HomeMy WebLinkAbout07/2020 SITE TICKET GRID N%EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539123 Steph
PO Box 96~/6155 Cox Lane DATE IN 'DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/01/20 07/01/20 10:31 10.31 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 77900 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39200 LB
QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
19.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.",; Vol
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY' TENDERED
CHANGE
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SIGNATURE , )
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539123 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/01/20 07/01/20 10:31 10:31 19606TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 77900 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
e' 39200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.60 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
ANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION __;__-
214 Blydenburgh Road u _2674
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 a
COMPANY: ` v .f SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ;j (, (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
i
e
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
/—Nil
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
)r t L,
TRANSPORTATION/FREIGHT CO. I s I M 'I
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. t 1 `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: f t'
(PRINT NAME) d '7 (SIGNATURE)
DESTINATION.' --
DISPOSAL LOCATION: ii i ' t i DATE DELIVERED: J
ADDRESS: \ !
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE,BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE-AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE TICKET GRID „ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01539216 Steph
PO BO 962/6155 COX Lane DATE IN. DATE,OUT TIME IN TIME'OUT VEHICLE ROLLOFF
Gutchogue, NY 11935
7/01/20 D7/01/20 3:50 3:50 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 63440 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Wel ht 27180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL
13.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weeks °` , .__.>; `a € •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. -"j,' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL bA ,[ { `;Iu } �, r; D TENDERED
• '` CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET -GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOL ND WASTE 01 01539216 Steph
PO Box 962/6155 Cox Lane DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/01/20 07/01/20 13:50 13:50 19606TC
009316 Town of Babylon REFERENCE
.F
Scale 2 Gross;Wt. 63440 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Ne Weiaht LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
13.59 TON DUTGO.MSW 0.000 0.00 0.00 0.00
4.-D 1 Sf
Operating hours 7:00 AM to 5:00RPM 7 days a week `,= �` ,� e •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685tO _ 0.00
; . � .
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'DAYq ,,' t'i° as `T TENDERED
<
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2675
Islandia, ICY 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: 1 ' _( = r i:i; f' SHIP DATE: i {
COMMODITY SHIPPED: :rl
LOOSE: r I is (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f�`�����, GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE.STATE LAW,IS NOT�HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. /
TRUCK NO. rl `i LICENSE NO/STATE:
TRAILER NO. t_ LICENSE NO/STATE:
I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED ABOVE, AND THAT'IT WAS
DELIVERED WITHOUT.INCIDENT TO THE DESTINATION LISTED BELOW,. `
DRIVER:
(PRINT NAME) (SIGNATURE)
4
DESTINATION,\
DISPOSAL LOCATION: DATE DELIVERED: o / `—
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 01539361 Liz H
Pb Box 92/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/02/20 07/02/20 09.01 09.01 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78860 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42040 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.02 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week., amIL49av•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
HE K NO.
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539361 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/02/20 07/02/20 0901 09:01 19606TC
009316 Town of Babylon
REFERENCE
C I. I
Scale 2 Gross Wt. 78860 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Wei ht 42040 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.02 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 01111111001 W-1-1-1111INVAL81
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685- 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
C_HANGE
CHECKNO-9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 2676
Islandia, NY 11749
(631) 342-9673 4
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }
COMPANY: ,.+ •'�, -1 t : " t� SHIP DATE: + {�
COMMODITY SHIPPED:
LOOSE: F ': (CU YDS)
3
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
f
TRANSPORTATION/FREIGHT CO. I r� '—j
TRUCK NO. ~ ; LICENSE NO/STATE:
TRAILER NO.., i '; LICENSE NO/STATE:
t
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE.GENERATOR SITE LCISTED ABOVE,-AND THAT IT WAS=
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
� .
DRIVER:
(PRINT NAME) J,r` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION. }� '�� ' iP 4 t J ` >� t` '� '' � DATE DELIVERED: t s
ADDRESS: f /�
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE•THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" StTE TICKET GRID WEIGHMASTER
• SOUTHOLD TOWN DEPT SOLID WASTE 01 01539470 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN PATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/02/20 07/02/20 12:36 12:36 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 0 AM to 5:00 PM 7 days a week. e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAL�DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" [07/02/20
TE TICKET GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01539470 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF-'
07/02/20 12:36 12:36 19606TC
009316 Town of Babylon REFERENCE
7
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00AM 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
. CHAN E
CH CK O.
--j
SIGNATURE
r
'- ' TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2677
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
I
SHIPPED: 1° _•,^ I r` s
t •
LOOSE: } 5 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �j3 `i(` GROSS
TARE
u l ` NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ^
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE:
TRAILER•NO. -
1'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)
r�
DESTINATION t
DISPOSAL LOCATION:. ; , '�. Y r� ;DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED'AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539788 Liz H
PG Boz 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN � DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/03/20 07/03/20 12:48 12:48 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt., 73600 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 36780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE .,TOTAL '
18.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours to 00 PA 7 days a week, •
CLOSED HOLIDAYS-QUESTION$CALL 631-734-7685."r,`. 0.00
NEXT HOLIDAY: MONDAY, MAY 27.;2019 MEMORIALDAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539788 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/03/20 07/03/20 12:48 12:48 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt.- 73600 LB Outbound-Charge ticket
Manual Tare Wt... 36820 LB
Net Weight 36780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
,
Operating hours 7:00 AM to 5:00 PM 7 days a week.-, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685._ 0.00
E
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIA,-L DAY,', TENDERED
CHANGE
CHECK NO,
SIGNATURE
TYITNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2679
Islandia, NY 11749 No.
(631) 342-9673
4
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 l (l L. i SHIP DATE: 1 �'
COMMODITY SHIPPED: y') E r
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
t ff+
F
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)' -
TRANSPORTER
SIGNATURE)' -TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ^~t ''! LICENSE NO/STATE:.
TRAILER NO. ' "1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP`AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS '
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED'BELOW =
DRIVER: t L ✓ _
(PRINT NAME) (SIGNATURE)
`f DESTINATION z
DISPOSAL- LOCATIONa :J I I . ,'?� I r` r ^;` '� / DATE DELIVERED: 1
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET" SITE TICKET, GRID WEIGHMASTER
SOUI�HOLD TOWN DEPT SOLID WASTE 01 01539658 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/03/20 07/03/20 09:12 09:12 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70320 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00
•
Opera Ing hours o ays a weeK., •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-,DAY TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01539658 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/03/20 07/03/20 09:12 09:12 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70320 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 34060 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera mg ours 0 AM todays a week.—
CLOSED
ee .CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY' TENDERED
CHANGE
CHECK NO.
SIGNATURE
L
--'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2678
Islandia, NY 11749
(631) 342-9673
4
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.
N. i _-
COMPANY: r�� %,1 } ! ( ) ( T1 SHIP DATE:
COMMODITY SHIPPED:'";
LOOSE: 4 3 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: t % r' ari GROSS
^`i C TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_ TRANSPORTER
i
TRANSPORTATION/FREIGHT CO. r f /��i r
TRUCK NO. f LICENSE NO/STATE:
TRAILER NO. ' is ' 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`fes
� r•
DRIVER:
(PRINT NAME) s (SIGNATURE)
DESTINATION \}
j t
/// } DATE DELIVERED: f .�
DISPOSAL LOCATION: ./�` t ' /\ 1 f
ADDRESS: - }
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540289 Steph
PO Box 962/6155 Cox Lane
Cu �ogu"e, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 07:01 07:15 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 76900 LB Outbound-Charge ticket
Scale 1 Tare Wt, 36180 LB
Net Weight 40720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION o FEE TOTAL
20.36 TON OUTGO.MSW 0 000 0.00 0.00 0.00
,
O ` y„ •
CLOSED HOLIDAYS-QUESTIOMS CALL 631-734',7685..",, ° 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL•DAYTENDERED
`CHANGE
EC NO,�_j
SIGNATURE
- •i
"DUPLICATE TICKET" SITE . TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID,WASTE 01 01540289 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN.TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 07:01 07:15 11100TC
009316 Town of Babylon
REFERENCE ORIG IN
Scale 2 Gross Wt. 76900 LB Outbound-Charge ticket
Scale 1 Tare Wt? 36180 LB
Net Weight •' 40720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.36 TON 0 TGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 3 Y`. ' 0.00 •
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0049
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: ` , ?es `l�i'`+f>'"F 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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS•IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTERR�-
TRANSPORTATION/FREIGHT CO. - >' r :;
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �� '� LICENSE NO/STATE: � 'x." 'tet' ,� `• S
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
i
(PRINT NAME) (SIGNATURE)
DESTINATION
3
DISPOSAL LOCATION: .
DATE DELIVERED:
r.
ADDRESS: ;f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN.ACCEPTED AND TO-THE BEST'OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL.-LOCATION TICKET NO.•
"DUPLICATE TICKET"* SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540323 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 08:31 08:31 19606TC
009316 Town of Babylon
.ORIGINREFERENCE
Scale 2 Gross Wt. 85080 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 46380 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op PM 7 days a week •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. s.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL_DAY: TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET" SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540323 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
07/06/20 07/06/20 08:31 08:31 19606TC
009316 Town of Babylon
REFERENCE
e-
Scale 2 Gross Wt. 85080 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 46380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
23.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. r "„ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'.DAY- TENDERED
CHANGE
CHECKO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2680
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: .' i ;; ` ( ; . i SHIP DATE: 1 �`
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: f;� 47 S GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) 4 (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ~; LICENSE NO/STATE:
TRAILER NO. LL "Iff; LICENSE NO/STATE:
✓T
I HEREBY CERTIFY THAT THE ABOVE NAMED•MATERIAL-WAS PICKED UP AT THE GENERATOR.SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) .f (SIGNATURE)
DESTINATION:
r-3
DISPOSAL LOCATION: t 1'1'/'' � x ( Fl :�` s r i l DATE DELIVERED: '
ADDRESS: l f
I HEREBY CERTIFY THAT THE ABOVE MATER IAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFOR MATION"PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE : TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540431 Steph
PO Box 962/6155 Cox Lane
Cutchogu NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE ROLL OFF
, 07/06/20 107/065/20 11:48 11:48 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69400 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 33140 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.57 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
R
C A E
CHEC NO.
.� SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE I01 01540431 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 11:48 11:48 19606TC
009316 Town of Babylon I . I j t
REFERENCE ORIGIN
Scale 2 Gross V. 69400 LB Outbound-Charge ticket
Manual Tare.Wt. 36260 LB
Net Wel ht 33140 LB
QTY.- UNIT` DESCRIPTION RATE EXTENSION FEE TOTAL
16.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00
R 7
_ r
Operating hours 7:00 AM to 5:00 PM 7 days a week.' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:.', 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY' ' TENDERED
CHANGE
..0
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
20 Blydenburgh Road NO. 2681
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: I t
COMMODITY SHIPPED:
i
LOOSE: i t., (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: {�,� ' ` GROSS
TARE
1-6 f' NET
r
I HEREBY CERTIFY THAT THE•ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART•260.10 OR ANY,
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FORTRANSPORTATION ACCORDING TOAPPJCABL-E-RE�ATION
5
GENERATOR AUTHORIZED AGENT(PRINT NAME) --(S I G N A TU R E)
i
TRANSPORTER
� r
TRANSPORTATION/FREIGHT CO. l i\) _ `�� f )) f l�r'' F j
TRUCK NO. dd LICENSE 6Z5'I A I t:
TRAILER NO. 1 rt 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) j` (SIGNATURE)
f
DESTINATION '
DISPOSAL LOCATION: VU / DATE DELIVERED:
ADDRESS: 1r
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540504 Steph
PO Box 962/6156 Cox Lane
CutchogLia,'IVY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 13:27 13:43 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72660 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 36280: LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i,tj
Operating hours odays a wee . J •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;•%,+ ,tt :, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALLDAY`I-, ',, 'x TENDERED
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540504 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
07/06/20 107/06/20 13:27 13:43 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 72660 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 36280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE• TOTAL
18.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:;;� ,, _ r,% ell
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685E<,"„, ` `? a ^, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY'.y�'' ' ' `'' TENDERED
CHANGE
fCHECKNO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214*Blydenburgh Road - 0050
NO.
lslandia, 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: t'.{ t.•'' 'r SHIP DATE:
COMMODITY'SHIPPED: LIJf
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 ASIDEFINED 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. X r LICENSE NO/STATE: 112
'
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
r a :ter L .�4 f'r��" f.
DISPOSAL LOCATION: t� 'f rte r.: e DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN'ACCEP_TED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED';.`
IS TRUE AND ACCURATE: - -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION :r
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO-.'-
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540573 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 15:23 15:23 19606TC
009316 Tom of Babylon
REFERENCE
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36560 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL _
18.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
,'p-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. z`_ -' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY` `,;f - fl p�: �" i TENDERED
s i p£ 5 , '/.f t
CHANGE
CHECK NO.
___j
SIGNATURE
SITE ° TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540573 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/20 07/06/20 15:23 15:23 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36560 LB
QTY.` UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL
18.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera mg nours mdAIVI to ays a wee
CLOSED HOLIDAYS-QUESTIONS,CALL 631-734-7685 �� - ._ "��' r 0.00
NEXT HOLIDAY: MONDAY, MAY 27,201 MEMORIALaDAY �,, , E.. TENDERED
CHANGE
CHECK NO
SIGNATURE
TRINITY'TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2698
Iskindia, 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 OT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: (, r A - � � t``.J ¢' � i SHIP DATE:
COMMODITY SHIPPED: iyt ? 1-4
LOOSE: J, `t (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT- 'D GROSs'
TARE t
7'WNET ,
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)
•`tel va. 't�w.: _� ..L .. �I br
TRANSPORTATION/FREIGHT CO.'
TRUCK NO.- ' ' LIC ,•NSE-NO/STATE:- '
,TRAILER NO'. d f,d LICENSE NO/STATE:
I HEREBY,CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LIST D-ABOVE,-AND-THAT IT,WAS "
DELIVERED WITHOUT.INCIDENT TO THE DESTINATION LISTED.BEL-OW. .
r
DRIVER: -A vii f
(PRINT NAME)- - (SIGNATURE)'
DESTINATION
DISPOSAL LOCATION:, r ; ; ) 4 , i r'� t t %' fftt `-�` � t_DATE DELIVERED: �r
i K ;
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
"DUPLICATE TICKET" rSITEj TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540810 Steph
PO Box V62/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/07/20 07/07/20 13:08 13:08 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight . " 44240 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours o : ays a wee , --� ti.. � _ .f r ;y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. �> _ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL:DA1 � €a " � '. TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" - SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE E
01540810 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/07/20 07/07/20 13:08 13:08 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 44240 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
�
�, .
,(�E'
szOperating nours o ays a wee �;�{n t� �� .3 •
_ ;; �,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 _q _ . ?; 0.00
NEXT HOLIDAY: MONDAY, MAY-27, 2019 MEMORIAL DAY' _ t art- TENDERED ,
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2692
Islandia, NY 11749
(631) 3429673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOWT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. b �;
COMPANY: ` t % ; s j SHIP DATE: 11
COMMODITY SHIPPED:
LOOSE: ' , i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 0 ljo GROSS
b y` ;,0 TARE
`
41.`C NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED!BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND-PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. °` LICENSE_NO/STATE:
TRAILER NO. ?_ f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT,THE GENERATOR SITE-LISTED ABOVE, AND THAT.IT WAS
DELIVERED WITHOUT.INCIDENT TO THE DESTINATION-LISTED BELOW.,'- -
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION`.
DISPOSAL LOCATION `
:
AE DELIVERED:DATE
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** stTE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540673 Steph
PO Bax 961/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/07/20 07/07/20 09:11 09:11 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 92800 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 54100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
fe
i 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
3
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2147 Blydenburgh Road NO. 2691
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: )t`'a: �.i 1 s f:
SHIP DATE: r 1
COMMODITY SHIPPED:
LOOSE: } (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: xoc, 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) (t' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. f IJ
TRUCK NO. ~ ;` a e 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. '.
a
DRIVER: i % ; z�
(PRINT NAME) f/ (SIGNATURE)
DESTINATIO,N'�.
DISPOSAL LOCATION.1 j,M A1 ' r - DATE DELIVERED:
ADDRESS: Ll
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 I WEIGHMASTER
SOUTHOLD TOWN REPT SOLID WASTE 01 01540617 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
07/07/20 07/07/20 07:02 07:28 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36180 LB
Net Weight 34820 LB
'QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:,, '' ati �' '" , :" � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685:VX a f 'v. 0.00
s '
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�%DAY' z,,� :,;,-;�;� ��:°° ;; TENDERED.
M � CHANGE
HEC NO.,
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01540617 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/07/20 07/07/20 07:02 07:28 11100TC
009316 Town of Babylon
F5-ry
Scale 2 Gross Wt. 71000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36180 LB
Net Weight 34820 LB
UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
17.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r <t
a"
—jilt
Operating hours 7:00 AM to 5:00 PM 7 days a weeks" — �'� �?,.` � _ `;' •
11 Y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ;? . 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAYr•°,: 1 `�r" ,; f TENDERED
c „b -CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214'Blydenburgh Road 2 6� ®.
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 ASSJOCIATED;WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: 1 'r°r' /'F `�. SHIP DATE:
COMMODITY SHIPPED: `'f4 '
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
RANSPORTERrTRANSPORTATION/FREIGHT CO.
TRUCK NO. I LICENSE NO/STATE: ,
TRAILER NO. LICENSE NO/STATE: •r ' r' 1 ; z ���
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. -
], �T _3 ' ,,� ,It ✓i f r"f !
DRIVER: I Ji L' t --
-(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:. ,n�`�=3r' f f:% !" fs�.': - ;': 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.
Sl 1,
''`DUPLICATE TICKET" SkTE TICKET GRID, WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541156 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/08/20 07/08/20 15.10 15:10 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 82200 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43500 LB
QTY. UNIT ' DESCRIPTION RATE EXTENSION FEE TOTAL
21.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours Tub AM to ays a week,_:? •
CLOSED HOLIDAYS-QUESTIONS ItALL 631-734-7685. " 0.00
NEXT HOLIDAY: MONDAY, MAY 27;2019 MEMORIA1�'DAY, TENDERED
CHANGE
' I CHECK NO.��j
J� SIGNATURE
"DUPLICATE TICKET" r (—SITEI, TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541156 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/08/20 07/08/20 15:10 15:10 19606TC
009316 Town of Babylon
bRIGIN
Scale 2 Gross Wt.',, 8220Q LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43500 LB
QTY. UNIT DESdOIPTION RATE EXTENSION FEE TOTAL,
21.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.,;' •
CLOSED HOLIDAYS-QUESTIONS FALL 631-734-70,85... 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY - TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2 615
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 NO;T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS - I 1
COMPANY: )(�i (f9"� I: i.^ L-- ►' SHIP DATE: ~` (71E
COMMODITY SHIPPED: ,vi N
LOOSE: r u (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i ?' L 6o GROSS
TARE
1 ry 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
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
i
TRANSPORTATION/FREIGHT CO. 3 )
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 LISTECABOVE, AND THAT IT'WAS•
DELIVERED WITHOUT INCIDENT'TO THE DESTINATION-LISTED BELOW.
DRIVER:
(PRINT NAME) — (SIGNATURE)
DESTINATION .
s
DISPOSAL LOCATION: 1,° I __ r' 1 � �!~ `I t (!f " ! DATE DELIVERED:
ADDRESS: _ f
I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
q 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 01541073 Steph
PO Box a6A155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT VEHICLE ROLL OFF
07/08/20 07/08/20 11:46 11:46 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73740 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:OOAM to :00 PIA 7 days a wee : •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344665,' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY TENDERED
CHANGE
CHECK N
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541073 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/08/20 07/08/20 11:46 11:46 19606TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 73740 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.;, _- 77 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' "° m - 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY"' TENDERED
CHANGE
'CHECKNO.�:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2 611
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:
;, j I i}
.. ` >> �:t •.+` , t? �_. { , SHIP DATE:
COMMODITY SHIPPED:
LOOSE: !a (CU YDS)
a
BALES: (COUNT):
TRUCK WEIGHT: 77 7(10 GROSS
6�� TARE
71 wo 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 BYAO 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 SI -Ef�IfISTED ABOVE, AND.THAT ITWAS,
DELIVERED'.WITHOUT-INCIDENT TO THE
E DESTINATION',LISTED'BEL'OW. �
t r
DRIVER:
(PRINT NAME) (SIGNATURE)
ESTINATION '-
DISPOSAL LOCATION: , i 4 4 .`` ' J > y_i' DATE DELIVERED: ,"
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS•BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER -
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
"DUPLICATE TICKET"" rSITE1 TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541313 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME°OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
009316 Town of Babylon
07/09/20 07/09/20 11:44 11:44 19606TC
REFERENCE
.-
Scale 2 Gross Wt. 80080 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43460 LB
QTY. ' UNIT DESCRIPTION RATE EXTENSION° FEE TOTAL
21.73 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.
