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HomeMy WebLinkAbout10/2021 ""DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER S©UTHOLD TOWN DEPT SOLID WASTE 01 1 01657344 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/01/21 10/01/21 12:36 12:36 11100TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 68180 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 31980 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 5.99 GO. S 0.000 0.00 0.00 0.00 1• 9'i O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ` 0.00 NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I 'TICKET GRID• WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01657344 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 101011 21 10101/21 112:36 12:36 11100TC 009316 Town of Babylon y ./ � _ 'dry( ' �W �� � �"•F� �'N'.-i Y,�y Scale 2 Gross Wt. 68180 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 31980 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.99 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED CHANGE CHECK NO.::l CI(]AIATI In= TRINITY TRANSPORTATION CORPORATION .214 Blydenburgh Road 4 8 NO: 01 I-slandia9 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) RALES:(COUNT): - - TRUCK WEIGHT_ GROSS. TARE NET ,I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN. FREE LIQ_UID AS DEFINED BY 40 CFR PART 80.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME): (.SIGNATURE') TRANSPORTED TRANSPORTATION/FREIGHT CO. - - - - TRUCK NO. - LICENSE NO/STATE.- TRAILER VO/STATE:TRAILER NO -- LICENSE NO/STATE I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANDTHAT IT WAS 'DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL'LOCATION- - . DATE DELIVERED- ADDRESS- - I ELIVERED-ADDRESS: -1 HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS BEENACCEPTE6AND 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 GOLTO GENERATOR DISPOSAL LOCATION TICKET NO. ""r')Ut�L% TE TICKET`* SITE •71CI(ETGRID s' WElGHMAS7ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01657245 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VLHICLE ` ROLL OFF" 10/01/21 110/01/21 09:01 09:01 11100TC 009316 Town of Babylon REFERENCE ORIGIN, Scale 2 Gross Wt. 71460 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 35260 LB r,QTY „3..:`.. UNIT.` ;" DESCRIPTION'°'.s` ... RATE EXTENSION; TOTAL'.,,. 17.63 TON DUTGO.MSW 0.000 0.00 0.00 0.00 r+ � Al ki 'e•' i 4,i O s. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 4 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY , �,.rENDER>D, .+ lI C1, CHECK-,NQ SIGNATURE ""DUPLICATE TICKET"* z S17E TICKET•"' p Gpla WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01657245 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ."'DATE IN DATE OUT - TIA1E 1N TIME OUT VEHICLE ROLL OFF 10/01/21 10/01/21 09:01 09.01 11100TC 009316 Town of Babylon ORIGIN, Scale 2 Gross Wt. 71460 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 35260 LB (QTY UNIT _ ,;`,"DESCRIPTION RATE s;, EXTENSION" FEE+, °' TOTAL :ra 17.63 TON DUTGO.MSW 0.000 0.00 0.00 0.00 AJ Nf � -1 ARA • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY HECK NO. CI!_N ATI IRF . A TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0147 -- -- Is,landia, NY 11749 (631) 342®9673 HIS 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 SHIPP-ED - - - _ - LOOSE: (CU YDS). SALES: (COUNT) TRUCK WEIGHT- GROSS TARE NET I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40''CFR PART 260:10 OR ANY ,APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26'1 OR ANY APPLICABLE:STATE_LAW,-HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZEDAGENT(PRINT NAME) -- (SIGNATURE) TRANSPORTER TRANSPORTATIO-N/I=REIGHT CO. TRUCK NO. -_ - - LICENSE NO/STATE- TRAILER NO' ---- - - LIGENSE 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: - - THEREBY CERTIFY,THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED ANR`TO THE BEST.OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE- RECEIVED,BY CCURATE-RECEIVED-BY _ - - -._-- -- AUTHORIZED AGENT PRINT NAME - -- ( ) . SIGNATURE/DATE'' KEY. WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER' YELLOW TO TRANSPORTER'.;, PINK TO`GENERATOR' GOLD TOGENERATOR: DISPOSAL,LOCATION TICKET NO_. ' ' "DUPLICATE TICKET** SITE `TICKET GOID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01657480 Steph PO Box 962/6155 Cox Lane Cutchogue, NY'x1935 DATE IN DATE OUT j TIME IN TIME OUT VEHICLE ROLLOFF 10/02/21 10/02/21 109:12 09:12 11100TC 009316 Town of Babylon � � � x .� i Scale 2 Gross Wt. 81160 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 42020 LB QTY. .. ' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r fV CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � '� 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY `�, �.'� TENDERED. 4 CHANGE +'CHECK+NO:' SIGNATURE "DUPLICATE TICKET" SITE ^TICKET;,, GRID 1NEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01657480 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATE IN DATE OUT . TIME IN? TIME OUT VEHICLE ROLL OFF ; 10/02/21 110/02/21 109:12 09:12 11100TC 009316 Town of Babylon R 1 L%vY1.11Uv'y �d 4 1 ,l Scale 2 Gross Wt. 81160 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 42020 LB Q7Y ;:UNIT: ` , �w." DESCRIPTION `< " °"'` RATE,' EXTENSION: FEE° TOTAL 21.01 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Y Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 � NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED d ? CHANGE CHECK`NO.' CI f3 BI ATI 10 t= TRINITY TRANSPORTATION C . RPO • TION 214 Rlydenburgh Road 0 4 9 Islands, 11,749 - (631) 3429673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS 'BEING SHIPPED AND DOES 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 HERESY CERTIFY THAT THE,ABOVENAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLESTATE LAW,HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDI-TION FOR TRANS PORTATION"ACCORD,ING TO APPLICABLE"REGULAT'ION. GENERATOR AUTHORIZED AG_EWT_ (PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE:;, -- - ---- -- -- LICENSE NO/STATE: - TRAILER NO., _- -- 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 - t HEREBY CERTIFY THATXHE 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 LO.CATIOWTICKET NO.- F°°` "`DUPLICATE TICKET'` SITE TICKET 77 ''GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01658144 Steph PO Box 962/6155 Cox Lane Cutchogue,,,N'"l1935 DATE IN" DATE OUT TIMEIN TIME OUT VEHICLE I ROLLOFF 10/04/21 '10/04/21 12:31 12:31 11100TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 75060 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 38860 LB QTY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL .may 161, } CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685--)) NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ,. ,� jt � TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET ,' I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01658144 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/04/21 10/04/21 12:31 12:31 11100TC 009316 Town of Babylon s- Scale 2 Gross Wt. 75060 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 38860 LB QTY. UNIT DESCRIPTION RATE EXTENSION ' FEE TOTAL tJ� f }A i 0 ? ✓ i , � ! CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685^!-�11 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY a nn ✓ TENDERED ` f , CHANGE HECK NO. cr_�nTroc - TRINITY TR- - NSORTC TION 214 Blydenburgh Road. NO. 0151-- - Islanda, NY 1,1749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES,NOTTAKE POSSESSION OR TITLE OF-ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS'.: COMPANY- - _ - - - - SHIP,ATE': - - - COMMODITY SHIPPED: LOOSE. (CU YDS) SALES: (COUNT)- TRUCK WEIGHT- GROSS TARE - NET I'-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUIb AS 'DEFINED BY 40 CFR PART 260.10 OR,,ANY,,: APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN'PROPERLY!` DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION ,. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) - - TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCKNO. - _ 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 THEREBY CERTiFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND TO THE BESTW MY KNOWLEDGE THE INFORMATION=PROVI_QED IS TRUE AND ACCURATE:: RECEIVED�BY:_ AUTHORIZED.AGENT(PRINT NAME) SIGNATURE/.DATE- KEY: WHITE TO DISPOSAL LOCATION GREEN;TO TRANSPORTER y YELLOW TO.TR.ANSPORTER: ,'< PINK TO GENERATOR GOLD TO GENERATOR: DISPOSAL,LOCATION TICKET NO: "DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOUD TOWN DEPT SOLID WASTE 01 01658069 Steph PO Box 962/61-65 Cox Lane Cutchogue, NY 11935 'DATE IN . 'DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF 10/04/21 10/04/21 08:37 08:37 11100TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 66320 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 29780 LB QTY.` UNIT DESCRIPTION RATE EXTENSION FEE TOTAL .t�� ,```� �• '` `"; * -,�`.%,; Via, to 5 3 CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685'"1--, NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ( TENDEREDa c4 CHANGE. CHECK NOJ.--:::j SIGNATURE "DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 01 01658069 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIW ; ,!,DATE OUT ' TIME.-IN TIME OUT VEHICLE, ROLL,OFFk 10/04/21 10/04/21 08:37 08:37 11100TC 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt. 66320 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 29780 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL . 0 0.00 0.00 0.00 a O CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685',Z'-,1, ? 0.00 NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY u r� ' • / � 'tip ��:..TENDERED._ t EE ' �a CHANGE_ HECK NO= ' eir--MIA71 inn T - ITY TRANSPORTATION CO TION 214 Blydenburgh Road NO: ® 1. 