HomeMy WebLinkAbout04/2022 "DUPLICATE TICKET't* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01697613 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/01/22 04/01/22 12:51 12:51 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80100 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 42680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.34 .
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CLOSED HOLIDAYS-QUESTIONS CALL 631-73447685.< UU
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SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01697613 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
04/01/22 04/01/22 12:51 12:51 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80100 LB Outbound-Charge ticket
-Manual Tare Wt. 37420 LB
Net Weight 42680 LB
QTY, UNIT DESCRIPTION RATE EXTENSION " FEE TOTAL
21.34 TON OUTGO.MS 0.000 0.00
}r �
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685:`'; '.;
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TENDERED
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ECK NO.
SIGNATURE �f _�
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6460
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:
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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
* S&THOLD TOWN DEPT SOLID WASTE 01 01697512 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/01/22 04/01/22 09:19 09:19 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 85060 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 46360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL .
. 0.00 0.00
f -'
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:-,) - - '�i ." UU
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TENDERED
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SIGNATURE
""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01697512 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .DATE OUT TIME IN TIME OUT VEHICLE- ROLL OFF
04/01/22 04/01/22 09:19 09:19 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
C F -1
Scale 2 Gross Wt. 85060 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 46360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
€ `
D y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:6 0.00
TENDERED
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SIGNATURE
r TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6459
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:
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 TICKE,P"" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01698538 Steph
PO Box 962/6155 Cox.Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/04/22 04/04/22 11:40 11:40 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
7—
Scale 2 Gross Wt. 68660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
-Net Weight 31840 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685e,a
` dir.:• s '� TENDERED
ram '4 Y CHANGE
CHECK NO.:l
SIGNATURE
"DUPLICATE TICKET" TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01698538 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/04/22 04/04/22 11:40 11:40 11100TC
009316 Town of,Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68660 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0 0.00
O
C3
+ ,
L..j
CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685 ., -- ° �` '� rir
TENDERED
A' CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6462
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: ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: �.(aCe [� GROSS
TARE
�4L[p 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 T TATION 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:
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 01 01698435 Steph
PO Box 962/6156 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/04/22 04/04/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 29140 LB
OTy. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.57 T O T O. 0.000 0.00 0.00 0.00
l� &1t � t{ � � eiW•�
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CLOSED HOLIDAYS-QUESTIONS CALL 631-7347.685� `'` - `, fj°.10.00
TENDERED
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CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01698435 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE'• ROLL OFF
04/04/22 04REFERENCE
'04/22 08:16 08*16 11100TC
009316 Town of Babylon
CE
•
Scale 2 Gross Wt. 65680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 29140 LB
F-OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00
1Z
7.S�P1 4 Lq
_J
O — _ Qom: a ti •
CLOSED HOLIDAYS=QUESTIONS CALL 631-7347685'/<s "' ` pg .~a f0.00
-' � ✓`°' �� TENDERED
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SIGNATURE
'T+RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6461
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:
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:
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
SP,UTHOLD TOWN DEPT SOLID WASTE 01 01698765 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/05/22 04/05/22 08:07 08:07 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83300 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
_Net Weight 49320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.66 TON OUTGO.MS
'
O E =
CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685 1,} •
TENDERED
' CHANGE
CHECK NO.
SIGNATURE
SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01698765 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935. DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/05/22 04/05/22 08:07 08:07 11100TC
009316 Town of-Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83300 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t ' '
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - r' UU
TENDERED
CHANGE
CH
ECK NO.
SIGNATURE tf
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6463
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. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW_
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION.
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699127 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/06/22 04/06/22 08:33 08:33 11100TC
009316 Town of Babylon
REFERENCE
Scaley2 Gross Wt. 73960 LB Outbound-Charge ticket
,.e lanual Tare Wt. 36620 LB
Net Weight 37340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: - . ''
= TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SO,UTHOLD TOWN DEPT SOLID WASTE 01 01699127 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/06/22 1 04/02 08:33 08:33 11100TC
009316 Town of Babylon 6/2
REFERENCE 1 •'
Scale 2 Gross Wt. 73960 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 37340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:-?" , x 0.00
d' TENDERED
CHANGE
CHECK NO_:q
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6464
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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
a
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 Ul U 11599151 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town di c'3abylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78340 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41580 LB
CITY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
" o ,.,.
tti ^r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685;''
- TENDERED
CHANGE
HECK NO.
