HomeMy WebLinkAbout06/2022 "DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
""_SOUTHOL")TOWN DEPT SOLID WASTE 11 01715145 Steph
P�Box 9 ,2/6155 Cox Lane
Cu -
DATE C1Y 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF
6/01/22 �6/01/22 1:53 1:53 11100TC
009316 Town of Babylon ,
REFERENCE
•-
Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39440 _ LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
Op .,, cw; ,' - 1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:
TENDERED
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CHECK NO.
SIGNATURE
**DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01715145 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
6/01/22 �6/01/22 1:53 1:53 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78140 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39440 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.72 TON UTGO.MSW 0.000 0.00 0.00 0.00
p •i i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5' !; U.
TENDERED
s; " CHANGE
• CHECK NO.
SIGNATURE
TIRINITY TRANSPORTATION CORPORATION
J
-_14 Blydenburgh Road 6540
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:
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 D1 1 01715063 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
6/01/22 6/01/22 8:28 8:28 11100TC
009316 Town of B•schylonREFERENCE ORIGIN
-
~ .•
C I
Scale 2 Gross Wt. 71200 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.61 TON CUTGO.MSW 0.000 0.00 0.00 0.00
1:
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:";;'� ,.. `� : ^ 0.
TENDERED
All
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" ITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01715063 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/01/22 �6/01/22 8:28 8:28 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71200 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.61 TON UTGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ;. ; ^ ' 0.00
TENDERED
CHANGE
'
CHANGE
CHECK NO.
SIGNATURE �__:j
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6539
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.__
V
YTICKET"""DUPLICATE TICKET"` SITE GRID WEIGHMASTER
UTHOLD TOWN DEPT SOLID WASTE 01 1 01715302 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/02/22 06/02/22 07:31 07:32 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77800 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41260 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
p t`
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`."'a =`. ^ ." +,.' r4`',
TENDERED
i CHANGE
CHECK O.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01715302 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/02/22 6/02/22 7:31 7:32 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77800 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41260 LB
QTY. UNIT -DESCRIPTION RATE EXTENSION FEE TOTAL
.
UU
?9
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.':.`
TENDERED
CHANGE
CHECK NO.
SIGNATURE
S
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6541
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 ACCEPTEDAND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01715363 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , VEHICLE ROLL OFF
06/02/22 06/02/22 11:04 11:04 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77220 LB Outbound-Charge ticket
Manual Tare Wt. 32600 LB
Net Weight 44620 LB
QTY. UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
• •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685;<y•.,z, .b - f `U ' 0.00
i I' TENDERED
CHANGE
CHECK NO.
SIGNATURE
1 -DUPLICATE TICKET"" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01715363 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/02/22 06/02/22 1:04 1:04 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77220 LB Outbound-Charge ticket
Manual Tare Wt. 32600 LB
Net Weight 44620 LB
QTY. UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL
TGO.MSW 0.000 0.00 0.00 0.00
5:!
Op -Y 4 .', •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
{ TENDERED
rCHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6542
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 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.
""QUPL.1Q.TE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715526 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I -ROLL OFF
06/03/22 06/03/22 07:22 07:22 19640TC
009316 Town of Babylon
REFERENCE
•.
i
Scale 2 Gross Wt. 79400 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 40260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O TGO.MSW 0.000 0.00 0.00 0.00
O �,
I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685. 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715526 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/03/22 06/03/22 07:22 07:22 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79400 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 40260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.13
0.000 0.00 0.00 0.00
f '.9
O �.t _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
TENDERED
CHANGE
I
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 6284
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.