5 Islandia, 111749 _ - (631) 342-9673 THIS MANIFEST IS FOR REFERENCEPURPOSES 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) SALES: (COUNT)': -- TRUCK WEIGHT GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY A0' CFR PART 260:10 OR ANY .APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR 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 THATIT 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>MATFERIAL HAS BEEN ACCEPTED AND TO THEBESTOF 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 LO.CATI-.OWTICKET NO. SITE TICKET' GRID WEIGHMASTER' , SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01658220 Steph PO Box 962/61ffi5 Cox Lane Cutchogye;NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/05/21 10/05/21 07:24 07:24 19640TC 009316 Town of'Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 35200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.60 TON OUT(30.MSW- Ny tom$ J L %a O 44 9 PM 7 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �= X 1 f NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY >. ?% fr 114� r TENDERED �x CHANGE CHECK NO. SIGNATURE SITE I TICKET; GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01658220 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF 10/05/21 10/05/21 07:24 07:24 19640TC 009316 Town of Babylon s- Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 35200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL `• c O 10, ANKINW-0 VIS CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685 ' ` � NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAYd {x t 3r1,#°i rl � `,� � (J TENDERED a � CHANGE CH CK' O. QWMIATI IQF TRINITY TRANSPORTATION CORPORATION 2$4 Blydenburgh Road NO. 6260 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 HAZARDOUSWASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER cl TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO._ _ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINKTOGENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO-. "*DUPLICATE TICKET"* SITE �TICKET`_ %,GRID �r ,'��. ' WEI4HMASTER SOUTHOL )TOWN DEPT SOLID WASTE 01 01658238 Steph PO Box 9. %6155 Cox Lane CUtCflogUe, NY 11935 DATE IN' DATE OUT° TIME IN TIME,OUT .VEHICLE ROLL OFF 10/05/21 10/05/21 08:37 08:37 11100TC 009316 Town of Babylon •- Scale 2 Gross Wt. 92580 LB Outbound-Charge ticket 'Manual Tare Wt. 36760 LB Net Weight 55820 LB ''UNIT DESCRIPTION. ;°, ,RATE°' EXTENSIONr ,, FEE ,.:` TOTAL, 27.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 1 } , s t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ` TENDERED "_;+ V s } ?CHANGE •;tCHECKNO SIGNATURE *"DUPLICATE TICKET** SITE TICKET. GRID WEIGHMASTER „F;^ SOUTHOLD TOWN DEPT SOLID WASTE 01 01658238 Steph PO Box 962/6155 Cox Lane CUtchogue, NY 11935 ; DATE INw DATE OUT ' TIME IN TIME OUT UEHIGLE ' r ROLL OFF 10/05/21 10/05/21 08:37 08:37 11100TC 009316 Town of Babylon •- Scale 2 Gross Wt. 92580 LB Outbound-Charge,ticket Manual Tare Wt. 36760 LB Net Weight 55820 LB QTY,, .,`:. llNIT,,, w ,„ _,. .„.'A DESCRIPTION ,,,` RATE rExTER ION: FEE a'Y T,OTAL k 27.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 kZ f,71 F r -A s L 1 1 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685kN­ , NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY � .{ "l'ENDERED � t •CHANGE =aCHECKNO F..P-u• cimh eri ICF TRINITY TRANSPORTATION CO O TION' 214 Blyaenburgh Road 0153 - Islandia, NY 11749 NO. (63 l) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOT TAKE POSSESSIONOR 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' TAKE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260`.10 OR ANY APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGTO 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 NAMIE) (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/bATE KEY: WHITE'TO DISPOSAL LOCATION GREEN TO TRANSPORTER'.. YELLOW TO TRANSPORTER.. PINK TO GENERATOR - -'GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO." "DUPLICATE TICKET"" SITE I TICKET GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01658430 Steph PO Box 962/6155 Cox Lalie`� Cutchogue, NY 1.1935 ' DATE IN DATE OUT. TIME,IN: TIME OUT VEHICLE" ROLLOFF 10/06/21 10/06/21 07:16 07:16 19640TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80140 LB Outbound-Charge ticket Manual Tare Wt. 39080 LB Net Weight 41060 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE . °TOTAL 0.00 0.00 ,- z - - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76f ° NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY `;;~" �{ _ ' ' TENDERED CHANGE CHECK NO. SIGNATURE ""DUPLICATE TICKET" SITE TICKETi`: GRID` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01658430 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 10/06/21 10/06/21 07:16 07:16 19640TC 009316 Town of Babylon -ORIGIN Scale 2 Gross Wt. 80140 LB Outbound-Charge ticket ..Manual Tare Wt. 39080 LB Net Weight 41060 LB OTY --701T—OUTGO.MSW UNIT. . DESCRIPTION RATE_ EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 ` f 1 O r CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY f f v ��N� .TENDERED -ZZ22='y ` t -CHANGE CHECK NO. mr_ninTi ioo TRINITY T NSP RTATION CORPORATION u - 214 Blydenburgh Road 6261 ISlanda, 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 DOESNOT ASSUAGE ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SKIPPED: LOOSE- (CU YDS) BALES:(COUNT): TRUCK WEIGHT GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAGGED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED; BY 40 CFR' PART 260.10 OR, ANY APPLICABLE STATE LAVH,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 IVO/STATE: - I HEREBY CERTIFY THAT THE ABOVE NAPPED 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) SIGNATUREmATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. " PINK TO GENERATOR GOLD TO GENERATOR! DISPOSAL LOCATION TICKET NO. TREWTY TRANSPORTATION CORPORATION 2,14 Blydenburgh ®a NO 015 ?__ Islandia, NY 11749 (631) 3429673 THIS MANIFEST IS FOR,REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES 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'A 0 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BYAO CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.,APPLICABLE REGULATION, GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER, TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY-CERTIFY THAT, THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATORSITE 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 MYXNOWLE-DGE THE IN-FORMATION PROVIDED IS TRUE AND ACCURATE: -RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TODISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR. DISPOSAL,LOCATION TICKET NO. **DUPLICATE TICKET** :sTE ,TICKET ' GRID n " UVEIGHM4SlER SOUTHOLD TOWN DEPT SOLID WASTE 01 01658455 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN DATE OUT M '.TIME IN f TIME OUT UEHIGLE °: ° ROLLOFF 10/06/21 10/06/21 08:50 08:50 11100TC 009916 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 38440 LB ''UNIT =,° ;DESCRF,,ION`%.:, `RgTE E EXTENSION; " FEE TOTAL"; 159.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00 } s, O CLOSED HOLIDAYS-QUESTIONS CALL$31-734 7685 ,`-'� $ f 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY " 3 r"µ A'rj TENDERED `'. Jt ` va .CHANGE %C ECK`NO. SIGNATURE **DUPLICATE TICKET** siTE TICKET°, GRia , �uE.GwMnsTR SOUTHOLD TOWN DEPT SOLID WASTE 01 01658455 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935DATEIN DATE OUT TIME�IN TIMEO,UT ;1lEH1GLE ROLLOFF 10/06/21 10/06/21 08:50 08:50 11100TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 74380 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 38440 LB QTY, UNIT,, "'DESCRIPTION' R/aTE EXTENSIONr SEE, TOT/aL`, u. ,a _ ... ti_ . . 19.22 TON DUTGO.MSW 0.000 0.00 0.00 0.00 (, rs p CLOSED HOLIDAYS_QUESTIONS CALL 631-734-7685., ' 0.00 • NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY -":x `CHANGE r•' G H E c K NO. cir_ninTi ioo - �.`"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER SbFJTHOLD TOWN DEPT SOLID WASTE 01 1 01658718 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/07/21 10/07/21 12:28 12:28 11100TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 74780 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 38240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2 O UTGO.MSW 0.000 0.00 0.00 0.00 OMraVng-hetH;rr� d.-Y. CLOSED HOLIDAYS-QUESTIONS CALL 631'-734-7685 "Y 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01658718 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 1.1935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0/07/21 10/07/21 2:28 12:28 11100TC 009316 Town of Babylon •- Scale 2 Gross Wt. 74780 LB Outbound-Charge ticket -Manual Tare Wt. 36540 LB Net Weight 38240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19-.12 TON UTGO.MSW 0.000 0.00 0.00 0.00 Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"� ?a 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY1�f > s' TENDERED CHANGE CHECK NO. er_nieTi ioG TRINITY TRANSPORTATIONCORPORATION 214 Blydenburgh Road 0155 Islandia, NY 11749 _ (631) 3429673 THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.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) SALES: (COUNT): TRUCK /EIGHT: -- -__-_ 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 HAZARDOUSWASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAVA',HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATION'ACCORDING TO APPLICABLE REGULATION". GENERATOR AUTHOR IZE'D'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 DELIVER ADDRESS: I HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE RECEIVED BY: AUTHORIZED-AGENT(PRINT NAME) SIGNATURE/DATE ' KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER .•` YELLOW TO'TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET'NO. "DUPLICATE TICKET"* SITE I _TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Pd Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0 08: 3 08:53 11100TC 009316 Town of Babylon REFERENCE 0. Scale 2 Gross Wt. 78160 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 39020 LB QTY. UNIT_ DESCRIPTION RATE EXTENSION , FEE TOTAL N 0.000 1 0.00l 0.00 U.UU fnM ? 41v ��? 4/ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7ti685 >u- a F NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY (¢ � —''fV +s rpr s { its ; TENDERED CHANGE CHECK NO. SIGNATURE ""DUPLICATE TICKET" SITE I TICKET I GRID. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATE OUT TIME I,N TIME OUT VEHICLE ROLL OFF . 10 C 009316 Town of Babylon •- Scale 2 Gross Wt. 78160 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 39020 LB QTY. U DESCRIPTION RATE EXTENSION• FEE TOTAL 6N 0.000 0.00 UU S Cv` s1 O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-1z` NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAYS � TENDERED PPI,I, a CHANGE C ECKNO. cr_r.nrgoo TRINITY TRANSPORTATION C RP TIO) 214 Blydenburgh road Islandla9 NY 11749 NO. 015 4 _ (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) SALES:(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 APPLICABLESTATE 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^REGULAT ION. 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 SITELISTED 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 WASTE 01 01658827 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 70-76-0-1 10/08/21 09:01 09:01 11100TC 009316 Town of Babylon Scale 2 Gross Wt. 74500 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 38300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL TON OUTGOWO CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'%"% a s NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY"', TENDERED CHANGE'" CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01658827 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/08/21 10/08/21 09:01 09:01 11100TC 009316 Town of Babylon Scale 2 Gross Wt. 74500 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 38300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL Z f 'A rating Mims ZA AM to.5-00)PM 7 riqyq a week A im It CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY �'�, tii D ` TENDERED CHANGE CHECK NO. cir_nieTio❑ _ TRINITY TRANSPORTATION C P TION 214 Blydenburgh Road NO. 0156 Islandia.,NY 11:749 (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 ASSUAGE 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 LIOUID AS, DEFINED BY 40 CFR PART 26D.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,CLASSIFIEDAND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATIONF GENERA,TOR7 AUTHORIZED AGENT PRINT NAME l - ( ) (SIGNATURE) TRANSPORTER. TRANSPORTATION/FREIGHT CO. TRUCK NO. - - - -- _ - - - -- LICENSE NO/STATE- TRAILER NO.: ; - - - - - LICENSE' NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,AND THAT IT WAS DELIVERED WITHOUT INCIDENT•TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION,_ - - - -- DATE..DELIVERED':: , ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AN_D:TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE.' RECEIVED BY: AUTHORIZED AGENT(PRINT NAME); SIGNATURE/DATE ALE_Y_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. "=l. PINK TO GENERATOR - GOLD TO GENERATOR DISPOSAL L'-OCAT-IION.TICKET,NO..'e "DUPLICATE TICKET" kSITE TICKET GRID 1%VEIHM4SlER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659063 Steph PO Box 962/611!5 Cox Lane Cutcho�,ue, NY 11935 DATE IN' DATE OUT` TIME iN TIME OUT ; °` VEHICLE' ROLL OFF 10/09/21 10/09/21 09:04 09:04 11100TC 009316 Town of Babylon ORIGINREFERENCE FScale 2 Gross Wt. 82100 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 42960 LB 7 ` '!.; UNIT x 'DESCRIPTION ,.;I ;` „'RATE . .,,' . ,u EXTENSION "., FEE''.'" „ TOTAL.,' ' 0l 61seratang hours 7.014 AM to 5__-Q_ 1254 7 days a we- LA CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76 � ,_' NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY' TENDERED. X91 .8 �, RiC'ECKENO. ; SIGNATURE "DUPLICATE TICKET*' rTE �TICKErn ,`,, `.GRI ' v+iEiGHmpsiER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659063 Steph PO Box 962/6155 Cox Lane OUT -Cutchogue, NY 11935 �ti DATE iN,'; DATE OUT .��''TIME INa TIME VEHICLE �.� ROLL OFF .` `" „ . 10/09/21 10/09/21 09:04 09:04 11100TC 009316 Town of Babylon OGIN R Scale 2 Gross Wt. 82100 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 42960 LB „QTYu ' 'UNIT DESCRIPTION EXTENSION FEE,,,4", TOTAl r � v CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 � " NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY M= TENDERED r 'CHECK-NO. mr_ninrgoo TRINITY TRANSPORTATION C® P TI DY ..2, -1413lydenburgh Load No, ISlandia, 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 MATERIAL'S. COMPANY _ - SHIP DATE': COMMODITY SHIPPED: - LOOSE: ---- -- - --- - (CU YDS)' SALES: (COUNT) _ - - - - ---_ TRUCK WEIGHT,:' -- --- - -__ GROSS -_ TARE, - - - NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4:0 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 iPACKAGED.AND IS'IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION'. GENERATOR AUTHORIZED AGENT(PRINTNAME) (SIGNATURE) TRANSPORTER TRAN5PORT4TION/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 A'BOVE;, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BE-LOW. DRIVER: - (PR1NT 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 DtSP-OSAL LOCATION ' GREEN T01RANSPORTER YELLOW TO TRANSPORTER, PINK TO GENERATOR GOLD.TO-GENERATOR DISPOSAL LOCATION TICKET ""DUPLICATE TICKET"` SITE TICKET GRID. wEGHMASTER SOUTHOLDV'OWN DEPT SOLID WASTE01 01659717 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 BATE IN DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF 10/12/21 110/12/21 12:25 12:25 11100T 009316 Town of Babylon REFERENCIH •- Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB ..Net Weight 36500 LB r 'QTYF "', UNIT ' .`r ,'� :' °,;DESCRIPTION ;';.0 ° " RATE � EXTENSIO ` FEE^ TOTQL't a u , 18.25 TON UTGO.MSW 0.000 0.00 0.00 0.00 Q ill r y' b CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 s r0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY V"� TENDERED: SIGNATURE `*DUPLICATE TICKET " :SITE ,TICKET;=' GRIR 1NEIGHMAS#0 SOUTHOLD TOWN DEPT SOLID WASTE 01 01659717 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 „ DATE IN`s DATE OUT , .;TIME IN TIME OUT VEHICLE ROLLOFF 1:0/12/21 10/12/21 112:25 12:25 11100TC 009316 Town of-Babylon Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 36500 LB .:DESCRIPTION t RATE °:EXTENSION ', FEE TOTAL 18.25 TON UTGO.MSW 0.000 0.00 0.00 0.00 t �} � c � 00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.161, ,- NEXT 31-734 7685.1; NEXT HOLIDAY:-SEPTEMBER 6,2021 LABOR DAY ° TENDERED t, -% - FVCHECK cr_ninTroc - T �_NITY TRANSPORTATION ION CO O TION 214 Blydenburgh Road NO. 0159 Islandia, NY 1.1749 -- (631) 342®9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: - __ SHIP DATE- COMMODITY SHIPPED: 'LOOSE- - (CU YDS) BALES: (COUNT): TRUCK WE1 IGHT: - _ _ GROSS TARE NET L HERESY 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 IVO. _ - LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UPAT 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 SY 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 Na:. "DUPLICATE TICKET" SITE _`TICKET �.> . 'GRID ,u WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01659687 Steph PO Box 962/6155 Cox Lane Cutchog�,lp, NY 11935 DATE IN . DATE OUT TIME IN ITIME-OUTI VEHICLE ROLL OFF 10. 0/12/21 0/12/21 1:30 1:30 1 19640TC 009316 Town of Babylon REFERENCE ORIGIN —7Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB ..Net Weight 41420 LB — QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.71 TON UTGO.MSW f I� ✓. I 9 t 1 O88'pti s e ! ,5 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 4� NEXT HOLIDAY:'SEPTEMBER 6, 2021 LABOR DAY 4" �� TENDERED adC , CHANGE" n CHECK.N0. SIGNATURE "*DUPLICATE TICKET" SITE -- TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE D1 01659687 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935, DATE'IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 1.0/12/21 110/12/2,1 1:30 11:30 19640TC 009316 Town of-Babylon •- Scale 2 Gross Wt. 78240 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 41420 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.71 TON UTGO.MSW 0.000 0.0 jj X �4ti �' / �•yf�r r( � r a I€ t Op e : UAM CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685r�r�', " 4 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ? • TENDERED "7 ° � CHANGE CHECK NO. c,r_n,nn roc - TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 6264 Isfandia, NY 11749 No. (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT)- TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -'`(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE- I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(P-RINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DU TICKET** SITE TICKET .. GRID= WEIGHMASTER SOU' C OWN DEPT SOLID WASTE 1 01659543 Step PO f ..962/6155 Cox Lane Cutchogue, NY 11935 DATE IN T DATE OUT TIME IN TIME OUT VEHICLE -ROLL OFF • 10/12/21 10/12/21 7:30 7:30 19640 C 009316 Town of Babylon •- REFERENCE Scale 2 Gross Wt. 71440 LB - Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 34020 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL v f ' I Lei I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,-""' NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED � •�,,. `✓�,i+K Sr`Gird {li L� ' ,{ i , 1 CHANGE. CHECK'NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659543 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN,, DATE OUT TIME IN'TIME OUT VEHICLE ,ROLL OFF 10/12/21 10/12/21 7:30 07:30 19640TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 71440 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB ..Net Weight 34020 LB QTY UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL �r t`r r, ! /i �`✓ t i o i O a, ` I (✓ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685= >, .`r NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY` `- ','? TENDERED �� ri i r°�"fi` i It' 't " CHANGE -a'.