HomeMy WebLinkAbout05/2021 TRINITY TRANSPORTATION CORPORATION
214,B lydenburgh Road NO. 5952
Islandia, NY 11749
(61 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME AfNY'LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
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COMPANY: c , '' � r'. SHIP DATE:
7"-7
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:
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 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 TICKET NO.
*'DUPLICATE TICKET" SITE I ,TIGKET.m =GRID WEIGHMASTER s'
SOUTHYLD TOWN DEPT SOLID WASTE 01 01618761 Steph
PC BOX 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN - DATE'OUT- TIME IN- TIMEOUT VEHICLE -'ROLLOFF`-
05/03/21 05/03/21 12:10 12:24 19640TC
009316 Town of Babylon
REFERENCE
•-
A
Scale 2 Gross Wt. 63000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36000 LB
Net Weight 27000 LB
z. ,QTY = UNITw, _ DESCRI_P_TION� E.,RATE EXTENSION, FEES_, . x;'TOTAL `,=
13.50 TON OUTGO MSW 0.000 000 0.00 000
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E , � �� r 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAYA 3
If t� U 7 TENDERED
CHANGE
CHECK NO :
SIGNATURE
*DUPLICATE TICKET** sir€ Tlcic�. ,GRID wEIdi41MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01618761 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT-�� TIME,IN TIME OUT 3 VEHICLE —ROLL-OFF
05/03/21 05/03/21 12:10 12:24 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 63000 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36000 LB
Net Weight 27000 LB
'QTY' "" 'UNIT "+ _ DESCRIPTIONS "' RATE °EXTENSION"'°;a'.^ ",4, FEE" -„TOTAL
13.50 TON DUTGO.MSW 0.000 0.00 0.00 000
KZ NOperating hours odays a wee ��. 7 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '` =- r 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ��� � TENDERED =
,CHANGE
” - CHECK NO. ;
SIGNATURE
_ TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5910
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:
i
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: i' ` -' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.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
If
GENERATOR AUTHORIZED AGENT(PRINT NAME) ---(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: r
TRAILER NO. I 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: y S -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: > '� f _✓ DATE DELIVERED:
ADDRESS:
HEREBY CERTIFYTHATTHE 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.
WEIGHMASTER
*"DUPLICATE TICKET'' SITE ,TICKET`_ GRID
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01618711 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN_ TIME OUT VEHICLE ROLL OFF
05/03/21 05/03/21 10:56 10:56 11121 TC
009316 Tt)wn of Babylon
REFERENCE I ORIGIN
Scale 2 Gross Wt. 65340 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 26200 LB
QTY. UNIT_ DESCRIPTION RATE EXTENSION'," <` 'FEE � _ =_`TOTAL= "
00 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 >
,. 9 .,0
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY � ;TENDERED-
CHANGE„-'
r'C EC O
SIGNATURE
**DUPLICATE TICKET” SITE ,',_tTICKET `_;- GRID' �- WEIG_HMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01618711 Steph
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 -=DATE IN= DATE OUT TIME Ik TIME OUT -VEHICLE_ 4 ROLLOFF
05/03/21 05/03/21 110:56 10:56 11121 TC
009316 Town of Babylon
Scale 2 Gross Wt. 65340 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 26200 LB
QTY; UN1T�'" u�= DESCRIP,TlON,-''P.�� RATE' EXCENSION,,,,'r; �FEE"�-_ pwTOTAL=::_,
13.10 TON 0UTGO.MSW 0 000 0.00 000 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � r
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY�� _ ' .TENDERED-
k�g �'
,`CHANGE._,
CHECK NO..,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5953
Islandia, NY 11749
(63.1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED,AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: - t SHIP DATE:
COMMODITY SHIPPED: ✓�'
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
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. G ,` 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: tt ` ``( scs —
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: y, e ,,� F ,'
''� �'� `` �''�=;�- DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHATTHE 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 01618643 Steph
PO Box 962/6155PCox Lane
Cutchogue, H'Y 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE = ROLL OFF
05/03/21 05/03/21 08:38 08:57 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
:: Scale 2 Gross Wt. 71640 LB Outbound-Charge ticket
Scale 1 Tare Wt 39040 LB
Net Weight 32600 LB
QTY �a�a�,° UNIT" = _DESCRIPTION °`_ _-_ RATE_ __ EXTENSION :'FEE F_ �''TOTAL
16.30 TON DUTGO.MSW 0 000 0.00 0.00 000
Op _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-73468 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIADAY � � -TENDERED
HANGE-'"
C E N
SIGNATURE
"DUPLICATE TICKET * SITE ;;TICKET GRID,,1NEIOHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01618643 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT _TIME IN_ TIME OUT VEHICLE =ROLL OFF
05/03/21 05/03/21 08:38 08:57 19640TC
009316 Town of Babylon
REFERENCE ORIGK 2 Gross Wt. 71640 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39040 LB
Net Weight 32600 LB
,'QTY" UNIT'',y,a,o�,, ;DESCRIPTION �r ATE,. EXT SIO a'r
EN N �9'�>'",FE6"s-"zTOTAL=
1630 TON UTGO.MSW 0.000 0.00 000 0.00
OperaTIngliOul S UU 61 todays a wee . � �} •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. / ; 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIALDAI' Q, 1 TENDERED
=CHANGE .
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5909
IslanNO .dia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ti SHIP DATE: t'
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 TRANSPOR ATION ACCORDING TO-A`PPL-IGDABLE 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: i I
(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. /1
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
""DUPLICATE TICKET" ;SITE TICKET.,,- GRID , WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01618948 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/04/21 05/04/21 07:21 107:21 1 19640TC
009318`Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70380 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36400 LB
'°QTY =UNIT-- -r' - _ n DESCRIPTION_ RATE°'-"-, EXTENSIONS "° =FEE = ^TOTAL`
18.20 TON DUTGO MSW 0.000 0.00 0.00 0.00
_j - f
Op ray , �t o "; � �. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL"+QDAY ,� � s r : JENDERED,.,°, "
'' L ,
CHANGE
--,-- ---- - — --- - ---- CHECK,NO
SIGNATURE
"DUPLICATE TICKET" SITETICKET' - _ `GRID "� WEIGH�MASTER°` 2)1
SOUTHOLD TOWN DEPT SOLID WASTE 01 01618948 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN 13DATE-OUTu'`� 'TIIv'E'IN'TIME"OUT'_VEHICLE ROLLOFF
05/04/21 05/04/21 07:21 07:21 19640TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 70380 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36400 LB
QTY. UNIT- DESCRIPTION - ti.RATE _ EXTENSION FEE_; TOTAL,. ,�
18.20 TON DUTGO.MSW 0.000 0.00 0.00 0.00
`ZZZ �_
Operating hours odays a wee t '_t •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6Z, '�. N000
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALDAY { '" TENDERED
CHANGE-
-CHECK
HANGE--CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5 911
NO.
Ishmdia, 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
\ 0A R NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. { t + • s
TRUCK NO. ' LICENSE NO/STATE: r '
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 DATE DELIVERED:
ADDRESS:
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 TICKET NO
SITE TICKET - GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619039 Steph
PO Box 96 /6155 Cox Lane
Cutc�O'6ue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/04/21 05/04/21 11:26 11:26 19640TC
009316 Town of Babylon
REFERENCE
FScale 2 Gross Wt. 65240 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 29300 LB
" , UNIT`c - _DESCRIPTION° 'RATE EXTENSION 'FEE NOTAL-
1465 TON OUTGO MSW 0.000 0.00 0.00 0.00
,nr ,05-;,�':'z
K= A-
Opera ing ou s o ays a wee o �. , `EI •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x, 0.00
ZsNEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL\DAY, Q.I � ° TENDERED-
CHANGE"'/
ENDERED-CHANGEF"'
CHECK NO
SIGNATURE
SITE "TICKET ` ' ^ _`,'GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WANE 01 01619039 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ;,TIME IN° TIME OUT VEHICLE -ROLL OFF
05/04/21 05/04/21 11.26 11:26 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 65240 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 29300 LB
'-QTY "UNIT' x DESCRIFTION %_ �RATEb, °rEXTENSION`"�_ ' 'FEE'" - ;TOTALr'
1465 TON DUTGO.MSW 0.000 0.00 0.00 000
a
Operating hours PULI AM to ays a weeK. �Q i �_ ; �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685e 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY ; ,. TENDERED"-'
h
CHA E
CHECK NO.-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5912
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: " d
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: + 1 — —. ' GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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:
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 TICKET NO.
*DUPLICATE TICKET" ' StTE TICKET= =_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619050 Steph
PO Box 962/6155 Cox Lane
Cutchogue, W 11935 'DATE IN DATE OUT TIME IN,TIME OUT VEHICLE _ ROLL OFF
05/04/21 05/04/21 11:49 11:49 11121 TC
009316"Town of Babylon 0 REFERENCE
Scale 2 Gross Wt. 66020 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 29020 LB
QTY '' UNIT DESCRIP_T10N `� - RATE' EXTENSION ' _�-FEE = :TOTAL`_=
1451 TON OUTGO MSW 0.000 0.00 000 0.00
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s
Op lays a eek,�s ;taiA IIIIIIIIINSFULTMOW0
4 -
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�r
: a ;.-,4�=: 0.00
. 0
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMO RIALDAY �_ TENDERED--
CHANGE
ENDERED_CHANGE
CHECK NO..,
SIGNATURE
"*DUPLICATE TICKET'`* SITE -TICKET`= GRID= WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619050 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-._ DATE- TIME IN TIME OUT VEHICLE'rz- -ROLL OFF
05/04/21 05/04/21 11:49 11:49 11121 TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt r 66020 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 29020 LB
.Q7Y." v," UNIT -" - `'DESCRIPTION i; -'r :RATE' ,' 'EXTENSION'. FEE'`' = :- ,TOTAL `
14.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00
� � `%
tj/• J ..,
Operating hours 7:00 AM to 5.00 PM 7 days a week. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,.- % f 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY're671AVTENDERED
CHANGE- '
CHECK NO.-
SIGNATURE
O.SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5954
' 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: `'3' }
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. ; t.' ' 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: rix l /' 11
(PRINT NAME) (SIGNATURE)
DESTINATION
DATE DELIVERED:
DISPOSAL LOCATION: �f .° " %r'`,� a�' ;{ = -''
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 ; sIcID] _, �= wEIGHriasrER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01619273 Steph
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 'DATE IN_ DATE'OUT TIME' IN TIM' OUT � VEHICLE�` %h ROEL OF'F °
5/05/21 05/05/21 11.22 11:22 11121 TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 80720 LB Outbound-Charge ticket
Manual Tare Wt 38700 LB
Net Weight 42020 LB
QTY _ UNIT `- = - DESCRIP_TION� RATE _ • ��EXTENSION_ FEE TOTAL
21.01 TON OUTGO MSW 0.000 000 0.00 0.00
rt
Operating hours 7.uU AIVI to 5.00 PIVI hays a wee . ° � ,pad �, � �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ��` w,,- ✓' Q � 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY syr STs c TENDERED
CHANGE- '
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET �GRID' -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619273 Steph
PO Box 962/6155 Cox Lane
CutChOgue, NY 11935 DATE IN „DATE;OUT';, `TIME W`TIME OUT , „,VEHICLE,'- �ROL< OFF,,,,,,a
05/05/21 05/05/21 11:22 1122 11 121TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt 80720 LB Outbound-Charge ticket
Manual Tare Wt 38700 LB
Net Weight 42020 LB
QTY _UNIT - _ - -- " DESCRIPTION; ,,�'�„ _ ' Rf�TE'�"x''°` EXTENS[ON"=� - "FEE'" - �TOTAL�
21 01 TON UTGO.MSW 0.000 0.00 000 000
`Z�l{p
3 �r
e 1 � ?
