HomeMy WebLinkAbout11/2022 DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
• SOUTHOLD TOWN DEPT SOLID WASTE 301 01751483 Steph
PO Box 962/6155 Cox Lane
Cutchogue's NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316. 1 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 69800 LB Outbound Ticket
S ALE 1 TARE WT 36820 LB
N T WEIGHT 32980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.49 OUTGO.MSW 0.000 0.00 0.00 0.00
•rr"44SS t a i j� � �� t
rye;. ` t'r
Operating hours 7:00 AM to 5:00 PM 7 daysa,we k: ~'"~ - -�- =�✓ ,'V$ 10.UFO
r b,,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ..0CTOBERr 10""'
(631) 734-76 85 "t ' ;` 'I' TENDERED
M, ` ; �k,hi. es tit.
ewe
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 /ffi T I N jTqAA&T LE P0 ROLL OFF
9316 Town of Babylon
REFERENCE in I
S ALE 1 TARE WT 36820 LB
N T WEIGHT 32980 LB
QTY° UNIT DESCRIPTION RATE, EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days�b wee'k.'' '�'°. -,','°-.._-
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;j OCTOBER-10 ryd ,
(631) 734-7685 Z -`� TENDERED
8_ I?I °d 4
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6736
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:
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 301 01751441 Steph
PO Box 9E,7/6155 Cox Lane
Cutchogy4 NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
-2]9316 Town of Babylon
REFERENCE
SFITARE
WT 68400 LB Outbound Ticket
SWT 37000 LB
N 31400 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.70 OUTGO.MSW 0.000 0.00 0.00 0.00
�r
tt_ _
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 N
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Lepri
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I N T V LE ROLL OFF
9316 Town of Babylon t1711
REFERENCE
S ALE 1 TARE WT 37000 LB
N T WEIGHT 31400 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
t
Operating hours 7:00 AM to 5:00 PM 7 days a week_.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY_;._OC_TOBER '10'
(631) 734-7685 - TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
'14 Blydenburgh Road 6737
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 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 I TICKET I GRID I WEIGHMASTER
SOUTHOLD,TOWN DEPT SOLID WASTE 301 01751679 Dan
PO Box 962/6155 Cox Lane
Cutchogue,` N`i�41935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S LE 2 GROSS WT 78320 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 39180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.59 OUTGO.MSW 0.000 0.00 0.00 0.00
f y
Operating hours 7:00 AM to 5:00 PM 7 days'•a.,week, _
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYi .00TOBER 10
(631) 734-7685 TENDERED
' r
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET TE GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE PAR
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1/0,�T�I-N 1C/� PM2TU TIME4QUT 1JMMLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC
M NUAL TARE WT 39140 LB
N T WEIGHT 39180 LB
UNIT 'DESCRIPTION EXTE SI N- F TOT L
9.
f! by
Ope
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYS OCTOBER. 10
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214,Blydenburgh Road 6791
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 301 01751611 Dan
PO Boa.:0162/e4,155 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 76380 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 39620 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.81 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
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1 T I D I IN UT VL110(�WLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SC
M NUAL TARE WT 36760 LB
N T WEIGHT 39620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Est; _ ,_ �'';�• _',�
_ _ I
f
Operating hours 7:00 AM to 5:00 PM 7 days':a week. ',',. MUM
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY.,-, OCTOBER 10
(631) 734-7685ij TENDERED
y d, •,t, 1, - 1.
CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6790
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.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD ,TOWN DEPT SOLID WASTE 01 1 01751926 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 75360 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 38600 LB 7
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.30 OUTGO.MSW 0.000 0.00 0.00 0.00
77 v
Operating hours 7 0 AM ` w _ 'a
:0 to 5:00 PM 7 days aw week: ," �.��- �__--- `a fF
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;9:OCTOBER;10 .
