HomeMy WebLinkAbout06/2023 DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01803914 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLLOFF
06/01/2 06/01/2 12:1 12:1 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 70060 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 33240 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
16.62 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 01803914 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN JTIMEOUTj VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
GALE 2 GSS WT 70060 LB Outbound Ticket
MANUAL TROARE WT 36820 LB
NET WEIGHT 33240 LB
QTY _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.62 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days 6-week.,. , •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER' ,
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0341
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. s 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 01803813 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/01/2 06/01/2 08:2 08:2 11103TC
6316 Town of Babylon
REFERENCE
•-
SCALE2 GROSS WT 75180 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.21 OUTGO.MSW 0.000 0.00 0.00 0.0e
'Rim A
•
Operating hours 7:00 AM to 5:00 PM 7 days a .week. Me
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKETSITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01803813 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
2 GROSS WT 75180 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.21 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. - - 0340
`
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
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. f°
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
J
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 01803833 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF
06/01/2 06/01/2 09:2 09:3 11112TC
9316 Town of Babylon
HEFERENCEr
•-
SCALE 2 GROSS WT 67000 LB Outbound Ticket
SCALE 1 TARE WT 39060 LB
NET WEIGHT 27940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.97 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 01803833 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
•-
,t15
CALE 2 GROSS WT 67000 LB Outbound Ticket
SCALE 1 TARE WT 39060 LB
NET WEIGHT 27940 LB
7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
13.97 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day S, a;week,.: •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER"
TENDERED
CHANGE
CHECK NO::::l
SIGNATURE
p
TRINITY TRANSPORTATION CORPORATION
214 Rlydenburgh Road 0125
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: Eu="ids GROSS
�-L t' 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) f' .- .>(SIGNATURE)
TRANSPORTER.
TRANSPORTATION/FREIGHT CO.
TRUCK NO. p,. `f LICENSE NO/STATE:
TRAILER NO. x' 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: ,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 TICKET GRID WEIGHvIASTER
c SOUTHOLD TOWN DEPT SOLID WASTE 00 01804206 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/02/2 06/02/2 12:1 12:1 11103TC
9316 Town of Babylon
I REFERENCE
SCALE 2 GROSS WT 75740 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 36600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
S,F
if Z
y .
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.:::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01804206 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIMER VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 75740 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 36600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, aE'week.^,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`,. .
r' TENDERED
_sCHANGE
CHECK NO.
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0343
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.
BUPLICA,TE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01804082 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/02/2 06/02/2 08:3 08:3 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 73540 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 37000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.50 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 01804082 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN ITIME OUTI VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 73540 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 37000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.50 OUTGO.MSW 0.000 0.00 0.00 Foe
r - :'t..,
y}. 1
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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0342
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANIY-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:
1
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SQUIHOLD TOWN DEPT SOLID WASTE 00 01804106 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF
06/02/2 06/02/2 09:2 09:2 11112TC
9316 Town of Babylon
REFERENCE
SC:ALE GROSS WT 72120 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 35920 LB
QTY. UNIT DESCRIPTION " RATE EXTENSION FEE TOTAL
17.96 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 TICKET GRID WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01804106 Liz H
PO Box 962/6155 Cox,Lane
Cutchogue, NY 11935 DATE IN DATEOUT I TIME IN TIME OUT VEHICLE - ROLLOFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 72120 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 35920 LB
QTY- UNIT- DESCRIPTION RATE EXTENSION ' FEE TOTAL
17.96 OUTGO.MSW 0.000 0.00 0.00 0.02
r` 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 � � 0 218
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
y NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER:
(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
ET
.JN DEPT SOLID WASTE 00 01804533 Will
.2/6155 Cox Lane
oue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/03/2 06/03/2 12:2 12:2 11103TC
9316 Town of Babylon
REFERENCE
•.
MANUAL GROSS WT 62580 LB Outbound Ticket
MANUAL TARE ,WT 36760 LB
NET WEIGHT 25820 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEETOTAL
12.91 Out Shrink Grn Titan 30.000 387.30 0.00 387.3e
s f
Operating hours 7:00 AM to 5:00 PM 7 days,a ,.week.' .." 387.3e
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 01804533 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF
9316 Town of Babylon
REFERENCE
•-
ANUAL GROSS WT 62580 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 25820 LB
QTY., UNIT` DESCRIPTION RATE - EXTENSION' FEE _ TOTAL
12.91 Out Shrink Grn Titan 30.000 387.30 0.00 387.3e
7 ,
'Y
5 � 1
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023
EASTER ,,--'TENDERED
CHANGE
CHECK NO.
