HomeMy WebLinkAbout09/2022 "DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738167 Will
Pn Box 962/6155 Cox Lane
N
tchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/03/22 09/03/22 07:13 07:13 11112TC
9316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 75220 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 36140 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
c s
.. <�.
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY„\SEPTEMBER'5=-m _f; <•A J
TENDERED
tit f�
Z�nan CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01738167 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
09 03/22 09/03/22 07:13 07:13 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 75220 LB Outbound-Charge ticket
Manual Tare Wt. 39080 LB
Net Weight 36140 LB
OTY. UNIT tj=FeDESCRIPTION _ RATE EXTENSION FEE TOTAL
O a -
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY SEPTEMBER•5". ":- `I °� , }
TENDERED
9 K 3
rf r� CHANGE
CHECK NO::::j
SIGNATURE
,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6668
Islandia NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTEWill
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I OLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 47700 LB
QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
Op
4 ''s
`1
eratin hours 7:0 AM o 5 0 { .' _ t° ``'
•
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY�SEPTEMBER'S—_ �= a
r{ aeP ' TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ill
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
00 C
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86840 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 47700 LB
QTY. Uyet, DESCRIPTION RATE EXTENSION FEE TOTAL
i�
&eratina hQurs4
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY„SEPTEMBER--5-_. f
N
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6 714
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.
'"`DUPLJCATE TICKET"` SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738000 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/02/22 1 09/02/22 11:24 11:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73480 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 36720 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t e fe �1 • _ 1j
Iq j 4. f
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;.SEPTEMBER.5
.t
TENDERED
CHANGE
CHECK NO.
• SIGNATURE
""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738000 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT -TIME IN TIME OUT VEHICLE ROLL OFF
09 02 22 09/02/22 11:24 11:24 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73480 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 36720 LB
CITY. U T DESCRIPTION RATE EXTENSION FEE TOTAL
eratin hours 7:0 AM o 5< Yy' g'+'
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,.SERT!E�MBER=S _
TENDERED
a �
? `1 CHANGE
CHECK NO.
SIGNATURE
r TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 713
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE•REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED'AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW-TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
**DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOIa.`HOLD TOWN DEPT SOLID WASTE 01 01737736 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT ,TIME IN TIME OUT VEHICLE ROLL OFF
09/01/22 09/01/22 08:34 08:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87280 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 50520 LB
QTY. UNIT DESCRIPTION ' RATE' EXTENSION FEE -. TOTAL-
"
P•' P5r
r.;
4 ,
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER'5
TENDERED
CHANGE
CHECK NO.
_j
SIGNATURE
"DUPLICATE TICKET" SITE' - . TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01737736 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF
09/01/22 09/01/22 08:34 08:34 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87280 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB Net Weight 50520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1 {
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,.SEPTEMBER'5--" 4
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6 711
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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 01737825 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/01/22 09/01/22 12:19 12:19 11100TC
REFERENCE
7
009316 Town of Babylon
•-
Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY.SEPTEMBER 5 - 0.00
1✓-y .C., - .. "__ •."air
TENDERED
CHANGE
CHECK N
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01737825 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/01/22 09/01/22 12:19 12:19 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_ tr •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5 0.00
�., °r' '',t'",: ,•� .,i '��•._;,, � TENDERED
CHANGE
f
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6712
_
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 01 01738750 Will
PO Box,962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/06/22 69/06/22 08:17 08:17 11100TC
009316'(Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38320 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,-SEPTEM6ER-5
TENDERED
• CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738750 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
09/06/22 09/06/22 08:17 08:17 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 74260 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
00 0.00 0.00 0.00
5-
4{Y 1
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;ISEPTEMBER 5`---- 0.00
TENDERED
, r CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
f14 Blydenburgh Road 6 715
Iilandia, 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: w
(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 F TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738821 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE•OUT TIME IN TIME OUT VEHICLE ROLL OFF, "
09/06/22 09/06/22 12:10 12:10 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
FQlTy.
