HomeMy WebLinkAbout08/2023 DUPLICATE TICKET Sn-9 I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01819905 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATEOUT TIME IN, TIME OUT VEHICLE ROLL OFF
08/01/2 08/01/2 11:4 11:4 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 74100 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37280 LB
QTY. UNIT DESCRIPTION, RATE EXTENSION FEE TOT 100e
18.64 OUTGO.MSW 0.000 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
. DUPLICATE TICKET SITE TICKET GRID . °WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE btepn
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATEjNj D. AUT,, TIM A LTIMqq ROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 74100 LB Out Fund Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37280 LB
QTY. `UNIT DESCRIPTION RATE . EXTENSION • FEE TOTAL
18.64 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 O.
c�r_uen ioc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 2 6 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: 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:.
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY'KNOWLED_GE THE INFORMATION 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.
`SITE ''•`^TICKET^-'•;..r; -`:`"'F,'d-GRID:r;'>;.:: ^ ._:; `: WEIGHMASTER.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 11 01819819 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY y11935 ^A DATE IN 'DATE OU,,T.„ ',,:TIME,IN TIMEOUT " ',.VEHICLEiROLL OFF'.' ,
08/01/2 08/01/ 3 08: 6 08: 6 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 80080 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 46100 LB
QTY. "UNIT -:, DESCRIPTION+""..' �-.,RATE% , ,"EXTENSION. " '",+FEE "TOTAL
23.05 OUTGO.MSW 0.0012 0.012 0.00 0.0e
J
r
Operating hours 7:00 AM to 5:00 PM 7 days 'a',week. "+ C `' ,;` 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4,, INDEPENDENCE .; `,ri` e;, ^"'TENDERED --
DAY
SIGNATURE
DUPLICATE TICKET ('SITE I."'- "TICKET-,:''
SOUTHOLD TOWN DEPT SOLID WASTE 00 01819819 Steph
PO Box 962/6155 Cox Lane
CUYChOgUe, NY 11935 y7:DATE IN-" -DAT60UT�; ;;TIMEIN ITIM6 OUT "•VEHICLE,, Q;y ;''". 'fiOLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 80080 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 46100 LB
>.' OTY. -'UNIT' F'4,,' .,:.,r,'� ',' : DESCRIP,TION,,,ivi; ',:',:,:.•i.'4'' . ..•. RATE °s,s- ,,,EXTENSION , FEE". ?. TOTAL
23.05 OUTGO.MSW 0.000 0.00 0.00 0.0e
a ,
,
, „ I
Operating hours 7:00 AM to 5:00 PM 7 days & week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4'- INDEPENDENCE
DAY
' TITENDERED'
• „a — N
'C
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2.14 Blydenburgh Road No.- 0259
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 WASTEAS DEFINED BY 40 CFR'PART'261'OR ANY APPLICABLE STATE'LAW,.HASBEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE
TRAILER'NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - - (SIGNATURE)
DESTINATION
DISPOSAL'LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL.HAS BEEN ACCEPTED AND TO.THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
_RECEIVED BY:
:
AUTHORIZED AGENT(PRINT,NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO'TRANSPORTER
YELLOW TO TRANSPORTER.
'PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
,SITE ,..TICKET:'•."'" GRIDr......: -a�.-.."•_ •,;WEIGHMASTER' ..••.- '
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE oil 01820077 Steph
PO Box 962/6155 Cox Lane i'•DATEOUT'"^-TIMEiM, TIMEOUT :'....VEHICLE •`(.',,:ROLL OFF" '
Cutchogue, NY 11935
08/02/ 3 08/02/ 3 08:1
0 08: 0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 75940 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39400 LB
'�;;:.: QTY.", < 'UNIT::•",'.•:. °:','<3' 2.. DESCRIP,TION, "EXTENSION - '• FEE',,'tt , .•^ ,TO TAL -
19.70 OUTGO.MSW 0.00 O.OE 0.00 0.0
r', •'r.. . 'i
Operating hours 7:00 AM to 5:00 PM 7 days` 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4',= INDEPENDENCEh %TENDERED
DAY
C
SIGNATURE
DUPLICATE TICKET SITE ,TICKET,, d.7 i?' >*: GRIDx'"= - °':.t°.%.,"WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820077 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE. ['DATEOUT , ?TIMEIN,TIME•OUT
9316 Town of Babylon
SCALE 2 GROSS WT 75940 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39400 LB
OTY. UNIT, "': "u,, ' . " DESCRIPTION':i•,'� : w..r,'•. RATE' . - ,EXTENSION -",,FEE •., TOTAL
19.70 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
E
airunn rwF
TRINITY TRANSPORTATION CORPORATION
21.4 Blydenburo Road 0261
IslVdia, NY 11749 NO'
(631) 34279673
THIS MANIFEST.IS FOR'REFERENCE.PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSIO_N'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
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 CFR PART 261 OR ANY APPLICABLE STATE LAW',HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION+FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE-
TRAILER NO., LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _ _
(PRINT NAME) - - (SIGNATURE)
DESTINATION'
DISPOSAULOCATION: DATE,DELIVERED:,
ADDRESS:
(HEREBY CERTIFY THAT THE ABOVE'MATERIAL'HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGETHE INFORMATION PROVIDED
4S TRUE AND ACCURATE:
RECEIVED BYt'
AUTHORIZED AGENT(PRINT NAME) SIIGNATUREIDATE
KEY, WHITE'TO.DISPOSAL LOCATION
'GREEN'TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLDTO GENERATOR DISPOSAL LOCATION TICKET'NO.
DUPLICATE TICKET SFTE TICKET, GRID' ` ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01820160 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 ,�'.DATE IN DATE OUT ,TIME IN• TIME OUT '.VEHICLE '„'."ROLL OFF
08/02/2 08/02/ 3 11:1
1 11:1
1 11100TC
9316 ,Town of Babylon
SCALE 2 GROSS WT 74020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38080 LB
-OTY. `UNIT "a :• DESCRIPTION ., RATE' `-•EXTENSION . 'FEE TOTAL
19.04 OUTGO.MSW 0.00E o.ee 0.00 0.0¢
11 fro /J '4 ale
Operating hours 7:00 AM to 5:00 PM 7 days'a;weekC; 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4�7. INDEPEN)DENCE ',`•,� TENDERED
DAY '�'-. rr11 S e r `{ .�1•
d'..
CHANGE
SIGNATURE
DUPLICATE TICKET SR,E TICKET,,; GRID _ WEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820160 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
SS T 74020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38080 LB
OTY. UNIT ' DESCRIPTION RATE 'EXTENSION FEE TOTAL
19.04 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to S:00 PM 7 days a:week:.-.`-.' -"
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4,-- INDEPENDENCE -
DAY - TENDERED
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION,
244 Blydenburgh Road No. 1 - 0 2 6 2
Islandia, NY 11749
(63.1) 342-9.673
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 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:
(PRINT'NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED,AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820374 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE '' ROLL OFF
08/03/2 08/03/2 12: 12: 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 82460 LB Outbound Ticket
MANUAL TARE WT. 36760 LB
NET WEIGHT 45700 LB
CITY. UNIT , • DESCRIPTION RATE a EXTENSION FEE' TOTAL
22.85 OUTGO.MSW 0.00e 0.012 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a,week•h ,r,4' 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4``,, INDEPENDENCE `'� .�'+ TENDERED
DAY
CHANGE
CHECKNO.
SIGNATURE
DUPLICATE TICKET SRE _ TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820374 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATEIN DATECIUT'- TIMEIN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
GALE 2 GROSS WT 82460 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 45700 LB
CITY. UNIT DESCRIPTION RATE 'EXTENSION' FEE TOTAL
22.85 OUTGO.MSW 0.000 0.00 0.00 0.06
Operating hours 7:00 AM to 5:00 PM 7 days a:aeek..
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 '- INDEPENDENCE -
DAY < TENDERED
O.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - - 0 2 6 4
blandia, 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 HAZARDOUSWASTE AS DEFINEDBY'40 CFR FART 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 JT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
'DRIVER: `
(PRINT NAME) (SIGNATURE)
DESTINATION
.DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:'
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION,PROVIDE_D
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE%DATE'
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK'TOGENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET sn-E TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01820298 Steph
PO Box 962/6155 Cox Lane
CUYchogue, NY 11935 BATE IN DATE out, TIME IN TIME OUT VEHICLE •,;ROLLOFF
08/03/2 08/03/ 08: 5 08: 5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 72400 LB Outbound Ticket
MANUAL TARE WT. 35940 LB
NET WEIGHT 36460 LB
QTY. UNIT- DESCRIPTION RATE, EXTENSION FEE "TOTAL
18.23 OUTGO.MSW 0.0012 me 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days 'a--weeki 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4'_-, INDEP,ENDENCE ,^': ":-
�'•, —TENDERED
`TENDERED
DAY
CHANCE
CH
SIGNATURE
DUPLICATE TICKET SITE TICKET',„ - GRID: . WEIGHMASfER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820298 Steph
PO Box 962/6155 Cox Lane
CutchOgUe, NY 11935 : SDATE IN DATE OUT TIME IN TIME OUTI VEHICLE ROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 72400 LB Outbound Ticket
[NET
ANUAL TARE WT 35940 LB
WEIGHT 36460 LB
OTY. UNIT DESCRIPTION RATE EXTENSION 'FEE .,TOTAL
18.23 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a-Week.-
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE
DAY - -TENDERED
A
CHFCK
N .
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 2.6 3
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 HER 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 13EEN,P_ROPERLY
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.$ITE LISTED ABOVE, AND THAT IT WAS
DELIVERED,WITHOUT INCIDENT TOTHE 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 KN,OWLEDGE'THE INFORMATION PROVIDED
IS TRUE,AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY', WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO•GENERATOR DISPOSAL LOCATION'TICKET NO.