' ""D�CATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715649 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/03/22 06/03/22 12:38 12:38 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 44140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
.000 0.00 0.00 0.00
n.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;`:;_, 0.00
TENDERED
CHANGE
CH NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01715649 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/03/22 06/03/22 12:38 12:38 11100TC
009316 Town of Babylon
REFERENCE
•'
i
Scale 2 Gross Wt. 80680 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 44140 LB
-QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
.00 0.00 0.00
tr'
- t I
Q
r #
I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: _
7 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6544
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 01715559 Liz H
PO Box 962/6155 Cox Lane
CutchUgue,NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/03/22 1 06/03/22 09:16 09:16 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69740 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 33540 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
lerat
�1
• •. 5. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'•` ,. µ f' '� ,'+ 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715559 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/03/22 06/03/22 09:16 09:16 11100TC
009316 Town of Babylon
CREFERENCE
Scale 2 Gross Wt. 69740 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 33540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
16.77 ION G .MSW 0.000 0.00 0.00 0.00
i
Op ;�, Aj •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
i TENDERED
CHANGE
E K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6543
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 01715772 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
06/04/22 06/04/22 07:22 07:22 19640TC
009316 Town of Babylon
Scale 2 Gross Wt. 84780 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 45700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'k It
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`, 0.00
fr ?
TENDERED
CHANGE
C ECK NO.
--j
SIGNATURE
j "DUPLICATE TICKET" SITE TICKET ' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715772 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/04/22 06/04/22 07:22 07:22 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84780 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 45700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
y L.
l
-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,; . ' 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6569
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 01715815 Dan
PO Box 962/6155 Cox Lane
Cutghogue;DIY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
06/04/22 06/04/22 08:52 08:52 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77960 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-734=`7685`;`,
�:. TENDERED
CHANGE
CHECK NO.
:)
SIGNATURE
`*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01715815 Dan
PO Box 962/6166 Cox Lane
i Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06 04/22 0 5/04/22 08:52 08:52 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77960 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 41140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t/•wj
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. _ -
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
. 21k'4 Blydenburgh Road NO. 6545
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 BY40 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.
"f PLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
S' OUTHOLD TOWN DEPT SOLID WASTE 1 1 01716533 Liz H
PO Box 962/0155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/06/22 6/06/22 8:34 8:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
C I
Scale 2 Gross Wt. 78260 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39120 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
l
O ;140654
v�4,.�J, ; v .. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.';;.`.;, =
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01716533 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/06/22 6/06/22 8:34 8:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78260 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39120 LB
QTY. 'UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL
1 TON TGO.M W 0.000 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. 6546
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 TICKET GRID WEIGHMASTER
Sfi U-THOLD TOWN DEPT SOLID WASTE 01 1 01716645 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/06/22 06/06/22 12:11 i;12:11 11100TC
009316 Town of Babylon
REFERENCE
C I.
Scale 2 Gross Wt. 72060 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
L` {
3.s
•ice > >`
O te 9-Ad PM El
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: - 0.00
TENDERED
CHANGE
• CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01716645 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/06/22 6/06/22 2:11 2:11 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72060 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 34640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL
17.32 UTGO.MSW 0.000 0.00 0.00 0.00
9 —
5 1
i
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.• 0.00
TENDERED
-, - CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6547
IV Islandia, Y 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
—DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01716802 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/07/22 06/07/22 07,58 07*58 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 77680 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
! Net Weight 40860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TON 0tJTG VIM 0
i.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:+` ;1 Y •
" TENDERED
CHANGE
I
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01716802 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/07/22 06/07/22 07:58 07:58 11100TC
009316 Town of Babylon
REFERENCE
•.
Scale 2 Gross Wt. 77680 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40860 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TON . .
09
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685::; -
I
TENDERED
CHANGE
-�j
i
CHECK NO.
! SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6548
Islandia, NY 11749
Y (631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY"LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
-- TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO..
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01716885 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/07/22 06/07/22 11:26 11:26 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 80920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46940 LB
i
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
a,ti. `,l
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :
' TENDERED
CHANGE
CHECK NO.
I
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01716885 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/07/22 06/07/22 11:26 11:26 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
I Scale 2 Gross Wt. 80920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46940 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
I ;r
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685. .
t
TENDERED
CHANGE
I C E KNO.
I
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 1+Blydenburgh Road 6549
'Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS'
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261'OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLICATE TICKET"" SITE • TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717170 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/08/22 06/08/22 11:47 11:48 11100TC
0093?6- Tow--i;of Babylon
REFERENCE
•-
I
I
Scale 2 Gross Wt. 77720 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TON OUTG VIM 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734%7685.-,,,, UU
_ TENDERED
_ CHANGE
CHECK O.
