HomeMy WebLinkAbout12/2021 "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U 15633f Liz
I?O..B-mA962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
0
72/311/21 12/31-/21-- 09'03 03TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72300 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34880 LB
QTY.' UNI DESCRIPTION RATE EXTENSION FEE TOTAL
0.00
7%
tom°,
r a I-ii,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734''-,7685""= r
NEXT HOLIDAY:-SEPTEMBER 6,202 LABOR DAY A � -- '
�' ` `TENDERED
CHANGE
CHECK NO...:'
SIGNATURE
**DUPLICATE TICKET"
rSITE I TICKET GRID WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE U1 U158331t Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
0:0 11 03TC
009316 Town of Babylon
Scale 2 Gross Wt. 72300 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34880 _ LB
CITY.,TU T ,",DESCRIPTION RATE EXTENSION FEE_ TOTAL
r
0.00
1:17.44 0.00
ratin u s •0 o k ..
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685- �` " ✓ te a`' C
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY P
�q � Z LwC TENDERED
Ttil CHANGE
CHECK NO.
c1r_wInTi IOC
. NITY TRANSPORTATION.0 TIO
214 Blydenburgh Road
NO: 634
Islandia, NY11749
(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)
SALES- (COUNT): -
TRUCK WEIGHT: GROSS
a 0 TARE
-- - NET
I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL _DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.90 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE,)
TRANSPORTER
TRANSPORTATION/FREIGHT CO'.
TRUCK NO. LICENSE NO/STATE.
TRAILER NO. LICENSE NO/STATE:
I HERESY 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:
NAME)
(PRINT
- � (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'PROVIDE'D
IS TRUE AND ACCURATE:.
:RECEIVED BY: _
AUTHORIZED AGENT('PRINT_NAME)` S-IGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSALLOCATION TICKET NO._
F"DUPtICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01683128 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/30/21 12/30/21 08:58 08:58 11 103T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70420 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
TUU
zon
'-
'' ' ? Via; • 6 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 >
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED „ .
CHANGE
CHECK N0.••
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01683128 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN "'' DATE OUT s +.TIME IN<TIMEQUT ;VEHICLE ;a ROLL^^OFF"^
12/30/21 12/30/21 08:58 08:58 11 103T
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70420 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33600 LB
QTY._ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
vw.
All
1-7
i
V
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' 3
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ' TENDERED;,.,
" CHANGE _,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
6372
Isl dla,NY x,1749' No. -
(631) 342®9673
THIS MANIFEST IS FOR-REFERENCE'PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
113EINO SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:.
COMPANY: _ SHIP DATE,-.-
COMMODITY
ATE,:COIl MODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT);
TRUCK WEIGHT: GROSS
GROSS:
(p TARE
c V,'2 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,[SNOT HAZARDOUS,WASTE'AS-DEFINED 9Y'40 CFR PART 2f 1 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN'PROPER-CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT PRINT NAME)) (SIGNATUREj'
TRANSPORTER
TRANSPORTATION/FREIGHT CO,
TRACK 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 ANIYTO THE BEST OF MY KNOWLEDGE THE JINFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY* -
AUTHORIZED AGENT(PRINTNAME) SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.,----'-.-
"DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SOUL HbLD TOWN DEPT SOLID WASTE 01 1 01683209 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935DATE IN- :[DATE OUT TIME 1N TIME OUT VEHICLE ROLL OFF
12/30/21 12/30/21 12:24 12:24 11103TC
009316 Town of Babylon
REFERFINCE
,.
Scale 2 Gross Wt. 79240 LB Outbound-Charge ticket
-Manual Tare Wt. 38700 LB
Net Weight 40540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
R
f.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � °- — r 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DA
Y' �� o PN"
(gip n TENDERED
CHANGE
CHECK NO:
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01683209 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF
12/30/21 12/30/21 12:24 12:24 11 103T
009316 Town of Babylon
e-
Scale 2 Gross Wt. 79240 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
'Net Weight 40540 LB
QTY. UNITDESCRIPTION RATE EXTENSION FEE TOTAL
20.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00
� f i
a �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 q 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY �%-' �+ '��`f TENDERED
CHANGE -
CHECK NO..-
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6373
NO.
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.
COMPANY:, SHIP DATE-
COMMODITY SHIPPED:
LOOSE- - _ (CU YDS)
BALES- (COUNT)e --
TRUCK WEIGHT: O GLOSS
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 HAZARDOUSWASTE 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:
-
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) SIGI`IATURE/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 01682841 DCW
PO Bo 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN" DATE OUT TIME IN TIME'OU_tVEHICLE ROLL OFF
' 12/29/21 12/29/21 108:51 08:51 11100TC
009316 Town of Babylon
�.
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40420 LB
;,. ;QTY? ,.,,.•'._; ..UNIT , DESCRIPTION, ^^ , . .., RATE ;.,; <."EXTENSION TOTAL
I�r
a l
3
9 4
6pecat���M to 51 IRM VC 0 1AIM
CLOSED HOLIDAYS QUESTIONS CALL 631-7347685 ��
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ,.
,� ' TENDERED
!
SIGNATURE
"DUPLICATE TICKET" SITE TICKET, GRIL? .F,,t WEIGHMASTER '
SOU_ THOLD TOWN DEPT SOLID WASTE 01 01682841 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN; DATA OUT 71MEiN`TIME OUT M#YEHiCGE+" AOLL OKF j
. 12/29/21 12/29/21 08:51 08:51 11 100T
009316 Town of Babylon
•-
BEFERENCE
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40420 LB
QTY ,'UNIT . ;DESCRIPTION RATE , , . EXTENSION._
,�Ivv
,
X -01
f �s
�s
O
�" •
CLOSED HOLIDAYS—QUESTIONS CALL 631-734', 86�
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY' I' „ TENDERED
pa
t 3 ',•,CHANGE ,.
cn_wn-rgoo
"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682841 D
PO Bob 92/6155 Cox Lane
Cutchogue, NY11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/29/21 12/29/21 08:51 08:51 1 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
p
re
�,p
rating hours Z-016 AM to 5-110 PBA 7 days a mlepk, .....e__✓
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 `-
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � jj��r�r 9b TENDERED
�I-' av
llu� v 1
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" SITE I TICKET I GRID ` WEIGHMASTER,,.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682841 DCW
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/29/21 12/29/21 08:51 08:51 11100TC
009316 Town of Babylon
ORIGIN2 Gross Wt. 77180 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 40420 LB
QTY. UNIT` DESCRIPTION RATE EXTENSION FEE TOTAL
U.000 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`, � w
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY 1 € TENDERED
ca
lI
CHECK NO.
cr_ninrgoo
TRINtTY TRANSPORTATION CORPORATION
214, Blydenburgh Road NO.- 6370
Island a, NY 11749
(631) 3429673
THUS 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: U YDS)
BALES:(COUNT):
TRUCK WEIGHT- 77 GROSS
. -7
6 7.1, 0 -TARE
q0 y � C/ NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR'ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
7�
GENERATOR AUTHORIZED AGENT(PAINT 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 HEREBYCERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST Or 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 8 Pat
PO Box 962/6155 Cox,Lane
Cutchi." '
'gtie, NY 11935 DATE wDATE OUT TIME IN TIME OUT VEHICLE "- ROLL OFF
.. 1/-W14 9 :27 11100TC
,
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 37180 LB
Q7Y UNIT :;DESCRIPTION° .` s' RATE EXTENSION^ .. FEE TOTAL,;
10.-0V lVISVV
uki
ai
4 .
g` .
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY �, �
A%
.,TENDERED,
17-77 77
CHECK°NO
SIGNATURE
"DUPLICATE TICKET" sTE TICKET: GRIDw wil�MAST>rR
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682928 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935' :DATE IN. DATE OUT :711V�E IN'TIME OUT uEHICLE ROLL OFF ,,
12/29/21 12/29/21 12:27 12:27 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 37180 LB
x, ar., UNIT DESCRIPTION,, RATE "EX7 ENSION-„ a SEE : ,' h, TOTAt ,
tea � X`" '� C
._
1, env
L'..` A
O
CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7685
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY
5 T Mav
CHANGE
GHECK`NO
TRINITY TRANSPORTATION CORPORATION
-214 lydenburgh Road NO. 6371
Islandia9 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 SNIPPED: - --
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' CFRPART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
-
GENERATOR AUTHORIZED AGENT(PRINT-NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FR EIGI-IT 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY= WHITE TO DISPOSAL LOCATION
GREEN,TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
"DUPLICATE TICKET" SITE, TICKET .i IGRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTEPat R
PO Box.962/6155 Cox Lane
Cutchor�-', NY 1.1935 ,DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6. ..,
009316 Town of Babylon
REFERENCE
cale 2 Gross Wt. 73420Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 34340 LB
QTY U DESCRIPTION E SIGN E TAL
c
# s
y
eratin hours 7:Od AM to 5:0h PM 7 days a week..
