HomeMy WebLinkAbout03/2021 "`DUPLICATE TICKET" SITE_ JICKET1- ,`'_ GRID WEIGHM,�STER ;
SOUTHOLD TOWN DEFT SOLID WASTE 01 01600821 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN TIME OUT , VEHICLE ROLL OFF
03/01/21 03/01/21 08:41 08:41 19606TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 63780 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 27500 LB
QTY_ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.75 r0_1q_)UTG0.MSW 0.000 0.00 0.00 0.00
Soil;b
-CNr K
0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 `
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,� yq 6 TENDERED
PP
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CHECK NO
SIGNATURE
"*DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600821 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN DATE OUT "TIME IN TIME OUT VEHICLE I ROLL OFF
03/01/21 03/01/21 08:41 08:41 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 63780 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 27500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL_
13.75 TON DUTGO.MSW 0.000 0.00 0.00 0.00
7
Ay
COLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -'
OML
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAGDA a roum TENDERED'
_CHANGE
CHECK NQ::`
SIGNATURE
TRINITY TRANSPORTATION CORPORATION•
214 Blydenburgh Road NO. 0316
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 1f I Q) L! SHIP DATE: `
COMMODITY SHIPPED: E Ih)
LOOSE: Q Q (CU YDS)
BALES:(COUNT): _
TRUCK�WEIGHL_ � �=' GROSS
-
-2 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) (w (SIGNATURE)
i
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. tLICENSE 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. 'r
.d'
DRIVER: c✓c..
_(PRINT NAME) ,` (SIGNATURE)
/f
DESTINATION
DISPOSAL LOCATION: t ).I A 3DATE DELIVERED:
ADDRESS: \
1
-I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS'BEEN ACCEPTED AND TO THE BEST OF.MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:'"
RECEIVED BY: . '
AUTHORIZED AGENT(PRINT.NAME)• SIGNATURE/DATE`•
KEY: WHITE TO DISPOSAL.LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. _,
PINK TO GENERATOR` -
• GOLD•TO GENERATOR DISPOSAL-LOCATION TICKET'•NO. "'
SITE '« WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600859 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF-'`
03/01/21 03/01/21 12:35 12:35 19606TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 66680 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 30480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Sok
Operating ours o ays a wee '�, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4/ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL D TENDERED',
CHANGE
CHECK NO
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600859 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROL"L;OFFy,�z,,,';p
03/01/21 03/01/21 12:35 12:35 19606TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 66680 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 30480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00
«
Operating hours to 5:06 PM 7 days a wee lL >
__�'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.��' 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAUDAY N TENDERED
OW
CHANGE _'
CHECK NO:q
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 317
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: tom`( i SHIP DATE: r }
COMMODITY SHIPPED: "
LOOSE: -= = (CU YDS)
BALES: (COUNT):
— TRUCK WEIGHT— :_; (A-i-) GROSS
ico ===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-j ""-'"-
TRANSPORTER
f
TRANSPORTATION/FREIGHT CO.
TRUCK NO. r 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 -"�
t -r
DRIVER:
(PRINT NAME) '" (SIGNATURE)
DESTINATION
f �
DISPOSAL LOCATION: `� ✓ : / ( �`�
I' 1 �;✓:��r �1 `' ,ATE 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.
SITE , TICKET GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01600518 Steph
PO Box 962/6155 Cox Lane
Cutchogue,NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/27/21 02/27/21 08,10 08:10 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77020 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 38320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.16 TON DUTGO.MSW 0.000 0.00 0.00 000
LIU
n JI 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.I- 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY,',',ri TENDERED ,
` CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN-DEPT SOLID WASTE 01 01600518 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/27/21 02/27/21 08:10 08:10 19606TC
009316 Town of Babylon
RUERENCE: _7 ® GIN
-
Scale 2 Gross Wt. 77020 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 38320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.16 TON UTGO.MSW 0.000 0.00 0.00 0.00
f�'f r� J
Sl-
1Y 'r
:fir
Operating hourg o days a ee
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAW',,, . r rtr
_ p r r• Q tiYTENDERED
CHANGE
CHECK NO
SIGNATURE
SITE ': TICKET,'rv,'; GRID_ WEIGHMASTER ,.:M, 7
-")UTHOLD TOWN DEPT SOLID WASTE 01 01600916 Steph
'P' ox 962/6155 Cox Lane
Cu ,hogue iqY 11935 DATE'IN, :',DATEuOUT TIME IN TIME OUT VEHICLE ROLL OFF °n
l% 03/02/21 03/02/21 08:55 0855 11107T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 49880 LB
QTY. UNIT DESCRIPTION 'RATE EXTENSION FEE TOTAL
24 4 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Coo
,,.
Op Y5 a ee !- - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL,DAYq'' � � TENDERED
Ovumv
CHANGE
CHECK NO:q
SIGNATURE
SITE TICKET ,, - GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01600916 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN :,DATE OUT TIME IN TIME OUT VEHICLE ROLL OFFt'; ,
03/02/21 03/02/21 08:55 08:55 11107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 86500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 49880 LB
QTY UNIT,.'°`,,, DESCRIPTION - RATE" EXTENSION FEE TOTAL
24.94 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a wee est _ j p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALL TENDERED '
CHANGE.
CHECK NO::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0318
I;� = 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: ` ; (- t f'`_ ! �_ i SHIP DATE: 1 r
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
__TRUCK WEIGHT: =` - __GROSS
{ '?
C, TARE`---- `-�_----�__-
��i•r `'� �'` 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
I
TRANSPORTATION/FREIGHT CO. ;`t
TRUCK NO. `- i LICENSE NO/STATE:
TRAILER NO. I '",` LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-fLISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:t' 1 ! fA_ 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 01601074 Steph
PO Cox 962/6155 Cox Lane I _
Cutchogue,.NY 11935 DATE IN . DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
` 03/03/21 03/03/21 10.59 10:59 11107TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82320 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 45700 LB
QTY. UNIT ' '- DESCRIPTION RATE EXTENSION FEE TOTAL
22.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Soil; aw,
i
Op-leratrog hours o TOU PIVI 7 days a wee �� the _ ✓ •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734- 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DA 6� TENDERED
CHANGE,
CHEC NO
--j
SIGNATURE
SITE F TICKET GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601074 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/03/21 03/03/21 10:59 10:59 11107TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 82320 LB Outbound-Charge ticket
Manual Tare Wt. 36620 'LB
Net Weight 45700 LB
QTY. UNIT- DESCRIPTION a RATE EXTENSION FEE TOd�,
22.85 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7-00 AM to 5:00 PM 7 days a wee T _� `lam y � , _ ( •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. '. �` 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'�DAY _1 �' TENDERED ,
CHANGE ,
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION,
2_14 Blydenburgh Road
Y -- � .
Islandia, NY 11749 NO. 0335
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. j
COMPANY: j ;J7,i?. (`) ( J l SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
�=—=—T-RUCK 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 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. ` f LICENSE NO/STATE:
c
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. ��f
l
.f'
DRIVER: —^----;+, � ,,'�•���
/ter"
(PRINT NAME) (SIGNATURE)
f DESTINATION'
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS: '� I
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: "
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR. DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET*" sITE TICKET= i GRID_ = = _ WEIGHMASTER =_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601032 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
03/03/21 03/03/21 07:19 07:19 11 107T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76840 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 40560 LB
QTY UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL
20.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
7_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�6,,,85. 0.00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIA�L�DAY� TENDERED
CHANGE
CHECK NO .
�J
• SIGNATURE
**DUPLICATE TICKET** SITE TICKET' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601032 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT VEHICLE ROLLOFF ,
03/03/21 03/03/21 07:19 07:19 1 111 07T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76840 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 40560 LB
QTY UNIT, DESCRIPTION RATE, EXTENSION FEE TOTAL
20.28 TON UTGO.MSW 0.000 0.00 0.00 0.00
0.1
Ope 61a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-71685, �� — 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY101 TENDERED ,
mto 3
CHANGE'°°� _
CHECK NO,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ®
NO. 0392
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 (�k t 5 L (' SHIP DATE: `' 4
COMMODITY SHIPPED:'
1 `
LOOSE: (CU YDS)
BALES: (COUNT):
- TR UCK_WEIGHT:__ _ x ' ' _ =GROSS.<----_ _- -__ _ ___ - ---- -- -- ----- -- ---- -
`> i 0 TARE
Irl (_'}I _JIPNET
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(,SIGNA_T.-UREj...�-.-•---
TRANSPORTER' r
TRANSPORTATION/FREIGHT CO.
TRUCK NO. t` LICENSE NO/STATE:
TRAILER NO. , t LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE L<I'STED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW `
DRIVER:
(PRINT NAME) (SIGNATURE)
1�
DESTINATION
DISPOSAL LOCATION`, -?r I €w-f =L f '} f' l 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 A"GENT(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 i
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601163 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/04/21 03/04/21 07:19 07:19 11 107T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74100 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35400 LB 7
QTY ,UNIT- DESCRIPTION . RATE„ , �- EXTENSION, ,FEE. TOTAL .
17.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
47r
Op-leTating hours o 54 vivi 7 ays a wee 7, e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` r 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIZDAYg TENDERED .
CHANGE '
SIGNATURE
"*DUPLICATE TICKET`* SITE , ,TICKET;-�': �"GRID:;
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0386
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. {
i
COMPANY: .) ' }} SHIP DATE:
COMMODITY SHIPPED:
LOOSE: i �� (CU YDS) k
BALES: (COUNT):
r t_3 ----GROS_S__-GROSS.