•HECK-ANO. QMAIATI IRF WHITT TRANSPORTATION C P TION 2141 denbur h y � Riad No. 6262 - Islandia, 11749 - (631),342-96,73 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 MATERI'A'LS. COMPANY: - - SHIP DATE: - COMMODITY SHIPPED: LOOSE: - (CU YDS) RALES. (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 ORANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED;CLASSIFIED AND'PACKAGED,AND IS IN PROPER CONDITION'FOR TRANS PORTATION-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO., LICENSE IVO/STATE: -- - TRAILER NO. _-- LICENSE NO/STATE,: ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW. DRIVER: - (PRINT NAME) - (SIGNATURE), _ DESTINATION DISPOSAL LOCATION: - DATE DELIVERED:. ADDRESS:. I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED IS TRUE AND ACCURATE:' RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659595 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN` TIME OUT VEHICLE ROLL OFF 10/12/21 10/12/21 L08:58 08:58 11100TC 009316 Tcw sof.Babylon A. REFERENCE ORIGIN Scale 2Gross Wt. 72520 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 33820 LB QTY. UNIT DESCRIPTION RATE EXTENSION :FEE TOTAL 16.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 of , >�ry yfi4 Op • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76W"'2) f 00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY `A' TENDERED ' d CHANGE CHECK'N '. SIGNATURE "DUPLICATE TICKET" (SITE] TICKETP GRID w"` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659595 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN]TIME OUT VEHICLE ROLL OFF 10/12/21 10/12/21 08:58 08:58 11100TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 72520 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 33820 LB QTY. UNIT DESCRIPTION -RATE EXTENSION FEE TOTAL 16.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685',—) rr� �' f'�r 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED —CHANGE CHECK NO. cr_ni nrgoo TRINITY TRANSPORTATION C RPO TION 214 Blydenburgh Load NO: 0158 Islandia, NY 11749 (631) 342=9673 THIS MANIFESTIS 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'DATES - COMMODITY SHIPPED: -- LOOSE: - - (CU YDS) RALES: (COUNT);: _ _-- TRUCK WEIGHT- GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL- DOES NOT CONTAIN FREE LIQUID AS DEFINED 13Y 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: --- THEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OFMY'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 01659890 Steph PO Box 9626#55 Cox Lane- Cutchogue, NY 11935 -DATE IN DATE OUT` TIME IN TIME OUT VEHICLE ROLLOFF ', 10/13/21 10/13/21 07:30 07:30 19640TC 009316 Town of Babylon -Scale 2 Gross Wt. 86800 LB Outbound-Charge ticket Manual Tare Wt. 39080 LB Net Weight 47720 LB < ITY, UNIT. ' ° DESCRIPTION ° RATE EXTENSION'` FEE`,r w:,T,OTAL 2 0. 00 0.00 0.00 0.00 # r ' f, w� Oa 4 d Ay CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYb , :TENDERED ew^ CHECK:NO. SIGNATURE "DUPLICATE TICKET" SITE :.TICKET., GRio �., wGHn�ASTR` SOUTH'OLD TOWN DEPT SOLID WASTE 01 01659890 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN; DATE QUT TIME IN` T1ME OU7 VEHICLE ' ;: ROLL OFF 10/13/21 10/13/21 07:30 07:30 19640TC 009316 Town of Babylon REFERENCE, RIGK 2 Gross Wt. 86800 LB Outbound-Charge ticket Manual Tare Wt. 39080 LB Net Weight 47720 LB {27Y r,UNIT, DESCRIPTION ;.RATE,, EXTENSION' FEE,: r TOTAL 23.86 1 0.000 0.00 0.00 0.00 t � 41- t j Nqff CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYfir' TENDERED, ! `s r trl �. rot "- # ,'CHANGE 4'_Z C,ECKaNO CI!_N ATI IRF TRINITY TRANSPORTATION CORPORATION 214Blydenburgh Road NO 0176 _-- 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: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) - (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: : AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER'_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO. "DUPLICATE TICKET" SITE_ ; TICKET GRID ViIEIQHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659921 Steph PO Box 962/6155 Cox Lane Cutchague, i�Y 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 10/13/21 10/13/21 08:53 08:53 11100TC 009316 Town of Babylon ,REFERENCE ORIGIN Scale 2 Gross Wt. 78800 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 41380 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 c , , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' P` _ .00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYty ' TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659921 Steph, PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/13/21 10/13/21 08:53 08:53 11100TC 009316 Town of Babylon REFERENCE s- Scale 2 Gross Wt. 78800 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 41380 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,'(SJR � .� • . ., O .• i 1 �f3 ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 rs, NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYS <!�� TENDERED CHANGE HECK NO clr_XIArl loo TRINITY TRANSPORTATION CORPORATION - 214 Blydenburgh Road NO. 0160 Islandla, 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-1N 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 CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVE_ D BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE . KEY: WHITE-TO DISPOSAL-LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.` PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKETNO. "DUPLICATE TICKET" SITE I TICKET,,. „ GRID WEIGHMAST,ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659989 Steph PO 5px.S62�5155 Cox Lane Cutchogue, NY 11935• DATE iN DATE OUT TIME IN TIME OUT' VEHICLE ROLL OFF 10/13/21 10/13/21 12:10 12:10 11100TC 009316 Town of-Babylon REFERENCE •- Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 42940 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL rk F \ _ 1+ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`x- NEXT HOLIDAY:.SEPTEMBER 6, 2021 LABOR DAYf° if `% k `' TENDERED � :CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01659989 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/13/21 10/13/21 12:10 12:10 11100TC 009316 Town of Babylon R FENCE ffFE ORIGIW Scale 2 Gross Wt. 79140 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 42940 LB QTY. UNIT DESCRIPTION RATE EXTENSION, FEE TOTAL , Os 1' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,-y, NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ` c; _ TENDERED :� ,£E� CHANGE -CHECK`NO. cn_nnrgoo TfklNITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0161 Islandia.9NY 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: (CLI YDS) BALES- (COUNT).: TRUCK WEIGHT: GROSS TARE NET I HEREBY'CERTIFY'THAT'THE`ABOVE NAMED, MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40CFR 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,CLASSIFIEDAND 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 ABOVENAMIED MATERIAL WAS PICKED UP AT THE, GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW_ DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY-THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATIONPROVIDED IS TRUE AND ACCURATE_' RECEIVED BY,. AUTHORIZED- AGtNT(PAINT NAME) - SIGNATURE/DATE KEY- WHITE TO,DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERA-TOR GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE I TICKET I GRID WEIGH-MASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01660178 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 1,1935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF 10/14/21 10/14/21 12:16 12:16 11100TC 009316 Town of Babylon ORIGINREFERENCE FQTYScale 2 Gross Wt. 77420 LB Outbound-Charge ticket -Manual Tare Wt. 36820 LB Net Weight 40600 LB UNIT DESCRIPTION RATE. _ EXTENSION FEE TOTAL 20.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ` 1 L LJr y fi ti CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685"',-, 0.00 w NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY '''2 � �� }` TENDERED r CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" (SITE TICKET GRID'` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01660178 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT VEHICLE `ROLL OFF 10/14/21 10/14/21 112:16 12:16 11100TC 009316 Town of Babylon o- Scale 2 Gross Wt. 77420 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB Net Weight 40600 LB QTY. , UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL 20.30 TON DUTGO.MSW 0.000 0.00 0.00 0.00 /� C Iiss43 1 7 " 3 I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-/ : 0.00 NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY Cp V VX TENDERED CHANGE CHECK NO. CIMI11ATI IRF - TRINITY T NSPO 'TATION CORPORATION 214 Blydenburgh Road 0163 NO. ISlandla, 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: _ - SHIP DATE: COMMODITY SHIPPED': _ - LOOSE: - (CU YDS) SALES: (COUNT): _- TRUCK WEIGHT: - GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFRPART 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 lN 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`DELIV'ERED: 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 TOGENERATOR- -. GOLD TO GENERATOR. DISPOSAL"LOCATION TICKET,NO.,' "DUPLICATE TICKET" °SITE ' 'TICKET ;` GRID WEIGHMASiER SOUTHU*,*OWN DEPT SOLID WASTE 01 01660119 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'` "DATE OUT TIME IN, TIME OUT VEHICLE ROLL OFF 10/14/21 10/14/21 08:55 08:55 11100TC 009316 Town of Babylon REFERENCE .- Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 40340 LB QTY ,1 UNIT : '-DESCRIPTION,„ ,R(1TE EXTENSION" FEE •' TOTAL_ .; U.UUU 0.000.0 Q- v� ;Q ° r 31 , a CLOSED HOLIDAYS-QUESTIONS CALL 631-734l685 ,,� ' � NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY« " TENDERED "U, P '.°•o=:CHECKNO. • SIGNATURE "*DUPLICATE TICKET"" SITE " .tiTIGKET,;= GRID WEGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01660119 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935DATE IN' DATE OUT' " 71ME 1N TIME QUT > VEHICLE. ; ROLL OFF 10/14/21 10/14/21 08:55 08:55 11100TC 009316 Town of Babylon ®. Scale 2 Gross Wt. 79040 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 40340 LB ' FTOTAL," N , ' q 010erating ho,las Z-001 AM to 5-06 12h 4 7 d CLOSED HOLIDAYS-QUESTIONS CALL 631-734685 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY - 04, ENDERED+ AIfAAlATI1RF T LAITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 0162 Islanda, 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: __ SHIP DATE; COMMODITY SHIPPED: LOOSE: (CU YDS) DALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET IHEREBY 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 NOTMAZARDOUS 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 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**mw SITE TICKET GRID,, WEIGHMASTER SC %TOWN DEPT SOLID WASTE 01 01660512 Steph ,_pp 02/6155 Cox Lane CdYr ;•gue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/16/21 10/16/21 109:01 09:01 11103T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. .77420 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 38720 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 JjJ� fir?