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY —" TENDERED
U ,
CHANGE `
CHECK NO
SIGNATURE
"DUPLICATE TICKET" $ITE TICKET GRID WEIGHMASTER
:..
SOUTHOLD TOWN DEPT SOLID WASTE " _ vat H
PO Box 962/6155 Cox'Lane
Cutchogue, NY 11935 DATE IN>„ DATE OUT TIME IN,TIME OUT ., VEHICLE ROLL OFF
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Outbound-Charge ticket
.Manual Tare Wt. 39080 LB
Net Weight 34340 LB
QTY. U DESCRIPTION E SIGN FEE. TOTAL:
O
ratina hours 7:00 AM to 5:0 PM 7 da s a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-730685 ` —rtesky
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ` —
4 ` TENDERED
":CHANGE[
CHECK NO:
TRINITY TRANSPORTATION CORPORATION
2 IA Blydenburgh Road 6300
Island1, 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 SKIPPED.
LOOSE: _ (CU YDS)
BALES:(COUNT): - -
TRUCK WEIGHT: -- GROSS
-
TARE
NET
I HEREBY CERTIFY THAT THE,ABOVE NAKED 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;
TRAILERNO. - 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 CERTIFYTHAT THEABOVE MATERIAL_ HAS BEEN ACCEPTED AND TO THE,BEST OF ANY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE_
RECEIVED BY: --
AUTHORIZED AGENT(PRINT NAME) SIGNATuAE/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 01682608 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN`TIME OUT VEHICLE ROLL OFF
12/28/21 12/28/21 08:50 08:50 111OOTC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 U.UU
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - v
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
+� ���,� TENDERED
,CHANGE''
CHECK NO
SIGNATURE
"`DUPLICATE TICKET" SITE I TICKET I GRID:,- WEIGHMASTER-,
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01682608 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN;.. DATE OUT TIME W_ TIME OUT VEHICLE ROLL OFF
.,, ,
12/28/21 12/28/21 08:50 08:50 11100TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34760 LB
QTY. UNIT- DESCRIPTION RATE EXTENSION `` FEE TOTAL`_
_ 0.00
; 1 1
O .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "��
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY r
TENDERED
Vu S
CHANGE'
'CHECK NO.`
cir_ninr�113M
r .
Rd Y TRANSPORTATION CO TIOI
214 Blydenburgh Road NO. 6369
Island a, NY 11749
(63I) 342-9673
THIS MANIFESTIS FOR REFERENCE PURPOSES ONLY.GENERATOR.'DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED'WITH THE SHIPMENT OF SUCH MATERIALS,
COMPANY -- _- -, . ------____ SHIP DATE: -_
COMMODITY SHIPPED:
LOOSE: - - - -- - - (CU YDS)
GALES;(COUNTY _
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
APPLICABLESTATE LAW,IS NOT HAZARDOUS'`WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW.,HAS BEEN PROPERLY '
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - - (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO, --- -- F_ --- - - - -
TRUCK NO - _-- --- LICENSE NO/STATE"
TRAILER NO'._ _ _-- -__ LICENSE'IVO/STATE:,
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER- - - ----
(PRiNT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION': DATE DELIVERED;:-
ADDRESS: -- -- -
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE':
RECEIVED BY - -- - -- - -
AUTHORIZED AGENT(PRINT'NAME.)
SIGNATURE/DATE
ItEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW'TO TRANSPORTER..
PINK'TO GENERATOR,
GOLD TO GENERATOR DISPOSAL`LOCATION TICKET NO.
�"*DUPLICATE TICKET"` SITE =TfCKET.; xGRID WEIGHMASTER
S6UT14-b p TOWN DEPT SOLID WASTE 01 01682418 Liz H
PO Box 962/6155 Cox Lane
Cutchog e, NY 11935 DATE IN" DATE OUT TIME IN"TIME;OUT VEHICLE -„ ROLL OFF "
12/27/21 12/27/21 12:20 12:20 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74860 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 37440 LB
K
QTYUNIT DESCRIPTION RATE,. °. EXTENSION FEE. %a TOTAL: ,
. 0.00
IV
Y efe
I T r
r
Ho
IORA 7 Aa— '». s L. o
" Ilu
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-73427P685
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYe� Rv TENDERED
ra � oI �
••.0 ECK"NO.
SIGNATURE
"DUPLICATE TICKET"* :sTEillTICKET GRI[7 wEicHMasr R'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682418 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935MDATEIN DATOUT TIMEINp'TIMEOUT x VEHICLE +„ ROLLOFFr ;.
12/27/21 12/27/21 12:20 12:20 11100TC
009316 Town of Babylon
REFERENCE
•-
-Scale 2 Gross Wt. 74860 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 37440 LB
"UNIT DESCRIPTION,, ,•„t RATE EXTENSION' FEE TOTAL'.45
0.000 0.00 0.00 0.00
f
V
m q s
i
Dp ' °s9Mums=
�.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 Ay0.00
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY `
T.ENDEREDY ,� W
CHEC •NO
. ,-.,TRINITY TRANSPORTATION CO PO TION
214 Blydenburgh Road 6368
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: - -- (GU YDS)
RALES: (COUNT):
TRUCK WEIGHT: �0 G GROSS
r G f
'977 rZ TARE
L NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4:0. CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED;CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING T.O,APPLIGABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
LICENSE NO/STATE:
TRUCK NO: -- _.
TRAILER NO. r -- LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW,.
DRIVER: -
(PRINT NAME) _ (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: -- - -- - DATE DELIVERED:
ADDRESS:
---
IHEREBY CERTIFY THAT 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: 'WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR.
GOLD TO GENERATOR" DISPOSAL LOCATION TICKETNO_
**DUP.ICATE TICKET** SITE :"TICKET `_; ARID WEIGHMASTER, .' "
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682377 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935. DATE IN• , .DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF
_. ..
12/27/21 12/27/21 11:11 11:91 19640TC
009316 Town of.Babylon
REFERENCE
CE
�.
Scale 2 Gross Wt. 70840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 34640 LB
:QTY. UNIT , ;DESCRIPTION..w,' .. ,. :.RATE :EXTENSION FEE,,., k, ;TOTAL'i
0.00 0.00 0.00
i V '`
Qx,
xv
�App y
� h
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7, 685`,,;o-,, ��
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
< r CHANGE
SIGNATURE
**DUPLICATE TICKET** p°
i, i ,WEIGHMAST�R
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682377 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 w DATE IN `. DATE OUT TIME IN;TIME OUT UEHIGLE ROLL OFF
12/27/21 12/27/21 11:11 11:11 19640TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 70840 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 34640 LB
QTY UNIT ::w P CRIPI I„ON, r =RATE ;trs EXTENSION`;t4. FEE, :TOTAL'.
17.32 TON O.MSW 0.000 0.00 0.00 0.00
6 eR WL, ,
IV
� .
E
F z €
ro ^v� .
,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 - 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY 4- TENDERED
r
�TRINITY TRANSPORTATION CO O 'TION
214 ly enburgh Road NO. 6299
Isldia, 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 MATERfALS„
COIulPANY _- SHIP DATE': --
COMMODITY SNIPPED. ---
LOOSE (CU YDS)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
,I HEREBY CERTIFY THAT THE ABOVE NAMED_ MATERIAL DOES NOT CONTAIN FREE LIQUID AS 'DEFINED BY 40 CFR PART 260.10 OR ANY
_`APPLICABLESTATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINIT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE IVO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL LAVAS 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
GREED TO TRANSPORTER '
YELLOW TO TRANSPORTER.
