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Home My WebLink About06/2019 "`DUPLICATE TICKET" SITE -- .°_,'TICKET l - --GRID WEI_GHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01445636 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/01/19 06/01/19 07:17 07:17 19606TC 009316 Town of Babylon REFERENCE (7 ,I Scale 2 Gross Wt. 83800 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47180 LB - QTY UNIT - DESCRIPTION RATE' EXTENSION I FEE TOTAL 23.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 -�,F"�"jz'1 r�; �e i��d it l,✓� '-�- IV N CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685.x` - 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIA ; _,Iw y,>' , ;~ TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKETGRID _ = WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01445636 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, IDATE OUT TIME IN TIME,OUT -VEHICLE, ROLL OFF 06/01/19 06/01/19 07:17 07:17 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 83800 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47180 LB QTY UNIT DESCRIPTION RATE EXTENSION ' FEE- -, TOTAL"° 23.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 A� rp 00rating hours 1.00 Am to 5.00--rivrT days d `� n ✓'y°' �'','_P'r.--....-v � ,"'^'e 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685; '. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY.:,',r. ,� 5 ,� °;' a,; ` TENDERED- 6 ENDERED- _ 6 CHANGE CHECK NO. SIGNATURE NO. 1926 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): ` `Es {i 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: 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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445658 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF- 06/01/19 FF-06/01/19 06/01/19 08:28 08:28 11121 TC 009316 Town of Babylon REFERENCE ORIGIN FScale 2 Gross Wt. 73200 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 36280 LB ' QTY.,-. UNIT DESCRIPTION — — RATE = EXTENSION _ FEE TOTAL ' , e CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685`x, ~~- NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYS s, TENDERED CHANGE_ CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445658 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN` DATE OUT TIME IN, TIME OUT VEHICLE 'ROLL.OFF,,,, 06/01/19 06/01/19 08:28 08:28 11121 TC 009316 Town of Babylon REFERENCE = •- .1 ELI Scale 2 Gross Wt. 73200 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 36280 LB QTY UNIT DESCRIPTION . RRTE `. EXTENSION FEE ,. TOTAL 0.000 0.00 0.00 0.00 0 ,4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAYy,; :.. _ r'` ri "; TENDERED k RANGE • CHECK NO. SIGNATURE NO. ® 355 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 1 =r Lr�_� SHIP DATE: COMMODITY SHIPPED:-- LOOSE: HIPPED::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. 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. l t I J /J✓�'! DRIVER: (PRINT NAME) i (SIGNATURE) ®ESTINATION j DISPOSAL LOCATION: s'�„ �.`f / ` !� F !/ l # DATE DELIVERED: i ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE ' TICKET`,' -_:6 GRID 'WEIGHMASTER'_' SOUTHOLD TOWN DEPT SOLID WASTE 01 01445731 Dan PO Bo)r562/6155 Cox Lane 77 Cutchogue, NY 11935 *DATE IN''`_" 'DATE OUT TIME INTIME OUT _ VEHICLE ,' ROLL'OFF," 06/01/19 06/01/19 10:56 10:56 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87240 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 50480 LB QTY.,, ;_ UNIT - DESCRIPTION =RATE " EXTENSION FEE' = TOTAL 25.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 3 _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'fDAY,-,,- TENDERED _ f 'CHANGE CHECK NO SIGNATURE "DUPLICATE TICKET" .-SITE I TICKET'' GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01445731 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE CUT_ TIME IM' TIME OUT VEHICLE ROLL OFF 06/01/19 06/01/19 10:56 10:56 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87240 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 50480 LB QTY., UNIT` ,, - _ -;DESCRIPTION. RATE EXTENSION FEE TOTAL 25.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALLDAY r�3 }' �` .r' TENDERED r CHANGE CHECK NO. SIGNATURE NO. 1927 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: r!- GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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. SITE _ TICKET" :GRID`' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446470 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME-OUT _ VEHICLE . - ROLL OFF ' 06/03/19 06/03/19 11:32 11:32 REFERENCE 11121TC 009316 Town of Babylon 7 Scale 2 Gross Wt. 84800 LB Outbound-Charge ticket Manual Tare Wt. 36820 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 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76135.x. ' ` ' ~ ., , i 0.0 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY y'i",� TENDERED,, :. CHANGE CHECK O. SIGNATURE SITE TI&kET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446470 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE-OUT TIME IN: TIME OUT VEHICLE ROLL OFF 06/03/19 06/03/19 11:32 11:32 11 121T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 84800 LB Outbound-Charge ticket Manual Tare Wt. 36820 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 ,!;' � Aj • y e",r _ s • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-.�,e 0.00 . NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-,D TENDERED it ' ' CHECK,NO. SIGNATURE NO 6246 GENERATOR' THIS MANIFEST IS FOR REFERENCE'PURPOSES ONLY:GENERATOR DOES NOT TAKE POWESSI6N OR TITLE-OF ANY CARGO O •MATERIALS ' BEING SHIPPED AND DOES-NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. } f COMPANY: � ��I�� } ,� }� SHIP DATE: ' 7 COMMODITY SHIPPED:-- 1 LOOSE: f (CU YDS) BALES: (COUNT):.- , TRUCK WEIGHT' ry �-�' r "I•-j k_� GROSS ' y 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 APPLICABLEREGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -"'(SIGNATURE) TRANSPORTER - TRANSPORTATION/FREIGHT CO. ^� �% �✓ f`� t TRUCK NO. _z= -r LICENSE NO/STATE: . A/ TRAILER NO. 0 C, LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP AT THE GENERATOR SITE LISTED ABOy.E, AND-THAT-IT WAS - DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW. / DRIVER: (PRINT NAME) r (SIGNATURE) j DESTINATION ( 44i) DISPOSAL LOCATION: �l }! /'r #r- A ( �� L")DATE f ; DATE DELIVERED: ADDRESS: I I .I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE:. ?, _ RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) �'; { SIGNATURE/DATE I KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .r -**DUPLICATE TICKET** 5TE < TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446509 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935DATE IN : DTE OUT,' T1IvlE IN, TIME OUT .' VEHICLE ROLLOFF 06/03/19 06/03/19 12:48 12:48 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 73400 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 37200 LB QTY, UNIT, DESCRIPTION - RATE EXTENSION_ FEE TOTAL - 18.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 q s « � � vy • CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685.Y, - >G` N 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY>` TENDERED m CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE "TICKET ;GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446509 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 .-DATE IN "' "'DATE OUT TIME IN TIME OUT ' 'VEHICLE ROLLOFF :- 06/03/19 06/03/19 12:48 12:48 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73400 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 37200 LB QTY. UNIT DESCRIPTION _ RATE EXTENSION FEE TOTAL 18.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 to CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x- - o 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY, TENDERED- CHANGE ENDERED-CHANGE CHECK NO.= �) SIGNATURE NO. 1929 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 r ' GROSS { f 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 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 .'"WEIGHMAS_TER ,° SOUTHOLD TOWN DEPT SOLID WASTE 01 01446407 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _'DATE IN° ' DATE OUT TIME IN TIME OUT VEHICLE` ROLLOFF-- 06/03/19 06/03/19 09:04 09:04 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89180 LB "'Outb and-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52560 LB QTY UNIT DESCRIPTION -RATE EXTENSION FEE_ TOTAL 26.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'. P - ' ' "� 0 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY TENDERED 0, J ..w CHANGE CHECK NO. SIGNATURE `*DUPLICATE TICKET'* SITE ' TICKET GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01446407 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN ' '_DATE OUT TIME IN TIME OUT •VEHICLE ROLLOFF 06/03/19 06/03/19 09:04 09:04 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89180 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52560 LB QTY. UNIT' DESCRIPTION , RATE EXTENSION FEE NOTAL 26.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I/V V 4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685F ,__, Q�"'� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY`, t,"E- TENDERED - ,.«, --• CHANGE' CHECK-NO - SIGNATURE NO. 1928 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' GROSS �J 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: 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_ ''W_EIGHMA#T Fr f_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01446395 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I -nME_IN`TIME.OUT- VEHICLE, '; ROLL OFF 06/03/19 06/03/19 08:07 08:07 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 92740 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 56480 LB -QTY., UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL 28.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t ; O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED "CHANGE' t CHECK NO.' SIGNATURE SITE TICKET GRID 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446395 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DAMIN DATE OUT TINIEIN TIME OUT VEHICLE ROLLOFF 06/03/19 06/03/19 08:07 108:07 1 11121TC 009316 Town of Babylon REFERENCE m Scale 2 Gross Wt. 92740 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 56480 LB QTY. UNIT DESCRIPTION ;RATE EXTENSION_ -FEE'' TOTAL 28.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-,` NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY '___TENDERED - CHA GE CHECK NO. SIGNATURE NO. 0357 GENERATOR-: THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.-GENERATOR-DOES NOT TAKE-POSSESSION OR TITLE OFANY CARGO OR MATERIALS BEING SHIPPED AND DOES-NOT-ASSUME.ANY,LIABILITY ASSOCIATED WITH-THE SH(P1191LNT OF SUCH WATER IALS. COMPANY: J r I I !� ) 11 SHIP-DATE: • COMMODITY SHIPPED: LOOSE: f Q 3) v (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-CFA-PART,260.10 OR ANY` APPLICABLE STATE LAW,IS NOT.HAZARDOUS WASTE AS DEFINED.BY 40 CFR PART 261 AOR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY .,-,,DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION:- GENERATOR EGULATION: -GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE) ` TRANSPORTER t • TRANSPORTATION/FREIGHT CO. , " � 1 nl r, �'�•t � � TRUCK NO. - a LICENSE-NO/STATE: , TRAILER NO. I f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATORSITE LISTED ABOVE, AND THAT-IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW. DRIVER: ^�--•�� i,1 �7 f (PRINT NAME) (SIGNATURE) DESTINATION fi �/ I DISPOSAL LOCATION: (()- ,J l �' " r //f 1�! J 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. **DUPLICATE TICKET" SITE _ TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446753 Steph _ PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN TIME OUT VEHICLE . ROLL OFF, 06/04/19 06/04/19 13:25 13:25 11121TC 009316 Town of Babylon ®. Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 51320 LB QTY., UNIT DESCRIPTION RATE. EXTENSION FEE _ TOTAL 25.