SIGNATURE
"DUPLICATE TICKET" (sITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0 699 57 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04 06 22 04/06/22 12:10 12:10 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 78340 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41580 LB
CITY. UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL
30
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'-7685:;.'
TENDERED
k r CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6465
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET-NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699335 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN '.DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/07/22 04/07/22 12:37 12:37 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
U.m S vv 0.00 0.00
1- {_S
CLOSED HOLIDAYS-QUESTIONS CALL 631-734�7685:s'j =' - (
T 0.00
r�t TENDERED
a .
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699335 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/07/22 04/07/22 12:37 12:37 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O O.MSW 0.000 0.00 0.00 0.00
15
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685::rm 0.00
TENDERED
c a, 'N'Ll
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6467
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: , Z�bc� GROSS
M I L/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 TRANSPOR. CCORDING TO APPLICABLE REGULATION.
0
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE .
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01699252 Pat H
PO:Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/07/22 04/07/22 09:05 09:05 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 82300 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.80 ON OU GO.MSW 0.000 0.00 0.00 0.00
r s d6 N
MRA
`°:',,:.»-:. ,,.-_.....yr, ,; ,^ ,} �� •
CLOSED HOLIDAYS-,QUESTIONS CALL 631-73447685��? f'4 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699252 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/07/22 04/07/22 09:05 09:05 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82300 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00
G Y ., f• {� �< a' ., r``�`M 7 try
Op s rod Am to mob mvi 7 days a wee i a�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685% `' e 0.00
TENDERED.
.`.gip,,. ,a 9 �+�•��p L.
`-i.,.{'r `•✓ CHANGE
CHECK NO.:q
SIGNATURE
O
TRINITY TRANSPORTATION CORPORATION
` 214 Blydenburgh Road NO. 6466
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
BEINGSHIPPED 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: �[Z 2, 300 GROSS
3 ) 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 AN P-EkICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATIONACCORDING 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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR . DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET'* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699461 Dan
PO Bbz"WW2/y155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/08/22 04/08/22 08:55 08:55 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76180 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 39640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
401,, t,
f i
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:, ; - - y )
TENDERED
CHANGE
CHECK NO-
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699461 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/08/22 1 04/08/22 08:55 08:55 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76180 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 39640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
_4 (�
Or2S
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7y685:;=, , `x, U.Uyu
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION_ CORPORATION
214 Blydenburgh Road NO. 6468
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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET'NO.
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699722 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/09/22 04/09/22 08:45 1 08:45 1 11100TC
009316 4-.own of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 77260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 0.00
- } '
_S 1_, V•
t 1 6t,
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685' _,h` _
TENDERED
CHANGE
CHE K NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699722 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT VEHICLE ROLL OFF
04/09/22 04/09/22 08:45 08:45 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77260 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL
. 0.00 0.00
O (4{ Ilk
WT VA•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:.-
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6469
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:-
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 IWEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE tep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
C
009319 Green Titan, Inc.
21 Dorset Drive REFERENCE ORIGIN
Marlton NJ 08053
Scale 2 Gross Wt. 62040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 25760 LB
UN Out 81niftglIlTION RATE EXTENSION FEE TOTAL
QTY. L
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:1,"
:)' + TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 1699856 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
0 9 22 04 09/22 12:03 12:03 11100TC
009319 Green Titan, Inc.
21 Dorset Drive ORIGIN
Marlton NJ 08053
Scale 2 Gross Wt. 62040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 25760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
(t.t • t F� ` i
S -
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`-~ °
TENDERED
;r
CHANGE
HECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699856 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/09/22 04/09/22 12:03 12:03 11100TC
009319 Green Titan, Inc.
21 Dorset Drive REFERENCE ORIGIN
Marlton NJ 08053
Scale 2 Gross Wt. 62040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 25760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
N
lip
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ` -"
e:s., F •r r, .Ft„' .' TENDERED
CHANGE
CHECK NO.:q
SIGNATURE
"DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01699856 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/09/22 04/09/22 12:03 12:03 11100TC
