HomeMy WebLinkAbout05/2022 "*DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707419 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/02/22 05/02/22 11:26 11:26 11100TC
009316 Torn of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 70600 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 33840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22
tong hours 7@QIJ.A.A.Atm5-Qb PA-4:7zcdl
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CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685 ;?, -• v
TENDERED
CHANGE
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707419 Steph
PO Box 962/6155'Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/02/22 05/02/22 11:26 11:26 1 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 70600 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 33840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL_
16.92 TUN—DO I , 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:4_;.,;; - ° ` 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6501
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(P:RINT 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
SOUTHOLI TOWN DEPT SOLID WASTE 01 01707347 Steph
PO Box P' ,04155 Cox Lane
Cutchogl NY 41935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/02/22 05/02/22 08:06 08:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 64300 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 26880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
�
Ay
CLOSED HOLIDAYS-QUESTIONS CALL 631-734".7685:' `„
i J TENDERED
o t , CHANGE
CHECK NO:
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707347 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/02/22 05/02/22 08:06 08:06 1 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 64300 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 26880 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
-115.1414 i TON FUT130.1viovv U.UUU U.UU 0.00 0.00
<.i• W `F�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
=' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B7ydenburgh NO.Road 6500
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.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT�;OLID WASTE 01 01707633 Steph
PO Box 962/6155 Cox-Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
05/03/22 05/03/22 10:52 10:52 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 30140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
5.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00
da s Z, r
.s P
O ".
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:�;� ,"-" ---` .a . , ``-pn; 0.00
TENDERED
tL� CHANGE
CHECK NO.
SIGNATURE __j
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01707633 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/03/22 05/03/22 10:52 10:52 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69280 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 30140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.07 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f.e
�E�N. Y �'�\` �•: ' 4^".a�,by
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' -
.; J TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6276
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707618 Steph
PO Box 962/6155 Cox Lane-
Cutchogue, NY 11935 r, DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/03/22 05/03/22 10:15 10:15 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73640 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
--Net Weight 36220- LB -
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t � 3 ✓ram
1 a rev
� 3
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7�685: ,�'.
TENDERED
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CHANGE
CHECK NO.
- SIGNATURE
__j
I
"DUPLICATE TICKET" rSITE7 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01707618 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935' DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/03/22 05/03/22 10:15 10:15 11100TC
009316 Town of-Babylon
REFERENCE
Scale 2 Gross Wt. 73640 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 36220 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O I MR LVA Lei
i J r S
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685: ;, ,•,µ- -'
TENDERED
�i14
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenbufgh Road NO. 6502
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 01707552 Steph
PO Box 962/6's55 Cox Lane
Cutchogu?,NY 11935, DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF
05/03/22 05/03/22 07:19 07:19 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 63880 LB Outbound-Charge ticket
Manual Tare Wt.- _. 33980 LB
Net Weight 29900 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
�;d '�:s°•�,v ^•"`._.""�,," yr'f6f.',� �
CLOSED HOLIDAYS-QUESTIONS CALL.631-734-7L685. � ,- 0.00
TENDERED
t,C f CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707552 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/03/22 05/03/22 07:19 07:19 19640TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 63880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 29900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL`
0 0.00 0.00 0.00
011
4y
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. U.
, j �f TENDERED
t, D ` .. it 'S IKg
CHANGE
° 'CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214.BlYdenburgh Road 6275
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 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 01707794 Steph
Pb.Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL OFF
5 0 2 05 04 22 08:22 08:22 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76460 LB Outbound-Charge ticket
Manual Tare Wt. 36820- LB
Net Weight 39640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4
I�! �- f J 4•t t.•t
1 1 ! 'j
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"s-O' , _ !
Q2T t `>3t+ .`N' a `ay ' TENDERED
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SIGNATURE HECK NO.
"DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 U1707794 Steph
PO Box 962/6155 Cox.Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/04/22 05/04/22 08:22 08:22 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76460 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 39640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685 ,''', - _ - •
�Y, .. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6503
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.
