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Home My WebLink About07/2019 SITE TICKET I - GRID WEIGHMASTEW SOUTHOLD TOWN DEPT SOLID WASTE 01 01452991 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 " DATE IN-•" ;DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/01/19 07/01/19 11:30 11:30 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 74460 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 40480 LB QTY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL 20.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I4t t'" t R 1-• PS e P CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: - 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL• DAY,,,., pr,,�.__ "''` , TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID.: WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01452991 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 6ATE'1N'. ,DATE OUT TIME IN, TIME OUT VEHICLE ROLL OFF' 07/01/19 07/01/19 11:30 11:30 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 74460 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 40480 LB QTY. - -UNIT DESCRIPTION RATE EXTENSION FEE -TOTAL 20.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 } E - Op o Soub Pm 7 days a ee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' �- ^t,. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMOROLDAY `3<:.r,; `?`�x' j;- ' TENDERED - _CHANGE', CHECK NO. SIGNATURE NO. 0374 GENERATOR THIS MANIFEST-IS FOR REFERENCE PURPOSES-ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS - BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: %' f�; i t . I. � �l ' I f SHIP DATE: � COMMODITY SHIPPED:_ LOOSE: ' ' (f I (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ; (.. 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 CF,R'P RA T 261 OR ANY APPLICABL-E-STATE-LAWJHAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND,PACKAGED,AND IS IN PROPER CONDITION FORTRANSPORTATION`ACCORDING-TQ-AP PLICABL E REGULATION.' GENERATOR AUTHORIZED AGENT(PRINT NAME) :_. w._ l (SIGNATURE) TRANSPORTER ' TRANSPORTATION/FREIGHT CO. TRUCK NO: .! LICENSE NO/STATE: TRAILER NO. s 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) (SIGNATURE) DESTINATION ! DISPOSAL LOCATION: i ,i•, ) 1A .) ATE DELIVERED: !> ,. 7 �� I ADDRESS: 1� 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 01453155 Steph PO Box 962/6155 Cox Lane , , Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT VEHICLE_ ROLL OFF 07/02/19 07/02/19 07:55 07:55 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 90200 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53580 LB QTY. UNIT "" DESCRIPTION RATE EXTENSION FEE TOTAL = 26.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 F 1 0peiatlrjg hours FIVI 7 dayng wee .' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�',''; �v 0.00 NEXT HOLIDAY: MONDAY, MAY 27,201 MEMORIALS DAYS; t `TENDERED ' �Y u. k ry`yw n:=_ CHANGE ^ 'CHECK NO. _.j SIGNATURE SITE TICKET GRID _, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453155 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ..DATE`IN" DATE OUT' 'TIME'IN TIME OUT VEHICLE ROLL 6FF 07/02/19 07/02/19 07:55 07:55 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 90200 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53580 LB QTY.., UNIT DESCRIPTION _RATE' EXTENSION , FEE TOTAL 26.79 TON DUTGO.MSW 0.000 0.00 0.00 0.00 E E f i , 1 f_ • Operating hours TO ays a wee • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.G4 �� _ .4._ :,�\ '. s` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA6DAY3;; a—lr o > TENDERED ' CHANGE CHECK N SIGNATURE NO. ® 375 GENERATOR THIS MANIFEST IS FORAEFERENCE PURPOSES'ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND-DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. . COMPANY: < ,' # i., I� € ' SHIP DATE: COMMODITY SHIPPED- J tV s �A( f LOOSE: -(CU YDS) BALES: (COUNT): TRUCK WEIGHT: `'t GROSS TARE a - amt 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,ACC_ORDING TQ APS ABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ,TRANSPORTER TRANSPORTATION/FREIGHT CO. r TRUCK NO. L LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) f' (SIGNATURE) DESTINATION ()"fi DISPOSAL LOCATION: t :' l P, ! A 1�PJ i� � `� j�l DATE DELIVERED: +7 r t ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. S17E • °71CKET, _ ,GRiq' , u WEiGHfv1ASTER''`;.,.;' '''� , SOUTHOLD TOWN DEPT SOLID WASTE 01 01453266 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN 'DATE OUT; TIME IN TIME OUT VEHICLE , ROLL OFF 07/02/19 07/02/19 12:09 12:09 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 80200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 39800 LB QTY UNIT DESCRIPTION' RATE EXTENSION: FEE TOTAL 19.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 0 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED ` CHANGE" CHECK NO. __j SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453266 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN.;- DATE flUTf" _TIME IN TIME�OUT. VEHICLE, ROLLOFF, 07/02/19 07/02/19 12:09 12:09 111 14T 009316 Town of Babylon .REFERENCE Scale 2 Gross Wt. 80200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 39800 LB QTY- UNIT _DESCRIPTION;_ RATE EXTENSION_, FEE TOTAL 19.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.," 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED- HA GE C.E N SIGNATURE NO. ®376 GENERATOR," i 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 WITHTHE-SHIPMENTOF SUCH-MATERIALS: COMPANY: ;L) M.7 1 A f j SHIP D_ATE:' j -COMMODITY.SHIPPED: , LOOSE:_ i' i (CU YDS) BALES: (COUNT): = ; TRUCK WEIGHT: ` { k• ' GROSS , .t TARE NET- - = • .- � `` _ 1 HEREBY'CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT,CONTAIN,FREE LIQUID AS DEFINED BY 40 CFR PART'260:•10 OR ANY APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART"261 OR ANY APPLICABLE.STATE�LAW,-HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-,FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE) ----------- TRANSPORTER , TRANSPORTATION/FREIGHT CO. TRUCKNO. LICENSE_NO/STATE: TRAILER NO. = n 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 4 ' i ..� } # DISPOSAL'LOCATION'��••t:��: . 3 !� : ,f DATE DELIVERED: ADDRESS: v ;l '1• -I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED,AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: ' .I - I RECEIVED BY: , AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER f` YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO: f "DUPLICATE TICKET" SITE _TICKET .GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453583 Steph PO BOX 962/6155 COX Lane DATE DATE OUT TIME IN M Q Cutchogue, NY 11935 E7N TIE our VEHICLE ROLL FF 07/03/19 07/03/19 13:55 13:55 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83880 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 47120 LB QTY. UNIT. _ f DESCRIPTION__ RATE _EXTENSION .FEE ..TOTAL 23.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f� t Operating o s odays a wee �,;n s° } • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76815-' '° ,� 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY I pn TENDERED', bil -,; .---CHANGE CHECK NO, SIGNATURE "DUPLICATE TICKET" SITE TICKET =GRID WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01453583 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME fN TIME OUT VEHICLE ROLL OFF 07/03/19 07/03/19 13:55 13:55 19606TC 009316 Town of Babylon REFERENCE el Scale 2 Gross Wt. 83880 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB cE Net Weight 47120 LB QTY. UNIT- _ DESCRIPTION__'_ RATE -EXTENSION FEE '` TOTAL 23.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 vi e r { s r CA Operating hours 7:00 AM to 5:00 PM 7 days a wee � , =� }�� -,r f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. x,. 0.00 "` NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY%, �.`�`•3,�,� ;�n{ `; .�, TENDERED„ CHANGE CHECK NO SIGNATURE NO. 1944 GENERATOR i' 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 G NET 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: r TRAILER NO. r" LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW 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 I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453480 Steph PO Box 962/6155 Cox Lane roATE IN TE O TIME IN Cutchogue, NY 11935 DA UT TIME'OUT :,VEHICLE; ROLLOFF' 07/03/19 07/03/19 10:31 10:31 19606TC 009316 Town of Babylon REFERENCE (7 1. Scale 2 Gross Wt. 97720 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 58580 LB QTY. UNIT;`, DESCRIPTION_ RATE EXTENSION - FEE TOTAL 29.29 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ope a I ours o ays a WeeK"", .;. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIADAY; k , TENDERED,; rH CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE , TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE E 01453480 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME.IN TIME OUT --VEHICLE, ROLLOFF 07/03/19 07/03/19 10:31 10:31 19606TC 009316 Town of Babylon _ REFERENCE Scale 2 Gross Wt. 97720 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 58580 LB QTY UNIT ,_; DESCRIPTION _ RATE EXTENSION FEE TOTAL 29.29 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a - r � t c•<. 3 Operating hours :00 AM to 5:00 PM 7 days a weed 0'4' `ti e • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E-- ..w _ - ;.a: 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALIDAY€ `s `;"' '� TENDERED " _CHANGE CHECK NO. -j SIGNATURE u l 1 � NO. 1943 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: _ e (_ 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 PO RTATION,'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 01453523 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,DATE IN' DATE OUT __,TIME IN ,TIME OUT,. -VEHICLE ROLL OFF G7/0r3/.19t 07/03/19 11:56 11:56 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 73860 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 39880 LB QTY UNIT DESCRIPTION RATE. 'EXTENSION FEE, TOTAL 19.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ;Y Opera mg hours o ays a wee > CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 4�_ .}' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY/ °� i •. Is e' ~ TENDERED ? " CHANGE CHECK NO.9 SIGNATURE SITE . , TICKET GRID - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453523 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ` DATE IN DATE OUT TIME IN TIME OUT .VEHICLE ROLL OFF 07/03/19 07/03/19 11:56 11:56 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73860 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 39880 LB QTY UNIT -- DESCRIPTION RATE EXTENSION_ FEE TOTAL ' 19.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 x • I` � 4 S Operating hours o 5. PIVI 7 days a wee' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.6856` 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALSDAYAp 'li , g TENDERED ^`' a" CHANGE -CHECK NO SIGNATURE NO. ® 335 Z ] - 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. s COMPANY: �; ri f{ { ! r' t ! SHIP DATE: COMMODITY,SHIPPED:- LOOSE: HIPPED:LOOSE: (,) (, (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 'at P GROSS �4 TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40•CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE-STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. r• GENERATOR AUTHORIZED AGENT(PRINT NAME) ? ~v (SIGNATURE) TRANSPORTER rr r TRANSPORTATION/FREIGHT CO. d f` ''�) ! '- ``/ f �k ) ' TRUCK NO. LICENSE NO/STATE: TRAILER NO. 1 z�— LICENSE-NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) r� DESTINATION DISPOSAL LOCATION: / 6 r .<` f ") /-A DATE DELIVERED: 1 ' ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER - YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET** SIrE TicKES- J GFtII7 wEiGHMASTE>3` SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01453852 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 -`DATE-iN_ : pAT tzU> TIME!N TIMEOIJt vE ic�E i oe%oFF 07/05/19 07/05/19 12:23 12:23 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 69860 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 30720 LB QTY ,,-';; UNIT _`:,' ;_ DESCRIPTIOII__ _ _, '' _,_ '"=RATE `< _-=EXTENSION _ =FEE:J`,:=. ' = TOTAL 15.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t i CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00• NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY `TENDERED 1 A GE =CHECK NO: SIGNATURE "DUPLICATE TICKET** st7E;' TICKET,-, . -GRID,, _ 1NEIGi1MASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01453852 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'oUl_„ TIME IN,TIME OUT, �'11EHlCLE `ROLL-(JFF 07/05/19 07/05/19 12:23 12:23 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 69860 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 30720 LB QTY- U_ IVI,7 DESCMPTICN. " , RATE EXTENSION,- FEE. ,,° = -,. "TOTAL_ 15.