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 c .i. CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685:r`?- d l3' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY,j`,.`� 0 ¢ TENDERED-- .� x rP " CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE , „TICKET GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01446753 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN; FDATE-OUT,', TIME IN TIME OUT VEHICLE, ROLL OFF' 06/04/19 06/04/19 13:25 13:25 11121TC 009316 Town of Babylon e� Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 51320 LB QTY UNIT DESCRIPTION RATE - '_EXTENSION, FEE _ TOTAL 25.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 01 r° ;;_�,� �.• fir;.... ,,ti ;, �� "�. CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 `" } .� 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYi TENDERED°° CHANGE CHECK NO. SIGNATURE No. -0 3 5.9 i r GENERATOR r THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING•SHIPPED AND DOES NOT( §SUME-ANY LIABILITY ASSOCIATED--WITH THE SHIPMENT OF SUCH WATER IALS:," � aa COMPANY: _ A 101 L_ SHIP DATE: COMMODITY SHIPPED:- LOOSE: HIPPED:LOOSE: 1 li (CU YDS), BALES:(COUNT):. TRUCK WEIGHT: GROSS ' TARE Z 0 NET I HEREBY CERTIFY THAT-THE,ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY.40 CFRPART260.10 OR ANY W APPLICABLE STATE LAW,-IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEENPROP,ERLY 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. L1ICENSE 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: ) 0.�� ,N)—1A � � �/`� �� v ( !Ll'l' DATE DELIVERED: ADDRESS: - w 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 2 1 GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01446882 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/05/19 06/05/19 9:07 09:07 11121TC 009316 Town of Babylon REFERENCE o. Scale 2 Gross Wt. 86460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 46060 LB QTY'Y UNIT' DESCRIPTION RATE"° EXTENSION' " ; FEE-' TOTAL_ ' 23.03 TON DUTGO.MSW 0.000 0.00 0.00 0.00 1: to 4 Operating hours odays a weeK. a CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :. ° 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY „r-TENDERED CHANGE , CHECK NO., " SIGNATURE SITE ,TICKET,,, GRID,% -WEIGHMASTER i SOUTHOLD TOWN DEPT SOLID WASTE 01 01446882 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT ,VEHICLE ROLL OFF 06/05/19 06/05/19 09:07 09:0,7 11121TC 009316 Town of Babylon REFERENCE •- FScale 2 Gross Wt. 86460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 46060 LB �QTY UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 23.03 TON UTGO.MSW 0.000 0.00 0.00 0.00 5 Operating hours 7:00 AM to 5:00 PM 7 days a week: x°. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., `• , . 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL`DAY- TENDERED -CHANGE " CHECK NO. SIGNATURE NO. - ®360 GENERATOR -THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE-0F"ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATER[ALS.'- COMPANY: " �.�;�f,f1``"�..� �`;� �� SHIP DATE:- COMMODITY SHIPPED:" LOOSE: f (CU YDS) BALES: (COUNT): TRUCK WEIGHT: _�_ ' f GROSS- , TARE \-I c. 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 TO APPLICABLE REGULATION" - GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. - -- /LICENSE NO/STATE: TRAILER NO. l LICENSE NO/STATE: I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND"THAT IT-WAS', DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.- DRIVER: (PRINT NAME) ,F (SIGNATURE) DESTINATION DISPOSAL LOCATION: Llvr y- DATE DELIVERED: ' ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET" SITE . TICk&,' I GRID-•. `WEIGHMASTER SOO-MOLD TOWN DEPT SOLID WASTE 01 01447113 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' _DATEOUT TIME IN TIME OUT _ _VEHICLE ROLL OFF 06/06/19 06/06/19 10:59 10:59 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81760 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 47780 LB QTY' UNIT DESCRIPTION = = RATE EXTENSION FEE TOTAL 23.89 MR-OUTGO.MSW 0.000 0.0a 0.00 • l o . CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHANGE °-, - CHECK NO SIGNATURE **DUPLICATE TICKET** ,:' „ TICKET " :,WEIGHMASTEa SITE GRID;'„ ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01447113 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, - 'DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF 06/06/19 06/06/19 10:59 10:59 11121T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81760 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 47780 LB QTY UNIT DESCRIPTION ' RATE,' EXTENSION'i; `FEE .TOTAL'" 23.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1o ref O0WHO11101 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.; NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY -TENDERED `•RANGE CHE K NO. SIGNATURE NO. 0363 GENERATOR THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.-GENERATOR.DOES NOT TAKE POSSESSION OR'TITLE OF ANY CARGO OR MATERIALS. _ BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF,SUCH.MATERIALS.- -COMPANY:, e` !� 1 k 9 ( ` t _I SHIP DATE: � I COMMODITY'SHIPPED: LOOSE: '- V (CU YDS) - BALES:'(000NT):, TRUCK WEIGHT:. GROSS r1 Cl TARE NET I HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL DOES NOTCONTAIN-FREE LIQUID AS DEFINED BY 40-CFR PART 260:10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE,LAW,HAS BEEN PROPERLY ` DESCRIBED,CLASSIFIED AND PACKAGED:AND IS•IN PROPER CONDITION FOR TRANSPORTATION'ACCORDING TQ'APPLICABLE REGULATION:' - f GENERATOR AUTHORIZED AGENT(PRINT NAME) • `'---(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r TRUCK NO. - 1 `` LICENSE NO/STATE: TRAILER NO. t , LICENSE NO/STATE: I.HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP AT THE GENERATOR SITE LISTED ABOVE;AND THAT IT WAS - DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �f DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION V DISPOSAL LOCATION: . ..(, l\.J i J � dDELIVERED;- DATE ADDRESS: - - r I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE-AND ACCURATE: 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 SOO-MOLD TOWN DEPT SOLID WASTE 01 01447061 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - - DATE OUT TIME IN- TIME OUT _;VEHICLE ROLL OFF 06/06/19 J 06/06/19 07:12 07:12 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79820 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43560 LB QTY._ UNIT DESCRIPTION RATE EXTENSION ` FEE TOTAL CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685- �,'`-``~-�'------' cb " j t NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL1DAYE;:' TENDERED CHANGE CHECK NO SIGNATURE **DUPLICATE TICKET** °SITE l-I0XET, GRID',' wEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01447061 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ` DATE OUT TIME-IN TIME OUT VEHICLE ROLL OFF 06/06/19 06/06/19 07:12 07:12 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79820 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43560 LB QTY_._ - UNIT DESCRIPTION'. ^ 'RATE" ° EXTENSION FEE TOTAL 21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 117 (� e ,.4i} O P : CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL -_TENDERED CHECK NO. SIGNATURE ® 361 GENERATOR ' TH IS'MANI FEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS — BEING SHIPPED AND DOES-NOT ASSUME ANY•LIABILITY ASSOCIATED`WITH,THE-,SHIPMENT_OF SUCH%MATERIAL-S. COMPANY:. 4 SHIP DATE: If COMMODITY SHIPPED: �f�. ; A 1 LOOSE: (CU YDS) BALES:(COUNT): ' TRUCK WEIGHT: "-J Q 9,7 GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID-AS DEFINED BY 40 CFR PART 260.16'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 a TRANSPORTATION/FREIGHT CO. 0 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, f DRIVER: (PRINT NAME) (SIGNATURE) f f 4 n DESTINATION. DISPOSAL LOCATION:. / TA - 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** STE ,16k& 64o' SOT�dOLD TOWN DEPT SOLID WASTE 01 01447238 Liz H SPO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN PATI OUT Ylnni=[N;T+ME oiii -ROLL OFF 06/07/19 06/07/19 07:17 07:17 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 84960 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 44560 LB QTY, UNIT_ DESCRIPTION=- 'RATE - EXTENSION, FEE " „' '. TOTAL.' , k • CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED CHEC ' O. . SIGNATURE **DUPLICATE TICKET** SITE TICKET: GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447238 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATEIN DATE OUT, TIME IN. TIME OUT VEHICLE 11ROLLOFF ' 06/07/19 06/07/19 07:17 07:17 1 121T 009316 Town of Babylon REFERENCE QRIGIN Scale 2 Gross Wt. 84960 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 44560 LB -_QTY. 'UNIT' DESCRIPTION -- RATE EXTENSION FEE TOTAL ' 0.000 0.00 0.00 0.00 F . days a CLOSED HOLIDAYS-QUESTIONS CALL 631-734.7685., NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY = TENDERED >' CHA GE -' CHECK NO. SIGNATURE NO. ®3.6 2 GENERATOR - THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE:OF ANY CARGO OR MATERIALS, BEING SHIPPED AND DOES NOT�'ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.:. y COMPANY:- SHIP DATE:_ i rf _ COMMODITY-.SHIPPED:- y\ LOOSE: Q0 (CU YDS), - BALES:(COUNT): TRUCK-WEIGHT: GROSS 7 Ion (4 r' TARE ( NET rI HEREBY CERTIFY-THAT THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINEDBY40-CFR PART:260.10 OR ANY-'""= VI 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- TRANS PORTATION/FREIG HT'CO-.- _TRUCK NO. Z LICENSE NO/STATE:, TRAILER NO. M 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) / /j' (SIGNATURE) DESTINATION DISPOSAL LOCATION: ��i f t �'t �i DATE DELIVERED: (1 bc, 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. r . **DUPLICATE TICKET** SAE, -''TICKET- ` .GRID wEiGHtyIASTER r°_. SOUTHOLD TOWN DEPT SOLID WASTE 01 01447315 Liz H PRO Sox,�62/6155 Cox Lane Cutchogue, NY 11935 [3ATEaN -_DATE OUT TWE IN. CINE OUT. VEHICLE' �AOLL.OFF, 06/07/19 06/07/19 11:18 11:18 11121 TC 009316 Town of Babylon Scale 2 Gross Wt. 84060 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47440 LB 7 QTY ' _ UNIT', ;:` DESCRIPTION 3-= "- RATE, EXTNStON FEE, tOTAL_ = _ 23.72 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 N . SIGNATURE **DUPLICATE TICKET** SITE I, TICKfiT GRID I ' ' WEI6HN1A57ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447315 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, IL TIME-IN TIMEOUT, , VEHICLE ROLL OFF+ 06/07/19 06/07/19 11:18 11:18 11121TC 009316 Town of Babylon REFERENCE ONGIN Scale 2 Gross Wt. 84060 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 47440 LB QTY.- _ UNIT DESCRIPTION', RATE EXTENSION FEE TOTAL 23.72 TON OUTGO.MSW 0.000 0.00 000 0.00 Opwee • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,--' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY --TENDERED°' CHECK N SIGNATURE NO. 0364 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 L; L ; SHIP DATE: i1 _ 1 COMMODITY SHIPPED: ! ! , LOOSE: ! (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: #�� .' (.-,y GROSS TARE C Li —! �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,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. t "? }; LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: �'�_ �i �� •�- .� " (PRINT NAME) (SIGNATURE) e DESTINATION � y DISPOSAL LOCATION: r`if ,1f ! 1' \ �: DATE DELIVERED:" E 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. -13044LICATE TICKET" ((SITE _ TICKET Rlo ". W61G_HMASTER`- SOUTHOLD TOWN DEPT SOLID WASTE 01 01447331 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 bA INoAT OUT TIME ilii TIME oUr _ VEHICLE- - - ROLL OFF 06/07/19 06/07/19 12:00 12:00 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 78740 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 42480 LB QTY UNIT.., DESCRIPTION RATE EXTENSION, _ FEE TOTAL "- 21.