HomeMy WebLinkAbout11/2021 "*DUPLICATE TICKET" SITE '
"TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664324 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 Y DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/01/2111/01/21 12:31 112:31 11100TC
009316 Town of'Babylon
ORIGIN;REFER ENCE
FQTY. Scale 2 Gross Wt. 81520 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44100 LB
UNIT DESCRIPTION RATE " EXTENSION FEE TOTAL
0.00 0.00 0.00
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A4 to 5 Y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'e-
Z% } ! ` .f� 60.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR'DAY � � TENDERED
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CHANGE
CHECK NO, °.,
SIGNATURE
"DUPLICATE TICKET" SITE `' TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664324 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN TIME,OUTI . VEHICLE ROLLOFF
11/01/21 11/01/21 112:31 12:31 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 81520 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44100 LB
+QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.U5 TOIT—,)UTGC).MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DTENDERED
CHANGE
CHECK NO.�
on_wtnTi Inc
TRINITY TRANSPORTATION COPO TION
214 Blydenburgh Road - 019 4
'',s
lslan"IdY ., 11749 No.
(631) 342®9673
THIS MANIFEST'IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL'S
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ __ � SHIP DATE,:
COMMODITY SHIPPED: _-- -
LOOSE: --- (C 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 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. -- - . -- - - --- LICENSENO/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'T0 GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664217 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME„OUT VEHICLE ROLL OFF`
+.
11/01/21 11/01//21 08:48 08:48 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72280 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 36340 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
O t✓, E s�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' ”
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
CHANGE
CHECK NO..
SIGNATURE
' DUPLICATE TICKET"" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664217 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN: ,DAT E'OUT , TIME IN TIME OUT "VEHICLE
ROLL OFF.
11/01/21 11/01/21 08:48 08:48 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72280 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 36340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.000 0.00 0.00 0.00
r
. :3
p Loll]AIIIIIIIIIIIIII
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ;' 0.00
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY � .��� �a 4�
"'TENDERED
� `EN,t
CHANGE a-
CHECK NO..
�n_winTioc
TRINITY TRA
NSPO TATION CORPORATION
214 lydenburgh Road 019 3
d
Ivo. __ -
blana, 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 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 - -- --
( ) (SIGNATUREy
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
CCURATE:
RE_CE_IVE_D BY:'
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO-DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER..
PINK TO O'GENERATOR .
GOLD TO GENERATOR'- , DISPOSAL LOCATION.TICKET NO.
"DUPLICATE TICKET" (-SIT-ET � TICKET GRID ,. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664669 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE.IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
' 1/03/21 11/03/21 1:47 1:47 19640TC
009316 Town of Babylon
ORIGINREFERENCE
Manual Gross Wt. 78360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41540 LB
QTY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
0.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
r 1
"J,
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.0
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY _ TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01664669 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/03/21 11/03/21 1:47 1:47 19640TC
009316 Town of Babylon
REFERENCE
e-
Manual Gross Wt. 78360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating-hours
:.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85 y 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY `
TENDERED
CHANGE
CHECK NO.
RI r;NATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh. Road
No: 6266
Islandia., Y"N 11749
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOESNOT TAKE POSSESSION OR TITLE OF ANY CARGO. OR R 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 LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART,61 OR ANY APPLICABLE STATE_LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.ANP 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 NAGGED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINTNAAniE) (SIGNATURE) - -
DESTINATION
DISPOSAL LOCATION: - - DATE'DELIVERED`
ADDRESS:
1,,HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE THEINFORMATION PROVIDED
'IS TRUE AND ACCURATE:
RECEIVEDBY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN'TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
"DUPLICATE TICKET" ,., GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664516DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE IN DATE OUT TIME IN`'TIME OUT , VEHICLE ; ROLL OFF
11/03/21
03/21 07:40 07:40 19640TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 88120 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 54140 LB
QTY UNIT. m` DESCRIPTION " ' , RATE . EXTENSION., FEE,, , .TOTAL.:,
}
EA6pprit
La
.
CLOSED HOLIDAYS-QUESTIONS CALL 631.734=7685 . •
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY"', YTENDEfiED..
u1ir
"i P1, 1 `f J
. - CHANGEA. ,
SIGNATURE
""DUPLICATE TICKET*" sITE TICKEr;a' GRID wEiGHMA§T'ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664516 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 %DATE IN DATE OUT T)ME IN' TIME OUT r VEHICLE ROLL OFF,
11/03/21 11/03/21 107:40 107:40 19640TC
009316 Town of Babylon
Scale 2 Gross Wt. 88120 LB Outbound Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 54140 LB
OTY s' '°UNIT. , DESCRIPTION'` RATE EXTEN&ION';".. FEE,"• " rTOTAL
"5
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-77685 � t
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
cir_nnn Dov
TRINITY TRANSPORTATION.CORPORATION
214 Blydenbur-gh Road No. 6265
Islania, 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)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE LIQUID AS 'D'EFINED BY 40, CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 2610R ANY APPLICABLE STATELAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PR1NT NAME) (SIGNATURE)
TRANSPORTEE,
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - LICENSE IVO/STATE:
TRAILER NO. LICENSE IVO/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 BEENACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: --_
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0195
-
Islandla,-1 11749 -
(631) 342-9673
THIS MANIFESTOS 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)
TRA SP RTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - -_ LICENSE IVO/STATE'.
FRAILER NO.-_ - - LICENSE IVO/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
DDRESSI''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 w
KEY: WHITE TO DISPOSAL-LOCATION'. - '
GREEN TO TRANSPORTER ' --.-
YELLOW
.YELLOW TO TRANSPORTER. .
PINK TO GENERATOR'
GOLD TO GENERATOR' DISPOSAL LOCATION TICKET NO..
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664669 DCW
PO Box 962/6155 Cox,Lane
DATE IN •DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
11/03/21 11/03/21 1:47 1:47 19640TC
009316 Town of Babylon _
FManual Gross Wt. 78360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 - LB
-Net Weight 41540 LB
__QTy UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours odays a wee .~ o
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ° E '%TENDERED.°
CHANGE
CHECK.N
SIGNATURE
**DUPLICATE TICKET** sIT� GRI wEIGHMAs7ER ', n
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664669 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935' DATE IN ;DATE OUT M ;TIME IN• TIME OUT VEHICLE ROLL OFF
11/03/21 11/03/21 1:47 1:47 19640TC
009316 Town of-Babylon Y
} A
:rr >a
Manual Gross Wt. 78360 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41540 LB
pTY. w "°.' UNIT DESCRIPTION. i° RATE EXTENSION TOTAL
0.77 TON UTGO.MSW 0.000 0.00 0:00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. o
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
° >gCHECK.NO.=�.
SIGNATHRE
`"DUPLICATE TICKET"* SITE TICKET" 'GRID 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664716DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN'` DATE OUT: TIME IN TIME OUT VEHICLE;° ROLL OFF
11/03/21 1/03/21 2:56 2:56 11103T
_009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 74120 LBOutbound-Charge ticket
Manual Tare Wt. 36280 LB
..Net Weight 37840 LB
UNIT.,. °'';', DESCRIPTION. ' : u. ,.,::RATE, EXTENSION' ,',FEE
,;.. ." TOTAL,
8.92 TON UTGO.MSW 0.000 0,00 0.00 0.00
A
1
Operating hours o Full Fm I days a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685." 0.00
NEXT HOLIDAY:-SEPTEMBER 6,2021 LABOR DAY Z7ENDERED
CHECK=NO:-9
SIGNATURE
"DUPLICATE TICKET*" 517E 7IC1<ET GRID WEIGHMAS7ER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664716 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE IN d DATE OUT TIME IN TIME OUT VEHICLE'"` r < y ROLL OFF
1/03/21 11/03/21 2:56 11
2:56 11103T
009316 Town of Babylon
•-
Scale 2 Gross Wt. 74120 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 37840 LB
'QTY UNIT `"pDESCR[PTIONRATE.,,. mEXiENSIONr, FEE° 1>. W TOTAL
8.92 TON UTGO.MSW 0.000 0.00 0.00 0.00
q; s'
Operating hours 7:00 AM to 5:00 PM 7 days a week."
