HomeMy WebLinkAbout12/2022 DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUYHOLG-,[OWN DEPT SOLID WASTE 001 1 01761112 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
tttooTe
REFERENCE ORIGIN
ALE 2 GROSS WT 85620 LB Outbound Ticket
NUAL TARE WT 33980 LB
ET WEIGHT 51640 LB
QTY. UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
25.82 OUTGO.MSW 0.000 0.00 0.00 0.00
1 .
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, ]AN 1ST.
• CHANGE
CHECK N .
SIGNATURE
�.. .. Ti-KET
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 T T T T E T E ROLL OFF
12 1 k� 1 2 ITVt�_ M.2� 111
9316 Town of Babylon
REFERENCE ORIGIN
NUAL TARE WT 33980 LB
ET WEIGHT 51640 LB
CITY UNIT DESCRIPTION. RATE EXTENSION FEE TOTAL"
i
Operating hours 7:00 AM to 5:00 PM 7 days,.a wee_. •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC''24TH_-
DEC 25TH NOON DEC 31TH ]AN 1ST. TENDERED
CHANGE
/ �\ HFQK NQ
SIGNATURE
'T'RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0022
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
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) 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 01761426 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
ALE 2 GROSS WT 75060 LB Outbound Ticket
ANUAL TARE WT 36820 LB
ET WEIGHT 38240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.12 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 NOONDEC,.24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 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
v.5y TW qqT 1114M9LE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
F�T-
NUAL TARE WT 36820 LB
ET WEIGHT 38240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
(
Operating hours 7:00 AM to 5:00 PM 7 days,,a sw.eek. _ •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, ]AN 1ST. TENDERED
CHANGE
i
H KN
SIGNATURE
TRINITY TRANSPORTATION CORPORATION .
214 Blydenburgh Road 0 0 21 '
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 SLAPPED 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.
[iUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01761705 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/02/22 12/02/22 08:40 08:40 11100TC
9316 Town of Babylon
REFERENCE
�.
S ALE 2 GROSS WT 70460 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 34520 LB
QTY.
UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
17.26 OUTGO.MSW 0.000 0.00 0.00 0.00
,f
Operating hours 7:00 AM to 5:00 PM 7 days 'a`:week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON=DEC 24TH,. a TENDERED `
DEC 25TH, NOON DEC 31TH, JAN 1ST.
y"
CHANGE
�=QHECK NO.
SIGNATURE
DUPLICATE TICKET SITE_ TICKET- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01761705 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 70460 LB Outbound Ticket
M NUAL TARE WT 35940 LB
N T WEIGHT 34520 LB
QTY.
UNIT DESCRIPTION RATE- EXTENSION FEE - TOTAL
17.26 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 daysvia_ week
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON'-,,DEC _
TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0023
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:
I HEREBY-CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)' SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICti -'KET
SOUTHOLG AN DEPT SOLID WASTE 001 01762143 Dan
PO Box• 96 6155 Cox Lane
Cutchogue,. NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/03/22 12/03/22 08:47 08:47 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE:2GROSS WT 79320 LB Outbound Ticket
ANUAARE WT 36760 LB
ET WHT 42560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.28 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01762141 Dan
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 79320 LB, Outbound Ticket
NUAL TARE WT 36760 LB
ET WEIGHT 42560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.28 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON.DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
.TITY TRANSPORTATION CORPORATION
21 Blydenburgh Road 0024
Islandla, 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
TRANSPORTATIONIFREIGHT 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,
D�i1PLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01762733 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/05/22 12/05/22 08:48 08:48 11103TC
9316 Town. of Babylon
REFERENCE
CALE 2 GROSS WT 68500 LB Outbound Ticket
ANUAL TARE WT 36760 LB
T WEIGHT 31740 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.87 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week-. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO:::::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01762733 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 68500 LB Outbound Ticket
NUAL TARE WT 36760 LB
T WEIGHT 31740 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.87 OUTGO.MSW 0.000 0.00 0.00 0.00
. •
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
TENDERED
CHANGE
t__�CHECK NO.
SIGNATURE
f RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 0025
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS_
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF,SUCH MATERIALS.
COMPANY.- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (Cu YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,-IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW„HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.`
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION- '
.
