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Home My WebLink About05/2019 "DUPLICATE TICKET`* SITE I TICKET GRID" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01437997 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-'IN 11 DATE OUT TIME INE TIME OUT VEHICLE- ROLL OFF 05/01/19 05/01/19 10:09 10:09 11 107T 009316 Town of Babylon REFERENCE' —1 ORIGIN Scale 2 Gross Wt. 88380 LB Outbound-Charge ticket :� Manual Tare Wt. 40400 LB Net Weight 47980 LB DESCRIPTION RATE : ._ EXTENSION, - QTY, UNIT,; FEE„ TOTAL 23.99 TON DUTM-.M8W 0.000 0.00 0.00 0.00 a rte,`� •:- .� � ie-s MRA CLOSED HOLIDAYS-QUESTIONS CALL 631-734=.685: a°' a" rI• NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY.� _ TENDERED CHANGE CHECK NO SIGNATURE "DUPLICATE TICKET" SITE TICKET`- GRI---' _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01437997 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT '_VEHICLE I ROLL OFF 05/01/19 05/01/19 10:09 10:09 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88380 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 47980 LB QTY. UNIT–, DESCRIPTION RATE'. '" EXTENSION,° FEE' TOTAL ° 23.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f2, r-_, , a Op - f �?. > say. �010r,M919 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x' c F 4 I4, NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,.^;. y„,},y e�. ',TENDERED - "' .CHANGE.t` ",CHECK NO^ SIGNATURE NO, '0227 GENERATOR ' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS : BEING SHIPPED AND DOES 70rT ASSUME,ANY LIABILITY ASSOCIATED WITHTHE SHIPMENT OF,SUCH-MATERIALS." COMPANY: tr't l `� i c ( v SHIP DATE:= ,' COMMODITY SHIPPED: )� LOOSE: o (CU YDS) BALES:(COUNT)--,.-', _ TRUCK WEIGHT:-, IQ GROSS TARE NET , -1 HEREBY CERTIFY THAT-THE ABOVE NA MED.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 FORTRANSPORTATION ACCORDING TQ•APPLICABL-E REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER: TRANSPORTATION/FREIGHT-CO. Trof �1 I� > V '�l I � � I r : TRUCK NO. LICENSE NO/STATE: TRAILER NO. i C-1 LICENSE NO/STATE: I It 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) �r DESTINATION -DISPOSAL LOCATION:. / / t\I ,1 /1 DATE DELIVERED: ADDRESS: -1 HEREBY CERTIFY THAT THE ABOVE MATERIAL•HAS BEEN-`ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i " DUPLICATE TICKET** SITE , ,_TICKET,, ,GRID WEIGHMASTER SOUTI;OLD TOWN DEPT SOLID WASTE 01 01438213 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 i DATE IN` -DATE QUT TIME IN TIME OUT VEHICLE` ROLL OFF' 05/02/19 05/02/19 10:22 10:22 11107TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 83620 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight'' 44480 LB QTY „ ` -UNIT ', `, DESCRIPTION RATE" EXTENSION _ FEE TOTAd'-'" 7-ob AM to 5- RIVI 7 days CLOSED HOLIDAYS-QUESTIONS CALL 631-734_;'76851,-. .• NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER`SSUNDAY `"` ~.,£" `'0'g� !''' TENDERED CHANGE• CHECKNO. ��j SIGNATURE "DUPLICATE TICKET" /SITE TICKET G_GR ,-WEIGH.MASIER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01438213 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN"';' 'DATE° OUT=' TINIE'IN' TIME.OUT, VEHICLE_ ROLLOFF', 05/02/19 05/02/19 10.22 10:22 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83620 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 44480 LB QTY UNIT_" DESCRIPTION_ - RATE - c EXTENSION - FEE,, TOTAL 22.24 __701q_rUTO-0-prm 0.000 0.00 0.00 0.00 �•`�' � �� 'day CLOSED HOLIDAYS-QUESTIONS CALL 631-734x7685:°- �T„ - r - 4 i NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER>'SUNDAYr ,„-.ry; - _TENDERED CHECK NO. SIGNATURE NO. ® 229 GENERATOR— THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR-TITLE OF ANY CARGO OR MATERIALS" BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ' COMPANY: 0 Ll`i" 1.1 c) SHIP DATE:3 1 r f t COMMODITY SHIPPED: LOOSE: 1 0, :D (Cu YDS) BALES: (COUNT): TRUCK WEIGHT: ; �'% GROSS TARE tel L' " NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261'OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN-PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE•REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER- TRANSPORTATION/FREIGHT CO. - TRUCK NO. �! `� /LICENSE NO/STATE: Y TRAILER NO. 9 cl LICENSE NO/STATE: I HEREBY CERTIFY THAT THE"-ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED,ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: C) ,y (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,t') y 6 1 A � i 0`7 V DATE DELIVERED: 12 � ) � 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 'PICKET ° GRI-D„„” ",WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01438677 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATE�IN= DATE OUT TIME.IN TIME'OUT VEHICLE ROLL OFF 05/04/19 05/04/19 08:41 08:41 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80300 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 44760 LB QTY. UNIT DESCRIPTION. RATE EXTENSION-_ FEE_ TOTAL 22.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 l �,2D r p z Qperating hours P 1 11 7 clays a =x e 1 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' - a 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY”;_- w ;s= TENDERED `fir d, CHANGES CHECK NO - SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID' _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01438677 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN," _DATEO UTTIME IN TIME OUT _ VEHICLE.,'_ ROLL-OFF 05/04/19 05/04/19 08:41 08:41 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80300 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 44760 LB QTY = UNIT=, DESCRIPTION= = RATE EXTENSION FEE TOTAL 22.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o ays a wee :_ ,< �; '�. a _ f - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E',,',,°, _ Al 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER' 14 6AY �~ TENDERED— CHECK-N SIGNATURE NO-,-- 0304 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 SSLIME•ANY•LIABILITY"ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. = COMPANY:- 0 LA 1�� C,' t 'SHIP DATE: �A_ - 1 COMMODITY SHIPPED: blj 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." ---------------- GENERATOR AUTHORIZED AGENT(PRINT NAME) ` '` (SIGNATURE) " TRANSPORTER TRANSPORTATION/FREIGHT CO. � if�) )l t om TRUCK NO. `-1 ) LICENSE NO/STATE: TRAILER NO. 3 c LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL•WAS PICKED UP AT-THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION:- }c/ �1 i 1� ,DESTINATION Ay DATE DELIVERED:- ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER._ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE '`TICKET ,°s-; GRID,,,; WEIGHMASTER° SOUTHOLD TOWN DEPT SOLID WASTE 01 01438444 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE_IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF 05/03/19 05/03/19 09:52 09:52 11107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 69080 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 32880 LB QTY. UNIT' a DESCRIPTION --- RATE- EXTENSION FEE- TOTAL, Jf VeFafififl heUFS:7-9A.A.A.4*A- 6-J-9 RM 7- CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685'- r,,� a,. NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY .•, . � .`i `" :l' TENDERED,, CHECK NO. " SIGNATURE DUPLICATE TICKET SITE' T "' ' "" "" " ICKET"'- °'% " ""GRID �, ,,,, WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01438444 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT --TIME-IN TIME OUT VEHICLE ROLL OFF 05/03/19 05/03/19 09:52 09:52 11107T 009316 Town of Babylon F REFERENCE ORIGIN Scale 2 Gross Wt. 69080 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 32880 LB QTY `_" UNIT ' DESCRIPTION - RATE EXTENSION FEE_ TOTAL 16.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00 � g "0 � ';A �� 01 CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685:` NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY_: _ r ` .N, a p . fr } £ t' '.. 1 rev TENDERED XF -•�°:' _;„�_-�” =_ 'CHANGE CHECK NO. SIGNATURE 4 ' NO. 0302 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 ; 4 f_ SHIP DATE: COMMODITY SHIPPED: t ` LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �,� ��,�� GROSS . c NET 'I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL DOES NOT"CONTAIN-FREE'LIQUID AS'DEFINED BY 40'CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE'AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY•- = . DESCRIBED,CLASS[FIE D.AND-PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TQ APPLICABLEREGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER, TRANSPORTATION/FREIGHT CO.; --Fr I ;-j , i, TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT-WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: _ (PRINT NAME) /y° (SIGNATURE) DESTINATION- _ DISPOSAL LOCATION: eh }'/ r DATE DELIVERED: ADDRESS-.