HomeMy WebLinkAbout02/2020 "DUPLICATE TICKET" SITE TICKET ,4 r GRID 'wEIGHMASTLR°
SOUTHOLD TOWN DEPT SOLID WASTE 01 01500693 Dan
PO Box 982/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT°; `TIME IN' TIME OUT _ VEHICLE= � `' 'E ROLL OFF `
02/03/20 02/03/20 11:45 11:45 19606TC
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 34300 LB
77 QTY.` UNIT„;., DESCRIPTION "-RATE :EXTENSION a” ., 'FEE,,.- TOTAL
17.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:; y `` �, g` `� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY':
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CHANGE' _
CHECK NO
SIGNATURE
"*DUPLICATE TICKET" =SITE _TICKET GRID WEIGOMASTLR.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01500693 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATL OUT TIME IN TIME OUT VEHICLE,„y' ROLLOFF
02/03/20 02/03/20 11:45 11:45 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 34300 LB
QTY. „ -UNIT, DESCRIPTION _ RATE EXTENSION,_ FEE TOTAL
17.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
k ' n '``moi.
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 . '" :-" �� 0.00
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CHECK NO. _
SIGNATURE
No.. '0677
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: aj SHIP DATE:
COMMODITY SHIPPED:`
'LOOSE-. • ' j (CU YDS) '
BALES: (COUNT): '
TRUCK WEIGHT: j GROSS'
TARE
` 1C NET- _
_
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES-NOT-CONTAIN FREE'LIOUID AS DEFINED BY-40,CFR.PART-260.10 OWANY'."
APPLICABLE STATE LAW,IS NOT-HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY' '
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS-,IN PROPER CONDI-TION FOR:TRANSPORT,ATION•A000RDING TQ APPLICABLE REGULATION.
GENERATOR AUTHOR IZED'AGENT(PRINT,NAME) (SIGNATURE) -
TRANSPORTER =
TRANSPORTATION/FREIGHT CO. V c
TRUCK NO.,- ' r" LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS•PICKED UP AT THE GENERATOR,-SITE LISTED ABOVE, AND.THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: "
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:-
ADDRESS:
-1 HEREBY,CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
NO. ®676
-
GENERATOR,-
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY-.GENERATOR DOES NOT TAKE POSSESSION OR-TJTL-'EOF ANY CARGO OR-MATERIALS" -
BEING SHIPPED AND-DOES-NOT ASSUME ANY-LIABILITY'ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:' _
COMPANY: L t "
- _ SHIP DATE:'
COMMODITY
ATE:-
COMMODITY SHIPPED:
LOOSE: _ (CU YDS)
BALES:(COUNT)':
TRUCK-WEIGHT: - _ ? G.�' GROSS „
TARE=_
� vn�
.�' 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:
I -
- I -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD�TO GENERATOR DISPOSAL LOCATION TICKET NO.
,*DUPLICATE TICKET„* SITE ' TICKET= = GRID: ' WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01500843 Dan
PO Pqo 962/6155 Cox Lane
CUtChO9Ue,'NY 11935 -`DATE IN DATE OUT _TIME IN- TIME OUT VEHICLE ROLL OFF
02/04/20 02/04/20 14:19 14:19 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
_F_
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 40560 LB
QTY°°'' _' UNIT,,• DESCRIPTION RATE,' EXTENSION;:",• FEE _': TOTAL ,'
20.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
f• { cS
;; a J �
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.X2 ;> H 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY4' gy p ; Y 'TENDERED--
'4: -�✓�„' ...:,.,�.s'-Y CHANGE
'CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01500843 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-` DATE-OUT _TIME IN TIME OUT VEHICLE _' ROLLOFF-_
02/04/20 02/04/20 14:19 14:19 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 40560 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.28 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PRI 7 days a weep, [fig]04 11
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:/"�,y,' -_ '> < ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAYv f 3§ .i:V .`;,a TENDERED
'--CHANGE-
CHECK^NO.
SIGNATURE
NO. 0,6 7 9 -
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: . = - SHIP DATE:
COMMODITY SHIPPED: = 1
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,-ISNOT HAZARDOUS WASTE•AS DEFINED BY 4`O CFR PART.261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY
--DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION.A000RDING TQ`APPLICABLE REGULATION. :':
GENERATOR,AUTHOR IZED-AGENT(PRINT NAME), (SIGNATURE)
TRANSPORTER.
TRANSPORTATION/FREIGHT CO. '
TRUCK NO. F LICENSE NO/STATE: _
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND-THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. '
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL-LOCATION: r _ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE 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 01500931 Dan
PO Box.562./615,5 Cox Lane
Cutchogue, NY 11935 DATE"IN DAT -OUT TIME TIME OUT[" VEHICLE,----- ROLL OF
, ,K
02/05/20 02/05/20 12:04 12:04 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 63540 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 26540 LB
QTY:, °UNIT ' DESCRIPTION;. RATE `EXTENSION' _ "`FEE:`, TOTAL +` `
13.27 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 t 1=. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAI'�`` 3 , "TENDERED
47 '
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CHECK NO. `
SIGNATURE
"DUPLICATE TICKET"" SITE " TIQKET --a GRID _ =' WEIGHMASTER°''._
SOUTHOLD TOWN DEPT SOLID WASTE 01 01500931 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT; VEHICLE ROLL OFF
02/05/20 02/05/20 12:04 12:04 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 63540 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 26540 LB
QTY. UNIT DESCRIP_T_ION RATE _ FEE TOTAL
13.27 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685. E W _' �' „` 0.00
�'
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY�A''",;r ` �! �'` TENDERED,:�+e CHANGE,
CHECK NO
SIGNATURE
NO. • 6680 -
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: ''v' (CU YDS)
BALES:"(COUNT):
TRUCK WEIGHT: 5, '> ' GROSS_
TARE
NET
I HEREBY CERTIFY THAT,THE ABOVE NAMED MATERIAL DOES NOT CONTAIN.FREE_LIQUID AS DEFINEDiBY 40 CFR PART 260.10"OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS-DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE•LAW,HAS BEEN-PROPERLY
DESCRIBED,-CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR-TRANS PORTAT.ION.AC_CORDINGTQ APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE-) ---._--" -
TRANSPORTER'
TRANSPORTATION/FREIGHT CO. f ''
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:
"*DC1FL�ZATE TICKET" SITE TICKET _. GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501002 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT- TIME 1N TIME OUT , VEHICLE' ROLL OFF °
02/06/20 02/06/20 07:15 07:15 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81040 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40640 LB
QTY UNIT DESCRIPTION RATE _ EXTENSION' FEE ICTAL
20.32 ION OUTGONSW 0.000 0.00 0.00 0.00
A
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685.„ . ' • 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY f' . TENDERED i
'CHANGE' -
'CHECK NO.
