HomeMy WebLinkAbout02/2021 67-T-77-TICKET, 7,- 77-GRID - WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598152 Steph
PO Box x62/6155 Cox Lane
CutphOgue, NY 11935 DATE IN _ ,`DATE OUT TIME* TIME,OUT , VEHICLE ROLL OFF
02/02/21 02/02/21 09:21 09:21 19606TC
009316 Town of Babylon
REFERENCE 11 ORIGIN
Scale 2 Gross Wt. 66080 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 29800 LB
_QTY" UNIT = - = DESCRIPTION RATE"'_' _ •EXTENSION - FEE TOTAL'
14.90 TON DUTG5.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY� � � _„_,,TENDERED" _
,CHANGE.,
' EC NO.
SIGNATURE
-- - -- -- - -- --- -- - --- - - -------------
SITE „TICKET771-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598152 Steph
PO Box 962/6155 Cox Lane
CUtChogUe,'NY 11935 = DATE IN "PATE,OU TIw1E,1N ,TIME,OUT ,VEHICLE; �,fiOL1�OFF',
02/02/21 02/02/21 09.21 09:21 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 66080 LB Outbound-Charge ticket
Manual Tare Wt. ' 36280 LB
Net Weight 29800 LB
-QTY UNIT' DESCRIPTION _ - _ RATE-` - 'EXTENSION`• FEE -,TOTAL-` -
14.90 TON DUTGO.MSW 0.000 0.00 0 00 000
Operating hourg o ays a wee I�L 4:�A . � •� _
CLOSED HOLIDAYS—QUESTIONS CALL 631-734-76155.2 ., ' ' 0.00 •
NEXT HOLIDAY, MONDAY, MAy 27,2019 MEMORIAL DAWj tD 'TENDERED_"
CHANGE'-,-'-'
--CHECK NO:' `
• SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0353
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 DOESOT ASSUME 3 i LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 12- 1 COMPANY: I .r 3 SHIP DATE: 01 0
COMMODITY SHIPPED: to :5
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i" ; ( . `s GROSS
TARE
? '';t NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID'AS-DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW-HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PO RTATIONON ACCORDIN 'TO APPLI/CABLE,REGULATION
f
GENERATOR AUTHORIZED AGENT(PRINT NAME) CCC (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. T111) I {
TRUCK NO. 1_10 ENSE NO/STATE:
TRAILER NO. J__7 `l LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION. '
4
DISPOSAL LOCATION: ' ( 4► li .f'I %�-r' ! Lo l _ DATE DELIVERED: 0
ADDRESS:.
VHEREBY CERTIFY THAT THE ABOVE MATERIACHAS BEEN ACCEPTED AND TO THE BESTOF MY'KNOWL"EDGE 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 r WEIGHMAS?ER's"' =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598190 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935- DATE'IN' DATE'OUT TIME IN TIME OUT VEHICLE ROLL OFF;
2/03/21 02/03/21 07.41 107:41 19606TC
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 87360 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 50740 LB
QTY. - UNIT DESCRIPTION - =RATE EXTENSION= IFEE � - " '=TOTAL
5.37 TON UTGO.MSW 0.000 0.00 0.00 0.00
70
, 4
Operating nours TOO AIVI to 5 00 PIVI days a wees, Q_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. F 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY = TENDERED'
�W '�
CHANGE
- CHECK O. .
SIGNATURE
SITE TICKET GRID WEIQHMASTERt
SOUTHOLD TOWN DEPT SOLID WASTE 1 01598190 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT - TIME IN, TIME OUT VEHICLE ROLLOFF,
2/03/21 2/03/21 7:41 7:41 19606TC
009316 Town of Babylon
REFERENCE ORGIN 2 Gross Wt. 87360 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 50740 LB
,QTY., UNIT DESCRIPTION RATE,.,, EXTENSION-
FEE �,,, = TOd,�
5.37 TON GUTGO.MSW 0.000 0.00 0.00 0.00
t �1
2
w
r
Operating hours 7 00 AM to 5:00 PM 7 days a week. , ��° �r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. __- 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED «` r
L4 LJ
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0354
Islan.dia, 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. 1
COMPANY: tf 1 ', SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ; i ( ; (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: ` �,. f '�, r ({1 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 /t
TRANSPORTATION/FREIGHT CO. t ) -`
TRUCK NO. J L''ICENSE NO/STATE:
TRAILER NO. ` ' LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: -~---.-^-..�•
(PRINT NAME) T (SIGNATURE)
�
�r DESTINATION,.{
I v �.` _ Z_ 1
DISPOSAL LOCATION: DATE DELIVERED: I ,
i
ADDRESS:
HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS'BEEN ACCEPTED AND,TOTHE BEST OF MY KNOWLEDGE THE.INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED-BY:'
AUTHORIZED AGENT(PRINT NAME) `r-•. 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
TRINITY TRANSPORTATION CORPORATION
_214 B lydenburgh Road NO. 0355
,
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 U ���t k 1! a ! i? SHIP DATE: j
4
1
COMMODITY SHIPPED:
LOOSE: # `—' _(CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: !H_� PG',�'/ GROSS
TARE
NET—��
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAftFREE 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 AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. j LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: = 1 '� �` I f ' '�'y DATE DELIVERED: ' J
ADDRESS:
H EREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN'ACCEPTE D AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER '
YELLOW-TO TRANSPORTER.-
PINK
RANSPORTER.PINK TO GENERATOR'
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO
""DUPU_G�TE TICKET*" SITE =TICKET`,r GRID - WEIGHMAS`rER _ w, °',
SOUTHOLD TOWN DEPT SOLID WASTE 1 01598273 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN • DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF•° "
2/04/21 2/04/21 9:07 9:07 19606TC
009316 Town of Babylon
REFERENCE
•-
. r�
1• .
Scale 2 Gross Wt. 72500 LB Outbound-Charge ticket
Manual Tare Wt. 36280 -LB
Net Weight 36220 LB
QTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
18.11 TON UTGO.MSW 0.000 0.00 0.00 0.00
� �
73
Operating hours 7.00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.L � 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAYij ' � TENDERED '^'
CHANGE
CHECK NO,::j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET' " GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598273 Liz H
PO BOX 962/6155 COX Lane DATE IN „ DATE„OUT TIME IN TIME OUT VEHICLE ROLL OFF.
Cutchogue, NY 11935
• 02/04/21 02/04/21 09:07 09:07 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72500 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
NetWei ht 36220 LB
QTY UNIT ” DESCRIPTION RATE EXTENSION FEE TOTAL '
18.11 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
5.1
a �C_
Operating hours 7.00 AM to 5:00 PM 7 days a week. � � � % % > •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �. -- -- `' qty 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL-DAY-li 6'Lf 4�I TENDERED
`A CHANGE=
CHECK NO.
SIGNATURE
TkINITY TRANSPORTATION- CORPORATION
214 Blydenburgh Road 0356
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 e ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t
COMPANY: SHIP DATE:
COMMODITY,SHIPPED: V\ �N, — — — ----
y
LOOSE: 1 L U (CU YDS)
A '
BALES:(COUNT):
TRUCK WEIGHT: i ==`, 3 GROSS
t — 't.,' 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 2617,OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
. r a
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. �i LICENSE NO/STATE:
TRAILER NO. N 7'iJ 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 BELOWf
DRIVER: -10 M
(PRINT NAME) _ {f' (SIGNATURE)
t DESTINATIIIC N
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DISPOSAL LOCATION: A—) I � .r3� ;� f�'� � � '
�` � � �_t i s� � ��1;��� � DATE DELIVERED:
i
ADDRESS:
f
HEREBY CERTIFY'THAT.THE-ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWL-EDGE'THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE:
RECEIVED BY:'-
AUTHORIZED
Y:'-
AUTHORIZED AGENT(PRINTNAME)` . SIGNATURE/DATE,,-7--,
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW-TO TRANSPORTER.