SIGNATURE
i RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road
NQ. 0345
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
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. t..� LICENSE NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED-UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: r 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 TICKET GRID WEIGHMASTER
SOUTHOID TOWN DEPT SOLID WASTE 00 01804395 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/03/2 06/03/2 09:0 09:0 11103TC
9316 Town of Babylon
REFERENCE
•.
MANUAL GROSS WT 70720 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 33960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.98 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-:q
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01804395 Wi
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
•-
ANUAL GROSS WT 70720 LB Outbound Ticket
MANUAL TARE WT 36760 . LB
NET WEIGHT 33960 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
� t
Operating hours 7:00 AM to 5:00 PM 7 days, a-,°week::_ LL — ' '' ( ° •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
;•'�;`> TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2,14 Blydenburgh Road - - 0344
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)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: i
TRAILER NO. LICENSE NO/STATE:
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.
�.n
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 00 01805108 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/05/2 06/05/2 08:3 08:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 79300 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 42500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.25 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days. a"" week. w 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 01805108 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
2 GROSS WT 79300 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 42500 LB :::I
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.25 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00PM 7 days, a week> - '-
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-'.4, _-- ' ^;• ,;'i°
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0346
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._i SHIP DATE:
COMMODITY SHIPPED: '-
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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
SOUTHOLI3'•TOWN DEPT SOLID WASTE 00 01805204 Liz H
PO j;6x 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE'OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/05/2 06/05/2 12:0 12:0 11103TC
9316 Town of Babylon
REFERENCE
MANUAL GROSS WT 73920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 37380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.69 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days, a,`w6ek*. 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 0 01805204 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
/MANUAL GROSS WT 73920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 37380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
18.69 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 day's. a.-weeka
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
HECK O.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
4714'Blydenburgh Road 03 4 7
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR'DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
A HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. j r' LICENSE NO/STATE:
TRAILER NO. `r LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: +':�'"' ,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
SOUTHOLD TOWN DEPT SOLID WASTE 00 01805494 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/06/2 06/06/2 12:1 12:1 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 64820 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 28060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.03 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days.a ,week'. 0.0¢
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTERc TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01805494 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
2 GSS WT 64820 LB Outbound Ticket
MANUAL TROARE WT 36760 LB
NET WEIGHT 28060 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.03 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a.:week.
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER`,`,
TENDERED
r„ CHANGE
CHECK NO:�::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0349
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
,!
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ,
TRANSPORTATION/FREIGHT_CO..-.-
i fF c
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. r f LICENSE NO/STATE:
I HEREBY CERTIFY THAT•THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: 1
(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.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD--TOWN DEPT SOLID WASTE 00 01805382 Dan
POS-ook 962/6155 Cox Lane i I
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/06/2 06/06/2--. 08:2 08:2 11103TC
9316 Town of Babylon REFERENCE
SCALE 2 GROSS WT 70860 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34100 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 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
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ulhU53 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D D T TI I TIM T I ROLL OFF
9316 Town of Babylon T__1
REFERENCE e
GALE 2 GROSS WT 70860 LB u oun is e
MANUAL TARE WT 36760 LB
NETWEIGHT 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 OUTGO.MSW 0.000 0.00 0.00 0.02
j
Operating hours 7:00 AM to 5:00 PM 7 days, 6>week._ - ' n
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER",
TENDERED
t4 I 1
CHANGE
CHECK NO.:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
"214 Blydenburgh Road - - 0348
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO ORMATERIALS
BEING SHIPPED AND DOES NOT ASSUME AN ,,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. r 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.
