HomeMy WebLinkAbout04/2023 SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01785666 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY,11935
A 4/01/23 04/01/23 12:13 12:13 11103TC
9319 Green Titan, Inc.
21 Dorset Drive REFERENCE •'
Marlton NJ 08053
S ALE 2 GROSS WT 59040 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 22280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
11.14 Out Shrink Grn Titan 30.000 334.20 0.00 334.20
Operating hours 7:00 AM to 5:00 PM 7 days a week. 334.20
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 01785666 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
)470-172-3 4 12:13 12:13 11103TC
9319 Green Titan, Inc.
21 Dorset Drive REFERENCE _
Marlton NJ 08053 •
LCE
SF2GROSSWT 59040 LB Outbound Ticket
M 36760 LB
N 22280 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
11.14 Out Shrink Grn Titan 30.000 334.20 0.00 334.20
Operating hours 7:00 AM to 5:00 PM 7 days a week. 334.20
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0167
NO.Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE-SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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 I GRID WEIGHMASTER
_
SOUTHOLD TOWN DEPT SOLID WASTE 301 f 01785624 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/01/23 04/01/23q
4/01/23 09:00 09:00 11103TC
9316 Town of Babylon
REFERENCE
SF2GROSS WT 71460 LB Outbound Ticket
MT 36820 LB
N 34640 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.32 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 01785624 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 ALE 2 GROSS WT 71460 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 34640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.32 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 - 0166
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:
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.
SITE TICKET GRID WEIGHMASTER
-0UPL`lC�TE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01786185 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
4/03/23 04/03/23 11:59 11:59 11103TC
9316 Town of Babylon
REFERENCE
•-
.11
S ALZTARE
S WT 81620 LB Outbound Ticket
NUWT 36760 LB
N T 44860 LB
UNIT I DESCRIPTION RATE EXTENSION FEE TOTAL
22.43 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO::::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01786185 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
E 2 GROSS WT 81620 LB Outbound Ticket
M TARE WT 36760 LB
NWEIGHT 44860 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.43 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 0169
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. >,f LICENSE NO/STATE:
r'
I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL WAS PICKED UP AT THE,GENERATOR SITE LISTED ABOVE, AND THAT IT WAS -
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
r �.7 : r•
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 01 01786067 Liz H
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/03/23 4/03/23 8:33 08:33 111103TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
E 2 GROSS WT 71800 LB Outbound Ticket
M TARE WT 37420 LB
NWEIGHT 34380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.19 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 01786067 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE
�-
S ALE 2 GROSS WT 71800 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 34380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.19 OUTGO.MSW 0.000 0.00 0.00 0.00. -
,
Operating hours 7:00 AM to 5:00 PM 7 days a week. �
IMP
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
--j
SIGNATURE
. " TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0168
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION ORTITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �J f 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 TICKET GRID WEIGHMASTER
DUPLICATE TICKET ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01786406 Steph
PO Box 962/6-155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/04/23 4/04/23 08:27 08:27 11103TC
REF ERENCE
9316 Town of Babylon
•-
INALE 2 GROSS WT 71480 LB Outbound Ticket
NUAL TARE WT 36760 LB
T WEIGHT 34720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.36 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01786406 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
- REFERENCE
CE
•-
S(NUAL
2 GROSS WT 71480 LB Outbound Ticket
M TARE WT 36760 LB
NEIGHT 34720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.36 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023
PRESIDENT'S DAY TENDERED _
ANG
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 NO. - 0170
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: '`F 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.