PINK TO GENERATORS,_
GOLD TO GENERATOR'. DISPOSAL-LOCATION'TICKET NO..-
*"DUPLICATE TICKET ' SITE TICKET' " ""GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598313 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,PATE IN , DATE OUT' TIME-IN;TIIVI(g0T ` VEHICLE = _ .-ROLLOFF°
02/04/21 02/04/21 13:01 13:01 19606TC
009316 Town of Babylon
t got-
Scale 2 Gross Wt. 70740 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 32040 LB 7
QTY. "UNIT =- _DESCRIPTION _ _ = `RATE' EXTENSION' - FEE� TOTAL`
16.02 TON UTGO.MSW 0.000 0.00 —0.00 --- 0-00-- - --
�1 g
Operating hours 7:00 AM to 5:00 PM 7 days a week. t? �. �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85. ms's 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED,
CHANGE,',
CHECK N0:9
SIGNATURE
O --
SIGNATURE
`*DUPLICATE TICKET"` ,:SITE TICKET, - GRID,,v �,,,� ��m b' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598313 Pat H
PO BOX 962/6155 COX Lane `DATE IN''`_' DATE'OUT "_TIMEIN TiMEOUT= "°VEHICLE" ROLLOFF
Cutchogue, NY 11935 `
02/04/21 02/04/21 13:01 13:01 19606TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 70740 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Wei ht 32040 LB
'QTY._ -'UNIT "" DESCRIPTION a °' " - - '`RATE " EXTENSION 's FEE ^ TOTAL- _
16.02 TON UTGO.MSW 0.000 0.00 0.00 0.00
k
. r � � � • . . fay
Operating hours 7:00 AM to 5:00 PM 7 days a week ��' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768527/,x, -' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DA# &%l V1 TENDERED `
c
CHANGE-,--
CHECK-NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0357
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: I "-T o tZ U-1) SHIP DATE: o z oz�
COMMODITY SHIPPED: vi _
LOOSE: C`} 4 (CU_YDS)
BALES: (COUNT):
TRUCK WEIGHT: _ ' _- GROSS
TARE
'A " NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIGUID'•AS DEFINED BY 40 CFR'PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
. 1
t
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. J , I I J1 I hI
TRUCK NO. _I)y !LICENSE NO/STATE:
TRAILER NO. 1 C' '? LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) _ /, ' (SIGNATURE)
" DESTINATION
DISPOSAL LOCATION: l' _ t /A 1 A (11 � A VCON DATE DELIVERED: � I i} 5
ADDRESS: \ f 1
' 9
I HEREBY CERTIFYTHAT THE'ABOVE MATERIAL`HAS BEEN ACCEPTEDA-ND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED•AGENT(PRINT NAME) =' SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL'LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.-
PINK
RANSPORTER.PINK TO GENERATOR 4
• - GOLD TO GENERATOR = DISPOSAL-LOCATION-TICKET'NO.
**DUPLICATE TICKET** f SITE I TICKET GRID •WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01598373 Dan
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
2/05/21 2/05/21 0:30 0:30 11 121TC
009316 Town of Babylon
J . REFERENCE ORIGIN
Scale 2 Gross Wt. 74420 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
- - ---- ----NetWeiciht 37800 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.90 TON UTGO.MSW 0.000 -0.00 - 0.00 _ 0.00
* � � 4,� i
'~ l �
Operating hours 7:00 AM to 5:00 PM 7 days a week. °.-{ ` �� fsA rN_�Y? •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.c " _
�"�a '`__ ---—' ��i�� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY�`?' %z�i:� cTENDERED
C r CHANGE
CHECK NO. ::j
SIGNATURE
**DUPLICATE TICKET**
SITE TICKET GRID WEIGHMASTER
'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598373 Dan
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/05/21 02/05/21 10:30 10:30 11 121TC
009316 Town of Babylon REFERENCE 6R'IGiN
Scale 2 Gross Wt. 74420 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
B
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1890 TON DUTGO.MSW 0.000 0.00 0.00 000
' W - v
A ) f - t,
-j f J
; i
Operating hours 7:00 AM to 5:00 PM 7 days a week? _ ,`--f'i )�7 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .,A, -____ 4, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYSi,�y' ` 'fy TENDERED
CHANGE
CHECK NO-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0358
Islandia, NY 1-1749
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 NO,T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. `
COMPANY: ��� �_ ) j, i (� � ) SHIP DATE:
COMMODITY SHIPPED: � 'i,�f
LOOSE: 3 i ? ( ; (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: '� � GROSS
TARE
rpt 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)_-:--__
r-=
TRANSPORTER
TRANSPORTATION/FREIGHT CO. Nl~>� )/,- >� !
TRUCK NO. t 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
s
DRIVER:
(PRINT NAME) f (SIGNATURE)
DESTINATION .�
DISPOSAL LOCATION: !!! 114/a r� r t f�A d ,l� � °� � � 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.
SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598448 Steph
PO Box 962/6155"Cox Lane
Cutchogue,'1VY 11935DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF-
02/06/21 02/06/21 09:04 09:04 19606TC
009316 Town of Babylon
xREFERENCE ORIGIN
Scale 2 Gross Wt. 68300 �'LB Outbound-Charge ticket
Manual Tare Wt. 36280 �B
Net Weight 32020 413
QTY UNIT DESCRIPTION RATE, EXTENSION FEE TOTAL
16.01 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing Hours odays a wee rte;• 1161111111
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. ', �`��- `s r 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL
TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET GRID WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598448 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,DATE,OUT TIME IN TIME OUT - VEHICLE ROLL OFF,
02/06/21 02/06/21 09:04 09:04 19606TC
009316 Town of Babylon
7�" 7
Scale 2 Gross Wt. 68300 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 32020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL-
16.01 TON DUTGO.MSW 0.000 0.00 0.00 000
y-p d p
Operating hours 7:00 AM to 5:00 PM 7 days a wee . f ,P •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. x ✓
000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY Ply,U jr, _ TENDERED "
` ✓�� -CHANGE
CHECK NO. �j
SIGNATURE
t
TRINIT TRANSPORTATION CORPORATION
214 Blydenburgh Road 0359
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. cl
s
COMPANY: ,>f ' � 1 )r` 6 ) l_ �� SHIP DATE: L' L '' f r
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
'
TRUCK WEIGHT: �- ��-�..j GROSS
sNET
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. LICIENSE NO/STATE:
TRAILER NO. i G �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: ^-�4� c--~' �.
0
(PRINT NAME) r (SIGNATURE)
DESTINATION\g\ ,
l
DISPOSAL LOCATION: (.; r�i'; � t ',`A "% 'r _f J /-J DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL"HAS-BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE' '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO,TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR ., DISPOSAL-LOCATION-TICKET NO.%'• 3'.