**DUF ATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707882 Steph
P6 Box 962/6155 Cox.Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE " ROLL OFF
05/04/22 05/04/22 12:14 12:14 11100TC
009316 Town of Babylon
1 REFERENCE am i
Scale 2 Gross Wt. 75780 LB Outbound-Charge ticket
j Manual Tare Wt. 35540 LB
-Net Weight 40240 LB
QTY UNIT -DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
. de
T .1 - u4 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'{�`;, ;~ -'- _ ,' 0.00
A fz, TENDERED
At
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET*` SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01707882 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL OFF
05/04/22 05/04/22 12:14 12:14 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
(7
Scale 2 Gross Wt. 75780 LB Outbound-Charge ticket
Manual Tare Wt. 35540 LB
Net Weight 40240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0 ;} •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.�`' 0.00
' TENDERED
-• CHANGE
CHECK NO.
SIGNATURE
INITY TRANSPORTATION CORPORATION
-mrmW/_.14 Blydenburgh Road 6504
J 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 ANYAPPLICABLE 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 01708001 Liz H
PO'E3ox 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/05/22 05/05/22 09:28 09:28 11100TC
009316 Town of Babylon
REFERENCE
CE
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 38060 LB
QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
19.03 TON OUTGO.MSW 0.000 0.00 . 0.00 0.00
0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685, r,= ; a `.
(+j TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01708001 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/05/22 05/05/22 09:28 09:28 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 38060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.03 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t
Op e ays a wee .r s — =r' =4 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:%';`~ _ 0.00
16 TENDERED
CHANGE
CHEC NO.
SIGNATURE
}.-',_TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6505
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 260.1.0 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 Ul Ul IU8368 Dan
PO Box 962/6155 Cox Lane
CutchogUe-NY 11935 DATE IN DATE OUT 1 ,TIMEINITIMEOUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72640 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35820 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE 4TAL
' ' ,is;i 1,• �n„
o
CLOSED HOLIDAYS-QUESTIONS CALL 631-73417685:`,I'-,
TENDERED
CHANGE
CHECK NO.
9
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72640 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685.,;f
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 6507
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 an
PO'360+,?/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41300 LB
QTY UN�efq DESCRIPTION RATE EXTENSION FEE TOTAL
I _
s
er I $ •0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685
TENDERED
!, CHANGE
HECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
00
009316 Town of Babylon
REFERENCE ORIGIN
.Scale 2 Gross Wt. 78060 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 41300 LB
OTY U DESCRIPTION RATE EXTENSION FEE TOTAL
{ l
I
CLOSED HOLIDAYS-QUESTIONS CALL 631-734- 85.11
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6506
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 DEP-T SOLID WASTE an
PO•Box y62/6155 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. 79140 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 42860 LB
CITY UNIT DESCRIPTION RA E EXTENSION 'FEE TOTAL
� z ;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-�7685: , ' =`'` I; •
f.. _ a.`Y• J TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01708514 Dan
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. 79140 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 42860 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t�
r J,
i
IJ
• 1 �a
O 7mQJAMt -'_ —— —
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:; =-
TENDERED
CHANGE -
- CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6508
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 TICKS*" rSITE7 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01708968 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
- 05/09/22 05/09/22 11:51 11:51 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. '70160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.09 -701T-0=0.mSvv MUG
1 5,
S
O (11
t'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. .
TENDERED
CHANGE
CHECK NO.
_-j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01708968 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/09/22 05/09/22 11:51 11:51 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 70160 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
is
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.,,; UU
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6510
Isla.nd�p, NY 11749
(61 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:
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.
