HomeMy WebLinkAbout07/2023 DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811970 Will
PO Box 962/6155 Cox Lane
CUtchUe, NY 11935 DATE IN DATE OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
Y 07/01/2 07/01/2 08:1 08:1 11100TC
9316 Town of Babylon
MANUAL GROSS WT 78140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41600 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
�a lgr sot/) .
<.r� ;�.
Operating hours 7:00 AM to 5:00 PM 7 days a'd week ,: " .'rt�� 1� me
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 INDEPENgD�E(NCCaE TENDERED
DAY -,...
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811970 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
MANUAL GROSS WT 78140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41600 LB
f I
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Q� S6U;
Operating hours 7:00 AM to 5:00 PM 7 days a weekc�—_.ram
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4F� INDE P,ENDENCE--'""�
DAY `°il L/OUNT11 TENDERED
4I1! CHANGE
CHECK
TRINLTY TRA'NSPORTAT,ION CORPORATION
2'14 Blydenburgh Road 0385
Ilandia, NY 11749 NO
(f 31) 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 CPR 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.ANDIS 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:
HEREBYCERTIFY 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 MYKNOWLEDGE 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.
PINKTO GENERATOR
GOLD TO'GENERATOR DISPOSAL LOCATION TICKET'NO.
DUPLICATE TICKET SITE I TICKET. `' .GRID c WEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812592 Will
PO BOX 0 11935 55 COX Lane
Cutchogue, DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF
ue,
07/03/2 07/03/2 07:4 07:4 19640TC
9316 Town of Babylon
MANUAL GROSS WT 73040 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 39060 LB '
OTY. UNIT ' DESCRIPTION RATE, .EXTENSION FEE TOTAL
19.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days_ a week. _ 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 _ INDEPENDENCE TENDERED
DAY
CHANGE
CHECKN
SIGNATURE
DUPLICATE TICKET SITE TICKET .,GRID .WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812592 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN • DATE OUT' ' TIME IN TIME OUT VEHICLE': ROLL OFF'
9316 Town of Babylon
ANUAL GROSS WT 73040 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 39060 LB
OTY. UNIT' DESCRIPTION RATE EXTENSION FEE, TOTAL
19.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a.week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED,
DAY
CHANGE
CHEC
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 'Bfydenburgh Road NO. 6698
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATORDOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES'NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.,
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT'CONTAIN FREE LIQUID AS'DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,LISTED ABOVE, AND'THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEENACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
'RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
nUPLICATE TICKET eSITEI TICKET I GRID I l WEIGHMASTER
:.IUTNOLD TOWN DEPT SOLID WASTE 00 01812612 Will
AP' •BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLL OFF
chogue, NY 11935
07/03/2 07/03/2 08:3 08:3 11100TC
9316 Town of Babylon
MANUAL GROSS WT 78440 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 41680 LB
QTY. UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL
20.84 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days'a week.' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE .TENDERED
DAY
CHANGE
CHECK O
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01812612 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , - ,VEHICLE, ""ROLL OFF
9316 Town of Babylon
NUAL GROSS WT 78440 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 41680 LB
CITY UNIT• DESCRIPTION RATE EXTENSION FEE TOTAL
20.84 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. lipR.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE TENDERED
DAY
H E
cirunn iwF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - - 0 3 8 6
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR'REFERENCE PURPOSES ONLY.GENERATOR DOESWOT TAKE.POS'SESSION 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
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 STATELAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED ANDPACKAGED,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 WITHOUTINCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) .(SIGNATURE)
DESTINATION
DISPOSAL LOCATION; e 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) SIGNATUREMATE.
KEY: 'WHITE'TO DISPOSAL LOCATION'
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE ' TICKET ID GR -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812776 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT .VEHICLE ROLL OFF.
07/03/2 07/03/2 12:4 12:4 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 75860 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 39060 LB
CITY. UNIT 'DESCRIPTION , RATE - EXTENSION FEE TOTAL
19.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE TENDERED
DAY
C ANG
C C NO
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812776 Liz H
PO Box 962/6155 Cox Lane
CUtChOgue, NY 11935 DATE IN DATE OUT',_ ,,TIME.IN TIMEOUT VEHICI-E, '; -, ROLLOFF "
9316 Town of Babylon
CALE 2 GROSS WT 75860 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 39060 LB
CITY. UNIT DESCRIPTION' RATE EXTENSION FEE' " TOTAL
19.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 INDEPENDENCE TENDERED'
DAY
CHECKNO.,
RMNATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0387
Islandia, NY 11749 htO
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF 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,JS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICA13LE 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 A13OV£ NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:. _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION: DATE'DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK'TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
DUPLICATE TICKET SITE I 'TICKET" -,SRID 1, WEIGHMASTER
-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812956 Steph
PO Box 962/6155 Cox Lane
Cutchogue, "i•Y 11935 'DATE IN I DATE OUT.' TIME IN ITIME OUT .:VEHICLE ROLL OFF
07/05/2 07/05/2 08:2 08:2 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 37960 LB
QTY. UNIT 1 11 DESCRIPTION, RATE - EXTENSION FEE, TOTAL
18.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
jv
1 .z
r...t-1
r
T
Operating hours 7:00 AM to 5:00 PM 7 days a 'week':° "'�--^`_ ' .}, 'a* �^„ 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4,� INDEPENDENCE-- q�t,5?�ti ,tY -TENDERED
DAY �''�, ,
CHEC
SIGNATURE
DUPLICATE TICKET SITE ' TICKET ,GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812956 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 : DATEIN 'DATEOUT - ',TIME,IN' TIME OUT 'VEjHICLE ", •ROLL OFF -
9316 Town of Babylon
CALE 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 39140 LS
NET WEIGHT 37960 LB
QTY. UNIT - DESCRIPTION RATE' EXTENSION FEE TOTAL
18.98 OUTGO.MSW 0.000 0.00 0.00 0.00
rof
0, agya •^�^ i�d os 4.
� f
Operating hours 7:00 AM to 5:00 PM 7 days a•week'i�:.,,,�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4!"�hND� DENCE.... 'TENDERED—
DAY Cailli.AT" `es I
~'� 3 �
NO. "
CII�NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 B?ydenburgh Road NO. 1 - 0 3 8 8
Islandia; NY 11749
(631) 342-9673
THIS 6MANIFEST IS'FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY 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.
r
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERf--AL 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 00 01813076 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,DATE OUT TIME IN TIME OUT, VEHICLE ROLL OFF
07/05/2 07/05/2 12:0 12:0 11100TC
9316 Town of Babylon
a
SCALE 2 GROSS WT 67820 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 33840 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.92 OUTGO.MSW 0.000 0.00 0.00 0.0e
'V9 �\ F
01N�
Operating hours 7:00 AM to 5:00 PM 7 daysµ 'wee`kti.`�"''��' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4`-�INDEPENDENCE`) 7,y`v� TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET (SITE1 TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813076 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 67820 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 33840 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.92 OUTGO.MSW 0.000 0.00 0.00 0.0e
& aly;
vd% Igz
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4�-, A EPE� DENCE TENDERED
U {}
CHANGE
CHECK
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road - 0389
Islandia, NY 11749 NO'
(631)+342=9673
9
THIS MANIFEST IS'FOR REFERENCEPURPOSES 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: I(CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
LNET
THEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE,LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFRPART 261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY
DESCRIBED:CLASSIFIED AND PACKAGED.AND IS IN'PROPER CONDITION FORTRANSPORTATION ACCORDING'TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT 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'IOCATION: 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 I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812925 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT, EVEH ROLL OFF
07/05/2 07/05/2 07:2 07:2
9316 _ Town of Babylon
ORIGIN
SCALE 2 GROSS WT 88960 LB Outbound Ticket
MANUAL TARE WT 36280 LB
NET WEIGHT 52680 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
26.34 OUTGO.MSW 0.000 0.00 0.00 0.0e
sou;.
t
Operating hours 7:00 AM to 5:00 PM 7 days a�week6-���'�-®,r' _^ 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�DAY INDEPENDDE�NC4E t5 �A�yiu. TENDERED
Wfl
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE 'TICKET I GRID ' .WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01812925 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 88960 LB Outbound Ticket
h1ANUAL TARE WT 36280 LB
NET WEIGHT 52680 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
26.34 OUTGO.MSW 0.000 0.00 0.00 0.0e
y
Operating hours 7:00 AM to 5:00 PM 7 dars a w"eek��� �
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�1{-,MI6 EPENDENCE
DAY �Y����.�tf 9�+�� TENDERED
Q > CHANGE,
CHECK NO
ciruen iwc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 6699
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'BEEMACCEPTED 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 rSITEI TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813365 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
07/06/2 07/06/2 12:3 12:3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 86000 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 46860 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.43 OUTGO.MSW 0.000 0.00 0.00 0.0e
FC/1
�_...