DISPOSAL LOCATION: DATE DELIVERED
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
,IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER -
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD ?•OWN DEPT SOLID WASTE 001 01762844 Liz H
PO Box' 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/05/22 12/05/22 12:16 12:16 11103TC
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 70800 LB Outbound Ticket
ANUAL TARE WT 33980 LB
T WEIGHT 36820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.41 OUTGO.MSW 0.000 0.00 0.00 0.00
IlkTj
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
--j
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01762844 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
M UAL GROSS WT 70800 LB Outbound Ticket
M NUAL TARE WT 33980 LB
N T WEIGHT 36820 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.41 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
TRINITY TRANSPORTATION CORPORATION
• 214 Blydenburgh Road No. - 0026
Islandia, NY 11.749
(631) 342-9673
THIS MAAiIFEST 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 SHIPMENTOF 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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR - - DISPOSAU LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01763309 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/06/22 12/06/22 12:40 12:40 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 78700 LB Outbound Ticket
NUAL TARE WT 39140 LB
N T WEIGHT 39560 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.78 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.._ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO:::l
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01763309 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 78700 LB Outbound Ticket
M NUAL TARE WT 39140 LB
N T WEIGHT 39560 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.78 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0028
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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN OEPT SOLID WASTE 001 01763141 Steph
PO BOX 962/6155 COX Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/06/22 12/06/22 09:01 09:01 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
(TWEIGHT
2 GROSS WT 73180 LB Outbound Ticket
TARE WT 36820 LB
36360 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.18 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week'. 0.00
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 001 01763141 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/06/22 12/06/22 09:01 09:01 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 73180 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 36360 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.18 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON .DEC 24TH , TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0027
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 LISTEfj 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 ACCEPTE-DAND 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 01763535 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 1a335
12/07/22 12/07/22 09:25 09:25 11103TC
9316 town of Babylon
REFERENCE
•-
CANUA
2 GROSS WT 83920 LB Outbound Ticket
L TARE WT 33980 LB
EIGHT 49940 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.97 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC'.24TH" TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01763535 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
2 2 07 22 09:25 09:25 11103TC
9316 Town of Babylon
REFERENCE
ALE 2 GROSS WT 83920 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 49940 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.97 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
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road O. 0029
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
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 001 01763641 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
12/08/22 12/08/22 08:57 08:57 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
C_
fANIUAL
LE 2 GROSS WT 74480 LB Outbound Ticket
TAREWT 35940 LB
WEIGHT 38540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
19.27 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week., 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01763641 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 74480 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 38540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.27 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0030
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 AO 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. `
DUPLICATEy: TICKET SITE TICKET GRID WEIGHMASTER
°
SOUTHOLD TOWN DEPT SOLID WASTE 2101 01763965 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
2/09/22 12/09/22 09:03 09:03 11103TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 81580 LB Outbound Ticket
M NUAL TARE WT 36820 LB
N T WEIGHT 44760 LB
Q7
TY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.38 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days `a_week:. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH', TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01763965 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 81580 LB Outbound Ticket
NUAL TARE WT 36820 LB
N T WEIGHT 44760 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.38 OUTGO.MSW 0.000 0.00 0.00 0.00
F'
f .
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, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 0031
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, ANb 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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01764359 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cut-chogue; NY 11935
12/10/22 12/10/22 08:48 08:48 11112TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 81280 LB Outbound Ticket
NUAL TARE WT 37420 LB
N T WEIGHT 43860 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.93 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON:DEC '24TH : - TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01764359 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
S ALE 2 GROSS WT 81280 LB Outbound Ticket
M NUAL TARE WT 37420 LB
N T WEIGHT 43860 LB
ITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.93 OUTGO.MSW 0.000 0.00 0.00 0.00
4 .
Operating hours 7:00 AM to 5:00 PM 7 days "a week.. -
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NO6N`DEC' 24TH - TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6709
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:
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 01765248 Liz H
PO Bex 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutci'logue, NY 11935
12/12/22 12/12/22 12:22 12:22 11100TC
93161 Town of Babylon
REFERENCE ORIGIN
(7
ANUAL GROSS WT 70040 LB Outbound Ticket
ANUAL TARE WT 39140 LB
T WEIGHT 30900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.45 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days -a,,week:, _ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON.',DEC„24TH.,-..,;:. TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST. v`s,
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01761248 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
NUAL GROSS WT 70040 LB Outbound Ticket
ANUAL TARE WT 39140 LB
ET WEIGHT 30900 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.45 OUTGO.MSW 0.000 0.00 0.00 0.00
r 1} l
_ _ S
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
t 214 Blydenburgh Road 1 6677
NO.