'j
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 'f i:''. DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) - SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO.GEN£RATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01805359 Dan
PVE1ox"962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/06/2 06/06/2 07:2 07:2 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 66040 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 32060 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
_ o
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 018053,9 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 pA E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
GALE 2 GROSS WT 66040 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 32060 LB
QTY. UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL
16.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
,1'
1,
1 _
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 NO. _ - 0214
Islandia, NY 11749
(631) 342-9673 :
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - ` ' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: r
' `-� '�� (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: '- .. J, GROSS
TARE
f 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)
c' TRANSPORTER
TRANSPORTATION/FREIGHT CO. ` r f
TRUCK NO. K='' x LICENSE NO/STATE:
TRAILER NO. r LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE-:ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR`SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) ofyf (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 TICKET GRID , WEIGHMASTER
TOWN DEPT SOLID WASTE 00 01805724 Steph
' sox 96TICKET 2/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT- TIME IN TIME OUT VEHICLE I ROLL OFF
06/07/2 06/07/2 12:112:1 11103T
9316 Town of Babylon REFERENCE
MANUAL GROSS WT 82480 LB Outbound Ticket 77
MANUAL TARE WT 36820 LB
NET WEIGHT 45660 LB
QTY. UNIT DESCRIPTION RATEEXTENSION FEE TOTAL
22.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER- , -TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01805724 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
�.
ANUAL GROSS WT 82480 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 45660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
t 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
JNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0351
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY.CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY.LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: "' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (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. i "` LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL"LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE'INFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED
CCURATE:RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01805639 Steph
PO Box 962/6155 Cox Lane
Cutchogu.e,'_NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/07/2 06/07/2 08:2 08:2 11103TC
9316 +" Town of Babylon
REFERENCE
SCALE 2 GROSS WT 73320 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.25 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, d'week. • Me
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 018056 91 5 ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08-.29
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 73320 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.25 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
Operating hours 7:00 AM to 5:00 PM 7 days 'a :week.;__ e, " •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER] „
i TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 BUNdenburgh Road NO. - _ 0350
Iindia, 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. sT. 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 01805935 Steph
PO Box 962/6155 Cox Lane
Cutchogue, N1# 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/08 /08/2 12:2 12:2 11103TC
9316 i Town of Babylon /206
REFERENCE
SCALE 2 GROSS WT 64200 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 27440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.72 OUTGO.MSW 0.000 0.00 0.00 0.012
Operating hours 7:00 AM to 5:00 PM 7 days.. a,,week: r 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 01805935 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2 t2.2
9316 Town of Babylon
REFERENCE
�.
CALE 2 GSS WT 64200 LB Outbdund Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 27440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE °' TOTAL
13.72 OUTGO.MSW 0.000 0.00 0.00 0.012
r77
,�'''r' }ta ;. �v�-.,•6
F e -• i a-=•s�i}
Operating hours 7:00 AM to 5:00 PM 7 day's, a wreek�%
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER •."' TENDERED
CHANGE
HECK NO::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Bl.ydenburgh Road 0353
Islandl , NY 11749 No.
a
(63 i) 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: -
t -
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 TOWN DEPT SOLID WASTE 00 01805856 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/08/2 06/08/2 08:3 08:3 11103TC
T(316 Town of Babylon
REFERENCE ORIGIN
SCALE 2GROSS WT 69700 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 30560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
�u
tt
i t ti
Operating hours 7:00 AM to 5:00 PM 7 days,a`.week`.'... 'Y,.' ` : 0.0e
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 01805856 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
96,W61 2! O8s3
9316 Town of Babylon
REFERENCE
�.
CALE 2 GROSS WT 69700 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 30560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
10 r i
Operating hours 7:00 AM to 5:00 PM 7 days 'a.week:. ,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER°9
TENDERED
af;l�;I'
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0352
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. "J LICENSE NO/STATE:
TRAILER NO. R tLICENSE NO/STATE: ` ! Ij
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 01806074 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
06/09/21 06109/21 08.
9316 Town of Babylon
REFERENCE ORIGIN
7 -1
SCALE 2 GROSS WT 73300 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.24 OUTGO.MSW 0.000 0.00 0.00 0.0e
�",: '•:rry.��: - :;,�.. tib,
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE VVt U16106U/14 LIZ H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D TI I TIM U ROLL OFF
9316 Town of Babylon
OR
IGIN
55 141 /33ufd LB u oun is e
MANUAL TARE WT 36820 LB
NET WEIGHT 36480 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE :TO
18.24 OUTGO.MSW 0.000
Operating hours 7:00 AM to 5:00 PM 7 days aaweek': _--' .`' X4:3,-' ;` 1 •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 `EASTik-
�'; ,g,rvr `, TENDERED
ti m4,"1 CHANGE
HEC NO.