DUPLICATE TICKET SITE TICKET GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01820618 Will
PO Box 962/6155'Cox Lane
Cutchogue, YY 11935 %DATE IN DATEAUT TIMEIN TIME OUT '.'VEHICLE '. ROLL OFF
t. 08/04/2 08/04/ 12: 8 12: 11100TC
9316 Town of Babylon
MANUAL GROSS WT 82060 LB Outbound Ticket
MANUAL TARE WT. 39140 LB
NET WEIGHT 42920 LB
' QTY. UNIT DESCRIPTION " RATE EXTENSION FEE,- ,TOTAL
21.46 OUTGO.MSW O.00E 0.0e 0.00 0.0e
y
t2,
t _ 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
EC N
SIGNATURE
DUPLICATE TICKET ,SITE .TICKET "W_EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820618 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - yPATE IN DATEOUT . TIME,IN TIME OUT VEHICLE •ROLL OFF
9316 Town of Babylon
ANUAL GROSS WT 82060 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 42920 LB
QTY. UNIT. " DESCRIPTION RATE . EXTENSION !FEE . TOTAL
21.46 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
TRINITY TRANSPORTATION CORPORATION
214 Rl!'denburgh Road ' 0 2 6 6
Islandia, NY 1174,9 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR.DOES NOTTAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES'NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPAW 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,,HASBEEN 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:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE,BEST OF MYXNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVEDBY, _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
'KEY: WHITE TO DISPOSAL LOCATION_
GREEN.TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
COLD TO GENERATOR DISPOSAL'LOCATION TICKET NO.
DUPLICATE TICKET (srrkl TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01820567 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT -WE IN TIME OUT "VEHICLE, + ROLL OFF
j' ; 08/04/2 08/04/ 10: 0 10: 11112TC
93'* Town of Babylon
ORIGINREFERENCE
MANUAL GROSS WT 73560 LB Outbound Ticket
MANUAL TARE WT. 33980 LB
NET WEIGHT 39580 LB
OTY. 'UNIT,:' - DESCRIPTION - :PATE EXTENSION ,, FEE, TOTAL'
19.79 OUTGO.MSW O.00E O.OE 0.00 0.00
- t
Operating hours 7:00 AM to 5:00 PM 7 days 'aoweek. - 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,,-,'INDEPENDENCE , - TENDERED
DAY
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET rSA , TICKET GRID , WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820567 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT" TIMEM:TIMEOUT VEHICLE " ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
NUAL GROSS WT 73560 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 39580 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.79 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a week. ANINIURVAMM•
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY , "TENDERED
CHANGE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0229
Osl'andia, NY 11749
(631) 342-9673
THIS.MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:,
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
0
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATUREp
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:
(PRINTWAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL,HASBEEN 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. e
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER -
SOUTHOLG,TOWN DEPT SOLID WASTE 00 01820517 Will
PO Box 962/6155 Cox Lane
CutchOgue, NY 11935 DATEIN 6ATEOUL';, TIMEIN. TIMEOUT VEHICLE I ROLLOFF
08/04/2 08/04/2 08: 08: 11100TC
9316 Town of Babylon
MANUAL GROSS WT 66800 LB Outbound Ticket
MANUAL TARE WT. 36820 LB
NET WEIGHT 29980 LB
.QTY. UNIT a DESCRIPTION' RATE EXTENSION FEE, TOTAL- -
14.99 OUTGO.MSW 0.00e 0.00 0.00 0.00
t'
r
I
Operating hours 7:00 AM to 5:00 PM 7 days a;;week: - ,`r 0.0Q
CLOSED HOLIDAYS - NEXT: TUESDAY, JULV 4''LlINDEPENDENCE TENDERED
DAY - ° 'r+`I a ° +,`, -
CHANGE
CHECK O
SIGNATURE
DUPLICATE TICKET SITE - TICKET 1, GRID '_ -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820517 Will
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
NUAL GROSS WT 66800 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 29980 LB
"QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
14.99 OUTGO.MSW 0.000 0.00 '0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days 'a" week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY TENDERED
CH
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 0265
fslandia, 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:
LOOSEN ICU 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 WASTEAS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO._ LICENSE NO/STATE:
TRAILER NO. 'LICENSE NO/STATE:
THEREBY 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 KNOW LEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE: -
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820501 Will
.,_ PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D,ATr:IN DATE OUT', TIMEIN TIME OUT VEHICLE ROLL OFF
08/04/2 08/04/2 07: 07:12 11112TC
;.9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 69000 LB Outbound Ticket
MANUAL TARE WT. 36540 LB
NET WEIGHT 32460 LB
CITY. UNIT - .DESCRIPTION ,RATE EXTENSION FEE TOTAL
16.23 OUTGO.MSW moe 0.012 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 �,, Ito
CHANGE
CHECK
SIGNATURE
DUPLICATE TICKET fSliE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820501 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 CrATEIN,' DATEOUT. • :TINI TIMEOUT VEHICLE " ROLLOFF.
9316 Town of Babylon
Emu RIM
ANUAL GROSS WT 69000 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 32460 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE- TOTAL
26.23 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 .
cir_nien me
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 2-9 8
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITL'EOF 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 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 HERE13Y CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLED_ GETHE'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
G0LD'TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SRE TICKET' ;";'GRID.: WEIGHMAS-MFI
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01820763 Steph
PO Box 962/6155 Cox Lane
Cutc4gue, NY 11935 ;,,-DATEIN' DATEOUT, ;TIME IN TIME-OUT , ,VEHICLE""71 ;'•. ,•ROLL`OFF
08/05/2 08/05/ 3 07: 5 07: 5 11112TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 79740 LB Outbound Ticket
MANUAL TARE WT. 36200 LB
NET WEIGHT 43540 LB
:,CITY. UNIT "'•'. DESCRIPTION 'A '., � � ',. .RATE t .,.:a,YEXTENSION " ".`FEE ":TOTAL
21.77 OUTGO.MSW 0.00 O.OE 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a_week. ',� 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 '- INDEPENDENCE" TENDERED'
DAY
SIGNATURE
DUPLICATE TICKET .SITE ; `-TICKET, 'MEIGHMASfE9 .6
SOUTHOLD TOWN DEPT SOLID WASTE 00 01820763 Steph
PO Box 962/6155 Cox Lane
C utchdgue, NY 11935 cDATE IN.d `DATE,OUYCTIMEtN TIME OUT VEHICLE;'a ' :,•, -ROLL OFF,-;;-
9316 Town of Babylon
CALE 2 GROSS WT 79740 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 43540 LB
dOTY._ , UNIT,., ,, ti, DESCRIPTION',r y;>,.',,�:' `. RATE- ' EXTENSION :FEE✓. _ TOTAL
21.77 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 1"6e-=TENDERED
A
TRINITY TRANSPORTATION (CORPORATION
244 Blydenburgh Road NO.- 0223
' 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 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 BY40 CFR PART261 OR ANY APPLICABLE,STATE LAW,HAS BEEN PROPERLY
DESCRIBED-CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGTO APPLICABLE REGULATION.
a. --
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE'NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY�CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:,
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREENTO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER
SOUTHOL`D TOWN DEPT SOLID WASTE 00 01821314 Liz H
PO Eox 962/6155 Cox Lane
CuBEhogue, NY 11935 DATE IN DATEOUT. „TIMEIN TIME OUT VEHICLE ROLLO_FF
08/07/2 08/07/2 12:0 12:0 11100TC
9316 Town of Babylon
MANUAL GROSS WT 78060 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41520 LB
OTY. UNIT. -- DESCRIPTION RATE EXTENSION FEE TOTAL
20.76 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
C E N
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID - 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 /11121114 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
NUAL GROSS WT 78060 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 42520 LB
CITY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
20.76 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
AN
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - - 0 2 6 8
Islandia,'NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SNIPPED 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 80 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
TRANSPORTATIONIFREIGHT CO. a
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL WAS PICKED SUP 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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TOTRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
sUPLN.KCATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821267 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT,• TIMEdN TIME OUT VEHICLE - ROLLOFF
08/07/2 08/07/2 08N 08:0 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74780 LB Outbound Ticket
MANUAL TARE WT- 35940 LB
NET WEIGHT 38840 LB
CITY. _ UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL
19.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days 'awweek.- .' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4'= INDEP,ENDENCE • TENDERED
DAY
C N .
SIGNATURE
DUPLICATE TICKET f SITE - TICKET GRID . WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821267 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN ITIME OUTI VEHICLE I, ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 74780 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38840 LB
.OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL .
19.42 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, ]ULY 4 - INDEPENDENCE
DAY �.°TENDERED
CHANGE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0267
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCEPURPOSES ONLY.GENERATOR DOES NOT TAKEPOSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUMEANV LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALESc(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 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 114FORMATION 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 I(SITEJ TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821465 Steph
PO Box 962/6159=Yiox Lane _
CUtchoguef NY 11935 'DATE'IN DATE OUT. :TIME IN, TIMEOUT VEHICLE "T ROLL OFF
08/08/2 08/08/2 11:1 11:1 11100TC
9316 Town of Babylon ORIGIN
SCALE 2 GROSS WT 77860 LB Outbound Ticket
MANUAL TARE WT. 36820 LB
NET WEIGHT 41040 LB ::I
QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
20.52 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
CHECKNO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Sleph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN DATEOUT TIMEIN TIMEOUT VEHICLE ROLL OFF '
9316 Town of Babylon
e-
CALE 2 GROSS WT 77860 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41040 LB
CITY. UNIT. DESCRIPTION ' RATE EXTENSION FEE TOTAL
20.52 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 a 'TENDERED
C NGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 2 7 0
Islaridik 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 OFSUCH MATERIALS.