rS'ITtj . TICkET- Gq'ID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01598620 Steph
PO Box 9(;��,1�6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF�
Cutchogue, NY 11935
02/08/21 102/08/21 09:35 09:35 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77980 LB Outbound-Charge ticket
Manual Tare Wt 38700 LB
Net Weight 39280
Q 1-Y. UNIT DESCRIPTION.. RATE EXTENSION' FEE TOTAL
TY
19.64 TON DUTGO.MSW 0.000 0.00 0.00 000
Ope—rating hours 7:00 AM to 5:00: PM 7 days a week"'),
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.pp�,'�:-<___ N 0.00
5
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL� TENDERED-
CHANGE-
QHECK NO_�_j
SIGNATURE
6(TET , TICKET Ghlb WE16IHMA�TtR
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598620 Steph
PO Box 962/6155 Cox Lane ',DA�rEIN_' I "DATE60f TIME IN jTIMt'0UT EHIdLE: -RoLL OFF
Cutchogue, NY 11935
02/08/21 02/08/21 09:35 09:35 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 77980 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weiqht 39280 LB
,QTY- 13ATE _'EXTENSIOW,
QTY.- -UNIT DESCRIPTION' FEE- - TOTAL
19.64 TON ()UTGO.MSW 0.000 0.00 0.00 000
Jul&
/I
Operating hours 7:00 AM to 5:00 PM 7 days a week.l;� 1�A
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'DAY f#
--TENDERED'
-_7'H_ANGE ,,
I. - -,CHEOK,NO.-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
f
2f4 Blydenburgh Road 0360
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 NOS ASSUME ANY LIABILITY AS WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �' E DATE:
i
1 SHIP
LA}
A fr •'�
COMMODITY SHIPPED: �A) �
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: yt '`~ 1 GROSS
1 ' 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';
L
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURES
T-1TRAa h
' e
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ~� /LICENSE NO/STATE:
TRAILER NO. °'1 a 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. ff
r
DRIVER:
(PRINT NAME) js' (SIGNATURE)
r DESTINATION
t I l "r
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL'HAS BEEN ACCEPTED AND TO"THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITETO DISPOSAL LOCATION"
GREEN TO TRANSPORTER -
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET'NO.. -
SITE I TICKET:- - - GRID WEiGHMASTER _
f
SOUTHOLID-TOWN DEPT SOLID WASTE 01 01598648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
02/08/21 02/08/21 13:22 13:22 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72720 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36100 LB
QTY. UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL
18.05 TON OUTGO.MSW 0 000 0.00 0.00 0.00
4,
1 -f
t' l
Op n hours m6 Am to mcb mvi i days a wee J t r � 3 �y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �4�. `� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-_DAYF .. TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET,, I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01
DATE 598648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 IN
02/08/2DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
02/08/21 13:22 13:22 19606TC
009316 Town of Babylon 1
Scale 2 Gross Wt. 72720 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 36100 LB
QTY. UNIT ' '' DESCRIPTION RATE EXTENSION FEE TOTAL
18.05 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:,, 'z, 4._ , i �„ •
rte, .�; .:'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_1F6', �� f @ ,{j 0.00
<t z� ,�''
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL%DAYfj t I fi _ r , TENDERED
-CHANGE 5
CHECK NO.
SIGNATURE
TMNITY TRANSPORTATION CORPORATION"
214 Blydenburgh Road 0361
NO. '
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT�ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1
COMPANY: f=' .'? i' SHIP DATE:
r �
COMMODITY SHIPPED: - E
LOOSE: $ `.: •.� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:, ;i GROSS•
TARE
NET
-1-HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO-APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) � '� (SIGNATORE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. it UPI t,j
TRUCK NO. 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. r
r
i
DRIVER:
(PRINT NAME) X (SIGNATURE)
-
r DESTINATION
DISPOSAL LOCATION: ;f:r. . t'� � ,l ' r' Y
DATE DELIVERED:.
t
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND'TO THE'BEST OF MY`KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: `
RECEIVED BY:-
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE,',
KEY: WHITE TO DISPOSAL-LOCATION
GREEN TO,TRANSPORTER-
YELLOW TO'TRANSPORTER.,
PINK TO GENERATOR' -
;..Y GOLD TO GENERATOR' - DISPOSALLOCATION TICKET,NO:- _
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road 0362
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: 1 L_`��, SHIP DATE: 2- `
COMMODITY SHIPPED: \.-7 I
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: 1_19 GROSS
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 TRANS OR TION ACCORDING TO_APPLICABLE REGULATION.
- � r
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
1
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)
DESTINATIOoN
DISPOSAL LOCATION: �? '° t 1�' I �� 0�1<) )'�\4U,\) DATE DELIVERED: '
ADDRESS: I
I HEREBY CERTIFY.THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY•KNOWLEDGE•THE INFORMATION PROVIDED
IS TRUE AND-ACCURATE: '
RECEIVED BY:,
AUTHORIZED AGENT(PRINT NAME) ' SIGNATURE/DA-TE',.
KEY: WHITE TO DISPOSAL LOCATION. • ..
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.'•'
PINK TO GENERATOR
-_, GOLD TO GENERATOR DISPOSAL LOCATION-TICKET NO._•.• , ,
"DUPLICATE TICKET"" srrE TICKET GRR) wEiGHMAsrER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598767 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_= DATE OUT --TIME IN TIME OUT VEHICLE '_ ROLL OFF
- 02/10/21 02/10/21 07:47 107:47 1 19606TC
009316 Tc06 of Babylon
REFERENC
•-
Scale 2 Gross Wt. 72220 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 33520' -LB
QTY. UNIT - �DESCRIPTION .r RATE EXTENSION_` FEE ` =��TOTAL -
ON 00 1 G IVISVV
R 0
1:
O
(�• � - `
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�6„.�85. -^ - � uu
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIatDAY TENDERED
='CHANGE
CHECK N
SIGNATURE
"DUPLICATE TICKET" SITE '-TICKET °� ° GRID'1 -_;"' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598767 Steph
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 :_DATE IN DATE OUT �TIME 114_ TIME OUT VEHICLE-- ROLL OFF
02/10/21 02/10/21 07:47 07:47 19606TC \
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 72220 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 33520 LB
07ys,."i -DESCRIPTION, RATE ' = EXTENSION_ _;"' FEE."
TOTAL ,.r
6.76 TON DUTGU7MSW 0.000 0.00 0.00 0.00
gra
@ � ° kms
14-
OP Admffffimm=
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-75 � `
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DqY " � TENDERED-'
CHANGE
CHE K NO:_
SIGNATURE
TRINITY TRANSPORTATION CORPORATION`
214 Blydenburgh Road . 0363
Isl4idia, 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 ( ), a', i t 1 SHIP DATE: 01 � 11 C i i I
COMMODITY SHIPPED: IA 1 3
z
LOOSE: rJ t) (CU YDS)
4 '
BALES:(COUNT):
TRUCK WEIGHT: 1 ' --t 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 ACCORDING TO-APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) �y (SIGNATURE)
TRANSPORTER '
IJ
TRANSPORTATION/FREIGHT CO.
TRUCK NO. vl'/LICENSE NO/STATE:
TRAILER NO. 9 _5 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: a' DATE DELIVERED: ' -o
ADDRESS: )
-I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDG&THE INFORMATION PROVIDED `
IS TRUE AND ACCURATE:
RECEIVED BY:'
AUTHORIZED AGENT(PRINT NAME)' SIGNATURE/D'ATE'
KEY: WHITE TO DISPOSAL LOCATION '•
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER., '
PINK TO GENERATOR-
GOLD TO GENERATOR• DISPOSAL LOCATION TCCKET•NO:. . "
SITE 'TICKET. 4GRID'' x^ 1NEIGHMASTER��i
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598798 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL bFF
02/10/21 102/10/21 11:38 11:38 19606TC
009316 Town of Babylon
REFERENC
•�
Scale 2 Gross Wt. 77820 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 41200 LB
QTY UNIT,, _ DESCRIPTION,, = RATE EXTENSION `FEE = „TOTAL „
20.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' ...... 1� �
Is=_
Opera Ing nours rud ANA todays a weeKN.l . .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 9s R 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY � ' �, t„'TENDERED---'
'CHANGE,
CHECK NO:9
SIGNATURE
SITE TICKET„ G„RID' ,n, „�WEIGWASTER_;,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598798 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/10/21 02/10/21 11:38 11:38 19606TC
009316 Town of Babylon
REFERENCE Scale 2 Gross Wt. 77820 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 41200 LB
•CITY`= UNIT_. _ = DESCRIPTION = ;RATE EXTENSION FEE - TOTAL,
20.60 TON DUTGO.MSW 0.000 0.00 0.00 0.00
CID
01
Operating hours 7:00 AM to 5:00 PM 7 days a week , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.0 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY TENDERED
CHAN Er„
CHECK O„
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 0364
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: t ti, '- (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: } ' r� �` GROSS
TARE
d
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.