---j
SIGNATURE �f
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0354
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: 1 Cj
TRAILER NO. i t LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ,
(PRINT NAME) -(SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY 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
`UT}FOLD TOWN DEPT SOLID WASTE 00 01806165 Liz H
PO Box'962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/09/2 06/09/2 12:2 12:2 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 71580 LB Outbound Ticket
MANUAL TARE WT 37820 LB
NET WEIGHT 33760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.88 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 TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01806165 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INDATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 71580 LB Outbound Ticket
MANUAL TARE WT 37820 LB
NET WEIGHT 33760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.88 OUTGO.MSW 0.000 0.00 0.00 0.02
I Operating hours 7:00 AM to 5:00 PM 7 days, a..,week: �p
CLOSED HOLIDAYS - SUNDAY APRIL 9 2023 EASTER?':
`._ 'rnz.:_, TENDERED
CHANGE
CHECK NO.
SIGNATURE
f- T1NITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0355
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT-CO.
TRUCK NO. LICENSE NO/STATE: r
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
f SOUTNLO TOWN DEPT SOLID WASTE 00 01806316 Steph
PO Boz 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/10/2 06/10/2 08:1 08:1 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 81620 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 44860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.43 OUTGO.MSW 0.000 0.00 0.00 0.0e
J"'.-r i�3r i..f'�` �.,5•�(1: r ...�_-~�Sv'"
'Y -
Operating hours 7:00 AM to 5:00 PM 7 days a "week: . l Me
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ;- TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01806316 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUTTIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 81620 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 44860 LB
QTY. UNIT• DESCRIPTION RATE EXTENSION FEE `-TOTAL
22.43 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days• 'a...•week•:`. = "` 'n •
il
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER'
l�`• ''s ;.. } !1 d `3> r}' TENDERED
CHANGE
CHECK NO.
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 3 5 6
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. a
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.
LDUP111-114TE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01807041 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/12/2 06/12/2 08:4 08:4 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 68000 - LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 31460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.73 OUTGO.MSW 0.000 0.00 0.00 0.0e
�3
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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807041 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
•-
SCALE 2 GSS WT 68000 LB Outbound Ticket
MANUAL TROARE WT 36540 LB
NET WEIGHT 31460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.73 OUTGO.MSW 0.000 0.00 0.00 0.0e
r«1 .,�'_ _ A'.fit%}: --•1
i= r, L
S,j r
Operating hours 7:00 AM to 5:00 PM 7
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER, r:=
TENDERED
CHANGE
CHECK NO.
SIGNATURE
. 1�
t
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0357
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:
{1
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. d`'' ,` d J i
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.
LICENSE NO/STATE: .
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.-
DRIVER:
-(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: +`,., ;r i` rr4'' :,< 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.
DUn;�CATE TICKET SITE TICKET GRID WEIGHMASTER
f
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807157 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
06/12/2 06/12/2 12:4 12:4 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 40480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.24 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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807157 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
•-
SCALE 2 GROSS WT 79620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 40480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.24 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day's a week..
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
i TENDERED
CHANGE
CHECK NO.
SIGNATURE
`-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - 0358
Islarndia, 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 LI BILIN ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: J ,f
f
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 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:
y
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:
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.
DUPLICAyE. TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807301 Steph
PO ox 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/13/23 06/13/2 07:1 07:1 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2GROSS WT 62900 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 26080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.04 OUTGO.MSW 0.000 0.00 0.00 0.02
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 01807301 Step
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 62900 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 26080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.04 OUTGO.MSW 0.000 0.00 0.00 0.0e
I}jp •
t t _
x
Operating hours 7:00 AM to 5:00 PM 7 days alweekr=-
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-'.,.
_ TENDERED
CHANGE
HECK NO.
SIGNATURE
47
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 3 5 9
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..— --.-i
f 7
TRUCK NO. —LICENSE NO/STATE:
TRAILER NO. trt ' 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: Is
—
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: :°. DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR:,,.-.,,,,
GOLD TO GENERATOR DISPOSALtOCATION TICKET NO.