TRUCK=lNEIGHT: .�__.-._._-_,. -- _.._�__ -_--_-------_-------_=��-_._=
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
�� l
TRUCK NO. �P 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
DRIVER:
(PRINT NAME) (SIGNATURE)
.,
f� DESTINATI9N
DISPOSAL'LOCATION: $ -u DATE DELIVERED: 16111, J ( }
ADDRESS:
1
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME), SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.'
PINK TO GENERATOR
GOLD TO GENERATOR . ", DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"* SITE TICKET -_ GRID '-_ WEIGHMASTER, `--
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601237 Liz H
PO BOX 962/6155 COX Lame DATEJN ' DATE'OUT' TIME IN TIME�OUT VEHICLE" ROLL OFF
Cutchogue, NY 11935
03/04/21 03/04/21 12:32 12:32 11 107T
009316 Town of Babylon
REFERENCI
•-
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 37640 LB
Q
UNIT--
TyDESCRIPTION RATE EXTENSION FEE. TOTAL
18.82 TON DUTGO.MSW 0.000 0.00 0.00 0.00
1N
,37
Jr
Operating hours 7:00 AM to 5:00 PM 7 days a week , W, �� '��_ � d •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685400�,,� -_ ;,� ° t 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL D;Y4' TENDERED
CHANGE
CHECK NO. ,
SIGNATURE
*DUPLICATE TICKET ' SITE, a TICKET, �� GRID �, WEIGHMASTER'r
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601237 Liz H
PO BOX 962/6155 COX Lane DATEIN DATE OUT, TIME IN TIME OUT, VEHICLE ROLLOFF
Cutchogue, NY 11935
03/04/21 03/04/21 12.32 =12-3211107TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 73840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Ne Weiaht 37-640 LB
QTY. - UNIT- F DESCRIPTION RATE EXTENSION FEE TOTAL
18.82 TON DUTGO.MSW 0.000 0.00 0.00 0.00
_ I
Operating hours 7:00 AM to 5:00 PM 7 days a week: e � ;, �- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.r611 0.00
,� TENDERED
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL"DAYS% 1l/kI��rl •rn+�
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0387
�
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. s i
COMPANY: `' f, I G t,_. ) SHIP DATE:
COMMODITY SHIPPED: "? s
-
LOOSE: (CU YDS)
BALES: (COUNT):
•<'x`•k t_.r GROSS=
— _TRUCK_WEIGHT:__----�� -�_-•-•- -----
z_:�` •�` x- TARE
NET
lr"
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
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
,.� DESTINATION
DISPOSAL LOCATION: A, � 's` ,''': f� ; >`,� U _� ) I DATE DELIVERED: r'
ADDRESS: I
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS.BEEN ACCEPTE D.ANITTO 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 01601920 Steph
PO Box 96.216155 Cox Lane
Cutchogue,-NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF
03/08/21 03/08/21 07:33 07.33 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 71200 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 34580 LB
QTY " UNITS= "__DESCRIPTION = RATE' EXTENSION,--' -'FEE TOTALS"_"'
17.29 TON DUTGO.MSW 0.000 0.00 0.00 000
=zzzz
(V
/e
t
Op ( � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , '` '" 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY �t � TENDERED
""''•'CHANGE=rim;
CHECK O:a ,
SIGNATURE
'*DUPLICATE TICKET" s►TE �TIc Er __ 'DRi"o wE1GHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601920 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 _DATE IN�=_� 'DATE OUT _TIME IN TIME OUT VEHICLE_'—° =ROLL OFF_
03/08/21 03/08/21 07:33 07:33 19640TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 71200 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 34580 LB
DESCRIPTION �' „" ',, �,d;,!d°RATE'a'" " EXTENSION`1
,TOTAL"-
17.29 TON DUTGO.MSW 0.000 0.00 0.00 000
Operating hours odays a wee y _r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. y, �� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS®AY TENDERED-,
-CHANGE
CHECK NO =°
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
�`2�14 Blydenburgh Road NO. 0042
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. f
COMPANY: SHIP DATE:
COMMODITY SHIPPED: i f
LOOSE: `r (CU YDS)
BALES: (COUNT):
TRUCK WEIGH_T_:-- 7) ---t ROSS
t ( � TARE
�x t C-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 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) C.,.,......(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.- - '
TRUCK NO. a' LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
. _
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE-MATERIAL HAS BEEN ACCEPTED AND TO'THE BEST_OFMY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHOR IZED,AGENT(PRINT NAME)-•- SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION s- -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.' '
PINK TO GENERATOR.
GOLD TO GENERATOR :'.k- DISPOSAL LOCATION TICKET NO.,z
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601993 Steph
PO Box 962/6155 Cox Lane
Cutchogu&,'NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ,
03/08/21 03/08/21 11:34 11:34 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 71440 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 35240 LB 7
_QTY.-' - UNIT' 'DESCRIPTIONS - RATE EXTENSION' FEE TOTAL
17.62 TON 0UTGO.MSW 0 000 0.00 000 0 00
G, QZI ttjjfr(/
gys
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ; � °--a�'
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY�'�' ' -TENDERED,
4j,U
CHANGE
CHECK NOJ
SIGNATURE
"DUPLICATE TICKET" 'SITE rTICKET "= GRID ` � WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01601993 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/08/21 03/08/21 111:34 11:34 19640TC
009316 Town of Babylon
1 Y
Scale 2 Gross Wt. 71440 LB Outbound-Charge ticket
Manual Tare Wt 36200 LB
Net Weight 35240 LB
- ,QTY. :UNIT. DESCRIPTION-- TENSION EXTENSION -FEE- TOTAL
17.62 TON UTGO.MSW 0.000 0.00 0.00 0.00
}Isj I��i'�il'r
062
'10
Opera Ing ours o days a weeas
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,/,rfR — y «` 3 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL'�DAY 3r ter TENDERED
}
CHANGE
CHECK NO.
SIGNATURE
;.TRINI-TY TRANSPORTATION CORPORATION,
2-14 Blydenburgh Road NO. 0322
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS _
BEING SHIPPED AND.DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE:
COMMODITY SHIPPED:
LOOSE: '` (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:-- t —GROSS
' f- i 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 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. LICENSE NO/STATE: f
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO`THE DESTINATION LISTED BELOW. .
DRIVER: �-
(PRINT NAME) (SIGNATURE)'
DESTINATION
DISPOSAL LOCATION: f_ rs j `>` ? si " 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.
E1** SITE TICKET = GRID - WEIGHMASTER
EPT SOLID WASTE 01 01602103 Steph
Pj,::ox Lane
SOU7"9 935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL_OFF
PO P� 03/09/21 03/09/21 08:10 08:10 11100TC
CUlun of Babylon REFERENCE
I Scale 2 Gross Wt. 771 LB Outbound-Charge ticket
80 g
Manual Tare Wt. 38700 LB
Net Weight 38480 LB
'QTY UNIT„ - DESCRIPTION - RATE_ = EXTENSION- FEE TOTAL-
19.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4p!` �� ?w,
Opera Ingours odays a weekt4 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` � 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY �� TENDERED
4
CHANGE
CHECK NO. `
SIGNATURE
"`DUPLICATE TICKET"" SITE ,TICKET GRID-_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602103 Steph
PO BOX 962/6155 COX Lane "''DATE IN` DATE OUT TIME IN' TIMI OUT ='` VEHICLE'''''` '' ROLL'OFF',"'°'
Cutchogue, NY 11935 - - -
03/09/21 03/09/21 08:10 08:10 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Wei ht 38480 LB
QTY - UNIT - DESCRIPTION _ - RATE; -EXTENSION_ FEE;' TOTAL
19.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week � ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76852 , r '? 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAW t TENDERED
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 0308
'lslandia, 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):
TRUCX WEIGH=T-: ---- - --GROSS----
TARE
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.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
r u l 4 J
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
/
DRIVER: (PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:. f _ -r DATE DELIVERED:
ADDRESS:
- 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. _ {
WEIGHMASTER
""DUPLICATE TICKET"" SFTE =TICKET �-- _ GRID
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602159 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NT 11935 'DATE IN, DATE OUT TIME IN TIME OUT VEHICLE.,- ROLL OFF
!� 03/09/21 03/09/21 11:27 11:27 11100TC
009316 Town of Babylon REFERENCE 1
CE •-
Scale 2 Gross Wt. 74280 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 38000 LB
QTY" °' ° UNIT_ -DESCRIPTION RATE' _ EXTENSIONS =-FEE �`_=_' =.TOTAL=
19.00 TON DUTGO.MSW 0.000 0.00 0.00 000
, a
e f
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � �a 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY3 TENDEREE',
--CH NGE"
CHECK NO.-
SIGNATURE
"DUPLICATE TICKET" (SITE "a TICKET' <� r� "GRID�� -� wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602159 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN _ DATEOUT __.TIME IN TIME OUT `VEHICLE =ROLL OFF
03/09/21 03/09/21 11:27 11:27 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74280 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 38000 LB
"'"Q7Y' uUNIT' DESCRIPTION ''" ;",`' RATE_ EXTENSION-_°_` �r° ;fiEE� =TOTAL"- "
19.00 TON DUTGO.MSW 0.000 0.00 0.00 0.00
An
c�
Operating hours 7:00 AFM to 5: 0 ays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,0' ,a - 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY
OWN v TENDERED°
CHECK NO=
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
I.