a
TENDERED
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET n
TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane Ii
Cutchogue, NY 11935
IN T UT LE ROLL OFF
9316 Town of Babylon
REFERENCE
SC
M GAL TARE WT 36760 LB
N T WEIGHT 38600 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Ze
Operating hours 7,00 AM to 5:00 PM 7 days is week
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER-10�`�a
(631) 734-7685 `L` 3 � , � y������ TENDERED
^�y C CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6793
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 WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.-
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTH.QW .TOWN DEPT SOLID WASTE 101 1 01751824 Liz H
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
•-
S ALE 2 GROSS WT 74380 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 37560 LB 7
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.78 OUTGO.MSW 0.000 0.00 0.00 0.00
0
Operating hours 7:00 AM to 5:00 PM 7 days'a.weeke, -- •.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; 'OCTOBER. 10
(631) 734-7685 _ 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
1 I� 1D I IN UT LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SC
M NUAL TARE WT 36820 LB
N T WEIGHT 37560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
OUTGO.1-13vy
6 t
Operating hours 7:00 AM to 5:00 PM 7 days ,a, week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY _,OCTOBER 101_
(631) 734-7685 ''' r` TENDERED
CHANGE
CHECK NO.
SIGNATURE
- = TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6 7 9 2
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.
,,,DUP.-ICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01752093 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2 8:52 11100TC
9316 Town of Babylon
! REFERENCE
•-
S ALE 2 GROSS WT 71060 LB Outbound Ticket
NUAL TARE WT 37420 LB
ET WEIGHT 33640 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.82 OUTGO.MSW 0.000 0.00 0.00 0.00
.ff^
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 if M
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1T I N UT LE ROLL OFF
9316 Town of Babylon 17m
REFERENCE
SC
M NUAL TARE WT 37420 LB
N T WEIGHT 33640 LB
OTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
L1
Operating hours :00 AM to 5:00 PM 7 dayssa week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY yOCTOBER10
(631) 734-7685 TENDERED
i CHANGE
CHECK NO.
SIGNATURE
;TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6794
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. r 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 1 01752389 Dan
PO Box 962/ 155 Cox Lane
CutchJgbe, 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 77440 LB Outbound Ticket
NUAL TARE WT 36820 LB
ET WEIGHT 40620 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
20.31 OUTGO.MSW 0.000 0.00 0.00 0.00
<•t i 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 NO.
-�:j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE89
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1 h 1i' sM �?I N JVAIEWT111196LE ROLL OFF -
9316 Town of Babylon
REFERENCE
M NUTQTY.
36820 LB
N T 40620 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL '
ti
Operating hours 7:00 AM to 5:00 PM 7 days :a
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY-';: OCTOBER 10
(631) 734-7685 '' :=: , �;t;j.`°,. t. TENDERED
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 6795
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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THEINFORMATION 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.
'CATE TICKET SITE I TICKET I GRID WEIGHMASTER
S. OLD TOWN DEPT SOLID WASTE 101 1 01711263 Will
PC' 962/6155 Cox Lane
Cu, !gue; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
931, _ Town of Babylon
REFERENCE
M NUAL GROSS WT 72540 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 33400 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
16.70 OUTGO.MSW 0.000 0.00 0.00 0.00
.fir' •- ", - -... .}�'_
f .
{.N
Operating hours 7:00 AM to 5:00 PM 7 days'-a;week.:e
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,.00TOBER,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
T I D IN UT V LE ROLL OFF
9316 Town of Babylon
REFERENCE
MA - , C
M NUAL TARE WT 39140 LB
N T WEIGHT 33400 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
4 li
Operating hours 7:00 AM to 5:00 PM 7 days 7,a., week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,%
r`
(631) 734-7685 TENDERED
-CHANGE
CHECK NO�j
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
"�214 Blydenburgh Road 6796
Islandia, NY 1.1749 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 M_ ATERIAL'HAS BEEN N ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER".
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION.TICKET NO.
L ATE TICKET SITE TICKET GRID WEIGHMASTER
S. D TOWN DEPT SOLID WASTE 01 01753382 Will
PC 162/6155 Cox Lane
Cu,' e, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
7 1: 11:16 111 0T
931b Town of Babylon
REFERENCE
•-
MFNUALOSS WT 71280 LB Outbound Ticket
MRE WT 36540 LB
NT 34740 LB
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.37 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 'OCT66ER,•10 TENDERED
(631) 734-7685 -'
; . CHANGE
CHECKN .