PINI(TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*`DUPLICATE TICKET"
SITE TICKET" GRID WEIGHMASTER
HOLD TOWN DEPT SOLID WASTE 01 U I bdZ6 8 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE 1N •DATE OUT TIME IN TIME OUT VEHICLE „ ROLL OFF
111 OOTC
009316 Town of Babylon
REFERENCE
®-
Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 36440 LB
"QTY UNIT DESCRIPTION"'' RATE, °" #EXTENSION .FEE TOTA11.00
L,
10.22
s
> �
, On
�
t b:
� i $
, 4-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685� r
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY "TENDERED ,.
V-11� .I1
CHANGE
u w CHECK,NO. '=
SIGNATURE
**DUPLICATE TICKET** SITE s TICKET„"` GRId,' , V1lE1GIiMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682308 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 °`DATEIN'.` D'ATEOUT "TIMEIN',TIMEO.UT , VEHICLE ROLLOFF,
12/27/21 12/27/21 108:46 08:46 n 11100TC
009316 Town of Babylon '
Scale 2 Gross Wt. 73260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 36440 LB
:QTY UNIT ? ",DESCRIPTION RATE, EXTENSION F:.EE . TOTAL-
3
£''.
� f I g}aha
0)3emfinqn.:.n 'v .. tA.. _e...._ , 'A
CLOSED HOLIDAYS_QUESTIONS CALL 631-734-7685,4 w �,r
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYSV ,TENDERED
V
Z- GRAN 'E
car_ninTgoo
Kl..
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road. 6367
Isldia, 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
BEINGSHIPPED 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: �l � --- GROSS
_3(OQ TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10'OR,ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE-STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - - LICENSE NO/-
STATE:-TRAILER NO: - LICENSE NO/STATE;
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE, GENERATOR, SITE, LISTED ABOVE,, AND THAT IT WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER= - - -- _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _ -- -_ - _ DATE DELIVERED
ADDRESS:
.LHEREBY CERTIFY THAT THE ABOVE_MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE'AND ACCURATE:
RECEIVED BY: -_-
AUTHORIZED AGENT(PRINT FLAME) SIGNATURE/DATE.
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER.
YELLOW TO TRANSPORTER. .
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. __-
*"`D.UF: TE TICKET'* -
SITE TICKET - GRID; M WEIGHMASTER
S,OUTHS .D TOWN DEPT SOLID WASTE 01, 016822.86 Liz H
PZi Box 02/6155 Cox Lane
Cutchogue, NY 11935 DATE IN` DATE`OUT' ;TIME IN,TIME OUT VEHICLE `ROLLOFF
12/27/21 12/27/21 07:27 07:27 19640TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 64860 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 25720 LB
QTY "UNIT ;.°DESCRIPTION RATE., :EXTENSION'„> FEE =TOTAL.!•
U.Uu
� 3
pf
'5;.4
a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 ” UU
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY A4 u
q„
.•°G EGKNO "
SIGNATURE
"DUPLICATE TICKET*" s�7E ICKEr � GR1D f ` , wel�wMAsr.�R
SOUTHOLD TOWN DEPT SOLID WASTE 01 01682286 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 F; ATE1N ' DATE�OUT° TIME`fN,TJMEOUT �/EHICLEx ROCLOF7
12/27/21 12/27/21 07:27 07:27 19640TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 64860 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 25720 LB
ov OTy- UNTf pESCRIP,TION, , ,," RATE .'EXTENSION.»m FEED TOTAL=w`
-'
Y
4-N1 ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685 ,
113/
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
# J` TENDERED
mr_ninn goo
RINITY T_ NSI R TATION CORPORATION
214 Blydenbuirgh Road 6298
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 SHOPPED 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 1S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTED
TRANSPORTATION/FREIGHT.CO.
TRUCK NO. LICENSE IVO/STATE:
TRAILER NO. LICENSE' NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE_„AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED':
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE,MATERIAL-HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINTNAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _ ___
`"DUPLICATE TICKET**. SITE '.;' TICKET`° GRID, ° ' WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673774 Steph
PO Box 962/6155 Cox',Lane
Cutchogue, NY 11935 DATE.IN DATE OUT TIME'IN TIME OUT VEHICLE ROLL OFF
- 12/01/21 12/01/21 08:29 08:29 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 35000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.50 TON DUTGO.MSW 0.000 0.00 0.00 0.00
P.
t{°f
, - �
i
CLOSED HOLIDAYS-QUESTIONS CALL 631-73446$5j:*� ✓ '�� � 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY 1Ar�� TENDERED
gum
CHANGE
CHECK NO.
- - - - SIGNATURE - -
*"DUPLICATE TICKET" SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01673774 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/01/21 12/01/21 8:29 8:29 11100TC
009316 Town of Babylon
ORIGIN 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
_Net Weight 35000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION: FEE TOTAL _
17.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
operating hours o ays a wee .
� .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. a> T 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY � � � TENDERED
UNICHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPO `ION
214 Blydenburgh Road 6 3 3 4
Islandia, NY 11749-
- No. -
(631) 342-9673
THIS rAANIFEST 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/S.TATE
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:
LHEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BEST Of MYKNOWLEDGE THEINFORMATION-PROVID.ED
IS TRUE AND ACCURATE--
RECEIVED BY:
AUTHORIZEDAGENT(PRINT NAME) SIGNATURE/DATE - -
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
"`DUPLICATE TICKET" SITE `TICKETGRIND _ . WEIGHO'SfER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01673868 Steph
PO Box 962/6155 Cox Lane
CutchoguG:, NY 11935 DATE 1N'. DATE OUT TIME IN TIME.OUT VEHICLE`" -• ROLL OFF
12/01/21 112/01/21 11:48 11:48 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 77680 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40260 LB
;QTY. UNIT '. _ DESCRIPTION RATE EXTENSIONc` -'FEE TOTAL. '
20.13 TON CUTGO.MSW 0.000 0.00 0.00 0.00
{
$ TNu.
3 . -
Op %N� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�"74, �� ' � 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAYeY d �"`* v TENDEl3ED. . f•;
'%gyp
--.CHECK+NO.
- ---- -- - - ---- -- - - - - —--- ---------
- - -- --- -- — ------— -- --- --- -
SIGNATURE Al
"*DUPLICATE TICKET** <51TE TIGKET` GRo,. wEIGHMASfEFI R
SOUTHOLD TOWN DEPT SOLID WASTE 1 01673868 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DRTE OUT TIME IN TIME OUT VEHICLE: ROLL OFF ?
12/01/21 12/01/21 1:48 1:48 11100TC
009316 Town of-Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77680. LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40260 LB
. .. ? '
DESCTOPAL
0.13 TON UTGO.MSW 0.000 0.00 0.00 0.00
G, q
R
${ t
tIt � a
g 1 § !_ r �-
Ope F F 3 •
e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734466�8t5 � �'r� 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS TENDERED, ,
np8
CHA'GE
" CHECfCNO. .•°�'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6335NO:
....
Islandfa, NY 11749 - _ -
(631) 34209673
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 ASSOCIATEDWITH THE SHIPMENT OF SUCH MATERIALS.
'COMPANY: SHIP DATE:
COMMODITY SHIPPED
LOOSE: (CU YDS)
RALES:(COUNT);
TRUCK WEIGHT: GROSS
TARE
LVET
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 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 RANTED 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: WRITE 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
,SOUTITOLD TOWN DEPT SOLID WASTE F12/O3/21
01674507 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEOUT TIMEINTIMEOUT VEHICLE ROLL OFF
12/03/21 08:47 08:47 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
.Scale 2 Gross Wt. 73760 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34620 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00
x`
4]_3
AY
Op J x e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY ziv p TENDERED
C ANGE
CHECK'N
SIGNATURE
"DUPLICATE TICKET`* SITE I TICKET;, ;GRID. WEIGHMASTER,.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01674507 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/03/21 12/03/21 08:47 08:47 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 73760 LB Outbound-Charge ticket
-Manual Tare Wt. 39140 LB
Net Weight 34620 LB
QTY. UNIT ' DESCRIPTION RATE EXTENSION - ,FEE " TOTAL
17.31 TON DUTGO.MSW 0.000 0.00 0.00 0.00
og
v_INO �
tj
I
7
Operating nours .7:00 A191 to ays a wee r \I -� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. t ,�`�., ,-' 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY �. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214Blydenburgh Road NO. 6337
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 boEs NOT CONTAIN FREE LIQUID AS DEFINED BY 40CFR, PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED B I Y 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. ICENSENO/STATE:
I HEREBY CERTIFY THAT THE ABOVE, NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY 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
SOUT,'AOLD TOWN DEPT SOLID WASTE 01 01674631 Liz H
"PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
12/03/21 12/03/21 12:04 12:04 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
--Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 37960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00
��
? t 4 rS
<a t
Op s a ee IZS 77 � .p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY � �;' TENDERED
CPU, 4
CHANGE
CHECK NO:
SIGNATURE
"*DUPLICATE TICKET" SITE "•`TICKET "GRID :"WEIGWASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01674631 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/03/21 12/03/21 12:04 12:04 11100TC
009316 Town of Babylon
s-
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 37960 LB
QTY.. UNIT, DESCRIPTION RATE EXTENSION FEE •,, TOTAL
18.98 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opera mg ours : 0 to 5:00 7 ays_aweek
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E
0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
-CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh. Road' 6 3 3 8
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: (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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION AGCORDING TO APPLICABLE_REGULATION.