- I DDRESS-: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 01439190 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 DATE IN�_ -DATE OUT TIME IN TIME OUT '__VEHICLE --BOLL OFF 05/06/19 05/06/19 11:22 11:22 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80380 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 39980 LB QTY UNIT = DESCRIPTION,' =:=RATE EXTENSION FEE TOTAL 19.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 7-7 Operating hours :00 AM to 5:00 PM 7 days a weeks, IIIIIIIIIIII10FAUT• CLOSED HOLIDAYS-QUESTIONS CALL 631-734`-7685:'��.�,:. M -' `. -I�` 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTERYSIY DAY r, ``�}! `a '° TENDERED CHECK NO. SIGNATURE AD ;',;;, WMOHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01439190 Steph PO BOX 962/6155 COX Lane DATE IN -DATE OUT TIME-IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/06/19 05/06/19 11:22 11:22 19606TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 80380 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 39980 LB ° QTY" UNIT;' DESCRIPTIONRATE'"' EXTENSION ,r FEE-°' TOTAL'. 19.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 A` _ Operating hours 7:00 AM to 5:00 PM 7 days a week; '' °> r.� m_-, .k; a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ° ` Y _�_ '' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SQAPAY; " 1. ?!HA GE C ECKNO.�j SIGNATURE No. 1916 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r" 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-ACCORDINGTQC AP�-PL-(CABLE 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 WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE - < -0fi, 01439109 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT TIME 1N TIME OUT VEHICLE`_ ROLL OFF 05/06/19 1 05/06/19 07:36 07:36 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47000 LB QTY., UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL ,- 23.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a7 JN Opera Ing hours Tub AM toclays a wee. r =�, _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734 Y76855 "' s 0.00 - N'r`�r NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY., ,J , ,;_- y i* a:�f'` TENDERED CHECK NO. SIGNATURE "*DUPLICATE TICKET"" SITE TICKET'. GRID;, "WEIGHIvA§TER " SOUTHOLD TOWN DEPT SOLID WASTE 01 01439109 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,DATE',IN DATEOUT``i:° ,T1ME,{N' TIME OUT'. VEHICLE., ROLLOFF 05/06/19 05/06/19 07:36 07:36 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47000 LB QTY UNIT DESCRIPTION = RATE - ;.EXTENSION FEE, _-_TOTAL , 23.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 3 vif Operating hours 7:00 AM to 5:00 PM 7 days a week ` `oe ,. .�� t. 3 • 00 CLOSED HOLIDYS-QUESTIONS CALL NEXT HOLIDAYASUNDAY,APRIL 21, 2019 EASTER SUNDAY` - � s :-TENDERED CHANGE CHECK NO:= j SIGNATURE NO. 1915 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: v GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSP(:5RTATION ACCORD�IN_G-T:QIAPPLICABLE REGULATION. R GENERATOR AUTHORIZED AGENT(PRINT NAME) '---(SIGNATURE) -(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. ,SITE TICKET 'GRID - WEIGHMASTE__R SOUTHOLD TOWN DEPT SOLID WASTE 01 01439447 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, -'-DATE OUT TiMEdN TIME OUT :. VEHICLE ROLL OFF 05/07/19 05/07/19 11:24 11:24 11 107T 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 84420 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 50440 LB QTY`_= UNIT" _ DESCRIPTION-=_--__' RATE 'EXTENSION :FEE NOTAL 25.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 AbZ fly, � a� : CLOSED HOLIDAYS-QUESTIONS CALL 631-7347,6�854 6y �`e ' 0.00• NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY'" w yt -TENDERED mt CHANGE,':,, CHECK NO. SIGNATURE SITE' TICKET "''„; I'' GRID 'WEIGHMA'STER SOUTHOLD TOWN DEPT SOLID WASTE 01 01439447 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN = _ DATE OUT TIME 1N TIME OUT -VEHICLE ROLL OFF 05/07/19 05/07/19 11:24 11:24 11107TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 84420 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 50440 LB "QTY "UNIT: ”` DESCRIPTION `'= RATE', EXTENSION' FEE.' TOTAL 25.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 zl_lnzzzz:��l r Opera Ing rrours o b.Ub HM I days a wee ` a.,6 y' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685 ' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY'S='ss "z` "'moi TENDERED -CHANGE --CHE K NO ,"" SIGNATURE NO. ® 221 D GENERATOR' - --THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED-AND DOES NQ, SSUME ANY LIABILITY ASSOC IATEDWITH•THE-SHIPMENT OF SUCH MATERIALS.- # COMPANY: t A T ; 5 ( i - SHIP DATE: J- I LL COMMODITY SHIPPED:. LOOSE: (CU.YDS) SALES: (COUNT):- _ TRUCK WEIGHT: r" , e,; °„ 6' GROSS TARE ti; s NET I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID_AS DEFINED'BY 40 CFR PART 260.`10 OR ANY -APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR'ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND.IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ``-"`(SIGNATORE) TRANSPORTER- TRANS PORTATION/FREIGHT ��CO. TRUCK NO. `i '' LfICENSE 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 r DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION d DISPOSAL LOCATION: t�{ `'!� j `� d ! , � 1 ? '` s— i DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. „SITE,, ,TICKET "GRID WEIGHMASTER.':_ SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01439365 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 �t 'DATE IN DATE-OUT TIME IN TIME OUT ®VEHICLE t ROLL OFF 05/07/19 05/07/19 08:12 08:12 11100TC 009306 Town of Brookhaven Waste Manag One Independence Hill •- Farmingville NY 11738 Scale 2 Gross Wt. 83440 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 46680 LB QTY. UNIT DESCRIPTION RATE --,EXTENSION FEE TOTAL 23.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 tAl .. !. ” CLOSED HOLIDAYS-QUESTIONS CALL 631-734!7685,e'i 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER`S,UNDAY�->1; _ TENDERED CHANGE CHECK NO. - SIGNATURE SITEI- TICKET, GRID WEIGHMASTER,,, SOUTHOLD TOWN DEPT SOLID WASTE 01 01439365 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 'DATE'OUT -TIMEIN-TIMEOUT _i VEHICLE ROLLOFF , 05/07/19 05/07/19 08:12 08:12 11100TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE ML Farmingville NY 11738 Scale 2 Gross Wt. 83440 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 46680 LB ":QTY. DESCRIPTfON _ RATE, EXTENSION- FEE.- TOTAL 23.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ope a Ing hours o ays a WeeK:' 0111111111111== meq; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,686- , s; ti 0.00 NEXT HOLIDAY:SUNDAY,APRIL 21,2019 EASTER SUNDAY ;;r; -- s'",t' ! TENDERED .._ CHECK NO: SIGNATURE NO. 02 ® 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: `i i~ �- GROSS TARE U tea` NET I-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED'BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. i GENERATOR AUTHORIZED AGENT(PRINT NAME) ____-l(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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE TICKET -GRID -" WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 01 .4 01439343 Steph PO Box 962/6155 Cox Lane 111 Cutchogue, NY 11935 DATE IN-� DATE OUT TIME IN TIME OUT - VEHICLE- ROLL OFF 05/07/19 05/07/19 107:21 107:21 11107T 009316 Town of Babylon Scale 2 Gross Wt. 74360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38100 LB CITY. UNIT-, DESCRIPTION RATE- EXTENSION FEE - TOTAL . 19.05 ION OU I GO.MSW 0.000 0.00 0.00 0.00 �g 5�3 CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 " �` r..e� tes,{p • NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ; P' ` P F... ,4, e �; ,r TENDERED . = r �." CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET £GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01439343 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 OL OFF.,' DATE IN DATE OUT TIME IN TIME OUT VEHICLE R 05/07/19 05/07/19 07:21 07:21 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 74360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38100 LB OTY " UNIT" DESCRIPTIONS RATE EXTENSION 'FEE 'TOTAL 19.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER''SUNDAYi vt TENDERED z" ✓ ; CHANGE '.'CHECK NO. SIGNATURE NO. , 0220 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY-CARGO OR MATERIALS BEING SHIPPED AND DOES N07SSUME ANY LIABILITY-ASSOCIATED WITH,THE SHIPMENT OF SUCH MATERIALS.. COMPANY: ;OV-1 I-! () Li-) SHIP DATE_: t� t COMMODITY SHIPPED:" )_11A c, IJ ! LOOSE: t (l (i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: rt;` ;: ,. �' GROSS �t. . � 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. r .') L4CENSE NO/STATE: TRAILER NO. 6 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- (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ /� ( z I i� 1 j 1/ `'/ _ U tL, DATE DELIVERED: 1 # 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR �, GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET~, GRID wEIGHMASTER�, SOUTHOLD TOWN DEPT SOLID WASTE 01 01439707 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN-TIME-OUT VEHICLE^___ `_ 'ROLL OFF_'_ 05/08/19 05/08/19 10:06 10:06 11107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 99440 LB Outbound-Charge ticket Manual Tare Wt. 36620 v LB Net Weight 62820 LB QTY. ` UNIT_ ,_" - -, DESCRIPTION` RATE_ EXTENSION FEE TOTAL 31.