-j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717170 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/08/22 06/08/22 111:47 11:48 VEHICLE
009316 Town of Babylon
Scale 2 Gross Wt. 77720 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 39020 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Q \
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-, •
TENDERED •
' CHANGE
I
I
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6550
Isladia, 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
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 11 1 01717101 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
6/08/22 6l08/22 7:22 7:22 19640TC
%009316 Town of Babylon
I REFERENCE
Scale 2 Gross Wt. 76720 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.79 TON UTGO.MSW 0.000 0.00 0.00 0.00
i -
% wti - i'. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ^. '
r TENDERED
fw CHANGE
CHECK NO.
SIGNATURE
i
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717101 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF
6/08/22 06/08/22 7:22 7:22 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76720 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
18.79 TON DUTGO.MSW 0.000 0.00 0.00 0.00
7
Op 1, •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-76 :
y'85 TENDERED
CHANGE
CHECK,NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6572
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY'THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-.CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO'APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE,
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR -
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717316 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/09/22 06/09/22 08:00 08:00 11100TC
009316 Town of Babylon
REFERENCE
•"
i
i
i
�. Scale 2 Gross Wt. 77900 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O : AIIIIIIIIIII0 •
IN
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
TENDERED
CHANGE
! CHECK NO.:j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01717316 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/09/22 06/09/22 08:00 08:00 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77900 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 41360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O E ` •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED -
CHANGE
1 CHECK NO.
SIGNATURE
`TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6551
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.
"DUPUCATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717366 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
06/09/22 06/09/22 11:38 11:38 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69820 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33000 LB
QTy. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
SW 0.000 0.00 0.00 0.00
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734`7685;;.", 0.00
�i TENDERED
y CHANGE
CHECK O.
--j
SIGNATURE
''"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
j SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01717366 Liz H
i PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
06/09/22 06/09/22 11:38 11:38 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 69820 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 33000 LB
QTy. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
o.MSW 0.000 0.00 0.00 0.00
o •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..;:: 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6552
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
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
jSOUTHOLD TOWN DEPT SOLID WASTE 01 01717503 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/10/22 06/10/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 48900 LB
CITY. UNIT, DESCRIPTION RATE EXTENSION FEE,_ TOTAL
0.000 0.00 0.00 0.00
`a
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685,;" 0.00
TENDERED "
I
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717503 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN TIME OUT -VEHICLE, ROLL OFF
06/10/22 06/10/22 08:16 08:16 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 48900 LB
CITY. " UNIT . ` DESCRIPTION... RATE EXTENSION FEE., TOTAL
0.000 0.00 0.00 0.00
i
f` 1
O a •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
-
" " "TENDERED' `
CHANGE '
C ECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6553
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:
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
*"DUPLIr ATE TICKET* SITE TICKET GRID WEIGHMASTER
S@UTHJD TOWN DEPT SOLID WASTE 1 01717613 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/10/22 6/10/22 2:44 2:44 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 72320 LB Outbound-Charge ticket
J Manual Tare Wt. 39000 LB
Net Weight 33320 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.66 TON UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`';%, � '4 - - ' i 0.00
TENDERED
m` CHANGE
CHECK NO.
SIGNATURE
*'DUPLICATE TICKET"* SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01717613 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/10/22 6/10/22 12:44 2:44 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72320 LB Outbound-Charge ticket
Manual Tare Wt. 39000 LB
Net Weight 33320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
6.66 TON C UTGO.MSW 0.000 0.00 0.00 0.00
.r
Ope -. ays a Wee . : ._ - ;' ; "`-, •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ' ?;-, ' 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6554
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 I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01717749 Steph
PO Box 962/6155 Cox lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/11/22 6/11/22 7:28 7:28 11112TC
009316 Town of Babylon
r •-
Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 37760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.88 TON UTGO.MSW 0.000 0.00 0.00 0.00
Ope c„, ; 3 a •
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685',:,., - 0.00
:; i TENDERED
CHANGE
HECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01717749 Steph
PO Box 962/6`155 Cox Lane
Cutchogue, I'\IY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/11/22 6/11/22 7:28 7:28 11112TC
009316 TOVJ!1 Of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74300 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 37760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.88 1-ON GUTGO.MSW 0.000 0.00 0.00 0.00
t' t�
iA
CLOSEI'I HOLIDAYS- QUESTIONS CALL 631-734-7685.`P`'`t• - is = 0.00
TENDERED
CHANGE
CHECK-NO.