*'tDUPLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01 U8851 Steph
PO Box;,962/6:!r,5 Cox Lane
Cutchog6e,lt':?1 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. -83680 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 46920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`=7685:-=,. "
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0170886 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE'. ROLL OFF
00 C
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83680 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 46920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
,f
f i
0 O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
l: ,F TENDERED
CHANGE
H K O. '
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
'214131ydenburgh Road NO. 6509
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 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 I TICKET I GRID WEIGHMASTER
SOUTHOLD,TOWN DEPT SOLID WASTE 01 01709295 Steph
PO Boz 962/6 55 Cox Lane
Cutchodue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/10/22 05/10/22 12:35 12:35 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. '82720 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
(�a
O -
µ •
Ji
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685; 0.0
-
ri
f TENDERED
W - CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01709295 Steph
' PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF
05/10/22 05/10/22 12:35 12:35 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82720 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
23.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' 0.00
TENDERED
CHANGE
CHECK O.
SIGNATURE
TRINTTY TRANSPORTATION CORPORATION
ft
'114 Blydenburgh Road NO. 6 512
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 TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE U1 tuvitsu Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. -80640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 43880 LB
CITY UN eU:FrDESCRIPTION T E SION FEE TOTAL
a 1 _
Neratina hours 7:
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685.;:, ;` _ ':yF - .. '_'
=° TENDERED
1
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE U1 U1tUU18U Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon -05T`117 05710722 08:36 08:36
REFERENCE
Scale 2 Gross Wt. 80640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 43880 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O ;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-`7685: :, h f;'
t TENDERED
,• CHANGE
CHECK O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 511
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 ANDTO-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 01709525 Steph
PO Bi,x 9C.21 .55 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF-
05/11/22 05/11/22 12:14 12:14 11100TC
009316 Town of Babylon
REFERENCE I ORIGIN
Scale 2 Gross Wt. 74640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'V
o'
O C
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,a>>,
l: ^� ...--�; iI•.." TENDERED
CHANGE
CHECK O.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01709525 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/11/22 05/11/22 12:14 12:14 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 37880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
•S J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 + <E"
,t•,;,*• ;,j' TENDERED=
" m CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
r 21*Blydenburgh Road 6 514
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:
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
r
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 01709426 Steph
PO Box 962/6155 Cox Lane
Cutch_ogee, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/11/22 05/11/22 08:24 08:24 11100TC
00* Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 74500 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.26 TON OUTGO.MSW 0.00
lr
D rating hours"!GO AM to 540 PM 7 days a we
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ;•� -
f'` TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01709426 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE... ROLL OFF
05/11/22 05/11/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74500 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
4
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00•
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21 4�Blydenburgh Road NO. 6 513
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 M.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.
""QUPLICL4,TE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01709692 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/12/22 05/12/22 09:04 09:04 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. '76440 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 39020 LB
QTY. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
A,
1
Oweak
CLOSED HOLIDAYS-QUESTIONS CALL 631-734= 85.'
TENDERED
.. CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01709692 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/12/22 05/12/22 09:04 09:04 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76440 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 39020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
P _
O ratiAg hours : : .. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
V TENDERED
CHANGE
CHECK NO.
SIGNATURE
TkINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 515
Islandia, NY 1.1749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 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.
1�'TGITPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01709900 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/13/22 05/13/22 08:40 08:40 11100TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 70300 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:=:..J
TENDERED
CHANGE
i
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01709900 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, I TIME IN TIME OUT VEHICLE ROLL OFF
05/13/22 105/13/22 08:40 08:40 1 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 70300 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36320 LB
L_QTy-' UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
I
i
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734'7685: ' -
J TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 516
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 WASTEAS 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 01709994 Liz H
PO Box 962/6155 Cox Lane
Cutchogue .NY,1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/13/22 05/13/22 12:18 12:18 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81100 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 41960 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
00 0.00 0.00 0.00
st;
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ,, 0.0
TENDERED
" CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET 1 , GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01709994 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT . VEHICLE ROLL OFF
05/13/22 05/13/22 12:18 12:18 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81100 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
_Net Weight 41960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
r01W7)U=.mSVv 0.000 0.00 0.00 0.00
• t
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-•7685:``'' " 0.00 •
„ - TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 517
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.