GENERATOR AUTHORIZED AGENT(PR7NT NAME)' 277 (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. - _ -
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. -LICENSE NO/STATE:
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) -_
DESTONATION
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 TICKETWO._
**DUP,,AATE TICKET`* SITE TICKEl," GRID WEIGHMASfEF
SCUT'HOLD TOWN DEPT SOLID WASTE 01 01674886 Steph
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN' "DATE OUT -TIME,IN TIME,OUT VEHICLE. ROLL OFF
2/04/212/04/21 7:20 7:20 11100TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
"Net Weight 37720 LB
DESCRIPiION", RATE :EXTENSION, ,,, ,FEE
TOTAL '
8.86 TON UTGO.MSW 0.000 0.00 0.00 0.00
e
F4
i s N".
xM
a
Operating o o51VII 1 days a WeeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY �`� 09 TENDERED. .,
xv 0,
CHANGE
' :�CWECKxNO "
SIGNATURE
*"DUPLICATE TICKET*" s17E, TICKET, GRID �, ,WEIGHMA"sTER
SOUTHOLD TOWN DEPT SOLID WASTE 011 01674886 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATEIII DATE OUTS TIME IN TIME QUT VEHICLE; ROLL OFF
2104/21 2/04/21 7:20 7:20 11100TC
009316 Town of-Babylon
REFERENCE
•.
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 37720 LB
r'DESOI�1P.TION' �`"NATE EXTENSIO(l FEE. TOTAL
8.86 TON C UTGO.MSW 0.000 0.00 0.00 0.00
iR43t �¢ k
Y�'i fY
5 £
E}„ NL✓".� &r w,.. l:a"e., � 'moi,".mp-,
Operating hours odays a wee f
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7e8 , _ 0.00
..
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY �.� .'� �
U Ng
CHANGEx
"�CHECK=NO.
SIGNATURE
3RINITY TRANSPORTATION CORPORATION
11 PJ
214 Blydenburgh Road 6339
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT- GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE 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:
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" SITETICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01674148 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE
,IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/02/21 12/02/21 09:28 09:28 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75880 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 39680 LB
QTY'. UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL
19.84 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Ic
Op �
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00`"�`'",�-�o� s
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABORDAY TENDERED
' ,
-CHANGE ,
-?CHECK,NO
SIGNATURE
""DUPLICATE TICKET"" SITE TICKET,-' GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 01 01674148 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN'TIME OUT VEHICLE ROLL OFF
12/02/21 12/02/21 109:28 109:28 11100TC
009316 Town of Babylon
o_
Scale 2 Gross Wt. 75880 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 39680 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.84 TON UTGO.MSW 0.000 0.00 0.00 0.00
ss Mo
)--7
Opera Ing ours o : days a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED
IN
CHANGE
CHECK NO.
SIGNATURE
rp
I RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6336
Islandia, Y 11749 NO.
N -
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE.POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIPDATE:
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 AG8NT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-,
TRAILER NO. LICENSE NO/STATE-
IHEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED'--
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO'GENERATOR' DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01616081 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/06/21 12/06/21 112:00 12:00 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
-Scale 2 Gross Wt. 65920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 31940 LB
QTY.` UNIT DESCRIPTION', RATE EXTENSION FEE TOTAL
15.97 TON UTGO.MSW 0.000 0.00 0.00 0.00
O •
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 1 01676081 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME)N JtIMEOUTJ VEHICLE ROLL OFF
12/06/21 12/06/21 ' 12:00 12:00 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65920 LB Outbound-Charge ticket
-Manual Tare Wt. 33980 LB
Net Weight 31940 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE _,TOTAL
15.97 TON 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.'
CHANGE ;
CHECK NO.
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6341
Islandia, NY 11749 NO.,
(631) 342-9673'
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4'0 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) J (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE IVO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER..:
(PRINT NAME) (SIGNATURE)'
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED.AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01675986 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/06/21 12/06/21 08:39 08:39 11100TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 68700 LB Outbound-Charge ticket
.Manual Tare Wt. 36820 LB
Net Weight 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
9 O O GO. 0.000 0.00 0.00 0.00
r-a. I tri
, -
CLOSED HOLIDAYS-QUESTIONS CALL 631-73476850.00
µ
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY t�j j m,` TENDERED
CHANGE' '
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01675986 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/06/21 12/06/21 08:39 08:39 11100TC
009316 Town of Babylon
µ u
Scale 2 Gross Wt. 68700 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 TON DUTGO.MSW 0.000 0.00 0.00 0.00
P
CLOSED HOLIDAYS-QUESTIONS CALL 631-734685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY / TENDERED
CHANGE
CHECK NO.
cir_ninri o00
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
No. - 6340
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
BEINGSKIPPED 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: GLOSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY .40 CFR. PART MAO 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/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 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 TfCKET"" SITS TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01676440 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/07/21 12/07/21 11:42 11:42 11100TC
009316 Town of Babylon
REFERENCE I ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 42760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op •
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 01676440 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEyIN, DATE OUT T,IME,IN TIME,OUT —VEHICLE,_, ROLLOFF
12/07/21 12/07/21 11:42 11:42 11100TC
009316 Town of Babylon REFERENCE -
ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 42760 LB
,QTY. ',UNIT DESCRIPTION RATE : EXTENSION , FEE ,TOTAL .
21.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
' CHANGE
CHECK NOZ
TRINITY TRANSPORTATIONCORPORATION
214 Blydenburgh Road 6343
NO. -
Islania, 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 HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR',ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION,FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
GE ( ) (SIGNATURE)
GENERATOR AUTHORIZED AGENT(PRINT NAPAE
TRAM
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 PAY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY- WHITE TO O DISPOSAL.LOCATION
GREEN TOTRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO: --
**DUPLICATE TICKET** sITE ° ,TICKET ' GRID" (GHMAsi1R ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01676337 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY-!eIo835. DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL°OFF,
12/07/21 12/07/21 8:29 08:29 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37440 LB
QTY. UNIT DESCRIPTION' RATE` EXTENSION FEE::°-.'"' TO::d
18.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
3,
zk
t,
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
CHECK NO
SIGNATURE
**DUPLICATE TICKET** STE T►CKET GFiI w �HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01676337 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT, TIME IN TIMEOUT UEHIGLE' ROLL OFF
12/07/21 12/07/21 08:29 08:29 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
_Scale 2 Gross Wt. 76580 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37440 LB
OTY ;UNIT DESCRIPTION ' _ :RATE Y "u ;.EXTENSION;;
18.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85.10.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
RANGE
cir_nnrgoo
TRANSPORTATION C TI ]
214 ydg bur Road - ---6342
Island a; ` 11749
(63 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR'DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABHLITY 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
APPLICABLESTATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY d0 CFR'PART 261 OR ANY'APPLICABLE STATE'LAW,HAS BEE=N PROPERLY
DESCRIBED,CLASSIFIED AND'PACKAGED„AND IS IN,PROPER CONDITION FOR TRANSPORTATION ACCORDING TO-APPLICABEE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIONATURE) _
TRANSPORTER.
TRANSPORTATIONIFREIGHT CO.
