HomeMy WebLinkAbout05/2023 SITE TICKET GRID WEIGHMASTER
DU{d`LIiGr�:TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01795040 Liz H
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF
Cutchogue, NY 11935
5/01/23 5/01/23 08:58 08:58 19606TC
9316 Town of Babylon
REFERENCE ORIGINrNUAL
ROSS WT 78980 LB Outbound Ticket
MRE WT 37420 LB
NT 41560 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.78 OUTGO.MSW 0.000 0.00 0.00 0.00
_ i � _ a♦.
_ k
Operating hours 7:00 AM to 5:00 PM 7 days 'a' week':. 0.00
CLOSED HOLIDAYS - SUNDAY APRIL 9, 2023 EASTER `'': - TENDERED
= i;
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1101 01795040 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1/2.3 35/01723 313:58 6:58 VJbUbIL
9316 Town of Babylon
REFERENCE
ORIGIN
S(NUAL
2 GROSS WT 78980 LB Outbound Ticket
M TARE WT 37420 LB
NEIGHT 41560 LB
QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTd-
20.78
OUTGO.MSW 0.000 0.00 0.00 0.00
{� r y 5 tF �(- (tJ'� E 55,1 C^✓""z���
�"•, emu;, ,-_.. . � •
Operating hours 7:00- AM to 5:00 PM 7 days ja„week,,:_ "'.� — :--":- %� ,v ,(Y
CLOSED HOLIDAYS - SUNDAY> >APRIL 9 2023 EASTER' ' t>�=s
.,� "( TENDERED
CHECK NO.
--j
SIGNATURE
TY]ER-INITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 � 0 212
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: �'�_`_ = SHIP DATE:
COMMODITY SHIPPED: '`
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO..
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL-LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOU-?HOLD TOWN DEPT SOLID WASTE 01 01795128 Liz H
PO box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
5/01/23 5/01/23 12:31 12:31 19606TC
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 68760 LB Outbound Ticket
NUAL TARE WT 33980 LB
N T WEIGHT 34780 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.39 OUTGO.MSW 0.000 0.00 0.00 0.00
�f.
Ilk
•
Operating hours 7:00 AM to 5:00 PM 7 days 4-•week
: 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER -,• F :,.__ `.' ;3 TENDERED
- CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01795128 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF ,
9316 Town of Babylon
REFERENCE
CE
M UAL GROSS WT 68760 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 34780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.39 OUTGO.MSW 0.000 0.00 0.00 0.00
'k"
t7 til(
l
Operating hours 7:00 AM to 5:00 PM 7 days a week,n -
t
CLOSED. HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ' '
:
��� '';1 1����;����3I i}'� ���i�`_�•j�yTENDERED
CHANGE
CHECK NO:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0 213
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: r'a SHIP DATE:
COMMODITY SHIPPED: 1-
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIQUIDAS 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. e 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: z >v'' .
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 t
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. )',
SITE TICKET GRID WEIGHMASTER
D11PJ,ICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01795392 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/02/23 05/02/23 12:31 12:31 19606TC
9316 Town of Babylon
REFERENCE ORIGIN
MFNUALGROSSWT 82280 LB Outbound Ticket
MT 37420 LB
N 44860 LB
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' 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EAST"ER-_ TENDERED
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01795392 Steph
PO Box 962/6155 Cox Lane
Cut chogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
35702/23 05 02 2312:31 12:31 19606TC
9316 . .Town-of Babylon
REFERENCE
�.
M(NUAL
AL GROSS WT 82280 LB Outbound Ticket
M TARE WT 37420 LB
NWEIGHT 44860 LB
QTY 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 week. .00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-
;- ..TENDERED-
CHANGE
CHECK NO-:�l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0185
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: .' 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. j LICENSE NO/STATE: /t
1 HEREBY CERTIFY THAT THE ABOVE'NA'MED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND-THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: I '' ml^ I F, -
(PRINT NAME)- (SIGNATURE)
DESTINATION
f -
DISPOSALLOCATION: DATE DELIVERED.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED 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 1 01795307 Steph
PO Box 962/6155 Cox. Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
5/02/23 5/02/23 8:46 108:46 �9606TC
9316 Town of�r3abylon
REFERENCE ORIGIN ALE 2 GROSS WT 84180 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 48240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
24.12 OUTGO.MSW 0.000 0.00 0.00 0.00
_ }
ANNOZAA
Operating hours 7:00 AM to 5:00 PM 7 days a,.week: - 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER_` . ` , ;;± .•,..: E-'J TENDERED
—' CHANGE
CHECK NO.
