HomeMy WebLinkAbout10/2022 DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01744550 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
S ALE 2 GROSS WT 77180 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 39760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.88 OUTGO.MSW 0.000 0.00 0.00 0.00
e i �.., •p.,$
� I t
Operating hours 7:00 AM to 5:00 PM 7 days�a,.wee-kt
0
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;", OCTOBER '10 e ;4.r, µ ;'
34_7685 .'J,1 f�'%F`) ,--.•, .. ;;. TENDERED
53 7
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CHECK NO.
SIGNATURE
DUPLICATE TICKET STE TI r5 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0$INAN 6&M1E UT 1111Y61IiLCLE ROLL OFF
9316 Town of Babylon
REFER I ENC=E )o
SC
M NUAL TARE WT 37420 LB
N T WEIGHT 39760 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0-00
•i ,�i � j
Operating hours 7:00 AM to 5:00 PM 7 dayst`a week.v,'
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;, OCTbBER 10 f L P-:
(631) 734-7685 J,"s, 4r g, 'k. '� ` TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6759
Islandia, NY i 1749 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 001 01744887 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
o 9316 Town 6abglon
REFERENCE
•-
S ALE 2 GROSS WT 92060 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 55300 LB
QTY. .UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.65 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a:week-,9
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY )OCTOBER. 10-_----
(631) 734-7685 �,� 1 t r. ~ 3: C-; A'z TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T �� O�ININ 6C�UT 111�/�1�1�£LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S
M NUAL TARE WT 36760 LB
N T WEIGHT 55300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
r
Operating hours 7:00 AM to 5:00 PM 7 days,a week.`O',
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER-10
(631) 734-7685 � ti r?f;•,+ I'�;�,' TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6760
Islandia,4NY 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 260.1.0-OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN..PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 001 01744964 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i' .
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 74360 LB Outbound Ticket
NUAL TARE WT 37420 LB
ET WEIGHT 36940 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.47 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a. week> `Y -
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY'.'-OCTOBER~10
TENDERED
(631) 734-7685
.7
CHANGE
CHECK NO.
—j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
lyl I E T LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
Et Z GROSS WI /4:51JO Lb Licket
S
NUAL TARE WT 37420 LB
N T WEIGHT 36940 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days•�a
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY.;, OCTOBER'--10 �'' y k Ny
(631) 734-7685 �V' t' f rk' -`rk°.' � TENDERED
{ lu
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydonburgh Road NO. 6761
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED'WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED.BY 40 CFR PART 260.10 OR-ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.-.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO`TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01745011 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
ALE '"•.CROSS WT 81420 LB Outbound Ticket
ANUAL TARE WT 35940 LB
ET WEIGHT 45480 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.74 OUTGO.MSW 0.000 0.00 0.00 0.00
i 1
Operating hours 7:00 AM to 5:00 PM 7 days""' week.�` `'4
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY'". 00TOBER 10-'-
(631) 734-7685 }_ TENDERED
~y` , n» f }: ' aid - Y
Z i CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
10AM41 T T E ROLL OFF
9316 Town of Babylon
REFERENCE
NUAL TARE WT 35940 LB
ET WEIGHT 45480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
# i� `
4 S
� l 1
Operating hours 7:00 AM to 5:00 PM 7 days7,a week.°`%':-
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,; fOCT.OBER-10 �a,�°
r,. z� ^' TENDERED
(631) 734-7685 `K I f
z F"d CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6762
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 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.
I
SITE I TICKET GRID WEIGHMASTER
SOUTH D TOWN DEPT SOLID WASTE 001 01745143 Steph
PO R 95216155 Cox Lane
;CutcY )gue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 71280 LB Outbound Ticket
ANUAL TARE WT 35940 LB
ET WEIGHT 35340 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.67 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days�afwe'ek. 5 O.Ou
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;•OC.TOBER 10,
(631) 734-7685 TENDERED
` u'1t`IUi' S'
CHANGE
CHECK NO.:j
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE e
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 jgMb T T T TJ14E9YT V E ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
E-- I
M UAL UKU!!6 W1 /IZ?JU L b UUTDOund 11CKet
NUAL TARE WT 35940 LB
ET WEIGHT 35340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
�Z', tt yt� 4�i✓j�il r
Operating hours 7:00 AM to 5:00 PM 7 days a week. ;._� .' °--� lj'
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYr,- OGTOBER`"10_
(631) 734-7685 ` 1r31YS1 i `.J �> TENDERED
.a
t
r
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
±t4 Blydenburgh Road NO. 6763
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:
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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01745217 Steph
PO,^Gx 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
ALE 2 GROSS WT 92000 LB Outbound Ticket
ANUAL TARE WT 36760 LB
ET WEIGHT 55240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.62 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days-,a week,``��-
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY' OCTOBER 10--- —'
(631) 734-7685 ��" �;'.` 1,' ' ` '` ` �� TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
10L jRfAqqTn
E T LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
M�ENUAL TARE WT 36760 LB
N, T WEIGHT 55240 LB
QTY. , UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
u
to +
Operating hours 7:00 AM to 5:00 PM 7 days"a
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,, 10 BER-10____ nt �Jt
(631) 734-7685 d s� j k `•_ _ TENDERED
CHANGE
' I CHECK NO.