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 l q S a 4j" A O p • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-75 � 0:00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER 1,133.1UNDf1Y TENDERED' CHANGE -CHECK NO SIGNATURE SITE TICKET GRID: WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01439707 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_. DATE OUT TIME IN TIME=OUT ;,VEHICLE ROLL OFF_` 05/08/19 105/08/19 10:06 110:06 11107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 99440 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 62820 LB QTY UNIT _° DESCRIPTION RATE EXTENSION_ FEE TOTAU, _ 31.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CC Operating nours o Tub VIVI 7 days a wee v , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY TENDERED ;i #4 rog CHANGE --CHECK NO. SIGNATURE NO. 0230 GENERATOR - THIS MANIFEST IS FOR REFERENCE PURPOSES OffiY: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:.. - - �Q �[A i`l 4 /) U ) SHIP DATE: COMMODITY SHIPPED: I__) LOOSE: i1 !� AQU YDS) ; BALES: (COUNT): TRUCK WEIGHT: ` ' GROSS 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. ,t GENERATOR,AUTHOR IZED•AGENT(PRINT NAME) :-' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. / 1 J\1 TRUCK NO. LICENSE NO/STATE: TRAILER-NO. a1 , LICENSE NO/STATE: n — I HEREBY CERTIFY THAT-THE_ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SI�LISTD ABOVE;AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: "(PRINT NAME) ;,}� (SIGNATURE) DESTINATION 'DISPOSAL LOCATION: . 0 VA f I A PA-) \1 t_C/rti� � DATE DELIVERED: ADDRESS: 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_. ,PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I "*bUPhICATE TICKET" $1TE = TICKET GRID' =_ WEIGHMAS_TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01439969 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN u„ DATE OUT, 'TIME IN TIME OUT 'VEHICI,E- .,ROLL OFF 05/09/19 05/09/19 10:18 10:18 11 107T 009316 Town of Babylon Scale 2 Gross Wt. 78040 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight - --- 41780 LB QTY _UNIT,- DESCRIPTION,/, RATE. EXTENSION, ` FEE' TOTAL,,,,, . CLOSED HOLIDAYS-QUESTIONS CALL 631-7347.685:� f`. NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER�SUNDAY �r;tt ,rI �� r TENDERED r CHANGE CHECK NO. SIGNATURE t `*DUPLICATE TICKET" WEIdkMAStER SOUTHOLD TOWN DEPT SOLID WASTE 01 01439969 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN• DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF - 05/09/19 05/09/19 10:18 10:18 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 78040 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 41780 LB QTY. _ UNIT .. DESCRIPTION - RATE _ EXTENSION FEE TOTAL 20.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 M ��i 3 '�F�,a� •0: '.-.. a 15Z, _1164CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,0' ,,. NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY,.) TENDERED -,*_'CHANGE CHECK NO. ' SIGNATURE GENERATOR - ' - THIS 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: , ' - _ F _. - t�[� � A ) �;l ( � �1'> SHIP DATE,- COMMODITY-SHIPPED: ATE•:COMMODITY•SHIPPED: 11.1 S • LOOSE: (: (CU-YDS) BALES: (COUNT): TRUCK WEIGHT:- GROSS, -21 U,, c., TARE c, NET THEREBY CERTIFY,THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260A0.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. A ? t � `4/ � ��,�Ll A f TRUCK NO. J'1 LICENSE NO/STATE: TRAILER NO. >lr LICENSE NO/STATE: I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL'WAS PICKED UP_AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW. f DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION�''P DISPOSAL LOCATION: � .1-VAi4 I (�'IA PIX/1 t ll l&� 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. **F3UPLIQtiATE TICKET" rg1TE TICKET °. GRID , 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01440237 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN'- DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/10/19 05/10/19 10:41 10:41 11107T 009316 Town of Babylon • REFERENCE Scale 2 Gross Wt. 73440 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB Net Weight 37160 LB - QTY. UNIT DESCRIPTION RATE IXTENStON FEE___ TOTAL- - 18.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 4Ai1%a 3 Operating hours odays a wee <` �,� _�. ,_� �' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER'SU_ NDAY ,h,7a �, „": TENDERED CAGE CHECK NO. SIGNATURE "DUPLICATE TICKET" S E TICKET, - -`GRID WEIGH,MASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01440237 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 " 'DATE IN, ,DATE OUT -; TIME,IN TIME OUT VEHICLE ROLL OFF 05/10/19 05/10/19 10:41 10:41 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 73440 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB Net Wei ht 37160 LB QTY ' UNIT,; DESCRIPTION° RATE EXTENSION "''FEE' NOTAL. 18.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 J5 fj f Operating hours 7:00 AM to 5:00 PM 7 days a week;� sem, e `¢" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685{ _, < 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUND'A.`YiIsq ,;; ,� TENDERED CHECK NO-.Lj SIGNATURE -0"306 NO. _ -GENERATOR " _ - = --THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT,ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH- MATERIALS.','.-,-----,COMPANY: , o U l._-1 ) _SHIP DATE: _9 1 IDJP� _I COMMODITY SHIPPED-. f LOOSE: ) { i" (CU YDS) , BALES: (COUNT): TRUCK WEIGHT: -7941-1 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,CLASSIFIED AND PACKAGED.AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING:TQ APPLICABL"E,REGUL"ATION., f 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. 1 it l 12)A, /�V DATE DELIVERED: _ ) o cl ADDRESS: v 1 ' I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - "DUPLICATE TICKET" SITE -TICKET GRID WEIGHMASTER SOUTHOLr$TOWN DEPT SOLID WASTE 01 01440403 Dan PO Box.-04/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUTJ' VEHICLE ROLL OFF 05/11/19 05/11/19 08:29 08:29 11 107T 009316 Town of Babylon •_ Scale 2 Gross Wt. 81360 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44540 LB QTY. UNIT DESCRIPTION - = RATE__ EXTENSION FEE-_ _ TOTAL,. 22.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 M !' 1, ty i P�.4,•0-�, 4'�J CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER'SUNDAY, ;? ' 'TENDERED ,, ,. ;:; � -,;.._,-..- " • CHANGE CHECK NO.' SIGNATURE "DUPLICATE TICKET" 1SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01440403 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN� ' .DATE OUT, ,,TIME INTIME.OUT ' ,VEHICLE, ROLL OFF 05/11/19 05/11/19 08:29 08:29 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81360 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44540 LB QTY.' UNIT' < v,; DESCRIPTION ' "" RATE,_' ,EXTENSION "FEE , "TOTAL- ' 22.27 TON DUTGO.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'SUNDAY.'-t,- `TENDERED CHANGE' =CHECK NO., SIGNATURE NO. -0308 ' : GENERATOR- . THIS ENERATOR-,. THIS MANIFEST,IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE"POSSESSION OR TITLE OF-ANY CARGO OR MATERIALS BEING SHIPPED-AND DOES'NOT,ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS., ' COMPANY* N)( � i `i i t i SHIP DATE: Ili 1 Z Gi COMMODITY SHIPPED: if-. LOOSE: = 0 0 (CU YDS) BALES:-(COUNT):'_ TRUCK WEIGHT: x >;$ 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 ANYAPPLICABLE STATE LAW,HAS BEEN PROPERLY= - DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-FOR TRANSPORTATION=ACCORDING TQ APPLICABLE REGULATION. . ) SI GENERATOR AUTHORIZED AGENT PRINT NAME _ SNAT ~^ _ ( (SIGNATURE) U TRANSPORTER - , TRANSPORTATION/FREIGHT CO. Or m ,j 1 TRUCK NO. - LICENSE NO/STATE: TRAILER NO. - 107 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. 1 DRIVER: L ,�..�_ (PRINT NAME) (SIGNATURE) } DESTINATION f) ^ DISPOSAL LOCATION: �;•� A, l_f !�. �i� � � ��'1� DATE DELIVERED: t � w ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: = AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE -TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01440880 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT `TIME IN-TIME OUT '- VEHICLE 1. ROLLOFF 5 05/13/19 05/13/19 07:35 07:35 11121 TC 009316 Town of Babylon Scale 2 Gross Wt. 82580 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 48600 LB QTY` UNIT __ DESCRIPTION, RATE EXTENSION FEE ' TOTAL 24.30 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 NO. SIGNATURE SITE TICKET I GRID WEIGH MASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01440880 Steph PO BOX 962/6155 COX LaneDATE IN. DATE OUT,,,, TIME'IN TIME,MOUT VEHICLE,,, ROLL',OFF Cutchogue, NY 11935 05/13/19 05/13/19 07:35 07:35 11121TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 82580 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net 00 LB 7 QTY_ UNIT_ _- _DESCRIPTION -RATE EXTENSION' - FEE TOTAL 24.30 TON DUTGO.MSW 0.000 0.00 0.00 0.00 t .ti Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY ' - -TENDERED, ., '.