE- EXTENSION FEE TOTAL - 17.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Y , Opdays a weer., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851:` ';- „ 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY, ;! TENDERED -- CHECK NO. SIGNATURE "`DUPLICATE TICKET"" (,SITEI ' TICKET? , GRID., wEIGHMASTER„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01436150 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'' DATE OUT,',,, TIME IN TIME OUT VEHICLE ROLL OFF 04/25/19 04/25/19 12:35 12:35 19606TC 009316 Town of Babylon REFERENCE FQ Scale 2 Gross Wt. 71140 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34880 LB UNIT DESCRIP-TION'• RATE - EXTENSION , FEE_ TOTAL- 17.44 TON DUTGO.MSW 0.000 0.00 0.00 0.00 .i Operating hours 0 AM to 5:00 PM 7 days a week.- CLOSED ee .<CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'' 0.00 per:.z �<<tr NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,`-- -•.,- ;;% TENDERED-_ - CHANGE` CHECK NO SIGNATURE NO. 1913 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �- _� . ' SHIP DATE: , • i COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS %'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. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. �` y TRUCK NO. 't LICENSE NO/STATE: TRAILER NO. ' 4' i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER:. (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 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 _ I 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 01437391 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT -VEHICLE ROLL OFF 04/29/19 04/29/19 10:50 10:50 11107T 009316 Town of Babylon REFERENCEORIGIN Scale 2 Gross Wt. 77720 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40900 LB QTY_ UNIT DESCRIPTION RATE EXTENSION `FEE --= TOTAL 20.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 fr Z y � �•� E .T 9� x � -+X�Z X35 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E " —"'r w 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SU.NDAY«�, -TENDERED CHECK NO SIGNATURE DUPLICATE TICKET E - ., "* "* SIT 71CKE7 GRID" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01437391 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT VEHICLE -__ROLLOFF 04/29/19 04/29/19 10:50 10:50 11107TC REFERENCE 009316 Town of Babylon : Scale 2 Gross Wt. 77720 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40900 LB QTY-, � UNIY ;" DESCRIPTION RATE;, EXTENSION FEE 'TOTAL, 20.45 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Q. 4 si s ,µ Operating ours odays a week � 3m .�M • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY.;- ` , TENDERED -.CHECK NO. SIGNATURE NO. ®224 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: 3 0 LA i I I C -1") SHIP DATE: lei COMMODITY SHIPPED: LOOSE: (CU YDS) - SALES: (COUNT): TRUCK WEIGHT:._ - GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE LIQUID•AS-DEFINED BY 40 CFR PART-260.10 OR ANY- APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR`TRANSPORTATION-ACCORDING TQ'APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER_ TRANSPORTATION/FREIGHT CO. TRUCK NO. �', LICENSE NO/STATE: TRAILER NO. i u LICENSE NO/STATE: I I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND-THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) tf DESTINATION r / h DISPOSAL LOCATION: ro I �) ( ir� `�! (`= I DATE DELIVERED: n. C�} ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET,' I GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01437308 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DME IN,--_ - DATE OUT TIME IN TIME OUT VEHICLE `' ROLL OFF 04/29/19 04/29/19 07:50 07:50 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 41620 LB 7 QTY_ UNIT _ '_ DESCRIPTION_. _ _ RATE -EXTENSION FEE TOTAL 20.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 AT CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..x` ^ '— � 0.00 �., � ` ~ -_ NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY,--, R = TENDERED CHECK NO. SIGNATURE SITE .w TICKET ` GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01437308 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 04/29/19 04/29/19 07:50 07:50 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 41620 LB QTY UNIT. DESCRIPTION~ - t ,RATE EXTENSION FEE `TOTAL 20.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 (f _ -- �' y'a'p Operating nours odays a wee .f 4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734- ,685 a `"` 5a `� 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21 2019 EASTER SUNDAYS , ' +> TENDERED j m CHANGE CHECK NO SIGNATURE - NO. 1914 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) 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. 