COMPANY:, SHIP'DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN'FREE LIQUID AS DEFINED BY AO CFR PART 260.10 OR ANY
APPLICABLESTATELAW,IS'NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND,PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT'CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: _
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 BEENACCEPTED 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 TOTRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SiTE1 TICKET . I GRID . , WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821403 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,','DATE IN DATE OUT TIME IN TIME OUT VEHICLE .;7:R0LL OFF
08/08/2 08/08/2 07:1 07:27 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 77640 LB Outbound Ticket
MANUAL TARE WT. 37420 LB
NET WEIGHT 40220 LB
QTY. UNIT ., DESCRIPTION, RATE , EXTENSION FEE' ' ---TOTAL
20.11 OUTGO.MSW _ O.00E 0.0e 0.00 0.0e
s
Operating hours 7:00 AM to 5:00 PM 7 da'ys'a .week. 0.9e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 - INDEPENDENCE TENDERED
DAY
CHANGE
O.
SIGNATURE
DUPLICATE TICKET (7srrEl TICKET- - GRID, ' WEIGHMASTER'',
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821403 Step
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 77640 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 40220 LB
QTY.. I UNIT DESCRIPTION RATE. ° EXTENSION FEE TOTAL
20.11 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
N
O
cir_ueTi roc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh,Road No.- 0269
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 LIABIUTY 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 CFA PART 260,10 OR.ANY
APPLICABLE STATE LAW,IS'NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY'
DESCRIBED,CLASSIFIED'AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
GENERATOR,AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT CO:
TRUCK NO. _ L.ICENSE'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'
SOUTH OLD TOWN DEPT SOLID WASTE 00 01821751 Steph
PO Bo4i,962/6155 Cox Lane
Cu$chogue, NY 11935 DATE IN DATE OUT. TIME IN, TIME OUT .'VEHICLE 1, ROLL OFF
' 08/09/2 08/09/2 12: 12"11100TC
9316 Town of Babylon
MANUAL GROSS WT 84420 LB Outbound Ticket
MANUAL TARE WT. 35940 LB
NET WEIGHT 48480 LB
QTY. UNIT- DESCRIPTION, -RATE' % EXTENSION FEE TOTAL
24.24 OUTGO.MSW 0.00e 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days'a week. ,:',' Fee
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 41- 'INDEPENDENCE TENDERED
DAY
CHANGE
CHECK N
SIGNATURE
DUPLICATE TICKET SITE TICKET° GRID;- WEIGHMASTER�
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821751 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ` DATE IN I DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGIN
ANUAL GROSS WT 84420 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 48480 LB
CITY. UNIT — DESCRIPTION RATE EXTENSION FEE TOTAL
24.24 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE
DAY 'TENDERED
CHANGE
QInMAT11GF
TRINITY, TRANSPORTATION CORPORATION
2 4 Blydenburgh Road � - 0 2 7 2
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:'
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR.ANY
APPLICABLE STATE LAW.IS•NOT HAZARDOUS,WASTE AS DEFINED BY 40CFR PART261 OR ANY APPLICABLE STATE,LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FORSRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821660 Steph
PO Box 962/6155 Cox Lane
CUtChogue, NV 11935 DATEIN DATEOUT TIME IN'TIME OUT VEHICLE ROLL'OFF
08/09/2 08/09/2 08:3 08:3 11100TC
9316 Tdwn of Babylon
1REFERENCE ORIGIN
SCALE 2 GROSS WT 89680 LB Outbound Ticket
MANUAL TARE WT. 36760 LB
NET WEIGHT 52920 LB
'OTY. UNIT DESCRIPTION 11, RATE - EXTENSION FEE .. -TOTAL
26.46 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
t
CHANGE
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID . -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 011121660 Steph
PO Box 962/6155 Cox Lane
CUtChogue, NY 11935 DATE IN DATEOUT TIMEIN TIMEOUT . VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 89680 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 52920 LB
el CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
26.46 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 'i-TENDERED
CHANGE
C O
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road . 0271
Islandia, NY 117'49, 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:
LOOSEN (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 CPR 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(PRtNT 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: DATE'DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THEASOVE MATERIAL HASBEEN ACCEPTED AND TOTHE'13EST OF MY KNOWLEDGE THE INFORMATION'PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER_
'YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
i (_SITEj TICKET "GRID, I WEIGHMASTER
DUPLICATE TACKET
SOUTHOLD- TOWN DEPT SOLID WASTE 00 01821903 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT.' TIMEIN TIME OUT VEHICLE ROLLOFF
Cutchogue, NY 11935
08/10/2 08/10/2 08:3 08:3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 76760 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 40220 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.11 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 NO
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821903. 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 76760 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 40220 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.11 OUTGO.MSW 0.000 0.00 0.00 0.0e
1
Operating hours 7:00 AM to 5:00 PM 7 days-a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4' - INDEPENDENCE -TENDERED
DAY
CHANGE
m r_u nrri roe
i
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 0273
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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND D 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 TRANSPORT_ER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
rsn-El TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTV2ILD TOWN DEPT SOLID WASTE 00 01822018 Steph
PO Bo:T 962/6155 Cox Lane
CUtChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/10/2 08/10/2 12:2 12:2 31100TC
9316 Town of Babylon ORIGIN
SCALE 2 GROSS WT 83480 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46060 LB :I
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
' 9
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
SIGNATURE
DUPLICATE TICKET SITE ' TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 018220111 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 83480 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46060 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.03 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 - INDEPENDENCE
DAY TENDERED
GE
EC NO
cirunn MP
TRA IITY TRANSPORTATION CORPORATION
214 Blydenburgh'Road _ - 0 2 7 4
Islandia,'NY 11749 NO
(6-31) 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 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION,
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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) SIGNATURHDATE
KEYc WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SRE . TICKET GRID' -WEIGHMASTER
DUPLICATE TICKET
'SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0182215 Liz H
PO-Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUP VEHICLE I ROLLOFF.
08/11/ 3 08/11/ 3 08: 5 08: 5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 79300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 42540 LB
QTY. UNIT • . DESCRIPTION RATE EXTENSION FEE - TOTAL
21.27 OUTGO.MSW 0.00 0.0 0.00 0.0
�1g. 4b t
Operating hours 7:00 AM to 5:00 PM 7 days a�" eek.- ^' - w".-" .t;� 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY 4�-� INDEPENDpENCE TENDERED
DAY ,° `�i
CHANGE
C
SIGNATURE
DUPLICATE TICKET r8ITEj TICKET I GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 /111221511 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .DATE IN DATEOUT TIMEIN TIMEOUT VEHIGLE ROLL OFF
eat
9316 Town of Babylon
ORIGIN
CALE 2 GROSS WT 79300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 42540 LB
_-'CITY. UNIT DESCRIPTION ` RATE EXTENSION FEE TOTAL
21.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
J j
Operating hours 7:00 AM to 5:00 PM 7 da'ysa:week`-- -
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4-, INDEPENDENCE
DAY - g% TENDERED
ORANGE,
CHECK NO.
Clf]NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0275
Islandia, NY 11749 N°'
(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)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
THEREBY 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:
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
SOUTHOSO}TOWN DEPT SOLID WASTE 0 01822243 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUY. „TIME]N TIME OUT t VEHICLE ROLLOFF
08/11/2 08/11/2 12: 12:1 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 77280 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 38140 LB
CITY. 'UNIT DESCRIPTION - RATE .EXTENSION FEE TOTAL
19.07 OUTGO.MSW 0.000 0.00 0.00 0.0¢
JN fY M1r _
Operating hours 7:00 AM to 5:00 PM 7 days isweek::.._ 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 :-- INDEPENDENCE , ' +'^ " TENDERED
DAY
SIGNATURE
DUPLICATE TICKET SITE ,- TICKET I GRID - WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE 00 01822243 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 77280 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 38140 LB
CITY. _ UNIT - DESCRIPTION RATE 'EXTENSION FEE ' TOTAL
19.07 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a;week:
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDEPENDENCE
DAY - % -TENDERED
NGE
CHECK
NO.
mruen�cc
T)UNITY TRANSPORTATION CORPORATION_
214 Blydenbucgh Road NO. - - 0 2 7 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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE,LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE"STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO'.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:, DATE DELIVERED;
ADDRESS':
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY.:
AUTHORIZED AGENT(PRINT'NAME) SIGNATUREIDATE
KEY,: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO,TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 01822343 Will
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF
08/12/2 08/12/ 07:1
1 07:11 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 71900 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 35320 LB
CITY. = UNIT DESCRIPTION 4 , RATE EXTENSION FEE •= TOTAL
17.66 OUTGO.MSW O.00E 0.0 0.00 0.0e
iI✓ ,(• tom 1^�?"iTV
Operating hours 7:00 AM to 5:00 PM 7 days a.weeki 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4r;=�INDEP,ENDENCE ;.;^`'i"' TENDERED
DAY
CHANGE
E O.
SIGNATURE
DUPLICATE TICKET SITE " TICKET- I GRID,; _ 'WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01822143 Will
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT' TIMEIN TIMEOUT VEHICLE ROLLOFF
9316 Town of Babylon
•'
CALE 2 GROSS WT 71900 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 35320 LB
CITY. UNIT " DESCRIPTION RATE EXTENSION FEE- TOTAL,
17.66 OUTGO.MSW 0.000 0.00 0.00 0.0e
I ;
, n
Operating hours 7:00 AM to 5:00 PM 7 days a"week.
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - IN
! ;TENDERED
DAY
CHECK
O.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO.- 0289
Istandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR'TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU 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 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 IMATERIAL'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:
RECEIVEp'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 SFFEj TICKET. `GRID I e^WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01822869 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DAT'E IN „ DATEOUT�, TIMEIN TIMEOUf VEH16LE i' 'ROLL OFF
08/14/2 08/14/ 08: 0 08: 1 0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 82900 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 46360 LB
QTY. UNIT DESCRIPTION •. - RATE EXTENSION FEE TOTAL
23.18 OUTGO.MSW 0.90E 9.0E 0.00 0.0E
7,
i .