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE i
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I D jk14FrIN JJIMUT V11C1, LE ROLL OFF
9316 Town of Babylon - REFERENCE m ORIGIN
M At GKOSS WI /iLtsu Lb Outbound is e
M NUAL TARE WT 36540 LB
N T WEIGHT 34740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.0000
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 N09
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
,14 Blydenburgh Road 6797
• slandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40--CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01753879 Dan
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
(7
SF2GROSS WT 81500 LB Outbound Ticket
MT 39140 LBN 42360 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.18 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
- CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE TICKET , GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T 1 N UT LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SC
M NUAL TQW
T 39140 LB
N T WE 42360 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
y 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
r.
-. CHANGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road 6799
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN.PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED`
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01753699 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
2 2 :4
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 78500 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 41680 LB
OTY. - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.84 OUTGO.MSW 0.000 0.00 0.00 0.00
, S 1
ti C
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 I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE udri
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I N UT LE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S78500 US
M NUAL TARE WT 36820 LB
N T WEIGHT 41680 -LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
r:
Operating hours 7:00 AM to 5:00 PM 7 dayslta week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY�,OCTOBER~10 r ,
(631) 734-7685 - TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY"TRANSPORTATION CORPORATION
214 Blydenburgh Road 6798
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE'ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101. 01711622 Dan
PO Box 962/6155 Cox Lane
Cutchog0e,'NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORiGiN
S ALE 2 GROSS WT 65480 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 29540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.77 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'4 week., _ tAj �. 11
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;`_-:OCTOBER _10- TENDERED
(631) 734-7685 '
" CHANGE
CHECKNO:—j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
PH 7I1,lE31N J"EjqUTjjj:FgLCLE ROLL OFF
9316 Town of Babylon
REFERENCE
SC
M NUAL TARE WT 35940 LB
N T WEIGHT 29540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
DO I GO.FISM
�_ t•l
Operating hours 7:00 AM to 5:00 PM 7 days`-a.wee,k,.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;:,OCTOBER--10 r-
(631) 734-7685 . rr; TENDERED
s. CHANGE
CHECK NO
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 6735
:
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
SCUTHOLD TOWN DEPT SOLID WASTE 001 01714116 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
S ALE 2 GROSS WT 75720 LB Outbound Ticket
NUAL TARE WT 37420 LB
ET WEIGHT 38300 LB
QTY. `UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
19.15 OUTGO.MSW 0.000 0.00 0.00 0.00
kq
Operating hours 7:00 AM to 5:00 PM 7 days^a.week:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;' OC;TOBER TENDERED
(631) 734-7685 "
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane Lit H
Cutchogue, NY 11935
1 i h 1:P 1 OA14JN 61k1F41VTjjj66yFLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SC
M NUAL TARE WT 37420 LB
N T WEIGHT 38300 LB
(STY ' UNIT DESCRIPTION RATE EXTENSION -FEE - TOTAL'
,; Gr:y ' f' ' ar�,. •lam
pi t° t
;F
Operating hours 7:00 AM to 5:00 PM 7 days4-a Week.''i;y:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY OCTOBER'R10 -
(631) 734-7685 ° TENDERED
« s *'Jf\.'l �'.r� f ✓g•µgf..[�.[3 bd
a�, �s ✓-. CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6800
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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01714107 Liz H
PO BQx' 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
ICE
•-
S ALE 2 GROSS WT 72540 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 35720 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.86 OUTGO.MSW 0.000 0.00 0.00 0.00
tt{ 1 t L tPFV
(�> 4
•
Operating hours 7:00 AM to 5:00 PM 7 days`ta,week�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;*OCTOBHR. 10-----
(631) 734-7685 a � '� �t��17: >, 'ter }' 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
1 QAT I�1 T IN T UT LE ROLL OFF
9316 Town of Babylon E 1 it I
REFERENCE ORIGIN
SC
M NUAL TARE WT 36820 LB
N T WEIGHT 35720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL
P � 4
Operating hours 7:00 AM to 5:00 PM 7 days (a wee YJ'�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYO TOBER,10 !' t
631 734-7685 ' a e Al
( ) �� `� C>bS TENDERED
4 'F CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6674
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT.THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY "
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION...
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: .'