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY:_SEPTEMBER 6, 2021 LABOR DAY -TENDERED , ,.,
CHANGE
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0196
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: __ _ _ (CU YDS) „
BALES (COUNT):
TRUCK WEIGHT: __ _ GROSS
TARE
NET
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.
;:DUPL,SATE TICKET" SITETICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01664880 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT, VEHICLE ROLL OFF
11/04/21 111/04/21 7:46 07:46 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 45660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL`
22.83 TON UTGO.MSW 0.000 0.00 0.00 0.00
4
t 4
Op , ' rr •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 fes; 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY F TENDERED._
a N�
CHANGE`
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664880 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN r DATE OUT ,;M TIME=IN TIME OUT ,,:VEHICLE ROLL OFF
11/04/21 11/04/21 7:46 7:46 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 36200 .. LB
--Net Weight 45660 LB
QTY UNIT DESCRIPTION RATE EXTENSION ' FEE .TOTAL
2.83 TON UTGO.MSW 0.000 0.00 0.00 0.00
4,
w + `
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-765., 0.00
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY TENDERED`
f1 t 1 lel. f- i
CHANGE
CH NO:
Rlr�NATI IRF
T'RINIT'Y TRANSPORTATION CORP-ORATION
2:14 Blydenburgh Road 6267
Islanda, NY 11749 No. _
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES RIOT 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)
BALIES-(COUNT) -
TRUCK WEIGHT GROSS.
TARE
NET
I HERESY CERTIFY THAT THE ABOVE-NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY _A0 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.
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 THEABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: -- - -
AUTHORIZED AG_ENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION_,
GREEN-TO TRANSPORTER'
YELLOTO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. __
., !*DUPLICATE TICKET" SITE' ` TICKET GRID I •WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01664904 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/04/21 11/04/21 8:58 8:58 11103TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 92960 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 57020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
2851 O UTGO.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
r ,
CHANGE-
CHECK
HANGE CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE r TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664904 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
11/04/21 11/04/21 t8:58 8:58 11103TC
009316 Town of Babylon y 0,mite.
6 r
Scale 2 Gross Wt. 92960 LB Outbound-Charge ticket
_Manual Tare Wt. 35940 LB
Net Weight 57020 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.51 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Al
p•
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ;",•` TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CO PO TION
214 Blydenburgh Road 019 7
Islandia, NY 11749 No. -- -
-
(63 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ _ - SFIIP DATE,: -
COMMODITY SHIPPED: - - -
LOOSE: (CU YDS)
BALES: (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,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND,PACKAGED.AID 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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)
- (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
IPHEREBY CERTIFY THAT THE ABOVE:MATERIAL HAS BEEN,ACCEPTED ANDTO THE BEST:OF MY KNOWLEDGE THE'INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY ._
AUTHORIZED AGENT(PRINT'NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION;'. . .
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 01664967 Liz H
PO Bgw962�6155 Cox'Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/04/21 11/04/21 1:36 11:36 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72780 LB Outbound-Charge ticket
_Manual Tare Wt. 39080 LB
Net Weight 33700 LB
QTY='` UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.85 TON DUTGO.MSW 0.000 0.00 0.00 0.00
1 >
,' r �
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B i �
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,"' 7� �: �` 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ` `?
c ski t �' TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE .. "`"TICKET "GRID ` 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664967 Liz H
PO Box 962/6155 Cox,Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/04/21 1/04/21 1:36 1:36 19640TC
009316 Town of Babylon
REFERENCE
•-
E7
Scale 2 Gross Wt. 72780 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
-Net Weight 33700 LB
„ QTY. UNIT DESCRIPTIONN_
, RATE EXTENSION, FEE TOTAL
6.85 TON UTGO.MSW 0.000 0.00 0.00 0.00
V?I il r tar{ r `•-.",
i,l •� � t r iY{
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76854',`-.', 0.00
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY TENDERED ;
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CHE K''NO:
Cl/;NAT1IRF
TRINITY TRANSPORTATION CORPO TION
\V
214 Blydenburgh Road
NO. 6268
Islandia, NY 11749
(631) 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.
COMPANYo- 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 4'0' CFR 'PART 260.10 OR ANY
APPLICABLE STATELAW.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 SIGNATURE]
NAME
TRANSPORTER
TRANSPORTATION/F=REIGHT 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.
C631VER:
(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/QATT
KEY: WHITE TO DISPOSAL LOCATION
GREENS TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL LOCATION TICKET-NO.
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTH0j,,Q TOWN DEPT SOLID WASTE 01 01664990 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
11/04/21 11/04/21 12:28 112:28 11 103T
009316 Town of Babylon
REFERENCE -ORIGIN
Scale 2 Gross Wt. 84380 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 47620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.81 TON DUTGO.MSW 0.000 0.00 0.00 0.00
�1
IV
J r
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`.*','--,', � 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY t;r TENDERED
�CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01664990 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/04/21 1/04/21 2:28 2:28 ill 3TC
009316 Town of Babylon
o�
Scale 2 Gross Wt. 84380 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 47620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
3.81 TON UTGO.MSW 0.000 0.00 0.00 0.00
r-
Ope ays a wee . mill k
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: _' _ 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ' `' TENDERED-
-- - CHANGE`
CHECK NO.
SIrNATLIRE
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 019 8
No: -
Islandia9 11749 -
(631) 3429673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE 01: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 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`
-
IHEREBY CERTIFY THAT THE ABOVE'MATERIAL HASiBEEN 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::
**DLPLICATE TICKET** `BITE ,TICKET' ��,n GRi�
C/VEIGHtvIAS7ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01665260 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE°OUT? TIME IN TIME OUT VEHICLE= ROLL
11/05/21 111/05/21 12:11 12:11 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79820 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 43000 LB
QTY_ _ UNIT ' DESCRIPTION RATE `, +`; EXTENSION FEE 2N TOTAL, .
21.50 TON DUTGO.MSW 0.000 0.00 0.00 '0.00.
—P
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CLOSED HOLIDAYS QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYS , TENDERED r
.-CHECK:NO
SIGNATURE
**DUPLICATE TICKET** SITE TICKET' GRID WEIGHMASTER y;
SOUTHOLD TOWN DEPT SOLID WASTE 01 01665260 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 ' DATE IN DATE OUTa„i rTIME�N IM OUT �VEHIGLEi = ROLL OFF
11/05/21 11/05/21 2:11 2:11 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 79820 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 43000 LB
QTY
UNIT , ,. ! ' , :DESCRIPTION RATE . r•EXrENS10N , FEE
TOTAL
1.50 - TON UTGO.MSW 0.000 0.00 0.00 0.00
g � i
AJ
nY t x.
Operating s o 5:011 PU=ays a wee . <s �' � �� •
g0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �'�,� � '� ���� '�
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
�.s
4r',,i-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0200--__
Islan ia9 NY 11749'
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO O_ R MATERIALS'
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY- SHIP DATE-
COMMODITY SHIPPED-
LOOSE':
HIPI ED LOOSE; - _-_ (CL) 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 BY40 CFR PART 261 OR ANY APPLICABLE STATE,LAW,HAS BEEN PROPERLY'
DESCRIBED,CLASSIFIED AND'PACKACED.AND IS IN PROPER CONDITION FOR R TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGE NT(PRINT NAME) (SIONATURE)
TRANSPORTER
'TRANSPORTATION/FREIGHT CO. -
TRUCK NO.,_ - - --_- - LICENSE NO/STATE: _ -TRAILERNO. _ -_ -_ ---- __- -- LICENSE NO/S,TATE'
I HEREBY CERTIFYTHAT 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 THEABOVE.MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE;'
RECEIVEDBY --
-- -AUTHORIZED NT(FRWT NAME) SIGNATURE/DATE -- - -
KEY' WHITE TO DISPOSAL'LOCATION_
GREEN TOTRANSPORTER^'
YELLOW TO TRANSPORTER__
PINK TO GENERATOR'.
GOLD TO GENERATOR: DISPOSAL,`LOCATION TICKET NO'_ .
**DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
S6UTHOLD TOWN DEPT SOLID WASTE 01 01665160 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
11/05/21 11/05/21 08:40 08:40 11103TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 89180 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 51760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.88 TON UTGO.MSW 0.000 0.00 0.00 0.00
p
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 F,+:`.- 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY <}; TENDERED
•- ;'r
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01665160 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/05/21 11/05/21 8:40 8:40 11 103T
009316 Town of Babylon
®-
Scale 2 Gross Wt. 89180 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 51760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
5.88 TON UTGO.MSW 0.000 0.00 0.00 0.00
operating days a weeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:i.'_ :, 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
`+• CHANGE
CHECK NO
SIGNATURE
VRINITY TRANSPORTATION 'ION
214 Blydenburgh Road, 019 9
No: _-
Islanda, 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.
CORAPANY - - SHIP DATE':
COMMODITY SHIPPED-1
LOOSE: -__ - - (CU YDS)
SALES: (COUNT):
TRUCKWEIGHT; __ -- - GROSS
- TARE
NET
•Ji HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:70 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE':ASI DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATELAW:HAS BEEN.PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AL11HORIZED 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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: _
(PRINT NAME),
(SIGNA,TURE)
DESTINATION ,
DISPOSAL LOCATION DATE DELIVERED;
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEWACCEPTED AND TO THE BEST OF,MY KNOWLEDG'E'THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE:
RECEIVED BY;'_=__ -
AUTHORIZED AGENIT(PRINT NAME) SIGNATURE%DATE'
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER.
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD.TO GENERATOR. DISPOSAL,:LOCAT-ION TICKET NO, _`-,
"DUPLICATE TICKET"* SITE TICKET GRID y, 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01665466 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT' TIMEIN TIME OUT VEHICLE, ROLLOFF
11/06/21 11/06/21 09:14 09:14 11103TC
009316 Town of Babylon
Scale 2 Gross Wt. 80280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46300 LB
'QTY. UNIT ' DESCRIPTION RATE_ EXTENSION FEE' TOTAL
23.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t
f;f ' 1
1 , 4,,x
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
TENDERED
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SIGNATURE
"DUPLICATE TICKET*" SITE` TICKET= .°GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01665466 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 . DATEI'N ' DATE OUT tl?V E IN TIME,OUT VEHICLE4,„ ROLL OFF
11/06/21 11/06/21 9:14 9:14 11103T
009316 Town of Babylon
-Scale 2 Gross Wt. 80280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46300 LB
QTY••" '.°„,. UNIT',,, ;DESCRIPTION, % HATE, EXTENSION FEE' TOTAL
3.15 TON UTGO.MSW 0.000 0.00 0.00 0.00
x
-,q LLs
0p asa Wee "
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685" 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ::.TENDERED'
A-
ijle CHANGE
— k CHECK-NO' -
RIr�NGTI IRF
"DUPLICATE TICKET * SITE s' ,TICKET'„ GRID ;r: „ WEIGNMASTER 1
SOUTHOLD TOWN DEPT SOLID WASTE 01 01665466 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN Y. ,'DATE OUT`," TIME INd TIME OUT VEHICLE; p ,., ROLLfOFF
11/06/21 11/06/21 09:14 09:14 11 103T
009316 Town of Babylon
REFERENCE
•-
-Scale 2 Gross Wt. 80280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46300 LB
t;.QTY. a UNIT .;` `" `c;.r.. DESCR,I.PTION.•`, ';; _ ,�, 4;:RATE `" :' .EXTENSION .,FEE.':° TOTAL
.000 0.00 0.00 0.00
v a ,�
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 � ' 0.00
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§ ;TENDERED
CHECK';NOw
SIGNATURE
"DUPLICATE TICKET" StTE TtcKET; GRID WEIGHM4STER "
SOUTHOLD TOWN DEPT SOLID WASTE 1- 01665466 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 „*,DATE iN BATE OUT TIME IN TIME OUT VEHiCL'E , ROLL OFF
1/06/21 11/06/21 9:14 [19:14 11 103T
009316 Town of Babylon
Scale 2 Gross Wt. 80280 . LB Outbound-Charge ticket
-Manual Tare Wt. 33980 LB
Net Weight 46300 LB
=.QTY r lJNI7 s ;DESCR,IPTION , RATE EXTENSION FEET _b TOTAL
0.000 0.00 0.00 0.00
` 1
! "
O
p PM ;ZEI �¢t is ,,,,.,.� .�� � �° •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY �x
sr r r %Tal ENDEFED.
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w ,oda t .:CHA GE
: GHECK:NO:> •:
SIGNATURE
TRINITY TRANSPORTATION CO , O TION
214 Blydenburgh Road 6301
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 DOES NOT ASSUME ANY LIABILITY ASSOCIATED.WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: - -
COMMODITY SHIPPED: -
LOOSE_ - _ -- -- (CLD YDS)
BALES_(COUNT):
TRUCK WEIGHT` GROSS
TARE
NET
I HEREBY CERTIFY THAT THE:ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS, DEFINED BY 401 CFR PART 2.60.10 OR ANY
APPLICABLE STATE LACI,IS NOT HAZARDOUS WASTE AS DEFINED BY-40 CFR PART 261 ORANY 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
TRANsPORTATIONI REIGI-IT CO_
TRUCK O_ - - 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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:
ELOW.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.
RECEIV€_D BY.
AUTHORIZER AGENT(PRINT NAME) SIGNATURE/DATE -
KEY=, WHITE'TO DISPOSAL,LOCATION'
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER-
PINK
RANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666162 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
11/08/21 11/08/21 07:58 07:58 11 103T
009316 Town of Babylon
REFERENCLE
•-
Scale 2 Gross Wt. 70000 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE,., TOTAL
17.03 TON DUTGO.MSW 0.000 0.00 0.00 0.00
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SIGNATURE
"DUPLICATE TICKET" SITE "`TICKETS' "GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666162 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT[
VEHICLE ROLL OFF _
11/08/21 11/08/21 7:58 7:58 11103TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70000 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34060 LB
QTY UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
17.03 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
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SIGNATURE
"*DUPLICATE TICKET"*
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666162 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/08/21 11/08/21 107:58 107:58 11 103T
009316 Town of Babylon
7�
Scale 2 Gross Wt. 70000 LB Outbound-Charge ticket
..Manual Tare Wt. 35940 LB
Net Weight 34060 LB
QTY.•_ UNIT DESCRIPTION RATE EXTENSION FEETOTAL
17.03 TGO.MSW 0.000 0.00 0.00 0.00
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SIGNATURE
"DUPLICATE TICKET*" SITE TICKET GRID WEIGH MASTER
SOUTHOLD TOWN DEPT SOLID WASTE D1 01666162 Liz H
PO Box 962/6155 Cox"Lane
Cutchogue, NY 11935
DATE IN ;: RATE
OUT,,,,, TIME;IN TIME OUT _VEHICL`,E ROLLOFF
- 11/08/21 111/08/21 7:58 7:58 11103TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 70000 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34060 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.03 TON QUTGO.MSW 0.000 0.00 0.00 0.00
r f< ) (1,
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685f-"-,- -�y� = ,' 0.00
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SIGNATURE
TRINITY TRANSPORTATION CO O TION
214 Blydenb rgh Road 6302
Islandla, 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 STASELAW,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. LICENSSE 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 B_Y.
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 :,"ITICKEi' : GRID WEIGHMASTER ,:.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666278 Liz H
PO Box 962/6155.Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
11/08121 11/08/21 11:45 11:45 11103TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 69340 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 33060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.53 ON UTGO.MSW 0.000 0.00 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,'-vi?, 0.00
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY
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SIGNATURE
""DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01666278 Liz H
PO Box 962/6155 Cox Lane I I I -
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE ROLLOFF
1/08/21 111/08/21 [11:45 1:45 11 103T
009316 Town of Babylon
ORIGIN 2 Gross Wt. 69340 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 33060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.53 TON UTGO.MSW ¢ 0.000 0.00 0.00 0.00
, ffr ./•l r M1 ,�1
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7q8,5"f ' }Y: 0.00
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SIGNATURE
TRINITY TRANSPORTATION CO' PO TION
214 Blydenburgh Road 6303
Islandia 11749 No. -- -
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ - -- 'SHIP DATE:
COMMODITY SHIPPED: _ -
LOOSE: _- (CU YDS)
SALES=(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I MEREBY 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:
TRAILERISO.- - - 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 I GRID `'WEIGHMASTER,
1
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01666558 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT DIME IN TIME OUT VEHICLE ROLL OFF
11/09/21 11/09/21 1:38 11:38 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 68160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 31620 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.81 TON GO. SW 0.000 0.00 0.00 0.00
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CHECK NO.
