HomeMy WebLinkAbout03/2020 "DUPLICATE TICKET" SITE _'--TICKET,< "GRID WEIGHMASTER
SOUTHOLp TOWN DEPT SOLID WASTE 01 01504099 Liz H
Pd-b&962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLLOFF
03/02/20 03/02/20 09:20 09:20 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73820 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35120 LB
QTY.'- UNIT f DESCRIPTION RATE EXTENSION FEE TOTAL
17.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � 271 0.00
NEXT HOLIDAY: MONDAY MAY 27 2019 MEMORIAL,DAYr,' ° p TENDERED
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SIGNATURE
`*DUPLICATE TICKET" SITE TICKET _ .GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504099 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUTTIME IN TIME-OUT _VEHICLE ROLL OFF
03/02/20 03/02/20 09:20 09:20 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73820 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35120 LB
QTY.".'
'NIT, DESCRIPTION RRTE ' EXTENSION _FEE TOTAL
17.56 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t� 3 2"1 ?�
J
Operating nours o ays a wee M K� mea °,�4 ,� ,,< ��,? •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76§50, A _ , - v, i ° 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALRDAY,, TENDERED
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SIGNATURE
No. ®6 44 :
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: # •j z SHIP DATE:
COMMODITY SHIPPED: - =
LOOSE: (CU YDS)
BALES:(COUNT):`' -�
TRUCK WEIGHT: � GROSS'
c, TARE
t `2. 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 •
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 UR 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.
**-DUPLISATE TICKET** SITE TICKET GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504140 Liz H
PO Box 962/6155 Cox Lane -_ - I - - _-- -
Cutchogue, NY 11935 DATE,IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF
03/02/20 03/02/20 12:29 12:29 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 66260 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 30000 LB
QTY', UNIT"" DESCRIPTION RATE- EXTENSION FEE TOTAL
15.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00
f V
Opera Ing hours o ays a wee > =; ,._::_ . °�; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 768b!.,.' .,, '� 0.00
NEXT HOLIDAY:MONDAY, MAY 27,2019 MEMORIALDAY`� =g TENDERED
d CHANGE
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SIGNATURE
"DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504140 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME I_N, TIME OUT VEHICLE _ ROLLOFF
03/02/20 03/02/20 12:29 12:29 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 66260 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
I -- : Net Weight 30000 LB 7
QTY. UNIT DESCRIPTION RATE ., EXTENSION FEE TOTAL
15.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00
; +� `•��� q`u'a;:t
fit
,u
to y , ` 4
I Jk
Operating hours 7:00 AM to 5:00 PM 7 days a wee �< ffi -¢� �';. ^ _� �`moi •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;D k{a. r , Xf TENDERED
i. CHANGE
CHECK NO.
SIGNATURE
NO. ® 645
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' t. GROSS-
? TARE
r, NET
I HEREBY CERTIFY THAT THE-ABOVE'NAMED MATERIAL-DOES NOT CONTAIN"FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.`AND IS'IN PROPER CON DITION'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 TH&DESTINATION LISTED BELOW.
- 5
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* 'TICKET 4I RiD _-_ ,welGHiviasr ==
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504274 Dan
PO Box 962i61'6&Cox Lane
Cutchogue, NY 11935 DATE IN ' DATE OUT TIME IN-TIME OUT VEHICLE ',,-ROLLOFF
03/03/20 03/03/20 10:40 10:40 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 37700 LB
=QTY. UNIT DESCRIPTION _ RATE EXTENSION `__EEE, :-TOTAJL _
18.85 TON DUTGO.MSW 0.000 0.00 0.00 0.00
,o,
Wit '
A
OomtlhTlmursdays a wee '?,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;N', ye, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,D•AY,/,' {'Y° ,;;,;t;w:�p ', ' f TENDERED
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SIGNATURE
*"DUPLICATE TICKET" SITE TICKET`, GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504274 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN= TIME OUT VEHICLE ;ROLL°OFF
03/03/20 03/03/20 110:40 10:40 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 37700 LB
QTY "UNIT DESCRIPTION RATE EXTENSION FEETOTAL
18.85 TON CUTGO.MSW 0.000 0.00 0.00 0.00
I if 7-
p <... I-`1
Operating hours odays a wee3
0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685F
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAWTENDERED
-.CHANGE
CHECK NO.:q
SIGNATURE
GENERATOR'
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOWDOES-NOT TAKE POSSESSION OR TITLE OF ANY CARGO'OR MATERIALS;;
-BEING SHIPPED AND DOES NOT ASSUME:ANY'LIABILITY ASSOCIATED'WITH THE SHIPMENT:OF.SUCH'MATERIALS:
COMPANY-: A SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (.CU YDS•)•
BALES: (COUNT):
TRUCK WEIGHT: 7<7- t`® GROSS ,
<- .
TARE•'
NET =
1 HEREBY-CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES-.NOT CONTAIN'FREE LIQUID AS DEFINED BY 40 CFR PART 260.10'OR ANY;"
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY,40 CFR PART 26'1 OR ANY APPLICABLE STATE LAW,•HAS-BEEN PROPERLY
DESCRIBED,-CLASSIFIED AND PACKAGED.AND IS`IN PROPER CONDITIOWFOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ' r a.r(SIG sI TUBE)
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 :WEIGHMASTERI ".
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504592Liz H
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE ' ROLL OFF
Cutchogue, NY 11935
03/05/20 03/05/20 13:37 13:37 19606TC
009316 Town of BabylonREFERENCE ORIGIN
Scale 2 Gross Wt. 85960 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 47260 LB
QTY_ UNIT DESCRIP-TION RATE -EXTENSION_ _ FEE TOTAL
23.63 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 orf •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ` a 0.00
�.. .
> t
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIAL,DAYj,tr
jl 'i rr; TENDERED
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CHECK NO. 'i"j
SIGNATURE
"DUPLICATE TICKET" (SITE TICKET- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504592 Liz H
PO BOX 962/6155 COX Lane -DATE IN DATE OUT TIME IN-TIME OUT -VEHICLE ==_ROLL OFF
Cutchogue, NY 11935
03/05/20 03/05/20 13:37 13:37 19606TC
009316 Town of Babylon
REFERENCE
FScale 2 Gross Wt. 85960 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Wei ht 47260 LB
Ty ;UNIT DESCRIPTION RATE EXTENSION = FEE TOTAL
23.63 TON DUTGO.MSW 0.000 0.00 0.00 0.00
,i
`? f q; `, }
Operating hours 7:00 AM to 5:00 PM 7 days a week:," <_ .z .._ a/ , �< •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685&/A� ,p` -' � ��rAj 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY ' TENDERED
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SIGNATURE
NO. -0646
GENERATOR x;-
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-ASSOQIATED•WITH THE SHIPMENT-OF SUCH MATERIALS.