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR'
GOLD TO GENERATOR- DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 01754601 Dan
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
1 12 22 11/12/22 08:58 08:58 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 66880 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 29460 LB
QTY.' UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
14.73 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 daysF:6 week.., �.00
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY-, OCTOBER, 10 `
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 T I iN UT V LE I ROLL OFF
9316 Town of Babylon
REFERENCE
S u oun is e
M NUATQfy.
T 37420 LB
N T W 29460 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
0.000 0.00 0.00 0.00
Vj
fir' ..;�•`.�°'., - >X ,�:y� '� _
:r 1
z
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 r�t CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 f 4 Blydenburgh Road
Islandia, NY 11749 NO. 6675
(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: v
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 001 01711117 1 Will
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
NUAL GROSS WT 73600 LB Outbound Ticket
ANUAL TARE WT 39140 LB
ET WEIGHT 34460 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL
17.23 OUTGO.MSW 0.000 0.00 0.00 0.00
t
Operating hours 7:00 AM to 5:00 PM 7 days`. ? •w
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY
(631) 734-7685 '%' "' TENDERED
l.`...1, fly��. +£L' lit
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CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
11L 1q Tf T E.21P ITWgYTlIffffiLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
NUAL TARE WT 39140 LB
ET WEIGHT 34460 LB
QTY." UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
�} =;
E\\ y
Operating hours 7:00 AM to 5:00 PM 7 daysa week." �'.;— 4 '� •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY) OUTOBER--10_
(631) 734-7685 T
TENDERED
CHANGE
CHECK NO.
—j
SIGNATURE
4 TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0001
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:
COMMOQITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR,PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01711102 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
935;6 Town of Babylon
REFERENCE
•-
ALE 2 GROSS WT 68600 LB Outbound Ticket
CALE 1 TARE WT 36640 LB
ET WEIGHT 31960 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.98 OUTGO.MSW 0.000 0.00 0.00 0.00
t S
Operating hours 7:00 AM to 5:00 PM 7 days.„a week.\ •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY"6: CT08ER 10'' TENDERED
(631) 734-7685 `' 4 `
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
11 �L 1Q T T2. gVE2V Td,�E qYT 1111,€YJI�LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
GALE 1 TARE WT 36640 LB
ET WEIGHT 31960 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION_ FEE 'TOTAL
tl
Operating hours 7:00 AM to 5:00 PM 7 day5 Week.',`, _ _. - a�.- ° ^° •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY` �OC-TOBER-10�
(631) 734-7685 '•y�3`` Qz`, ? TENDERED
w t CHANGE
CHECK NO.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6734
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:. GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40.CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE-LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED,AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01755870 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 72180 LB Outbound Ticket
ANUAL TARE WT 35940 LB
ET WEIGHT 36240 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.12 OUTGO.MSW 0.000 0.00 0.00 0.00
s
fp2 i _
i
Operating hours 7:00 AM to 5:00 PM 7 days,a week,. ° "-
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,.,OQTQBER_T0
(631) 734-7685 TENDERED
CHANGE
CHECK Nl,::::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T T T llffolyLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S u ou i e
NUAL TARE WT 35940 LB
NET WEIGHT 36240 LB
QTY. UNIT; DESCRIPTION RATE EXTENSION FEE TOTAL
0.00 0.00
ii O`t
i S ��yi 5 _ •a
\s iy Er xiy i52 ? _ 5
Operating hours 7:00 AM to 5:00 PM 7 days�'a "week.° > :` ,•-'+ a T'' °'
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY OCTOBER'-10— -
(631) 734-7685 f §;,4��..iz `�
�% .�`,�,� `� < TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
- 214 Blydenburgh Road NO-. 0003
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE'SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR"PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY-KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) . ' SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION . .
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01711722 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
tr
REFERENCE ON
ALE 2 GROSS WT 80100 LB Outbound Ticket
NUAL TARE WT 33980 LB
ET WEIGHT 46120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL
23.06 OUTGO.MSW 0.000 0.00 0.00 0.00
IN
& f`
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1,
1
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Operating hours 7:00 AM to 5:00 PM 7 days,,a week ,``== '^�~ ;� • .