Operating hours 7:00 AM to 5:00 PM 7 days 'a'wee,kb'" 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4.i-� NDEPENDENCE TENDERED
DAY '*-
N .
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID A WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01822869 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIME IN 1TIMEouT1 OLLOFF
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 GROSS WT 82900 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 46360 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
23.18 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,,- INDEP.ENDENCE
DAY ' .. TENDERED
A
C E
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0277
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS-FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO ORMATERIALS
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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND'THAT IT WAS
DELIVERED WITHOUT'INCIDENVTO 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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Oil 01822982 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DAMN DATEOUT •. TIME IN ITIME OUT - VEHICLE -",ROLL OFF
08/14/ 08/14/ 3 12: 0 12: 0 11100TC
'9316 Town of Babylon
MANUAL GROSS WT 89180 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 52420 LB
.QTY., UNIT . :. DESCRIPTION 'RATE - EXTENSION FEE TOTAL
26.21 OUTGO.MSW 0.00 0.0e 0.00 0.0e
fr
Operating hours 7:00 AM to 5:00 PM 7 days a„week:11- -" '•.;� ` ; 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 1 INDEPENDENCEa ';`�_„,. ,�, r .TENDERED _
DAY - r0,I� r(,If .j, ."� .. .,
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET rSITEI TICKET I GRID' _.WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 /1822912 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT, 'TIMEIN TIMEOUT ' VEHICLE ,ROLLOFF
9316 Town of Babylon
ORIGINREFERENCE
CM
ANUAL GROSS WT 89180 LB Outbound Ticket
ANUAL TARE WT 36760 LB
ET WEIGHT 52420 LB
QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL
26.21 OUTGO.MSW 0.000 0.00 0.00 me
i �1
Operating hours 7:00 AM to 5:00 PM 7 daysi a`week.. =
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4:,: INDEPENDENCE- -
DAY ''+ TENDERED
H
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 2 7 8
• 'Islandia, NY 11749 N0
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.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
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 CONDITIOWFOR 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 ABOV E MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE,AND ACCURATE:
RECEIVED BYs
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 'SffEj TICKET- GRID_ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01823149 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 ,'DATE IN DATE,OUT, TIME IN' TIME OUT VEHICLE' ROLL OFF
08/15/2 08/15/2 08: 08:1 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 85980 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 49440 LB
QTY. UNIT DESCRIPTION RATE,' " EXTENSION FEE TOTAL
24.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
1' f
l
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
SIGNATURE
DUPLICATE TICKET SITE TICKET„` GRID'r .WEIGHMASTER•
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823149 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 :'DATE IN DATE OUT TIME IN-TIME OUT ` VEHICLE ROLLOFF
9316 Town of Babylon
GALE 2 GROSS WT 85980 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 49440 LB
'CITY. UNIT , - DESCRIPTION RATE EXTENSION FEE -TOTAL
24.72 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 FI TENDERED
CHECK NO.
RIPMATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0187
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR;REFERENCE PURPOSES ONLY.GENERATOR DOESNOT TAKEPOSSESSION 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:
LOOSEN (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 STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN,PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME] (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT_ IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
_RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
:SITE . '- TICKET - :`.<; GRID"'.,' -'-: _',` `.WEIGHMASTER-.' �:
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823204 Steph
PO Box 962/6155 Cox Lane -
CUtChogue, NY 11935 ,:cDATE IN DATE,OUT""TIME IN TIMECUT VEHICLE`r. ROLL OFF
08/15/2 08/15/23 12:0 12:0 11100TC
9316 Town of BabylonI., ORIGIN
SCALE 2 GROSS WT 74340 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37520 LB
QTY. UNIT �'1-i b ., •- DESCRIPTIONS' - •''r+ - RATE . ,.;" :, EXTENSION 'FEE' .' TOTAL
18.76 OUTGO.MSW 0.000 0.00 0.60 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 - '
H C O
SIGNATURE
DUPLICATE TICKET SITE ,, TICKET, 1, `GRID-; WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821204 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 "+.OATE IN'i: `bATEOUT:L- -�.TIMEIN;TIME OUT ;VEHICLE;;'n'': ='- 'ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 74340 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37520 LB
QTY. 'UNIT DESCRIPTION _ RATE'-, EXTENSION .'FEE TOTAL
18.76 OUTGO.MSW 0.000 0.00 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days'.aweek.
�klmffm Lois],
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY c 'TENDERED
G
cir-uan�aa
"11"RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - _ 018 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'tAW,IS NOT HAZARDOUS WASTE ASDEFINED 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
SOUTHOM• TOWN DEPT SOLID WASTE 0 01823418 Steph
PG'Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN 'DATE OUT,,:' TIME IN TIME OUT VEHICLE' ROLUOFF
08/16/2 08/16/2 12: 12:2 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 95140 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 57720 LB
:1
CITY. UNIT '. .• DESCRIPTION RATE EXTENSION FEE TOTAL
28.86 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a;week:. - 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 = INDEPENDENCE TENDERED
DAY
E
SIGNATURE
DUPLICATE TICKET SITE ' TICKET GRID\ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823418 Steph
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 95140 LB Outbound Ticket ,
MANUAL TARE WT 37420 LB
NET WEIGHT 57720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
28.86 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a week: - -
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'7 •INDEPENDENCE
DAY - ".TENDERED
CHECK NO.'
c+r_ra nnn roe
TRINITY TRANSPORTATION CORPORATION
214 Blydenbwrgh Road NO.- 0295
Islandia, NY, 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH,THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR,AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER '
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE-
RECEIVED
_ _ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TODISPOSAL LOCATION
GREEN TO TRANSPORTER.
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLIMTE TICKET SITE I TICKET I GRID I WEIGHMASTER
�CUTHOLD TOWN DEPT SOLID WASTE 00 01823347 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT' , -TIME IN.TIME OUT VEHICLE ROLLOFF
08/16/2 08/16/2 08:4 08:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 89860 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 53920 LB
OTY, UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
26.96 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Y 1
I ,
Operating hours 7:00 AM to 5:00 PM 7 days 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4"-. INDEPENDENCE , TENDERED
DAY
CHECK
SIGNATURE
DUPLICATE TICKET SITE , TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823347 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIME OUT' VEHICLE ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 89860 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 53920 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
26.96 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days -a,week:=
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�- INDEPENDENCE -
TENDERED
DAY
E'
N .
TRINITY TRANSPORTATION CORPORATION
.2N Blydenburgh Road No, - - 0 2 9 0
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE,POSSESSION ORTITLE 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(PRI_NT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGf IT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:_
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT'NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET 'GRID. MEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 01823531 Steph
PO Box 962/67r55 Cox Lane
CUtch0gue, NY 11935 DATEIN DATEOUi , •TIMEIN,TIMEOUT VEHICLE., ROLL OFF
08/17/2 08/17/2 08:5 08:5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 86500 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 49680 LB
r. QTY. UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
24.84 OUTGO.MSW 0.000 0.00 0.00 0.0e
tl
Operating hours 7:00 AM to 5:00 PM 7 days .a`week. .�_ - 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4:'r. INDEPENDENCE ;;' TENDERED
DAY
GE
C
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823531 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 86500 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 49680 LB
CITY. - UNIT DESCRIPTION- RATE ' EXTENSION' 'FEE TOTAL
24.84 OUTGO.MSW 0.000 0.00 0.00 ().Be
f
Operating hours 7:00 AM to 5:00 PM 7 days a week. .
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE-
DAY - -TENDERED.
CHECK NO.
SIGNATURE
TRINITY'TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 2 9 6
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 INOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY.: SHIP DATE:
COMMODITY SHIPPED:
r
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 NOTHAZARDOUS'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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION;TICKET NO.
DUPLICATE TICKET srrEl TICKET '$'GRID'"; 1, WEIGHIMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823608 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ',`'DATE iN " DATE OUT,, yTIME IN,-*EOUT VEHIOLE"` m` -,` `ROLLOFF
08/17/2 08/17/2 12:2 12:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 82160 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 45620 LB
i ..`. QTY. ,UNIT(, DESCRIPTION i,;W'S'' ,,;•'";: : - .•::RATE EXTENSION %."FEE ; 'r ' :,TOTAL `
22.81 OUTGO.MSW 0.000 0.00 0.00 0.0¢
r. .. .
Operating hours 7:00 AM to 5:00 PM 7 days a_:week. 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 '-. INDEPENDENCE . ".TENDERED
DAY
C
•C E
SIGNATURE
DUPLICATE TICKET (SIT
-El I,: ,4'':', GgID .;'; " WEIGHMASTEFI'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823608 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'OATE OUT,•'-=,TIME;IN, TIME OUT "ROLLOFF"—^
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GRO55 WT 82160 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 45620 LB
'•, CITY. UNIT',' DESCRIPTION r>::`:, : : ' .RATE '•.r',� ,r:-,EXTENSION FEE': TOTAL
22.81 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days .a%week.'
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPENDENCE `
DAY 'c^:"i.TENDERED. '.-,•
e�r_eien me
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Road 0297
11
Islandia, NY 11749 NO
(631) 342-9673
THIy40ANi�tST IS FOR REFERENCE PURPOSES ONLY.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
f HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE UAW,IS 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 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 DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBYCERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMAT)ON'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 . TIOkET�.,`,' *`;':,GRID 'WEIGHMASTER.
