HomeMy WebLinkAbout09/2019 SITE `'TICKET„ _ 'GRID 'WEIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466565 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - TIME IN TIME OUT , VEHICLE I ROLL OFF-
09/03/19 09/03/19 REFERENCE 07:23 0"-
Scale
009316 Town of Babylon
2 Gross Wt. 78260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41440 LB
QTY. UNIT DESCRIPTION RATE '= EXTENSION - _ FEE TOTAL
20.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op � < . � ��W;; qty •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x;, "r �y s� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAI' �'' ,,,,,�. Aw ` TENDERED
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CHECK NO:
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466565 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE'OUT TIME IN TIME VEHICLE "- ROLL OFF'
09/03/19 09/03/19 07:23 07:23 111 14T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41440 LB
QTY_ UNIT' DESCRIPTION RATE EXTENSION FEE ' TOTAL
20.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685.e��, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL pAI' �,�, ,,. .' �s TENDERED- `7
41
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CHECK NO.
:)
SIGNATURE
NO. ® ® 91
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.
COMPANY: ;_ r/ i7X11 t ') SHIP DATE: t f' s' 1 Cl
COMMODITY SHIPPED: )k N c 4,,) _
LOOSE: U (CU,YDS)
BALES: (COUNT):
TRUCK WEIGHT: t;•U GROSS
TARE
J �3I tNET
I HEREBY CERTIFY THAT•THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE•LIOUID AS DEFINED BY 40 CFR'PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY-
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE.REGULATION: .
GENERATOR AUTHORIZED AGENT(PRINT NAME)- - "- '' (SIGNATURE)
TRANSPORTER,-
TRANSPORTATION/FREIGHT CO. Il I ! r '` I ' A A }
TRUCK NO. =� TLICENSE 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.
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DRIVER: `T`�� {./ c-
(PRINT NAME) (SIGNATURE)
DESTINATION
pvl
r, J1DISPOSAL_LOCATION: ' �I'!1 pt /J� `r`�t {�3fa1 1, DATE DELIVERED: � � (�
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ADDRESS: �! i 1
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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.
ITEJ–,, TICKET GRID WEIGHMASTER,,'. „
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466662 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ' DATE IN— DATE OUT_ TIME IN TIME OUT - VEHICLE ROLL OFF_
09/03/19 09/03/19 11:31 11:31 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 86760 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 46360 LB
QTY' UNIT DESCRIPTION RATE EXTENSION _ FEE TOTAL
23.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 `� ``�- f.' �» 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL:DA_Y`,., ,;.', a" , ,y' TENDERED ='
CHANGE
CHECK NO.
SIGNATURE
SITE _ TIC„" GRID " WEIGH"
KET MASTER
77
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466662 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT, TIME IN TIME OUTVEHICLE - ROLL OFF ,
09/03/19 109/03/19 11:31 11:31 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 86760 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 46360 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL .
23.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' j d PJ
Opera Ing ours o s a ee j: r
e� rry •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,- '- 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALcDAY� �� � ; :u --TENDERED--
a CHANGE
CHECK-NO
SIGNATURE
;•.�. NO. _ 0092 , '
GENERATOR- "-
THIS-MANIFEST-IS FOR REFERENCE,PURPOSES-ONLY.'GENERATOR:DOFS NOT-TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED'AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS. : :
COMPANY: s 's r` 1 SHIP DATE:
COMMODITY SHIPPED: < i��► Lam) /
LOOSE:" (Cu YDS) ,
BALES:(COUNT):
TRUCK WEIGHT: ` GROSS
,r
•' TARE
ki 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 APPL-ICABLE,REG(JLATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) Yf (SIGNATURE)
TRANSPORTER
of�
TRANSPORTATION/FREIGHT CO. t A) I � �/ � ``�IV t
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. 61
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)
ov"
DESTIN_ ATIOW
�DISPOSAL LOCATION: 1 V/,) / A (8A � �� t�N � DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:-
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE TICkET 'GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466840 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN -DATE-OUT I TIME IN TIME OUT - VEHICLE ROLL OFF
09/04/19 09/04/19 107:55 107:55 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41740 LB
QTY,, UNIT DESCRIPTION RATE EXTENSION FEE. ' TOTAL
ALi
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.` ;,.
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALQDW'F"- �4.
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'TENDERED
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CHECK NO:,
SIGNATURE
""DUPLICATE TICKET" SITE - TICKET I GRID I WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466840 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF =
09/04/19 09/04/19 07:55 07:55 111 14T
009316 Town of Babylon
REFERENCE
e-
Scale 2 Gross Wt. 75720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41740 LB
'QTY UNIT,; - „DESCRIPTION_ RATE ` , EXTENSION FEE TOTAL'
20.87 TON DUTGO.MSW 0.000 0.00 0.00 0.00
D _' I r _^
� =
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-,,;y
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL°DAY �t ��, . -
`� =TENDERED
S`. �L
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SIGNATURE
y' NO. 0093
GENERATOR,.'- 'f _
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: i 'A i 1 � ;; e � SHIP DATE:
COMMODITY SHIPPED: - M `,lg,I V 1
LOOSE: o % .(CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i? ` ' GROSS
i1 TARE
VA ` 'mak 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.BEEWPF OPERLY
-DESCRIBED,CLASSIFIED AND PACKAGED.AND I&IN PROPER CONDITION FOR TRANSPORTATION ACCORDIING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. s ,-,� _` J 01
TRUCK,NO. ff. , ";i LICENSE NO/STATE:
TRAILER NO. , f - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. J
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DRIVER:
(PRINT NAME) (SIGNATURE)
f
DESTINATION
• � I A I t � �
DISPOSAL LOCATION: tv ��f I� t ,_ ;i , '! -' � DATE DELIVERED:= �1
ADDRESS: p I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ,
**DUPLICATE TICKET" SITE I „ TICKET , GRID ',WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466922 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF_
09/04t'9 09/04/19 11:48 11:48 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75100 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38280 LB
QTY-, UNIT= DESCRIPTION - RATE EXTENSION FEE _ TOTAL
19.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
�,°Y•, ,�Y .'ter .�.
Op o mob ml 7 days a Wee-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685,; ` , -' �. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY.-. TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE TICKET GRID WEIokMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01466922 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/04/19 09/04/19 11:48 11:48 111 14T
009316 Town of Babylon
ORIGIN 2 Gross Wt. 75100 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38280 LB
QTY, UNIT DESCRIPTION RATE EXTENSION .FEE TOTAL
19.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
..
Operating hours 7:00 AM to 5:00 PM 7 days a wee ,- �'° a y, ry
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.",Pl _ - 0.00
NEXT HOLIDAY:MONDAY, MAY 27, 2019 MEMORIAL-D' p i�' 1}, ; -p �; ;3v }f -TENDERED--
/
CHANGE
CHECK NO.
SIGNATURE
NO.
0094
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 +f
COMPANY: .l'i 'A �r :_t �t SHIP DATE:
COMMODITY SHIPPED:
LOOSE:- _' v o (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: • ;`{ : �__ ' GROSS
TARE
L"` NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) L
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
t
TRUCK NO. y LICENSE NO/STATE:
TRAILER NO. by -'1L 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 f
{ -
DRIVER:
~ (PRINT NAME) �� (SIGNATURE)
r`
f DESTINATIONCA'
t
DISPOSAL LOCATION: ( r s f t' , '1` _ DATE DELIVERED: 41 f
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.
1
SITE TICKET- ';; GRIP_ WEIGHMASTER
6OUTI-i&D TOWN DEPT SOLID WASTE 01 1 01467054 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
09/05/19 09/05/19 07:50 07:50 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 92420 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 56200 LB
UNIT - DESCRIPTION '_ RATE EXTENSION FEE TOTAL
QTY L
28.10 -rO-W O TGO.MSW 0.000 0.00 0.00 0.00
qt'„
• t f �r ' .+.. .y . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734_7685,,Z -". ,' s � 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY. ?=a1 r F , s' i TENDERED"
-, CHANGE
CHECK NO.;
SIGNATURE
SITE TICKET"' GRID' WEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467054 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN:TIME OUT VEHICLE-." ROLL OFF
09/05/19 09/05/19 07,50 107:50 11114T
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 92420 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 56200 LB
QTY UNIT _ _ DESCRIPTION RATE EXTENSION, FEE, TOTAL
28.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' - ' ~��
a
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY „ TENDERED
4 CHANGE
CHECK NO.