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,,, OC1TOBER�10'
(631) 734-7685 ;eyl, TENDERED
� � -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
11 L 1Q FL JV 4�1 T(NE J�YT 1 LE ROLL OFF
9316 Town of Babylon
REFERENCE
•�
S
NUAL TARE WT 33980 LB
N T WEIGHT 46120 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
a
Operating hours 7:00 AM to 5:00 PM 7 days—°a week.` �' �' ` —i ' ��% pJ •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAI,, OCTOBER--10
(631) 734-7685t ��$ �" TENDERED
< CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214,,Blydenburgh Road 0002
Islandia, NY 11749 N°
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS _
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01716180 Steph
PO Box162/6155 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 81140 LB Outbound Ticket
ANUAL TARE WT 37420 LB
ET WEIGHT 43720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.86 OUTGO.MSW 0.000 0.00 0.00 0.00
ILI
AV
r e ' � ill'+.....-•� �^.....�' > ,�:c�:`5s �'^p •
Operating hours 7:00 AM to 5:00 PM 7 daysa
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY ..,OC;TOBER 10
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(631) 734-7685 TENDERED�`'� � 'u��y��:'•�� �� ,,;,
"':,, ✓`"`� CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
jTp5ql Tj4EqyT E ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
NUAL TARE WT 37420 LB
ET WEIGHT 43720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
f
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, 00TOBER-10 ��
(631) 734-7685 / TENDERED
5O �y
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0005
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
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND,THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01756099 Steph
PO Box 962/6155,.Cox Lane
Cutchogue, NY411935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 70340 LB Outbound Ticket
NUAL TARE WT 36820 LB
T WEIGHT 33520 LB
QTY.
- ' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.76 OUTGO.MSW 0.000 0.00 0.00 0.00
(t} r > 4
W'3 J ff^'^4�i '1,
Iv
Operating hours 7:00 AM to 5:00 PM 7 days'.a week,.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY.-k;dCTOBER ,10-- `; _.
(631) 734-7685 f:• : k ' TENDERED
k
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
11pagh 1y n 6TV4jV TNEjj,�T 111 LE ROLL OFF
9316 Town of Babylon
S
NUAL TARE WT 36820 LB
N T WEIGHT 33520' LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
jyke
`7
l
Operating hours 7:00 AM to 5:00 PM 7 daysl GVeek., ;; % `.a--_ ,' `a t'�
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY` OCTOBER°-w10m W '
(631) 734-7685' ',yl1 �{ � TENDERED
1 -
`� =' F �1m CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0004
Islandia, NY 11749 "o'
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY AO 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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
DUPLICATE TICKET SITE I TICKET 1 , "GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01756318 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
ORIGINREFERENCE
S ALE 2 GROSS WT 67080 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 30260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.13 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a week. a - -. • .
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;a.,OCTOBER 10-
(631) 734-7685 ;;` l" TENDERED
y CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
ilpff9h 1Q T2 OTpb8`I THE PUT 111WirdLE ROLL OFF
9316 Town of Babylon
S �S
NUAL TARE WT 36820 LB
N T WEIGHT 30260 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE JTOTAL ,�,
e.
{
Operating hours 7:00 AM to 5:00 PM 7 days�I;a week.`-:lu_, --;'; >W ,'1 •
�.,
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;, OCTOBER,16
"' '� J
(631) 734-7685 �` n�� .#i� ?,n} TENDERED
r. CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0006
�. NO.,
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE.NO/STATE-
TRAILER NO. LICENSE NO/STATE:-
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 THEABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE:BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: ;
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) StGNATURE/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
SOUTAiSL TOWN DEPT SOLID WASTE 001 1 01756618 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
S ALE 2 GROSS WT 69600 LB Outbound Ticket
NUAL TARE WT 33980 LB
N T WEIGHT 35620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ' -
17.81 OUTGO.MSW 0.000 0.00 0.00 0.00
ILA•
Operating hours 7:00 AM to 5:00 PM 7 days a,week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,.IOCTOBER 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
11 1 Q Tl �T2 0W "E�T 111 LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S
M NUAL TARE WT 33980 LB
N T WEIGHT 35620 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 DAY;_ OCTOBER 10 , ..