- �CHANGE,• - 'CHECK NO. ��j SIGNATURE NO. 1917 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: ` ` 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 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) (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 01440924 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN • DATE OUT TIME IN TIME OUT _'VEHICLE ROLL OFF 05/13/1$ 05/13/19 10:23 10:23 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81340 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 44420 LB QTY. UNIT-_- DESCRIPTION RATE EXTENSION FEE=_ TOTAL 22.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.- CLOSED ee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -, 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21, 2019 EASTER SUNDAY, 't;' ; TENDERED, CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01440924 Steph PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME.OUT VEHICLE ROLL.OFF Cutchogue, NY 11935 ° 05/13/19 05/13/19 10:23 10:23 11107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81340 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 44420 LB QTY," UNIT. " DESCRIPTION, RATE' EXTENSION,' FEE TOTAL, 22.21 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.,-' ~:—> - _ P:� __ 0.00 NEXT HOLIDAY: SUNDAY,APRIL 21,2019 EASTER SUNDAY; ;;;,' 'f '•.' ;r' TENDERED -CHANGE C"ECK,NO. SIGNATURE -- NO. 0310 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 1 SHIP DATE: --:j COMMODITY SHIPPED:, PA:5 LOOSE: 0 (CU YDS), BALES: (COUNT): TRUCK WEIGHT: `,K'- _ �' { 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 0R ANY APRLICABLE STATEL-AW,HAS BEEN-PROPERLY=; DESCRIBED,CLASSIFIED'AND`PACKAGED.AND IS IN PROPER CONDITION F.OR'TRANSPORTATION'A000RDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) , `` (SIGNATURE) TRANSPORTER ' P _ 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,< (SIGNATURE) DESTINATION DISPOSAL- LOCATION: lil1`;�;�,�, ��°�� DATE DELIVERED: , r ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL•HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** sIT> nCKEr=_. =GRID WEIGHMASTER„.„ SOUTHOL,O TOWN DEPT SOLID WASTE 01 01441126 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ME W- DATE OUT TIME IN -11ME T "__ ' vEl1lC1tRCLL OFF . 05/14/19 05/14/19 12:39 12:39 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94700 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 57940 LB QTY”.- -_ --UNIT_-_ =_= _=. DESCRIPTION RATE _ EXTENSION_ FEE TOTAL 28.97 TON OUTGO.MSW 0.000 0.00 0.00 0.00 (Poc .�rYf f � °� .. • �/ CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7 85 ".',� 0.00 NEXT HOLIDAY: MONDAY, MAY 27 2019 MEMORIALDAY `;' ~"� �` � ' ,� ,6 � je_� � � TENDERED CMUGE cmECK SIGNATURE **DUPLICATE TICKET** sITE ncir GRID V413GHIFASTEE ' „ SOUTHOLD TOWN DEPT SOLID WASTE 01 01441126 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 � tDATEIN „ DATEOUT T[ME,IN TIMEOUT ,`,VEHICLE., - ROI€oEF „ 05/14/19 05/14/19 12:39 12:39 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt 94700 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 57940 LB QTY _ -UNIT DESCRIPTION RATE EXTENSION EEE TOTAL 28.97 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Sayt ; f K 1 Operating hours o 0A PM I days a weeK?, k�. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.;/, "y` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL(DAY lTIENDERM CHEOK KG-, SIGNATURE NO. 1919 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 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) (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. F PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET, GRID WEIGHMABTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441087 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935DAE1,N- _ 2 DATEAUT _TIME IN TIME pUT _ VEHICLE BOLL.9FF,. , 05/14f19� 05/14/19 10:47 10:47 11 107T 009316 Town of Babylon REFERENdE ORIGIN Scale 2 Gross Wt. 82540 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 45720 LB QTYUNIT `v DESCRIPTION` - RATE _ _EXTENSION FEE TOTAL 22.86 TON OUTGO.MSW 0.000 0.00 000 0.00 Op o a s a weeN. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, ry 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY _TENDERED •CHANGE" CHECK NO. SIGNATURE SITE, `,TICKET I - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441087 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF. 05/14/19 05/14/19 10:47 10:47 11 107T 009316 Town of Babylon Scale 2 Gross Wt. 82540 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 45720 LB QTY. ,UNIT' =DESCRIPTION .. RATE• EXTENSION - FEE" TOTAL 22.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 • _ 'st lJ Operating hours o ays a weeK., J „? • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'; w' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY --TENDERED- 7 =r.ENDERED n CHANGE HECK NO. SIGNATURE NO. GENERATOR - THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITLE OF ANY,CARGO OR MATERIALS' , BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED•WITH THE SHIPMENT OF SUCH MATERIALS.. _ - COMPANY: i i i+1r `; d_ SHIP DATE: COMMODITY SHIPPED: . v LOOSE: 1 r i (CU-YDS) 8 " 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 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., ° ..,' TRUCK NO. r LICENSE NO/STATE: TRAILER NO. C LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ; (PRINT NAME) % (SIGNATURE) �F DESTINATION -X t 1 I )�, DISPOSAL LOCATION: ,l � [ ; / _" 1 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 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 a SOUTHOLD TOWN DEPT SOLID WASTE 01 01441035 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE OUT, TIME IN,TIME-OUT --_;--VEHICLE = ROLL OFF " • '65/14/19 05/14/19 07:17 07:17 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 75520 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41540 LB QTY UNIT_ DESCRIPTION _' RATE _` EXTENSION FEE TOTAL _- 20.77 --70N OUTGO.MSW 0.000 0.00 0.00 0.00 4' N fl 0 A t. , . • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76852x' , n. 5.. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY ---TENDERED' " -CHANGE CHANGE n CHECK NO ' SIGNATURE "DUPLICATE TICKET" SITE ,' " TICKET i Rte WEIGHMASTEFI SOUTHOLD TOWN DEPT SOLID WASTE 01 01441035 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT- TIME IN TIME OUT VEHICLETI ROLL OFF, 05/14/19 105/14/19 07:17 07:17 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75520 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41540 LB QTY = _ UNIT DESCRIPTION _ --RATE EXTENSION FEE -:, TOTAL 20.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 rN Op •-A . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;4` ' �. ; UR NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY -, �-TENDERED- ,- CHANGE �CHECK NO SIGNATURE NO. 1918 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 'ftitr ;_ 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. y+ t 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: i (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 I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441284 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _- DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF 05/15/19 05/15/19 110:47 10:47 11107TC 009316 Town of Babylon '` r REFERENCE Scale 2 Gross Wt. 83340 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB Net Weight 47060 LB QTY UNIT` DESCRIPTION _ RATE EXTENSION FEE TOTAL 23.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op a s a e .