SOUTHOL_D TOWN DEPT SOLID WASTE 0 1 01823728 Will
-Pal Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUTI VEHICLE f*` .ROLL OFF
08/18/2 08/18/ 08: 0 08:41A 11100TC
9316 Town of Babylon
MANUAL GROSS WT 82060 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT. 42920 LB
`CITY.`„ UNIT DESCRIPTION:; +, RATE . - 'EXTENSION - -'FEE.C;,..; TOTAL
21.46 OUTGO.MSW O.00E 0.0e 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a�'week. 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,r•INDEPENDENCE , '.TENDERED—
DAY
CHECK N
SIGNATURE
DUPLICATE TICKET SITE TICkET „ `� GRID.= - •' ' 46GHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823728 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 +
'DATEIN . ^DATE�OUT ri ',TIME IN' TIME OUT :',VEHICLE"`,,i! j ROLL OFF-..;'�
9316 Town of Babylon vull
ANUAL GROSS WT 82060 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 42920 LB
'QTY. .UNIT.' ; DESCRIPTION, ',>- .',RATE 6'EXTENSIOM .. FEE .,TOTAL
21.46 OUTGO.MSW 0.000 0.00 0.00 0.Be
Operating hours 7:00 AM to 5:00 PM 7 days a week. :.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY ,a°',TENDERED
mr_u en icv
P
.I 'TRINITY TRANSPORTATION'CORPORATION
214 Blydenburgh Road NO. -' - 0 2 9 8
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR,REFERENCE,PURPOSESONLY.GENERATOR DOES NOT TAKE'POSSESSION ORTITLE 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: 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 LAND,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.
.SOE -, TICKET +�` , ' '� GRIb-- �; •,WEIGHMASTE13,`' -
SOUTHOLD'*OWN DEPT SOLID WASTE 00 01823823 Will
PO Box 962/6155 Cox Lane
CUYChOgUe, NY 11935 DATE IN , DATE OUT ME:TIN TIME OUT VEHICLE'' ' ',-;ROLLOFF
08/18/2 08/28/2 12:2 12:2 11100TC
9316 Town of Babylon '
SCALE 2 GROSS WT 85900 LB Outbound Ticket
MANUAL TARE WT. 35940 LB
NET WEIGHT . 49960 LB
.. °. i ;•... �_...,DESCRIPTION' '.;;;> _ "` �',. RATE`i�^ , +'. EXTENSION, 'FEE'Z&$ .TOTAL`-
,0 .0 IT,. -
24.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
t'
Operating hours 7:00 AM to 5:00 PM 7 days 'a, week. `' me
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'�..INDLPENDENCE, ',TENDERED
DAY
� C ANGE
C E
SIGNATURE
SITE "- >TICKET,r`> ;�; GRID',; , n, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01823823 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 +Y9'04E IN '-DATEAOUT`" ;TIME IN TWEOUT ;:'.VEHICLE �a``„ROLLOFF
9316 Town of Babylon
ORIGIN
CALE 2 GROSS WT 85900 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 49960 LB
iOTY, , ' UNIT "7 , :DESCRIPTION., ". l; ',,,RATE .",EXTENSION '. 'FEE-."- ;TOTAL
24.98 OUTGO.MSW 0.000 0.00 0.00 0.0E
r '
Operating hours 7:00 AM to 5:00 PM 7 days a week. , • ,
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY ',?TENDERED
N
TRINITY TRANSPORTATION CORPORATION
-w
214 Blydenburgh Road NO.- 0299
Islandia, NY 11749
(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 HERESY CERTIFV'THAT THE ABOVE NAMED MATERIAL DOES,NOT CONTAIN FREE'LIQUID AS DEFINED SY 40 CFR PART 260,10'OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPUCABLESTATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PR1NT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO..
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
I HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE,GENERATOR SITE LISTED ABOVE, AND THAT fT"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 THEBEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE%DATE
'KEY: WHITE TOOISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR 'DISPOSALLOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET_ I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01823959 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN' TIMEOUT' VEHICLE ='ROLLOFF
08/19/ 08/19/ 3 07: 9 07:1
9 11103TC
9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 75540 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 38720 LB
r OTY. UNIT DESCRIPTION RATE EXTENSION '"FEE n TOTAL
19.36 OUTGO.MSW O.00E 0.012 0.00 0.00
A, ` %'J ` '•'` �a
Operating hours 7:00 AM to 5:00 PM 7 days a eeR7.;,;, -"� �„w'+� .' �' 0.0e
4 L CLOSED HOLIDAYS - NEXT: TUESDAY, JULY INDEPENDgDENCE 'ai4.;'`'�'�' ; �'� TENDERED
DAY
r'1l-LICHANGE
O
SIGNATURE
DUPLICATE TICKET e,iITE TICKET " GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01823959 Will
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 C" DATEIN I DATEOUT TIMEIN. TIMEOUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCEORIGIN
MANUAL GROSS WT 75540 LB Outbound Ticket '
MANUAL TARE WT 36820 LB
NET WEIGHT 38720 LB
OTV. UNTT. DESCRIPTION " RATE EXTENSION ,'FEE TOTAL
19.36 OUTGO.MSW 0.000 0.00 0.00 0.0e
r.
Operating hours 7:00 AM to 5:00 PM 7 daysa"week:
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 '- INDEPENDENCE ,
DAY TENDERED
E N .
c(rrunrn MP
TRINITY TRANSPORTATION CORPORATION
214 glydenburgh Road No. _ - 0 2 8 8
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOT TAKEPOSSESSION 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:
LOOSEN 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 PART2B1 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) SIGNATURE7DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN.TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
V 6TE ' '. `TICKET ' "''GRID ram` '- °WEGHMASTER'`F`';
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0182453 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935DATE IN DATE OUT'- =TIMEIN'TIME�OUT , ,VEHICLE' °' • :ROLL OFF,,
08/21/1
3 08/21/ 3 08:1
5 08:1
5 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 87980 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 51220 LB
+QTY. 'UNIT" .:'` \^'«"`.',`,4`:.DESCRIP.TI0N't ` r':`.-r ':RATE. 1"EXTENSION,",", . FEE,° ,.-,TOTAL
-
25.61 OUTGO.MSW 0.00 0.0 0.00 0.0
Y,
^r 34y � 'i ♦'
t t
, -^„i'.,Wit•'; fyt �
Operating hours 7:00 AM to 51:00 PM 7 da Pys "a 'week: ''a �} ' ' 0.0
s `'.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4-:t. INDEPENDENCE TENDERED -
DAY
t.
SIGNATURE
DUPLICATE TICKET -SITETICKET•' " GpID`, -•�; WEIGHMASTER ;'
SOUTHOLD TOWN DEPT SOLID WASTE 0 01824532 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ^';DATE IN DATE OUT•.' -,TIME,IN TIME OUT t� 'VEHICLE OLLbFF,
9316 Town of Babylon
SCALE 2 GROSS WT 87980 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 51220 LB
v CITY. . ' UNIT .- s DESCRIPTION -RATE'- "; EXTENSION '"'FEE .TOTAL
25.61 OUTGO.MSW 0.000 0.00 0.00 0.00
r r,
Operating hours 7:00 AM to 5:00 PM 7 days a',week.,_ =
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4',-, INDEPENDENCE'" ,,Ra,,
DAY ;,� TENDERED
H
SIGNATURE
"—TRINITY TRANSPORTATION CORPORATION
214.Blydenburgh Road , � 0 3 0 0
Island'ia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATORDOES 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: 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 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART.261 OR ANY APPLICABLE STATE'LAW,.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND,IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ - LICENSE'NO/STATE:
TRAILER NO. LICENSE,NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED;ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE,DESTINATION,LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OFMY 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.
SITE TICKET•.(',, .,i,';,a ',,.^GFIO�, : '% - . WEIGHMASTER, ^} "'
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01824644 Liz H
PO Box 9;.2/6155 Cox Lane
Cutcxlogue, NY 11935
Y.DATE IN.: DATE OUT,,; �TIMEIN, TIME OUTn
08/21/2 08/21/2 12:1 12:1 11100TC
9316 Town of Babylon
MANUAL GROSS WT 82520 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 48540 LB
'5QTY. ` . .; UNIT,`. ..- ii'3 ".' "DESCRIP,TION RATE EXTENSION^ ,T. .` ^FEE^''1;"": L-"',,`(,TOTAL:
24.27 OUTGO.MSW 0.000 0.00 0.00 0.0E
ly
� C
y�.4>w+.y
Operating hours 7:00 AM to 5:00 PM 7 days Cweek� '::. ,,r i3 )� 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4e,'a NDE NCE fr
S TENDERED
DAY D##pyy( `,
P :YO SIGNATURE
DUPLICATE TICKET :'SITE '' -77
SOUTHOLD TOWN DEPT SOLID WASTE 00 011124644 Liz H
PO Box 962/6155'Cox Lane
Cutchogue, NY 11935 ^DATE IN',J.DATE CUT TIME IN,`TIME OUT VEHICLE,."j ROLE OF.
9316 Town of Babylon
ORIGINREFERENCE
ANUAL GROSS WT 82520 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 48540 LB
::S'Qtt.-, - UNIT. °,'a",, ;. ` " DESCRIPTION'all ',qJ:; '.kRATE' .:EXTENSION 'FEE .TOTAL _
24.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
1`rr � f A8 t
h r'
r fF fi {
Operating hours 7:00 AM to 5:00 PM 7 dayts a`-week.*.-r•^..mod-^,r ,, w t
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'C= INDEPENDENCE---
DAY R--TENDERED
E K
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
114 Blydenburgh Road NO.- 0401
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR,REFERENCEPURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SNIPPED 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'RROPERLY
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 HASBEEN ACCEPTED AND TO THE BESTOF 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.