W
DUISLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807311 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/13/23 06/13/2 07:4 07:4 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2GROSS WT 63680 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 27740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.87 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
iDUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807311 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 2 GROSS WT 63680 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 27740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.87 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a�week'., a T ,
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER'
,:•
TENDERED
CHANGE
CHECK NO.
SIGNATURE
7 !
._.,TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 217
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: I
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: t - `' 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.
f Ria
GENERATOR AUTHORIZED AGENT(PR1NT NAME) - (SIGNATURE-). 4
TRANSPORTER I
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 01807368 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLLOFF
06/13/2 06/13/2 10:5 10:5 11103TC
REFERENCE 9316 , Town of Babylon
ORIGIN
SCALE 2 GROSS WT 70920 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 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 NO.
�)
SIGNATURE
DUPLICATE TICKET SITE ; TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807368 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 2 GROSS WT 70920 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 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 Bl 4enburgh Road NO. - 0360
Islam#a, 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: i''%r'- SHIR DATE:
COMMODITY SHIPPED: f` '/I . ¢
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN.FREE LIQUID AS DEFINED BY-40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. - "
TRUCK NO. '`f LICENSE NO/STATE: -' -
TRAILER NO. . .� f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) -(SIGNATURE)
DESTINATION
DISPOSAL LOCATION` u- r.. '�' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THEBEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807538 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/14/2 06/14/2 07:4 07:4 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 72400 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 35580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.79 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
DUPLICATE TICKET SITE TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D D E T TII TIM U I ROLLOFF
9316 Town of Babylon
REFERENCE
�.
CALE 2 GROS
S
T 2 u oun is e
MANUAL TARE WT 36820 LB
NET WEIGHT 35580 LB
QTY UNIT DESCRIPTION RATEEXTENSION FEE TOTAL
17.79 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. 0215
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: J ( i 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.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807554 Steph
PO Box 962/6155 Cox Lane — t
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/2 06/14/2 08:3 08:3 11103TC
9316 ToT of Babylon.
R R
SCALE 2 GROSS WT 68860 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 32320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.16 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
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D T TI I TIM ROLLOFF
9316 Town of Babylon
REFERENCE
•-
GALE 2 GR0 S u oun Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 32320 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
16.16 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 1 0361
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/FR EIGHT
RANSPORTER-TRANSPORTATION/FREIGHT CO.
NJ f
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
SOUT}IOLD;TOWN DEPT SOLID WASTE 00 01807641 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/2 06/14/2 12:0 12:0 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 76640 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.94 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week'. Me
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER-... TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET (SITEF TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807641 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 76640 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39880 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.94 OUTGO.MSW 0.000 0.00 0.00 0.0e
JI
Operating hours 7:00 AM to 5:00 PM 7 days 'a—week..'- - ANEW •
1010
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 1�Blydenburgh Road NO. - 0362
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,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER-
TRANSPORTATIONIFREIGHT 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
if 1
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.
DUR.LICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807807 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT -TIME IN TIME OUT VEHICLE ROLL OFF
06/15/2 06/15/2 08:4 08:45 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
7 1 -1
SCALE 2 GROSS WT 72620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 33480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.74 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.- , - Me
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER TENDERED -
CHANGE
HECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807807 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
•-
SCALE 2 GROSS WT 72620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 33480 LB
QTY. ' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.74 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 0363
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. ti° = 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
r
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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807870 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/15/2 06/15/2 12:3 12:3 11 03T
'-'9316 Town of Babylon
REFERENCE
MANUAL GROSS WT 75540 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.50 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. ��j
SIGNATURE
DUPLICATE TICKET SITE I TICKET =GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 018078701iz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT VE ICLE ROLLOFF
9316 Town of Babylon
REFERENCE
•-
ANUAL GROSS WT 75540 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39000 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION PEE TOTAL
19.50 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days -@ week..: v. •
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER ,
ti. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road NO. _ - 0364
,. 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: f
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
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.