SIGNATURE
NO. . 0095 -
GENERATOR,' -,',
THIS,MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE-POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING'SHIPPED AND-DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE•SHIPMENT.OF SUCH MATERIALS.-
COMPANY: C) IA—F IA—F171 i -,'(-A; SHIP_DATE: ' = f ~i
COMMODITY SHIPPED:
LOOSE:,, (CU YDS)
BALES: (COUNT): . -
TRUCK WEIGHT: �l'- � E :�` G GROSS
z>- -7 b TARE
i- / NET
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID;'AS"DEFINED'BY 40 CFR PART 260.10-OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT-NAME) -- (SIGNATURE) .
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: 2_5 LICENSE NO/STATE:
TRAILER NO. 1 C LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL'WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
—L&
DRIVER: —zo
a
(PRINT NAME) /°� (SIGNATURE)
STINATION
d
DISPOSAL LOCATION: ?t �A A) I A ),7_" 'v9)A/ LoA ` 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**
Sbbl-HOLD TOWN DEPT SOLID WASTE 01 01467124 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/05/19 09/05/19 11:56 11:56 , 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 41520 LB
20.76 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
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467124 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/05/19 09/05/19 11:56 11:56 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 41520 LB
20.76 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
NO. '0096
GENERATOR-`
THIS MANIFEST IS�FOR'REFERENCE PURPOSES ONLY.'GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF,ANY CARGO OR MATERIALS
BEING SHIPPED-AND DOES NOWT ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS.
_. COMPANY: - JO r x.-I6, L.�1 SHIP_DATE:
COMMODITY-SHIPPED: 1�,1
LOOSE: ( 4.) (CU-YDS)
BALES:(COUNT): --
TRUCK WEIGHT: r, ; `: �.� GROSS
TARE
NET
I;,HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE 1IOUID AS'DEFINED_BY'40 CFR PART 260.10 OR ANY -
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 bR ANY APPLICABLE STATE LAW,HAS;BEEN PROPERLY
DESCRIBED,-CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION`- "
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
,--TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. -i LICENSE NO/STATE:
TRAILER NO. 192, LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT'WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
-DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION-
DISPOSAL LOCATION: 1 /A DATE DELIVERED: `7 I
l 1 .
ADDRESS: �.
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
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.
1
**DUPLIf—, TE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467249 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/06/19 09/06/19 07:17 07:17 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 89360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 48960 LB
24.48 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.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467249 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/06/19 09/06/19_ 07:17 07:17 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 89360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 48960 LB
24.48 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
NO. 1962
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
i
DRIVER:
(PRINT NAME) (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"
SGUfHOLD TOWN DEPT SOLID WASTE 01 01467327 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/06/19 09/06/19 11:14 11:14 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 74340 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37580 LB
18.79 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
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467327 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/06/19 09/06/19 11:14 11:14 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 74340 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37580 LB
18.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY
NO. 1963
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME�ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ) �` 4. GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET"
SOUTHOL .TOWN DEPT SOLID WASTE 01 01467428 Dan
PO BoX 966155 Cox Lane
Cutchogue, NY 11935
09/07/19 09/07/19 07:52 07:52 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 80000 LB Outbound-Charge ticket
Manual Tare Wt. 39620 LB
Net Weight 40380 LB
20.19 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
r
*"DUPLICATE TICKET'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467428 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/07/19 09/07/19 07:52, 07:52 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 80000 LB Outbound-Charge ticket
Manual Tare Wt. 39620 LB
Net Weight 40380 LB
20.19 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
NO 1964
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: y"r GROSS
TARE
{ ``) NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATION-AC.CO_R_DING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) "(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION '
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I'HEREBY CERTIFY THAT.THE.ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER -
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
' I
"DUPLICATE TICKET*"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467432 Dan
PO Boxr_9,621a155 Cox Lane
Cutchogue, NY 11935
09/07/19 09/07/19 08:18 08:18 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 87820 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 51600 LB
25.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467432 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/07/19 09/07/19 08:18 08:18 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 87820 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 51600 LB
25.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY
NO: ® ® 97
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY-CARGO OR MATERIALS
BEING SHIPPED,AND DOES NOSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. '
COMPANY: C Zvi SHIPDATE: ✓, S �I
COMMODITY SHIPPED: ``
LOOSE: f ; (CU YD,S)
i
BALES: (COUNT):
TRUCK WEIGHT: GROSS
�r' = TARE
I
I HEREBY CERTIFY THAT THE ABOVENAMED MATERIAL DOES NOT CONTAIN'FREE_ LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
r APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANYQP'PLICABLE 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-
TRANSPORTATION/FREIGHT CO. ) N ' �- ` ' i
f
TRUCK NO. / LICENSE NO/STATE:
TRAILER NO. -�
/ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERfAL 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: ? }J ! til f% ` {' \/ r t �,i DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
r
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467938 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/09/19 09/09/19 07:13 07:13 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 92420 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52020 LB
26.01 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
SOUTHOLD TOWN DEPT SOLID WASTE 01 01467938 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
09/09/19 09/09/19 07:13 07:13 111 14T
009316 Town of Babylon
Scale 2 Gross Wt. 92420 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52020 LB
26.01 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
NO. 0098 -
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANYCARGO OR MATERIALS
BEING,SHIPPED AND DOES NOT,ASSUME ANY LIABILITY ASSOCIATED,WITH THE SHIPMENT OF SUCH MATERIALS. 3
COMPANY: _, ,�, b, _ SHIP DATE: 1 ; -' "I 4'
COMMODITY SHIPPED: _/;
LOOSE: i (r' y (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: Lt C GROSS
U 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) I; (SIGNATURE)-
TRANSPORTER
TRANSPORTATION/FREIGHT CO._
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. C LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ^-- i'' I- �._i ✓'mac �`
(PRINT NAME) (SIGNATURE)
J .
DESTINATION
DISPOSAL LOCATION: i ,I/���,=� ?1 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. 1 `
i
"DUPLICATE TICKET"" �'. TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE f ' 01468163 Steph
PO Box 962/6155 Cox Lane „
Cutchogue, NY 11935 DATE IN” , _DATE OUT'- _TIME IN TIME OUT VEHICLE 'ROLL OFF
9/10/19 [)9/10/19 7:44 7:44 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69320 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 32320 LB
QTY "_ - UNIT DESCRIPTION — RATE - EXTENSION- FEE TOTAL
16.16 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a wee . ., ; = �. . x •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. A"Y 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAI'''o-^^ ?�.,j �,.. 1 aCi TENDERED-
CHANGE,.
CHECK N
SIGNATURE
"*DUPLICATE TICKET" SITE ,, TICKET GRID WEIGHMASTER_-
SOUTHOLD TOWN DEPT SOLID WASTE 1 01468163 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, ° DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/10/19 9/10/19 7:44 7:44 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 69320 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net eight 32320 LB ::I
- '-QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.16 TON UTGO.MSW 0.000 0.00 0.00 0.00„{,I�"
Operating hours 7:00 AM to 5:00 PM 7 days a week.k"- 'i, ` ,, wtlLL„ >' 'P }. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY'i• `r _ ,__,° '- v A TENDERED,
Ja'r CHANGE
CHECKNO .`
SIGNATURE
NO. ® ®99
GENERATOR.
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION'OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIAL'S.- II
COMPANY: �C f �,~t r i t f� SHIP,DATE: C f 1 u
COMMODITY SHIPPED: !
LOOSE: d (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: = $' "i t : GROSS
TARE
°c 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
f(rE
TRANSPORTATION/FREIGHT CO. --rll
TRUCK NO. 2--5 a LIC�ENSE1NO/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: (--if i i t P, I !�l 1 i ,' �" t ; '� ` DATE DELIVERED: t
ADDRESS: �.
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED '
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET';_„ GRID : WEIGHMASTER -,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01468215 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE,IN DATEOUT 'TIME IN TIME OUT " VEHICLE ROLL OFF
9/10/19 9/10/19 1:23 1:23 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 84480 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 48260 LB
QTY, UNIT ° DESCRIPTION RATE, EXTENSION FEE-- TOTAL,_
24.13 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a wee B a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,�i_�;, 0.00` _;, �,,,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY' r, p cts, ws eF, ,;" ;:% TENDERED
CHANGE
CHECK NO, -
SIGNATURE
SITE _TICKETGRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01468215 Steph
PO Box 962/6155 Cox Lane -DATE IN DATE'OUT TIME IN TIME OUT 'VEHICLE, ROLL OFF
Cutchogue, NY 11935
9/10/19 9/10/19 1:23 1:23 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 84480 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Wei ht 48260 LB
QTY. — UNIT P DESCRIPTION RATE EXTENSION FEE- ' „ ' TOTAL
24.13 TON CUTGO.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 631-734-768.5.,x. T.n < 9 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL`DAY ` "'k 4 '. TENDERED
"CHANGE -_
C EMNO.,
SIGNATURE
_. _. . NO. 0100
GENERATOR •-THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR-DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES. SLIME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS. jT
COMPANY:` 1-I a.'F S l SHIP DATES
� r
'- COMMODITY'SHIPPED::.