214 Blydenburgh-Road 0309
'�*_ 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: r yc�r-' �' ;-';�f` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUE 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 NCO/STATE:
TRAILER NO. / LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)' ) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: S'� ��'rF' �i /� '' �fi� :�'_ ' � DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO.THE BEST OF MY KNOWLEDGE''THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:,,
RECEIVED BY: _
AUTHORIZED AGENT(PRINT`NAME)"'- SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER.-
PINK TO GENERATOR ' '
-GOLD TO GENERATOR DISPOSAL LOCATION TIGKET,NO.
"DUPLICATE TICKET"* "SITE ,°,`.,TICKET"'' GRID' WEi_GHM_ASTER"`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602304 Steph
Pf-�,2o��x 4d/6155 Cox Lane
Cbt,W. gue, NY 11935 DATE IN DATE OUT, TIME IN TIME-OUT r VEHICLE'-_ ROLLOFF a»,
03/10/21 03/10/21 08:54 08:54 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 44880 LB
RTY UNIT,-. - DESCRIPTION _ RATE„ , EXTENSION *,FEE 7OTAL, ,,,,c x
O J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 p� omk
NEXT HOLIDAY: MONDAY, MAY 27,20 9 MEMORIAL"DAY-,0,
1p, TENDERED
CHANGE,,,
11-,CHECK,N07771
SIGNATURE
"DUPLICATE TICKET`" SITE 'TIOKET `'GRID ;iNEIGHMASTER{v_',__
u '.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602304 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -.DATE IN DATE-0& "TIME IN TIME OUT VEHICLE,, ROLL OFA
03/10/21 03/10/21 08:54 08:54 11100TC
009316 Town of Babylon
REFERENCE
CE
Scale 2 Gross Wt. 81500 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 44880 LB
QTY.; = UNIT- _ - _ DESCRIPTION — - ,RATE+. ,,,EXTENSIQN,, ��_ _ -,FEE,„ ,,. TOTAL,
22.44 TON DUTGO.MSW 0.000 0.00 0. 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: `m
� m_
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIADAY
�J "� TENDERED
r
-CHANGE'
vO .,CHECK NO:,"
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0310
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: s- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
—TRUCK=WEIGHT: —
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) 4 (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FR EIGHT
RANSPORTER -TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: dl
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: �` .'�''- ,r'r 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" TICKET - —"GRID..' =WEIGHMASTER
SOUTH'OLD TOWN DEPT SOLID WASTE 01 01602377 Steph
PO 131462/$155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME,OUT VEHICLE- ROLL OFF
03/10/21 03/10/21 12:07 12:07 1110GTC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74480 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 38200 LB
,'QTY.` , UNIT, _ - DESCRIPTION, RATE, r, EXTENSION,,' , FEE TOTAL u.
ION000 0.00 0.00 0.00
AM MUM
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 76885
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL DAY� � TENDERED_.
.CHANGE
'CHECK NO:
SIGNATURE
"DUPLICATE TICKET" .SITE T%,1`,TICKET �" - GRID' ' ` WEiGHMASTERa
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602377 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE W DATE PUT TIME IN TIME OUT _, VEHICLE; ROLLOFF;- ,z-
03/10/21
OLLOFF;- „_-03/10/21 03/10/21 12:07 12:07 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74480 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 38200 LB
QTY - UNIT
RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0311 ,
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.
wl
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:=— = GROSS-- _�_-=
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART,260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. o LICENSE NO/STATE: .r
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
— DRIVER_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN-ACCEPTED AND':TO'THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:,
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME),, SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION .
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER..
PINK TO GENERATOR -- .
., GOLD TO GENERATOR. DISPOSAL LOCATION TICKET NO, ts.
E
"DUPLICATE TICKET" A-I it I , -T- IkEt
"SOUTHT)LD TOWN DEPT SOLID WASTE 01 01602514 Liz H
PO Box 962/6155 Cox Lane
�VE)N: Ii IN
ME 6Lf - R�LL
Cutchogue, NY 11935
03/11/21 03/11/21 08:20 08:20 111 OOTC
009316 Town of Babylon -- I
REFERENCE
Scale 2 Gross Wt. 73780 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 35080 LB
'-',[)E CRIPTIOW-, EXTENSION
UNIT �JOT
OTY,: At:,'
17.54 TON OUTGO.MSW` 0.000 0.00 000 0.00
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0.00
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,CHECK NO
SIGNATURE
'66�MA
"DUPLICATE TICKET"
TICKET' - GRID,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602514 Liz H
PO Box 962/6155 Cox Lane
-17h E60fJ V61
- 'OUT m
Cutchogue, NY 11935
009316 Town of Babylon 03/11/21 03/11/21 08:20 08:20 11 100TC
REFERENCE
C
Scale 2 Gross Wt. 73780 LB Outbound-Charge ticket
Manual Tare Wt 38700 LB
Net Weight 35080 LB
7-7T
13ATE
Qry V RIT DESCRIen0N-,,,, -,EXTEN410N -�','-IFIEE (OTAL
17.54 TON DUTGO.MSW 0.000 000 0.00 0.00
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000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,;DAY/11
16�p
`�,��,�CHANGE
PIGNATURE -CHECK-NO
TTRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0 312
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: _ d SHIP DATE:
-�- a 't r"
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BAL--ES GOUN=T=):
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 BYAO CFR PART 261 OR ANY APPOCABLE 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)
TRANSPORTATION/FREIGHT CO. ,�' 1 '� " t�.-1
TRUCK NO. { LICENSE NO/STATEN
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
DISPOSALLOCATION: f` f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL'HAS'BEEN ACCEPTED AND TO THE BEST OF.MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_BY:,
AUTHORIZED AGENT(PRINT-NAME) " SIGNATURE/DATE. ;
KEY: 'WHITE TO DISPOSAL LOCATION `
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR'
GOLD TO GENERATOR,- DISPOSAL LOCATION TICKET:NO_, " z
'""DUPLICATE TICKET*` SITE TICKET_; �`_;GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602618 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE=1N" DATE OUT TIME IN TIME;OUT VEHICLE ROLLOFF ,
03/11/21 03/11/21 12:21 12:21 111 OOTC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72340 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 36340 LB 7
QTY ,- UNIT,' " DESCRfPTION - RATE EXTENSION --,-FEE TOTAL,
1817 TON OUTGO.MSW 0.000 0.00 000 0.00
�j 075P
i
Operating hours odays a wee :wA} 4� "� " •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,"" 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2 ` ? t`y F` � TENDERED
019 MEMORIAL•DAY ? '
£ CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TIC!<ET" = GRID � WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602618 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN° DATE OUT TIME IN TIME OUT VEHICLE „ ` _ ROLL=OFF
03/11/21 03/11/21 12.21 12:21 11100TC
009316 Town of Babylon
dills�
Scale 2 Gross Wt. 72340 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Wei ht 36340 LB
QTY. UNIT DESCRIPTION -- RATE -' EXTENSION_' -FEE TOTAL
18.17 TON DUTGO.MSW 0.000 0.00 0.00 0.00
l L � fff
v
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:;r�`,;°� 0.00„ "6--�_ _.--"-'' �*;��., ,���� `.
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY�' t,`�j ,7r�_ i _� TENDERED
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CHECK NO.
SIGNATURE
6
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 313
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: y rf i�'�` `'" SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED-BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION '
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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: __ �J'i t%i i 2 ) tf f;`1,1�r - -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ,l DATE DELIVERED:
ADDRESS:
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-30 DISPOSAL LOCATION.
GREEN TO-TRANSPORTER,
YELLOW TO TRANSPORTER. .
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO'.
**DLIp',ICATE TICKET** SITE TICKET GRID, WEIGHMASTER
SOU I H'OLD TOWN DEPT SOLID WASTE 01 01602768 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN'TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/12/21 03/12/21 108:41 08:41 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75180 LB Outbound-Charge ticket
Manual Tare Wt. 36500 LB
Net Wei ht 38680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weekcMGM=
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., y 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL°DAY'' °',,�;,� ��,� �.;�� �`, � � TENDERED
CHANGE
CHECK NO
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01602768 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/12/21 03/12/21 08:41 i 08:41 11100TC
009316 Town of Babylon
Scale 2 Gross Wt 75180 LB Outbound-Charge ticket
Manual Tare Wt. 36500 LB
Ne Weiaht .381380 LR
QTY, UNIT DESCRIPTION RATE EXTENSION 'FEE s.T0TAI_
19.34 TON DUTGO.MSW 0.000 0.00 0.00 0.00
'A
j r
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E '-* -
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY'v TENDERED
?" CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 314
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: ��'c;�; �� SHIP DATE:
r. j,
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40,CFR PART 260 10 OR ANY
= APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO•APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. `l LICENSE NO/STATE: )�f .� Q
TRAILER NO. ! LICENSE NO/STATE: 49 1` ` •�
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS:BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND•ACCURATE:
R_ECEIVED'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.•
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603018 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE = ROLL OFF
03/13/21 03/13/21 09:00 09:00 11 121TC
009316 Town of Babylon
REFERENCE
ICE
Scale 2 Gross Wt. 73480 LB Outbound-Charge ticket
Manual Tare Wt. 36120 LB
Net Weight 37360 LB
QTY UNIT DESCRIPTION RATE EXTENSION: FEE - TOTAL `
18.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
qy
hours 7.06 AM to
Qpm-��_,_ _ � i�.�� ��, •
nI IDAYS-QUESTIONS CALL 631-734-7685., '� 0.00
NDAY, MAY 27, 2019 MEMORIAL��DA owwm. N TENDERED-
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s� CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603018 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ,TIME IN TIME OUT VEHICLE ROLLOFF--'--
03/13/21
OLLOFF-_;03/13/21 03/13/21 09.00 1 09:00 11 121T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73480 LB Outbound-Charge ticket
Manual Tare Wt. 36120 LB
Net Weight 37360 LB
QTY. UNIT DESCRIPTION RATE---------- EXTENSION_- FEE _ TOTAL
18.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
IS
-L
Opera Ing nours imd Am to ays a wee :- � � i�_.- i _ , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' `* 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIXE�DAWJ TENDERED
14
CHANGE'
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION-
214 Blydenburgh Road 0471 '
Islandia, NY 11749 NOS
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY'ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -''
SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN.FREE LIQUID AS DEFINED BY-40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. .`, •; ,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.