'TRUCK NO; _ ------ _-- - -__ LICENSE NO/STATE:, _
TRAILER N0= _ --- -- --__ -_ _ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVENAMED MATERIAL WAS PICKED UP'AT THEE GENERATOR SITE LISTED'- ABOVE„AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)' (SIGNATURE)
DESTINATION
DISPOSAL;LOCATION: -- --- - - ------ --_ - - - -_ -- DATE DELIVERED
ADDRESS_
I HEREBY-CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE
RECEIVED I3Y: -- - - ---
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 F TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01676882 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
2/08/21 2/08/21 1:55 1:55 11100TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 76660 LB Outbound-Charge ticket
'Manual Tare Wt. 37420 LB
Net Weight 39240 LB
QTY UNIT "DESCRIPTION RATE EXTENSION FEE TOTAL
19.62 TON QUTGO.MSW 0.000 0.00 0.00 0.00
to jj;�)f
Operatinghours o days a wee � ,r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY a TENDERED
CHANGE
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" SITE TICKET . GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01676882 Steph
PO Box 962/6155 Cox'Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN;TIME OUT VEHICLE ROLL OFF
- 2/08/21 2/08/21 1:55 1:55 11100TC
009316 Town of Babylon
�ORIGIN
Scale 2 Gross Wt. 76660 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 39240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
9.62 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours :00 to 5:0 P 7 days a week. I:Z:;, C •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
�.:�
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
OU?
CHANGE
CHECK"NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO. 6345
Islandia, 11749
_
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -- S1-11P DATE:
COMMODITY SHIPPED:
LOOSE: (CUYDS)
SALES:(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 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. ~ '"
TRACK 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY'--- -
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET N.O.
**DUPLICATE TICKET** �®
SITE °TICKET GRID 4E6GHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01676761 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -,DATE IN DATE OUT- TIME IN TIME OUT '` "VEHICLE` ROLL OFF'
7T,008121 12/08/21 08:33 08:33 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt, 70220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33400 LB
QTY
UNIT", DESCRIPTION s, RATE . 'EXTENSION' FEE " ;TOTAL
lb o
{
,
t 3 ,
}ry�
i
i
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
f TENDERED
GHANGE .
SIGNATURE
**DUPLICATE TICKET*" SITE TICKET;, GRID „ _ % WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01676761 Steph
PO Box 962/6155 Cox Lane
CUfChOgUe, NY 11935 pATEIN' DATEOUTx� TIMEIN TIMEtQUT VEHICLE° ROLLOFF
12/08/21 12/08/21 08:33 08:33
° 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33400 LB
QTY .{'> . :.UNIT. DESCRIPTION,. ,'n "'RATE „.''EXTENSION„. FEE. , y`TOTAL
u.UUU 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED.. ,.
--CHANGE
::CHECK NE1
' cr_ninn goo
TRINITY TRANSPORTATION CO PO ;TION
214 Blydenburgh Road ti . .�,_ No6344
,
Islandia, NY 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: _- - 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)
TRANSPORTER
TRANSPORTATION/FREIGHT GO.
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 OFMY KNOWLEDGE THE.INFORMATION'PROVIDED''
IS TRUE AND ACCURATE-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER..
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - __
"DUPLICATE TICKET* siTE
TICKET GRID . �' °` °.WEIGHMASTER w
SOUTHOLD TOWN DEPT SOLID WASTE 01 01677090 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .DATE OUT TIME IN TIME OUT VEHICLE -,ROLLOFF °
12/09/21 12/09/21 12:10 12:10 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 80060 LB Outbound-Charge ticket
Manual Tare Wt. . 38700 LB
Net Weight 41360 LB
QTY. "z•UNIT DESCRIPTION,.< BATE s EXTENSION: gFEE.,. TOTAL ,-
0.000 0.00 0.00 0.00
`q
r
,1
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76850.00
NEXT HOLIDAY:SEPTEMBER 6, 2021 LABOR DAY
t :TENDERED ,
CHANGE
CHECK NO. "
SIGNATURE
'*DUPLICATE TICKET** ;sITE TICKET<^ �aip °tnrEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 1 01677090 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 r, DATE ! ,a-DATE OUT TIME INS TIMEOUT ,UEHICLE` ROLLOFF 7
2/09/21 2/09/21 2:10, 2:10 11100TC
009346 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80060 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41360 LB
UNIT 4i <. `` a DESCRIPTION. RATE EXTENSION. FEE.,°' TOTAL.
u•
QTY �t �s
?0.68 TON MUTGONSW
0.000 0.00 0.00 0.00
Op
,-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED .
BCH GE r
RIrNATURE
RINI_TY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6347
NO.
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.
COMPANY: _ SHIP- DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: kn o GROSS
3AJ:J Ob 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 1
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01676990 Pat H
PO Box 96?Z155 Cox Lane
Cutchogue�NY 11935 ; DATE IN DATE OUT TIME 1N TIME OUT VEHICLE ROLL OFF
12/09/21 12/09/21 8:39 8:39 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73960 LB Outbound-Charge ticket
Manual Tare Wt. 26280 LB
Net Weight 47680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
3.84 G .MS 0.000 0.00 0.00 0.00
Op - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;-"-, y- 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
CHANGE
-CHECK NO.
SIGNATURE
"DUPLICATE TICKET" CSITEJ TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01676990 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF
- 2/09/21 2/09/21 8:39 8:39 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
-Scale 2 Gross Wt. 73960 LB Outbound-Charge ticket
Manual Tare Wt. 26280 LB
Net Weight 47680 LB
QTY. U_NIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.84 ON TGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY TENDERED
4
CHANGE
CHECK NO.
SIGNATURE
TRINJUY TRANSPORTATION CORPORATION
2 �4 Blydenburgh Road
ISldi 11749 No: - 6346
(631) 342®9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY _CARGO OR,MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS'.
COMPANY- _ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: - - - (CU'YDS)'
RALES (COUNT):
TRUCK WEIGHT: .. GROSS
TARE
NET
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 LAVH,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. --
TRUCK NO. LICENSE NO/STATE: -_
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE iLISTED ABOVE, AND THAT IT WAS.
DELIVERED WITHOUTINCIDENT 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
SOUTNbLD TOWN DEPT SOLID WASTE 01 01671350 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/10/21 12/10/21 09:01 09:01 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 66360 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 30160 LB
"QTY. UNIT DESCRIPTION "" RATE EXTENSION 'FEE TOTAL
I L5.O TON UTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:""` 0.00
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 311 01677350 Liz H
PO Box 962/6155 Cox.Lane
Cutchogue, NY 11935 `DATE1N' DATE OUT TIME IN TIME O'UT " "VEHICLE ROLL OFF
2/10/21 2/10/21 9:01 9:01 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 66360 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
-Net Weight 30160 LB
QTY." UNIT DESCRIPTION RATE EXTENSION` FEE`' TOTAL
5.08 TON 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
F CHANGE `" '�
CHECK NO:
AICIN ATI IRF -
��-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6.3 4 8
Islandi 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 ASSUAGE ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP'DATE: _
COIV MODITY SHIPPED:
LOOSE.- _ (CU YDS)
RALES: (COUNT); - -
TRUCK WEIGHT GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAGGED MATERIAL .DOES NOT CONTAIN'FREE LIQUID AS .DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAIN,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/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 01678474 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
12/13/21 12/13/21 11:40 11:40 1 11100TC
009316 Town of Babjlon
ORIGINREFERENCE
s
Scale 2 Gross Wt. 81720 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.51 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'' Y 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.`
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01678474 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT„w TIME,IN TIME OUT ,..,VEHICLE' a ;x ,ROLL OFF-
. 2/13/21 12/13/21 1:40 [11:40 11100TC
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 81720 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'`
1.51 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours o ays a week.. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY - TENDERED-
-
C ANGE;.,,
CHECK NO.,
RIf:NAT1IRF
TRINITY TRANSPORTATION COMPO TION
2141131yOnburgh Road NO. 6349
Islandia, 11749
-
(631), 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH 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 WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
-
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTED
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
GREENTO TRANSPORTER
YELLOW TO TRANSPORTER. .:
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET ' SITE TICKET , GRID f PA, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01678459 Steph
PO Box 962/6155 Cox Lane
Cutchogue,ANY 1'IiJ35' DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/13/21 12/13/2111:19 11:19 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 37500 LB
QTY. UNIT DESCRIPTION " RATE EXTENSION FEE TOTAL
18.75 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op e •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76q5.` ,:.. ; 0.00
NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01678459 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/13/21 12/13/21 1:19 1:19 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74040 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 37500 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.75 TON UTGO.MSW 0.000 0.00 0.00 0.00
operating _ours odays a weeK. •
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 6270
NO._
Isl4 :dia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH mATER'IALS.