SffE TICKET •, ":.,�; „GRID ",-",i°"'' ;WEIGHMASTER s
DUPLICATE TICKET -
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01824913 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ".'OATE IN" DATE OUT'.' .TIkE IN IT114E.OLIT .,'.VEHICLE :,'ROLL'OFF
08/22/2 08/22/ 12: 7 12: 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 72380 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 35560 LB
'UNIT, :DESCRIPTION,,;,,14 r'1;:;'>r.^ .RATE ,,,,EXTENSION",:: . FEE' ;', TOTAL:'. _
17.78 OUTGO.MSW 0.00 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a�week'.;,, -- " 0.oe
;, I CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4" NDEPENDENCE ' ',, t ",TENDERED '
DAY
C C O
SIGNATURE
DUPLICATE TICKET SITE' , aTIQKEF''-'-_'.';>;;�;,;_'GRID - `- ' VVEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01824913 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,.;;;DATE IN DATE OUT TIMEW. TIMEOUT "VEHICLE j,ROLL OFF"
9316 Town of Babylon
2 GROSS WT 72380 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 35560 LB
:•`OTV.- --UNIT : -•^"� ,,, "' • . - _DESCRIPTION. "' {,•,.,, i; RATE"" tEXTENSION .'`"- "FEE" ";,. TOTAL
17.78 OUTGO.MSW 0.000 0.00 0.00 0.02
k „
Operating hours 7:00 AM to 5:00 PM 7 days.e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,'- INDEPENDENCE -
DAY - °''t`mdENOERED
SIGNATURE
T)UNITY. TRANSPORTATION CORPORATION
214 Blydenburgh Road No..- 0403
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:
LOOSEN (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
APPLICABLESTATE LAW,'IS'NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE!STATE LAW,HAS BEEN PROPERLY
DESCRIBED CLASSIFIED AND'IPACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.,
GENERATOR.AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT_ 'CO.
x
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NOISTATE:
(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 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 ":TICKET•r"
SOUTHOLD TOWN DEPT SOLID WASTE 00 01824809 Dan
PO Box 962/6155 Cox Lane -
CUtChOgUe, NY 11935 f,'",DATE,IN DATE OUT °$IMEIN, TIME OUT ' VEHICCEY;,'„ ROCL OFF`-` -
08/22/2 08/22/2 08:3 08:3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 78920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 42380 LB
.' ,QTY'; 'UNIT ..-, :•DESCRIPTION",".:: „'•:
a,,.- ,,,, .,
RATE��?�,�, , -EXTENSIONS ,•FEE'. d; .� �• TOTAC�.-".,;•..
21.19 OUTGO.MSW 0.000 0.00 0.00 0.0E
Aj
Operating hours 7:00 AM to 5:00 PM 7 days, ayweek`7:. ,� "...�•�•�,+a4,t ,(j 0.0E
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 v- INDEPENDENCE„ -,,,TENDERED
u �r ie CpU q�
DAY `cY?.• v Nil'.J
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01.824809 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE INS,`- 'DATE OUT"; ;TIME IN' TIME OUT -, --VEHICLE-y`')r ;-ei:�',flOCI OFF' ;
9316 Town of Babylon
CALE 2 GROSS WT 78920 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 42380 LB
UNIT-` ,-?DESCRIPTION.;,' "; RATE 4 EXTENSION 'FEE .TOTAL
21.19 OUTGO.MSW 0.010 0.00 0.00 0.02
..- i._
Operating hours 7:00 AM to 5:00 PM 7 days a,Week `,-`" =',•`r *'t�.' �
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4\j INDEPENDENCE—*;,,4;>y
DAY
E
mrAlen Inc
p V '
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - ` 0 4 0 2
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FORREFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO ORMATERIAL$
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS,
COMPANY:, - ` ' ' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR'PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY,APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: - LICENSE,NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE),
DESTINATION
DISPOSAL!LOCATIOW DATE DELIVERED`
ADDRESS:
HEREBY CERTIFY THAT THE,ABOVE MATERIAL,HAS BEEN ACCEPTED AND`TO THE,BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
,RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
,PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET
SOUTHOLD" TOWN DEPT SOLID WASTE 001 01825080 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
08/23/23 08/23/23 08:25 08:25 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 69060 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35080 LB
17.54 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
DAY
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01825080 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
08/23/23 08/23/23 08:25 08:25 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 69060 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35080 LB
17.54 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, JULY 4 - INDEPENDENCE
DAY
TRINITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road. NO. ^ - 0 4 0 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 ANYLIABILITY ASSOCIATED WITH THE,SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YOS)'
BALES:(COUNT):
TRUCK WEIGHT:' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY4D CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IMPROPER 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:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW,
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUEAND ACCURATE:'
RECEIVED BY,
AUTHORIZED AGENT(PAINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TTox
SITE ',:•.TICKET-, •", GRID.i„ ; ti,WEIGHMASTEICATE TICKETHOLD TOWN DEPT SOLID WASTE 0 1 01825299 Liz H
962/6155 Cox Lane
CUtCF10gUe, NY 11935 'i4DATE IN;, 'DATE OUT„` ,TIMEIN.,TIMEOUT VEHICLE 'm ".• ROLL OFF
08/24/ 08/24/ 3 07: 0 07: 0 11112TC
9316 Town of Babylon 3
REFERENCE ORIGIN
SCALE 2 GROSS WT 80420 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 41280 LB
OTY.` UNIT;w:.:, 'DESCRIPTION.`;",";,S'i RATE. ' EXTENSION-• -'FEE,_" '. TOTAL- -
20.64 OUTGO.MSW 0.00 @.BE 0.00 0.0E
J' <
Operating hours 7:00 AM to 5:00 PM 7 days 'a=week:.: • :''M'' , •J' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, DULYINDEPENDENCE t:'„„�"'�' .`d "TENDERED
DAY
CHECK NO�
SIGNATURE
DUPLICATE TICKET .SITE ,.^ TICKET "•`GRID". .,WEIGHMASTER;•'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01825299 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 ;DATEIN4 'DATE'OUT;'`t TIME'IN'SIME OUT ` :; VEHICLE{ '':'; ROCLOFF"`..
9316 Town of Babylon
CALE 2 GROSS WT 80420 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 41280 LB
CITY. :UNIT ;Y' DESCRIPTION : ",1'd RATE EXTENSION _ -- FEE -•':' ^ ',',.TOTAL
20.64 • OUTGO.MSW 0.000 0.00 0.00 0.oe
i ✓t"
Operating hours 7:00 AM to 5:00 PM 7 days a week: '
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 '- INDEPENDENCE
DAY �.y': „ `.'a TENDERED >
:
e,nueTn,oc
F
RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road C. - - 0 2 2 4
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION,OR'TITLE'OF 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 WEIGHTe GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED RY 40 CFR'PART 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFRPART 261 OR ANYAPPLICABLE 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. _
rS1TE ' '';TICKET° '" *+;:'i'GRID'�",`. '• . .•�-;^' :�,WEIGH MASfER,-
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01825359 Liz H
PO Box}962/6155 Cox Lane
,.
Lutchogue, NY 11935 ",DATE)N' DATEOUT'°: »tNION, 71MEOUT VEHICLES;•;'. ^} 'ROLLOFF `.
08/24/2 08/24/ 10: 1 10: 1 11112TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 84380 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 48180 LB
:..'UNIT' , r-:;'�.,;.; :i'';' DESCRIPTIONc ? RATE -"v EXTENSION .• " ` FEE'; ',.""- "TOTAL
24.09 OUTGO.MSW O.00E me 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days" a Iweek.- •��, "' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4` ,.INDSEP,ENDENCE, .'' hZ i�`• `;TENDERED
DAY
SIGNATURE
DUPLICATE TICKET SITE ,'TICKET r GRID`c n°'t ;,°WEIGHNIASTER ,a
SOUTHOLD TOWN DEPT SOLID WASTE 00 01825359 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 „',`DATE,IN;'_ '_DATE OUT jT�ME,IN�TIME OU7 °'�JVENICLE'ti.; L"'.'ROLL OFF,
9316 Town of Babylon
SCALE 2 GROSS WT 84380 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 48180 LB
OTY,"' ' UNIT- "+ ,DESCRIPTION ;!. >:r:r' "%°`• -` RATE' .EXTENSION, FEE i ;TOTAL ',
24.09 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, ]ULY 4r'- INDIEPENDENCE' '� _(,•� , ��'
DAY -4 TENDERE
.(:ypai 4tib ,i,
CHE
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
244 Blydenburgh. Road - 0227
Islandia, NY 11749 NO"
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS'
BEING,SHIPPED AND DOES NOT ASSUME ANY,LIABILITY ASSOCIATED WITH`THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:'
COMMODITY SHIPPED:'
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED'MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATELAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE',REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO., LICENSE NO/STATE:
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) ^' SIIGNATUREIDATE
KEY: WHITE TO DISPOSAL,LOCATION
GREEN TO'TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO'GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
.,DVPLkATE TICKET (SITE1 TICKET, I ';WEIGHMASTER;"' -
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01825309 Liz H
PO Box 962/6155 Cox Lane -
CutchOgUe, NY 11935 .r,;-DATE IN 'DATEOUT, �;TIME'IN TIMEOUT -y VEHICLE1. 1.+ Foci.OFF
08/24/ 08/24/ 3 08: 1 08': 1 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 88220 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 51460 LB
• QTY., • . UNIT" DESCRIPTION'r%" 1 - RATE.. ^ '' EXTENSION FEE _' ;`,TOTAL
25.73 OUTGO.MSW O.00E O.OE 0.00 0.0e
fi'• �iY. srde'rf.,
Operating hours 7:00 AM to 5:00 PM 7 da�s a weeks �• '� • 0.0e
P g y � Y . : r
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4"'?a INDEPENDENCE„,� ' ..jf{.� TENDERED
DAY
'CHECK
SIGNATURE
DUPLICATE TICKET _SITE TICKET, 'I GRID^ - ' �,.WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 00 01821109 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 <: - -
',;1�6ATE-tN.,'. ��DATE OUT}� -TIM,E IN: TIME OUT �'-.`:VEHICLE.".ip;` �.;,,,`AOLL OFFt_.-,
9316 Town of Babylon
�.