009319 Green Titan, Inc.
21 Dorset Drive REFERENCE •-
Marlton NJ 08053
Scale 2 Gross Wt. 62040 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 25760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Out ShrInKurn I Ian 772.80
t 3 •-
-,i
R.�
O ;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;; ;.. > ` �' 772.80
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6470
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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700618 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/11/22 04/11/22 12:33 12:33 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 67740 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 30920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ;--
TENDERED
• =.. (:�{ail �`�><��{'�� '�"�� Y
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET"* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700618 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
04/11/22 04/11/22 12:33 12:33 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 67740 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 30920 LB
CITY. UNIT DESCRIPTION_ RATE EXTENSION FEE TOTAL
15.46 7ZM7C5UTG0.MSW 0.00 0.00
tJ .
.Ad A04
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
TENDERED
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6472
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:
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:
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
. lR
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATI=TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700508 Steph
PO Box'962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT .TIME'IN TIME OUT VEHICLE ROLL OFF
04/11/22 1 04/11/22 09:13 1 09:13 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 31480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685.""-"),
TENDERED
j") CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700508 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/11/22 04/11/22 09:13 09:13 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65460 LB Outbound-Charge ticket
-Manual Tare Wt. 33980 LB
Net Weight 31480 LB
QTY. UNIT DESCRIPTION ' RATE EXTENSION FEE ' TOTAL
0.000 0.00 0.00 0.00
!
Cti,{J� s w2
mg-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
' "' l::a'•, - i '. t.' TENDERED.
CHANGE
CHECK NO.
SIGNATURE
v',
TrINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 4 71
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:
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:
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 01 01700845 Steph
PO Box 962/6155 Cox Lane
Cutchoguq, 14Y 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/12/22 1 04/12/22 09:18 09:18 1 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81340 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 43920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`-7685 e- ` '4 - " '' y` ?~ •
141 i;\r w, :Y 5r. P �`�. TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700845 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/12/22 04/12/22 09:18 09:18 11100TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 81340 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 43920 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Cox vv1zv
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,f�< 0.00
` ``-%• Fey � '------_�- `r�;•• ra;
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6473NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: .
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:
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 01 01700954 Steph
PO Box.962/15-d55 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - TIME IN TIME OUT VEHICLE ' ROLL OFF
22 104/12/22 3:14 13:14 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37180 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE _ TOTAL
TON OUTO JAM 0.00UU
52
X :
CLOSED HOLIDAYS-QUESTIONS CALL 631-734�;7685 -)
Sze ? # TENDERED
CHANGE
HECK NO.
SIGNATURE
"DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01700954 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEJN TIME OUT VEHICLE ROLL OFF
04/12/22 04/12/22 13:14 13:14 11100TC
009316 Town of Babylon
I REFERENCE
--Scale 2 Gross Wt. 71160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37180 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
�.y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: P —--' - ^ a
TENDERED
CHANGE
. CHECK NO.
SIGNATURE
r
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6474
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. 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 01 01701110 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT t VEHICLE ROLL OFF
0 04/13/22 04/13/22 08:23 08:23 11100TC
00931&Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 75680 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
S.g t,;A 9 i.,,.v.._.„.."', r `t.x' fit, ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7341768V- ` — '` 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01701110 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/13/22 04/13/22 08:23 08:23 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75680 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i x r
r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ?�r '` I _; f:;` 0.00
TENDERED
CHANGE
CHECK NO.
-j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6475
Islandia, NY 11749
- 631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE. LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 01 01701229 Steph
PO Box 962%6 C55 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/13/22 04/13/22 12:17 12:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79800 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-7341 35 ''�' �� ,I�3 •
TENDERED
[_ CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01701229 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/13/22 1 04/13/22 12:17 12:17 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 79800 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL
00 0.00 0.00 0.00
t+
it ins �. .^,•w I !_ 1 _' ,IT'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76 /,
85'. f:3A r', 0.00
r
TENDERED
CHANGE
CHECK NO.