SIGNATURE'
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01795307 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
65702/23 05/02/23 38:46 38:
9316 Town of Babylon
ORIGINREFERENCE
S(NUAL
2 GROSS WT 84180 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 48240 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
24.12 OUTGO.MSW 0.000 0.00 0.00 0.00
s`•.' . N SJ I FV.
Operating hours 7:00 AM to 5:00 PM 7 days`a3wee
k':
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER --
a 1;'` ,tJ TENDERED
;"�', 7.Int;-x-\�' •i, ;;��'.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0184
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. t' 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: r s_t:' ' -• DATE DELIVERED:
ADDRESS: r
t'
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE.
KEY: WHITE TO DISPOSAL LOCATION -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01795506 Dan
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE 1. ROLL OFF
Cutchogue,'-NY 11935
5/03/23 05/03/23 09:06 09:06 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 82080 LB Outbound Ticket
NUAL TARE WT 36240 LB
N T WEIGHT 45840 LB
QTY. UNIT IDESCRIPTION RATE EXTENSION FEE TOTAL
22.92 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 301 01795506 Dan
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 B703/23 05/03/Z3 09:0b (49:fdb 1111031L I
REFERENCE
S ALE2 GROSS WT 82080 LB Outbound Ticket
M NUAL TARE WT 36240 LB
N T WEIGHT 45840 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.92 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days ,, week..`
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214_Blydenburgh Road 0301
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:
f I ;r
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.
SITE TICKET GRID WEIGHMASTER
D'UPLICAI� TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01795702 Liz H
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
5/04/23 05/04/23 08:29 08:29 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 73060 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 37120 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.56 OUTGO.MSW 0.000 0.00 0.00 0.00
vZ t I tx
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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01795702 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
•-
S ALE2 GROSS WT 73060 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 37120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL -
18.56 OUTGO.MSW 0.000 0.00 0.00 0.00
tj
P t
1
L-
Operating hours 7:00 AM to 5:00 PM 7 dayAa�week. d `= _. �: '
2-;fi - .�_ 1' a .
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER.c
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0302
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: `
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: '
TRAILER NO. % 1 LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION LISTED BELOW.
DRIVER: t' '
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:'
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID, WEIGHMASTER
DUPLICATE TICKET
'SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01795910 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/05/23 5/05/23 08:22 108:22 111103TC
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 79860 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 40720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.36 OUTGO.MSW 0.000 0.00 0.00 0.00
% A ;
4Y ;t c'
VI
t y 1 v
'�
`L'. �� m✓i. ' `-• Jam. n~\•` •
Operatinghours 7:00 AM to 5:00 PM 7 days \aaweek' w. 0.00
Y
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER — E �j TENDERED
' :. ` CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I - TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01795910 Liz H
PO Box 962/6155 Cox Lane
Cutchogue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
S(NUAL
2-GROSS WT 79860 LB Outbound Ticket
M TARE WT 39140 LB
NEIGHT 40720 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.36 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days ,aweek:,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`/'fir,,, —� �f �r �
� 1 % j,}` P, s, C•1,.7 f-
----- TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0303
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. !',v`a 4 =-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ,/ f ;j=.' LICENSE NO/STATE:
f t
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.
6 {
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: : . ''` (: r' : ': f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01796174 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME LEHICLE ROLL OFF
1 5/06/23 05/06/23 08:21 08:23TC
9316 Town..of Babylon'
REFERENCE ORIGIN ALE 2 GROSS WT 77540 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 43560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.78 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days,week: _ "" ,° f,;It 0.00
y, "' .
CLOSED HOLIDAYS - SUNDAY APRIL 9, 2023 TENDERED
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01796174 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF.
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 77540 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 43560 LB
QTY.' UNIT DESCRIPTION RATEEXTENSION FEE TOTAL
21.78 OUTGO.MSW 0.000 0.00 0.00 0.00
° nu%U
a --
� At
Operating hours 7:00 AM to 5:00 PM 7 days week, `' � ' ' •.
CLOSED HOLIDAYS - SUNDAYj APRIL 9 2023 EA51 ERS �a ,
4 t% TENDERED
Z � CHANGE
CHECK NO:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0304
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....-f, r y
J 1
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. I 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: `l: ,:.', DATE DELIVERED:
r
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01796958 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
5/08/23 05/08/23 08:25 08:25 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 76600 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 40660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.33 OUTGO.MSW 0.000 0.00 0.00 0.00
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 001 01796958 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 3123 38.25 j It
REFERENCE ORIGIN
S LE 2 GROSS WT 76600 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 40660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.33 OUTGO.MSW 0.000 0.00 0.00 0.00
Vyi
_ t
, 1e'e
Operating hours 7:00 AM to 5:00 PM 7 days`a'.,w"x `' `' "A •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER{�'',a
TENDERED
, . .
