HomeMy WebLinkAbout03/2023 DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01779585 Will
PO Box.962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
CutcKi jue, NY 11935
3/01/23 03/01/23 12:09 12:09 11100TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 70520 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 33700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.85 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 01779585 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
M01723 133707=12:09 12:09 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 70520 LB Outbound Ticket
M TARE WT 36820 LB
NEIGHT 33700 LB
QTY UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
16.85 OUTGO.MSW 0.000 0.00 0.00 0.00
i
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
i
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road - 0129
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 WITHTHESHIPMENT 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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
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:
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
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01779545 Will
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
t 3/01/23 3/01/23 08:32 08:32 11100TC
9316 Town of Babylon
REFERENCE
•-
M(NUAL
L GROSS WT 83500 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 49520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.76 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 01779545 Will
PO Box 962/6155 Cox Lane I
Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
M NUAL GROSS WT 83500 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 49520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.76 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 0 . 5
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
THEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 00 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER .
f
TRANSPORTATION/FREIGHT CO.
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: f
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION` DATE DELIVERED:
ADDRESS: -
I HEREBY CERTIFY THAT THE ABOVE MATERIALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01779649 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 1193
• 3/02/23 3/02/23 8:49 08:49 11100TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 77980 LB Outbound Ticket
M TARE WT 39140 LB
NEIGHT 38840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.42 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 01779649 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
C37027 23 331021L.3
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 77980 LB Outbound Ticket
NUAL TARE WT 39140 LB
N T WEIGHT 38840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.42 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 NO. - 0130
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 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:
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 col 01779685 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
3/02/23 3/02/23 2:33 2:33 1100TC
9316 Town of Babylon
REFERENCE
•-
S LE 2 GROSS WT 75300 LB Outbound Ticket
M NUAL TAREWT 35940 LB
NE WEIGHT 39360 LB
QTY. UNIT, DESCRIPTION° RATE EXTENSION FEE TOTAL -
19.68 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
HANGE -
-CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1111 1111779685 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 LE 2 GROSS WT 75300 LB Outbound Ticket
NUAL TARE WT 35940 LB
N WEIGHT 39360 LB
QTY UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
19.68 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 0131
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 d0 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. Vit;
u, r
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 ABOVEMATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY'
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKETSITE TICKET GRID WEIGHMASTER
-+SOUTHOLD TOWN DEPT SOLID WASTE 301 01779792 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/03/23 3/03/23 11:54 11:54 11100TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 71380 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 37400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.70 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 1 01779792 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 F37'03/23 UJ/U3/23 11:54 1 11:54 1111UUIL
REFERENCE ORIGIN(NUAL
2 GROSS WT 71380 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 37400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.70 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
HECK NO.
�)
SIGNATURE
,TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - ^ 013 2
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS-
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED,BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
- - _ TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: '
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
RANSPORTER:PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE„TICKET SITE I TICKET, I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01780224 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/06/23 03/06/23 08:21 08:21 11100TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 74120 LB Outbound Ticket
M TARE WT 36540 LB
NEIGHT 37580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.79 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 NQ.--j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01780224 Liz H
PO Box 962/6155 Cox Lane
tutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i n70672:1 13:37106123 05:21 06:21 111UUIL
9316 Town of Babylon
ORIGINREFERENCE
.. C
SALE 2 GROSS WT 74120 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 37580 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.79 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
j CHANGE
CHECK NO.
SIGNATURE
y
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0133
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE'POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO: LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE'GENERATOR'SITE LISTED ABOVE, AND THAT IT WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: i J ; : . 1;`ala
(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 001 01780304 Liz H
PO:%Box 962/6155 Cox Lane
Cu'fChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
3/06/23 03/06/23 12:04 12:04 11100TC
93x6 Town of Babylon
REFERENCE ORIGIN
M NUAL GROSS WT 69340 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T 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
HANGE "CHECK NO:::::j
SIGNATURE
DUPLICATE TICKET SITE I 'TICKET_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01780304 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
33706723 0-3/1067= 12:04 4 11100FL
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 69340 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 30200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.10 OUTGO.MSW 0.000 0.00 0.00 0.00
I
I
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. 00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
C ANGE
CHECK NO.