Islandia, NY 11749
i
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
�;OUTkt!D TOWN DEPT SOLID WASTE 001 01765179 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/12/22 12/12/22 08:55 08:55 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
ALE 2 GROSS WT 68260 LB Outbound Ticket
NUAL TARE WT 35940 LB
T WEIGHT 32320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.16 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days"a week._ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON--DEC 24TH,, TENDERED
DEC 25TH, NOON DEC 31TH, )AN 1ST.
CHANGE
CHEC NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01765179 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN 1 TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
S ALE 2 GROSS WT 68260 LB Outbound Ticket
NUAL TARE WT 35940 LB
ET WEIGHT 32320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.16 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
DEC 25TH, NOON DEC 31TH, 7AN 1ST. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0032
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 00 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 01765505 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12 't13/22 12/13/22 12:50 12:50 11100TC
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 73860 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 39880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a.,week: . 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON,DEC=24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET 1 SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01761505 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 73860 LB Outbound Ticket
NUAL TARE WT 33980 LB
ET WEIGHT 39880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.94 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'-,,'ae week. - •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON. DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST. Y` TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 4 No. 6679
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01765375 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i"2/131Z.V 12/13/22 09:07 09:07 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
7
t
LE 2 GROSS WT 70840 LB Outbound Ticket
UAL TARE WT 36760 LB
WEIGHT 34080 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.04 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days `a-week 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON"DEC'r24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01765375 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
C I -
ALE 2 GROSS WT 70840 LB Outbound Ticket
NUAL TARE WT 36760 LB
ET WEIGHT 34080 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.04 OUTGO.MSW 0.000 0.00 0.00 0.00
+ j't
l
Operating hours 7:00 AM to 5:00 PM 7 days`.a week, -- �= •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE ,AT NOON46EC;•°24TH
TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6678
Islandia, NY 11749
tih
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN.PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT-NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOJ;n-TOWN DEPT SOLID WASTE 001 01765782 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
12/14/22 12/14/22 11:10 11:10 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 77960 LB Outbound Ticket
ANUAL TARE WT 36760 LB
T WEIGHT 41200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.60 OUTGO.MSW 0.000 0.00 0.00 0.00
r
Operating hours 7:00 AM to 5:00 PM 7 days a,..week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON'DEC,24TH: _ TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01765782 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
0 11:10 11100TC
9316 Town of Babylon
S ALE 2 GROSS WT 77960 LB Outbound Ticket
NUAL TARE WT 36760 LB
ET WEIGHT 41200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.60 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a.,week. - . 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON`.DEC."24T,H TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0033,
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 Cf R PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
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:
IHEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE.TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01766010 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/15/22 12/15/22 07:26 07:37 11112TC
9316 Town of Babylon
REFERENCE
GALE 2 GROSS WT - 82480 LB Outbound Ticket
CALE 1 TARE WT 35940 LB
T WEIGHT 46540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.27 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days"a,,wee k. _ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON.-DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, 7AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01766010 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN ALE 2 GROSS WT 82480 LB Outbound Ticket
ALE 1 TARE WT 35940 LB
T WEIGHT 46540 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.27 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, 7AN 1ST.
CHANGE
CHECK NO.:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6708
Islandia, NY 11749 NO
(631) 342.. (11673
1
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 AUTHOR IZED-AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
- i
SOUTHOLD TOvJN`-CecPT SOLID WASTE 001 01766427 Dan
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
12/16/22 12/16/22 11:16 11:16 11100TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 74540 LB Outbound Ticket
NUAL TARE WT 36820 LB
T WEIGHT 37720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.86 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week..- 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON' DEC` 24TH- TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01-766427 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
ALE 2 GROSS WT 74540 LB Outbound Ticket
ANUAL TARE WT 36820 LB
ET WEIGHT 37720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.86 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0035
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:
ADDRESS:
l 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 j GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01766402 Dan
Pd Box ,9-62/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF
12/16/22 12/16/22 07:44 07:44 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE :2GROSS WT 65700 LB Outbound Ticket
ANUALARE WT 36540 LB
ET WEHT 29160 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.58 OUTGO.MSW 0.000 0.00 0.00 0.00
i .