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 LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THATIT'WAS_.
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LITED 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 GENERATORDISPOSAL LOCATION TICKET NO_
SITE TICKET GRID INEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01678354 Steph
PO Box 962/6155 pox Lane
Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
. ` 12/13/21 12/13/21 07:35 07:35 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73160 LB - Outbound-Charge ticket
-Manual Tare Wt. 39140 LB
Net Weight 34020 ' LB
—QTY . .,, SCRIPT '_RATE,,,,,-,,
` TOTAL,EXTENSION: FEE
17.01 TON UTGO.MSW 0.000 0.00 0.00 0.00
e
Op s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5." r 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
, ' `CHANGE
CHECKNO. r.
SIGNATURE
SITE M TICKET,> GRID a VNEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 311 01678354 Steph
PO Box 962/6155 Cox'Lane
Cutchogue, NY 11935 ` DATE IN OATS OUT TIME`IN TIME OUT VEHICLE ROLL QFF
2/13/21 2/13/21 7:35 7:35 19640TC
009316 Town of Babylon.
REFERENCE ORIGIN 2 Gross Wt. 73160 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34020 LB
QTY UNIT w.y„ "DESC RIPTIONu"`. :.;RATE, w s;,EXTENSION„ FEE "; zTO,TAL
7.01 TON UTGO.MSW 0.000 0.00 0.00 0.00
Opul atil ly 110013 7 PIVI 7 dayS d WE119K., _
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED.. .,
;`CHECKaNO.
RIl�NATIIRF
- �
MEOW-
TRINITY TRANSPORTATION CORPORATION
214 Dlydenburgh Road
6269
IV
Islandia, Y 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
-
COMMODITY SHIPPED:
LOOSE: - (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. - LICENSE NO/STATE.:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW_
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION _ _---
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF PAY 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 1 01678773 Steph
PO Box 962/6155 Cox Lane
Cutclllogde, NY 11935 DATE IN DATE,OUT TIME IN TIME OUT VEHICLE ROLLOFF
1_4 12/14/21 12/14/21 08:52 08:52 11100TC
009316 Town of Babylon
- REFERENCE ORIGIN 2 Gross Wt. 66900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 30080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O
: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE `
CHECK'N0.
SIGNATURE
"DUPLICATE TICKET" $ITE I TICKET r„GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01678773 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/14/21 12/14_/21 08:52 08:52_ 11100TC
009316 Town of Babylon
mREFERENCE ORIGIN
Scale 2 Gross Wt. 66900 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 30080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.
cn_wnTDov
TRINITY TRANSPORTATION CORPO TION
._214 Blydenburgh Road NO6350
- ._ _
s andI , NY 11749
(631) 342=9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _-_ __- - SHIP DATE:
COMMODITY SHIPPED: --
LOOSE: - (CU YDS-)
RALES:(COUNT): -
TRUCK WEIGHT: -_ - GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4.0 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW„HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PR1NT 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- - DATEDELIVERED: -- -
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 01678742 Steph
PO Box 962/6155 Cox Lane
Guts aogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
M 12/14/21 12/14/21 07:35 07:35 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73880 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 34800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-,QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01678742 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/14/21 12/14/21 07:35 07:35 19640TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 73880 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 34800 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.40 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-.QUESTIONS CALL 631-734-7685., - 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
--'CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPO TI
214 Blydenburgb Road 6297
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: , _ - (CU YDS)
SALES:(CO- UNT). - - --
TRUCK WEIGHT: GROSS
TARE
v " -
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 N USTATE:: _.
TRAILER NO. _ LICENISE ISO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THATIT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVERS
(PRINT NAME) - -
(SIGRIATURE
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
N "
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLDTO GENERATOR DISPOSAL LOCATION TICKET-NO. --
""DUPLICATE TICKET" ':SITE 'TICKET, GRID!• WEIG'HMASTER
SOUTHOLDTOWN DEPT SOLID WASTE 01 1 01678894 Steph
PO BoxTJ62/5155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE" ROLLOFF
2/14/21 12114121 2:20 2:20 11100TC
009316 Town of Babylon
y € t%N_
Scale 2 Gross Wt. 69020 LB Outbound-Charge ticket
Manual Tare Wt. 36460 LB
Net Weight 32560 LB
QTY. UNIT . DESCRIPTION• RATE EXTENSION FEE TOTAL
16.28 TON O.MSW 0.000 0.00 0.00 0.00
� E
fit{''
b
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685 w � .010
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � � � � �
aRx #zn >r TENDERED.
�g � I .
y
CHANGE,
CHECKNO.
SIGNATURE
"*DUPLICATE TICKET" SITE ' TICKET. GRID VVEIGHMASTER E,
SOUTHOLD TOWN DEPT SOLID WASTE 11 01678894 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �D,ATE IN DATE OUT �' TIME IN TIME OUT ,%. VEHICLE +"`ROLL^OFF
2/14/21 12114121 2:20 2:20 11100TC
009316 Town of Babylon
10.
Scale 2 Gross Wt. 69020 LB Outbound-Charge ticket
Manual Tare Wt. 36460 LB
Net Weight 32560 LB
QTY UNIT DESCRIPTION -` - RATE, EXTENSION' °FEE ,.-, TOTAL
6.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
} 1 F.
t . I ? - t�
Op �� s ®,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685fr 0.0
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYS TENDERED
yul,i u;
CHANGE
CHECK NO
.gmNATI IRF
TRINITY TRANSPORTATION C RP `TI N
14 Blydenburgh Road �NO6351
Islancla, 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.
COMPANYt SHIP DATE:
COMMODITY SHIPPED:
LOOSE-- - (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS-
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE' NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 26010 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,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 1 01679281 Steph
PO Box 962/6155 Cox Lane I -
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN,TIME OUT VEHICLE ROLL OFF
12/15/21 12/15/21 [12:01 12:01 11100TC
009316 Town of Babylon
-77
Scale 2 Gross Wt. 65720 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 26580 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.29 r01q-0UTGO.IVISW 0.000 0.00 0.00 0.00
;s x
AT
l
Q r fEli
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7 y ,- 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY S TENDERED
CHANGE
CHECK NO. _
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01679281 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/15/21 12M5/21 2:01 2:01 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 65720 LB Outbound-Charge ticket
.Manual Tare Wt. . 39140 LB
Net Weight 26580 LB
QTY UNIT DESCRIPTION RATE, EXTENSION FEE TOTAL
3.29 O GO.M 0.000 0.00 0.00 0.00
.i t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;'1-%ffi 'J
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
C !l`v,„�� �� ` _...TENDERED
CHANGE
CHECK NO.
CI(-'AIATI IPF=
TRINITY TRANSPORTATION CORPORATION
2,14 Blydenburgh Road No6353
's-__ _
Isla dia, NY 11749
(631) 34209673
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 MATERIALDOES 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 NAILED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _ DATE DELIVERED'.
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
- -,AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER w
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 01679167 Steph
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11y935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE• ROLL OFF
2/15/21 2/15/21 8:48 8:48 11100TC
009316 Town;cif Babylon
ORIGIN,REFERENCE
Scale 2 Gross Wt. 71620 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35080 LB
UNIT DESCRIPTION= :.m '` . s. a, RATE'. EXTENSION.. .'
TOTAL
17.54 TON UTGO.MSW 0.000 0.00 0.00 0.00
LT
M
a
(Y,
2� yy
p R° •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685§141
_ " 0.00
',,TENDERED
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � �� „"; 777
a }a
' 8 .CHANGE
SIGNATURE
'*DUPLICATE TICKET*` SITE <„TICKET GRID WEIGHMASTER
SCUTHOLD T OWN DEPT SOLID WASTE 1 01679167 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/15/21 2/15/21 8:48 8:48. 11100TC
009316 Town of Babylon
Im
-Scale 2 Gross Wt. 71620 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35080 LB
DESCRIPTION . .. Y "RATE , EXTENSION... FEE.. TOT4L
7.54 TON UTGO.MSW 0.000 0.00 0.00 0.00
d
t
Operating nours TOclays a weeK. � , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY :: TENOEREo.�,�
” v4
'CHANGE
,f CHECK-N
Qlnrd ATI IRF
TRINITY TRANSPORTATION CORPORATION
214 R�ydenburgh Road
NO' 6352
. -
Islanda, NY 11749 -
(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; _ - (CLI YDS)
BALES: (COUNT),:
TRUCK WEIGHT:, GROSS
TARE
N'ET
I HEREBY CERTIFY THAT THEABOVENAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40' CFR PART 260.10 OR ANY
-
APPLICABLE STATE LAW,ISNOT HAZARDOUS'WASTE.AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE,REGULATION.