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685, ry 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED < _ CHECK NO._° SIGNATURE **DUPLICATE TICKET*' SITE . TICKET 'GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447331 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN,, DATE OUT'" TIME IN CIME'QUT VEHICLE - ROLL OFF 06/07/19 06/07/19 12:00 12:00 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78740 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 42480 LB QTY. UNIT ? :DESCRIPTION _ RATE '- EXTENSION FEE TOTAL = 21.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 dT f; j 9 1 O Illy CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,,, 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY. TENDERED GNANGE - GHEGK NOs"- SIGNATURE 'J NO. 1931 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 i� TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT 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' I WEIGHMASTER s6-uTHOLD TOWN DEPT SOLID WASTE 01 1 01447255 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT ,TIME IN TIME OUT -_VEHICLE I --ROLL OFF 06/07/19 06/07/19 1 08:21 08:21 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85040 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 48280 LB QTY= UNIT `_'_ DESCRIPTION RATE EXTENSION FEE TOTAL' 0.000 0.00 0.00 0.00 05 �`7 AIM k1l CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 6 8 5.,, 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL D y �y V' Ay TENDERED .CHANGE' CHECK NO. SIGNATURE ""DUPLICATE TICKET" SITE TICKET^ :'GRID' "'" "WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447255 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - -VEHICLE ROLL OFF 06/07/19 06/07/19 08:21 08:21 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85040 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 48280 LB QTY: UNIT° DESCRIPTION' :,RATE'" EXTENSION" FEE TOTAL 24.14 --TO—9— TGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY "u yj�] F1( �4\,E TENDERED r` --_CHANGE CHECK NO SIGNATURE NO. 1930 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: ' {"�4 <' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. t, GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: = DATE DELIVERED: ADDRESS: I HEREBY-CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE '-TICKET,, = GRID ",WEIGHMASTER- ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01447570 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 `DATE IN 'OATE,OUT ,TIME IN TIME OUT VEHICLE _ ROLL OFF 06/08/19 06/08/19 10:51 10:51 19606TC 009316 Town of Babylon REFERENCE ".Ilttlki� Scale 2 Gross Wt. 89400 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight - 52640 LB QTY.' _- UNIT_ = =DESCRIPTION_ RATE_ EXTENSION -.FEE___ TOTAL- 26.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1; t -.., tea. ,a "..�...,.rv^ �:.y • • CLOSED HOLIDAYS-QUESTIONS CALL 631-734S7685:� �, `' �� `y h ',�...,� ' ��,,, ��:. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY;?' > TENDERED CHECKNO. SIGNATURE SITE '' TICKET',' GRID+, -r WEIGHMASTER, " SOUTHOLD TOWN DEPT SOLID WASTE 01 01447570 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 _-DATE IN DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF 06/08/19 06/08/19 10:51 10:51 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89400 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 52640 LB QTY UNIT _ DESCRIPTION RATE EXTENSION _ FEE_, TOTAL 26.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 op rating hours 7:0UAA-IVI to 5:0bP1VI 7 days 7 LOSED HOLIDAYS-QUESTIONS CALL 631-734- 68 ` "` ' _ j'f 0.00 C • NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY*- ,T 2 TENDERED ' ir, CHANGE ' CHECK NO. SIGNATURE NO. 1933 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: - 4 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) I(SIGNATURE) TRANSPORTER r 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 I __GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447471 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _DATE OUT TIME IN TIME OUT _VEHICLE ROLL OFF_' 06/08/19 06/08/19 07.19 1 07:19 1 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41660 LB 7 QTY-- _ .„ UNIT," _ .DESCRIPT.IOIy '_ "RATE, EXTENSION "-,FEE,,,, 'TOTAL, 20.83 TON UUTG mSW 0.000 0.00 0.00 0.00 J,n M. 0 t ._: " CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.'° < - p `^ 0.00 NEXT HOLIDAY: MONDAY, MAY 27 2019 MEMORIAL DAY r &;� TENDERED- - :ws, %C AGE .. -,CHECK NO. SIGNATURE ,,SiTE TICKET ;' a GRID '^ ',WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01447471 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 bAtE,w" DATE OUT TIME IN'TIME OUT VEHICLE, ' ROLL OFF 06/08/19 06/08/19 07:19 07:19 11121TC 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 75640 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41660 LB 7--Q-Ty-_- UNIT' DESCR_IPT_ION RATE _ '' -_EXTENSION'' FEE _ TOTAL` _ 20.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 V y O Lei I 104 1 w " CLOSED HOLIDAYS-QUESTIONS CALL 631-73475 ` '" 0.00 :. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY7 �` .-TENDERED --CHANGE=_. -CHECK NO: SIGNATURE NO. 03-65 GENERATOR- -' THIS MANIFEST'IS.FOR REFERENCE PURPOSES ONLY.GENERATOR-DOES NOT TAKE POSSESSION OWTITLE-OF ANY CARGO�OR MATERIALS BEING'SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS' COMPANY: r� ( } 1 t t '3\ SHIP-DATE: I COMMODITY SHIPPED: ) _ t LOOSE: t) C (ClJ YDS) BALES:(COUNT): _ r TRUCK WEIGHT: `7 � C� GROSS TARE- { Lee NET -'`f HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT`CONTAIN FREE LIQUID-AS DEFINED-BY 40 CFR PART-260.10`OR-ANY" ' APPLICABLE STATE LAW,IS NOT-HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED',CLASSIFIED AND PACKAGED.'-AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ-APPLICABLE REGULATION. , GENERATOR AUTHORIZED AGENT(PRINT NAME): (SIGNATURE) TRANSPORTER- i TRANSPORTATION/FREIGHT CO. ( 1 �`' '�'j TRUCK NO. LICENSE NO/STATE: TRAILER NO. ; LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED..MATERIAL.WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. .--� DRIVER: - v (PRINT NAME) r %r (SIGNATURE) DESTINATION f J to DISPOSAL LOCATION: i - r �I! �-!_..� 1 11`� Q I ( )f� DATE DELIVERED: /0 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 s_ -,GRID r- WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE01 01447470 Steph PO Box 962/6155 Cox Lane Cutchogue,NY 11935 DATE IN DATE-OUT `„TIME III TIME OUT VEHICLE T --ROLL OFF 06/08/19 06/08/19 07:10 07:10 19606TC 009316 Town of Babylon , REFERENCE ORIGIN Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 41600 LB QTY UNIT ”' DE_SGR_ IPTION RATE EXTENSION FEE= TOTAL, 20.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ti q CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685;,,' ,d ! 0.00 s.. ..... a ;. t J' NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALgDAY, ,;.i c ,•r,: TENDERED - ' jr, x r CHANGE, CHECK NO SIGNATURE SITE I TICKET-` , , GRID . _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01447470 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT " ,TIME IN TIME OUT _VEHICLE " ROLL OFF' 06/08/19 06/08/19 107:10 07:10 1 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 41600 LB QTY _e UNIT - DESCRIPTION'-- RATE_ EXTENSION FEE _TOTAL 20.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �u „ mW CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , . ` _ 0.00 • NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY141,a „ %' TENDERED CHANGE CHECK NO.' SIGNATURE NO. 1932 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 STATELAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDIN70J"41ICABLE 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. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448285 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE fN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/10/19 06/10/19 11:33 11:33 11 121T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 70020 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 33100 LB QTY.' , UNIT DESCRIPTION RATE. n. EXTENSION,,, FEE TOTAL 16.55 TON OUTGO.MSW p w� 0.000 0.00 0.00 0.00 y ' Opera Ing hours o ays a wee : `A r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685::., 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY,��'x ., ,TENDERED, CHANGE CHECK NO: SIGNATURE SITE TICKET, "'GRID'° 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448285 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/10/19 06/10/19 11:33 11:33 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 70020 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 33100 LB QTY. UNIT , DESCRIPTION% RATE, EXTENSION FEE. TOTAL 16.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00 .i}'• ...,tea°..,J+; ."._ ,.., . `,�``,.l m�.t' C Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' ' 3 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL<DAYo`° „r.;., tr TENDERED CHANGE = CH CKNO. SIGNATURE NO. . 0367 GENERATOR -- ` • -THIS-MANIFEST IS FOR REFERENCE-PURPOSES ONLY.GENERATOR DOES NOT TAKE-POSSESSION OR TITLE OF ANY CARGO OR MATERIALS-- BEING SHIPPED AND DOES NOjASSLIME ANY.LIABIL-ITY.ASSOCIATED WITH.THE SHIPMENT OF SUCH MATERIALS: . '- COMPANY:, E (A I to C-, L ,• -SHIP DATE: COMMODITY`SHIPPED: LOOSE: I U :5 (CU.YDS) , BALES: (COUNT): TRUCK WEIGHT: GROSS . TARE. L) NET I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID-AS DEFINED BY,40 CFR PART 260.10:OR ANY--- ,APPLICABLE STATE LAW,_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. • r GENERATOR AUTHOR IZED-AGENT(PRINT NAME)• - (SIGNATURE) .RANSPORTER- TRANSPORTATION/FREIGHT CO. TRUCK NO. _ - LICENSE NO/STATE: , s TRAILER NO. ( ,. , LICENSE NO/STATE: I HEREBY CERTIFY THAT-THE'ABOVE NAMED MATERIAL WAS PICKED UP AT.THE GENERATOR SITE LISTED ABOVE, AND THAT IT-WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ' DRIVER: >;% (PRINT NAME) f (SIGNATURE) _ t DESTINATION,,, DISPOSAL LOCATION: ; EI I ('��i i DATE DELIVERED: U ` ADDRESS: _ I I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED- IS TRUE AND ACCURATE:- RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION -GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR, ,DISPOSAL LOCATION TICKET NO. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448177 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN = .DATE OUT I TIME IN TIME OUT VEHICLE - ROLL OFF 06/10/19 06/10/19 07:42 07:42 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38120 LB QTY. UNIT, DESCRIPTION RATE- EXTENSION FEE _ TOTAL 19.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing Hours Tub AM to ays a wee - 111111111111111310"01 > CLOSED HOLIDAYS-QUESTIONS CALL 631-734-"7685.' ^` _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALPAY• , ' TENDERED- .. CH NGE -CHECK NO. SIGNATURE SITE °, TICKET., GRID `WEIGHMASTDR SOUTHOLD TOWN DEPT SOLID WASTE 01 01448177 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ''DATE'IN DATE OUT TIME1N TIME OUT VEHICLE ROLL OFF 06/10/19 06/10/19 07:42 07:42 11121T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38120 LB QTY. UNIT DESCRIPTION, RATE -_ -=EXTENSION FEE -TOTAL 19.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours o bAPIA 7 days a wee ^; :-. _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7!385'f, 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY' , . TENDERED, CHANGE-- CHECK NO. �) SIGNATURE NO. ®366 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE-POSSESSION OR TITLE OF=ANY CARGO'OR MATERIALS- BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY -�ASSOC IATED_WITH"THE SHIPMENT.OF SUCH MATERIALS." _ COMPANY: .'; '�o l w () -- SHIP DATE: COMMOD_ ITY-SHIPPED:-' LOOSE:' 0 CY (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 260110 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 REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) { (SIGNATURE)- TRANSPORTER TRANS PORTATION_/FREIGHT CO. TRUCK NO. �;t LICENSE NO/STATE: TRAILER NO. �: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS ' DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ^ 7 6- DRIVER: 'c,. (PRINT NAME) (SIGNATURE) DESTINATION - � J/ \ DISPOSAL"LOCATION: r�_ :�/ �`1 A � �/A I-- V'C 61-J) DATE DELIVERED: � � � U ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE'INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I "*DUPLICATE TICKET" rsitEl TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448449 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN =DATE OUT TIME IN TIME OUT VEHICLE < ROLL OFF- 06/11/19 FF_06/11/19 06/11/19 09:50 09:50 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 74520 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38260 LB QTY UNIT DESCRIPTION _ RATE EXTENSION, FEE, TOTAL- CITY. . .00 hd ;ej ,r' � �;•;fes S. ,,, ,� F . �a 6 a V", _ '✓ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685..