Scale 2 Gross Wt. 71100 LB Outbound-Charge ticket.
Manual Tare Wt. 36540 LB
Net Weight 34560 LB
UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
. 0.00
f _
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5' e
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738821 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/06/22 09/06/22 12:10 12:10 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 71100 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 34560 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE -TOTAL
0 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,',SEPTEMBER 5 -
�t+ TENDERED
i rb✓"
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 6 716
:
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 TOAPPLICABLE 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.
ti
""DU.PLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
'SCUT,4:�,01-D TOWN DEPT SOLID WASTE 01 01738905 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/07/22 09/07/22 07:20 07:20 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
`\Y
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER'5
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01738905 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/07/22 09/07/22 07:20 07:20 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79940 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;,SEPTEMBER-5-
TENDERED
CHANGE
HECK NO.
SIGNATURE
..TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6702
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Dan
PO BoX�k2l045'5 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
F I
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38500 LB
CITY Net
DESCRIPTION RATE EXTENSION FEE TOTAL
t6
� s
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER-5
f
TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 u 733906 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
00T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75320 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 38500 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY-,SEPTEMBER 5-'-- ?` L
TENDERED
CHANGE
EC NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214'B lydenburgh Road 6 717
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:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""DUPLI,PATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUT�Ibl_D TOWN DEPT SOLID WASTE Ul U 136969 Dan
PO,Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38760 LB
QTY. UN DESCRIPTION ATE EXTENSION' FEE TOTAL
eratin hours 7:Ob AM to 5: 0 PM 7
CLOSED-HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEP„TEMBER 5
TENDERED
CHANGE
CHE
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 74700 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 38760 LB
QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
a".
rS '
t
ra
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SE&EMBER"5..""_'1
TENDERED
CHANGE
CHECK NO.
SIGNATURE
-'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 718
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES_ ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE_INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE-TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739197 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/08/22 09/08/22 11:52 11:52 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 85660 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 49120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,-SE,PTEMBER 5
TENDERED
CHANGE
CHECK NO.
-j
SIGNATURE
*"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739197 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/08/22 09/08/22 11:52 11:52 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85660 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 49120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION_ FEE TOTAL
24.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;'SEFTEMBER 5 --Y ' ' : ,' _t 0.00
TENDERED
i„ CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6720
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 1 01739113 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/08/22 09/08/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82000 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22. 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5-
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739113 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/08/22 09/08/22 08:24 08:24 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82000 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45180 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
ON OUTGO.MSW 0.000 0.00 0.00 0.00
O ,.
CLOSED.HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5`-_.F^ 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 719
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 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
soultNOLD TOWN DEPT SOLID WASTE 01 01739334 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ' DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/09/22 09/09/22 08:15 08:15 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81480 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 44720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE" TOTAL
f
N_ Y
S
A i .
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER`5 .
TENDERED
CHANGE
CHECK NO.::::l
SIGNATURE
"DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739334 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/09/22 09/09/22 08:15 08:15 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81480 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 44720 LB
QTY. UNIT DESCRIPTION RATE _ - EXTENSION - - FEE TOTAL
_ 1
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;.SEPTEMBER4
TENDERED
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6721
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
-1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
°APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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 I WEIGHMASTER
1 SOU-NiOLD TOWN DEPT SOLID WASTE 01 01739422 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/09/22 09/09/22 11:55 11:55 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37620 LB 7
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,.SEPTEMBER-5-.-
- TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739422 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/09/22 09/09/22 11:55 11:55 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71600 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 37620 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY',''SEPTEMBER 5
TENDERED
LL•.%>' .r CHANGE
CHECK NO.
�)
SIGNATURE
`TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6722
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 01739553 Will
PO 13ox 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF.