_�_j
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6476
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:
1 HEREBY CERTIFYTHAT 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*" SITEI TICKET GRID WEIGHMASTER
SOUTHO�D TOWN DEPT SOLID WASTE 01 01701441 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09:08 09:08 11100TC
009316 Town of Babylon
REFERENCE
-Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41460 LB
CITY. UNI DESCRIPTION RATE EXTENSION= FEE TOTAL
IL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 fry
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01441 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE_OUT TIME IN TIME OUT VEHICLE ROLL OFF
:0 09:08 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41460 LB ::I
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
'4 1
O }
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�685:4�':�
<•:f fir' lnlsg r �,�,°; kr TENDERED
aS�irs a (r 3
CHANGE
CHECK NO.
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6477
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: , `O�O GROSS
TARE
4 r (v-0 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 TRA N 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"`" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 U11U11z1 Dan
P.O Box V2/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
7 8: 7 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74360 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL
t" `ii 2 1 C�3it
° r
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685a �``; "v p. `".° �$� � •
TENDERED
C7 CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 1701727 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF
22 08:07 08:07 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74360 LB Outbound-Charge ticket
Manual Tare Wt. 36600 LB
Net Weight 37760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
p t
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�685. ,� -� ✓ � A 4 ` UU
w.
{ " TENDERED'
CHANGE
CHECK O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6478
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) . . (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 01 U17U1873 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 1':935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2:04 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77320 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40780 LB
QTY U DESCRIPTION RATE EXTENSION FEE TOTAL
r-7
t tt t j lie
Latina hQurs 7A AM to 5:1 PM 7 daysq WP
i 2x 1 f
Ar
CLOSED HOLIDAYS-QUESTIONS CALL 631-734,7685, '-.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKEF_ I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
:04 12:04 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 77320 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40780 LB
CITY. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CN
i¢
O k ray § s i 1� r tt a d`'S1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685; , '.y"" ¢nu^
TENDERED
N•;" a ' CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION_
214 B"lydenburgh Road NO. 6479
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. 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO..
"DUPLICATE TICKET" (SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01702143 ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - a DATE IN. DATE OUT... TIME IN TIME OUT• VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70980 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37000 LB
CITY. UNIT DESCRIPTION RATE EXTENSION 'FEE. TOTAL
J L
CLOSED HOLIDAYS-QUESTIONS CALL 631-734�:7685ri1, y` --� ;, , 04 pX •
TENDERED
t, - CHANGE
CHE K NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET - GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1702143 tep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `.DATE IN DATE OUT TIME IN'TIME OUT VEHICLE" `ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
-Scale 2 Gross Wt. 70980 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:�'-,,m `:;� -" —.r .,
MUM Owl
i AN
-,r - TENDERED
'?' CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blyden4nrg4 Road NO. 6480
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
SOUTHOLD TOWN DEPT SOLID WASTE 01 01702681 Steph
PO Box 962/6155 Cox Lane
tj -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/18/22 04/18/22 11:23 11:23 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
,Net Weight 35300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operatim NM to 5A PM
CLOSED HOLIDAYS-QUESTIONS CALL 631-734768Wig;,
Zx y In
7 T}' TENDERED
'r amp" CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET 'GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01702681 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/18/22 04/18/22 11:23 11:23 11100TC
009316 Town of-Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734?'7685 '4 p ��, " 0.00
�
' a7/ "^ } TENDERED
CHANGE
C ECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6482
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:
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:
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" I(SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01702576 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/18/22 04/18/22 08:08 08:08 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 68580 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
-Net Weight 31760 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
to
t
�J ' — _ € 1 r r )
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685
TENDERED
n,{ ? CHANGE
CHECK NO.:::j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01702576 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/18/22 04/18/22 08:08 08:08 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68580 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.88 TO OUTGO.MSW
{4
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685;yj?, `"
1 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6481
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:
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:
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 01 01703030 Steph
PO E?az�362/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
04/19/22 1 04/19/22 11:57 11:57 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72760 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
..Net Weight 35940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
�/,✓(� . 4�'�EutF �`"r�}a�J�(.3�/ ^p"tea .