Operating hours 7:00 AM to 5:00 PM 7 days a•.week.. _ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
.CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01766402 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
S ALE 2 GSS WT 65700 LB Outbound Ticket
NUAL TARE WT 36540 LB
N T WEIGHT 29160 LB
QTY. UNIT DESCRIPTION., RATE EXTENSION FEE TOTAL .
14.58 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days -a, week.. old
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOW6EC .24TH-- TENDERED
DEC 25TH, NOON DEC 31TH, )AN 1ST. i`• "'
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
-214 Blydenburgh Road No. - 0 0 3 4
'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: GATE DELIVERED:,
ADDRESS:
-THEREBY 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 01766508 Steph
PO-Box 962/6155 Cox Lane
y �utEISogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
12/17/22 12/17/22 08:40 08:40 11100TC
9316 Town of Babylon
REFERENCE
(ALE 2 GROSS WT 78860 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 44880 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.44 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC-24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01766508 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 78860 LB Outbound Ticket
NUAL TARE WT 33980 LB
N T WEIGHT 44880 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.44 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
DEC 25TH, NOON DEC 31TH, ]AN 1ST. TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 0 3 6
T
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)
SALES:(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 LAIN,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 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01767223 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN , DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
12/19/22 12/19/22 12:22 12:22 11100TC
9316 Town of Babylon
REFERENCE
M NUAL GROSS WT 66500 LB Outbound Ticket
NUAL TARE WT 39380 LB
N T WEIGHT 27120 LB
QTY.
UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL
13.56 OUTGO.MSW 0.000 0.00 0.00 0.00
ANIMEA •
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01767223 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF
12119122
9316 Town of Babylon
REFERENCE
MFNUALTARE
WT 66500 LB Outbound Ticket
MWT 39380 LB
N 27120 LB
UNIT -DESCRIPTION. RATE EXTENSION FEE TOTAL
13.56 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
DEC 25TH, NOON DEC 31TH, JAN 1ST. TENDERED
CHANGE
HECK.NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. ^ ^ 0 0 3 8
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR.ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL-LOCATION:" DATE DELIVERED.:
ADDRESS: -
- I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)- SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01767099 Will
PO ,Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF
12/19/22 12/19/22 08:50 08:50 11100TC
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 67540 LB Outbound Ticket
ANUAL TARE WT 36540 LB
T WEIGHT 31000 LB
CITY. UNIT DESCRIPTION , RATE. EXTENSION FEE TOTAL
15.50 OUTGO.MSW 0.000 0.00 0.00 0.00
` .. Ila •
Operating hours 7:00 AM to 5:00 PM 7 days ai,week.. ;,' 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC`24TH,, .. ,', TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01767099 Will
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
�.
M NUAL GROSS WT 67540 LB Outbound Ticket
NUAL TARE WT 36540 LB
N T WEIGHT 31000 LB
QTY.. UNIT' - DESCRIPTION RATE EXTENSION FEE TOTAL
15.50 OUTGO.MSW 0.000 0.00 0.00 0.00
t G`
00
Operating hours 7:00 AM to 5:00 PM 7 days'a.week. s .
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON:_I 24TH'-
DEC 25TH, NOON DEC 31TH, JAN 1ST.
- TENDERED
CHANGE
CHII!KN�
SIGNATURE �f
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0037
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE'STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:,
TRAILER NO. LICENSE NO/STATE.:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS.PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.',
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:; DATE DELIVERED:
ADDRESS:
-
I HEREBY CERTIFY-THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER "
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01767599 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
12/20/22 12/20/22 12:56 12:56 11100TC
9316 Town of Babylon
REFERENCE
.-
CALE 2 GROSS WT 66820 LB Outbound Ticket
ANUAL TARE WT 39140 LB
T WEIGHT 27680 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.84 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a-week..., 0.00
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 001 01767599 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 66820 LB Outbound Ticket
NUAL TARE WT 39140 LB
ET WEIGHT 27680 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.84 OUTGO.MSW 0.000 0.00 0.00 0.00
. . , r
ra
UU
a
•
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.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N®. l - 0 0 4 0
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
.1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:-.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INfORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT.NAME). SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER •-
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
,
SOUTHOLD TOWN. DEPT SOLID WASTE 001 01767462 Steph
PO BOX 962/9155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
12/20/22 12/20/22 09:01 09:01 11100TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 81660 LB Outbound Ticket
ANUAL TARE WT 33980 LB
T WEIGHT 47680 LB
OTY. UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL
23.84 OUTGO.MSW 0.000 0.00 0.00 0.00
Ilk
•
Operating hours 7:00 AM to 5:00 PM 7 days a.week.;', 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH" TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01767462 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT" VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S ALE 2 GROSS WT 81660 LB Outbound Ticket
NUAL TARE WT 33980 LB
ET WEIGHT 47680 LB
OTY. UNIT DESCRIPTION RATE,- EXTENSION FEE_ TOTAL
23.84 OUTGO.MSW 0.000 0.00 0.00 0.00
f
•
Operating hours 7:00 AM to 5:00 PM 7 days~a, we;ek.