SCALE 2 GROSS WT 88220 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 51460 LB
QTY. UNIT ,DESCRIPTION "RATE EXTENSION - FEE .,: . TOTAL
25.73 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 - '<+1ENDERED:
G
+= HE
mr_uen Inc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 4 0 6
Islandh% 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 ODES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT or 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 CFRPART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS'IN PROPER CONDITION FOR'TRANSPORTATION ACCORDING TOAPPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER,
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
LHEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE',LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW'.
DRIVER_:
(PRINT NAME) (SIGNATURE),
DESTINATION'
DISPOSAL LOCATION: DATE DELIVERED::
ADDRESS:,
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL,HAS BEEN ACCEPTED AND TO'THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEYr 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'; PjWEIGHMABTER';•
r SOUTWOLD TOWN DEPT SOLID WASTE 0 1 01825388 Liz H
PO Box 962/6155 Cox Lane
CutChOgUe, NY 11935 ,'DATE IN;, 1 DATEOUT: ' ;TIME IN TIME OUTI VEHICLE :;.i - ROLL OFFS '
08/24/ 08/24/ 3 11:1
6 11: 6 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 65820 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 29280 LB
..4TY. UNIT DESCRIPTION.'•'„ RATE "EXTENSION. . " FEE, " "TOTAL
14.64 OUTGO.MSW 0.00 O.OE 0.00 0.0e
ni a _vi t1
Operating hours 7:00 AM to 5:00 PM 7 days a,-weeki' - �- V '- �% 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4�!,IN0EPENDENCE n .y'A* ,{:'- TENDERED :..
DAY ., }} ' 7F+,?, �, \.�r : I:
�.i..� t+ tj1"., fir i
CHECK
SIGNATURE
DUPLICATE TICKET "SITE : TICKET„ `.n :.; "'i GRIDq;,' ' . WEIGHMASTER' "
SOUTHOLD TOWN DEPT SOLID WASTE 0 01825388 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 pgTE IN` DATE OUT a"TIMEI,N TIMEOUT _VEHICLE'-^�"^, �,RCLL OFF",
9316 Town of Babylon
CALE 2 GROSS WT 65820 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 29280 LB
OTY'. ,. ' UNIT. ! '. ` : DESCRIPTION ,.,:° ,' -,^• - RATE• ' EXTENSION-- "'FEE' .,t. .;' 'TOTAL- ."
14.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
-
01
+
r q„
hl ' `mil
f"
Operating hours 7:00 AM to 5:00 PM 7 days a�,.week: . . .
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4-,- INDEPENDENCE -
DAY 3 '.9 ..
* -TENDERED-
E
-g1nMATI1RP
„ .TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0407
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 4D CFR PART 260.10 OR ANY
APPLICABLE'STATE LAW„IS NOT HAZARDOUS WASTE.AS DEFINED BY 40 CFR P,ART261 OR ANY APPLICABLE STATE LAW,HASBEEN 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:
HEREBY CERTIFY THAT THE,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYKNO WLEDGE THE INFORMATION PROVIDED
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 0 01825600 Liz H
Pd Bbt 59\\6'22/6155 Cox Lane
Cutchogue, NY 11935 • .'DATEIN, , •OATEOUT, T1MEIN1TI.rou4. "VEHICLE.; `b „„pROLLOFF
08/25/2 08/25/2 12:0 12:0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 80340 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 41200 LB
OTY. - UNIT':'% 'du i."+ .-DESCRIPTION:+„v' M`, a,,' :RATE • 'EXTENSION„ `FEE ". '..: TOTAL
20.60 OUTGO.MSW 0.000 0.00 0.00 0.0e
ANUM
Operating hours 7:00 AM to 5:00 PM 7 days at week-..,', 0.Be
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 43 INDEPENDENCE' ry`F`{.1",i` Plf� ', TENDERED '
DAY 1%111
.0p" , r
�:...-
r
• E
SIGNATURE
DUPLICATE TICKET ',SITE"p. TICKET``'-' - GRID.::' WEIGHMASTEB'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01825600 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
.DATEIN`"J"'DATE OUT jlbk IN TIMEOUT f.;c•VEHICLE� '" .':. r1ROLLOFF.-
9316 Town of Babylon
ORIGINREFERENCE
80340 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 41200 LB
�QTY. `UNIT'" ` ;°r( ' ")1'.; DESCRIPTION" a', ,RATE,.:" :EXTENSION,' -FEE , '* " ', ;TOTAL
20.60 OUTGO.MSW 0.000 0.00 0.00 0.08
66
A;
Operating hours 7:00 AM to 5:00 PM 7 daysa°^week;"-✓^`--- "� - `°J '•�
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4N INDEP,ENDENCE--•''+
DAY T. rb" 3�:'y(�� "." � 2,,%r'TENDERED
HE
mnmAn iov
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0409
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,ISNOT HAZARDOUS WASTE AS DEFINED BY d0 CFR PART,261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
'DESCRIBED.CLASSIFIED AND PACKAGED.AND ISIN PROPER CONDITION FORTRANSPORTATION 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.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.
PINKTO GENERATOR'
GOLD TO GENERATOR' DISPOSAL LOCATION TICKET NO..
DUPLICATE TICKET .SRE '.TICKET. "' ";.,<��;,,>GPoD'_:`':-" '+WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01825538 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, .TIMEYN'TIME OUT, _:;VEHICLE .' ' " .',.ROLL OFF.
08/25/2 08/25/2 08: 08:2 11100TC
9316 Town of Babylon
REFERENCE
ORIGIN
SCALE 2 GROSS WT 80800 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 44860 LB
OTY, ',UNIT" :".". . . '''DESCRIPTION, .�".:�:�,?i.^.,�'' - '. RATE, ,EXTENSION FEE.';. TOTAL,r,
22.43 OUTGO.MSW 0.000 0.00 0.00 0:00
Ot
Operating hours 7:00 AM to 5:00 PM 7 days 'a:.week:�� �- 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY IULY 4°= 'INDEPENDENCE✓ i ��
DAY L 9'�e pg to i RY i,e i.'r -TENDERED"
a�
N
SIGNATURE
DUPLICATE TICKET ;SATE >,' 71CKET 'Z' ' ""',, r GRID; � *EIGHM,ASTER•,,,,
SOUTHOLD TOWN DEPT SOLID WASTE Out 0 8255381 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 •- , - - -
i 'D E"I `' : DATE OUT".' '17MEIN TIMEOUT .VEHIOLE Ir' ", ROLL OFF
9316 Town of Babylon
T30800 LB Out boN r7ic et
MANUAL TARE WT 35940 LB
NET WEIGHT 44860 LB
."QTY. , UJNR�s" DESCRIPTION 'RATE" „ ;EXTENSION FEE.' ;:r: 1 . TOTAL
22.43 � OUTGO.MSW 0.000 0.00 0.00 0.00
P
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4W7 INDEPENDENCE.
DAY '., ;,,TENDERED.
E
TRINITY TRANSPORTATION CORPORATION
t 14 Blydenburgh Road NO. - - 0 4 0 8
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 NOTASSUME 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
APPLICABLESTATE'lAW.IS NOT HAZARDOUS WASTEAS'DEFINED BY 40 CFR PART,261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE'NOISTATE:
TRAILER NO. LICENSE NOISTATE':
1 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 BEENACCEPTED AND TO THE,BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO'TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET' I GRID I ,WEIGHMAsTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01825680 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'y DATE IN DATE OUT TIME IN, TIME OUT - VEHICLE. '. ROLL OFF
08/26/2 08/26/2 07:2 07:2 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 79660 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 43720 LB
.,OTY. UNIT, ' DESCRIPTION RATE EXTENSION FEE " ;TOTAL
21.86 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days `a&eek:� ' / @,;�-a. '� 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY
DAY INDEPEJN/DJE)N�C E1y 4 +� TENDERED
t �UUN ,t�
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET ;SITE TICKET `, GRIDS WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01825680 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ^,DATE IN DATEZOUT TIME.IN TIMEOUT VEHICLE "'�ROLLOFF
9316 Town of Babylon
GROS WT 79660 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 43720 LB
OTY., UNIT DESCRIPTION RATE EXTENSION ' FEE TOTAL
21.86 OUTGO.MSW 0.000 0.00 0.00 0.00
�I�F solj,,
Operating hours 7:00 AM to 5:00 PM 7 days a'3week .,•:y;:`,,� .��'' ��
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4DAY �- I CDEPENDENCE.-/ 3 :TENDERED
CHANGE
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 0287
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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE,GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) _ (SIGNATURE),
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS'SEEN 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
•- Y_(„OW TO TRANSPORTER,
O_GENERATOR
�YYO;GENERATOR' DISPOSAL LOCATION TICKET N0.
DUPLICATE TICKET ,SR'E `.` ,-•TICKET•..^'sr ;,a •{; GRID- ` - 'A•WEIGHMASTER
SOUTH(jLD TOWN DEPT SOLID WASTE 00 01826276 Liz H
PO Box 962/6155 Cox Lane _
Cut Chogue, NY 11935 ;;,'DATE IN DATE OUT', ',TIME,IN TIMEOUT - _ VEHICLE;,`-" ".:..'"ROLLOFF -
r 08/28/2 08/28/2 •��12:2 12:2 11100TC
9316 Town of Babylon
MANUAL GROSS WT 75440 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38680 LB
:.QTY. ` . UNIT',',— :DESCRIPTIONS: `" •,RATE;:.•"';, • ':E)(TENSION ,FEE',; .°. .: ;.TOTAL
19.34 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days arweek.,,,- �-_y i ,� + a+ 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY INDEPENDENCE-v C.l `'TENDERED .