LOOSE: I J t`t (CU YDS)\
BALES:=(COUNT):
TRUCK WEIGHT: v` L - GROSS
4. TARE
NET
I!PEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL- DOES NOT CONTAIN FREE LIQUID_AS DEFINED-BY 40 CER-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 ` / 1f hf '� 1
TRUCK NO'. ` — LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: 4
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) /Js' (SIGNATURE)
DESTINATION =
DISPOSAL LOCATION: ( Ji ►� A � y� I ! U�f� 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
"DUPLICATE TICKET" SITE TICKET GRID - WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01, 01468338 Steph
PO Box 962/6155 Cox Lane ,
Cutchogue, NY 11935 ^DATE IN DATE OUT -TIME IN- TIME OUT"` -VEHICLEµ ROLL OFF -
09/11/19 09/11/19 07:44 07:44 19606TC
009316 Town of Babylon
REFERENC ORIGIN
C___ I
Scale 2 Gross Wt. 86620 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 50000 LB
QTY "- UNIT' _ DESCRIPTION , RATE EXTENSION-_ FEE TOTAL
25.00 TON DUTGO.MSW 0.000 0.00 0.00 0.00
d Cc wi 5� ,
Op
ti:3. ,tom"' `°4e°`- `°8•^ .... �;;%' ; �;'�'.J t4wP •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.y, ;. _ µ '`` y 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL"4DAY r 1 eva TENDERED
s
CHANGE
'CH CK NO.-+
SIGNATURE
""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468338 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/11/19 09/11/19 07:44 07:44 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 86620 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 50000 LB
QTY UNIT DESCRIPTION- - RATE EXTENSION FEE_ TOTAL
25.00 TON 3UTGO.MSW 0.000 0.00 0.00 0.00
f d
Opera Ing ours o days a wee :y� ° > f, � r'.r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,e;,'`, , 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'Dk ',r'r _ `'` .r;� TENDERED
HANGE
SIGNATURE
NO. 1965
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: t , GROSS
t TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR'TRANSPORTATIONACCORDING TQ APPLICABLE REGULATION.
r
GENERATOR AUTHORIZED AGENT(PRINT NAME) ;�j'` (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. }` LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"" SITE TICKET GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468341 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "'DATE IN ° DATE-00T " TIME IN TIME OUTI' VEHICLE ROLL OFF'
09/11/19 09/11/19 07:57 07:57 111 14T
009316 Town of Babylon
-4 4EFRENCE •-
Scale 2 Gross Wt. 76040 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL _.
19.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opul atil ly 1 lual ts 7.Od AM to 5.Ob PIVI 7s, � vc r . ` r ., •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7:,685',, 0.00
TENDERED
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY ,
7`�}^:�;rr �� CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID, WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468341 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN OU
DATE OUT TIME IN TIME T VEHICLE _ ROLL OFF
09/11/19 09/11/19 07:57 07:57 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76040 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39040 LB
QTY. UNIT -DESCRIPTION RATE EXTENSION -FEE TOTAL,
19.52 TON DUTGO.MSW 0.000 0.00 0.00 0.00
'2'Z�I�t ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e�",9 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYS F -t7 a ;;`LL'; ' x TENDERED
CHANGE
CHECK NO: - .
SIGNATURE
NO. 0 ®75
GENERATOR
_THIS THIS MANIFEST IS FOR REFERENCE PURPOSES ONLYrGENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPED AND-DOES-NO -ASSUME ANY LIABILITY`ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.,
l'
COMPANY: I, 5,t E _1 } SHIP DATE: ' f I -
COMMODITY-,SHIPPED:
LOOSE: i (CU,YDS)-
BALES:.(COUNT):
TRUCK WEIGHT:. .- _ _ t ' 4 GROSS
f off-i TARE =
LIJ NET
I HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10'OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY-40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY'
DESCRIBED,-CLASSIFIED AND-PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.'
GENERATOR AUTHORIZED AGENT(PRINT NAME) �' _ (SIGNATURE) -
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ( / ) ? , t,u 1 (Ai, j
TRUCK NO. 22 -51 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. l _
f
�^
DRIVER: -.•�-._.__• ``--•°`�'-.. � ''�` �
(PRINT NAME) �J (SIGNATURE)
f'
/DESTINATION
DISPOSAL LOCATION: ° ; �I A ? A DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED.BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR"
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET _ GRID ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468394 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 , DATE IN DATE OUT I TIME IN TIME"OUT e" VEHICLE ROLL OFF
09/11/19 09/11/19 11:32 11:32 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81440 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 44520 LB
QTY' UNIT DESCRIPTION- RATE,- EXTENSION FEE TOTAL
22.26 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours o ays a wee LVILOIL
LVILOIL
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAC%DAY,, .r°°; P;.� �",� `t" .: �; ' -TENDERED
CHANGE
CHECKNO::j
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468394 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT `„VEHICLE 1, ROLL OFF
9/11/19 09/11/19 1:32 1:32 19606TC
009316 Town of Babylon
REFERENCE mejlffeflkq�
Scale 2 Gross Wt. 81440 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 44520 LB 7
QTY° UNIT DESCRIPTION RATE EXTENSION,, FEE TOTAL
22.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.<') 3 " _ - . .J , (ly
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4'_�_'� �`~ " .~ � 0.00
fq�,.
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY"�' �", ",;:. ,><a TENDERED"' -
H NGE
vCHECKNO.
SIGNATURE 11__ 9
NO. 1966
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
• k
*"DUPLICATE TICKET" -SITE, TICKET GRID WEIGHMASTER '_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468501 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN "_DATEOUT'- TIME IN'TIME OUT VEHICLE :*ROLLOFF
09/12/19 09/12/19 07:45 07:45 11114T
'009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 85340 LB Outbound-Charge ticket
Manual Tare Wt. 33000 LB
Net Weight 52340 LB
_. K
QTY. UNIT^ DESCRIPTION - RATE ""r ? 'EXTENSION -,"
'-FEE--' � ' ' TOTAL
26.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
<511
a
Operating hours odays a weeK. u •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`-,.DAY', ,- ,TENDERED,
r,
;T
-cCHANGE -
CHECK NO,
SIGNATURE
"DUPLICATE TICKET" SITE TICKET, GRID, VVEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468501 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT _" TIME IN TIME OUT VEHICLE ROLLOFF -
09/12/19 09/12/19 07:45 07:45 11114T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 85340 LB Outbound-Charge ticket
Manual Tare Wt. 33000 LB
Net Weight 52340 LB
QTY. - , UNIT _ DESCRIPTION RATE - EXTENSION_ FEE' TOTAL
26.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:06 AM to 5:00 PM 7 days a week:;-, '< •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,",,%� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY> TENDERED >=w
` CHANGE'^
CHECK NO=j
SIGNATURE
NO. 0076
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITLE•OF ANYCARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: (�(TI ,� () L,-)-) HIP DATE: % `7
COMMODITY SHIPPED: J ,
LOOSE: i 1 c-1 (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
` NET K:
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.
TRUCK NO. LICENSE NO/STATE:
r -
TRAILER NO. 1 :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
,
DRIVER:
(PRINT NAME) fir'' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: l i ! A ( ����. �;1 E L�.<�1 jI DATE DELIVERED: . I
ADDRESS:
y f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** (_SITE TICKt r; „-"GRIn'"N. , .�niEiGHnriasTER.. -,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468544 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN -DATE-OUT TIME IN_TIME OUT VEHICLE
09/12/19 09/12/19 11:29 11:29 111 14T
009316 Town of Babylon
REFERENCE
7- 1
Scale 2 Gross Wt. 85180 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 44780 LB
QTY. UNIT. '-DESCRIPTION ' RATE EXTENSION- FEE . `..TOTAL
22.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a wee . , ,• •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY, „ ' TENDERED
C NGE
CHECKNO.
SIGNATURE
`*DUPLICATE TICKET" ..SITE TICKET , GRID; iNEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468544 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' DATE'OUT TIME IN TIME,OUT ' VEHICLE = ROLLOFF
09/12/19 09/12/19 11:29 11:29 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 85180 LB Outbound-Charge ticket 7
Manual Tare Wt. 40400 LB
Net Weight 44780 LB
QTY. UNITr DESCRIPTION, RATE EXTENSION FEE TOTAL' -
22.39 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY TENDERED a;=
CHANGE
CHECK NO:
SIGNATURE
0077
GENERATOR =
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR'MATERIALS,
BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY'ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: (i :k ! f A .. i r�', SHIP DATE:
COMMODITY SHIPPED- PA
LOOSE:- o
(CU YDS)
BALES: (COUNT): .