�w` `` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.W"' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�ZDAY rTENDERED ® -CHANGE CHECK N SIGNATURE "DUPLICATE TICKET"" SITETICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441284 Steph PO Box 962/6155 Cox Lane „ ...... TIME, UT VEHICLE.,;t, ..., ROCL,OF ' Cutchogue, NY 11935 DATE DATE OUT.,", TIME IN, D F;" 05/15/19 05/15/19 10:47 10:47 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83340 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB Net Weight 47060 LB QTY. UNIT DESCRIPTION= RATE `` EXTENSION FEE TOTAL 23.53 TON DUTGO.MSW 0.000 0.00 0.00 0.00 fi s' -s s 1 i Operating hours 7:00 AM to 5:00 PM 7 days a week �ti w y:' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E , _� r� 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALIDAY . "; C r, TENDERED �" CH NGE -CHECK NO SIGNATURE i ® 315 s NO. GENERATOR- . THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: 3 f COMMODITY SHIPPED:, �1 v r LOOSEN iD (CU YDS) I 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 FOS-TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -- (SIGNATURE) TRANSPORTER 1 TRANSPORTATION/FREIGHT CO. TRUCK NO. �t LICENSE NO/STATE: TRAILER NO. 1 `: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) %' (SIGNATURE) DESTINATION DISPOSAL LOCATION:i_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. DUP,IJCATE TICKET" SITE- . --TICKET GRID WEIGHMASTER ° SOUTHOLD TOWN DEPT SOLID WASTE F05/17/19 01441691 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE OUT TIME IN,TIME OUT VEHICLE =.ROLL OFF 05/17/19 10:46 10:46 11 107T REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 74340 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 38340 LB QTY UNIT DESCRIPTION', RATE- EXTENSION FEE- - TOTAL, 19.17 TON OUTGO.MSW m 0.000 0.00 0.00 0.00 _, Y;.•.`� i:.'s'� tel: ��, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;:,. �,:..: dA da •` -� _.r} aapaa : 'ftp' .00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-,DA^�'Y',I . 'TENDERED t ,„ r .�.- CHANGE CHECK NO: SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441691 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 05/17/19 05/17/19 10:46 10:46 11 107T 009316 Town of Babylon REFERENCE CE Scale 2 Gross Wt. 74340 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 38340 LB QTY. _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 z ;moi 7 t . Operating nours TOO AIVI to ays a wee ., i; f • h, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.,:_,2,"/ ;: s 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL:DA'6. ,�`�F,- . $ � ,',TENDERED CHANGE CHECK NO. SIGNATURE NO. ®318 GENERATOR - THIS ENERATOR -THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE,POSSESSION OR TITLE OF ANY CARGO OR MATERIALS = BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.- COMPANY:' < It i f r s' zJ SHIP DATE: COMMODITY SHIPPED: 1 tn} 1 LOOSE: f i f'i (CU YDS) - BALES: (COUNT): TRUCK WEIGHT: ' f' ' ' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED,BY 40 CFR PART 260.10 OR ANY- --APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY- DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. f� t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER d TRANSPORTATION/FREIGHT CO.' TRUCK NO. -4 �� LfICENSE NO/STATE: TRAILER NO. 2— LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIS-T.ED"ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) f DESTINATION DISPOSAL LOCATION: L �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 l 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 01441845 Dan PO Boz 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT; TIME-INTIME OUT r VEHICLE ROLLOFF , 05/18/19 05/18/19 07:36 07:36 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81040 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 44040 LB QTY. UNIT „ DESCRIPTION ' RATE EXTENSION, FEE TOTAL` 22.02 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -' CFOU NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY '' _~ _ "°'` TENDERED o CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET-,., GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01441845 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN `'DATE OUT TIME IN TIME OUT 'VEHICLE= ROLL OFF 05/18/19 05/18/19 07:36 07:36 11107T 009316 Town of Babylon Scale 2 Gross Wt 81040 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 44040 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL , 22.02 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t, dq3 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`-�n° NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY1'` CHANGE CHECK NO: SIGNATURE NO. ® 319 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: r�al f ` — , COMMODITY SHIPPED: LOOSE: t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: - ':f'` '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 TQ APPLICABLE REGULATION. 77: __.—--" GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE) --__- f TRANSPORTER" TRANSPORTATION/FREIGHT CO. TRUCK NO. a 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: (PRIINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ' _ f `3.f i�{ J �I ( r �1 j "DATE DELIVERED: ADDRESS: e 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 _ 01442733 Steph PO Box 962/6155 Cox Lane - - - - Cutchogue, NY 11935 = DATE IN DATE,OUT TIME.IN TIME OUT VEHICLE ROLL OFF 05/20/19 05/20/19 10:52 10:52 11107T 009316 Town of Babylon - REFERENCE- ORIGIN Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 45600 LB QTY UNIT- - DESCRIPTION -„ RATE`. ,EXTENSION FEE ^,,TOTAL , 22.80 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: MONDAY, MAY 27,2019 MEMORIAL DAY' TENDERED - CHANGE CHECK NO° SIGNATURE SITE TICKET GRID WEIGHMASTER E SOUTHOLD TOWN DEPT SOLID WASTE 01 01442733 Steph PO BOX 962/6155 COX Lane -DATE IN DATE OUT TIME IN TIME OUT ,VEHICLE ROLL OFF Cutchogue, NY 11935 05/20/19 05/20/19 10:52 10:52 11107T 009316 Town of Babylon Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Ne Weiaht 45600 LB QTY' UNIT DESCRIPTION RATE -- EXTENSION FEE TOTAL 22.80 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. r =` {`• • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' _-. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY` TENDERED CHANGE%'. CHECK NO. g'° ' SIGNATURE NO. ® 321 GENERATOR THIS MANIFEST IS-FOR'REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF.ANY CARGO OR MATERIALS" " BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS." f - j COMPANY:, '. V ,J 14 C� t SHIP DATE: �.� 2c) f I -.COMMODITY SHIPPED: LOOSE: f. (� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ' _... TARE NET I I HEREBY CERTIFY THAVTHE 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 TRANSPORTATIOWACCORDING TQ APPLICABLE-REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER r TRANSPORTATION/FREIGHT CO.11 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: � -' J� ;J�% � f_.� 1v ` � 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. "DUPLICATE TICKET"* SITE -TICKET _ '12, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01442909 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- DATE OUT__ TIME IN TIME OUT VEHICLE w"= ROLL OFF " 05/21/19 05/21/19 07:22 07:22 11107TC 009316 Town of Babylon r REFERENCE •. Scale 2 Gross Wt. 75460 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39200 LB QTY UNIT'', _ DESCRIPTION RATE -EXTENSION °-FEE -" - TOTAL - 19.60 OTAL -19.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' S Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHANGE, CHECK NO. SIGNATURE ""DUPLICATE TICKET"" SITE " TICKET GRID, WEIGH MASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01442909 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT" TIME IN TIME OUT _ VEHICLE" `ROLL OFF 05/21/19 105/21/19 07:22 07:22 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75460 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39200 LB QTY.` . ' UNIT = rDESCRIPTION RATE , EXTENSION„ FEES,, TOTAL 19.60 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ors _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY rt TENDERED._ CHANGE, - ` -CHECK NO: SIGNATURE NO. -0324 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: i f l 1/1 i i"w3 4 j SHIP DATE: COMMODITY SHIPPED:- LOOSE: ! (`: (CU YDS)" BALES: (COUNT): _ TRUCK WEIGHT: � r -s GROSS ~a + 6 TARE 6 ' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. , GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT CO. r TRUCK NO. /LICENSE NO/STATE: N TRAILER NO. 611 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 f / �lt DISPOSAL LOCATION: �I l�!-r.� 1 tl� f �! �i DATE DELIVERED: ADDRESS: y /`,. 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 01442994 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - -DATE OUT TIME IN TIME OUTI, VEHICLE ROLL OFF 05/21/19 05/21/19 11:06 11:06 11 107T 009316 Town of Babylon REFERENCE 1 0. " Scale 2 Gross Wt. 69600 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 32780 LB QTY. UNIT DESCRIPTION RATE_- EXTENSION FEETOTAL 16.39 TON OUTGO.MSW y "� 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.,, y .____.r- a,.;:', r ,' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685Z, 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL}zDAY g= ' "TENDERED CHANGE: CHECK NO=:j SIGNATURE "DUPLICATE TICKET" SITE TICKET -GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01442994 Sfeph PO BOX 962/6155 COX Lane DATE IN`-= DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/21/19 05/21/19 11:06 11:06 11 107T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 69600 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB 3 B QTY UNIT, . DESCRIPTION RATE EXTENSION FEE_ TOTAL,_ 16.39 TON DUTGO.MSW 0.000 0.00 0.00 0.00 8 j Operating hours 7:00 AM to 5:00 PM 7 days a week: -.; . ti` 4:1 - • 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685{r;:':>F 4`~ --.. 