SIGNATURE
"DUPLICATE TICKET" ISITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01666558 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 1.1935 DATE"IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• 1/09/21 11/09/21 1:38 1:38 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 68160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 31620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
5.81 TON UTGO.MSW 0.000 0.00 0.00 0.00
E. k i
Op Amm .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �,it !` - 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYi
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AIhNAT[IRF
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01666558 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/09/21 11/09/21 11:38 11:38 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 31620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
10.61 r01q-1)UTG0.mSVV 0.000 0.00 0.00 0.00
1' t e
7- MA114 to 5-011 RA47
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 y; � �, 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
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CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01666558 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE;IN.r,, DATE OUT TIME IN TIME O,UT ,.VEHICLE ROLIeOFF
1/09/21 1/09/21 1:38 1:38 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68160 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 31620 LB
:QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
O. S 0.000 0.00 0.00 0.00
a r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,;5`, =
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
TENDERED
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CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road6305
Islandia, 11749 NO -
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TARE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SNIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY - --- SHIP DATE:
COMMODITY SKIPPED:
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 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 01666471 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
11/09/21 11/09/21 8:19 8:19 11100TC
.009316 Town of Babylon
REFERENCE
•-
S61e 2 Gross Wt. 78660 LB Outbound-Charge ticket
-Manual Tare Wt. 37420 LB
Net Weight 41240 LB
QTY, j UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.62 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f1.( r� t. S \ P;.'• ��
1 [r;S
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CLOSED N�LIDAYS-QUESTIONS CALL 631-734-76.85 ,r',--;, 0.00
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CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE' TICKET GRID _ NVEIGHMASTER
So UTHOLD TOWN DEPT SOLID WASTE 1 01666471 DCW
PG Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE;IN DATE OUT.- MME IN TIME OUT , ,VEHICLE ROLL OFF
11/09/21 1/09/21 8:19 8:19 11100TC
009316 Town of Babylon
.-
t
r ' Scale 2 Gross Wt. 78660 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEETOTAL
0.62 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours O ays a Wee <E ` .`>> •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 fl, 0.00
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a? CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" (SITE' TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01666471 DCW
PO Box 962/6155 Cox.Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/09/21 11/09/21 8:19 8:19 11100TC
009316 Town of Babylon
REFERENCE
®-
Scale 2 Gross Wt. __ ____ _ _._78660. LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net,Weight 41240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.62 O GO.MSW 0.000 0.00 0.00 0.00
sol
Op
CLOSED HQLIDAYS-QUESTIONS CALL 631-734-7685.'-', 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
It
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01666471 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/09/21 11/09/21 8:19 8:19 11100TC
009316 Town of Babylon :
Scale 2 Gross Wt. 78660 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.62 TON UTGO.MSW 0.000 0.00 0.00 0.00
0 ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY e -; TENDERED
CHANGE
CHECK NO.
SIrNATURF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
Islandia, 11749 NO, -.6-304 -
(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: CROSS
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')
TRANSPQRTER
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 ABOVEMATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROV'IDE'D
IS TRUE AND ACCURATE:
RECEIVED'BY_ -
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET" TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666838 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
11/10/21 11/10/21 112:12 12:12 111 C:
009316 Town of Babylon
•R
o
Scale 2 Gross Wt. 81100 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
-Net Weight 42400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
R'f m1
J i
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 =�' - { 0
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYS ' 4 TENDERED
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CHECK-NO.
SIGNATURE
""DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666838 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/10121 11/10/21 112:12 12:12 11100TC
009316 Town of'Babylon -
rte( h
Scale 2 Gross Wt. 81100 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 42400 LB
QTY. UNIT ' ' DESCRIPTION` RATE EXTENSION FEE TOTAL
21.20 TON UTGO.MS 0.000 0.00 0.00 0.00
.�---------eye
�/� �J
4J
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M M
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E '` 01 0
NEXT HOLIDAY:,SEPTEMBER 6, 2021 LABOR DAY TENDERED
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CHECK NO.
mr_ell Wrl 113G
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6308
Islanda, 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.
r
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT): -
TRUCK WEIGHT: ��(/ GROSS
? TARE
( 2 7 oj- 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 APPLICA LE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIEDA PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ORDING TO APPLICABLE REGULATION.
GENERATOR AUT RIZED AGENT(PRINT NAME) v (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
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 F 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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666728
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF-
-11/10/21 2 08:05 08:05 11100TC
009316 Town of Babylon.
REFERENCE
Scale 2 Gross Wt. 70980 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 34160 LB
QTY UNIT DESCRIPTION RATE EXTENSIONFEE TOTAL
tp,s r'g c
. „" � � � � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
CHANGE
CHECK70
j
SIGNATURE
""DUPLICATE TICKET"" sITE TICKET. "
GRID ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666728 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. ,DATE OUT TIME IN TIME OUT °° VEHICLE ROLL OFF
11/10/21 11/10/21 08:05 08:05 11100TC
009316 Town of Babylon
REFERENCE ORIGKf
Scale 2 Gross Wt. 70980 .. LB Outbound-Charge ticket
_Manual Tare Wt. 36820 LB
Net Weight 34160 LB
QTY UNIT ' DESCRIPTION RATE ° EXTENSION, "FEE `" TOTAL
o
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ' '
TENDERED
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tCHANG
CHECK NO.
QW-MI ATI 117= -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh. Road NO6306
Island a, NY 11749
:.
(631) 342=9673
THISMANwEST 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::. 4KY
COMMODITY SHIPPED: -
LOOSE: - (CU YDS)
BALES: (COUNT): - -
TRUCK WEIGHT: `�' _ GROSS
G a TARE
6 G 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 APPLICABLEREGULATION.
�Y ..................
. -
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FRE:IGHT CO:
TRUCK NO. - - - - - -- - L-ICENSE'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
YF LOW TO TRANSPORTER:.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,'LOCATION TICKET NO.
"*DUPLICATE TICKET" SITE TICKET GRID INEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 .01666738 DCW
PO Eoz 962/9155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/10/21 11/10/21 08:43 08:43 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 77060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, , , .00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY - .,i ` TENDERED
CHANGE-.
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"' SITE TICKET . GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01666738 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/10/21 11/10/21 108:43 08:43 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 77060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE ''TOTAL
G.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
� s
. r
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685 ) x' �` `w-- �
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ' _q" 'tea TENDERED
ou
CHANGE
CHECK NO.
Cl!-KI ATI IOU
TRINITY TRANSPORTATION CORPO
RATION
214 Blydenburgh Road NO. 6307
Island 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 SUCH MATERIALS.
COMPANY: SHIP DATE: f
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
0 TARE
00 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.
GE ERATOR AUTHORIZED AGENT(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:
(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 A---GENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO,TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO,
""DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
-SOUTI-tDLD TOWN DEPT SOLID WASTE 01 1 01667211 Liz H
PO Box 962/6155 Cox Lane
Cutchogue,-NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/12/21 11/12/21 12:06 12:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
FScale 2 Gross Wt. 75240 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38480 LB
-7UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
Loll
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. �- rUU
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY F-4 ?p _ TENDERED
UNP
® CHANGE
'CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKETGRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01667211 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N . DATE OUT 'TIME IN TIME OUT VEHICLE ROLLOFF
1/12/21 11/12/21 112:06 12:06 1 11100TC
009316 Town ofBabylon
',ORIGIN
Scale 2 Gross Wt. 75240 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38480 LB
QTY UNIT DESCRIPTION '' "" RATE EXTENSION FEE'' 'TOTAL
19.24 --TON DUTGOWSW 0.000 0.00 0.00
Of
j
o 7
° hetifs 7!E)EAM to 5:06 PM __ •
--
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �, -, ; �- .
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS' ' .�
�i ���9����- TENDERED
CHANGE
�CHECK NO.
"TRINITY TRANSPORTATION CORPO TION
214 Blydenburgh Road 6 310
-
Isl dia, NO.-- - -
(631) 3429673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS.
BEING SNIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY. ` - SHIPDATE.
COMMODITY SNIPPED: '
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 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE,AS DEFINED BY X40 CFR PART 291 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,IVO/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(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.
**DUPLI `" S
CATE TICKETITE TICKET' GRID WEIGHMASTER
SOLLTI-Io "TOWN DEPT SOLID WASTE 01 1 01667065 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN.TIME OUT VEHICLE. ROLL OFF,
11/12/21 11/12/21 08:11 08:11 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69500 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 32080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734- 685. "' ° , /
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY '-
TF " TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKETGRID,-"' "' 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01667065 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN TIME OUT VEHICLEi,. . ROLL OFF
11/12/21 11/12/21 108:11 08:11 11100TC
009316 Town of Babylon
REFERENCE •-
FScale 2 Gross Wt. 69500 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 32080 LB
�rQTY. UNIT DESCRIPTION ;° '"RATE EXTENSION, °.: FEE ':u ^.' TOTAL,^.
. 0 00 0.00
� r
00
xv
4p m
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685�, ,. „
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY _
�*� � ({ E° � .TENDERED
CHANGE
CHECK'NO:
cn_winTroc
it 31.
TRANSPORTATION CORPORATION
214 Blydenb urgh Road NO:-
6 3 0 9
slandia, 1174-9 -
(63 l) 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 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 LAN/,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 tJ0/STATE':
TRAILER NO. _ LICENSE IVO/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" ITE TICKET GRID J WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01667310 DCW
PO Box 962/6155 Cox Lane
Cutshogue,-NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
11 13/21 11/13/21 08:53 08:53+ 11100TC
009316 Town of Babylon
REFERENCE
Manual Gross Wt. 78840 LB Outbound-Charge ticket
Manual Tare Wt. 37480 LB
Net Weight 41360 LB
QTY,` 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
lie
't.,
w� r.
! r I
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY . � ~ TENDERED s
tau
CHANGE
CHECKrNO
SIGNATURE
"DUPLICATE TICKET" SITE ' TICKET GRID WEIGHMA STER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01667310 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
1-1/13/21 11/13/21 08:53 08:53 11100TC
009316 Town of Babylon
ORIGIN Gross Wt. 78840 LB Outbound-Charge ticket
Manual Tare Wt. 37480 LB
Net Weight 41360 LB
QTY UNIT u : DESCRIPTION- RATE EXTENSION, FEE TOTAL
v ,^ U)
r �1�
CIA
r ;
o - � g §
#^d, d%'1L f `a� ``._.....-.^+"` ate (r • •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY f -k TENDERED
CHANGE
CHECK-NO. "
m n_�nrgoo
TRINITY TRANSPORTATION CORPO TION
214 Blydenburgh Road No. 6 311
Island a. 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: (CD YDS)
SALES: (COUNT):
TRUCK WEIGHT_ e .(f8 qt� GROSS
- TARE
�� _7�1 -- NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR., ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR-PART 261 OR ANY PILICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSI ND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS�OR CORDINGTO APPLICABLE REGULATION,
GENEATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT 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
DDRESS- -I HEREBY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRV--' TE
gRIZED AGENT(PRINT NAME) SIGNATURE/DATE
ION
DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668155 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935• DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
'`,d 11/15/21 11/15/21 08:36 08:36 11100TC
009316 Town of Babylon
e-
Scale 2 Gross Wt. 74420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ; `x`` `-' ,'� � �
NEXT HOLIDAY:.-SEPTEMBER 6, 2021 LABOR DAY`
TENDERED =:
0,jpq
Iy
jLt
- CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01668155 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
11115121 11115/21 108:36 08:36 11100TC
009316 Town of Babylon
sti)�;1 `i� �W ,�',y.,r `.r' b;�r�'.�P •®' � #?�''.a , fry;-,
Scale 2 Gross Wt. 74420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
_ (r
zfe
nA or,
!N ry
CLOSED HOLIDAYS QUESTIONS CALL 631-734-7685:�y�
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY w
TENDERED '
CHANGE
CHECK NO:�:::j
cr_ni nrgoo
TRINITY TRANSPORTATION CORPORATION
214 Blydenbu>rgh Road NO. 6312
I51an' 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SKIPPED 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 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,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT PRINT NAME)) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/ERE'IGHT 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 THEABOVE,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 01668297 Steph
PO Box 962/6155 Cox Lane
Cutchogue„NY 11935 DATE IN DATE OUT TIME IN TIME OUT: VEHICLE I ROLL OFF
11/15/21 11/15/21 12:01 12:01 11100TC
009316 Town of Babylon
REFERENCE
s-
Scale 2 Gross Wt. 73320 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 34620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7.31 70-9--OUTGO.MSW 0.000 0.00 0.00 0.00
Wiuc`� ti
r J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, a'` `� r0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ��`
LT-
CHANGE.,
TENDERED
CHECK NO:=j
SIGNATURE
"DUPLICATE TICKET” S .ITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668297 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/15/21 11/15/21 12:01 12:01 11100TC
009316 Town of Babylon
eNi-
Scale 2 Gross Wt. 73320 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 34620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION _ _ FEE TOTAL
17.31 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opp
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 P 4z xy 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
5 � TENDERED
CHANGE
CHECK NO'
cnwinrgoo
TRINITY TRANSPORTATION CORPORATION
21,4 Blydenburgh Road 6 313
Islandia, 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 BY40 CFR PART 261 ORANY 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;' =
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 ABOVE7MATERIAL HAS BEEN ACCEPTED ARID 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 01668634 Steph
PO Box 962/6155 Cox Lane
Cutchogue vNY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF.
'
11/16/21 11/16/21 12:19 12:19 11100TC
00931.6 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 83040 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
,
` ifi
L"s
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '� •
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY .
TENDERED
CHANGE
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668634 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INDATE OUT TIME 1N TIME OUT ' VEHICLE ROLL OFF
11/16/21 11/16/21 12:19 12:19 11100TC
009316 Town of Babylon
•.
Scale 2 Gross Wt. 83040 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46500 LB
QTY. 'UNIT DESCRIPTION RATE EXTENSION` FEESNOTAL
-fn
X
42,
Op ;''/ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. ` ` -- '�X
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
IIS
° CHANGE '
CHECK NO.
CI!_MIATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6 315
ISO. -
le Islandi 11749
(63 l) 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`DEFINED BY 40 CFR PART 260.10OR 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 IVO/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.
'®RIVEPB: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBYCERTIFY THAT'THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668526 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
11/16/21 11/16/21 09:08 09:08 11100TC
009316 Town gf,3abylon
- REFERENCE ORIGIN
Scale 2 Gross Wt. 74860 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.86 O GO.MSW 0.000 0.00 . 0.00 0.00
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734.7685-.'a, 0.00
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q 'CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668526 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN" DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF`
11/16/21 11/16/21 09:08 09:08 11100TC
009316 Town of Babylon
74 7V,ORIGIN!
Scale 2 Gross Wt. 74860 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35720 LB
QTY. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.86 TON DUTGO.MSW 0.000 0.00 0.00 0.00
I
Op ` / •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` '
0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ` TENDERED
'CHANGE
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cn_�i nrgoo
TRINITY TRANSPORTATION CORPO "TION
214 Blydenburgh Road NO: 6 314
Islanla9 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
COML40DITY SHIPPED-
LOOSE: (CU YDS)
BALES: (COUNT): -
TRUCK WEIGHT: CROSS
TARE
NET
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,-HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPERCONDITION 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 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
YELLOWTO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET" SITE TICKET GRID `" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668846 Steph
PO Bo4,962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/17/21 11/17/21 08:33 08:33 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
e
Jf
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
�.