—j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01541313 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VE141CLE ROLL OFF
Cutchogue, NY 11935
07/09/20 07/09/20 11:44 11:44 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80080 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43460 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.73 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 �--- j
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2616 '
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: ;#,?� i".f' i ._F SHIP DATE:
COMMODITY SHIPPED: �.�
LOOSE: r' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
f •`( NET
I HEREBY CERTIFY'THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED"BY•A0 CFR'PART 2601.10.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 , /'�_'.;k)
TRUCK-NO. A> LICENSE-NO/STATE:
TRAILER NO. l '; LICENSE-N-0/STATE:.'
.I HEREBY CERTIFY.THAT THE-ABOVE NAMED°MATE RIAL:WAS-PICKED UP-AT THE-GENERATOR SITE LISTED.ABOVE, AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION LISTED BELOW:::
DRIVER:,
(PRINT NAME) r (SIGNATURE)
DESTINATION`
DISPOSAL LOCATION:&'. DATE DELIVERED. '
ADDRESS: ,
I H_EREBY'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 01541645 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/10/20 07/10/20 14:53 14.53 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83960 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 43560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00
3
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAL DAY- TENDERED
CHANGE
HECK NO.
SIGNATURE
**DUPLICATE TICKET** , SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541645 Liz H
PO Box 962/6155 Cox Lane DATE 1N DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/10/20 07/10/20 14:53 14:53 19606TC
009316 Town of Babylon '
s-
Scale 2 Gross Wt. 83960 LB Outbound-Charge ticket
Manual Tare Wt.* 40400 LB
Nei Weiaht 6
QTY. UNIT DESCRIPTION. RATE EXTENSION FEE TOTAL
21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00
?, i
Operating hours 7:00 AM to 5:00 PM 7 days a week:* „ r ' 011111111111111==
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL RAY TENDERED
C O
SIGNATURE
11
**DUPLICATE TICKET** ,
6SITEJ TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541645 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/10/20 07/10/20 14:53 14:53 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 83960 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 43560 LB
QTY UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL
21.78 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a week, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 000
NEXT HOLIDAY- MONDAY, MAY 27,2019 MEMORIAL-DAY' t TENDERED
CHANGE
CHECK NO.,--j
--j
SIGNATURE
**DUPLICATE TICKET** rSITEJ TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541645 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/10/20 07/10/20 14:53 14:53 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 83960 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 43560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.78 TON DUTGO.MSW 0.000 0.00 0.00 000
r
Operating hours 7.00 AM to 5:00 PM 7 days a week:.: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7885. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY : TENDERED
4
CHMIJ blO,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh-Road = NO. 2617 ,
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 NOASSUME ANY LIABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ;
COMPANY: rT
0 Gk I- %ll ( L Iii SHIP DATE: i � �= �c )
COMMODITY SHIPPED: , d
r
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: y GROSS
v
k� f1 ()o TARE
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 BY40 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.' e o.,
TRUCK'NO. J' 7 ") ICENSE 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-THATAT WAS ,
DELIVERED WITHOUT INCIDENT TO THE DESTINATION`LISTED BELOW',' - • —tea
DRIVER: .
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ( .4 r f l+ �r Lo A DATE DELIVERED:
ADDRESS: y 4 f
f r e
I.HEREBY CERTIFY THAT THE ABOVE MATERIAUHAS BEEN-ACCEPTED AND TO'THE BEST OF MY KNOWLEDGE'THE'INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO'GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET'" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541523 Liz H
PO Box 962/6155 Lox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
07/10/20 07/10/20 10:48 10:48 19606TC
REFERENCE
009316 Town of Babylon
ICE
Scale 2 Gross Wt., 82020 LB Outbound-Charge ticket
Manual Tare Wtt36760• LB
Net Weight 45260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00
3
Operating ours :00 AM to 5:00 PM 7 days a week, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344665-- ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" rSITE TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541523 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT - VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/10/20 07/10/20 10:48 10:48 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 82020 LB Outbound-Charge ticket
Manual Tare VVt. 36760 LB
Net Wei ht , 45260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:0'0,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_.Plydenburgh Road
NO. 2610
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: L 1 i.j u�_b SHIP DATE: I `1
COMMODITY SHIPPED: ~ ,`;SAP
LOOSE: i i (CU YDS)
d
BALES: (COUNT):
TRUCK WEIGHT: c `f ('�a�� GROSS
,fesb 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
t ,
TRANSPORTATION/FREIGHT CO. I �'�'} �
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. 1 i> LICENSE NO/STATE:
HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP AT THE-GENERATOR-SITE LISTED-ABOVE, AND THAT'IT'WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) f! (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: t /J n r\lDF A 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
f
SITE • TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01541736 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
- 07/11/20 07/11/20 09:51 09:51 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 48760 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
• 1 tin �.' .....--e-.,.,. .%,¢amu.
fir"f
Opera Ing ours o S--Ob PM 7 days a wee "!';% ~` __ �.: �' 2 r y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,1/-', ,. ;* 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAY71 A° TENDERED
x --CHANGE
CHECK.NO
SIGNATURE
SITE TICKET -GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01541736 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/11/20 07/11/20 09:51 09:51 19606TC
009316 Town of Babylon
ENQE EfER
ORIGIN
Scale 2 Gross Wt. 85380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 48760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
in
1 h.
Operating hours 7:00 AM to 5:00 PM 7 days a week - . q16111011
IV
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�,'�/ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY'�r , ',;, � t -TENDERED
CHANGE
CHECK NO_�q
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2-14 Blydenburgh Road 2 8
Islandia, NY 11749 NO.
i
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES(NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: )i; F A—t 1� 1 (�1 t SHIP DATE:
COMMODITY SHIPPED:
LOOSE: J i i (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. +'J\ ,' Lr' r� A) I
� a
TRUCK NO. !- 4 LICENSE NO/STATE:
TRAILER NO. I G! �� LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT-.IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) f (SIGNATURE)
DESTINATION'
_ 5 � 1 j '
'i '" } � DATE DELIVERED: -7
DISPOSAL LOCATION:
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
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542404 Steph
Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cu
07/13/20 07/13/20 11:57 11:57 19606TC
009316 Town,lof Babylon REFERENCE
Scale 2 Gross Wt. 72620 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 35860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00
9 ,
Operating hours o ays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHECK N
SIGNATURE
SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542404 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/13/20 07/13/20 11:57 11:57 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72620 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 35860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.93 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 MEMORIALDAY TENDERED
CHANGE
CHECK O
SIGNATURE
TRINITY TRANSPORTATION CORPORATION =
214 Blydenburgh Road NO. 2612
Islandia, NY 11749
(63 1) 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 NO;T AS�S;UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ` i f _ SHIP DATE: > �'
COMMODITY SHIPPED:
. t
LOOSE: } (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: I GROSS
bo TARE
f 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. - 5 . LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
•I HEREBY CERTIFY THAT.THE ABOVE NAMED-MATERIAL-WAS'PICKED-UP AT THE GENERATOR-SITE-LI.S�;ED,ABOVE,'.AND,,THAT-:IT'.WAS,-
"
DELIVERED WITHOUT INCIDENTTO THE DESTINATION LISTED BELOW,
-tea,
DRIVER: 4
(PRINT NAME) (SIGNATURE)
DESTINATION -
DISPOSAL'LOCATION: t.>�1 ,-)V B DATE DELIVERED: " _ �' `
ADDRESS: :',
HEREBY CERTIFY THAT"THE ABOVE'MATERIAL HAS BEEN-ACCEPTED-AND TO THE-BEST'OF MY KNOWLEDGE.THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO'DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET" lSITE TICKET I GRID I WEIGHMASTIER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542316 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 BATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/13/20 07/13/20 08:27 08:27 19606TC
009316 Town of Babylon REFERENCE, 0.
Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket
Manual Tare Wt. 40400' LB
Net Weight 3812G LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.06 TON OUTGO.MSW 0.000 0.00 000 0.00
Operating hours odays a week., •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734785. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY- TENDERED
•
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET"* SITEI TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ', 01 01542316 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF`
07/13/20 07/13/20 08:27 1 08.27 19606TC
009316 Town of Babylon REF ERENCE
Scale 2 Gross Wt. 78520 LB Outbound-Charge ticket
Manual Tare Wt. 40400' LB
Net Weight 38120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE e TOTAL
19.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:.: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED '
CHANGE
A
CHECK
SIGNATURE
' TRINITY TRANSPORTATION CORPORATION.,A. -
214 Blydenburgh Road = NO. 2619
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 ANYIIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS.
.. �,
COMPANY: SHIP� � � ��L..1� SHIP DATE:
COMMODITY SHIPPED: m s !
LOOSE: a (CU YDS) J
BALES: (COUNT):
TRUCK WEIGHT: U GROSS
f TARE
a NET
I HEREBY CERTIFY THAT THE ABOVE NAMED.MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY A0 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 TRANSPORTA.,,TION'A000RDING TO'APPLICABLE REGULATION,
t A
"GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
I � 1
TRANSPORTATION/FREIGHT,CO. !' A) I �Ar
TRUCK NO. ."A '� r LICENSE NO/STATE:
TRAILER NO.' LICENSE NO/STATE: �. ,
I HEREBY CERTIFY-THAT THE'ABOVE'NAMEDMATERIAL WAS=PICKED UP-AT-THE GENERATOR-SITE.LISTED ABOVE, AND'THAT IT-WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION'LfSTED'BELOW.' =
DRIVER:
(PRINT NAME) (SIGNATURE) a
DESTINATION..-ij PJ
c"'
DISPOSAL'.LOCATION: v. 'r 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** rSITEj TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542292 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/13_/20 07/13/20 07:07 07:23 11100TC
009316 Town of Babylon
REFERENCE III ORIGIN
Scale 2 Gross Wt. 79620 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43000 LB
OTY. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.50 TON OUTGO MSW 0.000 0.00 0.00 0.00
" y l
t
Op a g ors o mdo vm 7 days a wee .: _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: ; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL=DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542292 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/13/20 07/13/20 07:07 07:23 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 79620 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43000 LB
QTY. UNIT DESORPTION RATE EXTENSION FEE TOTAL
21.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00
f
Operating hours 0 AM to 5:00 PM 7 days a week. . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK O
SIGNATURE
TRINITY TRANSPORTATION.CORPORATION= _
214 Blydenburgh Road NO. 2621
-
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOESAOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LI BILITY ASSOCIATED 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. tl _
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO: I� LICENSE NO/STATE; -_1111
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:, 3 J fv,, I�
(PRINT NAME)' (SIGNATURE)
DESTINATION
DATE DELIVERED:
,<.