TRUCK WEIGHT: GROSS
L; -' TARE
NET
I"HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS,DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND-PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGJQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) "---(SIGNATURE)
TRANSPORTER ,
TRANS PORTATION/TR EIGHT CO. ?� ) 1 ,- tom'
TRUCK NO. --
LICENSE NO/STATE:
TRAILER-,NO. t LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) fir' (SIGNATURE)
DESTINATI0Y '
DISPOSAL LOCATION: ' Y rJ 7 Af -'r �� - �� DATE DELIVERED: 1 t
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS-TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE `
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*=PLICATE TICKET" SITE - TICKET, -,,,GRID, , WEIGHMAST,ER. ,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01468724 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT _ VEHICLE' ROLL OFF
9/13/19 9/13/19 3:09 3:09 111 14T
009316 Town of Babylon REFERENCE
7
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 42260 LB
"QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1.13 TON UTGO.MSW 0.000 0.00 0.00 0.00
7, e
Operating nours odays a wee `¢ 4 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768_5.;v�.l/A �. �" �.; =` 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIAL"DAY d . TENDERED
CHANGE,
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01468724 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN" DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/13/19 9/13/19 3:09 3:09 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 42260 LB
QTY UNIT DESCRIPTION. - RATE.. EXTENSION FEE- `TOTAL
1.13 TON C UTGO.MSW 0.000 0.00 0.00 0.00
;, >_•
j ' p _ 7
C.
Operating hours 7:00 AM to 5:00 PM 7 days a week. 14 ~` = �., 4. _..e- ,` ;; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' <, - " . ;e „ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY'' ' ' '`` V' `' ' TENDERED
CHANGE
CHECK NO
SIGNATURE
No. 0079
GENERATOR
'THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES,NOT ASSUME•ANY LIABILITY-ASSOCIATED WITH THE,SHIPMENT OF:SUCH MATERIALS.- ' t
COMPANY:' - - ; %-/ i' wi ( - SHIP DATE: i IC7
COMMODITY SHIP-,PED = "t 'S h
LOOSE: U €) - (CU_YDS) ,
BALES:(COUNT): . -
TRUCK WEIGHT: - GROSS
D c, yrs TARE
l ,c. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261.OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS.IN PROPER.CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER-
TRANS PORTATION/FREIGHT
RANSPORTER"TRANSPORTATION/FREIGHT CO. f
TRUCK NO. 1 LICENSE NO/STATE:
TRAILER NO. I t '"i LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENTTO THE DESTINATION LISTED BELOW.
r _
r
DRIVER: -
(PRINT NAME) f �'` ` (SIGNATURE)
DESTINATION _
DISPOSAL LOCATION: y, r"��!# I I I ! ! f�. � 1� I`i DATE DELIVERED:
ADDRESS: l\`
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHOR IZED'AGENT(PR INT 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 1 01468810 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 __DAT qIN DATE OUT TIME IN TIME OUT _ VEHICLE ROLL OFF
9/14/19 9/14/19 8:40 [18:40 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 80080 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43460 LB
QTY -UNIT' ` DESCRIPTION RATE= EXTENSION FEE_- TOTAL
1.73 TON UTGO.MSW 0.000 0.00 0.00 0.00
-j 1� � + �Pf� "s"^ , �h try`i.B •
operating hours o ays a wee .,q .,r, .s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685',.'"',*- _ �' ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL`DAY,, t, t�� ti': . TENDERED:
r
CHANGE
�--CHECK NO
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE @1 01468810 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN 'DATE OUT,, TIME IN TIME OUT ` VEHICLE ROLLOFF
9/14/19 9/14/19 8:40 8:40 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80080 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43460 LB
QTY` -UNIT_� DESCRIPTION_ RATE- EXTENSION 'FEE TOTAL
1.73 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
.h: o
Operating hours 7:00 AM to 5:00 PM 7 days a week. 4 ". 1I WIN
£%-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY r : {'
TENDERED-
HANGE
CHECK NO.
SIGNATURE
NO. 1969
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): p
TRUCK WEIGHT: t 3 GROSS
` 1 TARE
\4", 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 TUAPPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I,HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED.WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `" DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET I GRID WEIGH-
,MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469292 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ D,$TE IN _ DATE OUT, "TIME IN TIME OUT VEHICLEI.- ROLL OFF
09/16/19 09/16/19 07:14 07:14 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81280 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 44280 LB
QTY. UNIT. "- -= DESCRIPTION" RATE EXTENSION 'FEE TOTAL
22.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r
Opdays a wee _, r =
CLOSED HOLIDAYS-QUESTIONS CALL 631-73427685.6',�' � 0.00
� w
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-D 'v, TENDERED.
, 'CHANGE,
CHECK'NO,
SIGNATURE
.SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469292 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT'- TIME IN TIME OUT . VEHICLE ROLL OFF
09/16/19 09/16/19 07:14 07:14 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81280 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 44280 LB
QTY._ UNIT DESCRIPTION ` _ RATE _ `-EXTENSION FEE TOTAL
22.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours odays a wee r ti n �_ _ :_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;> R. " '� 0.00
r TENDERED
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`�DA1'��� �,�-.r,;W��4 '§�?-t.,.`�
CHANGE,
CHECK,NO. -
SIGNATURE
®078
GENERATOR
'THIS MANIFEST"IS-FOR REFERENCE PURPOSES,ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY"CARGO OR MATERIALS
BEING SHIPPED AND DOES NOWT ASSUME ANY-LIABILITY ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS. _
COMPANY:- y i L.k 1 i.I L _ �''� SHIP DATE:,, -1
COMMODITY SHIPPED: M •. 1'.)
LOOSE: i C) i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' ': /: GROSS
TARE
?�. .x !"�q NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL E L 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 CORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ! - (SIGNATURE)-)
t
TRANSPORTER
TRANSPORTATION/FREIGHT CO. rr'
TRUCK NO. 2— 5 LICENSE NO/STATE: f
TRAILER NO. o� LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) /i' (SIGNATURE)
` DESTINATION'
DISPOSAL LOCATION: ;f,' �I'/ i,'yl ,�; t. / ; DATE DELIVERED:
ADDRESS: i ..
I HEREBY CERTIFY THAT"THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO-TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I '.,..,,TICKET ' GRIDWEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469361 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 rM1 ATE IN DATE OUt TIIvf IN] TIME OUT " _VEHICLE ROLL OFF
09/16/19 09/16/19 11:11 11:11 11114TC
009316 Town of Babylon
Scale 2 Gross Wt. 76420 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 40160 LB
QTY; UNIT DESCRIPTION', RATE''. EXTENSION - _ FEE TOTAL"
20.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op o mub vivi 7 clays a weeK. f. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.x-� 'J - ' `..z��� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY =g. j w TENDERED„;
f
CHANGE;
CHECK NO.,
SIGNATURE
SITE TICKET,, „„ GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469361 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' _, DATE OUT TIME IN TIME OUT VEHICLE `ROLL OFF
09/16/19 09/16/19 11:11 11:11 11114T
009316 Town of Babylon
REFERENCE
•�
Scale 2 Gross Wt. 76420 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 40160 LB
7
QTY-= UNIT-,' DESCRIPTION RATE EXTENSION FEE FEE
TOTAL
20.08 TON DUTGO.MSW 0.000 0.00 0.00 0.00
22-
Operating
Opera Ing ours oclays a weeK.,,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '*
-• _..., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALbAY m'7 ?>. -: ; 'r;; TENDERED'
CHECK-NO:9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION"
214 B lydenburgh Road No 2505
Islandia, NY. 11749 i
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY t LA F 1' ! 0 L 1� SHIP DATE: � � � � � c7_
COMMODITY SHIPPED:
LOOSE: (3 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: .'``i u GROSS
TARE
s3 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS'DEFINED BY 40 CFR PART 260.10'OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
- r
GENERATOR AUTHORIZED AGENT(PRINT NAME) `t<___________---(SIGNATURE)
TRANSPORTER-
TRANSPORTATION/FREIGHT CO." • L-I
TRUCK NO. ' Z LICENSE NO/STATE: '
TRAILER NO., if, > LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE"NAMED MATERIAL WAS PICKED,UP-AT THEGENERATOR-SITE LISTED,ABOVE, AND THAT IT-WAS
DELIVERED WITHOUT INC IDENT TO THE DESTINATION LISTED BELOW.
_ DRIVER:
(PRINT NAME)- ,. / (SIGNATURE)
DESTINATION-
DISPOSAL
ESTINATIONDISPOSAL LOCATION: f\� J' A 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
i
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE '_'TICKET -- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469567 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN,- ,,,DATE OUT, , TIME IN TIME OUT„.- VEHICLE- ROLL OFF,
09/17/19 09/17/19 10:26 110:26 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36900 LB
QTY.' UNIT DESCRIPTION RATE.. -EXTENSION° -.,FEE ,TOTAL
18.45 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weeK,,, f <..�t ° ,y -; r09111
" .z- w �_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,-,s%%, p. ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY", '{ _ " ;. "'TENDERED
'CHANGE`
CHECK NO.