._D11PL ,ATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807995 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
06/16/2 06/16/2 08:3 08:3 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2GROSS WT 69020 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 31600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.80 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:::::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01807995 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 —0671672-3 01571572-3 08:313 1 ?0?J:J10j 1111d:51L
REFERENCE
CALE 2 GROSS WT 69020 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 31600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.80 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 0365
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t' SHIP DATE:
J.P
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. r LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT-THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DU,PL1hATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01808092 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/16/2 06/16/2 12:2 12:26 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 75380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.31 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 01808092 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 75380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.31 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 N09
SIGNATURE
. TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 3 6 6
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.
fi ,
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: i a7 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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01808232 Steph
PO Box 962/6155 Cox Lane
Cutchogue,, NY,,A935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/17/2 06/17/2 07:5 07:50 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73940 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 39960 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.98 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 018082321 Step
PO Box 962/6155 Cox Lane t I
Cutchogue, NY 11935 DATE INj DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
GALE 2 GROSS WT 73940 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 39960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
AIIIIIIIIIIIIIIIIIIINLVA
Operating hours 7:00 AM to 5:00 PM 7 days a week. MIA1 •
151
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0367
IslarviNY 11749 NO'
a,
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
.COMMODITY SHIPPED: ;
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: i
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET J GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809045 Steph
-L?O BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
�. 06/20/23 06/20/23 11:59 11:59 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 72480 LB Outbound Ticket
MANUAL TARE WT 35940 LB
ET WEIGHT 36540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.27 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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01809045 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/20/23 06/20/23 11: 1: =93-77--
9316
39316 Town of Babylon
REFERENCE ORIGIN
(NET
LE 2 GROSS WT 72480 LB Outbound Ticket
UAL TARE WT 35940 LB
WEIGHT 36540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.27 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 NOJ
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0369
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.
s
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. r 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 ': ..(' .''1 �A 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 >L
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01808903 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/20/23 06/20/23 08:38 08:38 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 66040 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 29280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
Loll]AdEff 1 Fie MEN MA
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:::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01808903 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 GSS WT 66040 LB Outbound Ticket
ANUAL TARE WT 36760 LB
NET WEIGHT 29280 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.64 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 - - 0368
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:
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 NAMEDMATERIALWAS 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.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809352 Steph
PO Box 962/6155 Cox Lane
Cutchogue,NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/21/2 06/21/2 11:3 11:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 70880 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.06 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. Me
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 01809352 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
CALE 2 GROSS WT 70880 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.06 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. j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0371
Islandia, NY 11749 "Q'
(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 ANYLIABILITY.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)
TRANSP}ORTER_
TRANSPORTATION/FREIGHT CO. _, !`W ; ' ` >r' J • ;
a,
TRUCK NO. `` LICENSE NO/STATE:
TRAILER NO. r `;'f LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVErNAMED 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 01809269 Steph
PO Box 962/6155 Cox Lane
Cutchogue, Nf 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/21/2 06/21/2 08:2 08:2 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 79500 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 40360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.18 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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809269 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79500 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 40360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
IWAII
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 Wl aenburgh Road - 0219
Islaridia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS'
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `~ t
SHIP DATE: rF
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) / (S GNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. .-LICENSE NO/STATE:
TRAILER NO. yr ;, 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: i r
(PRINT NAME) ( )GNATURE)
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 01809268 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/21/2 06/21/2 08:1 08:1 11103TC
9316 Town of Babylon
REFERENCE
SC:ALE GROSS WT 80880 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 43460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.73 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:::::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809268i 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
ORIGINREFERENCE 80880 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 43460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.73 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 - 0370
Islandia, NY 11749 No.
A
(63 t� 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.
,Z:,
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)
T__RANSPORTER..___<,.
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. LICENSE NO/STATE: Ja'
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
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.
DUPLICATE TICKET SITE I TICKET I GRID WEIGH-MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809560 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY,11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
06/22/2 06/22/2 08:3 08:3 11100TC
9316 i--Town of Babylon t I 'I
REFERENCE ORIGIN
F
GROSS WT 73740 LB Outbound Ticket
TARE WT 36760 LB
GHT 36980 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.49 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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
G SS WT 73740 LB Out oun Tic et
MANUAL TARE WT 36760 LB
NET WEIGHT 36980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.49 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
C EC NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION .
214 Blydenburgh Road - - 0372-
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,, I
TRUCK NO. r LICENSE NO/STATE:
I _ -
TRAILER NO. r - � LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITEf LISTED ABOVE, AND THAT'IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED-BELOW.'