� v NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY „ . ` p` TENDERED i Y" r: CHANGE CHECK NO, - SIGNATURE **DUPLICATE TICKET" SITETIoKET GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01448449 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN ATEOUT„ IMEOU D TIME IN T T VEHICLE f30LC OFF 06/11/19 06/11/19 09:50 09:50 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 74520 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38260 LB QTY. UNIT -_DESCRIPTION RATE- EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 z-, }: • ( �� , U, CLOSED HOLIDAYS-QUESTIONS CALL 631-734- 185 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY,� D,;, x .` i� TENDERED iv CHANGE-- CHECK HANGE__CHE K NO: SIGNATURE No. 1934 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 GROSS TARE i NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - - DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE'THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01�/ 01448431 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE-, ROLL OFF 06/11/19 06/11/19 107:18 107:18 1 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89040 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52420 LB QTY. UNIT' _DESCRIPTION • RATE- EXTENSION FEE, TOTAL t �e� �3 7 mv CLOSED HOLIDAYS-QUESTIONS CALL 631-7341=7685� v �9 Eh • NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY,it ^>w � # TENDERED 6 `' 5 CHECK NO. SIGNATURE "DUPLICATE TICKET`* sir( TIckET, ' GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448431 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DAT(OUT" `TIME IN TIME OUT VEHICLE_ ROLL OFF 06/11/19 06/111/19 07:18 07:18 11121 TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 89040 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52420 LB QTY U_NIT __ DESCRIP_TION RATE_ _ E_XTENS_ION FEE - TOTAL 2 O O TGO. S 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 / r NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY� ` Oji q F ✓ TENDERED.' CHANGE CHECK NO:_ SIGNATURE NO. ®366 GENERATOR. .--THIS MANIFEST IS FOR REFERENCE PURPOSES'ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLEOPANY CARGO OR MATERIALS BEING SHIPPED AND DOES-NOT—ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS: ' COMPANY: LA7�l 0 t_f� SHIP-DATE: I t COMMODITY-SHIPPED: <1-IA'-- LOOSE: IA'-LOOSE: W (CU YDS) =- BALES: (COUNT):- TRUCK WEIGHT:. �' !-<-� GROSS. . r c,- TARE " f ) � NET I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL'.DOES-NOT CONTAIN:FREE'LIQUID AS DEFINED BY 40 CFR PART'260.10 OR ANY - APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE'AS'DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-,BEEN,PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FORTRANSPORT-ATION-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT PRINT NAM ` � ( E) ., ,,r — (SIG_NATURE)..-----/ TRANSPORTER TRANSPORTATION/FREIGHT CO.. re �I1t I TRUCK NO.', LICENSE NO/STATE:' TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT,THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERZSITED ABOVE, ANDTHAT IT WAS - DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.DRIVER: 6) (PRINT NAME) (SIGNATURE) DESTINATION , !! �`� / \ , DISPOSAL LOCATION: " �;ilA ,l� 13 1� ��% 7 Lo jk� DATE DELIVERED: I ADDRESS: - I I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE•BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED - IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448613 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME-OUT VEHICLE _ROLL OFF. 06/12/19 06/12/19 11:36 11:36 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 45520 LB CITY,_ UNIT DESCRIPTION RATE EXTENSION, FEE - TOTAL' 22.76 1 UN OU I . 0 0.00 0.00 0.00 week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL_DAY TENDERED CHANGE'' CHECK NO. SIGNATURE SITE TICKET GRID i+' WEIGHMASTER- ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01448613 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 IbATEIN , DATE'OUT ,' "TIME IN TIME OUT '' VEHICLE: j ROLLOFF 06/12/19 06/12/19 11:36 11:36 11121 TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 36820 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 S r r/ a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'., NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY TENDERED - CHANGE-`_ CHECK NO.---- SIGNATURE NO. 0370 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"ASSUMEANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH'MATERIALS'. ' COMPANY: t ) 0\ I SHIP DATE: s � r COMMODITY SHIPPED:• LOOSE: { ( "(CU.YDS) BALES: (COUNT): TRUCK WEIGHT:,,. . l GROSS = - t TARE- - - _ 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 PART261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN-PROPER-CONDITION FOR-TRANSPORTATION ACCORDING TQ"APPLIC"ABLE.REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)-- {4 -- (SIGNATURE) TRANSPORTERS TRANSPORTATION/FREIGHT CO. .r TRUCK NO. 3 ILICENSE 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) `r f� ' DESTINATION , " DISPOSAL LOCATION: ' 'CV/41& IA ? 8 Lrjf DATE DELIVERED: Ct �� 2 J19 ADDRESS: J f ! $ I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: ' AUTHORIZED AGENT(PRINT NAME) -SIGNATURE/DATE- KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE ;TICKET GRID -, WEIGHMASTER, - SOUTHOLD TOWN DEPT SOLID WASTE 01 01448563 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATE IN DATE OUT. ,TIME IN TIME OUT VEHICLE ROLL OFF 06/12/19 06/12/19 08:01 08:01 11121TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 88400 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 54420 LB QTY UNIT DESCRIPTION " RATE -EXTENSION ''FEE 'TOTAL 27.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ' Operating hours f.ub AM to ays a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY "-TENDERED CHECK NO."', SIGNATURE SITE" 'TICKET',' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448563 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 -DATE IN DATE OUT -I' TIME IN TIME OUT _ VEHICLE ROLLOFF 06/12/19 06/12/19 08:01 08:01 1 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88400 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 54420 LB - QTY- ` UNIT = DESCRIPTION RATE EXTENSION - FEE TOTAL 27.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 (_- Ix K _� !S' Operating hours 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. 0369 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: 1 h SHIP DATE: COMMODITY'SHIPPED: LOOSE: ) (', ( (CU YDS) - BALES: (COUNT): TRUCK WEIGHT:- AM GROSS TARE i.7 NET - ---- - - --- -- - - - I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT_ CONTAIN-FREE LIQUID AS-DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR.AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) !TRANSPORTER TRANSPORTATION/FREIGHT CO. l I`.J 1 �� /f 1PJ I TRUCK NO. ? LICENSE NO/STATE: TRAILER NO. °j; LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (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 WEIGHMAST_ER>; SOUTHOLD TOWN DEPT SOLID WASTE 01 01448823 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN = DATE OUT TIME IN TIME OUT ,.„=VEHICLE ROLL OFF 06/13/19 06/13/19 14:36 14:36 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77760 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 41540 LB QTY_ _ UNIT' _DESCRIPTION _ RATE _--EXTENSION FEE '__TOTAL t S 1' _ CLOSED HOLIDAYS-QUESTIONS CALL 631-7347686" "` --- NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`IJAY�°, } r :, TENDERED =CHECK NO. SIGNATURE "DUPLICATE TICKET"" SITE TICKET` GRID INEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01448823 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN -- ;_DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/13/19 06/13/19 14:36 14:36 111114T 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 77760 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 41540 LB i � UNIT "' DESCRIPTION RATE " EXTENSION;. FEE, TOTAL 0. O O TGO.MSW 0.000 0.00 0.00 0.00 tN .. CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: uu NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY "" r . ;�,n,'mss:• , `;-, `TENDERED CHANGE .'-CHECK NO. SIGNATURE NO. ®372 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 t� l$ a.; f ; F `s SHIP DATE: b ' I ; Ct COMMODITY SHIPPED: ' w LOOSE: ) tj (CU YDS) BALES: (COUNT): TRUCK WEIGHT: / ,= GROSS ' r { TARE `"! �^ �f 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 V 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' TRUCK NO. LICENSE NO/STATE: 'r 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) ij' (SIGNATURE) DESTINATION A I { - � + ` � }} f ) �t � tY � i� �1 4r f "d 1'�l DISPOSAL LOCATION: t »1 �l l '�I 1 t l i/ DATE DELIVERED: t ! ! ADDRESS: r I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHOR IZED'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 SOUTH06D TOWN DEPT SOLID WASTE 01 01448761 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;`DATE IN `_ °DATE OUT TIME IN. TIME OUT " u_"VEHICLE ROLL OFF- 06/13/19 06/13/19 08:30 08:30 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 84480 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47660 LB "QTY, UNIT DESCRIPTION=, _` RATE = EXTENSION '_ FEE `=TOTAL^ 23.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 " % t week.Pei ating hours 7.6b AM to 6.66 PIV117 days a 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 01448761 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN_ _ DATE OUT . TIME INTIME OUTJ' VEHICLE ROLL OFF 06/13/19 06/13/19 08:30 08:30 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 84480 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47660 LB QTY UNIT' DESCRIPTION _ - RATE -EXTENSION,,_ „FEE -_,- :TJT 23.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 2t- Operating t Opera Ing ours o ays a weeK.1,, a W.Al • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY, TENDERED `CHANGE, CHECK NO. SIGNATURE m NO. 0371- GENERATOR-:,- THIS 371-GENERATOR_THIS MANIFEST IS FOWREFERENCE 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 A`T 1A 0 I 1 1 SHIP DATE: r_E: �� ! �'� � � 7 " COMMODITY-SHIPPED: P1 < LOOSE: 1 C} ( (CU YDS) BALES:_(COUNT): TRUCK WEIGHT: " GROSS- TARE - ` ! 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;IS NOT HAZARDOUS WASTE AS DEFINED-BY 40 CFR PART 261 OR ANY APPLICABLE-STATE LAW,HAS BEEN PROPERLY •DESCRIBED,CLASSIFIED AND PACKAGED.AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER �_ ,--TRANSPORTATION/FREIGHT CO. , ()i,[Ll m 1 TRUCK NO. 2—L LICENSE NO/ST-AT-E: 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: d, �! k 1 y � DATE DELIVERED: ADDRESS: V 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(PAINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ""[ ;TE TICKET"" 'SITE 'TICKET "GRID WEIGH_MASTER SOU LD TOWN DEPT SOLID WASTE 01 01448915 Liz H PO.13ox 62/6155 Cox Lane Cutchogue, NY 11935 - DATE IN_ DATE OUT' -TIME IN TIME OUT VEHICLE ROLL OFF 06/14/19 06/14/19 11:31 11:31 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88480 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 52260 LB 7 QTY. UNIT -DESCRIPTION RATE EXTENSION- FEE TOTAL 26.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f s t` 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,-, t '" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01448915 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN, DATEOUT' TIMEIN T(ME'QUT VEHICLE 11,1 -ROLLOFF, 06/14/19 06/14/19 11:31 11:31 111 14T 009316 Town of Babylon REFEREN •- Scale 2 Gross Wt. 88480 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 52260 LB QTY UNIT,= _ DESCRIPTIONRATE - EXTENSION -FEE TOTAL 26.