9
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID +WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469567 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
09/17/19 109/17/19 10:26 110:26 111 14T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36900 LB
QT,Y. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
18.45 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: ; "° `;:v '.` - ->% � J r'i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x `°_ °"--. -' " a 0.00
- `
.'
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY" .�.;,'�';,�G,„��� t;,,p r��;,`, TENDERED
CHECK NO. --
SIGNATURE
NO. 0080
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': I,
_ SHIP DATE: "
. t
COMMODITY SHIPPED: r`- 1 'h i
LOOSE: t (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS _
;f TARE
-(
� �c. NET
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED -BY 40 CER 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-TRANSPORTATOON-ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) n <�__-"--(SIGNATURE)
• I
TRANSPORTER , ,
TRANSPORTATION/FREIGHT CO.
TRUCK NO. yy<� `' L/ICENSE NO/STATE:
TRAILER NO. ( u 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) 1r,J (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: b r''„ , r �r 1 ;f` >�; � o � 1 DATE DELIVERED: cl
- ADDRESS: J 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. 1
- 't t
`SITE TICKET " GRID `WEIGHMASTER;
SOUTHOLD TOWN DEPT SOLID WASTE 0101469776 Steph
PO Box 962/6155 Cox Lane a -1' - I- - L
Cutchogue, NY 11935 -- DATE�IN DATE OUT .TIME IN TIME'OUT VEHICLE ROLL OFF
09/18/19 09/18/19 11:03 11:03 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84260 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 50280 LB
QTY° UNIT DESCRIPTION,, RATE '- EXTENSION FEE TOTAL
25.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00
• A
?
�' � t S J .�•' I
�M
Operating hours 7:00 AM to 5:00 PM 7 days a week,:', `.�_ :1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.w �> 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYS' >.v, =3€ � a , ;�P TENDERED"
CHANGE
CHECK NO
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469776 Steph
PO Box 962/6155 Cox Lane 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
09/18/19 09/18/19 11:03 11:03 11114TC
009316 Town of Babylon REFERENCE
F6TY.
Scale 2 Gross Wt. 84260 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Ne We' h 50280 LB
UNIT" DESCRIPTION RATE EXTENSION FEE TOTAL
25.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: a •
p 9 Y .6., w ..
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALADAY; f: rt rst y:, TEN°ERE°
CHANGE
CHECK NO:__
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO. 2506
Islandia, NY` 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �_ ,0 (,k—i SHIP DATE: `(I l — I 3 i
COMMODITY-,SHIPPED:
LOOSEN (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `-4 ? GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE 'NAMED-MATERIAL DOES NOT CONTAIN,FREE LIQUID'AS DEFINED BY 40'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION—ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER € .
TRANSPORTATION/FREIGHT CO. if
TRUCK NO. 2 LICENSE NO/STATE:
TRAILER NO: L LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAU-WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT-WAS
DELIVERED WITHOUT'INCIDENT TO THE DESTINATION LISTED BELOW:' . .
DRIVER: L ('1? x
(PRINT NAME) (SIGNATURE)
a
DESTINATION
DISPOSAL'LOCATION:• tsI P, r\I i ;° I ~31�\ I DATE DELIVERED:
ADDRESS: ' I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET" (SITE TICKET, GRID WEIGHMASTER
SOUTAOLD TOWN DEPT SOLID WASTE 01 01469899 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 >=DATE IN, _' DATE OUT TfME IN JJ
TIME'OUT , VEHICLE . _ ROLL OFF
09/19/19 09/19/19 07:21 07:21 11114T
009316 Town of Babylon
REFERENCE
C 77
Scale 2 Gross Wt. 78320 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 42100 LB
QTY. UNIT. _
DESCRIPTION _ RATE EXTENSION_ FEE TOTAL
21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
a. .... _ y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:, ` _ r 0.0
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-,DiRY �,3} �s . ,, t " y TENDERED
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID, WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469899 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE IN -DATE OUT '' TIME`IN TIME'OUT VEHICLE ROLL OFF _
09/19/19 09/19/19 07:21 07:21 11114T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78320 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 42100 LB
- QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
3 s:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734768'5.,,-' �" f. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY', ", �p ta. .;a .�`3 TENDERED
.,. CHANGE
CHECK-NO
SIGNATURE
TRINITY-TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2507
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPED AND DOES NOT -SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: •� ' `s t { {{ 1 `;
`'t SHIP DATE: ✓! ,f t r= I
COMMODITY SHIPPED: ��`3 `_f .)
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 260A0-OR ANY '
:APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. "
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER .
�j
TRANSPORTATION/FREIGHT CO. if < <'
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: _"—.-. Cl, a f
(PRINT NAME)' (SIGNATURE)
DESTINATION'S
DISPOSAL LOCATION:. OVA-4 I I� Jf ! ` L1�.)]\I DATEDELIVERED:
ADDRESS: Y . t
m
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS,BEEN•ACCEP.TED'AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO: ` ` '
"DUPLICATE TICKET" rSiTEI TICKET GFiiD "EI&MAS_`gE r
kCJ iOLD TOWN DEPT SOLID WASTE 01 01469948 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN,, --DATE-OUT TIME-IN, TIME OUT VEHICLE' „ F `ROLL-t1FF,- '
09/19/19 09/19/19 11:05 11:05 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 42980 LB
TY
QYUNIT-', ,' DESCRIPTION RATE, EXTENSION FEE TOTAL"
21.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
` •• ' CHANGE
CHECK NO'.'
SIGNATURE
"DUPLICATE TICKET'* SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01469948 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT .TIME IN TIME OuT VEk#ICLE Rf3LL OFF
09/19/19 09/19/19 11:05 11:05 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 42980 LB
QTY, UNIT DESCRIPTION"- - RATE EXTENSION TEE - TOTAL .
21.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
S
t
Ope a ng urs m6 AIVI to mub vm 7 days a Wee. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. " 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-,DAY TENDERED`--
1
ENDERED--
-C ECK'NO--
SIGNATURE
--TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2508
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. j
COMPANY: ) !,' ?A 1 },1 i.; �. SHIP DATE: l Y #, ►
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
F =" TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 'r
TRUCK NO. ' LICENSE NO/STATE:
I
TRAILER NO. %_ "r _LICENSE NO/STATE: I
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKEDUP 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: 11' rti ) f e //lrf a °. ! I DATE DELIVERED:
ADDRESS: \ I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
**DUPI±ICATE TICKET" SITE TICKET GRID WEIGHMASTER=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470136 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN; DATE OUT TIME IN TIME'OUT VEHICLE- ROLL OFF
09/20/19 09/20/19 11:36 11:36 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80020 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 43800 LB
QTY UNIT D_ESCR_IPTION"= RATE '' EXTENSION „' -FEE TOTAL
21.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
-Z %
d
O 86 AM
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 I685 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY a
y * TENDERED,j'
u'
CHANGE
" CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I, -TICKET GRID, WEIGHMASTER`„
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470136 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/20/19 09/20/19 11:36 11:36 1 9606T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80020 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 43800 LB
-QTY. _= UNIT DESCRIPTION RATE EXTENSION FEE,_ TOTAL
21.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Oltr
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, '; ' °s o s 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY4'�d-::r, TENDERED `=
' CHECK NO. --
SIGNATURE
1
NO. 1971
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ~�'' �' GROSS
{ ` TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" _SITE]- TICKET, .GRID �.'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470074 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN e DATE OUT `= TIME IN TIME OUT VEHICLE ROLL OFF
09/20/19 09/20/19 07:41 07:41 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73500 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 36580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE_ TOTAL
18.29 TON OUTGO.MSW 0.000 0.00 0.00 0.00
.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685//8
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALzDAY. r1W. �'° ¢ f TENDERED
w
CHANGE
CHECK NO
--j
SIGNATURE
"DUPLICATE TICKET" SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470074 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF,
09/20/19 09/20/19 07:41 07:41 1 9606T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73500 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 36580 LB
QTY. _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.29 TON OUTGO.MSW 0.000 0.00 0.00 0.00
k1 :_ iic
e }e}
`tea
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`-��r� '* 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY; TENDERED
CHANGE
CHECK NO: `
SIGNATURE
NO. 197 ®
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `r="'?.' f ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
i
c•
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. _
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET'* "SIT E I TICKET,, GRID WEIGHMASTER,,;_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470261 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =_.DATE IN DATE OUT :TIME IN TIME OUTVEHICLE_` ROLL OFF
09/21/1'9" 09/21/19 08:27 08:27 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 45600 LB
QTY _ UNIT DESCRIPTION='" RATE_ EXTENSION FEE', TOTAL `
22.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'Ni
CLOSED HOLIDAYS-QUESTIONS CALL 631-734g76854 ,m ` � 'w � �y�m 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL;DAY;F� <_- TENDERED
CHANGE,
CHECK N'--°
SIGNATURE
**DUPLICATE TICKET** SITE TICKET, GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470261 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - ;TIME-IN TIME OUT VEHICLE ROLL OFF
09/21/1 9 09/21/19 08:27 08:27 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 45600 LB
QTY =_ UNIT DESCRIPTION __ RATE_ EXTENSION`- FEE = TOTAL 7\
TON OUTGO.MSW 0.000 0.00 000 0.00
Nj
Operating hms o mub vmf Uays;a wee :R, 4W.,
.,..� ^ f ,. �-...�, _�i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:°-`vim, ''. �° ,_' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY� F .��N =;,__i r-, _ TENDERED' --,
CHANGE
CHECK NO. '
SIGNATURE
- 7
^'�.. NO. -0 08 1 =
GENERATOR .-
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.-GENERATOR DOES NOT TAKE-POSSESSION OR TITLE-OF ANY CARGO OR MATERIAL'S
BEING SHIPPED'AND DOES NOT ASSUME ANY LIABILITY.-ASSOCIATED-WITH•THE SHIPMENT OF SUCH MATERIALS. .