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED
r CHANGE
CHECK NO.
—j
SIGNATURE
**DUPLICATE TICKET** SITE "TICKET GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668846 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N DATE OUT TIME IN TIME OUT 'VEHICLE ROLL OFF
11/17/21 11/17/21 08:33 08:33 11100TC
009316 Town of Babylon
®-
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41240 LB
QTY. UNIT " DESCRIPTION RATE• '" EXTENSION FEE' TOTAL
77 u`
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685 MUM
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY TENDERED.
CHANGE
CHECK NO,_
cr_nnri goo
TRINITY TRANSPORTATION CTP TI N
214 lydenb rgh Road 6 316
N.O. -
Islandia; NY 11749
(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 Y®S)
RALES:(COUNT)
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS-WASTE AS DEFINED BY 40 CFRPART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AD IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE'-
TRANSPORTER
TRANSPORTATION/FREIGHT CO'.
TRUCK ILIO_ 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 ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY WHITE'TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOq-T.F OLD TOWN DEPT SOLID WASTE 01 01668957 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
2 17/21 12:19 12:19 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 39500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
<y t
r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685-, U.0
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED
c r CHANGE
CHECKNO.
SIGNATURE
"*DUPLICATE TICKET" SITE TICKS? GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01668957 Steph
PO Box 962/6155 Cox'Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11117121 11117121 112:19 12:19 11100TC
009316 Town of Babylon
'..arr.
w
Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket
_Manual Tare Wt. 36200 LB
Net Weight 39500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7;00
O !
CLOSED HOLIDAYS-QUESTIONS CALL 631-7342768 "
5 e
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS 1'W
TENDERED
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CHANGE
CHECK NO.
cn_ninrioo
TWNITY TRANSPORTATION CO 'BION
214 Blydenburgh Road6 317
Islandia, 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: - _-- - SHIPDATE-
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 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 NAPE) - - (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 OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE
RECEIVED BY. _ -
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE-
KEY:
IGNATURE/DATEKEY_ 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
SC?UTHiO12D.TOWN DEPT SOLID WASTE 01 01669179 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
11/18/21 11/18/21 8:32 8:32 11100TC
009316 Town of Babylon ,rim
Scale 2 Gross Wt. 72360 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 36420 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.21 TON CUTGO.MSW 0.000 0.00 0.00 0.00
qtr la, 17'It�
�f!%
F i
Opti
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � ` � A 0.00
�
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY �.-�� � � �I ��� � ' TENDERED
_bf t Ilia X01
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CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01669179 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
•- 1/18/21 1/18/21 8:32 8:32 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 72360 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
'Net Weight 36420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.21 TON UTGO.MSW 0.000 0.00 0.00 0.00
r_ —A
i " f�
Operating o odays a wee �� r - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.{' a_. _ 'le, s, 0.00
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RMNATURE
4 NIT'Y TRANSPORTATION C PO 'BION
214 Blydenburgh Road NO: 6318
- Islandia, NY 1174-9
(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 LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAUD,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. - - --- -- LI:CENSE NO/STATE: --_ _- --
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THEGENERATOR 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 MATERIAL HAS BEEN AC'CEPTE'D AND TO THE BEST OF MY KNOWLEDGE TEEINFORMATION'PROVIDED
IS TRUE AND ACCURATE'[
RECEIVED BYt' - -- ----_--_--
AUTHORIZEDAGENT(PRINTNAME-) _ SIGNAtURE/DATE
-
KEY- WHITE TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR' -
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. __
""DUPLpCATE TICKET - I I TICKET GRID WEIGHMASTER
9'OUTHOLD TOWN DEPT SOLID WASTE 01 01669541 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/19/21 11/19/21 09:00 09:00 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 44900 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00
a ( ;✓I I is )L7
O eek 'Il
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-685 r` , 0
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � � `4r r TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01669541 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF•
11/19/21 11/19/21 109:00 09:00 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 83600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 44900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22. 5 TON UTGO.MSW 0.000 0.00 0.00 0.00
IRS
OF
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.0
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY
st TENDERED.
�
CHANGE
CHECK NO.
cirninToG.
TRI INITYTRANSPORTATION CORPORATION
214 Blydenburgh Road NO6 319
Islandia, lam' 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 HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY:APPLICABLE,STATE'LAW;HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE')
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
LICENSE NO/STATE`:
TRUCK NO. - -� -- -
TRAILER NO. - - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED IIP 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 B@EN 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_ W14ITF 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
SGUTHOM TOWN DEPT SOLID WASTE 01 01669655 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/19/21 11/19/21 12:40 12:40 11100TC
009316 Town of Babylon
REFERENCE
sa
Scale 2 Gross Wt. 74800 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1tiatJfllar
1
O sou az -� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 — �� g'
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS ��
f I ��t t, }�� � TENDERED.
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CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKEr GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01669655 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11119/21 11119121 112:40 12:40 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 74800 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 38040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
< �`�� ` ) �
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76850.00
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NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY �' `
`' TENDERED
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• CHECK NO..
1
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 6320
. _
Islanda, NY 11749 =
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSI.ON 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
TATE
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 LAUD,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. - LICENSENO/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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01669876 Steph
PO Box 962/6155 Cox,Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
s - 11/20/21 . 111/20/21 09:01 109:01 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72320 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
5 1v
0 ' ' .I .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 Illy
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED„.
c.105C11 CHANGE ..
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01669876 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935' DATE'IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
-
11/20/21 11120121 109:01 09:01 11100TC
009316 Town of Babylon
�Ci�e*,[�.- _ ka .p ,n•. C1;�. r. ®- qjy. ��: "yl*� ar_,i.�� t A''^:
Scale 2 Gross Wt. 72320 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
I '.VA
O s \ _ 0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 — '` ✓ •U
NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY� �a
v, �q�A-'/P
TENDERED'
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CHECK NO. .
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgb Road 6321
Y d a, 11749 No.
(63 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE.
COMMODITY SHIPPED-
LOOSE: _ (CU YDS)
BALES.(COUNT):
TRUCK WEIGHT- GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO- _ LICENSE NO/STATE-
TRAILER NO - -_ LICENSE NO/STATE`
1 HEREBY CERTIFY THAT THE ABOVE NAMED WTERIAL 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-:OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME) SIGNATURE/DATE
KEY_ W"ITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOWTO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-
"DUPLICATE TICKET`* SITETICKET I GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE01 01670871 Steph
PO Box 962/6155 Cox Lane
Cutchogue,,!%'W 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
-
11/22/21 111/22/21 08:45 08:45 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 35180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.59 1 UN UTGO.MSW 0.000 0.00 0.00 0.00
a
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CLOSED HOLIDAYS-QUESTIONS CALL 631-7a4-7685. -2 - .r g 0.00 •
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY �i TENDERED
CHANGE,
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01670871 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF,
11/22/21 11/22/21 8:45 8:45 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 72600 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 35180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.59 TON UTGO.MSW 0.000 0.00 0.00 0.00
1
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Op .,t�, q , , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , `~ ` `-- -~ 0.00
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UM 1,
CHANGE=
CHECK NO.
RIANATURE
TRINITY TNSP RTATION CORPORATION
214:1ydenburg ®ad 6 3 2 2
.,. ---
`�slan ia, ICY 1.1749 N - -
(63l)-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 MATERIALS.
COMPANY SHIP DATE-
COMMODITY SHIPPED:.