09/10/22 09/10/22 07:35 07:35 11100TC
008316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82780 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 43640 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL CITY. L
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,.SEPTEMBER 5 U.UU
TENDERED
s= CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET''* SITE TICKET GRID WEIGHMASTEIR
SOUTHOLD TOWN DEPT SOLID WASTE 01 01739553 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT, VEHICLE ROLL OFF
09/10/22 09/10/22 07:35 07:35 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82780 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 43640 LB
QTY. - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7 : 1
•
CLOSED HOLIDAYS- NEXT HOLIDAY LABOR DAY;.SEPTEMBER~5 - y �'FUU
TENDERED
-- CHANGE
CHECK O.
SIGNATURE
TRINITY TRANSPORTA
214 Blydenburgh Road
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TA .
BEING SHIPPED AND DOES NOT ASSUME.ANY LIABILITY ASSOCIATED WITH THE SH-
COMPANY:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE.THE INFORMATION PROVIDED:
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION .
GREEN TO TRANSPORTER "
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
—DUPLICATE TICKET*" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740175 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
` r 09/12/22 09/12/22 11:49 12:05 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 75240 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35840 LB
Net Weight 39400 LB
OTY. 'UNIT DESCRIPTION - - RATE EXTENSION FEE TOTAL
UUTGUNsw 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,"SEPTEMBER 5 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET'" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01740175 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/12/22 09/12/22 11:49 12:05 11112TC
009316 Town of Babylon
REFERENCE I ORIGIN
Scale 2 Gross Wt. 75240 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35840 LB
Net Weight 39400 LB
OTY. UNIT DESCRIPTION , RATE EXTENSION - FEE TOTAL
19.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
r_
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;,SEPTEMBER'5 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6703
Islandia, NY 11749 N�
(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 ACC60RDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY.CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER._
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01740107 Steph
PO Box 962/6155 Cox Lane
Cutchogue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/12/22 09/12/22 08:07 08:21 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 73440 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36000 LB
Net Weight 37440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
8.72 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5 0.0
TENDERED
CHANGE
CHECK NO,
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01740107 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/12/22 09/12/22 08:07 08:21 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73440 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36000 LB
Net Weight 37440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE :TO
18.72 TON OUTGO.MSW 0.000 0.00 0.00
0
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER-5
TENDERED
CHANGE
CHECK NO:::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6701
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:
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 CERTIFYTHAT'THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: .
RECEIVED BY:
AUTHORIZED AGENT(PRINT-NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740355 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
' 09/13/22 09/13/22 11:40 11:40 11112TC
009316 Town of Babylon
Scale 2 Gross Wt. 86480 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 50540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
week. •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,•SEPTEMBER 5 - 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740355 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/13/22 09/13/22 11:40 11:40 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86480 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 50540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;,SEPTEMBER 5 0.00
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6704
Islands;-NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT).
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE.NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740306 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/13/22 09/13/22 07:46 07:46 11112TC
009316 Town of Babylon
..Po`, REFERENCE
..
Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45860 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5 U.
TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740306 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/13/22 - 09/13/22 07:46 07:46 11112TC
009316 Town of Babylon
Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 45860 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00 0.00
O .
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5 --
TENDERED
CHANGE
C
SIGNATURE HECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6705
blandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS-WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U1 MUbbb ep
PO Box,962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
ORIGIN
Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45400 LB
CITY. UN AA, DESCRIPTION T SION FEE TOTAL
COIN-
e j(( n m
P4 t� k1
eratin hours 7:00 AM to 5: 0 PM 7 da s a week..