4 ? f { r NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY' G s "° =TENDERED ' -CHANGE SIGNATURE No. ®322 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: SHIP DATE: `1 _ COMMODITY SHIPPED: /yAyal ' f LOOSE: i i) t) (CU YDS) BALES: (COUNT): TRUCK WEIGHT: •F` ° l., ; 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 TRANSPORTATIOWACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. (-j t TRUCK NO. !-, G} 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) .sr I DESTINATION = f � I DISPOSAL LOCATION: a 11 A J 1 A 62 t,\I I t'I,3 DATE DELIVERED: ADDRESS: - J I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET** SITE f TICKET _' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01443238 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE-OUT I- TIME IN TIME OUT _ VEHICLE ROLL-OFF 05/22/19 05/22/19 11:49 11:49 11107T 009316 Town of Babylon -REFERENCE ORIGIN Scale 2 Gross Wt.' 81640 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44820 LB QTY UNIT, „' _ DESCRIPTION RATE '_' EXTENSION ' 'FEE TOTAL- ' 2 O GO. 0.000 0.00 0.0 Q . . , ., 211111111121131110i I CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 f`-., - `s � ;. ' NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED . CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01443238 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/22/19 05/22/19 11:49 11:49 11107TC 009316 Town of Babylon •- Scale 2 Gross Wt. 81640 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44820 LB QTY, UNIT.. DESCRIPTION , RATE ,, EXTENSION', FEE, TOTAL_ 22.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i ej ii 4 sys CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:."ms NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY,';Iry L t �, _ TENDERED ` CHANGE CHECK NO" SIGNATURE NO. ® 325 GENERATOR- THIS ENERATOR THIS MANIFEST IS.FOR REMRENME PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO'OR-MATERIALS, BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE=SHIPMENT OF=SUCH MATERIALS., -",- - - " COMPANY: ? I�1' I �_. }- SHIP DATE: COMMODITY.SHIPPED: -- - • I '� \_4 LOOSE: !o 6) (CU.YDS) - BALES: (COUNT)': " _ ' TRUCK WEIGHT: � �, 3` GROSS -- 0 ROSS -0 TARE 'u( 0 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-,NOT CONTAIN FREE LIQUID AS DEFINED BY_40 CFR PART 260.10-OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED'BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND-PACKAGED,•AND IS-IN PROPER-CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) s — (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. J\j ( ,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. (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _( � }}!` �� f �`�` DATE DELIVERED: 2 ; ``1 ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: ✓ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE; , KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. ' PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE• TICKET_ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1-�__Z14,43137 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- DATE OUT-_ TIME IN TIME OUT VEHICLE ROLLOFF 05/22/19 05/22/19 07:34 07:34 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB - —Net-Weight- -- 36060 LB QTY. UNIT DESCRIPTION_ RATE EXTENSION- FEE,- TOTAL`. {{"ter`.,,� '�•` v'`='�j�gi P�, ..' � L f z A 9p CLOSED HOLIDAYS-QUESTIONS CA631-7347685`.h � LL '-•�`'.Wp v.vv Ism NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALYD'AY TENDERED JjCHANGE CHECK NO. SIGNATURE *"DUPLICATE TICKET" SITE - TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01443137 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE , ROLL OFvilF 05/22/19 05/22/19 07:34 07:34 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 36060 LB `QTY UNIT pESCRIPTION ` - RATE EXTENSION FEE - TOd�, 0. fi;` ;T rte. ,•,; i 4 `�;�� `G O CLOSED HOLIDAYS-QUESTIONS CALL 631-7347665��;,-T� r- NEXT HOLIDAY:MONDAY, MAY 27,2019 MEMORIAL'DAY TENDERED,a ° CHANGE CHECK NO.� SIGNATURE = NO. ® 323 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: . n 1-)"" SHIP_ DATE:- -2 f -� COMMODITY SHIPPED: - , kl i N,)' LOOSE: _(Cu YDS) BALES: (COUNT): TRUCK WEIGHT: TARE ` NET I HEREBY CERTIFY,THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID'AS DEFINED BY 40 CFR"PART 260;10-bWANY -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. r t 1 L� / d ,moi # 1 TRUCK NO. i LICENSE NO/STATE: TRAILER NO.- 1 LICENSE NO/STATE:- I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER- 0 t- (PRINT NAME) �' (SIGNATURE) DESTINATION DISPOSAL_LOCATIONr l 1 )A P 4 DATE DELIVERED: ADDRESS: l 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 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 _ TICKET GRID -° WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01443435 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, _DATE OUT,, TIME IN TIME,'OUT . VEHICLE; ROLL OFF 05/23/19 05/23/19 11:19 11:19 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81780 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45520 LB QTY'. UNIT DESCRIPTION, RATE-. "EXTENSION FEE;.` °° TOTAL 22.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating 11OUrS TOdays a wee III • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED -C ANGE CHECK NO ` SIGNATURE **DUPLICATE TICKET" SITfl , Tlci<Ei ,; GRID, wEIGNMAsTeR„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01443435 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE> ' ROLL OFF 05/23/19 05/23/19 11:19 11:19 11 107T 009316 Town of Babylon t I REFERENCE I . ORIG IN Scale 2 Gross Wt. 81780 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45520 LB QTY UNIT DESCRIPTION RATE EXTENSION ---_ - FEE TOTAL 22.76 TON DUTGO.MSW 0.000 0.00 0.00 0.00 r ^•5.y - _• -, .- ,�Fri Ir � ' 1 _ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY:MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED-',`s- CHANGE„ CHECK N SIGNATURE _ No: Q34-3 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 NOT ASSUME.ANY LIABILITY ASSOCIATED WITH THE:SHIPMENT 017-SUCH MATERIALS. COMPANY: SHIP DATE: . COMMODITY SHIPPED:L ��! LOOSE: f s a ' (CU YDS) - t BALES: (COUNT):- . TRUCK WEIGHT: GROSS (n7 TARE. Y C� NET . I HEREBY CERTIFY-THAT`THE ABOVE NAMED MATERIAL DOES-NOT-CONTAIN FREE LIQUID AS DEFINED.BY 40-CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26VOR ANY APPLICABLE STATE LAW,HAS'BEEN_PROPERLY- = DESCRIBED,CLASSIFIED AND,PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TQ APPLICABLE REGULATION.'. fI GENERATOR AUTHORIZED AGENT(PRINT NAME), (SIGNATURE) TRANSPORTER.- -..'; � ,- TRANSPORTATION/FREIGHT CO: TRUCK NO. 4 `'j LICENSE NO/STATE: t - f 'TRAILER NO. I 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.' - d� DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: / t4 t ? t? ! >� �`I ? ��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 I TICKET GRID _ WEIGHMASTER SOIITfOLD TOWN DEPT SOLID WASTE 01 01443360 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT_` TIME IN TIME'OUT_ VEHICLE ROLL OFF 05/23/19 05/23/19 07:18 07:18 11107T 009316 Town of Babylon - - - - -----Scale-2-Gross Wt. - ---87340 —L-B— --- Outbound---Charge-ticket------ Manual utbound---Charge-ticket - --Manual Tare Wt. 40400 LB Net Weight 46940 LB QTY. , UNIT DESCRIPTION RATE ,_ EXTENSION ~FEE TOTAL 23.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY TENDERED''' CHANGE ' 'CHECK "^ SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER= SOUTHOLD TOWN DEPT SOLID WASTE 01 01443360 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN TIME OUT VEHICLE ROLL OFF - 05/23/19 05/23/19 07:18 07:18 11107T 009316 Town of Babylon Scale 2 Gross Wt. 87340 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 46940 LB QTY.„, UNIT, -:, ` „ - ,,,,DESCRIPTION, : RATE” EXTENSION - FEE TOTAL 23.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t F 1 tt IIJ ly CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;; NEXT HOLIDAY:MONDAY, MAY 27,2019 MEMORIAL DAY° l "` �e' _' ' r� ;TENDERED e 4 CHANGE- CHECK HANGE-C ECK NO.- SIGNATURE No..- O. 0342 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: 's4 t.' �1 '� 1 f ) ��) SHIP DATE: it COMMODITY SHIPPED: LOOSE: (CU YDS), BALES: (COUNT): TRUCK WEIGHT: "' GROSS TARE NET I 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME), --(SIGNATURE) TRANSPORTER - r � TRANSPORTATION/FREIGHT CO. TRUCK NO. i LICENSE NO/STATE: 4 , TRAILER NO. k LICENSE NO/STATE: - 4 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 "7 (PRINT NAME) j (SIGNATURE) DESTINATION 1J A r.�� r� ( 1 ,�". � ' � � f ! �� DATE DELIVERED: 512 3DISPOSAL LOCATION: ('-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: 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 01443679 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN -; -' EIOUT -TIMEIN-TIMEOOT VEHICLE- ROLLOFF 05/24/19 05/24/19 11:14 11:14 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85960 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 45560 LB QTY UNIT_ DESCRIPTION RATE•;- EXTENSION - FEE TOTAL 22.