-
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO`.
_-- LICENSE NO/STATE
TRUCK NO. - .. • - - -
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(1?RINT NAME), SIGNATURE/DATE-
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTE_R.,
PINK TO GENERATOR;
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*D.UPLr-ATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01679696 Pat H
PO Box 962/6155 Cox Lane -
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
2/16/21 12/16/21 2:41 2:41 11100TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 71920 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 35700 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.85 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
g i
Y, 3
operating hours o Tud Pm 7 aays a wee .JA A.
, j �� y •
CLOSED HOLIDAYS-QUESTIONS CALL
685 �� r 0.00
NEXT HOLIDAY:SEPTEMBER 6, LABOR DAY TENDERED
CHANGE"
CHECK NO.`
SIGNATURE
**DUPLICATE TICKET** SITE TICKET, GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01679696 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE;:IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/16/21 2/16/21 2:41 2:41 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71920 LB Outbound-Charge ticket
Manual Tare Wt. 36220 LB
Net Weight 35700 LB
QTY UNIT ... '" DESCRIPTION RATE EXTENSION, FEE;, TOTAL
7.85 TON UTGO.MSW 0.000 0.00 0.00 0.00
laa
,
Operating hours odays a weeK. � � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ ;� 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
vouI
- I CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION COR P OTION
214 Blydenburgh Road
Islandia9 NY 11749 No. 6356
(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 ABOVENAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS:'DEFINED BY 40 CFR, PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY 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 ILIO/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:
A HERESY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED 6Y: -- _-
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 „" ,TlcKEr GRD WEIGHMASTER
- SOUT- HOLD TOWN DEPT SOLID WASTE 01 01679568 Liz H
PO BoX'G2/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME'IN TIME OUT[ ""VEHICLE, ROLLOFF ",
12/16/21 12/16/21 09:17 09:17 11100TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 65920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 29380 LB
QTY "• UNIT a, DESCRIRTION.."" fi. RATE ._, EXTENSION . FEE:::x ";TOTAL
S 0.000 0.00 0.00 0.00
s a I
� t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5 N r 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY = rnTENpEREp
jQ
CHECK N0.
SIGNATURE
"DUPLICATE TICKET*" sITE TtcKEr`` GRID WEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01679568 Liz H
PO Box 962/6155 Cox,Lane
Cutchogue, NY 11935DATE IN DATE OUT Ed TIME OUT VEHICLE ROLL OFF
2/16/21 2/16/21 9:17 9:17 11100TC
009316 Town of Babylon
•-
Scale 2 Gross Wt. 65920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
-Net Weight 29380 LB
UNl7, ",` ;DESCRIPTION _s', ". . '; ,;"r`RATE , ;._', ,. •a, E}CfENSION.,, a FEE' ,.. ,NOTAL
Y
O TGO.MSW 0.000 0.00 0.00 0.00
q �
s
g
bl
p 4 P . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY � � °.TENDERED
s[ Y ,CHANGE
.'CHECKNO
RMNATI IRF
�i, -NITY"TRANSPORTATION CORPORATION
°214 Blydenburgh RoadNO. . __ 6354
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 ASSUAGE 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 HEREBYCERTIFY 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 IVO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE, LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER
(PRINT NAME) (SIGNATURE)
DESTINATION'
DISPOSAL LOCATION: -- - -- - DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: --
AUTHORIZE_D AGENT(PRINT NAME) SIGNATURE/DATE'
KEY: WRITE 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
SOUTHOILD-,,O'NN DEPT SOLID WASTE 1 01679969 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN,, DATE OUT TIME IN TIME OUT VEHICLE`, ROLL OFF
2/17/21 2/17/21 9:07 9:07 11100TC
009316 Town of-Babylon
REFERENCE
Scale 2 Gross Wt. 59000 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 22460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
11.23 TON UTGO.MSW 0.000 0.00 0.00 0.00
•
� ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 .>e' 0.00
NEXT HOLIDAY:-SEPTEMBER 6, 2021 LABOR DTENDERED
CHANGE
CHECK`NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01679969 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 PATEN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/17/21 2/17/21 t9:07 9:07 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 59000 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 22460 ". LB
QTY. — UNIT DESCRIPTION _ RATE EXTENSION FEE TOTAL
1.23 TON UTGO.MSW 0.000 0.00 0.00 0.00
ins Imo,
Ope _ � s •
CLOSED HOLIDAYS
'QUESTIONS CALL 631-734-768�5 � - ` ' _� 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAYy
`� � �, TENDERED
CHANGE
"CHECK NO.
Sir
NATURE
T4=1TY TRANSPORTATION CORPORATION
214 Blydenburgh Road NOof 6357 -
:
Islandia, NY 11749 -
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: _ (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION.FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_ WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE' TICKET GRID` WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01680378 Steph
PO Box 962/6155 Cox Lane
Cutc;orque, NY 11935
DATE IN `DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/18/21 12/18/21 08:48 08:48 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74680 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38740 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.37 IZN_ GO.MSW 0.000 0.00 0.00 0.00
o
0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY TENDERED
iH�
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET 1, GRID•, WEIGHMASTER;.
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01680378 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME W TIME OUT VEHICLE ROLL OFF
12/18/21 12/18/21 8:48 8:48 11100TC
009316 Town of Babylon
REFERENCE •-
-Scale 2 Gross Wt. 74680 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.37 FON GO.MSW 0.000 0.00 0.00 0.00
Op t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
-CH GE
CHECK NO.
SIGNATURE __
RINITY TRANSPORTATION CORPORATION
aBlydenburgh Road
No. 6355 _
Islandia,, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME,ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS..
COMPANY: __ _ __ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT): _
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY'
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
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.
_
DRIVER_
(PRINT NAME)
(SIGNATURE)
DESTINATION
DISPOSAL LOCATION
ADDRESS.
DATE DELIVERED:
I HEREBY-CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVID
IS TRUE AND ACCURATE:
ED
RECEIVED BY
AUTHORIZED AGENT(PRINT NAME) -
SIGNATURE/DATE
KEY WHITE TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR
DISPOSAL LOCATION TICKET NO.
TICKET" SITE TICKET I GRID WEIGHMASTER
Su 'TOWN DEPT SOLID WASTE 01 01680872 Steph
PO ./6155 Cox Lane
Cu IVY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLLOFF,
r 12/20/21 12/20/21 10:43 10:43 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76540 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4
L
}
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685 ] '" - = '� z) •
NEXT HOLIDAY:SEPTEMBER 6,2021 LABOR DAY"� ,
A JR ��" , ��„TENDERED,
CHANGE
CHECK NO:..
SIGNATURE
* DUPLICATE TICKET" (SITEF TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01680872 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN + .DATE,OUT '; TIME°IN” TIME OUT e VEHICLE ;. ROLL-OFF'
12/20/21 12/20/21 10:43 10:43 11100TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 76540 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
u.uuu .00
` f„QjJ=�
sN '
_ � J^i
i
oL
iia > AMR"
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 "--
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
I TENDERED"
CHANGE '
HEC NO."
cn_wnrroc
FanIT TRANSPORTATION CO PO TION
Blydenburgh Road
6359
NO.
ais 11749 -
(631) 34209673
THIS MANIFEST IS FOR REFERENCE PURPOSES OWLY.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 ISO/STATE: a
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
'DELIVERED WITHOUTINCIDENT 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 LOCATIO_N
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 01680805 Steph
PO Box 962/r 155 Cox Lane
Cutchogur., NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/20/21 12/20/21 07:26 07:26 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 64700 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 25560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION" FEE TOTAL
12.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00
f�y} U
r r i
��-� �•- a "��. `(��';Ea
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 X7685
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
/ a
6 S} a3
CHANGE
CHECK NO.
SIGNATURE.