Operating fidurs 7.00 AM t7o-5.00clays a weeK. w �� =� -a•�� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL DAY 1�Iy� TENDERED
CHANGE
CHECK NO.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 13lydenburgh Road 5956
Tslandia, 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
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
RANSPORTER _-TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `= :f, `= ' ` ` =
z = DATE DELIVERED:
t
ADDRESS: f
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOi%D TOWN DEPT SOLID WASTE 01 01619193 Steph
PO Box 962/6155 Cox,Lane
Cutch,Igue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE I `ROLLOFF
05/05/21 05/05/21 07.59 07:59 11121 TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 81640 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 45020 LB
QTY. -UNIT' DESCRIPTION. RATE EXTENSION - FEE, TOTAL
2251 TON DUTGO.MSW 0.000 000 000 000
�_6;N
Operating hours o ZTUU P1917 days a ee . •s _� .� ;
I
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 4 0.00
NEXT HOLIDAY: MONDAY, MAY 27,2019 MEMORIALtDAY n , TENDERED
' rr CHANGE
CHECK NO.
• SIGNATURE
""DUPLICATE TICKET"" SITE I TICKET,"`„ ,GRID ,, „WEIGHMASTEA
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619193 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE)-NDATE OUT TIME IN•TIME OUT VEHICLE -ROLL OFF
05/05/2105/05/21 07:59 07:59 11121 TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. .. 81640 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 45020 LB
IQTY°'` UNIT.;' DESCRIPTION RATE,' EXTENSION. `FEE_u ti �'TOTAL
22.51 TON UTGO.MSW 0 000 000 0.00 0.00
'V Off ,
Operating hours odays a weeK.A
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
r e ;' 0 00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL'DAY- �F T, TENDERED
a CHANGE
CHECK NO.:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 11 4 Blydenbnrgh Road 5955
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: ''-F
—�`st�f �' <� ��� SHIP DATE:
COMMODITY SHIPPED: /
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. = E "> LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
f 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: W%s^rz. '>` ! !' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER" ^,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE , TICKET ,,GRID- WEIGHMASTER
O
,.__a - - - - - - - _
SUTHOLD TOWN DEPT SOLID WASTE 01 01619481 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIMEOUT . VEHICLE ROLL OFF
05/06/21 05/06/21 11:46 11:46 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77760 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41220 LB
QTY. tUNIT, DESCRIPTION -�,� ,� =;- RATE v, EXTENSION FEE _ TOTAL
20.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Ott)Af
OJ_
CA
Dpui atn ig I mai b T 00 AM to .., •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � 0.00
�,
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAIDAY TENDERED
T„ CHANGE
CHECK�NO '
SIGNATURE
"'`DUPLICATE TICKET"" SITE ,TICKET' 1GRIq-, WEIGHMASTER;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619481 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN -_ DATE OUT TIME IN TIME,OUT - VEHICLE, ROLLOFF
05/06/21 05/06/21 11:46 11.46 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 77760 LB Outbound-Charge ticket
Manual Tare Wt 36540 LB
Net Weight 41220 LB
`„QTY _' UNIT.�”"� ' ' DESCRIPTION—,; � RATE,""" EXTENSION FEE
20.61 TON UTGO.MSW 0.000 0.00 000 0.00
IOU
Opera mg nours odays a wee / •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-i685. ` 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIALDAY� TENDERED
t�
CHANGE
'
CHECK NO `
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5958
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: ;%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. t = LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: � -
(PRINT NAME) (SIGNATURE)
DESTINATION
r; ,t
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET" SITE TICKET,: GRID WEIGH
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619381 Pat H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 -BATE IN, =DATE OUT-; TIME IN TIME OUT = ' VEHICLE ROLL`OFF
- 05/06/21 05/06/21 07:50 07:50 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross'Wt - 77860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43880 LB
QTY :UNIT DESCRIPTION-. .RATE EXTENSION FEE-`, cTOTAL
21.94 1 ON (DU I domw 0.000 .00 0.00 000
0
.15.90 RM Ur •
CLOSED HOLIDAYS-QUESTIONS CALL 631-73427685' ,
, <�,
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DA".z° 1 p,
f m -1 , 11 TENDERED
CHANGE
CHECK NO
SIGNATURE
"*DUPLICATE TICKET" SIT,E, _ TICKET; ��GRID � WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619381 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 , ,DATE IN DATE OUT,; TIME IN TIMEOUT : VEHICLE ROLL OFF
05/06/21 05/06/21 07:50 07:50 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 77860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43880 LB
QTY UNIT _ _ 'DESCRIPTION "¢RATE'' 'ExTENSION, ',FEE" TOTAL"; '
�., nit
21.94 TON DUTGO.MSW 0.000 0.00 000 0.00
- J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685` ,'< 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALDAY �' a TENDERED
t�
c
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5957
'
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATORlDOES 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
.�� ��=�,f. _ �=' SHIP DATE:
i
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT): P/ /
TRUCK WEIGHT: 1 J c6GROSS
°l 9-n TARE
Sb 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 TRANSPOR ION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
-
TRANSPORTER---- ---
TRANSPORTATION/FREIGHT
RANSPORTER __TRANSPORTATION/FREIGHT CO.
TRUCK NO. `J 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
'a..r i':
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
SITE "TICKET GRID WEIGHMASTEA-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619676 Dan
PO Box(5216155 Cox Lane
Cutchogue, NY 11935 DATE INQ DATE OUT "`TIME IN TIME OUT VEHICLE ---ROLL OFF
05/07/21 105/07/21 108:14 108:14 1 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83100 LB Outbound-Charge ticket
Manual Tare Wt 40400 LB
Net Weight 42700 LB
OTY. `",r`4b ^ UNIT= `DESCRIPTION' = __ RATE " - = EXTENSION; „ `FEE TOTAL_`
21 35 TON DUTGO MSW 0.000 0.00 0.00 0.00
a vt. ,
zz�
O =°�m _
CLOSED HOLIDAYS-QUESTIONS CALL 631-734685. ®� 000
NEXT HOLIDAY. MONDAY, MAY 27, 2 19 MEMORIA _-Df� �
TENDERED%
=CHANGE „
:,CHECK NO °
SIGNATURE
SITE ;TICKET- ``" GRAD " " ' VIrEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619676 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN'- DATE OUT -TIME IW TIME OUT " VEHICLE ROLL OFF
05/07/21 05/07/21 8:14 08:14 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 83100 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 42700 LB
i^n0 p i '"UNIT., �` ��''ir ?,i^ �C^y,� _ E�FE
DESCRIPTION ;;RATE'' NSION= FEE TOTAL=t a""'
-k
21 35 ION )U I UU IVIOVV 0.000 0.00 0.00 0.00
tip=W 6F
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIALAIa ;TENDERED,.
,-,CHANGE,-,
CHECK NO.,r
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
-214-Blydenburgh Road 5959
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
. TRANSPORTER- --"-
TRANSPORTATION/FREIGHT CO.
TRUCK NO. / LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 -TICKET--': GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE01 01619814 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATEW_- DATEOUT TIMEIN TIMEOUT VEHICLE .ROLLOFF
05/07/21 05/07/21 12.20 12:20 11100TC
009316 Town of Babylon
REFERENCE e-
Scale 2 Gross Wt. 80480 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43860 LB
QTY. UNIT'- DESCRIPTION '_ "" RATE EXTENSION ' �'_`FEE• T-� 'TOTAL =``
21 93 TON DUTGO MSW 0.000 0.00 0.00 0.00
Axe, s
CLOSED HOLIDAYS-QUESTIONS CALL631-734685 „< � 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIANAY TENDERED-
,
CHANGE
” CHECK.NO��
SIGNATURE
"`DUPLICATE TICKET" SITE ' -,TICKET _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619814 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT -_TIME IN TIME OUT VEHICLE-'-- -ROLL OFF
05/07/21 05/07/21 12:20 12:20 11100TC
009316 Town of Babylon
Scale 2 Gross Wt 80480 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 43860 LB
'QTY UNIT; - - JDESCRIPTION ON _ 11 - - RATE' EXTENSION,`;, TOTAL"?'
21 93 TON OUTGO.MSW 0.000 0.00 0.00 000
e. r° '
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e, � '� 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL AY � � TENDERED
vu
,'CHANGE -^
C EC O
SIGNATURE
` j" .,TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5960
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 LIABILITYASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:
SHIP DATE:
,t
COMMODITY SHIPPED:
r'
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER_.
TRANSPORTATION/FREIGHT CO.
J
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: ! t s
.a
(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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
`*DUPLICATE TICKET"" SITE _-- �T1cKEf '�� = e GRID _ _ = _wEIGHMasrER_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619658 Dan
PO B•ox-9G-'_-!@155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF'
05/07/21 05/07/21 07:33 07.33 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74840 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 34440 LB
QTY. UNIT-, DESCRIPTION R,4TE EXTENSION FEE TOTAL
A
.�
CLOSED HOLIDAYS- QUESTIONS CALL 631-734- 685� f, '
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA . A,
TENDERED'Oum
9
CHANGE,
CHEC NO
--j
SIGNATURE
`"DUPLICATE TICKET"" SITE TICKET I GRID WEIGHMASTER -.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01619658 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE•IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ^,
05/07/21 05/07/21 07:33 0733 19640TC
009316 Town of Babylon
•-
Scale 2 Gross Wt 74840 LB Outbound-Charge ticket
Manual Tare Wt 40400 LB
Net Weight 34440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0 0.00 000 000
)7a
�®
CIO-
.r_`
L I),-, Az*
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAAY TENDERED`
CHANGE
CHECK NO9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5 913
Islandia, IY 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: h' . �.`: .' 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. I
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: - t
(PRINT NAME) --(SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r' DATE DELIVERED:
ADDRESS:
1 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 TICKET NO
"`DUPLICATE TICKET" .SITE ,1; ,TICKET_%, 1,,` � +GRID: � �WEIGHfI/IASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620007 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,'DATE'IN _bATE_OUT-' aTiMEIN TIMEOUT VEHICLE`'" -ROLL'OFF
05/08/21 05/08/21 07:54 07.54 19640TC
009316 Town 3of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73100 LB Outbound-Charge ticket
Manual Tare Wt 37000 LB
Net Weight 36100 LB
QTY. -UNIT DESCRIPTION ; RATE e_EXTENSION - FEE TOTAL`-
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.+ - _
�'.�
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYS°,4
TENDERED
UV
CHANGE '
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" i(SITE TICKET,,` ,GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620007 Steph
PO Box 962/6155 Cox Lane
NY 11935 w-DATEIN '.� 'DATEOUT,g„ ?TIMEIN,_TIME OI-
Cutchogue, T,,, a,,VEFjICLEah �° ROL�OF ", W
05/08/21 05/08/21 107:54 0754 19640TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 73100 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 36100 LB
CITYr''_-' ,»%',' UNIT,',;' '"°-' ^'DESCRIPT0N, '�'RATE',s='' - EXTENSION "" FEE` _ TOTALS
0.000 0.00 0.00 000
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685°*
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL-
,DAy TENDERED
CHANGE
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5 914
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: r
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: G Cr GROSS
jTARE
U 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: f
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: - _t
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET ',," GRID , ' WEIGHMASTER '_ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620047 Steph
PO Box 962/6y155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
' 05/08/21 05/08/21 09:33 09:33 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76760 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42780 LB
QTY. UNIT DESCRIPTION s RATE EXTENSION FEE TOTAL
21.39 TON OUTGO.MSW 0.000 0.00 000 0.00
riiY
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7L685.�Qp�� °`- -r 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL'DAY j,,
' TENDERED,',
,7 CHANGE
CHECK NO
__j
SIGNATURE
SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620047 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' "'DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF .
05/08/21 05/08/21 09:33 09:33 11100TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt 76760 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42780 LB
QTY. UNIT ; DESCRIPTION RATE EXTENSION FEE TOTAL
21.39 TON OUTGO MSW 0.000 0.00 0.00 0.00
14
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685.✓S� '-- 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY .,�<`_ ^ �"
TENDERED ,
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-CHANGE-, - -
CHECK
CHANGE- -CHECK NO.
SIGNATURE
TRJNITY TRANSPORTATION CORPORATION
2.14 Blydenburgh Road 5961
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)
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) (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
TICKET"`DUPLICATE TICKET"" SITE GRID ViIEIGHMASTER =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620739 Steph
PO Box 36/6155 Cox Lane
CUtc bgue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I 'ROLL OFF
05/10/21 05/10/21 11:34 11:34 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 89380 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 48980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
n, C
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �� 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAY;/IrF � TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620739 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN bATEOUT TIME IN TIME OUT VEHICLE ROLL OFF
05/10/21 05/10/21 11:34 11:34 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt.. 89380 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 48980 LB
QTY.- UNIT%` DESCRIPTION RATE, , EXTENSION FEE TOTAL
24.49 TON UTGO.MSW 0.000 0.00 0.00 0.00
n
• ���,� ,�.,---- _yam,
"0
Operatn hours 7.UuIAivI to Tud FIVI 7 days a wee . ;; � •
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'j, `' ° r�� ,; 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL�DAYf TENDERED
OR T,
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CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
x.--214 Blydenburgh Road NO. 5963
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'r. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORT-
E-8--TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: -
-(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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 TICKET'- GRID ° WEIGHMASTER
SOUTHOtu TOWN DEPT SOLID WASTE 1 01620635 Steph
PO Box 962/6155 Cox Lane
CUtChogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
5/10/215/10/21 t8:04 t8:04 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 69580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 30440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1522 TON OUTGO MSW 0.000 0.00 0.00 0.00
Ope �
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685
0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA'q-* � g TENDERED
OUNTI
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 011 01620635 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE] DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
5/10/21 5/10/21 8:04 8:04 11100TC
009316 Town of Babylon
®-
Scale 2 Gross Wt. 69580 LB Outbound-Charge ticket
Manual Tare Wt 39140 LB
Net Weight 30440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
522 TON C UTGO MSW 0.000 000 0.00 0.00
soil)
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 85``� � 0.00
NEXT HOLIDAY-MONDAY, MAY 27,2019 MEMORIAL D',YMum TENDERED '
9
CHANGE
CHECK NO
-�j
SIGNATURE
RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5962
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `` '= J
SHIP DATE:
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: _.) '
r/°'r'
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:
HEREBY CERTIFYTHATTHE 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.
�"DUF CATE TICKET' SITE „ TIGKE7';'r, .t GRID WEIGHMASTER-
SOU'" ILD TOWN DEPT SOLID WASTE 01 01620936 Steph
PO B ')62/6155 Cox Lane
Cutch , ue, NY 11935 DATE IN DATE OUT_ , TIME IN TIME OUT VEHICLE" I ROLLOFF
\ 1
05/11/21 05/11/21 08:02 08.02 11100TC
009311,ci Town of Babylon
REFERENCE
•-
C -7 7
Scale 2 Gross Wt. 81400 LB Outbound-Charge ticket
Manual Tare Wt 35940 LB
Net Weight z 45460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00
✓ a 41�{I If i
'.`k /J
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.',II t>) ---- 0 00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMO RIA'`L=DAY,, TENDERED
CHANGE
CHECK NO
SIGNATURE
"DUPLICATE TICKET* rSITEF TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE01 01620936 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/11/21 05/11/21 08:02 08:02 11100TC
009316 Town of Babylon
REFERENCE
ORIGIN
Scale 2 Gross Wt. 81400 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 45460 LB
QTY .-UNIT . DESCRIPTION RATE EXTENSION FEE TOTAL
22.73 TON DUTGO.MSW 0 000 0.00 0.00 0.00
Op ; , A •
�.�-r, _�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,�9,, -' � �� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY,,.'," :�' 1 �_� TENDERED
�� a l�t� l;�l't ~�t^�
CHECK NO.'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Roadkil 5964
alslandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �,F' -µ_ '
�;�" T 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:
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 $ti - 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.
SITE =TICKET GRCD _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620928 Steph
PO Box 962/6155 Cox Lane
CUtchoguq, NY'l 1935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF
05/11/21 05/11/21 07:27 07:27 11121 TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 81060 LB Outbound-Charge ticket
Manual Tare Wt 36540 LB
Net Weight 44520 LB
QTY = _ UNIT ;DESGRIP_SION _, RATE FXtENSION;= ��_t FEE. '_ TOTAL`-
22 26 TON DUTGO.MSW 0.000 0.00 0.00 000
go
rav
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALRD
AY TENDERED
SIGNATURE
a -
SITE "TICKET_=r`. GRID `WEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01620928 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN-- DATE OUT TIME IN,TIME OUT _VEHICLE ROLL OFF
5/11/21 05/11/21 07:27 07:27 11121 TC
009316 Town of Babylon
Scale 2 Gross Wt. 81060 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 44520 LB
'DESCRIPTION'" RATE' 'V"EXTENSION"',"" -'FEE"--,
2226 TON UTGO.MSW 0.000 0.00 0.00 0.00
0
SAI
Ope o a s a wee . ,% •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. F �r ' � 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL AY � "_.TENDERED
CHAN E-
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5 915
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 j
COMPANY: ';, i 'L ' SHIP DATE:
COMMODITY SHIPPED: `'" i __/
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: , jIk U GROSS
Ll° TARE
f�
k t` �r� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
c
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
. t
TRUCK NO. /' LICENSE NO/STATE: ! a �—
TRAILER NO. } LICENSE NO/STATE: , D
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `� ~' ,`,�i 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
WI1IGHMASfbR.'
**DUPLICATE TICKET" r$ITEj `TICKEr.,5-_-, GRID,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621029 Steph
PO Box 962f6155 Cox Lane -
- __OUTj_` VEHICLE
N_�
Cutcbobue, NY 11935 ��bAiE-N- -'DATE bl_r`r�_- TIME I TIME - 4iOL(OFI�
05/11/21 05/11/21 11:19 11:19 11121 TC
009316 Town of Babylon I , I
REFERENCE ORIGIN.
Scale 2 Gross Wt 74300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 37300 LB
ITAL
W LINIT, ENSION, ��FEE-,;
DESCRIP-TION',,,, - ,RATE ��'EXT OTAL,
T
18.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Z,
�OXz�
2,
rn
Operating hours 7-.Uu/AIVI to onitipm I days a WeeK.;�
CLOSED HOLIDAYS-QUESTIONS CALL 631-.734-7685.
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TENDERED
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL10AY.-, e�
7 'n f
-CHANGE
CHECKNO,-,,",
SIGNATURE
"DUPLICATE TICKET"
GRI6, WEIGHMASTEk,',
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621029 Steph
PO Box 962/6155 Cox Lane — - I '. I I
, DATE IN- _D TIME Rfl!fl�)IE-OLIT YE HICLE -ROLL OFF
Cutchogue, NY 11935 .�_ATEPLIT.�
009316 Town of Babylon 05/11/21 1�05/11/21 11:1 1 9 11:1 1 9 11 121TC
REFERENCE ORIGK
Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 37300 LB
"RATE,," EXTENSION':
IDESCRIPTION__�`Q"�
18.65 TON )UTGO.MSW 0.000 0.00 0.00 0.00
V.
Q
C
k"
'operating hours 1:U0 AM to 5:00) PM 7 days,a weel(.t!�
ommagumell)
"�Z
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686, JY
;o;, 4, 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAY-ir' n-r- IJ IN TENDERED
-,CHANGE
1 CHECK NO::�
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5 916
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.
_ t
COMPANY: SHIP DATE: c ;
COMMODITY SHIPPED: _
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: "' 0, `� t� GROSS
b 0 .L.4 TARE
> 'd. 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 APPL-IC--ABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: '
TRAILER NO. I ? t LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVEREDWITHOUTINCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
(PRINT NAME) {4, e "(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" rSft If '_�'T[dK& "GRI6 -WEIGHMASTER zn
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621054 Steph
PO Box 962/6155 Cox Lane
-',,,-ROL OFF�
VEH16LE L _
Cutchogue, NY 11935 - -,DATE IN _- -DATE OUT,] ItiME IN ITI IME OUTI
009316 Town of Babylon 05/11/21 05/11/21 L.54_LL!�j11100TC
REFERENCE ORIGIN
Scale 2 Gross Wt 76380 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37680 LB
QTY
TrAb-,,'
'�`RATE _-,,;`�1EXTENSION,,p �`F E �P,TO
18.84 TON DUTGO.MSW 0000 000 0.00 0.00
y
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OptNating hums 7 @(YAM to 5.06 PIVI 7 days a VVUUK�Z�
P-1
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N7 K
CHA GE
CHECK NO
SIGNATURE
""GRID" "'W
"DUPLICATE TICKET** rSItE'j- -"fick& I
SOUTHOLD TOWN DEPT SOLID WASTE 01621054 Steph
PO Box 962/6155 Cox Lane 01 1 1 1
I I IIN '.'�DAT OUT
Cutchogue, NY 11935 EbIJT1 TIME-INJTIME� _ROLL OFF�'-,',",
009316 Town of Babylon 05/11/21 05/11/21 11:54 111:54 11100TC
REFERENCE ORIGIN
Scale 2 Gross Wt. 76380 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37680 LB
-EXTENSION" -TOTAL
Ty.''�,, UNIT" j1_1_--11f",_ . ..... -RATE
QTy—, DESCRIPTION
18.84 TON DUTGO.MSW 0.000 0.00 0.00 0.00
A
4b,
Op-er-aTITH-g-Tro-urs 7 Ou'Alvi to 5:06 PIVI 7 days a WeeK:�h
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6_� 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA, r
L DA
TENDERED-
`1.1C ANGE,
CiTECKNO.,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5966
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
- i
. r
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ;1 LICENSE NO/STATE: ,,
TRAILER NO. LICENSE NO/STATE: r.