SIGNATURE
'TRINITY TRANSPORTATION CORPORATION
' 214 Blydenburgh Road NO. 6764
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME-ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME). (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01745418 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12:36 12:36 11100TC
9316 Town of Babylon
S ALE 2 GROSS WT 84920 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 48160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.08 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 daysa.�we`ek
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER;_10�--"
TENDERED
(631) 734-7685 ��'=O .F& tag
ten.., rig
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T IW N T LV.EOUT V&V P LE ROLL OFF
9316 Town of Babylon
REFERENCE
S Outbound is e
M NUAL TARE WT 36760 LB
N T WEIGHT 48160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
24.08 OUTGO.MSW 0.000 0.00 0.00 0.00
cj
Operating hours 7:00 AM to 5:00 PM 7 days a,a week;, �-�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY-1 OCTOBER-10_
(631) 734-7685fi '9 rl <x !( TENDERED
< t�= CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6766
klandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS•IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)'-
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE, LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND'TO`THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER."
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01745344 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
10106122-s
.9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 86060 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 50120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.06 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7 � }~ A � 3 � .P f > �'�` `� •
:00 AM to 5:00 PM 7 days�a;.week..
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,�166OBER 10 -
TENDERED
(631) 734-7685 ;'�.. ��':f'�I�'-""' �'�•°' �,�,"
«�-
w-:..;�,"�f•_°' CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
WVflNj Ih1F.,,qUTjjjNAyFLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
M NUAL TARE WT 35940 LB
N T WEIGHT 50120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
KI
i
Operating hours 7:00 AM to 5:00 PM 7 days�a •{,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY';, OCTOBER• 10
(631) 734-7685 ` ��j n _ a ��
,.. ,�" TENDERED
�✓�'.i.°-.h"::., „"?,"M` CHANGE
CHECK NO::::l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
211R.4 Blydenburgh Road NO. 6765
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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO.GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
7 OUTHOLD TOWN DEPT SOLID WASTE 001 01741116 Liz H
,P Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
(ET
2 GROSS WT 70780 LB Outbound Ticket
L TARE WT 37420 LB
EIGHT 33360 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.68 OUTGO.MSW 0.000 0.00 0.00 0.00
.?'�,_'rr•'t_. � �n «w`-;}-gyp
,5
Operating hours 7:00 AM to 5:00 PM 7 days`ca Aweek=. _
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY:;�.,.00TOBER 10-
(631) 734-7685 _ ? ;` -y%y '. `v^ r TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE SITE TICKET GRID WEIGHMASTER
ti
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
N WF
VWT 1,11 NAYJCLE ROLL OFF
9316 Town of Babylon
REFERENCE
SC
M NUAL TARE WT 37420 LB
N T WEIGHT 33360 LB
TY UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL
3
Operating nourS 7:00 AM to 5:00 PM 7 days,-a week.;
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY. OCTOBER-10
(631) 734-7685 ` t '; `;a,`� ..{ ¢ TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6767
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:, DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01741749 Steph
PO Box 55.2/61+5 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon 707U87=j0/08/22 08:44 1 8:44 r 11001L
REFERENCE
S ALE:2GROSS WT 88800 LB Outbound Ticket
NUAARE WT 39140 LB
N T WHT 49660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.83 OUTGO.MSW 0.000 0.00 0.00 0.00
tiff
Operating hours 7:00 AM to 5:00 PM 7 days z4week°:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,',.00TOBER. 10---`' s
(631) 734-7685 `l'ti:'�"t(y~ . TENDERED
CHANGE
CHECK NO::::l
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE LePH
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I I IN UT LE ROLL OFF
9316 Town of Babylon
REFERENCE
SC
M NUAL TARE WT 39140 LB
N T WEIGHT 49660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
:l.