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
€RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0007
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
,TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL-LOCATION: DATE DELIVERED`:
ADDRESS:
1 HEREBYCERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01757004 Steph
PO Bole 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 74920 LB Outbound Ticket
ANUAL TARE WT 35940 LB
ET WEIGHT 38980 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.49 OUTGO.MSW 0.000 0.00 0.00 0.00
All
{ ` r -
Operating hours 7:00 AM to 5:00 PM 7 daysR`a week. `ti `—_
`r��
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYS 66T"OBER �ti9 st�,:♦ sr TENDERED
(631) 734-7685 ~ " °
�� 1 p 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 T T T WWE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S
NUAL TARE WT 35940 LB
N T WEIGHT 38980 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Lt
Operating hours 7:00 AM to 5:00 PM 7 days"a 'week.e�"��' `�— r' `� ? • 0
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, OCTOBER--10
(631) 734-7685
�°� �?���•�¢ 4���,, TENDERED
¢�� r CHANGE
CHECK NO.
SIGNATURE
TRIlvJTY TRANSPORTATION CORPORATION
Z14 Blydenburgh Road 0008
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
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED'MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: . . - DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT.NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION.
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01757853 Will
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
REFERENCE ORIGIN
NUAL GROSS WT 64080 LB Outbound Ticket
NUAL TARE WT 36820 LB
ET WEIGHT 27260 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.63 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a,week,. • .to
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, .00TOBER 10 TENDERED,
(631) 734-7685
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET - GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T O T WRYT 1_11E ROLL OFF .
9316 Town of Babylon
REFERENCE ORIGIN
M p
NUAL TARE WT 36820 LB
ET WEIGHT 27260 LB
CITY. UNIT DESCRIPTION RATE EXTENSION . FEE TOTAL
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 0009
Jslandia, 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
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:
THEREBY CERTIFY THAT THEABOVE MATERIALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01757998 Will
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 67060 LB Outbound Ticket
NUAL TARE WT 39140 LB
ET WEIGHT 27920 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.96 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
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 TVF..V ITJNJE RWT E ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SqAtr-2—MMSS W 67060 tts E d m
NUAL TARE WT 39140 LB
T WEIGHT 27920 LB
QTY. UNIT = DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days7,a 'week,. •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER 10.
(631) 734-7685 ',' "` c TENDERED
CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 010
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
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',
DISPOSAULOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED•AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER."
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TfCKET NO.
DUPLICATE TICKET SITE TICKET GRID„ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01758379 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT 11100TC VEHICLE ROLL OFF
1
9316 Town of Babylon :4
REFERENCE ORIGIN
SF2GROSS WT 73960 LB Outbound Ticket
MT 36820 LB
N 37140 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.57 OUTGO.MSW 0.000 0.00 0.00 0.00
i
- 4
Operating hours 7:00 AM to 5:00 PM 7 days"'a,.,week:
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYy1OCTOBERE10 TENDERED
(631) 734-7685
s i"
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
IM N I E UT LE I ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S u oun Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 37140 LB
CITY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
18. UTGO.MSW 0.000 0.00 0.00 0.00
e
Operating hours 7:00 AM to 5:00 PM 7 daysat weeks.` ^ . 1; T
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY,�,OCTOBER`'10. . - 5`, � 'f(pd�
(631) 734-7685 ""q z t . ' . t .TENDERED
J� CHANGE
CHECK NO:::l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2-14 Blydenburgh Road 0 012
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10.OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. .
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE.LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER-
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL.HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-- -
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY; - WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER.
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01758229 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1 22 22 08:45 08:45 11100TC
9316 Town of Babylon
ORIGINS ALE ,,GROSS WT 72160 LB Outbound Ticket
NUAL'TARE WT 36760 LB
N T WEIGHT 35400 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.70 OUTGO.MSW 0.000 0.00 0.00 0.00
jL s. e
�:. K� `�.i:°,...-:�.`--------ram,,'� �� ;�, •
Operating hours 7:00 AM to 5:00 PM 7 days a, week:..