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON•-,DEC,24TH"
DEC 25TH, NOON DEC 31TH, JAN 1ST. " TENDERED
L ,i.
CHANGE
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0039
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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE-GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER '
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01767804 Steph
PO Box 962/6155 Cox Lane
Cutchogue, 1I.Y! 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/21/22 12/21/22 09:10 09:10 11100TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 79040 LB Outbound Ticket
ANUAL TARE WT 36760 LB
T WEIGHT 42280 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.14 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a�..week.,, 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON. DEC 24TH. TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.'
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01767804 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN. DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 79040 LB Outbound Ticket
NUAL TARE WT 36760 LB
T WEIGHT 42280 LB
QTY. UNIT DESCRIPTION RATE ,EXTENSION FEE TOTAL
21.14 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::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blycfenburgh Road NO. 0041
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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 J
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK,TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01768241 Steph
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
12/22/22 12/22/22 11:27 11:27 11100TC
9316 Town pf Babylon
ORIGINREFERENCE
0
S(NUAL
2 GROSS WT 68640 LB Outbound Ticket
M TARE WT 35940 LB
NEIGHT 32700 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.35 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a,week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON-.DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
CHECK NO.—j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01768241 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OF12/22/22 1 IL
9316 Town of Babylon 7 7 7
REFERENCE
S ALE 2 GROSS WT 68640 LB Outbound Ticket
NUAL TARE WT 35940 LB
N T WEIGHT 32700 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.35 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.. U.F010
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 0 4 2
Islandia, NY 11749 No.
(63 )-542-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:.
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY'THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT:NAME) SIGNATURE/DATE
KEY: ' WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO-TRANSPORTER.'
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTH OLD DOWN DEPT SOLID WASTE 001 01768441 Dan
PO Box 962%6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT - TIME IN TIME OUT VEHICLE ROLL OFF
12/23/22 12/23/22 07:23 07:23 11100TC
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 GROSS WT 60920 LB Outbound Ticket
ANUAL TARE WT 36620 LB
T WEIGHT 24300 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL -
12 A5 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a,,week'...- 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON: DEC;'24T„H TENDERED
DEC 25TH, NOON DEC 31TH, JAN 15T.
4.,..:, CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER.`
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01768441 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
ALE 2 GROSS WT 60920 LB Outbound Ticket
ANUAL TARE WT 36620 LB
ET WEIGHT 24300 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
12.15 OUTGO.MSW 0.000 0.00 0.00 0.00
if
Operating hours 7:00 AM to 5:00 PM 7 days a wee k. 1 - -
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOONt,DECr24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST. "h` s ;`'-
c.: CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0043
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)
SALES:(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 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01768608 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
12/24/22 12/24/22 07:26 07:26 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
ALE 2 GROSS WT 67740 LB Outbound Ticket
NUAL TARE WT 33980 LB
T WEIGHT 33760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.88 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a,.week. 0.00
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 001 01768608 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUTI VEHICLE ROLL OFF
9316 Town of Babylon 07.26=e
REFERENCE ORIGIN
S ALE 2 GROSS WT 67740 LB Outbound Ticket
NUAL TARE WT 33980 LB
N T WEIGHT 33760 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.88 OUTGO.MSW 0.000 0.00 0.00 0.00
Ilk
Operating hours 7:00 AM to 5:00 PM 7 days'-a' week. •
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON.,6EC .24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 1 - 0 0 4 4
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 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY,THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME), (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) -� SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01768981 Steph
PO Box 962',16155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/27/22 12/27/22 12:09 12:09 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 69880 LB Outbound Ticket
ANUAL TARE WT 36820 LB
T WEIGHT 33060 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.53 OUTGO.MSW 0.000 0.00 0.00 0.00
1
Operating hours 7:00 AM to 5:00 PM 7 days 'a.week, 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON-DEC 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01768981 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2•GROSS WT 69880 LB Outbound Ticket
NUAL TARE WT 36820 LB
T WEIGHT 33060 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.53 OUTGO.MSW 0.000 0.00 0.00 0.00
.. L
Operating hours 7:00 AM to 5:00 PM 7 days a week. .00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON•DEC 24TH„ TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
--j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 EiIydenburgh Road _ - 0 0 4 6
Istandia, 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:.