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op meek. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: '. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED CHANGE ` CHECK NO =- SIGNATURE _ NO. 0240 GENERATOR THIS-MANIFEST IS FOR REFERENCE PURPOSES ONLY.-GENERATOR DOES NOT TAKE POSSES§ION OR'TITLE OF ANY CARGO OR MATERIALS - BEING SHIPPED AND DOES'NOT ASSUME'ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH.MATERIALS. - COMPANY:•- -J 0 b\f H 0 L I ) SHIP DATE: �` �� IC COMMODITY SHIPPED:,. LOOSE: I I (CU YDS) ,- BALES`.-(COUNT): TRUCK WEIGHT: -,GROSS . i GROSS - i- cl 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) . r -TRANSPORTER- TRANS PPRTATION/FREIGHT RANSPORTER"TRANSPORTATION/FREIGHT CO. ` ` � ' ul - TRUCK NO. 2- LICENSE NO/STATE:- TRAILER NO. _ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP,AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED,BELOW. DRIVER: (PRINT NAME) f (SIGNATURE) DESTINA1,10 14 0 DISPOSAL LOCATION:- JAr �-t A I (t?))YL6 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. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449058 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME-OUT VEHICLE ROLL OFF, 06/15/19 06/15/19 08:19 08:19 19606TC 009316 Town of Babylon -� REFERENCE O. . r ; FScale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 46120 LB —,IQTY7— UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 er Operating hours rub AM to ays a weeK-.. _ N- • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685:'=;' r 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ;,v; >s;. *r: w; TENDERED CHANGE CHECK NO. SIGNATURE 'SITE 'TICKET _'GRID', WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01449058 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE IN -'DATE OUT ,TIME'IN TIME OUT ' VEHICLE: ROLLOFF' 06/15/19 06/15/19 08:19 08:19 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 46120 LB QTYUNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i t� S u e • t Operating ours 7.06 AM to 5:00 PM 7 days a week&, . -f �LL:, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`;% 0.00•'; -' .•'-R ri1 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL TENDERED rpt j,i3 � "• , �.� ;-s y=-�•-,-�r� _CHANGE=' -CHECK NO.' SIGNATURE NO. 1935 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 GROSS TARE r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -- -"~ (SIGNATURE) 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 01449078 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF 06/15/19 06/15/19 09:13 09:13 11114TC 009316 Town of Babylon -� •• � �,. I REFERENCE Scale 2 Gross Wt. 75620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 39000 LB QTY=- UNIT DESCRIPTION __RATE EXTENSION - FEE TOTAL 19.50 TON` OUTGO.MSW 0.000 0.00 0.00 0.00 IS F ' 4. - Operating 11vulb o ays a wee , r . • 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' SOUTHOLD TOWN DEPT SOLID WASTE 01 01449078 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF 06/15/19 06/15/19 0913 "09*131111m4TC REFERENCE 009316 Town of Babylon FrQTYScale 2 Gr oss Wt. 75620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 39000 LB UNIT DESCRIPTION RATE"'•, EXTENSION' ''FEE TOTAL 19.50 TON OUTGO.MSW g y 0.000 0.00 0.00 0.00 Opera Ing hours odays a wee _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4 ,^` ` : 'y tR 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY^` TENDERED `CHECK NO::j SIGNATURE NO ® 247 a GENERATOR:-•. THIS MANIFEST IS FOR REFERENCEPURPOSES 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:, m,jJ LOOSE: (CUXDS) BALES: (COUNT): TRUCK WEIGHT: ,GROSS lJ-fi TARE_ _�rl NET I HEREBY,CERTIFY THAT THE�ABOVEYNAMED,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 - _ c TRANSPORTATION/FREIGHT CO. TRUCK NO. �-> I LICENSE NO/STATE:- - TRAILER NO. LICENSE NO/STATE: - .I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL WAS PICKED UP AT THE GENERATOR SITE CISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: , o/ c~ (PRINT NAME)- f�r° (SIGNATURE) l DESTINATION 4 DISPOSAL LOCATION: C,)\M1'\ l A � I��f"A/LO DATE-DELIVERED: ADDRESS: j J I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "•DUPLICATE TICKET" SITE TICKET --GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449747 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE- I -ROLL OFF- 06/17/19 06/17/19 13:08 13:08 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91120 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 54860 LB QTY. UNIT DESCRIPTION "' RATE EXTENSION FEE` ,TOTAL 27.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ope a ng hours o days a ee :, =^�:. _. ; Y.;: ,=. A • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.Sg°:-. _ '` i" - 0.00 NEXT HOLIDAY: MONDAY, MAY 27'2019 MEMORIACeDAYri'r-• s„~ '`3`� ` u x +ifir' `^�' 1t"":' TENDERED'. -7,, CHANGE- CHECK NO: , SIGNATURE "DUPLICATE TICKET" SITEJ, "„TICKET” GRID ”' 1NEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449747 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN'' DATE-OUT TIME`IN'TIME OUT VEHICLE ': ROLLOFF. 06/17/19 06/17/19 13:08 13:08 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 91120 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 54860 LB a nc UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL, 27.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours :00 AM to 5 PM 7 days a wee 4 ry ' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:, `= '' r 0.00 �;QH NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY -• ;;;. ., - ..�:.., _ TENDERED':' CHANGE - I CHECK NO.. SIGNATURE NO. 1937 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): r TRUCK WEIGHT: r I , 1 GROSS TARE r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 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 WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449710 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME.OUT -VEHICLE I ROLL OFF 06/17/19 06/17/19 11:43 11:43 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86320 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 45920 LB QTY.' 'UNIT_ DESCRIPTION: RATE-= EXTENSION FEE.,_, . TOTAL, 22.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,' NT = Operating hoUrS o ays a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY, TENDERED ` V CHANGE CHC NO. SIGNATURE SI TE TICKET'- GRID,, 'WdGHMASTER,�'- ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01449710 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 " DAMIN ,DATE'OUT TIME IN TIME OUT, VEHICLE ROLL OFF, 06/17/19 06/17/19 11:43 11:43 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 86320 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 45920 LB QTY. UNIT' _ ,DESCRIPTION " ' _ RATE. EXTENSION FEE TOTAL 22.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t' ! (,t . i; Operating hours 7:00 AM to 5:00 PM 7 days a week:,; a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: , 4 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY°; TENDERED'-:; ' -CHANGE` 'CHECK NO:_;-, SIGNATURE NO. 0395 t._ GENERATOR,• -' -THIS MANIFESTIS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT.TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS-'- BEING ATERIALS' BEING SHIPPED AND"DOES•NOT' ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT.OF•SUCH'MATERIALS. COMPANY: .- .� fA i SHIP DATE:, .4 r j 7 ' c . COMMODITY SHIPPED: c L) LOOSE:, I (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. GENERATOR AUTHORIZED AGENT PRINT NAME)) _-�- •--�"�"- - (SIGNATURE) - TRANSPORTER TRANS PORTATION/FREIGHT"CO. 0, " tIV 1 TRUCK NO. L/lCENSE NO/STATE: TRAILER NO. I i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THATAT•WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW. DRIVER: �I 4� ✓ 9 (PRINT NAME) (SIGNATURE) DESTINATIONZ DISPOSAL LOCATION: ;]A 6VC� 1�/ DATE DELIVERED: ) I ADDRESS: I N 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 --T1'CKET GRID V EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449658 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN„ _spATE OUT- TIME1N TIME OUT VEHICLE - _ ROLL OFF `= 06/17/19 06/17/19 09:43 09:43 19606TC 009316 Town of Babylon , .. •- Scale 2 Gross Wt. 70360 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 33440 LB OTY,. UNIT DESCRIPTION RATE, EXTENSION, ' _ FEE TOTAL•' 16.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing 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.- " SIGNATURE **DUPLICATE TICKET" SITE ',TICKET ``,61RD wEIGHMASTEA SOUTHOLD TOWN DEPT SOLID WASTE 01 01449658 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - 'DATEOUT TIME INI 'ITIME OUT VEHICLE ' ROLL OFF 06/17/19 06/17/19 09:43 09:43 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 70360 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 33440 LB '01Y.. 'UNIT ."' DESCRIPTION RATE EXTENSION FEE TOTAL 16.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t , F ` S 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 CHECK SIGNATURE NO. 1936 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: %Ll �'.-C GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APP_L-ICABI E_R GUL`ATION. 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 TICKET GRID WEIGHMASTER= SOUTHOLD TOWN DEPT SOLID WASTE 01 01449625 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _ VEHICLE ROLL OFF 06/17/19 06/17/19 07:54 07:54 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 105560 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 68740 LB QTY --- UNIT `_ DESCRIP?IONRATE,` EXTENSION : FEE- < -TOTAL ` 34.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 bs✓' Opera Ing hours oclays a wee T 77,77t fr `* • CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: - 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY�aJ `; r'` TENDERED- CH NGE , CHECK NO SIGNATURE SITE TICKET, GRID "'.'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449625 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OUT," ' ,TIME,IN:TIME OUT "' VEHICLE �� r�,A ROLL OFF- 06/17/19 06/17/19 07:54 07:54 111 14T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 105560 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 68740 LB QTY _ UNIT DESCRIPTION RATE__ EXTENSION FEE TIL 34.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week a. . , - w ro: ,° :°$" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -�' 000 TENDERED` NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY- CHANGE= CHECK NO: ` SIGNATURE _ NO. ®-394 GENERATOR THIS MANIFEST ISFOR-RE'F. AENGE PURPOSES ONLY-.-GENERATOR DOES.NOT.TAKE POSSESSION OR-TITLE OF-ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE-SHIPMENT OF SUCH-MATERIALS. COMPANY: L 4 VN o SHIR DATES COMMODITY SHIPPED:•- , _ '; �\'l i 1 LOOSE: J i� V (CU YDS) --_ BALES: (COUNT)-: ; TRUCK-WEIGHT: _GROSS, . L` TARE I ``( NET I HEREBY CERTIFY-THAT THE ABOVE"NAMED MATERIAL•DOES-NOT CONTAIN,FREE LIQUID-AS DEFINED BY.40'CFR PART 260.10 OR ANY APPLICABLE STATE LAW,.IS NOT HAZARDOUS WASTE AS DEFINED.BY 40 CFR PART.26I OR-ANY APPLICABLE STATE LAW,HAS BEEMPROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING T APPLI6X LE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 V t N 11'_J I ( /� A ) 14 TRUCK NO. LICENSE NO/STATE: TRAILER NO. " ® - LICENSE NO/STATE: -I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SI, E•_LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW.- DRIVER: ELOW.DRIVER: (PRINT NAME) /f (SIGNATURE) DESTINATION`-` f r1 j DISPOSAL LOCATION: •r n 1/A 'j-TA A f�V Lo rJ 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 I I GRID WEIGHMASTER':;_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01449937 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN, TIME OUT _VEHICLE =�_ROLL OFF 06/18/19 06/18/19 11:42 11:42 11 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 94020 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 57100 LB QTY.