DISPOSAL-LOCATION: � 'vl�i �l r ' ; rl � RED:
E
ADDRESS: -
I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS'•BEEN ACCEPTED AND-TO THE BEST OF MY'KNOWLEDGE THE INFORMATION•PROVIDED's. "
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: - WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542569 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
07/14/20 07/14/20 1 09:21 1 09:21 1 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 89280 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 52460 LB
QTY. UNIT -DESCRIPTION RATE EXTENSION FEE TOTAL
26.23 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating ours o clays a wee .' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL!;DAY,, TENDERED
a CHANGE
s
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542569 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME!N TIME OUT VEHICLE ROLL OFF
07/14/20 07/14/20 09:21 0921 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt 89280 LB Outbound-Charge ticket
Manual Tare Wt. 36820, LB
Net Weight 524601 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
26.23 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours :00 AM to 5:00 PM 7 days a week-otell
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - F 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY TENDERED
CHANGE
a.
CHECK O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh,Road NO. 2 613
Islandia, N.Y 11749
J631) 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�kSSLIME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: A i ; ; .'`. t !; SHIP DATE:
COMMODITY SHIPPED:
LOOSEN (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(P.RINT NAME) '_ (SIGNATURE)
TRANSPORTER ,
TRANSPORTATION/FREIGHT CO.
_TRUCK NO. f -D LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:_
I HEREBY.CERTIFY THAT THE-ABOVE NAMED-MATERIAL-WAS PICKED UP-AT THE'-GENERATOR'SITE LIS D ABOVE;AND'THAT,IT-WAS
DELIVERED WITHOUT-INCIDENT.TOTHE'DESTINATION'LISTED'BELOW: ,fes
DRIVER:
(PRINT NAME)- f/ (SIGNATURE)
DESTINATION '
DISPOSALLOCATION: _, DATE DELIVERED:
ADDRESS:
r -
I HEREBY CERTIFY THAT THE ABOVE-MATERIAL HAS BEEN-ACCEPTED AND TO THE BEST OF MY KNOWL'EDG'E 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" S]TETICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542676 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/14/20 07/14/20 13:00 13:00 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82140 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 45540 LB
,QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00
"t
JiP t 3
f t
1�. ✓q t i � t'4
f- a � .✓_'��...." .. tom^''-�`
O%perating hours Tub AM todays a weeKA •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:";, t:e 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALIDA r s ` "' "{ #r TENDERED'
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE, 01 1 01542676 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/14/20 07/14/20 13:00 13:00 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 82140 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 45540 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.77 TON DUTGO.MSW 0.000 0.00 0.00 0.00
v +� � 4 alll ��✓'
Operating hours 7:00 AM to 5:00 PM 7 days a week ? €w ,, s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ��, "- -' � F ` 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY�Jz; a �+ TENDERED
3i �f
•CHECK NO.
SIGNATURE
-y
TRINITY TRANSPORTATION CORPORATIO1 .
214 Blydenburgh-Road2614
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 NO,T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS. p
t
COMPANY: ( SHIP _DATE: 1114 I
COMMODITY SHIPPED: r- f
' 1 ;
LOOSE: "F (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: t �+ irJ GROSS
t>; TARE
Lhj 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 FO R•TRANS PORTATION ACCORDING,TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) r ' (SIGNATURE)
TRANSPORTER-
TRANSPORTATION/FR EIGHT
RANSPORTER-
TRANSPORTATION/FREIGHT CO. 1 �' k V t
TRUCK-NO. fi` / LICENSE NO/STATE:
TRAILER NO. - s LICENSE-NO/STATE:
HEREBY-CERTIFY.THAT•THE-ABOVE`NAMED-MATERIAL WAS=PICKED UP-AT THE-.GENERATOR SITE L'ISTED`ABOVE,-AND,THAT IT;WAS
DELIVERED WITHOUT.INCIDENT-TO,THE'DESTINATION'LISTED'BELOW:
9yI /f{
F
DRIVER: %
(PRINT NAME) (SIGNATURE)
DESTINATION - -
DISPOSAL",L-OCATION. f Yl ;J f ,/ ;' 1� DATE DELIVERED:- `
ADDRESS:
I HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS BEEN:ACCEPT•ED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT�NAME) SIGNATUREIDATE
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 01542893 Steph
PO Box 962/6155 Cox Lane
Cutchogue,.NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/15/20 07/15/20 12:03 12:03 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 68660 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
FQ--T-y7— Net Weight 32400 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.20 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Qp •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY \t` TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542893 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
07/15/20 07/15/20 112:03 112:03 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 68660 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 32400 LB
QTY. UNIT, DESCRIPTION RATE EXTENSION , FEE TOTAL
16.20 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op - oil
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1-,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,
,TENDERED
CHANGE
CHECK' O
SIGNATURE
L-
NO. ® 655
GENERATOR"
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.lGENERATOR 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 E i - - SHIP DATE:
�J �
COMMODITY SHIPPED:
LOOSE: _ t (CU YDS)
RALES: (COUNT):
TRUCK WEIGHT: ; : - a GROSS
TARE
NET
-
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE,LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW„IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART,261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ.APPLIGABLE REGULATION.
GENERATOR AUTHORIZED,AGENT(PRINT-NAME) - (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. I _ / t °1 �j
TRUCK NO. ' LICENSE NO/STATE:,
TRAILER NO. K LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) f (SIGNATURE)
r DESTINATION fff'r
DISPOSAL LOCATION. DATE DELIVERED: 11
ADDRESS: "
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542823 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
-r 07/15/20 07/15/20 08:34 08:34 19606TC
0093,16 Town of Babylon REFERENCE
Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45160 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
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
HECK N
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01542823 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/15/20 07/15/20 08:34 08:34 19606TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 45160 LB
FQTY-- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.58 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 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY' TENDERED
CHANGE
CHECK O:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2693
IsIndia, 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
> ' c-73 TARE
1 tiJlf €)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 ( -
�� 1
TRANSPORTATION/FREIGHT CO. t ~`"
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ' LICENSE NO/STATE`
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE'GENERATOR SITE LISTED ABOVE, AND THAT IT'WAS'
DELIVERED WITHOUT INCIDENT TO-THE DESTINATION LISTED BELOW.-,'
DRIVER:
(PRINT NAME) ,' /' (SIGNATURE)
/DESTINATION '
'
t �
DISPOSAL LOCATION: DATE DELIVERED: '' Ls
ADDRESS: 11 f }
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
**DUPLICATF,TICKET" ` SITE TICKET GRID WEIGHMASTER
SOUTHOLD i'SWN DEPT SOLID WASTE 01 01543093 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/16/20 07/16/20 11.16 11:51 27170TC
009306 Town of Brookhaven Waste Manag
One Independence Hill REFERENCE •
Farmingville NY 11738
Scale 2 Grose Wt. 85000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 48840 LB
Net Weight ' 36160 LB
QTYI UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.08 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00
A ,
t S t di
O '_K
CLOSED HOLIDAYS-QUESTIbNS CALL 631-734`7685 ;" - " 0.00
NEXT HOLIDAY: MONDAY, MA-Y.27,2019 MEMORIAL-DAY, „ " TENDERED
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543093 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT 'TIME IN TIME OUT VEHICLE ROLL OFF
07/16/20 07/16/20 11:16 11:51 27170TC
009306 Town of Brookhaven Waste Manag
One Independence Hill •
Farmingville NY 11738
Scale 2 Gross Wt. 85000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 48840 LB
Net Weight 36160 LB
QTY° UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.08 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00
,s
Op s a eek:, 7
CLOSED HOLIDAYS-QUESTIQNS CALL 631-734-2685:`; 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY' TENDERED
CHANGE
CHECK NO:
SIGNATURE
31
NO. : .0 6 5 6.
GENERATOR''-, '
_THIS MANIFEST IS FOR-REFERENCE'PURPOSES ONLY.GENERATOR.DOES'NOT TAKE-POSSESSION-OR-TITLE OF ANY-CARGCrOR-MATERIALS,
-BEING SHIPPEDAND DOES'NOTASSUMEANY'L'IABILITY~ASSOCIATED WITH'THE SHIPMENT,OF SUCH MATERIALS.,. "
-. COMPANY: ; $'. -� _ SHIP DATE: -
s
COMMODITY,.SHIPPED: = _ :f _ 7
LOOSE: I (CU YDS)-
-BALES:
DS)-BALES:(COUNT):'
TRUCK WEIGHT:" ;- =' GROSS -
` TARE:
NET
I HEREBY CERTIFY'THAT'THE'ABOVE NAMED'°MATERIAL'DOES NOT'CONTAIN-FREE•LIOUID AS DEFINED BY AO CFR PART'260:10 OR'ANY - -
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY40 CFR PART 261 OR ANY APPLICABLE STAT&LAW;HAS BEEN PROPERLY'
DESCRIBED,.CLASSIFIED AND PACKAGED,'AND'IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. ,--
,GENERATOR
GENERATOR AUTHORIZED AGENT(PRINT NAME)_ _.--'(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ;` ~ LICENSE NO/STATE:
TRAILER NO. i t ) LICENSE NO/STATE:
_
I HEREBY CERTIFY THAT THEABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE'LISTED ABOVE, AND THAT IT:WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW.
- DRIVER:
(PRINT NAME) B (SIGNATURE)•- '
r
DESTINATION
DISPOSAL LOCATION: a; ': :_° t; #' .,' .l '>� " ; =�' / DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR - DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** rSITE1 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543233 Liz H
PO"box 92-2 6155 Cox Lane -
Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/17/20 07/17/20 07:16 07:16 19600C
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77200 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.19 TON OUTGO.MSW 0.000 0.00 000 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-,7685.; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY TENDERED
CHANGE
HECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543233 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLLOFF
07/17/20 07/17/20 07.16 07:16 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77200 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHECK
SIGNATURE
NO. ® 657
GENERATOR -
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT-TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS,
BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: U(A- 1 4 L SHIP DATE: ( � � r # G k 1
COMMODITY_ SHIPPED:
LOOSE: F I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS ,
t. '' �_`" = TARE
�_1 t (3 NET
I HEREBY CERTIFYTHAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40-CFR PART'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY-
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-FOR-TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME): (SIGNATURE)
TRANSPORTER ,
TRANSPORTATION/FREIGHT CO.
TRUCK NO. +��:� LICENSE NO/STATE:
TRAILER NO. v `'l LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
rr�
F
DRIVER:
(PRINT NAME) -- (SIGNATURE)
f
DESTINATION.