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF=MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWWIiFPT SOLID WASTE 001 01768882 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
12/27/22 12/27/22 08:47 08:47 11100TC
9316 Town of Babylon
REFERENCE
7
CALE 2 GROSS WT 74180 LB Outbound Ticket
NUAL TARE WT 36760 LB
T WEIGHT 37420 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.71 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a_week-.,. _ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON'DEC• 24TH, TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST. :. .
_- CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01768882 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 74180 LB Outbound Ticket
(ALE
TARE WT 36760 LB
N T WEIGHT 37420 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.71 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
TRINITY TRANSPORTATION CORPORATION
214 blydenburgh Road 0045
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.
RINK TO GENERATOR
GOLD TO GENERATOR ' DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769188 Steph
PO Box 962/6155 COX Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
12/28/22 12/28/22 08:37 08:37 11100TC
9316 Town of Babylon
CALE 2 GROSS WT 59940 LB Outbound Ticket
ANUAL TARE WT 36860 LB
T WEIGHT 23080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
11.54 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days `a'-,week..F __. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON:'D.EC,24TH,",,,,- z` TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
Y CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01769188 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
8:37 08:37 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
S ALE 2 GROSS WT 59940 LB Outbound Ticket
NUAL TARE WT 36860 LB
N T WEIGHT 23080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
11.54 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days'a..week: 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC. 24TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0047
I$landia, NY 11749
(631) 342-9673
THIS MANIFESTiS FOR REFERENCE PURPOSES ONLY.-GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
SE114G 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 264 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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769331 Steph
PO Box 962%6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/28/22 12/28/22 12:33 12:33 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
7
(ANUAL
E 2 GROSS WT 64480 LB Outbound Ticket
TARE WT 36820 LB
WEIGHT 27660 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.83 OUTGO.MSW 0.000 0.00 0.00 0.00
r t'r
n
Operating hours 7:00 AM to 5:00 PM 7 days a,week: 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON: DEC',.24TH TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 15T.
CHANGE
CHE K NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01769331 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
C -1
S ALE 2 GROSS WT 64480 LB Outbound Ticket
NUAL TARE WT 36820 LB
T WEIGHT 27660 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
13.83 OUTGO.MSW 0.000 0.00 0.00 0.00
tl.3
Operating hours 7:00 AM to 5:00 PM 7 days'••a,week. -- 4
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON.-DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST. _ "' ", TENDERED
CHANGE
f
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Mydenburgh Road
Islandia, NY 11749 NO. 0 0 4 S
(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 OFMY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO.GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/29/22 12/29/22 12:04 12:04 110TC
9316 Town of Babylon 10
REFERENCE
CALE 2 GROSS WT 66780 LB Outbound Ticket
NUAL TARE WT 35940 LB
T WEIGHT 30840 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.42 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a',_week::_ - ._ 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON:'-DE'0 24TH,,,- TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01769648 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 66780 LB Outbound Ticket
NUAL TARE WT 35940 LB
T WEIGHT 30840 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.42 OUTGO.MSW 0.000 0.00 0.00 0.00
r _
NOW
,�J .N` - •
Operating hours 7:00 AM to 5:00 PM 7 days a.,week.
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON,.DEC,14TH TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK NO.
-:�j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - 0 0 5 0
Islandii, 1Y 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
DISPOSALIOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769541 Steph
PO Box•962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN "DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF
12/29/22 12/29/22 08:38 08:38 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 67520 LB Outbound Ticket
ANUAL TARE WT 39140 LB
T WEIGHT 28380 LB
QTY UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
14.19 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a:week.,' 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON, DEC 24TH :.'_ TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769541 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 ALE 2 GROSS WT 67520 LB Outbound Ticket
NUAL TARE WT 39140 LB
ET WEIGHT 28380 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.19 OUTGO.MSW 0.000 0.00 0.00 0.00
r�.