cc
Operating hours 7:00 AM to 5:00 PM 7 days�a_ week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;-OCTOBER---10_
(631) 734-7685 a&, f'�' iR~ ;,i> s?, �r�,. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
I*_
214 Blydenburgh Road NO. 6768
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
SOIJHOLD TOWN DEPT SOLID WASTE 001 1 01746402 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
4 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
ALE 2 GROSS WT 69080 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 33140 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.57 OUTGO.MSW 0.000 0.00 0.00 0.00
't ✓ �^ ' �" "tic''� `'`�l
"tee': _ -'% C`• _ }lt't �
Operating hours 7:00 AM to 5:00 PM 7 days''�a w eekr. 'a Ff`
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY4>,OCTOBERT1O " " ""
(631) 734-7685 '''' ;,'',rj;'. _" TENDERED
CHANGE
CHECK NO.
:)
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
M N E T11j LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S�k WT 69080 LIJ Oulboundis e
M NUAL TARE WT 35940 LB
N T WEIGHT 33140 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days�a week.`,,,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;O.CTOBE_R 10__. .
(631) 734-7685 - V."
, °`aa"V - TENDERED
CHANGE
CHECK NO.
SIGNATURE
r TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 4 6769
'
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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 001 01746537 Will
P'O Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
' 10 11 22 10/11/22 12:45 12:45 11100TC
9316 Town of Babylon
REFERENCE
NUAL GROSS WT 76160 LB Outbound Ticket
NUAL TARE WT 33980 LB
ET WEIGHT 42180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.09 OUTGO.MSW 0.000 0.00 0.00 0.00
7` L
Operating hours 7:00 AM to 5:00 PM 7 days"a week•`. - E 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAV-,`•OGTOBER-10" TENDERED
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTEw1il
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 T DATE 9UT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
M Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 42180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.09 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days-a week,.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY'-.00•TOBER`10
(631) 734-7685 c ' i"^' {. TENDERED
CHANGE
CHECK NO.
SIGNATURE
;.. TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6770
'
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED•MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND;IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO."
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01746812 Steph
PO Boy.. 962/y155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
0 110/12 22 12:29 12:29 11100TC
9316 Town of Babylon
REFERENCE
MFNUALTARE
WT 66140 LB Outbound Ticket
MWT 35940 LB
N 30200 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.10 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days ? week':,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,, OCTOBER, 10"
(631) 734-7685 , d,t= `=i ;'I' %-ri TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
�I 1\11TVJ�,WT111XAYJCLE ROLL OFF
9316 Town of Babylon
REFERLENCE
M NUAL TARE WT 35940 LB
N T WEIGHT 30200 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
'jj
tip; fsr" .r,g
I r '
%. \
Operating hours 7:00 AM to 5:00 PM 7 daysf`a, we'ek.- > =a Fr'
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;*OCTOBER R10�
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
_2 14'Blydenburgh Road NO. 6772
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01746719 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Towel of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 83300 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 45880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.94 OUTGO.MSW 0.000 0.00 0.00 0.00
f �
rt s ( r
700
Operating hours 7:00 A tom'
p g M to 5:00 PM 7 days 4a week,., - z °
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYy:,OCTOBER 10'- ' ti`<• TENDERED
(631) 734-7685 '�
r
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD,TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
N I T LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
M .UAL TARE WT 37420 LB
N T WEIGHT 45880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
I— frtp '
Operating hours 7:00 AM to 5:00 PM 7 days, week
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY' OCTOBER-10
(631) 734-7685 TENDERED
> 7" CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6771
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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGETHE 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 301 01747080 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
0 13 22 10 13 22 12:42 12:42 11100TC
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 71940 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 37960 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.98 OUTGO.MSW 0.000 0.00 0.00 0.00
Ilk
s`r � L:,q•�l n'1 I.'��r�tdr �` y\.:<.
h'
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;,''OCTOBER.a10" TENDERED
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I IN E UT V LE ROLL OFF
9316 Town of Babylon r- I
REFERENCE
•-
S Outbound is e
M NUAL TARE WT 33980 LB
N T WEIGHT 37960 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
41
r
Operating hours 7:00 AM to 5:00 PM 7 days`=a week _--'
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY-;�OCTOBER 10
(631) 734-7685 _ _� -�: ;i TENDERED
?e.wi.:a.: :•-. CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6774
Isandia, 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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01746977 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 To'°n of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 73120 LB Outbound Ticket
NUAL TARE WT 36540 LB
ET WEIGHT 36580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.29 OUTGO.MSW 0.000 0.00 0.00 0.00
,�, .•., i' � Fes.