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �<b ,0 i f ir O5JA gap 44 ., CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. OA NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL:'DAY, ,`TENDERER'.__=-�,, _fCHANGE -CHECK NOx' :- SIGNATURE NO. _ 037.7 ' • GENERATOR' - THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.-GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIAL'S'- BEING SHIPPED AND DOES°NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.,. COMPANY:-= o fy o L_I l SHIP,DATE: . COMMODITY'SHIPPEM, LOOSE: I'') �l (CU YDS) - BALES:-(COUNT): TRUCK WEIGHT: ' 4r " C GROSS . _ (J TARE �r ' _` C✓ NET - , I-HEREBY.CERTIFY THAT-THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY-40'CFR PART-260.10-OR ANY • APPLICABLE STATE'LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY-40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN-PROPERLY DESCRIBED,CLASSIFIED-AND PACKAGED.AND.IS IN PROPER CONDITION-FOR,TRANSPORTATION'ACCORDING TQ APPLICABLE•REGULATION: GENERATOR AUTHORIZED,AGENT(PRINT NAME) ;. k�_ ____�__.(S_IGNATURE)-"'""�- RANSPORTER s �-t TRANSPORTATION/FREIGHT CO. �. ( � ; J 0 Im TRUCK NO. i LICENSE NO/STATE: TRAILER NO. ) G) `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: ».� _\t:° c ( 7 (PRINT NAME) (SIGNATURE) DESTINATION , DISPOSAL LOCATION:- Ce) J I t .�r,�6�_f DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO_THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED,BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET, GRID'.' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453836 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN e ?DATE OUT TIME<IN TIME OUT VEHICLE =ROLL OFF 07/05/19 07/05/19 1 11:43 11:43 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 91160 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 54540 LB QTY°_= =,_ ° UNIT `_-DESCRIPTION = _ RATE EXTENSION _ 'FEE TOTAL 27.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CIS N, Operating hours o ays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685�'� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY J; g+{ y '"' _ TENDERED 191 t✓p w CHANGE CHECK NO SIGNATURE SITE TICKET ,,; GRID WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 01 01453836 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/05/19 07/05/19 11:43 11:43 19606TC 009316 Town of Babylon REFERENCE r.1.1 lei I I Scale 2 Gross Wt. 91160 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 54540 LB QTY.- _ UNIT, DESCRIPTION xRATE' EXTENSION FEE' '" TOTAL" 27.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating ours :00 to :00 ays a weep f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685e, � " 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY'S` __TENDERED .�.,� , ..•f' CHANGE CHECK NO:"::::) SIGNATURE NO. 1946 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 CJ 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 TC.AP-PL-ICABL` REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) t 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 I TICKET I " GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453716 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,DATE IN DATE OUT TIME IN TIME OUT VEHICLE .-ROLLOFF 07/05/19± 07/05/19 08:54 08:54 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43260 LB QTY. _ ._ UNIT DESCRIPTION RATE -EXTENSION FEE :" TJOTAL 21.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ; e a , CLOSED HOLIDAYS-QUESTIONS CALL 631-73427685 `' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYS ,r'° ) -TENDERED CHECK NO SIGNATURE "DUPLICATE TICKET" (SITE1 , .,, TICKET.,,,, " „' -° GRID", INEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453716 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN __DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 07/05/19 07/05/19 08:54 08:54 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43260 LB QTY:_ UNIT DESCRIPTIONRATE EXTENSION ' FEE" TOTAL 21.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00 zV ZZ 7 Operating hours 0 AW5 ays a wee . R t ff • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-- ' F: 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS®AYAa " ` TENDERED CHANGE CHECK NO. SIGNATURE " . NO.. 0386 GENERATOR " = THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION'OR-TIT.LE OF ANY'CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME--ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. - '` --_ COMPANY: :- PIA`i�I ; ( _} ) SHIP DATE: !: c1 COMMODITY SHIPPED:" LOOSE: _ ) (CU YDS) - BALES:(COUNT): - TRUCK WEIGHT: a GROSS z c) TARE d t r0 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 IWPROPER CONDITION FOR TRANSPORTATION ACCORDING T-Q APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER t TRANSPORTATION/FREIGHT CO. r� �1 , {�J ' TRUCK NO. 1 LICENSE NO/STATE: TRAILER NO. (, LICENSE NO/STATE: I HEREBY CERTIFY THAT THE•ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. s DRIVER: L_ (PRINT NAME) f (SIGNATURE) DESTINATION o , DISPOSAL LOCATION: , !,"V A &) t`__A 1 ) A P DATE DELIVERED:- . ADDRESS: \ � I I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) _ SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION ' GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET"" SITE ,TICKET:,,'° 1. -GRID WEIIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01453687 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN-�_ '_DATE OUT 'TIME-IN TIME OUT ,VEHICLE, ROLL OFF 07/05/19 07/05/19 07:35 07:35 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 38780 LB UNIT = _-_=_DESCRIPTION ,_ RATE EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 VeFatin@ heufs 74 AM to SAE) PM :7 days a we 1-6 a _ _ 1 ? • CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685;'!;p, = " NEXT HOLIDAY: MONDAY, MAY.27, 2019 MEMORIAL DAY ;f= >tif TENDERED CHANGE, CHECK NO SIGNATURE "DUPLICATE TICKET"" 81TE TICKET GRID",i,,y;, WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01453687 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE __ROLL OFF 07/05/19 07/05/19 07:35 07:35 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 38780 LB 7 QTY UNIT, „ DESCRIPTION-,_: __ RATE' EXTENSION FEE TOTAL 19.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685�0'- NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYa",, TENDERED t p ' -CHANGE CHEC N SIGNATURE NO. 1945 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 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. y 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 A'.4,''01. 01453991 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE, ROLL OFF 07/06/19 07/06/19 07:31 1 07:31 1 19606TC ' 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 37820 LB QTY _ UNIT DESCRIPTION. RATE.- EXTENSION" - FEE`' TOTAL 18.91 TON OUTGO.MSWy ✓ 0.000 0.00 0.00 0.00 Aj • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`- 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY.; z'' TENDERED CHANGE -CHECK NO.-- SIGNATURE SITE „" TIG"KET GRID ,u' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01453991 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 EDATE OUT TIME IN TIME OU1 DAT r -,`VEHICLE:. ' ROLL OFF 07/06/19 07/06/19 07:31 07:31 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 37820 LB QTY. -UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL"_- 18.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a � [ O ee ', N • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685--'' ' .:`j"j : „r 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY:<, ' `,`; .` TENDERED-.- CHECK ENDERED .CHECK NO SIGNATURE NO. 1947 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: a �- GROSS z, — TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION_ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: s (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 01454021 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 07/06/19 07/66/19 08:55 08:55 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73320 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 39340 LB QTY. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 19.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Oparating hours m6 Am to mdo vm 7 days a WeeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,.,,, - s 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY., f TENDERED CHANGE CHECK NO SIGNATURE SITE TICKET , GRID -WLIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454021 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/06/19 07/06/19 08:55 08:55 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73320 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 39340 LB QTY UNIT ° ' DESCRIPTION RATE EXTENSION - FEE TOTAL 19.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t; Opera Ing nours odays a wee r a_ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'.-` :" `_, ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIPI` DAY.,` ?_`' r°• TENDERED CHANGE CHECK NO. �) SIGNATURE NO. 0370 GENERATOR- , . ' THIS MANIFEST IS FOA-REFERENCE PURPOSES'ONL-Y'.GENERATOR DOES NOT-TAKE-POSSESSION"OR TITLE OFANY CARGO OR MATERIALS BEING SHIPPED'AND.DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENLOF'SUCH MATERIALS., COMPANY: Of I I_l SHIP DATE: " . C COMMODITY SHIPPED:- LOOSE: HIPPED: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 WASTEAS 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 REGUL'ATIOW GENERATOR AUTHORIZED.AGENT(PRINT NAME) (SI'GNATURE) TRANSPORTERS' TRANSPORT_ATION/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) . fir' (SIGNATURE) DESTINATION" DISPOSAL LOCATION: '1 Al� I ` ` l } r - 3 DATE DELIVERED: ADDRESS: Ii 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. `''6tSPLXATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454575 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF 07/08/19 07/08/19 07:10 07:10 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40360 LB QUNIT, DESCRIPTION , RATE - - EXTENSION FEE TOTj-- - TY 20.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 tV..� tip a A( i O aN — JY CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.` w 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY:;- ^r.-,=�, .r, ... �_ 'i` TENDERED 'CHANGE CHECK NO. ° SIGNATURE "DUPLICATE TICKET' TICKET GAID' WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01454575 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT"' TIMEIN TIME OUT VEHICLE_ '- ROLL OFF 07/08/19 07/08/19 07:10 07:10 111 14T 009316 Town of Babylon REFERENCE _7 Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40360 LB QTY. UNIT `-_ DESCRIPTION RATE: EXTENSION FEE _ _ TOTAL 20.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Oprating hours 7.0d Arm to omb pivi t aclyb a wee, '' = • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7ti85. sa - �'^; "^ {`" 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,D ' _ _ TENDERED - CHANGE CHECK NO SIGNATURE NO. 0380 - 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•SHIP.MENT'OF SUCH MATERIALS. ff3 COMPANY: UJA 1A C L I- _SHIP DATE: _ . -COMMODITY SHIPPED: ' ! � LOOSE: ( (`> } (CU YDS)' _ BALES: (COUNT): TRUCK WEIGHT: c) 'GROSS 3, ` ? o 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,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. OMI A) r TRUCK NO. LICENSE NO/STATE: TRAILER NO.- LICENSE NO/STATE: -1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED,UP AT THE GENERATOR SITE,LISTED ABOVE, AND THAT IT WAS' DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE)- - �f DESTINATION DISPOSAL LOCATION: s1 ml\j f )9A I.j \/ t._. r DATE DELIVERED: 47 66 !J`7 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:_ WHITE TO DISPOSAL LOCATION _ _ - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR- { GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *"DUPLICATE TICKET** SITE TICKET GRID .` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454666 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT - VEHICLE ROLL OFF, 07/08/19 077�------/08/19 11:28 11:28 11114TC 009316 Town of Babylon 77 Scale 2 Gross Wt. 83400 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 47140 LB FQTTY UNIT DESCRIPTION RATE - EXTENSION,'=`. FEE TOTAL _- 23.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �S� .✓S�''��bF M1 °fir° •�� `�� r ` , - � ,fir • Op o0 PIVI 7 days a weed s CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,p9'5`/;`,' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY,, /r -:,,:. ;T <' -,f, ` -' _TENDERED CHANGE CH CK-NO. �) SIGNATURE **DUPLICATE TICKET** SITE TICKET -_GRID " WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454666 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/08/19 07/08/19 11:28 11:28 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 83400 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 47140 LB .QTY UNIT DESCRIPTION, RATE EXTENSION, FEE 7TOTAL 23.