:r r
TRUCK NO. f' LICENSE NO/STATE: ,f `
TRAILER NO. LICENSE NO/STATE: J
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL.WAS-PI'CKED-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'I 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',
DUPLICATr -VCKET
SOUTfj.),0`'TOWN DEPT SOLID WASTE 01 1 01786521 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT I TIME IN, TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/04/23 4/04/23 11:57 11:57 11 1103T
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 69140 LB Outbound Ticket
M TARE WT 36820 LB
NIGHT 32320 LB
QTY. UNIT DESCRIPTION RATEEXTENSION FEE TOTAL
16.16 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 GRID WEiGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01786521 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/04/23 4/04/23 1:57 1:57 1103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 69140 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 32320 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION - FEE ' TOTAL
16.16 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
TRINITY TRANSPORTATION CORPORATION
li- 214 Blydenburgh Road 0171*
'
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. ✓ �: ',%'; t >>:r
TRUCK NO. J
LICENSE NO/STATE:
TRAILER NO. ..`'`Y. r� LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS"PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:
ELOW.DRIVER: : , ,
(PRINT NAME)- (SIGNATURE)
r
DESTINATION
DISPOSAL"LOCATION: DATE.DEL`IVERED:
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 01786875 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/05/23 4/05/23 12:03 12:03 11103TC
9316 Town of Babylon
ORIGINREFERENCE 3
S(NUAL
E 2 GROSS WT 71440 LB Outbound Ticket
M TARE WT 36760 LB
NWEIGHT 34680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.34 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 01786875 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 047U5T27- [4/05/23 rz:u3 jiz:u3
REFERENCE
••
SF2GROSSWT 71440 LB Outbound Ticket
M 36760 LB
N 34680 LB
UNIT DESCRIPTION RATE ` EXTENSION FEE TOTAL
17.34 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a .week. ON
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 20231 .
TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road0�_7 3
Islan'dia, 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: d
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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01786767 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/05/23 04/05/23 08:24 08:24 111103TC
9316 Town of Babylon
REFERENCE ORIGIN
SALE 2 GROSS WT 77060 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 39640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.82 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 N0=1
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01786767 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
04707=347a5/23 08:24 08:24 1103TC
9316 Town of Babylon I r I
ORIGINREFERENCE
S ALE 2 GROSS WT 77060 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 39640 LB
QTY. 'UNIT DESCRIPTION. RATE EXTENSION FEETOTAL
19.82 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
C A GE
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0172
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 ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �� .: .f' 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: ;'' d
TRAILER NO. 1 LICENSE NO/STATE-:-f F c
. u
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,• '�f`I �', r
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: :'. (.r % <''-a1 _..__._ 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 301 1 01787165 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/06/23 04/06/23 11:32 11:32 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 73880 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 36460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.23 OUTGO.MSW 0.000 0.00 0.00 0.00
ILI
ILI
Operating hours 7:00 AM to 5:00 PM 7 days a week. , 0.00
CLOSED HOLIDAYS - MONDAY, FEBRUARY 20, 2023 TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO."
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01787165 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT _ TIME IN TIME OUT VEHICLE -ROLLOFF-
@4706/23
ROLLOFF-4 06 23 4/06/23 1:32 11:32 1103TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 73880 LB Outbound Ticket
M TARE WT 37420 LB
NEIGHT 36460 LB
QTY. UNIT DESCRIPTION , RATE EXTENSION FEE TOTAL
18.23 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 ' - 0174
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.
} P i-
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
SOUT'A;)LD TOWN DEPT SOLID WASTE L44/07/23
01787549 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/07/23 13:11 13:11 11103TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 76260 LB Outbound Ticket
M TARE WT 36760 LB
NEIGHT 39500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.75 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
r
CHANGE "
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE @01 1 01787549 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
IW7107/23 34/077=13:1 TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 76260 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 39500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.75 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 - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
_ TRINITY TRANSPORTATION CORPORATION
t r
214 Blydenburgh Road 0175'
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: ,f 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
e
TRANSPORTATION/FREIGHT CO.
TRUCK NO. - t'� LICENSE NO/STATE:
TRAILER NO. �;7 LICENSE.NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THEGENERATOR SITE LISTED ABOVE. AND THAT IT WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION.
DISPOSAL LOCATION: .- i' `'- "` =� 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 01788189 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ ROLL OFF
4/10/23 4/10/23 08:49 08:49 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 74220 LB Outbound Ticket
NUAL TARE WT 36540 LB
N T WEIGHT 37680 LB
QTY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
18.84 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a'.we 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE- -
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01788189 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF
(47110//:5 94110ILi 8:4v
9316 Town of Babylon 771
REFERENCE "Meffil ALE 2 GROSS WT 74220 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 37680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.84 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 - SUNDAY, APRIL 9, 2023 EASTER"
TENDERED
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0176
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. y'{
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: s
(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.