TRUCK NO. I L16ENSE NO/STATE:
TRAILER NO. a �' LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE,GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
t ' DESTINATION
DISPOSAL LOCATION: �--lf! 'A E;7'r ;'� � �;1�, i �l � t `'a �� 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 F
KEY: WHITE-TO•DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER: '
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION-TICKET NO:
"DUPLICATE TICKET" SrrE -ncREr = GRID,,, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598867 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT - VEHICLE a ROLL OFF
02/11/21 02/11/21 07:46 07:46 19606TC
009316 Town of Babylon ':r
REFERENCE
•-
Scale 2 Gross Wt. 67260 " 'LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 30980 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE, :TOTAL
15.49 TON DUTGO.MSW 0.000 0.00 000 0.00
}
Opera Ing ours o ays a wee . a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL®AY C�� TENDERED
g
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598867 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/11/21 02/11/21 07:46 07:46 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 67260 -LB Outbound-Charge ticket
Manual Tare Wt. 36280 'L'B
Net Weight 30980 .LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL
15.49 TON DUTGO.MSW 0.000 0.00 0.00 0.00
9
L)
r
4V�
Operating hours 7:00 AM to 5:00 PM 7 days a week. �`�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` w �' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALD&* � � 'TENDERED,
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0365
v
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: o
COMMODITY SHIPPED:
LOOSE: i 1 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: t., ' ?:; `' GROSS
TARE
NET
I HEREBY CERTIFY THAT-.THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
6
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER f
TRANSPORTATION/FREIGHT CO. t %��
J
TRUCK NO. ( LICENSE NO/STATE:
TRAILER NO. i Li LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE%LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) �% (SIGNATURE)
-DESTINATION
} G 7
DISPOSAL LOCATION: �`.� ti �� 1 1'� f �} �`'1 1 ` DATE DELIVERED:
i
ADDRESS: !
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE-BEST OF MY KNOWLEDGE'THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME), SIGNATURE/DATE
KEY,: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER. - '
PINK,TO GENERATOR c-. , -
GOLD TO GENERATOR` DISPOSAL LOCATION TICKET NO:
"DUPLICATE TICKET" SITE TICKET-" _ .'`GRID= `WEIGHMASTER''°' y "
Y
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598886 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT TIME W TIME OUT :A VEHICLE' ;' _ ROLLOFF"
02/11/21 02111/21 12:34 12:34 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80120 'j LB Outbound-Charge ticket f
Manual Tare Wt. 38700 LB
Net Weight 41420 LB
QTY." "'UNIT '`" = DESCRIPTION ` RATE= "` EXTENSION FEE NOTAL.
20.71 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r,-
7 f i 3
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. s. ;g 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALIDAYa " �3�;�-_, � ,�c;�� a' �x TENDERED'
'CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" slrE TICKET "GRID - = wEiGHMA"'TER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598886 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT - „TIMEIN TIME,OUT VEHICLE ; ROLL OF
02/11/21 02/11/21 12:34 12:34 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80120 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41420 LB
QTY UNIT _ ,DESCRIPTION,, - `RATE „EXTENSION-, FEE _ v7-TOTAL' ,- ,,
20.71 TON DUTGO.MSW 0.000 0.00 0.00 0.00
.gyp_ •- ,�z � .,
ly
j}j
Y1 y1 .rY Q
Operating hours o ays a weep�� � -> �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..0,,�r p ��� `� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY.r,
=TENDERED -
CHANGE
CHECK'NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh load NO. 0366
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�.�' .il SHIP DATE: �y 1 !
COMMODITY SHIPPED:
LOOSE: i L (CU YDS)
RALES:(COUNT):
TRUCK WEIGHT: GROSS
r TARE
! NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT-HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,-AND IS IMPROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
f
S -
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
1
TRUCK NO. _ ",' LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) �f/ (SIGNATURE)
� f
DESTINATION
DISPOSAL LOCATION: ',� b UX 1,1 (�° l � �, I ✓ °�` � _` { �/� DATE DELIVERED: � � � :j
t
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND_TO THE BEST•OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVE_D_BY:
AUTHORIZED AGENT(PRINT NAME)• SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.,
"*DUPLICATE TICKET"" SITE _ _TICKET" _GRID = WEIGH
MASTER«
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598968 Dan
PO Bcx 962/6155 Cox Lane -
'-DATMN" ` DATE OUT- �zTIME IN TIME OUT VEHICLE'°'"' ROLL OFF"`
Cutchogue, NY 11935 -
02/12/21 02/12/21 11:57 11:57 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 66820 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 30540 LB
- - QTY. UNIT _ DESCRIPTION" � -'RA ' 3 EXTENSION=" �'FEE _TOTAL
15.27 TON DUTQO.MSW 0.000 0.00 0.00 0.00
e
$ \
Operating hours 7:00 AM to 5:00 PM 7 days a week. t •
`r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 /e _= � � 0.00
,.
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY 4n -`TENDERED';"'
vu
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET"* SITE TICKET, GRID _ 1NEIGHMASTER"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01598968 Dan
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE,IN DHTE C)UT, TIME IN TIME„OUT VHICLE - Ol,QFF
' 02/12/21 02/12/21 11:57 11:57 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 66820 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net
'UNIT DESCRIPTION FATE EXTENSION- aFEEQ �rTOTAL,ar
15.27 TON UTGO.MSW 0.000 0.00 0.00 0.00
o ,x
E
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 DAYTENDERED
'- CHANGE
r "CHECK NO `
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
'-214 Blydenburgh Road NO. 0367
�
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.
5 _
COMPANY: a i�i f > ? t _ i SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: a./,"- iS r� 'L GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE 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) v (SIGNATURE)--
.,---TRANSPORTER
SIGNATURE.,--TRANSPORTER _
TRANSPORTATION/FREIGHT CO. � # ;;'` / /rl.�,'Aj
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LI TED%ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
fff`
DESTINATION
DISPOSAL LOCATION: f r' f= _ t"� 11 f ;'I' { t+ DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAUHAS BEEN ACCEPTED AND-TO THE BEST OF MY1KNOWLEDGE 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 _ ae DISPOSAL LOCATION TICKET NO.-
SITE _ `TICKET _ = GRID '= WEIGHMASTER=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599069 Steph
PO Box 962/6155 Cox Lane - -
CUtch�gUe, NY 11935 ATE-[N' DA'TE'OUT- TIMEIN TIMEOUT `' 'VEHICLE-� R&LOFE°
02/13/21 02/13/21 10:30 10:30 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74300 • LB Outbound-Charge ticket
Manual Tare Wt. 38700 ' LB
Net Weight 35600 ;LB
'QTY -UNIT` - DESCRIPTION °- RATE- EXTENSION'-x FEE _ °TOTAL _
17.80 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:06 PM 7 days a week a' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x ,, 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL PAY
�' U� TENDERED -,
-CHANGE
CHECK NO.-
SIGNATURE
SITE _ TICKET GRI
SOUTHOLD
_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599069 Steph
PO BOX 962/6155 COX Lane DATE IN's- 'DATE OUTS' °`TIM E IN n E'OUT VEHICLE' `ROLL
Cutchogue, NY 11935
02/13/21 02/13/21 10:30 10:30 19606TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Pt 77 QTY'."` UNIT - �" DESCRIP-TIONS"+ � "RATE. EXTENSION FEE`` _ TOTAL°s
17.80 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
°
,• v,.a
Operating hours 7:00 AM to 5:00 PM 7 days a weeksAy •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL
D
AY ' - r TENDERED:
� � � ,
CHANGE
- CHECK NO.. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
,214 Blydenburgh Road NO. 0368
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: i # r j i . SHIP DATE:
COMMODITY SHIPPED: )lv
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: _� '> i 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
r
F
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) " (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _t / ;'tip /� I :' /' .� DAT E DELIVERED: � a
1
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:
SITE TICKET-,' -GRID WEIGHMASTER- '3
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599266 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/16/21 02/16/21 08:48 08:48 19606TC
009316 Town of Babylon
REFERENCE
..
