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HomeMy WebLinkAbout08/2019 "DUPLICATE TICKET" ITE < -TICKET' GRID _ _ WEIGHMASTER S©JTHOL►D TOWN DEPT SOLID WASTE 01 01459778 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN =DATE OUT TIME IN TIME OUT VEHICLE° ROLL OFF 08/01/19 08/01/19 11:54 11:54 1 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89500 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 50800 LB QTY UNIT DESCRIPTION ,RATE "'EXTENSION FEE TOTAL ,.. t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685.,°'" � - - � NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALgDAY ,� �� vs TENDERED"- CHANGE CHECK NO: SIGNATURE "DUPLICATE TICKET" (SjTEj TICKET ' ' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459778 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, "DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/01/19 08/01/19 11:54 11:54 11114TC 009316 Town of Babylon REFERENCE, ORIGIN Scale 2 Gross Wt. 89500 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 50800 LB QTY_ UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL 25.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Q " " � nim ; ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_ 3 �> NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAI`DAY ,,„ R � TENDERED , t a�p y CHANGE CHECK NO, SIGNATURE = = NO. ,004-2 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS ' BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. " '. I COMPANY: \E'` �ji 1 i ( � r SHIP DATE: COMMODITY SHIPPED: LOOSE: ?; 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS = �3 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) a -- -- - TRANSPORTER TRANSPORTATION/FREIGHT CO. ! pj / E TRUCK NO. 'e- LICENSE NO/STATE: TRAILER NO. 1 ; LICENSE NO/STATE: HEREBY CERTIFY•THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 4 DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 1°;1 A i � A I_ )�� ��' /( ,�! DATE DELIVERED: - V ADDRESS: 4 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. ;-DUPLI6ATE TICKET`* SITE •TICKET GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01459725 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/01/19 08/01/19 08:09 08:09 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82160 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 46160 LB QTY.' UNIT DESCRIPTION." ` RATE EXTENSION,- FEE TOTAL f „qtr,yp`,a e.3+"�..,„.....TT g O. 7-•�,.m. [! J .> CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. „� — �. NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-ID� _ TENDERED Z� ' CHANGE CHECK - - -- - -----_ SIGNATURE "DUPLICATE TICKET* SITE I TICKET "_ GRID WEIGH_MASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459725 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/01/19 08/01/19 108:09 08:09 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 82160 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 46160 LB QTY ' UNIT 'DESCRIPTION RATE EXTENSION', FEE - TOTAL-- 23.08 OTAL"23.08 TON OUTGO.MSW 0.000 0.00 0.00 4 CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685":, �` '—r '/ NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAM-DAY Q- a TENDERED- -CHANGE ENDERED-CHANGE CHECK N SIGNATURE 0044 - , 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: SHIP DATE:_ ' { / r COMMODITY SHIPPED:- LOOSE: ( ' C) (CU YDS) P 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 TQ APPLICABLE REGULATION. 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) i (SIGNATURE) - TRANSPORTER:- TRANS PORTATION/FR EIGHT RANSPORTER:-TRANSPORTATION/FREIGHT CO. TRUCK NO. .1- LICENSE NO/STATE: TRAILER NO. 12- ; LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME)` (SIGNATURE) DESTINATION DISPOSAL LOCATION:., },/ ,� ,r, ;t' i l ! j`4 DATE DELIVERED: 1 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,1 GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ,E)UPLAZATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01459954 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN s" DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ------------------ 08/02/19 08/02/19 11:22 11:22 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38820 LB =" QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL' ' 19.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . � ����w �" m-, "•^.''°a '�xx%'i� tie y IVI LU 5.00 PM 17 Udyb El O �q CLOSED HOLIDAYS-QUESTIONS CALL 631-734 768' % 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAYr; 7 ,, :,�A TENDERED CHANGE_ CHECK NO. SIGNATURE ""DUPLICATE TICKET"" SITE TICKET GRID' - wEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01459954 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEAN - DATE-OUT TIME IN TIME,OUT VEHICLE ROLL OFF 08/02/19 08/02/19 11:22 11:22 11114TC 009316 Town of Babylon REFERENCE •- 7 Scale 2 Gross Wt. 75080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 38820 LB QTY._ UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL 19.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ayr Opera mg hours odays a weel(,.: s, _6-�„ _ f y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768: :,�-, `4-._ � 1'r 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORVACDAYI.11'11 y k - -TENDERED, '—ax•. _."`:;�", CHANGE CHECK NO. SIGNATURE NO. 0329 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUMEASSUME ANY LIABILITY ASSOCIATED-WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ���; i'} ;_ � SHIP DATE: >_ COMMODITY SHIPPED: - y-3 1 if LOOSE: €: > ,(CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS' TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL- DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY 'APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR`TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. i_ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER " TRANSPORTATION/FREIGHT CO. TRUCK NO. - - -3 LICENSE NO/STATE: TRAILER NO. 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT'THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: (PRINT NAME)NAME) (SIGNATURE) � p DESTINATION DISPOSAL LOCATION: IA DATE DELIVERED: 1 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 "*DATE TICKET'* SITE TICKET ' -- GRID WEIGHMASTER UPLt SOUTHOLD TOWN DEPT SOLID WASTE 01 01459894 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN%^ DATE OUT TIME IN TIME,OUT -VEHICLE, - f;ROLL OFF - 08/02/19 08/02/19 07:49 07:49 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 51720 LB Y "UNIT''' DESCRIPTION "+';` RATE EXTENSIONFEE= TOTAI,- QT 25.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 F '2 y Op °: !$r; CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685._`A `°`�=�:, _ • ` '• 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL:DAY ; TENDERED ° r _-CHANGE, CH CK NO. SIGNATURE *"DUPLICATE TICKET"" SITE TICKET`` GRID lNEiGHMASTER, " SOUTHOLD TOWN DEPT SOLID WASTE 01 01459894 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE)N QATE OUT TIME IN TIME OUT VEHICLE ROLLOFF- - 08/02/19 08/02/19 07:49 07:49 11114T ' 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 51720 LB QTY' _ UNIT DESCRIPTION RATE EXTENSION FEE _TOTAL 25.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 31 3 Oe � ✓,. ..dam n/ r� r" IY • cA Operating Hours o ays a wee k', „ . �__,. `, �; 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS=AYE --TENDERED.. CHANGE - CHECK NO. SIGNATURE NO. ® ®-4 GENERATOR THIS MANIFEST IS FORREFERENCE 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. yl COMPANY:. � '�} 1 C; L SHIP DATE: I COMMODITY SHIPPED: f LOOSEN t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: I GROSS 4 `r 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANS PORTATION/FREIGHT CO. ;l\A kj " III 1 TRUCK NO. j °�; LICENSE NO/STATE: TRAILER NO. D LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS - DELIVERED WITH INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,��J % ' `:/ 1 ;' DATE DELIVERED: ' ` ` ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SITE TICKET,, `y GRID - , wEIGHMASTER _,r SOUTHOLD TOWN DEPT SOLID WASTE 01 01460196 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE-- ROLLOFF 08/03/19 08/03/19,, 11:19 11:19 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79600 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45620 LB QTY' UNIT ""' DESCRIPTION` = RATE° ° '' "EXTENSION-' FEE '.TOTAL I All" j` CLOSED HOLIDAYS-QUESTIONS CALL 631-7327685 NEXT HOLIDAY: MONDAY MAY 27,2019 MEMORI"%DAY, _ TENDERED ,^ H NGE, CHECK'NO:, SIGNATURE "*DUPLICATE TICKET" SITE "TICKET ,,GRID,- ,wEIGHMASTER.' ° SOUTHOLD TOWN DEPT SOLID WASTE 01 01460196 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT °x TIME IN TIME OUT -VEHICLE ROLL OFF 08/03/19 08/03/19 111:19 11:19 11121TC 009316 Town of Babylon REFERENCE 0RIG1N Scale 2 Gross Wt. 79600 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 45620 LB QTY`_ UNIT - DESCRIPTION_' - RATE _EXTENSION FEE TOTAL 22.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O i�� • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 J. ~~ ." NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-ND*SAY K TENDERED �«K- a -CHANGE CHECK NO. SIGNATURE tr 0335 - 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,L'IABILITY'ASSOCIATED•WITH THE SHIPMENT-OF SUCH MATERIALS.: ":•,r` - 5 ' COMPANY: _: __ `* SHIP DATE: x " COMMODITY•"SHIPPED: �f LOOSE: (CU YDS) BALES.:.(COUNT): . TRUCK WEIGHT:� r,"L.L} GROSS TARE - �-; ,•_��.•��. _"5•.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 T,RANSP_ORTATION 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 • J 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 0146,,0196 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_ ' DATE OLIT I TIME IN TIME OUT 3_,'VEHICLE ROLL OFF, 08/03/19 08/0M 07:35 07:35 11121 TC 009316 Town of Babylon REFEREKCE ORIGIN Scale 2 Gross Wt. 86580 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 49820 LB QTY., UNIT DESCRIPTION. --RATE EXTENSION FEE TOTAL Ir Cj kVY lye s, i .. CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685: NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALkDi4Y!� t TENDERED CHANGE CHECK NO SIGNATURE SITE _ TICKET GRID WEIGHMASTER „ SOUTHOLD TOWN DEPT SOLID WASTE 01 01460106 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATEIN_ DATE OUT TIMEIN' TIME OUT ''' ,VEHICLE' ROLLOFF 08/03/19 08/03/19 07:35 07:35 11121 TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 86580 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 49820 LB QTY. - UNIT DESCRIPTION, RATE = EXTENSION FEE TOTAL 24.91 G S 0.000 0.00 0.00 0.0 ZzR I j L 1 !96 AM te 6!9YAC".�.".� ,'._.:.':•.s 6!' .,y X, AJ CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7.685, 4. - ~` .: NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAAY 't tom, TENDERED t C , J e' CHANGE° CHECK-NO: SIGNATURE NO. 2662 " GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. -r COMPANY- 1A'101 iti _u�� �. I �, �I' _ '��I a , (i SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): S, TRUCK WEIGHT: GROSS TARE Liu 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. LIC ENS E-M-10-T-"Tc' I ACCEPT RESPONSIBLITY FOR THE I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT TF TRANSPORTATION OF THE CARGO AND T IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. I WEIGHT AS DESCRIBED ON THIS TICKET&ASSERT THAT ALL THE r PROPER PERMITS AND LICENSES HAVE BEEN OBTAINED. DRIVER: 1 (PRINT NAME) DESTINATION f i DISPOSAL LOCATION: , `v `' ' 's 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" I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01460689 Steph PO Box 962/6155 Cox Lane r Cutchogue, NY 11935 `DATE IN DATEOUT .TIME IN TIME OUT VEHICLE ROLL OFF 08/05/19 08/05/19 11:43 11:43 11114T 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt. 82140 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45140 LB QTY. UNIT, DESCRIPTION,:` - RATE EXTENSION_ FEE TOTAL 22.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 (ttf f days a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,x;>„ •� . 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAI!f`�'�r= ` � -t <.; .��; TENDERED - e c.- CHANGE, CHECK NO-.,-j SIGNATURE SITE TICKET GRID iNEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01460689 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 `'DATE IN_ " DATEOUT,`- TIME IN'TIME OUT - ,VEHICLE ROLLOFF' 08/05/19 08/05/19 11:43 11:43 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82140 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45140 LB QTY - UNIT -DESCRIPTION_ = RATE _> EXTENSION. FEE TOTAL 22.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a wee E`t %0, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`-Z2'-' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL]DAY' w ..,,e .. r$ TENDERED_4- L CHANGE - CHECK NO::1 SIGNATURE NO. 0330 GENERATOR ' _ THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR"TITLE OF ANY•_CARGO OR MATERIALS BEING SHIPPED AND DOES-NOIR` SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF-SUCH-MATERIALS; • , ( '- COMPANY: 1 �� a 1 L 3'� SHIP DATE: "C 1 I 1 COMMODITY SHIPPED: • LOOSE:, 1 (> IN (CU YDS), = BALES:.