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 +'l s{ y:3 - ' 'tom• �i P" Operating hours 7:00 AM to 5:00 PM 7 days a weeK: y', s -. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851 ; ` 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY f;^'; ;; ar 'TENDERED CHANGE CHECK O SIGNATURE i NO. ® 379 GENERATOR I 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: tC: t,�} (; I_ SHIP DATE: COMMODITY SHIPPED: `` LOOSE:- i Li (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE ` i t NET ,1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE-LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. ' q GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. -1"c E l" : ''� -- f hl:j if 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: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: \ ' ,f fi r'-j I ( j �l ,' }� E {`� ? DATE DELIVERED: i 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. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454969 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF 07/09/19 07/09/19 12:23 12:23 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83520 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 46700 LB QTY UNIT DESCRIPTION RATE `_- EXTENSION FEE TOTAL. 23.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 uperating hours odays a wee — r n • CLOSED HOLIDAYS-QUESTIONS CALL 631-734.7.685:` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,;' ' `" : TENDERED H NGE CHECK NO SIGNATURE SITE TICKET' GRID ,WEIGHMASTER „ SOUTHOLD TOWN DEPT SOLID WASTE 01 01454969 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT,` ="',TIME-IN ;TIME OUT VEHICLE. ROLL OFF 07/09/19 107/09/19 12:23 12:23 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 83520 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 46700 LB Y.__ - QT _ -UNIT `DESCRIPTION' - "RATE_ EXTENSION FEE TOTAL - . 23.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours oays a wee ': ," • •r3 �•,;;�. 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:>>%`., , ' -- ams NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DA-Y,` TENDERED - ` =CHANGE CHECK NO:::::j SIGNATURE NO. 0382 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR•MA•TERIALS BEING SHIPPED AND-DOES NOT-ASSUME ANY LIABILATY ASSOCIATED WITH THE SHIPMENT OF.SUCH MATERIALS.-, I I Iq COMPANY: l\i�i'I I I ?-I s: 1 i i SHIP DATE: . . ( rr I COMMODITY SHIPPED: E`'iv lr\I 1 LOOSE: .(CU,YDS) BALES: (COUNT): TRUCK WEIGHT: ,"f� `, 1 GROSS TARE r s' �;`�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) `(SIGNATOREj -� TRANSPORTER TRANSPORTATION/FREIGHT CO. i 1 /'d ! _� TRUCK NO. /LICENSE NO/STATE: TRAILER NO. `_y LICENSE NO/STATE: U 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) l � (SIGNATURE) J DESTINATION _ DISPOSAL LOCATION: t` ; /I rJ /i .� 1 f't 1 i_(') DATE DELIVERED: I ADDRESS: �a I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TIGKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454938 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 1ROLL OFF 07/09/19 07/09/19 11:27 11:27 19606TC 009316 Town of Babylon REFERENCE s'. •- Scale 2 Gross Wt. 84940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 50960 LB QTY._--- UNIT ; -- -,DESCRIPTION _ RATE 'EXTENSION - FEE TOTAL 25.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r-y rY` Operating hours odays a week,, , , 'z, --. I=y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:. _T y 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY, :" TENDERED CHAN E CHECK NO ----j SIGNATURE SITE I TICKET I 'GRID „'WEIGHMASTER'' SOUTHOLD TOWN DEPT SOLID WASTE 01 01454938 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _° DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/09/19 07/09/19 11:27 11:27 19606TC 009316 Town of Babylon REFERENCE o- Scale 2 Gross Wt. 84940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 50960 LB QTY=, UNIT, DESCRIPTION 'RATE, EXTENSION FEE, TOTAL 25.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ;�Y , e p'r Operating hours 7:00 AM to 5:00 PM 7 days a week:`, `r` - _' ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685:f'% .-_ ,' 0-00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY`; =` ; `, TENDERED' CHECK NO SIGNATURE NO. 1949 4 !� .-NATOR THIS S F MANIFEST I TLE OF ANY CARGO OR MATERIALS S OR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE-.-c�SSESSION OR TI 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 3�t TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 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 I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454865 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATC IN._ `DATE OUT TIME IN TIME OUT VEHICLE I -ROLL OFF 07/09/19 07/09/19 08:19 08:19 111 14T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 88480 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51860 LB QTY. UNIT = _ DESCRIPTION' _ -- RATE EXTENSION FEE TOTAL 25.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ay ,! i--7 r 1 f3. 4r O i # CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685�;, ,° "' `°, ' ,r ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY f r`°- - ='` ' TENDERED CHANGE ', CHECK NO 9 SIGNATURE **DUPLICATE TICKET** SITE ; TICKET ," GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454865 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/09/19 07/09/19 08:19 08:19 1 111 14T 009316 Town of Babylon REFERENCE. ORIGJN Scale 2 Gross Wt. 88480 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51860 LB QTY^- UNIT" DESCRIPTION ;, RATE EXTENSION' FEE,, TOTAL 25.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - e Op o oays a wee <_ _• 41 CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685:, ':-', , 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY; , - TENDERED ''- I - CHANGE CHECK NO. SIGNATURE NO. 0381 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 MATERIAL'S. COMPANY: 0 A 1 U 1-_.-5 i SHIP DATE: COMMODITY SHIPPED: _ ,��'l <3 Lt . r LOOSE: • t_% ; ; _ (CU YDS) , BALES: (COUNT): TRUCK WEIGHT:'- ; Y GROSS- ` >i-4 i., TARE 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) t (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. I t if LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: - {" (PRINT NAME)/ (SIGNATURE) DESTINATION j-rDISPOSAL LOCATION:` { f r t` \ (I-<), J E �1 �!% J DATE DELIVERED: ( r ADDRESS: x J 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. _. I *"DUPLICATE TICKET" SITE TIcKEr,_--, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454845 Steph PO Box 962/6155 Cox Lane a Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ==ROLL OFF 07/09/19 07/09/19 07:15 07:15 19606TC 009316 Town of Babylon REFEkNCE Scale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 40620 LB QTY. UNIT DESCRIPTION "' _- = RATE° EXTENSION FEE TOTAL 20.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - 1._... Opera Ing Hours o ays a wee . _ :y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768'5';' s",, 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL;DAY',' <: „ TENDERED CHANGE' " CHECK NO SIGNATURE `"DUPLICATE TICKET"* SITE' ' ''TICKET GRID"" F, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01454845 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN - _DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/09/19 07/09/19 07:15 07:15 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77380 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 40620 LB QTY.` UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a wee __ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685` :.df e 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�'DAY^U' , •�, ^ ;; "r TENDERED " jt, _ Y CHANGE CHECK NO. SIGNATURE NO. 1948 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. 4 COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE l /� �J NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: - DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" Lrrt - ,., TICKET_ GRID 1NEIGHMAST_ER ,:: ," SOUTHOLD TOWN DEPT SOLID WASTE 01 01455163 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 LATE IN """tDATE OUT - TIME IN TIME OUT .-VEHICLE ROLLOFF 07/10/19 07/10/19 12:06 12:06 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86040 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 49420 LB ,QTY. `UNIT ' DESCRIPTION, =RATE EXTENSION FEE- TOTAL " • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED "CHANGE HECK O. SIGNATURE "DUPLICATE TICKET" /SITE TICKET GRID' , ,WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01455163 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,; , 'D'ATE OUT TIME IN TIME OUT VEHICLE: ROLL OFF 07/10/19 07/10/19 12:06 12:06 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86040 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 49420 LB QTY t1N1T" - DESCRIPTION RATE EXTENSION, FEE- TOTAL 24.71 MSW0 0.00 0.00 0.00 Lei 5 CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY -TENDERED , "CHANGE' CHECK"NO_ SIGNATURE NO. 0384 GENERATOR -_ - THIS MANIFEST IS FOR'REFERENCE-PURPOSES ONLY.-GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES,NOT`A�SSUMEANY LIABILITY-ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS.- COMPANY:-' f`� i N SHIP DATE: COMMODITY SHIPPED: . LOOSE: 1 "(CU YDS). BALES:(COUNT): TRUCK WEIGHT: .;,5 '- '' GROSS - . TARE z. r.� s 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 PAPLICABLE STA.TE LAW,HAS BEEN PROPERLY. - DESCRIBED,'CLASS IFIED-AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOL APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO: TRUCK NO. LICENSE NO/STATE: TRAILER NO. 't 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. .,.,_„{}�_._�-.�" �.. _ ,/ �_/.sem'✓' DRIVER: (PRINT NAME) (SIGNATURE) DESTINATIONS DISPOSAL LOCATION: `' 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" 511 "- °TICKET GRID-` wEIIH�nASTt R , SOUTHOLD TOWN DEPT SOLID WASTE 01 01455086 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 =�-Dari:IN_ ' DATE OUT; -, TIME IN TIME our r VEiAICLE R6 L OFF 07/10/19 07/10/19 08:04 08:04 11 114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 96460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 56060 LB 7 QTY.`": -,UNIT DESCRlPT10N -.R_ATEF- EXTENSION -< FEE- ." TOTAL, 0.000 0.00 0.00 0.00 " E . Lei I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED ` CH NGE' CHECK NO. SIGNATURE "DUPLICATE TICKET" rsinj TIOKEr 'GRiQ wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01455086 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN . DATE OUT 71ME IN TIME OUT - ;VEHICLE, ROLL,OFF 07/10/19 07/10/19 08:04 08:04 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 96460 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 56060 LB" QTY. UNIT " `DESCRIPTION RATE-- EXTENSION FEE' TOTAL 28.03 0 TGORSW 0.000 0.00 0.00 0.00 O Lei I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY , TENDERED-,---- :CHECK ENDERED_._:CHECK NO._ . " SIGNATURE NO. ® 383 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-Nof ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF,SUCH'MATERIALS. "1 COMPANY: SHIP_.DATE: COMMODITY SHIPPED: v E LOOSE: f E) (CU YDS) BALES: (COUNT)-- TRUCK WEIGHT: r ~` GROSS- 'l� �,' _; 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. F GENERATOR AUTHORIZED AGENT(PRINT NAME) `" "-" (SIGNATURE) TRANSPORTER- TRANS PORTATION/FREIGHT RANSPORTERTRANSPORTATION/FREIGHT CO. TRUCK NO. JLICENSE NO/STATE: TRAILER NO. ; ct } LICENSE NO/STATE: t 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: �9 fl �f I DRIVER: (PRINT NAME) ,J�'' (SIGNATURE) DESTINATION DISPOSAL LOCATION: )si /\ 1. ; / �_(� ` DATE DELIVERED: 1 f 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. rS1TE I TItIkET 1, GRID _,'WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE '01 - 1, 01455075 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -,DATE OUT ' TIME IN TIME OUT VEHICLE ROLL OFF, 07/10/19 07/10/19 07:21 07:21 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 73160 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 36240 LB QTY _ .UNIT'-`. DESCRIPTION RATE_ EXTENSION FEE TOTAL 18.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 week.Perating ium s 7.06 AM to 6.60 PM:7 days a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CHEC -NO.' SIGNATURE 51TE 'TICKET GRID, WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01455075 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 'DATE OUT TIME IN'TIME OU7 VEHICLE_ ROLL OFF 07/10/19 07/10/19 07:21 07:21 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 73160 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 36240 LB '07Y. UNIT DESCRIPTION, — RATE EXTENSION FEE 'TOTAL ,_ 18.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ":TENDERED " •CHANGE GHE KN0..