CHANGE
CHECK NO.
—j
SIGNATURE
r TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0305
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 LLIIA,BILITY.ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ',;;'' ,� ..: SHIP DATE:
COMMODITY SHIPPED:
'lv ,.,' ,.i✓,
LOOSE: 1 (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:
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: J",,'
'(PRINT NAME) (SIGNATURE)
DESTINATION.
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 I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
!9UTHOLv TOWN DEPT SOLID WASTE 301 1 01797059 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/08/23 05/08/23 11:55 11:55 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 65260 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 28440 LB .
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.22 OUTGO.MSW 0.000 0.00 0.00 0.00
'`.v, -
Operating hours 7:00 AM to 5:00 PM 7 days a;:,week:AF. _. 0
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER. a'u ;; TENDERED
-
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01797059 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE I ROLL OFF
()5/08/23 )5/08/23 1:55 11:55 1103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 65260 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 28440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL -
14.22 OUTGO.MSW 0.000 0.00 0.00 0.00
_ f pie j
IJ
I' Loll,
Operating hours 7:00 AM to 5:00 PM 7 days a weekj:, = , -- _ rI0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
HE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
� 214 Blydenburgh Road No. - - 0306
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
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: ! f`
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
2`
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01797265 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
5/09/23 5/09/23 8:26 08:26 1103TC
9316 .- Town of Babylon
•-
S ALE 2 GROSS WT 77880 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N
S(
WEIGHT 41340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.67 OUTGO.MSW 0.000 0.00 0.00 0.00
j; - Y
s� 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 I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 101797265 1 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 38:25 1 6:Zb [11UJIL
REFERENCE
SLE
2 GROSS WT 77880 LB Outbound Ticket
M TARE WT 36540 LB
EIGHT 41340 LB
QTY. UNIT DESCRIPTION ' RATE EXTENSION 'FEE TOTAL
20.67 OUTGO.MSW 0.000 0.00 0.00 0.00
V i't itt
E
•tel _ ` i it �^:ro E`.,
Operating hours 7:00 AM to 5:00 PM 7 days a',,week-,, _• �, =+,r
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER '<./Z>,
t• w h >t:rc TENDERED
CHANGE
�'`` ''«✓w w$
CHECK NO.
_j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0308
.1slAndia, NY 11749 No
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ` SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR.ANY.
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. � LICENSE NO/STATE:
TRAILER NO. ; t` LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, AND THAT. IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-'BELOW.
DRIVER: ;'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ` A ' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 301 01797340 Steph
PO Box 962/6155 Cox Lane DATE INDATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue;.Pl.Y 1*935
5/09/23 5/09/23 12:28 12:28 11103TC
9316 Town of Babylon
REFERENCEWeiFRE
ROSS WT 81860 LB Outbound Ticket
M WT 36380 LB
NT 45480 LB
TY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.74 OUTGO.MSW 0.000 0.00 0.00 0.00
' "n-J,
t
Operating hours 7:00 AM to 5:00 PM 7 days a;.week: r 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ` °,; „`lf;r.l, r4 _ TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01797340 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
•-
SFALEL2GROSS WT 81860 LB Outbound Ticket
MT 36380 LB
N 45480 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.74 OUTGO.MSW 0.000 0.00 0.00 0.00
rJ
.t ..,� i !• n.3 t S
Operating hours 7:00 AM to 5:00 PM 7 days'ra: week
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER � -
3 ' TENDERED
r; S •✓ CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0307
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY.LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: .r
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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 301 01797600 Steph
PO-Brox 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT . VEHICLE ROLL OFF
Cutchogue, NY 11935
5/10/23 05/10/23 12:03 12:03 11103TC
9316 Town of Babylon
ORIGIN
S ALE 2 GROSS WT 72480 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 36540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.27 OUTGO.MSW 0.000 0.00 0.00 0.00
'.° c `i
iX
Operating hours 7:00 AM to 5:00 PM 7 days a,,week':f
_m r 0.00
.t
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER -, .`-- 1.'" TENDERED
:- CHANGE
CHECK NO.
—)
SIGNATURE
DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01797600 Steph
PO Box 962/6155 Cox Lane
Cutchogue, .NY 11935 DATE IN . DATE OUT TIME IN TIME,OUT VEHICLE ROLL OFF.