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAl';.SEP£TEMBER-S"�.�` ", .. ,�
(631)734-7685 TENDERED
r CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul U 14=3tj Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 82220 LB Outbound-Charge ticket
Manual Tare Wt. 36820 LB
Net Weight 45400 LB
CITY. U DESCRIPTION RATE EXTENSION FEE TOTAL
1-7
�,
i P....r-ems l f 9
am, 1._, r Al
�01 Lei j
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEM5ER`5 UU
(631)734-7685 ;.r` '`•
� ff&j� r tlpi ju ,q.+ ,, TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRUNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6706
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:_ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740473 Ste ph
PO Box 9r:_)2-/6155 Cox Lane
Cutchodbe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/14/22 09/14/22 07:42 07:42 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79160 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 42400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
j _
'-_--�'"; ,' Y�:�.,.�`�its •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,�SEPTEMBER'5
(631)734-7685 TENDERED
Ru; f 4
`�-c-:.,.•3' �i`lit� �y�,f'r�
CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740473 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/14/22 09/14/22 07:42 07:42 11112TC
009316 Town of Babylon
REFERENCE I ORIGIN
7 1 -1
Scale 2 Gross Wt. 79160 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 42400 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
TZZ
;
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEFiT;EMBER`5"- ;
(631) 734-7685 ' _ _. t
``F� -'hi� TENDERED
CHANGE
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6 710
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. ,:C
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
„SOUT1'?TOLD TOWN DEPT SOLID WASTE 01 1 01740678 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/15/22 09/15/22 07:32 07:44 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80160 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36480 LB
Net Weight 43680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00
3
O ed AM - _ oll
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,.SEPTEMBER 5 --
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740678 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF
09/15/22 09/15/22 07:32 07:44 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80160 LB Outbound-Charge ticket
Scale 1 Tare Wt. 36480 LB
Net Weight 43680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.84 O0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY, SEPTEMBER 5
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
tTRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6727
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(PR1NT 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 J TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0 740783 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9 5 22 09/ 5 22 12:11 12:24 11112TC
0OQ316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 78280 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 42680 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER-5
(631)734-7685 - ,t
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 0 740783 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2 5 22 12: 2:24 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78280 LB Outbound-Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 42680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
J
CLOSED HOLIDAYS- NEXT HOLIDAY LABOR DAY;.SEPTEMBER-5
(631) 734-7685 TENDERED
:�C- ' CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6728
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED'AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER "
YELLOW TO TRANSPORTER. .
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740973 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/16/22 09/16/22 11:38 11:38 11112TC
REFERENCE ORIGIN
009316 Town of Babylon
C- I
Scale 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40160 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER 5
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"" SITE I TICKET . GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01740973 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/16/22 09/16/22 11:38 11:38 11112TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 74140 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 40160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER 5 0.00
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6730
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.
`JPI ICATE TICKET" SITE TICKET GRID WEIGHMASTER
S4ftTH0tD TOWN DEPT SOLID WASTE 01 01740889 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/16/22 09/16/22 07:43 07:43 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77100 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40560 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
_ _ f
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5 U.UU
(631)734-7685
TENDERED
- CHANGE
f
N
SIGNATURE
""DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01740889 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/16/22 09/16/22 07:43 07:43 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77100 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 40560 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
t
. u ` -
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY^SEPTEMBER 5`
(631) 734-7685 �._ -;r`;'r:,;;,r ;ytt TENDERED
f'y CHANGE
H K 111�j
SIGNATURE
.AI TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6729
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: j 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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741133 Steph
PO Box 96?/6155-Cox Lane
Cutchogue,NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF-
09/17/22 09/17/22 08:35 08:35 11112TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 81420 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 44880 LB
CITY. UNIT DESCRIPTION -RATE EXTENSION ..FEE TOTAL
0.000) 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5
(631) 734-7685 TENDERED
CHANGE
CHECK NO:::::l:
SIGNATURE
**DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741133 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/17/22 09/17/22 08:35 08:35 11112TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 81420 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 44880 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;SEPTEMBER-5
(631) 734-7685 "' :' ' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
le
11.44'Blydenburgh Road NO. 6731
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.
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE),
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED 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 01741794 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
-} 09/19/22 09/19/22 12:17 12:17 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 69940 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7.00 0.000 0.00 0.00 0.00
• 1 ~ ° e3 ` `°� �' tom`-• P3.