DISPOSAL LOCATION: —;' 'y/ a /`;;\ r' j i DATE DELIVERED:
ADDRESS:
ti
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET` SITE TICKET GRID wEIGHMASTER
SCU_%T'HOLD TOWN DEPT SOLID WASTE 01 01543369 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/17/20 07/17/20 12:04 12.04 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing h6CIrs ul AIVI to 0JU Inn t aays a wee- . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
HECK N
SIGNATURE �f
"DUPLICATE TICKET" rSITEj TICKET I GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543369 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/17/20 07/17/20 12:04 12:04 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 76600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.95 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 �--9
L -
NO. ®658
GENERATOR =
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPED AND DOES NOTA SUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH-MATERIALS:
COMPANY: U t�. i lr 4 i ! — SHIP DATE:
p
COMMODITY SHIPPED:
LOOSE: ? _(CU YDS) .
BALES: (COUNT): .
TRUCK WEIGHT: r " s' 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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
•jam �k,e
GENERATOR AUTHORIZED AGENT(PRINT NAME), (SIGNATURE)
TRANSPORTER ' --
TRANS PORTATION/FRE IGHT
RANSPORTER ' -TRANSPORTATION/FREIGHT CO. F s=j �` 'i '
TRUCK NO. T-1 LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
t
DRIVER: A? A_. i., • • r
(PRINT NAME) (SIGNATURE)
X
{� DESTINATION :4
(/ i - � DATE DELIVERED:
i t ,
DISPOSAL LOCATIONc� '; IBJ # i )_ � ' a _ _ .
ADDRESS.
f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY,KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE-
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
r� SITE TICKET GRID WEIGHMASTER
SOUTH( TOWN DEPT SOLID WASTE 01 01543524 Steph
PO Boit 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
07/18/20 07/18/20 07:18 07:18 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 75840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41860 LB
QTY. UNIT DESCRIPTION 'RATE EXTENSION FEE TOTAL
20.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00
IV
j/
Opera ng hours odays a weew:, -
C�L
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,S,,4� w. '`n 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY4 f -7 nes '' TENDERED
r" ?e CHANGE
CHECK N
SIGNATURE
SITE TICKET GRO WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543524 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE .ROLL OFF
07/18/20 07/18/20 07:18 07:18 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 75840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41860 LB
QTS: UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
20.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a wee r,
-734-768.v5ra
� `� �, 0.00CLOSED HOLIDAYS-QUESTIONS CALL 631 2'1
•
,{� � v� ..Y.
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DAY��r ,, .f a: TENDERED'�• ��.;. " � .,-
CHANGE
` CHECK O.
� SIGNATURE
NO. 0602 _
GENERATORS=
'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: ' _ A l (j i SHIP DATE: " 1 2 0
COMMODITY SHIPPED:. i-A
LOOSE: (CU YDS) 7,
BALES:(000NT):-
TRUCK-WEIGHT::l r 0 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 LAWJS 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 APPPLICABL-E"REGULATION.
GENERATOR,AUTHORIZED AGENT(PRINT NAME) - ` (SIGNATURE)
TRANSPORTER /
,TRANSPORTATION/FREIGHT'CO. C-9 0/0,Aj
r
TRUCK NO. f _``� /'LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
A ✓
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
r
DRIVER:
(PRINT NAME) - f�-�` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ( 'tf/�n !-q-r 9 Z DATE DELIVERED: 7/
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION f,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKEr GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543625 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE~ ROLL OFF
07/18/20 07/18/20 10:40 10:40 19606TC
009316 Toil of Babylon
Scale 2 Gross Wt. 69800 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`-g • ' ?\;\ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY• ' 6--, av i* � ,` <', TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01543625 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 BATE IN DATE OUT TIME IN: TIME OUT VEHICLE ROLL OFF
07/18/20 07/18/20 10:40 10:40 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69800 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 32980 LB
QTY UNIT DESCRIPTION RATE EXTENSION ' FEE TOTAL
16.49 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: Jai ._ ✓ / :' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6,/1'/ p :°_ �_-- �t� Tyr,,AQ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY,0�,'1 + ; _ -=;r "; ,w; TENDERED
CHANGE
CHEC O.
SIGNATURE
NO. _0659 -
GENERATOR
® 659 _GENERATOR _
THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOR"DOES NOT TAKE POSSESSION,OR TITLE OF ANY CARGO OR-MATERIALS -.
BEING SHIPPED AND,DOESNOWT:ASSUME ANY:LIABILITY=ASSOCIATED WITH THE SHIPMENT,OF SUCH MATERIALS.. =.
COMPANY: SHIP DATE: s
COMMODITY'SHIPPED:
LOOSE: ( U i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: F GROSS .
_�l�kcA e: TARE
61 "?-)NET
1,HEREBY-CERTIFY-THAT'THE'ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID 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,CLASSIFIEDAND,PACKAGED.AND IS'IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION..;.
GENERATOR AUTHORIZED AGENT(PRINT NAME)- • . (SIGNATURE)
TRANSPORTER-
TRANS
RANSPORTER- _
- `t"
TRANSPORTATION/FREIGHT-:CO. T- t /3 9 J.��/� . 0
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ' ' " LICENSE NO/STATE:
- I -
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE.LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
. -
DRIVER:
(PRINT NAME)
f (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 3 �v ¢i �� I f 1 t ! � � f 1 Ln, DATE DELIVERED: I
ADDRESS: r
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
-AUTHORIZED AGENT(PRINT NAME) i. SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544167 Steph
PO Box 962/6155 Cox Lane I Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/20/20 07/20/20 11:26 11.26 19606TC
009316,Town of Babylon
Scale 2 Gross Wt. 64360 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 30380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.\ r sy `,ks>.,Nr `,� "p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:``. _ _. @`; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,-,,..� ��L i>i°$; ; ; rff � TENDERED
e CHANGE
CHECK N
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544167 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN,TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/20/20 07/20/20 11:26 11:26 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 64360 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 30380 LB
QTY, UNIT DESCRIPTION RATE"' EXTENSION FEE TOTAL
15.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t i f I-"7
�� ; b• . I ' P�
Operating hours 7:00 AM to 5:00 PM 7 days a week `� �„ - "�° •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685i_.° ,` �� " j 000
NEXT HOLIDAY: MONDAY, MAY 27, 201 9 MEMORIAL DAY �> TENDERED
sqf,
.d CHANGE
CHECK NO.
SIGNATURE
NO. 0603
GENERATOR
THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND-DOES NOsT`ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS: _ J
COMPANY: - }a i I 11A 1 _1 i SHIP DATE: i
COMMODITY SHIPPED: b__
LOOSE: +'° : '; (CU YDS).
a - ,
BALES: (COUNT): °
TRUCK WEIGHT: ~ (� 7 GROSS
` c TARE
is
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 BYAO CFR PART 261-OR ANY APP—LICABL--E"STATE LAW,HAS.BEEN PROPERLY
DESCRIBED,,CLASSIFIED AND PACKAGED,AND IS IN PROPER-CONDITION FOR"TRANSPORTATION ACCORDINGTQ-APPL'ICABLE.REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER" "
TRANSPORTATION/FREIGHT CO:
TRUCK NO.. r'"" _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: J _
(PRINT NAME) (SIGNATURE)
AV
DESTINATIONS,
DISPOSAL LOCATION. -' V/0 } ='�' y` /! DATE DELIVERED:
l •
ADDRESS: t'
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.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544255 Steph
PO Box 962/6155 Cox Lane
Cutchogue,►NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
07/20/20 07/20/20 14:51 1451 1 19606TC
009316 Town of Babylon
I . REFERENCE 7
Scale 2 Gross Wt. 77140 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 38440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
3
Cl VVVCI%.
CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685.'x%;, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY , t`t°e`'"
TENDERED
CHANGE
CHECK NO.
--j
• SIGNATURE
rSITEI TICKET- . GRID WEIGHMA-STER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544255 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/20/20 07/20/20 14:51 14:51 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 77140 LB Outbound-Charge ticket
Manual Tare WY. 38700 LB
Net Weight 38440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r>,a
s
® V
Op aIng hOU116 :4
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;` A r spa,; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.DA "' jr y,,.,, ,,. ; .,,` TENDERED
CHANGE
C ECK. O
SIGNATURE
NO.
®604
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: i i 1 �i i ' i a ! ';`. SHIP DATE:
COMMODITY SHIPPED: .
LOOSE: i `� (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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TQ APPLICABLE.REGULATION.
r1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER'
TRANSPORTATION/FREIGHT CO: (• I f ! , , �fi { :4
TRUCK NO. i LICENSE NO/STATE:
TRAILER NO. 4 �. t t LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE�LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) fes'' (SIGNATURE)
` DESTINATION
d �
f
DISPOSAL LOCATION � ` n � DATE DELIVERED:
ADDRESS:
� a 3
THEREBY 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 01544405 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935,- DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
07/21/20 07/21/20 11:27 11:27 19606TC
009316 Town of Babylon — REFERENCE
Scale 2 Gross Wt. 65460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 31480 LB
QTY. UNIT DESCRIPTION •RATE EXTENSION FEE TOTAL
15.74 TON OUTGO.MSW 0.000 0.00 0.00 000
•�jj i
jynee }l �.
P `�. .,. 1 A te'\., 1. r•� ,u,"C
OperaIng ours o ays a wee �: a ;. 't r _ ° �� �M: rNaff
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76854-, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL--DAY s „,4;'..; '%ke, kF' TENDERED
a r CHANGE
CHECK NO:
SIGNATURE
"DUPLICATE TICKET*" SITE I TICKET' I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01544405 1 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT I TIME IN,TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/21/20 07/21/20 11:27 11:27 19606TC
009316 Town of Babylon REFERENCE
e-
Scale 2 Gross Wt. 65460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 31480 LB
QTY. UNITDESCRIPTION RATE EXTENSION FEE TOTAL
15.74 TON OUTGO.MSW 0.000 0.00 0.00 0.00
k,
All
i �• sit j" '� .. {^+
Operating hours 7:00 AM to 5:00 PM 7 days a week ��°=� 3 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
a � TENDERED .
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL "
CHANGE',
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenbur°gh Road NO. 2655
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: + 4
SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: r 4 ' `•=` GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED•BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
- r
GENERATOR AUTHORIZED AGENT(PRINT NAME) ! (SIGNATURES
TRANSPORTER ='
TRANSPORTATION/FREIGHT CO.
TRUCK NO. i LICENSE NO/STATE: J
TRAILER NO." `; LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED°UP AT-THE GENERATOR SITE LISTED ABOVE,.AND THAT IT WAS
DELIVERED WITHOUT'INCIDENT TO THE DESTINATION'LISTED BELOW. -
ra°
DRIVER:
(PRINT NAME) (SIGNATURE)
�f
DESTINATION
DISPOSAL LOCATION:� '"; t i i 1 f DATE DELIVERED-
ADDRESS:
4
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN'ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND-ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATIOWTICKET NO.