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: _f " / '' - 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 __ TICKET _ GRIDWEIGHMASTER-�_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621235 Steph
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 DATE,IN ,�� DATE OUT; ,„TIME IN,TIME OUT,, �VEHICLEr';,,e r -ROL'OFF
05/12/21 105/12/21 08:15 08:15 11100TC
009316 Town of Babylon
_. ORIGINREFERENCE
Scale 2 Gross Wt. 77840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38700 LB
QTY UNIT_- DESCRIPTION RATE EXTENSION - FEE TOTAL
1935 TON DUTGO.MSW 0.000 0.00 000 0.00
V_ 1Z 1�1
t� +µ3Y^`` e. i�,t fig” __ �•�
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CNN
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tri
r r CHANGE .
',CHECK NO
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET ,z�y GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01621235 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,"bATE'IN '*1MEJN, TIME OUT �VEHICL'E_;,, ,ROLL OFF
05/12/21 05/12/21 0815 08:15 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 38700 LB
QTY ,- UNIT_ _` DESCRIPTION RATE EXTENSION '=-FEE TOTAL
19.35 TON DUTGO.MSW 0.000 0.00 0.00 0.00
�Ru( m
Operating hours IMU AM todays a wee ;� t ,, o' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIALEDAY � � ",TENDERED
CHANGE _
HECKNO.:w
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5967
Islandia, NY 11749
"(01) 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 A'Y.LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: 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:
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 CERTIFYTHATTHE 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.
SIT " _TICKS ' GRID -" WEIGHWSTER
E
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621297 Steph
PO Bo,c 962/6155 Cox Lane
Cutchogue, NY 11935 ,�DATEIN?_ ;DATE OUT-, ;TIME-IN_TIME OUTI = VEHICLE ;.v_ ;.ROLLOFF
05/12/21 05/12/21 10:50 10:50 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40620 LB
QTY,; r, ®UNIT DESCRIPTION- „RATES _ _ EXTENSION FEE TOTAL.m
20.31 TON OUTGO.MSW 0.000 0.00 000 0.00
V
s'^p-
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'685 "'� ' � 000
IQ
� Q
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAUm
L
5
CHANGE
CHECK.NO. .
SIGNATURE
SITE ' TICKET _GRID WEIGHMASTER-,-;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621297 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 1 1935 DATE'fN ; DATE OUT: -TIME'IN TIME bUT VEHICLE ROLL OFF
05/12/21 05/12/21 10:50 10:50 19640TC
009316 Town of Babylon
Scale 2 Gross Wt. 77160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40620 LB
QTY"' UNIT _ = -DESCRIPTION 'RATE" '` EXTENSION'_ ""'FEE TOTAL-
2031
OTAL_2031 TON DUTGO.MSW 0.000 0.00 0.00 000
Ope o 5mUO PIVI 7 udys a ee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 $ 000
NEXT HOLIDAY: MONDAY, MAY 27,'2019 MEMORIAL QAY -. TENDERED
%,CHANGE
CHECK NO `
SIGNATURE
"TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 5 917
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: r ! SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: tom' GROSS
i;z 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: a
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.
*DUPLICATE TICKET"* si%E TICKEr GRID, wE1GHMASTER� „
SOUTH(-?—] D TOWN DEPT SOLID WASTE 01 01621485 Liz H
PO'I3ox 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN. _DATE OUT_ .TIME IN, TIME OUT ,VEHICLE„- ROLL OFF.o
05/13/21 05/13/21 07:09 07:30 19640TC
009316 Town of Babylon
REFERENCE
�-
Scale 2 Gross Wt. 75220 LB Outbound-Charge ticket
Scale 1 Tare Wt 36620 LB
Net Weight 38600 LB
'DESCRIPTION- _ _ _ - RATE„ ' EXTENSION- FEETOTAL
19.30 TON UTGO MSW 0 000 0.00 0.00 0.00
+ rto
-per y„*f
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 �� °� 0.00
NEXT HOLIDAY' MONDAY, MAY 27, 2019 MEMORIALt`AY TENDERED.,,,
CHANGE
CHECK NOj
SIGNATURE
*"DUPLICATE TICKET** SITE -TICKET GRID - - WEIGHMASTER_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621485 Liz H
PO Box 962/6155 Cox Lane s „
CUtchOgue, NY 11935 DATEIN= DATE OUT, TIME IN, TIM ,OUT _ _VEHICLE _ ROLL,OFF_ `
05/13/21 05/13/21 07:09 07:30 19640TC
009316 Town of Babylon
1311” 7
Scale 2 Gross Wt. 75220 LB Outbound-Charge ticket
Scale 1 Tare Wt 36620 LB
Net Weight 38600 LB
OTY'_ "'UNIT' DESCRIPTION RATE_' `EXTENSION - EEE '- TOTAL``'_' _-
19.30 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
u,
19
a a=W:P'goa a x 77
M1 b S V
Operating Hours o b.U0 FIVI 7 days a WeeKYA
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _:"` 000
NEXT HOLIDAY MONDAY, MAY 27,2019 MEMORIAL =Ay. -----TENDERED-,
CHANGE
CHECK NO.-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6001
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 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
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: j DATE DELIVERED:
ADDRESS:
HEREBY CERTI FY THAT TH E 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.
--iDUATE TICKET** SITE TIETCK „ GRIDWEIGHMASTER
60UTHOLD TOWN DEPT SOLID WASTE 01 01621509 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE INr_ DATE OUT T�ME,IN,TIMEOUT �VEHICLE, ;,ROLLOFF
05/13/21 05/13/21 08:06 08:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69940 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34000 LB
QTY' =UNIT _ = DESCRIPTION- - RATE''- - EXTENSION'= = FEE 'TOTAL '
17.00 TON OUTGO MSW 0.000 0.00 000 0.00
of y
z y .¢rss
n4j tiJ 4_�va.�
Opro s
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 ` � . 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIACDAY TENDERED '
.CHANGE
CHECK
SIGNATURE
**DUPLICATE TICKET** SITE TICKET ;, `GRID, WEIGH STER,, _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621509 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935DATE iN _DATE OUT, TIME IN tticket
VEHICLE ROLL OFF
5/13/21 05/13/21 08:06 11100TC
009316 Town of Babylon
Scale 2 Gross Wt 69940 LB Outbound-ChargManual Tare Wt. 35940 LB
Net Weight 34000 LBOTY' "UNIT 'DESCRIPTION' RATE'" EXT " 'FEE 70TA'L
1700 TON UTGO.MSW 0.000 0.00 0.00 0.00
r49
e
Operating Hours o ays a wee . -� •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-76�8 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALY7AYOU�m TENDERED
CHANGE
CHECK NO.
SIGNATURE
'-Jt
�~ RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5968
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 ANYLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: SHIP 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. 4 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:
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- GRibl,
Sq4)THOL21 TOWN DEPT SOLID WASTE 01 01621623 Liz H
4
PO Box 962/6155 Cox Lane
]TIME 6uti, R01CL
Cutchogue, NY 11935 ',---DATE.JW� ,DATE'00T,� TIM&IN- VEHI'CLE- OFF-
009316 Town of Babylon 05/13/21 05/13/21 12:00 1 12-00 111 OOTC
REFERENCE ORIGIN
Scale 2 Gross Wt 81520 LB Outbound- Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 42440 LB
,,7 -ry.
Q
-�-DESCRIRTION, -7 RATE'--, EXTENSION FEE TOTAL
,QTY UNIT', '- _o- - % -, )]�
21 22 TON DUTGO.MSW 0.000 0.00 000 0.00
rjf Sol/) p 1:;h�
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Op-e��.���ays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734- 5 000
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMOR -TENDERED'--,-,,--,,
Coum -CHANGE
CHECK NO
SIGNATURE
-DUPLICATE TICKET- 7�)
-WEGHMASTER"�,"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621623 Liz H
PO Box 962/6155 Cox Lane - ' I I I -' VEHI&LE
�DATE]N-``6ATE OUT C TIME-IN'TIME(JUT' -
Cutchogue, NY 11935 - - -Ftdi-L,6FF�-
05/13/21 105/13/21 12:00 12-00 111 OOTC
009316 Town of Babylon
'REFER�ENCE�`��'�
7
Scale 2 Gross Wt. 81520 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 42440 LB
V 7
� '' ''EXTENSION"'- FEE-`2'
ary"'-, �'DESCRIPTION ,"FIATE 'f
21.22 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Operati-n—ghours7 00 AM to 5:00 FIM 7 days a week't
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76Q5.Z2 0 00
N I EXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL DAY coumv TENDERED
CHANGE,
CHECKNO.,--,
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5969
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
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:
i •x
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: ➢' " `. f %j.' r DATE DELIVERED:
J L
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' 1"Irs—F la�7117 7�1 7 7
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621801 Dan
P019&662�/6155 Cox Lane OUT - L&-
Cutchogue, NY 11935 .,,,,'bATEit4z,,DArE-'6Lr1r . ;TIIVIEIWITWE I VEHICLE "Rd_CLbFF_
I
05/14/21 05/14121 108:36 1 08.36 1 111 OOTC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83920 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 47300 LB
; QTY' RATEEXTENSION FEE
TOTAL'
�UNITT,��;
QTY,
23 6b r=JU I GUIVISW U.Uuu— 0.00 0.00 000
Sol/;
�2417.lrtv Lois
.
CLOSED HOLIDAYS-QUESTIONS CALL 631 685
' �_ �;
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA9DA?V"�' -,_,_TENQERED,,�,
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SIGNATURE
71
"`�'�
**DUPLICATE TICKET" (SIfEj_ WEIGHM'ASTtR - -,777
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621801 Dan
PO Box 962/6155 Cox Lane
",T(MEIN' 'T-11k CUT -,,,VEHICLE-' -RdL F,�
Cutchogue, NY 11935 6ATE�O'Lrr
05/14/21 05114/21 08:36 08:36 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83920 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 47300 LB
-, ; , � , 1 1, /,,-, ,,
ary - - I - ' "' "' '/ - - "TOTAL'
'Y '�RATE�'," -'--"-WENSI0N1` -"FEE" N
23.65 Svv 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76
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MIN
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-°CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5970
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERAT,ORbOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: V 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. r'
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. l }r 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: 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 TICKET', GRID "--' WEIGHMASTER
AT THOLD TOWN DEPT SOLID WASTE 01 1 01621920 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 a "DATE IN ,'DATE OUT TIME IN: TIME OUT VEHICLE" "ROLL OFF
05/14/21 105/114/21 12:19 112:19 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84900 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 48360 LB
QTY.- UNIT = - DESCRIPTION RATE^' EXTENSION FEE TOTAL
(3U.IVI6VV 0.000 0.00 0.00 000
j cam:
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 — 0
NEXT HOLIDAY' MONDAY, MAY 27, 2019 MEMORIA r D � , ,,,TENDERED_
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CHECK NO
SIGNATURE
"*DUPLICATE TICKET"* SITE - -TICKET WEIGHMASTER' =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01621920 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ',DATE OUT- ' TIME IN TIME OUT VEHICLE ROLL OFF `'"
05/14/21 05/14/21 12:19 12.19 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 84900 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 48360 LB
QTY ,,,UNIT, "`° DESCRIPTION - ' _ RATE- EXTENSION FEE TOTAL
24.18 TON 0UTGO.MSW 0.000 000 000 0.00
� s
o �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85 x , eAy 000
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIY. OL
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CHECK NO
SIGNATURE
'Ar TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5971
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
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID.AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r
TRUCK NO. `/ LICENSE NO/STATE: - '-
TRAILER NO. LICENSE NO/STATE:
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 CERTIFYTHATTHE 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", - `- WEIGHMASTER`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01622093 Steph
Y
PO Box /6155 Cox Lane
Cutchogue, NY 11935 - DATE.IfV ; °DATEOUT_ TIME 14 TIMEOUT ` VEHICLE `;_ ° "_°, ROLL OFF�
05/15/21 05/15/21 07:33 07:33 19640TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 85200 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 46060 LB
QTY_ _ UNIT. DESCRIPTION = = _ '- RATES EXTENSION- `_ _ '` FEE— '=TOTAL`
0.000 0.00 0.00 0.00
A ' '
,Fe ry�Fye2aR °�,w
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 85f q,a 0.00
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NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIA-DAY j, a_ t,"--TENDERED'.