SIGNATURE
"DUPLICATE TICKET" ISITE -' TICKET" GRID,: WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501002 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE- ROLL OFF
02/06/20 02/06/20 07:15 07:15 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81040 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40640 LB
QTY. -UNIT DESCRIPTION, RATE EXTENSION ,FEE � TOTAL _
20.32 TON OUTGO.MSW 0 000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685." '
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY,' TENDERED-;y
GRANGE
CHECK N .
SIGNATURE
r -
NO. 0601
GENERATOR== :
THIS MANIFEST"IS FOR REFERENCE PURPOSES'ONL-Y:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: '
COMMODITY SHIPPED: =
LOOSE: _(CU YDS) w
BALES: (COUNT):..
TRUCK WEIGHT: GROSS
('} : TARE
NET
I HEREBY CERTIFY THAT'THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE•LIOUID•`AS DEFINED-BY-40 CFR PART 260.10-OR ANY=
APPLICABLE STATE LAW JS 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. il LICENSE NO/STATE:
TRAILER NO. r LICENSE NO/STATE:
,I-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,-AND THAT IT WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION '
DISPOSAL"LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTEDAND 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
PLICATETICKET"" SITETICKET-" "GRIDWEIGHMASTERHOLD TOWN DEPT SOLID WASTE 01 01501048 Liz H
PO Boz 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN; DATE OUT "TIME IN TIME OUT, VEHICLE ROLL"OFF R
02/06/20 1 02/06/20 14:01 14:01 19606TC
009316 Town of Babylon REFERENCE-
Scale 2 Gross Wt. 77520 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 41300 LB
QTY, -;, UNIT DESCRIPTION ',, RATE. .._, ., EXTENSION_- FEE TOTAL;;,
20.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
ii-.
Operating ours o ays a wee . 44 ,t `` w s,. > `� •
rR, = ✓ - 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 .; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYy i-, TENDERED. ,
CHECK NO:
SIGNATURE
""DUPLICATE TICKET" SITE ' TICKET "-GRID'--' -WEIGHMAS7ER,`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501048 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT LL TIME IN TIME OUT '' VEHICLE _ ROLLOFF
02/06/20 02/06/20 14:01 14:01 19606TC
009316 Town of Babylon REFERENCE ORIGIN
C I ____
Scale 2 Gross Wt. 77520 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 41300 LB
QTY UNIT DESCRIPTION RATE_ EXTENSION' FEE TOTAL
20.65 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
. s ;,� ° , '.
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL`DAY,i -TENDERED
� s ;,
',CHANGE,
'CHECK NO
SIGNATURE
NO. ®682
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
t, TARE
NET
I HEREBY CERTIFY THAT THE--ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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" siTl ,;` .eTICKkT .u _ RIO, '_„--. F WEIGHiv1A5TEEt
SOLFrHOLD TOWN DEPT SOLID WASTE 01 01501523 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _. DATE IN DATE OUT TIME IN TIME,OUT VEHICLE_.' R'OLL.OFF'• '
02/10/20 02/10/20 114:12 14:12 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72500 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 33800 LB
QTY. UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL
16.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
- f
I
Opera mg hours odays a wee -. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY TENDERED
CHECK NO. '
SIGNATURE
"DUPLICATE TICKET" SITE[ TICKET I GRID wEIGHMRSTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501523 Liz H
PO Box 962/6155 Cox Lane
CUfChogUe, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF -
02/10/20 02/10/20 14:12 14:12 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 72500 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 33800 LB
QTY., UNIT DESCRIPTION__ RATE EXTENSION FEE ; - TOTAL,, =:
16.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a wee ; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ,TENDERED, "
' HANGE
CHECK NO.
SIGNATURE
r 5
No: 6684
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:'
HIPPED:LOOSE:' (CU YDS),.
BALES: (COUNT): _
TRUCK WEIGHT: r 1!=` o GROSS -
z` C TARE
I HEREBY CERTIFY-THAT-THE ABOVE-NAMED MATERIAL=DOES NOT,CONTAIN FREE LIQUID-_AS DEFINED BY 40 CFR'PART'260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS-WASTE AS DEFINED BY,40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY-
DESCRIBED,,CL•ASSIFIED AND-PACKAGED,AND'IS IN PROPER CONDITION FOR TRANSPORTATION•ACCORDINGTQAPPLICABLE•REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. "
TRUCK NO. LICENSE NO/STATE-
TRAILER NO.- —LI CENSE 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
1 •
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.
t -
*DdJPUCATE TICKET"* S(TE " TICKET "' H GRID.' '`` 1NEIGHMA51`ER =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501451 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _DATE IN DATE,OUT, TIME-1 TIME OUT VEHICLE ROLL OFF
02/10/20 02/10/20 07:13 07:13 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73640 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36640 LB
QTY. UNIT" DESCRIRTION -RATE EXTENSION = FEE TOTAL
18.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0111111111101111AT
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 � '
0.00
, , ,< TENDERED
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY. �-�,�° ,� �
I f 4 '
:-CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501451 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT --VEHICLE ' `ROLL OFF
02/10/20 02/10/20 07:13 07:13 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73640 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36640 LB
QTY UNIT' DESCRIPTION_' RATE EXTENSION - ;FEE -,'TOTAL
18.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7.08 AM tO 5.06 PIVI 7 days a Weerl�� AVI, A111111111111110 011
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,68' .00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAd :TENDERED
=' �? -CHANGE,
CHECK NO.