Operating hours 7:00 AM to 5:00 PM 7 days''�a, week'.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,-OCTOBER-10 TENDERED
(631) 734-7685
CHANGE
CHECK NO::::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0 0�111sFJN 6I§IF. t1T 111���OLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SC
M NUAL TARE WT 36540 LB
N T WEIGHT 36580 LB
TY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
operating nourS o ayst,a wee
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY'3 '6CTOBER-:10 a•= ''
(631) 734-7685 ry�. '>>, T ' y =�
'�=�" TENDERED
CHECK Nl�j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6773
Ish idia, NY 11749 No.
(6S ) 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 101 01747165 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
SF2GROSS WT 81220 LB Outbound Ticket
MT 37420 LB
N 43800 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.90 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a,week:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;` OCTOBER} 10 -
(631) 734-7685 "a TENDERED
CHANGE
CHECK NO.
:)
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE SITE TICKET GRID WEIGHMASTER_
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0 %T, �I � T -7 v. �+�.49UT 1.11%RFLE ROLL OFF
9316 Town of Babylon ,
REFERENCE
•-
SC
M NUAL TARE WT 37420 LB
N T WEIGHT 43800 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
OUTGO.v1sto 0.000 0.00
/�' 1 <F•�t�;.0 r. �7��;,fie —; -..5;�
fit •\ °�_ __. ` ', �..^.
Operating hours 7:00 AM to 5:00 PM 7 ayT a_ week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ,,AOCTOBER-10
(631) 734-7685 TENDERED
_ CHANGE
CHECK NO.
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6746
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGEDiAND 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 I GRID WEIGHMASTER
SOUTHOLu TOWN DEPT SOLID WASTE 001 1 01747214 Liz H
NO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
11112TC
9316 Town of Babylon REFER I ENCE ORIGIN
ALE 2 GROSS WT 65680 LB Outbound Ticket
ANUAL TARE WT 36700 LB
ET WEIGHT 28980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL
14.49 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days,a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,..,OCTOBE_R 10 TENDERED
(631) 734-7685
- CHANGE
CHECK
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
lyi I T 111YEAFLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
NUAL TARE WT 36700 LB
ET WEIGHT 28980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
<0
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,OCTOBER 10
(631) 734-7685
(, TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6745
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. -
�'DUPL"ii.w:ATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01747358 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
0 15 22 0 15 22
9316 Town of Babylon
REFERENCE
S ALE :2GROSS WT 80440 LB Outbound Ticket
NUALRE WT 36540 LB
N T WET43900 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.95 OUTGO.MSW 0.000 0.00 0.00 0.00
-
t.
Operating hours 7:00 AM to 5:00 PM 7 daysx`a: week: ." �•
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,'OCTOBER 10` " - ".I
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I N UT 111 4YJCLE ROLL OFF
9316 Town of Babylon
REFERENCE
M NUAL TARE WT 36540 LB
N T WEIGHT 43900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days a r
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,
;,OCTOBER-10_
(631) 734-7685 '".e, i'`)r`l;Fk ,, �' ( TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6744
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.
DUPLICATP TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01747912 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S ALE 2 GROSS WT 72340 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 36400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.20 OUTGO.MSW 0.000 0.00 0.00 0.00
I
A,
11
- _
Operating hours 7:00 AM to 5:00 PM 7 days °a. week:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY .;OCTOBER. 10
(631) 734-7685 = , " TENDERED
CHANGE
CHECK NOj
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0 RPT �IA#�IN 6§AFO(JUT 11(ye&LE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC
M NUAL TARE WT 35940 LB
N T WEIGHT 36400 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours o PM 7 daystq wee - ;:.^ '> ,'yWAILVAtno
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ..6BER--10
(631) 734-7685 `-Fq, _' Ci-az r:'
} - .? ` r., rq TENDERED
01
CHANGE
CHECK NO.
SIGNATURE
r ` TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6775
Islandia, NY 11749 NO. .