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY _OCTOBER 10 {G. L`"
(631) 734-7685 �; ""' •� (a w ' TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET - SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
IM N I E T I LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SwI
IL.Lbld Lb UUTDOuna IICKet
NUAL TARE WT 36760 LB
N T WEIGHT 35400 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
• OUTGO.MSW 0.000 0.00 0.00 0.00
A.
R-° V, r !
Operating hours 7:00 AM- It5.00 PM 7 days we2k.. 1�� oot
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAYOC�TNOB_ER
(631) 734-7685 TENDERED
oafT CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 011
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR.REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR'TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE.SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE"NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO., LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT-INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL"LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE'ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PR1NT NAME) SIGNATUREtDATE
KEY: WHITE-TO DISPOSAL LOCATION.
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. -
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.'
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01758673 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 ORIGIN LALE GROSS WT 65440 LB Outbound Ticket
MTARE WT 35940 LB
NGHT 29500 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.75 OUTGO.MSW 0.000 0.00 0.00 0.00
py
S i
Operating ®° z � � f
p g hours 7:00 AM to 5:00 PM 7 days a,week: ->--~` a !;4'
.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;; OCTOBER 10
( 734 , b, y , ^ ' i TENDERED
631) -7685 ;' r ,.a# ;g A�4 '
- y CHANGE
CHECK NO.
--j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane Steph
Cutchogue, NY 11935
T D I N UT LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
NUAL TARE WT 35940 LB
IV T WEIGHT 29500 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
-j-, .
0
Aerating hours 7:00 AM to 5:00 PM 7 daysa w'e'ek.�` _>,`' -_. •- ,_-� p�}r
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY OCTOBER--10 r
(631) 734-7685 � � AY^eg� " TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 013
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAULOCATION: 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
S-OUTHLK6 TOWN DEPT SOLID WASTE 001 1 01758936 Liz H
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
ALE 2 GROSS WT 74940 LB Outbound Ticket
ANUAL TARE WT 36760 LB
ET WEIGHT 38180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.09 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 dayska week,.
,- .' ' •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DA ,,,OCTOBER�10---�`lr
(631) 734-7685 Oyu TENDERED
f C&�" $ 'u
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTEVX
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1 T TeTkAkl TWqWT1 111WWE I ROLL OFF
9316 Town of Babylon
i REFERENCE
•-
S
NUAL TARE WT 36760 LB
ET WEIGHT 38180 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL -
p VV J yam"
Operating hours 7:00 AM to 5:00 PM 7 days``a -:%"�` �r� •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, O:C-TOBER`�10.�...-`'`
(631) 734-7685 � 7n �sfi TENDERED
� ✓ CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 014
Islandia, NY 11749 "®'
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED'AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME), (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER '
YELLOW TO TRANSPORTER.
PINK TO GENERATOR.
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO-.
P�UPLIFATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOL"D TOWN DEPT SOLID WASTE LDATE
59091 Liz H
PO Box 962/6155 Cox Lane
CutchOgue, NY 11935 DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 78760 LB Outbound Ticket
NUAL TARE WT 37420 LB
T WEIGHT 41340 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.67 OUTGO.MSW 0.000 0.00 0.00 0.00
r k
M1"k— •
Operating hours 7:00 AM to 5:00 PM 7 daysf a week.
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY, OxCTOBER '10'
(631) 734-7685 uh r c& ' TENDERED
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
jjffl�4h 1R T2 fyffll Tj E @YT 111W E ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S
NUAL TARE WT 37420 LB
ET WEIGHT 41340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
p^�
ro n §
� =f
Operating hours 7.00 AM to 5.00 PM 7 days`a 'week.`�L > `~ ! ✓j��� ry •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY; OCTOBER--10�__ �"
(631) 734-7685 <��1 j TENDERED
up,IOU
vim �c
CHANGE
CHECK NO.