LICENSE NO/STATE: .: .x i_� .� .* 1 � •
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: -
L- _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS: -
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEENACCEPTED 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. -- 0,
TRINITY TRANSPORTATION•CORPORATION
21413lydenburgh Road. - 0472
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,- _ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
-
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40,CFR PART 26010 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,•CLASS IFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO_ r f'` :• -� _
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.
LICENSE NO/STATE: y,'� , .�'
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:" s'r.•.. � ' ' rF. DATE DELIVERED: u
ADDRESS: t
I HEREBY CERTIFYT.HAT THE 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: �
*'DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603678 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN pDATE_QLT TIME IN TIME OUT VEHICLE e'� "',ROCL,OFF=';-;, -
03/15/21 03/15/21 12:06 12:23 11 121TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65900 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35980 LB
Net Weight 29920 LB
QTY "_� -UNIT� DESCRIPTION RATE EXTENSION --FEE TOTAL
14.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I` `
/ZN!
5 w r f
f "A b✓g
Operating houls Mu AIVI I IVI I ays a eea °�1° °;`u � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 " `
�. �� .� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY ? ��� _.TENDERED,-,TENDERED, ,
�z "CHANGE
-,CHECK NO.'E
SIGNATURE
"DUPLICATE TICKET`* =SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603678 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATEIN, DATE-OPT, �TIMif" TIME ^"`�-�'�VEHIC�E', �' � ROLLd,OFF��
03/15/21 03/15/21 12:06 12:23 11121 TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 65900 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35980 LB
Net Weight 29920 LB
QTY. -UNIT¢_ - DESCRIPTION ;� RATE EXTENSION = - ,FEE TOTAL
14.96 TON DUTGO.MSW 0.000 000 0.00 0.00
71
ry
_
Operating hours o ays a wee ��_ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,E _ _ g 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY ' „� „a__,; TENDERED
CHANGE
CHECK NO.,,-'-...
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road, NO`S 0 4 7 3�
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `
SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
'NET
LIQUID AS
BY 40
CFR PART 260 10 OR ANY
HEREBY CERTIFY STATE AW,IS NOT HAAZARDOUS WASTE AS DEFINED BOY X40 COFR PART 26NTAIN 1 OR ANY APPL CABLED STATE AW,HAS BEEN PROPERLY
APPLICABLE
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER___-._ _
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE•NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION-
' DISPOSAL-LOCATION: DATE DELIVERED:
ADDRESS:
9 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 TODISPOSAL LOCATION
GREEN TO TRANSPORTER- >
YELLOW TO TRANSPORTER"
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _ w;
**DUPLICATE TICKET" SITE1
fj#r RIP-
SO'UTHOLD TOWN DEPT SOLID WASTE 01 01603607 Steph
PO hoz 962kl 55 Cox Lane
,p�o bUT, Eiji
Cutchogue, NY 11935 _TIME 0,4 E
03/15/21 03/15/21 07:48 107:48 1 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69240 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35260 LB
QTY,r -UNIT--- ESCRPTO RATE
"EXTENSIO
N FEE TOTAL;_ `
17.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00
v,
141
Z
Opqn dtil ly Jual s 7.6d AM to 6.06 PIVI T d"
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-,
0.00
NEXT HOLIDAY: MONDAY, MAY 27
NEXT MEMORIAL,1-DAY4- ,n `,V ri 1_� �TENDERJED,,
V,
0
3CHANGE--,
CHECKNQ
SIGNATURE
"DUPLICATE TICKET** GRI G §TER,`,',_`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603607 Steph
PO Box 962/6155 Cox Lane
OUT HICLE OFF,'
Cutchogue, NY 11935 AT,I I N PA M T
0,
03/15/21 03/15/21 07:48 07:48 19640TC
009316 Town of Babylon —
REFERENCE
Scale 2 Gross Wt. 69240 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35260 LB
QTY. - --,:RATE -,'EX7ENSION FEE TOT&—
17.63 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Cz,
U
V,
Al
ry
,A r
tv
uperating hours /:UU AIVI 10 0:U6 FIVI days a MUM
k� k ('V
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,085.," 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALZD1AYq-" fil
TENDERED--V—
-,C NGE
"CHECKM
SIGNATURE
. _TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0324
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: = (CU YDS)
BALES: (COUNT):
TRUCK'WEIGHT:- �. L4 k.i '�� GROSS
TARE
j { a� ' 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.
i
GENERATOR AUTHORIZED AGENT(PRINT NAME),
TRANSPORTER
TRANSPORTATION/FREIGHT CO.-
TRUCK
O.TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: -
HEREBY CERTIFY THAT THE"ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION.
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS'BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL-LOCATION TICKET NO.
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road.
NO. 0474
,•- 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: 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 X40 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
GENERATOR AUTHORIZED AGENT(PRINT NAME) f, (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. r LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) r{ (SIGNATURE) .
DESTINATION,
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
• I HEREBY CERTIFY•THAT THE•ABOVE;MATERIAL HAS BEEN ACCEPTED-AND TONNE 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 GRID - w6GHMASTER.z=
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603761 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN ;DA7FOUTI,_�'TIME IN TIME,OUT „' VEHICLE -ROLL OFFy .
03/16/21 03/16/21 07:29 07:29 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83460 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 46460 LB
=QTY. UNIT__ DESCRIPTION RATE EXTENSION FEE TOTAL
23.23 TON DUTGO.MSW 0.000 0.00 000 0.00
all
Ope odays a weer,. 7,%
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-766885 � `= _ 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALZ`DAY %:;TENDERED--,
"CM NGE..r,^
"CHECK. .,
SIGNATURE
SITE TICKET w,. GRID wEIGHMAST,ER-='
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603761 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DAT�'IN,M„' 1,1JATE--OUT:% ^TIME IN'' TIME OUT-, "s VEHICLE�<, ”`���'ROLL'"OFF';>;;"
03/16/21 03/16/21 07:29 07:29 19640TC
REFERENCE ORIGIN
009316 Town of Babylon
Scale 2 Gross Wt. 83460 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 46460 LB
_QTY. . UNIT- _ DESCRIPTION = RATE -EXTENSION = =FEE �, = TOTAL
23.23 TON DUTGO MSW 0.000 0.00 0.00 0.00
® e, ,
/s�
�
ti fi-
0
operating hours odays a wemk,, s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768Q.4 e 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAE,D`
TENDERED-
NEXT
CHANGE
`CHECK,NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION-
214 Blydenburgh Road-: NO. 0325
-
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:
3
COMMODITY SHIPPED: "
LOOSE: (CU YDS)
BALES:.(COUNT):'
TRUCK WEIGHT: £ _r GROSS
TARE
NET
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE LIQUID AS DEFINED BY'40 CFR-PART 260.10-OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE,REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT-NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK
O.TRUCK NO. LICENSE NO/STATE:
TRAILER NO: - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED ABOVE, AND,THAT IT-WAS
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW.'-
'4
ELOW."-
DRIVER: s —
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r/ r1 / 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 DISPOSALIOCATION .
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 01603978 Steph
PO Box 962/6155 Cox Lane
Cut6hogue, NY 11935 DATE IN' DATE OUT �TIME IN TIME OUT VEHICLE _ROLL OFF'
03/17/21 03/17/21 08:57 08:57 11 121TC
009316 Town of Babylon
ORIGIN 2 Gross Wt. 69540 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 33260 LB
- QTY. UNIT DESCRIPTION RATE EXTENSION - - FEE TOTAL
1663 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4
Ri
Op �.�v� �, _ _ �� a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.` _ `—" � � 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALwDAY�,� %,-., ; ,TENDERED -_
C ANGE''
°CHECK NO.„
SIGNATURE
"DUPLICATE TICKET" rSITEF TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01603978 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-,, DATE OUT_ TIME IN TIME OUT 'VEHICLE °,r,„��, -ROLLOFF,,
03/17/21 03/17/21 08:57 08:57 11 121TC
009316 Town of Babylon
Scale 2 Gross Wt. 69540 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 33260 LB
`•'QTY. UNIT, DESCRIPTION "EXTENSION"" FEE.`_'Z' :'TOTAL
1663 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t♦ t".j a.- It `' 3 , r '�
Operating nours TOO AIVI todays a wee �s',
'fid
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.rs -,"q `— =` 0.00
NEXT HOLIDAY: MONDAY, MAY ��, `, ,
27, 2019 MEMORIAL,DAY TENDERED
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CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO.—° 0475
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 ANYeLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �'`F f r: f SHIP DATE:
COMMODITY SHIPPED: _z/
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 d0 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. �, r LICENSE NO/STATE:
TRAILER NO., LICENSE NO/STATE: ,w� ;, � ! `. 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: 9 ,rl_" 14 1/1 "-
(PRINT NAME) "' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ° % f'` ` ' '� r..,-'' DATE DELIVERED:
ADDRESS:
_-•I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEN ACCEPT.ED•ANDTO 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_ 't.