,DU41.TC,ATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01788346 1 1 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/10/23 4/10/23 12:36 12:36 11103TC
9316 Town of Babylon
REFERENCE
S ALE :2GROSS WT 67400 LB Outbound Ticket
M NUAARE WT 36700 LB
N T WEHT 30700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.35 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 - SUNDAY, APRIL 9, 2023 EASTER, TENDERED'
CHANGE - -
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 001 01788346 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF`
4/10/234/10/23 2:36 2:36 1103TC
9316 Town of Babylon
REFERENCLE
S ALE 2 GROSS WT 67400 LB Outbound Ticket
M NUAL TARE WT 36700 LB
N T WEIGHT 30700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.35 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
---.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0177
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED: '-
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r"
TRUCK NO. .°t LICENSE NO/STATE: _'/j
TRAILER NO. LICENSE NO/STATE: t. . :
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. '
'1
p_
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 01788570 Dan
PO Bb)(-§62/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/11/23 4/11/23 08:45 08:45 111 TC
9316 Town of Babylon
REFERENCE
S ALE 2:GROSS WT 67860 LB Outbound Ticket
M NUAL E WT 36540 LB
N T WEI31320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.66 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a, week,., 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO. :l
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01788570 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04711/23 )4/11-1-23 8:45 8:45 1100TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 67860 LB Outbound Ticket
M TARE WT 36540 LB
NEIGHT 31320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.66 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 - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0178
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 ANDY LIABILITY:ASSOCIATED WITH THE SHIPMENT OF,SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: f"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 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: '{ `f 3 *�
TRAILER NO. LICENSE NO/STATE:.
d r
I.HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER: >
(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
SOU.T,.HOLD,TOWN DEPT SOLID WASTE 01 01788715 Dan
PO Brx 962/6155 Cox Lane
Cutcliogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/11/23 4/11/23 12:13 12:13 11103TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 74480 LB Outbound Ticket
M TARE WT 33980 LB
NIGHT 40500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.25 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN-DEPT SOLID WASTE 01 01788715 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 74480 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 40500 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.25 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 - SUNDAY, APRIL 9, 2023 EASTER: .
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
e
.\--.,214 Blydenburgh Road - 0179
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: ==x
s
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
CCURATE:RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01789071 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
4/12/23 4/12/23 12:12 12:12 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 70500 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 34560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.28 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED -
CHANGE
,CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01789071 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
644/12/23 4 12 23 2:12 12:12 1103TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NUAL
2 GROSS WT 70500 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 34560 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.28 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0181
Islandia, ICY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_ TRANSPORTER
TRANSPORTATION/FREIGHT CO. r '
TRUCK NO. ^
LICENSE NO/STATE:
TRAILER NO. r LICENSE NO/STATE: `T.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)
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 01788935 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/12/23 4/12/23 08:33 08:33 111103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2VGROSS WT 63760 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 27820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.91 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01788935 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
SS
2 GROSS WT 63760 LB Outbound Ticket
M TARE WT" 35940 LB
NEIGHT 27820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.91 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 018 0
Islandia, NY 11749 NO.
(631) 342-9673
THIS'MANIF€ST 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. ,r LICENSE NO/STATE
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 1 01789454 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 119'5
k4/13/23 4/13/23 12:43 12:43 111103TC
9316 Town ok Babylon
ORIGINREFERENCE
S(NUAL
2 GROSS WT 74120 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 38180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED .
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER'.