Operating hours 7:00 AM to 5:00 PM 7 days a�weekT� r � � � 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4INDEPENDENCE ``,�'�%� (f} TENDERED
DAY ,-
CHECK N
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813365 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN JMME OUTI VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 86000 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 46860 LB
CITY. _ UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL
23.43 OUTGO.MSW 0.000 0.00 0.00 0.02
®v Sol/;-
All mmj=
Operating hours 7:00 AM to 5:00 PM 7 d y a✓week' '.``;�j�
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 INDE2ENDENCE--'' �, R ��/ TENDERED
DAY
•d ��U�9�,�'
CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0391
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: ICU 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 CFRPART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR'AUTHORIZED AGENT(PRINT NAME), (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO.,
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT'INCIDENT'TO THE DESTINATION LISTED BELOW,
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE',DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
DUPLICATE TICKET STTE TICKET GRID I WEIGHMASTER
SOUTHIYLD TOWN DEPT SOLID WASTE 00 01813309 Steph
FO'Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT I, VEHICLE ROLL OFF
07/06/2 07/06/2 10:2 10:3 11112TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 78680 LB Outbound Ticket
SCALE 1 TARE WT 37160 LB
NET WEIGHT 41520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.76 OUTGO.MSW p^ 0.000 0.00 0.00 me
0 Ili
��+i�
Operating hours 7:00 AM to 5:00 PM 7 days atiwee_k. 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4�- INDEPENDE(NCEJ,-y Z4>% I' TENDERED
DAY4�
L'
CHANGE
-CHECKNO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813309 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE Al DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
GALE 2 GROSS WT 78680 LB Outbound Ticket
SCALE 1 TARE WT 37160 LB
NET WEIGHT 41520 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.76 OUTGO.MSW 0.000 0.00 0.00 0.02
00, S ON
top
s �^
Operating hours 7:00 AM to 5:00 PM 7 days arweek•.�,;,.,.,,_. _•.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 INDEPENDE1N(DAY /CCEg9-�-1%�j ' h`+.y TENDERED
CHANGE
EC NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO, - - 0 2 2 2
ISlandia,'NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.,GENERATOR DOES NOT TAKE POSSESSION OR TITLEAF 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; ICU 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'CE'RTIFY'T11AT 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 13ESTOF,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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813258 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/06/2 07/06/2 08:2 08:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 86300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 49540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.77 OUTGO.MSW 0.000 0.00 0.00 0.0e
Qt SOljj-
rr_r, d ,
Operating hours 7:00 AM to 5:00 PM 7 day ta"weeks. !.r'�.��, L{�J 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 CI INDEPENDENCE
DAY � `� TENDERED
�����f'R 1 :���•
-2J�c-�X".=fit CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID , WEIGHMASTER
SOUTHOLD1TOWN DEPT SOLID WASTE 00 01813258 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE •'ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 86300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 49540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.77 OUTGO.MSW 0.000 0.00 0.00 0.0e
f r
F.t 7
Operating hours 7:00 AM to 5:00 PM 7 days a"•,tweekl.Al �
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 - INDDEPENDENCE TENDERED
DAY
/��CCUUnnUU CHANGE
CHECK O
AMNAT11RF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 3 9 0
ISlandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW,
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE,DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
DUPLICATE TICKET .SITE TICKET , GRID .WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813224 Steph
PO Box 962A1s5 Cox Lane
Cutche *e, NY 11935 DATE IN DATEOUT . TIMEIN TIMEOUT VEHICLE ROLL OFF
07/06/2 07/06/2 07:0 07:1 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 79880 LB Outbound Ticket
SCALE 1 TARE WT 36480 LB
NET WEIGHT 43400 LB
QTY. UNIT,_ DESCRIPTION RATE' .EXTENSION FEE TOTAL
21.70 OUTGO.MSW 0.000 0.00 0.00 0.0e
w'ry.y^ Zw2 it
41 L.'•'Ir
IN
Operating hours 7:00 AM to 5:00 PM 7 daysla„weeki;--''•-._._- , re-a
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 F,INDEPENDENC$E-tl
DAY Yi_b° l J p )7{{ G } - TENDERED
CHANGE
CHECK O.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'i:e• pi, DA T '`,TI I TIM U V , `-ROLLOFF
9316 Town of Babylon
CALE 2 GROS T 79880 LB 0 u t b oun T Tic Fe
SCALE 1 TARE WT 36480 LB
NET WEIGHT 43400 LB
QTY. UNIT. DESCRIPTION RATE EXTENSION 'FEE TOTAL
21.70 OUTGO.MSW 0.000 0.00 0.00 0.0e
st
Operating hours 7:00 AM to 5:00 PM 7 days a�,,weelZ`..`.,s, - ,y,T,. r,7
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY d•'ti INDEPENDENCE;,,,,.- � Y
41,
DAY '�, "a ~; c..TENDERED;
CHANGE -
'CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.' 0221
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: ICU YDS)
BALES:(COUNT):
'TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4D 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 NOISTATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVENAMED 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) SIGNATUREMATE
KEY: WHITE TO DISPOSAL,LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET .SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813523 Liz H
PO Box 962/6155 Cox Lane
Cut Chogue, NY 11935 ,'DATEIN DATEOUT TIME IN TIME OUT' VEHICLE ,ROLL OFF
07/07/2 07/07/2 09:2 09:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 76140 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 38720 LB
CITY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
19.36 OUTGO.MSW 0.000 0.00 0.00 me
lap
Operating hours 7:00 AM to 5:00 PM 7 days afweek:. ``--',1 .� ,f'
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY 4Z',-\INDEPEN{DyENCE��g
DAY - TENDERED
CHANGE
Y � c:
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 018135231Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �'DATEIN DATEOUT TIMEIN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 76140 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 38720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.36 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a seek: ,```�---��,,,//
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - I�EEPPENDE]NtpC�E'q/ TENDERED
DAY /+O I U 1 4�
v i/ CHANGE
CHECK O.
CIPMATI IMP
'I'ItINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. ` - 0 3 9 2.
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: (GU 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 d0 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(PRfNT 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
DISPOSACLOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE,MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNO_WLEDGE'THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVED,BY: -
AUTHORIZED AGENT(PRINT,NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION'
GREEN TOTRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET (`SITEj TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813735 Steph
PO Box 962/6155 Cox Lane
Cutchogue, 7JY 11935 . DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/08/2 07/08/2 07:5 07:5 1110OTC
9316 Town of Babylon
SCALE 2 GROSS WT 85020 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 48200 LB
CITY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
24.10 OUTGO.MSW y, 0.000 0.00 0.00 0.0¢
_. ,v
Operating hours 7:00 AM to 5:00 PM 7 days arweek. �.,, 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 INDEFN�ENYCE TENDERED
L
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813735 S ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 85020 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 48200 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.10 OUTGO.MSW 0.000 0.00 0.00 0.0¢
cl%z��4 7:r 419
Operating hours 7:00 AM to 5:00 PM 7 days aeweek«�,�„ {
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'- INDEPPENDENCE (a`���~V
DAY �j �(ff$ui!pl,�y,)Y 5 ,'�e" TENDERED
CHANGE
C EC O.
ciruen icc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road' - 0393
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 LIABtLITYASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT).
TRUCK WEIGHT: GROSS
TARE
NET
I,HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIQUID AS DEFINED BY 40 CFR PART 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFA 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.
GENERATORAUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO.._ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUP�4`` SITE ' TICKET ' - - -,,,GRID. - .� WEIGHMASTER
.'ATE TICKET
SOUTHdLD, TOWN DEPT SOLID WASTE 00 01814323 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 "'DATE IN DATE OUT TIMEIN TIME OUT VEHICLE: ROLL OFF :
07/10/2 07/10/2 07:3 07:3 If
11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 84300 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 47760 LB
'QTY. UNIT DESCRIPTION. RATE, .EXTENSION FEE, TOTAL
23.88 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days+9 week`.;" —_' ,�" "'• }' 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4T'c°INDEPENDENCE � tea' wl� TENDERED
DAY
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE - TICKET „GRID 'WEIGHMASTER ' .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814323 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
CALE 2 GROSS WT 84300 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 47760 LB
QTY. UNIT -DESCRIPTION RATE EXTENSION FEE' - '; TOTAL
23.88 OUTGO.MSW 0.000 0.00 0.00 0.0¢
w
•rt�q�� A'A p. �ppl" T�.Y
P/� 414.hW L✓5�' Pl Choi 467
fS
}
i 14 I�
Operating hours 7:00 AM to 5:00 PM 7 days, a-weeks
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4\= INDEP
:ENDENggCJE{_' t,M-
DAY Y `� °•p 'TENDERED -
cv.
RInNATI IRF
T JNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 3 9 4
No.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS'FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANYCARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCHMATERIALS.
COMPANY: SHIP DATE':
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY'THAT THE,ABOVE'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID'AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED ANDPACKAGED:ANDIIS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER'
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE,NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTEDAND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET ('SITE1 TICKET I GRID WEIGHMASTER
S'UTHOLII TOWN DEPT SOLID WASTE 00 01814395 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ' ROLL OFF
07/10/2 07/10/2 11:2 11:2 11100TC
9326 Town of Babylon
SCALE 2 GROSS WT 83680 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 46920 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.46 OUTGO.MSW 0.000 0.00 0.00 0.0B
Operating hours rV
7:00 AM to 5:00 PM 7 days a week.\' ----'' �""' TENDERED O.OE
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 - INDEPEN{DyE(lNCE
DAY '
a-
•�=7} CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814395 Liz
PO Box 962/6155 Cox Lane
CUt ChOgUe, NV 11935 CAT
EIN DATE OUT TIME IN ITIMERUZI VEHICLE IROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 83680 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 46920 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.46 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days IV
AN�
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - A15EPENDENCE--
DAY '-y,�'�`,�
i Cowl
,Qt°\`y" 'TENDERED
CHANGE
CHECK NO.
TWNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 0395
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 DOESlNOT 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 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:.
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/OATE.
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 1 GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814647 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NV 11935 DATE IN DATEOUT TIMEIN TIME OUT VEHICLE ROLL OFF
07/11/23 07/11/23 11:5 11:"11100TC
9316 • Town of Babylon
SCALE 2 GROSS WT 80040 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 43220 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.61 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. • Foe
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814647 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
GALE 2 GROSS WT 80040 LB Outbound Ticket
h1ANUAL TARE WT 36820 LB
NET WEIGHT 43220 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.61 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a .week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY TENDERED
CHANGE
C KN
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road' - 0397
Islandia, NY 11749 NO
(6313342-9673
THISMANIFEST 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 AGE'NT(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'LOCATIOW 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 0 1 01814610 Steph
PO BoxA62/6155 Cox Lane
Cut¢hogue, NY 11935 DATE IN DATE OUT TIMEIN.TIME'OUT VEHICLE ROLL OFF
07/11/2 07/11/ 10: 3 10: 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 76400 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 42420 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE .TOTAL
21.21 OUTGO.MSW O.00E 0.0e 0.00 0.0e
r few
Operating hours 7:00 AM to 5:00 PM 7 days a seek: — ' �y „f;� KeeCLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4Z� INDEPENpD�1E(N[�CEE't- \' TENDERED
DAY
CHECKCHANGE
NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814610 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 76400 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 42420 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.21 OUTGO.MSW 0.000 0.00 0.00 0.0e
("'4
Operating hours 7:00 AM to 5:00 PM 7 da'%ri asweek�//
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4T- A15tPE ENCE
DAY 'N O TENDERED
CHANGE
HECK NO.
TRINITY TRANSPORTATION CORPORATION
14 Blydenburgh Road NO. - - 0 2 3 2
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 THESHIPMENT OF SUCHMATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ICU 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:
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 r8rTEj TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN f�EPT SOLID WASTE 00 01814562 Steph
PO Box 962/6155 Cox Lane
Cutchogue„.NY 11935 DATEIN DATEOUT TIME IN TIME OUT VEHICLE I ROLL OFF
07/11/2 07/11/2 08:2 08:2 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 69380 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 33440 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE- TOTAL
16.72 OUTGO.MSW 0.000 0.00 0.00 0.0¢
SoUf-
Operating hours 7:00 AM to 5:00 PM 7 days a`4week. "' . l' 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDgpE�N�CyE $ TENDERED
DAY ��
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET rSITEI TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814562 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
08
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 69380 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 33440 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.72 OUTGO.MSW 0.000 0.00 0.00 0.0¢
1 �
Operating hours 7:00 AM to 5:00 PM 7 days a-week• ���,`�`J
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 ,0A69PE`NNDENCE..,,7 y�\ ✓ TENDERED
DAY TU"�.L.X� "�•5Y
CHANGE
CHECKN
c�ruen�aa
TRINITY TRANSPORTATION CORPORATION
214 S1y'd'enburgh Road NO. v 0 3 9 6
Islandia, NY 11749
(631) 342-9673
THISMANIFEST 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 1NFORMATtON 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 00 01814538 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT,'. MMEIN TIME OUT' VEHICLE ROLL OFF
07/11/2 07/11/2 07:1 07:2 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 84020 LB Outbound Ticket
SCALE 1 TARE WT 39180 LB
NET WEIGHT 44840 LB
CITY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
22.42 OUTGO.MSW e
�p
0.000 0.00 0.00 0.0
eq �� Mo.
Operating hours 7:00 AM to 5:00 PM 7 days a 'week ',,;_ � 0.012
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4iINDEPEN,}DpEpNP iE.��� J` TENDERED
DAY _ Sf 1���i
CHANGE
CHECK O.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814538 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUi TIMEIN TiMEOUT1 VEHICL ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 84020 LB Outbound Ticket
SCALE 1 TARE WT 39180 LB
NET WEIGHT 44840 LB
OTY. UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL
22.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
,LZ:rL�
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPEND^pj
ENCE
DAY 4+`yT5la Tr v� - TENDERED,
@f Ji 0 CHANGE
CHECK NO,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0225
Islandia, NY 11749 ND
(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 LIOUID AS DEFINED BY 40 CFR PART 26D.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:
(PRINTWAME) (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED:
ADDRESS:
I,HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814892 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935 `
07/12/23 07/12/2 12:0 12:0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 93960 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 56540 LB
OTY. UNIT I DESCRIPTION RATE EXTENSION FEE TOTAL
28.27 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week. • me
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET (StTE1 TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814192 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
AIMPIIIII
CALE 2 GROSS WT 93960 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 56540 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
28.27 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
TENDERED
DAY
HANG
C EC NO.