I
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,-SEPTEMBER 5--_
(631)734-7685 TENDERED
CHANGE
CHECK N
SIGNATURE
—DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741794 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/19/22 09/19/22 12:17 12:17 11100TC
009316 Town of Babylon
ORIGINREFERENCE
Scale 2 Gross Wt. 69940 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 34000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O s. •
CLOSED HOLIDAYS- NEXT HOLIDAY LABOR DAY;SEFTEMBER`50.00
(631) 734-7685 a ,' =
- TENDERED
CHANGE
H K
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6725
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT,THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: "
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION ,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" (SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741691 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/19/22 09/19/22 08:39 08:39 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 71240 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 34700 LB
Qw.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
7.35 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY.SEPTEMBER 5` 0.00
(631)734-7685
,. TENDERED
CHANGE
CHECK N .
SIGNATURE
"DUPLICATE TICKET" SITE 1. TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741691 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/19/22 09/19/22 08:39 08:39 11100TC
009316 Town of Babylon
REFERENCE
•-
Scale 2 Gross Wt. 71240 LB Outbound-Charge ticket
Manual Tare Wt. 36540 LB
Net Weight 34700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' Y
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,'SEPTEMBER 5- 0.00
(631) 734-7685 TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6724
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY-LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
j
LICATE TICKET'" SITETICKET GRID WEIGHMASTER
StSOLD TOWN DEPT SOLID WASTE 01 01742047 Will
PX 962/6155 Cox Lane
CL ,gue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/20/22 09/20/22 12:35 12:35 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71780 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 35020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,--SEPTEMBER 5-
(631) 734-7685 - TENDERED
CHANGE
CHECK NO.
SIGNATURE
"'DUPLICATE TICKET`* SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742047 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/20/22 09/20/22 12:35 12:35 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 71780 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 35020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.51 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY�,FSEPTEMBER'5 0.00-
(631) 734-7685 k „. ' TENDERED
CHANGE
CHECK NO-
__j
SIGNATURE
IRRINITY TRANSPORTATION CORPORATION NO.
A Blydenburgh Road 6673
landia, 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 260A0 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 01741952 Will
PO Box 962/6155 Cox Lane
Cutchogue,,NY-�.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/20/22 09/20/22 08:57 08:57 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 77920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
— l
€ 4:
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;;SEPTEMBER 5 - 4
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" (SITE TICKET GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 01 01741952 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/20/22 09/20/22 08:57 08:57 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 77920 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 43940 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
0.000 0.00
p li a i
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;--5EPTEMBER`5-- UU
-
(631)734-7685 TENDERED
Yl^ -
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Bfydenburgh Road NO. 6726
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742192 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - TIME IN TIME OUT VEHICLE I ROLL OFF
09/21/22 09/21/22 08:37 08:37 11100TC
009j A6 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79080 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 41660 LB
QTY UNIT DESCRIPTION RATE, EXTENSION= FEE° TOTAL
20.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00
+e
Operating homs 7qe6 AM to 56M
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,"SEPTEM1BER'5_
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742192 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/21/22 09/21/22 08:37 08:37 11100TC
009316 Town of Babylon .
REFERENCE ORIGIN 2 Gross Wt. 79080 LB Outbound-Charge ticket
Manual Tare Wt. 37420 .LB
Net Weight 41660 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00
s - i
iN
ry { {
Opera Ing hours o mub FIVI days a wee s--.' _ y_ �titi'm, r,Y •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;:.SEPTEMBER b' 0.00
v�
TENDERED(631) 734-7685 ? °';i >=�
;;.,
v. }1
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6747
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 I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742264 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE I ROLL OFF
09/21/22 09/21/22 12:23 12:23 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49060 LB
CITY. UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
3 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER 5
(631)734-7685 TENDERED
CHANGE
' CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE r TICKET GRID WEIGHMASTER \
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01742264 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 1 , ROLL OFF
09/21/22 09/21/22 12:23 12:23 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 83040 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 49060 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.53 TON DUTGO.MSW 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEM_BER 5
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6748
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
SOUi-SOLD TOWN DEPT SOLID WASTE 01 01742404 Liz H
'130 Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
09/22/22 1 09/22/22 08:52 08:52 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69100 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 32900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
•
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER 5 0.00
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742404 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
09/22/22 09/22/22 08:52 08:52 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 69100 LB Outbound-Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 32900 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5
(631) 734-7685 TENDERED
CHANGE
CHE K NO.