"DUPLICATE TICKET"`` I SITE ''TICKET • GRID WEIGHMASTER
SOUTHOLD-TOWN DEPT SOLID WASTE 01 01544832 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT ,VEHICLE I ROLL OFF
07/23/20 07/23/20 11:40 11:40 19606TC
009316 Town of Babylon L.
REFERENCE
Scale 2 Gross Wt. 75740 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 39740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00
peiatinghouis
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685°,' 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY',` .' TENDERED
-CHANGE
CHECK N
SIGNATURE
**DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544832 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT `TIME IN TIME OUT VEHICLE ROLL OFF
07/23/20 07/23/20 11:40 11:40 19606TC
009316 Town of Babylon
e-
Scale 2 Gross Wt. 75740 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 39740 LB
QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
19.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00
is
Op o ays a wee a. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, w 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY`Y >; TENDERED
CHANGE
CHECK NO
SIGNATURE
` TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road , 2650-
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: ���jy L4 A SHIP DATE:
COMMODITY SHIPPED: Iy1 `" 1
a °
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: J GROSS
TARE
f t l (_f NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY-40 CFR PART 260.10 OR ANY
r
APPLICABLE,STATE LAW,IS NOT HAZARDOUS,WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,,HAS BEEN PROPERLY,
DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.'
GENERATOR AUTHORIZED AGENT(PRINT NAME).- (SIGNATURE)
_ TRANSPORTER
TRANSPORTATION/FREIGHT CO. I
TRUCK NO.'' LICENSE NO/STATE:
TRAILER NO. _ —.f LICENSE NO/STATE:-
I HEREBY CERTIFY THAT THE,ABOVE.NAMED MATERIAL WAS-PICKED.-UP.AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS
DELIVERED WITHOUT-INCIDENT TO THE DESTINATION'LISTED'BELOW.-'.
DRIVER:
(PRINT NAME)' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION i. J : f` ) A y L o N DATE DELIVERED: 1.2 - _ i
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.
**DUPLICATE TICKET" SITE TICKET GRID, ' WEIGHMASTER
SOiTHOLD TOWN DEPT SOLID WASTE 01 01544673 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/22/20 07/22/20 13:59 13:59 19606TC
009316 Town of Babylon
REFERENCE - ORIGIN 2 Gross Wt. 82180 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 43040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL '
21.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
sF h
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685:``<`, _ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAY1 TENDERED
CHANGE.
CHECK NO
SIGNATURE
"`DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544673 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/22/20 07/22/20 13:59 13:59 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82180 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 43040 LB
QTY. UNIT DESCRIPTION , RATE EXTENSION FEE TOTAL
21.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_ F
Opera Ing hours odays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DA`F;r TENDERED
CHANGE
C ECK.NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
14"B lydenburgh Road NO. 2651
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 SHIPMENTOF SUCH MATERIALS. }
COMPANY:- 7�) SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ( ; 3 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
�&tl Q 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 A"AN_Y_APPLICABLE S�7E—L—AW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND.PACKAGED.AND IS IN PROPER CONDITION FOANSPORTATION ACCORDING TOAPPLICABLE REGULATION
r `"A
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER-
TRANSPORTATION/FREIGHT CO.'
TRUCK NO. �) LICENSE NO/.STATE:
• s
TRAILER,NO. `" LICENSE NO/STATE:'
„I HEREBY CERTIFY-THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP`AT'THE-GENERATOR SITE "ISTED ABOVE; AND THAT JT-VMS
'' =-
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION'LISTED`,BELOW. .'
j
DRIVER: --•---'—`�+�- �- f
(PRINT NAME)'(SIGNATURE)" '
DESTINATION
j j l
DISPOSAL LOCATION.- -j v i-i'A ! DATE DELIVERED.,-
ADDRESS:
ELIVERED:ADDRESS: /t
1
I HEREBY CERTIFY THAT,THE ABOVE MATERIAL'HAS BEEN ACCEPTED•AND:TO THE BEST OF MY-KNOWLEDGE THE INFORMATION PROVIDED,-
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TICKET** SITE I TICKET GRID WEIGHMASTER
FN�'Y
OWN DEPT SOLID WASTE 01 01544590 Steph
PG, 55 Cox Lane
CUt� ue, 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/22/20 07/22/20 10:37 10:37 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 79560 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45580 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
F•. c
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY; TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET"* 61TE TICKET GRID WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE01 01544590 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME W TIME OUT - VEHICLE ROLL OFF
07/22/20 07/22/20 10:37 10:37 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 79560 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45580 LB
QTY. UNIT `DESCRIPTION RATE `EXTENSION FEE TOTAL
22.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
z
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-1 _^ z.? `~ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL..D_AY,=' : TENDERED
_ CHANGE
CHECK NO.
SIGNATURE
;1TY TRANSPORTATION CORPORATION
Blydenburgh Road NO. 2654
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: � � �- , 4 �'S SHIP DATE:
COMMODITY SHIPPED: jr`
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- AW,HAS BEEN PROPERLY .
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOAPPLICABLE REGULATION
r
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.iNCIDENTJO THE DESTINATION,LISTED,BELOW _ 7
DRIVER:
(PRINT NAME) (SIGNATURE),
DESTINATION'Z�,,
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** rSITEI TICKET I GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544540 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE' I ROLL OFF
07/22/20 07/22/20 07.11 07:11 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38600 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.30 TON OUTGO.MSW 0.000 000 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY=• TENDERED
. "" CHANGE
2L4EQK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544540 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
07/22/20 07/22/20 07:11 07:11 19606TC
009316 Town of Babylon REFER-EN CE
Scale 2 Gross Wt. 77740 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1930 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing Hours o ays a wee . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'7685.,' 0.00
NEXT HOLIDAY. MONDAY, MAY 27,2019 MEMORIAL DAY: TENDERED
CHANGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION.
214 Blydenburgh Road NO2653
. -
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:
w.� v v 4 f 0 •� I j
COMMODITY SHIPPED:
LOOSE: t°, 3 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ''�` GROSS
TARE
dC11) 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 CFRI PART 261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-RWQCATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) ( (SIGNATURE)
TRANSPORTER
TRANSPORT_ATION/FREIGHT CO.
TRUCK NO. LICENSE-NO/STATE:
TRAILER NO. LICENSE NO/STATE'.
I HEREBY CERTIFY THAT TWE'-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,'.',
ti
DISPOSAL`LOCATION:-(— fvr ! ; �a� i`,` r r�) DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TO-THE BEST•OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR - DISPOSAL LOCATION TICKET NO.
1
"DUPLICATE TICKET" GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545120 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
07/24/20 07/24/20 113:53 113:53 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71900 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37920 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
.. CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* rSITEj TICKET GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545120 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/24/20 07/24/20 13:53 13:53 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71900 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CLIECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION.
214 Blydenburgh-Road NO. 2648
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:
ATERIALS.COMPANY: SHIP DATE: �� f i;
COMMODITY SHIPPED: - r I
LOOSE: i i) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: - GROSS
TARE
-< ,7 NET
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES'NOT CONTAIN FREE LIQUID AS-'DEFINED BY,40 CFR.PART 260.10 OR ANY..
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO-APPLICABLE REGULATION
GENERATOR AUTHORIZEDAGENT(PRINT NAME) �(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT-CO. L) r `./ /' ` •v(
T � ti
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'ABO•VE:,ANO,.THATIT`WAS-=
DELIVERED•WITHOUT INCIDENT TO THE DESTINATION-LISTED BELOW.-
DRIVER:
ELOW:
DRIV_ER: ---e
(PRINT NAME) (SIGNATURE)
DESTINATION,
DISPOSAL,L-OCATION.' `t� a r t`-)_1 _! DATE DELIVERED: '
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN'ACCEPTED AND TO'THE BEST OF�MY KNOWLEDGE THE INFORMATION;PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION.',
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR .
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"**DUPLICATE TICKET** SITEI TICKET I GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544964 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
07/24/20 07/24/20 07:14 07:14 19606TC
009316 Town of Babylon
Z.
Scale 2 Gross Wt. 79700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 42880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours to :00 PM 7 days a week, Leis]
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHEC N .
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01544964 Liz H
PO Box 962/6155 Cox Lane DATE'IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/24/20 07/24/20 07:14 07:14 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Wei ht 42880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
21.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 011111111111111==
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
H NGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2649
Islandia, IVB' 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: N i .� `� ' ( ! ': SHIP DATE:
COMMODITY SHIPPED: �J i
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: r 1 3 GROSS
TARE
. � NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY,40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION-ACCORDING TO'APPLICABLE REGULATION
!4-
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ f LICENSE NO/STATE:
TRAILER NO. f LICENSE NO/STATE:
HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED•UP.'AT.THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION.LISTED BELOW. .
r rj�
DRIVER:
(PRINT NAME) ,�` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: t I 11, r'j A � �;;k i`_ ".j i ) s DATE DELIVERED:—
ADDRESS:
ELIVERED:ADDRESS: ;r
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS'BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET"" ° SITE I ' TICKET ° GRID ' WEIGHMASTER
SOUTH�LD TOWN DEPT SOLID WASTE 01 01545456 Liz H
00 Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT JIME IN TIME OUT VEHICLE 'ROLL OFF,
07/26/20 07/26/20 07:18 07:18 19606TC
009316 Town of Babylon
REFERENCE ORI IN
7-
Scale 2 Gross Wt. 82300 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 45680 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing hours o ays a wee ;, ' _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY "
TENDERED
CHANGE
CHECK N .
-j
SIGNATURE
""DUPLICATE TICKET" SITE I TICKET GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545456 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/26/20 07/26/20 07:18 07:18 19606TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 82300 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 45680 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a week-.'. •
zu, .-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,_,,,- 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY', TENDERED
CHANGE
CHECK O.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION.