Operating hours 7:00 AM to 5:00 PM 7 days�a week- - " UU
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON-.DEC. 24TH'
TENDERED "
fit.'. ° �f r. ','_,' .S^,'•• •"'j
DEC 25TH, NOON DEC 31TH, JAN 1ST.
CHANGE
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road No. 0049
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 YOS)
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 001 01769515 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/29/22 12/29/22 07:03 07:19 11112TC
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 70400 LB Outbound Ticket
CALE 1 TARE WT 36680 LB
T WEIGHT 33720 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.86 OUTGO.MSW 0.000 0.00 0.00 0.00
,�'P J7- � ` • lam•
Operating hours 7:00 AM to 5:00 PM 7 days 'a week`.,'` 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NO6N-;_DEGr.24 -H.-" TENDERED
DEC 25TH, NOON DEC 31TH, ]AN 1ST.
CHANGE
� HECK N .
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01769515 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
S ALE 2 GROSS WT 70400 LB Outbound Ticket
ALE 1 TARE WT 36680 LB
ET WEIGHT 33720 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.86 OUTGO.MSW 0.000 0.00 0.00 0.00
.,
5 -
v i iY
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. r
CHANGE
CHECK N .
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6680
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT.HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO_ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET
S6UTHGL6" TOWN DEPT SOLID WASTE 001 01769999 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
12/30/22 12/30/22 12:42 12:42 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 62760 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 23620 LB
11.81 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769999 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
- 12/30/22 12/30/22 12:42 12:42 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 62760 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 23620 LB
11.81 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
TRINITY TRANSPORTATION CORPORATION
r. r
214 Blydenburgh Road 0053
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE LISTED ABOVE, ANO'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 01769851 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/30/22 12/30/22 07:31 07:49 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 69360 LB Outbound Ticket
CALE 1 TARE WT 37360 LB
T WEIGHT 32000 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.00 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a'.week'.' 0.00
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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1 01769851 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 69360 LB Outbound Ticket
ALE 1 TARE WT 37360 LB
T WEIGHT 32000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.00 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days:a we,ek.
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON,.DEC.24TH - TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
, - CHANGE
H K NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0063
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01769868 Liz H
PO Box '962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
12/30/22 12/30/22 08:31 08:31 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
7
CALE :2GROSS WT 71880 LB Outbound Ticket
NUALE WT 36760 LBT WE 35120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.56 OUTGO.MSW 0.000 0.00 0.00 0.00
a r f
t ' —
Operating hours 7:00 AM to 5:00 PM 7 days`aa.week:,; 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON�DEC%,24TH•;, : TENDERED
DEC 25TH, NOON DEC 31TH, JAN 1ST.
- CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 I 01769868 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
S ALE 2 GROSS WT 71880 LB Outbound Ticket
NUAL TARE WT 36760 LB
N T WEIGHT 35120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.56 OUTGO.MSW 0.000 0.00 0.00 0.00
• .t 1 Y- •F `
f
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
TRINITY TRANSPORTATION CORPORATION
'214 Blydenbwrgh Road 0051
Isldia; 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 2E1 OR ANY APPLICABLE STA'TEiAW,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
SOUTHOLD TOWN DEPT SOLID WASTE 001 01770204 Steph
PO Box 962/6155 Cox Lane
Cutchogu.e, NY 11935
12/31/22 12/31/22 07:18 07:18 11112TC
9316 -,. Town of Babylon
s-
SCALE 2 GROSS WT 62520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 25700 LB
12.85 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01770204 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
12/31/22 12/31/22 07:18 07:18 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 62520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 25700 LB
12.85 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
TRINITY TRANSPORTATION CORPORATION
214 Rlydenburgh Road NO 1 0 0 6 4
.
,,_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.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01770206 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
• 12/31/22 12/31/22 07:27 07:27 11100TC
9316 ip=� Town of Babylon
SCALE 2 GROSS WT 69280 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35300 LB
17.65 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01770206 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
12/31/22 12/31/22 07:27 07:27 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 69280 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35300 LB
17.65 OUTGO:MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.00
CLOSED HOLIDAYS - NEXT HOLIDAY CLOSE AT NOON DEC 24TH
DEC 25TH, NOON DEC 31TH, JAN 1ST.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 0 5 4
Tmandia, 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: (GU 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.