**DUPL ICATE TICKET"* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01710210 Steph
PO Box 962/6155 Cox.Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/14/22 05/14/22 09:31 09:31 11100TC
009316 Town-of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
I
rat
O 13ghQIirs4�4days
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;'r
TENDERED
CHANGE
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 1 01710210 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/14/22 5/14/22 9:31 9:31 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
G(_).mSvv 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:" -
(;. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6518
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01710975 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/16/22 05/16/22 11:41 11:41 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. '72660 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 33520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE -TOTAL
CLOSED HOLIDAYS-QUESTIONS CA 631-734=7685
CAL
TENDERED
f
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01710975 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE,OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/16/22 05/16/22 11:41 11:41 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 72660 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 33520 LB
QTY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
115.115 . 0.00 0.00
O r .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. 0.00
-
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6520
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 I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01710863 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/16/22 1 05/16/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 33140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00 0.00 0.00
W,
k_
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01710863 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/16/22 05/16/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 69680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 33140 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00 0.00 0.00
./ to
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685::•
TENDERED
„!:'.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 6 519
-Islandia, NY 1174.9 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: ICU 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" TICKET GRID WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 01 01711153 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL,OFF
05/17/22 05/17/22 08:30 08:30 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70820 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36840 LB
QTY UNIT - DESCRIPTION,; RATE EXTENSION FEE.; }; TOTAL
Ij,a
tl,3F•
\i.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685, -
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE_ TICKET GRID. WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01711153 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT, „TIME IN TIME OUT VEHICLE,�" ROIL OFF
05/17/22 05/17/22 08:30 08:30 11100TC
1 009316 Town of Babylon
REFERENCE ORIGIN
-Scale 2 Gross Wt. 70820 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 36840 LB
QTY. UNIT '• DESCRIPTION- RATE EXTENSION- FEE,:' TOTAL
i•;
k
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:
`TENDERED_
. ., CHAN E
Ir CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh'Road r NO 6521
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 01711237 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
■ '�Z/17/22 05/17/22 11:55 11:55 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82460 LB Outbound-Charge ticket
_Manual Tare Wt. 36760 LB
Net Weight 45700 LB 7
QTY. UNIT DESCRIPTION". RATE- EXTENSION- FEE --- TOTAL -=
I
,
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685., U.UU
TENDERED
45
'CHANGE
CHECK NO.
SIGNATURE
I
DUPLICATE TICKET" SITE ' TICKEr-, _ GRID 1NEIGHMASTER.
SOUTHOLD TOWN-DEPT SOLID WASTE 01 01711237 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT-': .TIME IN TIME OUT VEHICLE ` ROLL OFF
05/17/22 05/17/22 11:55 11:55 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
C -
Scale 2 Gross Wt. 82460 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
-Net Weight 45700 LB
QTy UNIT DESCRIPTION RATE EXTENSION- FEE '- TOTAL =
0.00
_r
r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:".
'f
TENDERED ,,
CHANGE
'CHECK- O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6522
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 1S 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.
""DUPLICr TICKET`* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U 1113ul Steph
PO BSz 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41560 LB
CITY. U DESCRIPTION RATE EXTENSION FEE TOTAL
era in hours 7:Ob AM to 51 P
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685
TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET"* SITE I TICKET. GRID . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U111139f ep
PO Box 962/6156 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41560 LB
QTY. U T` E)t1:FaE).M8VVDESCRIPTION RATE EXTENSION FEE TOTAL
().UU
CLOSED HOLIDAYS-QUESTIONS CALL 631-734``-7685:,
TENDERED
CHANGE
CH NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6523
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:
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.'