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 1 01604313 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,DATE OUT, .TIME'IN,TIME OUT VEHICLE �OLL,OFF�
03/18/21 03/18/21 13:48 13:48 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77120 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 38420 LB
QTY =_ UNIT; DESCRIPTION = RATE EXTENSION _ FEE TOTAL _
19.21 TON DUTGO.MSW 0.000 0.00 0.00 0.00
? _ \ ( _ 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 MEMORIADAF R � _�TENDERED
CHANGE -
1
H NGE -3=
CHECK NO:::::j
SIGNATURE
""DUPLICATE TICKET"" SITE TICKET GRID -' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01604313 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE'IN,°, :�rDATE,OUT, TIMEIN TIMEOUB VEW�CLEs`�-,,,, `"�' %RplL„OFF
03/18/21 03/18/21 13:48 13:48 11100TC
009316 Town of Babylon
REFERENCE IN
•-
Scale 2 Gross Wt. 77120 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Wei ht 38420 LB 7
"QTY. ',` UNIT_ - - DESCRIPTION RATE EXTENSION _ FEE = TOTAL
19.21 TON DUTGO.MSW 0.000 0.00 0.00 0.00
75
Operating hours 7:00 AM to 5:00 PM 7 days a weeks � 4 Y •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 --' e ' 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL'DAY o �& `'v TENDEREQ'r"..
t�a tr
SIGNATURE
., TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Load S 0477
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: �� ` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME). (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r'f / ffl
-,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVEWATERIAL 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 °
SOUTHbLD TOWN DEPT SOLID WASTE 01 01604226 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT _TIME IN TIME OUT VEHICLE _ ROLL OFF
03/18/21 03/18/21 09:55 09:55 11100TC
009316 Town of Babylon
REFERENCE
Sca
le 2 Gross Wt. 72500 LB Outbound-Charge ticket
ual Tare Wt. 36200 LB
Weight 36300 LB
QTY. UNIT = -DESCRIPTION . " RATE EXTENSION _``FEE t= TOTAL
18.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Vii/
l ; w
Operating hours 7:00 AM to 5:00 PM 7 days a week'
3 ��� �_i __ —�- � , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ; ` ''�,�. 000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIAL�DAW7=`tt�;,�n ,re yfp � TENDERED`""''
CHANGE h
CHECK NO
SIGNATURE
"DUPLICATE TICKET** SITE -11
' GRID; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01604226 Liz H
PO BOX 962/6155 COX Lane -.DATE IN - DATE-OUT ' 'TIME IN-TIME OUT VEHICLE— ° ROLL OFF
Cutchogue, NY 11935 -
03/18/21 03/18/21 09:55 09:55 11100TC
009316 Town of Babylon
RI R 2 Gross Wt. 72500 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Wei ht 36300 LB
r0TYCa UNIT �,'; ;• ,, "T � ,.W",•,rDESCFiIPTiON - RATE;,, °.,�� ,°=EXTENSION;,'.." `'FEE , NOTAL
18.15 TON UTGO.MSW 0.000 0.00 0.00 000
E
Operating hours 7:00 AM to 5:00 PM 7 days a weekly °'� '�:� '�`�- �� � . ry
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `' ` ---- n nn
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY" ( ;!�'�J, i�„� ��'I ; TENDERER
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0476
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: e�'`�;'i~J' ,'%`f`' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY.40 CFR PART 260.10 OR ANY=•-
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER•CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION ti
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER..•^---- -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. = LICENSE NO/STATE:
TRAILER NO. i LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: t `� Ll\i�R
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: % - -' -F"'` ''j DATE DELIVERED:
ADDRESS:
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 �,a_':TICKET~ ' ' �. -GRID '- _-- �'WEIGHfvIASTER�.'� _��I,
S_)UTNILD TOWN DEPT SOLID WASTE 01 01604330 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN" , "DATE OUT TIME IN°TIMEAUT VEHICLE-" `"°- ROLI--OF'F
03/19/21 03/19/21 07:10 07:40 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71780 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39080 LB
Net Weight 32700 LB
' ':-,QTY UNIT,,,,,,,, DESCRIPTION RATE =.EXTENSION FEE, - TOTAL"
16.35 TON UTGO.MSW 0.000 0.00 0.00 0.00
_ f r
Op ��, � t _ `a - _-- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�'�, --�,3 -----,r°'
000
NEXT HOLIDAY. MONDAY, MAY 27,2019 MEMORIAL:DAY,'r TENDERED
g CHANGE
CHECK NO..
SIGNATURE
"DUPLICATE TICKET** sITE ,,TicKEr ,�€ �►D,o iniEl�Hnna�sri R-. '„
SOUTHOLD TOWN DEPT SOLID WASTE01 01604330 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN= DATE-OUT TIME IN, TIM -OUT, VEHICLE „ °„° ROLL OFF
03/19/21 03/19/21 07:10 07:40 19640TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 71780 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39080 LB
Net Weight 32700 LB
- QTY. UNIT = DESCRIPTION RATE =`_EXTENSION r--FEE TOTAL
16.35 TON DUTGO.MSW 0.000 0.00 0.00 0.00
N' '
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - '
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEM0RIAL�'DAYaA Graf '�` ' TENDERED
tom-
�� CHANGE
CHECK NO.
�)
,SIGNATURE
TRINITY•TRANSPORTATION CORPORATION. -
214 Blydenburgh•Road
-
Islandia, NY 11749 NO.
0323
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: j. i ' } SHIP DATE:
COMMODITY SHIPPED: ,
LOOSE: (CU YDS)
BALES: (COUNT):
--4
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
NY-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 TRANSPORTATION ACCORDINGi TO APPLICABLE-REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)- - (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.'-
TRUCK
O.'-TRUCK NO. LICENSE NO/STATE:
TRAILER NO. !_`.> LICENSE NO/STATE: ' t 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) -(SIGNATURE)'
DESTINATION
DISPOSAL LOCATION: JV 1 1 DATE DELIVERED: ,
ADDRESS:
-
I HEREBY CERTIFY THAT THE ABOVE MATERIAL•HAS�BEEN ACCEPTED AND TO THE BEST"OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION"
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"'DUPLICATE TICKET'` SITE - = TICKET-,- =GRID e WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01604569 Steph
PO Box 962/6155 Cox Lane
Cutchogue;NY 11935 DATE IN' 'DATE OUT TIME 1N TIME OUT VEHICLE` ROLL OFF
. 03/20/21 03/20/21 09:02 09:02 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 90600 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 53980 LB
„'QTY, , `= UNIT. _,DESCRIPTION RATEEXTENSION " FEE TOTAL
26.99 TON OUTGO.MSW 0.000 0.00 0.00 000
W
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685: 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL.DAYrf- � <
��'�� TENDERED
til CHANGE
CHECK NO.,.
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET - GRID WEIGHNIASTER, �;"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01604569 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT - VEHICLE ROLLOFF
03/20/21 03/20/21 09:02 09:02 11100TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 90600 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 53980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL_
26.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating nours rud Am to mob Pivi 7 days a WeeE f ���;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85.E '
A 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL%DAY-,",,�?f
TENDERED
��j
� 777777UPTRUE7
CHECK-NO.
SIGNATURE
f
TRINITY TRANSPORTATION CORPORATION-
T14 Blydenburgh Road - -0478
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR fDOES 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.
h
COMPANY: �" y't�? ,r;�'. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT:CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS`BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER,
TRANSPORTATION/FREIGHT CO. ' ! _pk ("1 }
TRUCK NO. � LICENSE NO/STATE: s'j --
TRAILER NO.' 1 LICENSE NO/STATE: - i ,•f
I HEREBY CERTIFY THAT THE-ABOVE NAMED-MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) ` r' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: f - f/. , r. >r _ .,: DATE DELIVERED:
J
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
RANSPORTER:PINK TO GENERATOR •'
GOLD TO GENERATOR _ DISPOSAL”LOCATION TICKET NO.-' "'
""DUPLICATE TICKET * SITE TICKET__ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01605197 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, rIY 11935 DATE IN•,` DAMOUTn� TIME IN TIME�OUT.. , IVEHICLE;,„ ROLLOFF' ,
03/22/21 03/22/21 7:18 107:42 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71240 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36880 LB
Net Weight 34360 LB
==_QTY. UNIT " DESCRIPTION=_ RATE EXTENSION FEE' _ TOTALS
17.18 TON UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.?:/P, «_ 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY.4y ,,,TENDERED.,
CH NGE "
HECK
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET -,-GRID,-- _ WFIGHMASTER=
SOUTHOLD TOWN DEPT SOLID WASTE 1 01605197 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INd ; DATE� OUT a,-TIME.IN WI'ME OUT ',VEHICLE".i=, ROLL'OFF,.