- _- SIGNATURE NO. 195 ® 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 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 I TICKET GRID F WEIGHMASTER SOOTHOILb TOWN DEPT SOLID WASTE 01 01455339 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN --.;DATE OUT TIME-IN TIME OUT -VEHICLE r ROLL OFF 07/11/19 07/11/19 10:53 10:53 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87500 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 50740 LB QTY- UNIT DESCRIPTION°_ _ RATE EXTENSION FEE ,TOTAL OUTGO.OUTGONSW 0.000 0.00 0.00 0.00 r,f w •S AM te 649 Pm CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. ' f;' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY.,;", • � ;y. TENDERED _ "y CHANGE CHECK NO. SIGNATURE *"DUPLICATE TICKET" (SITE T[CKET °GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01455339 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/11/19 0REFERENCE 7/11/19 10:53 10:53 11114TC 009316 Town of Babylon •- Scale 2 Gross Wt. 87500 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 50740 LB QTY° 'UNIT DESCRIPTION> RATE EX ENSION' '_ FEE 'TOTAL, 25.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - 6,1 �' P e✓ O ', `t • CLOSED HOLIDAYS-QUESTIONS CALL 631-734 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL TENDERED tj i v GRANGE `CHECK NO. SIGNATURE NO. ® ®13 GENERATOR--. 1 THIS MANIFEST-'IS FOR REFERENCE PURPOSES ONLY.GENERATOR-DOES NOT-TAKE POSSESSION OR TITLE OF ANY.CARGO OR MATERIAL-S_=- BEING SHIPPED AND DOES 16TASSUMEANY LIABILITY ASSOCIATED WITH THE SHIPMENT•OF.SUCH-MATERIALS. COMPANY: 'VA—i SHIP DATE: � 11Cf COMMODITY.SHIPPED: 1v\ c W ! LOOSE: t to t% (CU YDS) _ 8 ' BALES: (COUNT): _ TRUCK WEIGHT: "` t,'j GROSS , ! r TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10-OR-ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY.40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQAPPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -(SIGNATURE) f TRANSPORTER 4 TRANSPORTATION/FREIGHT CO. A ) /. _ PJ TRUCK NO. i LICENSE NO/STATE: TRAILER NO. { LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE 'LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: t o 4 (PRINT NAME) ,/� (SIGNATURE) DESTINATION DISPOSAL LOCATION: V DATE DELIVERED: ADDRESS: 7 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: K 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 TIickir-� GRID '' W w�iCrinaRsTER`,_z ;'.. SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01455509 Liz H PO Box 162/6155 Cox Lane Cutchogue, NY 11935 QATE IN SATE OUT-r,. TIME IN TIME OUT `- `VEHICLE ROLL OFF= 07/12/19 07/12/19 08:34 08:34 . 11114TC 009316 Town of Babylon L ORIGIN Scale 2 Gross Wt. 73760 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 37560 LB QTY.' UN;611 bESGRCPTION ._, RATE' EXTENSION- FEES_ '. TOTAL 0.00 0.00 Isppmfinq hours 7-()b AM to 5-doRA4 7 da, • 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 WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01455509 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN TIME OUT VERICL'E- ROLL OFF 07/12/19 07/12/19 08:34 08:34 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73760 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 37560 LB QTY.. UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL - 0.000 0.00 0.00 0.00 O pm7d • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'; NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL«DAY TENDERED_,`' CHANGE- " CHEG NO. SIGNATURE NO. ®®14 ,, GENERATOR ',, THIS-MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT-TAKE POSSESSION ORTITLE"OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NQT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIAL'S. % 1 COMPANY: I A I 1-1 t` L-A_ SHIP DATE: COMMODITY SHIPPED: LOOSE: _(CU YDS)- BALES: (COUNT): TRUCK WEIGHT: 1(,,-71 b GROSS' f - 0-tom 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) y(SIGNATURE) TRANSPORTER , TRANSPORTATION/FREIGHT CO. l�- 1J 1 _y 0 j rl TRUCK NO. LICENSE NO/STATE: TRAILER NO. :._ - ". :. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITEILISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW. X DRIVER: (PRINT NAME) ;/ (SIGNATURE) DESTINATION-- DISPOSAL ESTINATION:DISPOSAL LOCATION: 2 V A / / } r�`J - u DATE DELIVERED: �I _ ' 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 F TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01455602 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN , DATE OUTTIME IN TIME OUT VEHICLE ROLL OFF_ 07/12/19 07/12/19 112:40 1 12:40 1 11114T 009316 Town of Babylon 77 1 — Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 40000 LB QTY. UNIT _ DESCRIPT_ION RATE, r EXTENSION FEE - TOTAL, 0.000 0.00 0.00 0.00 Rc ,.eFatiRg heUFS PM :7 0 CLOSED HOLIDAYS-QUESTIONS CALL 631-734x7685 °` "~" ' s° y "00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY ` w- ' TENDERED b �+ CHANGE CHECK NO::j SIGNATURE "*DUPLICATE TICKET"* SITE_ TICKET" GRID„”` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01455602 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT .' TIME IN TIME OUT VEHICLE ROLL OFF 07/12/19 07/12/19 12:40 12:40 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 40000 LB QTY. UNIT DESCRIPTION TION RATE EXTENSION FEE ___ - TOTAL 20.00 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-DAPI b a, TENDERED- CHANGE__- CHECK NO:::l SIGNATURE NO. . ® ®15 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: v{ } (} SHIP DATE: / C COMMODITY SHIPPED. LOOSE: -(CU-YDS) BALES: (COUNT): TRUCK WEIGHT: '-f i t ! +', GROSS TARE EBF ; J, NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION"FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. 4 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER f 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 LIED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. _ DRIVER: i (PRINT NAME) !' (SIGNATURE) f. DESTINATION ) DISPOSAL LOCATION: �l �I �� Imo% \`�$ , r DATE DELIVERED: I F 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 01455772 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 r „_DATE IN _ -DATE OUT TIME IN TIME OUT VEHICLE ---ROLL OFF 07/13/19 107/13/19 09:24 1 09:24 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45860 LB QTY. UNIT DESCRIPTION RATE--, EXTENSION FEE. TOTAL, 22.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ( j JIL O 1_* CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685%:-'e 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYjt'„ , ~_ .l � —� '�� TENDERED - CHANGE-- CHECK ENDEREDCH CK NO. SIGNATURE SITE TiCKET,i GRID " 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01455772 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN '; DATE"OUT" TIME iN TWE OUT -VEHICLE ROLL OFF 07/13/19 07/13/19 09:24 09:24 111 14T 009316 Town of Babylon REFERENCE FQTyScale 2 Gross Wt. 79840 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45860 LB -UNIT DESCRIPTION RATE EXTENSION, FEE _ _ TOTAL 22.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 d , Opera Ing Hours Tud AM to ays a wee yV,�' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686,' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ',' _, ,. � " ;.. TENDERED w 'kk CHANGE_-- CHECK NO: SIGNATURE NO. 0016 GENERATOR THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS ' BEING SHIPPED'AND DOES-N6T ASSUME ANY LIABILITY ASSOCIATED WITH,THE SHIPMENT OF SUCH MATERIALS." , COMPANY: ' [`� '�t 1 i_ i"; _ SHIP DATE: COMMODITY SHIPPED: LOOSE: I i % �3 (CU YDS) e BALES: (COUNT): TRUCK WEIGHT:- GROSS TARE I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID.AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING Ta-APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. t `� TRUCK NO. y 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 ter/ DRIVER: `(PRINT NAME); �/' (SIGNATURE) DESTINATION DISPOSAL LOCATION: v}l `�`�,� l`i i� ,; 1 7 % , DATE DELIVERED: ADDRESS: �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. i **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01456360 Steph PO Box 962/6155 Cox Lane " Cutchogue, NY 11935 DATE IN• - DATE OUT TIME IN-TIME OUT .- VEHICLE ROLL OFF 07/15/19 07/15/19 11:38 11:38 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 29640 LB QTY. UNIT , -_,__ DESCRIPTION _ RATE EXTENSIONFEE TOTAL 14.82 1 UN OUTGO.MSW 0.000 0.00 0.00 0.00 33SS {{ }d O AX t t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. AT �I ? NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL D .� AY a TENDERED CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** sITE1, TICKET f GRID "INEIG,HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456360 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -- -_-DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/15/19 07/15/19 11:38 11:38 11114TC 009316 Town of Babylon REFER ENCE •- Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 29640 LB QTY. _ ;UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL 14.82 TON OUTGO.MSW 0.000 0.00 0.00 0.00 OLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 CU.UU • NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALrDAY/a,T m# .3 _9; , -TENDERED G ECK NO. SIGNATURE NO GENERATOR'.- IS ENERATOR'.IS FOR REFERENCE PURPOSES ONLY.-GENERATOR DOES-NOT TAKE POSSESSION OR-TITLE OF ANY CARGO ORWTERIALS BEING'SHIPPED AND,DOES NO-T--ASSUME ANY LIABILITY ASSOCIATEDIWITH THE SHIPMENT OF SUCH MATERIALS:` COMPANY: SHIP DATE: COMMODITY SHIPPED: Y' �i,�_ I'j - LOOSE: (CU YDS),. BALES: (COUNT): TRUCK•WEIGHT: ' s.''i ` GROSS, TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID'AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND�IS'IN PROPER�CONDITION FOR TRANS PORTAT CCORDING TQAAPPPLI_CABLE REGULATION:' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. y 1 �•� t %"`tf ► TRUCK NO. 2L3 : /'LICENSE NO/STATE: TRAILER NO. — C 6 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: 4 (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: P-J,I_ j V DATE DELIVERED: j ADDRESS: \ I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY; AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER., PINK TO GENERATOR `. GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 51TE `TICKET GRID WEIGHMQSTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456269 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN" DATEQUT TIMEIN TIME OUT VEHICLE '`4_`ROLLOF 07/15/19 07/15/19 08:15 08:15 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79540 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45560 LB QTY.' UNIT DESCRIPTION :RATE EXTENSION, FEE TOTAL 22.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op Ing hom o mob Fml days a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY TENDERED' 'CHANGE ' 'CHECK NO. SIGNATURE 3o[' , 'TICKET, GRID WEIGHNIASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01456269 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN]TIME OUT VEHICLE ROLL OFF, 07/15/19 07/15/19 08:15 08:15 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79540 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45560 LB QTY." UNIT DESCRIPTION II- RATE EXTENSION '-FEE TOTAL_. , 22.78 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.," 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY TENDERED `= C EC 'NO:- SIGNATURE `NO-SIGNATURE NO. ® � V GENERATOR THIS MANIFEST IS-FOR REFERENCE-PURPOSES ONLY.GENERATOR-DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS:.-` BEING'SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH.MATERIALS. COMPANY:'- A i - i L; L[`� SHIP DATE: COMMODITY SHIPPED: LOOSE: } ( (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: GROSS t> b TARE I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART-260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED.BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSRORTATION ACCORDING-TQAPPLICABLE;REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) "(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 Al 6 F- TRUCK NO. LII// CENSE 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) �f' (SIGNATURE) DESTINATION DISPOSAL LOCATION: (t,j -{ ),P�W ! 1 f �f Lo, 0 DATE DELIVERED:ADDRESS: f I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED_AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION T GREEN TO TRANSPORTER - YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET --I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456509 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 --•DATE4N DATE'OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/16/19 07/16/19 08:03 08:03 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 72980 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 36720 LB QTY 'UNIT DESCRIPTION'' RATE EXTENSION FEE- TOTAL 18.