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHOR IZED,AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
PUPLTLATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01748038 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 70520 LB Outbound Ticket
NUAL TARE WT 36800 LB
N T WEIGHT 33720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.86 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM l+' •.7 days 'a,week::, ;�;,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;" OCT6BER.<<10- "
(631) 734-7685 r: ' '' F TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0 T T INJJ54E:19UT�jje LE ROLL OFF
9316 Town of Babylon
REFERENCE .W. M.
SC
M NUAL TARE WT 36800 LB
N T WEIGHT 33720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days'-a, wee"k_. `;' --' �_ y (°,-
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,'aOCTOBER* 10_-_.
(631) 734-7685 ' `': TENDERED
`"^m, ��'` CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6776
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.
r
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01748244 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE', ROLL OFF
16 18 22 10 18/22 12:34 12:34 11100TC
9316 Town of Babylon
REFERENCE
CE
S ALE 2 GROSS WT 82620 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 48640 LB
QTY. UNIT DESCRIPTION RATE 'EXTENSION FEE _ TOTAL
24.32 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a_week; • .0
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,_ OCTOBER 10 TENDERED
(631) 734-7685
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE I TICKET 1 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 I N I OUT I LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S u oun is e
M NUAL TARE WT 33980 LB
N T WEIGHT 48640- LB
QTY. UNIT' DESCRIPTION RATE- EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
t
Operating hours 7:00 AM to 5:00 PM 7 days-a we°ek.. '`:..
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,�.00TOBER-10._ _
(631) 734-7685 - TENDERED
CHANGE
CHECK NO.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 6778
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01748172 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
-s
9316' Town of Babylon
REFERENCE
CE
S ALE 2 GROSS WT 79200 LB Outbound Ticket
NUAL TARE WT 37420 LB
ET WEIGHT 41780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION, FEE TOTAL
20.89 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a week.,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,:OCTOBER 10 TENDERED
(631) 734-7685
CHANQL
H N .
--j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
IM N AIA4fA0)JTjjjXAyFLE ROLL,OFF
9316 Town of Babylon
REFERLENCE M,=Lm
M NUAL ARE WT 37420 LB
N T WEIGHT 41780 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
" r-
}
Operating hours 7:00 AM to 5:00 PM 7 days',-'a week. ,' 0
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;,-OCTOBER -10
(631) 734-7685 - TENDERED
CHANGE
CHECK NQ
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6777
..,.r_
` Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID-AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER,CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID i WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01748398 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIG1N
(7 1
S ALE 2 GROSS WT 79800 LB Outbound Ticket
M NUAL TARE WT 37420, LB
N T WEIGHT 42380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.19 OUTGO.MSW 0.000 0.00 0.00 0.00
t ,
_1
Operating hours 7:00 AM to 5:00 PM 7 days'ka;week;
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;�-OCTOBER 10 TENDERED
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
AqTh
1 N T jj:LLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S
M NUATQTY
T 37420 LB
N T W 42380 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
ru
Operating hours 7:00 AM to 5:00 PM 7 days".a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY: OCTOBER '-10
�Y:,t 2•
(631) 734-7685 ';<,r. .,- '.,��,f TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6779
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 CF.R 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 001 01748549 Steph
PO Box 962/61.55 Cox Lane
Cutchogue., NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
10 20 22 10 20 22 08:31 08:31 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 67480 LB Outbound Ticket ,
NUAL TARE WT 33980 LB
N T WEIGHT 33500 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.75 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days"� week. - d,� ,',;
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;;�OC<TOBER• 10--` z,:X,,:;
(631) 734-7685 ( `;'_.'l `: TENDERED
' .r „f Nu CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
N I E OUT LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
St L UKUbb INI b/48(d Lb UUTDOuna IICKet
M NUAL TARE WT 33980 LB
N T WEIGHT 33500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.75 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days Qa�week,`�µ. `'_ J faro;
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,ti OCTOBER---10_ _
* fa {1l ? w. ,:
(631) 734-7685 {-
TENDERED
54;
-ta CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6743
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01748611 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
•-. 16 20 22 10 20 22 11:33 11:33 11100TC
3316 Town of Babylon
REFERENCE DIVIVIOR
S ALE 2 GROSS WT 77680 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 41740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 OUTGO.MSW 0.000 0.00 0.00 0.00
0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. "t trn �E,.f
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, .00TOBERs,10
(631) 734-7685 ''r t3+'' ;cM .'. 3 f _'` TENDERED
a, �~ 3
CHANGE
CHECK NO::::::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD-TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
TIM N TI E Tlffl LE ROLL OFF
9316 Town of Babylon
REFER ENCE
•-
SLt Z UKU55 W1u oun is e
M NUAL TARE WT 35940 LB
N T WEIGHT 41740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.87 OUTGO.MSW 0.000 0.00 0.00 0.00
i„X r � e•t1 t t �� �`t
I 1
�^ i t4.}
Operating hours 7:00 AM to 5:00 PM 7 daysat week,.` `� .- , �Y; c - ,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;,OCTOBER•-10__._..=
(631) 734-7685 TENDERED
r,s
' hvr'n ✓a' CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 .4 Blydenburgh Road NO. ° 6780
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 001 1 01748857 Liz H
PO BQx, 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 60080 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 24140 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
12.07 OUTGO.MSW 0.000 0.00 0.00 0.00
Ia.UFO
j't --J � ' i'_v t r✓
Operating hours 7:00 AM to 5:00 PM 7 days week':
.q.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY`._OCTOBER 10
(631) 734-7685 "u' „r ' ^> `3 TENDERED
�< ti t m:i °s }''
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I N I T LE ROLL OFF
9316 Town of Babylon
REFERENCE
M NUALTQTY.