SOUTHOLD TOWN DEPT SOLID WASTE 01 01789454 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/13/23 4/13/23 2:43 2:43 1103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 74120 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 38180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED ,
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.- 0183
Islandia;NY 11749
(631) 34�-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: f
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01789301 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/13/23 4/13/23 08:41 08:41 111103TC
9316 Town of Babylon
REFERENCE ORIGIN
CS WT 70920 LB Outbound Ticket
WT 36540 LB
34380 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.19 OUTGO.MSW 0.000 0.00 0.00 0.09
' f
Operating hours 7:00 AM to 5:00 PM 7 days a week.- 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET 'GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01789301 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLLOFF
04/13/23 :41 8:41 1103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 70920 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 34380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.19 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 - SUNDAY, APRIL 9, 2023 EASTER' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0182
Islandia, NY 11749
(631) 342-9673
THIS MANIEE$T 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 BEENPROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER j
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 01789677 Dan
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/14/23 04/14/23 08:43 08:43 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S(NNU:AL
GROSS WT 69300 LB Outbound Ticket
MTARE WT 37420LBNGHT 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01789677 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon W14/23 04/147=08:43 1 08:43 111103TC I
REFERENCE
S ALE 2 GROSS WT 69300 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 t4 Blydenburgh Road NO.- 0189
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: '
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ;
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01790064 Will
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
CutcNogue, NY 11935
4/15/23 04/15/23 08:52 08:52 11103TC
9316 t Town of Babylon
REFERENCE
•-
M NUAL GROSS WT 70800 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 33980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.99 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.. _ 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01790064 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9715/23--F4M723 08:52 31L
9316 Town of Babylon
- REFERENCE •-
M NUAL GROSS WT 70800 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 33980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION' 'FEE TOTAL
16.99 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a.week. •,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
;214 Blydenburgh Road _ _ 0190
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:.
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:
r
TRUCK NO. `y3 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.
i
DRIVER: 4 ) i
t.
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION: -f.. .''_' -`° `: ==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 I WEIGHMASTER
56LITH011 TOWN DEPT SOLID WASTE 01 01790296 Dan
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/15/23 4/15/23 13:33 13:33 11103TC
9319 Green Titan, Inc.
21 Dorset Drive REFERENCE •'
Marlton NJ 08053
NUAL GROSS WT 66420 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 29660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.83 Out .Shrink Grn Titan 30.000 444.90 0.00 444.90
Operating hours 7:00 AM to 5:00 PM 7 days a week. 444.90
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01790296 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN'TIME OUT VEHICLE ROLL OFF
9319 Green Titan, Inc.
21 Dorset Drive _
Marlton NJ 08053 REFERENCE •
UAL:GROSS WT 66420 LB Outbound Ticket
M NUALRE WT 36760 LB
N T WET 29660 LB 7 -TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.83 Out Shrink Grn Titan 30.000 444.90 0.00 444.90
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TZRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0191
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: l
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.
i;-
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. / :' LICENSE NO/STATE:
f..
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.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01790818 Will
r
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
CutchogUe, NY 11935
.W1' 4/17/23 4/17/23 08:20 08:20 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
MFNUALTARE
WT 72020 LB Outbound Ticket
MT 36760 LB
N 35260 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.63 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01790818 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
3 )4/1-77-23 8:20 8:20 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
MFNUALGROSST 72020 LB Outbound Ticket
M 36760 LB
N 35260 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.63 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 - SUNDAY, APRIL 9, 2023 EASTER' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2'.14 Blydenburgh Road - 0193
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:
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
SOUTH�LD TOWN DEPT SOLID WASTE 301 01790934 Will
PO Box 962/6155 Cox Lane
CutF hogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/17/23 04/17/23 11:55 11:55 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
M NUAL GROSS WT 66860 LB Outbound Ticket -
M NUAL TARE WT 36820 LB
N T WEIGHT 30040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.02 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE '
CHECK NO:::j:
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01790934 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF_
9316 Town of Babylon
REFERENCE ORIGIN UAL GROSS WT 66860 LB Outbound Ticket
NUAL TARE-WT 36820 LB -
N T WEIGHT 30040 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.02 OUTGO.MSW 0.000 0.00 0.00 0.00
'Y ,r
Operating hours 7:00 AM to 5:00 PM 7 days'ta: week. " u- ,` t
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER- ..`.';
TENDERED
=, CHANGE
CHECK NO.