LOOSE - (CU YDS)
RALES_ (L;UUNT): -
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 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 O. _ _-_ _ --- - -- -- LICENSE IVO/STATE;: -
TRAILER NO. --_ -- -_-- - - --- LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATORSITE ,LISTED ABOVE, AND THAT 1T'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'SEEN-ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE[
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 1
SOUTHOLD TOWN DEPT SOLID WASTE 11 01670942 Steph
PO Box 962/6155 Cox Lane
Cutchogu.e,NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/22/21 11/22/21 [12:12 2:12 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 74620 LB Outbound-Charge ticket
-Manual Tare Wt. 39140 - LB
Net Weight 35480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
Zz
I
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' - '� 0.00
��`
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
�lC' C 2a rel { TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKETGRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01670942 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/22/21 1/22/21 12:12 2:12 11100TC
009316 Town of Babylon
�*1,'t•m� r ®. MIN� t �ia�•'�
2�
Scale 2 Gross Wt. 74620 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35480 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
G0. 0.000 0.00 0.00 0.00
as
p � S
e",_0 1 i¢i 11
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �4 r 0.00 •
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � '
� JrRI`� � TENDERED
�� ^s^ CHANGE
-CHECKNO.
RIC,NAT[IRF -
TRINITY,TRANSPOR-TATION CORPORA,TION
214 Blydenburgh Road-x NO. 6323
y Madia, 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 LIOUID AS DEFINED BY 40,CFR PART 260.10 OR ANY
APPLICABLE STATE LAPS,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 GFR PART261 OR ANY APPLICABLE,STATE LAW,HAS BEEN PROPERLY
DESCRIBED-CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPUGABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE),
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. - -- _ LICENSE NO/ST'ATE: '
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 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 01671268 Steph
PO Box&2/6155 Cox Lane
Cutchogue, NY 1.9935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/23/21 11/23/21 12:29 12:29 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 68120 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 31920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685' � iI
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS ` '
TENDERED .
CHANGE
CHECK NO.
SIGNATURE,
"DUPLICATE TICKET"` SITS TICKETw
GRID � WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01671268 Steph
POBox 962/6155 Cox-Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/23/21 11/23/21 12:29 12:29 11100TC
009316 Town of Babylon
FQTY.
e-
Scale 2 Gross Wt. 68120 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 31920 LB
UNIT _ DESCRIPTION_„ RATE EXTENSION FEE TOTAL
.9 0.000 0.00 00 0.00
lyel.
�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7612
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ' TENDERED
y '"d u. •CHANGE
CHECK NO.
mr_nin-n goo
TRINITY TRANSPORTATION CORPORATION
y r_h v
214 Blydenbl rgh Road N0- 6325
-
Islanda., ICY 11749
(631).-342- -9673 -
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEINGSHIPPED 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,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 TG APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENNAME iT PRINT - - -
( ) (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT'CO.
TRUCK NO. - - - - -----_--- — LICENSE'`NO/STATE: ._-_
TRAILER No. - -- -_ LICENSE NO/STATE:,-"----
I
O/STATE'_I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED IP 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 WFORMATION.PPROVIDED
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 UVEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01671111 Steph
PO Box 962/6155 Cox Lane
Cutchogue ICY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/23/21 11/23/21 08:32 08:32 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68880 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 32940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TON UTGO.MSW 0.000 0.00 0.00 0.00
v
OP ; g ; rNrellmi
�4 .�.� � �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. "�. 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY , TENDERED
t� �
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01671111 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/23/21 1/23/21 8:32 8:32 11100TC
009316 Town of Babylon
REFERENCE ORIGIN'
Scale 2 Gross Wt. 68880 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 32940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.47 TON UTGO.MSW 0.000 0.00 0.00 0.00
z)
Ope a sawee . � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.` `� "�,� �� 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO. 6324
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 BY40CFR 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(PRINTNAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE`
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL PICKED 'UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED
ADDRESS:.
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE'
RECEIVED BY: - AUTHORIZED-AGENT(PRINT NAME) SIGNATURE/DATE`
KEY- WHITETO 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 01671492 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/24/21 11/24/21 08:39 108:39 1 111 C:
009316 Town of Babylon•
REFERENCE
•.
Scale 2 Gross Wt. 71980 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
0 0.00 0.00
\tk
�
kNr
OZ-001AN4 to RDA 7
CLOSED HOLIDAYS-QUESTIONS CA631-734-7685
LL —
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY — TENDERED..-.
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE_ TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01671492 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF
1/24/21 1/24/21 8:39 8:39 11100TC
009316 Town of Babylon
•.
Scale 2 Gross Wt. 71980 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34560 LB
CITY. UNIT DESCRIPTION RATE -EXTENSION FEE TOTAL
0.0 0.00 0.00
eI .
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY - TENDERED
CHANGE;
CHECK NO.
RIMNATI IRF
TRINITY TRANSPORTATION-C RPO TION
214 Blydenburgh Road
No. 6326
wslandia, Imo' 11749
r ' (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 ANYaL1ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - - SHIP DATE: -
COMMODITY SHIPPED: - -- - - - -
LOOSE: - (GU 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.
TRICK 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. r
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. —
"'DUPLICATE TICKET*" SITE :TICKET GRID vWEIGHMASTER r
,
SOUTHOLD TOWN DEPT SOLID WASTE01 01671784 Liz H
PO Boz"962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT , `TIME IN TIME OUT "VEHICLE, ROLLOFF
11/26/21 11/26/21 12:01 12:01 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 36640 LB
QTY UNIT.u: DESCRIPTION TM' RATE,., .. r EXTENSION: FEE ;.-". . TOTAL `
U.00 18. 2 .
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734 71585 ,
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS "
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TENDERED.. : i
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SIGNATURE
"'DUPLICATE TICKET" SITE 'TICKET` �.ORID, ° „WEIGHMASTER.
s
SOUTHOLD TOWN DEPT SOLID WASTE 01 01671784 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 <''DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF i
11/26/21 11/26/21 12:01 12:01 11100TC
009316 Town of Babylon
m' REFE'RENCE
®-
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
.-Net Weight 36640 LB
NIT
-DESCRIPTION RATE EXTENSION ,+ �r` FEE.�a,,,. TOTAL
18.32 1 ON— U.UUU U.UU
Q, udl
Js
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-785
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY e TENDERED ..,y.rµ
` GHAN E ...
ECKtNO.
connierl 10c
TRINITY TRANSPORTATION CORP TION
214 Blydenburgh Road NO6328
..
ISldla, 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)
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
APPLICABLESTATELAW,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)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - --- _ -- - - -- - - LICENSE IVO/STATE: -
TRAILER NO. _ _ - - - -- - - ---- LICENSE NQ/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
SOUTf: D TOWN DEPT SOLID WASTE 01 01671676 Liz H
PO Box 6.,2/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT : .TIME IN TIME OUT VEHICLE ROLL OFF
11/26/21 11/26/21 108:22 08:22 11100TC
009316 Town of Babylon
02
_Scale 2 Gross Wt. 80520 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight . 41820 LB
QTY` ".. UNIT DESCRIPTION° RATE EXTENSION"" FEE TOTAL
1f
c y; .
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 8
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
� 47, �-���� �, .���� � ,TENDERED.
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"CHANGE
CHECKrNO:
SIGNATURE
"DUPLICATE TICKET" SITE „TICKET JGRID ;, ° ViIEIGHMASTER, `-
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01671676 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 1-1935 DATE IN, `DATE OUT TIME IN°TIME,OUT VEH"ICLE ,' T ROLL OFF
11126/21 11/26/21 08:22 08:22 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 80520 LB Outbound-Charge ticket
-Manual Tare Wt. 38700 LB
Net Weight 41820 LB
QTY' .UNIT + DESCRIPTION` °_ RATE ." EXTENSION FEE..= NOTAL
lee
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6, T
znc
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O
IdCLOSED HOLIDAYS-QUESTIONS CALL 631-734-768
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY ,TENDERED
v
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°'CHANGE. .
CHECK-NO::.`
cir_ninTioo
%UNITY TRANSPORTATION CO O TION
214 Blydenburgh Road 6327
NO. -
Islala, 11749 -
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE O'FANY 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
I HEREBY CERTIFY THAT TETE 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 STATELAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND'PACKAGED,AND IS IN PROPER I 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 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 A 01671963 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/27/21 11/27/21 9:16 9:16 11100TC
009316. own of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 71320 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 32180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
rc3o "S3
< 4,0)
Op < < 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685a f 0.00
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY '1 ,• TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01671963 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/27/21 1/27/21 9:16 9:16 11100TC
009316 Town of Babylon _
..Scale 2 Gross Wt. 71320 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 32180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION _ FEE TOTAL
6.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I 4 E
e'ry_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7680.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY � ` "
�$� t � � � `TENDERED
CHANGE
CHECK NO.