T 35940 LB
N T WE 24140 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
�•4 � � P 4e 1 4-r k S
Operating hours 7:00 AM to 5:00 PM 7 days�ra W'We-k _�; ---r - ,aJ
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;
(631) 734-7685 y*ems {': 4`lt1 "",f '.d? d4 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2]A4-Blydenburgh Road NO. 6782
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.
'UUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01748763 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
S ALE 2 GROSS WT 76760 LB Outbound Ticket
NUAL TARE WT 36540 LB
ET WEIGHT 40220 LB
QTY.
UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL
20.11 OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days .p week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY-,k OCTOBER 10
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0ROBL 5M A'�IAkAN LE ROLL OFF
9316 Town of Babylon r I
RE FERENCE
•-
S
M NUAL TARE WT 36540 LB
N T WEIGHT 40220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days-'a week. .
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAB,, O,CTOBEV,,10 1
(631
) 734-7685 TENDERED
{ Its u a i.
CHANGE
CHECK NO.
SIGNATURE
``TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6781
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 NAMEF- (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 001 1 01749001 Steph
PO Box,962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN " DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 74240 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 37480 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.74 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a,week. � .
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,,OCTOBER 10 ' ' TENDERED
(631) 734-7685
F•+
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
tolff N I f T NgyltCLE I ROLL OFF
9316 Town of Babylon
REFERENCE
M .UAL TARE WT 36760 LB
N T WEIGHT 37480 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
�$.;;'".:- ✓ 4� ' �``'� `STD
r i
Operating hours 7:00 AM to 5:00 PM 7 days�,a Week.":?. ,> -=a ~_': •' ,.;''__
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY.;, OCTOBER-10_
(631) 734-7685 {-
',•�.�„ TENDERED
CHANGE
CHECK NO::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
`214 Blydenburgh Road 6783
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.
1PUPLI&.ATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01749111 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
ALE 2 GROSS WT 74320 LB Outbound Ticket
CALE 1 TARE WT 36580 LB
ET WEIGHT 37740 LB
CITY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.87 OUTGO.MSW 0.000 0.00 0.00 0.00
{
Operating hours 7:00 AM to 5:00 PM 7 days-_a-week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;,.aOCTOBER 10 TENDERED
(631) 734-7685
CHANGE
HE KN .
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
10 PAV YL 1 5 ybeE T 111YWFLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 1 TARE WT 36580 LB
N T WEIGHT 37740 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
1
Operating hours 7:00 AM to 5:00 PM 7 days� a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER.10 f
(631) 734-7685 TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6742
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE,NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION-
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01749607 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT . VEHICLE ROLL OFF
0 24 22 24 2
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 71280 LB Outbound Ticket
S ALE 1 TARE WT 36200 LB
N T WEIGHT 35080 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.54 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a ,week.. .00
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,;=OCIOB'ER,10 TENDERED
(631) 734-7685
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
04YM 1 TIPFIN IJIMERUT 111 1VOICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S u oun is e
S ALE 1 TARE WT 36200 LB
N T WEIGHT 35080 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.54 OUTGO.MS •
i
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. -
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, OCTOBER 10
(631) 734-7685 r.:
TENDERED
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6741
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01749764 Steph
PO Box 962/6155 Cox Lane
Cutchogue,`_'NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316, Town of Babylon
REFERENCE
ALE 2 GROSS WT 75500 LB Outbound Ticket
ANUAL TARE WT 35940 LB
ET WEIGHT 39560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.78 OUTGO.MSW 0.000 0.00 0.00 0.00
F �
r# 13
� I 5 Operating hours 7:00 AM to 5:00 PM 7 days`t- week,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY'--,OC70BER' 10---' ~' '
(631) 734-7685 '�' n` TENDERED
r 7 rr( 7: t
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
�TL 1TJM46N T1Iy T 111g�YELE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC
NUAL TARE WT 35940 LB
N T WEIGHT 39560 LB
TY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4i e.. I �•-tiJ I Operating hours o ays a wee. . .' q 4�ff. N
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; 6,fOBER..10
(631) 734-7685 y-4 `, _„ r "y` ' TENDERED
7 `i', ;
CHANGE
CHECK NO::::l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6785
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:
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.