3/22/21 3/22/21 7:18 7:42 19640TC
009316 Town of Babylon
ORIGIN 2 Gross Wt. 71240 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36880 LB
Net Weight 34360 LB
UNIT _
'FEE TOTAL
D
7.18 TON UTGO.MSW 0.000 0.00 0.00 0.00
7)
Ope a o s vOu 61 tu) days a wee .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY - F= ,TENDERED`
UN §
CHANGE.,'SIGNATURE
,f
NO. 80®5
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: _ ? GROSS
:. TARE
;NET •: ( '
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
` APPLICABLE STATE LAW,,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT_NAME)-_-__
TRANSPORTER `
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY..THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. _
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
:DISPOSAL LOCATION: - > DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE:
t
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. -"
WEIGHMASTER
**DUPLICATE TICKET"* SITE TICKET `__ GRID -
SOUTHOUD TOWN DEPT SOLID WASTE01 01605212 Steph
PO,Box 962/6155 Cox Lane
Cutchagde, NY 11935 bATE IN_= DATE OUT ;TIME IN-TIME OUT VEHICLE' - ROLL OFF
,' 03/22/21 03/22/21 08:00 08:41 11100TC
009316 Town of Babylon
REFERENCE bRIGIN
Scale 2 Gross Wt. 65600 LB Outbound-Charge ticket
Scale 1 Tare Wt. 37140 LB
Net Weight 28460 LB
'QTY_ _ • UNIT__ ' "' -' DESCRIPTION• 'RATE'" EXTENSION;"� -;FEE
14.23 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Al� � ,�
r: k/ `
tire. �� �•XM1''[:���.'� �e' qr �3'�� 'tl?
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.
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALzDAY j'�,P �� <d TENDERED"
--,,'-CHANGE,`-,
CHECK NO:9
SIGNATURE
s�
""DUPLICATE TICKET"" SfTE �T16KET°�_, = GRiD= ` _- wEIGH' MA`§TER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01605212 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN=_ DAMOUT --TIME IN TIME'OUT' VEHICLE-. 'ROLL OFF
03/22/21 03/22/21 08:00 08:41 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 65600 LB Outbound-Charge ticket
Scale 1 Tare Wt. 37140 LB
Net Weight 28460 LB
",QTY a'" UNI[ "Ar' DESCRIPTION' -':'�:' _ ;RATEJ ',�"'N' "EXTENSION' 3FEE' TOTAL",
14.23 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � -
` 0.0
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-CHANGE---
SIGNATURE
C ANGE'-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION .+
214 Blydenburgh Road NO" 0479
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: r ,` ;},'' .' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
1
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS,DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN'P_ROPERLY
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' r by,
TRUCK NO. ? LICENSE NO/STATE:
TRAILER NO. '' LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION:' =�"'� DATE DELIVERED.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANDTO.THE:BEST OF MY KNOVbLEDGE'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 T07GENERATOR•
GOLD TO'GENERATOR••": DISPOSAL LOCATION TICKET NO.'
DUPLICATE TICKET`* SITE TICKET__' GRD WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01605504 Steph
PO Box 962/F155 Cox Lane
Cutchogue, NY 11935 ¢=DATE IN _DATE OUT`;` 'TIME IN•TIME.OUT ' VEHICLE ROLL OFF;;`,
3/23/21 03/23/21 8:23 08.23 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44400 LB
QTY. '_ UNIT DESCRIPTION RATE.,T-z EXTENSION = FEE=' TOTAL ,
2.20 TON QUTGO.MSW 0.000 0.00 0.00 0.00
lk—
Ope a Ing hours o MOO Pm I days a wee + •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76155. ,� °� � `` x 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIADAY's --TENDERED_
'--CHANGE
CHECK<NO:-t-=
SIGNATURE
**DUPLICATE TICKET" SITE
SOUTHOLD TOWN DEPT SOLID WASTE 1 01605504 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;DATE IN ; DATE OUT_ „ TIME IN ,TIME OUT , VEHICLE, '_ -ROLLOFF `
3/23/213/23/21 8:23 8:23 11100TC
009316 Town of Babylon
REFERENCE
••
Scale 2 Gross Wt. 81220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44400 LB
" QTY^'S�y' ";UNIT vA
2.20 TON CIUTGO.MSW 0 000 0.00 0.00 0.00
Le
5
Operating hours odays a weeuN •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL'a, Y =._,.,,TENDERED , „
CHANGE
'CHECK'NOj
SIGNATURE
TRINITY TRANSPORTATION CORPORATION .
214 Blydenburgh Road NO. 0480
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: .{, _ p r:.- :�' SHIP DATE:
COMMODITY SHIPPED: y � _ rl J
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY•THAT THE ABOVE NAMED MATERIAL'DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR,ANY
APPLICABLE STATE.LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE)
TRANSPORTER .
TRANSPORTATION/FREIGHT CO.
TRUCK NO. �� r LICENSE NO/STATE: .
TRAILER NO. t 1µ 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.
6 s _
DRIVER: t •
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS-BEEN ACCEPTEDv'AND7,O 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** <kITE I TICK G
ET- RID 7, WEIGHMASTqR
SOUTHOLD TOWN DEPT SOLID WASTE 1 01605585 Steph
PO Box 962/6155 Cox Lane - I Tj
'-'bk --IN""_',DkE.b6�-_'[TiME'IN- TIME 6u'- -_'ROLEOFF
Cutchogue,N
Y 11935 ---- TE
009315-Town of Babylon 3/23/21 113/23�L�E50 11:50 11100TC
REFERENCE ORIGIN
Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40860 LB
'RATE EXTENSION, FEE TOT L,
F-777-0TY. 77- Uwmj`� DESCRIPTIOw�'. rm�d
0.43 TON ()UTGO.MSW 0.000 0.00 0.00 000
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851,�"\�, 0.00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIA Y-W" -TENDERED'__
Comm --CHANGE
CHECK,,N
SIGNATURE
"DUPLICATE TICKET** IT,9 Z,--,_,,,TIQKET` GRIID�
wEIG0MA
ST
SOUTHOLD TOWN DEPT SOLID WASTE )1 01605585 Steph
PO Box 962/6155 Cox Lane I
Cutchogue, NY 11935 DATEIN DATE TIME I TIMEOU VE ICLE ROLL OFF�-
�PYT I I F1�,, 1 -
009316 Town of Babylon 3/23/21 �3/23/21 11:50 1:50 11100TC
REFERENCE
Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40860 LB
"-OTY
..... ',,EXTENSI0W,,`, �2'1,FEE-",:', ",4-"7`TO�TAL,"
?0.43 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
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0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: MONDAY, I MAY 27, 2019 MEMORIAL D-AYiee TENDERED
OWN
,-QHANGE,
CHECK±!a.
SIGNATURE �__J
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0481
NO.
y Nlandia, 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 SUCHmATERIALS.
COMPANY: f' r'` r'., j,
'-` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THATeTHE 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'R.t-
37 DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION r'
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: J, t
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) r
(SIGNATURE)
DESTINATION ,
DISPOSAL LOCATION: �! '- } DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE,MATERIALHAS BEEN ACCEPTED-AND TO-THEfBEST OF-,MY KNOWLEDGE THE INFORMATIOMPROVIDED
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€v, "
GOLD TO GENERATOR DISPOSAL LOCATION TICKET:NO.
"*DUPLICATE TICKET" SITE TICKET_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01605861 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ..DATE,OUT--_, TIME IN TIME'OUT ;.VEHICLE,,` ,z t ; ROLL OFF
03/24/21 03/24/21 11:45 11:45 11100TC
009316 Town of Babylon
REFERENCE
s-
Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 34980 LB 7
QTY UNIT = DESCRIPTION RATE EXTENSION = FEE TOTAL _
17.49 TON UTGO.MSW 0.000 0.00 000 0.00
Operating o ays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-i685.?'/2 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA�AY 0 U7 mrii "TENDERED
CHANGE
CH CK NO'
SIGNATURE
"DUPLICATE TICKET" SITE= TICKET GRID _ WEIGHMASTER�-
SOUTHOLD TOWN DEPT SOLID WASTE 1 01605861 Dan
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN . DATE.OUT,m „TIME IN,TIME OUT ';VEHICLE'"n° --,ROLLOFF,,,',"
3/24/21 3/24/21 1:45 1:45 11100TC
009316 Town of Babylon
ism
Scale 2 Gross Wt. 71800 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 34980 LB
QTY UNIT, DESCRIPTION -F- RATE -EXTENSION FEE _ -TOTAL ==
7.49 TON C1UTGO.MSW 0.000 0.00 0.00 0.00
Operating ours o days a weeK. 6 °� a •„ o
CLOSED HOLIDAYS-QUESTIONS CALL631-734-7685. = _�� = 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL AY � , ,,,TENDERED_ .
CHANGEw._.
-CHECK NO:`i,,'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
r 214 Blydenburgh Road 0483
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: � C' rr _ ',/`�' 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. - O`
TRUCK NO. ;"I LICENSE NO/STATE:
TRAILER NO. f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE;AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: t } 1 i *•�_•�'' .`c ».
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
,.
ADDRESS:
I HEREBY CERTIFY-THAT THE ABOVE-MATERIAL-HAS BEEN ACCEPTED AND•TO THE BEST OF WY-KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: •
AUTHORIZEDAGENT(PRINT NAME) -_. SIGNATURE/DATE
KEY_ WHITE TO DISPOSAL LOCATION; .