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 [x 5"' E Operating hours o mdu Pm I days a weeK,". CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685- 0.00 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY`, TENDERED. F ''CHANGE CHEC "NO ' SIGNATURE SITE TICKET GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01456509 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/16/19 07/16/19 08:03 08:03 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 72980 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 36720 LB - QTY. UNIT DESCRIPTION RATE -EXTENSION FEE_ TOTAL 18.36 TON DUTGO.MSW 0.000 0.00 000 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY f TENDERED CHANGE " CHECK NO- -- SIGNATURE GENERATOR- ' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE-POSSESSION OR TITLE`OF'ANY"CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATERIALS. COMPANY: 4 fI S SHIP-DATE: l ' I r I I C� COMMODITY SHIPPED: LOOSE: i.1 (} (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ; - E.j � GROSS _vu {t 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 TRANSPORTAT�ION'ACCORDING TO APPLICABLE.REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. t, 1 �_j TRUCK NO. 'e LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: -_._ f (PRINT NAME) ff (SIGNATURE) DESTINATION, n 4� 1 r DISPOSAL LOCATION: %; ` ,r= to .( rf DATE DELIVERED: ADDRESS: �� j f � 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. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456571 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT ' " VEHICLE ROLL OFF " 07/16/19 07/16/19 11:54 11:54 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 89800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 55820 LB QTY. _ _ '%'UNIT DESCRIPTIO_N RATE EXTENSION" FEE- `TOTAL; 27.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00 `"F- ,;'-` _, , S t ` Opera Ing iiourg o ays a wee rLoll, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAC,DAY ° , s-' ;.TENDERED CH NGE , 'CHECK NO. SIGNATURE SITE TICKET,. GRID "WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456571 Steph PO Box 962/6155 Cox Lane CUtCI109Ue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE I ROLL OFF 07/16/19 07/16/19 11:54 11:54 11 114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 89800 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 55820 LB QTY. _ UNIT -DESCRIPTION RATE EXTENSION - FEE 7TOTAL 27.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weeks= CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,.- 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY" TENDERED - CHANGE CHECK NO SIGNATURE NO..- 0 0 H GENERATOR ,-: ," THIS MANIFEST IS,FOR REFERENCE PURPOSES ONLY:GENERATOR DOES•NOT.TAKE POSSESSION OR TITLE OF ANY CARGO OR'MATERIALS BEING'SHIPPED AND DO_ES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH.MATERIALS:: COMPANY: t_�(I [A'l- 1. # I , J ( 1 SHIP DATE: �r- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' , ' E-t.4' GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY.40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR,TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. ' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. tV �r� `"1 P13 ) TRUCK NO. .�� `_s 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. rte+ DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: : ,` �,1 / 1 { V t � DATE DELIVERED: f 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, WEIGHM_ASTE_R SOUTHOLD TOWN DEPT SOLID WASTE 01 0 '45671 4 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN _ bmT -,oUT_ `TIME IN TIME OUT VEHICLE - ROLL OFF 07/17/19 07/17/19 08:05 08:05 1 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 76620 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 40360 LB QTY- UNIT - DESCRIPTION;"; RATE EXTENSION FEE- TOTAL 20.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 4 Op 011111111111==I `tet � r_-•:1 1. �: ,t� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' '� 4 0.00 •..- NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS x3i 7 TENDERED -e.."`° .,.55s F•"{4t( _ CHANGE CHECK NO. SIGNATURE SITE - TICKET GRID _ WEIGHMASTER, - SOUTHOLD TOWN DEPT SOLID WASTE 01 01456711 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF" 07/17/19 07/17/19 08:05 08:05 111 14T 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt. 76620 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 40360 LB QTY UNIT DESCRIPTION" RATE EXTENSION FEE TOTAL 20.18 TON DUTGORSW 0.000 0.00 0.00 0.00 .\ L r f t 4 Opera Ing hours rodmvi to om6 Pivi I days a n .� j` . : dIIIIIIIII0111190119 1"' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E 4� �* 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAU\ 1r�r =nj ,1": TENDERED CHECK-NO: SIGNATURE Lv _ NO. -_0021 GENERATOR. --THIS MANIFEST IS FOFLREFERENCE 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: ;. t t`-fir" f' #� SHIP-DATE: COMMODITY-SHIPPED: _ ]VI �•_10 LOOSE: 0 (CU YDS) _ BALES: (COUNT): TRUCK WEIGHT: - GROSS TARE _ C) NET _ I HEREBY CERTIFY THAT THEABOVE 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 AP•PL-ICABLE STATE-LAW HAS BEEN PROPERLY DESCRIBED..CLASSIFIED AND PACKAGED,AND'IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TQ APPLIC BLEREGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)' (SIGNATURE) • i TRANSPORTER - , -�.-- ? TRANS PORTATION/FRE_IGHT CO. >r E rt; t 41 1 /l A 1 TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP_ AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) �r'`" (SIGNATURE) DESTINATION DISPOSAL LOCATION: V Alo.) #_ 1 A 11 u rjj DATE DELIVERED: �7 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE.BEST.OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER- YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456783 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME'OUT VEHICLE ROLLOFF 07/17/49 07/17/19 11:49 11:49 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 47020 LB QTY" UNIT. DESCRIPTION_, RATE "EXTENSION FEE° 7TOTAL ,,, 23.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 d11111111119111111FAT"01 . . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;6:, f �'✓ � . �° "' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL':DAY,,'�, ,r. , ° ,° ;` TENDERED CHANGE- - CHECK NO' SIGNATURE SITE ' < „TICKET,, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01456783 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT -VEHICLE ROLL OFF 07/17/19 07/17/19 11:49 11:49 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 47020 LB QTY. UNIT -DESCRIPTION RATE EXTENSION n FEE TOTAL 23.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating nours o ays a wee .p ._tel;F , Ay • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 7��`�-t•.. .."�` ._ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALcDAY ° a;= ; x by TENDERED (;aS # CHANGE CHECK NO. SIGNATURE NO. 0022 GENERATOR — THIS ENER ATOR • :- • j THIS MANIFESTIS FOR REFERENCE PURPOSES'ONLY.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE OFANYCARGO.OR MATERIALS ' BEING SHIPPED AND DOES N�T`ASSUME ANY,LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATERIALS. '# COMPANY: ; i A i r 3 0i L_ '` SHIP DATE: COMMODITY SHIPPED: ' ' ``'1 w - - LOOSE:- (CU YDS) ; BALES:(COUNT): TRUCK WEIGHT: _? �� GROSS TARE 7 0 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY- - APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABL-E,REGULATION. �.-�..� fes,•--�� . 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: C' - '� (PRINT NAME) (SIGNATURE) ,f DESTINATION – _ i DISPOSAL LOCATION— ; s r�,l `` \ ! f�`,i �/ �{ I� DATE DELIVERED: ) ADDRESS:- I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED•BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER- YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO: ` -**DUPLICATE TICKET** SITE TICKET GRID 'W_ EIGHM_ASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01456894 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME_OUT >_a VEHICLE ROLL OFF° 07/18/19 07/18/19 08:04 08:04 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87740 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51120 LB QTY UNIT' DESCRIPTION " RATE; EXTENSION FEE,, 70TAL, 25.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00 t C.s1 O L f 1 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:"; � y = �' �. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY TENDERED ,CHANGE CHECK NO:-. SIGNATURE **DUPLICATE TICKET" SITE TICKET 'GRID WEIGHMASTER'„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01456894 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN.„ DATE OUT TIME IN TIME OUT VEHICLE_ A ROLL OFF 07/18/19 07/18/19 08:04 08:04 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 87740 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51120 LB QTY., UNIT, DESCRIPTION RATE ,EXTENSION,_ FEE , TOTAL 25.56 TON UTGO.MSW 0.000 0.00 0.00 0.00 ( ,� f r J r, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,, .t NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL1D 4, —epi ' , TENDERED — .CHANGE CHECK NO SIGNATURE NO. 0023 'GENERATOR,-.-'_ THIS MANIFEST IS FOR REFERENCE:PURPOSES ONLY.-GENERATOWDOESNOT,TAKE POSSESSION-OR TITLE OF ANY CARGO OR MATERIALS- BEING SHIPPED-AND DOES NOASSUME-ANY LIABILITY ASSOCIATED WITH,THE-SHIPMENT'OF SUCH MATERIALS:. r' COMPANY: SHIP DATE: COMMODITY,SHIPPED: = LOOSE: I% (CU YDS) BALES: (COUNT):,, TRUCK WEIGHT: , _74 C) GROSS D -C_3 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,ISNOT HAZARDOUS WASTE"AS DEFINED BY 40 CFR PART 26VOR ANY APPLICABLE STATE LAW,HAS BEEN-PROPERLY .,DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING-TQ APPL•ICABLE.REGULATION. c ) _i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER` 4 1 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: !? iy (PRINT NAME) (SIGNATURE) DESTINATION, DISPOSAL LOCATION: �` f ff /" 1 -7 1 ) '� � � ,t DATE DELIVERED: ## ADDRESS: ! 3 I HEREBY CERTIFY-THATTHEABOVE 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 01456947 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT ,VEHICLE ROLL OFF 07/18/19 07/18/19 11:44 11:44 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 86220 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 50000 LB QTY. ,UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 0.000 0.00 0.00 0.00 t0 �^✓k 3 � �_,{g k�� 4 �� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'x? ='` NEXT HOLIDAY: MONDAY, MAY 27 2019 MEMORIA'Li DAY E ' TENDERED :. `. . CHANGE - CHECK.NO SIGNATURE "'DUPLICATE TICKET" SITE „<.,, .TICKET GRID, WEIGHMASTER• SOUTHOLD TOWN DEPT SOLID WASTE 01 01456947 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, - DATE OUT TIME IN TIME OUT VEHICLE, ROLLOFF 07/18/19 07/18/19 11:44 11:44 11114TC 009316 Town of Babylon , ML REFERENCE m Scale 2 Gross Wt. 86220 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 50000 LB QTY _ UNIT DESCRIPTION_ RATE EXTENSION FEE TOTAL 25.00 TON DUTGO.MSW 0.000 0.00 0.00 0.00 t R � ,, • r ._ .. a CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:�� '�---' � $ "`'� �� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALtDAY TENDERED tj .p ' CHANGE. CHECK NO. SIGNATURE NO. ®02A 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 MATE RIALS.'_•, ' COMPANY: - �� I A f, l I'� SHIP DATE: COMMODITY SHIPPED:- � LOOSE:. (CU YDS) : - BALES: (COUNT): TRUCK-WEIGHT: GROSS 7 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 - TRANS PORTATION/FREIGHT RANSPORTER "-TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. cl LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT'THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.- DRIVER: ELOW:DRIVER: t , [ (PRINT NAME) °` (SIGNATURE) DESTINATION i LDISPOSAL LOCATION: _ �hl J Tf` .' `�� E f DATE DELIVERED: ADDRESS: f I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED IS TRUE AND ACCURATE: _RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR- GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO, ti *1DU'FLIGATE TICKET** SITE TICKET GRID WEIGHMASTER'_- SOUTHOLD TOWN DEPT SOLID WASTE 01 01457015 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN `-DATE OUT TIME IN TIME OUTJ_ VEHICLE ROLL OFF 07/19/19 07/19/19 07:39 07:39 11114T 009316 Town of Babylon I REFERENCE 7 Scale 2 Gross Wt. 79360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43100 LB QTY.