214 Blydenburgh Road NO. 2 6 4 7'
Islandia; NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOESNOTTAKE POSSESSION'OR-TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0(A 3 SHIP DATE:
COMMODITY SHIPPED: ` .) f
LOOSE: 101 i } (CU YDS).
y
BALES: (COUNT):
TRUCK WEIGHT: e f—I GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES.NOT-CONTAIN'FREE-LIQUID AS DEFINED.BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,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:
Fel
GENERATOR AUTHOR IZED'AGENT(PRINVNAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT.CO:=
TRUCK NO. _ i LACENSE NO/STATE-:' -
F
TRAILER NO. cl LICENSE,NO/STATE:
I-HEREBY CERTIFY THAT THE--ABOVE NAMED'MATERIAL WAS,PICKED=UP_AT-THE GENERATOR SITE L'ISTED*ABOVE; AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE'DESTINATIONICISTED BELOW.'-
DRIVER:
ELOW:DRIVER: °
(PRINT NAME) (SIGNATURE)
DESTINATION
' 1
DISPOSAL LOCATIONrJ //A ( i t (-o DATE DELIVERED: 4
1 , /
ADDRESS: \ I_
THEREBY 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.
v
"DUPLICATE TICKET" (SITEI TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545243 DCW
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/25/20 07/25/20 09:21 09:21 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87520 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 48820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.41 TON OUTGO.MSW 0.000 0.00 0.00 000
Operating ours :0 to 0 PM 7 days a wee . w •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE � J
"*DUPLICATE TICKET" rStTEI TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545243 DCW
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/25/20 07/25/20 09:21 09:21 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 87520 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 48820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. do a LWAV•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK NO.-��j
SIGNATURE
TRINITY-TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2642
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: t ,( €I ! `f i SHIP DATE: 71 / ;7 1 SHIPPED: #V S jn 1
LOOSE: () t t (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE�ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.-
TRUCK NO." /LICENSE NO/STATE:,,
TRAILER NO. a Y r J LICENSE NO/STATE:
I HEREBY CERTIFY.THAT-THE ABOVE:NAMED MATERIAL-WAS PICKED,UP"A•T THE,GENERATOR'SITE,.LISTED ABOVE, AND THAT.IT WAS'-
DELIVERED.WITHOUT'INCIDENT;TO`THE'DESTINATION:LISTED BELOW-
DRIVER:-
(PRINT
ELOWDRIVER: (PRINT NAME) (SIGNATURE)---
DESTINATIOW� "
DISPOSAL LOCATION -f �,',, ffl ; ' '° _ :_. 1\ _DATE DELIVERED: -s
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 01545809 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT VEHICLE' ROLL OFF
07/27/20 107/27/20 11:21 11:21 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 89560 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 50860 LB
QTY. UNIT DESCRIPTION RATE, EXTENSION FEE TOTAL
25.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours oClays a wee'° , , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., ,, = 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;DAY; TENDERED
, . CHANGE
EC N .
SIGNATURE
"DUPLICATE TICKET" SITE .TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545809 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/27/20 07/27/20 11:21 11:21 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 89560 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 50860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.43 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 DAY11 TENDERED
CHANGE
CH O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2646
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: ) `' ? E ,; SHIP DATE: ' I ,
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 1' " r GROSS
t;( � TARE
NET
I HEREBY CERTIFYJHAT 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
—7
TRANSPORTATION/FREIGHT•CO. }}
TRUCK NO: LfICENSE NO/STATE:
TRAILER NO. • `"s1 `, LICENSE NO/STATE:
I HEREBY CERTIFY THAT-THE ABOVE NAMED-MATERIAL WAS-PICKED UP. AT THE`GENERATOR-.SITE LISTED/ABOVE,'AND THATAT WAS -
DELIVERED WITHOUT,INCIDENT TO.THE DESTINATION L'ISTED-BELOW d
f'
DRIVER:
--(PRINT NAME) (SIGNATURE)
y DESTINATION%
DISPOSAL LOCATION:' 'ff° t =' il?i DATE DELIVERED:
ADDRESS: 1
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(PRINTNAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545888 Steph
PO Box 962/6155 Cox Lane
Cutchogue,,,NY 11935 DATE IN DATE OUT TIME IN II I
TIME OUT VEHICLE ROLL OFF
07/27/20 07/27/20 14:42 14:42 19606TC
0093'f6 Town of Babylon REFERENCE
1 7
Scale 2 Gross Wt. 72880 LB Outbound-Charge ticket
Manual Tare Wt. ` 33980 LB
Net Weight 38900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 to .00 PIVI 7 dFy-s-a weeK,, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,'; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL=DAY': TENDERED
CHANGE
CHECK NO ::
SIGNATURE
SITE I- TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545888 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL OFF
07/27/20 07/27/20 14:42 14:42 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 72880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 38900 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.45 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—,,'.A, , 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAY` 'TENDERED
CHANGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2645'
_T
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 NIT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.'
COMPANY: X0 SHIP DATE:- 4
COMMODITY SHIPPED: f''i -
LOOSE: f CU YDS)
BALES: (COUNT): —�}
TRUCK WEIGHT: GROSS
d � 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
P �)
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. " 1 r testi
" t �
TRUCK NO. I LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:"
I HEREBY CERTIFYJHAT THE ABOVE NAMED-MATERIAL WAS PICKED'UP AT THE GENERATOR-SITE11STED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW.'
_ t
DRIVER:
(PRINT NAME) f/ (SIGNATURE),
DESTINATIO
I
DISPOSAL LOCATION: DATE DELIVERED: c�
ADDRESS:' j
f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY-KNOWLEDGE THEINFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER '
PINK TO GENERATOR
GOLD"TO GENERATOR DISPOSAL LOCATION TICKET NO
SITE TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546128 Steph
PO Box 962/E0155 Cox Lane
Cutcllogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/28/20 07/28/20 15:23 15:23 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74100 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37500 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
p
Opera Ing hours o zxdu Pm I clays a wee ;, __ - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685: ,> 0.00
r _
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL=DAY-." TENDERED
CHANGE-
CHECK NO
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546128 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/28/20 07/28/20 15:23 1523 19606TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 74100 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37500 LB
QTY. 'UNIT DESCRIPTION -RATEEXTENSION FEE TOTAL
18.75 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:'1r'•; 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
r CHANGE
CHECK NO.
SIGNATURE
TRINITY.TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2643
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: 1 �- 4' i I . SHIP,DATE:
COMMODITY SHIPPED: 'r
LOOSE: # ''; i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: j�� � GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS-IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENE RATOR"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
DISPOSALLOCATION: ..€" r - 1T.'` 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 01546047 Steph
PO Box 962/6155 Cox Lane
C,utchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL'OFF
' 07/28/20 07/28/20 11:53 12.10 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt, 79640 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39300 LB
Net Weight 40340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
20.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operamg ours to :0 7 days a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-.DAY''r TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546047 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
Cutchogue, NY 11935
07/28/20 07/28/20 11:53 12:10 11100TC
009316 Town of Babylon
REFERENCE,, ORIGN
Scale 2 Gross Wt. 79640 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39300 LB
Net Weight 40340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL
20.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-,,,— 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY-TRANSPORTATION'CORPORATION-
-,-214 Blydenburgh Road NO. 2624 ,
_ f
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,A'SS6CIATED•WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -� '' j;; ,.°r SHIP DATE:
COMMODITY SHIPPED: r
. t
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'CG.
TRUCK NO. LICENSE NO/STATE: f •'`
/ "71f
TRAILER NO. C LICENSE_NO/STATE:, 2 4j ;tel
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)
Ilk DESTINATION
f 7�
DISPOSAL LOCATION:.: .'.` ��' �_. • rte ' r` i DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPT.ED'AND-TO THE BESTOF`MY K'NOWLED-GETHE INFORMATION PROVIDED `
IS TRUE AND ACCURATE:-`
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
"TION
DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546036 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN] TIME OUT VEHICLE I ROLL OFF
07/28/20 07/28/20 11:30 11:30 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 44960 LB
QTY. UNIT DESCRIPTION' RATE"" EXTENSION FEE TOTAL
22.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating odays a wee 4. - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685: 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-`DAYS, TENDERED
CHANGE
HECK N
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546036 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/28/20 07/28/20 11:30 11:30 19606TC
009316 Town of Babylon
REFERENCE -
•-
Scale 2 Gross Wt. 81220 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 44960 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.48 TON OUTGO.MSW 0.000 0.00 0.00 000
r .
Operating hours Tod Tm to ays a wee .,. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;; u , 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL"DAY s TENDERED
CHANGE
'CHECK
SIGNATURE �__j
TRINITY TRANSPORTATION CORPORATION' _
214 Blydenburgh-Road
NO. 2644
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:
T A
COMMODITY SHIPPED:
LOOSE: :, . ) (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: i` { GROSS
TARE
CILONET
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 APPLICABL-E.STATE LAW,�HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND-IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO APPL CABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME). (SIGNATURE)
TRANSPORTER
_f
TRANSPORTATION/FREIGHT CO. t %`
TRUCK NO. M- 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) f'" (SIGNATURE) -
DESTINATION,
DISPOSAL LOCATION: > t 1 .4 + ; ,�.� ! DATE DELIVERED: 'T/
ADDRESS: v `
I HEREBY CERTIFY THAT THE-ABOVE'MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED!
IS TRUE AND ACCURATE:
f
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" SITETICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545961 Steph
,PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT ,VEHICLE ROLL OFF
07/28/20 07/28/20 08:31 08:45 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 71540 LB Outbound-Charge ticket
Scale 1 Tare Wt. 37040 LB
Net Weight 34500 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL"
17.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00
R
Operating ours to :00 ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.., ;' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL-DAY TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID 11 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01545961 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT ,VEHICLE ROLLOFF
07/28/20 07/28/20 08:31 08:45 11100TC
009316 Town of Babylon REF ERENCE
Scale 2 Gross Wt. 71540 LB Outbound-Charge ticket
Scale 1 Tare Wt 37040 LB
Net Weight 34500 LB
QTY. UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL
17.25 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.
_j
SIGNATURE
f
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2623
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,�(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. `S LICENSE NO/STATE: .
TRAILER NO. '' LICENSE NO/STATE: '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: �f 3 .`'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ��,'? 'r°,� ri'"�_' %.�' =' 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 01546187 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIMEIN TIME OUT VEHICLE ROLLOFF
07/29/20 07/29/20 08:43 09:02 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39140 LB
Net Weight 37800 LB
QTY. UNIT DESCRIPTION RATE • EXTENSION FEE TOTAL
18.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' Ffr
Operating nours TU6 Tm to mdu PIVI 7 days a wee-.-, F xPi •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685' `^ 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL.°DAY;% "` `
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546187 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/29/20 07/29/20 08:43 09:02 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 76940 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39140 LB
Net Weight 37800 LB
QTY. m UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
k. r
t b
Operating hours 7:00 AM to 5:00 PM 7 days a week--
CLOSED
eek:CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..; ',< " ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,' ,' 'j •, ;.,:, :A`; ,'` ,TEND RED
CHANGE
CHECK NO. •
SIGNATURE
TRINITY TRANSPORTATION�CORPORATI"ON
214 B lydenburgh Road
NO. 2625
Islandia, IVY 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:ASSOCIA�TED WITH THE SHIPMENT-OF SUCH MATERIALS.