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED, ` CHANGE CHECK NO: SIGNATURE **DUPLICATE TICKET** SITE - TICKET GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01443679 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN 1�DATE OUT TIME,IN TIME,OUT VEHICLE - ROLLOFF- 05/24/19 05/24/19 11:14 11:14 11107TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85960 LB Outbound-Charge ticket 7 Manual Tare Wt. 40400 LB Net Weight 45560 LB QTY UNIT ,DESCRIPTION; RATE' EXTENSION FEE 'TOTAL- 22.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY' TENDERED ` CHANGE CHEMNO_ `' " SIGNATURE NO. 03.44 GENERATOR - =THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.-GENERATOR DOES NOT TAKE POSSESSION OR.TITLE OF-ANY CARGO OR MATERIALS . 'BEING SHIPPED AND DOES•N\\OT ASSUME ANYLIABILITYASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS. COMPANY:" i_lf i l4 I ,I-) �) E _ SHIP DATE: COMMODITY SHIPPED LOOSE:- -- ,(CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE f; 6, NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL'DOES NOT CONTAIN-FREE LIQUID AS DEFINED-BY.40 CFR PART-260:10=OR'ANY' APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY,APPLICABLE STATE LAW,HAS BEEN-PROPERLY DESCRIBED,;CLASSIFIED AND-PACKAGED.AND IS IN PROPER CONDITION'FOR TRANSPORTATION ACCORDING:TQ APPLICABLE.REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)- - TRANSPORTER - TRANS PORTATION/FREIG' HT RANSPORTER - TRANSPORTATION/FREIGHT CO. rte.. a Vwl TRUCK NO. A Y LICENSE NO/STATE: TRAILER NO. Gl 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: _-...6 �}��,1 (PRINT r4AME) (SIGNATURE) DESTINATION Lo DISPOSAL LOCATION: V i/`� � / 5 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: 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. ` `"DUP:�CATE TICKET" SITE I TICKET GRID WEIGH_MASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01443907 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - ,PATE IN,_, -DATE OUT - TIME IN TIME OUT _` VEHICLE- ROLL OFF- 05/25/19 05/25/19 09:12 09:12 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 79340 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43340 LB QTY UNIT DESCRIPTION, _ RATE _ EXTENSION, FEE TOTAL- •. - • • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHANGE CHECK NO.' SIGNATURE "DUPLICATE TICKET" SITE TICKET< " GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01443907 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF 05/25/19 05/25/19 09:12 09:12 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79340 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43340 LB QTY=„ UNIT „DESCRIPTION„ RATE', EXTENSION _ FEE' TOTAL, 21.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op r',:' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685= 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY TENDERED CHANGE' CHECK N09 SIGNATURE NO. 1 9 2,0 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: f = - GROSS - ' TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION 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. ""DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTD TOWN DEPT SOLID WASTE 01 01444252 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE IN 'DATE OUT, TIME IN TIME-OUT VEHICLE' ' ' r ROLL OFF 05/26/19 05/26/19 07:15 07:15 11121 TC 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 74700 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38440 LB UNIT,- DESCRIPTION RATE . „, EXTENSION. FEE- 19.22 EE TOTAL 19.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours o ays a wee .. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHANGE " CHECK NO., SIGNATURE "DUPLICATE TICKET" -SITE TICKET,_ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01444252 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF„ 05/26/19 05/26/19 07:15 07:15 1 11121TC 009316 Town of Babylon REFERENCE I ORIGIN Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38440 LB QTY a, UNIT DESCRIPTION RATE EXTENSION. - FEE TOTAL_ 19.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 {y y Operating nours o ays a week., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY - TENDERED CHANGE= - CHECK NO. SIGNATURE NO. 034 _ GENERATOR-- -THIS ENERATOR="THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME-ANY"LIABIL;IITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS,."""' ATERIALS,. _ (_ COMPANY: f o-t,�1(•-i i 1 SHIP•DATE:_ 2_ ,c COMMODITY SHIPPED: . } 1-J LOOSE: ) L (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS- A t ' TARE NET - ' I HEREBY CERTIFY THAT THE-ABOVE NAMED WATERIAL 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. ! �� 1 ( , � �� 1 -'# r� TRUCK NO. j LICENSE NO/STATE: TRAILER NO. f (o LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,LISTEE-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: (PRINT NAME) l (SIGNATURE) DESTINATION ' DISPOSAL LOCATION: . i SIN s AC �i`A )` �� I- DATE DELIVERED: , ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN•ACCEP,TED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER• YELLOW TO TRANSPORTER. _ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET- - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01444951 Dan PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN � DATE OUT.' .TIME IN TIME OUT VEHICLE' '' -ROLL OFF 05/28/19 05/28/19 14:06 14:06 19606TC 009316 Town of Babylon y REFERENCE ORIGIN Scale 2 Gross Wt. 78360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 42100 LB OTY UNIT DESCRIPTION RATE" EXTENSION FEE- TOTAL 21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours o ays a wee :3 ,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;`' r` _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY° " n } .,,€ TENDERED y i CHANGE CHECK NO SIGNATURE SITE I TICKET -GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01444951 Dan PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 -"'DATE IN DATE OUT TIME IN: TIME OUT VEHICLE, I ROLL OFF 05/28/19 05/28/19 14:06 14:06 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 78360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 42100 LB 7 QTY- _ UNIT DESCRIPTION- RATE' "EXTENSION' FEE TOTAL 21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 dIS Operating hours 7:00 AM to 5:00 PM 7 days a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:„t '' ,t 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL r` t TENDERED r KKY CHANGE = ' CHECK NO: SIGNATURE NO. 1925 Jti GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N_OT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 4' GROSS . f TARE ' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261.OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ-APPLICABLE REGULATION t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 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 I TICKET GRID ' WEIGHMASTER= - SOUTHOLD TOWN DEPT SOLID WASTE 01 01444837 Steph PO Box 962/6155 Cox Lane DATE IN 'DATE OUT ` 'TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - 05/28/19 05/28/19 10:46 10:46 191606TC 009316 Town of Babylon - - REFERENCE- Scale 2 Gross Wt. 78580 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 44600 LB QTY - UNIT DESCRIPTION _ RATE EXTENSION FEE- - _ TOTAL 22.30 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating ours to :00 days a wee :-ti. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,,- 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY -r ` TENDERED---- CHECK' ENDERED: -CHECK' . SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01444837 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME W TIME OUT VEHICLE . ROLL OFF Cutchogue, NY 11935 05/28/19 05/28/19 10:46 10:46 19606TC 009316 Town of Babylon REFERENCE- ORIGIN Scale 2 Gross Wt. 78580 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Wei ht 44600 LB QTY UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL 22.30 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' - t ` ` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:;.a ? 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ' '''` TENDERED -' CHANGE CHECK NO. SIGNATURE NO. 1924 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: r LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 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,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: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: r t DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKETGRID '`_ WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01444731 Steph PO Box 962/6155 Cox Lane . - Cutchogue, NY 11935 a DATE iN. F DATE OUT,;_ =TIME IN TIME OUT _' VEHICLE' ROLL OFF 05/28/19 05/28/19 08:21 08:21 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 34360 LB QTY ; UNIT ` DESCRIPTION, RATE . EXiENSIONzFEE;. TOTAL 17.