_-j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ - 0134
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 AN.,,YrLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.-
COMPANY:
ATERIALS:COMPANY: a 'r"
SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: {CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO._.
TRUCK NO. LICENSE NO/STATE:. J
TRAILER NO., LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THATITWAS
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 301 01780425 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/07/23 3/07/23 08:40 08:40 11100TC
9316 Tc.�!,n of Babylon
REFERENCE
•.
SF2GROSSWT 73580 LB Outbound Ticket
MT 36820 LB
N 36760 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.38 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.
�)
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01780425 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 ORIGIN
S LE 2 GROSS WT 73580 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 36760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.38 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. Ia. 10
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0135
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:
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.
SITE ° TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01780486 Steph
PO BOX,922/6155 COX LaneDATE IN DATE OUT TIME IN TIME OUTI, VEHICLE ROLL OFF
Cutchogue, NY 11935
3/07/23 3/07/23 12:06 12:06 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 67740 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N WEIGHT 31800 LB
QTY ' UNIT DESCRIPTION RATE EXTENSION FEE -TOTAL `
15.90 GUTGO.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 01780486 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE)N DATE OUT TIME IN TIME OUT " : VEHICLE ROLLOFF
3/07/23 3/07/23 2:06 12:06 1100TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 67740 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 31800 LB
QTY UNIT' DESCRiPTiON, RATE EXTENSION 'FEE TOTAL;
15.90 OUTGO.MSW 0.000 0.00 0.00 0.00
Ilk •
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 _ _ 0136
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: >;` SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: ,} -
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ` f` -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.
SITE TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01780670 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/08/23 3/08/23 2:31 12:31 1100TC
9316 Towrl of=Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 74120 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N WEIGHT 37300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.65 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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01780670 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF
@3708/23 3 08 23 12:31 12:3
9316 Town of Babylon
REFERENCE
�.
NIT2 GROSS WT 74120 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 37300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.65 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 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 013 8
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOMFIEFERENCE 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: _ - (k
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)
s
TRANSPORTER-
TRANSPORTATION/FA
RANSPORTER_
TRANSPORTATION_ /FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: J `
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: W,
(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.
SITETICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01780609 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/08/23 3/08/23 8:51 08:51 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 81900 LB Outbound Ticket
M TAW WT 37420 LB
NIGHT 44480 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.24 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 01780609 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
F3—/08/23 03/08/23 08:51 08:51 1 1
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 81900 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 44480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.24 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 013 7
Islandia, NY 11749 NO
(631).342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -" Q
-- 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 - -
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01780836 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/09/23 03/09/23 12:18 12:18 11100TC
9316 Town of Babylon
REFERENCE
�.
S ALE 2 GROSS WT 69480 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N WEIGHT 32660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.33 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 301 1 01780836 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
F709723 03109123 12:16 12:18
IL
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 69480 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 32660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.33 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
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road NO. 0139
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: --r'
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. �.-, ; v
TRUCK NO. ",f , LICENSE NO/STATE:
i• -
TRAILER NO. LICENSE NO/STATE: . tf.:`'z J >
_.
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UPAT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: -' f '"- DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION-
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOGTHOLD TOWN DEPT SOLID WASTE 01 01780937 Liz H
PO Bo)h,�62/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/10/23 3/10/23 08:45 08:45 111100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 69860 LB Outbound Ticket
NUAL TARE WT 37420 LB
N WEIGHT 32440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.22 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 01780937 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/10/23 3/10/23 8:45 8:45 1100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 69860 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 32440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.22 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
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2A4 Blydenburgh Road - - 0140
Islandia, NY l 1749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: (CU YDS)
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: %I
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ' t
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL'LOCATION: _ 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..K ,
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01781017 Liz H
PO Box 962/6155 COX Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/10/23 3/10/23 112:17 12:17 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 70500 LB Outbound Ticket
M TARE WT 36200 LB
NIGHT 34300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.15 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 r TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01781017 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/10/23 3/10/23 2:17 12:17 1100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 70500 LB Outbound Ticket
M NUAL TARE WT 36200 LB
N T WEIGHT 34300 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.15 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0141
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: ' All
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 CID..- r' �=` 1 rf . ✓2 'r
TRUCK NO. " � r LICENSE NO/STATE: - .'-. .