! 1, M1 \,4 t`l ti`.^� 'j 6✓
{� R% �•
r
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685-�2�f (, r
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01703030 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/19/22 04/19/22 11:57 11:57 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72760 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.97 TON DUTGO.MSW 0.000 0.00 0.00 0.00
ram,,-(% P� F
�M;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:; ` :�qq ~-~�` t�h ;} 0.00
TENDERED
ti' 4•.'
{^ !✓" CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6484
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:
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:
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
SOUTIjQLD`'0WN DEPT SOLID WASTE 01 1 01702930 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/19/22 04/19/22 08:31 08:31 11100TC
009316 Town of Babylon
REFERENCE
7 ..
Scale 2 Gross Wt. 89820 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 51120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1 � p
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685°:'-,),
UU
TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01702930 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/19/22 04/19/22 08:31 08:31 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 89820 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 51120 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
l d':Z—
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685y'r"=
TENDERED
CHANGE
-CHECK NO.
SIGNATURE
v i
TRINITY TRANSPORTATION CORPORATION
2114 Blydenburgh Road NO. 6483
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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01703185 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 1,1 cl.35 DATE IN I DATE OUT TIME,IN. TIME OUT VEHICLE ROLL OFF
04/20/22 04/20/22 08:25 08:25 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 86720 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 49960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.98 TON DUTGO.MSW 0.000 0.00 0.00 0.00
au
r
` c a r
ppI f( y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7L685. �� _ UU
q s�
- TENDERED
CHANGE
CHECK NO.'
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01703185 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
04/20/22 04/20/22 08:25 08:25 11100TC
REFERENCE 011.00110IIIIIIIIIIIIIIIIIIIIIIIIIIIII
009316 Town of Babylon
Scale 2 Gross Wt. 86720 LB Outbound-Charge ticket
..Manual Tare Wt. 36760 LB
Net Weight 49960 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.98 TON DUTGO.MSW 0.000 0.00 0.00 0.00
r '44v
Operating nours TO Am to ays a we • •
,. d 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,�; g� ` v Y,w ^ , � pj
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6485
Islandia, NY 11749
w--``
(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:
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
SOUTHOI,D,TOWN DEPT SOLID WASTE 1 01703608 Liz H
P-O Box Gt2/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/21/22 4/21/22 2:09 2:09 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 36720 _ LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.36 TOIT73UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS=QUESTIONS CALL 631-734-7685 ';% 0.00
TENDERED
"r CHANGE
CHECK NO.:q
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE @1 01703608 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/21/22 4/21/22 2:09 2:09 11100TC
009316 Town of Babylon _
REFERENCE
Scale 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 36720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.36 TON UTGO.MSW 0.000 0.00 0.00 0.00
i "1 -
._
Op ^. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`'.F'„ M 0.00
TENDERED,
CHANGE
tSIGNATURE HECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6487
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:
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:
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.
"DIPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SONHOLD TOWN DEPT SOLID WASTE 01 1 01703471 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/21/22 04/21/22 07:27 07:27 11100TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 80900 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 42200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
f 1
o
- -- z:
CLOSED HOLIDAYS-.QUESTIONS CALL 631-734-7685': , `' '` -
��� � & �+ TENDERED
CHANGE
CHECK NO=1
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01703471 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE,,.. ROLL OFF,
04/21/22 04/21/22 07:27 07:27 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80900 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 42200 LB
QTY. UN_IT DESCRIPTION RATE EXTENSION FEE TOTAL
21.10 ON UTGO.MSW 0.000 0.00 0.00 0.00
t
G J L_
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685¢'12 0.00
TENDERED.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6486
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:
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:
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 LOC'ATION.TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SO4JTH'0LU TOWN DEPT SOLID WASTE 01 1 01703989 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIE111100TC
VEHICLE ROLL OFF
04/22/22 04/22/22 13:30 1
009316 Town of Babylon
REFERENCE ORIGIN
--Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 47480 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
GU.IvISvv 0.00 0.00 0.00
S+„`4
N
i`i
Aj
s-5 6_ 19
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'--',.? `:"- ` ' ', " •
rr y TENDERED
CHANGE
' I CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01703989 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/22/22 04/22/22 13:30 13:30 11100TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 47480 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
° 0 0.00 0.00
o
O .A, _= a q•. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 'y'V ,..= - tt '
TENDERED
CHANGE
n .