COMPANY: '_ ' ' t` 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 BY40 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. j A LICENSE NO/STATE:
TRAILER NO:' !� LICENSE NO/STATE: . i2 ,1r i`wf
9
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL--WAS-PICKED-UP-AT THE-GENERATOR SITE-LISTED ABOVE,-AND THAT 1T WAS;
DELIVERED.WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.. `
DRIVER:
(PRINT NAME)- (SIGNATURE)-,
DESTINATION
DISPOSAL-LOCATION: _- 1, Jf';X =°X-�. ,� RATE DELIVERED:
ADDRESS:`-
I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
7
"DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546196 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/29/20 '07/29/20 09:22 09:22 19606TC
0093.16 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73920 LB Outbound-Charge ticket
Manual Tare Wt. 36260 LB
Net Weight 37660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_
`4
Operating hours o ays a wee = =�`w ', . , s, r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685., ' r" '' j 0.00
- .'
r >� f..
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL;
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO. 2 6
41
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: 4j iL T SHIP DATE:
COMMODITY SHIPPED: L 1
LOOSE: I b (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: , u GROSS
r � TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED"MATERIAL DOES'NOT'CONTAIN FREE LIQUID AS,DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE*STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED"AND PACKAGED.AND IS IN PROPER CONDITION"FOR'TRANSPORTATION-,�'CC.ORCING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
_--
TRANSPORTER r
TRANSPORTATION/FREIGHT CO. 3
TRUCK NO. _ LICENSE NO/STATE:
TRAILER"NO:- f: LICENSE NO/STATE:,
I HEREBY CERTIFY THAT,THE,ABOVE`NAMED MATERIAL--WAS-PICKED-UP-AT THE GENERATOR-SITE TED ABOVE;'AND THAT IT WAS
DELIVERED WITHOUT-INCIDENT TO THE DESTINATIOWL-ISTED BELOW.,',
DRIVER: f'
(PRINT NAME) = (SIGNATURE) -
DESTINATION
f
Pt
DISPOSAL LOCATION-1, DATE"DELIVER D:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED•AND TO THE BEST OF'MY KNOWLEDGE THE(NFORMATION-PROVIDED
'IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: ' WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
**' ''PLICATE TICKET** srrE TICKET GRID wEIGHMASTER
S-'u THUD TOWN DEPT SOLID WASTE 01 01546257 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/29/20 07/29/20 12:13 12.27 11100TC
009316 Town of Babylon REFERENCE, ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39420 LB
Ne Weiaht 39280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.64 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
**DUPLICATE TICKET** SITE1 TICKET GRID,. wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546257 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/29/20 07/29/20 12:13 12:27 11100TC
009316 Town of Babylon ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.64 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. a no
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY" TENDERED
CHANGE
CHECK O
SIGNATURE
TRINITY TRANSPORTATION CORPORATION -
214 Blydenburgh Road
Islandia, NY 11749 No2 2 6
. -
(631) 342-9673
•THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TIT"LE•OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF-SUCH MATERIALS
COMPANY: _ ! ` '".` �` 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 _ti
TRANSPORTATION/FREIGHT CO.
TRUCK NO." '� LICENSE--NO/STATE:
TRAILER NO. 117 LICENSE NO/STATE:: t�
I HEREBY,CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS--PIGKED.UP AT THE GENERATOR`SITE`-LISTED-ABOVE;AND-THAT.IT WAS
DELIVERED WITHOUT-INCIDENT,TO'THE DESTINATION'L"ISTED BELOW..'
DRIVER:
(PRINT-NAME) "` (SIGNATURE) -
DESTINATION '
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
-
J HEREBY CERTIFY THAT THE-.ABOVE MATERIAL HAS BEEN ACCEPTED'AND"TO THE-,BEST OF MY KNOWLEDGE THEJNFORMATION 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 01546280 Steph
PO ipox 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue,�Y 11935
07/29/20 07/29/20 13:11 13:11 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 79380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 42760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.38 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 631-734-7.685., 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHE K NO.
SIGNATURE
__j
**DUPLICATE TICKET** rSITEJ TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546280 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUTTIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 — II
07/29/20 07/29/20 1311 13:11 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79380 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 42760 LB
QTY. UNIT DESCRIPTION RATE _ EXTENSION FEE TOTAL
21.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
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
C C O
SIGNATURE
. TRINITY TRANSPORTATION CORPORATION
N
214 Blydenburgh Road 2640
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 NOTfASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �1 il�`i l l ?? f _ °) SHIP DATE:
COMMODITY SHIPPED: <.ot'
LOOSE: l: ,_' (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: '; %�,s, 0 GROSS
TARE
�.t l �-(,ONET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS.WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) SIGNATURE
TRANSPORTER i
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT:THE'ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,L STED ABOVE, AND THAT,IT WAS
DELIVERED'WITHOUT'INCIDENT TO THE DESTINATION-LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE) --
/DESTINATIONAi
=
DISPOSAL LOCATION: ' ` ' V t € P j ` '` �� ,r i DATE DELIVERED: 1, G
ADDRESS: 1 J
I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*DUPLitiATE TICKET " SITE TICKET 'GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546483 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/30/20 1 07/30/20 14:00 14:00 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83600 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 43200 LB
QTY. , UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week., V •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ' _ I 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALaDAY'` x, (ji V a I f`" TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546483 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/30/20 07/30/20 14:00 14:00 19606TC
009316 Town of Babylon REF-ERENCE ORIGIN
Scale 2 Gross Wt. 83600 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 4320Q LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r'3
��tia
Operating hours 7:00 AM to 5:00 PM 7 days a week"k ° �' 'W _- :��µ �' <� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;" °n 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY TENDERED
CHANGE
CHECK NO.
-�--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2652
Islandia, NY 11749
(631) 342-9673
1.
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: t (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
f. TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
t
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE: .
TRAILER NO. `' LICENSE NO/STATE:
HEREBY CERTIFY-THAT-THE ABOVE NAMED MATERIAL WAS-PICKED UP.,AT'THE•GENERATOR SITE LISTED ABOVE, AND.THAT IT-WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
1
DRIVER:
(PRINT NAME) (SIGNATURE)-
DESTINATION '
DISPOSAL LOCATION: �, �t' 4 >7' '' i` ,�' �'� DATE DELIVERED:
ADDRESS: gym_
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" GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546379 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT' VEHICLE ROLL OFF
07/30/20 07/30/20 07:19 07:19 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76320 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37620 LB
OTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
TOIT OUTGONSW0.000 000 0.00 0.00
0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. •
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHECK NO.
—j
SIGNATURE
"DUPLICATE TICKET" SrrE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546379 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
07/30/20 07/30/20 07:19 07:19 19606TC
009316 Town of.Babylon
REFERENCE
Scale 2 Gross Wt. 76320 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.81 TON OUTGO.MSW 0.000 0.00 000 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY' MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
CHANGE
CHECK O
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2639
Islandia, IVY 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: V L u .) 1 _ 1 SHIP DATE:
COMMODITY SHIPPED: d
LOOSE: - 43 t 1 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: y ' C' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,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) ~F.(SIGNATURE)
TRANSPORTER
Ii
TRANSPORTATION/FREIGHT CO. I l / ; `'A )
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ) '` 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 DESTINATION LISTED BELOW.'- r`
DRIVER: _'_-- �-- ✓ _
(PRINT NAME) Jam' (SIGNATURE), '
1-
DESTINATION -
DISPOSAL•LOCATION: �,} , �� i 't `; �f I. '�'"� DATE DELIVERED:
ADDRESS: ,
t
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUAWICATE TICKET" rSITEI TICKET GRID NIEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546666 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/31/20 07/31/20 12:42 12:42 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 77080 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 43100 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.55 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 MEMORIAGDAY TENDERED
CHANGE
CHECK N
SIGNATURE
"DUPLICATE TICKET" rSITEj TICKET I GRID I wEiGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546666 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
07/31/20 07/31/20 12:42 1242 19606TC
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 77080 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Ne Weiaht 43100
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.55 TON OUTGO.MSW 0.000 0.00 000 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHANGE
CHECK
SIGNATURE NO.__j
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road' 2 6 3 5
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST ISFOR 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: ( '► i ,i I__1 i SHIP DATE: 7 t I 2 0
COMMODITY SHIPPED: f I
LOOSE: i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: !'%'�� -' GROSS
TARE
r'u'=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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,-.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATIOi� ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
TRANSPORTER '
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 9 ; LICENSE NO/STATE:
TRAILER-NO.-'.,- d � LICENSE.NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS'PICKED'UP AT THE GENERATOR�S•ITE LISTED'ABOVE, AND THAT IT.WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED_BELOW. 1-v
(
DRIVER:
`(PRINT NAME) _ ,1% (SIGNATURE)
DESTINATIIGN Y
DISPOSAL- LOCATION: ,¢. �,� ;'') f f f �'1 _ DATE DELIVERED
ADDRESS:
I HEREBY,CERTIFY THAT THE ABOVE-MATERIAt-HAS BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE THE-INFOR_MATION'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.
**DUPLTICKET** SITE TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546590 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF"
07/31/20 07/31/20 09:04 09:04 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 84240 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 47620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL
23.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera ing hours o ays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAY TENDERED
C A G
CHE K N .
SIGNATURE
**DUPLICATE TICKET** rsn-Ej TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01546590 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
07/31/20 07/31/20 09:04 09:04 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 84240 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 47620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7.00 AM to 5:00 PM 7 days a week. ANEL49gy•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL"DAY' TENDERED
CHANGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh-Road 2638
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 NOTA SUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 4 f a' o °i- SHIP DATE: t_)
COMMODITY SHIPPED: �` �
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: t,� '� GROSS
3 c(o TARE
NET
I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL.DOES NOT CONTAIN TRE&LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT.(PRINT NAME) i (SIGNATURE)
TRANSPORTER f
TRANSPORTATION/FREIGHT CO. i ` ; 'tee )
TRUCK NO. LICENSE NO/STATE: "
TRAILER NO.: cl LICENSE NO/STATE:•
I"HEREBY'CERTIFY1THAT THE ABOVE NAMED-MATERIAL WAS PICKED'UP AT THE GENERATOR-SITE LISTED,i4BOVE, AND THAT IT`WAS '-
DELIVERED WITHOUT INCIDENT-TO•THE,DESTINATION LISTED.BELOW:
S
DRIVER:`
(PRINT NAME) (SIGNATURE)
f., DESTINATION ',
/ #� f � e iJ
DISPOSAL LOCATION:, �f.r. ; �t�.) i �1 � p ! DATE DELIVERED: ,
ADDRESS:_ s y
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
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.