TRAILER NO. LICENSE NO/STATE:
vj
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: ;4 1
,(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION:. ` ; = r. 'Y 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 I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01781487 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/13/23 3/13/23 08:55 08:55 11100TC
9316 Town of Babylon
ORIGINREFERENCE S ALE 2 GROSS WT 63720 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 27780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.89 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 01781487 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
()3713/23 3 13 23 8:55 08:55 1100TC
9316 Town of Babylon
REFERENCE
C I.
5(NUAL
2 GROSS WT 63720 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 27780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.89 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
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0142-
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST.IS FOR REFERENCE PURPOSES ONLY.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.,
COMPANY: ;'%; SHIP DATE:
COMMODITY SHIPPED: '.--
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
=
TRANSPORTER,,,
TRANSPORTATION/FREIGHT CO. °
TRUCK NO.
LICENSE NO/STATE:
TRAILER-NO.
LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL WAS PICKED UP'AT THE GENERATOR SITE-LISTED ABOVE, AND THAT.IT WAS
DELIVERED WITHOUT INCIDENT TO THEDESTINATION LISTED BELOW. '
5
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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 101781553 Liz H
1"0 BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
�'utchogue, NY 11935
t 3/13/23 3/13/23 2:17 2:17 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
M NUAL GROSS WT 73080 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N WEIGHT 35660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.83 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 01781553 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF -
3/13/23 3/13/23 2:17 2:17 1100TC
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 73080 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 35660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.83 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 1 0143
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 AN�Y�,L1ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
r`
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINEDBY 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: z.`?
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)
J
DESTINATION
DISPOSAL'LOCATIOW t;, r =, `.F' :` DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY•THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED':
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLIC4T°� TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01781616 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/14/23 3/14/23 09:12 09:12 11100TC
9316 Town of' Babylon
REFERENCE ORIGIN
C--
S(NUAL
2 GROSS WT 71240 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 37260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.63 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 01781616 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
(173.4/23 1)3/147=39:12 OTC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 71240 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 37260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.63 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.. vu
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 01-44
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 ANYzGABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �': A. SHIP DATE:
COMMODITY SHIPPED: f;
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 GENERATOR4SITE LISTED ABOVE, AND THAT4T-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.
DUPLICATt,TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01781726 Steph
PO 6'oX 962/6155 COX Lane DATE IN DATE OUT TIME INTIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 - II
03/15/23 03/123 12:40 12:40 11100TC
9316 Town of Babylon 5/
REFERENCE
S(ALE� 2 GROSS WT 83800 LB Outbound Ticket
ATARE WT 36820 LB
N T WEIGHT 46980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.49 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 S]TETICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01781726 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3 0 5 12: 10
0 C
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 83800 LB Outbound Ticket
M TARE WT 36820 LB
NIGHT 46980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.49 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 - 0146
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 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. K` 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: f
(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 01781683 Steph
PO Box 962/,6.155 Cox Lane
Cutchogbe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/15/23 03/15/23 08:58 08:58 11100TC
9316 Town of Babylon REFERENCE
S ALE 2 GROSS WT 77440 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 41500 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.75 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 101 01781683 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 ORIGIN
S ALE 2 GROSS WT 77440 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 41500 LB
QTY. UNIT DESCRIPTION RATE -EXTENSION FEE TOTAL
20.75 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.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21-4 Rlydenburgh Road 0145
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 AN, j
�Y.LIABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
Qom. . :; •''.'
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,-AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE)
TRANSPORTER.
TRANSPORTATION/FREIGHT'CO.
TRUCK NO. LICENSE NO/STATE: .