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CHECK N ,°
SIGNATURE
**DUPLICATE TICKET** SITE TICKET = � GRID` WEIGHMASTER:
SOUTHOLD TOWN DEPT SOLID WASTE 01 01622093 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN; :gATE,Qu„j,; `TIME IN. TIME,OUT VEHICLE ROLL,OFF a
05/15/21 05/15/21 07:33 07:33 19640TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 85200 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 46060 LB
QTY ,UNIT �,DESCRIPION - , ;, RATE EXTENSION-.r, FEE — �TOTi4L=
2303 TON 0UTGO.MSW 0 000 0.00 0.00 0.00
a wij
Opapraweek7 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685./ 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL�DAY ,-..TENDERED„=;
t'CHECKNO:'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6002
I
slandia, 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): y
� F~ I 1' �s
TRUCK WEIGHT: ?: �' GROSS
/'j 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.u
GENERATOR AUTHORIZED AGENT(PRINT NAME) _W (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: `
(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.
""DUPL; ATE TICKET"" 'SITE '_TICKET"'- ._ GRID" " _ "VUEIGHMASTER'
SOUTF' D TOWN DEPT SOLID WASTE 01 1 01622803 Steph
PO Bo` j2i&155 Cox Lane
Cutch ue, NY 11935 DATE 114 DATE OUT _TIME IN TIME OUT �_ VEHICLE _ �= ROLL OFF
05/17/21 05/17/21 08:26 08:26 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 73100 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 37160 LB
QTY. OMT'`' - DESCRIPTION'- RATE" EXTENSION _ FEE TOTAL_'
18 58 TON UTGO MSW 0 000 0.00 0.00 000
C407
as
H f s t x 4 4 RPt
Op �� y' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
.. � .
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL�DAY ' ' "-TENDERED _
CHANGE
• CHECK NO.
SIGNATURE
""DUPLICATE TICKET"" $ITE I TICKET GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01622803 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 °, DATE IN, DATE OUT, =TIME IN,TIME OUT,,, VEHICLE I ROLL 0-
5/17/21 05/17/21 8:26 08:26 11100TC
009316 Town of Babylon
Scale 2 Gross Wt 73100 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 37160 LB
=,M •, QTY; ,UNIT, DESCRIPTION, - _RATE ,EXTENSION. FEE TOTAL
1858 TON UTGO.MSW 0 000 000 0.00 000
S '
Operating- s o 5 OU PVT77days a wee . a �•� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7Q 000
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIALLVAY°Ire
azTENDERED,,
CHANGE
HECK NO.
SIGNATURE
'UNITY TRANSPORTATION CORPORATION
14 Blydenburgh Road NO. 5972
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 A_NY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �=�r r'_- �,="�t 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.
TRUCK NO. .% LICENSE NO/STATE: !f I f
TRAILER NO. - r LICENSE NO/STATE: --
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
r
DESTINATION
DISPOSAL LOCATION: r 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 TICKET'NO-.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5973
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 LIABILITF ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
rr -
COMPANY: 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: e' ✓ �'� �' 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 t
DRIVER_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 7 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 � TICKEr "' .-= GRID.. WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623123 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY,,1,1935 -DATE IN __ DATEOUT TIME IN_TIME OUT VEHICLE =ROLL OFF
05/18/21 05/18/21 0753 107:53 1 11100TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 81960 LB Outbound- Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43260 LB
QTY
w .UNIT- -- -". DESCRIRTION - _ RATE EXTENSION '_''FEE',-a - _-TOTAL'
2163 TON DUTGO MSW 0.000 0.00 000 000
PUvvuum
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 " 0.00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAL, `TENDERED-
QUO
'CHANGE"
CUECK NOr= °
SIGNATURE
"'DUPLICATE TICKET"" "SITE ',71CKET _ GRID ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623123 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 1 1935 DATE IN DATE OUT TIME IN'°TIME OUT °VEHICLE ;ROLL OFF
5/18/21 05/18/21 07.53 07:53 11100TC T_ _j
REFERENCE :009316 Town of Babylon
e-
Scale 2 Gross Wt 81960 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43260 LB
QT1. UNIT %�"" - - ;"„` _DESCRIPTION � t- RATE, 'EXTENSION- FEE' TOTAL__°-,'°�'
21.63 TON OUTGO MSW 0.000 0.00 0.00 0.00
Oe 'x��� ,TP`e �_' �
.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL bAY- '.TENDERED'
S
-•-CHANGE
.CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 &lydenburgh Road 5974NO.
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'ASSOC,IATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,� t� '`'f' 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. =' i LICENSE NO/STATE: ?
LICENSE NO/STATE:
TRAILER NO. _
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: 1l=
(PRINT NAME) 4 (SIGNATURE)
DESTINATION
f -
DISPOSAL LOCATION: c 'f 1"`t (f r `•'lr, : j=�!f'%' DATE DELIVERED:
i
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*" 817E TICKET S" GRID; ' �WEIGHMASTER
SOUTHOLD TOWN DEPT SQLID WASTE 11 01623237 Steph
PO Box 962/6155 Cox Lane t
Cutchogue, NY 11935 ,DATE IN DATE OUT TIME IN.' TIME OUT VEHICLE ROLL OFF
05/18/21 05/18/21 11.20 11.20 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69040 LBOutbound-Charge ticket 7
Manual Tare Wt. 36620 LB
Net Weight 32420 LB
QTY. UNIT DESCRIPTION -_RATE- EXTENSION FEE TOTAL
16.21 TON DUTGO.MSW 0 000 0.00 0.00 000
dO
r,uw a o:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 ' "
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIAi—to :� 3
� TENDERED
CHANGE
r =C ECK NO.
SIGNATURE
"DUPLICATE TICKET*' SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Di 01623237 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 KDATEIN DATE OUT TIME
TIME,OUT ' . _VEHICLE ROLLOFF' '
5/18/21 05/18/21 1:20 11:20 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 69040 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight F 32420 LB
Q'CY ,ir,', ',UNIT`,—",A;,' DESCRIPTION ",TOTAL"
16.21 TON UTGO.MSW 0.000 0.00 0.00 0.00
TNOperating hours 7.00 AIVI to Mud FIVI 7 days a ee . •
8�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7885. �� � 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL DAY- -TENDERED
Ou
-r,i=CHAN E
CHECK NO.
SIGNATURE
TRINITY TPE-ANSPORTATION CORPORATION
214 Blydenburgh Road 5975
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: `mow' >`�r" s ;<s' SHIP DATE:
COMMODITY SHIPPED: % t-
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. `rl ✓f` i�,' {,'
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: �:- ;! `=' ? 'I DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET*" _SITE '71GKET GRID _ WEIGHIv1ASTER_°"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623425 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _DATE IN • DATE OUT I TIMbiI _r TIME OUT *VEHICLE r- ROLL OFF
\,. 05/19/21 05/19/21 107:23 07.23 1 19640TC
009316 -town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 61500 LB Outbound- Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 25560 LB
�QTY UNIT= DESCRIPTION RATE EXTENSION --FEE TOTAL
12.78 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op -- a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734- 685. � m 1 °;, 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA� AY -°TENDERED`;,i°'.,
---z:--CHANGE
=HEC
SIGNATURE
*DUPLICATE TICKET* SITE TICKET.___ r GRID-, _ == WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623425 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ',DATE`IN,"; RATE OUT TIME Ifs TINIE,OUT PVEHICLE ROLLOFF
05/19/21 05/19/21 07:23 07:23 1 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 61500 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 25560 LB
�;✓, ,;y^,mr,l,y'n kro;':,
" „y'„x,;;l8',^�,-
iliVk`F;' , `� DESCRIPTION:
12.78 TON 0UTGO.MSW 0.000 000 0.00 000
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t, ^,XH N E,' -,=
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SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6003
Islandia, NY 1�1749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: r' s"? `( 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 TOABRLI&ABCE°REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) k (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. t
TRUCK NO. ` LICENSE NO/STATE: �4t,
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: '#.s'/� '`%' 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.'
SITE _`'' 71CKET_>` �-_GRID, �_ " - WEIGHMASTER" '-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623503 Steph
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 �DATE-IN',, bAMOUT -TIMEIN TIME1OUT
05/19/21 05/19/21 11:16 11:16 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69540 LB Outbound-Charge ticket
Manual Tare Wt 36540 LB
Net Weight 33000 LB
'QTY = UNIT - DESCRIPTION �'` ��RAT�, �EXTENSION,��a FEE' - TOTAL"
16.50 TON UTGO.MSW 0.000 s 0.00 0.00 000
96,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 85 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIALS AYTENDERED
CHANGE"4.,
'MC ECK
SIGNATURE
EIC;f-IMASTER'-;'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623503 Steph
PO Box 962/6155 Cox Lane
�ATEiN, DATFOUT," TIME"IN TIMEQU,T .V1ZHiCLE = ROLLOFF..,,
_
Cutchogue, NY 11935
05/19/21 05/19/21 11:16 11:16 19640TC
009316 Town of Babylon
REFERENCE we'Welfil
Scale 2 Gross Wt. 69540 LB Outbound-Charge ticket
Manual Tare Wt 36540 LB
Net Weight 33000 LB
= QTY _ UNIT DESCRIPTION RATE __>_ EXTENSION- --,FEE = TOTAL=
1650 TON OUTGO MSW 0.000 0.00 0.00 0.00
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0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIALDAY � TENDERED
fl
CHA GE .
HECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6004
Islaardia, 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: i t
LOOSE: t (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. t LICENSE NO/STATE: t
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 r-
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DI!PE;{CATE TICKET" SITE' TICKET' _ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623660 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT �TIM11,E,N' TIMEOUT �`�VEHICLE � ROLLOEF'��
05/20/21 05/20/21 07:30 07:30 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 75360 LB Outbound=Charge ticket
Manual Tare Wt 39080 LB
Net Weight 36280 LB
OTY = 'UNIT; DESCRIPTION _ �,` CRATE", ",EXTENSION. FEE ;",�'_ .,o w fiTOTAL
��
1814 TON DUTGO.MSW 0.000 0.00 000 000
i
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M-
,CHANGE=
;CHECK
SIGNATURE
*`DUPLICATE TICKET* sITE, c E� �.'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623660 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATEIN: ;DATE OUT, M Tijv1E IN.TIIv1E,0UT VEWICLE
05/20/21 05/20/21 07:30 07:30 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 75360 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 36280 LB
QTY UNIT_ '� DESCRIPTION RATE EXTENSION `FEE TOTAL
18 14 TON OUTGO MSW 0 000 000 0.00 0.00
SONo-
J1 t
<1
Operating hours 7.OUAIVI to 0 Ud HIVI 7 0ays a weeK tg,
111111111111110111110"91
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAEDAY = TENDERED
vu5
_CHANGE
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SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6005
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: !