."�._IPLICATE TICKET*" SITE TICKET, GRID ` WEIGHMASTER
r 8LNOLD TOWN-DEPT SOLID WASTE 01 01711620 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN- TIME OUT VEHICLE ROLL OFF
05/19/22 05/19/22 08:25 08:25 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77540 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40120 LB
QTY= - . , UNIT DESCRIPTION >. "', RATE; EXTENSION FEE.i.'`" TOTAL
0.000 0.00 0.00 0.00
".i
Aj
Ki f
ib
0 ra'
aya ,r roA ,' . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685:`,:.`' 0.00
TENDERED
:.1•' - CHANGE
! CHECK NO: `
SIGNATURE
"DUPLICATE TICKET"" SITE TICKET,, .'_.` GRID WEIGHMASTER =
SOUTHOLD TOWN DEPT SOLID WASTE 1 01711620 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT; T:IME:IN TIME'OUT, .-- VEHICLE. , ROLL OFF
5/19/22 5/19/22 t8:25 8:25 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77540 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40120 LB
QTY.'' T':.`. DESCRIPTION ;RATE: EXTENSION FEE ;,' TOTAL-
0.00 0.00 0.00
r y
f.i
00%acatina h
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'
TENDERED--
CHANGE
CHECK NO. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6524
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 CONDITIOMFOR 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 "GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01711662 Liz H
F�`3" 6x 662/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ,' TIME IN, TIME OUT VEHICLE ROLL OFF
05/19/22 05/19/22 11:56 11:56 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 40800 LB
i
CITY. UNIT DESCRIPTION RATE, EXTENSION , FEE TOTAL
0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 7685.F ,a '^" " ;:` 0.00 •
TENDERED'
. CHANGE
j CHECK NO. -
SIGNATURE
""DUPLICATE TICKET"" S :SITE TICKET GRlD -.WEIGHMASTER
SOU(HOLD TOWN DEPT SOLID WASTE 1 01711662 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ,' 'TI,ME IN_TIME OUT -VEHICLE ROLL OFF
5/19/22 5/19/22 11:56 11:56 11100TC
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 40800 LB
QTY.- . . ". UNIT - DESCRIPTION,.' RATE ,,EXTENSION, - FEE TOTAL
MAU 0.000 0.00 0.00 0.00
.• i
A
i
Op `." •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ', 0.00
✓" TENDERED
CHANGE .
CHECK NO.
SIGNATURE
• TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6525
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.
f
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY 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.
`DUPPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01711827 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/20/22 05/20/22 11:51 11:51 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77140 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40320 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O :-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-Z685"".�. 0.00
TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01711827 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/20/22 05/20/22 11:51 11:51 11100TC
009316 Town of Babylon
REFERENCE •-
Scale 2 Gross Wt. 77140 LB Outbound-Charge ticket
.Manual Tare Wt. 36820 LB
Net Weight 40320 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.16 TON CUTGO.MSW 0.000 0.00 0.00 0.00
At
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,, ; 0.00
TENDERED
,',:.,,'• CHANGE
CHECK NO.
SIGNATURE
` TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6527
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HA&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
SOUl41OLb TOWN DEPT SOLID WASTE 01 01711754 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/20/22 05/20/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73380 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 37180 LB
QTY UNIT DESCRIPTION RATE . EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
!€i - �'.-- - may. �`•
1
yi,v s`; 3 ,4 1 °•
y+,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: v r 0.00
TENDERED
C ANGE
CHECK NO.
:)
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01711754 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/20/22 �5/20/22 8:16 8:16 111100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73380 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 37180 LB
CITY. UNIT' DESCRIPTION RATE ' EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:';>'>. `` - 0.00
fn� TENDERED
CHANGE
• CHECK NO::: ,
SIGNATURE
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6526
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 11 1 01712000 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN' TIME OUT' VEHICLE ROLL OFF
5/21/22 5/21/22 9:03 9:03 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43480 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TlJ=.IVIbVV 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:, y-) -
Q
i, TENDERED
' CHANGE
CHECK NO.
__j
SIGNATURE
"DUPLICATE TICKET" SITE TICKET` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01712000 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/21/22 5/21/22 9:03 9:03 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77460 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43480 LB
CITY. UNIT, DESCRIPTION RATE EXTENSION _ FEE TOTAL .
Op - ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: UU
TENDERED
CHANGE
CHECK NO.