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR =
GOLDTO GENERATOR' •°: - + ,• , DISPOSAL LOCATION TICKET NO.,
""DUPLICATE TICKET" SITE '`TICKET 4 "GRID WEI_GHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01605790 Dan
PO Bqk-OfI22/6155 Cox Lane
Cutchogue, NY 11935 _=DATE-IN DATE OUT TIME IN TIME OUT :VEHICLE;_ ` ROLL-OFF
3/24/21 03/24/21 8:24 8:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83840 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 45140 LB
QTY M`=_-" ' UNIT^ = ��DESCRIPTION _' - "RATE �`r', ;EXTENSION', FEE','=`�;,, - 'TO)TAL-` '
22.57 TON UUTGO.MSW 0.000 0.00 000 0.00
L� �:'L"^Tiavr ai 9.,- �`ez't dJ•.iad_ ;§ ��
1 �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 " n 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS AY ;t=zTENDEREb
-4,`-,, .CHANGE "4
SIGNATURE
"DUPLICATE TICKET" 31TE _TICKET=� G(ID' Vf%ElGHMASTER' _
SOUTHOLD TOWN DEPT SOLID WASTE 11 01605790 Dan
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 - =FDATE IN DA*__OUT TIME 14 TIME OUT VEHICLE; =r ROLLOFF
3/24/21 3/24/21 8:24 8:24 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 83840 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 45140 LB
DESCRIPTIONOTA� "�7R 'T"`QT , 1 EXTENSIONx -
- yEEE
2.57 TON QUTGO.MSW 0.000 0.00 0.00 0.00
fall)'
Ope �a P A
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 f 0 00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DA 4
" =TENDERED'
A GE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0482
Islandia, NY 11749 NQ.
(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)
RALES: (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.
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) ' r '' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: t` r :y` DATE DELIVERED:
ADDRESS:
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" ar DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET"* SITE -TICKET= GRID- WEIGHMASTER
SOt! HOLO TOWN DEPT SOLID WASTE 1 01606088 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT =TIME IK TIME OUT VEHICLE _ DROLL OFF
3/25/21 3/25/21 8:47 t!:4�710TC
REFERENCE ORIGIN
009316 Town of Babylon
Scale 2 Gross Wt. 77800 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38660 LB
QTY.` ' - 'UNIT`" DESCRIPTION `tFATE''° EXTENSION= "'T
-,FEE` OTAI:
9.33 TON OUTGO MSW 0.000 0.00 0.00 000
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
oumNEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY
SIGNATURE
"DUPLICATE TICKET " SITE ;_TICKET.'= s°' " '_ - GRID "'' , - INEGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE @1 01606088 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 w --DATE IN ' DATE OUT--_TIME'IN TIME-OUT VEHICLE;'-_` ==ROLL OFF
3/25/21 3/25/21 8:47 8:47 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77800 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38660 LB
QTYd "DESCRIPTION,;
9.33 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
v
Operating hours 7:00 AM to 5:00 PM 7 days a week.1�1 `- 1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALAY "s°TENDERED',
CHANGE`
s==CHECK NO
SIGNATURE
atm ,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 4 8 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
�EIABILITY
fBEING SHIPPED AND DOES NOT ASSUME ANY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �i'drr� =' 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,"CLASS IFIE D 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.. V LICENSE NO/STATE: r ,'� ', // W ` 1
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.
I
DRIVER: "`-
(PRINT NAME) (SIGNATURE)
= r
DESTINATION.
DISPOSAL LOCATION: ' Wit.: ;' '�' �' :�' DATE DELIVERED: -
ADDRESS:
HEREBY-CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO THE BEST OF MY_KNOWLEDGE THE INFORMATION PROVIDEW-m
IS TRUE AND ACCURATE: "
RECEIVED BY:
AUTHORIZED-AGENT(PRINT NAME) SIGNATURE/DATE.. =
KEY: -WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER—
YELLOW
YELLOW TO TRANSPORTER.
PINK TO GENERATOR,
-GOLD TO GENERATOR sy , DISPOSAL-LOCATION_TICKET NO:
""DUPL'�4TE TICKET"* SITE, TICKET GRID WEIGHMASTER
SdUTHOID TOWN DEPT SOLID WASTE 01 01606319 LizTH
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 OATE INS DATE OUT< TIME IN TIMEOUT ' VEHICLE' "`ROLL OFF°_'
03/26/21 03/26/21 07°48 07:48 11 100T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40280 LB
-- QTY- DESCRIPTION = RATE .;=n .. EXTENSION FEE >' TOJL
OUTGO.MSW 0.000 0.00 0.00 000
'n7e
4 _:• ,r
O ` r > •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY/,"-
� � =` TENDERED
-CHANGE
° CHECK N ,
SIGNATURE
"DUPLICATE TICKET" piTE �TlckEr�„=�� � GRID- = ,-�:,�WEIGHhIIASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01606319 Liz H
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE,IN, DATE-OUT TIME IN JTIM,E OUT VEHICLE--,,, ROLL OFF°
03/26/21 03/26/21 07:48 07:48 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40280 LB
,'QTY -UNIT= ,DESCRIPT30N°�°moi RATE° -EXTENSIONS""'ti''- .^'"' FEE°__ TOTAL'-
2014 TON DUTGO.MSW 0.000 0.00 000 0.00
WP�f_ anU
Fes, 4, _22s
Op v v �' •
ams. baa
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �� .0
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAYu ` t
y �; TENDERED° -
CHANGE,
CHECK NO.
SIGNATURE
ti
r T'RIINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0485
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 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 IMPROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ., '��':'t'
TRUCK NO. LICENSE NO/STATE: f
TRAILER NO. !� �d LICENSE NO/STATE: d
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: T -� x y F I' DATE DELIVERED:
ADDRESS:
LHEREBYCERTIFY THAT THE ABOVE<AAATERIAL 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: • -
"",DUPLIGATE TICKET" (SITE ;TICKET,-`- -GRID -- VNEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01606451 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE fN" DATE,OUT TiN1E IN TIME OUT 'VEHICLE" ` `- ROLL OFF
03/26/21 03/26/21 13:48 13:48 11100TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 79320 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 42720 LB
'QTY UNITS e. DESCRIPTION " RATE-, 'EXTEN510N ;FEE ",TOTAL
IUN uTGO.mSW 0.000 0.00 0.00 0.00
��y moo.e �� �W�: � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 w71, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALD '" TENDERED,,
CHANGE
CHECK NO.
SIGNATURE
"'"DUPLICATE TICKET" ;'SITE; TICKETGRID, = �WEIGHMf�STERr�. _ (
SOUTHOLD TOWN DEPT SOLID WASTE 11 01606451 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN DATEOUT, JEMEIN,TIME-OUT VEHICLE, ROLLOFF"
3/26/21 3/26/21 3:48 3:48 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79320 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 42720 LB
QTY = __ UNIT=; _ - DESCRIPTION RATE EXTENSION =FEE, TOTAL
ON UTGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685°
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY TENDERED
CHECK-NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0486
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:','` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
a
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. f` r'�/.',_ 'f
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: '' �' f�' DATE DELIVERED: _
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE'AND ACCURATE:
RECEIVED'BY:
AUTHORIZED AGENT(PRINT NAME)', SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
-_ GOLD TO GENERATOR DISPOSAL LOCATION TICKET•NO
""DUPLICATE TICKET" SITE I TJCKET = GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01606553 Dan
PO Box 962/6155 Cox Lane
Cutehogue,NY 11935 DATE IN," DATE,OUT. TIME IN TIME OUT VEHICLE.' - , ° ROLL OFF;
03/27/21 03/27/21 07:53 0753 19640TC
REFERENCE009316 Town of Babylon
•-
Scale 2 Gross Wt. 74560 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38620 LB
QTY. UNIT DESCRIPTION RATE -EXTENSION = FEE TOTAL
TON UTGO.MSW 0.000 0.00 000 0.00
QPM t !
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`S-- tXr,V. ,TENDERED,,,
4J
CHANGE-
CHECK NO:E:�j
SIGNATURE
*"DUPLICATE TICKET" SITE - TICKET _ - GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01606553 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN,, ,DATE;OUT"- TIMEIN, TIME-OUT" "VEHICLE �°ROLLOFF"rW>
3/27/21 3/REFERENCE
27/21 7:53 7,53 19640TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 74560 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38620 LB
_QTY. _ UNIT = DESCRIPTION' RATE EXTENSION,:- FEE,, = TOTAL
9.31 TON UTGO.MSW 0.000 0.00 0.00 000
stir
OL
i �` r✓
p iard •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 .x' `` ` '`-" ^� '� {r 0,00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED'�f
CHANGE " ...
�CHECK'N0.-
SIGNATURE
dp
NO. , U ® ®6
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS) _
BALES: (COUNT):
TRUCK WEIGHT: ` ' . :`` ' GROSS
t %C TARE
NET
• 3
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING_TQ_APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) "- _ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. _ LICENSE NO/STATE:Y
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION h = =
DISPOSAL LOCATION: DATE DELIVERED-
ADDRESS:
ELIVERED:ADDRESS =
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED _
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER -
__YELLOW.TO TRANSPORTER. `
PINK TO`GENERATOR -
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .
""DUPLICATE TICKET * SITE TICKET'_ GRID..�, '1iVE1GHMASTER ,.