T5710723 051,97=12:0-3
9316 Town of Babylon
REFERENCE
S(NUAL
2 GROSS WT 72480 LB Out Ticket
M TARE WT 35940 LBNEIGHT 36540 LB
QTY. UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL
18.27 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER',��,-4,
nf" " rt-,v 3 1D TENDERED
CHANG
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0310
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 301 01797498 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
5/10/23 05/10/23 08:24 08:24 11103TC
9316 Town of Babylon
REFERENCE
•-
S(NUAL
E 2 GROSS WT 79580 LB Outbound Ticket
M TARE WT 36540 LB
NWEIGHT 43040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.52 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days 'a'-. eek:, 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 01797498 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
SLE 2 GROSS WT 79580 LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 43040 LB
QTY. UNIT DESCRIPTION -RATE EXTENSIONFEE TOTAL '-
21.52 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AMdaysf
p g to 5:00 PM 7 xa; week
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER'=,'
TENDERED
f CHANGE
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0309
N
Islandia, Y 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO.OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. '
COMPANY: -"' SHIP DATE:
COMMODITY.SHIPPED: �!� �>
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: r
TRAILER NO. _ 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE*GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
i
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 01797827 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT VEHICLE I ROLL OFF
5/11/23 5/11/23 12:06 112:06 11103TC
9316 Town of Babylon
' REFERENCE ORIGIN ALE 2 GROSS WT 68880 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 32940 LB
QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
16.47 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a,,week.,: a. 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 01797827 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF.
9316 Town of Babylon Otq It/23
REFERENCE
•-
S LE 2 GROSS WT 68880 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 32940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.47 OUTGO.MSW 0.000 0.00 0.00 0.00
t t'
;x
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 - - 0312
Islandia, NY 11749 NO
(631) 342-9673
Y
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: '6
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
- 6 ,' ,/ �r'' P.'�+'._ .✓ Com.;
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 01797742 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/11/23 5/11/23 8:31 08:31 1103TC
9316 Town of &abylon
REFERENCE
•-
SEALE2OSS WT 70940 LB Outbound Ticket
ME WT 39140 LB
N 31800 LB
Y UNIT DESCRIPTION RATE EXTENSION FEE TOTAL,
15.90 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days `a.week. , 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK
NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 017.97742 Steph
PO Box 962/6155 Cox Lane
Cutchogue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S LE 2 GROSS WT 70940 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 31800 LB
`QTY. UNIT DESCRIPTION _ RATE EXTENSION FEE 7TOTAL -
15.90
OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days ra week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER"_l '',;:,,
<: a•r'•r, t $ :i:.,yr v TENDERED
CHANGE
CHECK NO::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0311
Island-la,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: y_.E'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 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. �- s 'f~/:•r
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. f" '
LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: J� ' ir'r� d ? — -
(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 I GRID WEIGHMASTER
DUPLJ CATE TICKET
SOUThN DTQWN DEPT SOLID WASTE 01 01797961 Dan
PO Box 9.62/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/12/23 5/12/23 8:24 08:24 11103TC
9316 Town of Babylon
ORIGINS(NUAL
E 2 GROSS WT 73580 LB Outbound Ticket
M TARE WT 33980 LB
NWEIGHT 39600 LB .
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.80 OUTGO.MSW 0.000 0.00 0.00 0.00
MEMO
•
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 01797961 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
ORIGIN(NUAL
2 GROSS WT 73580 LB Outbound Ticket
M TARE WT 33980 LB
NEIGHT 39600 LB
QTY.- UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
19.80 OUTGO.MSW 0.000 0.00 0.00 0.00
3-1
rL
MOURNOperating hours 7:00 AM to 5:00 PM 7 days`la, we " _" - ver
CLOSED HOLIDAYS - SUNDAY, APRIL 9; 2023 EASTER`=--
a t` TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
1KNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 313
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. y' 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 .;y ,� �.•• DATE DELIVERED:
ADDRESS:
f'
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 01798210 Steph
PO BOX 962/6155 COX Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
y 5/13/23 05/13/23 08:22 08:22 11103TC
9316 Town of Babylon
REFERENCE
•-
5 ALE 2 GROSS WT 74580 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 37820 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEET OTAL
18.91 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-
. ,f{, •' i!
f j `_ ,:f•,1 vi t .T.j-jfJ
CHANGE
CHECK NO. �:j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01- 01798210 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
IF5713/23 35/13/23 08:22 08:22 103TC
9316 Town of Babylon
REFERENCE ORIGIN ALE2 GROSS WT 74580 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 37820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE :'TOTAL
18.91 OUTGO.MSW 0.000 0.00 0.00 0.00
s0
Operating hours 7:00 AM to 5:0.0 PM 7 daysa',weeK '` = � —r~'a ` a � i •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTERa,;y'<L TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - o314
Islandia, NY 11749
(63,1) ,3t42-9673
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 r.
SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
-TRANSPORTER .
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
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: ;;. `� ` "a, ` `" 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.