AIGNATIIRR
TRINITY TRANSPORTATION CORPORATION
2I4 Blydenburgh Road - 0233
Islandia, NY 11749 NO'
(631) 342-9673
THIS MANIFEST IS FORREFERENCE'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 ACCORDINGTO 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 1T 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 BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE'
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO,
rSITEI TICKET I GRID I WEIGHMASTER 1
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 02814815 Steph
PO BOX 962/6155 COX Lane DATEIN I DATEOUT TIME,IN TIME OUT VEHICLE I ROLLOFF
Cutchogue, NY 11935
07/12/2 07/12/2 08:4 08:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 84560 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 48020 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
molawn
Operating hours 7:00 AM to 5:00 PM 7 days,a week. , 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
,CHECK O
SIGNATURE
DUPLICATE TICKET f SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01814815 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN.TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 84560 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 48020 LB
QTY. UNIT DESCRIPTION _ RATE EXTENSION FEE TOTAL
24.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY TENDERED
CHANGE
CHECKO
mr_nieri ioc
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road NO. - ' 0 3 9 8
Islandea, NY 11749
(634) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: , (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS',NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLESTA'TE LAW,HAS BEEN PROPERLY
D£SCRIBED,.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 NOISTATE:
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 "` I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01815129 Steph
PO Box 962/5155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/13/2 07/13/2 12:3 12:3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 78300 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 39160 LB
CITY. UNIT DESCRIPTION RATE 'EXTENSION FEE - TOTAL
19.58 OUTGO.MSW 0.600 0.00 0.00 0.02
S0j , ,,
roe t, � trta�
a .�� _ rj
r
Operating hours 7:00 AM to 5:00 PM 7 days a week:�..���=' t ,f me
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4'z!-INDEPENDENCE,,y sae, '>�.,!{ n 'TENDERED
DAY
CHANGE
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815129 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, TIMEIN'TIMEOUT VEHICLE :ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 78300 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 39160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL
19.58 OUTGO.MSW 0.000 0.00 0.00 0.0e
� 0 r�
�/
Operating hours 7:00 AM to 5:00 PM 7 days-aiweek:^f�:�- -�= 4','�' fj
~ INDEPENDENCE--' riv,
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4,-- .,,: ^r r• TENDERED
DAY lc'.�;'�+' t�d ''Sd'.d yy
CHANGE
cir_n,nn,cc
TRINITY TRANSPORTATION CORPORATION
214 JAlydenburgh Road ' 0235
Islari IV dia, Y 11749 NO
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OFANY 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 200.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFRIPART 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:
t 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
YELLOWYO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I . '.:GRID • 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01815037 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN I DATEOUT TIME IN TIME OUT VEHICLE ;'." +.ROLLOFF
07/13/2 07/13/2 08:3 08:3 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 82100 LB Outbound Ticket
MANUAL TARE WT. 35940 LB
NET WEIGHT 46160 LB
CITY, :1
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.08 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
SIGNATURE
DUPLICATE TICKET SRE TICKET I GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815037 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
CALE 2 GROSS WT 82100 LB Outbound Ticket
h1ANUAL TARE WT 35940 LB
NET WEIGHT 46160 LB
CITY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
23.08 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE
DAY `-TENDERED
CHANGE
l HE N
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. ' - 0 2 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
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 INPROPER 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)NFORMAT6ON PROVIDED
IS TRUE AND ACCURATE: -
RECEIVE_D 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 00 01815294 Liz H
PO BOX 962/6155 COX Lane Cutchogue, NY 11935 DATE IN I DATE OUT., TIMEIN TIME OUT VEHICLE , ROLLOFF
07/14/2 07/14/2 10:2 10:2 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 85400 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 48860 LB
CITY, i UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.43 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE, TENDERED
DAY
CHANGE
CHECK O
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815294 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 85400 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 48860 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.43 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating .hours 7:00 AM to 5:00 PM 7 days,a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4- - -INDEPENDENCE
DAY .,TENDERED
CHANGE
CHECK NO.
cirunn sac
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh.Road NO, - - 0'2 3 6
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOTTAKE 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 LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 -, TICKET "GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01815559 Will
PO Box 962/6155 Cox Lane - R
CUtchogue, DIY 11935 ,DATEIN DATEOUT, ;,TIME9N TIMEOUT VEHIC OLL OFF
LE.;d
07/15/2 07/15/2 10:5 10:5 11100TC
9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 56400 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 19640 LB
UNIT'":-. '. . ': DESCRIPTION!: - :eRATE- - EXTENSION -`' FEE TOTAL -
9.82 Out Shrink Grn Titan 30.000 294.60 0.00 294.6e
,�, jf� I R '• a=� �3
ew a: t Iat
Operating hours 7:00 AM to 5:00 PM 7 days 'a.week,.,. .' .� ' 294.6e
.0 .vr
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4•�= ,INDEPENDENCE a,iv:;' � TENDERED'
DAY
CHANGE
N
SIGNATURE
DUPLICATE TICKET SITE ', TICKET 1. GRID-. NIEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815559 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -'DATE IN _' ,DATE OUT .'TIMEIN TIMEOUT " VEHICLE ROLL`O&
9316 Town of Babylon
ORIGINREFERENCE
AN UAL GR055 WT 56400 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 19640 LB
QTY., UNIT 4 'DESCRIPTION RATE EXTENSION FEE' TOTAL
9.82 Out Shrink Grn Titan 30.000 294.60 0.00 294.6e
1.;
K J
Operating hours 7:00 AM to 5:00 PM 7 days 'a*.week.-,. C•.`,'�:
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 47'-, INDEPENDENCE c> '
-TENDERED,,-,.c:,
DAY
c�r_n�en me
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. , - 0 2 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
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) (SIGNATUREi
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NOISTATE:
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 • TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815480 Will
PO Box 962/6155,Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIMEOUT VEHICLE' ROLLOFF
07/15/2 07/15/2 07:3 07:3 11100TC
9316 Town of Babylon
MANUAL GROSS WT 78940 LB Outbound Ticket
MANUAL TARE WT. 35940 LB
NET WEIGHT 43000 LB
CITY. UNIT DESCRIPTION " RATE EXTENSION FEE TOTAL
21.50 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a• week. • Me
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE TENDERED
DAY
r- CHANGE
K NO.
SIGNATURE
DUPLICATE TICKET ISITE1 TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 /11115480 Will
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT.. TIME IN TIME�OUTJ VEHICLE ROLL OFF
9316 Town of Babylon
ANUAL GROSS WT 78940 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 43000 LB
CITY UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
21.50 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE
DAY TENDERED
O
R12NATIIRF
4f-- ] NSPORTATION CORPORATION
tnburgh Road 0237
Ia,,NY 11749 NO
r 1) 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 NOISTATE:
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.
4P"CATE TICKET SITE _`TICKET GRID WEIGHMASTER
- HOLD TOWN DEPT SOLID WASTE 0 01815935 Liz H
PO Box 962/6155 Cox Lane _
t I
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN TIMEOUT VEHICLE ROLL OFF
07/17/2 07/17/2 07: 07:2 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 74880 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38940 LB
CITY. I - UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
19.47 OUTGO.MSW 0.000 0.00 0.00 0.0e
w
Operating hours 7:00 AM to 5:00 PM 7 days �a week"'r.._'': %' °., �` �1J` 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41�—IWEIPENDrENCEtj \ r TENDERED
DAY �„ 41'( }`,� Y \ IJ'i.i
CHANGE -
CHECKNO
SIGNATURE
DUPLICATE TICKET SfTE TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01815935 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN` TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 74880 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38940 LB
CITY. UNIT I DESCRIPTION RATE EXTENSION FEE TOTAL
19.47 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days�atweek:'- ^�`__`%
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4)- INDEPENDENCE-
DAY " 5' '?':-0 i,,TENDEREOL
�` 1,i4r i"��
CHANGE
CHECK
ClrMATI IRP
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 2 2 S
Islandia, NY 11749 MD'
(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:
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 WEIGHMASTER
' - TICKET „',°'GRID " `:"' `
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01815957 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN', 'DATE GUT`` ,�TIMEIN, TIME OUT 'VEHICLE ':; _;ROLL OFF '
07/17/2 07/17/ 08: S 08: 1110OTC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 86180 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 49420 LB
S,-,OTY.= :UNIT ::':`_ ,DESCRIPTION, RATE;?. ,EXTENSION - FEE,'-:': ;}TOTAL
24.71 OUTGO.MSW 0.00 0.00 0.00 0.0¢
�{Jd'JYLy ':.UoYY@S rrvl�V
/Y •4
1ti ,'-. M4
Operating hours 7:00 AM to 5:00 PM 7 days 'ateweek:.:._ �-"' ;;','�, 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY dl .}INDEPEN�ENCE ~ t; .';ar{ t" 'TENDERED
DAY z•=s.. ",:j f" : }�; } 'e': J r
C
SIGNATURE
DUPLICATE TICKET SITE I TICKET .VMGHMASTER; ->
SOUTHOLD TOWN DEPT SOLID WASTE 00 01811957 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 i,DA7E,IN, DATEOUT'+ "TIM EIC LLOFF'FiO '`�
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 86180 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 49420 LB
'.:'(7fY.'= UNIT'' :`::',�S DESCRIPTION �•;•`..,' '„ - .RATE ': '-^ 'EXTENSION FEE,'. ^'. ` ' TOTAL
24.71 OUTGO.MSW 0.000 0.00 0.00 0.0¢
4.