_7
Scale 2 Gross Wt. 63800 .LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB_
Net Weight 27520 LB
QTY. UNIT DESCRIPTIONRATE EXTENSION FEE TOTAL
13.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
<e5)
1 13
J
l � l
Op s a wemq
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY�f � TENDERED'
CHANGE
• I CHECK- O9
9
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599266 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT TIME-IN TIME OUT VEHICLE I ROLL OFF-
02/16/21
FF02/16/21 02/16/21 08:48 08:48 19606TC
009316 Town of Babylon
REFERENCE 0.
Scale 2 Gross Wt. 63800 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 27520 LB
QTY. UNIT,` DESCRIPTION RATE EXTENSION FEE TOTAL
13.76 TON DUTGO.MSW 0.000 0.00 0.00 0.00
J
e lul
e tc
( w
Operating ours o bAt FM 7 days a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685% 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALYDAW,Pri g � TENDERED, .
11 CHANGE
CHECK NO. „
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO0369
.`'
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 � ' '-- -• l_: SHIP DATE: 2- ✓ f
COMMODITY SHIPPED: !`y
LOOSE: ?? (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i,�`',cK cf 0 GROSS
TARE
-r Ii 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 INiPROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ! I ) f f �`10l
TRUCK NO. r LICENSE NO/STATE: r-
TRAILER NO. g �� 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) r' (SIGNATURE)
41
!` +� DESTINATION''
DISPOSAL LOCATION: '.• i ' rtil i ! +.1=I r 11.\ � f' t DATE DELIVERED:
ADDRESS: I
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO-THE BEST OF M`(KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE_
RECEIVED BY:
AUTHORIZED*AGENT(PRINT'NAME) SIGNATURE/DATE
r
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER- -
YELLOW'TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR nDISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" 'sire 'TICKET",- "GRID _ - _ �WEIGHMASTER`' -
SOUTHOLD TOWN DEPT SOLID WASTE 01 -01599477 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _DATE IN% s DATE OUT w� TIME IN TIME OUT _ °-VEHICLE= '= - ROLL OFF%-
02/17/21 02/17/21 10:52 1052 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70920 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 34720 LB
6 IU-
QTY._ _ - `UNIT, _ DESCRIPTION 'RATE `EXTENSION` - FEE _ " ` 'TOTAL
Coo'A?
4S
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALY TENDERED
CHANGE -
CHEC NO
SIGNATURE
"DUPLICATE TICKET`* SITE TICK°ET „GRID _ WEIGHMASTER , -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599477 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN=-r °DATE O,UT ,r TIME„IN° TIME=(JUT ;a,, -_:,VENICLE,- ,,--,ROLL OFF,
02/17/21 02/17/21 10.52 10:52 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70920 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 34720 LB
;iQTY_ UNIT, = ,_DESCRIPTION RATE , EXTEN510N1, -.,,,,,,FEE-,, TOTAL' °
17.36 TON DUTGO.MSW 0.000 0.00 0.00 0.00
b 19
Ce
° .
Operating nours a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY � ,TENDERED,,,-°
w - CHANGE, °- -_
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Road 0371
Islandia, NY 11749 . NO a
-(611) 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 ' t, ) � ; ' SHIP DATE: J� ,
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: /� �( � L_ GROSS
i TARE
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. 2- 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 DESTINATION LISTED BELOW.
{ r 1
DRIVER: f
(PRINT NAME) f (SIGNATURE)
�T
�. DESTINATION
DISPOSAL LOCATION: A fj ,� f'� I `— �-' DATE DELIVERED:
ADDRESS:
I HEREBY•CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE,THE INFORMATION PROVIDED'-
IS TRUE'AND ACCURATE:- '
RECEIVED_BY:
--AUTHORIZED AGENT(PRINTWAME) SIGNATURE/DATE'-
'KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER =
YELLOW TO TRANSPORTER-' 1"
PINK TO GENERATOR
-GOLD TO GENERATOR• DISPOSAL-LOCATION TICKET NO.-
.i
"DUPLICATE TICKET" SITE TICKET'' " = GRIDWEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599581 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-' ,DATE OUT TIME IN TIMEOUT - VEHICLE ROLLOFF -
02/17/21 02/17/21 15:19 15:19 19606TC
009316 Town of Babylon
ORIGINREFERENCE
FQTTScale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 39540 LB
UNIT DESCRIPTION RATE EXTENSION' FEE" TOTAL'; _
19.77 TON OUTGO.MSW 0.000 0.00 000 0.00
Q
('m S,0 #,
Imopi
-
Op p, �� � ,; •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: r 0 00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIA DAYS y TENDERED
CHANGE
CHECK NO
SIGNATURE
""DUPLICATE TICKET"" SITE , TICKET_ �,MGRID WEIGHMASTER- '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599581 Steph
PO Box 962/6155 Cox Lane
CUtCFIOgUe, NY 11935 DATE_IN DATE,OUT, TIME IN TIME OUT ;VEHICLE, o, ROLL OFF.
02/17/21 02/17/21 15.19 15:19 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 39540 LB
QTY UNIT ,,,,; _ DESCRIPTION,, = RATE,,,, ,+ , ,. .,-EXTENSION-,," =,FEE„ ,TOTAL
19.77 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating ho s sb � � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `-
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL 04-d TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION -
214 Blydenburgh Road NO. 0372
Islandia, NY 11749
r .. x(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. !
t
COMPANY: SHIP DATE: ' }
COMMODITY SHIPPED: l\'A
LOOSE: `` `- (CU YDS)
r
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
=� 4--', NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT_CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
a
GENERATOR AUTHORIZED AGENT(PRINTNAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION_/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. "1 LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION -%
L' {
DISPOSAL LOCATION: DATE DELIVERED:
-
ADDRESS: f
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 ref
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO..
SITS TICKET GRID - SWEIGHMASTER=_,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599423 Steph
PO Box 962/6155 Cox Lane
Cutchogue,,NY 11935 DATE IN, :DATE PUT TIME N TIME OUT = VEHICLE ,,�r . ROLL,-OFF ,
02/17/21 02/17/21 07:21 0721 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74540 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35840 LB
QTY UNIT' DESCRIP_TIOW"' RATE "' EXTENSION' l'FEE�� _ _ ''TOTAL
17.92 TON _ UTGO.MSW 0.000 0.00 0.00 0.00
3'Ove
s
'j "I
CLOSED HOLIDAYS-QUESTIONS CALL 631-73447685: — 0.00
. c
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY � �t� ,"","TENDERED ,°�,�,;,
�s 3
CHANGE
CHECK O,
SIGNATURE
SITE TICKET" = GRID WEIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599423 Steph
PO Box 962/6155 Cox Lane
CUtchogUe, NY 11935 _ DATE'IN=" "DATE OUT TIME'IN] TIME 60T VEHICLE _ _ "; � ROLL OFF
02/17/21 02/17/21 07:21 07:21 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74540 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35840 LB
QY, UNIT- TION s, . TOTAL;
„
17.92 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Opera I g o s o
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. '�\-':�a' 0 00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAI15DAY -__TENDERED
CHANGE"
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2NO.14 Blydenburgh Road 0370
• 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. ft
COMPANY: LA f xr V �—i ) SHIP DATE: I e
COMMODITY SHIPPED:
LOOSE: +% U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: -fi —t GROSS
(d
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) ~ e
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. r_J 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: `�--� ✓'" l
(PRINT NAME) ��'' (SIGNATURE)
f
DESTINATION
DISPOSAL LOCATION: k> >• I �� it s +� ' 1 _ D_ATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED '
IS TRUE AND ACCURATE:-
-RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)' SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.- '+
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.'