SIGNATURE
.. '_1`• .-. .. .- --. I...',1. ,
TRINITY TRANSPORTATION CORPORATION
' 214 Blydenburgh Road NO. _ - 0194
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—TbWN DEPT SOLID WASTE 301 01791250 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMj1N TIMEOUT VEHICLE ROLL OFF
4/18/23 4/18/23 12:012:08 11103TC
9316 Town of Babylon
REFERENCE ORIGIN(NUAL
2 GROSS WT 70300 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 36320 LB
QTY. UNIT DESCRIPTION -RATE EXTENSION FEE, TOTAL
18.16 OUTGO.MSW 0.000 0.00 0.00 0.00
_ t
E
Operating hours 7:00 AM to 5:00 PM 7 days 'a,week': 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ' TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01791250 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 70300 LB Outbound Ticket
M NUAL TARE WT 33980 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 daysra,week.. 4
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-';
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road � � 019 6
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
r'" r
COMPANY: _r'.-' '-' ` SHIP DATE:
COMMODITY SHIPPED:
f
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. f` r '
LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP AT THE GENERATOR SITE LISTED ABOVE;AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.'
a
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 TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01791125 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/18/23 04/18/23 08:20 08:20 11103TC
9316 town of Babylon
REFERENCE
•.
S ALE 2 GROSS WT 78760 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 42000 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.00 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 - SUNDAY, APRIL 9, 2023 EASTER .:; ",-,, _. _ TENDERED
2
CHANGE,
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01791125 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 ALE 2 GROSS WT 78760 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 42000 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
21.00 OUTGO.MSW 0.000 0.00 0.00 0.00
3 f
Operating hours 7:00 AM to 5:00 PM 7 days -k4 week,.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-,;
TENDERED
"w CHANGE
CHECK NO-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0195
NO.
Islai,dia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH 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 01791105 Steph
PO Box 962/6155 Cox Lane DATE 1N DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
' 4/18/23 04/18/23 07:26 07:26 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 63840 LB Outbound Ticket
M NUAL TARE WT 36540 LB .
N T WEIGHT 27300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.65 OUTGO.MSW 0.000 0.00 0.00 0.00
r 1 E
Operating hours 7:00 AM to 5:00 PM 7 days'-a,,we'ek. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
„ CHANGE
CHECK NO.--j
SIGNATURE
DUPLICATE TICKET SITE . TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101. 1 01791105 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
24/.L?5/L.5 +/.Ld/23 U/:Lb r111LIL
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 63840 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 27300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.65 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days Ca week..
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21.4 Rlydenburgh Road
006 8
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION.OR.TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT): .
TRUCK WEIGHT: .� ;'- c_ 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:
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: ` 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 TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01791523 Steph
PO Box 962/6155 Cox Lane 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
4/19/23 04/19/23 12:05 12:05 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 71000 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 34240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.12 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 - SUNDAY, APRIL 9, 2023 EASTER ' "` '" TENDERED
- CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01791523 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 W19/23 a4/1
REFERENCE ORIGIN
S ALE 2 GROSS WT 71000 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 34240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.12 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 - SUNDAY, APRIL 9, 2023 EASTER-,
TENDERED
' - - _,„�`•,. CHANGE
CHECK NO.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 - 0.19 8
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:
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: 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.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01791426 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
04/19/23 04/19/23 08:35 08:35 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE,2-GROES WT 79360 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 43420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.71 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a. week-; 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ', TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01791426 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 347 1912-3 04/1 V/2:5 08:J5 108:35 IL
REFERENCE
•-
S ALE 2 GROSS-WT 79360 - LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T .WEIGHT 43420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.71 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days ;a. week.
,,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER '.
TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0197
Islandia, NY 11749 No.
(63.1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ' 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. '7 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: r'
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01791717 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
y
4/20/23 4/20/23 09:01 09:01 11103TC
9316 Town of Babylon
ORIGINREFERENCE
S ALE 2 GROSS WT 74680 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N
S(
WEIGHT 37920 LB
QTY." UNIT DESCRIPTION RATE EXTENSION , FEE TOTAL
18.96 OUTGO.MSW 0.000 0.00 0.00 0.00
J
3 f
Operating hours 7:00 AM to 5:00 PM 7 days a,week: r._ 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE @01 01791717 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 047 70123 14 7 Z 0-7= r!I:Ul �11UJIL I
REFERENCE
S LE 2 GROSS WT 74680 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 37920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.96 OUTGO.MSW 0.000 0.00 0.00 0.00
1
i
Operating hours 7:00 AM to 5:00 PM 7 days;a• week. = -
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER- ,,• =`;` Y.r
_ TENDERED
CHANGE
CHECK NO-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road t' , NO.- 0199
"
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED-BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. C 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.