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Opera Ing hours odays a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED' -C ANGE CHECK NO SIGNATURE SITE - TICKET GRID WEIGHMASTER'-,,�- ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01444731 Steph PO Box 962/6155 Cox Lane DATE IN . - DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF " Cutchogue, NY 11935 05/28/19 05/28/19 08:21 08:21 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Wei ht 34360 LB =QTY. UNIT`' _ DESCRIPTION' ' - RATE" = EXTENSION FEE "TOTAL'-' 17.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 l L" Operating hours 7:00 AM to 5:00 PM 7 days a week,.;, _ • -._---. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.` - �` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY''. ", _<' "TENDERED - -CHANGE CHECK SIGNATURE NO. 0348 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: { !'°, _ SHIP DATE: �� I COMMODITY.SHIPPED:- LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE 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) "'"P (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. - TRUCK NO. )LICENSE NO/STATE: TRAILER NO. 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,-ABOVE, AND-THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: --- 0 r (PRINT NAME) (SIGNATURE) f DESTINATION., r } DISPOSAL LOCATION: t / ) ;, Ct f�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.- SITE I TICKET' - GRID \VEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 , 01444684 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN _ __DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF 05/28/19 05/28/19 07:15 07:15 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87860 LB Outbound-Charge ticket 77 Manual Tare Wt. 36620 LB Net Weight 51240 LB QTY.' U_NIT -DESCRIPTION RATE - EXTENSION FEE', .,TOTAL 25.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours nub AM todays a WeeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY, TENDERED CHANGE - I CHECK NO. SIGNATURE SITE ` TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01444684 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _''DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/28/19 105/28/19 07:15 107:15 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87860 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51240 LB 7 QTY. _ UNIT_ DESCRIPTION "RATE EXTENSION FEE' TOTAL, 25.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t [i _ t•' Operating hours odays a weeK: T • sa 0 10&H• CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685." _v>�s ' ,`; 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY,. - {- ,TENDERED, t - CHANGE CHECK NO:�_l SIGNATURE NO. 1923 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✓ i COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �- GROSS TARE r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME (SIGNATURE) , ) f � 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. .SITE I TICKET, ;, GRID, _ WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01445091 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN" DATE'OUT _ _TIME IN: TIMEOUT VEHICLE ROLL OFF• 05/29/19 05/29/19 10:48 10:48 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 42820 LB QTY - UNIV I DESCRIPTION RATE,- EXTENSION' FEE° _ TOTAL 21.41 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: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED CHANGE ' CHECK NO::j SIGNATURE SITE TICKET GRID- "- 4EIGHM'A§TER`: SOUTHOLD TOWN DEPT SOLID WASTE 01 01445091 Steph PO BOX 962/6155 COX Lane DATE IN= DATE OUT TIME IN TIME OUT VEHICLE,- ROLLOFF Cutchogue, NY 11935 05/29/19 07/29/19)10:48 10:48 11 121TC 009316 Town of Babylon RUERENCEL Scale 2 Gross Wt. 76800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Wei ht 42820 LB QTY .,,UNIT.., DESCRIPTION RATE' - EXTENSION FEE",_ TOTAL-' 21.41 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.Y. R ; ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY s `. TENDERED CHECK NO: SIGNATURE NO. ® 349 GENERATOR-; :`- THIS ENERATOR-; _`-THIS MANIFEST'IS"FOR REFERENCE PURPOSES ONL-Y.-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: SHIP DATE: ' �1 COMMODITY SHIPPED: ` to LOOSE: ( U (CU YDS) _ BALES: (COUNT): TRUCK WEIGHT: GROSS - `` ~lt 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)- y'" (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. = t n �t i �A} ) TRUCK NO. • LICENSE NO/STATE: TRAILER NO. J Z -LICENSE NO/STATE: I-HEREBY CERTIFY THAT THE--ABOVE NAMED MATERIAL-WAS,PICKED UP AT THE GENERATOR SITE•LISTED ABOVE, AND THAT IT-WAS DELIVERED WITHOUT,INCIDENT TO-THE DESTINATION LISTED BELOW. F DRIVER: Td_ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ � i1 ? l _ DA_TE DELIVERED: .%��I im 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. **DLIPLI&vi�E TICKET" SITE I , ° TICKET _'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445287 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT- TIME IN TIME OUT VEHICLE ROLL OFF 05/30/19 05/30/19 10:33 10:33 11121 TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 37080 LB QTY. UNIT DESCRIPTION" RATE ° EXTENSION FEE .TOTAL , 18.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I O .; `Y z CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685: :; „ „3 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL°:DAY, ° '.; ,$` TENDERED CHANGE= CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE °TICKET 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445287 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME''OUT VEHICLE ROLL OFF 05/30/19 05/30/19 10:33 10:33 11121TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 37080 LB QTY UNIT ' DESCRIPTION 'RATE _ "_ EXTENSION FEE TOTAL 18.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 fl gyp' `i.: lj f, J//.r"'"- -``,j .';' .,.'a '`?✓ ) 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685;4;`®4 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY i + ' .;,„ .. ? *', TENDERED- CHANGE- CHECKENDEREDCHANGE- C EC N . SIGNATURE NO. - 0351 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: f ' S ! $/ t SHIP DATE: COMMODITY SHIPPED:. LOOSE: :J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: = ;`f GROSS TARE NET ..I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART-260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 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: (PRINT NAME) �. (SIGNATURE) DESTINATION r DISPOSAL LOCATION: �i �� ' r �� /`� � ,'ti% n Pl 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. 'DUPLI�'ATE TICKET" -SITE TICKET GRID -WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445459 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN - -DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF , 05/31/19 05/31/19 09:22 09:22 11121TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 82500 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 42100 LB ",QTY. UNIT , , DESCRIPTION' RATE' EXTENSION--' FEE TOTAL 21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O 't e, .N- ._ moo.. ' F �••�rd• F CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY" TENDERED CHANGE CHECK SIGNATURE t *"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445459 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT_ TIME IN TIME OUT VEHICLE- ROLL OFF 05/31/19 105/31/19 09:22 09:22 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82500 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 42100 LB QTY. UNIT DESCRIPTION RATE EXTENSION " FEE' `TOTAL 21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a Op days a W99R'.' _,- ,, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '4_ Y' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY; '; ?~; =St t . a.l k ' TENDERED' CHANGE 'CHECK NO SIGNATURE NO 035-3 GENERATOR"_ " THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR'�ITLE OF ANY CARGO OR MATERIALS' BEING SHIPPED AND DOES NOT"ASSUME ANY LIABILITYASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS. COMPANY:.. 11M 1Js} I''} SHIP DATE:. L ) COMMODITY SHIPPED: LOOSE: (CU„YDS) ' BALES: (COUNT): TRUCK WEIGHT: = ;t t -GROSS, Ll L.) o o ' TARE °+ D NET I HEREBY•CERTIFY THAT THE-ABOVE NAMED'MATERIAL-DOES NOT CONTAIN-FREE"LIQUID AS DEFINED BY 40 CFR PART.260.10 OR ANY APPLICABLE STATE LAW,ISNOT HAZARDOUS-WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED.AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION" ACCORDING TO APPLICABLE REGULATION.-- GENERATOR AUTHORIZED AGENT(PRINT NAME) §_.e_ (SIGNATURE) TRANSPORTER,- TRANS PORTATION/FREIG HT RANSPORTER:TRANSPORTATION/FREIGHT CO. { 1 ' l I AA j TRUCK NO. : LICENSE NO/STATE: TRAILER NO. I GI LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION ti i I�f DISPOSAL"LOCATION:' r "Il A t1)`7"/�� I � z�1 �` 2 DATE DELIVERED:• 7 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.