'UUPL&TE TICKET SITE TICKET I GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 301 017.98874 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/15/23 05/15/23 08:19 08:19 11103TC
9316 Town of Babylon
REFERENCE
CE
SF2GROSS WT 78300 LB Outbound Ticket
MT 36760 LB
N 41540 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.77 OUTGO.MSW 0.000 0.00 0.00 0.00
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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01798874 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN TIME IN TIME OUT VEHICLE ROLL OFF
DATE OUT
9316 Town of Babylon
REFERENCE ORIGIN
5 LE 2 GROSS WT 78300 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 41540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.77 OUTGO.MSW 0.000 0.00 0.00 0.00
7 `
Operating hours 7:00 AM to 5:00 PM 7 days',a week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
r TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0315
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.
l .f
.COMPANY: %.= ; - , .-:r' SHIP DATE:
.COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER _
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: 1f
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
i
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
- AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 101 01798986 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/15/235/15/23 2:12 12:12 1103TC
9316 Town of Babylon
REFERENCE
•
S(NUAL
2 GROSS WT 72940 LB Outbound Ticket
M TARE WT. 36540 LB
NEIGHT 36400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.20 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days aa,-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 01798986 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
(37157 23 157 157 23 12:12 12:3.2 31L
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 72940 - LB Outbound Ticket
M NUAL TARE WT 36540 LB
N T WEIGHT 36400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.20 OUTGO.MSW 0.000 0.00 0.00 0.00
WAIlvirelvIR
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 0 310
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.L'IABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
- 3
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: 'R 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 TICKET GRID' WEIGHMASTER
DUPLICATE TICKET
`iOUTHM0 TOWN DEPT SOLID WASTE 301 01799171 Steph
FrBox 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
5/16/23 05/16/23 08:12 08:.12 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 75540 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 38120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.06 OUTGO.MSW 0.000 0.00 0.00 0.00
Well,AIIIIIIIIIIIIIINOWT
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 01799171 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUTIN TIME OUT VEHICLE ROLL OFF
TIME :
9316 Town of Babylon
REFERENCE
5 LE 2 GROSS WT 75540 LB Outbound Ticket
M NUAL TARE
.WT 37420. LB
N T WEIGHT 38120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL-
19.06 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
RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0 317
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 GENERATORSITELISTED 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
SOUTHOL,D TOWN DEPT SOLID WASTE 01 01799276 Steph
PO. ?ox-,962/6155 Cox Lane -DATE IN - DATE OUTTIME IN TIME OUT_ VEHICLE ROLL OFF
C*L-hogue, NY 11935
5/16/23 5/16/23 12:00 12:00 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 69740 LB Outbound-Ticket
NUAL TARE WT 39140 LB
N T WEIGHT 30600 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.30 OUTGO.ASW 0.000 0.00 0.00 0.00-
-
' l
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 01799276 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
G71Z723 -3-5/16/23 2:00
9316 Town of Babylon
REFERENCE
•-
S(NUAL
- 2 GROSS-WT 69740 -- LB Outbound Ticket
M TARE WT 39140 LB
NEIGHT 30600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.30 OUTGO.MSW 0.000 0.00 0.00 0.00
My
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 - 03 18
✓ Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR,DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY,LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE:
COMMODITY SHIPPED: ° ``
r
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED.AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
t
TRUCK NO. °, LICENSE NO/STATE: r
TRAILER NO. LICENSE NO/STATE: t•• �� f
t
I HEREBY CERTIFY THAT THE A -AT 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- .
1
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.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN aEPT SOLID WASTE 001 01799507 Steph
PO Box 962/6i55 Cox Lane
Cutchogue, NY 11935 DATI
TE IN DATE OUT TIME IN ME OUT VEHICLE ROLL OFF
5/17/23 5/17/23 1:39 11:39 11103TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 71540 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 34780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
17.39 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE E01 101799507 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 t D/.L 1-1 D/.L L.5 L_L:-19 1:5�0 [110751L
REFERENCE
•-
S LE. 2 GROSS WT 71540 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 34780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.39 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
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 3 2 0
Islandia, NY 11749 NO.- - - 0320
O
(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: :- .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
RANSPORTER -_ .- --_
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: r
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: . `'.S DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
r. +\
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ,
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWNMDEPT SOLID WASTE 01 01799431 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
Cutchogut, NY 11935
5/17/23 5/17/23 8:13 8:13 1103TC
9316 Town of Babylon
REFERENCE
IS ALE 2 GROSS WT 76480 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 39720 LB
- QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.86 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE "
CHECK O:
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD-TOWN DEPT SOLID WASTE 01 101799431 1 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLEI . ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 76480 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 39720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.86 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.