1 P
Operating hours 7:00 AM to 5:00 PM 7 days^a,week.::'-�
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 41), INDEPENDENCE-- -
DAY • ,`p� j*,. %4'',TENDERED4.
�' '`7
Ls'.r ••CAGE. .
E
RIRNGTI IRF
`TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No- 0239
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE:PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR'TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY.LIAsILITY 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(PR1NT 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 ACCEPTEOAND 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"v"" ^WEIGHMASTER�`
DUPLICATE TICKET
SOUTHOLD, TOWN DEPT SOLID WASTE 0 01815993 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATEIN I DATEOUT "TIMEIN VEHICLE TIMEOUT yr° -'ROLL OFF.
07/17/2 07/17/2 10:3 10:35 11112TC
9316 Town of Babylon
REFERENCE OF31GIN
SCALE 2 GROSS WT 82400 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 48420 LB
OTY.'. -`. UNIT' ', ; , ' 4, ; I DESCRIP,TIONn-.,*;,° N RATE. . o•`r "''.EXTENSION,:'° ' '.FEE ,TOTAL
24.21 OUTGO.MSW 0.000 0.00 0.00 0.00
n
Operating hours 7:00 AM to 5:00 PM 7 days a,week:M-ti, '?„®ti ,l�' 0.0B
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4t=• INDEPENDqENC#E sot' TENDERED
DAY ^, Al
CHANGE
O
SIGNATURE
DUPLICATE TICKET SITE TICKET`, - o+.,',+;°. GRID; WE,IGHMAS_I ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01815993 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 11-`DATE"IN "IbATEOUT,1( TIME'IN TIMEOUT VEHICLE'. 'i` �',.,r-ROLLOFF.,i .-'
F "
9316 Town of Babylon
SCALE 2 GROSS WT 82400 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 48420 LB
• . OTY.' UNIT I " .`., .` DESCRIPTION'.6 ,` r." RATE EXTENSION-_ _ -," FEE - TOTAL
24.21 " OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a week ----,`
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4",-, INDEPENDENCE `
DAY ;,'�.}ap -.:(TENDERED` +
E
AMNATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.' 0231
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 SHIPPEOAND 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 LIOUID AS DEFINED BY 40 CFR PART'260.10 OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE;AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:,
ADDRESS:
I HEREBY'CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYKNOWLEDGE THE INFORMATION PROVIDED
IS TRUEAND 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 0 01816035 Liz H
PO BOX 962/6155 COX Lane
Cutchogue, NY 11935 DATE IN ,DATE OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
07/17/2 07/17/2 12: 12:1 11100TC
9316 --:. Town of Babylon
S
MANUAL GROSS WT 81140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 44600 LB
OT,Y. UNIT 'DESCRIPTION RATE EXTENSION FEE TOTAL
22.30 OUTGO.MSW 0.000 0.00 0.00 me
z61'if A_
f
{,y } J �`•'•/ pep[,
l + _''-1 '✓ w._..ter "y /i
Operating hours 7:00 AM to 5:00 PM 7 days�a_week�..—_��; �� 'rj 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4`;`- INDEPENDE{NCE TENDERED
DAY :
<i
CHANGE
CHECK
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01116011 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .DATE IN ' DATE OUT TIMEIN TIMEOUT VEHICLE ROLLOFF
9316 Town of Babylon
MANUAL GROSS WT 81140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 44600 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.30 OUTGO.MSW 0.000 0.00 0.00 0.0¢ .
j, :> '
Operating hours 7:00 AM to 5:00 PM 7 days a'.4weekr .. ,
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDENCE'
DAY '+�. i"t{`;"4 •�i TENDERED
« ` ie A, r'
E
s SICNATI IRE
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road ` - 0 2 4 0
Islmdia, NY 11749 NO
(631) 34279673
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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE.LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,'CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOAPPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCKNO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABO_VE', 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 70 THE BEST OF MY KNOWLEDGE?HE 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 0 1 0181619 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY.11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/18/ 3 07/18/ 3 08: 2 08: 2 11100TC
9316 " Town of Babylon
SCALE 2 GROSS WT 94780 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 58020 LB
CITY. UNIT DESCRIPTIONS RATE EXTENSION FEE TOTAL .
29.01 OUTGO.MSW 0.00i O.OE 0.00 0.0
t1 �_
Operating hours 7:00 AM to 5:00 PM 7 daysaswee -J.r' 0.012
DDAOSED HOLIDAYS - NEXT: TUESDAY, JULY 4•Z-,. INDEPENDENCE TENDERED
k 'iJ�1VCHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET 'GRID 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01816193 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATEOUT- -TIMEIN TIMEbUT .VEHICLE yROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 94780 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 58020 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
29.01 OUTGO.MSW 0.00e 0.00 0.00 0.00
4�2-1-
Operating hours 7:00 AM to 5:00 PM 7 days"asweek.- -,._,-; ., -`i�" !'�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 411- 2NDEP.ENDENCE
DAYS.' �g�p'{1tl +j '5 ' � TENDERED
X.7CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road ND. 0241
Islandia, NY 11749
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUMEANY,LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL DOES NOT CONTAIN FREE UOUID AS DEFINED 0Y 40 CFR PART 260.10 OR ANY
APPLICABLE STATE',LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICA13LESTATE 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 A00VE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TOTHE DESTINATION LISTED BELOW.'
DRIVER_ :
(PRINT NAME) (SIGNATURE)
DESTINATION'
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTEDAND TO THE BES•TOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVEDBY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATI.O_N
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 00 01816435 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE IN 'DATE OUT, TIME IN TIME OUf VEHICLE 4 1 ROLL OFF
_ 07/19/2 07/19/2 08: 05:2 11100TC
931�,r'� Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 88860 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 51440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.72 OUTGO.MSW 0.000 0.00 0.00 me
I I
Operating hours 7:00 AM to 5:00 PM 7 days -aFweeke,-="'"`---�,= t`r -+ •J� 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4\- INDEPEN,DENCE- .,'i:::;� ;�a
�a TENDERED
DAY ���)'�., 4`'
..�.zn'�V' G
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - -
DA T"'� TIM 'I TIM U VE I LE' �� ROLL OFF '
9316 Town of Babylon
Ou oun is et
MANUAL TARE WT 37420 LB
NET WEIGHT 51440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL
25.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
it {;
Operating hours 7:00 AM to 5:00 PM 7 da"s'a;week. -�.:---
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41*- INDEP•ENDENCE.-=�;• ,•
DAY i ;f. TENDERED
1,
CHECK O.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. ' - 0 2 4 2
Islanoia, NY 11749
(teiv31) 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 HERESY 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 KNO WLEDGE 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 rsrrEl TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01816783 Steph
PO Box 962/6155 Cox Lane
CUt ChOgUe, NY 11935 d DATE IN DATEOUT, .TIMEIN TIMEOUT VEHICLE �,ROLL-OFF
9316' Town of Babylon
IL
A Lei •.
SCALE 2 GROSS WT 74300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 37540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.77 OUTGO.MSW 0.000 0.00 0.00 0.0e
t�,yp
.rr fii F Stty a ��
Operating hours 7:00 AM to 5:00 PM 7 days •a�week:==-''•,.�---ter' .k . ��J'
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4.DAY �INDEPENDENCE;s .,c�� r,Y TENDERED
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE bLeph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D T°; TI I TIM U ROLL OFF
9316 Town of Babylon
u oun is e
MANUAL TARE WT 36760 LB
NET WEIGHT 37540 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Operating hours 7:00 AM to 5:00 PM 7 days4meek': %.'�• _- - •,."