DUPLIC, TE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOL, TOWN DEPT SOLID WASTE 001 01749687 Steph
PO Box 32/6155 Cox Lane
Cut-hoguo, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9J Town of Babylon
ORIGINREFERENCE
S ALE 2 GROSS WT 75480 LB Outbound Ticket
ANUAL TARE WT 37420 LB
ET WEIGHT 38060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.03 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 daysia week. - °:' '`r` • .
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY. ,O�CTOB_ER 10-
(631) 734-7685 �``' ";j?t: Sy r C° - TENDERED
-jW CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE TE I GRID WEIGHMASTER
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0/OM22 16)kJR.9522 OT�Ms-)N -OVF_"JT 1110DWLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC
NUAL TARE WT 37420 LB
N T WEIGHT 38060 LB
TY UNIT DESCRIPTION T EXTEN 10 E TOT L
' + I
1
Operating hours ):00 AM tb aysra wee, .',,\
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,d OCTOBER::10 �
(631) 734-7685 u '= _ �u_� ',
��� 4 1F}� ++,ati � TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRI4ITY TRANSPORTATION CORPORATION
N
14glydenburgh Road NO. 6784
Islandia, NY 11749
(631) 342-9673
1HIS MANIFiST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY.L-IABILITY 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 LIOUID 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 TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER"
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01749942 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
CE
ALE 2 GROSS WT 72500 LB Outbound Ticket
ANUAL TARE WT 36540 LB
ET WEIGHT 35960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.98 OUTGO.MSW 0.000 0.00 0.00 0.00
al
Operating hours 7:00 AM to 5:00 PM 7 days�a week. ! —_- i vAjJvu
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;.aFOCTOBER 10— ""' TENDERED
(631) 734-7685 ` '
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
Iyl&JN J�IYVWTJ XWPLE ROLL OFF
9316 Town of Babylon
REFERENCE
NUAL TARE WT 36540 LB
N T WEIGHT 35960 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
f� tavcl�;�J
s
Operating hours 7:00 AM to 5:00 PM 7 days,a We,6k
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY- OCTOBER'a10
(631) 734-7685E )r a r °i ''`° {�/ TENDERED
11� s
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
21 4,,A Blydenburgh Road NO. 6787
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 TICKr . SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN TICK(
SOLID WASTE 001 1 01749882 Steph
PO Box 9§2/6155 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 76400 LB Outbound Ticket
ANUAL TARE WT 37420 LB
ET WEIGHT 38980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.49 OUTGO.MSW 0.000 0.00 0.00 0.00
�t,,�J il`..3:� , �,ter'-•..,��' 7 �'!�4`L�_Y
UP
Operating hours 7:00 AM to 5:00 PM 7 days°"d Wee`k, P`
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ,OCTOBE_R '10--- '
(631) 734-7685 t °" TENDERED
s`- �.:ittd,fib'��"•�t-�� o '}.,fir
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
0jwyb ffi?23 CjTAM&ANj-a0FPAJTjjjj LE I ROLL OFF
9316 Town of Babylon
REFERENCE
NUAL TARE WT 37420 LB
N P;-O-Ty.