:j SIGNATURE
TRINITY TRANSPORTATION CORPORATION "
214,.Blydenburgh Road 0 319
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
DUPLICATE TICKET
SOUTHOLD--AWN DEPT SOLID WASTE 001 1 01799419 Steph
PO BOX_962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutc6ogue, NY 11935
5/17/23 5/17/23 7:29 7:29 1112TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 :WT
S WT 77580 LB Outbound Ticket
NUAL T 35940 LB
N T WEIG41640 . LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.82 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 - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
�)
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 101799419 1 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 (371772-3 13717773 37:29 /:29 �11121L
REFERENCE ORIGIN
S ALE 2 GROSS WT 77580 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 41640 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.82 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 - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
—j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
0069
'
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: <j �; „! SHIP DATE: r,
COMMODITY SHIPPED:
LOOSE: , (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: �s�'f `, GROSS
TARE
j. 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) °• ��1 (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. { LICENSE NO/STATE:
TRAILER NO. ' F — LICENSE NO/STATE:
I HEREBY CERTIFY THAT•THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: , f
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL`LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE-MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT•NAME)'
SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOL'D TOWN DEPT SOLID WASTE 01 01799669 Steph
PO Box 962/0155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
CutchQgbe, NY 11935
5/18/23 5/18/23 8:31 08:31 1103TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 74340 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 36920 LB 7
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.46 OUTGO.MSW 0.000 0.00 0.00 0.00
IJ
r S __ - _, a ,.'ee (}✓ •
Operating hours 7:00 AM to 5:00 PM 7 days `a`week>, r, 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER a•.,, ` j i- TENDERED
-' CHANGE
CHECK O.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01799669 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 (371.8/2.3 13711572-3 T87= 8:33. [37133=-i
REFERENCE
S LE 2-GROSS WT 74340 LB Outbound Ticket_
M NUAL TARE WT 37420 LB
N T WEIGHT 36920 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.46 OUTGO.MSW 0.000 0.00 0.00 0.00
Y-4,
Operating hours 7:00 AM to 5:00 PM 7 days a�week: -j^ e,g ., '� �•
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER"
TENDERED
•-�.^ �r.�`I!'tj�.. § !uq � ter.,
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0321
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.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01799791 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
5/18/23 5/18/23 12:23 12:23 11103TC
9316 Town of Babylon
�. ORIGINREFERENCE
S ALE 2 GROSS WT 71720 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 34900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.45 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01799791 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5 05/19723 L2,23 :23 1 3TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 71720 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 34900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.45 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
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ - 0 3 2 2
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
_. - - TRANSPORTER -
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. �, LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 GRIDWEIGHMASTER
SOUTHOLD,TOWN DEPT SOLID WASTE 00 L 01800058 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/19/2 05/19/2 12:1 12:1 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 77420 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 40000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.00 OUTGO.MSW 0.000 0.00 0.00 0.02
INV
- tfi ';$" ✓"- w 'ter �>.�
Operating hours 7:00 AM to 5:00 PM 7 days a week. = '4 ,',' 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER:'.' )° TENDERED
a? CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01800058 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 .
REFERENCE7
•-
C:ALE GROSS WT 77420 LB Outbound Ticket
MANUAL TARE.WT 37420 LB
NET WEIGHT 40000 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.00 OUTGO.MSW 0.000 0.00 0.00 0.0e
C..a
e--r
r:s 11 c
Operating hours 7:00 AM to 5:00 PM 7 days a.=week' _ ' d y v_ ` ��`'',( r •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER°,,
TENDERED
i
Vic? CHANGE
d'
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0323
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: >. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN-PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER __
TRANSPORTATION/FREIGHT CO. r!
TRUCK NO. LICENSE NO/STATE: .%
TRAILER NO. 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
DISPOSAULOCATION: 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 00 01800241 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/20/2 05/20/2 07:5 07:5 11103TC
9316 T.`wn of Babylon
REFERENCE
•-
s
r'
SCALE 2 GROSS WT 72640 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 36100 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.05 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK N
SIGNATURE �-- �j
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 - 018002411 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11.935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2GROSS WT 72640 LB Outbound Ticket
MANUAL TARE WT 36540 - LB
NET WEIGHT 36100 LB
QTY. UNIT . DESCRIPTION RATE EXTENSION FEE TOTAL
18.05 OUTGO.MSW 0.000 0.00 0.00 0.0e
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. - - 0324
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: r ft's
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: r ''' :-f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
,DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
iSCUTHC?LD TOWN DEPT SOLID WASTE 00 01800767 Liz H
FO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/22/2 05/22/2 08:2 08:2 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 79840 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 43080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.54 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a"week. 0.02
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01800767 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
ORIGINREFERENCE
CALE 2 GROSS.WT 79840 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 43080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.54 OUTGO.MSW 0.000 0.00 0.00 0.02
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 0325
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. '
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.
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.
Il '
SITE I TICKET I GRID WEIGHMASTER
'PLICATE TICKET
` :iCAuTAO LD TOWN DEPT SOLID WASTE 00 01800881 Liz H
PO _Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/22/2 05/22/2 12:0 12:0 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 69220 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 30080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.04 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO:
�)
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01800881 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
ORIGINREFERENCE i
I
SCALE 2. GROSS WT 69220 LB Outbound Ticket _-
MANUAL TARE WT 39140 LB
NET WEIGHT 30080 LB
QTY
UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
15.04 OUTGO.MSW 0.000 0.00 0.00 0.0e
• - 1 .
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 - 0326
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:
rr
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 F TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOI►7'i0LD TOWN DEPT SOLID WASTE 00 01801078 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/23/2 05/23/2 08:1 08:16 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 82100 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 45340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO."
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801078 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-
REFERENCE I
SCALE 2 GROSS WT 82100- LB Outbound Ticket
MANUAL TARE--WT 36760 LB
NET WEIGHT 45340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
HECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0327
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: i
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801179 Steph
PO Box 962/6*55 Cox Lane
Cutchorgue, NY 11935 DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
05/23/2 05/23/2 11:5 11:5 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 69140 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.58 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
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 ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 AT N DAT O T TIME IN TIME OU VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE
77•-
CALE 2 GROSS WT 69140 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35160 LB
QTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
17.58 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week., 1 •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 'EASTER" -
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0328
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: 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. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801399 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/24/2 05/24/2 08:1 08:1 11103TC
9316 Town of Babylon
REFERENCE
•-
J
SCALE 2 GROSS WT 70420 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 33660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00- PM 7 days, a week. 0.02
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO::::l
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801399 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN 2. ' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 70420 LB Outbound Ticket
MANUAL TARE WT 36760 LB-
NET WEIGHT 33660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
i Operating hours 7:00 AM to 5:00 PM 7 days a week'.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER"
TENDERED
CHANGE
CH CK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0329
Islandla, 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'*-,.- --'7.
'? 1
TRUCK NO. R' LICENSE NO/STATE:
' I
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.
I
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: '� '; 4 . J 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 00 01801503 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/24/2 05/24/2 11:5 11:5 11103TC
9316 -Town of Babylon
REFERENCE
•'
SCALE 2 GROSS WT 78560 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0:0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK-NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801503 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 41 j J[ j
ORIGINREFERENCE
SCALE 2.GROSS WT 78560 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41740 LB
QTY -_ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 OUTGO.MSW 0.000 0.00 0.00 0.0e
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 - 0330
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. ' 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.'
l
DRIVER: 1
(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 00 01801692 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/25/2 05/25/2 08:4 08:4 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 39680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.84 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NEj::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801692 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
.45 iiiOBT6
9316 Town of Babylon
- ORIGINREFERENCE
CALE 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 37420- LB
NET WEIGHT 39680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.84 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a.,week. AIIIIIIIIIIIIII 0 1 q ff=WWWWvvvv•
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER.
_t TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0331
Islandia;NY 11749 No.
(631) 3,42-9673
THIS MANI*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 LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. r'
TRUCK NO. ' LICENSE NO/STATE:
TRAILER NO. _` LICENSE NO/STATE: r
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE'GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: 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 . GRID WEIGHMASTER
DUF�''YCATE TICKET
5G�OLD TOWN DEPT SOLID WASTE 00 01801783 Steph
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/25/2 05/25/2 12:5 12:5 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE2 GROSS WT 76200 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.72 OUTGO.MSW 0.000 0.00 0.00 0.02
r
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
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801783 1 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
�.
CALE 2 GROSS WT 76200 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.72 OUTGO.MSW 0.000 0.00 0.00 0.02
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. - - 0332
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.
1 ..
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 00 01802052 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
05/26/2 ICE05/26/2 12:1 12:1 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2GROSS WT 67360 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 30820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.41 OUTGO.MSW 0.000 0.00 0.00 0.0e
• _ � 5 `ti
Ila
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9; 2023 EASTER TENDERED
CHANGE .
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01802052 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
SCALE 2 GROSS WT 67360 LB Outbound Ticket
MANUAL TARE-WT 36540 LB
NET WEIGHT 30820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.41 OUTGO.MSW 0.000 0.00 0.00 0.0e
• - i
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 - - 0 3 3 4
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _`.' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ;r
TRUCK NO.