COMMODITY SHIPPED: ` =
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
( _ NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS_WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
-
DRIVER: �-
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: +"d' s ` 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
s *G�crICATETICKET"" SITE TIGKET,,,;:� "' "'GRED:_ �WEIGHMASTER= ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623766 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 BATE IN DATE-OUT TIME IN_TIME OUT VEHICLE ROLL OFF
05/20/21 105120121 1145 11-45 11100TC
009316 Town of Babylon
•'
REFERENCE
Scale 2 Gross Wt 76160 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 35760 LB
QlY UNIT DESCRIPTION RATE EXTENSION '_'FEE TOTAL
1788 TON UTGO.MSW 0.000 000 000 000
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000
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CHANGE
t-CHECK N '
SIGNATURE
*"DUPLICATE TICKET— SITE I TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623766 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 '_ DATE IN' .DA- OUT' TIME INTIME°OUT ° '``VEHICLE ROLL"OFF
5/20/21 05/20/21 11.45 11:45 11100TC
009316 Town of Babylon
Z4 6 41
Scale 2 Gross Wt. 76160 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 35760 LB
'{llY.� UNIT �" U DESCRIPTION` ,EXTENSION' FEE," ;TOTAL
1788 TON OUTGO MSW 0.000 0.00 0.00 000
+,do B
anV""�""K'mF MM��JJuy
operating nours o 5 LID Pivi 7 days a wee e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,' 0.00
tv
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL DAY TENDERED
_CHANGE
CHECK NO.
SIGNATURE
`--TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5977
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 ASSOCIA_TED.VNITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: '- 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. 'S
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. !r ? .' LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
r _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ', >' ': `'• '' =' DATE DELIVERED:
ADDRESS:
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.
l
"DUPLICATE TICKET`* SITE-7 "TICKET � `=GRID "'' -wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623677 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA-E O"` DATE OUT' TIME'IN TIME-OUT VEHICLE ROLL 6FF` ,u
05/20/21 105/20/21 0815 08:15 11100TC
009316 Town of Babylon — REFERENCE ORIGIN
Scale 2 Gross Wt. 73240 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 34540 LB
vQTY ' UNITSDESCRIPTION CRATE,; = ,'EXTENSION" FEE 'TOTAL
17.27 TON DUTGO MSW 0.000 0.00 0.00 0.00
0 =
:pYe€a
h
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-71t6�885. = 0.00
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*':CHECK,N
SIGNATURE
SITE ;aTI,CK — ;p" `�RIq't „;'k°, WEI��,HMAT� 'f�";, �)o�;
"DUPLICATE TICKET"* ETa, ��'�� ,�ti.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623677 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 ,.DATE IN„ DATE,OUT TIME IN, TIMtOUT VEHICLE, ROLLOFF
05/20/21 05/20/21 08:15 08:15 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 73240 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 34540 LB
QTY UNIT_ DESCRIPTION RATE _ .EXTENSIO_N -;`_'-FEE = T07AL
1727 TON 0UTGO.MSW 0.000 0.00 0.00 000
a
Ope s a e y •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. ei5`
-" �� 0.00
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CHECK NO_
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5976
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: C
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. _31 LICENSE NO/STATE:
TRAILER NO. '` k LICENSE NO/STATE: r=�1 -� -z
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< 's P' r `' '� ' .',, �. = DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN'ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET" (SITEj--____ T(CKET,--- I GRID WEIGHMASTER
i5OUTHIC)LD TOWN DEPT SOLID WASTE 01 01623966 Liz H
PO Box 962/6155 Cox Lane -7
E OUT
EOU :)[EHIdL ROLL OF
Cutchogue, NY 11935 DATE-,IN'-,. T�,�� TIMt'1N [Tim
t
009316 Town of Babylon 1 05/21/21 05/21/21 09:05 09:05 11100TC
REFERENCE
Scale 2 Gross Wt 74040 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38100 LB
`EXTENSION FEE
Ty. UNIT DESCRIPTION RATE TOTAL
19.05 TON DUTGO.MSW 0.000 000 000 000
Z
D vulo 8dAM to 5 86 PlVI :7 d.y. NZIL:2_a-� A I I I I I I 1111iff-INT119111
CLOSED HOLIDAYS- QUESTIONS CALL 631-734- 685 000
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NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA -A . VgU
CHANGE,�z
1 'CHECK 1\10=1
SIGNATURE
**DUPLICATE TICKET*� rSITEI-�_,, TI�kET,-' 'I q--R!D WEIGH
IVIAST�R_�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01623966 Liz H
PO Box 962/6155 Cox Lane
"'�,RO 'OFF�"-;,,"�
Cutchogue, NY 11935 _"',DATE'IW' 6 Of", �'TIm't_i4'1TIMbDUT
009316 Town of Babylon 05/21/21 05/21/21 0905 109:05 1 11100TC I
REFERENCE
Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38100 LB
_Q --- "---FEE 7
'RATE EXTENSION TOTAL
QTY'_ UNIT DESCRIR'nON
1905 TON )UTGO.MSW 0.000 000 0.00 000
r- SO ,
%qf-I=,U)I-m
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 5. "z
68 0.00
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CHANGE,�,',
I—, -CHECKNO��
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5978
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 L•IABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: '
..,-��': -�_ � SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE=
TRANSPORTER
I
TRANSPORTATION/FREIGHT CO.
TRUCK NO. `f LICENSE NO/STATE:
TRAILER NO. - 'l 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:
r
ADDRESS:
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 = '�z GRID`" � WEIGHhiASTER�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624071 Liz H
PO Bax 962/6155 Cox Lane
Cutchogue, NT 11935 DATE IN DATE,OUT TIME IN TIME OUT VEHICLE I ROLL OFF .
05/21/21 05/21/21 12:29 12:29 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 73420 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 36880 LB
QTY UNfT;;`` DESCRIPTION RATE _ EX ENSIGN _'`_ `-FEE `TOTAL
18.44 TON OUTGO.MSW 0.000 0.00 0.00 000
1 { N W s
, fi •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851� = ,c ,J 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAAY rn .TENDERED-
='CHANGE
CHECK,1\10
SIGNATURE
**DUPLICATE TICKET** SITE ' - TICKET I, GRID_�-a WEIGHMASTER':
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624071 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN— DATE OUT --TIME IN TIME OUT VEHICLE ROLL OFF
05121/21 05/21/21 12:29 12:29 11100T
009316 Town of Babylon
REFERENCE OR(7
IGIN 2 Gross Wt. 73420 LB Outbound-Charge ticket
Manual Tare Wt 36540 LB
Net Weight 36880 LB
'E _ ' OTAL<DE$CRiPTION'; " 'UNITO1[
1844 TON OUTGO MSW 0.000 000 000 0.00
� 9 , k
Opulciffily AM to 5.6b PIVI 7 d ys a ."o
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76815-a", u— ✓� �� Ay 0.00
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CHANGE,--
CHECK
HANGE:-CHECK NO:
SIGNATURE
,TRINITY TRANSPORTATION CORPORATION
1-4-B lydenburgh Road NO. 5979
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 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) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: '' l y = �'.. 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" 'SITE _',TICKET'_ _GRID" WEIGHMA§tER"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624266 Dan
P'O Box 92/6155 Cox Lane
Cutchogue, NY 11935 DATE1N `DATEOUT"", Tfivib ",TIMEOUT "VEHICLE''" - FIQ C FF
05/22/21 05/22/21 09:01 109:01 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 72620 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 36400 LB
QTY-.t�_>,''� ;°UNtT DESCRIPTION - RATE; " =_EXTENSION A "FEE "fib TOTAL
1820 TON DUTGO MSW 0.000 000 0.00 0.00
Opweek.r� -. ,,I e�;,� •
<.
' ,. 4
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. r ' 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL,DAY- - r = TENDERED ."
' sCHANGE
. CHECKfNO.�l •'-
SIGNATURE
""DUPLICATE TICKET""
SITE' TICKET _ GRID;,,,;"'r.; WEIGHMASTER'=°„'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624266 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN` DATE-OUT -PIN EJN„TIMt VEIJICLE ROLLOFF-
5/22/21 5/22/21 D9 01 9.01 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 72620 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 36400 LB
QTY �_�= UNIT = DESCRIP-TION =RATE = EXTENSION_ _=_FEE TOTAL
18.20 TON OUTGO MSW 0 000 0.00 000 000
„fSO )
Operating hours 7 uuAlvi todays a wee _ � �,,.< = •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. � __n �' 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA12DAY4 � „� g - TENDERED
CHANGE
- CHECK-NO
SIGNATURE
WEIGHMASTERz
'DUPLICATE TICKET * SITE ` TICKET = GRID z _
SOUTHOLD TOWN DEPT SOLID WASTE01 01624266 Dan
RO Box 552/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,T DATE OUTy;: ,TIME_IN TIME OUT,
VEHICLE,',,
05/22/21 05/22/21 09:01 09:01 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 72620 LB Outbound-Charge ticket
Manual Tare Wt 36220 LB
Net Weight 36400 LB
-QTY
.- . TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5980
Islandia, ICY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED•,WITH THE SHIPMENT OF SUCH MATERIALS.
,--
COMPANY: 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. "f 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: '%' " ' ' f ' ', �` 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
b =' _ - ..
*`DUPLICATE TICKET" SITE � ,,TICKET' _ ;'"' GRiD" - WEIGHMASTER' _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625074 Liz H
PO Box 962/6155 Cox Lane - -
CutChogue, NY 11935 DATE IN"' 'DATE'OUT` ,TINIE'IN� TIME OUT = VEHICLE " ROLL OFFS° '
05/24/21 05/24/21 12:28 12:28 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt 65560 LB Outbound- Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 28800 LB
" QTY UNIT - "'DESCRIPTION - - `'RATE`"' "EXTENSION " 'FEE TOTAL =
14.40 TON DUTGO MSW 0.000 0.00 000 0.00
OW
>�
Operating hours UU AIVI todays a wee �� •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734- 85.&v,76 �` �-
`�` 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYS � - TENDERED>
CHANGE -
.=CHECK NO.