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY 4��,- INDEPENDENCE. ..
DAY �:�., �' f`f• ,�•, "`li '�` ' TENDERED
CHANGE
CHECKNO.
TRINITY TRANSPORTATION CORPORATION
214 3lydenburgh Road NO. - - 0 2 4 4
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF 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: ICU YDS)
®ALES:(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 NOISTATE:
1.HEREBY CERTIFYTHAT 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 BESTOF 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
SOUTHQLD TOWN DEPT SOLID WASTE 00 01816690 Steph
'PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN ITIME OUT VEHICLE ROLLOFF
07/20/2 07/20/2 08': 08: 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 87520 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 51580 LB
CITY. UNIT DESCRIPTION RATE -EXTENSION FEE TOTAL
25.79 OUTGO.MSW mee 0.00 0.00 0.0e
f.
.r✓'� w# Any+ y',pl yd('� J
I
Operating hours 7:00 AM to 5:00 PM 7 days a,,week'.. 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�L-, INDEPENDENCE A. �: r'�iJ" TENDERED
DAY `,Yati �,��P!k{ s l ./�r
CHANGE
C E
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01816690 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .DATE IN DATEOUT TIME IN TIMEOUT VEHICLE ROLL OFF
-
9316 Town of Babylon
CALE 2 GROSS WT 87520 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 51580 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.79 OUTGO.MSW 0.000 0.00 0.00 0.0e
i�. � .q�w P.n �"� '•. ll
Operating hours 7:00 AM to 5:00 PM 7 days!a® eek:
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4.'- INDEPENDENCE• •�
DAY ','� r3f-3 ✓ TENDERED
H O
efr_nfeTf gee
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No: 0243
Islanda, 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: ICU 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 1T 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, I WEIGHMASTER
' SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01816912 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT°;I TIME IN ITIME OUT ' _ VEHICLE ' I ROLLOFF
07/21/ 07/21/ 3 08: 8 08: 8 11160TC
9316 Town of Babylon
SCALE 2 GROSS WT 77240 LB Outbound Ticket
MANUAL TARE WT. 36800 LB
NET WEIGHT 40440 LB
ON UNIT DESCRIPTION RATE ,•EXTENSION FEE TOTAL
20.22 OUTGO.MSW O.00E 0.012 0.00 0.02
i
Operating hours 7:00 AM to 5:00 PM 7 days-a•.weekr •r 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 iNDEPENDENCE TENDERED
DAY
E NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 2 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT . ,TIMEIN TIME OUT VEHICLE• ROLLOFF
08
9316 Town of Babylon
REFERENCE ORIGIN
7240 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 40440 LB
OTY. UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL
20.22 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY TENDERED
H C O
" 'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No.- 0245
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKEPOSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: - (CU YDS)
BALES:(COUNT):
TRUCK'WEIGHT' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
,APPLICABLESTATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED:CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT'CO.
TRUCK NO._ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
S
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 00 01817017 Liz H
PO Box.962/6155 Cox Lane
`Cutchogue, NY 11935 DATEIN I DATEOUT. TIMEIN, TIMEOUT VEHICLE ROLL OFF
07/21/2 07/21/2 11: 11:4 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 75860 LB Outbound Ticket
MANUAL TARE WT. 36760 LB
NET WEIGHT 39100 LB
CITY. . UNIT DESCRIPTION.,- RATE EXTENSION FEE TOTAL
19.55 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 days a„Week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4' - INDEPENDENCE. TENDERED
DAY
N
CHECK
SIGNATURE
DUPLICATE TICKET .SITE TICKET I GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01817017 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 75860 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39100 LB
CITYY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.55 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY '.TENDERED
CHANGE
CHECK NO,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road k0. 1 - 0 2 4 6
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. ICU 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 CFW PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY'
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOAPPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NOISTATE:
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 DESTINATION11STED 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 KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL'LOCATION
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE.TICKET Jr WEIGHMASTERTICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001. 01817178 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIME OUT VEHICLE ROLLOFF
07/22/2 07/22/2 08:0 08:0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 82740 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 46800 LB
..CITY. UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL
23.40 OUTGO.MSW 0.000 0.00 0.00 0.08
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
-CHECK NO.
SIGNATURE
DUPLICATE TICKET rSITEI TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01817178 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 82740 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 46800 LB
CITY. UNIT DESCRIPTION 'RATE EXTENSION FEE TOTAL
23.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY TENDERED
CHANGE
,CHECK NO.
lil
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No- 0247
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 SHIPPEMAND DOES NOT ASSUMEANY 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,ISINOT HAZARDOUS WASTE AS DEFINED BY 40CFR'PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO. "
TRUCK NO. _ LICENSE'NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT'TO THE DESTINATION LISTED BELOW.
DRIVER_ :
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO._
DUP!.I:ATE TICKET sTEj TICKET GRID WEIGHMASTER '
�SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01817858 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUTS "TIMEIN, TIME OUT VEHICLE', ROLL OFF
07/24/ 3 07/24/ 3 11: 5 11: 5 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79640 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 43440 LB
CITY UNIT r DESCRIPTION RATE EXTENSION FEE TOTAL
21.72 OUTGO.MSW 0.00 0.0 0.00 0.0E
Y
Operating hours 7:00 AM to 5:00 PM 7 daysr a week , a 0.0e
- NEXT: TUESDA IDEPCLOSED HOLIDAYS " ENDENCE, TENDERED
DAY
r _LCHANGE
CH O
SIGNATURE
DUPLICATE TICKET rSITEI TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01817858 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIMEIN TIME OUT VEHICLE - ROLLOIFF
9316 Town of Babylon
SCALE 2 GROSS WT 79640 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 43440 LB
CITY. UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL
21.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
I - -
Operating hours 7:00 AM to 5:00 PM 7 days -a„Week:.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4-7 'INDEPENDENCE-
DAY .,r . r• ''s-TENDERED
CHEC NO.
s�ruer�Boa
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ - 0 4 0 0
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 13Y 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.
D_R_IV_ER_: _
(PRINTWAME) (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' P ` WEIGHMASTER'
SQXTHOLD TOWN DEPT SOLID WASTE 00 01817773 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT ,TIME IN;TIME OUT VEHICLE•" - 'ROLLOFF'•
le 07/24/2 07/24/2 08: 08: 11100TC
9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 77400 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40640 LB
'QTY.-,- -" ' UNIT— e."' :°` , ,^ • DESCRIPTION.'e, ? '" .RATE. •EXTENSION 'FEE ,;.r: TOTAL .
20.32 OUTGO.MSW 0.0012 0.00. 0.00 0.0e
-
Operating hours 7:00 AM to 5:00 PM 7 days "` -_ 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'-c=- INDEPENDENCE l.,;,,4s St yY ^•TENDERED
DAY `<y�, " �.e F;:4;4m9= 't •1'�
E O
SIGNATURE
DUPLICATE TICKET 61TEj TICKET'=' ,, .'w , GRID-, ' 11 WEIGHMASTER` `
SOUTHOLD TOWN DEPT SOLID WASTE 00 01817773 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,IN DATE OOTC° '.,TIMEIN TIME OUT . :VEHICLE >ROLLOF,F
9316 Town of Babylon
NUAL GROSS WT 77400 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40640 LB
CITY, UNIT "/ 'DESCRIPTION" ".i RATE EXTENSION FEE "� . , 'TOTAL
20.32 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 d4s a{ week,'. -'-
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4;'- INDEP.ENDENCE---
DAY ^� „-'�, ;S: ;.t'•"'� ,�f"_ ;J' .;,TENDERED
H
c!r_unn ice
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No- 0399
Islandia, NY 1'l749
(63 1) 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 ANYLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - SHIP DATE`.
COMMODITY SHIPPED:
LOOSE: ICU 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 LANs,HAS BEENPROPERLY
DESCRIBEO.,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
THEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE.GENERATOR'SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENTTO 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 TOTRANSPORTER.