3(L
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
' N
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
SOUTHOLD TOWN DEPT SOLID WASTE 001 01791997 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/21/23 04/21/23 08:53 08:53 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 68080 LB Outbound Ticket
M NUAL TARE WT 36200 LB
N T WEIGHT 31880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a-week:_:_
0.00
CLOSED HOLIDAYS - SUNDAY APRIL 9 2023 EASTER _ :p"i TENDERED
c CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01791997 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
-721/23 4 21 23 08:53 08:53 11103TC
9316 Town of Babylon
REFERENCE
•-
S(NUAL
E 2 GROSS WT 68080 LB Outbound Ticket
M TARE WT 36200 LB
NWEIGHT 31880 LB.
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 daysia week., >, ,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER'`'<�P`
0 � y't �s TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ _ 0200
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. f ' LICENSE NO/STATE: -•-
TRAILER NO. LICENSE NO/STATE:'
I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE-, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. .
A.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION,
DISPOSAL'LOCATION: 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
IOUTHOLD TOWN DEPT SOLID WASTE 101 1 01792360 Steph
PO h 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
cutchogue, NY 11935
4/22/23 4/22/23 8:20 08:20 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE2ROSS WT 73040 LB Outbound Ticket
MRE WT 39140 LB
NT 33900 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
3.6.95 OUTGO.MSW _ 0.000 0.00 0.00 0.00
4 '
Operating hours 7:00 AM to 5:00 PM 7 days a`.zweek:' . r 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE, E01 01792360 Steph
PO Box 962/6155 Cox Lane
cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S LE:2 :GROSS WT 73040 LB Outbound Ticket
M NUAT 39140 LB
N T W 33900 LB 7 UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.95 OUTGO.MSW 0.000 0.00 0.00 0.00
n i{ }
Operating hours 7:00 AM to 5:00 PM 7 days as week-.-,��: '`-- '` QA ' .' .` •.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER°
'c' d •' i n,.l -.,, a,t rC TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road0201
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 ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: =>{1= 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. .t 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: 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 GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01793021 Will
PO Box 982/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
CutchogA, NY 11935
4/24/23 4/24/23 08:24 08:24 11103TC
9316 Town of Babylon
REFERENCE
NUAL GROSS WT 69180 LB Outbound Ticket
M NUAL TARE WT 36820 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 'as week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER " - + TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE F TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01793021 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
UAL GROSS WT 69180 LB Outbound Ticket
M NUAL TARE WT 36820 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 %aweek:., = _ All
' =
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`.
TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ - 0202
Is6dia, NY 11749 NO.
(631) 342-9673
s
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: t:`
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: A/ J
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 I GRID WEIGHMASTER
SOUTHOLD DOWN DEPT SOLID WASTE [4/24/23
01793151 Will
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/24/23 1:56 11:56 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
M NUA:GROSS WT 66960 LB Outbound Ticket
NUAWT 35940 LB
N T W 31020 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.51 OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days 'a'.week: 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01793151 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
9316 Town of Babylon 1147247 13 InDo r;Do
M UAL GROSS WT 66960 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 31020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL-
15.51
OTAL-15.51 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a.week;.. •_ = ?° •.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Road 0203
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ✓i`::'. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 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. ,' r '' LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT ITMAS
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 TI«KET
SOUTHOLD TOWN DEPT SOLID WASTE 01 . 01793355 Steph
PO BOX X62/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/25/23 4/25/23 08:12 08:12 11103TC
9316 Town of Babylon
REFERENCE
S ALE :2GROSS WT 71320 LB Outbound Ticket
M NUAL WT 36760 LB.
N T WE34560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.28 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a.,we0k,' 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ` TENDERED
CHANGE-
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01793355 -Steph
PO Box 962/6155 Cox Lane
Cutch-ogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE.2 GROSS WT 71320 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 34560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.28 OUTGO.MSW 0.000 0.00 0.00 0.00.