SIGNATURE �f
TRINITY TRANSPORTATION CORPORATION
214 'Blydenburgh Road No. 6528
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01712768 Steph
PO Box 962�6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• 05/23/22 05/23/22 12:50 12:50 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. '79240 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.91 TO OUTGO. 0.00
. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:..
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01712768 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/23/22 05/23/22 12:50 12:50 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79240 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41820 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
20.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=7685:, 0.00
TENDERED
CHANGE'
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
,,
214 Blydenburgh Road 6530
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY_40 CFR PART 260.10 OR ANY.
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING:TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01712648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/23/22 05/23/22 08:35 08:35 11100TC
0093.1,E Town of Babylon
ORIGIN- REFERENCE
Scale 2 Gross Wt. '79600 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 43060 LB
QTY. - UNIT , DESCRIPTION RATE, EXTENSION FEE TOTAL
.00 0.00
rri - i
}
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-7347685` -
t ..
TENDERED
CHANGE
CHECK NO.
_j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01712648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/23/22 05/23/22 08:35 08:35 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79600 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 43060 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
00 0.00 0.00 0.00
l _
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
TENDERED
CHANGE
f
CHECK NO. `
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6529
Isfandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE'POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10'OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL,LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713002 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , VEHICLE ROLL OFF
05/24/22 05/24/22 11:44 11:44 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 68080 LB Outbound-Charge ticket
Manual Tare Wt. 33980 - LB
'Net Weight 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Alf
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.`,i' �'' 0.00
TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
"DUPLICATE TICKET" CSITEJ TICKS z, GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713002 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/24/22 05/24/22 11:44 11:44 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68080 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
,.Net Weight 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851 -'' ': 0.00
Yc` TENDERED
-CHANGE
CHECKNO. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6532
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:
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.
TRINITY TRANSPORTATION CORPORATION '
214 Blydenburgh Road NO. 6531
Islandia, NY 11749
(601)_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 Ul Itizvub Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. -79860 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 43040 LB
QTY. U DESCRIPTION E EXT SION FEE TOTAL
eratin hours 7:00 AM to 5:OD PM 7 days a week:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`-7685 ?.";,
TENDERED
„ CHANGE
i
CHECK NO.
I
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 79860 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 43040 LB
QTY. U DESCRIPTION 0.6%E SION FEE TOTAL
daerating hours 7:00 AM to 500
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713204 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/25/22 05/25/22 08:07 08:07 11100TC
009316 Town of Babylon
REFERENCE
I
Scale 2 Gross Wt. 83260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46720 LB
QTY. UNIT DESCRIPTION. RATE EXTENSION FEE TOTAL
O.MSW 0.000 0.00 0.00 0.00
' 1. /
rtr! �4
'• ;r l
• ., ...°44 �y '-""..� J! :"mar �'sj • •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.t'?t -~ 0.00
TENDERED
`L..t.. •.J J J rt✓
CHANGE
CHECK NO.
SIGNATURE �--1
"DUPLICATE TICKET" rSITEj TICKET I I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713204 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -- VEHICLE ROLL OFF-
05/25/22 05/25/22 08:07 08:07 11100TC
009316 Town of Babylon
REFERENCE
C .. -
Scale 2 Gross Wt. 83260 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
,Net Weight 46720 LB
QTY. UNIT ' DESCRIPTION RATE EXTENSION FEE TOTAL
23.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685.,_` ' f�+;3. 0.00
TENDERED
CHANGE
I
I
CHECK NO..
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6533
Islandia, NY 11749
(631) 342-9673
THIS
BEING4Ii1PPED.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 Ul Ul f13zvU Steph
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
•-
Scale 2 Gross Wt. - 77100 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB _
Net Weight 38400 LB
QTY. UNAoj DESCRIPTION T EXTENSION FEE TOTAL
I
i _..
eratin hours 7:Ob AM to 5: 0 PM 7 days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;'
TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET**
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U fl3zuu Steph
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
•-
Scale 2 Gross Wt. 77100 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 38400 LB
QTY. U Fep, DESCRIPTION RATE EXTENSION FEE TOTAL
t
ra in
CLOSED HOLIDAYS-QUESTIONS CALL 631-734t7685'.