T 38980 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
r / 1
Operating hourS 7:00 AM to 5:00 PM 7 daysta week.•``
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY``, O&OBER••iO
(631) 734-7685 �� „ ^f r,n Y*4`? TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION '
214 Blydenburgh Road NO. 6786
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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01750062 Steph
PO Box 962/6155 Cox Lane
Cutchogile, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
j 8:51 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
ALE 2 GROSS WT 69380 LB Outbound Ticket
ANUAL TARE WT 39140 LB
ET WEIGHT 30240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.12 OUTGO.MSW 0.000 0.00 0.00 0.00
t� r •i t 5...1' � w.E S
4Y {
Operating hours 7:00 AM to 5:00 PM 7 days`:a week. 'Ni`-- a"
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;..,O'CTOBER TO-
(631) 734-7685 c `,rr; 's i'°' q} ri TENDERED
c -".-.z.,.r.;,-...._-,•`v:.t CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
aV&qN T XffELE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S
NUAL TARE WT 39140 LB
N T WEIGHT 30240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
IPA 1,7"i
ic
Al
i I
Operating hours 7:00 AM to 5:00 PM 7 days�p wee''k. .._�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;_OCTOBER^10,
(631) 734-7685
� t r TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6788
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01750282 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
8
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 84240 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 46820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.41 OUTGO.MSW 0.000 0.00 0.00 0.00
—14
-f
Operating hours 7:00 AM to 5:00 PM 7 days °a_,weekfs
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYt, 10.00TOBERr. TENDERED
(631) 734-7685 i u;
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 I[N N UT LE ROLL OFF
9316 Town of Babylon REFERENCE
S UUTDOund IICKet
M NUAL TARE WT 37420 LB
N T WEIGHT 46820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.41 0 TGO.MS
k,=
r
Operating hours 7:00 AM to 5:00 PM 7 daysl'a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY' OCTOBER'-10.__
(631) 734-7685 �� �m l}F _ ^'; ., TENDERED
iP
w_ y � _wi'r•" CHANGE
CHECK NO.
�)
SIGNATURE
. .,TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6789
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 TRANSPORTERS
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOL. .STE 001 01750541 Steph
PO Box 962/6155 Cox L
Cutchogue, NY 11935 '': DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
f 9:00 11112TC
9316 ?own of ".jlon
REFERENCE ORIGIN
S ALE 2 GROSS WT 76380 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.22 OUTGO.MSW 0.000 0.00 0.00 0.00
:l
Operating hours 7:00 AM to 5:00 PM 7 days`a,week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,, -OCTOBER 10 TENDERED
(631) 734-7685
CHANGE
CHECK N .
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
N 1h1WPTjjjy5yFLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S
M NUAL TARE WT 35940 LB
N T WEIGHT 40440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
A=
®L
Operating hours 7:00 AM to 5:00 PM 7 days-;a week. ' ==
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,,,6CT6BER -10
(631) 734-7685 TENDERED
HANG
CHECKNO.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION .
214 Blydenburgh Road NO. 6740
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
APPLICABLESTATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 001 01751180 Will
PO Box 96-0/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
22 1 31 22 07:39 07:54 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 66000 LB Outbound Ticket
CALE 1 TARE WT 39340 LB
ET WEIGHT 26660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.33 OUTGO.MSW 0.000 0.00 0.00 0.00
S t
Operating hours 7:00 AM to 5:00 PM 7 days`-a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;�;OCTOBER_10 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
IQPT jfflI Nj Tjjjjy5yFLE ROLL OFF
9316 Town of Babylon
REFERENCE
�.
SC
S ALE 1 TARE WT 39340 LB
N T WEIGHT 26660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
i
}
Operating hours 7:00 AM to 5:00 PM 7 days'-a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ;,OCTOBER 10- _
(631) 734-7685 TENDERED
t
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 J,4 Blydenburgh Road 6739
Islandia, NY 11749 NO°
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE,AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE ,LISTED ABOVE', AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR - DISPOSAL"LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 2101 01751263 Will
PO -Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1: 11:23 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 76080 LB Outbound Ticket
S ALE 1 TARE WT 36300 LB
N T WEIGHT 39780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.89 OUTGO.MSW 0.000 0.00 0.00 0.00
rs r, s, .
Operating hours 7:00 AM to 5:00 PM 7 days -k week: "` - rs
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,z.00TOBER; 10-- ,.,�t•„L.0 �t
fi,
(631) 734-7685 TENDERED
.J '"`'pi"'^�J , °;� '
CHANGE
CHECK 11j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I N UT LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S Outbound is e
S ALE 1 TARE WT 36300 LB
N T WEIGHT 39780 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
k
Operating hours 7:00 AM to 5:00 PM 7 days a week,.` `��;~--- 'O
�_ r�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAV,I O&OBER-10._
(631) 734-7685 ✓ TENDERED
�' \,<�?
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6738
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.