COMPANY: — ', ,r , -p: ? . a�, SHIP,DATE: ;
COMMODITY SHIPPED:
LOOSE: °.i _(CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS-
TARE,
ROSS TARE. ;
i 2bo NET ,
I'HEREBY CERTIFY THAT THE-ABOVE'NAMED'MATERIAL-DOES NOT CONTAIN FREE:LIQUID,AS DEFINED:BY-40 CFR PART 266.10-OR ANY', '
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY40 CFR-PART'261 OR ANY APPLICABLE-STATE LAW,HAS'BEEN PROPERLY
:
DESCRIBED,CLASSIFIED AND PACKAGEDAND-1S IN-PROPER CONDITIONFOR TRANSPORTATION ACCORDING',TQ APPLICABLE REGULATION.-— .
GENERATORAUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER = .
TRANSPORTATION/FREIGHT CO.
TRUCK NO. y` LICENSE NO/STATE'-
TRAILER
O/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 THAT THE ABOVE MATERIALHAS BEEN-ACCEPTED ANDTOTHE;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. ® 647
GENERATOR
THIS MANIFEST IS FOR REFERENCE-PURPOSES ONLY.GENERATOR-.DOES NOT TAKE•POSSESSION'OR TITLE OF'ANY CARGO OR`MATERIALS
BEING SHIPPED AND'DOES NOT ASSUME ANY'LIABIL-ITY'ASSOCIATED WITH'THE SHIPMENT OF SUCH MATERIALS.
COMPANY: r'T ! _ SHIP DATE:
_ COMMODITY SHIPPED:;
LOOSE: ;? (CU,YDS)- . _
BALES:(COUNT): .-
TRUCK WEIGHT:, (n G 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)- -7--7 "'(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:
RECEIVE_D 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 ,-ncKErj' eGRID ; = =:. VErCaHMASTER„'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504852 Dan
PO Box 962<6155 Cox Lane -
Cutchogue, NY 11935 DATE IN ` 'DATE OUT _ TIME IN 71ME OIIf . VEHICLE-='- ROLL OFF
03/07/20 03/07/20 10:17 10:17 19606TC
009316 Town of Babylon REFERENCE -
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 33440 LB
QTY,,,” UNIT' DESCRIPTION' RA7E EXTENSION -FEE ° _ dTTOTAL�,:__,1,
16.72 TON DUTGO.MSW 0.000 0.00 0.00 0.00
� P fdR xM�I
Opera Ing ours o ays a wee a e '. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
Z a
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAYJ , } �a "� TENDERED
a > CHANGE
CHECK NO.--
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET' GRID '=;' WEIGHMASTER =` '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504852 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN° DATE OUTa TIME IN TIME OUT VEHICLE ROLLOFF ,
03/07/20 03/07/20 10:17 10:17 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 33440 LB
QTY: UNIT DESCRIPTION - RATE EXTENSION —FEE-- TOTAL
16.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
k � E r �•r � d'# rAM �C'Y
Operating hours 7:00 AM to 5:00 PM 7 days a week,',',, �, w._ f , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �r'r 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY`, , ',;`}. y rR��' ,< "t' TENDERED
CHECK-NO..
SIGNATURE
NO. ® 699
GENERATOR-
THIS MANIFEST IS FOR REFERENCE PURPOSES'ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS.
COMPANY: - i SHIP DATE:
COMMODITY SHIPPED:- '
LOOSE: (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 CON ON`FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) '�1. __ ��;i' (SIGNATImfl _:�) '
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" EIGHMA$TER'
_ �CKFf�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504724 Dan
PO Box 962/6155 Cox Lane
IN T I M-E)b U T VEHICLE
DATE,,IN DAfif CUT ROLL OFF
Cutchogue, �Y I f935
009316 Town of Babylon 3/06/20 11:46 1 11:46 19606TC
REFERENCE ORIGIN
C I
Scale 2 Gross Wt. 70060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Um, Net Weight 33300 LB EXTENSION
UNIT DESCRIPTION RATE FEE TOTAL
---mo
16.65 TON OUTGO.MSW 0.000 0.00 0.00
0
A/
1,Q)
S 7
Opul atil ly 1 lual s 7.6d AM to 5.0 Yb d W"-"-r,6
CLOSED HOLIDAYS-QUESTIONS CA L 631-734-76 0.00
D'A' N
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL., Y'4/'i/ A�, TENDERED
AV
CHANGE
HE KNO.
SIGNATURE
E TICKET - I�-GRID WEIGHMASTER
"DUPLICATE TICKET" rs1TT -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01504724 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF
009316 Town of Babylon 03/06/20 03/06/20 11:46 11:46 19606TC
REFERENCE ORIGIN
7 -
Scale 2 Gross Wt. 70060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 33300 LB
QTY.,---- UNIT DESCRIPTION. RATE �-_�,EXTENSIONI - FEE TOTAL'.
16.65 TON DUTGO.MSW 0.000 0.00 0.00 0.00
0ZA
11: -7
A,�
Operating nours TOO AIVI To 5:00 PIVI 7 days a weUK-,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-
'TENDERED
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIA
'14
CHANGE
CHECKNO
SIGNATURE
NO. ®698
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:' .f
COMMODITY SHIPPED:
LOOSE:; _(CU YDS)'
BALES: (COUNT): -
TRUCK WEIGHT: 1�`r-:i'��r c 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'AP.PL'ICABL'E 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)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 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 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.
**DUQLLC�.1T TICKET"* 'GRID ;,_ WEIGHMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505275 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE N'OUT TIME ITIM 'OU
ET VEHICLE ROLL-OFF
03/09/20 03/09/20 11:41 11:41 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 61460 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 24640 LB
QTY ';'„. ',UNIT DESCRIPTION ,_ ° RATE EXTENSION ' ` -FEE, TOTAL,b
12.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00
ty
Operating hours odays a wee - ,° "., _ A ? •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685: - 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAC�DAYI�r =''a TENDERED `
Y
CHANGE
-- CHECK NO. -
SIGNATURE
"DUPLICATE TICKET"` SITE TICKET`` GRID .'_ WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505275 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- _ DATE-OUT . ,TIME IN TIME OUT., VEHICLE ROLL OFF
03/09/20 03/09/20 11:41 11:41 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 61460 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 24640 LB
QTY._ UNIT DESCRIPTION_' RATE -EXTENSION FEE TOTAL
12.32 TON DUTGO.MSW 0.000 0.00 0.00 0.00
.a
H
Operating hours 7:00 AM to 5:00 PM 7 days a week •
'_16CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:f °� - -' Yy r � 0.00
. ,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL �-�
DAY"rr ,:”- ,� ., ��g- �• �"'t `"�.TENDERED,:: ,
AN E,,
'CHECK°N
SIGNATURE
070G•
- ° GENERATOR
THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKEPOSSESSION OR-TITLE OF ANY CARGO OR MATERIALS.-
-BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED-WITH THE,SHIPMENT_ OF-SUCH MATERIALS.-=
COMPANY: , k SHIP-DATE
COMMODITY-SHIPPED: =
LOOSE: - _ (CU,.1
-BALES:(COUNT):
TRUCK WEIGHT: r "GROSS
Jr, y "� a j
fTJ,"tF. �,�:�:• ; . ".,�• _,�,; - "� �• .