- UNIT _` DESCRIPTION = RATE EXTENSION FEE _ TOTAL 28.55 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 --j "SITE TICKET GRID',,..','.' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449937 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN_TIME OUT VEHICLE ROLL OFF 06/18/19 06/18/19 11:42 11:42 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94020 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 57100 LB QTY ,. UNIT ,DESCRIPTIO RATE','t,ti., EXTENSION' , FEE," TOTAL; 28.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing Hours o mob mv, 7 days a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY' --TENDERED. CHANGE CHECK"NO SIGNATURE GENERATOR MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS' BEING SHIPPED AND DOES-NOVA'S SUME ANY.LIABIL'ITY ASSOCIATED-WITH,THE SHIPMENT OF'-SUCH MATERIALS. . COMPANY: V)(AT H SHIP•DATE: COMMODITY`SHIPPED: i W LOOSE: (CU YDS) BALES: (COUNT): : TRUCK WEIGHT:: S:�I i-. t GROSS _ `t "<1 TARE T � NET I HEREBY CERTIFY THAT THE',ABOVE NAMED MATERIAL"DOES-NOT CONTAIN FREE LIQUID.AS DEFINED BY`40 CFR PART 260.10 OWANY .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) _.==.----(SIGNA -U El;) TRANSPORTER TRANSPORTATION/FREIGHT CO. c)f VI TRUCK NO. J LICENSE NO/STATE: TRAILER NO.. , LICENSE NO/STATE: A HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED=UP AT THE GENERATOR SITE LISTED-ABOVE;AND THAT IT-WAS- DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ( (PRINT NAME) f" (SIGNATURE) DESTINATION DISPOSAL LOCATION: rf)VA ( A I ��19-,, _ i o l� DATE DELIVERED: 6 Ile) � t ADDRESS: I I HEREBY CERTIFY THAT THE ABOVE-MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL-LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -SITE '-'TICK ET GRID WE16HMASTIER SOUTHOLD TOWN DEPT SOLID WASTE 01 01449869 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT° TIME IN TIME OUT ' VEHIdLE ROLL OFF 06/18/19 06/18/19 07:45 07:45 11114TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 87560 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 50740 LB ',QTY.-- „UNIT-, DESCRIPTION-, ,; RATE. EXTENSION „FEE' TOTAL 25.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'y n, 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY`”' ^.k„ - TENDERED „- CHANGE ,CHECK NO. SIGNATURE SITE TICKET GRID ;WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01449869 Steph PO Box 962/6155 Cox Lane I _ Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF 06/18/19 06/18/19 07:45 07:45 11114T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 87560 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 50740 LB QTY UNIT'„ DESCRIPTION RATE EXTENSION FEE TOTAL 25.37 TON OUTGO.MSW 0.000 0.00 0.00 000 baa'. •,.-,.. `-•. r� �.e Op ,° - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ' TENDERED { CHANGE CHECK'N SIGNATURE - NO. 0396 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 A i (- I i i )1 SHIP DATE: f cl COMMODITY.SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: °s GROSS TARE ' i/ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY - DESCRIBED;CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT•NAME) t_ (SIGNAT.URE� )-----m.�� TRANSPORTER TRANS P_ ORTATION/FREIGHT CO. i h.) I TRUCK NO. LICENSE NO/STATE: TRAILER NO.' i LICENSE NO/STATE:- I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL WAS PICKED-UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r " DRIVER: — 1s o r =� (PRINT NAME) (SIGNATURE) DESTINATION' DISPOSAL LOCATION: t+ 1 1 1 ;t' y ,�I ! 1 � IQ V L-0A 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. ""D�IPLICATE TICKET'* SITE TICKET " , GRID WEIGHMASTER' SOUTHOLD(OWN DEPT SOLID WASTE 01 01450018 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN " DATE'OUT `_TIME IN TIME OUT ._ VEHICLE ROLL OFF 06/19/19 06/19/19 07:49 07:49 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87840 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 51020 LB QTY _ UNIT— DESGRIPTION> RATE .__ EXTENSION_ FEE TOTAL 25.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 S . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:N{ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY TENDERED CHANGE CHECK NO--) _ SIGNATURE "DUPLICATE TICKET" SITE ,:TICKET - GRID . „ 1, a WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01450018 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN DATE.OUT -TIME IN' TIME OUT VEHICLE "ROLLOFF 06/19/19 06/19/19 07:49 07:49 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87840 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 51020 LB QTY _ UNIT- DESCRIPTION. RATE EXTENSION FEE 70TAL 25.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ope CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,; 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY ` ; TENDERED CHANGE CHECK NO. SIGNATURE NO.. 0400 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 C A i o o 1 11 SHIP DATE: COMMODITY SHIPPED: .-' LOOSE:' - I V _(CU YDS) _ - _ I BALES: (COUNT): p TRUCK WEIGHT: <-Z;'/l GROSS i TARE NET I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED'BY 40 CFR PART-260.10 OR ANY _ APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY , DESCRIBED,CLASSIFIED AND PACKAGED,ANDIS.IN PROPER CONDITION FOR TRANS PORTATION'ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) =' (SIGNATUREj_ _ - - TRANSPORTER: .TRANSPORTATION/FREIGHT CO. TRUCK NO. L/CENSE NO/STATE: TRAILER NO. I ' f "l LICENSE NO/STATE: I HEREBY CERTIFY•THAT THE ABO)iE-NAMED MATER(AL�WAS PICKED UP AT THE GENERATOR SITE LISTED�BOVE, AND-THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE.DESTINATION LISTED BELOW. DRIVER: `� � ✓' (PRINT NAME) f` (SIGNATURE) DESTINATION DISPOSAL°LOCATION: AL1 a � f `l J t �f/�J I J [ tJ 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: _ • I RECEIVED BY: j AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE _ _ I KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER- _ YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET I . "GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01450071 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,' DATE OUT TIME-IN TIME OUT - VEHICLE ROLL OFF 06/19/19 06/19/19 11:25 1 11:25 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 91060 LB Outbound-Charge ticket 7 Manual Tare Wt. 33980 Net Weight 57080 LB QTY. UNIT -_-.-- _ DESCRIPTION - RATE " _EXTENSION FEE TOTAL 28.54 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 CHECK NO SIGNATURE DUPLICATE TICKET" ,,SITE `' TICKEt.', GRID' 'a ',WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01450071 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT ,-VEHICLE ROLL OFF 06/19/19 06/19/19 11:25 11:25 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 91060 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 57080 LB QTY. UNIT _ DESCRIPTION RATE ' EXTENSION FEE TOTAL 28.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685;w:<'. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL- TENDERED CHECK NO. SIGNATURE No. 9399 - GENERATOR ' THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATO DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS' BEING SHIPPED AND DOES NOf`ASSUME ANY LIABILITY U`SSOCI ED WITH THE SHIPMENT OF SUCH MATERIALS.. _ COMPANY: )i„� } },j ; , ( )i SHIP DATE: 1 -- COMMODITY SHIPPED: LOOSE: ) r (CU YDS)-' BALES: (COUNT): TRUCK WEIGHT: GROSS TARE c- i4 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)' 4 -(SIGNATURE) F TRANSPORTER- TRANS PORTATION/FR EIGHT RANSPORTER_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. f` DRIVER: (PRINT NAME) .i' (SIGNATURE) DESTINATION, 1 r ' DISPOSAL LOCATION: .4 ', � �. DATE DELIVERED: t� ADDRESS: 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET" SITE TICKET _ GRID'- a WEIGHMAST_ER S60TI40LD TOWN DEPT SOLID WASTE 01 01450219 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -- DATE OUT ; ,TIME IN TIME OUT `>k VEHICLE ROLL OFF 06/20/19 06/20/19 09:21 1 09:21 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 81980 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 45980 LB QTY. "UNIT__ DESCRIPTION - RATE EXTENSION _ FEE -TOTAL 22.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 01111111111=0"00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL ,TENDERED " CH NGE CHECK NO. SIGNATURE **DUPLICATE TICKET** sITE rlcKEr;J GRID WEI6HMASTER. "A SOUTHOLD TOWN DEPT SOLID WASTE 01 01450219 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _ ,DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF 06/20/19 106/20/19 09:21 09:21 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 81980 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 45980 LB QTY. ,,UNIT' DESCRIPTION RATE''' 'EXTENSION, FEE TOTAL 'µ 22.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t r e O'l5braling hours rud Ail to mob vivi 7 days a wee • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..;: 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY TENDERED HANGE t CHECK NO. SIGNATURE No. ®242 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 •COMPANY: • 0J A i l: ; !) 1_ _ SHIP DATE: f �t COMMODITY SHIPPED: ' LOOSE: (CU YDS), BALES:(COUNT):- TRUCK WEIGHT: + GROSS TARE 4 I z= c" NET �I HEREBY CERTIFY THAT THE ABOVENAMED MATERIAL'DOES NOT CONTAIN FREE LIQUID AS-DEFINED BY 40'CFR PARV- 60.10.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 AN&PACKAGED 1 AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ'APPLICABLE REGULATION. = ,GENERATOR AUTHORIZED AGENT(PRINT-NAME), (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f /\, I �'� TRUCK NO. " aS YCENSE NO/STATE: TRAILER NO. _ `-%� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABQVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT.IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. a - - DRIVER: " (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: f J >� ) �� azr�I t� l DATE DELIVERED: u ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: - � I RECEIVED BY: AUTHORIZED AGENT(PRINT`NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET- , GRID° WEIGHMASTER � SOUTHa OLD TOWN DEPT SOLID WASTE 01 01450340 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT --VEHICLE _-ROLL OFF 06/21/19 06/21/19 08:34 08:34 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 78060 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 41860 LB CITY.- UNIT DESCRIPTION RATE EXTENSION _ FEE_ TOTAL 20.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 q `I 3`Y O oPIVI 7 days 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 01450340 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/21/19 06/21/19 08:34 08:34 11114TC 009316 Town of Babylon ORIGIN' Scale 2 Gross Wt. 78060 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 41860 LB .QTY UNIT DESCRIPTION RATE EXTENSION - FEE -TOTAL 20.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 J i Opera mg nours o du FIVI I clays a wee �, r�*f tti, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'685%'.;%fry'` ; ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;,DAY+` lg xr£;. ,,t .. TENDERED 41 'JE CHECK NO. SIGNATURE - J NO. ®.3 9,8 GENERATOR = THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.GENERATOR DOES NOT•TAKE POSSESSION OR TITLE-OF`ANY CARGO'OR MATERIALS BEING SHIPPED AND DOES NOrASSUME ANY 1ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. = J = COMPANY: \�O LA 1 1-I t�-d 1 ) SHIP DATE: - _ _COMMODITY-SHIPPED:' — r y LOOSE: ] Q 0 - (CU YDS) • - - - - _ - BALES: (COUNT): ; TRUCK WEIGHT: , _ c. GROSS try ' 0—_71 TARE f t f , Q NET - r I HEREBY-CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES-NOT•CONTAIN FREE LIQUID'AS DEFINED,BY-40.`CFR-PART 260:10 OR ANY APPLICABLE-STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,-CLASSIFIED AND PACKAGED.-'AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING-TQ'APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT.NAME)-- • (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT CO. ` I !