SIGNATURE
J'--TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6749
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
SOUTHOL4TOWN DEPT SOLID WASTE 01 01742478 Liz H
PO.Box 962/6155 Cox Lane
Cutchcgue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/22/22 09/22/22 12:25 12:25 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 76060 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 36920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5 0.00
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742478 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/22/22 09/22/22 12:25 12:25 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 76060 LB Outbound-Charge ticket
Manual Tare Wt. 39140 LB
Net Weight 36920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5 0.00
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road NO. 6750
Islandia, NY 11.749
(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
SOL@,THOLr.pTOWN DEPT SOLID WASTE 01 01742579 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/23/22 09/23/22 11:12 11:12 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 42940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
- •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;:SEPTEMBER 5
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01742579 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/23/22 09/23/22 11:12 11:12 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78880 LB Outbound-Charge ticket
Manual Tare Wt. 35940 LB
Net Weight 42940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,:SEPTEMBER 5 -
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6751
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01742721 Will
PO Bog(962/6155 Cox Lane
Cutchlogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/24/22 09/24/22 08:43 08:43 11100TC
00931`6 Town of Babylon
REFERENCE
•.
-Scale 2 Gross Wt. 79640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 42880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL -
1 UN UU 1(30.MbVV 0.000 0.00
Lati��-Od
ki
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,'SEPTEMBER 5 •
(631)734-7685
TENDERED
CHANGE
CHECK NO.
SIGNATURE
""DUPLICATE TICKET''* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01742721 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF '
09/24/22 09/24/22 08:43 08:43 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 79640 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 42880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE.- TOTAL
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY;.,SEPTEMBER 6U.
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
' NO.
214 Blydenburgh Road 6752
'
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED-AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"'DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743256 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
+ 09/26/22 09/26/22 07:26 07:26 11100TC
0093 6.-Town of Babylon
REFERENCE
FQTry.
•-
Scale 2 Gross Wt. 68960 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 34980 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
. 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5
(631)734-7685
TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01743256 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09 26/22 09/26/22 07:26 07:26 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 68960 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 34980 LB
CITY. U T DESCRIPTION RATE EXTENSION FEE ATOTAL-
0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY; SEPTEMBER 5
(631)734-7685
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6753
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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743343 Steph
PO Boy.962/6155 Cox Lane
Cutch'ogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/26/22 09/26/22 :foo:j
11:00 11100TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 73380 LB Outbound-Charge ticket ORIGIN
Manual Tare Wt. 33980 LB
Net Weight 39400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5 0.00
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743343 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
09/26/22 09/26/22 11:00 11:00 11100TC
009316 Town of Babylon
Scale 2 Gross Wt. 73380 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 39400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
9.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER 5 ' 0.00
(631)734-7685 `''
. TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6754
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY.APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 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 01743589 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
\' 09/27/22 09/27/22 08:40 08:40 11100TC
0093•E Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46440 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
O •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,-SEPTEMBER 5
(631)734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743589 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
09/27/22 09/27/22 08:40 08:40 11100TC
REFERENCE
00931E Town of Babylon
CE
Scale 2 Gross Wt. 80420 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.22 O O.MSW 0.000 0.00 0.00 0.00
O -
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5
(631) 734-7685 r . TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
14 Blydenburgh Road 6755NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET'
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER-
TRANSPORTATION/FREIGHT CO. .-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743680 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
09/27/22 09/27/22 12:13 12:13 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78340 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5`- 0.00
(631)734-7685 TENDERED
� P
CHANGE
CHECK NO.