NET
' 1 HEREBY.CERTIFY•THATTHE ABOVE NAMED-MATERIAL DOES-NOT:CONTAIN<FREE-LIQUID`AS-DEFINED:;BY'40;CFR PART'260.:10 OR ANY'
-APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART261,OR.ANY` RLICABLE STATE'LAW,.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND:PACKAGED,AND'IS'IN PROPER CONDITION-FOR TRANSPORTATIDN ACCORDING TQ APPLICABLE.REGUL•ATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME). ;= y ',`r` `j" (SIGNATURE)s;. _- _ •-
TRANSPORTER-
TRANS PORTATION/FREIGHT,CO.
•TRUCK NO., =g` - : LICEIVErNO%STATE:
TRAILER NO.-- - g 'LICENSENO/STATE:
tHEREBY 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: v
RECEIVED BY: `y
AUTHORIZED AGENT(PRINT NAME) SIGNATUREDATE._ ,
KEY: 'WHITE TO DISPOSAL LOCATION +
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. T : -
—DUPLICATE TICKET", SITE TICKET GRID "WE
WEIGHMASTER` - "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505476 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INi DATE OUT TIME IN TIME OUT VEHICLE-_- ;ROLL OFF
03/10/20 03/10/20 13:06 13:06 19606TC
009316 Town of Babylon
ORIGIN
FScale 2 Gross Wt. 70520 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 31820 LB
�71, TY. UNIT DESCRIPTION " RATE" EXTENSION _ -,'FEE - ',TOTAL
15.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00
U
Am to 5.8b PM 7 days a vvuur%:
*?
IIJ
<� r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685s "��`' ''- 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DA°Yy' tiO TENDERED-_
«CHEC NO:",
SIGNATURE
"*DUPLICATE TICKET" SITE '`TICKET _ GRID WEIGH-MASTER'
SOUTHOLD TOWN DEPT SOLID WASTE01 01505476 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF__
03/10/20 103/10/20 13:06 13:06 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70520 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 31820 LB
QTY. UNIT, ':'DESCRIPTION "RATE EXTENSION-a, FEE __ -$TOTAL
15.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Opuldting hoU1157.6dAM to 6.0 y- \V,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,1 `" _ ,° ' r0mg, T[6111
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY �s-� �_ ' v 4V% TENDERED"
CHECK N0.
SIGNATURE
NO. 0050
GENERATOR"
THIS MANIFEST-IS FOR REFERENCE'PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION-OR TITLE OF ANY CARGO OR MATERIALS-
BEING-SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCH MATERIALS:.
COMPANY:-" ;a „ SHIP DATE:
COMMODITY'SHIPPED:-
LOOSE = ' (CUYDS)
BALES: (COUNT):
TRUCK WEIGHT:'- - 7�� GROSS, =
C 7�9 - TARE
NET
I HEREBY'CERTIFY THAT THE-ABOVE-NAMED MATERIAL DOES-NOT CONTAIN FREE'UOUID AS DEFINED BY 40 CFR-PART 260:1,0-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. { at
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 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
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505417 Dan
PO �,ox 9,82/6155 Cox Lane DATE IN DATE_OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/10/20 03/10/20 09:47 09:47 19606TC
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 72820 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Wei ht 36600 LB
QTY. "`, UNIT DESCRIPTION _; - RATE _ EXTENSION _,FEE TOTAL-
18.30 TON OUTGO.MSW 0.000 0.00 0.00 000
Z,7 it
Operating hours 7:00 AM to 5:00 PM 7 days a week ;, °�`_ f / '%i � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 - <-: 0.00
r , \ a; TENDERED
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALLDAYG ;l ,
f;
z CHANGE
CHECK-'NO.
SIGNATURE
`*DUPLICATE TICKET" SITE __ TICKET_'°° 'GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505417 Dan
PO Box 962/6155 Cox Lane DATE w DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF
Cutchogue, NY 11935
03/10/20 03/10/20 09:47 09:47 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72820 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 36600 , LB
QTY.-'_� '.UNIT _. - DESCRIPTION RATE EXTENSION` FEE TOTAL
18.30 TON DUTGO.MSW 0.000 0.00 0.00 0.00
iq'1) t
Operating hours 7:00 AM to 5:00 PM 7 days a week ar ,O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY�� v\' ^ -'9' TENDERED
- ?zX17, CHANGE
CHECK'NO
SIGNATURE
NO. ® 649
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)': :.. _
=- TRUCKWEIGHT: GROSS-.="
a TARE__
?6 C^0 NET ,
I HEREBY CERTIFY THAT-THE ABOVE NAMED-MATERIAL DOES NOT-CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAWAS 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
O.`TRUCK NO. - LICENSE NO/STATE: _
L r .
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP,AT.THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (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" : T.ICKEi` ;._ ,_< WEIHtJIASTER „ % '., `
GRID
SOUTHOLi -TOWN DEPT SOLID WASTE 01 01505571 Dan
PO Box 962/6155 Cox Lane -. -
Cutchogue, NY 11935 .DATE iN )ATE Ot71;= TIME iN=tIMtEOUT=,;, 'VEHICLE' _`_#toll OFP'
03/11/20 03/11/20 08:47 08:47 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 66340 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 27200 LB
QTY UNIT DESCRIPTION- `-:
_, =RATE_': I XTENSIdN- . FEE- TOTAL
1360 TON OUTGO.MSW 0.000 0.00 0.00 000
Opera Ing hours o ays a wee : •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIACDAY TENDERED
- CHANGE .
--'-CHECK NO. -k
SIGNATURE
**DUPLICATE TICKET** sIT rleKi r° GRID`, - __ WEIGHMA$rEH.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505571 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ='_.DATE IN__ . .DATE OUT TIME its.TIME OUT- VEHICLE'--_. ,ROLL OFF
03/11/20 03/11/20 08:47 08:47 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 66340 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 27200 LB
QTY, UNIT DESCRIPTION _ ,°; - = -RATE - . -EXTENSION _ FEE. TOTAL_: "
1360 TON OUTGO.MSW 0 000 000 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
".CHANGE
CHECK
SIGNATURE
® 651
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-SHIPMENTcOF: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 BEEWPROPERLY
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 BESTOF 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.
'"DUPLI( TICKET SITE TICKET GRID =ry WEIGHMASTER
SOUTHOL' WN DEPT SOLID WASTE 01 01505630 Dan
PO Bo::962 5 Cox Lane - -
Cutchogue, NY 11935 DATEIN - 'DATE OUT `TIME IN TIME`OUT VEHICLE ROLA OFF,
03/11/20 03/11/20 12:29 12:29 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32480 LB
_$
CITY.,=' UNIT =t DESCRIPTION = _ RATE- -EXTENSION _z-_FEE TOTAL
16.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a wee : F;b �,, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,•f;F' '§, ®_. 4' , 'r 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYa 3 ,4 TENDERED
CHANGE
CHECK-NO.
SIGNATURE
"DUPLICATE TICKET' SITE _ TICKET_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01505630 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT -TIME IN TIME OUT -VEHICLE '' ROLL OFF
03/11/20 03/11/20 12:29 12:29 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32480 LB
QTY _- UNIT= DESCRIPTION RATE EXTENSION FEE' TOTAL
16.24 TON UTGO.MSW 0.000 0.00 0.00 0.00
y S.