SIGNATURE
"DUPLICATE TICKET' SITE -TICKET" GRID_ "V�IEIGHMASTER = _,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625074 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE oUTIME IN TIME OUTVEHICLE ROLL OFF ,
05/24/21 05/24/21 12.28 112:28 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 65560 LB Outbound-Charge ticket
Manual Tare Wt 36760 LB
Net Weight 28800 LB
Q-ry. - ,`UNIT ,` ;; a ''DESCRIPTION'S = .RATE,` EXTENSION - = F_EE,- TOTAL, ,
1440 TON OUTGO MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5.00 PM 7 days a week ' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - " r 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DRAY �j� � °r � TENDERED =
�Ipl
CHANGE .a
CHECK NO. *. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5982
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
- f
TRANSPORTATION/FREIGHT CO. 1
TRUCK NO. LICENSE NO/STATE: ` r f
TRAILER NO. r 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: f`�
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: =` 'v DATE DELIVERED:
W 1
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 a. e'TICKET - GRID „ �' WEIGHMASTER �' :'
SOI,.i'JTHPLV TOWN DEPT SOLID WASTE 01 01625039 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN - DATE OUT'.' TIME IN TIME OUT y VEHICLE ROLL'OFF`' '
05/24/21 05/24/21 11:35 11:53 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69680 LB Outbound-Charge ticket
Scale 1 Tare Wt 38200 LB
Net Weight 31480 LB
QTY UNIT' _ DESCRIPTION' 'RATE" EXTENSION ` FEE, TOTAL '
1574 TON DUTGO MSW 0.000 0.00 0.00 0.00
�4
i 1 z
Opera ing ours I UU AIVI to b UU FIVI 7 days a wee p , NV •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685.,c,-,A
�iJ 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL�bAY> _ TENDERED-
NEXT D
cs °. �
CHANGE
CHECK NOt
SIGNATURE
'*DUPLICATE TICKET** SITE TICKET _ ` GRID " WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625039 Liz H
PO Box 962/6155 Cox Lane
CUfChogUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/24/21 05/24/21 11:35 11 53 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 69680 LB Outbound-Charge ticket
Scale 1 Tare Wt 38200 LB
Net Weight 31480 LB
QTY UNIT, .� DESCRIPTION RATE EXTENSION FEE, -TOTAL
1574 TON OUTGO MSW 0.000 000 0.00 0.00
iy
` _ z . O
Operating hours 7:00 AM to 5:00 PM 7 days a week. ' ` �.Q- � `," a r •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685• 0.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL Dq�Y' �� �� _� TENDERED _
i� CHANGE
CHECK NO
_��j
SIGNATURE
TR'INITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6007
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: x`,-```; GROSS
P
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. :' 1
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
DATE DELIVERED:
DISPOSAL LOCATION: P it
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THEINFORMATION PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
'PLICATE TICKET"* SITE TICKET -GRID. M WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624947 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN , DATE OUT TIME IN-TIME OUT VEHICLE ROLLOFF
05/24/21 05/24/21 8:25 08.25 11100T
009316 Town of Babylon
REFERENCE 7
Scale 2 Gross Wt 75620 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 39000 LB
QTY UNIT- -DESCRIPTION` = RATE -TENSION " FEE TOTAL
1950 TON OUTGO MSW 0 000 0.00 0.00 000
t
iA
. .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685) ' 4, 0.00
NEXT HOLIDAY. MONDAY, MAY 27, 2019 MEMORIADAYua� �n. TENDERED
qll
CHANGES
CHECK NO
,j
SIGNATURE
**DUPLICATE TICKET SITE : TICKET - GRID, _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01624947 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT TIME,IN TIME OUT„ ' VEHICLE,--" ROJ.L OFF ,�r
5/24/21 5/24/21 8:25 8:25 11100TC
REFERENCE
009316 Town of Babylon
•-
Scale 2 Gross Wt 75620 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 39000 LB
QTY
,—UNIT t _DESCRIPTION° `- `,RATE ,'-''- _ EXTENSION; "FEE TOTAL>
950 z TON UTGO MSW 0 000 0.00 0.00 0.00
'%fir .r .: ._-•�,� ,, `Cr i,.,
-
L
Opt--] = � (v •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"Z" 0.00
t �
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL DAY � � � � _ ?V TENDERED
'CHANGE
CHECK NO
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5981
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 ASSO_CIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 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. f LICENSE NO/STATE:
f 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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR - DISPOSAL LOCATION-TICKET NO
t"DUPLICATE TICKET' -SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01624923 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/24/21 05/24/21 7:18 07:44 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 79480 LB Outbound-Charge ticket
Scale 1 Tare Wt 38960 LB
Net Weight 40520 LB
QTY; `UNIT-° DESCRIPTION." - RATE' - EXTENSION -, `FEE, TOTAL _
2026 TON UTGO MSW 0.000 0.00 0.00 000
1
Ips eg .
Operating o ays a wee yes
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY- MONDAY, MAY 27, 2019 MEMORIAL`DAY� � � ` TENDERED
�21.
CHANGE.
-CHECK NO--iJ
SIGNATURE
*"DUPLICATE TICKET* _SITE --TICKET 'F= - GR&`- ^-VVEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01624923 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 = DAIfE IN='' 'DATE'OUT� ,71ME IN TIME OUT °VEHICLE' ROLLOFF �'-
5/24/21 5/24/21 718 7:44 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 79480 LB Outbound-Charge ticket
Scale 1 Tare Wt 38960 LB
Net Weight 40520 LB
QTY 'UNIT - DESCRIPTIONRATE EXTENSION FEE TOTAL
2026 TON OUTGO MSW 0.000 0.00 0.00 000
,.�, A
a OU F
Operating nours o 5 Ulf HIVI days a weeK. ti_ 3 air
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � A ------- e 4 0.00
NEXT HOLIDAY: MONDAY, MAY 27, 2019 MEMORIAL DAYIW � TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6006
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: r
COMMODITY SHIPPED:
LOOSE: # (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: m ' -� GROSS
F-
' (c% _' TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN-PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) w
TRANSPORTER
TRANSPORTATION/FREIGHT CO. �
TRUCK NO. — LICENSE NO/STATE:
'fYi �3 y Je
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: t_ ., .°g ' , $ DATE DELIVERED:
ADDRESS:
LHEREBY 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 11 01625391 Dan
PO Bov 9.32W�-:55 Cox Lane
Cutchogue, NY 11935 DATE•IN� °I'DATEOUT„_ „TIME,l TIME OU �,” ,VEHICLE ROLLOFF `-
• 5/25/21 5/25/21 1 57 1 11 57 11100TC
009316 Town of Babylon '
REFERENCE ORIGIN
Scale 2 Gross Wt 79180 LB Outbound - Charge ticket
Manual Tare Wt 33980 LB
Net Weight 45200 LB
QTY` - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
2260
f��
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7,685 ' c
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA 'Y� � � ,TENDERED_.,
CHANGE,•.
' �',C ECK NO."'
SIGNATURE
-DUPLICATE TICKET" SITE TICKET =,- GRID '_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 1 01625391 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DAjEIN�,�� �,�DAT oUT'- - 17I1V1EjN'- TIME OUT 1' VEHICLE` RdELOF-11
• 5!25/21 5/25/21 1157 1157 11100TC
009316 Town of Babylon • ,
REFERENCE
�.
Scale 2 Gross Wt 79180 LB Outbound - Charge ticket
Manual Tare Wt 33980 LB
Net Weight 45200 LB
QTY UNIT DESCRIPTION =_ RATE _ E EXTENSION FE _r NOTAL =
2260 TON OUTGO MSW 0000 000 Duo U (JU
Op 'R't3 =- •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7.8 _
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL � ;e cou TENDERED,.-=v
CHANGE Fy-
CHECK O•-_-,
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
'214:'Blydenburgh Road NO. 5985
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' SHIP DATE:
COMMODITY SHIPPED: . ' r` <r h
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:
(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
WEIGHMASTER
"'DUPLICATE TICKET' SITE
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625281 Dan
PO Bex 962/0.155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-,OUT TIME IN_TIME OUT VEHICLE ROLLOFF
05/25/21 05/25/21 0806 0806 11100TC
009316 Town of Babylon
REFERENQE
•.
Scale 2 Gross Wt, 79400 LB Outbound -Charge ticket
Manual Tare Wt 36620 LB
Net Weight 42780 LB 7
QTY._ UNIT- _ _ DESCRIPTION RATE. EXTENSION FEE TOTAL
000
, ,ax
O
X0 J - "'✓ •
CLOSED HOLIDAYS QUESTIONS CALL 631-734-768-: ` � -� w`
,
`a` �
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIADA � s TENDERED",,,,,
CHANGE'
CHECK,NO:",- ".
SIGNATURE
'"DUPLICATE TICKET" S(TE TICKET_`=_ GRiD - WEIGHMASTEFI
SOUTHOLD TOWN DEPT SOLID;WASTE 01 01625281 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =;DA7EIN" DAT9OUT :'TIME„IN;TIME',OUT ° `V HICLE' ROLLOFF
05/25/21 05/25/21 08:06 0806 11100TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt 79400. LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 42780 LB
QTY' UNtC ��,;' �; °DESCRIF?TION /.°,:-%%C' RATE. •iri;Y,,,;; EXTENSION„ ":�� FEE •,.' -TOTAL”
21 39TON TGO�MSW 0 000 000 000 000
p. 4 y
•
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7 5
NEXT HOLIDAY MONDAY, MAY 27. 2019 MEMORIA >AYii q,�� TENDERED
=.CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
_•Z14`Blydenburgh Road 5983
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
,,L-IABILITY 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. f� 1 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: �. . _'. `'.- '' "Y 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
*"DUPE i CKET*` SITE TICKET.` GRID' _; �, WEIGHk1ASTER
SOUTiOL ✓VN DEPT SOLID WASTE 1 01625630 Dan
PO B62/ , 55 Cox Lane
Cutchogue, NY 11935DATEIN,r DATE OUT* °TIMEIN°TIME OUTI ,VEHICLES ' .~ - ';ROLLOFF, y
5/26/21 5/26/21 1:39 11 39 11100TC
009316 Town of Babylon
REFERENCE 0.
Scale 2 Gross Wt 72960 LB Outbound-Charge ticket
Manual Tare Wt 38700 LB
Net Weight 34260 LB
`QTY, UNIT DESCRIPTION = RATE EXTENSION FEE - TOTAL„_
17 13 TON UTGO MSW 0.00 0.00 000 0.UU
0
9Ntp
Op Afy' •
CLOSED HOLIDAYS- QUESTIONS CALL 51 UU
NEXT HOLIDAY MONDAY, MAY 27,2019 MEMORIAL DA k_,,7ENDERED,,,, '
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SIGNATURE
"DUPLICATE TICKET— _SITE - Tf6KEr = GRID I WEIGHMaSTEW,
SOUTHOLD TOWN DEPT SOLID WASTE 11 1 01625630 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 a�^DATE'IN L1AT�OUT��I lo TIK49IN TIMEOUT ;r�^°,VEHICLE_ ROLLOFF --^
05/26/21 05/26/21 111:39 1139 11100TC
009316 Town of Babylon ,
Scale 2 Gross Wt. 72960 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 34260 LB
it QTY UNIT- DESCRIPTION ; RATE EXTENSION _ FEE_ TOTAL
1713 TON OUTGO MSW 0 000 0.00 0.00 000
Op " • 1110
CLOSED HOLIDAYS-QUESTIONS CALL 631-734- °, 510.00
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA Y.