(000NT): TRUCK WEIGHT:, F� -� GROSS }_ TARE_ q( �`�� 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 26-1-OR-A APPLICABLE STATE-,LAW,HAS BEEN PROPERLY " DESCRIBED,CLASSIFIED AND-PACKAGED,AND IS.IN PROPER CONDITION-EOR.TRANSPORTATION.ACCORDING TQ-APPLIGABL'E- EGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - '��," (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT-CO. TRUCK NO. %—� "LICENSE NO/STATE: TRAILER NO. .'� d LICENSE NO/STATE: I HEREBY•CERTIFY"THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT-IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW. DRIVER: `.s 4 7 • ���_f' (PRINT NAME) (SIGNATURE) / DESTINATION DISPOSAL LOCATION: ,() VA /\J 7 A A V � _� ^� J 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" S1TE' _ TTICKET 'GRID WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01460939 Steph P013&-k-2,/6155 Cox Lane Cutchogue, NY 11935 —DATE IN DATE OUT-=TIME fN TIME OUT VEHICLE'° ROLL OFF_ 08/06/19 08/06/19 12:10 12:10 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80640 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43820 LB -QTY.' -` UNIT — DESCRIPTION RATE, " `EXTENSION FEE_ TOTAL Uo=.Mbvv 0.0000.00 0.00 0.00 �" 4 �} ay+S� py 4 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685.. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DXY z TENDERED � CHECK NO: SIGNATURE "DUPLICATE TICKET"" SITE TICKET" GRID' WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01460939 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/06/19 08/06/19 12:10 12:10 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 80640 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 43820 LB QTY. UNIT — DESCRIPTION' RATE EXTENSION FEE- TOTAL_ 21.91 TON OUTGO.MSW spy 0.000 0.00 0.00 0.00 Y 5 � f)$ 1� mm4 I .....,..5 s _i p < � _� : • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-."-, NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,-DAY = TENDERED 'CHE K NO. SIGNATURE NO. ®332. 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.' V� 1 i .£ SHIP DATE: 1 COMPANY: t COMMODITY,SHIPPED: •"► r L-.1 t LOOSE: 1 f > (CU YDS) . BALES:.(COUNT) ,, TRUCK WEIGHT:- GROSS TARE - NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR'ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,.HAS BEEN PROPERLY- DESCRIBED,CLASSIFIED AND PACKAGED-.AND-IS IN PROPER-CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER - TRANS PORTATION/FREIGHT RANSPORTER -TRANSPORTATION/FREIGHT CO. / d TRUCK NO. - - I LICINSE NO/STATE: TRAILER NO. b ct LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED WATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 4 r . DRIVER: (PRINT NAME) (SIGNATURE) f^ - DESTINATION/ DISPOSAL LOCATION: _�? !/ . 1 AJOI 'Y-Lc PDATE DELIVERED: t ` L ' ADDRESS: - I HEREBY CERTIFY THAT THE ABOVE MATERIAUHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET I GRID I WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE ; 01 01460848 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - _DATE IN ' -DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 08/06/19 08/06/19 08:24 08:24 11107TC 009316 Town of Babylon REFERENCE e- Scale 2 Gross Wt. 85940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 51960 LB UNIT _ _ _ EXTENSION,` DFEE TOTAL' 25.98 O-UTGO.MSW 0.000 0.00 0.00 0.0 Pa t• CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 °' -- �� R NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY TENDERED° Z_ CHECK NO::J SIGNATURE SITE TICKET' GRID r; WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01460848 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/06/19 08/06/19 08:24 08:24 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85940 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 51960 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 o _P_. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.<- ' NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY. .. "' fi ',� �V TENDERED "y` '` • f''y 'CHANGE _CHECK NO. SIGNATURE N0. 0331 I GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION-OR TITLE OF ANY CARGO OR MATERIALS BEING-SHIPPED,AND DOES•N_OT"ASSUME ANY LIABILITY ASSOCIATED-WITH THE SHIPMENT OF SUCH-MATERIALS,' COMPANY: # •, " t i t s SHIP DATE: COMMODITY-SHIPPED::; LOOSE: J $} _•_) (CU YDS) BALES: (COUNT): . TRUCK WEIGHT: GROSS -s` 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 AC�CO`R'D^IING_TO APPLICABLE REGULATION. = t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER k'k;'j TRANSPORTATION/FREIGHT CO, r �F- t r.� ,g �-`�� J. r,� ,r TRUCK NO. LICENSE NO/STATE: . 3 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. r f DRIVER: - -A f (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL � j `-' ��-�` O LOCATION: 'u V�' � f � � DATE DELIVERED: ADDRESS: I 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 ,,,, J7 WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01461040 Steph PO Box 962/6155 Cox Lane sE- CUtChO9Ue, NY 11935 � `DATE IN y, BATE OUT TIME IN TIME OUT " -VEHICLE""=` 'ROLL OFF 08/07/19 08/07/19 08:00 08:00 11 107T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 40060 LB QTY _ ' UNIT 'DESCRIPTION-_ -,' RATE EXTENSION-_ 'FEE TOTAL 'J 20.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Op a A • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY TENDERED CHECK NO. SIGNATURE /`SITE1 TICKET; GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01461040 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 PATE,7N; DATE.OUT ,T'ME IN TIME OUT VEHICLE - - ROLL OFF.. 08/07/19 08/07/19 08:00 08:00 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 40060 LB OTY.,,, UNIT' DESCRIPTION RATE EXTENSION" ' FEETOTAL 20.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00 of Opera Ing ours odays a wee . b • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY TENDERED' CHANGE ' E.CHECK NO: • SIGNATURE NO. - 0,04-7, GENERATOR . i THIS MANIFEST IS FOR REFERENCE'PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF�ANY CARGO OR-MATERIALS, BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT-OF SUCH MATERIALS.— COMPANY: f ) r AT——P r1 SHIP DATE: - COMMODITY SHIPPED: W LOOSE: i 1 z (CU YDS) SALES: (COUNT): TRUCK WEIGHT: µ i i ;-_ GROSS TARE NET I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED'BY 40 CFR PART 260.10 OR-ANY . APPLICABLE STATE LAW,IS-NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART 261 OR ANY APPLICABLE STATE.LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.-AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) . TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 , 1'.! t TRUCK NO. ` `` LICENSE NO/STATE: a TRAILER NO. k`s LICENSE NO/STATE: I I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: (PRINT NAME)' (SIGNATURE) I I DESTINATION, j 4 DISPOSAL LOCATION: , 'i t ;`�.rr ;'{4 A IJt/! -F�:fJ ; 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 01461102 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 r ' °,DA�;IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 08/07/19 08/07/19 11:42 11:42 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75260 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39000 LB QTY UNIT DESCRIPTION RATE EXTENSION - FEE �TOTAL 19.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ptnating hums 7.00 AM to 5.ft PIVIT days CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "`` 0.00 24 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAYrp'J < _� � :,s Xrt¢ �.TENDERED r A, " V CHANGE CHECK NO SIGNATURE SITF- „ ' TICKET, , ,GRID ', W EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01461102 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _ -VEHICLE ROLL OFF 08/07/19 08/07/19 11:42 11:42 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 75260 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39000 LB QTY. UNIT DESCRIPTION' RATE ` EXTENSION FEE ,TOTAL' 19.50 TON OUTGO.MSW 0.000 0.00 0.00 000 C Operating Hours TO ays a wee , .^_ Y fid= • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685.��p_ 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAYa`' S' t q ' `° TENDERED CHANGE G ECK NO. SIGNATURE ,_. NO. GENERATOR . ' " THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR'TITLE'OF_ANY CARGO,OR,MATERIALS BEING-SHIPPED AND DOES NOTiA-SSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r_ � COMPANY: � Z1tA-1 1A ( t SHIP DATE:_ I COMMODITY SHIPPED:_ y` > t..) LOOSE: (CU YDS) BALES: (COUNT): ' ' TRUCK WEIGHT: " l i ,i. -GROSS 'li", ?`.-(a TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIWNFF EE"LIOUID AS DEFINED-BY 40"CFR PART 260.10 OR ANY APPLICABLE STATE,LAW,IS NOT HAZARDOUS WASTE AS DEFINED.BY 40 CFR PART 261 OR AN`Y 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) TRANSPORTER z TRANSPORTATION/FREIGHT CO. � ) N .'�r J iV TRUCK NO_ . = 4 , 1 LICENSE NO/STATE: i TRAILER NO:�' `� LICENSE NO/STATE: - - + �, ` I`FlEREB`( 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: ! .- \ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: r.1 ) DATE DELIVERED: ADDRESS: J I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED' IS TRUE AND ACCURATE: RECEIVED BY: AUTHOR IZED--AGENT(PRINT NAME) SIGNATURE/DATE KEY: - WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER - YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.- **JDJJ P_' I CATE TICKET" SITE I TICKET GRID WEfGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01461218 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _DATE OUT- TIME-1N TIME OUT VEHICLE ROLL OFF'_ 08/08/19 08/08/19 07:47 07:47 11107T 009316 Town of Babylon REFERENCE 1� Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 36400 LB QTY. } -, UNIT DESCRIPTION, : ' RATE<;, EXTENSION - r -FEE TOTAL 18.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.""7?, 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DMj_,', TENDERED-- ,CHANGE ENDERED-- CW E CHECK NO. SIGNATURE **DUPLICATE TICKET** GRIo ;' wEIGHMASTEFi SITE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 01 01461218 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE INS- ,DATE,OUT' TIME IW TIME OUB, VEHICLE ROLL OFF' 08/08/19 08/08/19 07:47 07:47 11107T REFERENCE 009316 Town of Babylon •- Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket 77 Manual Tare Wt. 36200 LB Net Weight 36400 LB QTY _ UNIT DESCRIPTION RATE _EXTENSION_ FEE __ TOTAL 18.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t i Opera Ing hours Tud AIVI to ays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,) ,+rz . ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALlDAY';4e" ' _ a`, ry $, TENDERED - ��• -CHECK NO: SIGNATURE NO. ® ®4 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY'ASSOCIATED WITH THE SHIPMENT"OFSUCH MATERIALS. G, COMPANY: ' { O'l"1-7-1-1 o f. 1 SHIP DATE: C� t COMMODITY SHIPPED:° ' LOOSE: I t ? (1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: - GROSS ' TARE 7 NET - I HEREBY CERTIFY THAT THE ABOVE,;NAMED-,MATERIAL DOES,NOT-CONTAIN FREE LIQUID AS-DEFINED'BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER-CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. z - - ` - -=.GENERATOR AUTHORIZED AGENT(PRINT NAME) '(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. b R TRUCK NO. • G1 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) g DESTINATION 5 _ f DATE DELIVEREDISPOSAL LOCATION: ( . D: ADDRESS: ti 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 01461282 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' ;DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/08/19 08/08/19 11:46 11:46 11 107T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 83020 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 42620 LB QTY UNIT DESCRIPTION-—— ` _RATE EXTENSION =_ 'FEE 7TOTAL 21.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating nours odays a wee : �'�,: �__ `:� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685"x^ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY; ,: .. �- Ry" TENDERED CHANGE CHECK NO SIGNATURE *„ GRIP ,,W , ,,,, SITE , TICKET', ,, „ ,, ,, EIGHMASTER ,,,,' DUPLICATE TICKET 7)1 SOUTHOLD TOWN DEPT SOLID WASTE 01 01461282 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN `DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/08/19 08/08/19 111:46 11:46 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83020 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 42620 LB QTY` UNIT, ' `DESCRIPTION' RATE" EXTENSION'" „' 'FEE;"'' TOTAL, 21.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 /fj�f/ �s g•._ _ J Operating hours 7:00 AM to 5:00 PM 7 days a week 4`s i` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76854, _ ;� ~ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL .`� r TENDERED ay�� �"'"" CHANGE CHIECKNO. ' SIGNATURE - NO. 0050 GENERATOR. THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OFANY CARGO. OR MATERIALS - BEING ATERIALS -BEING SHIPPED AND'DOES NOT-ASSUME ANY LIABILITY ASSOCIATED-WITH THE SHIPMENT OF.SUCH MATERIALS. . DLA-F 1 a , Z. COMPANY: 1 SHIP DATE: 1 E COMMODITY SHIPPED:, `t J LOOSE: BALES:(COUNT): v3r' TRUCK WEIGHT: ' ,'' 4F V t; GROSS " TARE = NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10'OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS'DEFINED-BY_40 CFR PART 261 OR ANY APPLICABLE,STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND-PACKAGED,AND IS IN`PROPER CONDITION'FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ' TRAILER NO._ LICENSE NO/STATE: � I i I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE"GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. fJ _ { { DRIVER:-- �) � (PRINT NAME) (SIGNATURE) DESTINATION � t I DISPOSAL LOCATION:, DATE DELIVERED: ( l 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: I "RECEIVED BY: AUTHORIZED AGENT(PRINT NAME), SIGNATURE/DATE = KEY: WHITE TO DISPOSAL LOCATION- GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET"' SITE TICKET GRID V{IEIGHMASTE( "" ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01461467 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_. =DATE OUT' _ TIME IN'TIME_OUT _° VEHICLE ROLL OFF--` 08/09/19 08/09/19 11:35 11:35 11 107T 009316 Town of Babylon IC REFERENCEL Scale 2 Gross Wt. 68980 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 32220 LB nQTY __ DESCRIPjION RATE , _" _ OExrENSION' FEE"'_,UN " 16.11 TON OUTGO.MSW 0.000 0.00 0.00 0.00 'Wr perating hours 7.0b AM to 5.df) PM7 day.c.vvuej� CLOSED HOLIDAYS-QUESTIONS CALL 631-73417-685.., — ks,. R A A, 0.00• NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYTENDERED 'CHANGE, CHECK NO." SIGNATURE "DUPLICATE TICKET" SITE GICKET GRID t' WEIGHMASTER;= SOUTHOLD TOWN DEPT SOLID WASTE 01 01461467 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN DATE OUT MEIN,TIME,OUT q; VEHICLE ROLLOFF 08/09/19 08/09/19 11:35 11:35 11 107T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 68980 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 32220 LB 4TY"' UNIT_;,,,, a DESCRIPTION` :'r,.k Y - No. 0 0 5 2. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR-DOES NOTTAKE POSSESSION OR,TITLE OF ANY CARGO OR'MATERI'ALS: . BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF.SUCH MATERIALS. .=-- COMPANY: IAT �� •i�ANSHIP DATE:-• - r COMMODITY SHIPPED: . LOOSE: i ��' •� (CU YDS) BALES:(COUNT): TRUCK WEIGHT: 3 f- `°` ": t 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 TO APPLICABLE REGULATION. GENERATOR AUTHOR IZED'AGENT(PRINT NAME) (SIGNATURE) ' TRANSPORTER f r Al TRANSPORTATION/FREIGHT CO. 141 t / i TRUCK NO. 4 LICENSE NO/STATE: TRAILER NO. I 3 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LISTED-ABOVE, AND-THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT-NAME) (SIGNATURE) DESTINATION. DISPOSAL- LOCATION: i 1�5 t� �` �f '= </ ?ti 1/1 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.' "DUPLICATE TICKET"" SITE "'" TICKET ;'GRID,'""_ WEIGHMASTE_R- ,,' '900tF15LD TOWN DEPT SOLID WASTE 01 01461392 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT__ TIME IN TIME OUT - `-VEHICLE -ROLL Off,' 08/09/19 08/09/19 07:47 07:47 11107T 009316 Town of Babylon Scale 2 Gross Wt. 96400 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 57700 LB QTy; UNIT DESCRIPTION „RATE„ ;;,, -,EXTENSION , FEE', TOTAL_, 28.85 TON OUTGO-MSW 0.000 0.00 0.00 0.00 o e ,tI,, pC Q s.doPIVIj-.' '� f'_ .p fc; .�,... -0e W�'t, mow; .,$ • • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:.,` 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY-e; g :l , 'TENDERED v' P •. -CHANGE, C ECK NO. SIGNATURE "* ** , SIRE TICKET".,. ,„ DUPLICATE TICKET Y., wEIGHMAsrEa, SOUTHOLD TOWN DEPT SOLID WASTE 01 01461392 Liz H PO Box 962/6155 Cox Lane ur TnnE"iiv ouT wEHlcie'„ Cutchogue, NY 11935 DATE IN DATEO TIME - ROLLOFF_ 08/09/19 08/09/19 1 07:47 07:47 11107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 96400 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 57700 LB QTY:. _ UNIT„„"°^ DESCRIPTION „ ,.= `• RATE <'< EXTENSION FEE TOTAL 28.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00 3 Operating hours o ays a wee <; .✓ �: " :,, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.<' .j. ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ;- ( ;`c '.° - TENDERED RANGE`�, >- CHECK SIGNATURE r - NO. ® ® 51 GENERATOR- 'THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITTLE OF ANY CARGO OR MATERIALS_ BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF-SUCH'MATERIALS. s COMPANY: _ ( i~ f ;f t 3 )f 1'� ; SHIP DATE: u COMMODITY SHIPPED: y 1�"'1 , W 1 j LOOSE: t 3 �•; (CU YDS) BALES: (COUNT): _ rig �1 } _ TRUCK WEIGHT: �= t GROSS % Ag; � 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. - f GENERATOR AUTHORIZED AGENT(PRINT NAME) --(SIGNATURE) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 4- LrICENSE NO/STATE: 6 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 01461607 Steph PO Box 962/6155 Cox Lane h` Cutchogue, NY 11935 DATE IN- DATE-OUT _TIMOUT: VEHICLE ,- ROLL OFF 08/10/19 08/10/19 07:19+0719 11107TC REFERENCE 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 81260 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 44260 LB QTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL 22.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ��' _L_:;✓ � .�4[j{�` y5� a_. rJ Operating hours o days a w—e-EK17L�✓ 5 c, "' i„J?` S .l • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7e685! W ` {`r, 0.00 r *, < d NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIALDAYp �.sjr,,:� � � TENDERED CHANGE CHECK NO:::j SIGNATURE SITE TICKET I GRID ` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01461607 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/10/19 08/10/19 07:19 07:19 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81260 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 44260 LB QTY. UNIT DESCRIPTION RATE EXTENSION > FEE TOTAL' 22.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 .L P Operating hours 7:00 AM to 5:00 PM 7 days a week-- CLOSED ee _CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,2W,° }.. ` 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALiDATENDERED, CHECK NO. SIGNATURE NO 0053 ' 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.T,HESHIPMENT OF SUCH MATERIAL'S. C,OMPANY:.. ` ( (,.T j 1 t L- ��t ' :, SHIP DATE: COMMODITY SHIPPED: LOOSE: i ct l3 (CU,YDS) BALES: (COUNT):, TRUCK WEIGHT: - '. ; CJ GROSS TARE - Y NET I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED BY 40 CFR-PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY, • - DESCRIBED,CLASSIFIED AND PACKAGED;AND IS-IN PROPER CONDITION FOS TRANS ORTATION ACCORDING"TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)- - TRANSPORTER TRANSPORTATION/FREIGHT CO. i i r I TRUCK NO. c LICENSE NO/STATE: TRAILER NO. 6 `'7 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 DATE DELIVERED: ADDRESS: - R I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER r YELLOW TO TRANSPORTER.- PINK TO GENERATOR GOLD TO GENERATOR " DISPOSAL LOCATION TICKET NO. SITE TICKET "' GRID w' WEIGHMASTER r SOUTHOLD TOWN DEPT SOLID WASTE 01 01461610 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _.ROLL OFF 08/10/19 08/10/19 07:42 07:42 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80700 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 46720 LB QTY UNlT.'„_ DESCRIPTION -RATE, EXTENSION FEE TOTAL 23.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 s }t L r >3 - ` Opera Ing hours odays a wee :; J�Y: a l 4A�a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685:� j - =" , A° `� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL;DAY t f f 1 TENDERED"I:, V�tCHANGE -CHECK NO: SIGNATURE SITE I TICKET I GRID „ WEIGHMASTER,, SOUTHOLD TOWN DEPT SOLID WASTE 01 01461610 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME11 IN TIME OUT ICL ROLL Cutchogue, NY 11935 E L-OFF 08/10/19 08/10/19 07:42 07:42 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80700 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 46720 LB QTY UNIT DESCRIPTION RATE - EXTENSION = FEE TOTAL 23.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 "t r-v ip ton ^7 t �4;. Operating hours 7:00 AM to 5:00 PM 7 days a week.' . ��: r� _ -✓ ;;' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,z7 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY�;! _ � �,, TENDERED `.s CHANGE - CHECK NO SIGNATURE NO 0337 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-WIT.H,THE SHIPMENT'OF SUCH MATERIALS. COMPANY: ^ SHIP DATE: COMMODITY SHIPPED: - LOOSE: E "`:; (CU YDS) BALES: (COUNT,): TRUCK WEIGHT: :',: -� -: GROSS, b TARE Li ta%� 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- TRANS PORTATION/FREIGHT RANSPORTER,TRANSPORTATION/FREIGHT CO. TRUCK NO. `> LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT-THE GENERATOR SITE LISTED ABOVE, AND'THAT IT�WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME)r (SIGNATURE) DESTINATION DISPOSAL LOCATION: r` . '' DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE 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 z SOUTHOLD TOWN DEPT SOLID WASTE 01 01462131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ; _DATE IN - -pATEOUT TIMEIN TIME OUT VEHICLE , _ - ROLL OFF .. 08/12/19 08/12/19 07:51 07:51 11 107T 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 83220 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44520 LB '77-077 UNIT 'DESGRIF*TION RATE, EXTENSION,' FEE_ TOTAL_ 22.26 TON OUTGO.MSW 0.000 0.00 000 0.00 Y i Ijerating hotirs:7.eb AM to 5.60 PM7 day.c.Wee . CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,-DAY TENDERED, ` CHA GE• CHECK NO, SIGNATURE STiE TICKET GRID - WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01462131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'66rr TIME IN TIME t3UT VEHICLE „ ROLL OFF 08/12/19 08/12/19 07:51 07:51 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83220 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44520 LB QTY. - UNIT DESCRIPTION RATE .EXTENSION FEE" TOTAL 22.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY 'TENDERED .'CHANGE- - CHECK NO: SIGNATURE NO. 0054 -GENERATOR` THIS MANIFEST-IS FOR-REFERENCEPURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND'DOES-NOT ASSUME ANY LIABILITY ASSOCIATED-WITH THE SHIPMENT OF SUCH MATERIALS. '� ► ' COMPANY: 0 IA C11 SHIP DATE: COMMODITY SHIPPED: LOOSE: ) O t' (CU YDS) BALES: (COUNT): TRUCK WEIGHT:' GROSS TARE NET I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY_40'CFR PART 260.10 OR ANY' APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER-CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION.-- GENERATOR EGULATION.-GENERATOR AUTHORIZED AGENT(PRINT NAME), �� (SIGNATURE)' I TRANSPORTER Al TRANSPORTATION/FREIGHT CO. ,rte } t. ` ,?Al A � 4 TRUCK NO. 4t LICENSE NO/STATE: TRAILER NO. r LICENSE NO/STATE: 1-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: y I\,j- l r\J A I , 1A ;, ( DATE DELIVERED: ) � ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE(DATE KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - SITE -TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01462213 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oaT> Ity SATE OUT" TIME[IV rtME oiiT VEHic�E Roil QEF .v. 08/12/19 08/12/19 11:34 11:34 11107TC 009316 Town of Babylon Scale 2 Gross Wt. 77280 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 40520 LB QTY UNIT'' DESCRlPTi0t3 _ -_ RATE EXTENSION' -,,,FEE TOTAL 20.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f<� ' FaAAM . CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685.' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY; TENDERED CHECK NO. SIGNATURE SITE TICKtTGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462213 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 .DATE 14V DATE OUT TIME IN TIME OUT VEHICLE, ROLLOFF 08/12/19 08/12/19 11:34 11:34 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77280 LB Outbound-Charge ticket 7 Manual Tare Wt. 36760 LB Net Weight 40520 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL:, 20.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00 z Op o sdays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'1685..- 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY -TENDERED_": RANGE - CHECKNOr-= " SIGNATURE NO 005.6 :- GENERATOR- THIS ENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION-OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES-NOT ASSUMEANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.-' i COMPANY: -�i G! i i,t ! l 1 1 SHIP-DATE: COMMODITY SHIPPED:' LOOSE: L) i (CU YDS) - BALES: (COUNT): TRUCK WEIGHT: '1 r) GROSS TARE ti 1 �1 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATIO ACCORDING TO AL'ICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) o_ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. f �! L/ICENSE NO/STATE: TRAILER NO. 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED"MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. '" / e DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: (. 's t !11�`Ot ! /1 t 1 �L (_i f*J DATE DELIVERED: (_ , IJ 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. f, t i SITE TICKET ; GRID MtIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01462459 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 II aa +nx_.- ;iATE our TinnE ltv.=TIME uuT 08/13/19 08/13/19 11:48 11:48 11107TC 009316 Town of Babylon REFERENCE, ORIGIN Scale 2 Gross Wt. 91040 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 54820 LB QTY- UNIT DESCRIPt10N - = RATE EXTENSION 'FEE, TOTAL 27.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY TENDERED. CHANGE ' CHECK NO . SIGNATURE SIMI TICKET GRtD WEIGNfv1ASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462459 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D 4TE,tIV PATE Oi tT . TIME tti' fiME flliT. ,VEHICLE 08/13/19 08/13/19 11:48 1148 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91040 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 54820 LB =QTY UNIT DESCRIPTION RATE EXTENSION "FEE TOTAL- 27.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 z I , Qpera Ing ours o days a wee • G+LOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. '� j 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DAY TENDERED' CHECK NO' SIGNATURE NO. 005 6-- GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSE&ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO,OR-MATERIALS BEING SHIPPED AND DOES NOTaASSUME ANY LIABILITY ASSOCIATED•WITH THE SHIPMENT,OF SUCH MATERIALS. j COMPANY:' - a 0� 1 ,4 i _i f x t °,. SHIP DATE'- t i L4 SHIPPED: v I' '7 .- f LOOSE: i L (CU YDS), . BALES:(COUNT): . ' TRUCK WEIGHT: ' ~`}` u GROSS- ' . TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40-CFR PART-26010�OR-ANY" APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE-AS DEFINED.BY 40 CFR PART 261'OR ANY APPLICABLE STATE.LAW,.HAS BEE V ROPERLY'. DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPOR AT TION•ACCOR�•-TQ=APPLICABLE-REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER l TRANS PORTATION_/FREIGHT CO. TRUCK NO. �'} LICENSE NO/STATE: TRAILER NO. t �/ LICENSE NO/STATE: j 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)) mss" (SIGNATURE) DESTINATION ' DISPOSAL LOCATION: 1 I1 ? t I /� i / ,%�` �,_! NJDATE DELIVERED: t� 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 TICKET_ GRID_ ' WE_I_GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ­ 014 01462371 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ° DATE OUT,.=TIME IN=TIME OUT `VEHICLE ROLL OFF, 08/13/19 08/13/19 07:56 07:56 11107T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 95280 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 59060 LB UNIT, _ QTY`_ DESCRIPTION RATE_. EXTENSION ` FEE; TOTAL . 0 0.00 0.00 0.00 r � 3 A CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'1 - . NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL""DAY, `', f TENDERED ' „ y CHANGE` CHECK,NO.- SIGNATURE SITE TICKET - GRID WE16HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462371 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT -TIME IN TIME OUT I ' VEHICLE ROLL OFF_ 08/13/19 08/13/19 07:56 07:56 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 95280 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 59060 LB QTY.' UNIT , „ ',DESCRIPTION RATE' EXTENSION', FEE TOTAL' ,, 29.53 O GO. 0.000 0.00 0.00 0.00 VeFat*Rg he1dFG7Q@ AM to CLOSED HOLIDAYS-QUESTIONS CALL 631-734;7685.0 ry NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY, "'TENDERED - p , F. CHANGE SIGNATURE NO. ®Q5U - 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 F SUCH MATERIALS:� COMPANY: tai 1' -�( P ?1 SHIP DATE: i c/ COMMODITY-SHIPPED;,- LOOSE: EJ �% (CU,YDS) BALES: (COUNT): TRUCK',WEIGHT:.. ` XjJ GROSS 26 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- . , �p e, TRANSPORTATION/FREIGHT CO. �! P ,'J r `' / j`f} �,,j j r 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) � � I DESTINATION4 DISPOSAL LOCATION: , ;`'\ 1. DATE DELIVERED: l ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: Y RECEIVED BY: AUTHORIZED AGENT(PRINT-NAME)• - SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR I GOLD TO-GENERATOR DISPOSAL LOCATION TICKET NO., 1 "DUPLICATE TICKET" SITE, ' TICKET I "GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462573 Steph PO Box 962/6155 Cox Lane t' Cutchogue, NY 11935 DATE IN ='DATE OUT "TIME IN' TIME OUT = VEHICLE ROLL OFF 08/14/19 108/14/19 11:22 11:22 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 48880 LB QTY. =. UNIT- --: DESCRIPTION —' RATE %EXTENSION` - FEE '=TOTAL .06 ADA to s-pbPM 7.days a �01191111 VLSI CLOSED HOLIDAYS-QUESTIONS CALL 631-734-4685:;p NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL3D'AY _TENDERED p- A CHANGE CHECK NO. SIGNATURE ""`DUPLICATE TICKET"" SITE T(CKET*"' i` INEIGHMASTER j SOUTHOLD TOWN DEPT SOLID WASTE 01 01462573 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT VEHICLE `ROLL OFF 08/14/19 108/14/19 11:22 11:22 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 48880 LB Q1Y UNIT DESCRIPTION"- RATE, EXTENSION, .' FEE' TOTAL 2 r FT 7 J l a 4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '> NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL=DAYF=. TNI a^.'. —TENDERED t ` CHECK N SIGNATURE - NO. - O® 5 . GENERATOR THIS MANIFEST,IS-FOR REFERENCE PURPOSES ONLY.`GENERATOR DOES NOT TAKE-POSSESSION,OR TITLE OFANY-CARGO OR MATERIALS - , BEING�SHIPPED AND DOES NOT ASSUME ANY LIABILITY'ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.. _ COMPANY: 0 U .F �"� �J � � SHIP DATE: 2 114 1 I cl COMMODITY, SHIPPED: LOOSE: (CU YDS) _ BALES: (COUNT): TRUCKWEIGHT: ' " '1 _ GROSS . TARE ! A 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.APP-LICABLE REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) C _-� (SIGNATURE) TRANSPORTER- TRANS PORTATION/FREIGHT RANSPORTER-TRANSPORTATION/FREIGHT CO. TRUCK NO. 4 ") ,LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS}PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS• DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) / (SIGNATURE), DESTINATION p` �j #j� !^y r � DISPOSAL LOCATION: -6 /\I l 1 A f (I DATE DELIVERED: ADDRESS: \_ 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL,LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER., PINK TO GENERATOR y GOLD TO GENERATOR DISPOSAL LOCATION-TICKET NO. I SITE 'TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01, 01462529 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE `-ROLL OFF 08/14/19 08/14/19 07:55 07:55 11107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85500 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 48680 LB Qw.._4 UNIT -DESCRIPTION RATE EXTENSION_ FEE TOTAL 24.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Ni , it Z _7 F Y M..a m }ggpW i g0' �"�eb t�,sl}• r teas P CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.7''> 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAtL7DAY,y1 ' ,;;6 ;. ?i, ' TENDERED raw CHANGE CHECK NO. SIGNATURE SITE TICKET GRID„ WEIGHMASTER ' " SOUTHOLD TOWN DEPT SOLID WASTE 01 01462529 i Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE I ROLL OFF 08/14/19 08/14/19 07:55 07:55 11107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85500 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 48680 LB QTY. °UNIT DESCRIPTION ` RATE EXTENSION "' 'FEE -TOTAL 24.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 F FD ,t - 'i f� Opera Ing ours o ays a weep CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6. 4� '-_ : , ' _" 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAYt� e, TENDERED --`CHANGE CH SIGNATURE NO. 058 - GENERATOR = THIS,MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY-CARGO OR MATERIALS 'BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF'SUCH MATERIALS: (' _ COMPANY: �}{i 1j,j Z {`� t �} SHIP-DATE: v I COMMODITY SHIPPED: r•, LOOSE: E 1 (CU YDS) , BALES: (COUNT): TRUCK WEIGHT: :' ;'% ! GROSS y , `` { •' TARE_ NET HER CERTIFY Y 40-CFR PART 2 .10 OR ANY I HEREBY CE THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED B 60 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 GENERATOWAUTHORIZED AGENT(PRINT NAME) 1 (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. P' 4 TRUCK NO. "t `? LICENSE NO/STATE: TRAILER NO. I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) f' DESTINATION 7 DISPOSAL LOCATION: w;/i n! /\fn A f JAi"�'��� (LOr,') 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.,- r • o*';:PLICATE TICKET** SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462690 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN =DATE OUT- TIME IN TIME OUT -VEHICLE' I ROLL OFF-- 08l15/19 08/15/19 07:48 07:48 11 107T - 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 40180 LB QTY UNIT ,. --' - DESCRIPTION RATE EXTENSION- FEE TOTAL --Tor- 0.00 ho.-FA 7.0b AM tm El 1244 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.",�:; - .r �. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAYj;/" TENDERED 4 7 �CRII CHECK SIGNATURE **DUPLICATE TICKET** sIT� ` TIc+�Er,,,,, `GRID .,, wE1GHrna §TER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01462690 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 6ATE1N, DATE'OUT'" TIME 1W TIME-OUT, VEHICLE n6LoFF 08/15/19 08/15/19 07:48 07:48 11 107T 009316 Town of Babylon REFERENCE 'ORIGIN Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 40180 LB QTY UNIT ' DESCRIPTION RATE _t EXTENSION " FEE -:,TOTJ'�20.09 O O GO. 0.000 0.00 0.00 0.00 IV, Pl- CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685r � NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY/ ' t= �' TENDERED-'- CHECK ENDERED'CHE K NO. SIGNATURE 1r� 1 NO. ® 333 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: , u 1 VA ('1 t, SHIP DATE: COMMODITY SHIPPED: LOOSE: tt (l (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: _ ` Q GROSS TARE I f C. '�- ) NET I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY 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. . z II GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)' - TRANSPORTER / ,LI TRANSPORTATION/FREIGHT CO. r U VJ TRUCK NO. A r 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. �•.•'"fir DRIVER: (PRINT NAME) �l (SIGNATURE) } DESTINATION,," DISPOSAL LOCATION: - ,% � )t ! {�', f 1 s [� 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 ,SOUTI4LD TOWN DEPT SOLID WASTE 01 01462757 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN__ =DATE OUT TIM0N TIME OUT VEHICLE ROLL OFF" 08/15/19 08/15/19 11:26 11:26Ll107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 71080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34820 LB QTY-` " UNIT __ DESCRIPTION- -RATE EXTENSION -FEE TOTAL 17.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 _f µ t;'Z 4 s 1111111111111111109a""09 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E `-- Ir 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY-:' TENDERED CHANGE CHECK NO. ° SIGNATURE , ER;* DUPLICATE TICKET* NEfGHMAST , SOUTHOLD TOWN DEPT SOLID WASTE 01 01462757 Liz H PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATE IN , _-DATE OUT TIME IN TIME OUT = VEHICLE ROLL OFF 08/15/19 08/15/19 11:26 11:26 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 71080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 34820 LB QTY. ` UNIT '; ,.=DESCRIPTION RATE , EXTENSION FEE",, " TOTAL." 17.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �.w ' 1 fY Operating hours 7:00 AM to 5:00 PM 7 days a wee � 'rM__ °„ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'x,;^q¢ �� 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY=$= `'' qE „i � ` . g.' ;r; TENDERED - . >-:u - _CHANGE , CHECK NO."' '" SIGNATURE . C NO. 0334 GENERATOR'. THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE POSSESSION OR�TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NQT�ASSUME ANY-LIABILITY ASSOCIATED-WITH THE SHIPMENT OF-SUCH MATERIALS.- ( II COMPANY: } LA i i,•! i SHIP DATE: COMMODITY SHIPPED-.- LOOSE: HIPPED-:LOOSE: J (CU YDS) , BALES: (COUNT): TRUCK WEIGHT: 3 'i--' o C, GROSS = 0 f f TARE r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY 'DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER-CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) " TRANSPORTER I TRANSPORTATION/FREIGHT CO. TRUCK NO. i / LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ; :^t - (PRINT NAME) !