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:
ELOW.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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEP�'SOLID WASTE 301 01782078 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/17/23 03/17/23 12:36 12:36 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 65720 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 29780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.89 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 01782078 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon 33717/23
REFERENCE ORIGIN(NUAL
E 2 GROSS WT 65720 LB Outbound Ticket
MN TARE WT 35940 LB
NWEIGHT 29780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.89 OUTGO.MSW 0.000 0.00 0.00 0.00
i
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
4LOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B,l)denburgh Road _ _ 0148
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 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:
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.
S SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLEJ TOWN DEPT SOLID WASTE 301 01781998 Dan
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/17/23 03/17/23 08:39 08:39 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 78720 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 41960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.98 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 101 1 01781998 Dan
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
FS717123 03/3.77=08:39 V, 111OUIL
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 78720 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 41960 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.98 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 0147
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: /I
TRAILER NO. c LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANDTHAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: t. F
(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
SOUT,O.LD-TOWN DEPT SOLID WASTE 301 1 01782802 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
3/20/23 03/20/23 12:40 12:40 11100TC
9316 Town of Babylon REFERENCE
SrNUAL
GROSS WT 65920 LB Outbound Ticket
MARE WT 36200 LBNHT 29720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.86 OUTGO.MSW 0.000 0.00 0.00 0.00
I a W-11 LTA Lois,
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 01782802 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
3/20/23 3/20/23 12:40 12:40 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 65920 LB Outbound Ticket
NUAL TARE WT 36200 LB
N T WEIGHT 29720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.86 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
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
yfti 214 Blydenburgh Road - - 0150
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 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. J -I,
LICENSE NO/STATE:,
I HEREBY CERTIFY THAT THE ABOVE NAMED'MATERIAL WAS.PICKED,UP-AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:
ELOW.DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:- DATE DELIVERED:.
ADDRESS: .
.I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED '
IS TRUE AND ACCURATE.-
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 I TICKET I GRID WEIGHMASTER
DUR!-9CATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01782726 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/20/23 03/20/23 08:55 08:55 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 73980 LB Outbound Ticket
M TARE WT 36760 LB
NEIGHT 37220 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.61 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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01782726 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
20 23 [)3/2-0/2-3 08:55 08:55 1110OTC
9316 Town of Babylon
REFERENCE
CE
S ALE 2 GROSS WT 73980 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 37220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.61 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 014-g
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: -- t. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
-APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,-AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) ,
- TRANSPORTER__..__._._ -__
TRANSPORTATION/FREIGHT CO. ,Y'�,� i,a
1.,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO: LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE'ABOVE NAMED,MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION.
DISPOSAL LOCATION: ,"• `f DATE DELIVERED: = =
ADDRESS:-
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF 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 001 01783015 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue,-N-i' 11935
3/21/23 03/21/23 12:25 12:25 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 66340 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 32360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.18 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 01783015 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/21/23 3/21/23 12:25 12:25 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 66340 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 32360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.18 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
1111K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214'Blydenburgh Road NO. - - 0152
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 d0 CFR PART 261 OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: >
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: t.i
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED.AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01782947 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/21/23 03/21/23 08:47 08:47 11100TC
9316 „TOA of Babylon
ORIGINREFERENCE
SF2GROSS WT 72940 LB Outbound Ticket
MT 36540 LB
N 36400 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.20 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 01782947 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUTI VEHICLE ROLL OFF
M21/23 03/2-1/23 —08*47-- 08:47 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 72940 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 36400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.20 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 0151
Islandia, NY 11749 NO
(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: {� ?. d 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: 1
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)
f;
DESTINATION '
DISPOSAL'LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTEDYAND•TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS - =
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 301 01783156 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/22/23 03/22/23 08:44 08:44 11100TC
9316 Town of Babylon REFERENCE ORIGIN
S ALE 2 GROSS WT 76180 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 40240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.12 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a. week. An
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 01783156 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT VEHICLE I ROLLOFF
3/22/23 3/22/23 8:44 08:44 1100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 76180 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 40240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.12 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 01 3
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 LIABILITYASSOCIATED 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.