SITE _ -TICKET °� GRID - _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599697 Steph
PO Box 962/6155 Cox Lane
CUtchOgue, NY 11935 -'`DATE W' ;DATE OUT" ;TIME IN, TIME OUT aVEHICLE _ ROLL OFF ~'
v 02/20/21 02/20/21 09:45 09.45 19606TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 85660 I-B- Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 49040 113
QTY; %'UNIT;, - - _ _ DESCRIPTION,rw - _ <RATE v EXTENSIONd ;FEES- -,,TOTAL
24.52 TON DUTGO.MSW 0.000 0.00 0.00 0.00
A
Ope s o clays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.�r�� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�®AY� " m g� —TENDERED,
.� '
CHANGE,-
: CHECK NO.,
.
SIGNATURE
SITE ��TfCKET'"''' ='GRID "�° ""WEIGHMASTER� _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599697 Steph
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 ,,,DATE IN DATEOUTy ;TIME IN;TIME OUT VEHICLE,,, - . r ROLL OFF'^�
02/20/21 02/20/21 09:45 09:45 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85660 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 49040 LB
QTY
'UNIT-,,,-, - DESCRIPTION e GRATE,- EXTENSION. - FEE u. n.pu TOTAL
24.52 TON DUTGO.MSW 0.000 0.00 0.00 0.00
'a
e A
Operating ours o ays a wee ;- 77 _ �� y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 U 0.00
�.- �
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALD � TENDERED
-CHANGE, -,
CHECK N�
SIGNATURE
i
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road, NO. 0374
Islandia, NY 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 NOTi4SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: '
COMMODITY SHIPPED:
LOOSE: d 3.. (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: �_� .L GROSS
TARE
`-T (a e t 4, NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE?AS DEFINED BY 40 CFR PART 261'OR ANY APP_LI_CABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN--PROPER CONDITION FOR TRANSPORTATION ACCORDING TO AP )CABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. z r LIC4ENSE NO/STATE:
TRAILER NO. _ 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 DESTINATION LISTED BELOW �l,
'4..,.. e
DRIVER: _• i' ' = '� _ «s°' •
(PRINT NAME)- ter• (SIGNATURE)
t
DESTINATION`
DISPOSAL LOCATION: DATE DELIVERED: ,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE: "
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE'
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER `
YELLOW TO TRANSPORTER.
PINKTO GENERATOR'"
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
' — Box------ Cox--n— '
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0373
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: -A ! SHIP DATE:
1
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: = { F,:'� GROSS
y r TARE
`1 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,TRANS PORTATION ACCORDING TO APPLICABLE REGULATION.
~1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. / ` ; LICENSE NO/STATE:
TRAILER NO. "''. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
fl.
DESTINATION
DISPOSAL LOCATION: t i:'�\� ;'` , _✓ DATE DELIVERED:
ADDRESS: ;
\ f
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT.NAME) SIGNATURE/DATE
KEY: WHITE-TO DISPOSAL•LOCATION
GREEN TO TRANSPORTER "
YELLOW TO TRANSPORTER.
PINK TO GENERATOR,
GOLD TO GENERATOR ' DISPOSAL LOCATION TICKET NO.
ati%EIGHMASlEfi
SOU'THOLD TOWN DEPT SOLID WASTE 01 01599897 Steph
PO Boxy'152/6155 Cox Lane
Cutchogue, NY 11935 <pATE_IN ;,•DATEOE17 fiME,IN; TIME OIiT;; ;N VEFIlCCE :~'_ ,ROLL,OFE'' = s
02/22/21 02/22/21 0847 08:47 19606TC
009316 Town of Babylon ,
REFERENCE ORIGIN 2 Gross Wt. 77520 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 41240 LB
QTY"',".-_„ UNIT, DESCRIPTION'_';'_ _�,_ _ = RATE - �fXTENSION -__ 2_Tf?rAG�.1
2062 TON DUTGO.MSW 0.000 000 0.00 0.00
fV ' �, ',e
Operating hours O oub Fivi i UaYS a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-73427686..-V-, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY F'
Q
:CH NGE
CHECK O' =
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599897 Steph
PO Box 962/6155 Cox Lane
77 Cutchogue, NY 11935 pATEiN_;,. DATE-OUT "TIMEIN TIMEoU7 ";VEHi k � �'`_ __fiOLt CsFE_ =<
02/22/21 02/22/21 0847 08:47 19606TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt 77520 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 41240 LB
-EXTENSION"=
20.62 TON DUTGO.MSW 0.000 0.00 0.00 000
t . -
Operating ours :0 o ays a weaAy
m ;e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYv {g h 'y
CHANGE
�'CHEC -NO:,,- `
SIGNATURE
T,,jN='r`Y TRANSPORTATION CORPORATION
_ 4 B iIFodenburgh Road 0375
" jandi a, NY 11749 NO.
X631) 342-9673
t5 MANIFES"' IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
qNp DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
T�tNG gFtiPPE `�. ,,
t �` Cj� i I f_ r SHIP DATE:
G pITY SHIPPED:
�
GQMM (CU YDS)
Bpt_ES: (COUNT):
TRUCK WEIGHT. {�• GROSS
/*
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPO
RTATION/FREIGHT CO. l�`tii i _
_
TRUCK NO. " LICENSE NO/STATE:
TRAILER NO. rti ' 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 01
k
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION. .
DISPOSAL LOCATION: l ,/,=d , I-= �. z DATE DELIVERED: ¢ '
ADDRESS:
I HEREBYCERTIFYTHATTHE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED`
IS TRUE AND ACCURATE: '
RECEIVED BY:
AUTHORIZED"AGENT(PRINT NAME) - SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER..'_
YELLOW TO TRANSPORTER.'
PINKTO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*'DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599950 Liz H
PU Bsxx 962/6155 Cox Lane
Cutchogue, NY 11935
02/22/21 02/22/21 13:21 13:21 19606TC
009316 Town of Babylon
Scale 1 Gross Wt. 83220 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 44520 LB
22.26 TON OUTGO.MSW 0.000 0.00 0.00 000
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
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599950 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
02/22/21 02/22/21 13:21 13:21 19606TC
009316 Town of Babylon
Scale 1 Gross Wt. 83220 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 44520 LB
22.26 TON OUTGO.MSW 0.000 0.00 0.00 000
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
- - Y
'',TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0376
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: C (-� J .— x s ! SHIP DATE:
# I,
'ZOMMODITY SHIPPED:
LOOSE: 'J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: > GROSS
r- -
. TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID-AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED.--BY 40 CFR PART 261 OR ANY 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)
i4
------TRANSPORTER
-- TRANSPORTATION/FREIGHT CO.
TRUCK-NO-0 LICENSE NO/STATE:
I
TRAILER NO. i 't V) 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
4 / c
DRIVER:
- (PRINT NAME) (SIGNATURE)
DESTINATION r
DISPOSAL LOCATION: ' 1;'' �� ;1 a �.• DATE'DELIVERED: `
ADDRESS:
°xl HEREBY CERTIFY,THAT THE ABOVE MATERIACHAS 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:
IGNATURE/DATE' -KEY: WHITE TO DISPOSAL-LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.'
- - PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAU-LOCATION TICKET NO.
I
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599986 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN - DATE OUT TIME IN TIME OUT VEHICLE _ -ROLL OFF`
02/23/21 02/23/21 08:56 08:56 19606TC
009316 Towof Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69780 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 33160 LB
QTY` UMTS° ---DESCRIPTION TE' EXTENSION ` 'FEE ` TOTAL.