SIGNATURE
NO. ® 683
GENERATOR-
THIS
ENERATOR- .THIS MANIFEST IS'FOR REFERENCE'PURPOSES,ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME.ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF.SUCH MATERIALS:'
COMPANY: J SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)'
BALES: (COUNT):
TRUCK WEIGHT: 'orf 12.10 GROSS
(v-, :' TARE
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,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. 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:
ELIVERED-ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
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** sill _ TICKEr__ -GRID ar -` 'wEIGHMASTIt =
SOOT-t!OLD TOWN DEPT SOLID WASTE 01 01501550 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,DATE OUT TIME IN TIME OUT ; VEHICLE ROLL OFF
02/11/20 02/11/20 08:49 08:49 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78120 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41360 LB
Q_TY UNIT= DESCRIPTION RATE, EXTENSION FEE TOTAL
20.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 t. ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL:DAY° - „,;,
�._m. � ' � TENDERED
@tn
uCHANGE
f
CHECK NO
SIGNATURE
"DUPLICATE TICKET” SITE TICKET` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501550 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/11/20 02/11/20 08:49 08:49 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78120 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41360 LB
QTY UNIT" DESCRIP_.TION RATE 'EXTENSION _ FEE TOTAL
20.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685:x "
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL°DAY, ,.4t ;" TENDERED
` <`? "; >,.'✓ CHANGE
CHECK NO
SIGNATURE
GENERATOR
THIS MANIFEST IS FOR REFERENCE'PURPOSES ONLY.GENERATOR-DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEINGrSHIPPED.AND DOES NOT.ASSUME ANY LIABILITY ASSOCIATED WITH:THE SHIPMENT OF"SUCH MATERIALS:
COMPANY: 1' - SHIP DATE:
COMMODITY'SHIPPED:=
LOOSE: ' (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT:. GROSS
TARE
J,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: y _ ' DATE DELIVERED:
-ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE'INFORMATION PROVIDED '
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET"' "TICKET-_ " ''GRID ` WEIGHMASTER
SOVTHOLD TOWN DEPT SOLID WASTE 01 01501579 Liz H
PO 6m,%2/6155 Cox Lane _- _
Cutchogue, NY 11935 DATE IN DATE.OUT TIME IN TIME OUT ` VEHICLE '_,-ROLL OFF
02/11/20 02/11/20 12:35 12:35 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 29300 LB
QTY. .UNIT DESCRIPTION RATE EXTENSION _ =FEE TOTAL
1465 TON OUTGO.MSW 0.000 0.00 0.00 0.00
41,
OperaIng ours o ays a wee a y, "j, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: MONDAY MAY 27 2019 MEMORIAL•:DAY,�' '
qa l-, �„r I�r`; "TENDERED '
'w`, ;r". �F•�' -CHANGE
CHECK'NOr
SIGNATURE
"DUPLICATE TICKET" SITE TICKET=- GRID WEIGHMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501579 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `DATE IN DATE OUT TIME IN TIME OUT VEHICLE `ROLL OFF
02/11/20 02/11/20 12:35 12:35 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65560 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 29300 LB
QTY" UNIT "". _ DESCRIPTION - RATE 'EXTENSION FEE' _ TOTAL
14.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
„.
Operating ours :00 AM to :00 PM 7 days a wee � � 0. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 __.. wr'' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALti
4\ M` f' rN
pAY 'p`t,=: =:� }�� r.;; TENDERED
CHANGE
-CHECK NO.
SIGNATURE
J
NO. 0686
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: r SHIP DATE:.
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:, . =i, GROSS
(- -7 _ TARE
NET
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID-AS DEFINED BY`40 CFR PART,260.10 OR'ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,:AND IS IN PROPER CONDITION>FOR.TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION.
i -
GENERATOR AUTHORIZED AGENT(PRINT NAME) -(SIGNATURE)
r
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 01501608 Dan
PO €a*962/5155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF
02/12/20 02/12/20 07:14 07:14 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77560 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40740 LB
QTY __- UNIT = DESC_RIP-TION RATE EXTENSION `FEE = TOTAL
20.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0 dIIII190IIII&T"01
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685-i"'=' 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 01501608 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN E
TIMOUT -VEHICLE ROLL OFF
' 02/12/20 02/12/20 07:14 07:14 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77560 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40740 LB
QTY.;`=-v UNIT = -DESCRIPTION RATE' EXTENSION FEE TOTAL_
20.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00
1
(:pemtlng hourg 7 AIVI M7 ZIays s weeK4 7 7, ;J ry •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=76 �85 � -• ` J,�a• 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY r ' '
G' £:b IIk X :` "TENDERED°
f l 'x la
CHANGE
CHECK NO.
SIGNATURE
NO. ® 687
GENERATOR "
THIS MANIFEST'IS FOR REFERENCE,PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR-MATERIALS '
: BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF,SUCH•MATERIALS.
COMPANY: -� SHIP DATE:
COMMODITY SHIPPED:-
LOOSE: (CU YDS)-
BALES:-(COUNT): , ,,
TRUCK WEIGHT:--,.', ` � r"), GROSS"
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL- DOES NOT CONTAIN FREE LIQUID AS'DEFINED BY 40,CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY` "
DESCRIBED,•CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING.TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)•- (SIGNATURE)` --
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. _ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED.BELOW:.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND"TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""`DUPLICATE TICKET"" SITE `TICKET GRID" " ; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501742 Liz H
pO 136X 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE; ROLL OFF --
02/13/20 02/13/20 10:07 10:07 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87760 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 47360 LB
OTY , UNIT, DESCRIPTION RATE, EXTENSION-, ._ "FEE f TOTAL.
23.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r49.