-::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6559
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: r 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 01718396 Steph
PO Box 962/615`5 Cox Lane
CutchogCa-, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
06/13/22 06/13/22 07:31 07:31 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.. . - 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01718396 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/13/22 06/13/22 07:31 07:31 11100TC
009316 Town of Babylon
REFERENCE
•-
I
Scale 2 Gross Wt. 73900 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 34760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.38 TON DUTGO.IVISW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
TENDERED
CHANGE
CHECK NO_
SIGNATURE
TRIT41TY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6555
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD T%�WN DEPT SOLID WASTE 01 01718525 Steph
PO Box"96216155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/13/22 06/13/22 13:34 13:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81980 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 00 0.00 0.00 0.00
I
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
TENDERED
CHANGE
iI CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01718525 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/13/22 06/13/22 13:34 13:34 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 81980 LB Outbound-Charge ticket
{ Manual Tare Wt. 37420 LB
Net Weight 44560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TUT GO.MSW 0.000 0.00 0.00 0.00
Op .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:. 0.00
TENDERED
CHANGE
HECK NO.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6556
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY'40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) . _ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .
\..
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER.
SOUTHOLD TOWN KEPT SOLID WASTE a 01 01718707 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/14/22 06/14/22 12:04 12:04 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35740 LB
QTy. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.....0.0 0.00 0.00 0.00
•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,, ,'.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01718707 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/22 06/14/22 12:04 12:04 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 69720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 35740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
i
O .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685. 0.00 •
TENDERED
CHANGE-
CHECK
NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6294
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 01718691 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
" 06/14/22 06/14/22 11:19 11:19 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75400 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
I v l
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' ; 0.00
TENDERED
r
CHANGE
CHECK NO.
I
SIGNATURE
"DUPLICATE TICKET* SITE TICKET I GRID WEIGHMASTER
j SOUTHOLD TOWN DEPT SOLID WASTE 01 01718691 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/22 06/14/22 11:19 11:19 11112TC
009316 Town of Babylon
REFERENCE ORIGIN'
Scale 2 Gross Wt. 75400 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.29 707-75=GONSW 0.000 0.00 0.00 0.00
I
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '' 0.00
TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 6558
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 TICKE i`° SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DE-PT SOLID WASTE 01 01718636 Steph
PO Box 962/6155 Cox Lane.
Cutchogue, NY 11935 DATE IN DATE,OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/22 06/14/22 08:25 08:25 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 ^ross Wt. 82780 LB Outbound-Charge ticket
Manua_I Tare Wt. 36540 LB
Net Weighi 46240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
iv 071 U0.1vlsvv 0.UUU U.UU
`4
C
7-nj 4z n +.-,
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.".�'
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" sITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEP f `:OLID WASTE 01 01718636 Steph
PO Box 962/6155 Cox t =me
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/14/22 06/14/22 08:25 08:25 11100TC
009316 Town of Babylon:
REFERENCE
�.
C —
Scale 2 :'loss Wt. 82780 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 46240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
ull .
T— TOO
,
..
CLOSED HOLIDAYS - OUFSTIONS CALL 631-734-76.85:
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6557
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY.THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET- SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01718882 Dan
PO Box 962/6155 Cox Lane:
Cutchoyue, NY T 193) DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/15/22 06/15/22 08:49 08:49 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 75960 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.99 TON OUTGO.A/ISW .0.000 0.00 0.00 0.00
"'Y i.