tri Tt 1 y
TRUCK NO. LICENSE NO/STATE: r f
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
i -
DISPOSAL LOCATION:. " DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT 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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01783244 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue; MY, I,1935
3/22/23 3/22/23 12:15 12:15 11100TC
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 71720 LB Outbound Ticket
M NUAL TARE WT 36140 LB
N WEIGHT 35580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.79 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 01783244 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/22/23 3/22/23 12:15 12:15 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
NUAL :GROSSWT 71720 LB Outbound Ticket
NUAL T 36140 LB
N T WEI35580 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.79 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- ydenburgh Road - - 0154
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: r'
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 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. 4J, 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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHlfLD TOWN DEPT SOLID WASTE 01 101783436 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/23/23 3/23/23 8:34 8:34 1100TC
9316 Town of Babylon
REFERENCE
I5 ALE 2 GROSS WT 74960 LB Outbound Ticket
NUAL TARE WT 36760 LB
N WEIGHT 38200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.10 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 01 01783436 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/23/23 3/23/23 8:34 8:34 1100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 74960 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 38200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.10 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
TRINITY TRANSPORTATION CORPORATION
"214 Blydenburgh Road 1 0155
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. X LICENSE NO/STATE:
TRAILER NO. p ;_ LICENSE NO/STATE: -.A
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.
-3
DRIVER:
J
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION:. 'f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE•MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DURLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01783658 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/24/23 03/24/23 08:46 08.46 11100TC
9316 Town of Babylon
ORIGINREFERENCE
7-
S ALE 2 GROSS WT 69800, LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 32980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.49 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 01783658 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
33/24/23 03/24/23 08:46 08:46 11100TC
9316 Town of Babylon
REFERENCE
S ALE :2GROS'S WT 69800 LB Outbound Ticket
NUALRE WT 36820 LB
N T WET 32980 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.49 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. - - 0156
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
-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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 01783937 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/25/23 3/25/23 10:51 10:51 11100TC
9319 Green Titan Inc.
T,1 Dorset Drive REFERENCEORIGIN
Marlton N7 08053
S(NUAL
2 GROSS WT 62740 LB Outbound Ticket
M TARE WT 36760 LBNEIGHT 25980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
12.99 Out Shrink Grn Titan 60.000 779.40 0.00 779.40
Operating hours 7:00 AM to 5:00 PM 7 days a week. 779.40
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 01783937 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/25/23 3/25/23 10:51 10:51 11100TC
9319 Green Titan, Inc.
21 Dorset Drive REFERENCE ORIGIN
Marlton N7 08053
S ALE 2 GROSS WT 62740 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 25980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
12.99 Out Shrink Grn Titan 60.000 779.40 0.00 779.40
Operating hours 7:00 AM to 5:00 PM 7 days a week. 779.40
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ` - 0158
Isla Oia, 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.
GENE RATOR'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: r
(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
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01783864 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11933 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/25/23 03/25/23 07:23 07:23 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 72860 LB Outbound Ticket
NUAL TARE WT 36540 LB
N T WEIGHT 36320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.16 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 101 1 01783864 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 ORIGIN
S ALE 2 GROSS WT 72860 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 36320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.16 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 NO. 0157
Islandla, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES.NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO,,
TRUCK NO. ' LICENSE NO/STATE: .
TRAILER NO. f,: LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL WAS PICKED UP AT'THE GENERATOR SITE LISTED ABOVE; AND THAT ITWAS
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 SOLID WASTE 01 1 01784367 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/27/23 3/27/23 08:58 08:58 11100'
9316 Town of Babylon REFERENCE
CE
S ALE 2 GROSS WT 72520 LB Outbound Ticket
NUAL TARE WT 39140 LB
N WEIGHT 33380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.69 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
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01784367 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/27/23 3/27/23 8:58 8:58 1100TC
9316 Town of Babylon
REFERENCE
5 ALE 2 GROSS WT 72520 LB Outbound Ticket
NUAL TARE WT 39140 LB
N T WEIGHT 33380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.69 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
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION "
214 Blydenburgh Road NO. 0159
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: !