—_ UNIT DESCRIPTION RATE -EXTENSION --FEE TOTAL O CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 , MC NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ;tea q ^^� TENDERED CHANGE CHECK NO SIGNATURE **DUPLICATE TICKET** SITE TICKET,' a', GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457015 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ROLL OFF 07/19/19 107/19/19 07:39 07:39 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79360 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 43100 LB QTY. ' '' '.UNIT: DESCRIPTION _ ''RATE' n EXTENSION. FEE TOTAL ^, 2 .550.00 Lr� {,� �f orxJlf �•;. � *—� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685 `; _. W p f NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL—DAY TENDERED HANGS -CHECK NO. SIGNATURE J __ - NO. 0025 GENERATOR THISWANIFESTIS FOR�REFERENC'E'PURPOSES ONLY.GENERATOR DOES NOT_7AKE 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 1 } oV) -SHIP DATE: COMMODITY SHIPPED:' LOOSE: 1 C' 0, (CU YDS) BALES: (COUNT): TRUCK WEIGHT: • • w ' a $ '' - GROSS 7e 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, APPLICABLESTATE 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/FR EIGHT RANSPORTER -TRANSPORTATION/FREIGHT CO. E TRUCK NO. J LICENSE NO/STATE: TRAILER NO. ( LICENSE NO/STATE: - I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW r e' DRIVER: (PRINT NAME) f (SIGNATURE) DESTINATION DISPOSAL L'OCATION:� 1 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: :WHITE TO DISPOSAL LOCATION'- -GREEN OCATION'"-GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ' **DUPLIC T15 TICKET** SITE TICKET, GRID _ - WEIGHMAS.TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457073 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_ DATE OUT TIME IN TIME OUT - VEHICLE —ROLL OFF 07/19/19 07/19/19 11:11 11:11 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85260 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 49060 LB QTY. UNIT DESCRIPTION,_ RATE EXTENSION FEE ` TOTAL msvv MOT- 0.00 0.00 0.00 $' �J r.. . {{tet �^^ ¢.f -•-,• °s CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-1 '�- -" d .00� NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA'bDAY ' 2r • "�' 'w q„{fid TENDERED J - �s�;�'�°-”'• ' CHANGE' CHECK NO. SIGNATURE **DUPLICATE TICKET** srrE TICKET, Rlo WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457073 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ° NO. 0026 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:- s ) b ; l: 6 {.`t L SHIP DATE: � J COMMODITY SHIPPED: * : L LOOSE: t ( (CU YDS) BALES: (COUNT): TRUCK WEIGHT: , - GROSS c TARE �} NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY- APPLICABLE-STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY DESCRIBED;"CLASS IFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.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 INCIDENT TO THE DESTINATION LISTED BELOW w r' DRIVER: '` u" (PRINT NAME) !i (SIGNATURE) d - DESTINATION i �C; Jf`. DISPOSAL LOCATION:ril li / (1 A .i �� '`', ��P �t _ _ DATE DELIVERED: ., �• V + sr ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE ;-:- DA GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 99 St ph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE INE OUT TIME INTIME OUT VEHICLE ROLL OFF- 07/20/190/19 07:22 07:22 19606TC REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 41400 LB QTY. `,UNIT ;_DESC,RIPTION;, RATE EXTENSION FEE TOTAL 20.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 A {.£ p }Y CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685L "� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIADAY > ,; ;1 � t = TENDERED CHANGE CHECK NO. SIGNATURE SITE fICKET GRID' WEIGHMASTER " SOUTHOLD TOWN DEPT SOLID WASTE 01 01457199 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/20/19 07/20/19 07:22 07:22 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 41400 LB QTY UNIT- - DESCRIPTION RATE EXTENSION= FEE TOTAL 20.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours odays a wee . I-, ,��t >„ � � ;,,� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734 685`, _w ..r _ 0.00 TENDERED NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL i)AY4'PU � � RANGE '. CHECK NO. SIGNATURE NO. 1951 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 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 STATf�L--AW S BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATIIO,N-ACCORDING'TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) 4 (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 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. SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457202 Steph PO Box 962/6155 Cox Lane w Cutchogue, NY 11935 DATE IN. 'DATE OUT TIME_IN TIME OUT - -VEHICLE ROLL OFF 07/20/19 07/20/19 07:38 07:38 111' 009316 Town of Babylon REFERENCE CE Scale 2 Gross Wt. 95000 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 54600 LB QTY.. UNIT = DESCRIPTION RATE EXTENSION FEE TOTAL 27.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 z } 4 t� Op .`{sem � ,.._.�..-s. ..... • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;P/ `6 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA DAV/ s r,p ' " -TENDERED r° ✓ � `" _-CHANGE CHECK NO ___j SIGNATURE SITE I TICKET', GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457202 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/20/19 07/20/19 07:38 07:38 11114TC 009316 Town of Babylon REFERENCE , •- Scale 2 Gross Wt. 95000 LB Outbound-Charge ticket 77 Manual Tare Wt. 40400 LB Net Weight 54600 LB QTY_ UNIT DESCRIPTION' RATE' EXTENSION `' FEE TOTAL 27.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 V'� ; j Operating hours o ays a wee �� _ 7.:,- -; u • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�.� t =q "- - ,.•`'i 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIASL 6 AYE' TENDERED ` CHANGE CHECK N SIGNATURE r ' NO. ®-®27 GENERATOR -THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION"OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND.DOES Nd ASSUME ANY LIABILITY ASSOCIATED-WITH-THE SHIPMENT OF SUCH MATERIAL'S. ] j COMPANY:- t 1 I C, #J SHIP DATE. COMMODITY'SHIPPED: ' IVi Ind / LOOSE: J O J (CU YDS) , BALES: (COUNT): TRUCK WEIGHT: . GROSS . Vo TARE (,7 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 HAZARDO_US,WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY - DESCRIBER CLASSIFIED AND PACKAGED,AND IS=IN-PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE-REGUtATION.,- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. L/CENSE 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: ; �I n f\ I r'`i 1 # i '_! DATE DELIVERED: i ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO_THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME)' SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER- -YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR- DISPOSAL LOCATION TICKET NO. SITE I TICKET• . - GRID WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01457669 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D&E-IN 1 'DATE OUT TIME IN TIMEbUT _ VEHICLE ROLL OFF 07/22/19 07/22/19 08:53 08:53 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89400 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB . Net Weight 53140 LB QTY UNIT DESCRIPTION RATE EXTENSION = FEE TOTAL_ 26.57 TON OUTGO.MSW 0.000 _ 0.00 0.00 0.00 O 6. `a s CLOSED HOLIDAYS-QUESTIONS CALL 631-734768 WP`') 0.00 r NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAU.DAYj� � t�� r�F" - TENDERED CHANGE- CHECK NO. SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457669 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/22/19 07/22/19 08:53 08:53 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89400 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 53140 LB QTY. ., UNIT DESCRIPTION RATE.° EXTENSION -FEE TOTAL 26.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 all 2.} Z CLOSED HOLIDAYS-QUESTIONS CALL 631-734fiiQ85 $ ` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAI': J _ Gr TENDERED, 7EH-AN GE CHECK NO." �) SIGNATURE �. NO. 0-046 , L I GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL'S' = .BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY.-,ASSOCIATED WITH THE SNIPMENT;OF SUCH MATERIALS:" COMPANY: SHIP DATE:" 712 4 61 COMMODITY.SHIPPED' - LOOSE: ' HIPPED' -LOOSE: ' i o () (CU YDS) BALES:(COUNT): _ TRUCK WEIGHT: ` } ;-' �,' -: GROSS C TARE �. C, NET I HEREBY CERTIFY THAT THE"ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY - APPLICABLE"STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261-OR AN' Y APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) • :,_(SIGNATURE) _ TRANSPORTER . TRANSPORTATION/FREIGHT CO. TRUCK NO. LICLINSE 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 fir' DRIVER: X � ~ (PRINT NAME) (SIGNATURE) DESTINATION EtA DISPOSAL LOCATION: � /3/,� , t_ i DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) :'-SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER _ YELLOW TO TRANSPORTER. PINK TO GENERATOR" GOLD TO GENERATOR' = DISPOSAL LOCATION TICKET NO. ' SITE TICKET ', GRIDWEtGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457759 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 r OATEy.W DATE OUTTIME IN- TIME OUT VEHICLE "ROLL OFF' 07/22/19 07/22/19 12:34 12:34 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 44160 LB "QTY_" _ UNIT - _ DESCRIPTION RATE EXTENSION- FEE _ TOTAL 22.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O " pit w . _. 7; .y • � ,� CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685a. `� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DA- ''• W t ., °_� `) TENDERED CHANGE CHECK O, -- SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457759 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, E,OUT TIME IN TIME OUT, -VEHICLE,' ROLL OFF 07/22/19 07/22/19 12:34 12:34 1 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 44160 LB QTY. ,', UNIT _ „' DESCRIPTION'' _"' RATE EXTENSION "' FEE' TOTAL 22.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1111111111090"01 `., 1 CLOSED HOLIDAYS-QUESTIONS CA1_1_631-734-T685,. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIA`IfDA`16,"')'2,,,1 a � gyp r`°�l TENDERED. -,.. S CHANGE CHECK NO SIGNATURE -,. NO. 0045 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: _7 Z COMMODITY SHIPPED: ' , V-\ ) LOOSE: - ¢ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: k e,j lui GROSS TARE ! \u,0 NET I HEREBY CERTIFY THAT-THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART-260.10-OR ANY APPLICABLE,STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-26T-0i4 AN YAPPLICABLE 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 RANSPORTER - I � � - _TRANSPORTATION/FREIGHT CO. TRUCK NO. -�_ LICENSE NO/STATE: TRAILER NO. _z__') LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i r f ,r DRIVER: `(PRINT NAME) ~` (SIGNATURE) 1 f 4 DESTINATION !r. } � � DISPOSAL LOCATION: '� �.: �%`\} C ,� ! �f -y � J _ �)� DATE DELIVERED:. � ADDRESS: _ 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME)• SIGNATURE/DATE KEY: - WHITE TO-DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. - PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01457934 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 64E`OUT , TIME IN TIME OUT ' VEHICLE ROLL OFF h 07/23/19 07/23/19 12:05 112:05 1 11114TC 009316 Town of Babylon REFERENCE A Scale 2 Gross Wt. 95060 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 58440 LB QTY. _ „ UNIT -DESCRIPTION - _ - RATE EXTENSION FEE TOTAL _- 29.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Qj{ �f$j¢jjj Y n. .. . ° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734i7685ti .� w _-' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYS P TENDERED r ` CHANGE CHECK NO SIGNATURE SITE TICKET' IGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457934 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATEOUT TIME'IN TIMEOUT VEHICLE ,,,., `ROLLOFF,, 07/23/19 07/23/19 12:05 12:05 111 14T 009316 Town of Babylon REFEREWDE Scale 2 Gross Wt. 95060 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 58440 LB QTY ;''' _ -UNIT DESCRIPTION „• _ RATE ,,., 'EXTENSION- -FEE TOTAL 29.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 3 4 f Opera Ing hours odays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. E _`' - 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAI( ,- r `' _ TENDERED ly 5LP CHANGE _ CHECK NO. SIGNATURE "NO. 0031 - GENERATOR" "' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT.TAKE POSSESSION'OR TITL-E'OF ANY CARGO OR MATERIALS BEING-SHIPPED AND DOES NOT-ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS.' 1 COMPANY:- C i A i L, ()i .� SHIP DATE:_ 2- I I f1 COMMODITY_ SHIPPED: LOOSE: . U U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ) 7 ' GROSS = r U TARE 'tf NET, I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES,NOT CONTAIN_FREE_LIQUID-AS DEFINED BY 40-CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26;1-0"AY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION,-ACCORDING-TOt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)' ' TRANSPORTER TRANSPORTATION/FREIGHT CO. / i ( 'F TRUCK NO. 2S L/CENSE 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. ( e DRIVER: �i.� (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: t1I/'1 f k t A i5 -/ L ( ,► DATE DELIVERED:- )1 `1 ADDRESS: d _ 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. '. t�' ,'SITE TICKET, ,rG_RID:- . � WEIGH_N(ASTER--' - SOUTHOLD TOWN DEPT SOLID WASTE 01 01457891 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN :aaT Qu r': TInnE.ily TInnE ouT .