RIr�NATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6329
• Nom -
Isl dia, 11749 - -
(631)342-9673
TRIS FAANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOESNOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _- _ SHIP 'DATE:
COMMODITY SHIPPED-
LOOSE: -- (CII YDS)
SALES:(COUNT): -
TRUCK WEIGHT: GROSS'
TARE
NET
I HEREBY CERTIFY THAT TIME ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE> STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APP'LICAB'LE 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 ISO_ -- - 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 TETE DESTINATION LISTED BELOW.
DRIVER_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION.- -- DATE DELIVERED:.
ADDRESS:
I HERE-BY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY-KNOWLEDGE THE INFORMATION PROVIDED
IS TF3➢E AND ACCURATE: -
RECEIVED BY:
- AUTHORIZED AGENT(PRIN'T 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 01672949 Steph
PO Box 962/&155 Cox Lane
Cutchog06, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/29/21 11/29/21 11:26 11:26 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 74200 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
-Net Weight 37440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8. 2 TON DUTGO.MSW 0.000 0.00 0.00 0.00
i "1t
O at�ts 7-8
t t o
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76w,��.� � � 1 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
� fir Z > TENDERED
Hur (z�drF�j
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Di 01672949 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/29/21 11/29/21 1:26 1:26 11100TC
009316 Town of-Babylon
Scale 2 Gross Wt. 74200 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
Z'x Z _
4-1
Ope
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 2 a; 0.00
NEXT HOLIDAY:_SEPTEMBER 6, 2021 LABOR DAY ` < TENDERED
'(1} I CHANGE
CHECK NO.
SIGNATURE
T NS ORTATI[ON CORPORATION
214' ly enb gh Road 6331
Isld 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 SKIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF:SUCH MATERIALS.
COMPANY: SHIP DATE: ---
COMMODITY SHIPPED:LOOSE: (Cu(Corp 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 STATELAW;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/EREIGHT C®. - -- -
TRUCK NO. LICENSE Ivo/STATE:
TRAILER ILIO. _- - -- LICENSE NO/STATE-
0 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 HERESYCERTIFYTHAT 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 LOCAT_ION_ .
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER=
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01672806 Steph
PO Box 962/615Cox Lane
Cutchogue„ NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/29/21 11/29/21 7:27 7:27 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81620 LB Outbound-Charge ticket
Manual Tare Wt._ 35940 LB
Net Weight 45680 LB
QTY.` UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
10 1(3o.msvv 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5., ,3 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED”
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE '-TICKET' GRID IGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE C 1 01672806 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT LLTIML IN TIME"OUT "VEHICLE., ROLLOFF`
11/29/21 11/29/21 07:27 C 7:27 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 81620 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 45680 LB
QTY. UNIT _ DESCRIPTION RATE EXTENSION FEE „ TOTAL
0.000 0.00 0.00 0.00
�t •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 ^� RU
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED
CHANGE
CHECK"NO-
SIGNATURE
TRIN TRANSPORTATION CO O TION
2,14, Tyd,enburgh ®a 6330
�-. NQ
Islandia, l 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 SHIPDATE:
COA L40DITY 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 260.101 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 1T'WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_'
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED:
ADDRESS:
IHEREBY 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 01673452 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLLOFF
11/30/21 11/30/21 12:07 12:07 11100TC
009316 Town of Babylon
REFERENCE
�o
Scale 2 Gross Wt. 78040 LB Outbound-Charge ticket
Manual Tare"Wt. 38700 LB
Net Weight 39340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
ze"le
O emfinoeu -AM-te-&@ P11.11
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685Q�
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED.
� a CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER,.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673452 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE`IN` DATE OUT TIME"IN`TIME OUT VEHICLE" ROLL OFF
11130121 11/30/21 12:07 12:07 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 78040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39340 LB
QTY. UNIT DESCRIPTION' PATE EXTENSION FEE- TOTAL
19.67 TON DUTGO.MSW 0.000 0.00 0.00 0.00
22,
jI
r -
^
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY d` TENDERED .
CHANGE
CHECK NO.
cir_nmri ioc
TRIMTYTRANSPORTATION CORPORATION
2-14, 1ydenburgh Road 6333
Islandica, 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 M'ATERIA'LS:
COMPANY: SHIP'DATE:'
COMMODITY SHIPPED:
LOOSE: (CU YDS).
BALES:(COUNT):
TRUCK WEIGHT GROSS
TARE
INET
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 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:
THEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND:ACCURATE:
RECEIVED BY-
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER,
YELLOW TO TRANSPORTER.
PINK TO GENERATOR -
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673433 Steph
PO Box 962/6155 Cox Lane
Cutchogue, M!.11935 DATE IN DATE OUT I TIME IN TIME OUTI, VEHICLE ROLL OFF
11/30/21 11/30/21 11:42 11:42 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72400 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 33320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00
�.s
lY L
p tJ-hmrrs-7 s ` t' ` Al
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685r ``- ' - 4 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYr ,r k TENDERED
F
CHANGE
CHECK NO:
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673433 Steph
PO Box 962/6155_ Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11130121 11130121 111:42 11:42 19640TC
009316 Town of Babylon h r.,.
0A, MWE
F f
F _Scale 2 Gross Wt. 72400 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 33320 LB
7—Q—TY— - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.p 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO. 011
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 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:
HEREBY CERTIFY THAT THE ABOVEWATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED-AGENT(PRINT NAME)' SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO_
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673309 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/30/21 11/30/21 08:38 08:38 11100TC
009316 Town of Babylon
REFERENCE
Y •
Scale 2 Gross Wt. 74840 LB Outbound-Charge ticket
Manual Tare Wt. 35,940 LB
Net Weight 38900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
�ftl �lr3
rr
CLOSED HOLIDAYS-QUESTIONS CALL 631-734!7685_: x_
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY4, F }' TENDERED
VOUA
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673309 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
11/30/21 11/30/21 108:38 08:38 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 74840 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
bg
J j b C:r7i
l S L_,
O
s i s
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 'y !�-
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR TENDERED
OWN
CHANGE
CHECK NO.
cir--nie71 io❑
TRINITY TRANSPORTATION CORPO TION
2.14 Blydenburgh Road 6332
IsIndi No
_� a, 11749- _
(631`) 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:COMMODITYSHIPPED:SHIPPED: - -
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCKWEIGHT: _- -_ - - GROSS
TARE
NET
I HEREBY CERTIFY THAT TETE'-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40' CFR PERT 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.
TRUCKNO. _ __- 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) -
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:-
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST O_F MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.:
RECEIVED BY_
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: '1 RITE TO D_ ISPOSAL LOCATION -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET' I GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673284 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF„
11/30/21 11/30/21 07:39 07:39 19640TC
009316 Town,&Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69100 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
..Net Weight 35120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
M
y
O11, r. .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 `1685 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY �� �, � , TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673284 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935- DATE jN DATE OUT TIME INTIME;OUT VEHICLE ROLL OFF
11/30/21 11130/21 07:39 07:39 19640TC
009316 Town of-Babylon
Scale 2 Gross Wt. 69100 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35120 LB
QTY.. UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL
17.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
fJ �
Operating hours t:udAIvI to bmb Him i aays a weer} _ , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.s 0.00
NEXT HOLIDAY:_SEPTEMBER 6, 2021 LABOR DAY
(
�uuTENDERED
!{� CHANGE
CHECK NO.
CI(_NIATI IQG
TRINITY T RANSPORI`ATION CORPORATION
214 Blydenburgh Road No ® 1 8 2
'
Islarfda, 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 SHOPPED: -
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:
TRAILED 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHEBEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZEDAGENT(PRINTNAME)' SIGNATURE/DATE -
KEY_:_ WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER' .
YELLOW TO TRANSPOR_TE_R_-
PINK TO GENERATOR .
GOLD TO GENERATOR". DISPOSAL LOCATION TICKET'TJO_