Opera Ing Hours TO ays a weem, `< aY r , ex ,�q •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: :x' e 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY ;'y` ... -
r 4• � �' 'TENDERED
'- CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE _TICKET'- GRID ` fWE16HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01501742 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN= DATE OUT___ TIME IN TIME OUT VEHICLE ROLL OFF
02/13/20 02/13/20 10:07 10:07 19606TC
009316 Town of Babylon '
REFERENCE
e-
C I I.
Scale 2 Gross Wt. 87760 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 47360 LB
QTY. UNIT DESCRIPTION, RATE ,EXTENSION,,,. FEE TOTAL
23.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
of
Operating hours 7:00 AM to 5:00 PM 7 days a wee "� _ ✓ �-��` PVA Loll]
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 °` 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY " .^ TENDERED
HANGE
CHECK NO.
_j
SIGNATURE
NO'` ®6 O-®
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-., - `' Ej ' GROSS-'. ..'
TARE
NET
1 - ,
= I-HEREBY CERTIFY THAT"THE ABOVE NAMED'MATERIAL DOES NOT CONT-AIN-,FREE-LIQUID-AS DEFINED BY 40 CFR PART 260.10OR'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) µ
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 01501798 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
02/14/20 02/14/20 07:27 07:27 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76440 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 39680 LB
QTY 11 UNIT` _ DESCRIPTION RATE EXTENSION FEE TOTAL
19.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00
ij
CLOSED HOLIDAYS-QUESTIONS CALL 631-73477685
�a9 y � .
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY i',, - ?`
TENDERED',
CHANGE
4
CHECK NO:
SIGNATURE
**D 'LICATE TICKET** SITE °_YTICKET ;,,t C,FID,, _„ _ WEIGHMASTER =-
SO HOL; TOWN DEPT SOLID WASTE 01 01501798 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' -DATE,OUT,, . TIMEJN TIME OUT.7' VEHICLE ROLLOFF
02/14/20 02/14/20 07:27 07:27 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76440 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 39680 LB
',QTY UNIT, _ =_ DESCRIPTION RATE EXTENSION FEE TOTAL_,
19.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00
a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685'_115 ,. ry
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALmDAY'e TENDERED
Ir 3 x
CHANGE
'CHECK NO.
SIGNATURE
No. ® 8.
GENERATOR,, " ,-
-THIS MANIFEST IS FOR REFERENCE PURPOSES'ONLY-.'GENERATOR DOES NOT TAKE,POSSESSION-OR TITLE OF ANY CARGO,OR MATERIALS'.
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH•THE SHIPMENT OF-SUCH MATERIALS.
COMPANY: -
�' F SHIP DATE:
COMMODITY SHIPPED:.
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:' � ;. lr q1_1 of GROSS_
TARE-,
` ( r,FQ NET
I_HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL.DOES NOT:CONTAIN FREE•LIQUID'AS DEFINED BY 40 CFR PART 260.10 OWANY,
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED-BY 40'CFR PART 261°OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY,:"'
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER-CONDITION-FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.-.
_ lE }
GENERATOR AUTHORIZED AGENT(PRINT NAME) , (SIGNATURE) V
TRANSPORTER
TRANSPORTATION/FREIGHT CO.'
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HE 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.
t
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED.
IS TRUE AND ACCURATE:
RECEIVED BY: .
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE -GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502188 Dan
PO B'o3(982/6155 Cox Lane –
Cutchogue, NY 11935 DiArElN DATE OUT TIME IN 1TIM_E__OUT .,VEHICLE ROLLOFF.
02/18/20 07:13 07:13 19606TC
009316 Town of Babylon
REFERENCE-
Scale 2 Gross Wt. 76960 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 40340 LB
RATE ---FEE
- QTY. UNIT DESCRIPTION EXTENSION TOTAL
T L
20.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Pil
Operating nours I:Ub AM to mdu Pm I days a wee k,,.�,
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347,r585-y'9' TENDERED
0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL_
S
vi=i
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502188 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN PAT OUT VEHICLE OUT TIME IN TIME .VE -1 ROLLOFF
— I __ - -
02/18/20 02/18/20 07:13 07:13 196,."06TC
009316 Town of Babylon
REFERENCE
FScale 2 Gross Wt. 76960 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 40340 LB Ad
"QT UNIT' DESCRIPTION RATE EXTENSION" FEE TOTAL
.. Y.7
20.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
A
J
Opera mg hours 7:06 AM to 5:U-U FIM I days a wee K4_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'766 11 5:
0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY1 h TENDERED`
CHANGE
CHECK NO
SIGNATURE
NO. , 0690
GENERATOR_
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES.NOT TAKE POSSESSION OR.TITLE'OF ANY CARGO OR'MATERIALS
BEING SHIPPED ANDOOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: $ SHIP DATE:
COMMODITY SHIPPED:- V `-
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.
"DUPLICATE TICKET" SITE ` TICKET_ i `GRID_ ` WEIGHMASiTR;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502309 Dan
PO Box 962/6155 Cox Lane -_- -
CUtChogUe, NY 11935 DATE IN DATE OUT ' .TIME IN TIME OUT VEHICLE .-;ROLL OFF
02/18/20 02/18/20 13:37 13:37 19606TC
009316 Town of Babylon IREFERENCE ORIGIN
Scale 2 Gross Wt. 69300 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 28900 LB
'QTY. UNIT DESCRIPTION `=- `_RATE EXTENSION FEE _TOTAL
14.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00
h.,} `�} � fit. �� �•Y
FF ?,
Operating hours 7:00 AM to 5:00 PM 7 days a week: w _ �' .<_�, <'`_V 01111111110FLY•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�,,�� � e, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAYg `4 Es 3'' =TENDERED'
l u it 1 L
=CHANGE
SIGNATURE
WEIGHMASTER
"'DUPLICATE TICKET** S{TE TICKET`= GRID• _ __,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502309 Dan
PO Box 962/6155 Cox Lane DATE IN DATE_OUT TIME IN' TIME OUT VEHICLE ==ROLL OFF
Cutchogue, NY 11935
02/18/20 02/18/20 13:37 13:37 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 69300 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Weiaht 28900 LB
QTY."° 'UNIT''; DESCRIPTION RATE°,� EXTENSION FEE TOTAL
14.45 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 ' ` %r �}' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685��p�
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIZ DAwEly
� '_;
CHANGE
=CHECK NO
SIGNATURE
NO. ®,691
GENERATOR ;-
: , THIS MANIFEST IS FOR REFERENCE`PURPOSES ONLY.GENERAT•OR'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'--., '•
f �7 TARE' -
>�' C)61 NET
I HEREBY CERTIFY-THAT.-THE ABOVE-NAMED--MATERIAL• DOES-NOT-CONTAIN-FREE LIGUID-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 APPL"IC'ABL-E STATE LAW,HAS•BEEN PROPERLY'
- DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN,PROPERCONDITION FOR TRANSPORTATIOfN AGCORDING TQAPPLICABL'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-
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO-THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET-NO._. _`_
DUPLICATE TICKET SiiE _4a:-TieKEr <ss,_ RIS= -.- _=+ wEaGHtulaSTR4:,.
SOUT',"OVD TOWN DEPT SOLID WASTE 01 01502421 Dan
PO 862/6.155 Cox Lane
Cutchogue, NY 11935 DATE,IN _DATE.OUT_- =TIME 1N,TIME;OUT -__ VENtGLE - ROLL OFF;t
02/19/20 02/19/20 12:15 12:15 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71340 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 35080 LB
QTY., 'UNIT DESCRIPTION RATE-_- _ EXTENSION FEE--', TOTAL
17.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734,-7685.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY` TENDERED °'.. '
-CHECK NO:
SIGNATURE
f
"*DUPLICATE TICKET*' s1TE . TicKEr- GRID' `_ WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502421 Dan
PO Box 962/6155 Cox Lane t
Cutchogue, NY 11935 -_DATE 1N .DATE OUT-, [TIME IN TIME OUT VEHICLE - „ROLL OFF",,,
02/19/20 02/19/20 12:15 12:15 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71340 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 35080 LB
QTY.- UNIT 'DESCRIPTION RATE EXTENSION - FEE TOTAL ,
17.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., r 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAI_DAY' > ' . TENDERED to
. cHaNGE
CHECK NO.
q.-
SIGNATURE
NO. ® 69-3
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 OF SUCH MATERIAL'S.
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-FREElIQUID"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-AdCORDING TQ APPLICABLE-REGULATION:
GENERATOR-AUTHORIZED AGENT(PRINT NAME) '-�-a�_ _-=✓-- (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 WEIGH MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502365 Dan
PQ Pbx 962/6155 Cox Lane i I
CUtChogue, NY 11935 DATE 1N DATE-oUr ','GIME IN- TIME OUT - VEHICL.E, ROLL OFF
02/19/20 02/19/20 08:48 08:48 19606TC
REFERENCE 009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 40340 LB
QTY, UNIT . DESCRIPTION_ RATE_ EXTENSION', FEE-, 'TOTAL
2017 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera{ng Hours o TOO PIVI 7 days a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAY.•- TENDERED-.
C ANGE E
CHECKNO.' k
SIGNATURE
**DUPLICATE TICKET** rSITE I TICKET, ` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502365 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
02/19/20 02/19/20 :008::48 08:48 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 40340 LB
QTY: UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL' DAY TENDERED
" RANGE
CHECK NO.-.—j-
SIGNATURE
NO. ®6,92
GENERATOR
THIS MANIFEST IS FOR REFERENCE,PUR POSES 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:' -
HIPPED:LOOSE:' - (CU YDS) ,
BALES: (COUNT):,-
TRUCK
COUNT):.TRUCK WEIGHT: = � ' � /1 GROSS '
s TARE
416)-5 l"f/ NET ' '
I HEREBY-CERTIFY THAT,THE-ABOVE"NAMED MATERIAL DOES.NOT CONTAIN FREE LIQUID AS:DEFINED BY'40'_CFR PART 260:10 OR-ANY.-
APPLICABLE
NY,-APPLICABLE STATE LAW,IS NOT-HAZARDOUS WASTE AS'DEFINED BY-40 CFR PART 261 OR ANYAPPLICABLE STATE LAW,HAS BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR.TRANSPORTATION ACCORDING TQ APPLICABLE.REGULATION:.
GENE RATOR,AUTHORIZED•AGENT(PRINT•NAME) (SIGNATURE)-
TRANSPORTER-
TRANS PORTATION/FREIG HT
RANSPORTER-TRANSPORTATION/FREIGHT CO.-
TRUCK
O.TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY,CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT-IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE-DELIVERED,-
ADDRESS:
-1 HEREBY CERTIFY.THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND•TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: -
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
` YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
GRID=
**DUPLICATE TICKET** SITE TICK r_ >, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502576 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN -DATE OUT TIME IN TIME-OUT VEHICLE
02/20/20 02/20/20 13:50 13:50 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37020 LB
QTY, UNIT_ DESCRIPTION -RATE ---EXTENSION. FEE TOTAL. _'
18.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t l 3
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=.7685:' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.,DAY TENDERED_
CH NGE '�.t-
CHEC NO. -
SIGNATURE
**DUPLICATE TICKET** SITE TICKET ` GRID "t Webb MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502576 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "' •DATE OUT ,TIME IN TIME OUT VEHICLE'_ , ROLL OFF
02/20/20 02/20/20 113:50 1 13:50 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37020 LB
QTY„ UNIT DESCRIPTION _ - RATE. _ EXTENS_ION' FEE !:-T0dTAL' ,
1851
TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'=7685:•
NEXT HOLIDAY. MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED-,
'CHANGE
C-ECKNO". -
SIGNATURE
_ NO. - 0694
GENERATOR,- :,-
-THIS
ENERATOR•-•THIS MANIFEST IS FOR REFERENCE•PURPOSESONL•Y.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR-MATERIALS ,
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY-ASSOCIATED,WITH THE SHIPMENT OF SUCH MATERIAL'S: °
COMPANY:. ' SHIP DATE: .
COMMODITY SHIPPED: `
LOOSE: (CU YDSp
BALES: (COUNT):
TRUCK WEIGHT: "= `"' # ` °_ 'GROSS -
TARE
NET ..
I HEREBY CERTIFY THAT THE ABOVE NAMED"MATERIAL-DOES NOT-CONTAIN FREE'LIQUID AS'DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,,IS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN,PROPERLY
DESCRIBED,'CLASSIFIED AND'PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TO APPL=ICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ` -
TRANS PORTATION/FREIGHT"CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. = LICENSE NO/STATE:
I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL'WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: : DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO TH_E-_BE_ST OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:.
_ n
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** sirE TtcKEr` ' GRID,, wEiGHMnsrl 13
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502789 Dan
PO Box 9621'3155 Qox Lane
Cutchogue, NY 11935 DATE,iN DATE-OUT TIME IN TIME OUT ' ,,VEHIOLEr ',ROL-�OFF';
02/22/20 02/22/20 10.52 10:52 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72420 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 36200 LB
QTY UNIT DESCRIPTION 'RATE _. EXTENSION FEE -TOTAL
18.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:06 Am A, Pm 7 days a wee = •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY. TENDERED .
„ CHANGE
CHECK NO.=j
SIGNATURE
**DUPLICATE TICKET** SITE rIi- - GRIP . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502789 Dan
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN -' DATE OUT':- TIME IN:TIME OUT VEHICLE :ROLL OFF
02/22/20 02/22/20 10:52 10:52 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72420 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 36200 LB
QTY 'UNIT., 'DESCRIPTION RATE-, EXTENSION „ , FEE, "TOTAL
18.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours o ays a week., •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 0.00
000 HOLIDAY. MONDAY, MAY 27,2019 MEMORIAL DAY -TENDERED,-
CH
TENDERED.,-C ECK NO
SIGNATURE '
r
NO. •®696
'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: ` / : l, L GROSS
- �' ._TARE
NET _
I HEREBY CERTIFY-THAT-THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE-LIQUID'AS DEFINED BY 40 CFR PART 260.10-OR ANY
APPLICABLE STATE LAW,IS NOT,HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATElAW,'HAS BEEN PROPERLY
DESCRIBED:"CLASSIFIED-AND'PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE•REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)- r (SIGNATURE) ;
TRANSPORTER
a`
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"* siT TlcicEi GR►o° wEIGHnnaSrt R,`•
SOUT�IIOLID TOWN DEPT SOLID WASTE 01 01502636 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 `DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/21/20 102/21/20 09:46 09:46 19606TC
009316 Town of Babylon
REFERENCE
FScale 2 Gross Wt. 74040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35340 LB
—Q�W— UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL
17.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
;,, •ted �,,,, _'` S f! 'a,,t' 4'�"ti
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY �. y TENDERED
�WJl ;nr6 � d ` CHANGE -
-CHECK NO.
SIGNATURE
"DUPLICATE TICKET" .SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01502636 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN , DATE OUT TIME IN TIME OUT VEHICLE -ROLL OFF
02/21/20 02/21/20 09:46 09:46 19606TC
009316 Town of Babylon
REFERENCE
E I I I
Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35340 LB
OTY''` UNIT DESCRIPTION RATE EXTENSION _ -,FEE " TOTAL
17.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'x ?
I ` ¢) p
Opera Ing flours o ays a wee . w �_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-! _ � - , tx 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY A';g _,� ��,�"- 4TENDERED
HANGE"
CHECK NO.
--j
SIGNATURE
NO.' , 0695
GENERATOR ,
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR"DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR'MATERIALS
BEING SHIPPED AND DOES.NOT ASSUME-ANY LIABILITY ASSOC IATED'WITH'THE.SHIPMENT-OF SUCH MATERIALS..
COMPANY:" `? SHIP DATE: "
COMMODITY SHIPPED: '
LOOSE:,. _(CU YDS)
BALES:(COUNT): .
TRUCK WEIGHT:' - q(: t GROSS
>^ c, `.' TARE. _
-2 ti t� NET--
'
1.HEREBY�CERTIFY THAT THE.,ABOVE_NAMED-MATERIAL DOES-NOT CONTAIN FREE'LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
-APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS;DEFINED BYAO CFR FART'261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED,-CLASSIFIED AND PACKAGED,AND IS IN PROPER,CONDITION FOR TRANSPORTATION-ACCORDING TQAP_PLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO." •'
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE•ABOVE NAMED MATERIAL'WAS PICKED UP'AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:'-
'ADDRESS:
ELIVERED:-
ADDRESS:
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET,`_ = G_RID ,.'° WEIGHMASTER'' °
S&THOLb TOWN DEPT SOLID WASTE 01 01503168 Liz H
PO Box 962/6155 Cox Lane __
Cutchogue, NY 11935 DATE IN DATE OUT TIME'IW TIME OUT VEHICLE ROLL OFF
02/24/20 02/24/20 11:50 11:50 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 34880 LB
QTY UNIT DESCRIPTION RATE- EXTENSION FEE _TOTAL
17.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
` Z
r` �
Opera Ing hours o ays a wee $: y, ;;; e,� __ 4}� •
CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685_-,, 0.00
,�
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-=DAY�"'e ,;,,;-�;,-,� � ,, � TENDERED
y_ a --CHANGE
CHECK NO.t
SIGNATURE
"DUPLICATE TICKET" -SITE TICKET GRID . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503168 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF
02/24/20 02/24/20 11:50 11:50 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 34880 LB
,QTY , UNIT DESCRIPTION RATE ' EXTENSION FEE TOTAL
17.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'0
Operating hours o ays a wee �- s e :4 'i „r"' ,� a= _. 1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685:x', 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,pA�Yj` ,}�„ \ � !r' TENDERED f'
4;.a
`CHECK NO.
SIGNATURE
NO. 069
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: ' 21bL) GROSS
' f TARE
�r NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE'LIQUID AS DEFINED BY'40=CFR'-PART,260.10 OR ANY
APPLICABLE-STATE LAW;IS.NOT HAZARDOUS WASTE AS DEFINED BY40 CFR PART 261 OR ANY APPLICABL'E'STATE•LAW,HAS BEEN'PROPERLY
.DESCRIBED,CLASSIFIED AND PACKAGED,'AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING•TQAPPL-ICABLE 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
r
DISPOSAL LOCATION: DATE DELIVERED:-
ADDRESS:'
ELIVERED:ADDRESS:"
I HEREBY CERTIFYTHAT'THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(P,RINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TE TICKEzWEIGHMAS$'"DUPLICAT+ TICKET" TER
SOUTHOLD;AWN DEPT SOLID WASTE 01 01503277 Dan
PO Box962/6 5 Cox Lane
Cutchogue, NY 11935 DATE IN DATE'OUT TIME IN;TIME OUT --VEHICLE ==ROLL OFF
02/25/20 02/25/20 07:13 07:13 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 66520 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 27380 LB
OTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
13.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00
ey
Opera Ing hours o ays a wee ?, z ' t� *j ,.> :~ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: q 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL--DAY
CHANGE
LCH CK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE TICKET_ GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503277 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/25/20 02/25/20 07:13 07:13 19606TC
009316 Town of Babylon
REFERENCE
C I.I
Scale 2 Gross Wt. 66520 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 27380 LB
QTY `UNIT " DESCRIPTION -'RATE, EXTENSION , FEE' 7TOTAL
13.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00
`
j ` c Y
Operating ours odays a weeK' T -r d f •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,� /� �._ .; �1 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY�"t� TENDERED
CHANGE-
-CHECK NO
SIGNATURE
NO.
GENERATOR = ,
•THIS MANIFEST•IS FOR REFERENC&PURPOSES ONLY,.-GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO.OR MATERIALS,' '
BEING SHIPPED AND DOES NOT ASSUME'ANY'LIABILITY ASSOCIATED WITH THE.SHIPMENT OF•SUCH MATERIALS:- ' -
COMPANY.. - - t SHIP DATE:
COMMODITY-SHIPPED:-----,
LOOSE:' ;(CU-YDS)
BALES:(COUNT):: -
TRUCK WEIGHT:_` :-�� -GROSS' • -
r✓�� � TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID'AS DEFINED•BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE.LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40.CFR.PART 261:OR ANY'APPLIGABLE STATE LAW,HAS BEEN PROPERLY.,
DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACC_OBDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)- , (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.- : ,` { LICENSE NO/STATE:
1•HEREBY-CERTIFY THAT-THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, AND THAT-IT•WAS
DELIVERED WITHOUT'INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:, "'
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL-LOCATION TICKET NO.
**DUPLICATE TICKET' SITE ' TICKET -` °GRID _ s WEIGHMASTER
SOLLTHOLW,`_TOWN DEPT SOLID WASTE 01 01503330 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ ROLL OFF
02/25/20 02/25/20 11:31 11:31 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 70700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33880 LB
QTY UNIT ' - DESCRIPTION RATE EXTENSION FEE TOTAL= `
16.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Y 'k9-.
•=mow e ..� �����, �:=``
us.31
13 .I
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685: 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMO RIALRAYli� imTENDERED
� a`'xJtiJ€11i�� y St1
CHANGE'
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503330 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME_OUT VEHICLE ROLL OFF
02/25/20 02/25/20 11:31 11:31 11107T
009316 Town of Babylon
REFERENCE 1.
Scale 2 Gross Wt. 70700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33880 LB
QTY UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL,
16.94 TON DUTGO.MSW 0.000 0.00 0.00 0.00
(
up e ours o TOO Pm 7 days a wee ; ~� � `�~_ �� , r TS. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685A �' a ` ," 0.00 -
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'-DAY/ TENDERED
a � CHANGE.
CHECK-NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2510
Islandia, NY 11749 No.
(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: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ��- �{� GROSS
TARE
'"`XR � NET
i 5
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 WITHOUTINCIDENT 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** SiIE ,-" TICKET .= GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503405 Dan
PO B&962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN,- ,_,DAfE-OUT TIME IN'TIME,OUT VEHICLE ROLL OFF
02/26/20 02/26/20 07:16 0716 11 107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74720 LB Outbound-Charge ticket
Manual Tare Wt 40400 LB
Net Weight 34320 LB
QTY. _ UNIT DESCRIPTION RATE EXTENSION _ FEE_ ,:'TOTAL ` , '
17.16 TON OUTGO MSW 0.000 0.00 000 0.00
e,Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY TENDERED-
1H111
,
CHECK N!:'.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGNMASTER ,,-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503405 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT" TIME IN TIME OUT , VEHICLE ROLL OFF
02/26/20 02/26/20 07:16 07:16 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74720 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 34320 LB
QTY., UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
17.16 TON DUTGO.MSW 0.000 0.00 0.00 000
Opera101perating Hours TOO AIVI to ays a weeK, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE-.'
NEC NO
SIGNATURE �f
T-RIN4TY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2509
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: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f GROSS
TARE
i
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN'PROPER CONDITION FOR TRANSPORTATION ACCORDING 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* •SITE 1. Siete----I't GRID ' WEIGHMASTER
SOtfT*90LD TOWN DEPT SOLID WASTE 01 01503588 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN -DATE-OUT' >TIME,IN114:11
TIME OUT . ,VEHICLE ROLL OFF
02/27/20 02/27/20 14:11 11107T
REFERENCE ORIGIN
009316 Town of Babylon
Scale 2 Gross Wt. 75980 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 36840 LB
QTY. UNIT
DESCRIPTION
N_ ' _ RATE EXTENSION FEE- TOTAL
1842 TON UTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ' TENDERED ;
r
ki CHANGE
CHECK NO. ,
SIGNATURE
"DUPLICATE TICKET" SIZE TICKET', GRID wEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE L
01503588 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE 7T TIME IN TIME,OUT VEHICLE ROLL OFF. u}
02/27/20 102127120 114:11 14:11 11107T
009316 Town of Babylon
REFERENCE ORIGIN
(7
Scale 2 Gross Wt. 75980 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 36840 LB
QTY. UNIT' _ DESCRIPTION - RATE EXTENSION- FEE TOTAL
18.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op j
MEMO •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL•DAY TENDERED'
CHANGE _ `
i
CHECK NO.
SIGNATURE
NO. _ ® 641
GENERATOR, I '--,;THIS,MANIFEST IS FOR REFERENCE-PURPOSES-ONLY.,GENERATOR DOES NOT TAKE POSSESSION,OR TITLE OF ANY.CARGO OR MATERIALS
--BEING SHIPPED.AND'DOES',NOT ASSUME ANY LIABILITY.ASSOCIATED WITH THE'SHIP.MENT-OF SUCH:MATERIALS:
i r _
4 .COMPANY::., , -. , SHIP DATE:
,.,COMMODITY-SHIPPED:.
LOOSE: (CU YDS)
BALES:(COUNT)-,,-'--
TRUCK
COUNT):< ;
TRUCK WEIGHT:;, 0 . GROSS ' ,-
TARE.
ROSS ' -_TARE
(0SLf 0 NET
I HEREBY CERTIFY THAT=THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE LIQUID AS-"DEFINED:BY�AO 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•P-ROPERLY
DESCRIBED,CLASSIFIED AND_PACKAGED„AND,IS IN PROPER'.CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION: .{
GENERATORAUTHORIZED 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:
ELOW.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* stTE TICKET'"_, `-GRID ` = WEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503513 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN-_ DATEOUT 1MEIN TIBM-OUT -'bEHICLE -ROLLOFF
02/27/20 02/27/20 07:34 07:34 11107TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69860 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 33100 LB
„ `_QTY. UNIT DESCRIPTION- RATE _ EXTENSION_ FEE - TOTAL
16.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY. MONDAY, MAY 27,2019 MEMORIAL'DAY TENDERED
_ CHANGE `
-CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE - , TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503513 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATE.OUT TIME IN-TIME OUT VEHICLE ROLLOFF
02/27/20 02/27/20 07:34 07:34 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69860 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 33100 LB
QTY. UNIT DESCRIPTION'_ RATE-,.- EXTENSION' FEE TOTAL
16.55 TON DUTGO.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 MEMORIAL DAY TENDERED
- CHA GE
CHE K.NO.
SIGNATURE
NO. 0640
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"�$f GROSS
TARE
=2 t ? NET
FHEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID`AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED,BY 40 CFR PART 261`OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS'IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
J ,
GENERATOR AUTHORIZED AGENT(PRINT NAME) ""`"(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. `
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503663 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,FF,'�,.,,'_
DATE IN``, 'DATE OUT .�� TIME'IN TIME OUT '':=VEHICLE. ;F RPL
02/28/20 02/28/20 12:16 12:16 11107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75640 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 39020 LB
UNIT DECRITION^QTY RATE-,_ , •- EXTENSION,,. FEE TOTAL`S _
19.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours TOO AIVI to ays a wee a .: _ zP ', •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2
019MEMORIALDAY'ir AA �)j{ f( �, �� t$�e ; TENDERED-_',
R nl CHANGE
CHECK NO.
--j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID ,WEIGHMASTER �
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503663 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, `_ `'DATE OUT' TIME IN TIME OUT _ --VEHICLE ROLCOFF -.
02/28/20 02/28/20 12:16 12:16 11107T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 75640 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 39020 LB
QTY UNIT, r,DESCRIPTION RATE--_;` z 'EXTENSION ,FEE, TOTAL
19.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00
%.k
Operating hours 7:00 AM to 5:00 PM 7 days a week:; >" t` ? `'v_� � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685t�?',e `��~ - 0.00
'
TENDERED
NEXT NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYS ; ,,t_
CHANGE .
I
SIGNATURE
NO. ®642
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)
SALES: (COUNT):
TRUCK WEIGHT: .. ��G �' GROSS"
T(n 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.
r
"DUPLICATE TICKET" SITE - TICKET, GRID,'`_ WEIGHMASTERF `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503781 Dan
PO Box;P621Q55 Cox Lane '
CutChogue, NY 11935 DATE IN, DATE OUT, TIMEiN TIMEtOUT VEHICLE ROLL,OF,F
02/29/20 02/29/20 10:37 10:37 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 68940 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32120 LB
QTY UNIT _
DESCRIPTION iI R4TE 7; EXTENSION- FEE TOTAL ,
16.06 TON DUTGO.MSW 0.000 0.00 0.00 0.00
6 U4
fi
�s
Operating nours o ays a wee .� 7 �� �, - � . , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 ``: "_ -' .:P� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY ,,=,;, v �a -TENDERED -
a..a"ten u tyf 6
CHANGE
1 J
-CHECK NO -
SIGNATURE
1 "DUPLICATE TICKET" SITE TICKET GRID - 'WEIGHMASTER-,,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01503781 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE,OUT TIME`IN TIME OUT VEHICLE m ~; ROLLOFF
02/29/20 02/29/20 10:37 10:37 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68940 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32120 LB
- QTY UNIT DESCRIPTION RATE _ EXTENSION - FEE TOTAL-
16.06 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. z �� �_.v.-- �' a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL^DAYTENDERED
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NO. 0643-
GENERATOR,
643`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.
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I HEREBY CERTIFY-THAT-THE-ABOVE NAMED MATERIAL-DOES-NOT•'CONTAIN FREE-LIOUID AS DEFINED BY 40'CFR PART'260.10 OR ANY-
'APPLICABLE STATELAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE-STATE`1X"S'BEEN PROPERLY'
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN-PROPER CONDITION FOR TRANSPORTATION:ACCOECDING TQ APPLICABLE REGULATION.
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