COMPANY: ; t:( f it
SHIP DATE:
COMMODITY SHIPPED:,
LOOSE: J'J c! ,(CU YDS) ,
BALES: (COUNT): -
TRUCK WEIGHT: d t,• GROSS
{
TARE
a PNET
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 TQ APPLICABLE REGULATION.
„r
GENERATOR AUTHORIZED AGENT(PRINT NAME) r SIGNATURE)
_ 1
TRANSPORTER
TRANSPORTATION/FREIGHT CO. �r I ,•rl ` ] j '
TRUCK NO. _. LICENSE NO/STATE:.
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
X
DESTINATION `.
DISPOSAL LOCATION. f ) I A 1 y 1 A '� I DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:-
RECEIVED BY:
AUTHORIZED AGENT(PRINT-NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470260 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF =
09/21/19 09/21/19 08:25 08:25 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 44940 LB 7
QTY. UNIT ,DESCRIPTION, RATE EXTENSION` FEE TOTAL
22.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00
fjp
y,'o'
t '
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 '->? tea,',. - 0.00
NEXT HOLIDAY: MONDAY MAY 27, 2019 MEMORIAL.DAY�`�j" TENDERED
r. 4�
Vis.>-}y CHAN E
CHECK NO. --
SIGNATURE
SITE TICKET GRID,,u WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470260 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEJN,r .`DATE OUT-" TIME,IN;;TIME OUT -VEHICLEROLLOFF
09/21/19 09/21/19 08:25 08:25 19606TC
009316 Town of Babylon
REFERENCE
CE
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 36920 LB
Net Weight 44940 LB
QTY° ' UNIT — _ DESCRIPTION RATE EXTENSION. FEE' _ TOTAL
22.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r. �
O °'tom ',., y _� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�6-85 `°. �:; p 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAYa'�.'r; f, I,t TENDERED-
,
CHANGE-'
CHECK NQ±
SIGNATURE
NO. 1972
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `. `= GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABL-E,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.
--ZUP1!QATE TICKET" SITE TICKET _ =GRID -} WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE @1 01470796 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/23/19 9/23/19 2:41 2:41 111 14T
009316 Town of Babylon
REFERENCE
7-
Scale 2 Gross Wt. 64160 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 27340 LB
QTY _ UNIT: ; DESCRIPTION:_ , RATE= EXTENSION FEE. TOTAL
3.67 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
operating hours o 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .. 0.00
NEXT HOLIDAY: MONDAY MAY 27,2019 MEMORIAL DAY`>- s TENDERED
CHA GE
CHECK NO.
_j
SIGNATURE
"DUPLICATE TICKET" SITE. TICKET GRID„ WEIG,HMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 1 01470796 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT TIME,IN TIME OUT VEHICLE ROLLOFF 6
9/23/19 9/23/19 2:41 2:41 111 14T
009316 Town of Babylon REFERENCE OR1GIN
Scale 2 Gross Wt. 64160 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Wei ht 27340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE- r TOTAL
3.67 TON C UTGO.MSW 0.000 0.00 0.00 0.00
10
fes• �{ � 5-'�f ��;$ .n
t n�,
{j 1
Operating hours 7:00 AM to 5:00 PM 7 days a week. _ �. ': •
"
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY z j s'; TENDERED
CHANGE`
- =CHECK NO.
SIGNATURE
NO. 008-31,
3 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:MATERIAL'S. .
COMPANY: E � � � s i'', SHIP DATE: yi
COMMODITY SHIPPED::
LOOSE: 'r v :�i (CU YDS).
BALES: (COUNT):
TRUCK WEIGHT:- ' t�ff`, f '•w GROSS
TARE
a `i NET
AFS,
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.
f ,
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. `._. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,L S ED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW t
j
' DRIVER: „�..., V_v ,.i �-'l�
r(PRINT NAME) f. 'r (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:`-U ' ' j t} frj",r`�� t� ' '�� DATE DELIVERED: `
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
ALP40RIZED 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 WASTE1 01470731 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N` DATE OUT TIME IN TIME OUT __ -VEHICLE ROLL OFF
9/23/19 9/23/19 9:23 9:23 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76060 LB Outbound-Charge ticket
4 4
Manual Tare Wt. 38700 LB
Net Weight 37360 LB
-QTY. UNIT -- DESCRIPTION RATE EXTENSION FEE TOTAL
8.68 TON UTGO.MSW 0.000 0.00 0.00 0.00
{
Operating nours o ays a weeK. n 1 _ -- •
"`"tea'""''
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
E m ti }1
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�D'AY a;' `4 a n h � ��v TENDERED
„
CHANGE
CHECK NO.
SIGNATURE
(SITE ' TICKET GRIQ, 'WEIGHMASTERµ
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470731 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/23/19 19/23/19 9:23 9:23 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76060 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37360 LB
"QTY, UNIT-- DESCRIPTION. RATE, EXTENSION ; 'FEE TOTAL''
8.68 TON C UTGO.MSW 0.000 0.00 0.00 0.00
't
Operating hours 7:00 AM to 5:00 PM 7 days a week. A'J •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. . �y -. ' 0.00
l
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL Di4Y"<`,' , 'i; ,,,s�,j-;`a - ,` _—TENDERED
CHANGE
CHE K'N
SIGNATURE
NO. 0082
+ 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 311i
- COMPANY: e (T ( 41 -_ _ SHIP_ DATE: I ✓ l
l ,
- COMMODITY'SHIPPED:. #�1 � 1,,,� - - t - - •
LOOSE: 0 ') i i (CU YDS) r
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
UCS 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)- fr' ~ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LIC NSE NO/STATE:
TRAILER NO. r `i LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED9ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. O
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
r'`
• r
DISPOSAL LOCATION: l I DATE DELIVERED:
ADDRESS:
v # d
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATIONPROVIDED -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. "
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" ('SITEl' '- _TICKET -GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 1 01470998 Steph
PO Box 962/6155 Cox Lane `'
Cutchogue, NY 11935 DTE.IN DATE OUT TIME IN TIME OUT __ VEHICLE ROLL OFF
9/24/199/24/19 4:11 4:11 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44840 LB
- QTY.- UNIT_-__ DESCRIPTION_ RATE -EXTENSION FEE TOTAL
2.42 TON UTGO.MSW 0.000 0.00 0.00 0.00
C " , ,, Y k
11 J
operating hours odays a weel(. �.=, rte- p, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ �' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY° .1 TENDERED
IFT
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID' .+". -,WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01470998 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ` DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/24/19 9/24/19 411 411 11114TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 81660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44840 LB
QTY,,, UNIT ,, DESCRIPTION . RATE EXTENSION FEE'j TOTAL
2.42 TON C UTGO.MSW 0.000 0.00 0.00 0.00
> ,t i �
cy
} -s �
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,` _ _ :,I 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY">', ''" '"�` _;, ; ?a A ` J' TENDERED
n4
CHANGE
`CHECK NO:"""'
SIGNATURE
a
i
No. 0402
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: SHIRDATE: I. 1
COMMODITY SHIPPED:. !
LOOSE: (CU YDS)
BALES: (COUNT):
14 -
TRUCK WEIGHT: , ,_s : —} 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.APPLICA CJL'TION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) `" !!!(SIGNATURE)'
TRANSPORTER
/T
TRANSPORTATION/FREIGHT CO. �� 1 ,-•� ` l ' J'} �f)r )
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. C' `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. _ a'
DRIVER: 1 c I
(PRINT-NAME) z_-- (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: � 'b I / {_J t r/ ,/ �—� I`� DATE DELIVERED: ~ �
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET _ GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01470883 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_ DATE_OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/24/19 9/24/19 7:19 7:19 11114TC
009316 Town of Babylon
.: `. REFERENCE •-
Scale 2 Gross Wt. 92640 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 53940 LB
'QTY UNIT DESCRIPTION RATE EXTENSION FEE__ TOTAL
6.97 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating Hours TOU AIVI to ays a wee .� 4�. __ yv a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5. err 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,, TENDERED'
CHANGE
CHECK NO.
SIGNATURE
SITE 'TICKET, -,GRID ; „ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01470883 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN " DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF
9/24/19 9/24/19 7:19 7:19 111 14T
009316 Town of Babylon Ii! - I
REFERENCE
Scale 2 Gross Wt. 92640 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 53940 LB
QTY.' 'UNIT-_- "DESCRIPTION RATE EXTENSION .= FEE TOTAL "
6.97 TON C UTGO.MSW 0.000 0.00 0.00 0.00
E"
Operating hours 7:00 A to 5:00 7 days a wee .~c _u •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768.5.
0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY' �, -,� `' ;a ' -TENDERED
CHANGE -
CHECK NO
SIGNATURE
NO. ® 401
GENERATOR
= THIS MANIFEST,IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR"TITLE,OFANY CARGO OR MATERIALS -
BEING SHIPPED AND DOES NO ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATERIAL'S. `
--•COMPANY:, F 1 ,; r _ , ; SHIP.DATE: -
COMMODITY SHIPPED:
LOOSE: (CU-YDS)
'BALES: (COUNT):
TRUCK WEIGHT: 1 -' GROSS
TARE
CIF) 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 BEE14 PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLIGABL-E.REGULATION.' -
GENERATOR AUTHORIZED AGENT(PRINT NAME) : ;t l.�_ ..(SIGNATURE)TRANSPORTER-
TRANS PORTATION/FREIGHT
RANSPORTER-
TRANSPORTATION/FREIGHT CO.
TRUCK NO. a LICENSE NO/STATE:
TRAILER NO.-- - -"'. 19 ", 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-A 4 i Il�r2�VU; !tit 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`''"- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01471118 Steph
PO Box 962/6155 Cox Lane - __ _
Cutchogue, NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE-, - ROLL OFF
9/25/19 9/25/19 1:32 1:32 11114TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44860 LB
QTY',.," UNIT "''"' . DESCRIP.TION_' _ RATE - _ EXTENSION FEE_ TOTAL
2.43 TON C IUTGO.MSW 0.000 0.00 0.00 0.00
m t ,
Operating hours odays a weel(.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: =." r_W r' „�; ( ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY"k'h r ;« y* _. TENDERED'
CHANGE
,,CHECK NO.
SIGNATURE
SITE TICKET' "' GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01471118 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN j DATE OUT TIME IN TIME OUT - `VEHICLE ROLLOFF "
9/25/19 9/25/19 1:32 1:32 11114T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 44860 LB
QTY. ,UNIT DESCRIPTION- ., - -
RATE EXTENSION, „ FEE` TOTAL
2.43 TON C UTGO.MSW 0.000 0.00 0.00 0.00
•,e n� �,
d t i
Operating hours 7:00 AM to 5:00 PM 7 days a week.r ,__
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,f° 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY'-, 'TENDERED` '
-CHANGE-CHA GE
- CHECKLNO:::l
SIGNATURE
NO. ® 4 ®3
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF-ANY CARGO OR MATERIALS.
BEING SHIPPED AND DOES-NOT`ASSUME'ANY LIABILITY ASSOCIATED WITH-:THE-SHIPMENT OF-SUCH MATERIALS.,
COMPANY: a d SHIP-DATE:,-
COMMODITY
HIPDATE:COMMODITY SHIPPED:-- Jlv\
LOOSE: 3 (CU YDS)',
BALES:(COUNT):
TRUCK WEIGHT: ),6S Y t GROSS
'f r TARE
Zr'ONET
- - 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,FO TR RANSPORT TION 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: _ + 1 Q-1
(PRINT NAME) (SIGNATURE)
lol/ '
DESTINATION
DISPOSAL LOCATION: 1 � ;I i�1,, .j � '� .:`!` !_� J t 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:
i
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
i
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
'YELLOW TO TRANSPORTER.
PINK TO GENERATOR.
GOLD TO GENERATOR ,DISPOSAL LOCATION TICKET NO.
f
"DUkICATE TICKET" (SITE1, , TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE A 01471272 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT _ TIME IN' TIME OUT VEHICLE ROLL OFF _
9/26/19 9/26/19 1:25 1:25 19606TC
REFERENCE
009316 Town of Babylon
C_ .
•-
7
Scale 2 Gross Wt. 74940 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38180 LB
QTY.' UNITDESCRIPTION RATE"' ; EXTENSION: ' FEE TOTAL
9.09 TON UTGO.MSW 0.000 0.00 0.00 0.00
._pe
ni
Operating hours 0 AM to 5:00 PM 7 clays a week: AIIIIIIIIIIIIII kq I a MAI •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76'85.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY q '".°,, �'� , ` - TENDERED'
M« e
CHANGE
CHECK NO ,o-^
SIGNATURE
"DUPLICATE TICKET" SITE ' TICKET „ GRID J11WEIGHMAS`rER',t"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01471272 Liz H
PO Box 962/6155 Cox Lane DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
9/26/19 9/26/19 1:25 1:25 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74940 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38180 LB
QTY UNIT - - DESCRIPTION _ RATE EXTENSION FEE TOTAL
9.09 TON C UTGO.MSW 0.000 0.00 0.00 0.00
f�
Al .�' �?,rte, �r" ,•u
Operating hours 7:00 AM to 5:00 PM 7 days a week.'; _- '' ` , ;fes •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76'85. •`s �'', 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY''''' °°;;`�°:,;.,,5,-� `�°�= .�'�.''
TENDERED
CHANGE`
CHECK NO.
SIGNATURE
NO. 1974
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ! `' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
r-
f
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
``DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01471221 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INf,`,--_DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/26/19 9/26/19 7:44 7:44 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 85180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 48560 LB
QTY UNIT 7 DESCRIPTION _ RATE EXTENSION FEE -TOTAL
4.28 TON UTGO.MSW 0.000 0.00 0.00 0.00
°;., • �a
Operating hours o days a wee .?
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: F _ 0.00
� ~----------°-"``��.�':�:4':, ori
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY'!,f „, ? TENDERED
CHANGE'
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET,,, GRID,: r,WE1GHMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE @1 01471221 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9/26/19 9/26/19 7:44 7:44 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 85180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 48560 LB
"^ QTY.' UNIT DESCRIPTION ' ,- 'RATE 'EXTENSION' FEE TOTAL'
4.28 TON C UTGO.MSW 0.000 0.00 0.00 0.00
r 2Z
Operating hours 7:00 AM to 5:00 PM 7 days a week.; L6111 ami
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. >'' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL D'AY'S<r s_r:fy,;, TENDERED
— CHANGE
=-CHECK NO::::j
SIGNATURE
NO. 1973
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: = SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
r TARE
r
C_1 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET*" SITE I TICKET GRID WEIGHMASTER
SOLY11NOLD TOWN DEPT SOLID WASTE 1 01471258 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN z DATE OUT TIME IN TIME OUT -VEHICLE ROLLOFF,
9/26/19 9/26/19 0:55 0:55 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78620 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 42400 LB
= UNIT DESCRIPTION RATE EXTENSION FEE-. TOTAL
QTY L
1.20 TON UTGO.MSW 0.000 0.00 0.00 0.00
' .3F
Operating ours odays a wee dooLqELV•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. " . ; '' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL''DAl'°f`. TENDERED
-CHANGE
CHECK NO
___j
SIGNATURE
DUPLICATE TICKET" SITE TICKS GRID,,
** 'TICKET", WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01471258 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT " TIME IN, TIME OUT' ,,VEHICLE „ROLLOFF''
9/26/19 9/26/19 0:55 11
0:55 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78620 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 42400 LB
TY. UNIT ' DESCRIPTION: RATE ' EXTENSION FEE TOTAL
1.20 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
3 i ifI
Operating hours 7:00 AM to 5:00 PM 7 days a week.`;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _r`, �. -✓ ;{�" 0.00
Y - �x,i'i: �,.(';� '�
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY'- _TENDERED
C ECK NO
SIGNATURE
NO. 0404
GENERATOR
THIS MANIFEST IS"FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE-POSSESSION OR TITLE OF ANY CARGO,OR MATERIALS
-BEING SHIPPED-AND=DOES NOrASSUME ANY LIABILITY,ASSOCIATED WITH THE SHIPMENT OF,SUCH:MATERIAL'S.•_
COMPANY: �.�,1�.1 _ L
. . ". � � a,>"t 7? � l _
i - SHIP DATE: `•f r.o�Cr��l ..