SIGNATURE
"*DUPLICATE TICKET"` SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01743680 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
09/27/22 09/27/22 12:13 12:13 11100TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 78340 LB Outbound-Charge ticket
Manual Tare Wt. 37420 LB
Net Weight 40920 LB
QTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
20.46 TON DUTGO.MSW 0.000 0.00 0.00 0.00
it•v
Op e s odays a wee.', _ . - •
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,SEPTEMBER 5_,- 0.00
(631)734-7685
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6756
Islandia; TW 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 Ul U1 143dW Zliteph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11955 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual Tare Wt. 36760 LB
Net Weight 47960 LB 7
OTY. . UNI DESCRIPTION RATE EXTENSION FEE TOTAL
CLOSED HOLIDAYS-NEXT HOLIDAY LABOR DAY,,SEPTEMBER'S-._�
'
(631)734-7685 , ^; - —-- ' er .�'.
—s,� �`a'`'��v,("{-' TENDERED
gtN4 P� y �• r._
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ul Ul 143696 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual-Tare Wt. 36760 LB
Net Weight 47960 LB
OTY. U �tqDESCRIPTION RATE EXTENSION FEE JOTAL
L J can
•... .,^''.^ J�°"•a`Y` ! ' ' �
CLOSED HOLIDAYS- NEXT HOLIDAY LABOR DAY SEP.TEMBERf5:._.-_-.,; 3 h
(631)734-7685
j TENDERED
CHANGE
CHECK NO.
_j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6757
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: }
TRAILER NO., LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY,
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DIV' jATE TICKET S TICKET GRID WEIGHMASTER
" SOUTFt ITE bLD TOWN DEPT SOLID WASTE 001 1 01744081 waste
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
ALE 2 GROSS WT 83040 LB Outbound Ticket
CALE 1 TARE WT 36460 LB
ET WEIGHT 46580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.29 OUTGO.MSW 0.000 0.00 0.00 0.00
17
Of
1. ; � i {--^ � . •. ,r
Operating hours 7:00 AM to 5:00 PM 7 days ca, wee kk.
;a
CLOSED HOLIDAYS - NEXT HOLIDAY LABOR DAY, SEPTEMBERw,S`�--```
TENDERED
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD'TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
9 M N -fiWEAUT ill YWELE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 1 TARE WT 36460 LB
N T WEIGHT 46580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days7a. week
CLOSED HOLIDAYS - NEXT HOLIDAY LABOR DAY, SEPTEMBER`5
(631) 734-7685 w �r + � _ j TENDERED
CHANGE
HECK NO.
SIGNATURE
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6707
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 I WEIGHMASTER
,O-..THOLD.
a TOWN DEPT SOLID WASTE 101 1 01744293 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
MrUAL GROSS WT 84400 LB Outbound Ticket
NUAL TARE WT 39140 LB
T WEIGHT 45260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.63 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:0 0 A M to 5:00 PM 7 days�a week;.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, .00TOBER 101
(631) 734-7685 `' t'i(a)y "it r 7 `¢ g,°' TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET
SOUTHOLD-TOWN DEPT SOLID WASTE TE C GRID EIGHMASTER
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
9/w,E212 076M HIMWN OWE
{1T 111A6IptELE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
MA94400 IR 0-*be"RE:CAP:t
M NUAL TARE WT 39140 LB
N T WEIGHT 45260 LB
TY UNIT DESCRIPTION AT 0 EXTENSI E TOTAL
".5,-t P
Opera ing Hours -CO ays�-a wee..`-, " 4 .�, ' f
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY. OCTOBER.--10 -
(631) 734-7685 .` TENDERED
R w j CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6758
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 PART261 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.