`_. v>NIc E_` _ .v =" -ROL-L OF)= 07/23/19 07/23/19 08:22 08:22 11114T 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 92060 LB., Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 58080 LB QTY - UNIT-'',; -DESCRIPTION -.RATE' „ EXTENSION FEE' TOTAL,, 29.04 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 CH NGE CH CK O:. SIGNATURE "SITE- YIGKET- I GRID ,' WEIGIiMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01457891 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- DATE OUT TIME IN TIMN 6uT VEHICLE ROLL QFF 07/23/19 07/23/19 08:22 08:22 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 92060 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 58080 LB QTY. UNIT DESCRIPTION "RATE, EXTENSION-- FEE. TOTAL 29.04 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 HA GE` SIGNATURE - - NO. ^ -` .0030 GENERATOR- -THIS MANIFEST IS FOWREFERENCE 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. 12- OMPANY: � ,� '� Q t J j SHIP DATE: - 1 '_1/Cl COMA4ODITY,SHIPPED: f 1.51x.1 LOOSE: ., u (CU YDS) _ BALES: (COUNT):- TRUCK WEIGHT: ` v GROSS �-' TARE NET I HEREBY CERTIFY'THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY, APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATIOWACCORDING TO APPLICABLE REGULATION.' ; J�._�, ` GENERATOR AUTHORIZED AGENT(PRINT NAME) i (SIGNATURE) _ = -TRANSPORTER: TRANSPORTATION/FREIGHT CO. r,) I I�1,j ? 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. f DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION i J DISPOSAL LOCATION: !� I It �` ^;�� J �'� f)- DATE DELIVERED: > � `1 Gt 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 SITE -- TICKET = GRID "wEIGHMASTER" = SOUTHOLD TOWN DEPT SOLID WASTE 01 01458012 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 D&E hU- .DATE OUT TIME-1N`TIME OUT VEHICLE'-ROLL OFF 07/24/19 07/24/19 08:07 08:07 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 48760 LB QTY. - UNIT DESCRIPTION z, RATE : 'EXTENSION FEE_ - TOTAL'.'' _ 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Al i Operating hourg rob AM to 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 CITE W TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458012 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN ^DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 07/24/19 07/24/19 08:07 08:07 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 48760 LB QTY ° UNIT` , ` .`,, DESCRIPTION-,,. -RATE ' EXTENSION•- -FEE TOTAL 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1 • i Operating hours 7:00 AM to 5:00 PM 7 days a week: r , ; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY- -TENDERED HANGE- ' =CHECK NO = SIGNATURE _ NO ,. 0032 _ GENERATOR:- -,THIS MANIFEST-IS FOR REFERENCE PURPOSES ONLY:GENERATOR-DOES-NOT TAKE POSSESSION-OR TITLE OF ANY-CARGO OR MATERIALS - BEING SHIPPED AND DOES NOT ASSUME ANY;LIABILITY ASSOCIATED-WITH'THE-SHIPMENT OF SUCH MATERIALS. - COMPANY" ' ,_'1� LA 1 L-� t) I SHIP DATE: COMMODITY SHIPPED:--- ;I c 1,) l o LOOSE: = o (CU YDS) BALES: (COUNT)`:` r TRUCK-WEIGHT: `_ '`� (} U GROSS '; I A7 t,P7 TARE '1 t` NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,DOES NOT=CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. { GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)- TRANSPORTER I TRANSPORTATION/FREIGHT CO. a , J ) TRUCK NO. i LICENSE NO/STATE: TRAILER NO. t_e 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: - l (PRINT NAME) _ (SIGNATURE) DESTINATION DISPOSAL LOCATION: L— V ,' ) ,1 j/� pp �A ��y��_C.1! V DATE DELIVERED: !� ADDRESS: l` I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE:, RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL-LOCATION TICKET NO. r SITE I 'TICKEr 71 v I ORID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458083 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ` DATE OUT -TIME IN]TIME OUT --VEHICLE' ROLL OFF 07/24/19 07/24/19 11:48 11:48 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82760 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 48780 LB QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL 24.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r�';r rpt Opera mg nours odays a week., K,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED, CHANGE CHECK O. SIGNATURE SITE 'TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458083 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 °DATE IN"`' -DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF- 07/24/19 07/24/19 11:48 11:48 11 114T 009316 Town of BabylonREFERENCE ORIGIN Scale 2 Gross Wt. 82760 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 48780 LB QTY. UNIT- DESCRIPTION- RATE -'EXTENSION FEE TOTAL 24.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:.:. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -, 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL°DAY. TENDERED . CHECK NO- SIGNATURE - NO. , 0033 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. �S COMPANY: Lt �r f 1� SHIP_ DATE: ' COMMODITY SHIPPED: LOOSE: 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` GROSS >z 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 APPLICAB_LE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -- (SIGNATURE) TRANSPORTER _ - _ TRANSPORTATION/FREIGHT CO. TRUCK NO. �. LICENSE NO/STATE: TRAILER NO. 2- LICENSE NO/STATE: I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. J�r� DRIVER: (PRINT NAME) / (SIGNATURE) f� DESTINATION DISPOSAL LOCATION.K Ov'llrj II. � 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(PR(NT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION ' GREEN TO TRANSPORTER YELLOW-TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPE-SATE TICKET"` CS t1GKET• , GRib ` ° WEiGwnagSTEE v SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01458285 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _aA E.ouT- %Ytri l itu TimtCI _ "Vb ict: r. Ro%i_,orF_ 07/25/19 07/25/19 12:25 12:25 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80900 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 44680 LB QTY UNIT DEBCRIPTIQN_ RATE_ EXTENSION FEE_ TOTAL' 22.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 AM to 5.0e PIVIF days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED, -CHAN E CHECK N ' SIGNATURE "*DUPLICATE TICKET" KSITE TICKET , GRID' wElbl tMASiER . SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01458285 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME iN', TIME OUT,. V.., E MOLL OFF 07/25/19 07/25/19 112:25 12:25 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80900 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 44680 LB QTY. UNIT''. DESCRIPTION -- RATE EXTENSION FEE ,TOTAL 22.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . £N. O • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685; 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED.. C AN E, CHECK N0. SIGNATURE No. 0035 - GENERATOR `THIS MANIFEST.IS FOR REFERENCE PURPOSES ONLY:-GENERATOR•DOES NOT-TAKE POSSESSION OR TITLE`OFANY CARGO OR:MATERIALS "BEING SHIPPED-AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ( i r ) It , L_ 1 J SHIP DATE: COMMODITY SHIPPED: v k_n LOOSE: o -c� (CU YDS), BALES: (COUNT): r TRUCK WEIGHT:, � - •�r �� i�� ' �• - GROSS ` > _ TARE 2_4 't " NET I 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 6Y"40 CFR,PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCi APPLICABLE REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. - r I'b T' TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED,BELOW. DRIVER: ` �� 9 (PRINT NAME) (SIGNATURE) DESTINATION- DISPOSAL LOCATION: (A rdI A 61, DATE DELIVERED: - � Z_ ADDRESS: g- 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. e.*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01458215 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT I. TIME IN TIME OUT VEHICLE ROLL-OFF 07/25/19 07/25/19 08:50 08:50 111 14T 009316 Town of Babylon REFERENCE •- C __1 Scale 2 Gross Wt. 89520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 49120 LB - QTY. -UNIT DESCRIPTION RATE " EXTENSION- FEE TOTAL 24.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 x ' Liz Opera mg hours TO ays a week-: -.- • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.a - .- 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY TENDERED _ W_ CHANGE CHECK NO:. SIGNATURE ""DUPLICATE TICKET" SITE[ITE TICKET - GRID . WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01458215 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE,, ROLL OFF , 07/25/19 07/25/19 08:50 00 11114TC 009316 Town of Babylon 8:5 REFERENCE ORIGIN Scale 2 Gross Wt. 89520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 49120 LB QTY. _ UNIT `DESCRIPTION 'RATE - EXTENSION FEE TOTAL 24.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours ' to :00 PM 7 days a week.-" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. _. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL=:DAY - 'TENDERED- - CHANGE, TENDERED -CHANGE, CHECK NO.'- SIGNATURE No. 0034 GENERATOR -- THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR'DOES-NOT TAKE POSSESSION OR'TITL'E OFANY CARGO OR,MATERIALS, BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS-— -. 1 COMPANY:- t 1 l)-1 A J y J 0 L j) SHIP DATE: COMMODITY SHIPPED: ._ )�-1 } s LOOSE:- 0 tis (CU YDS)" BALES: (COUNT): TRUCK WEIGHT: . "cjr GROSS TARE _ fit' t/t# t c, NET I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID,AS,DEFINED BY 40 CFR PART 260.10`OR ANY APPLICABLE-STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND'IS IN PROPER-CONDITION'FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME), ___ >-"(SIGNATURE)' TRANSPORTER - TRANS PORTATION/FRE IG HT 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. DRIVER: _,,. (PRINT NAME) �/ (SIGNATURE) DESTINATION j DISPOSAL LOCATION: V I" _ - f �'p _o,,) , DATE DELIVERED: . ADDRESS: -1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE:- - RECEIVED BY: 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. ""DUPLILATE TICKET" erSITEF, TICKET" Z,S WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458474 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 r.,_,DATE IN DATEOUT , _TIME=IN`TIME OUT 'VEHICLE_ ROLL OFF 07/26/19 07/26/19 11:47 11:47 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 43780 LB QTY." �r !°` UNIT.`^,. _ DESCRIPTION RATE EXTENSION_ FEE TOTAL 21.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 'A a� '63"- CLOSED HOLIDAYS-QUESTIONS CALL 631-734'-7685�� 0.00 NEXT NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALXDA�-Y/,,' TENDERED = "CHANGE,, CHECK NO SIGNATURE ""DUPLICATE TICKET" SITE' TICKET' 'GRID`._ '_ "_WEIGHM_AS_TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458474 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF,{ 07/26/19 07/26/19 11:47 11:47 11114TC 009316 Town of Babylon REFERENCE •- scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 43780 LB -QTY. - UNIT DESCRIPTION "' z RATE EXTENSION =^'_ •FEE; TOTAL_ 21.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Gpf j,I Opdays a wee : ;, `� �. €,'�=; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851 .. " 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-JDAWs rZ � �b � .t TENDERED . CHECK NO.= SIGNATURE NO H 37 -GENERATOR- THIS ENERATOR THIS MANIFEST IS'FOR REFERENCE-PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR-MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS. COMPANY:. ' } j SHIP DATE: " COMMODITY SHIPPED: LOOSE: ; 1 1 (CU YDS) " BALES: (COUNT) L TRUCK WEIGHT: S9 ,; GROSS 1—:'1 C• TARE Cyt 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. ti GENERATOR AUTHORIZED AGENT(PRINT NAME)- `~ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I / ,J ` TRUCK NO. LICENSE,NO/STATE: TRAILER NO. -LICENSE-NO/STATE: R _• - - 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 _ DISPOSAL LOCATION: f e t �l 1� ,'";n i DATE DELIVERED: - P Pl r�_1 i f� I � ' `�/ � } I ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER:. PINK TO GENERATOR GOLD.TO GENERATOR- DISPOSAL LOCATION TICKET NO. t-","Ddb KATE TICKET'" ,E °"TICKE I' "'GRID," WEIGHMASTER $OUTHOLD TOWN DEPT SOLID WASTE 01 01458395 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, ."-TIME IN TI N1E'OUT' _ VEHICLE " `' ., ,ROLL,6FF 07/26/19 _ 07/26/19 07:56 07:56 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81320 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45060 LB QTY. UNIT,,,-' =_ DESCRIPTION-_ -RATE EXTENSION - -_FEE_ TOTAL IF CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:- S.- g Y $ NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY,f ,.X. G^g ti ' ' 3js; •, ,,.;:�;, �. _® ,�,� V TENDERED wCHANGE, CHECK NO.' SIGNATURE "''DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01458395 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN: DATE OUT T1IAE'1N TIME.OUT , ,VEHICLE;' ., !