`3 1 t�=f C-)I°�l,� I TRUCK NO. 2— /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: �r (PRINT NAME) (SIGNATURE), L)7 TINATION` DISPOSAL LOCATION:` - ( va� titd,I Lo/13DATE DELIVERED: 2 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 TIGKET, GRID - _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01450328 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT I TIME IN TIME OUT -VEHICLE ROLL OFF 06/21/19 06/21/19 07:18 07:18 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79820 LB _ Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43000 LB QTY= UNIT DESCRIPTION RATE 2EXTE0SIONFEE TOTAL CLOSED HOLIDAYS-QUESTIONS CALL 631-734!7685'- `= "- • .rry ' NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY" TENDERED " L.y CHANGE CHECK NOE�j SIGNATURE "DUPLICATE TICKET" SITE TICKET - GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01450328 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,DATE IN, DATE OUT, TIME IN TIME OUT 'VEHICLE ROLL OFF 06/21/19 06/21/19 07:18 1 07:18 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79820 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43000 LB QTY UNIT, = DESCRIPTION- RATE EXTENSION FEE' -TOTAL mj IS- '•$L �� - Cyt i _ Rq • • CLOSED HOLIDAYS-QUESTIONS CALL 631-7342t6851,':, =>m RM NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL41JAY`s' TENDERED ac'f _ r`f C .;.... _- .,°..,. CHANGE CHECK NO. SIGNATURE 'r y NO. 1938 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: i COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: % 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. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE 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 01450478 Dan PO Box 962/5155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE OUT TIME INTIME OUT - VEHICLE ROLL OFF 06/22/19 06/22/19 1 07:24 07:24 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88720 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 52460 LB QTY.- UNIT-- DESCRIPTION RATE --EXTENSION . --- FEE TOTAL 26.23 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685-'-�E" m.' ' ''`,y '" ,f ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAYI,�`, h� yye TENDERED CHANGE CHECK NO::::j SIGNATURE "DUPLICATE TICKET" iTE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01450478 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _VEHICLE _ROLL OFF 06/22/19 06/22/19 07:24 07:24 Ill 114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88720 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 52460 LB QTY- UNIT DESCRIPTION, RATE EXTENSION n FEE,' TOTAL 26.23 TON OUTGO.MSW 0.000 0.00 0.00 0.00 _ r r . Aj Op :; I" , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 rrf'; — ' �' 0.0 mv ��, NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY TENDERED -CHANGE CHE K NO. , SIGNATURE f: -. - NO. 0387 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.- COMPAN_ Y_: �) JA # 1- U t 7 SHIP DATE: 1 �1 COMMODITY SHIPPED: '- LOOSE: !3 / i (CU YDS) BALES: (COUNT): TRUCK WEIGHT:. GROSS - - , TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZEDAGENT(PRINT NAME) (SIGNATURE) TRANSPORTER a v f 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) s DESTINATION V DISPOSAL LOCATION,-( !I i`� i .�f 1 �0I�V �E DATE DELIVERED: ADDRESS: . I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "'DUPLICATE TICKET" -TICKET WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451249 Steph PO Box 962/61,55 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _ _VEHICLE -ROLL OFF 06/e 4/19 .,06/24/19 11:19 11:19 19606TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 75480 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 38720 LB QTY._-_ UNIT' - =DESCRIPTION RATE -_EXTENSION FEE TOTAL 19.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 affin"tmurs-vaeb Am to 5mde PM:?days ca week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY, _TENDERED ANGE CHECK NO. SIGNATURE "DUPLICATE TICKET"" SITE TICKET`" ° . GRID 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451249 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUTTIME IN TIME OUT VEHICLE ROLL OFF 06/24/19 06/24/19 11:19 11:19 19606TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 75480 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 38720 LB QTY - UNIT - _'DESCRIPTION RATE EXTENSION, FEE' TOTAL 19.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 rff aa. O aA • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,N;.' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL`DAY TENDERED ` HANGE CHECK N SIGNATURE NO. 1940 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-L-AW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TOAP-PL16ABLE 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) 1 DESTINATION DISPOSAL LOCATION: - r DATE DELIVERED: 1 ADDRESS: I I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED I IS TRUE AND ACCURATE: I RECEIVED BY: i 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 01451192 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N DATE OUT TIME IN TIME OUT _ VEHICLE ROLL OFF 06/24/19 06/24/19 09:19 09:19 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86120 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 49900 LB QTY.- UNIT - DESCRIPTION RATE -_ .EXTENSION -FEE ` _ TOTAL 24.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours Tub AMtodays a wee}µ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..y., 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY '' TENDERED " CHANGE CHECK NO. SIGNATURE SITE r TICKET - GRID .,-wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01451192 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE'IN° DATE'OUT TIMEIN TIMEOUT VEHICLE ROLLOFF 06/24/19 06/24/19 09:19 09:19 1111 14T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 86120 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 49900 LB 7 QTY._' '_UNIT DESCRIPTION ' RATE-. EXTENSION FEE TOTAL 24.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week,' a: - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685` - , 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY r" -TENDERED CHECK NO. _ n SIGNATURE No. 0 3 8 3- GENERATOR THIS MANIFESTIS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT.TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS, BEING SHIPPED AND DOESWOT—ASSUME ANY LIA'B;IILLIITY"ASSOCIATED WITH THE SHIPMENT.OFSUCH-MATE RIALS.' COMPANY: .�� A! � � _! 1 SHIP DATE: = � COMMODITY-SHIPPED:. LOOSE: (CU YDS)-, BALES: (COUNT): TRUCK WEIGHT: ` /' GROSS' ; � q TARE. I E € (j NET f I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT'CONTAIN FREE LIOUID,AS•DEFINED-BY 407 CFR PART-260.10 OR ANY_ APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED:BY 40 CFR PART 2_6_1—OR ANY APPLICABLE STATE-LAW,HAS-BEEN PROPERLY _ DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TC.APPLICABLE REGULATION:" ` L GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATCIRE) TRANSPORTER -`s TRANS_ PORTATION/FREIGHT CO. _ r ! �`/ A 1 TRUCK NO: 2-5 =LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS- DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �. DRIVER: (PRINT NAME) j (SIGNATURE) DESTINATION DISPOSAL LOCATION: I< Y L"c't' DATE DELIVERED: ADDRESS: ! I � - a I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR -DISPOSAL LOCATION TICKET NO. ,.SITE TICKEr GRID wEIGHMAS_TER SOUTHOLD TOWN DEPT SOLID WASTE01 01451141 Steph PO Box 962/6155 Cox Lane -t Cutchogue, NY 11935 DATEIN , DATE OUT TIME IN TIME OUT VEHICLE : ROLL OFF 06/24/19 06/24/19 07:16 07:16 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81600 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 47620 LB QTY.- UNIT- DESCRIPTION- RATE EXTENSION. FEE TOTAL 23.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O • , -. su `. � ✓,� _n. .,: ;_,�;.`. � CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685,.; NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY""" ,,.., ` `� TENDERED ' CHANGE- I CHECK NO: SIGNATURE SITE TICKET '' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE01 01451141 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ` DATE OUT TIME'W TIME OUT VEHICLE ROLL OFF 06/24/19 06/24/19 07:16 07:16 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81600 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 47620 LB QTY. UNIT- DESCRIPTION- RATE EXTENSION FEE TOTAL 23.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1"� qty `.$4+ �4i. 4+ •"'.^-``f+.�r� �"_� yZx A, _ ' -- � f is x{K Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-:7685'-,-- NEXT 31-734=7685 -NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY _ TENDERED CHANGE- CHECK NO SIGNATURE NO. 1939 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: �' 1 ` �� GROSS { _ TARE ? r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR,ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. s , 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:- r DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATIONPROVIDED 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 I _G_RID WEIGHMASTE_R SOUTHOLD TOWN DEPT SOLID WASTE 01 01451542 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- -DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 06/25/19 06/25/19 11:44 11:44 111 14T 009316 Town of Babylon REFEkENCE —10 77 Scale 2 Gross Wt. 75620 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 36480 LB QTY.- UNIT ,,DESCRIPTION RATE EXTENSION FEE TOTAL 18.24 TUIT OUTGO_.MSW ---0.000 0.00 0.00 0.00 r ry�p�4f�di IN CLOSED HOLIDAYS-QUESTIONS CALL 631-734--7685'v", NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIAL,DAY' ` - .-i TENDERED CHECK NO SIGNATURE **DUPLICATE TICKET** SITE ''TIOKETGRID-,, WEIGHMASTER m SOUTHOLD TOWN DEPT SOLID WASTE 01 01451542 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I -ROLL OFF 06/25/19 06/25/19 11:44 11:44 111 14T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 75620 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 36480 LB QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL 18.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Oerating hums 7.00 AM tv 5.65 PM 7 days at Week CLOSED HOLIDAYS-QUESTIONS CALL 631-734'1685:' ° t 0.00 • NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY .' :,., -,, TENDERED CHANGE CHECK NO. SIGNATURE NO. 0390 GENERATOR --" 'THIS MANIFEST IS•FOR REFERENCE-PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION'OR TITLE OF-ANY CARGO'OR MATERIALS" BEING SHIPPED AND DOES NOT'ASSUME=ANY LIABILITY.•ASSOCIATED.WITH THE SHIPMENT OF SUCH MATERIALS. J COMPANY: b b f C L- n SHIP DATE: . t COMMODITY SHIPPED: LOOSE: t l) (CU-YDS) BALES: (COUNT):' - TRUCK WEIGHT:' GROSS, TARE NET I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL"DOES NOT CONTAIN FREE LIQUID.,AS DEFINED,BY 40 CFR PART 260.10 OR-ANY - APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART"261 OR ANYAPPLICABLE STATE_LAW,HAS BEEN PROPERLY —DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -- — '` (SIGNATURE) TRANSPORTER " TRANSPORTATION/FREIGHT CO. , ' I 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 INCIDENTTO THE DESTINATION LISTED BELOW. DRIVER: Ll " $ (PRINT NAME) (SIGNATURE) DESTINATION -DISPOSAL LOCATION: l ii/A/ J 1 A 'h A l l\ln l 3 rte) _ 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 1 01451463 Steph PO Box 962/6155 Cox Lane r Cutchogue, NY 11935 DATE IN -DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 06/25/19 06/25/19 08:05 08:05 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94840 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 54440 LB UNIT' -RATE" EXTENSION TOTAL 27.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 F 1 iy b F j ,�. _ ', • CLOSED HOLIDAYS-QUESTIONS CALL 631-734`-7685 `h — 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY-,y,''sr - TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET*" SITE TICKET' GRID.` 1NEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451463 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT 'VEHICLE ROLL OFF 06/25/19 06/25/19 08:05 08:05 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 94840 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 54440 LB QTY. - UNIT .,,,, '' ". DESCRIPTION{ ,- RATE' EXTENSION FEE, TOTAL - 27.