f'
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: 7F''
TRUCK NO. ~' ` LICENSE NO/STATE:
TRAILER NO. ,° / ;� LICENSE NO/STATE: d' 7
I HEREBY CERTIFY THAT"THE:ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE'LISTEO ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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 TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATg TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01784450 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/27/23 3/27/23 12:20 12:20 11100TC
9316 Town of Babylon REFERENCE
M(NUAL
L GROSS WT 69100 LB Outbound Ticket
M TARE WT 36540 LB
NEIGHT 32560 LB 7
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.28 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 01784450 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/27/23 3/27/23 2:20 2:20 1100TC
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 69100 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 32560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.28 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
TPJNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 016
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.
r
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. f
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: f i
,(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01784618 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, o^; 11935
3/28/23 3/28/23 08:38 08:38 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ALE:2G:ROSS WT 64200 LB Outbound Ticket
NUAWT 33980 LB
N W 30220 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.11 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 01784618 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
3/28/23 3/28/23 8:38 8:38 1100TC
9316 Town of Babylon
REFERENCE
�-
S ALE 2 GROSS WT 64200 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 30220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.11 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'B'..ydenburgh Road NO.- 0161
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:
, y
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
A
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 I TICKET GRID WEIGHMASTER
SOU;HOLL)—T-OWN DEPT SOLID WASTE 01 01784689 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/28/23 3/28/23 12:24 112:24 111100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 78280 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 41520 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.76 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 01784689 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 ORIGIN
S ALE 2 GROSS WT 78280 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 41520 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.76 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 - - 0162
Islandia, NY 11749 NO.
�I
(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.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01784867 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/29/23 03/29/23 11:37 11:37 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S(ALE 2 GROSS WT 75260 LB Outbound Ticket
MAL TARE WT 33980 LB
NWEIGHT 41280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.64 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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01784867 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/29/23 3/29/23 1:37 11:37 1103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 75260 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 41280 - LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.64 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0163
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATORAOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT•CONTAIN FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_ TRANSPORTER
TRANSPORTATION/FREIGHT CO..-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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: 7 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
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01785159 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUTI VEHICLE ROLL OFF
Cutchogue, NY 11935
. c 3/30/23 3/30/23 12:04 12:04 11103TC
9316 Town of Babylon
REFERENCE ORIGIN(ALE::2 GROSS WT 70900 LB Outbound Ticket
MTARE WT 39140 LB
NGHT 31760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.88 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 01785159 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF
637-30—f23 3 30 23 2:04 12:04 1103TC
9316 Town of Babylon
S ALE:2GROSS WT 70900 LB Outbound Ticket
M NUAARE WT 39140 LB
N T WHT 31760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.88 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. 6682.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_ WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01785057 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
3/30/23 3/30/23 8:39 108:39
0 Cash Customer
Cash Customer REFERENCE
•-
0414NB
M NUAL :GROSS WT 0 LB Outbound Ticket
NUAL WT 0 LB
N WEI0 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.00 Out. Top Soil 15.000 90.00 0.00 90.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 90.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE C
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01785057 Steph
PO Box 962/6155 Cox Lane
Cutc hogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3/30/23 3/30/23 8:39 8:39
0 Cash Customer
Cash Customer REFERENCE
M UAL GROSS WT 0 LB Outbound Ticket
M NUAL TAREWT 0 LB
N T WEIGHT 0 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.00 Out. Top Soil 15.000 90.00 0.00 90.00
•
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.
C
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ - 0164
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.
f - ,
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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
`-SOLITFfOLD TOWN DEPT SOLID WASTE 01 01785344 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
3/31/23 3/31/23 09:01 09:01 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
C I
S(NUAL
2 GROSS WT 64300 LB Outbound Ticket
M TARE WT 36200 LB
NEIGHT 28100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.05 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 01785344 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
(F3-/31/23 3 31 23 9:01 9:01 1103TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 64300 LB Outbound Ticket
M TARE WT 36200 LBNEIGHT 28100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.05 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 0165
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: r a'
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.