16.58 TON DUTGO.MSW 0.000 0.00 0.00 0.00
, ti
n
opemunghuum 77.0dAlvi to 04 PIVI 7 days a wee a
�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA&DAY � TENDERED,
r 7 ,C ANGE_=
CHECK NO.°:,
SIGNATURE
SITE `TIOKET`�.= GRID" WEIGHMA3TE�i�' . .
SOUTHOLD TOWN DEPT SOLID WASTE 01 01599986 Steph
PO Box 962/6155 Cox Lane -
CUtChOgUe, NY 11935 DATE IN= DATE OUT TIME IN�TIME OUT VEHICLE_ `=ROLL'OF_F
02/23/21 02/23/21 08:56 08:56 19606TC
REFERENCE
009316 Town of Babylon
ENCE
Scale 2 Gross Wt. 69780 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 33160 LB
`, DESCRIPTION ° „ ^H;",-ar �,�� r�,+, .� {�,
RATE" EXTENSIONv' FEE'% TOTAL
1658 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing ours to :00 PM 7 days a wee ? E •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALIQAYir% " TENDERED
-'CHANGE,=
CHECK NO.'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0377
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 NOWT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }
COMPANY: SHIP DATE:
COMMODITY SHIPPED: M
LOOSE: / 0"o (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i ( M 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 APPLICABL'E STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATION/1AC�CORDING TO APPLICABLE REGULATION x
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
ffR 4
TRANSPORTATION/FREIGHT CO. h N 1 c--`s� 0t
TRUCK NO. 63 LICENSE NO/STATE:
TRAILER NO'. z '; LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITELISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW: -
r
DRIVER: .__1s"�}C r7 ,•tis✓/
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r . .� O DATE DELIVERED: , •�. ;
ADDRESS:
•-�1 HEREBYfCERTIFY THAT THE ABOVE MATERIAL HAS:BEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS
ROVIDEDIS TRUE AND ACCURATE-
RECEIVED
CCURATE
REC_ EIV_ED 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 WEIGHMA$TER-=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600035 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .,DATE`IN, DATE OUT I TIME IN TIME OUT,-, 'VEHICLE1 � ROEL OFF l
02/23/21 02/23/21 13:08 13:08 19606TC
009316 Tow��flf Babylon
REFERENCE
Scale 2 Gross Wt. 83980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 47360 LB
'QTY UNIT = DESCRIPTION _ RATE EXTENSION FEE�:= TOTAL n_
2368 TON DUTGO.MSW 0.000 0.00 0.00 0.00
/"6�00
Ope a o s o ays a wee , V= • s� •
� �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�6 `ti
85� : 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL; AY , , a -x',x TENDERED-
CHANGE-
SIGNATURE
ENDERED` a
CH NGEn
.'CHECKNO'.-:-
SIGNATURE
SITE TICKET GRID , „ . WEIGHMASTERa
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600035 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 -__.DATEyINi sDATE'OUT� ','TIMEiN' TIME'OUT ��°,VEHICL'E'S'"''
02/23/21 02!23/21 13:08 13:08 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83980 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 47360 LB
QTY ,a' ~UNIT DESCRIPTION RATE EXTENSION _ FEE. _ TOTAL ;4
2368 TON DUTGO MSW 0.000 0.00 0.00 0.00
Operating flours odays a wee ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL 04— -„TENDERED z�'`,
AU ,fil
--CHANGE- -,',”'
CHECK NO.,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0378
Islandif, NY 11749 No.
(0-1) 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 NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,_j�.,.r ;-! .4�; SHIP DATE:
COMMODITY SHIPPED: S yr )
LOOSE: ( t,' 1 (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 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-L-A-W;' AHS B EN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR'TRANSPORTATION ACCORDING TO A PBLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) ,,(SIGNATURE-)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 1 1 ) � tI U1,`LI
TRUCK NO. t LICENSE NO/STATE:
TRAILER NO. �� LICENSE NO/STATE:
HEREBY CERTIFY THAT°THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT,IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: }
(PRINT NAME) (SIGNATURE)
DESTINATION`S�
DISPOSAL LOCATION--( ' A iIJ �� �;��1 113 �- �' "`� � DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY.THAT THE ABOVE MATERIAL HAS BEENACCEPT.ED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE,AND ACCURATE:
RECEIVED 8Y:,
AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE. -
KEY: _ WHITE TO-DISPOSAL-LOCATION
GREEN TO TRANSPORTER''-
YELLOW•TO TRANSPORTER,`—'
PINK TO GENERATOR 1
GOLD TO GENERATOR '., DISPOSAL,LOCATION TICKET NO.
-SITE ' TICKET!`-_; GRID�� �.� WEIGHMASTER_ p
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600089 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 _DATE IN DATE OUT TIME IN TIME OUT _VEHICLE __ROLL OFF
2/24/21 02/24/21 09:03 09:03 19606TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 80520 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46540 LB
QTY._ UNIT_' DESCRIPTION RATE EXTENSION .-,z---FEE OTAL
23.27 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Cali) .
s �
Ope `�� 3 c s ✓ i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.` '' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL%bAY�°%% , 1 :� TENDERED'°
_CHANGE
SIGNATURE
SITE TICKET GRID---; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600089 Steph
PO Box 962/6155 Cox Lane
�
Cutchogue, NY 11935 '-DATE IN DATE UT, TIME IN TIME OUT _ �/EHICLE - =ROLLOFF
02/24/21 02/24/21 09:03 09:03 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80520 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 46540 LB
,,,,,
OTY� ;nm;d�,'h'�UNIT., DESCRIPTION :,� ",y, ;RATE"` M��'%�7�r��,a ,EiCiENSION',,,;,,,
FEE _;TOTAL
23.27 TON DUTGO.MSW 0.000 0.00 0.00 000
n
M�
Operating hours o 0:UU PM clays a weed ,^
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIALDAY -;1 I :TENDERED
CHANGE
==CHECK NO
SIGNATURE
4 117RINITY TRANSPORTATION CORPORATION-
214 B1 denbur h Road
Y g
NO.� 0379
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND'DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: , =i '
LOOSE: : s (CU.YDS)
BALES: (COUNT):
TRUCK WEIGHT: i c1, GROSS
cyTARE
I
e`. 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 26TOR 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 I
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 1 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:
ELOW.DRIVER:
(PRINT NAME) • J,�` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: klv P, � _ l ;J ( � CR� DATE DELIVERED: f ter'
ADDRESS:
I HEREBY CERTIFY THAMTHE ABOVE MATERIAL HA&BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE
RECEIVED BY:,
AUTHORIZED AGENT(PRINT NAME)'.'' Yv SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION•
GREEN TO TRANSPORTER"
YELLOW'TO TRANSPORTER.
PINK.TO GENERATOR- '
GOLD TO GENERATOR- DISPOSAL LOCATION TICKET NO. ti,,<
SITE `TICKET �` =GRID '=_€ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600139 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN' DATEOUTTIME IN TIMEAUT ' VEHICLE,," �'_ ROLL`OFF.`
02/24/21 02/24/21 113:10 13:10 19606TC
009316 Town of Babylon
LREFERENCE ORIGIN
Scale 2 Gross Wt. 79520 ;.,LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 43320 LB
r QTY; -7 ,UNIT-�' `„DESCRIPTION, '�=`� ,,�RATEF° `—'EXTENSION',", FEE., 70TAL�
21.66 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ 0.00
a �=
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� � TENDERED
'CHANGE'
C ECK. O
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600139 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN`s, ,DATE OUT, TIME IN TIME OUT1/EHICLE, ROLL FF '
02/24/21 02/24/21 13:10 13:10 19606TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 43320 LB
,QTY. UNIT DESCRIPTION `_ RATE EXTENSION = FEE TOTAL
2166 TON DUTGO.MSW 0.000 0.00 0.00 0.00
vN—e1 �
211
Al
tl 1 {
, a j
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685a ��-> '� 0.00
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H NGE
CHECK-NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0380
_
Islandia, NY 11749 No.