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a,J •�.'" `tia�i�``�a V -- ".- «?PES •�w�a `7 t f t _.1 I � -•.- p. CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685 ` • 0 ; .00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL;DAY-•;f ,,r,b,,,,,,.,,,° TENDERED. CHANGE CHECK NO SIGNATURE NO. ® 389 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: L", COMMODITY SHIPPED: LOOSE: I t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ��' GROSS uk TARE NET I HEREBY CERTIFY THATTHE.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. -) 1�J 3 '- j , `-' � '•S 1 TRUCK NO. LICENSE NO/STATE: TRAILER NO. i 4) I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,,AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: �-� �--- r� _•` (� /'o` (PRINT NAME) j' `(SIGNATURE) DESTINATION DISPOSAL-LOCATION: l ! f ;1t� � � � C 141 DATE DELIVERED: ADDRESS: v � t • I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO: ""DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451680 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE`1N DATE OUT TIME W" TIME OUT VEHICLE ROLL OFF 06/26/19 06/26/19 11:34 11:34 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83320 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 46400 LB QTY. UNIT DESCRIPTION _ RATE EXTENSION FEE TOTAL 23.20 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 --j SIGNATURE "*DUPLICATE TICKET" SITE' TICKET I GRID:' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451680 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF 06/26/19 06/26/19 11:34 11:34 11114T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 83320 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 46400 LB QTY.- - UNIT DESCRIPTION - RATEEXTENSION FEE TOTAL 23.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.y', 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALIDAY TENDERED CHANGE 'CHECK'NO. SIGNATURE NO. ® 393 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:_ !;rW J_ ( .l tv SHIP DATE: 26/1 c7 COMMODITY-SHIPPED: LOOSE: (CUYDS)- BAL-ES:-(COUNT): TRUCK WEIGHT: , _ GROSS = ., TARE NET -V"1 HEREBY-CERTIFY HAT 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 JN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION.' GENERATOR AUTHORIZED AGENT(PRINT"NAME) -=--_(SIGNATURE) TRANSPORTER , TRANSPORTATION/FREIGHT'CO: " TRUCK-NO. 2- � LICENSE NO/STATE: TRAILER NO. i J LICENSE NO/STATE: I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND.THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) _ f DESTINATION (` f _ � DISPOSAL LOCATION: % j, ! %1 ` !' `• �- .C� i-) DATE DELIVERED- ) ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION.TICKET NO. "DUPLICATE TICKET" SITE '_ TICKET GRID- WE16HM_ASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451619 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE- ROLL OFF 06/26/19 06/26/19 07:55 07:55 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 81720 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44900 LB QTY UNIT, DESCRIPTION , ,,, RATE _ „ EXTENSION FEE22.46 TON O O0.00 0.00 9 t t .V ,: tt O • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHANGE CHECK NO.' SIGNATURE **DUPLICATE TICKET" SITE TICKET I GRID ; WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451619 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/26/19 06/26/19 07:55 107:55 1 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81720 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 44900 LB QTY., UNIT' DESCRIPTION ,RATE,;_ ' EXTENSION,,, FEE, TOTAL 22.45 TON OUTGOWSW 0.000 0.00 0. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYTENDERED CHANGE , CHECK NO. SIGNATURE NO. 9391 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.'GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO-OR MATERIALS BEING SHIPPED AND DOES.NOT ASSUME ANY LIABIL'ITYASSOCIATED-WITH,THE SHIPMENT OF SUCH_MATERIAL•S. ?- COMPANY: f +t+)tit i 1 < 4. SHIP DATE: J2 ,1 fff( COMMODITY SHIPPED:- yi c� 11,j ! LOOSE: i ( ? (CU YDS) BALES: (COUNT): .. TRUCK WEIGHT: GROSS G TARE" NET -_f HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN*FREE LIQUID-AS_-DDEF 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. kA )I TRUCK NO. `'> am, L/ICENSE NO/STATE: TRAILER NO. 1 0"J! LICENSE NO/STATE: 4 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP,AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: "�'^�, (PRINT NAME) (SIGNATURE) r' DESTINATION DISPOSAL LOCATION: h; 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 01451897 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 06/27/19 06/27/19 11:39 11:39 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40560 LB QTY. UNIT- DESCRIPTION RATE "EXTENSION 'FEE _' TOTA_L ION OUTGO.IVISW- 0.000 0.00 0.00 0.00 • 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 01451897 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, TIMEINTIME OUT VEHICLE - ROLL OFF 06/27/19 06/27/19 11:39 11:39 11114T 009316 Town of Babylon I REFERENCE •- FScale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40560 LB IQTY. UNIT, DESCRIPTION RATE EXTENSION FEE' TOTAL 20.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 fey O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY TENDERED CHANGE CHECK•NO.". SIGNATURE k ' NO. 035E u ' f 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 - '~ , -I � � SHIP DATE: ' 7 COMPANY: �� -fid' .. ' COMMODITY'SHIPPED: LOOSE: (CU YDS), BALES:(COUNT): - TRUCK WEIGHT: i GROSS X t� TARE 10 L ti NET -- -_--_- - _ IHEREBY 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. /o TRUCK NO. /LICENSE NO/STATE: TRAILER NO. ? U f LICENSE.N07STATE: 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) U f DESTINATION DISPOSAL LOCATION: '�./ d� � DATE DELIVERED: ADDRESS: f -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" 1,SITEI, TICKET - - - GRID: WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01451817 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT J VEHICLE ROLL OFF 06/27/19 06/27/19 07:50 07:50 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88340 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 47940 LB 7 QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 t - . Lois 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 01451817 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ; TIME IN TIME OUT VEHICLE ROLL OFF 06/27/19 06/27/19 07:50 07:50 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88340 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 47940 LB ",QTY UNIT. DESCRIPTION RATE EXTENSION_ FEE _ TOTAL'_ 23.97 [ON OUTGUIVISW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY TENDERED CHANGE', CHECK NO. •' SIGNATURE NO. ®392 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. It COMPANY: SHIP DATE: ' 1 ! C/, COMMODITY,SHIPPED-.-- LOOSE: HIPPED:LOOSE: I til /) (CU YDS) a - BALES: (COUNT)•: TRUCK WEIGHT: :S GROSS TARE Ll G 1 NET I HEREBY CERTIFY THAT THE ABOVE'NAMED,MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED'BY;40 CFR PART 260.10 OR ANY' APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION•FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT•NAME), (SIGNATURE), " TRANSPORTER TRANSPORTATION/FREIGHT CO. Ei i TRUCK NO. LICENSE NO/STATE: TRAILER NO. I f'') LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDIABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: r (PRINT NAME) / (SIGNATURE) r` DESTINATION DISPOSAL LOCATION: ; / f\J l cif t 1 Y 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. NO. 0373 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 ) IA T l-t b L_Jf1 _SHIP DATE: .6,.. 2 �d COMMODITY SHIPPED:., ' f y i J LOOSE: 0 L7 (CU YDS) BALES: (COUNT): . " TRUCK WEIGHT: f -- GROSS TARE NET -==1-HEREBY CERTIFY-THAT THE ABOVE'NAMED,MATERIAL DOES,NOT CONTAIN"FREELIQUID-AS DEFINED BY-40 CFR PART:260.10 OR ANY f 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 TRANSPORTATIONACCO D� ING TO.-APPLICABLE REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER ' TRANSPORTATION/FREIGHT CO. TRUCK NO. 2— ` LICENSE NO/STATE: TRAILER NO. 12 - 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) C' f (PRINT NAME) f (SIGNATURE) DESTINATION /'�w ( 1 / t - DISPOSAL LOCATION: +1_�� r� A� t ;!� i,�'�1 t �,"� DATE DELIVERED: - G�" � t�� 0 ADDRESS: I HEREBY CERTIFY THAT-THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND D 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 01452263 Dan POBox962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/19 06/29/19 07:42 07:42 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 43200 LB QTY. UNIT DESCRIPTION "RATE EXTENSION— "FEE TOTAL 0 0.00 0.00 sw, �r S I ,i r 'I. J ; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:` .; ;`'; - >.. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY;I`;r,, TENDERED CHANGE 'CHECK NO SIGNATURE "DUPLICATE TICKET"" .SITE, , TICKET,, GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01452263 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE,OUT a „TIME,IN TIME-OUT VEHICLE ROLL OFF 06/29/19 06/29/19 07:42 07:42 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 43200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL, 21.60 —rON 0.000 0.00 0.00 0.00 t € L i CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;° NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL- TENDERED CHANGE EC NO. SIGNATURE NO. 1942 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 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 PAR:1`26f 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 01452281 Dan PO Box.962V 55 Cox Lane Cutchogue,NY 11935 DATE IN DATE OUT "TIME IN TIME OUT VEHICLE `ROLL OFF 06/29/19 06/29/19 08:47 08:47 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75340 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41360 LB QTY. UNIT ' ' DESCRIPTION-- RATE EXTENSION FEE- TOTAL 3 ' } CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:,.'- U.UU U NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-'.DAYr,{-, TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01452281 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE1N DATE OUT TIME IN"TIME OUT VEHICLE ROLL OFF 06/29/19 06/29/19 08:47 08:47 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 75340 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 41360 LB QTY' UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL_ I ON . 0. 0 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:J NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY '9h'`^'r TENDERED CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET' ;GRIP w - A WEIGHMASTER S60THOL�,U TOWN DEPT SOLID WASTE 01 01452035 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT- -TIME IN_ TIME OUT -VEHICLE ROLL OFF 06/28/19 06/28/19 07:34 07:34 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 86780 LB Outbound-Charge ticket tManual Tare Wt. 38700 LB Net Weight 48080 LB FQW. UNIT — _ DESCRIPTION- RATE EXTENSION, - FEE h- TOTAL 0 0.00 0.00 0.00 VeFatinq li : : - J � »t rs • CLOSED HOLIDAYS-QUESTIONS CALL 631-734_7685.-`¢< ' NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALI•DAY, ' TENDERED 4 • "7 r CHANGE CHECK NO SIGNATURE "DUPLICATE TICKET" SITE TICKET ; - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01452035 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 'DATE OUT TIME-IN TIME'OUT VEHICLE _ ROLL OFF 06/28/19 06/28/19 07:34 07:34 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 86780 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 48080 LB QTY. UNIT DESCRIPTION'-^' E_ E _ "RATXTENSION FEE - TOTAL O GO° S 0.000 0.00 0.00 0.00 =o • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.",-f q ' NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY.,.,' - P.r TENDERED, ;t ` - CHANGE - CHECK NO. " = SIGNATURE NO. 0328 GENERATOR THIS MANIFEST-I&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_ ? G j' _ SHIP DATE: COMMODITY•SHIPPED:" LOOSE! E (CU YDS) BALES:(COUNT): TRUCK WEIGHT:-, GROSS` r TARE NET - =