DRIVER: -
'(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION:
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 00 01809656 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
06/22/2 06/22/2 12:0 12:0 11100TC
9316 Town of Babylon REFERENCE I
SCALE 2 GROSS WT 76920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 40380 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
WIN 0 111111111
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 001 01809656 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
0612211-3 067277727 12:0
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 76920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 40380 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.19 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 1 0373
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:
•,f.i4 I
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: `?
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 LOCATIONDATE 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.
i SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01809831 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/23/2 06/23/2 08:5 08:5 11100TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 65580 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 28760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.38 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
HECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
65580 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 28760 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.38 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 _ - 0374
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: =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 SY 40 CFR PART 260.10 OR ANY .
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER'
TRANSPORTATION/FREIGHT CO_.
TRUCK NO. t l LICENSE NO/STATE: % 3'
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: y' _
(PRINT NAME) HY (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
SOUTHOIIND TOWN DEPT SOLID WASTE 001 01809932 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
CGtchogue, NY 11935
06/23/23 06/23/23 12:29 12:29 11100TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 68260 LB Outbound Ticket
MANUAL TARE WT 33980 LB
ET WEIGHT 34280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
Lei I
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 001 01809932 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
—0612312-1 051Z-31Z3
9316 Town of Babylon
REFERENCE
(NET
ALE 2 GROSS WT 68260 LB Outbound Ticket
NUAL TARE WT 33980 LB
WEIGHT 34280 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.14 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
ti
214 Blydenburgh Road 0375
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
r
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY'APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: --
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(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 01810100 Ste ph
PO Box 962/61551Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/24/2 06/24/2 10:2 10:2 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
7 1
SCALE 2 GROSS WT 74220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.14 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 WASTE00 01810100 Steph
PO Box 962/6155 Cox Lane t �
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38280 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.14 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 Bly4pburgh Road NO. - 0376
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: 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.
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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810747 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/26/2 06/26/2 12: 12:17 11100TC
9316 Town of Babylon
REFERENCE
7
MANUAL GROSS WT 83740 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.16 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810747 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE ROLL OFF
9316 Town of Babylon VU/�V/�j VU/
REFERENCE
s-
ANUAL GROSS WT 83740 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.16 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0378
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR.DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
r _ .
COMPANY: 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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICaVE TICKET SITE I TICKET GRID WEIGHMASTER
30UTHOLD TOWN DEPT SOLID WASTE 00 01810600 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/26/2 06/26/2 07:1 07:1 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 74380 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37560 LB 7
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.78 OUTGO.MSW 0.000 0.00 0.00 0.02
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 01810600 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
GALE 2 GSS WT 74380 LB Outbound Ticket
MANUAL TROARE WT 36820 LB
NET WEIGHT 37560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.78 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
TfdNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0216
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
i = 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.
1 t ,
GENERATOR AUTHORIZED AGENT(PRINT NAME) -`(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS .
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED::
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810628 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/26/2 06/26/2 08:2 08:23 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 76700 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.97 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.
__j
SIGNATURE
DUPLICATE TICKET tSITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810628 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
CALE 2 GROSS WT 76700 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
19.97 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,Pas G
INJ
CLOSED HOLIDAYS - SUNDAY, APRIL 9, 2023 EASTER
TENDERED
CHANGE
C ECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 NO. 0377
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 ANYrLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
f�
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.
J
TRUCK NO. ~� LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT'THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: -- DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
s iSITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810685 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/26/2 06/26/2 10: 10:4 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 81000 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 44200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.10 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 - NEXT: TUESDAY, JULY 4 —INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
--j
SIGNATURE
DUPLICATE TICKET SITE I TICKET. . I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01810685 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
•-
CALE 2 GROSS WT 81000 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 44200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.10 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.-- - 0220
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
' ..! w) r, �.. •e 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.
4!
C,.
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
CCURATE:RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01810932 Will
PO Box 162/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF-
Cutchogue, NY 11935
' 06/27/23 06/27/23 08:40 08:40 11100TC
9316' Town of Babylon
REFERENCE
MANUAL GROSS WT 86080 LB Outbound Ticket
MANUAL TARE WT 36760 LB
ET WEIGHT 49320 LB
QIN. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.66 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 - NEXT: TUESDAY, JULY 4 —INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO:::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01810932 1 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN' TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
ANUAL GROSS WT 86080 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 49320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.66 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED"
DAY
--CHANGE -
'CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21-4 Blydenburgh Road 0379NO.