\it)f l d ',6 � � t { CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , A� ,�`"� � "�,.����,�' �� 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ' � �" TENDERED CHANGE. .CHECK NO. —j SIGNATURE "DUPLICATE TICKET"" SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01660512 Steph PO Box 962/6155 Cox Lane Cutchogue,NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/16/21 10/16/21 109:01 09:01 11103TC 009316 Town of Babylon Scale 2 Gross Wt. 77420 LB Outbound-Charge ticket 'Manual Tare Wt. 38700 LB Net Weight 38720 LB QTY— UNIT DESCRIPTION ""RATE EXTENSION- FEE TOTAL" 19.36 TON UTGO.MSW 0.000 0.00 0.00 0.00 /p(/✓ yi+f��.d f � ��i `py1 )oo ^,...} '1� C^tiO�J f✓~� tie \ -�'". Yy' . 1 45 D F • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �' � .- � 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY j � ,µq TENDERED CHANGE CHECK'NO. erneTi goo TY TRANSPORTATION CORPORATION p3lydebur Road 0164- NO.. - - 4slandla, 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 ARTY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:, -- - - - SHIP DATE.- COMMODITY ATE=COMMODITY SHIPPED; - - - LOOSE: - - - (CU YDS) SALES:(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 APPLICABLESTATE 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: -- [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 GENERATORW,_ DISPOSAL.LOCATION TICKET-NO.- ' ""DUPLICifrE TICKET" SITE I TICKET GRID ° WEIGHMASTER SOUTI4OLD TOWN DEPT SOLID WASTE 01 01661084 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ',,DATE IN DATE OUT I TIME IN TIME OUT VEHICLE -ROLL OFF 10/18/21 10/18/21 08:43 08:43 11 103T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 76860 LBOutbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 39440 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 t• fv -Gh RDA t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,y f 0.00 NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY TENDERED �. J ori .CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET :. GRID. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661084 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/18/21 10/18/21 08:43 08:43 11 103T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 76860 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 39440 LB QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 q, }j1,� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-','q-, 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED lu v -CHANGE - CHECK NO. cn_wnrgoo -TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO.- 0165 Islandia, NY 11749 (631) 342-9673 THISMANIFEST 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 09 rANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR-AUTHORIZED AGENT(PRINT NAME) . (SIGNATURE]E) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE- I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS ,DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I'HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF,MY KNOWLEDGE THE INFORMATION.PROVIDED IS TRUE,AND ACCURATE: RECEIVED BY AUTHORIZED AGENT(PAINT NAME) SIGNXTuRE/DATE KEY: WHITE TO DISPOSAL LOCATI[ON GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR* DISPOSAL LOCATION TICKET-NO. ,4�*DUP%ICATE TICKET'* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661156 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 . DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 10/18/21 10/18/21 12:06 12:06 11 103T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 73940 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 38000 LB QTY U T DESCRIPTION RATE EXTENSION FEE TOTAL t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 1-, "� ' ! ��, NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY": TENDERED ? ` CHANGE CHECK NO'. SIGNATURE **DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01661156 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 1.1935 DATE IN I DATE OUT, ,TIME IN TIME OUT VEHICLE ROLL OFF 10/18/21 10/18/21 12:06 12:06 11 103T 009316 Town of Babylon REFERENCE o- Scale 2 Gross Wt. 73940 LB Outbound-Charge ticket -Manual Tare Wt. 35940 LB Net Weight '38000 LB IQ AR QTY. UNITDESCRIPTION RATE EXTENSION FEE TOTAL 0 0.00 1}}3{ f t, O CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 `4 t�k�. 0 5 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ` <'° � 1 TENDERED f t. CHANGE ":CHEG NO. cir_nieTi ioc TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0167 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'HERE-BY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES_NOT CONTAIN FREE LIQUID-ASIDEFINED 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/STAT-E: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME), (SIGNATURE) DESTINATION DISPOSAL LOCATION; DATE DELIVERED- ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OFMY KNOWLEIDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY" AUTHORIZED AGENT(PRINT'.NAME)'- -SIGNATURE/DATE -- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL-LOCATION TICKET NO: SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01661281 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/19/21 10/19/21 107:29 07:29 1 19640TC 009316 Tow- f Babylon Scale 2 Gross Wt. 70500 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 31360 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL O TGO.MSW 0.000 0.00 0.00 0.00 ' ' Itit' r .a i 4. JJ O R09aFS7t99 ;! CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 ` za ' 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ; ,� " Ph TENDERED a.. " � CHANGE CHECK NO. SIGNATURE SITE TICKET GRID" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE D1 1 01661281 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0/19/21 10/19/21 7:29 7:29 19640TC 009316 Town of Babylon 'Scale 2 Gross Wt. 70500 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 31360 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ON U9T_GO.MSW 0.000 0.00 0.00 0.00 ' OpPfol--7-day. wmm. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"_','/",_ 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY : _� `' _ �` TENDERED CHANGE CHECK NO. cr_nin-n icv TRINI'TY TRANSPORTATION CORPORATION 214 Blydenburgh Road No. 0177 Islanda, NY 11749 (Q 1� 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:, _ _ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE•STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE.REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. _ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY:•_ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER`. YELLOW TO TRANSPORTER: PINK TO GENERATOR— GOLD TO GENERATOR - DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET* SITE _. ""TICKET .' GRID. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661396 Steph PO Box 962/6+55 Cox Lane CutchoguEs NY 11935 DATE IN-. DATE OUT TIME IN-TIME OUTI'. E VEHICLE ROLL OFF 1 10/19/21 10/19/21 13:04 13:04 19640TC 009316 Town of Babylon Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 38100 LB QTY. UNIT°. DESCRIPTION RATE EXTENSION FEE TOTAL• ' s ' n r 4 � CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 ° .�' NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ' °' d TENDERED "; ...., CHANGE ".CHECK NO. SIGNATURE "*DUPLICATE TICKET** sirE TICKEr'. GRD wEIHMAsrER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661396 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ' DATE OUT TIME IN, TIME OUT ;VEHICLE," 'ROLL OFF 10/19/21 10/19/21 13:04 13:04 19640TC 009316 Town of Babylon -Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB tj Net Weight 38100 LB Scale UN'�T, pESCRIFTiON � RATE EXTENSION € °FEE. TO " 19.05 0.000 0.00 0.00 0.00 t F t. F 4 £a Opefating CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY y y ; ' TENDERED } CHANGE,, GHEGK'NO.. , Cl/�IIATI IOC TRINITY 'TRANSPORTATION CORPORATION 214. lydenburgb R,®ad NO0178 hind%a, NY 11749 . (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR,TITLE'OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCHMATERIALS. COMPANY: -- - SHIP DATE,:- -- COMMODITY SKIPPED: LOOSE: -- (C YDS) SALES: (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 CONDITIONFOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT PRINT NAME)) (SIGNATURE) - - TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. - -- LICENSE NO/STATE' TRAILER NO. _- -- LICENSE NO/STATE: I HEREBY CERTIFY THAT THE, ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE_,, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) - (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED,- - ADDRESS I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED'AND TO'THE'BEST OF MY.KNOWLE'DGE TH'E 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 I DISPOSAL LOCATION TICKET"NO..•" 7,1 "DUPLICATE TICKET" ,SITE " „ *TICKET,;w GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 0 01661384 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN.^ DATE`OUT,, : TIME IN",TIME OUT:. VEHICLE+,` ROLLOFF 10/19/21 10/19/21 12:42 12:42 11103T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 65080 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 28880 LB (QTY ' UNIT, ;::DESCRIPTION '„ ,,, . RATE 'EXTENSION" FEE' TOTAL° Iq t3 { CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 ' NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ' ° ' TENDERED r. SIGNATURE "DUPLICATE TICKET"" SITE TICKET,;, GRID ' ' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661384 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'r DATE TIME OUT VEHICLE ROLL',OFF " ..,., 10/19/21 10/19/21 [12:42 12:42 11103T 009316 Town of Babylon •- Scale 2 Gross Wt. 65080 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 28880 LB QTY :^'UNIT. r, " ,,., DESCRIFTlON z., K,, RATE, EXTENSION; =.FEE TOTAL, ky el CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-.