�� (SIGNATURE) . I DESTINATION DISPOSAL LOCATION: , t 'i�l (� ) 'T i=L � _ �� DATE DELIVERED: = ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER - YELLOW TO TRANSPORTER. PINK TO GENERATOR q GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i "EjUP„LICATETICKET*" SITE , ' TfCf<ET.. 'GRID wEt HnnA5TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462943 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - -DATE OC}T' TIME IN TIME OUT _VEHICLE' RDLL`OFF=_ 08/16/19 08/16/19 11:03 11:03 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 74540 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 37720 LB QT1-,"- UNIT DESCRIPTION;_ , RATE EXTENSION- FEE TOTAL 18.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 7 clays a week., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED -' CHAN E -CH CK N SIGNATURE "DUPLICATE TICKET" rSITEJ TICKET i GRID YVEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462943 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,;DATEPUT 'TIME,IN< TIMEOUT VEHICLE ROLLOFF 08/16/19 08/16/19 11:03 11:03 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 74540 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Wei ht 37720 LB QTY UNIT„ DESCRIPTION RATE " 'EXTENSION FEE TOTAL 18.86 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 - 'CH NGE' CHECWNO: SIGNATURE NO . 0061 -GENERATOR' = ' THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF.ANY-CARGO OR MATERIALS BEING-SHIPPED AND-DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f i� fSHIPCOMPANY: DATE: COMMODITY,-SHIPPED 1101 �. LOOSE: t 1 i (CU YDS), , BALES: (COUNT): TRUCK.WEIGHT: q 1='' GROSS = . (t: n TARE =i 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 TRANS PORTATIO_WACCORDING TQ APPLICABLE- REGULATION GENERATOR-AUTHORIZED AGENT(PRINT NAME). (SIGNATURE) ' T _ _ TRANSPORTER TRANSPORTATION/FREIGHT CO. . r TRUCK NO. LICENSE NO/STATE:- TRAILER O/STATE:TRAILER NO: - LICENSE NO/STATE: E ,•. 1 ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS - DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ° DRIVER: r� f i (PRINT NAME) ( (SIGNATURE)� I DESTINATION/`'! DISPOSAL LOCATION:( _L"Itl N1\F f A IA Y DATE DELIVERED: ADDRESS: V 6 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: Y AUTHORIZED AGENT(PRINT NAME) '. SIGNATURE/DATE KEY: WHITE TO DISPOSAL-LOCATION tt GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. `CWF0CATE TICKET" SITE ,"`-,. TICKET - GRIDWEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462884 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT TIME IN TIME OUT 'VEHICLE ROLL OFF 08/16/19 08/16/19 07:38 07:38 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45340 LB QTY. UNIT'' -DESCRIPTION RATE_ ' "EXTENSION =" FEE',' TOTAL- 22.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 2 nf t4' 7, Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY, r TENDERED,,,, "',CHANGE: CHECK NO SIGNATURE "DUPLICATE TICKET" (SITE TICKET,;:_ GRID m -, ",WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01462884 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/16/19 08/16/19 07:38 07:38 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82340 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45340 LB - =QTY. UNIT -DESCRIPTION RATE EXTENSION FEE TOTAL 22.67 TON DUTGO.MSW 0.000 0.00 0.00 0.00 r IN Operating Hours o dap a e y , Y CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,;" -_ - 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,-DAY r .r >,, TENDERED CHANGE CHECK NO::! SIGNATURE No. 0060 GENERATOR THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOR-DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES-NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT,OF SUCH MATERIALS. COMPANY: , _ C $ } t i SHIP DATE:- a COMMODITY SHIPPED: 1-_yr LOOSE: i 'r t 1 (CU YDS) .' - e BALES: (COUNT): " TRUCK WEIGHT: f r GROSS t TARE L.) cam ''` 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) - I TRANSPORTER 5 TRANSPORTATION/FREIGHT CO. r r U/ /A° i r TRUCK NO. LICENSE NO/STATE: TRAILER NO. -' LICENSE 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. p. DRIVER: a�fr..--�•�- (PRINT NAME) :y (SIGNATURE) yDESTINATION DISPOSAL LOCATION: ��iv I� ry A i� f Y ��` 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. i i SITE -TICKET, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463662 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D*E' IBJ= 'AD ATE OUT : TIME IN TIME-OUT VEHICLE_ ROLL OFF 08/19/19 08/19/19 11:12 11:12 11114TC REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 38120 LB QTY. ,UNIT_ DESCRIPTION -RATE. EXTENSION - --FEE TOTAL 19.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t t, et2 tr' ,t ''Fi . , .3 IN Opera Ing ourso ays a wee ., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY, TENDERED ­ CHANGE , CHECK NO' SIGNATURE t SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463662 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT' ' TIME'IN TIME OUT VEHICLE ROLLOFF ' 08/19/19 08/19/19 11:12 11:12 111114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 38120 LB FQ-Try 'UNIT= DESCRIPTION RATE, EXTENSION r FEE „TOTAL 19.06 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 MEMORIACDAY TENDERED - CHANGE ` CHE K NO 9 SIGNATURE _ J NO. 0063 GENERATOR -THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS =_ BEING SHIPPED AND DOES.NO`T�''ASSUME ANY LIABILITYY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS. . COMPANY: c 1�;FJi i 1. r;, !_ ) 1 SHIP DATE: r1 Y • 7 _ COMMODITY-SHIPPED: LTJ LOOSE: ll (CU YDS) BALES: (COUNT):- TRUCK WEIGHT: p 'f ? GROSS j TARE NET- I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY- APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 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) - ff (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 1".3 1 �-%" L) I TRUCK NO. ; LICENSE NO/STATE: - J 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) r f DESTINATION DISPOSAL LOCATION: ',UIA-1�� J d� , ! t r �. t DATE DELIVERED: - A. 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. SITE I - TICKET °` GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463596 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT TIME IN,TIME OUT VEHICLE ROLL OFF 08/19/19 08/19/19 07:49 07:49 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82240 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45240 LB "QTY." °' UNIT , `- DESCRIPTION r ` " ', RATE _ - EXTENSION FEE TOTAL ° 22.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , Opera Ing hours odays a wee K, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-'DAY ' TENDERED -,'CHANGE', CHECK NO. SIGNATURE SITE 'TICKET GRID < ° WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463596 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME.OUT VEHICLE ROLL OFF 08/19/19 108/19/19 07:49 07:49 111 14T 009316 Town of Babylon REF ERENCE Scale 2 Gross Wt. 82240 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 45240 LB QTY UNIT, DESCRIPTION RATE " _ EXTENSION FEE, TOTAL 22.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t` Opera Ing nours I=AM to ays a wee ;A • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685., ° _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED, CHANGE- CHECK NO. SIGNATURE NO. 0062 GiENERATOR' - - - ' THIS MANIFEST IS FOR REFERENCE PURPOSES'ONL-Y.`GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITHTHESHIPMENT OF SUCH MATERIALS. COMPANY: d i!s i i F L .i SHIP DATE: COMMODITY SHIPPED: ` 3 F LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS 3 TARE ` a N 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 PORT,ATION ACCORDING TQ`APyP-L-IIC�ABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER J TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW f, DRIVER: (PRINT NAME) :i' . _ _(SIGNATURE) ' DESTINATION\ DISPOSAL LOCATION: z t a`ti Ap"I f d ? :A1 � J� r` a'`�I 1 DATE DELIVERED: i cl `� J c� ADDRESS. \' /� 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET** SITE ___.TICKET, -, , GRID WEIGHMASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01463785 Dan PO Boz 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, 'ATE OUT TIME IN TIME OUT "' `VEHICLE ROLL OFF 08/20/19 08/20/19 1 08:03 1 08:03 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75060 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 38060 LB QTY. UNIT DESCRIPTION _ RATE_= _:_ EXTENSION- FEE TOTAL" 19.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00 uperating hourg o ays a wee I . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED', CHANGE ' CHECK NO'. SIGNATURE **DUPLICATE TICKET** ^SITE ., TICKET GRID , WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463785 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/20/19 08/20/19 08:03 1 08:03 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75060 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 38060 LB - QTY. UNIT _DESCRIPTION RATE EXTENSION FEE- - TOTAL 19.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00 v,S ' Opera Ing liours odays a wee - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`,' ' - - 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY TENDERED" CHANGE CHECK NO." " SIGNATURE NO.- 0064 . GENERATOR= _ THIS MANIFEST•IS'FOR REFERENCE PURPOSES ONLY!"GENERATOR DOES-NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS <r BEING SHIPPED AND-DOES.NOfT-7ASSUME'ANY,LIABILITYASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r COMPANY:,= �) i � 1 t r - SHIP DATE: COMMODITY SHIPPED: u/ - LOOSE: I (CU YDS) BALES: (COUNT):' = TRUCK WEIGHT: r# A GROSS `7 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 NY-- 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 ISIN PROPER CONDITION'FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ti--f (SIGNATURE) TRANSPORTER - TRANS PORTATION/FREIGHT RANSPORTER -TRANSPORTATION/FREIGHT CO. / V 1 r ) 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_ : (PRINT NAME) (SIGNATURE) r DESTINATION y DISPOSAL-LOCATION: 1 1 ! ✓/ �f f` DATE DELIVERED: ° 12 f I ADDRESS: I HEREBY CERTIFY THATTHE'ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED { IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR, i GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463967 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ``DATE IN- ,-`-DATE OUT TIME_-IN TIME OUT VEHICLE ;ROLL OFF 08/21/19 108/21/19 07:18 07:18 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91380 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 52680 LB QTY_ _ UNIT - - --_DESCRIPTION _ RATE EXTENSION FEE TOTAL ail, ,t,` ';. Z ")? f` s CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-aDAY�e TENDERED JJ 'CHECK NO SIGNATURE **DUPLICATE TICKET** SITE " TICKET GRID WEIGHrNAS,ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01463967 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN --,DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/21/19 08/21/19 07:18 07:18 111 14T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 91380 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 52680 LB QTY.- UNIT DESCRIPTION RATE"- EXTENSION - FEE ,TOTAL 6.34 MIT— G0.000 0.00 0.00 0.00 o = a CLOSED HOLIDAYS-QUESTIONS CALL 631-734 X7685: NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY�� 's,^ t a� TENDERED --`CHANGE CHECK NO. SIGNATURE " NO. ® 06-� - GENERAT•OW'. THIS MANIFEST IS FOR REFEREN,-E PURPOSES ONLY:GENERATOR DOES NOT:TAKE POSSESSION ORTITLE-OF�ANY CARGO OR MATERIALS - -BEING SHIPPED AND DOES NOT�ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT.OF'SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED:_' li 1✓ti-} LOOSE: :L (CU YDS)'-- BALES: (COUNT): TRUCK_ WEIGHT:_ - : ( `� S= GROSS, } TARE LA 01 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=TRANSPORT TION ACCORDING Q APPLICABLE REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)- ~ TRANSPORTER TRANSPORTATION/FREIGHT CO. i i r�_1 i �. j t N 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: (PRINT NAME) r�J � _ (SIGNATURE) DESTINATION DISPOSAL LOCATION: i/_A f\J_j A A o., l DATE DELIVERED: ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: ' RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.- t ' SITE TICKET'^. GRID WEI&KkSTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464018 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 bATE,IN DATEOU7 TIMEIN TIME OUT " ' VEHICLE ROLLOFF 08/21/19 08/21/19 10:44 10:44 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87880 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 50880 LB QTY. UNIT QESCRIPTION RATE- : ^ EXTENSION FEE_ TOTAL_ 25.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r,e O CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ,',' -TENDERED 'CHECK NO. SIGNATURE SITE TICKET GRIP WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01464018 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ' DATE OUT TIME,IN TIME OUT VEHICLE ROLL OFF 08/21/19 108/21/19 10:44 10:44 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87880 LB Outbound-Charge ticket Manual Tare Wt. 37000 LB Net Weight 50880 LB QTY UNIT - DESCRIPTION. RATEEXTENSION FEE TOTAL - 25.44 TON OUTGO.MSW 0.000 0.00 0.00 000 ,l a Q CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED ANGE - CHECK NO.' SIGNATURE - NO. : --®0 6 6• GENERATOR THIS MANIFEST.IS FOR REFERENCE-PURPOSES ONLY.-GENERATOR ff_OESNOT TAKE POSSESSION OR TITLE OF ANY CARGO ORWATERIALS BEING SHIPPED AND-DOES NOT`ASSUME ANY LIABILITY ASSOCIATED WITH'THE.SHIPMENT OF SUCH MATERIALS. COMPANY: - a ;t i �_I ' 11 ' N SHIP DATE:. COMMODITY--SHIPPED:- `%?� _`'� IA J - LOOSE: . a (CUY-DS) BALES: (COUNT):. TRUCK WEIGHT: '~ GROSS- - JV 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 LAWJS NOT`HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY _ W DESCRIBED,-CLASSIFIED AND•PACKAGED.AND IS,IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) { " -` (SIGNATURE)- - TRANSPORTER f r r f TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 15 —) 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 21 DISPOSAL LOCATION: ! r 4 1 ! !,moi J-1 1 t�'\ �, J� 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 RANSPORTER.PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - J *�bIIPLICATE TICKET"* SITE TICKET 'GRID' wEIGHMASTER S§WHOLD TOWN DEPT SOLID WASTE 01 01464192 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT -TIME IN TIME OUT °VEHICLE 'ROLL OFF 08/22/19 108/22/19 11:41 111:41 11114TC 009316 Town of Babylon REFERENCE- Scale 2 Gross Wt. 93480 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 56860 LB QTY UNIT ._ : ' _ DESCRIPTION RATE EXTENSION - 'FEE - <TOTAL 28.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 rt. CR 1 y �v7 Operating hours odays a wee w mud - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:x,,, -' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY r== � �� v { TENDERED CHECK NO ' --j SIGNATURE "DUPLICATE TICKET" SITE -'TICKET,"" "" GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464192 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ROLL OFF 08/22/19 08/22/19 11:41 11:41 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 93480 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 56860 LB QTY "RATE" EXTENSION FEE TOTAL' 28.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r Operating hours 7:00 AM to 5:00 PM 7 days a week:`, d' 1�-a f, ^i • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x., -_mow 4 {,� 0.00 MI"= Mf,1 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALLtDAI' f jrvd` "fy _ }}p�`gq��yq-1 ,`� TENDERED s ' w f= - _'__CHANGE CHEC NO:�j SIGNATURE NO. , 0068 GENERATOR - THIS MANIFEST-IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR-TITLE OF ANY.CARGO OR MATERIALS-- BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE.SHIPMENT OF SUCH MATERIALS. i COMPANY: ' ; . r fT ; { , I SHIP DATE: COMMODITY SHIPPED: L 1 .j r V LOOSE: l ; 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ��� ` s ' 4 GROSS - I TARE 1`, r. 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 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. ? 4 LIICENSE NO/STATE: TRAILER NO. I ' `; LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: t ;; A, I Al / � .-�': �i r�.l � DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATORS ,4 GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DdPlKATE TICKET" l(SrrEj TIC;KEf -GRID WEIG HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464132 Liz H PO Box 962/6155 Cox Lane -DATE IN DATE OUT. '�TIMEINITIMIEOUT '`"' VEHICLE OW Cutchogue, NY 11935 — I - I I — - - H C�E_ 1 08/22/19 08/22/19 08:01 108:01 1 11114TC 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 o 'DESCRIPTION RATE-,-, EXTENSION FEE TOTAL 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-,7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORiAL'DAY TENDERED CHECK NO'S, 1 SIGNATURE "DUPLICATE TICKET" SITE j TICKET GRIL] w I EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464132 Liz H PO Box 962/6155 Cox Lane I DATE IN' , 'bmeov­ TIME -TIME 60T VEHICLE, ROLL PFF Cutchogue, NY 11935 009316 Town of Babylon 08/22/19 08/22/19 108:01 1 08:01 11114TC REFERENCE .- Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 48760 LB - QTY. UNIT,' ', -,DESCRIPTIOW_ RATE EXTENSION -FEE TOTAL, 24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera mg nours 7:uU AIVI to 5:00 PIVI 7 days a weeK, Ilk W_A CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685.,, , 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY< TENDERED". • CHANGE 77 CHECWNQ SIGNATURE NO. _ ® ® 67 : GENERATOR.- --THIS MANIFEST IS-FOR REFERENCE-PURPOSES ONLY:GENERATOR DOE&NOT.TAKE POSSESSION OR TITLE OF'ANY CARGO'OR MATERIALS BEING,SHIPPED AND-DOES NOT(ASSUME'ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH•MATERIALS. - f COMPANY: �� l�, [A T I I t s I SHIP DATE:- ! { COMM6DITY SHIPPED: f( LOOSE: ) >. r ; (CU YDS), BALES,: (COUNT): TRUCK WEIGHT ',7y3 `,,73 6 GROSS , F� '? (� t TARE "I (r f NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY -DESCRIBED,CL'ASSIFIED•AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION: r i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICE4SE 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) (SIGNATURE) ' DESTINATIONAli DISPOSAL LOCATION: i- ; tt +f / J f' l I 1 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED- IS TRUE AND ACCURATE: RECEIVED BY: - - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER " YELLOW TO TRANSPORTER. PINKTO G_ENERATOR GOLD=TO GENERATOR -_DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET GRID, WEIGHMASTER S6UTHOtD TOWN DEPT SOLID WASTE 01 01464382 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -,DATE OUT TIMEIN TIME OUT VEHICLE I ROLL OFF 08/23/19 08/23/19 11:39 11:39 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 99280 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 60580 LB 7 QTYv r UNIT -`_ DESCRIPTION - RATE EXTENSION FEE - -TOTAL 30.29 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 CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE F, °'TICKET, GRID"° wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464382 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/23/19 08/23/19 11:39 11:39 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 99280 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 60580 LB QTY. - ;.UNIT, - DESCRIPTION „ - RATE EXTENSION' „', FEE -TOTAL 30.29 TON OUTGO.MSW 0.000 0.00 0.00 0.00 L •;A Opera Ing nours 7:06 AM t0tmb PmtdaysaWeeK.' • G-. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`- 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY _TENDERED CH NGE 'C ECK N . SIGNATURE _ NO. 00-70 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 AlU .A SStt MENY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH•MATERIALS.� , Lr C P� - - COMPANY: �' 1 �) l l SHIP DATE: ' . COMMODITY SHIPPED: NI A j LOOSE: f 4 (CU YDS) BALES: (COUNT):- TRUCK WEIGHT, `I F Q - GROSS i-To 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 EGULATION:GENERATOR AUTHORIZED AGENT(PRINT NAME)' - (SIGNATURE) TRANSPORTER P TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. l LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: C J (PRINT NAME) (SIGNATURE) LSTINATION DISPOSAL-LOCATION: J'. �i DATE DELIVERED: ADDRESS: - � J - I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: , AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL"LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO,GENERATOR' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE "TICKET GRID -WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464374 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN --DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF 08/23/19 08/23/19 11:14 11:14 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 79740 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43740 LB QTY. UNIT = - --DESCRIPTION RATE EXTENSION FEE TOTAL 21.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t`1 1tt Opera Ing hours 74 AM to ays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED CH NGE."- CHECK NO. SIGNATURE "DUPLICATE TICKET" ;SITE TICKET f GRID 'WEIGHMASTEFI SOUTHOLD TOWN DEPT SOLID WASTE 01 01464374 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT ' -=VEHICLE ROLL OFF 08/23/19 08/23/19 11:14 11:14 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79740 LB Outbound-Charge ticket Manual Tare Wt. 36000 LB Net Weight 43740 LB QTY' UNIT DESCRIPTION,.- RATE,' EXTENSION -, FEE~ ''" TOTAL 21.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:. G CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'!' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY' _TENDERED CHANGE " CHECK NO:" SIGNATURE i NO. 1959 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: LI ` GROSS _ _ 1 TARE 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 LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 1 TRANSPORTER I 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 j DRIVER: I 1 (PRINT NAME) (SIGNATURE) 1 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: i I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION i GREEN TO TRANSPORTER YELLOW TO TRANSPORTER r PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r "DUPLICATE TICKET** sIT>= ` i1c_KET wEi��_IMas_TeR".- ` - TWOLD TOWN DEPT SOLID WASTE 01 01464306 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ` ,DATE-IN= -, DATEOUT,= 'TIME-IN= TIME-OUT VEHIQLE,= ROLLOFF.-4 08/23/19 08/23/19 07:45 07:45 11114T 009316 Town of Babylon I REFERENCE Scale 2 Gross Wt. 85540 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 49280 LB QTY UNIT DESCRIPTION --- : -:RATEEXTENSION __ 'FEE --TOTAL' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ~TENDERED HE KN . SIGNATURE **DUPLICATE TICKET** SITE, TICKET I GRID I WEIGHb1ASTER;' SOUTHOLD TOWN DEPT SOLID WASTE 01 01464306 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oAi ,IN , [3ATE OUi; TinnE tt t TIM {)UT vEi nci r�t��L`o%F 08/23/19 08/23/19 07:45 07:45 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85540 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 49280 LB QTY. UNIT- 'DESCRIPTION RATE' EXTENSION . FEE TOTAL - ^t S F 24.64 TON OUI GONSW 0.000 0.00 0.00 0.00 . ! • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-:", - - i I NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY. TENDERED CHECK N SIGNATURE wry - NO. 0069 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. #t -COMPANY: 0 SHIP DATE: I L? 1 _COMMODITY SHIPPED: LOOSE: I ' U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 5 GROSS t 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,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. `S TRUCK NO. �' LICENSE NO/STATE: TRAILER NO. ? LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,`ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) r DESTINATION. DISPOSAL LOCATION: (A j1!l f 1J , A 3/V--� I '��1 � DATE DELIVERED: ADDRESS: \I- 6 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** 8iTE I TiGKET" DwEIGrii�asrER " SOUTHOLD TOWN DEPT SOLID WASTE 01 01464301 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN.-- DATEOO f TIMEIfV'. .ilMEOUT -' VEHICLE ROLLOFF _ 08/23/19 08/23/19 07:23 07:23 19606TC 009316 Town of Babylon REFERENCE FQTy Scale 2 Gross Wt. 96240 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 59480 LB UNIT DESCRIPTION RATE - EXTENSION' FEE TOTAL 29.74 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 - CH GE ` CHECK O.- SIGNATURE **DUPLICATE TICKET** SITE , TICKET -GRID V EbGHMASTPER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01464301 Liz H PO Box 962/6155 Cox Lane DATE'OUT TIME IN 1IMEUUT VEHICLE ROLLOFF Cutchogue, NY 11935 DATE IN-, . 08/23/19 08/23/19 07:23 07:23 19606TC 009316 Town of Babylon REFERENCScale 2 Gross Wt. 96240 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 59480 LB QTY: UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL, 29.74 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--= "= SIGNATURE NO. 1958 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: U GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION 1 , GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 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" eSITE TICKET `GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464512 Dan PO Box 962/6155 Cox Lane Cutcfiogue,NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 08/24/1!:[!!4/19 07:17 07:17 11114TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 86520 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 49700 LB 7 QTY. UNITDESCRIPTION ` RATE -EXTENSION FEE TOTAL 24.85 IUN '01U1 GO.M.SW 0.000 0.00 0.00 0.00 71 F IP p�a14 CLOSED HOLIDAYS-QUESTIONS CALL 631-7341685 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ,= ., TENDERED CHA E CHECK NO. SIGNATURE "*DUPLICATE TICKET"* SITETICKET„' GRio. wEIGH,MasrER SOUTHOLD TOWN DEPT SOLID WASTE 01 01464512 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 08/24/19 08/24/19 07:17 07:17 11114T 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 86520 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 49700 LB QTY UNIT' DESCRIPTION _ RATE EXTENSION'- 'FEE, TOTAL 24.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00 d✓��.re�Ia'T I�p�(J'1 r��` a..r a _ 8.y9 G-..J F y sr-i CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685U.UOU NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY„a� t=..s ,ss y�p� 4- j' TENDERED :- r;r 'i�r, 4,J CHANGE CHECK NO. SIGNATURE NO. 0071 -GENERATOR- THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION-OR TITLE OF ANY;CARGO OR-MATERIALS BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT,OF SUCH MATERIALS.=• COMPANY: i JV 9 A� �-i! % ? SHIP DATE: _ COMMODITY SHIPPED: LOOSE: 1 i`k i) (CU YDS) BALES: (COUNT):- TRUCK WEIGHT: >- J�, GROSS = TARE - `" "' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED'BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. t� TRUCK NO. ':; eLICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I-HEREBY CERTIFY THAT'.THEABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r DRIVER: (PRINT NAME) '` (SIGNATURE) {f DESTINATION DISPOSAL LOCATION: AVAM A J", /A DATE-DELIVERED:e' �-zl � I c) ADDRESS: K_ 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(P_RINT 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 01465131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE -ROLL OFF 08/26/19 08/26/19 11:28 11:28 11114T 009316 Town of Babylon u . ; REFERENCE .- Scale 2 Gross Wt. 83260 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44560 LB QTY `UNIT DESCRIPTION, RATE _' EXTENSION FEE TOTAL,- 22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734T7685= !'° 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY¢\ TENDERED. r m" CHANGE CHECK NOS :) SIGNATURE SITE1, TICKET' GRID WE',, SOUTHOLD TOWN DEPT SOLID WASTE 01 01465131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 " DATEiIN; -_DAT&OLIT - TIME IN'TIME OUT, VEHICLE I ROLL OF.F 08/26/19 08/26/19 11:28 11:28 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83260 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44560 LB QT`( _ UNIT -DESCRIPTION_ _ RATE _ -E_)(TENSION FEE, ;= `. TOTAL 22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 '— _ '� "`> 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY4f .:° 1- 3! . _> ti' ';p� TENDERED CHANGE - CHE K NO. SIGNATURE _ = No. _ -0074 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 tIABILITY ASSOCIATED WITH'THE SHIPMENT-OF SUCH MATERIALS.- ,COMPANY:. ATERIALS. ° ,COMPANY: f( — _ t .<t i f. ) (-1 �`" x )f• SHIP DATE: ## COMMODITY,SHIPPED:`. - LOOSE:: (`� (CU•YDS)_ " BALES: (COUNT)': - TRUCK WEIGHT: GROSS TARE ) 'o NET I HEREBY CERTIFY_ THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40"CFR PART`260.10-OR ANY APPLICABLE STATE LAW,IS-NOT,HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261.OR A•NY-APPLICABLE STATE LAW,HAS BEEN'PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION,FOR-TRANSPORTATION TRANSPORTATION ACCORDING TQ'APP,LICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) SIGNATURE TRANSPORTER f TRANSPORTATION/FREIGHT CO: f f I t # L ;i N } � TRUCK NO. rr LICENSE NO/STATE: j 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 DELIVER ED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: � (PRINT NAME) (SIGNATURE) DESTINATION '� I DISPOSAL LOCATION: LI / . / e 1; il' _0 DATE DELIVERED: - 9 e� f i 12 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.- "*DUPLICATE TICKET" TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465042 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF 08/26/19 08/26/19 07:16 07:16 11114T 009316 Town of Babylon .. REFERENCE •. Scale 2 Gross Wt. 80240 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB _ Net Weight 46260 LB QTY. _, - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL s 4ezaURq-hou4s-7X- b.A.k4 to 5-110 Rh A:7 days_�L CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685�149* NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY/`' :, f` _ 4'� r TENDERED- 'CHANGE CHECK NO: SIGNATURE ""DUPLICATE TICKET" SITE T16KET „ GRID WEIGHMASTER. . SOUTHOLD TOWN DEPT SOLID WASTE 01 01465042 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN. DATE OUT,, 'TIME IN TIME OUT VEHICLE ROLL OFF 08/26/19 08/26/19 07:16 07:16 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80240 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 46260 LB QTY._' UNIT DESCRIPTION RATE°, EXTENSION FEE TOTAL TON OU I G(3.M.5VV 0.000 0.00 pa,J CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685: �- NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALL'IDAYy -. E 9 e ��P TENDEREp. CHANGE CHECK NO: SIGNATURE No. 0®72 GENERATOR - ` THIS MANIFEST IS FOR REFERENCE-PURPOSES ONL'•Y.,GENERATOR DOES NOT-TAKE POSSESSION ORTITLE'OF-ANY-CARGO OR MATERIALS - BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH.THE SHIPMENT OF SUCH MATERIALS. COMPANY. il'1 L )�1 SHIP DATE: COMMODITY SHIPPED: LOOSE: P C ) (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: ..-' i GROSS " = TARE r c NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT'CONTAIN FREE LIQUID AS DEFINED BYs40 CFR PART,260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LA'W,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FORJRANSP_ORTAAT`ION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER . TRANSPORTATION/FREIGHT CO. �� It - -'� �f� - TRUCK NO. f ICENSE 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: k I � /� I / _� A DATE DELIVERED: ADDRESS: v � . I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(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 01465285 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN- -_DATE OUT TIME IN TIME OUT VEHICLE `ROLL OFF 08/27/19 08/27/19 08:00 08:00 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 90320 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 56340 LB QTY` UNIT . DESCRIPTION _ - RATE EXTENSION " FEE = TO_TAL 28.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 fJlg'� - - - Operating hours M6 AM toclays a wee c'- IAtoll, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY ` , TENDERED CHANGE CHECK NO. :) SIGNATURE SITE '" 'TICKET,' GRID' WEIGHMASTER, -- SOUTHOLD TOWN DEPT SOLID WASTE 01 01465285 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _VEHICLE -ROLL OFF 08/27/19 08/27/19 08:00 08:00 111 14T 009316 Town of Babylon REFERENCE e- Scale 2 Gross Wt. 90320 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 56340 LB ,QTY UNIT DESCRIPTION" RATE " EXTENSION', FEE TOTAL 28.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.` Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,'- - „- - 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED =CHANGE -C ECK NO: SIGNATURE NO. 0®$ B '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. - r SHIP DATE: i COMPANY: i s>'�f� 91'(� 1 l COMMODITY SHIPPED: IV'l CW LOOSE`. a - .(CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE li 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 TRANSPORTATION/FREIGHT CO. _I vt 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 ;t f DISPOSAL LOCATION:- t, ;' ;ff `1 .3 f '/i� 1 �i `'/ f'C-A I DATE DELIVERED: r , i- s ADDRESS: v I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE-AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR s GOLD TO GENERATOR, - t DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** TEJ' TICKET GBIb' - wi IGHMASTER_`„_ SOUWOLD,TOWN DEPT SOLID WASTE 01 01465361 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 --DATE-IN _ < DACE 00T TEM_E IN TtiNE ouT ,,. _vEHicL> : Rot oFF_ .F 08/27/19 08/27/19 12:03 12:03 111 14T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 87200 LB Outbound-Charge ticket Manual Tare__Wt. 36220 LB Net Weight 50980 LB QTY` ,, UNIT,,, DESCRIPTION RATE' _ "EXTENSION. FEE' TOTAL 25.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 > r Operating hours o ays a weeK-., 3 W.Al Lej§j CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY' TENDERED CHECK NO. SIGNATURE **DUPLICATE TICKET** srrE TICKET- GRID, . " - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465361 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DINE 1N DATE OUT TIME'IN TIME OUT VEHICLE ROLL'OFF 08/27/19 08/27/19 12:03 12:03 1111REFERENCE 4TC 009316 Town of Babylon Scale 2 Gross Wt. 87200 LB Outbound-Charge ticket 77 Manual Tare Wt. 36220 LB Net Weight 50980 LB QTY'. UNIT DESCRIPTION RATE EXTENSION-, `-FEE, TOTAL 25.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 operating hours F0­5TO PM 7 days a week., - • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685. " 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ` ,, TENDERED CH NGE_= C ECK NO.'- SIGNATURE _ 1 :. No. 0089 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 L=IABILITY ASSOCIATED'WITH THE SHIPMENT OPSUCH MATERIALS. _ ') COMPANY: I,-4 C, L I�; SHIP DATE: i > � � � � c{ COMMODITY SHIPPED:- IV-�S W - 1 _ LOOSE: I-/ 0 (CU,YDS), f BALES:(COUNT): - TRUCK WEIGHT:, r�rf%` d� GROSS 3C 'r1 TARE = �'l NET' _ I HEREBY CERTIFY,-THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)- `` ~(SIGNATURE) l -- TRANSPORTER t TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. I �) I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,_AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i " - DRIVER: (PRINT NAME) (SIGNATURE) `^ DESTINATION DISPOSAL LOCATION: r1 I' .��1 0 ,� DATE DELIVERED: _ 1 J ADDRESS: ti / I HEREBY CERTIFY THAT THE ABOVE MATERIAL,HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVE_D BY AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION C ` GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET_•NO_ . A, SITEJ' TICKET = .GRID' """WEIGHMASTER w .. SOUTHOLD TOWN DEPT SOLID WASTE 01 01465584 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'IN bATE_OUT TIMEIN TIMEOUT VEHICLE '":ROLLOFF 06/28/19 08/28/19 11:18 11:18 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 84360 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47540 LB QTY UNIT' DESCRIPTION RATE','_ EXTENSiON FEE TOTAL 23.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r . Operating hours o tdu Fm t days a weeK., AIIIIIIII11k • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY TENDERED' _ CHA GE CHECK NO: SIGNATURE S1TE TICKET 'GRID, ,,' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465584 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN .T,IME•OUT- VEHICLE ; .ROLL'OFF' 08/28/19 08/28/19 11:18 11:18 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 84360 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 47540 LB QTY -> 'UNIT DESCRIPTION RATE, EXTENSION, FEE TOTAL 23.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 >A, Opera Ing hours o ays a weeK. - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. . ` 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY _ -,TENDERED' _- --CHECKN . SIGNATURE 0073 NO. _ GENERATOR- - - THIS'MANIFEST IS FOR'REFERENCE PURPOSES ONLY19ENERATOR DOES NOT-TAKE POSSESSION,OR.TITLE:OF ANY CARGO OR MATERIALS " BEIN&SHIPPED AND DOES-NOT-ASSUME-ANY,LIABILITY-ASSOCIATED,WITH THE SHIPMENTOF SUCH MATERIALS. {F4 COMPANY:- - c .s t t� i '; } % - _ SHIP_DATE: COMMODITY SHIPPED: LOOSE: (CU�YDS) . BALES: (COUNT):_- t_ TRUCK WEIGHT:, 0, kr 'GROSS � — TARE NET .. IIS I'HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL DOES'NOT C-ONTAIN,_ _-FREE-LIAUID'AS DEFINED'BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY"40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR-AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT'CO. ; 1 t ? `'J () TRUCK NO. 1. =1 LICENSE NO/STATE: TRAILER NO. ` LICENSE•NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: „ (PRINT NAME) (SIGNATURE) DESTINATION\, � DISPOSAL LOCATION: - Il`� ;� ( �i / ? `i�t _f%*� DATE DELIVERED: • £�'} • { t ADDRESS: .1"HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR / - GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r ,,,SITE I TICKET, . GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465521 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT ,VEHICLE -ROLLOFF ' 08128 � 08/28/19 07:50 07:50 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 75760 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 39000 LB -QTY_' UNIT DESCRIPTION RATE' EXTENSION-_ FEE TOTAL 19.