TENDERED
-CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road NO. 6534
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 GRID WEIGHMASTER
SOL T�QLD TOWN DEPT SOLID WASTE 01 1 01713554 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/26/22 05/26/22 12:00 12:00 1 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 69780 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 33580 LB
OTY; UNIT .- DESCRIPTION „' RATE'` EXTENSION FEE '' TOTAL
6.79 TON DUTGO.MSW 0.000 0.00 0.00 0.00
9 `
! O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;' 0.00
TENDERED
P.
CHANGE
'CHECK NO.
SIGNATURE
"DUPLICATE TICKET" /SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713554 Liz H
PO Box 962/6155 Cox,Lane
Cutchogue, NY 11935 oATE IN .= DATE OUT TIME IN, TIME OUT VEHICLE ;' „' ROLL OFF
- 05/26/22 05/26/22 12:00 12:00 11100TC
009316 Town of Babylon
REFERENCE
•-
1
i Scale 2 Gross Wt. 69780 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
-Net Weight 33580 LB
QY' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL T
16.79 TON UTGO.MSW 0.000 0.00 0.00 0.00
1 R
f
Opul M 7 days a vveekL, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;.
TENDERED,
CHANGE
-..-CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
114 Blydenburgh Road NO. 6536
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:
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.
,45UPLIC"ATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01713453 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN.TIME OUT VEHICLE ROLL OFF
05/26/22 05/26/22 08:25 08:25 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 85840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 46700 LB
CITY. UNIT. _ : DESCRIPTION RATE - EXTENSION FEE TOTAL
0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE- _' TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01713453 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT-," ,TIME IN TIME OUT VEHICLE ROLL OFF
05/26/22 05/26/22 08:25 08:25 11100TC
009316 Town of Babylon
ORIGINREFERENCE I
Scale 2 Gross Wt. 85840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 46700 LB
CITY UNIT' DESCRIPTION ;;+'- RATE'` EXTENSION FEE TOTAL
t
r
O LVAMBN
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.".
1 TENDERED '
ANGE
C ECK NO. -
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 6535
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 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" GRID WEIGHMASTER
SOUTHOLI6 TOWN DEPT SOLID WASTE 01 01713728 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/27/22 05/27/22 08:03 08:03 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 70920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.05 TON DUTGO.MSW 0.000 0.00 0.00 0.00
{.7
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:^ . _ 0.00
TENDERED
ri
-.'r_:r; •: CHANGE
CHECK NO.
___j
SIGNATURE
"DUPLICATE TICKET" ITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01713728 Liz H
i
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/27/22 5/27/22 8:03 8:03 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 70920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 34100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
05 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Op
`\ F •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
r c TENDERED
ri
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6288
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:
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
SOU',OLD TOWN DEPT SOLID WASTE 01 1 01713815 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/27/22 05/27/22 11:41 11:41 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76080 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
_Net Weight 36940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
I UN . 00 0.00 0.00 0.00
0 rating hours
• •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685''�^5:., '` 0.00
_. TENDERED
Y.
:. ,p
CHANGE
CHECK NO.
__j
1 SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01713815 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF
5/27/22 05/27/22 1:41 [11:41 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76080 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 36940 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. .
00 .00
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'
TENDERED
CHANGE .
CHECK NO.