:.
Operating hours 7:00 AM to 5:00 PM 7 days `a weeks
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-,"'
{}? TENDERED
CHANGE'
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
k
214 Blydenburgh Road NO. _ - 0204
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: 4 :
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. 4' LICENSEi NO/STATE:
TRAILER NO. LICENSE NO/STATE:
t' s 4
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
J'
DISPOSAL LOCATION: DATE DELIVERED:
_.1,.�"'�' ;.� .�, :. �- �'' - � ''��::.
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 01793456 Steph
PO BOX 962/6155 Cox Lane .DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/25/23 04/25/23t
4/25/23 11:31 11:31 11103TC
9316 Town.of Babylon
r tREFERENCE
•-
E
SrNUAL
ROSS WT 74840 LB Outbound Ticket
MRE WT 36820 LB
NT 38020 LB
Y. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.01 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 - SUNDAY, APRIL 9,. 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 01 01793456 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
ORIGIN
S ALE 2 GROSS WT - 74840 LB Outbound Ticket
M NUAL' TARE WT 36820 LB
N T WEIGHT 38020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.01 OUTGO.MSW 0.000 0.00 0.00 0.00
om
Operating hours 7:00 AM to 5:00 PM 7 days�6 week:.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER- *n., fiR- ---
TENDERED ' '
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
. 214 Blydenburgh Road - 0205
Islandia, NY 11749 No.
(631) 342-9673
THIS NIFEST 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: ��%,fr 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 01793657 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935„
4/26/23 04/26/23 07:27 07:27 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 78920 LB Outbound Ticket
M NUAL TARE WT 37420 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 - SUNDAY, APRIL 9, 2023 EASTER ~r,: , „, Y TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01793657 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 T477U7= [412b123 01:21 0/:Z/ 1110JIL
REFERENCE
•-
S ALE 2 GROSS WT 78920 LB Outbound Ticket
NUAL TARE WT 37420 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
_ • E '� :eIlk
yj•
Operating hours 7:00 AM to 5:00 PM 7 days,a- week. !
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER'. "
TENDERED'
CHANGE
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0206
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: y 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 TICKET GRID WEIGHMASTER
DUPLICATE TICKET .
SOUTHOLD TOWN DEPT SOLID WASTE 01 01793750 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/26/23 4/26/23 11:24 11:24 11103TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 76340 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 42360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.18 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 - SUNDAY, APRIL 9, 2023 EASTER , TENDERED
CHANGE
CHECK NO::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01793750 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ,TIME IN TIME OUT VEHICLE I ROLL OFF
W26/23 64/26/Z3 11:24 31L
9316 Town of Babylon
REFERENCE
SF2GROSS-WT 76340 LB Outbound Ticket
MT 33980 LB
N 42360 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.18 OUTGO.MSW 0.000 0.00 0.00 0.00
rr
Operating hours 7:00 AM to 5:00 PM 7 days`'a week'. '
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER =J'
TENDERED
CHANGE
CHE K NO.
SIGNATURE --j
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.- 0207
Islandia, NY 11749 -
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: 4, ;
(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. 01794002 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 �. -"�
4/27/23 04/27/23 08:37 08:37 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE:2GROSS WT 73280 LB Outbound Ticket
M NUAARE WT 36980 LB
N T WEHT 36300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.15 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 - SUNDAY, APRIL 9, 2023 EASTER `.. - TENDERED
. CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01794002 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
W 27-/-2-3 34/277=08,37 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 73280 LB Outbound Ticket
M NUAL TARE WT 36980 LB
N T WEIGHT 36300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL "
18.15 OUTGO.MSW 0.000 0.00 0.00 0.00
it- 1
ly
Operating hours 7:00 AM to 5:00 PM 7 days;',a,,week; '�.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`�.;5 '';• -`- `,'"';
A` TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ - 0208
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE P_OSSESSION,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
_ fP
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ! s ? LICENSE NO/STATE: ,¢` .� s
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.