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours mbAIVI to b.dU Pm 7 days a weeK;. A • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685: ' 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'6AY',' ^ TENDERED " CHANGE CHECK NO. SIGNATURE SITE TICKET' -- GRID,_ WE16HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465521 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _ DATE W DATE OUT„ TIME IN TIME OUT VEHICLE ROLL OFF 08/28/19 08/28/19 07:50 07:50 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 75760 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 39000 LB QTY.. UNIT DESCRIPTION RATE EXTENSION-_ FEE_ - TOTAL 19.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1,i i • j Operating hours :00 AM to 5:00 PM 7 days a wee /s _ _, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 0.00 :. NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY; r TENDERED CHANGE CHECK NO SIGNATURE NO. 1900 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ r, COMPANY: - SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: °= t GROSS TARE 71 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: 1 HEREBY CERTIFY THAT THE ABOVE'MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: _RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465648 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME W TIME OUT VEHICLE ROLL OFF 08/29/19 08/29/19 07:14 107:14 111 14T REFERE NCE 009316 Town of Babylon •- Scale 2 Gross Wt. 88760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 52500 LB QTY._-- UNIT = _ DESCRIPTION RATE EXTENSION -_ __ FEE TOTAL 26.25 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 , GRANGE " ' CHECK NO SIGNATURE ""DUPLICATE TICKET"" $ITE TICKET," GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE01 01465648 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -DATE OUT TIME IN- TIME OUT VEHICLE I -ROLL OFF 08/29/19 08/29/19 07:14 07:14 111 14T 009316 Town of Babylon REFERENCE - •- Scale 2 Gross Wt. 88760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 52500 LB QTY UNIT' DESCRIPTION = RATE' EXTENSION FEE' TOTAL' 26.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00 v� O }. MAMMON CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685%�'' 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY�' 9;::, _ - TENDERED _ CHANGE CH ECK'NO." SIGNATURE NO. 0084" 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 A_T _;' SHIP DATE: �. l 1' COMMODITY SHIPPED:• I-1 . th LOOSE: 1 ;' (CU.YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET ['HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY 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. x 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: (PRINT NAME) (SIGNATURE) �I DESTINATION � 4 J � � 5 DISPOSAL LOCATION: \ rI /�r.t ( rA V ( � ji DATE DELIVERED: ADDRESS: V � r l I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED- IS TRUE'AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -" ='"DUPLICATE TICKET" ,SITE TICKET_ --GRID: e WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465750 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN °DATE OUT TIME IN TIME OUTVEHICLE -ROLL OFF_ 08/29/19 08/29/19 13:25 13:25 F 11114T 009316 Town of Babylon REFERENCE 44 ORIGIN Scale 2 Gross Wt. 82360 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 41960 LB QTY UNIT DESCRIPTION RATE EXTENSION„ FEE TOTAL 20.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 p A _ Opera mg hours TUO Am toclays a weeK.., i _;_- Leis] CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 _ 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY TENDERED. , CHANGE CHECK NO:::j SIGNATURE "DUPLICATE TICKET" SITE `TICKET GRID'- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465750 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE INDATE"OUT 71ME`IN TIME OUT VEHICLE ROLL OFF 08/29/19 08/29/19 13:25 13:25 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82360 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 41960 LB QTY. UNIT; DESCRIPTION RATE ,EXTENSION FEE_' TOTAL, 20.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ��"r<.-L 1,�N -. ---- �., 'i%%' °•, - Opera Ing ours odays a wee ,u= 4 _ �- > • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:E ', y r �'< 0.00 ;.:> NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY >''„„",; ; TENDERED > CHANGE - E K-NO - SIGNATURE O0 ® " 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•MAT.ERIALS.. ." COMPANY: .~)ti �!1 _# u) L_ 1 SHIP DATE: COMMODITY SHIPPED: LOOSE: . ) i (CU,YDS) BALES:,(000NT):,(COUNT):, -, TRUCK.WEIGHT: G 'i GROSS `s TARE- j t NET s: _ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,DOES-NOT CONTAIN FREE.LIQUID AS DEFINED BY-40 CFR,PART­260.10 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. w 1 LICENSE NO/STATE:' TRAILER NO. 47 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)," - I ' DESTINATIONS- / t �\ f 7 DISPOSAL LOCATION:• v /' , �� s '-,� DATE DELIVERED: .) q J y r ADDRESS: ,� Y I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE-BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE_: _ 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. *`0U•PLIQ-4TE TICKET** SITE TICKET - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01465926 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT --TIME-IN TIME OUT VEHICLE ROLL OFF_ 08/30/19 08/30/19 12:58 12:58 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94520 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 57900 LB QTY UNIT, DESCRIPTION, RATE; 4 ,, EXTENSION ,FEE _TOTAL 28.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 veiating hums7.6b AM to 5.66 PM 7 ff1 tP ji l CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 e 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMO RIAL,DAY,7',f, Illy TENDERED ., , CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET"- GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01465926 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME"IN TIME OUT VEHIOLE ROLL OFF; 08/30/19 08/30/19 12:58 12:58 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94520 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 57900 LB QTY,, UNIT. DESCRIPTION RATE EXTENSION w` FEE. TOTAL 28.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . ak S, A 5 F Op ors 74 AIVI todays a wee *,, s Y` `w " f • r¢' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734''76.85�"',�` 0. ��" � e�..%°`" � �"9 � 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DA ,' „,.s,� f:g ° TENDERED CHANGE G E KN SIGNATURE NO. _ ® ® ® 7 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: ' ( 1_' L y--t SHIP,DATE:- �•=' `� � � `1 - COMMODITY SHIPPED: P- -.5 W LOOSE: - ! (CU YDS) BALES: (COUNT):' _ TRUCK WEIGHT:. 7 s/ ' GROSS 3Y 1 ; 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 r lb f TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. �;' LICENSE-NO/STATE: I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) f'' (SIGNATURE) DESTINATION% r �,DISPOSAL LOCATION: x P t'z I / ( DATE DELIVERED:- ADDRESS: ELIVERED: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: 1 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 01465829 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _VEHICLE ROLL OFF 08/30/19 08/30/19 09:02 09:02 111 14T 009316 Town of Babylon REFERENCE I ORIGIN Scale 2 Gross Wt. 89940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 53120 LB QTY UNIT DESCRIPTION RATE EXTENSION ., FEE, `.TOTAL . .00 0.00 e°n Y 1 a" )�r•� ..(� o f `"jjjrjjJJ�` �� � �` p�(`�'+''tj+•i�;t CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685�7j y r, 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY Me'S3 z TENDERED= URI', CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" sITE I TlcitETGRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01465829 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 08/30/19 08/30/19 09:02 09:02 11114TC 009316 Town of Babylon V=Mmftel� ORIGIN Scale 2 Gross Wt. 89940 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 53120 LB QTY. -UNIT ---DESCRIPTION RATE_ _EXTENSION FEE TOd- 26.56 aumumw 0.000 0.00 0.00 0.00 ,41 4 doffeli-&—hatifs 74A AM CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 � `� — 0 • 4' __ NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY ..- � g ` TENDERED-`; J 3 L =yam CHANGE CHECK NO. SIGNATURE NO., ®®86 GENERATOR " = THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE"POSSESSION OR TITLE OFANYCARGO OR MATERIALS -BEING SHIPPED AND DOES NOT,'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF..SUCH MATERIALS.` j' COMPANY: I �� #��a I_" (.J � i SHIP DATE: COMMODITY SHIPPED: LOOSE: t 7 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: frrf GROSS TARE 7 f '� 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 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK'NO. `, LICENSE NO/STATE: TRAILER NO. ICJ Cl LICENSE NO/STATE: ti I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION r� DISPOSAL LOCATION: �' �/ .�F 7 .. 4.A fj �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. SITE I TICKET `GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01466057 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE OUT I TIME IN TIME OUT VEHICLE- I ROLL OFF- 08/31/19 FF- 08/31/19 08/31/19 09:25 09:25 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 99700 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 59300 LB QTY, UNIT , DESCRIPTION RATE. EXTENSION ;_ FEE ,`. ,TOTAL-' „ 29.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00 puldt• K>"L�St,'' a �'-... .moi r }�~ 4 i • CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 �^i `` 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL°";D _y- i TENDERED 'e ° CHANGE CHECK NO.- SIGNATURE SITE TICKET "" GRID ' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01466057 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE'IN "' -bATE OUT TIME W TIME OUT VEHICLE. r ROLL OFF- „ 08/31/19 08/31/19 09:25 09:25 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 99700 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 59300 LB QTY_ UNIT DESCRIPTION RATE- __ -EXTENS_l0_ N FEE_'_- TOTAL 29.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00 # to ��„`. -..--- �.. '�•_•,",�"`°�� a : q_. ; Op ours roii Am to mob mvi 7 days a wee a ;� 3 _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685f m « b 0.00 V _ NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYS' , ,r3 °' W %k� �TENDERED`. '��-� s1 -- -CHECK NO. SIGNATURE NO. - ®®9 ® - GENERATOR = ---THIS MANIFEST IS FOR`REFERENCE PURPOSES ONLY.GENERATOR-DOES NOT TAKE POSSESSION,OR TITLE,OF ANY CARGO OR MATERIALS " BEING SHIPPED AND'DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE-SHIPMENT-OFzSUCH MATERIALS.' _ COMPANY: f-/f A 1" L) �_ F _� __. _ SHIP DATE: C� COMMODITY SHIPPED: 11,3y _ LOOSE: i tl t (CU-YDS)': BALES: (COUNT) TRUCK WEIGHT: GROSS ' TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL"DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART:260.10 OR'ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY.' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)' I TRANSPORTER '- TRANS PORTATION/FREIGHT CO. ' TRUCK NO. _.F'__.. 5 ' LICENSE NO/STATE: 11 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: / /irj } %V L DATE DELIVERED: ; ADDRESS:- `' ,r' • - I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.LL" - PINK TO GENERATOR _ GOLD TO GENERATOR_ = DISPOSAL LOCATION TICKET-NO. I SITE I TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01466020 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF y 08/31/19 08/31/19 07:55 07:55 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80600 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 43680 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. - . 21.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ry 9 (((g ^tib¢/Jf L+ t4 aF4 O a sa WeeKl, s V, , <. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685: , 0.00 NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY- y `" w ri-, TENDERED CHECK NO:::::j SIGNATURE SITE TICKET' GRID , WEIGHMASTER'.; SOUTHOLD TOWN DEPT SOLID WASTE 01 01466020 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 6A7E;IN DATE OUT TIME OUT IN'TIME O " VEHICLE ROLL OFF 08/31/19 08/31/19 07:55 07:55 19606TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 80600 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 43680 LB QTY.= UNIT ' DESCRIPTION `` RATE EXTENSION FEE — TOTAL 21.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 OpenOpenting hours o ays a wee' . . ;o _ �, �; >°f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7688s� ti m 0.00 NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY< v f K TENDERED r o s CHANGE 'CHECK NO:r— SIGNATURE NO. 1961 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' ja ' ` �� GROSS li u TARE .l' rC ?� NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-C-FR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261-OR A-NY-APPLICABLE STATE LAW.,.H'AS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGKTQ APS PLICABLE`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.