CHECK NO.
SIGNATURE
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6488
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.
i
"DUPLICATE TICKET*' SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01704142 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHIOLE ROLL OFF
04/23/22 04/23/22 07:34 07:34 11100TC
009316 7r"o�rn'of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76480 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
-Net Weight 42500 LB
QTY UNIT DESCRIPTION';' RATE EXTENSION FEE `. .- TOTAL
0.000 0.00 0.00 0.00
a- -
O PAAi... t'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:1 w - 0.00
;.TENDERED
ml
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET`* SITE I TICKET GRID ' VEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01704142 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935. "','DATE IN DATE OUT,:' TIME IN TIME OUT _i'VEHiCLE�• ,,, ROLL OFF
04/23/22 04/23/22 07:34 07:34 11100TC
009316 Town of Babylon
REFERENCE a
Scale 2 Gross Wt. 76480 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 42500 LB
"CITY. UNIT" DESCRIPTION',,,, ',,. RATE EXTENSION,- - FEE TOTAL
0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
TENDERED"',`
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6489
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION _
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR : DISPOSAL LOCATION TICKET NO.
"*DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01704279 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/23/22 04/23/22 11:00 11:00 11100TC
009319 Green Titan, Inc.
21 Dorsu*Drive- REFERENCE •-
Marlton NJ 08053
Scale 2 Gross Wt. 61120 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 24580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t'� F t it f G• ��
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685/�- u_=- }' V
TENDERED
~ r 4.
5N CHANGE
CHECK NO.
- SIGNATURE
*"DUPLICATE TICKET"* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01704279 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935. DATE IN DATE OUT: TIME IN TIME OUT VEHICLE ROLL OFF
04/23/22 04/23/22 11:00 11:00 11100TC
009319 Green Titan, Inc.
21 Dorset Drive REFERENCE •-
Marlton NJ 08053
Scale 2 Gross Wt. 61120 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 24580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
ON 79rSnnffZ1:;n an
,1
t'J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: {-
2,Q,�}fi.,r` TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6490
Islandia, NY 11749
(63 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE ' TICKET ` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01705053 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/25/22 04/25/22 09:06 09:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73920 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685--c";) ,'` ' r a; ' 0.00
TENDERED
CHANGE
CHECK NO.
9
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01705053 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/25/22 04/25/22 09:06 09:06 11100TC
009316 Town of Babylon
ORIGINREFERENCE
.. C 1 :
Scale 2 Gross Wt. 73920 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.58 ON UTGO.MSW 0.000 0.00 0.00 0.00
rN
E•P •f./ � � y,�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. yp', r .`;, ,' 0.00
C '= TENDERED
CHANGE
\ CHECK NO.
SIGNATURE \
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 4 91
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 HEREBYCERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705528 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/26/22 04/26/22 11:38 11:38 11100TC
009316 Town of Babylon
REFERENCE
..
Scale 2 Gross Wt. 69660 LB Outbound-Charge ticket
Manual Tare Wt. 35540 LB
Net Weight 34120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O @s ��/
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5y� '_,�z f - 0.00
? g � ra , TENDERED
-_ �' J CHANGE
CHECK N
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET ' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705528 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE' ROLL OFF
04/26/22 04/26/22 11:38 11:38 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
-Scale 2 Gross Wt. 69660 LB Outbound-Charge ticket
Manual Tare Wt. 35540 LB
Net Weight 34120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.06 TON DUTGO.MSW 0.000 0.00 0.00 0.00
6 t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685Z.) % i w J 0.00
TENDERED
CHANG
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6493
rslandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 CERTIFYTHAT 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 01 01705387 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/26/22 04/26/22 07:49 07:49 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 82920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46380 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.19 OUTGO.MSW 0.000 0.00 0.00 0.00
rS� ar4
�,Tl
'
it, 1 a w jt
t ' °-T i
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685."-� " - r' 0.00
t -� ax
TENDERED -
;; CHANGE
CHECK NO::::l
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705387 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN � DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF,
04/26/22 04/26/22 07:49 07:49 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
23.19 TON UTGO.MSW 0.000 0.00 0.00 0.00
Pt j
is •�r r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � r � ; a��, 0.00
TENDERED
� ,.LAB' it y °r 3 +}
CHANGE
tSIGNATURE HECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6492
Tslandia, 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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*'DUPLICATE TICKET** SITE I - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705803 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I 'TIME IN TIME OUT VEHICLE ROLL OFF
04/27/22 04/27/22 11:39 11:39 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73060 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 36240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t
e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 5) j q —' 0.00
-
t•4` nj �y17pC"sy "1 ., .. TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705803 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT VEHICLE. ROLL OFF
04/27/22 04/27/22 11:39 11:39 11100TC
009316 Town of Babylon
REFERENCE
•-
"Scale 2 Gross Wt. 73060 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 36240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
�rr
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-`l685n�`` 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6495
Tslandia, 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:
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.