O •
CLOSED HOLIDAYS QUESTIONS CALL 631-734-7685:'';; ' 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
—DUPLICATE TICKET— SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT 'SOLID WAS-1 E 01 1 01718882 Dan
PO Box 962/6155 Cox Lan
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' I ROLL OFF
06/15/22 06/15/22 08:49 08:49 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 75960 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 41980 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.99 TON DUTGO.MSW 0.000 0.00 0.00 0.00
r+'' r 5
I
Op ;. U . v •
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.,- •'' 0.00
TENDERED
- CHANGE
C EC NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 14..Blydenburgh Road NO. 6573
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
$OUTHOLD TOWN DEPT SOLID WASTE 01 01719129 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/16/22 06/16/22 8:17 08:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39560 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
r s.P�j"f— •..`. .. .. cif qf ..>
Q •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'',.':'
TENDERED
CHANGE
CHECK N
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01719129 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT � VEHICLE ROLL OFF
6/16/22 6/16/22 t8:17 8:17 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 39560 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
19.78 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. G 0.00
TENDERED
CHANGE
CHECK•NO.
SIGNATURE
_fKINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6574
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
N ET
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 ANUT.O 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.
"OUPLIC:ATETICKET— SITE ' TICKET I GRID ' WEIGHMASTER
111
SOUTHALD TOWN DEPT SOLID WASTE DI 01719222 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF
6/16/22 6/16/22 1:56 1:56 11100TC
009319 Green Titan, Inc.
21 Dorset Drive REFERENCE •
Marlton NJ 08053
Scale 2 Gross Wt. 64700 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 28160 LB
QTY. UNIT _ _ DESCRIPTION RATE, EXTENSION FEE TOTAL
14.08 TON Dut Shrink Grn Titan 60.000 844.80 0.00 844.80
st .. .yam=•
Op .i", •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 844.80
is TENDERED
'CHANGE
HEC NO.
SIGNATURE
"DUPLICATE TICKET SITE TICKET GRID WEIIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 311 01719222 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT: `TIME IN, TIME OUT VEHICLE ROLL OFF
6/16/22 6/16/22 1:56 1:56 11100TC
009319 Green Titan, Inc.
21 Dorset Drive •
Marlton NJ 08053
Scale 2 Gross Wt. 64700 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 28160 LB
QTY' UNIT DESCRIPTION- RATE' EXTENSION FEE TOTAL
14.08 TON Cut Shrink Grn Titan 60.000 844.80 0.00 844.80
9
�.t s
Ope •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. p 's, 844.80
TENDERED.
! " CHANGE'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6575
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 NOTHAZARDOUS 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
SWIeHOLD TOWN DEPT SOLID WASTE 01 01719334 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/17/22 06/17/22 07:03 07:15 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72180 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39380 LB
Net Weight 32800 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.40 TON DUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., .?a 0.00
' TENDERED
CHANGE
C
SIGNATURE HECK NO.
--j
"DUPLICATE TICKET" SITE J TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01719334 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
6/17/22 6/17/22 �7:03 7:15 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 72180 LB Outbound-Charge ticket
Scale 1 Tare Wt. 39380 LB
Net Weight 32800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
16.40 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Op 4 , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
v r .TENDERED
CHANGE
HECK NO.
SIGNATURE t
Y' TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6560
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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
SOUTISLD TOWN DEPT SOLID WASTE 1 01719356 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' I ROLL OFF
6/17/22 06/17/22 8:17 8:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80440 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 TON UTGO.MSW 0.000 0.00 0.00 0.00
D :
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,>;;' :..,' - `` 0.00 •
TENDERED
w °x CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE A 01719356 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/17/22 6/17/22 8:17 8:17 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80440 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 41740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 TON CUTGO.MSW 0.000 0.00 0.00 0.00
r.l
*E '
Op ( •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
TENDERED
" CHANGE
CHECK N09
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6576
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:
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 01719453 Liz H
PO Bois 062/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN.'TIME OUT VEHICLE ROLL OFF
06/17/22 06/17/22 11:43 11:43 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79020 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
UUTTUTIVISW 0.000 0.00 0.00 0.00
A
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:; t 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01719453 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
06/17/22 06/17/22 11:43 11:43 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79020 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.80 TON DUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
D •
214 Blydenburgh Road NO. 6578
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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01719641 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/18/22 06/18/22 08:39 08:51 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74120 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36460 LB
Net Weight 37660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685. 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01719641 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/18/22 06/18/22 08:39 08:51 11112TC
009316 Town of Babylon
REFERENCE
�.