:)
SIGNATURE
=TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 015
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES'NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY"
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:' _ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
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 01759211 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 TT7767=M7767== 08:4_ 111OU I L
REFERENCE ORIGIN
ff
76340 LB Outbound Ticket
36820 LB
39520 LB
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.76 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 dayva week. •
CLOSED HOLIDAYS - NEXT HOLIDAY COLUMBUS DAY;.00TOBER-10
(631) 734-7685 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
1 T �vJ T E T E ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S
NUAL TARE WT 36820 LB
ET WEIGHT 39520 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 DAY,,OCTOBER -10
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B,.Iydenburgh Road NO. 0 016
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY.ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
,GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1-HEREBY CERTIFY,THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL.LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 1 01760391 Liz H
FO B6x1362/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OU IC T VEHLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 78380 LB Outbound Ticket
M NUAL TARE WT 36760 LB
N T WEIGHT 41620 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.81 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 TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET §tTEI GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
311 IT 111gWC_LE ROLL OFF
9316 Town of Babylon
REFERENCE
M NUAL TARE WT 36760 LB
N T WEIGHT 41620 LB
CITY. UNIT DESCRIPTION RATE EXTEN 10 FE T04L 0-
1-fa.
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 6676
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE, NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED.
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SQUTHGLD` TOWN DEPT SOLID WASTE 301 01760359 Liz H
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
S ALE 2 GROSS WT 70780 LB Outbound Ticket
5 ALE 1 TARE WT 36100 LB
N T WEIGHT 34680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.34 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
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 35
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1�1 1YERUT111y5yFLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
5 ALE 1 TARE WT 36100 LB
N T WEIGHT 34680 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.34 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. 6732
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 AC-CORDING 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 P '
DUPLICATE�ICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01760284 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
S ALE 2 GROSS WT 71000 LB Outbound Ticket
NUAL TARE WT 39140 LB
T WEIGHT 31860 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.93 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,-.00TOBER 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
E T LE ROLL OFF
9316 Town of Babylon REFERENCE
S
NUAL TARE WT 39140 LB
N T WEIGHT 31860 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 DAY;. 00TOBER-10.
(631) 734-7685 'TENDERED
CHANGE
CHECK NO.
SIGNATURE
TNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 017
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. _ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED`UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION '
GREEN TO TRANSPORTER '
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE: TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN KEPT SOLID WASTE 001 1 01760247 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
ALE 2 GROSS WT 74500 LB Outbound Ticket
CALE 1 TARE WT 36020 LB
ET WEIGHT 38480 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.24 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
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
WE99T 111_ E ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 1 TARE WT 36020 LB
N T WEIGHT 38480 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 DAY; OCT.OBER 10
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh-Road NO. 6733
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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER."
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 301 1 01760835 Ste ph
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 74600 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 37840 LB
OTY. UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL
18.92 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 CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO. —
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
TJM5kN TINUgyT_111yeffLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
5WT 74600 LB UU1130un is e
M .UAL TARE WT 36760 LB
N T WEIGHT 37840 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.92 OUTGO.MSW 0.000 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.. •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 019
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 CFA 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 001 01760686 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
1
9316 Town of Babylon ORIGIN`-
REFERENCE
S ALE 2 GROSS WT 79760 LB Outbound Ticket
NUAL TARE WT 36540 LB
ET WEIGHT 43220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.61 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
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
-PO Box 962/6155 Cox- Lane- - - - - - - -
Cutchogue, NY 11935
T T E 2YT E ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SLE 2 GROSS WI 79715121 Lt$ Elcke-c
NUAL TARE WT 36540 LB
ET WEIGHT 43220 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 DAY,, OCTOBER 10
(631) 734-7685 TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 018
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION%FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.'
DRIVER:'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:.
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE,
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 01.761202 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT I TIME IN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S A=TARE
S WT 76440 LB Outbound Ticket
NWT 39140 LB
N T 37300 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.65 OUTGO.MSW 0.000 0.00 0.00 0.00
t
Operating hours 7:00 AM to 5:00 PM 7 days a week. - • .
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON'.DEC.24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST. TENDERED
CHANGE
CHECK NO.
—j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE SteA
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
jjHjVft 14 gb fi 1W4jN T.ldEJJTT 111fWLE ROLL OFF
9316 Town of Babylon REFERENCE
S
M NUAL TARE WT 39140 LB
N T WEIGHT- 37300 LB 7
CITY UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days.a week. • 0
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, ]AN 1ST. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0020
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR RkFERENCE 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 NAIVE) (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.