"DUPLICATE TICKET`* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01680805 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/20/21 12/20/21 07:26 07:26 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 64700 LB -Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 25560 LB
QTY .UNIT. DESCRIPTION RATE 'EXTENSION, �FEE TOJ� ,
12.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00
NN
r
CLOSED HOLIDAYS
NEXT HOLIDAY: SEPTEMBER 6-QUESTIONS
0216850
LABOR DAY
TENDERED
CHANGE
CHECK
TRINITY TRANSPORTATION CORPORATION
2 fl ' lydenburgh Road No 6358
Is andla 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 CONTAINFREE LIQUID AS DEFINED BY 4.0 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS 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 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 01681169 Steph
PO Box 9Q;9,/6155 Cox Lane
CUtCl1CgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/21/21 12/21/21 09:06 09:06 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 71280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 32140 LB
QTY. DESCRIPTION - RATE _. EXTENSION . FEE DOTAL
Y, ,:
16.07 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Sol, % p
4 A0
Op �' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7885. 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY TENDERED
C ANG&
CHECK NO
SIGNATURE
""DUPLICATE TICKET"" SITE TICKET- w "'"GRID°'. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01681169 Steph
PO Box 962/6155 Cox Lane __
CUtChOgUe, NY 11935 DATE I°N DATE OUT TIME IN TIME OUT VEHICLE., ROLL OFF
12/21/21 11'2/21/21 09:06 09:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 32140 LB
PQTY. " ` ,UNIT, DESCRIPTION ;,a• &.,RATEEXTENSION . FEE,.
TOTAL:
16.07 TON UTGO.MSW 0.000 0.00 0.00 0.00
5
Operating o mod Pivi 7 days a wee ..a r •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. t 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY , TENDERED
"o 'mr rJ
CHANGE
HECK NO.
c�r_ninTi lot:
T'
CORPORATIOl
Blydenburgh Road 6360
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. "
COMPANY: - " _ SHIP DATE: _
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
- NET
-
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(P-RINT 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 1 01681484 Pat H
PO'box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT` VEHICLE ROLL OFF'"
2/22/21 2/22/21 9:01 9:01 11100TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 68300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31480 LB
QTY. UNIT `_DESCRIPTION RATE EXTENSION FEE TOTAL
15.74 TON UTGO.MSW 0.000 0.00 0.00 0.00
rn
�.
evt
Op � 4 s715 rem,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. --
----" 0.00
`
NEXT HOLIDAY:'SEPTEMBER 6, 2021 LABOR DAY � .TENDERED
i
CHANGE
CHECK'NO:
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET I GRID" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01681484 Pat H
PO Box 962/6155 Cox Lane .
Cutchogue, NY 11935 DATE IN DATE OUT` TIME IN TIMECUT VEHICLE ROLLOFF
2/22/21 2/22/21 t,
9:01 9:01 11100TC
009316 Town of-Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68300 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31480 LB
QTY. UNIT DESCRIPTION RATE " EXTENSION' FEE TOTAL
5.74 TON UTGO.MSW 0.000 0.00 0.00 0.00
LE
Operating hours o ays a weeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY:.SEPTEMBER 6, 2021 LABOR DAYS �� TENDERED
CHANGE
CHECK NO.
SIGNATURE
IL
TRINITY TRANSPORTATION CORPORATION
f 214 Blydenburgh Road
6361
Islandia., NY 11749 No
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION,OR TITLE OF ANY CARGO O O_R 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
APPLICABLESTATE LAVH,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 O'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:
IHEREBYCERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION_ -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER'.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO;
"DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 1 01681547 Pat H
Pq box 962/6155 Cox Lane_
Cd rhogue, NY 1.1935 DATE IN' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/22/21 2/22/21 2:17 2:17 11100TC
009316 Town of Babylon
REFERENCE
77
Scale 2 Gross Wt. 68820 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 32880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.44 TOW--()UTGO.MSW 0.000 0.00 0.00 0.00
OCLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '`
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY
�� �b TENDERED
CHANGE
CHEC NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01681547 Pat H
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUTVEHICLE ROLL OFF
2/22/21 2/22/21 2:17 2:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 68820 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 32880 LB 7
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.44 TON UTGO.MSW 0.000 0.00 0.00 0.00
1 7)
'
a
Op tt` - ry
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - �!�
NEXT HOLIDAY:-SEPTEMBER 6,2021 LABOR DAY
d' {, sy r TENDERED
CHANGE
CHECK NO.
. MATHRF
_. TRINITY TRANSPORTATION C ORPORATION
214 Blyaenburgn ®a 6362
Islanda, 11749 �O._
(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: (QU'YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THATTHE ABOVENAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE ASDEFINED 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
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(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.'
*"DUPLICiA`TE TICKET*' SITE : TICKET GRID WEIGHMASTER
SOUTaH(7LD`r''OWN DEPT SOLID WASTE 01 01681688 Pat H
Pb Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
12/23/21 12/23/21 08:37 08:37 11100TC
009316 Town of Babylon
REFERENCE
•�
Scale 2 Gross Wt. 72640 - LB Outbound-Charge ticket
-Manual Tare Wt. 37420 LB
Net Weight 35220 LB
QTY.' UNIT DESCRIPTION ' - RATE EXTENSION FEE TOTAL
17.61 TON DUTGO.MSW 0.000 0.00 0.00 0.00
oc
I�
Op `� � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY. � � Itl`
( , ,.TENDERED
CHANGE
CHEC >NO.
SIGNATURE
"*DUPLICATE TICKET"" SITE TICKET`; GRID WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01681688 Pat H
PO Box 962/6155 Cox'Lane
Cutchogue, NY 11935 DATE IN DATE OUT ° TIME WTIME OUT „ VEHICLE :,,ROLL OFF "
- 12/23/21 12/23/21 08:37 08:37 11100TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 72640 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 35220 LB
QTY UNIT' " LL`' DESCRIPTION ': RATE EXTENSION = FEE -TOTAL,",',"
17.61 TON DUTGO.MSW 0.000 0.00 0.00 0.00
40
;} 1-7
_ 0 .
,operating hours odays a wee � � �� _ / •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: SEPTEMBER 6,2021 LABOR DAY I /
o t TENDERED
CHANGE
HECK N
SIGNATIIRF _
TPNITY TRANSPORTATION CORPORATION
'2 1_1 Blydenburgh Road 6363
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-IfIlABILITY ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS.
COMPANY: -SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: -71 (p Lf 0 GROSS
2-0
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 1260.10 OR ANY
APPLICABLE STATE LAW,IS'NOT HAZARDOUS WASTE AS DEFINEDBY 40 CFR PART 261 OXAMY-APIRLICABLE,STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR,TRANSPORTATIOq Adtbi. DINGTO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT,NAME), (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
I HERE-BY 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_
PINKTO GENERATOR ,
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01681776 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/23/21 12/23/21 12:13 12:13 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 81140 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 42440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.22 O TGO.MSW 0.000 0.00 0.00 0.00
I a
' If
, � •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685��� 4 .- °� � g} 0.00
NEXT HOLIDAY: SEPTEMBER 6, 2021 LABOR DAY
TENDERED
r Jam..
err CHANGE
HECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01681776 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/23/21 12/23/21 12:13 12:13 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 81140 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 42440 LB
QTY. UNIT DESCRIPTION. RATE EXTENSION FEE TOTAL
21.22 TON DUTGO.MSW 0.000 0.00 0.00 0.00
CSI`,,t
'�-> `
rJ
`
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
F: - -, ,,
NEXT HOLIDAY: =
SEPTEMBER 6, 2021 LABOR DAY �� � ''"� u ;'' ',`'W' TENDERED
"�� :`t•.�j�r.�l 1,,'I i. ,I,, '�'ter,{
CHANGE
CHECK NO.
RI r_'K1 ATI IRG
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6364
Islanda, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. °
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
RALES:(COUNT):
TRUCK WEIGHT: 4D GROSS
�)l _7OD TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-CFR PART 26010 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APP ABLE STATE LAW:,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSP-ORTATIO A 0 IDING TO APPLICABLE REGULATION.
6(SlGr
GENERATOR AUTHORIZED AGENT(PRINT NAMEj- ATUREj
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:
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.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6365
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 ASSUAGE ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSI= (CU YDS,)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
r
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 MATERIALHASBEEN ACCEPTED AND TO THE BEST O_F MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINTNAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.