Scale 2 Gross Wt. 74120 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36460 LB
Net Weight 37660 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
18.83 G0. 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
.TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6561
Isl2.nd a, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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.
1
"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720260 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE ROLL OFF
6/21/22 �6/211/22 7:11 7:11 11112TC
009316 Town a Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68620 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.90 TON UTGO.MSW 0.000 0.00 0.00 0.00
1 t l i P Yti.
Op ' 1 ;i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ,:°;y-; ; " a .. 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720260 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/21/22 6/21/22 7:11 17:11 11112TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 68620 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 31800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
5.90 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Ope ...`;p t M t. A •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r, 0.00
t' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214-Blydenburgh Road 6563NO.
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 01720303 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11,935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
' 6/21/22 6/21/22 18:07 8:07 11103TC
009316 Togtn'of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 65800 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 29260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.63
0.000 0.00 0.00 0.00
,:,ate r,♦.,�v' i. _ .,. .,.� ,f t "'v �
Op ,,, :: •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
t.t K
Alt- TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE C 1 01720303 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/21/22 C 6/21/22 0 :07 8:07 11103TC
009316 Town of Babylon
Scale 2 Gross Wt. 65800 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 29260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00
J.
Ope r 1i
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -<', ~ y " 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214,BPydenburgh Road NO. 6579
�
Islandia, NY 11749
(631).342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: , SHIP DATE:
COMMODITY_SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE.REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR "
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.'
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Di 01720402 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF
6/21/22 6/21/22 0:34 1 0:49 11112TC
009at6 Town of Babylon REFERENCE I ORIGIN
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 38940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.47 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
Op _ t •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`';:`.'., 0.00
TENDERED
CHANGE
-HECK NO
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720402 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/21/22 6/21/22 0:34 0:49 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 38940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
9.47 TON UTGO.MSW 0.000 0.00 0.00 0.00
Ope s a Wee.',,, .
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685." 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6562s 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 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 11 1 01720463 Steph
PO Box 962/6155 Cox Lane
Cutcr ogue,tNY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/21/22 �6/21/22 1:56 1:56 11103TC
009316 Town of Babylon REFERENCE :
Scale 2 Gross Wt. 71620 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 32920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685:
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET*" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720463 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/21/22 6/21/22 1:56 1:56 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71620 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 32920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
ti>
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
t
TENDERED
CHANGE
CHE K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
t 214 Blydenburgh Road NO. 6580
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:
THEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01720750 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• 06/22/22 06/22/22 11:42 11:42 11103TC
00d16 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76380 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37240 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
.. ti
a.
i
O :
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 01720750 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
06/22/22 106/22/22 11:42 11:42 11103TC
009316.Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76380 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 37240 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O . . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6582
Islamdja, NY 11749
(61) 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 01720679 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/22/22 06/22/22 08:09 08:09 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71020 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 34480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. U.UU •
TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01720679 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/22/22 06/22/22 08:09 08:09 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71020 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 34480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
i
O •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED
CHANGE
CHECK NO:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6581
Islandia, NY 11749
01,
(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 LAWJS 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
iSO(r'rrIOLD TOWN DEPT SOLID WASTE 01 01720935 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
6/23/22 6/23/22 1:59 1:59 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71580 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35040 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.52 TON CUTGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. w 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720935 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
6/23/22 6/23/22 1:59 1:59 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 71580 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 35040 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7.52 TON UTGO.MSW 0.000 0.00 0.00 0.00
t;
Operating •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
'�---TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6584
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 BY40 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.
"."CPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01720855 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/23/22 06/23/22 REFERENCE
8:13 8:13 11103TC
009316 Town of Babylon
Scale 2 Gross Wt. 81880 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 42500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.25 TO UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`'. 0.00 •
i` TENDERED
CHANGE
CHECK NO.