l
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705704 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2 04 27 22 08:16 08: 6 1100TC
009316 Town of Babylon
REFERENQE ORIGIN
Scale 2 Gross Wt. 75040. . LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 36340 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-.7685 �--" _ -- `� �y, sty
TENDERED
�a
J CHANGE
CHECKNO.:j
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705704 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT , TIME IN I TIME OUT VEHICLE, ROLL OFF
04/27/22 04/27/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75040 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 36340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O 4"a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"-, - %1`� � ' •
TENDERED
%YJ S CHANGE
C CK O. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
- 214 Blydenburgh Road NO. 6494
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:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705966 Pat H
d'O Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT . VEHICLE ROLL OFF
04/28/22 04/28/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 36380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
days " -'' _„ TM` `
- __.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685..., - r°*` UU
TENDERED
"a' i✓P CHANGE
CHECK NO.:j
SIGNATURE
*"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01705966 Pat H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/28/22 04/28/22 08:16 08:16 11100TC
009316 Town of-Babylon
REFERENCE
Scale 2 Gross Wt. 72920 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 36380 LB
QTY. UNIT DESCRIPTION __ RATE EXTENSION FEE TOTAL
00 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '-.b - a`f
TENDERED
.. .ya •t,m, t CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6497
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: Z C��� GROSS
'b (4�, U TARE
3 �s1 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 Y APPL ESTATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION C DI G TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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:
AUTHOR IZED.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 U1 Ul lububi Hat
PO Box 962/615606x Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 72920 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 35500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
f}`_-?-'' ;s, Vat's'. :�1 C;`rrP• ,S �-.-y
)f j y.!%� ��;:' r S.;..n'="• tit.
3 4� �t ' Y' donaLqXMLGLB
J•
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685 a,
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01706051 Pat
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72920 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 35500 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O :d M` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,`
,. ;,"•: i: < TENDERED
' CHANGE
HECK NO.
SIGNATURE
TRIM TY TRANSPORTATION CORPORATION
214 l3lydenburgh Road NO. 6496
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: 11 , LO GROSS
j`� lGl3 TARE
NET
i
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 CFfR-P RT 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,:AND IS IN PROPER CONDITION FOR SPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,.AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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. .
--DUPI_ICeATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01706215 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/29/22 04/29/22 08:35 08:35 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I-.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;M 0.00
_ a > cAti TENDERED
CHANGE
CHECK NO.
f)
SIGNATURE C
"DUPLICATE TICKET*" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01706215 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/29/22 04/29/22 08:35 08:35 19606TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82600 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 43900 LB
QTY. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.95 TON CUTGO.MSW 0.000 0.00 0.00 0.00
re
fi
f3
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ". �sy° • _ 0.00
C nlp Cava ' TENDERED
rv'` aZt CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6498
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:
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:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01706556 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT= TIME IN TIME OUT VEHICLE ROLL OFF
04/30/22 04/30/22 09:01 09:01 19606TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 67260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 30720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
"=z: w
s e Aye A°. V lfjj .
f. ���L .c "---__._•_,.`ems ��.i��'
o tiAg hours 7NO01-A.D-4 to 5-00 PA-4 7 days a week,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685`'&'.,,, "° Pf
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01706556 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
4/30/22 4/30/22 9:01 9:01 19606TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 67260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 30720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85
TENDERED
CHANGE -
CHECK NO.
SIGNATURE
TFZINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6499
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:
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:
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.