SIGNATURE
--VTRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6289
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 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.
r
"*DUPLICATE TICKET"" SITE • TICKET GRID WEIGHMASTER
SOUTHOLD-TOWN DE PT SOLID WASTE 01 1 01714011 Steph
_f
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/28/22 05/28/22 08:46 08:46 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81560 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44740 LB
CITY. U T DESCRIPTION'' . RATE EXTENSION FEE TOTALo
-
i
a
eratin hours
CLOSED HOLIDAYS-QUESTIONS CALL 631-734 i7685:u"'". r '
TENDERED
± CHANGE
CHECK NO:
SIGNATURE
j 'DUPLICATE TICKET"" SITE TICKET' GRID. W_ EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01 14011Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN •DATE OUT ,TIMEIN^TIME OUT . VEHICLE :,, ROLL OFF'
8:4 8:46 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 81560 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 44740 LB
QTY. U DESCRIPTION RATE ;,EXTENSION _ FEE=} TOTAL
r
1 , `
O ratin hours 7:00 JAMto5:0 PM 7 da s a
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685
' C NGE
CHECK NO:
SIGNATURE
wtin iv r 11852
Vehicle ID: 54183NA
Reference:
DATE INr 05/24/2022
DATE OUT: 05/24/2022 TIME OUT: 110:58:08• ION CORPORATION
INBOUND TICKET Number: 01_01712975
SCALE 1 GROSS WT. NO. 6290
SCALE 3 TARE WT 5140 LB
NET WEIGHT' SUBO LB
80 LB
OtY Description
0.04 RUBBISH Amount LY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
5.20 BILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
TICKET AMOUNT: 5.20 SHIP DATE:
(CU YDS)
x
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) SIGNATUREIDATE
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 1 01714868 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/31/22 �5/31/22 1:57 1:57 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 82020 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`;;
t TENDERED
+„ ;
CHANGE
I
-CHECK NO.
SIGNATURE
DUPLICATE TICKET" SITE I TICKET. I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01714868 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/31/22 f5/31/22REFERENCE
1:57 1:57 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 82020 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
' Sal
b �
it
Op r: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:''..'. . ` '
TENDERED
- '.. CHANGE
I CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 'Blydenburgh Road NO. 6538
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01714845 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/31/22 5/31/22 1:33 1:33 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82920 LB Outbound-Charge ticket
I '
Manual Tare Wt. 39080 LB
Net Weight 43840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.92 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Op Mha N. `7f •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ';,?:• 0.00
TENDERED
CHANGE
1
i -
CHECK NO.
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01714845 Steph
PO Box 962/6155 Cox Lane
I-
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
5/31/22 �5/31/22 1:33 1:33 19640TC
009316 Town of Babylon
REFERENC
Scale 2 Gross Wt. 82920 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 43840 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.92 TON UTGO.MSW 0.000 0.00 0.00 0.00
t't
OP vvvvl%.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
{ , TENDERED
CHANGE
f CHECK NO.
j SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6278
Isidndia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD 10 GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01714737 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 119,',8 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF
05/31/22 05/31/22 8:23 08:23 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 76120 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.71 TON DUTGO.MSW 0.000 0.00 0.00 0.00
iv
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,'°. F " -;?� " '' 0.00
- . TENDERED
CHANGE
CHECK NO.:j
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01714737 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/31/22 05/31/22 8:23 8:23 11100TC
009316 Town of Babylon
REFERENCE OR1GIN
Scale 2 Gross Wt. 76120 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 37420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE _ TOTAL
18.71 TON DUTGO.MSW 0.000 0.00 0.00 0.00
i -
Operating ours o ays a wee P ,° •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.., 0.00
!> TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214�Blydenburgh Road NO. 6 5 7
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 01714703 Steph
PO Rox•962in155 Cox Lane
.Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/31/22 05/31/22 07:33 07:33 19640TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 32240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
'mil' n, r a.,a' .. ',.t M1•t `. �.,a!„
tiv�� a LM1
l\
1 �e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:';¢:", 0.00
rs. TENDERED
d
CHANGE
HECK NO.
_j
SIGNATURE �f
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01714703 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/31/22 05/31/22 07:33 07:33 19640TC
009316 Town of Babylon
REFERENCE
FQTY..
Scale 2 Gross Wt. 68780 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 32240 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
3l r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..`
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 P4 Blydenburgh Road NO. 6277
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.
r`
GENERATOR AUTHORIZED AGENT(PRINT NAME)
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.