SIGNATURE
*"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01720855 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/23/22 �6/23/22 t8:13 8:13 11103TC
009316 Town of Babylon
REFERENC
Scale 2 Gross Wt. 81880 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 42500 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1.25 TON UTGO.MSW 0.000 0.00 0.00 0.00
`5
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:','.: 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6583
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 11 1 01721168 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/24/22 6/24/22 1:55 1:55 11103TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81640 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.11
GO.MSW 0.000 0.00 0.00 0.00
f
1. :,.•'
5/s
e• : _ �— �ii
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:, : : `"r .'i 0.00
TENDERED
- CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01721168 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
6/24/22 6/24/22 1:55 1:55 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81640 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44220 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
2.11 TON QUTGO.MSW 0.000 0.00 0.00 0.00
R f��.f.;�i • LL�'t. if;�� � m3
} .{
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 .,' -'.`- ' ' - ? rf' 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 14 Blydenburgh Road NO. 6586
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:
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 I GRID WEIGHMASTER
SOUTH0kD TOWN DEPT SOLID WASTE 1 01721062 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/24/22 6/24/22 8:13 8:13 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.05 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
6
Op e ti. ;z •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685.'r f ` + 0.00
TENDERED
CHANGE
CHECK NO.
�)
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01721062 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
6/24/22 6/24/22 8:13 8:13 11103TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76920 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 40100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.05 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating days a wee .1�t .;ft�., �,5 rr, r.t'w •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.`, 0.00
TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6585
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 ISlN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:' .
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: . DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01721364 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/25/22 06/25/22 08:53 08:53 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 72180 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35360 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O tong hours 7wool-A-A.4 to 5-00 RA-4
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`e<'; = , 0.00
z
�.'� � -•....e__. _' S, �. '�' TENDERED
CHANGE
CHECK NO.
—j
SIGNATURE
"DUPLICATE TICKET" ITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 01721364 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , VEHICLE I ROLL OFF
6/25/22 6/25/22 8:53 8:53 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 72180 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 35360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00 0.00 0.00
Ai
0 tinghours=g
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: `K,1°,• __..
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6587
Islandia, NY 11749
(63 I) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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:
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.
r
"*DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01722004 Steph
PO Box 962/6155 Cox Lane
Cutchogue, kY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/27/22 6/27/22 8:34 8:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87860 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 49160 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4.58 TON UTGO.MSW 0.000 0.00 0.00 0.00
aj j`i�•�.i ry`'fj.G r-`kY'`'rl�z:✓f di, _
Op �, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
a° i ? TENDERED
;i'";
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE C11 01722004 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
/27/22 /27/22 0 :34 0 :34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87860 LB Outbound-Charge ticket
Manual Tare Wt. 38700 LB
Net Weight 49160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
58 TON O JTGO.MSW 0.000 0.00 0.00 0.00
Op ldting hours 7.UO AIVI tOclays a wee . •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `f,4' ^`: y M 4 0.00
TENDERED
I'A
- 1 _ CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2I4 Blydenburgh Road 6588
,. 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
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:
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01722083 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/27/22 06/27/22 11:31 11:31 19640TC
00931.E Town of Babylon
' REFERENCE ORIGIN
Scale 2 Gross Wt. 68420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 34440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.22 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t t j r
Op ,' r, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' ;':< 0.00
TENDERED
d w: CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01722083 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/27/22 6/27/22 1:31 1:31 19640TC
00931E Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 34440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7.22 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours o ays a wee . -; n t�' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: <"' ;` "_ :` 0.00
r' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6571
.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 1 01721973 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/27/22 6/27/22 7:29 7:29 19640TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 67200 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 30660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.33 TON UTGO.MSW 0.000 0.00 0.00 0.00
i0Y ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ;;',. . 0.00
r' TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01721973 Steph
PO Box 962/6155 Cox Lane
PO Bo 96 61 11 Co DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
F6�27/22 6/27/22 7:29 7:29 19640TC '
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 67200 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 30660 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.33 TON UTGO.MSW 0.000 0.00 0.00 0.00
Ope •"T'`, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768.5. ;:..> - ,LA. ,, ``° 0.00
A - TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6570
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: F` �+ r ! GROSS
TARE
4. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS"DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY '
DESCRIBED.CLASSIFIED AND PACKAGED,AND.IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER:
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01722254 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �; DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
J
06/28/22 06/28/22 08:30 08:30 11100TC
009316 Town of Babylon
REFERENCE
C -
Scale 2 Gross Wt. 74020 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 34640 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.32 TON UTGO.MSW 0.000 0.00 0.00 0.00
fir: •',`, , , `�=e
a ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:; ` `, LL` u; 0.00
C`, _ TENDERED
}T, CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Di 01722254 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/28/22 6/28/22 8:30 8:30 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74020 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 34640 LB
QTY. UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL
17.32 TON UTGO.MSW 0.000 0.00 0.00 0.00
y;
Q
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: %.: - ' ` 0.00
r TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Read NO. 6589
s
Islandia, NY 11749 .