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: 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 _ WEIGHMASTEW $OUTHOLD TOWN DEPT SOLID WASTE 01 1 01436374 Liz H PO Box x,62/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE -ROLLOFF 04/26/19 04/26/19 10:52 10:52 11107T 009316 Town of Babylon REFERENCE •- -7 Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40120 LB Q_TY UNIT DESCRIPTION = =_ '`RATE - EXTENSION FEE :TOTdA_ 20.06 TON DUTGO.MSW 0.000 0.00 0.00 000 Fel.,`• . ,„R �d� f?j ; �:.. z yj� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. a¢ 0.00 �. a P NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY{;,, ?3 ,£ _TENDERED i� CHANGE” CHECK NO. SIGNATURE E ',,,, TICKET GRID; **DUPLICATE TICKET** " ,,, , ,., ;.,SIT WEIGHMASTER'� SOUTHOLD TOWN DEPT SOLID WASTE 01 01436374 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_= DATE OUT TIME IN TIME OUT =VEHICLE `ROLL OFF 04/26/19 04/26/19 10:52 10:52 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40120 LB QTY. J° UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL'^ 20.06 TON UTGO.MSW 0.000 0.00 0.00 0.00 A' yt� fF7 � rq Operating hours o Fod PM I days a wee :, :�, j p ;: ,,i y, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 s � NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,r TENDERED oumv HECK-NO. SIGNATURE NO. 2376 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 SHIP DATE: f t 1 r COMMODITY SHIPPED: LOOSE: "} -' (CU YDS) F BALES: (COUNT): TRUCK WEIGHT: w =' ` L •i • GROSS 4: 1 €. 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: TRAILER NO. - �' t 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. T. ' r ✓t DRIVER: €--'C_ r-- I (PRINT NAME) , -' (SIGNATURE) s DESTINATION I r' 19 DISPOSAL LOCATION: (()l1lA?rj-1;*'1i/ !'; �F"i �% �_�: 1 DATE DELIVERED: �I ;` I ei ADDRESS: 1 i I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01436555 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-1N TIME OUT VEHICLE ROLL OFF 04/27/19 04/27/19 08:52 08:52 11 107T 009316 Town of Babylon ' REFERENCE ORIGIN Scale 2 Gross Wt. 89060 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 52840 LB QTY. UNIT DESCRIPTION = RATE EXTENSION FEE TOTAL 26.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Z2 L1 IE ttr ,v ir, ��++ 4 �. 'CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.X78 0.00 "` '✓°'�_ NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER°SUNDAY„ TENDERED CHECK NO SIGNATURE SITE TIckET GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01436555 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/27/19 04/27/19 08:52 108:52 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89060 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 52840 LB QTY. 'UNIT . _' DESCRIPTION RATE EXTENSION FEE :dTOTAL 26.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours nod Am to mob PIVI 7 days a :., ' f ;:_ ,s,` `Y "_. ��, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�,�.6 .= r 3" 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY r:.� t ;: TENDERED -CHANGE ----CHECK NO. - SIGNATURE NO. 0218 GENERATOR, ' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY.ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS.- COMPANY: { ;A = t 1 1 i _ SHIP DATE:- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:.(COUNT): TRUCK WEIGHT: I {. , GROSS TARE NET -- I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS,BEEN PROPERLY DESCRIBED:CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. - GENERATOR AUTHORIZED AGENT(PRINT NAME) ( (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO: =� "> /LICENSE NO/STATE: TRAILER NO. f 1 % LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS. DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION:�ay j t �� ) `� r� 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" TICKET -_GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01437738 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE` ROLL OFF_ 04/30/19 04/30/19 11:11 11:11 11 107T 009316 Town of Babylon Scale 2 Gross Wt. 85040 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight- - - - 49500- - --�8------- — ---------------- - - - -- QTY _.,, ;`UNIT. „ .DESCRIPTION - - RATE EXTENSION FEE TOTAL,,' S CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:x= NEXT HOLIDAY:SUNDAY,APRIL 21, 2019 EASTER-SUNDAY. w TENDERED CHANGE -CHECK NO SIGNATURE "DUPLICATE TICKET" SITE TICKET'a GRID, WEI6HMAST9R SOUTHOLD TOWN DEPT SOLID WASTE 01 01437738 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DA7E OUT TIME IN TIME OUT , VEHICLE ROLL OFF- 04/30/19 04/30/19 111:11 111:11 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85040 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 49500 LB OTY_- UNIT' DESCRIPTION RATE -EXTENSION FEE TOTAL 24.75 TON OUTGO.MSW 0.000 0.00 0 4' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ® ^ NEXT HOLIDAY: SUNDAY APRIL 21, 2019 EASTER NT) �a ' SUY TENDERED �..-- CHANGE- SIGNATURE ANGE-SIGNATURE 0223 ' NO. — - GENERATOR- THIS MANIFEST,IS FOR REFERENCE,-PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS- BEING-SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS. COMPANY: - 0 L:% i i=A t-, SHIP DATE:_ a cl COMMODITY SHIPPED':- LOOSE'. '- HIPPED:LOOSE'. '- (CU YDS)' BALES: (COUNT): TRUCK•WEIGHT.:. GROSS TARE to NET 1 ._ 1 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) tom .rs_(SIGNATURE) ti I TRANSPORTER ; TRANSPORTATION/FREIGHT CO. - - TRUCK NO. J 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: (' 1 Y (PRINT NAME) - (SIGNATURE) r jjDESTINATION DISPOSAL LOCATION:-(-.0\//-1 o' V r d-rS' /\j DATE DELIVERED:- ADDRESS: - I I-HEREBY CERTIFY THAT THE E 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.