`� LICENSE NO/STATE:
TRAILER NO. ;' 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.
a DUP'LItATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801934 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/26/2 05/26/2 08:2 08:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 75900 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.57 OUTGO.MSW 0.000 0.00 0.00 0.012
Operating hours 7:00 AM to 5:00 PM 7 days a week'. 0.02
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER. TENDERED
- CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01801934 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .DATE OUT TIME IN JTIMEOUTj VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•.
CALE 2 GROSS WT 75900 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.57 OUTGO.MSW 0.000 0.00 0.00 0.0e
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. 0333
Islandia, NY 1.1749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ ->t f- SHIP DATE:
COMMODITY SHIPPED: 11
LOOSE: yY
(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: f `
TRAILER NO. LICENSE NO/STATE: ''':'
1 HEREBY CERTIFY THAT THE ABOVE"NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01802269 Will
D') '80x 962/6155 Cox Lane
_40�:hogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/27/2 05/27/2 08:0 08:0 11103TC
9316 Town of Babylon
REFERENCE
MANUAL GROSS WT 74920 LB Outbound Ticket .
MANUAL TARE WT 33980 LB.
NET WEIGHT 40940 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.47 OUTGO.MSW 0.000 0.00 0.00 0:02
Operating hours 7:00 AM to 5:00 PM 7 days.a3week. 0.02
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER. TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I - TICKET I GRID I - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 06 Wlil
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INDATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 74920 LB Outbound Ticket
MANUAL TARE.-WT 33980 LB
NETWEIGHT 40940 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.47 OUTGO.MSW 0.000 0.00 0.00 0.02
-<
.ev
Too
Operating hours 7:00 AM to 5:00 PM 7 daysk.
. �'
a.`wee
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER``' h t
TENDERED
_ CHANGE
CHECK NO.
—j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.. ,,; 214 Blydenburgh Road 1 0335
'Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS-
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:. SHIP DATE:
COMMODITY SHIPPED: :=:!
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN.FREE LIQUID AS DEFINED BY 40 CFA PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
r 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: 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.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD iiOWN DEPT SOLID WASTE 00 01803285 Step
PO Box, 962/6155 Cox Lane
Cutc-��gue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/30/2 05/30/2 11:3 11:3 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE2 GROSS WT 73320 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 36560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01803285 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
•-
SCALE 2GROSS WT 73320 LB Outbound Ticket
MANUAL TARE WT 36760 LB .
NET WEIGHT 36560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Mar
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
X14 Blydenburgh Road NO. 0337
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: 1 `
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
r
DISPOSAL LOCATION: :.7 ? i; <" = } `--` DATE DELIVERED:
F
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01803143 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/30/23 05/30/23 07:59 07:59 11103TC
.`S16 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72680 LB Outbound Ticket
MANUAL TARE WT 36760 LB
ET WEIGHT 35920 LB-
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.96 OUTGO.MSW 0.000 0.00 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0
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 00 01803143 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
SCALE 2GROSS WT 72680 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 35920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.96 OUTGO.MSW 0.000 0.00 0.00 0.0E
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 0 3 3 6
NO.
Is andia, 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.
J
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:
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.
? E
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NO.' - - 0070
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS.
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS..
COMPANY: ` j SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ' Lr `-' GROSS
F
TARE
0 NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES.NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT.HAZARDOUS.WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) -
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP:AT THE GENERATOR SITE`LISTED ABOVE;AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION;
DISPOSAL' LOCATION: - DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE.MATERIAL HAS-BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED
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:
,
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutch?�ue, NY 11935 D TI I TI T ROLLOFF
9316 Town of Babylon
REFERENCE
ff
SS WT 64700 B u oun is e WT 35940 LB
28760 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.38 OUTGO.MSW 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: LOU
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01803617 Steph
PO Box 962/6155 Cox Lane
Ciechogue, NY 11935 DATE IN -DATE OUT. TIME IN TIME OUT VEHICLE ROLL OFF
J, 05/31/2 05/31/2 11:5 11:5 11103TC
9316 Town of Babylon
REFERENCE
•
SCALE 2 GROSS WT 60540 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 26560 LB
7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE - 00 01803617 Steph
PO Box 962/6155 Cox Lane
CUtChOgue, NY 11935 DATE INA TE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 60540 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 26560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL'
13.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED.
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0339
%landia, 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: ,r`.. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: u (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: '
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: f
(PRINT NAME) "` (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: - '''' ... DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01803519 Steph
PO Box 262/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF:
05/31/2 05/31/2 08:2 08:2 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 63240 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 26480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.24 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
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 00 01803519 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 63240 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 26480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.24 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. OF
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0338
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
RANSPORTER----, -__'TRANSPORTATION/FREIGHT CO. '
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE 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.