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE,GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01722329 Steph
PO Box 9Q k,,155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/28/22 06/28/22 12:06 12:06 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79320 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
so
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:`" 9 ;.:, - L r;`s4 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01722329 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/28/22 06/28/22 2:06 12:06 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79320 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.67 TON UTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`."�'%, - _ - 0.00
5'°M^ °L °' +:i'lrr..... 'I r`� ,'�1" TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Y31ydenburgh Road NO. 6590
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: r'
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.,
GENE RATOR'AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. 4 .`
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.
SITE TICKET GRID . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01722234 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
r^ 06/28/22 06/28/22 07:20 07:20 19640TC
009316 Town of Babylon
REFERENCE ORIGIN 2 Gross Wt. 83540 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 44460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:', ,f f 0.00 •
TENDERED.
CHANGE
CHECK NO.-
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 1 01722234 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/28/22 �6/28/22 7:20 7:20 19640TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 83540 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 44460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
0.000 0.00 0.00 0.00
a
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.„:`' ':.. ' ., 0.00
TENDERED
i 2 a
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6292
NO.
• 4slandia, 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 01722594 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6 29 22 12:02 12:02 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 48200 LB
QTY. U I DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685:
TENDERED
CHANGE
CHECK NO.::::j:
SIGNATURE
"DUPLICATE TICKET" (SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01722594 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
-OUT2 0 29/22 12:02 12:02 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 87580 LB Outbound-Charge ticket
Manual Tare Wt. 39380 LB
Net Weight 48200 LB
QTY. UN T DESCRIPTION RATE EXTENSION FEE TOTAL
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED
•CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 6592
:
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
APPLICABLESTATE 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
SOUi HOLD 'OWN DEPT SOLID WASTE 01 1 01722487 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/29/22 06/29/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.22 TUIT--5=0.mSW 0.000 0.00 0.00 0.00
v d
(4 v
1
f,
O11:11v Ti
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,:`;,'; '-- 0.00
t' TENDERED
CH NGE
CHECK O.
—j
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 11 1 01722487 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
6/29/22 6/29/22 8:24 8:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81860 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 44440 LB :::I
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.22 TON UTGO.MSW 0.000 0.00 0.00 0.00
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: - 4; 0.00
TENDERED
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6591
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 ORANY 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 01722766 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/30 22 06/30/22 08.33 08:33 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75600 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 39400 LB
QTY. UNIT DESCRIPTION, ' RATE EXTENSION FEE TOTAL
-I V.tu IV[q—OtJTGC).MSVVO
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 01722766 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/30/22 06/30/22 08:33 08:33 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75600 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 39400 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
O
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.
TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 6593
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
�CpQ� �lU TARE
L U 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 TICKET GRID WEIGHMASTER
SOUTYOLD TOWN DEPT SOLID WASTE 01 01722860 Liz H
PO Bol962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
06/30/22 06/30/22 12:09 12:09 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 43080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
Q •
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 1 01722860 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
06/30/22 06/30/22 12:09 12:09 11100TC
009316 Town of Babylon
REFERENCE
7 -
Scale 2 Gross Wt. 80500 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 43080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Q LOU,
CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685. .
TENDERED
CHANGE
HECK NO.
SIGNATURE
_TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6594
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): f
TRUCK WEIGHT.- i� , �� GROSS
'-C 2)Q TARE
--,c 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:
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. . :"