SOUTUOLD TOWN DEPT SOLID WASTE 01 01607123 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 . _PATE IN DATE OUT TIME IN.TIME OUT 'VEHICLE 'ROLL OFF ,
03/29/21 03/29/21 07:16 07:37 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 70300 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36720 LB
Net Weight 33580 LB
QTY.-- UNIT DESCRIPTION 'RATE EXTENSION FEE TOTAL
16.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t(. L rL Yt
Operating hours o b.Ub FJIVI 7 ays a wee �, - "r,tit� _ _ r �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY , '_TENDERED
CHANGE
I-, CHECK NO °j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET'----- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01607123 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 -,DATE.IN "DATE OUT TIMEaW, TIME OUT ^;=VEHhCLE _ROLLOFF
03/29/21 03/29/21 07:16 07:37 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70300 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36720 LB
Net Weight 33580 LB
QTY' b„ UNIT , ',ya,` , DESCRIPTION' - RATE, EXTENSION 'FEE";d ;,r -yTOTALp°
16.79 TON UTGO.MSW 0.000 0.00 0.00 000
IZI.
Operating hours 7.00 AM to 5:00 PM 7 days a week. ,.' ? `» •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL`DAY'r` }��eE '� � TENDERED
L 0j
-CHANGE ,
-CHECK NO.
SIGNATURE
;.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5901
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: f i
LOOSE: (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
l.w }
GENERATOR AUTHORIZED AGENT(PRINT NAME) -(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
t t
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: f
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 `4 w rf51 , ' DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"`DUPLICATE TICKET** SITE' sTICKET'. 'GRID =__ � WEIGWASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01607378 Dan
PO Box 962/6155 Cox Lane
DATE IN�' d)*-OUT ;T[ME IN TIME,OUT VEHICLE , ROLL'OFF'
CU1chogue'NY 11935 _
03/30/21 03/30/21 07:25 07:25 1 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39440 LB
-'QTY. UN(T`
-DESCRIPTION RATE-. _ EXTENSION--,',' FEE " TOTAL,
19.72 TON OUTGO.MSW 0.000 0.00 000 0.00
- x
_ .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL,DAY j n,-, TENDERED'
- CHANGE
',CHECK N07,., "+
SIGNATURE
DUPLICATE TICKET`* SITE TICKET,;' „,,'��,;,, GRID.tir'4 _ , ;,,WEIGHRAASTEIj,;,`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01607378 Dan
PO Box 962/6155 Cox Lane
„'DATE INt;, ,, DATA OUT„°, , TIME IN TIME OUT VENICE ROLQFF'
Cutchogue, NY 11935 E
03/30/21 03/30/21 07:25 107.25 1 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39440 LB
QTY UNIT_; -DESCRIPTION RATE EXTENSION =FEE TOTAL
19.72 TON UTGO MSW 0.000 0.00 0.00 0.00
�q
t �
Op
�' ��
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,�/ �� "� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY� ,. p TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
-214 Blydenburgh Road 5902
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY:
SHIP DATE:
h
COMMODITY SHIPPED:
LOOSE: i ? F (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. ' T`
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. s` '' LICENSE NO/STATE: ' i �;
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: " t
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: �' sF` '! �� DATE DELIVERED:
ADDRESS:
I HEREBYCERTIFY 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
SOUTHOLDtTOWN DEPT SOLID WASTE 01 01607410 Dan
PO Box!62/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN-, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/30/21 3/30/21 8:23 8:23 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78480 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39780 LB
QTY. UNIT : DESCRIPTION = -RATE —EXTENSION FEE �TOTAC.;
1989 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
So �
� -
Opera s odays a wee . N 77 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. N 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIALDAY
;_TENDERED
CHANGE' n
-QHECK NO 'r .j
SIGNATURE
**DUPLICATE TICKET*" 51TET�CKET �� "_' GRID ", 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE V 01607410 Dan
PO Box 962/6155 Cox Lane I - �J
`DATE IN- DATE OUTJ8.23
'TIME IN TIME OUT LL-VEHICLE' -ROLL OFF
Cutchogue, NY 11935 -
3/30/21 3/30/21 8:23 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 78480 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39780 LB
QTY, , 'r ;DSGRTE, , I
FEEA
9.89 TON C1UTGO.MSW 0.000 0.00 0.00 0.00
77
(cc`
.: -- _` t
Operating hours :00 AM to 0 PM 7 days a week. ,ter •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ``-� -� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY W ���4 � ":"TENDERED
V �CHANGE-,u
CHECK NO.
SIGNATURE
__ .TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0488
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: ° -e� ®�r°, -�;= F` ' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT-CONTAIN FREE.LIQUID AS DEFINED BY.,40 CFR PART 260.10 OR ANY
-APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR,ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATIOWACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
-TRANSPORTER -
TRANSPORTATION/FREIGHT CO. ' e.-i_„
TRUCK NO. i 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:
(PRINTNAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: Y DATE DELIVERED:
: -
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED•AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE-AND ACCURATE:
RECEIVED BY_:. - - - -
AUTHORIZED AGENT(PRINT NAME) -+s` SIGNATURE/DATE
KEY: WHITE TO DISPOSAL,LOCATION,
GREEN TO TRANSPORTER,
YELLOW TO TRANSPORTER. -
PINK TO GENERATOR
"` GOLD TO GENERATOR DISPOSAL L"OCATION`TICKET•NO.:
SITE I `TICKETt-�-=�`I RID' �.' WEtGHMASTER °= -
`*DUPLICATE TICKET*'"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01607766 Dan
PO Bo;962/A5 Cox Lane
CUtChOgUe, NY 11935 :r "-bAff-W" ' DATE OUT, .TIME IN°TINIEOUT ' ""VEHICLE ROLLOFF'
03/31/21 03/31/21 10:49 10:49 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 85820 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 49200 LB
"AlY UNIT--- „ - r DESCRIPTION RATE <iEXTENSION'`--- _'FEE TOTAL,
24.60 TON DUTGO.MSW 0.000 0.00 0.00 0.00
rz
o
Opea Ing ours Ud AIVI to b:U6 FIVI 7 days a wee , � � � '� •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-76850.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIALSDAYdOlfCk TENDERED
� CHANGE
CHECK-NO ° "
SIGNATURE
"DUPLICATE TICKET-" SITE° �T�CKET� �t; .GRID,, _;F , .W,EIGHMASTER;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01607766 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE_OUT . „.T-1-M-
E,IN,TIMEOUT -YENICLE ROLLOFF
03/31/21 03/31/21 10:49 110:49 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 85820 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 49200 LB
QTY UNIT DESCRIPTION RATE EXTENSION_ FEE TOTAL
24.60 TON UTGO MSW 0.000 0.00 0.00 000Aj hif
I -
operating ours to 0 days a wee . `'7 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , � aP 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY -, ,Mint,f '' �: TENDERED
. w "�.����� i
CHANGE
CHECK NO::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Load 0490
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: qtr',' ,fy' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAINTREE 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. /� 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) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: - DATE DELIVERED-
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BEST OF MY-KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE: _
RECEIVED BY: • -
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR . DISPOSAL LOCATION TICKET NO."
"DUPLICATE TICKET"" SITE I
. "TICKET I `'GRID WEIGHMASTER
SOUTHOLk,'j TOWN DEPT SOLID WASTE 01 1 01607683 Dan
PO Box 96216155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATEOUT TIME IN TIME OUT 'VEHICLE ROLL OFF `
03/31/21 103/31/21 07:23 07:23 11100TC
009316 Town of Babylon
REFERENCE
e-
Scale 2 Gross Wt. 74480 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38540 LB
QTY. UNIT" - DESCRIPTION RATE EXTENSION • w FEE TOTAL
19 27 TON UTGO.MSW 0.000 0.00 000 0.00
Ul:cff �>
Opgiiiiiiiiiiiiiik •
CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685'_;j �.� _� g,� � _•�' 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL-,DAYi,f If3� J� TENDERED
CHANGE
CHECK NO.„
SIGNATURE
"DUPLICATE TICKET" SITE ;, ',TICKET . . GRID' ' '° WEIGHMASTER._ '• • ,-
SOUTHOLD TOWN DEPT SOLID WASTE 11 1 01607683 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• 3/31/21 3/31121 7.23 7:23 11 100T
009316 Town of Babylon
e�
Scale 2 Gross Wt. 74480 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38540 LB
QTY U_Nrr DESCRIPTION RATE EXTENSION -- - FEE TOTAL
1927 TON UTGO.MSW 0.000 0.00 000 000
..�`.r�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: — ;• '
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA�DAY�70, TENDERED
G ` � `'a
CHANGE'
CHECK NO.
SIGNATURE
•TkINITY TRANSPORTATION CORPORATION
214 Blydenburgh-Road 0489
Islandia, NY 11749 NOS
(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 L^IABILITY'ASSOC�IAT�,ED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: tom`
_�''.;/.�:'• � `, -r%� SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS°WASTE AS DEFINED BY 40 CFR PART 261 OR•ANY APPLICABLE-STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR•TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERA-TOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - t � 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) f — (SIGNATURE)
DESTINATION,
DISPOSAL LOCATION: ' `'. t"` 'z{ f'r '�rrsj' ``'i. DATE DELIVERED:
ADDRESS:' '
I HEREBY CERTIFY THAT THE ABOVE-MATERIAL HAS.BEEN ACCEPTED'AND TO THE-BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS TRUE AND ACCURATE: "
RECEIVED BY:.-
AUTHORIZED AGENT(PRINT NAME)• r SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN-TO TRANSPORTER
YELLOW TO TRANSPORTER.' • -
PINK TO GENERATOR
GOLD TO GENERATOR= _ = :` DISPOSAL LOCATION TICKET NO`.,