PINK TO GENERATOR
'GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO'.
t SITE TICKET GRID WEIGHMASTER
�JUPLICATE TICKET
50UTHOLD TOWN DEPT SOLID WASTE 0 01818042 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY'11935 DATE IN DATEOUT% TIMEINI TIMEOUT VEHICLE . • ROLL OFF
07/25/2 07/25/ 08:1
2 08: 11106TC
9316 Town of Babylon
SCALE 2 GROSS WT 86260 LB Outbound Ticket
MANUAL TARE WT. 37420 LB
NET WEIGHT 48840 LB
,.CITY, UNIT DESCRIPTION .RATE EXTENSION FEE TOTAL-
24.42 OUTGO.MSW O.00E 0.0e 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4,-- INDEPENDENCE ' TENDERED
DAY
NGE
C N .
SIGNATURE
DUPLICATE TICKET SITE ' TICKET I., GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Step
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATEIN1,1 DATEOUT , TIVEIN- TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
86260 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 48840 LB
CITY. UNIT - DESCRIPTION RATE EXTENSION FEE" TOTAL
24.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY; 7ULY 4 - INDEPENDENCE
DAY `. '_TENDERED-
CHANGE
CHECK
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road NO. l - 0 2 4 8
islandia, NY 1,1749
(631)34279673
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 FREELIQUID AS DEFINED BY 40 CFR'PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY<0 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 AUTHORIZEDAGENT(PRINT NAME) (SIGNATUREi
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: _
(PRINTNAME) - - - - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:;
I HEREBVCERTIFY THAT THE ABOVEMATERIAL HAS BEEN ACCEPTED AND TO'THE,BEST OF MY KNOWLEDGE THE INFORMATION PR_OVIDED_
IS TRUE AND ACCURATE:
RECEIVE_D 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 00 01818132 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN.. DATE OUT'`' ;TIMEIN TIMEOUT _VEHICLE JL,"
OF
'+. 07/25/2 07/25/2 12:1 12:1 11100TC
9316' Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 78420 LB Outbound Ticket
MANUAL TARE WT. 36820 LB
NET WEIGHT 41600 LB
:1""QTY.' " ° UNIT, ° .: „DESCRIPTION r•,,,.., RATE.. :' .:': ' ;.EXTENSION TOTAL
20.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days aweek. �f 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 ,- INDEPENDENCE 'TENDERED
DAY
+ H E -
SIGNATURE
DUPLICATE TICKET .SITE " TICKET„ '"WEIGHNIASTER'-, -!'", ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818132 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
,'•DATE IN' "QUT aTIME IN TIME OUT ; VEHICLE" ROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 78420 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41600 LB
:uQTV.• UNIT- DESCRIPTION +;.`,'. RATE [ :;EXTENSION .FEE' ;: ' 'TOTAL
20.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY1..`•TENDERED" ":"
c.,C
c,ruen,cc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0249
Islanaia, 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
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:
1 HEREBY CERTIFY THAT THE ABOVEMATERIAL 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 00 01818398 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -• DATE IN. .DATE'OUT,.' TIME IN TIME OUT - VEHICLE'•,, l',c'+. ;ROLLOFF
07/26/2 07/26/2 12:4 12:4 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 74700 LB Outbound Ticket
MANUAL TARE WT. 36540 LB
NET WEIGHT 38160 LB
:.'CITY. UNIT DESCRIPTION. ".r" +;>,.-• _' - •RATE 'EXTENSION ',-,FEE,,;`. '9' dTOTAL '
19.08 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a:week. • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE ...TENDERED
DAY
HANG
SIGNATURE
DUPLICATE TICKET `SITEJ TICKET, o '^GRID .WEIGHMASTER' '
SOUTHOLD TOWN DEPT SOLID WASTE 00 018183911 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 „ DATEIN ,,DATEOUT."•- TIIEIMTIMEOUT -',VEHICLEr y „'ROLC'OFF
9316 Town of Babylon
GALE 2 GROSS WT 74700 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 38160 LB
Qly UNIT' ` DESCRIPTION' . RATE i. .EXTENSION :'FEE TOTAL
19.08 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE
DAY TENDERED--
C C
cirnien iuo
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0251
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: ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE.AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED,AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY'THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE', AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER:'
(PRINT NAME) - ' (SIGNATURE),
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO.
DUPLICATE TICKET SITE .' TICKEf'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818289 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 'DATE,IN DATEOUT, TIMEIIN TIME OUT ,VEHICLE, 41.:.'"'ROLL'OFF
07/26/2 07/26/2 08:5 08:5 11100TC
9316 • Town of Babylon
SCALE 2 GROSS WT 86920 LB Outbound Ticket
MANUAL TARE WT. 36760 LB
NET WEIGHT 50160 LB
..OTY. UNIT., ` "'„ ..,, V, `.;' DESCRIPTION'?, ,° RATE ,>EXTENSION' FEE TOTAL
25.08 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a,week. - :' 0.0E
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 '- INDEPENDENCE TENDERED .-
DAY
CHECK
NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET "GRID,, WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818289 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'i"DATE IN; -'DATE OUTvD TIME IN,TIME'OUT "VEHICLE`';,� -'ROLL OFF ' .
9316 Town of Babylon
GALE 2 GROSS WT 86920 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 50160 LB
OTY UNIT . DESCRIPTION r, RATE 'EXTENSION FEE.•" '. TOTAL
25.08 OUTGO.MSW 0.000 0.00 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY 4,TENDERED: 1"
A
e�r_uen ioc `
TRINITY TRANSPORTATION CORPORATION
214 dlydenburgh Road No. - - 0 2 5 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
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE,LIQUID AS DEFINED BY 40 CPR 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) i(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 SRE TICKET }GRID;_' .'WEIGHMASTER `'
" SOUTHOLD TOWN DEPT SOLID WASTE 00 01818504 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 .a CATEIN DATE OUT.. ,TIME IN TIMEOUT VEHICLE`,. :' ,ROLLOFF•
07/27/2 07/27/2 08:j
6 08:2 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 92800 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 55380 LB
,`QTY." , UNIT, DESCRIPTION '", � RATE EXTENSION . FEE, - TOTAL
27.69 OUTGO.MSW 0.00e 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a- week. me
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4. ,- INDEPENDENCE t TENDERED. ..
DAY
C A GE
C N .
SIGNATURE
DUPLICATE TICKET SITE[ TICKET GRID �49GHMASTER."
SOUTHOLD TOWN DEPT SOLID WASTE Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "'DATE IN" DATE OUT: ;TIMEIN TIMEOUT .VEHICLE-`• .° "`."ROLL'OFF
9316 Town of Babylon
A GROSS WT 92800 LB Out ound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 55380 LB
QTY. UNIT ,a DESCRIPTION' RATE EXTENSION FEE TOTAL
27.69 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY ,4'TENDERED. >
1
E O
FIrNATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - " 0 2 5 2
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 CONTAINFREE 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 NOISTATE:
TRAILER NO. LICENSE NO/STATE:,
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE,AND THAT IT WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET •SITE TICKET,' "S.i ,GRIDS .WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818574 Liz H
PO-Box'9t;2/6155 Cox Lane
CutchogUe, NY 11935 :DATE IN , DATEOUT, TIMEIN TIME OUT VEHICLE, `,' ROLL OFF
07/27/2 07/27/2 11: 11: 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 76580 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 40640 LB
QTY., UNIT',•',. "_ :.DESCRIPTION'' ,;,"�.:,o•' " RATE- ,EXTENSION ;FEE.•r 'TOTAL
20.32 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a.week: 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED .
DAY
'CHANGE
CHECK NO.,
SIGNATURE
DUPLICATE TICKET ,SITE TICKET, GRID ' ,'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE OB 01111174 Liz H
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 ,..''.DATE IN = DATEOUTy. `TIME IN,
TIMEOUT :VEHICLE r :^:ROLL OFF
9316 Town of Babylon
GALE 2 GROSS WT 76580 LB Outbound Ticket
h1ANUAL TARE WT 35940 LB
NET WEIGHT 40640 LB
'OTY, UNIT. - DESCRIPTION 'RATE ° EXTENSION. FEE, TOTAL,
20.32 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week, ,
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE _
DAY S .TENDERED
. ,CHANGE
H N '
TRINITY TRANSPORTATION CORPORATION.