Jslandia, 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,lASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ° '� SHIP DATE:
fi'
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 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. ' .f LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: r
-' (PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE-BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOON DEPT SOLID WASTE 001 01811015 Will
PO Box 962%6155 Cox Lane DATE IN DATE OUT , TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
06/27/23 06/27/23 12:27 12:27 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 76940 LB Outbound Ticket
MANUAL TARE WT 36820 LB
ET WEIGHT 40120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.06 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01811015 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 76940 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.06 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
TENDERED
DAY
CHANGE
CHECK NO.:q
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - 0380
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 00 01811173 Dan
PO box-T6r/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN`TIME OUT VEHICLE ROLLOFF
06/28/23 06/28/2 08:3 08:3 11100TC
9316 Town of Babylon
REFERENCE
•-
MANUAL GROSS WT 85740 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 48980 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.49 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysa week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.-
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01811173 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF
1 11100TC
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 85740 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 48980 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.49 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 - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
"214 Blydenburgh Road 0381
Islandia, NY 111749 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: �: -;ri
SHIP DATE:
COMMODITY SHIPPED:
r
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 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. '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.
k
DRIVER: i ; r`d V11 f�
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET -GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811398 Will
PO Box ,962/6155 Cox Lane
CutchoPUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
06/29/23 06/29/2 09:0 09:0 11100TC
9316 Town of Babylon
REFERENCE
•-
MANUAL GROSS WT 77340 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 38200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.10 OUTGO.MSW 0.000 0.00 0.00 0.012
1 •'A "Sv
Ilk
r�
T010
Operating hours 7:00 AM to 5:00 PM 7 days�,a ,week: 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 `=;;.INDE,PENDENCE TENDERED
DAY
• CHA E
CHECK NO:
-::j
SIGNATURE
DUPLICATE TICKET IS&E TICKET •GRID'" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811398 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIME''IN j TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE
•-
MANUAL GROSS WT 77340 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 38200 LB
QTY UNIT_ DESCRIPTION RATE EXTENSION .- FEE TOTAL -
19.10 OUTGO.MSW 0.000 0.00 0.00 0.012
tit y � j ` a?,• •
Operating hours 7:00 AM to 5:00 PM 7 daysa,'"ek.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 ,,=•, INDEPENDENCE
DAY TENDERED
I " '`
CHANGE
CHECK NO..-
SIGNATURE
TRINT� TRANSPORTATION CORPORATION
214 - >enburgh Road - 0382
Is a, 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.
LICENSE NO/STATE: '
TRUCK NO. -
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: , R
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811490 Will
PO Box 962'/6155 Cox Lane
Cutcho�ue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/29/23 06/29/2 12:2 12:2S 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 80080 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 43320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.66 OUTGO.MSW 0.000 0.00 0.00 0.02
r �t
Operating hours 7:00 AM to 5:00 PM 7 days a .week:• 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 ',INDEPENDENCE. TENDERED
DAY
CHANGE
CHE K NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811490 1 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATUTJ TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
MANUAL GROSS WT 80080 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 43320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.66 OUTGO.MSW 0.000 0.00 0.00 0.02
AlI."
Operating hours 7:00 AM to 5:00 PM 7 days a?week':
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4' =,INDEP.,ENDENCE-
_.
DAY TENDERED
r'p,t ,i"` �r aj i,,.e» i:� _ �J�
CHANGE
CHECK NO-:q
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0383
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:
.9
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...,
- 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.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811640 Dan
PO Pox.'NZ,/6155 Cox Lane
CUtchogue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/30/2 06/30/2 08:3 08:3z 11100TC
9316• Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 70420 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 31280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
(� 3
Operating hours 7:00 AM to 5:00 PM 7 days.a,.week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 -. INDEPENDENCE' - TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811640 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEQUTj TIM EIN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 70420 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 31280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.64 OUTGO.MSW 0.000 0.00 0.00 0.6e
Operating hours 7:00 AM to 5:00 PM 7 days a-week4 _ t
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 : ,INDEPENDENCE. -- „_� :; :;;-'
TENDERED
DAY
CHANGE
CHECK NO.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.2143lydenburgh Road NO. - - 0384
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
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