SITE[ TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01794115 Steph
PO Box 962/6155 COX Lane DATE IN I DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4/27/23 104/27/23 112:32 12:32 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 74120 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 38180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 OUTGO.MSW 0.000 0.00 0.00 0.00
ff-T-T-T-TAAAAAAAA1 LTJ
Operating hours 7:00 AM to 5:00 PM 7 days a •week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE01 01794115 Steph
PO Box 962/6155 Cox .Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4 27 23 4 27 23 12:32 12:32 11103TC
9316 Town of Babylon
REFERENCE
S ALE:GROSS WT 74120 LB Outbound Ticket
NUAT 35940 LB
N T W38180 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0209
Islandia, NY 11749 NO
(631) 342 4673
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
DUPLI.PjE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01794254 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/28/23 04/28/23 08:10 08:10 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 68240 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 32300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.15 OUTGO.MSW _ 0.000 0.00 0.00 0.00
ii 14 i �a
,K Yl.v011 a I IVA•
Operating hours 7:00 AM to 5:00 PM 7 days a`week:•s a':•. �j 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER •, ;.;4`,P_. Jj TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01794254 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT TIMEIN TIMEOUT VEHICLE I ROLLOFF
021/28/23 4/28/2318:10 8:10 1103TC
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 68240 . LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 32300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.15 OUTGO.MSW 0.000 0.00 0.00 0.00
} J-' •`,';I� ,<il x.11'��9 ',�'�,}
Operating hours 7:00 AM to 5:00 PM 7 daysa��weekF:,9 — .-' . �, ti}' 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`-. _
TENDERED
CHANGE
CHECK N .
SIGNATURE
..TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 02'10
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
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. ` f 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 '+
(PRINT NAME) (SIGNATURE)
DESTINATION
r ..
DISPOSAL LOCATION: -r" 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 01794569 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE- ROLLOFF
4/_29/23 . 04/29/23 07:48 07:48 19606TC
9316 Town of Babylon
ORIGINREFERENCE 1
S ALE 2 GROSS WT 73960 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 34820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.41 OUTGO.MSW 0.000 0.00 0.00 0.00
t pc
t'' 4 Y�s iJ'� •• � ji�
J -I- �v
ANNOUT"01
Operating hours 7:00 AM to 5:00 PM 7 days 4,week:: _ : 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ' s".. ja' TENDERED
a CHANGE
CHECK NO��)
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01794569 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
•-
SF2GROSS WT 73960 LB Outbound Ticket
MT 39140 LBN 34820 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.41 OUTGO.MSW 0.000 0.00 0.00 0.00
`' r
i
Operating hours 7:00 AM to 5:00 PM 7 days`'ayw6k,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-�;`'
-TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 211
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.
p" t
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. ;, t LICENSE NO/STATE: r' `
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW.
DRIVER:
(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
SOUTHOLD TOWN DEPT SOLID WASTE 301 01794566 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
4/29/23 04/29/23 07:36 07:36 11112T
9316 �Town of Babylon
ORIGINREFERENCE
SF2GROSS WT 70460 LB Outbound Ticket
MT 36820 LBN 33640 LB
UNIT DESCRIPTION RATE EXTENSION ' FEE TOTAL`
16.82 OUTGO.MSW 0.000 0.00 0.00 0.00
CS s���� _
j
Operating hours 7:00 AM to 5:00 PM 7 daysi`a.week f a` t'} 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01794566 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
ICE
•-
S ALE 2 GROSS WT 70460 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 33640 LB
QTY. "' UNIT DESCRIPTION RATE EXTENSION FEE ' TOTAL
16.82 OUTGO.MSW 0.000 0.00 0.00 0.00
XY
r1s
Operating hours 7:00 AM to 5:00 PM 7 days'ta�week;,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EA&T-EV,"'/
TENDERED
CHANGE-
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO._ - - 0126
Idandia, 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)E) (SIGNATURE)
TRANSPORTER -
Y
TRANSPORTATION/FREIGHT EIGHT CO.
TRUCK NO. -LICENSE NO/STATE:
TRAILER NO.
LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:
PATE DELIVERED:
ADDRESS:
IHEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)-- SIGNATURE/DATE -
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.