(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 NOT`ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
_
COMPANY: �,� SHIP DATE: I �-
��' ; !:� t� � ��
COMMODITY SHIPPED: - vi �f
LOOSE: ,(CU YDS)
}
BALES: (COUNT):
TRUCK WEIGHT: 6i G GROSS
TARE
i Z7 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'APPLICBLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION A6856RDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) n (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
3 V I
0 L
DISPOSAL LOCATION: •, /- S t DATE DELIVERED: " 1 d
ADDRESS: •
LHEREBY CERT.IFYTHATTHE ABOVE MATERIAL HAS BEEN'ACCEPTED'AND TO THE BEST OF'MY,KNOWLEDGE THE`INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVE_ D BY:
AUTHORIZED AGENT(PRINT NAME) _'' _ SIGNATURE/DATE • t
KEY: WHITE TO DISPOSAL LOCATION .
GREEN TO TRANSPORTER
YELLOW.TO TRANSPORTER. .
PINK TO GENERATOR' ' t
GOLD TO GENERATOR• ' DISPOSAL'LOCATION TICKET NO.• : '
""DUPLICATE TICKET" SITE -_ TICKET -GRID '11VEIGHMASTER" -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600209 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN =DATE OUT TIME-IN TIME OUT _ ;VEHICLE ROLL OFF,
02/25/21 02/25/21 09:13 09:13 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70720 SLB Outbound-Charge ticket
Manual Tare Wt. 36280 -LB
Net Weight 34440 LB
OTY - .F_. UNITt, DESCRIPTION � RATE EXTENSION =�FEE TOTAL`
17.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Op s a wee -: 77 � ; ' . 7 •
�`� .tea
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85._e' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIA�LVDA a P ,
!Vi,
. , TENDERED .
!T 9
-CHANGE' •,
- CHECK NO. =
SIGNATURE
**DUPLICATE TICKET" _TICKET GRID-1
�sIT,E _ wEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE - 01 01600209 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATEIN '-DATE OUT _ TIME'Ifv'TIME OUT � "VEHICLE ROLL-_OFF
02/25/21 02/25/21 09:13 09:13 19606TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 70720 LB Outbound-Charge ticket
Manual Tare Wt 36280 LB
Net Weight 34440 LB
QTY = UNIT= DESCRIPTION 'RATE"' "' " EXTENSION' -FEE ' TOTAL
17.22 TON DUTGO.MSW 0.000 000 0.00 0.00
=r Jam'
t
i
Operating hours PUU AM to5:00-PM-1-daps a wee �`' z Q � __ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�' p 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-DAY.iTENDERED,
CHANGE_
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh R®adNO.� 0383
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0, %u 1 t" 4 ' i SHIP DATE: ,%
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (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 TO APPLICABLE REGULATION'
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATIONrf ti
DISPOSAL LOCATION:.( -n R i� ��. !_.f!" t pJ� t' f� DATE DELIVERED:
3
ADDRESS: `t 9
I HEREBY CERTIFY•THATTHE ABOVE MATERIAUHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
j 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" SITE 71CKE7 """ GRID 1NEIGHMASTE4, _ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600321 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 a DATE IN= .DATE OUT - TIME IN TIME OUT ; _ VEHICLE _ ROLL OFF
02/26/21 02/26/21 07:25 07:25 19606TC
009316 Town of Babylon .,.
REFERENCE
.-
Scale 2 Gross Wt. 77920 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 41720 LB
OTY _ UNIT' _ ---DESCRIPTION `_ ;RATE�_ _ 'EXTENSION` _ FEE- ` - 70TAL�ji�-
20.86 TON DUTGO.MSW 0.000 0.00 0.00 0.00
rill
1f ;
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." F •
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.��, �,. � 2 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALvtDAY Q ��_' TENDERED"=
_ CHANGE
CHECK NQ.
SIGNATURE
"*DUPLICATE TICKET"* SiTE 71 _ , GRID; wE1GHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600321 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DACE-IN�_M PATE OUT,- TIME IW T,IME OUT, VEHICLE,, ,ROLL OFF,,,
02/26/21 02/26/21 07:25 07:25 19606TC
009316 Town of Babylon
Scale 2 Gross Wt. 77920 LB Outbound-Charge ticket
Manual Tare Wt. 36200 :LB
Net Weight 41720 LB
CITY UNIT, -DESCRIPTIONEXTENSIONFEE," 11_ -,TOTAL ,,
20.86 TON DUTGO.MSW 0.000 0.00 0.00 0.00
;:E; x
Operating hours oclays a wee ;-:, �� •
y, �s
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL®AY � TENDERED
',CHANGE,,,
x CHECK NO.
SIGNATURE
w
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0381
"
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: )� ,i (- r I ; LiSHIP DATE: I
k
COMMODITY SHIPPED: JRA - tj i
LOOSE: t (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: X GROSS
r�
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,CUASSIFIED AND PACKAGED,AND IS'IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 1 E i ,^, °- �j i ` �j -'h J
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ) L LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
t
DISPOSAL LOCATION: '.:1 ^_1 1,. I ! ; '` `S } DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVEWATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: '
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION ,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR, ..
GOLD TO GENERATOR' " DISPOSAL LOCATION.TICKET NO.
:i
""DUPLICATE TICKET*" SITE TICKET I GRID _WEfGHMA$TER -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600413 Liz H
PO Bpx 962// 155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT VEHICLEROLLOFF
02/26/21 02/26/21 12:39 12:39 19606TC
009316 Town of Babylon
REFERENCE o-
Scale 2 Gross Wt. 69020 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 32820 LB
QTY. UNIT DESCRIPTION =RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY/; TENDERED,„ >
rfY
CHANGE
CH CK NO.
SIGNATURE
"DUPLICATE TICKET" SITE - TICKET GRID_ " WEIGHMASTER ;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600413 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN` DATE OUT' TIME IN TIME OUT ; VEHICLE' " ROLL OFF
02/26/21 02/26/21 12.39 12.39 19606TC
009316 Town of Babylon _
��"���,� - �% . "„`#mow,•a'bsx���FyS,.,�"'£�,"?�®' �+;��<u;
Scale 2 Gross Wt. 69020 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 32820 LB
QTY, _ 'UNIT- DESCRIPTION_' RATE = EXTENSION FEE TOTAL
16.41 TON OUTGO.MSW yyy"" 0.000 0.00 0.00 0.00
IV
DO
CLOSED HOLIDAYS-QUESTIONS CALL 631-734685,�',,
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL-DAY, �, sr - gib TENDERED
CHANGE
CHECK NO. t
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0382
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 N T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1
COMPANY: �� E4I t,' ) . ; `: SHIP DATE:
COMMODITY SHIPPED:
i
LOOSE: _. (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: `�? ' ":'4 GROSS
TARE
1 =t NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10-OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (•SIGNA.T_UREI
,TRANSPORTER
TRANSPORTATION/FREIGHT CO. / a , —'
TRUCK NO. a - LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.-ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
_ DRIVER:
(PRINT NAME) r (SIGNATURE)
DESTINATION ti
DISPOSAL LOCATION: # ,� i . l 1 DATE DELIVERED:
ADDRESS: ;
HEREBY CERTIFY THAT THE ABOVEMATERIAL 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.
_j I
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ® 3 4
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT,ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: '•i� A_r t .s ,ri SHIP DATE:
COMMODITY SHIPPED: 1A
LOOSE: ' i` (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ��$`Fl- ' GROSS
TARE
NET
—A 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. 14`
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
r�
DRIVER: a- �' t--9-
(PRINT
--"-(PRINT NAME) t/ (SIGNATURE)
DESTINATION
r - t' h
DISPOSAL LOCATION: () t`�� i'�` i r. � I `� ) - j>�� DATE DELIVERED: _ a
ADDRESS: t
r
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.