COMMODITY SHIPPED::
J —
LOOSE:- ! t (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS-
�'
TARE
- �� �
LA C �) NET _
I HEREBY CERTIFY THAT-THE ABOVE"NAMED MATERIAL DOES NOT CONTAIN FREE•LIQUID AS DEFINED BY 40 CFR'PART 260:10 OR ANY
APPLICABLE STATE LAW,,IS NOT HAZARDOUS WASTE AS DEFINED,BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,'CLASSIFIED AND PACKAGED,AND IS-IN'PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE.REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE)
TRANSPORTER
TRANS PORTATION/FREIGHT._CO. • - ! � � 1� �-� r 6 A-I"J 1 - -
TRUCK NO. `r LICENSE NO/STATE:
TRAILER NO. , ' LICENSE NO/STATE:,
'I HEREBY CERTIFYTHATTHE ABOVE NAMED MATERIAL WAS PICKED UP AT-THE GENERATOR SITE LISTED A OVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ?
(PRINT NAME) .i J (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: I_� '1! t A ! f`� w,l��C U DATE DELIVERED:
`✓
ADDRESS: -i
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. _
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*DU;� '-ATE TICKET" §1TE TICKET GRID " ^ 1NEIGHMASTER
O,UTI'' QLD TOWN DEPT SOLID WASTE 01 01471385 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE^IN DATE OUT- TIME IN TIME OU7 ` VEHICLE = ROLL OFF
09/27/19 09/27/19 09:07 09:07 11114T
009316 Town of Babylon
REFERENCE ORIGIN
-F
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39160 LB
QTY UNIT DESCRIPTION, RATE EXTENSION_ FEE_ TOTAL
19.58 TON yUTGO.MSW 0.000 0.00 0.00 0.00
jam, �f,j,/•'.'.
CLOSED HOLIDAYS-QUESTIONS CALL 6311-7344685"-, - - 'irp w 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIAL:DAY^" ,r,4g TENDERED--,
,,
CH NGS.
CHECK NO. '
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET- GRID, I WEIGHMASTEFi
SOUTHOLD TOWN DEPT SOLID WASTE A 01471385 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN,TIME,OUT VEHICLE, ROLL OFF,
9/27/19 9/27/19 9:07 9:07 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 39160 LB
'QTY" UNIT DESCRIPTION, RATE EXTENSION_ FEE TOTAL
9.58 'TON UTGO.MSW 0.000 0.00 0.00 0.00
y;
37r
Ope .V, `:a t` a.. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALbAY';` ;, TENDERED` `
dw .. FJo-
t
HANGS-
CHECK NO:- -
SIGNATURE
NO. 0405
GENERATOR,:-: =
THIS MANIFEST IS'FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS'
_ BEING SHIPPED AND DOES N07ASSUME ANY--LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH-MATERIALS. -
COMPANY: - (Ai � L- I), SHIP DA_TE:.'
COMMODITY SHIPPED: - vi, GJ f
LOOSE: (CU YDS).
BALES: (COUNT):,, ,,-
TRUCK WEIGHT:-., eJ t_' = o GROSS
c; a TARE
it` ls 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 AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) t
TRANSPORTER
TRANS PORTATIO_ N/F EIG HT-CO "/ I `' n 3
R ! t / 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.
dR-----�..1
_ DRIVER:
(PRINT NAME) / (SIGNATURE)-
DESTINATION
DISPOSAL LOCATION: _L J/_(l _-Ull 1 w V j �� DATE DELIVERED: - } Im
ADDRESS: -
I HEREBY CERTIFYTHATTHE 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 PICKET .-GRID WEIGH MASTER
SOUTHOLD TOWN DEPT SOLID WASTE J� 01 01471535 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN'TIME OUT `, VEHICLE _ ` =ROLL OFF
r
09/28/19 09/28/19 07:17 07:17 1REFERENCE
1114TC
009316 Town of Babylon
Scale 2 Gross Wt. 79560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 43300 LB
QTY. UNIT DESCRIPTION -_ RATE EXTENSION FEE TOTAL
21.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
• '
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 .� - 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY,/ems e
g 4��•c--,,� .�v TENDERED
2Y 1
'CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID'' WE16HMASTER A
SOUTHOLD TOWN DEPT SOLID WASTE 01 01471535 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/28/19 09/28/19 07:17 07:17 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 43300 LB
QTY.;- - UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL
21.65 O f T UT J TGO.9 SW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734--7685:�, r
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY •,a "-
�- 6 �r -�.+ TENDERED
` CHANGE
- '
CHECK NO.'
�j
SIGNATURE
NO.
GENERATOR'_ _
` "THIS'MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR,MATERIALS--
_BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED-WITH THE-SHIPMENT OF-SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:V'
LOOSE: (, 0 (CU YDS) . . ' .
BALES: (COUNT):
TRUCK-WEIGHT.:. '�^. -_ GROSS_, _
f i cru TARE
NET
-I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID•AS DEFINED BY'40 CFR PART 260.10 OR ANY`
APPLICABLE STATE'LAW,IS NOT HAZARDOUS WASTE AS'DEFINED`BY 40 CFR PART 261 OR ANY APPLICABLE-STATE LAW;•HAS BEEN PROPERLY.'
`DESCRIBED,CLASSIFIED AND PACKAGED,AND IS,IN PROPER CONDITION,FOR-TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) -(SIGNATURE).
TRANSPORTER "
TRANSPORTATION/FREIGHT CO.- l__j )1
-TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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:" t *,
(PRINT NAME) (SIGNATURE)
fd
DESTINATION ;
DISPOSAL LOCATION: t u'i rNj,_71 of
DATE DELIVERED:
ADDRESS:
f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL"HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: -WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE ,TICKET, GRID;" < WEIGHM,ASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01472067 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/30/19 09/30/19 08:06 08:06 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
'tl
Scale 2 Gross Wt. 79980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43360 LB
QTY.` UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
21.68 TON DUTGO.MSW 0.000 0.00 0.00 0.00
�j ,gid�.-•.;'" `':�� `""`:
Opera Ing ou s o ays a wee : 4:•, : g, . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..'x' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL;pAY .N 1' '$ ,. TENDERED
v✓
#' CHANGE
CHECK NO._-
SIGNATURE
"DUPLICATE TICKET" SITE 'TICKET GRID, `'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01472067 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - TIME IN TIME OUT VEHICLE ROLL OFF .
09/30/19 09/30/19 8:06 08:06 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43360 LB
FQTY-- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.68 TON DUTGO.MSW 0.000 0.00 0.00 0.00
V
Operating hours odays a wee , _ 5 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;'' _. — 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY ' Y, hz° <3 :a _a{r TENDERED
CHECK-NO��j
SIGNATURE
NO. 1975
GENERATOR
THIS MANIFEST IS FOR REF,EREMCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: - GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) .-- `(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-SITE `TICKET GRID- WEIGHMASTER.,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01472146 Steph
PO Box 962/6155 Cox Lane .►
Cutchogue, NY 11935 DATE IN ; DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF _
9/30/19 9/30/19 1:42 1:42 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69000 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 32000 LB
QTY." UNIT;:'_ DESCRIPTION RATE EXTENSION FEE "' TOTAL
6.00 TON UTGO.MSW 0.000 0.00 0.00 0.00
t°N(*....
Operating houff : oPM 7 days a weeK. �`u ; mol
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,,,,,a V4 =R`a'v"° 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY =; '' );y t9n, TENDERED-
7CHANGE
CHECK NO." = '
SIGNATURE
SITE TICKET I GRID " WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE W 01472146 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ,= ROLL OFF
9/30/19 9/30/19 1:42 1:42 19606TC
009316 Town of Babylon REFERENCE
FScale 2 Gross Wt. 69000 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net eight 32000 LB
_ Q UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
6.00 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
A37
It
Operating hours 7:00 AM to 5:00 PM 7 days a week.,,-, ;. ,A r�l'c Jk: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -;� ��_ r 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL `ffa TENDERED
CHANGE
CHECK NO. �
SIGNATURE
NO. 1976
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `� f -" GROSS
' TARE
- - NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION F R-TRANSPO-RTATI,ON ACCORDING TO APPLICABLE REGULATION
IGENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
I
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 OFMY 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.