-O , NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY r.:`TENDEREO cr_ninrgoo TRINITY TRANSPORTATION COMPO 'ION 214 Blydenburgh Road 0169 lslandia, NY 11749 NO. ---- (631) 342-9673 THIS mANIFE81 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: SHP DATE'. - COMMODITY SHIPPED: ---- LOOSE= -- --_ (CU YDS) SALES. (COUNT): _-- - TRUCK /EIGHT: - 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 FORTRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGE'NT(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 SITCLISTED 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) -7 SIGNATURE/DATE KEY: WHITE TODISPOSAL-LOCATION " GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL'LOCATION•TICKET NO'. == ' `*DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661298 Steph PO Box 962/6155 Cox Lane Cutchogue, NY;I 11-- DATE IN DATE OUT• TIME'IN, TIME OUT VEHICLE ROLL OFF 10/19/21 10/19/21 08:58 08:58 11 103T 009316 Town of B0"'ylon IA REFERENCE ORIGIN — . E Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 46400 LB QTY. UNIT_ DESCRIPTION RATE EXTENSION _FEE TOTAL O GO.MSW 0.000 0.00 0.00 0.00 le�,N Ao 41 "/4� '•� 5 I f CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ;x/)* 0.00 TENDERED NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY 4 ru;""s '� �� "{-1���f(f ij}.�off•9�,�3� �, CHANGE CHECK NO:::j SIGNATURE `*DUPLICATE TICKET" SITE TICKET" GRID- WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01661298 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/19/21 110/19/21 08:58 08:58 11 103T 009316 Town of Babylon ORidlWl Scale 2 Gross Wt. 82940 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 46400 LB QTY. UNIT DESCRIPTION RATE, EXTENSION FEE 'TOTAL 23.20 TON DUTGO.MSW 0.000 0.00 0.00 0.00 €•gam � tl; `� �;�� KV CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685.� �� 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED ` a CHANGE CHECK NO. CIf:NATI IRF TAINT TY TRANSPORTATION CORPORATION 2.14 Blydenburgh Road NO0168 . _ Is `and , , IVYf 11749 (63 ly�342=-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: _ SHIP DATE: COMMODITY SHIPPED: LOOSE: _ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT.CONTAIN FREE LIQUID AS`DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND,TO THE E 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 - YELLOWTO TRANSPORTER. - PINK TO GENERATOR GOLD TO GENERATOR., DISPOSAL LOCATION•TICKETNO_ "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661558 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 10/20/21 10/20/21 11:14 11:14 1 103T 009316 Town of Babylon REFERENCE • �. Scale 2 Gross Wt. 76720 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 40100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL- 0.U5 0-M-G-U.M SW 0.000 0.00 0.00 0.00 Lill J `� 1 ? / ° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 " 0.00 A �� g �� A, NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAYTENDERED CHANGE CHECK NO`. _j SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661558 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL OFF 10/20/21 10/20/21 111:14 11:14 11103TC 009316 Town of Babylon Scale 2 Gross Wt. 76720 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 40100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.05 TON DUTGO.MSW 0.000 0.00 0.00 0.00 �� I� . 01 Op �� , f' • ell CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,-� � 0.00 NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY ' TENDERED CHANGE GHECK,NO. m r_N DTI IRP . RINITY TRANSPORTATION CORPORATION 214, Blydenburgh Road 0170 ,r1slaindia, -NY 11749 NO (631) 3429673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY AS-SOCiATED 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 AUTHORIZEDAGENT(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 BEENACC EPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED . 19 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; _*0WPLI3ATE TICKET" SITE, TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661705 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/21/21 10/21/21 08:52 08:52 11103T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 42100 LB QTY. UNIT DESCRIPTION RATE EXTENSION'` FEE TOTAL 7 , . `d ;:r I I CLOSED HOLIDAYS-QUESTIONS CALL 631-734.75s" _U.uU • NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYTENDERED ; CHANGE SIGNATURE, "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661705 Liz H PO Box 962/61.55 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT018":52 ME'IN TIME OUT VEHICLE ROLLOFF 10/21/21 10/21/21 08:52 11103T 009316 Town of Babylon •- Scale 2 Gross Wt. 79520 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 42100 LB ,QTY. UNIT t DESCRIPTION RATE, EXTENSION FEE :TOTAL .0 Ohours tit ✓ `' � v !" w • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 y' NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED CHANGE CHECK NO. mr_nieri cc TRINITY TRANSPORTATION CO O TION 214 Blydenburgh Roar No. 0171 lslanrlia., NY 1174.9 (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: COIVIIVIODITY SHIPPEDe -- 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,ISNOT HAZARDOUS WASTE AS DEFINED BY 40'CFR-PART 261 OR.-ANYAPPLICABLE-STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGEIIIT PRINT NAME - ( ) � . (SIGNATURE] TRANSPORTER TRANSPORTATION/FREIGHT CO: TRUCK IVO, _ _ LICENSE NO/STATE.- TRAILER VO/STATE:TRAILER IVO._ . - - -- 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: 1 HEREBY CERTIFY THAT.THEABOVE MATERIAL HAS BEEN ACCEPTEDAND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(P.RINT`NAME)'- - SIGNATURE/DATE KEY: WHITE TO DISPOSAL,LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ . PINK TO GENERATOR GOLD TO'GENE6ATOR' " DISPOSAL.LOCATION TICIKETNO._' )ICATE TICKET" SITE '` TICKET` ' GRID WEIGHMASTER SOOTHOLD TOWN DEPT SOLID WASTE 1 01661788 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT, I TIME IN TIME OUT VEHICLE ROLL OFF 10/21/21 . 110/21/21 2:20 2:20 11103T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 70120 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 33580 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.79 TON DUTGO.MSW 0.000 0.00 0.00 0.00 i �' :'' 1tf ,�'` 1 rN Opera Ing ours 7:Ud AM todays a we :, °� .. � E • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.024 NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY , - TENDERED "C-fi r �� CHANE CHECK NO. SIGNATURE *`DUPLICATE TICKET`* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01661788 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE I DATE OUT TIME'IN TIME'bUT VEHICLE ROLC'OFF 10/21/21 10/21/21 12:20 12:20 11103T 009316 Town of Babylon REFERENCE ®- Scale 2 Gross Wt. 70120 LB Outbound-Charge ticket Manual Tare Wt. 36540 LB Net Weight 33580 LB QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL 16.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r-) l, "i f operating y CLOSED HOLIDAYS=QUESTIONS CALL 631 734-7.685.° �' C .. v. ; , NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY _ . ' � TENDEREDr. ' CHANGE HECK NO.' TRINITY TRANSPORTATION CORPORATION 214 Bllydenburgh Road NO. 017 2 Islandia, NY 11,749 (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) SALES: (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 26'0.10 OR ANY APPLICABLE STATE LAW,IS NOTHAZARDOUS WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED ARID PACKAGED,A.ND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE..REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. - _ _ LICENSE IVO/STATE`: TRAILER NO. - - - - - _ _ _. LICENSE NO/STATE: -_- --.- - I HEREBY CERTIFY TEAT 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:TOTHE'BEST OF MY KNOWLEDGE THE INFOR VIATION PROVIDED- IS TRUE AND ACCURATE: RECEIVED•BY' AUTHORIZED-AGENT(PRINT NAME)- SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION, GREEN TO TRANSPORTER.. YELLOW'TO TR'A'NSPORTER. PINK TO GENERATOR, GOLD-TO'GENERATOR DISPOSAL=LOCATION TICKET NO `*QUPLICATI TICKET" "SITE TICKET GRID ' WEIGHMAST.ER SOUTHOLITTOWN DEPT SOLID WASTE 01 01661934 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 10/22/21 10/22/21 09:05 09:05 11100TC 009316 Town of-Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 40900 LB QTY. UNIT DESCRIPTION RATE ., EXTENSION FEE _ TOTAL lQ1+ / j : , t � Ft t-I N C, 1 7 rd CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685,�A> ��� NEXT HOLIDAY:,SEPTEMBER 6,2021 LABOR DAYf NN , y� TENDERED N Y"r CHANGE -%CHECK-NO. SIGNATURE "DUPLICATE TICKET"" SITE TICKET GRID "WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01661934 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN,,, DATE OUT TIME,IN, TIME,OUT VEHICLE ROLL.OFF „ 10/22/21 10/22/21 09:05 09:05 11100TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 76840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 40900 LB ,QTY. UNIT DESCRIPTION y .RATE�•° EXTENSION, FEE TOTAL., G0.mSvv 0.000 0.00 0 0.00 r , � • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 p 0.00 NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY , n " TENDERED GNANGE CHEC NO. 01fl-K rl ioo T TITY TRANSPORTATION CO O TIOJI 214 Blydenburgh Road 01. 7 3 No,__ Islanaia, 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 ANG IDDES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY- SHIP'DATE: COMMODITY SHOPPED LOOSE: (CIS YDS) SALES: (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 IVO/STATE: TRAILER NO. LICENSE,NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED IJP 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: - f -ER BY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE I BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE.- RECEIVED BY: : AUTHORIZED AGENT(PRINTNAME-) SIGNATURE/DATE KEY; WHITE.TO"DISPOSAL LOCATION_ GREEN TO'TRANSPORTER YELLOW TO TRANS PORTER. ' PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET-NO, "*DUPLICATE TICKET"` SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01662173 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/23/21 10/23/21 108:57 08:57 11100TC 0093+"TowFn of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 66460 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 32480 LB QTY ' UNIT °DESCRIPTION RATE EXTENSION ' FEE TOTAL" 16.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00 /bZ Z "�a 4 ce CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76E NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY �r TENDERED c. , CHANGE,.. CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET''! I GRID ,WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01662173 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/23/21 10/23/21 108:57 08:57 11100TC 009316 Town of Babylon "Scale 2 Gross Wt. 66460 LB Outbound-Charge ticket Manual Tare Wt. 33980 LB Net Weight 32480 LB QTY. . UNIT DESCRIPTION. -.,RATE EXTENSION,. FEE TOTAL 16:24 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ell } t U ` ; r x Op �g- e � •I L41 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E "' 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY , �t TENDERED CHANGE CHECK NO. cir_ninrgoo TRINITY T'RANSPORTA'TION CORPORATION 214 Blydenburgh Road 0174 `tsldia, NY 11749 NO (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:. (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER . . . TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PR1NT 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** 81TE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01662836 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/25/21 10/25/21 11:05 11:05 11100TC 009316 TbA-)f Babylon r 9RIGIN Scale 2 Gross Wt. 72460 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 35040 LB QTY. UNIT DESCRIPTION RATE "" EXTENSION FEE_ TOTAL 17.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00 o a � \kv CLOSED HOLIDAYS-QUESTIONS CALL 631=734-7685 0.00 NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY ' =TENDERED CHANGE CHECK,NO. --. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID „A WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01662836 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT 'TIME IN TIME OUT VEHICLE ROLL OFF 10/25/21 10/25/21 11:05 11:05 11100TC 009316 Town of Babylon ®- Scale 2 Gross Wt. 72460 LB Outbound-Charge ticket Manual Tare Wt. 37420 LB Net Weight 35040 LB QTY UNIT DESCRIPTION RATE EXTENSION, FEE TOTAL 17.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00 re Alr { Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 °, , 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY {� ��„� TENDERED ncl CHANGE .. CHECK NO. cir-WATT IGF TRINITY TRANSPORTATION CORDO TIOl 214 Blydenburgh Road 0 NO. 0186 l0arid_a, NY ,1.1749 (631) 342=9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY- SHIP DATE: - COMMODITY SHIPPED: 'LOOSE: (CU YDS) RALES: (COUNT): TRUCK WEIGHT: _ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES`NOT CONTAIN FREE LIQUID AS 'DEFINEQ BY 40 CFR PART 260.10 OR,ANY APPLICABLE STATE LAW,'IS NOT HAZARDOUS'WASTEAS 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 APPLICABLEREGULATION. 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- 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 TIGKET-N0: SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01662759 Steph PO Box 962/6155 Cox Lane Cutchogue, NY#11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/25/21 10/25/21 107:35 07:35 19640T 009316 Town of Babylon _ Scale 2 Gross Wt. 69220 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 30080 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL UU=.M.5vv .000 0.00 0.00 0.00 filiif°a iAq-bOUFu-7:0 �' `1 �a : / A CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,-- a 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY slfUl „ �'N' TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01662759 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/25/21 10/25/21 107:35 07:35 19640TC 009316 Town of Babylon Scale 2 Gross Wt. 69220 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 30080 LB QTY. UNIT: DESCRIPTION RATE EXTENSION FEE TOTAL .000 0.00 0.00 0.00 , 7� — r A o CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851-- A U.UU NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY `S r m j. s TENDERED { <k { -CHANGE CHECK NO. car-nieT�iaa Iq TRINITY TRANSPORTATION C O TION 2x4 Blydenburgh Road 0179 Island a, 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,1S NOT HAZARDOUS WASTE AS DEFINED BY d0 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY- DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _-_ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) - (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: - I HEREBY"CERTIFY'THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO'THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION. GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR• ; GOLD TO GENERATOR DISPOSAL LOCATION TICKET'NO." "DUPLICATE TICKET' rSITE TICKET ""GRID WEIGHMASTER SOUTHOLO TOWN DEPT SOLID WASTE 01 01662756 Steph PO Box,,,962/6155-Ca„x Lane Cutch5gue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF 2 0/25/21 07:15 07:15 11100TC 009`316 Town of Babylon 1, ORIGIN Scale 2 Gross Wt. 83360 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44660 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL era i o 0 CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685: ,tj C � NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED , r CHECK NO::j SIGNATURE "DUPLICATE TICKET" SITE ' TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01662756 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF -1-0/25/21 10/25/21 07:15 07:15 11100TC 009316 Town of Babylon ®- Scale 2 Gross Wt. 83360 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 44660 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 22.33 0.000 U.UU 0.00 HOLY;; ry 1 ` �` ± y' / 7 ` 3 O �) s r • a CLOSED HOLIDAYS-QUESTIONS CALL 631-734-ram7685 mul I NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY , TENDERED CHANGE CHECK NO. cir_nleTi ioc TIRINITY TRANSPORTATION CO TION 14 Blydenu>rgh Road 017 5 No. _- landia I\tY 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) SALES: (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 HAZA6iDOUS'WASTEAS 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 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYKNOWLEDGE THE INFORMATION PROVIDED. IS TRUE AND ACCURATE. RECEIVED BY: --- --_- AUTHORIZ_ED AGENT(PRINTNAME) SIGNATURE/DATE KEY: WHITE TO'DISPOSAL LOCATION :. 'GREEN TO TRANSPORTER'-" YELLOW TO TRANSPORTER., PINK TO GENERATOR. , GOLD TO GENERATOR. DISPOSAULOCATION•TICKET NO. "`DUPLICATE TICKET* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663045 Steph PO Box 962/6155 Cox Lane Cutchogue, NY111935 DATE IN DATE OUT TIME'IN TIME OUT VEHICLE ROLL OFF 10/26/21 10/26/21 09:09 09:09 11100TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 42120 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.06 MR-OUTGO.MSW 0.000 0.00 0.00 0.00 i° W, O 4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY '; µ ' ' TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITEF TICKET GRID" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663045 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/26/21 10/26/21 09:09 09:09 11100TC 009316 Town of Babylon Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 42120 LB QTY. UNIT DESCRIPTION RATE_ EXTENSION FEE TOTAL 0 O TGO.MSW 0.000 0.00 0.00 0.00 . s ° r` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:. 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY a £ TENDERED J J1 ' CHANGE CHECK NO. cn_wn•rroc TRINITY TRANSPORTATION_ COMPO TION 214 Blydenburgh Road 018 7 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!fiAATERIALS. COMPANY - - - - SHIP DATE COMMODITY SHIPPED: - LOOSE': _- - (CU YDS) SALES:(COUNT): --- TRUCBE WEIGHT GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAPPED 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 CFRPART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. ' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. -_ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: - - - - - (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: - DATE DELIVERED:. ADDRESS: I HEREBY CERTIFY THATTHE"ABOVE MATERIAL HAS BEEN,.ACCEPTED AND TO THE BEST OF MY KNOWLEDGETHE INFORMATION'PROVIDED 1S TRUE AND ACCURATE:.* RECEIVED BY: AUTHORIZED AGENT.(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION- GREEN OCATION GREEN TO'TRANSPORTER•' YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR- DISPOSAL LOCATION TICKET NO. -- **DUPLICAT`' '" SI 'TICKETTE TICKET GRID '."F' WEIG14MASTER SOUTHOLD19WN DEPT SOLID WASTE 01 1 01663071 Steph r+ PO Box 962/6,155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/26/21 10/26/21 12:37 12:37 11100TC 009316 Town of Babylon •- Scale 2 Gross Wt. 76120 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 39920 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.96 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Rft r t � 0.00 +4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , z\s y; NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY r�5 n rnm, TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE - TICKET . GRID WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01663071 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/26/21 10/26/21 12:37 12:37 11100TC 009316 Town of Babylon _ m- Scale 2 Gross Wt. 76120 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 39920 LB QTY. UNIT DESCRIPTION RATE EXTENSIONFEE TOTAL 19.96 TON DUTGO.MSW 0.000 0.00 0.00 0.00 € g y., t Jam`^j ! { �glpff mum �...w .✓' ��..', CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �, zA j .0 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY . � � r$ TENDERED 1w CHANGE CHECK NO. cr_wnrroc T rNITY TRANSPORTATION CORPORATION 214lydenburgh Road 018 8 Ivo.: Islandla, 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 LIOUID AS DEFINED BY 40 CFR, PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS_ WASTE.AS DEFINED BY 40 CER PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS-1N PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION'. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. -_- -- TRUCK NO. -- - - LICENSE NO/STATE '- TRAI,LER NO._ -_ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UPAT 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 THATTHEABOVE 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'LOCATfON GREEN TO TRANSPORTER` YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL'LOCATION TICKET'NO.: _ ' "*DUPLICATE TICKET" SITE I TICKET I GRID_ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE01 01663131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ` 10/27/21 10/27/21 09:18 09:18 11100TC 009316 Town of Babylon sa Scale 2 Gross Wt. 89440 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 50740 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 00 1(3o.msvv- 0.000 0.00 0.00 0.00 � f : :7da yS-a-w@ s i ` CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685 0.00 NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ' TENDERED d, Q } CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663131 Steph PO Box 962/6155 Cox Lane g TE IN DATE OUT TIME IN TIME OUT VEHICLE utc o ue, NY 11935 pa • ROLL OFF 10/27/21 10/27/21 09:18 09:18 11100TC 009316 Town of Babylon , y rru Scale 2 Gross Wt. 89440 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB -Net Weight 50740 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 0.000 0.00 0.00 0.00 r s� , 0 w CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ? NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ° , 4 `;' � TENDERED CHANGE CHECK NO. carni n•ri goo TRINITY TRANSPORTATION ION OO O TION 214 Blydenburgh Road No. 0189 zIslandla, NY 11749 (631) 342-9673 _ THISMANIFEST 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) SALES:(COUNT): TRUCK WEIGHT: GROSS TARE' NET [HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE.LIQUID AS,DEFINED BY40 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 C.O. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE:' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,.AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) - - (SIGNATURE) DESTINATION DISPOSAL LOCATION`_ DATE DELIVERED: ADDRESS- 1 HEREBY CERTIFY THAT THE ABOVEMATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED' IS TRUE AND ACCURATE:' - RECEIVED CCURATE:' -RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE- KEY: WHITE TO DISPOSAL"LOCATION- GREEN TO OCATION.GREEN'TO TRANSPORTER: YELLOW TO TRANSPORTER_. PINK TO GENERATOR:`- GOLDJO GENERATOR" DISPOSAL LOCATION TICKET NO_ SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01663111 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/27/21 10/27/21 r7:42 7:42 19640TC 009316 Town of Babylon ®- r�r Scale 2 Gross Wt. 80720 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 44520 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.26 TON DUTGO.MSW 0.000 0.00 0.00 0.00 621 N `1 , s , CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685`��� ` �e� NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ,;' P# TENDERED mfg f "6 CHANGE CHECK NO. .. SIGNATURE SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663111 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/27/21 10/27/21 07:42 07:42 19640TC 009316 Town of Babylon Scale 2 Gross Wt. 80720 LB Outbound-Charge ticket Manual Tare Wt. 36200 LB Net Weight 44520 LB QTY' UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL 22.26 TON DUTGO.MSW 0.000 0.00 0.00 0.00 d � :vim� !' ;�� r)�i' � f'•;s�^r Op CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685- NEXT 31-734-76$5 NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAYS � �� �n s �> TENDERED 6. CHANGE CHECK NO. CIl�N ATI IRF TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandga Imo' 11749 NO. ® � (631)142®9673 4 TH18 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) SALES: (COUNT).: - TRUCK WEIGHT GROSS - TARE - =- - NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL, DOES NOT CONTAIN FREE LIQUID AS'DEFINED BY 40 CFR PART'260.10 OR ANY APPLICABLE STATE,LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED.CLASSIFIED AND-PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. - - LICENSE NO/STATE: _ TRAILER NO. __ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THATIT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER- (PRINT NAME)' (SIGNATURE) - DESTINATION DISPOSAL LOCATION- _- _ DATE DELIVERED:: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS'BEEN.ACCEPTED•AND TO THEBEST OF MY KNOWLEDGE THE'-INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED_BY: _ AUTHORIZED AGENT(PRINT NAME) " SIGNATURE/DATE - KEY. WHITE TO.-DISPOSAL LOCATION' GREEN TO TRANSPORTER YELLOW TO TRANSPORTER: PINK TO GENERATOR GOLD TO GENERATOR,. ' °' DISPOSAL LOCATION TICKET'NO. "DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER SOJti HOLD TOWN DEPT SOLID WASTE 01 01663300 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 10/28/21 10/28/21 09:09 09:09 11100TC 009316 Town of Babylon ORIGIN ,.Scale 2 Gross Wt. 82260 LB Outbound-Charge ticket Manual Tare Wt. 36760 LB Net Weight 45500 LB QTY. UNIT DESCRIPTION RATE EXTENSION° FEE TOTAL . 1 .2 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-%-o NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYTENDERED �, `4 ,.- f CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" TE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663300 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/28/21 10/28/21 09:09 09:09 11100TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 82260 LB Outbound-Charge ticket -Manual Tare Wt. 36760 LB Net Weight 45500 LB UNIT .., `,. ,DESCRIPTION , t• ", RATE°, ,,,, EXTENSION,, FEE TOTAL 4d I'k rs. t CLOSED HOLIDAYS-QUESTIONS CALL 631,-734-7685ga � a • NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYS rTENDERED CHANGE HECK NO. - cn_wnrgoo TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0190 Islandia,, NY' 11749 (63 1) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOESNOT 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 40CFRPART 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 AGtNT(PRINT.NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FR EIGHT 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: -I­ : I - - (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED-_ ADDRESS- I HEREBY CERTIFY THAT THE ABOVEMATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME)- SIGNATURE/DATE , �KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER. YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATIOWTICKET`NO , *"DUPLICATE TICKET` SITE TICKET GRID WEIGHMASTER SOUTHaLD TOWN DEPT SOLID WASTE 01 01663526 Dan PO Bjx gbi2/6155 Cox Lane Cutchogue, NY 11935 ,DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 10/29/21 10/29/21 9:23 09:23 11100TC 009316 Town of Babylon - ORIGINREFERENCE Scale 2 Gross Wt. 80380 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 41240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL WIN .151 00.00 0.00 0.00 tom•' _ .�,j O CLOSED HOLIDAYS-.QUESTIONS CALL 631-734-768& NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ` r+ TENDERED CHANGE ,CHECK NO SIGNATURE "DUPLICATE TICKET`* SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01663526 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0/29/21 0/29/21 9:23 9:23 11100TC 009316 Town of Babylon Scale 2 Gross Wt. 80380 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Weight 41240 LB QTY. UNIT DESCRIPTION RATEEXTENSION FEE TOTAL 0.000 0. ti Op - _ o CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:= NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYi TENDERED 22r C.�-"S _, t yi •� a{'r pro CHANGE CHECK NO. 141r.NATIIRF 4 I"I"Y TRANSPORTATION CORPORATION RIN 214 Blydenburgh Road , = No. 0191 Islandia, NY 11749 (631) 3429673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED SOCIATED 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 CONDIT-ION,FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME), (SIGNATURE) TRANSPORTER TRANSPORTATIONIFREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO:_ LICENSE NOISTATE: 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 MA TERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: , RECEIVED.BY_ ,- AUTHORIZED_A GENT(PRINT NAME). SIGN'ATURE/D_ATE__ KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO.TRANSPORTER, PINK TO GENERATOR-. GOLD TO GENERATOR',- DISPOSAL LOCATION TIGKETNO. "*DUPLICATE TICKET" SITE' TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01663765 Steph PO Box 962/6155 Cox Lane Cutchogd,e, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 10/30/21 10/30/21 9:27 9:27 11100TC 001316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 77020 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 41080 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.54 TON DUTGO.MSW 0.000 0.00 0.00 0.00 �4 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'.' 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY `_ y,r TENDERED �CH NGE CHECK NO._. .. SIGNATURE "DUPLICATE TICKET'* SITE TICKET GRID WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 1 01663765 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0/30/21 0/30/21 9:27 9:27 11100TC 009316 Town of Babylon 0. Scale 2 Gross Wt. 77020 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 41080 LB QTY. UNIT DESCRIPTION RATE EXTENSION - FEE .,,. TOTAL 0.54 TON UTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o days a wee • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:` '.3;; "x J 0.00 NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY " , ,` TENDERED y '� FCHANGE CHECK NO. . 3NATURF °TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road No. 0192 8-landia, 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: 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 TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.