F
Operating hours 7:00 AM to 5:00 PM 7 days a week: ro ;t"r"�`, = �� r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.",1;, . _ - _ ..°;T. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY t" +_ ,, a TENDERED
CHANGE,
CHECK NO
SIGNATURE
NO.. ®652
GENERATOR`
THIS MANIFEST IS FOR REFERENCE PURPOSES'ONL"Y.GENERATOWDOES-NOT.TAKE.POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS',-
BEING SHIPPED AND DOES NOT ASSUME-ANY•LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCH MATERIALS'. `-
COMPANY: ',.a`s( i SHIP.DATE: ' a
COMMODITY-SHIPPED:, •, {' =
LOOSE: ;} (CU.YDS):
BALES: (COUNT):'
TRUCK WEIGHT: ' GROSS _
TARE_- ,
—W/ NET
I-HEREBY,CERTIFY'THAT THE'ABOVENAMED 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 CON DITION`FOR-TRANSPORTATION ACCORDING TQ APPLICABLE-REGULATION-,:',
GENERATOR'AUTHORIZED`AGENT(PRINT NAME) .(SIGNATURE)-
TRANSPORTER , (SIGNATURE)TRANSPORTER '
- d
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
3
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** sIr : ,,, Tt'cKEi-.. .GRID 7-' WdbHMASTiA;'_
SQUTIHO D TOWN DEPT SOLID WASTE 01 01505742 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE, ROLLOFF
03/12/20 03/12/20 08:59 08.59 19606TC
009316 Town of Babylon
REFERENCE OR1GIN
Scale 2 Gross Wt. 74240 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 37620 LB
QTY, . UNIT DESCRIPTION RATE, EXTENSION - FEE TOTAL ,
18.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00
}
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685.' 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK'NO. °-'
SIGNATURE
**DUPLICATE TICKET** 5-IT EF TicK>r GRID _ vuEiGHMAsTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505742 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT j TIME`IN TIME OUT ,- VEHICLE ROLL OFF'-;
03/12/20 03/12/20 08:59 08:59 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74240 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 37620 LB
CITY., - UNIT DESCRIPTION, ` , , . RATE EXTENSION FEE TOTAL
18.81 TON DUTGO.MSW 0.000 0.00 0.00 0.00
�pe—ralimng_ftoum odays a Week.'
ee•.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAL DAY,^ -TENDERED',,
CHECK NO.-.Lj
SIGNATURE
NO. , '0653-
GENERATOR
® 5 -GENERATOR =
THIS MANIFESTIS FOR,REFERENCE'PURPOSES ONLY.GENERATOR DOES-NOT TAKE POSSESSION OR TITL•E`OFANY CARGOOR.MATERMLS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCHIMATERIALS.-
COMPANY: _Y. _ SHIP DATE:
COMMODITY SHIPPED:--,
LOOSE: ` ,
'� (CU YDS),_. - _ • _ - , _ _
BALES:(COUNT):
TRUCK WEIGHT:-„ ( -° GROSS-
TARE : -
3 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- y
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. r LICENSE.NO/STATE:
I HEREBY CERTIFY THAT-THE-ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
'DELIVERED`WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -
DRIVER: '
(PRINT NAME) (SIGNATURE)
DESTINATION
'DISPOSAL LOCATION:" DATE DELIVERED::
ADDRESS:
I HEREBY-CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. it
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET"* SITE `' TICKET-,_;-. GRIDI� ;_ WEIGHMASTER
-SOUTHOLD TOWN DEPT SOLID WASTE 01 01505929 Liz H
PO Box 962/6155 Cox Lane — = _
DATEIN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/13/20 03/13/20 10:25 10:25 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 79220 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 43000 LB
QTY: UNIT DESCRIPTION RATE _ -EXTENSION FEE TOTAL
21.50 TON DUTGO.MSW 0.000 0.00 0.00 000
Operating hours 7:00 AM to :00 PM 7 days a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685r-, 0.00
0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,D ,' '~ ., a^ " ' t TENDERED
.- CHANGE
CHECK=NO.
SIGNATURE
"DUPLICATE TICKET'* SITE - TICKET=- - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01505929 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE . _` ROLL OFF
3/13/20 03/13/20 10:25 10:25 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79220 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 43000 LB
QTY._. UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL
21.50 TON CUTGO.MSW 0.000 0.00 0.00 0.00
J f r
Operating hours 7:00 AM to 5:00 PM 7 days a week ''" = '; � ` ��
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..v,. 0.00
6' h
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL''DAY"' TENDERED'
CHANGE
CHECK NO.
SIGNATURE
0654
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:2' _ • ' --
COMPANY:.'- SHIP DATE:' .
COMMODITY SHIPPED:
LOOSE: (CU YDS) ,
BALES: (COUNT)-. _
TRUCK WEIGHT: - - : , GROSS
0 7) 3- ._. TARE
r
6 L� NET-
-1 HEREBY'CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10-OR ANY
APPLICABLE STATE LAW.-IS NOT HAZARDOUS WASTE AS-DEFINED BY 40 CFR•PART'261 OR ANY APPLICABLE'STATE LAW,HAS BEEN-PROPERLY
DESCRIBED;CLASSIFIED AND PACKAGED.AND-IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE-REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) " - (SIGNATURE):
TRANSPORTER'
TRANSPORTATION/FREIGHT CO. ' l
TRUCK NO. LICENSE NO/STATE:-
TRAILER NO. J LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL--WAS PICKED UP AT THE GENERATOR-SITE,LISTED ABOVE, AND THAT IT-WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: = DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY 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" 51TE TfCKET x - GRID "' WEIGHMASTER''-,`=
SOUTHO'LD TOWN DEPT SOLID WASTE 01 01506627 Liz H
PO Box 962/6155 Cox Lane - -
DATE IN -DATE OUT TIME iN_TIME OUT ='VEHICLE -ROLL OFF
Cutchogue, NY 11935
03/16/20 03/16/20 12:57 12:57 11100TC
009316-Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Wei ht 35440 LB
`QTY UNiT. _ DESCRIPTION •:RATE EXTENSION _`FEE =TOTAL
17.72 TON DUTGO.MSW 0.000 0.00 0.00 0.00
s. s
Operating hours 7:00 AM to 5:00 PM 7 days a week: ` � `: t •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685: : 0. 00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY d ' ;? r c ..hr" TENDERED'
`� Ie�
CHANGE
CHECK NO ,,'•'
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET; _ GRID- WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01506627 Liz H
PO Box 962/6155 Cox Lane oATE IN DATE OUT TIME'IN-TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/16/20 03/16/20 12:57 12:57 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
7
Scale 2 Gross Wt. 74580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35440 LB
QTY: UNIT - DESCRfPT10N RATE_ EXTENSION _"FEE TOTgL
17.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
Z
Operating hours 7:00 AM to 5:00 PM 7 days a week , ?t," -- •
® 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5: �Wa
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY I' J A=rm•,°: � l TENDERED
v
4 .CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2402
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. {' i
COMPANY: :} ,, SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: Ll !, 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.'. . F i
TRUCK NO. LICENSE NO/STATE: ` =1F`��
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'DESTINAT-ION LISTED BELOW. .
DRIVER: ri n =, FA,.
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: re, '' ;f± DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL•HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-TH&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.
TRINITY-TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2401
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FMREFERENCE 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. OR',
MATERIALS
r 1 SHIP DATE: j j
COMMODITY SHIPPED: `
LOOSE: (CU-YDS)
BALES: (COUNT):
TRUCK WEIGHT: ( {`;{s GROSS f
3(r = (r, TARE
NET
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES,NOT-CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ___ / l•'I /r
TRUCK'NO. LICENSE NO/STATE:
TRAILER NO. i+ LICENSE NO/STATE: ' s`
LHEREBY 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: fr:f,
- - -(PRINT NAME) (SIGNATURE)
DESTINATION
--2
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-
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.
TRINITY TRANSPORTATION CORPORATION
TRINITY
2`r4 Blydenburgh Road
No. 2403
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.
s
COMPANY: .-'i r ° `
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 TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO: g' -{
TRUCK NO.- t ' LICENSE.NO/STATE: -
TRAILER NO.-- LICENSE,NO/STATE: '`
I HEREBY CERTIFY-THAT--THE`ABOVE-NAMED"MATERIAL WAS PICKED UP AT THE GENERATOR SITE'LISTED-ABOVE,-AND-THAT-IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION-LISTED BELOW.
DRIVER: ) '
(PRINT NAME) (SIGNATURE)
DESTINATION-'- ',
DISPOSAL LOCATION: ,d`; :.;�f: i y'' r �S t Jt - DATE DELIVERED:
ADDRESS:
I HEREBYCERTIF•Y THAT THE ABOVE MATERIAUHAS BEEN ACCEPTED ANDTO THE'BEST OF MY KNOWLEDGE THE-INFORMATION-PROVIDED'
IS TRUE AND ACCURATE:
RECEIVE_D BY:
AUTHORIZED AGENT(PRINT NAME) • SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE T_TICKET ;_-- =', GRID; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01506778 Dan
PO Box 962/6155 Cox Lane -
Cutchogue; NY¢1935 DATE IN DATE OUT TIME IN TIMEaOUT VEHICLE ROLL OFF
03/17/20 03/17/20 12:15 12:29 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 71120 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 35520 LB
QTY- ______ U_N_IT _ DESCRIPTION =__' RATE _ =_;== EXTENSION , =FEE TOTAL=
17.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
-'"A ... 2 C {
} i
--J
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685:` P ``' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYR`' ;� TENDERED.
CHANGE
CHECK
-NO
SIGNATURE
"DUPLICATE TICKET*" SITE - , TICKET _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01506778 Dan
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE:IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL_OFF
03/17/20 03/17/20 12:15 12:29 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71120 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 35520 LB
QTY` UNIT DESCRIPTION RATE: EXTENSION' FEE TOTAL
1776 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours oclays a wee :7 7 . ai a r Ilk •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:%�� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAWN`, ";`' TENDERED",
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 $lydenburgh Road 2404
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: = :' 'F '- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: /% 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. f` LICENSE NO/STATE: j`
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS .
DELIVERED WITHOUT'INCIDENT-TO THE DESTINATION LISTED BELOW
DRIVER: wl 't,l; •L . I'a ff '. ; �;f� m _.. _
(PRINT NAME) (SIGNATURE)
DESTINATION
3 F
DISPOSAL LOCATION: x f: 12,'-`+ ''r`�'r-� �f ,`x' -r' ,, i'=�i 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.
TRINITY TRANSPORTATION CORPORATION
214"13lydenburgh Road NO. 2405
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: ,:j. SHIP DATE:
r I I
COMMODITY SHIPPED: =
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 7 GROSS
TARE
/ S<<6-) NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT'CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS GRTATIOIJ CA CORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) J��" (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. f f� `/ L ! ,6,,, _
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ,� '� I LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,-AND THAT IT WAS
DELIVERED WITHOUT�INCIDENT TO'THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: . _ '' ' }:f -` ;' DATE DELIVERED:--
ADDRESS:
ELIVERED: -ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIALHAS 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.
,JPLICATE TICKET" SITE `TICKET GRID ' , WEIGHMASTER
SJUf HOLD TOWN DEPT SOLID WASTE 01 01507086 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT-' - VEHICLE ROLL OFF
03/19/20 03/19/20 08:55 08:55 11107T
009316 Town of Babylon REFERENCE ORGIN
Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41480 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
20.74 TON OUTGO.MSW 0.000 0.00 0.00 0.00
e j
I -
Operating nours TOO AIVI to ays a wee -, , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-73457685: - .: ,- ; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY; _ ' 4m',;, TENDERED
CHANGE
C ECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE — TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01507086 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE -ROLLOFF
03/19/20 03/19/20 08:55 08:55 11107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41480 LB
QTY UNIT DESCRIPTION RATE EXTENSION, FEE TOTAL
20.74 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:; k _-.> ', _. , .' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ,;j' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY ,`',} p;y a TENDERED
CHANGE
HECK NO
SIGNATURE
-'TRINITY TRANSPORTATION CORPORATION '
214 Blydenburgh Road NO. 2406
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 ANYLIABILITYASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,?,r'�/O`P''' F'r 'r '` SHIP DATE:
COMMODITY SHIPPED: ..
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT:
��. TARE
7,0 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED.MATERIAL�DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
• �, Ie
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) .
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO.,. , F/
LICENSE NO/STATE:
TRAILER NO. ' 1 i LICENSE NO/STATE: ,3
r - _
I HEREBY CERTIFY THAT THE ABOVE NAMED',MATERIAL-WAS-PICKED UP AT THE GENERATOR:SITE-LISTED ABOVE, AND-THAT'IT WAS-
DELIVERED WITHOUT.INCIDENT TO THE DESTINATION LISTED BELOW.
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 01507117 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 If DATE IN DATE OUT TIME IN_ TIME OUT` 'VEHICLE ROLL OFF
1 03/19/20 03/19/20 12:16 12:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81440 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 42300 LB
,,QTY. UNIT DESCRIPTION = RATE EXTENSION FEE TOTAL
21.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing nours o ays a weeK a, "'.m L a....r,; .._. ' , ° ::` r°x •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;.; 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-,IAV' � ,,,,, �3 _ TENDERED
d -CHANGE
CHECK NO. '
SIGNATURE
*DUPLICATE TICKET ` SITE TICKET= GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01507117 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
03/19/20 03/19/20 12:16 12:16 11100TC
009316 Town of Babylon
REFERENCE =
Scale 2 Gross Wt. 81440 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 42300 LB
QTY' UNIT" -DESCRIPTION 'RATE, EXTENSION _ ,FEE NOTAL
21.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
yo
Opera ng ours o ays a wee,:;� 7 '.
� �� r.� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �, --._ a..__ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAC�DAY� $ TENDERED
". ;r;i b'
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION ' =
214 Blydenburgh Road NO2407
. '
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: fir ', �` ° / ?,' ,`�'`~ SHIP DATE:
COMMODITY SHIPPED: r •'' =� -'
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ��/ �� GROSS
3 v TARE
3o) 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 TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME)' (SIGNATURE)
TRANSPORTER -',
TRANSPORTATION/FREIGHT CO.,' . - •
TRUCK NO. LICENSE/NO/STATE:,
f
TRAILER NO. Wt LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED.MATERIALWAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND•THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATIOWLISTED BELOW.
DRIVER: r-"-
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: '; ' , . f ,; ='t°f,`' �'�/L+:_'f DATE DELIVERED:
ADDRESS: . '
I HEREBY,CERTIFY.THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR '
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** $ITE " TICKET.__ GRID WEIGHMASTER`
SOU,THQLDJOWN DEPT SOLID WASTE01 01507199 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/20/20 03/20/20 08:08 08:31 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39460 LB
Net Weight 39000 LB
QTY. -UNIT- " - DESCRIPTION RATE __EXTENSION FEE '_'TOTAL
19.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;x', 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DA Y � .4 , �. ' TENDERED
,-`CHANGE
CHECK NO,.
SIGNATURE
"*DUPLICATE TICKET"* =SITE TICKET,"-- - GRID_ " _ _ WEIGHMASTER'=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01507199 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _=ROLL OFF
03/20/20 03/20/20 08:08 08:31 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78460 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39460 LB
Net Weight 39000 LB
QTY UNIT,' DESC_RIPTION° RATE EXTENSION `-_'-FEE TOTAL
19.50 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f ,
)perc1TIT[g_I10U1S-1.0d AM to 5.00 PM 7 days a weer".
b _. ;° _.' •-"�.I _.. " �� .� .`^'=� X11
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x® 4
'Ids !7
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY ., ;1t , ._TENDERED
'ry�-`"-�--,._....• �,:'-���< , _;CHANGE
CHECK NO
SIGNATURE
- 'I'R37NITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0001
NO.
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: _ `' t r GROSS
' TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
s
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:— + J
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET " SITE TICKET`` GRID IVEIGHMASTER
SOUTHO�°IO TOWN DEPT SOLID WASTE 01 01508124 Liz H
4 Box 962/6155 Cox Lane _JJ
Cutchogue, NY 11935 °DATE IN DATE OUT TIME IN TIME OUT VEHICLE '. ROLL OFF
03/23/20 03/23/20 09:01 09:18 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73980 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39480 LB
Net Weight 34500 LB
QTY UNIT DESCR{PTION` _' 'RATE EXTENSION_; i '-FEE" ="TOTAL "
17.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00
. r(V •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-74685 0.00
.E '.< `
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL"DA4Y TENDERED
`� w't. amass,
CHANGE"
CHECK'NO.-
SIGNATURE
'*DUPLICATE TICKET* SITE TICKET GRID _- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508124 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - DATE OUT -_ TIME IN°TIM -OUT 'VEHICLE; ROLL OFF
03/23/20 03/23/20 09:01 09:18 11100TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 73980 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39480 LB
Net Weight 34500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION_°'_= FEE TOTAL
17.25 TON OUTGO.MSW 0.000 0.00 000 0.00
Opera Ing hours rud AIVI to mub mvi t days a weeK-4,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 168 P „tib 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAYak4 ,n t r TENDERED
Pf 'CHANGE
`CHECK NO' ”
SIGNATURE
TIINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0002
Islandia, NY 1-1749
(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
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)
TRANSPORTER -
,- �✓��
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ' ' �` LICENSE NO/STATE: ,y
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
� f r
i
�'7SAL LOCATION: Z ;! f '3 °`' �•�• ; DATE DELIVERED:
THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
,GENT(PRINT NAME) SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET'* SITE PICKET- ,_ GRID wEIGHMASTER ;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508185 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, = DATE IN DATE-OUT' ; TIME IN,TIMEOUT VEHICLE ,ROLLOFF
03/23/20 03/23/20 13:03 13:03 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 68720 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 32460 LB
OTY= '" UNIT DESCRIPTION '-RATE EXTENSION,, -FEE TOTAL M,-
16.23 TON OUTGO.MSW 0.000 0.00 000 0.00
f
S
'3
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
CHANGE .-
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID --wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508185 Liz H
PO Box 962/6155 Cox Lane DATE IN' -DATE OUT = T1ME IN` TIME OUT VEHICLE. RgLL OFF .
Cutchogue, NY 11935 - _
03/23/20 03/23/20 13:03 13:03 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 68720 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wei ht 32460 LB
QTY.'. _" - UNIT-', -DESCRIPTION' RATE EXTENSION - FEE
TOTAL
16.23 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week,_, _ Loll,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.... 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY . .TENDERED
-,CH ECK NO.
SIGNATURE
TaRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0003
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
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.
.« ** ; , ... GHMAS
DUPLICATE TICKET SITE TICK ET _'GRID GRID, WEt ..... TER'•,
SOUTHOLD TOWN DEPT SOLID WASTE - 01 01508218 Dan
PO Box 96'1/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT _TjMt IN -TIME OUT vEHiCLE ROLLOFF
03/24/20 03/24/20 07:03 07.23 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73920 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35720 LB
Net Weight 38200 LB
QTY. -UNIT DESCRIPTION . RATE EXTENSION FEE' :-TOTAL
19.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85'. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK NO..
SIGNATURE
**DUPLICATE TICKET SITE TICKET__ GRID wEiGHMASTER"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508218 1 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN.: DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/24/20 03/24/20 07.03 07:23 1 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73920 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35720 LB
Net Weight 38200 LB
'QTY UNIT, ,_ "DESCRIPTION' RATE' EXTENSION „,FEE TOTAL:
19.10 TON DUTGO.MSW 0.000 0.00 0.00 000
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `' 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED „t >
ECK NO.�
SIGNATURE
T-RWNITY TRANSPORTATION CORPORATION.
214 Blydenburgh Road 0004
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 LIABILI.TY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP A?` SHIP DATE:
e �F
COMMODITY SHIPPED:
N
LOOSE: (CU YDS)
BALES:(COUNT):
-7
TRUCK WEIGHT: r GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED-BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY,
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) z
TRANSPORTER
TRANSPORTATION/FREIGHT CO. rr
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: X, 2111/4
(PRINT NAME) '` ' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: t ' t '' '�'` : `��' m 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.
*"dUI�LICATETICKET"" SITE TICKET_ GRID , ' ' "'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508280 Dan
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 =-DATE IN DATE OUT TIME IN TIME OUT VEHICLE '_ROLL OFF
03/24/20 03/24/20 10:49 11:25 11100TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36600 LB
Net Weight 42440 LB
QTY UNIT , == DESCRIPTION z°RATE-_ EXTENSION -FEE TOTAL
21.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a wee ' '-:_ .`� .s.` :, y; o°', r : •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,X,,;,10 - ;, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL>DAYA' TENDERED
VI
'CHANGE
CHECK NO. „
SIGNATURE
"*DUPLICATE TICKET" ;SITE I TICKET GRID- " WEIGHMASTER-'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508280 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ DATE IN DATE OUT TIME-IN- TIME OUT VEHICLE ROLL OFF
03/24/20 03/24/20 10:49 11:25 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36600 LB
Net Weight 42440 LB
QTY` UNIT DESCRIPTION RATE": EXTENSION FEE' a TOTAL
21.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
AJ
v4 � �a am
Operating hours 7:00 AM to 5:00 PM 7 days a week
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E °� � m- _ =' ` 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAYr't �'� _ r'- g, TENDERED
:. r ;1.`444'"�'' _ CHANGE
�-CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0005
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.
l<
COMPANY: �d �\� { /* :': SHIP DATE:
COMMODITY SHIPPED: r
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: 3 GROSS
—% TARE
r '
f NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,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. f r' LICENSE NO/STATE: �' �' _ • tf ,f r
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) a` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _,-` f 'f`'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:
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"* �—SITEI TICKET GRiCi .. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508576 Dan
PO Box 062!x155 Cox Lane '-I- -OUT
Cutchogue, NY 11935 DATE INDATE TIME.IN 31ME OUT VEHICLE: ROLL OFF
03/25/20 03/25/20 11:34 11:35 11100TC
009316 Town of Babylon REFERENCE -
Manual Gross Wt. 82460 LB Outbound-Charge ticket
Scale 2 Tare Wt. 82460 LB
Net Weight 0 LB
OTY:' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o 0.UU VM 7 days a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,,' 0.00
NEXT HOLIDAY: MONDAY, MAY,27, 2019 MEMORIALPAY TENDERED'
CHANGE .
CHECK NO. -
SIGNATURE
"DUPLICATE TICKET" SITL TICKET - GRID �vEiGHMasrER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508576 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-' DATE OUT .TIMEIN TIME OUT . ;VEHICLE - ROLLOFF ,
03/25/20 03/25/20 11:34 11:35 1 11100TC
009316 Town of Babylon REFERENCE ORIGIN
Manual Gross Wt. 82460 LB Outbound-Charge ticket
Scale 2 Tare Wt. 82460 LB
Net Weight 0 LB
OTY. UNIT DESCRIPTION. . RATE'. EXTENSION FEE TOTAL
0.00 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`
' CHANGE
CHECK NO.- , .
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214'blydenburgh Road - 0007
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.LIAB�ILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.-
, ,r
COMPANY. Y_rrl -r 'r
SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ,(CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: `:� GROSS
TARE
t�j" NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY,
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY"
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)-
TRANSPORTER-
TRANSPORTATION/FREIGHT CO.-
TRUCK
O:TRUCK NO. ' LICENSE NO/STATE: - '
TRAILER NO. -', LICENSE NO/STATE: ":' F'
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:
rt
(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*,,OWN DEPT SOLID WASTE 01 01508496 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT 'TIME IN TIME OUT VEHICLE ROLLOFF
03/25/20 03/25/20 07:55 08:23 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36780 LB
Net Weight 46160 LB
QTY UNIT DESCRIPTION RATE 'EXTENSION '-FEE TOTAL
23.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00
•�'-_ a�''^ to r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-�7685_"�.. -M 0.00
,�
NEXT HOLIDAY: MONDAY, MAY 27 2019 MEMORIAL DAY :=' � ' -'''
; �,. TENDERED
CHANGE'
CHECK NO
SIGNATURE
''"DUPLICATE TICKET" SITE I TICKET. - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508496 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ;TIME IN TIME OUT -VEHICLE " '> , ROLL-OFF
03/25/20 03/25/20 07.55 08:23 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36780 LB
Net Weight 46160 LB
QTY -- UNIT DESCRIPTION ,""`_' RATE' EXTENSION 3 ;FEE' TOTAL'"""
2308 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a wee - , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7606.1r1'_/1__ ' 0., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAYs',' r ; ;1a ,,j `;' ,� TENDERED','
CHANGE.
CHECK NO.
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0006
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: K :!' 'V GROSS
TARE
`y NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:90 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: r- �' -ff 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.
**DUPI,ICATEVICKET** SITE ;'.. TICKET _ , `GRID - `; ,WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508814 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT .TIM
_ E IN TIME-OUT VEHICLE ROLLOFF
03/26/20 03/26/20 11:35 11:35 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80840 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40440 LB
QTY.'- UNIT -` . DESCRIPTION RATE ==='=EXTENSION `=;FEE TOTAL
20.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a wee .ws •
:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685 �d 1
A� __ ,.. �" �� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�sDAYw e g `,, ;° TENDERED
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CHECK NO.
__j
SIGNATURE
**DUPLICATE TICKET** SITE TICKET-__ __ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508814 Liz H
PO Box 962/6155 Cox Lane - - -
Cutchogue, NY 11935 DATE 1N DATE OUT TIME IN TIME OUT -_VEHICLE - ROLL OFF
03/26/20 03/26/20 11:35 11.35 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80840 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40440 LB
QTY', -UNIT DESCRIPTION _ `'4 RATE' =_: EXTENSION FEE TOTAL
20.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
>€` '
t ��`—cel
sof 6 t - •�,-"'y Ye
Operating hours 7:00 AM to 5:00 PM 7 days a week° v °� �-�;°-' ;P° r'u •
?.�`
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:u "-. v 0.00
NEXT HOLIDAY- MONDAY, MAY 27,2019 MEMORIALDAY'S' TENDERED°
CHANGE
CH
ECK N0.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 010
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.
r.
COMPANY: . `T'__j ``" SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY'CERTIFY-THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID'AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE,LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r
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 ry, TICKET `GRID .WEIGHMASTER
SQcJTHOLD
'TOWN DEPT SOLID WASTE 01 01508721 Liz H
r
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
03/26/20 03/26/20 08:17 08.17 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 69500 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 33240 LB
' QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.62 TON OUTGO.MSW 0 000 0.00 0.00 0.00
Opera Ing hours o ays a wee ;, "P,
a �,�,,$ ; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,6,85.` y' �e rt.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALkDAW TENDERED
,
' � 11
CHANGE'
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE TICKET__- GRID WEIGHMASTER r
SOUTHOLD TOWN DEPT SOLID WASTE 01 01508721 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ,_- - ROLLOFF
03/26/20 03/26/20 08:17 08:17 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69500 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 33240 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Pc
Operating hours 7:00 AM to 5:00 PM 7 days a week-,,',,. °��` ,Y' r. ,'' r°:'; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76&5.,:y(-,/,,, ` .~ r .'.I 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY,,' Baa; ` TENDERED 4
CHANGE
CHECK NO
SIGNATURE �--9-
,f 1
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0008
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 AN,Y-LIABILITY ASSOCIATED'WITH THE SHIPMENT OF SUCH MATERIALS. r
COMPANY: _
,��`�`__-' 'f 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. 4 'r LICENSE NO/STATE: '
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: r
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** SITE I TICKET- - =`GRID '_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01509732 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NV)1935 'DATE IN= DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/28/20 03/28/20 13:27 13:27 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 36760 LB
QTY-,== UNIT DESCRIPTION RATE EXTENSION FEE -__ TOTAL
18.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a wee .a ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,s;` '<, z _, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIACiDAY�Y=r,_
v� " TENDERED
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01509732 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/28/20 03/28/20 13.27 13:27 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 36760 LB
QTY.=_-` UNIT= DESCRIPTION RATE EXTENSION FEE TOTAL
18.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
� }i
Operating hours 7:00 AM to 5:00 PM 7 days a week t ;,� '� V � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. x', _,v _w. ;,� 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY I—e; '` �p, t i., �' f TENDERED'
•a' ° C T1 kl P°"r
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CHANGE
CHECK NO <
SIGNATURE
TRINITY"TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0012
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. y� '
COMPANY: "r` SHIP DATE:
COMMODITY SHIPPED: `" 'y'`-''�
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID-AS DEFINED'BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER--
TRANSPORTATION/FR
RANSPORTER_--
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. i '" 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
" f r-
,':, ,':'j.: DATE DELIVERED:
DISPOSAL LOCATION: -
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" TICKET'- GRID " WEIGHMASTER`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01509545 Dan
PC=Bbx"062/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN I DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
03/28/20 03/28/20 07:03 07:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74660 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39580 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
��� ��� 5z •y a m
k•4E �t f r ' ..f }
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CLOSED HOLIDAYS-QUESTIONS CALL 6311-734X 685." 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMO RIAL"DAY
'ei ¢, -„ .,, lo" .I;a -TENDERED
-CHANGE
CHECK NO:"
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER„
SOUTHOLD TOWN DEPT SOLID WASTE 01 01509545 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE I =ROLL OFF
03/28/20 03/28/20 07:03 07:17 111 010T
009316 Town of Babylon
REFERENCE 0.
7
Scale 2 Gross Wt. 74660 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39580 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
O'N
P ry •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA�DAY �`
:.TENDERED
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0 011
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: ��- ,s SHIP DATE:
COMMODITY SHIPPED:' _{-
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER,CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. , Al
TRUCK NO. LICENSE NO/STATE: _ % c,
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.
3
DRIVER: 'fir" is
(PRINT NAME) "(SIGNATURE)
DESTINATION
r
DATE DELIVERED:
DISPOSAL LOCATION: ':, ' ;, `, '`' aw '<:�. �; r�
t
ADDRESS: d
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: - WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER,
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
_ **P*�JPLICATE TICKET** ,..SITE .TICKET GF2tD, --.` ;`' „ 1NEIGHMASTER
SbNHOLD TOWN DEPT SOLID WASTE 01 01510151 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DACE IN DATE OUT rtME INTIME OU`T VEHICLE ROLL OFF
03/30/20 03/30/20 14:05 14.05 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72620 LB Outbound-Charge ticket
Manual Tare Wt 36820 LB
Net Weight 35800 LB
CITY UNIT D_ESGRIPTION; MTE-_ :_EXTENSION FEE JTOTA
17.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY, ' TENDERED
' HAN E
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** r8ITE1 TI KET ; _ GRID _ - WEiGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01510151 Liz H
PO Box 962_/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. -DATE OUT'" -,TIME IN.T1M�.OUT VEHIGt ROLLOFF
03/30/20 03/30/20 14:05 14:05 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72620 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35800 LB
QTY. -_'UNIT; DESCRIPTION -'_RATE EXTENSION FEE TOTAL
17.90 TON OUTGO.MSW 0 000 0.00 0.00 0.00
(301 all[ly 11001 ts 06 Am to s.obPM 7 days a week_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY- MONDAY, MAY 27,2019 MEMORIALbAY°' ., TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0014
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. e r
COMPANY: ' -{'_ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: - (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE'
NET
I HEREBY'CERTIFY THAT THEA 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" r ;
TRUCK NO. 't LICENSE NO/STATE: d
TRAILER NO. LICENSE NO/STATE: .22 /,z �- CL`
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) Ix (SIGNATURE)
}j 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.
**DUPLIr-TE TICKET— SITE TICKET GRID, WEIGHMASTER..,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01510004 Liz H
PO Box 962/6155 Cox Lane i -
Cutchogue, NY 11935 DATE N DATE ou-r TIME IN. TIME OUT VEHICLE ROLLOFF
03/30/20 03/30/20 08:22 08:22 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 31760 LB
QTY UNIT DESCRIPTION RATE _ > EXTENSION FEE TOTAL '
15.88 TON OUTGO.MSW 0.000 000 0.00 0.00
w
1
Opera Ing Hours o ays a wee . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,1 , 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY TENDERED
- CHANGE
CHECK O
SIGNATURE
**DUPLICATE TICKET** SIl _ TICKET; GRID, WEIGHMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 01 01510004 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N DATE OUT'', TIME-IN TIME OUT VEHICLE ..ROLLOFF
03/30/20 03/30/20 08:22 08:22 11100TC
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 70900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 31760 LB
OTY. UNIT DESCRIPTION RATE EXTENSION- FEE. _ =,TOTAL
15.88 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
eek.CLOSED HOLIDAYS-QUESTIONS CALL 631-734-M&8 - 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY- TENDERED '
`CHANGE
CHEG NO.:=-j
SIGNATURE
T- INITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0013
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: 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 26VOR 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: I
TRAILER NO. {` LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
f `
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
Z f/ ;..
DISPOSAL LOCATION: f'j`1 ` -' ;` > ;~ `,s t-x 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" /SITEP . T(CKEr.-- '� ,,GRIDII w�IGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01510263 Dan
PO Box-962)81 55 Cox Lane
----- DATE IN � IJArt-OUT �TIME I ITIME OUTI, �EHICILE -ROLL'OFF,
Cutchogue, NY 11935
03/31/20 03/31/20 108:05 108:32 1 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71660 LB Outbound-Charge ticket
Scale I Tare Wt. 36820 LB
QTY Net Weight 34840 LB
U41T DESCRIPTION RATE EXTENSION FEE TOTAL
17.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I -A
Operating nours [:UU MIA LU D.UU Pm 7 days a weel��
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686L'�;'�, 0.00
4p
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL, ky
A p 1, ."-V -TENDERED
*K1
CHANGE
'CHECK NO.1
SIGNATURE
"DUPLICATE TICKET�* (SITE TICKET-- GRI
WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01510263 Dan
PO Box 962/6155 Cox Lane —
Cutchogue, NY 11935 -__QATE IN D�TE-qUT TIME IN TIME OUTI - �IEHICLE I ROLL OFF
03/31/20 03/31/20 08:05 108:32 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71660 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36820 LB
Net Weight 34840 LB
PTY :UNIT
Ty DESCRIPTION 'RATE- 'EXTENSION� FEE �-TOTAL
17.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00
171
1v
Operating hours 7:10dAIVI to 5:0!
X
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 010
NEXT HOLIDAY: MONDAY, MAY 27,2019
TENDERED
-CHANGE
'CHECK NO_�
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
A. - .
214 Blydenburgh Road NO. 0 015
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES1NOT 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: 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
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
- TRANSPORTER
TRANSPORTATION/FREIGHT CO.
l _(
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: 4 ,/ `t fi• f,`' P�'`�ham''
(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:
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KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.