- ROLLOFF 07/26/19 07/26/19 07:56 07:56 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81320 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 45060 LB QTY t= UMT",,, = -_DESCRIPTION', -- RATE EXTENSION FEE TOTAL 22.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 14, P✓'«y ?' 3� '�",; •� �„ elf"` CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY4 ,Fk ' Nf ,TENDERED - CHECK NO SIGNATURE _ NO. 0636 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.. : I COMPANY: f) L t? SHIP DATE•: �l ! �( COMMODITY SHIPPED: LOOSE: I t t a (CU YDS) BALES: (COUNT): TRUCK WEIGHT:- ca y GROSS, r ` TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND-PACKAGED.-AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. Of'-VA) 1 TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) %" (SIGNATURE) DESTINATION DISPOSAL LOCATION:rlb' VA r1,I i, 13 A _\l L c. �� DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR - DISPOSAL LOCATION TICKET NO. P '-BUPLICQTE TICKET"" SITE'' TICKET �G_RID 'WEIGHMASTER'` - SOUTHOLD TOWN DEPT SOLID WASTE 01 01458617 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 `DATE IN DATE OUT TIMEdN TIME OUT =, VEHICLE. �ROLL,OFF 07/27/19 07/27/19 07:23 07:23 11114T 009316 Town of Babylon - REFERENCE ORIGIN Scale 2 Gross Wt. 82820 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44120 LB QTY UNIT- DESCRIPTION_` RATE' '`" EXTENSION TEE, TOTAL " cJ r CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685�� NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYS-- ;' TENDERED ` kk CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET+ GRID WEIGHMASTER ` ,OUTHOLD TOWN DEPT SOLID WASTE 01 01458617 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN. „DATE OUT TIME IN. TIME OUT - VEHICLE ROLL OFF` 07/27/19 07/27/19 07:23 07:23 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82820 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44120 LB Q7Y s UNIT; DESCRIPTION RATE EXTENSION, FEE TOTAL `. 0.000 0.00 0.00 0.00 Uw ' f" = JL f� t°°s e>��, ��,e,,. .> a„a �,---;gyp-r �;�,.� " • CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7.685 � , NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIXR'L:pAY " a r2 IA-4 ,, y pI TENDERED 4; ; RANGE CHECK NO SIGNATURE NO. 0038 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:- " 7 COMMODITY-SHIPPED:- LOOSE: (CU_YDS) BALES:(COUNT): TRUCK WEIGHT: _Z 2 ? - ', GROSS -7 TARE Lt : NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS,DEFINE67 7BY 40 CFR'PART 260:10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PAAT'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANS PORTATION/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: Co V �,) j r� �� V I �---�•`3 4 �_: 't DATE DELIVERED: ADDRESS: ! I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO THE BEST OF MY KNOWLEDGE THEINFORMATION 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 01459149 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE?N DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF 07/29/19 07/29/19 08:04 08:04 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40120 LB QTY UNIT DESCRIPTION- RATE EXTENSION FEE- TOTAL 6 TON OUTGO.MSW 0.000 0.00 0.00 0.00 IF 0 L11'10ttf&-7!I96 AM to 540�iv�171 da" CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685 -, NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAQDAY; TENDERED CHANGE CHECK NO ___j SIGNATURE SITE TICKETGRID r WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459149 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE ROLLOFF 07/29/19 07/29/19 08:04 08:04 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40120 LB QTY UNIT, "DESCRIPTION RATE_ EXTENSION FEE _ TOTAL-- 20.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 P s '' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7$685:gh NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALrDAY, TENDERED CHANGE _-CHECK NO: SIGNATURE NO. 0039 GENERATOR = THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES•NOT TAKE POSSESSION OR TITLE OF-ANY CARGO OR-MATERIALS = BEING SHIPPED AND DOES NOTUISSUME ANY LIABILITY•ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS. COMPANY: E (A—i 1.-1 f1 I ) SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) _ BALES: (COUNT): ' TRUCK WEIGHT: t '{ `', -GROSS TARE- i) ARE- 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 TRANSPORTATJON ACCORDING TQ APPLICABLE REGULATION:,-,:, - GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER 91 - TRANSPORTATION/FREIGHT CO. ; s-�_ i s•.t J'`) I TRUCK NO.- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: IAW (0 . (PRINT NAME) (SIGNATURE) DESTINATION, t ! u 4 DISPOSAL' LOCATION:, Iv �� t 1 ��al' );c / DATE DELIVERED: ! ADDRESS: \ v f I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE:' RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO-GENERATOR ' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459292 Liz H PO Box 962/6155 Cox Lane Cutchogue,NY 11935 PATE 11 ;DATE OUT 'TIME IN fIME'OUT VEHICLE ._ ROLL OFF 07/29/19 07/29/19 13:43 13:43 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 92160 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 51760 LB QTY _ UNIT DESCRIPTION_ -RAT_E EXTENSION FEE TOTAL 25.88 TON DOTGUIVISW 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.", y NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMOR14DAIf.�, �,z �, �' +� r: TENDERED CHANGE' CHECK NO '. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459292 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 07/29/19 07/29/19 13:43 13:43 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 92160 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 51760 LB QTY. UNIT _ DESCRIPTION RATE, „-EXTENSION, FEE TOTAL 25.88 TON DUTGO.MSW 0.000 0.00 0.00 0.00 61 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-766885V NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY� � TENDERED - =r. CHANGE CHECK NO. SIGNATURE _ No. 0®40 GENERATOR - ',-THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOWDOES 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-7"0 SHIP DATE: `+ COMMODITY SHIPPED:- LOOSE: HIPPED:LOOSE: 1 I m 4 (CU YDS) BALES:'(COUNT): - TRUCK WEIGHT: r �-'_� GROSS j IGQ(,L/ TARE I NET ' I 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'GA'fN;RAS•BEEN PROPERLY- DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TO APPLICABLE)REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER - TRANS PORTATION/FREIGHT RANSPORTER - TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: t 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: x (PRINT NAME) (SIGNATURE) DESTINATION'S DISPOSAL LOCATION: !j I � ' , � �r _ t DATE DELIVERED: ` 1 I ADDRESS: / f I HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE- KEY: WHITE TO DISPOSAL LOCATION - . GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. - PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET' GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459454 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUTVEHICLE ROLL OFF 07'30/19 07/30/19 11:20 11:20 111 14T 009316 Town of Babylon REFERENCE 1 7 Scale 2 Gross Wt. 84680 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47860 LB QTY. UNIT ', "DESCRIPTION• RATE"' EXTENSIO_ N -FEE' _ TOTAL ' 23.93 TON` OUTGO.MSW 0.000 0.00 0.00 0.00 � s O CLOSED HOLIDAYS'-QUESTIONS CALL 631-7342768J i .tel ,,.:•'. -,\,k 0.00 5 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY,�r - , ,: TENDERED ';a r CHANGE t CHECK NO= SIGNATURE $ITE TICKET^ --,,-GRID,, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459454 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATEIN DATE OUT - TIME IN TIME�OUT ' VEHICLE ROLLOFF 07/30/19 07/30/19 11:20 11:20 11114TC 009316 Town of Babylon REFERENCE ow Scale 2 Gross Wt. 84680 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47860 LB QTY. UNIT DESCRIPTION,. RATE EXTENSION ', FEE" TOTAL 23.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76685;�� , '� � 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA DAY/ �' f � p ;1 � TENDERED CHANGE CHECK NO SIGNATURE NO. 0041 GENERATOR.-._ • - _ THIS MANIFEST IS FOR REFERENCE'PURPOSES ONLY.GENERATOR DOES NOT-TAKE,POSSESSION ORTITLE OF ANY CARGO"OR MATERIALS 'BEING SHIPPED.AND DOES NOT`ASSUME-ANY LIABILITY-ASSOCIATED WITH'THE SHIPMENT OF-SUCH MATERIALS. 1 COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE (CU YDS), BALES: (COUNT): TRUCK WEIGHT: GROSS k TARE t') NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND-PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER- TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. f ` ' '`) LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW .y �d DRIVER: - --: i t- t L (PRINT NAME) �; (SIGNATURE) . f DESTINATION '' DISPOSAL LOCATION:,, Eta„ '\1 I � �f'1r I } .� DATE DELIVERED: i ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I ~_ TICKET -GRID WE[GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459574 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN DATE OUT -TIME IN TIME OUT VEHICLE . - ROLLOFF " 07/31/19 07/31/19 07:56 07:56 11114T 009316 Town of Babylon ;"" ; REFERENCE ,� Scale 2 Gross Wt. 84280 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 50300 LB QTY. UNIT_ DESCRIPTION RATE' EXTENSION FEE - TOTAL_ 25.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f "' 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 SITE I TICKET I GRID. I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459574 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE"OUT TIME IN TIME OUT VEHICLE,- ROLA OFF 07/31/19 107/31/19 07:56 07:56 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 84280 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Wei ht 50300 LB QTY. UNIT. DESCRIPTION -, RATE EXTENSION 'FEE' TOTAL 25.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:. r - r` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'=DAY, TENDERED f - HANGE CHECK NO. SIGNATURE GENERATOR �< THIS MANIFEST IS FOR.eEFERENCE 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:-, (,; t n_i - t t' _1 1 SHIP DATE: + 1 i f J COMMODITY SHIPPED: , lv1 f ! LOOSE: - 6 o (CU YDS) f BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL- DOES NOT. CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. . GENERATOR AUTHORIZED AGENT(PRINT NAME) - �T (SIGNATURE) ' TRANSPORTER / TRANSPORTATION/FREIGHT CO. -,TRUCK NO. _s 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. /Z�l J i a DRIVER: --- 1} (PRINT NAME) y �� (SIGNATURE) � DESTINATION DISPOSAL LOCATION: W� i., j �� (1�?/) V,/7� J jl�.I DATE DELIVERED: } j 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 r GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *"DUPLICATE TICKET" SITE ` TICKET GRID WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01459634 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF 07/31/19 07/31/19 12:12 12:12 11114TC REFERENCE 009316 Town of Babylon .- Scale 2 Gross Wt. 90200 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53580 LB - QTY = UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.79 O0.0013 0.00 U.UU U.uU O _ , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 : x ' ' f NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY%� ':. TENDERED, CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459634 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "'DATE IN DATE OUT TIME.IN TIME OUT. VEHICLE ROLL OFF 07/31/19 07/31/19 12:12 12:12 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 90200 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 53580 LB QTY. UNIT .°" DESCRIPTION RATE EXTENSION FEE TOTAL 26.79 TON OUTGO.MSW 0.000 0.00 0.00 0.0 : CLOSED HOLIDAYS—QUESTIONS CALL 631-734-7685.� � n„ - NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL"DAY + s? ` TENDERED " p x m CHANGE ' -_CHECK NO. SIGNATURE NO. D028 GENERATOR-.- _ - -THIS,MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR:DOESNOT TAKE POSSESSION OR TITLE OF ANY CARGO-OR MATERIALS- BEING SHIPPED"AND'DOES NO`{ASSUME ANY LIABILITY ASSOCIATED WITH THE-SHIPMENT-OF SUCH MATERIALS. = COMPANY:' SHIP DATE: •'I �. COMMODITY SHIPPED:'' ' LOOSE: I i (CU YDS) - BALES:(COUNT): ' TRUCK WEIGHT: X16 C'• : GROSS-, TARE 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 TRANS PORTATIOWACCORDING'TQ APPLICABLE,REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) r_ """"(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. h) u (...., TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITEL-ISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: `-T�- (PRINT NAME) (SIGNATURE) DESTINATION /� /'�r DISPOSAL LOCATION: ; / A\_ �.� �1�`� Lo rJ DATE DELIVERED: ADDRESS: kl- 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 GENERATORt - GOLD TO,GENERATOR_ -.DISPOSAL LOCATION TICKET NO. -