214131ydenburgh Road NO. - - 0 2 5 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 R 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 ABOVENAMED MATERIAL DOES NOT CONTAIN FREE LIOUIO AS DEFINED BY 40 CFR PART 260.10 OR,ANY
APPLICABLESTATE LAW,IS'NOT.HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE,LAW,HAS'BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS,PICKED UP AT THE GENERATOR SITE,LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER:
(PRINT NAME) - - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:. DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO TH E 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..
DU LICATE TICKET SITE TICKET' ^` ;,GRID `' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01818717 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,: DATE IN; L.DATE OUT' TIMEIN TIME OUT VEHICLE .ROLLOFF
07 28 2 07 28 08: 5 08: 11200TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 69420 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 32600 LB
CITY. UNIT. DESCRIPTION: RATE EXTENSION FEE TOTAL
16.30 OUTGO.MSW O.00E 0.012 0.00 0.02
�5
Operating hours 7:00 AM to 5:00 PM 7 days, a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED'
DAY - ':• , '
' A
C EC
SIGNATURE
DUPLICATE TICKET •SITE TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE LIZ
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T D -TI IN IM U V „ROLL OFF
9316 Town of Babylon
69420 LB u oun c e
MANUAL TARE WT 36820 LB
NET WEIGHT 32600 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY TENDERED
CHECK NO.
ciruen ica
'TRINITY TRANSPORTATION CORPORATION
214 B'lydenburgh Load NO_ 0255
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF 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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:.
TRUCK'NO. LICENSE NO/STATE:
TRAILER NO. LICENSE,NOISTATE:
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 CERTIPYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
ISTRUE 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.
pLIx'.ATE TICKET SITE_ TICKET GRID WEIGHMASTER '
I - '
UTHOLD TOWN DEPT SOLID WASTE 0 1 01818796 Liz H
PO Box 962/6155 Cox Lane -
CUtChogue, NY 11935 DATE IN '•DATEOUT„ TIMEIN TIMEOUT VEHICLE ROLLOFF
07/28/2 07/28/ 12: 7 12: 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 84160 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 45020 LB
CITY. UNIT:.' DESCRIPTION RATE EXTENSION FEE, TOTAL
22.51 OUTGO.MSW 0.00e 0.00 0.00 0.0e
.y
Operating hours 7:00 AM to 5:00 PM 7 days a�Week. • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4. - INDEPENDENCE, TENDERED
DAY
f CHANGE
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHNASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818796 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN -DATE OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 84160 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 45020 LB
CITY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
22.51 OUTGO.MSW 0.000 0.00 0.00 me
l
Operating hours 7:00 AM to 5:00 PM 7 days a,week. . ._
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4' - INDEPENDENCE
DAY o,TENDERED
CHANGE
HEC
SIGNATURE
A TRINITY TRANSPORTATION CORPORATION
214 Blydenhurgh Road No. - - 0 2 5 6
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',APPLICABLESTATE 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 Al 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) SIGNATUREDATE
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 01818909 Steph
PO Box 962/6155 Cox Lane . .
CUtchogue, NY 11935 .Ii .DATE IN DATEOUT-; ' 71MEIN, TIMEOUT ' " ,VEHICLE:,,," "ROLLOFF?
07/29/2 07/29/2 07:2 07:3 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 80200 LB Outbound Ticket
SCALE 1 TARF, W7 • 36180 LB
NET WEIGHt 44020 LB
' OTY,', UNIT ,; -1 DESCRIPTION'S': .."` RATE '.', ` -EXTENSION •FEE TOTAL
22.01 OUTGO.MSW 0.000 0.00 0.00 me
r ..
_
Operating hours 7:00 AM to 5:00 PM 7 days a'week. _ 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4';-• INDEPENDENCE. .. TENDERED
DAY . ,. S
"C AN
SIGNATURE
DUPLICATE TICKET SITE _TIOKET ' °,GRID .,'-"'', ' _ "'WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01818909 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 Cl4bN' 'DATEOUTPo `TIMEIN TIMEOUT VEHICLE..; : •o ;`pROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 80200 LB Outbound Ticket
SCALE 1 TARE WT 36180 LB
NET WEIGHT 44020 LB
OTY., UNIT DESCRIPTION '=` ,RATE 1. EXTENSION FEE- "' TOTAL
22.01 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a"week._ " ARM=.
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4.- INDEPENDENCE
DAY 1W 0 -
:-;lTENDEREO -'.:,-
C G `
CInNAT1IMP
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 2 3 0
No.
Islandia, NY 11749
(631) 342-9673
THIS MANIFF^T IS FMR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPE-D 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 HAZARDOUSWASTE'AS DEFINED BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.ANDJS 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:
-SRE - "TIdKET. •,'GRID" WEIGHMASTER,
DUPLICATE TICKET
SQUIHOLD TOWN DEPT SOLID WASTE 00 01819609 Liz H
PO BOX 962/6155 COX Lane , DATE IN ' DATE OUT.`. ITIME IN TIME OUT VEHICLE' - - ROLL OFF
Cutchogue, NY 11935
07/31/2 07/31/2 11:0 11:0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 82980 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 45560 LB
„ QTY. - -UNIT' ;c DESCRIPTION RATE EXTENSION FEE TOTAL .
22.78 OUTGO.MSW 0.000 0.00 0.00 0.00
r
i
Operating hours 7:00 AM to 5:00 PM 7 days a- week: 0.0E
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE, TENDERED
DAY
CHANGE
-C O
SIGNATURE
DUPLICATE TICKET SITE - TICKED - ",GRID WEIGHMASTER,"
SOUTHOLD TOWN DEPT SOLID WASTE 00 01819609 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATEIN, - DATEOUT � t-TIME IN," TIMEOUT . 'VEHIQUi:`,, ,: ` ',ROLL OFF
1
9316 Town of Babylon
SCALE 2 GROSS WT 82980 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 45560 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.78 OUTGO.MSW 0.000 0.00 0.00 0.0e
1F
Operating hours 7:00 AM to 5:00 PM 7 days a week'. Fee
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE ' TENDERED.
DAY
A G
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
Ilk
214 Blydenburgh Road No. - - 0 2.5 8
Islandlh, NY 11749
(631) 342-9673
THIS MANIFEST is FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY.CARGO OR MATERIALS
BEINGSHIPPED AND DOES NOT ASSUMEANY 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 ASDEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATELAW,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 LIP 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,ABOVEMATERIAL.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 DISPOSALLOCATION TICKET NO,
DUPLICATE TICKET SITE TICKET GRID.;' ' ',-,WEIGHMASTER' `
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01819510 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935 •,:`ID41HIN, DATEOUT,; TIMEIN,TIMEOUT VEHICLE,' ; HOLLOFF .
07/31/2 07/31/ 3 07: 0 07: 0 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 78600 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 42060 LB
• .QTY. ;, UNIT - DESCRIPTION - f RATE 1'EXTENSION FEE-- a„ TOTAL.
21.03 OUTGO.MSW O.00E 0.0e 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a•week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,- INDEPENDENCE. TENDERED
DAY
CHANGE
CH
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID. 'WEIGHNIASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01819510 Liz H
PO Box 962/6155 Cox Lane
C UtChOgue, NY 11935 -E,DATEIN , DATE OUT, ;TIME IN TIME OUT ::-VEHICLE', ;'.. ROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 78600 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 42060 LB
OTY• .UNIT I DESCRIPTION ,. RATE: , 'EXTENSION _ FEE, TOTAL'
21.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days .a.week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'46EPENDENCE'
DAY .."@-,TENDERED:
' G
E
AIfdNATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0257
Islandia, NY 11749 No.
(631) 342-9673
THIS IelANIFESTISFORREFERENCE'PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION ORTITLEOF ANY CARGO ORMATERIALS
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
P 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 CFRPART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED;CLASSIFIEDAND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
'DELIVERED WITHOUT'INCIDENT TO THE DESTINATION LISTED BELOW,
DRIVER:
(PRINT NAME) (SIGNATURE)'
DESTINATION
DISPOSAULOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND'TO THE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
'RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME)i SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TOTRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO'.