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-s _CHECK NO:, `
SIGNATURE
ITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5987
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: -"'' f '` . SHIP DATE:
COMMODITY SHIPPED:
411J = -*
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. r f 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)
DESTINATION
DISPOSAL LOCATION: F;r ' DATE DELIVERED:
fi
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET* SITE •, ` TICKET= GRID ' -_ WEIGHMASTER'.``
SOUTHOLD TOWN DEPT SOLID WASTE 1 01625553 Dan
PO Box 962/6155 Cox Lane
CUfChOgUe,M'Y 11935D4TEiN.' '6A7E-60T TIME �`
IN TIMEOUT '� /EHICLE" ' ROLLOFF
5/26/21 5/26/21 815 8`15 11100TC
009316 Town of Babylon
REFERENC
•-
Scale 2 Gross Wt 73680 LB Outbound- Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 37060 LB
QTY_-"i UNITa; DESCRIPTION° RINE -_ �,EXTENSfO_N FEE, NOTAL
1853 TON UTGO MbW 0.000
,
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-74
NEXT HOLIDAY• MONDAY, MAY 27, 2019 MEMORIAL DAY TENDEREDMum
'
CHANGE,
. -'CHECK NO:q
"
• SIGNATURE
"DUPLICATE TICKET* • SITE TIQI<ET,.- GRID` WEIGHMASTERp
SOUTHOLD TOWN DEPT SOLID WASTE 1 01625553 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIZtCUT TIMEIN TIME;OUT "-VEHICLE . - ROLL-OFF ,
5/26/21 05%26/21 8.15 0815 11100TC
009316 Town of Babylon j
REFERENCE ORIGIN 2 Gross Wt. 73680 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 37060 LB
QTY UNIT DESCRIP_T_ION RATE EXTENSION 9 FEE TOTAL
1853 TON UTGO.MSW 0 000 0.00 000 0.00
S '
N .
�-CA
Opt E f11099MIA9111111111
CLOSED HOLIDAYS- QUESTIONS CALL 631-734- 5
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL A TENDERED
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_:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
" 4 Blydenburgh Road 5986
Islandia, NY 11749 N�
(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 ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: � '„a r SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
F
TRANSPORTATION/FREIGHT CO. ,-
f' l
TRUCK NO. °? LICENSE NO/STATE:TRAILER NO.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: ILI f/`
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: n- 74 DATE DELIVERED:
ADDRESS:
HEREBY CERTIFYTHATTHE 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 v TICKET, ,� "°GRID'"� _ fWEIGH`MASTER;" _
SOUTHOLD TOWN DEPT SOLIb WASTE 01 01625797 Pat H
PO Bd'x 962/6155 Cox Lane
M. DATE OUT TIME IN TI
Cutchogue, NY 11935 DATEMEOUT VEHICLE_ r .ROLL`OFF
05/27/21 05/27/210810 08.10 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 75460 LB Outbound - Charge ticket
Manual Tare Wt 40400 LB
Net Weight 35060 LB
'• QTY— UNIT = DESCRIPTIOf _ ,TRATE.;- EXTENSION ,--FEE r TOTAL
1753 TON DUTGO MSW 0.000 0.00 000 000
L n
-61
Ope a rn
CLOSED HOLIDAYS- QUESTIONS-CA 631-73468 ° •_°° 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA � ��
� � TENDERED, '"= .
CHANGE :
.
CHECIK-N�!�J
SIGNATURE
t
""DUPLICATE TICKET* -SITE TICKET GRID,, WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625797 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _b°ATE I_'NC DATE oUT" 4E'IN TIME OUT
05/27/21 05/27/21 08:10 08:10 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75460 LB Outbound- Charge ticket
Manual Tare Wt 40400 LB
Net Weight 35060 LB
,QTY. ,UNIT ' ' ` DESCRIPTION= RATE =_ EXTENSION = :`FEE �_' , TOTAL-
17 53 TON DUTGO MSW 0.000 0.00 000 0.00
ki
b 19° 6 �11
Operating hours 1 00 AIVI todays a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76�85 "` 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL DA ea:a = TENDERED -_
CHANGEa
-CHECK NO:
a'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh load 5988
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: ,' -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.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. f'/ �' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r - a. ''" DATE DELIVERED
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*D�e"�1�,PLICATE TICKET"' - { SiTEtl ,TIG�KET, _ - _GRID„ WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID-WASTE 1 01625866 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 M .DATE IN „DATE oUT; TIME JN_TIME,OUT �„„,VEHICLE, o ROLLOFF
5/27/21 05/27/21 11 35 11 35 11 100T
009316 Town of Babylon .
REFERENCE ORIGIN
Scale 2 Gross Wt 78380 LB Outbound - Charge ticket
Manual Tare Wt 36200 LB
Net Weight 42180 LB
' UNIT'` '� `. :'`�' �'DESCRIPTION_ RATE EXTENSION ; FEE_” ' TOTAL`
21 09 TON OUTGO MSW 0 000 000 000 000
o
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• ��_ �P.��`� -'n•","w`f(ria'A-�''� yV+hk��„(j$�Lv+h�
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CLOSED HOLIDAYS - QUESTIONS,CALL 631-734-73$ �� �3 000
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11V 9
CHANGE
`_ .G ECK NO 9
SIGNATURE
—DUPLICATE TICKET*� ",� SITE =TICKET GRIDS �" WEIGHMASTER`�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01625866 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,
DATE IN `DATE OUT� TIIyIE IN, i ME OUT„; �VEHICLE t =ROLL OFFS
05/27/21 05/27/21 11 35 Ill 35 11 100T
009316 Town of Babylon !
ORIGINREFERENCE
Scale 2 Gross Wt . 78380 LB Outbound- Charge ticket
Manual Tare Wf 36200 LB
Net Weight 42180 LB
� OTY.' = -UNIT "'" 4, DESCRIPTION= RATE, EXTENSIONS FEE "'TOTAL' <_
21 09 TON UTGO MSW 0 000 000 0.00 000
�c
Ope ` •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-785 'a 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL D9Y � � � = TENDERED
CHANGE
= HECK NO..'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 5989
-
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
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.
_ �' LICENSE NO/STATE:
TRUCK NO. - -
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:
r.
r l (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" N ;SITE' TICKET GRID -- °=,WEIGHMASTER• `
SOUTHOCD TOWN DEPT SOLID WASTE 01 01626069 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN t DATE OUT TIME�N TIME OUT VEHICLE; ROLLOFF .�
+' 05/28/21 05/28/21 09.15 09.16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gros87440 LB Outbound - Charge ticket
Manual Tare Wt." . 36620 LB
Net Weight „► 50820 LB
-QTY=_ = UNITSDESCRIPTION RATE EXTENSION FEE TOTAL,
2541 TON0.1GO MSW 0.000 0.00 000 000
Za
� a
CLOSED HOLIDAYS- QUESTIONStCALL 631-734-% 000
NEXT HOLIDAY MONDAY, MAY 27;2019 MEMORIA , _TENDEREDr• '.'_�
,_CHANGE, „.
` = CHECK NO.=.-�•--
' SIGNATURE
DUPLICATE TICKET* s►rECKET,,, �GRiD' = 'WEIGHMASTER
=,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01626069 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `DATE IN S= DATEbUT TIMEINTIME OUT VEHICLE==` RO�L60FF- _
05/28/21 05/28/21 0915 09.16 11100TC
009316 Town of Babylon
REFERENCE
•-
F Scale 2 Gross Wt 87440 LB Outbound- Charge ticket
Manual Tare Wt* 36620 LB
Net Weight 50820 LB
- QTY-- ,UNIT T DESCRIPTION" _ RATE EXTENSION„ = FEE ,._ „ ,TOTAL „' ._
2541 TON DUTGO MSW 0.000 000 000 000
`_
Operating nours 7 Ou Am to ays a weed a=,�, � " •
p �
CLOSED HOLIDAYS - QUESTIONS!CALL 631-734- N-A?4'
000
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-.CHANGE.
CHECK NO.
SIGNATURE
fi
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 5990
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:L'IABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 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:
(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 TICKETSITE
TICKET WIEIGHMASiE
SOUTHOLD TOWN DItPT SOLID WASTE 01 01626400 Steph
PO Box 962/6155 Cox Lane I I .' 11, , -- I ' I
- 'VEHICLE- T ifmE IN imi�bu�j ROLLOFF TE-IN DATE Ou
Cutchog,'�-�p, NY 11935
05/29/21 05/29/21 0749 08.04 19640TC
009 1 6 Town of Babylon —
REFERENCE 0.
Scale 2 Gross Wt. 73860 LB Outbound - Charge ticket
Scale 1 Tare Wt -- 39340 LB
Net Weight 34520 LIB
RATE'-- EXTENSION,�' FEE--_'—��'
1Y , _UNIT DESCRIPTION �TOTALS
1726 TON OUTGO MSW 0000 0.00 000 000
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q
!Opt::1sp dt1l ly 1 1ULJ1 b 7 (!)b'7kIV1 to 5 00 F9IvI 7 ays a Wee..K1!4
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CLOSED HOLIDAYS - QUESTIONS CALL 631-734-% 000
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL >A
OEM
CHANGE--
�-CHECK NO,'
SIGNATURE
—DUPLICATE TICKET—
WEIGHM
SOUTHOLD TOWN DEPT SOLID WASTE 1 01626400 Steph
PO Box 962/6155 Cox Lane
-- 'T
Cutchogue, NY 11935 4IN' DA OUT IMEIN" VEHICLE' ROLLOFF
)5/29/21 5/29/21 )7 49 8.04 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 73860 LB Outbound- Charge ticket
Scale I Tare Wt 39340 LB
Net Weight 34520 LB
EXTENSION, FEE
DESCRIPTION,
-QTY.'- -UNrr —RATE TOTAL
-QTY.'- JOTAL
1726 TON OUTGO MSW 0000 0.00 000 0.00
k
1 16
CA V
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768 _av
% I , 0.00
5\ TENDERED,
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NO:
SIGNATURE
0�
SIGNATURE t= - --
TRINITY TRANSPORTATION CORPORATION
2.14'B lydenburgh Road 6008
1slandia, 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: "'�y GROSS
TARE
_j t ;- -3 �
a c_ 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) (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— J�,S I T�' , TICKET 'GRID WEIGNIy1ASTER�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01626397 Steph
PO Box 96[/6155 Cox Lane
Cutc;nc)gue, NY 11935 PATEv IN
,DATE OUT= TIME
IN,JTIMEOUTj VEHICLE
009316 Town of Babylon "'1 105/29/21 1711 107 11 11100TC
-I
REFERENCE
Scale 2 Gross Wt 77220 LB Outbound -Charge ticket
Manual Tare Wt 36760 LB
Net Weight 40460 LB
DESCRIFTION'� �'�,,O",-RATE.--" r��,EX7- ENSION, JOTAL;,,
zu/-.5 IU1\j J015171= 0.U0U 0.(JU U 00
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CLOSED HOLIDAYS- QUESTIONS CAL 631-734
NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIA Ala
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SIGNATURE
**DUPLICATE TICKET—
�-',W6bHP STER,-
AA'
SOUTHOLD TOWN DEPT SOLID WASTE 1 01626397 Steph
FIO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �-DATE
)5/29/21 D5/29/21 711 7-11 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 77220 LB Outbound - Charge ticket
Manual Tare Wt 36760 LB
Net Weight 40460 LB
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CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768.,kl
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NEXT HOLIDAY MONDAY, MAY 27, 2019 MEMORIAL A i.-,7,'TENDEREM
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SIGNATURE
TRINITY TRANSPORTATION CORPORATION
-214 Blydenburgh Road NO. 5991
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
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:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ---
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO