HomeMy WebLinkAbout02/2023 DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01775743 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
2/02/23 02/02/23 09:55 09:55 11100TC
9316 Town of Babylon
ORIGINREFERENCE 7
S ALE 2 GROSS WT 79700 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 42940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.47 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
-� CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01775743 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 79700 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 42940 LB
.QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.47 OUTGO.MSW 0.000 0.00 0.00 0.00
i
gperating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
�\ I CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0101
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:,
1_.
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED'BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r !
TRUCK NO. LICENSE NO/STATE: - f'
TRAILER NO. t` 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 KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
t
SOUTHOLD TOWN DEPT -SOL.[D WASTE 301 01775650 Steph
PO Box 962/6155 (fox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/01/23 02/01/23 11:27 11:27 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 82880 LB Outbound Ticket
NUAL TARE WT 39140 LB
N T WEIGHT 43740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.87 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS MONDAY, FEBRUARY 20, 2023" ., TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01775650 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S(NUAL
E 2 GROSS WT 82880 LB Outbound Ticket
M TARE WT 39140 LBNWEIGHT 43740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
i 21.87 OUTGO.MSW 0.000 0.00 0.00 0.00
j
Operating hours 7:00 AM to 5:00 PM 7 days a. week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023,
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Road -
NO. 0100
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE.PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY.-LIABILITY.ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - '- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):-
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID:AS DEFINED BY-40,CFR-PART.260.10 OR-ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS,WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_TRANSPORTER:___:____
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ! r` -J t_j `
TRAILER NO. LICENSE NO/STATE:
-1 HEREBY CERTIFY THAT,THE ABOVE NAMED MAT.ERIAU WAS PICKED UP'AT THE GENERATOR SITE LISTED:ABOVE, AND THAT IT,WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION LISTED BELOW.
4
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
'°,DISPOSAL LOCATIONt - - 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:-
.e
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN TO TRANSPORTER
J YELLOW TO TRANSPORTER:-
PINK
RANSPORTER:-PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHO_LD1TOWN DEPT SOLID WASTE 001 01775907 Dan
PO BOX 962 f 6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/03/23 102/03/23 12:43 12:43 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 68800 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 31980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.99 OUTGO.MSW 0.000 0.00 0.00 0.00
MAMMON
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01775907 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S ALE 2 GROSS WT 68800 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 31980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.99 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE"
-
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
-
-i 14
214 Blydenburgh Road 0103
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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_._ TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ,' LICENSE NO/STATE: t' -
TRAILER NO. �` F ; µ�' 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:
SITE I TICKET I GRID WEIGHMASTER
DUPLiC4,TE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01775866 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/03/23 02/03/23 09:07 09:07 11100TC
9316 Town of Babylon
REFERENCE
NUAL GROSS WT 72220 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 35460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.73 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01775866 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
NUAL GROSS WT 72220 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 35460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.73 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0102
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED'WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: +' SHIP DATE:
COMMODITY SHIPPED: -
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) _
(SIGNATURE)
TRANSPORTER'-
TRANSPORTATION/FREIGHT CO..
TRUCK NO. LICENSE NO/STATE: {P -
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED'MATERIAL WAS PICKED UP AT THE GENERATOR.SITE LISTED ABOVE,-AND THAT IT WAS- .
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER:
(PRINT NAME)' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THEINFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
I SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01776267 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
02/06/23 02/06/23 12:40 12:40 11100TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 69700 LB Outbound Ticket
NUAL TARE WT 36760 LB
T WEIGHT 32940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
16.47 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01776267 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
B2706/23 02 06 23 12:40 12:40 11100TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 69700 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 32940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.47 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
k
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0105
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: '1`
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 AO-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.-
.
LICENSENO/STATE: "x
TRUCK NO. -.+'+ -TRAILER-NO. LICENSE NO/STATE:
f -
I HEREBY CERTIFY THAT THE ABOVE.NAMED MATERIAL WAS PICKED-UP'AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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.
DUPLfCATTICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01776208 Liz H
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
2/06/23 02/06/23 08:54 08:54 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 68740 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 34760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.38 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.:j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01776208 Liz H
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
M06/23 02/06/23 08: 08:54 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 68740 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 34760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.38 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. .00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
'CHANGE
CHECK NO.
SIGNATURE
a
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road - - 0104
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: '.'.i 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.
T J
TRUCK NO. r LICENSE NO/STATE:
TRAILER NO. r' LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: $`a
(PRINT NAME) '" (SIGNATURE)
DESTINATION --
r'
DISPOSAL LOCATION:" 6' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO-DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE r TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01776370 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
2/07/23 02/07/23 08:56 08:56 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 76200 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N WEIGHT 40260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.13 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. . 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO. _
SIGNATURE
DUPLICATE TICKET KSITET TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01776370 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF
2/07/23 02/07/23 08:56 08:56 11100TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 76200 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 40260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.13 OUTGO.MSW 0.000 0.00 0.00 0.00
I •
Operating hours 7:00 AM to 5:00 PM 7 days a week.. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 =' TENDERED
PRESIDENT'S DAY
i
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ` � 010 6
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS.
BEING SHIPPED AND DOES NOT ASSUME,ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE:. (CU YDS)
BALES:(COUNT):
TRUCK•WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT•HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY '
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. i i`1 <?
TRUCK NO. i ""LICENSE NO/STATE: �-
TRAILER NO. - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-'AT THE GENERATOR SITE LISTED.ABOVE, AND.THAT IT WAS-' :,
DELIVERED WITHOUT INCIDENT TO-THE DESTINATION LISTED-BELOW.
A
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION:' rf,-'':' DATE DELIVERED'
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) . SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.,
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01776502 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/08/23 102/08/23 07:30 07:30 11112TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 75400 LB Outbound Ticket.
M NUAL TARE WT 37420 LB
N T WEIGHT 37980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.99 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week., 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE B01 01776502 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF -
M08123 02708723 01:30 11111ZIL 1
9316 Town of Babylon
REFERENCE
•'
S ALE 2 GROSS WT 75400 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 37980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.99 OUTGO.MSW 0.000 0.00 0.00 0.00
1 •
Operating hours 7:00 AM to 5:00 PM 7 days a week. 00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
'1J;,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1
NO. - 0072
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: Jt >I << � GROSS -
`' TARE
.i
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUI6 AS DEFINED BY 40 CFA 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) :..m•.-(SIGNATURE). ,
TRANSPORTER
TRANSPORTATION/FREIGHT.CO. V `
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:.
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND .THAT IT WAS
DELIVERED WITHOUT INCIDENT TO-THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)-. . (SIGNATURE)
ti
DESTINATION
bISPOSAL LOCATION: =` DATE DELIVERED: r
ADDRESS: -
I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEP_TED-AND TO THE BEST OF MY KNOWLEDGE THEANFORMATlON PROVIDED
IS TRUE AND ACCURATE:'- -'
:...�. .
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)-, a SIGNATURE/DATE.
KEY: WHITE TO DISPOSAL LOCATION•
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. .• — --
PINK TO GENERATOR `
GOLD TO GENERATOR. ;.. - . DISPOSAL LOCATION.TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN 062,T SOLID WASTE 301 01776540 Steph
PO BOX 962/6155 Cox',-Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/08/23 02/08/23 11:05 11:05 11112TC
9316 Town of Babylon
REFERENCE
SALE
2 GROSS WT 77280 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 43300 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.65 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01776540 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
M08/23 02/UB/23 11:05 11:05
9316 Town of Babylon
REFERENCE ORIGIN ALE:2GROSS WT 77280 LB Outbound Ticket
M NUAARE WT 33980 LB
N T WHT 43300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.65 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days �a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023-
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
L
TRINITY TRANSPORTATION CORPORATION
214 B,�denburgh Road 0067
Islandia, NTY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: y
SHIP DATE:
COMMODITY SHIPPED:
LOOSE:` (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
? '>> TARE
NET
HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY-
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE-NO/STATE: - '`---
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT'THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE'DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION'
DISPOSAL LOCATION:- DATE DELIVERED:
ADDRESS:
'I HEREBY CERTIFY THAT THE ABOVE:MATEMAC HAS BEEN ACCEPTED AND TO THE•BEST OF MY KNOWLEDGE THEINFORMATION PROVIDED"-:`
IS TRUE AND ACCURATE::
RECEIVED BY:
UTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE.
KEY: WHITE TO DISPOSAL LOCATION",
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER'.-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01776711 Steph
PO Box 962/6155 Cox tane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/09/23 2/09/23 1:43 11:43 1100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 72700 LB Outbound Ticket
M TARE WT 37420 LB
NIGHT 35280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.64 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01776711 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 72700 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 35280 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.64 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0107
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.
r_
COMPANY: {e SHIP DATE:
COMMODITY.SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE"NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 21
,' „' ✓d;'" �- =1 , '
TRUCK NO. Y,1 LICENSE NO/STATE:
TRAILER NO. i` 'r ' r`r . ;- f LICENSE NO/STATE:
I HEREBY-CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS-PICKED UP AT THE GENERATOR SITE LISTED ABOVE,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.'
DRIVER: ;•,
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: !` : : ,.u. DATE.DELIVERED:
ADDRESS:.
I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEWACCEPTED.AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED"
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER-
YELLOW TO TRANSPORTER.'
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "
SITE TICKET GRID WEIGHMASTER
DUPLIC--ATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01776824 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/10/23 02/10/23 09:55 09:55 11112TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 66740 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N WEIGHT 30200 LB
QTY. UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
15.10 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01776824 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon M10/23 02/19773—09:55 1 09:55 1111 IZIL I
REFERENCE
•-
SF2GROSS WT 66740 LB Outbound Ticket
MT 36540 LB
N 30200 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.10 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. • .vv
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
•'TRINITY TRANSPORTATION CORPORATION-
214 Blydenburgh Road 0071
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: .r, �,~� e.a ; .% GROSS
TARE
NET
HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261.OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT•CO.
TRUCK NO. LICENSE NO/STATE: .
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY_TFfAT THE ABOVE NAMED'MATERIAC 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 LOCAT ION: DATE DELIVERED: t
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 10 TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01777002 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 1197,E DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/11/23 2/11/23 08:29 08:29 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 72800 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 36860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.43 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01777002 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon M11/23 02/1177T-08:29 jUb:Z9 1111121L
REFERENCE
•-
S ALE 2 GROSS WT 72800 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 36860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.43 OUTGO.MSW 0.000 0.00 0.00 0.00
LIL IQ WAIL
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Operating hours 7:00 AM to 5:00 PM 7 days a week. � •
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED '
PRESIDENT'S DAY
CHANGE
CHECK NO:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ - 0116
Islandi 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: ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: . GROSS
TARE
%:. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING.TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS, PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS . -
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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.
"1 SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01777391 Liz H
PO BOX 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
2/13/23 2/13/23 07:01 07:13 11112TC
9316 Town of Babylon
REFERENCE
•
S ALE 2 GROSS WT 69860 LB Outbound Ticket
S ALE 1 TARE WT 36540 LB
N WEIGHT 33320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.66 OUTGO.MSW 0.000 0.00 0.00 0.00
leis]
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777391 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
2/13/23 2/13/23 07:01 07:13 11112TC
9316 Town of Babylon
REFERENCE
•-
5 ALE 2 GROSS WT 69860 LB Outbound Ticket
S ALE 1 TARE WT 36540 LB
N T WEIGHT 33320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.66 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE ---
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0117
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: x.
LOOSE: (CU YDS)
BALES:(COUNT): /
TRUCK WEIGHT: d 1 GROSS
r� r
l'X � L • (; TARE
-' NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,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.
ov-
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP-AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -
DRIVER: r
(PRINT NAME) F' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:_ f' DATE.DELIVERED: ..-
ADDRESS:
I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICNTE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777413 Liz H
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/13/23 2/13/23 10:13 110:25 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
S(ALE
E 2 GROSS WT 64800 LB Outbound Ticket
5 1 TARE WT 36000 LBNWEIGHT 28800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.40 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777413 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
13 2332/13—T-
223 10:13 10:25 11112TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 64800 LB Outbound Ticket
S ALE 1 TARE WT 36000 LB
N T WEIGHT 28800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.40 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.:j
SIGNATURE
t 3 RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0118
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: 'r GROSS
TARE
f NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED•MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR,ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) •(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: '
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
i
DESTINATION
DISPOSAL LOCATION: DAT_E 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:
I
i
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01777569 Steph
PO Box 9626155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/14/23 02/14/23 11:30 11:30 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 65580 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N WEIGHT 31600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.80 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
'CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01777569 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
)2714/23 02/1-47T3— :3 11: 11112TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 65580 LB Outbound Ticket
NUAL TARE WT 33980 LB
N T WEIGHT 31600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.80 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0120 ,
Islajidia, 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: o. �, '` GROSS
,a TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS.--BEENPROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. -
IN-
GENERATOR AUTHORIZED AGENT(PRINT NAME) '(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.• LICENSE NO/STATE:
r
I HEREBY CERTIFY THAT THE_ABOVE NAMED MATERIAL WAS-PICKED UP AT THE GENERATOR SITE'LISTED ABOVE, AND-THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:'
ELOW.•DRIVER: 'N'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL-LOCATION: DATE DELIVERED;
ADDRESS:
I HEREBY.CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO-THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED. -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR -DISPOSAL LOCATION TICKET NO:
SITE I TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777515 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/14/23 2/14/23 7:16 07:30 11112TC
9316 Town of Babylon
REFERENCE
S(ALE
2 GROSS WT 75880 LB Outbound Ticket
S1 TARE WT 37140 LB
NIGHT 38740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.37 OUTGO.MSW 0.000 0.00 0.00 0.00
Lois 114 1
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.:j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777515 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLLOFF
()2714/23 2 14 23 7:16 07:30 11112TC
9316 Town of Babylon r I
REFERENCE ORIGIN ALE72 GROSS WT 75880 LB Outbound Ticket
S ALE 1 TARE WT 37140 LB
N T WEIGHT 38740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.37 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED
PRESIDENT'S DAY
CHANGE- ,
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214. Blydenburgh Road 0119
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.-
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
2-1 (k.4 TARE
NET
HEREBY CERTIFY THAT-THE ABOVE+NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) `~ ('SIGIJATUREj
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:
ELIVERED: .-- :.ADDRESS: {
I HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS BEEN ACCEPTED AND TO.THE BEST OPMY-KNOWLEDGETHE INFORMATION PROVIDED"
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777664 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/15/23 02/15/23 07:13 07:26 11104TC
9316 Town of Babylon
REFERENCE ORIGIN
A C
S ALE 2 GROSS WT 75920 LB Outbound Ticket
S ALE 1 TARE WT 36120 LB
N T WEIGHT 39800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.90 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
�)
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01777664 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
2 15 23
2/15/23 07:13 07:26 11104TC
9316 Town of Babylon
S ALE 2 GROSS WT 75920 LB Outbound Ticket
S ALE 1 TARE WT 36120 LB
N T WEIGHT 39800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.90 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK O.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0121
Islandia, NY 11749 NO
(631) 342-9673 _
THIS MANIFESVS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
i
COMPANY: 4 SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: `' ? GROSS
TARE
+: NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER-
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
DISPOSALLOCATION: DATE DELIVERED:'. r
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO,THE'BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777825 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
2/16/23 02/16/23 07:17 07:27 11104TC
9316 Town of Babylon
REFERENCE
•.
S ALE 2 GROSS WT 68500 LB Outbound Ticket
S ALE 1 TARE WT 36620 LB
N T WEIGHT 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
-�j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01777825 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
M16/23 02/16T2-3 07:17 7: 7 111 4TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 68500 LB Outbound Ticket
5 ALE 1 TARE WT 36620 LB
N T WEIGHT 31880 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days -& week.,
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023"
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0122
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 LIA131LITY 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:
J HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND,THAT'IT WAS
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW.,
DRIVER:
(PRINT NAME) '"(SIGNATURE)
DESTINATION
DISPOSAL LOCATION:
DATE DELIVERED.
-
ADDRESS:
-
I HEREBY CER-TIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION.PROVI DED-
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.
r I.w SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE E01 01777996 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon 2/17/23 2/17/23 7:22 7:22 L1104TC
REFERENCE ORIGIN
S ALE 2 GROSS WT 73560 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N WEIGHT 37020 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.51 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED„
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTEFi
SOUTHOLD TOWN DEPT SOLID WASTE 101 101777996 Liz H
Pb Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
OZ717713 02717723 17:22 11041L
9316 Town of Babylon
REFERENCE
,.
SC(UAL
2 GROSS WT 73560 LB Outbound Ticket
MA TARE WT 36540 LB
NEEIGHT 37020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
i
18.51 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE -
CHECK NO.
SIGNATURE
t `r
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 012 3
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY•ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: _a -� �'; 1. GROSS
�" TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES'NOT CONTAIN FREE LIQUID AS DEFINED BY a0 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. = . LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
F HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER:
(PRINT NAME) --(SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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 r .
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01778101 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
2/18/23 02/18/23 08:19 08:19 11104TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 72840 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N WEIGHT 36900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.45 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.:j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01778101 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
8
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 72840 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 36900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.45 OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. •
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.-- - 01-24
Islandia, QTY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY.CARGO OR MATERIALS
BEING.SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: �$. _ b'�I >" GROSS
TARE
z"4., ` �' NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFA PART.260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND.PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ( �' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ' LICENSE NO/STATE:.
' 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT.IT WAS• `
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED: `.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE.BEST,OF.MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND.ACCURATE:
RECEIVED BY: ..
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION . -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR - _ DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01778530 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/21/23 02/21/23 11:39 111:39 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 73580 LB Outbound Ticket
NUAL TAKE WT 33980 LB
N T WEIGHT 39600 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.80 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01778530 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/2 3 32/21/23 11:39 11:39 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 73580 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 39600 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.80 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0109
NO.
Islandia, NY 11749
(631)X42-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES,NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SI#IPPED 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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. `i ,' LICENSE NO/STATE:
TRAILER NO. 9 LICENSE•NO/STATE: /J�
1 HEREBY CERTIFY THAT"THE ABOVE NAMED MATERIAE WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE;AND-THAT IT'WAS•
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW.'
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `.. t' ,°' > ';'"% ,` DATE DELIVERED:'-
ADDRESS:
I HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS-BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01778457 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
02/21/23 02/21/23 08:09 08:09 11100TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 68760 LB Outbound Ticket
ANUAL TARE WT 35940 LB
T WEIGHT 32820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.41 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
--:�j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01778457 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GS WT 68760 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 32820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.41 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION "
214 Blydenburgh RoadNO. 010 8
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. 1` :' 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:
ELOW.DRIVER: (PRINT NAME)f (SIGNATURE)
DESTINATION
Fr'.
DISPOSAL LOCATION: s• ' '. DATE DELIVERED: . "
ADDRESS:
I HEREBY CERTIFY THAT THE.ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO THE BEST OF MY'KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION .
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT.SOLID WASTE 301 01778724 Steph
PO Boo. 96. X
Cutchogue, NY 11935 155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
2/22/23 02/22/23 12:15 12:15 11100TC
9316 Town of Babylon
REFERENCE
•-
S(NUAL
2 GROSS WT 76720 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 40780 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.39 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01778724 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon (7777= ZILZILJ 12:1
REFERENCE
•-
S LE 2 GROSS WT 76720 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 40780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.39 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21 4 Blydenburgh Road 0111
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: -,j- LICENSE NO/STATE: '
TRAILER NO. i 1 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 TRUEAND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR-
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE e0i 01778638 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/22/23 2/22/23 8:11 8:11 L1100TC
9316 Town of Babylon
REFERENCE
S LE 2 GROSS WT Q0560 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N WEIGHT 41420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.71 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE E01 01778638 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC LE 2 GROSS WT 80560 LB Outbound Ticket
M UAL TARE WT 39140 LB
NE WEIGHT 41420 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.71 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0110
Islandia, NY. 11749
(631) 342-9673
THIS MANIFEST IS FOR*REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: :j SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. j LICENSE NO/STATE:
TRAILER NO. "` LICENSE NO/STATE:
1 HEREBY CERTIFY.THAT THE ABOVE NAMED.MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION . .
DISPOSAL;LOCATION: DATE DELIVERED:'.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS.BEEN.ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOWTHOLDOTOWN DEPT SOLID WASTE 001 01778843 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/23/23 2/23/23 8:58 08:58 11100TC
9316 Town of Babylon
REFERENCE ORIGINF2GROSS WT 69940 LB Outbound Ticket
MT 36820 LB
N 33120 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.56 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.:j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01778843 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon CIO.Jo
REFERENCE
•-
S LE 2 GROSS WT 69940 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 33120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.56 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED,
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0112
Islandia, NY 11749 NO'
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE.POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED BY.40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. _ r'
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. f 1 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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01779085 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/25/23 02/25/23 09:10 09:10 11100TC
9316 Town of Babylon
•-
S ALE 2 GROSS WT 74700 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N
S(
WEIGHT 37880 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
18.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01779085 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/25/23 02/25/23 09:10 09:10 11100TC
9316 Town of Babylon
ORIGINREFERENCE S ALE :GROSS WT 74700 LB Outbound Ticket
NUALWT 36820 LB
N T WE37880 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED'
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATIM CORPORATION
214 Blydenburgh Road
Islandia, NY 11749 NO.-- - 0114
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ..i-.' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
.HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID,AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ._
TRANSPORTATION/FREIGHT CO.. '
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. st .- LICENSE NO/STATE: r' -
I HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL-WAS-.PICKED UP AT THE GENERATOR.SITE LISTED ABOVE, AND THAT IT-WAS:-
DELIVERED
T-WAS -DELIVERED WITHOUT INCIDENT TO THE.DESTINATION LISTED BELOW.
DRIVER: —
'(PRINT NAME) . (SIGNATURE)• ,
DESTINATION
r.
DISPOSALLOCATION: 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
CCURATE:RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01779393 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/27/23 2/27/23 0:18 10:29 11112TC
9316 Town of Babylon
REFERENCE
S(ALE
E 2 GROSS WT 66960 LB Outbound Ticket
S 1 TARE WT 36240 LB
NWEIGHT 30720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.36 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01779393 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/27/23 r2/27/23 10:18 10:29 11112TC
9316 Town of Babylon
REFERENCE I
;�7
S(ALE 2 GROSS WT 66960 LB Outbound Ticket
SE 1 TARE WT 36240 LB
NWEIGHT 30720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.36 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. • •
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION•
214 Blydenburgh Road 0127
Islandia, NY 11749 NO.
r
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE-POSSESSION OR TITLE OF.ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: r a _ 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:
`l 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.: ,' f
ADDRESS: -
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME)- SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER.
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICAIE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01779365 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2/27/23 02/27/23 07:09 07:20 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 63820 LB Outbound Ticket
S ALE 1 TARE WT 36680 LB
N T WEIGHT 27140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.57 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET (SITE7 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01779365 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 63820 LB Outbound Ticket
S ALE 1 TARE WT 36680 LB
N T WEIGHT 27140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.57 OUTGO.MSW 0.000 0.00 0.00 0.00
ILIILIILIILI
ILI
Operating hours 7:00 AM to 5:00 PM 7 days a week. �0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
�)
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
' NO. 0128
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'-s
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: n� z y<� a4 GROSS
TARE
1 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFA 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.
z" 1
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE).
40,
-
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: R,
TRAILER NO. LICENSE NO/STATE: (f'
I HEREBY CERTIFY THAT THE:ABOVE NAMED MATERIAL WAS PICKED UP AT-THE GENERATOR.SITE LISTED_ ABOVE. AND THAT IT-W
DELIVERED WITHOUT INCIDENTTOTHE DESTINATION LISTED BELOW.
r�
? DRIVER: s ;
(PRINT NAME)j (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION:: DATE DELIVERED:
ADDRESS:
I iiEREBY 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.