DAY
_ n
SIGNATURE
DUPLICATE TICKET SITE '..-^.',TICKEf' '
SOUTHOLD TOWN DEPT SOLID WASTE 001 018262761 °Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 '
I :DATE OUT:'° ,TIMEIN• TIME OUT ';.cVEH OFF',
9316 Town of Babylon
REFERENCE ORIGIN
Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38680 LB'
-QTY.' ": UNIT<'.,' .>'; .;•.mp:, "DESCRIPTION') :.', t RATE ''r".," EXTENSIONt' °..:FEE, ;;'.;l '.TOTAL`,
29.34 OUTGO.MSW 0.000 0.00 0.00 0.0e
t' r;
Operating hours 7:00 AM to 5:00 PM 7 days -,,.,
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4t�a INDEPENDENCE-�- r�� -I °
y, { ,TENDERED,
-
DAY (f�}:
c.r_s.nn°ov
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0411
Islandia, NY 11749 NO'
(631) 342-9673
THIS MANIFESTOS 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:
r
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHP 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 ANYAPPLICABLE STATE'LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED,AND PACKAGED,AND,)S.IN PROPER CONDITION.FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,LISTED ABOVE,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL.LOCATION: DATE'DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT,THE ABOVE',MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE'THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK'TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION.TICkETNO.,
DUPL-TCATE TICKET ,SRE ....TICKET• " _.'.j:. GRID'•y ''- " :�VEIGHMA5TER"�I
'EdUYHOLTCD TOWN DEPT SOLID WASTE 00 01826179 Liz H
PO Box 962/6155 Cox Lane - -
CUtChOgUe, NY 11935 ,DATE'IN DATE OUT. ;,TIME IN; TIMEOUT i;'; ,VEHICLE[ p; •'< ROLL OFF,•;
08/28/2 08/28/2 08:4 08:4 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73600 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 36800 LB
.,' QTY.' `UNIT•?Q•; *',1,' i'x,'DESCRIPTION'•�` ., .7•••;., .•RATE,"•i.",` '•,•. ,EXTENSION "FEE. ..; TTOTAL'0-
18.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
V
J ¢
�f. y
{( i
'�5 fW 1^ � 'TM.iY II .D key.•"' .�\
Operating hours 7:00 AM to 5:00 PM 7 da�,s SCQeek-:^ '•^':-'y�4i .{"�"t 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 INDEPEN6}}ENC3E ��,,�"� ,�-(�" "'TENDERED.•-- -
DAY �'"�'. >,ri.r 1,�` •, ��`�..r..Y
,GY
N
SIGNATURE
DUPLICATE TICKET ,^SITE `TICKET,',.; : ;;x:' GRID •^' " , MIGHMASTER:
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826179 Liz H
PO Box 962/6155 Cox Lane
Cutcho ue NY 11935 " " ' 1•^°
g + -D#E'N-:; 'DATE OUT., ';TIME IN TIME OUT *ROLLOFF'a';`
9316 Town of Babylon
CALE 2 GROSS WT 73600 LB Outbound Ticket
MANUAL TARE WT 36800 LB
NET WEIGHT 36800 LB
CITY. UNIT DESCRIPTION :I :V"' . 'RATE' „ r • ,,., EXTENSION, FEE. „,..; -': TOTAL,
18.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
ry l pF
,-4 Z�
A f 1PL '
,t
Operating hours 7:00 AM to 5:00 PM 7 days aPweek:`r.••+. ..
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4� INDEP,ENDENCE-• '` � .i:�,P�
DAY %��df .I.n., :f'.f9d'yl it.w ytY� :`.•TENDERED-..-
ar_nlnnn roe
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ - 0 410
Islandia, NY 11749 NO'
(631) 342-9673
THIS MANIFESTIS FOR REFERENCE PURPOSESONLY.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 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(PRINT NAME) ,(SIGNATURE)
TRANSPORTER
TRANSPORTATIOW/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE,NOISTATE:
I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW,
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:,
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OFMY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN'TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPL*GATE TICKET ,SITE ^ "•TIOKET' `,; GRID - ``'r, WEIGNMASTEF:
SOUTMOLD 70WN DEPT SOLID WASTE 00 01826534 Dan
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 a,DATE IN, DATE OUT°a' ,TIME4N, TIME OUT, VEHICLE'";,"';,'," ,ROLLOFF
08/29/2 08/29/2 12:2 12:2 11100TC
9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 84960 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 48200 LB
oiQTY.- UNIT. v'. "";A', 'DESCRIPTION}, 1;,,''" - ^RAT&',r;. t ;EXTENSION - FEE` `i` TOTAL
24.10 OUTGO.MSW , 0.000 0.00 0.00 0.0e
✓a:,"r i
0 f
Operating hours 7:00 AM to 5:00 PM 7 days 'a,week:r.'
DAY
SED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 ` INDEENDEN}CE�p :TENDERED
E
SIGNATURE
1
DUPLICATE TICKET :SITE ' '- .TICKET '�., , P.i•;+GRID . - _ WEIGHMASTER a, "
SOUTHOLD TOWN DEPT SOLID WASTE 018265341 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ';:'bA E N-'. .'DATE'OLIL�'. .tfi1ME IN% TIMEOUT VEHICLE"„'.`a +�,"ROLL OFF°
9316 Town of Babylon
ANUAL GROSS WT 84960 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 48200 LB
y. 'DESCRIPTION °;+" _" ,RATE' S .. »,EXTENSION FEE ,-,TOTAL.
24.10 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days 'vweek; -
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'-y INDEPENDENCE
DAY
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N0.- 0413
Isl'andia, 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 OFSUCH.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,JS NOT HAZARDOUS WASTE AS DEFINED BY 80 CFR PART261 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:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,LISTED ABOVE,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED'BELOW'.
DRIVER_ : `
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE,MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) ,SIGNATUREID'ATE
KEY: WHITE TO%DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW'TO'TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLI�1TE TICKET ,SITE TICKET';.''. '',,: :.''GPoD,`..>,'`- ';� ;,'WEIGHMASTER.1 ...•
kjTHOLD TOWN DEPT SOLID WASTE 00 01826441 Dan
PO Box 962/6155 Cox Lane -
CUtchOgUe, NY 11935 :`,DATE IN,•��','DATE OUT';' TIMEIN'TIMEOUT ��VEHICLE�",' ?�, ROLL:OFF,
08/29/2 08/29/2 08: 08:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 80580 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 43760 LB
OTY.'...•`, UNIT:,•r::.,,.+:7�Y."::':5 ."`. • DESCRIPTION;a i". ";;::' : .;;RATE'. . ::;, :; EXTENSION, ' ",FEE,"1; .,,.TOTAL,'
21.88 OUTGO.MSW 0.000 0.00 0.00 0.0e
v
(/4
tip P✓5� �`�'.,�\'*:,;..,:�' ~r � �J
Operating hours 7:00 AM to 5:00 PM 7 days a, week.^,.�.__,�' 0.0E
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY 4 �INDEPENDENCE, , Fy `a -'-'TENDERED'
DAY
SIGNATURE
DUPLICATE TICKET _SITE TICKET"? ;, ':•; ,; '¢RID '' WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826441 Dan
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 V? DATE IN.,, ;DATE OUT" 11OUT.; TIME1k TIME O ; .-VEHICLE:?;`?;; ROLL:OFF.,
9316 Town of Babylon
CALE 2 GROSS WT 80580 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 43760 LB
"i OTY, UNIT '• ':""', " .'DESCRIPTION:' • :;;'.a +';' •` ..RATE' :' 'EXTENSION'.:' .,':FEE ,. TOTAL 21.88 OUTGO.MSW 0.000 0.00 0.00 0.Be
Operating hours 7:00 AM to 5:00 PM 7 days a'eek--z—"*." r y°,°x •�1
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'�,INDEP.ENDENCE—'
DAY .x •x,: .gaP,.;-TV
SIGNATURE
MNTTY'TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - - 0 412
Islandia, NY 11749
(631) 342-9673
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:
LOOSEN (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 CFFI 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:
THEREBY 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 AND70 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 ;,TICICEr,°'; u'�;.��,v,GRID � '.-. 00GHMASTEB +'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826665 Will
PO Sox 962/6155 Cox Lane
CUtChOgUe, NY 11935 ;F2DATE14 DATE OUT-' TIMEIN TIMEOUT . :VEHICLE'"r; i •'` ROLLOFF
08/30/2 08/30/2 08:0 08:0 11112TC
9316 Town of Babylon -
ORIGINREFERENCE
MANUAL GROSS WT 83140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 46600 LB
^^,QTY. .,UNIT r, 'DESCRIPTION'',,'"'fi':"✓ � -- :. RATE.:; -EXTENSION '. s .FEE.,, ^. 'r ,TO:IAL23.3
OUTGO.MSW 0.000 0.00 0.00 0.0e
kf
Operating hours 7:00 AM to 5:00 PM 7 days 'a�week': "—r:' ., '`. !"l 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4i- 'INDEPEyNDENCE�� '.r7ENDERED `..-.
DAY �' C.1s�" :'i: 4 'Eg'r.��
_ra:l
E O.
SIGNATURE
DUPLICATE TICKET SITE �TlCkET' `''-, '''•'GRId �WEIGHMASTEfi:',`., '
SOUTHOLD TOWN DEPT SOLID WASTE 51 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - -
".FDA E IN'' -.DATE OUT' !In"
;:;
9316 Town of Babylon
ORIGINREFERENCE
GROSSANUAL 83140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 46600 LB
';""OTY,'` UNIT. " r DESCRIPTION•o:^•dr - EXTENSION FEE e;,` TOTAL j_
-.�-RATE",,..,,,' -.
23.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
77*
��� Qw Str•I �� �I
Operating hours 7:00 AM to 5:00 PM 7 days`a eek'� ?..° �'—�,% ` '-,°_J' „�•�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,7 INDEPENDENCE.-
DAY e.�_'ti d, ,9,,; ,,,t *!:. ,{}' 'lTENDERED -
MNITY TRANSPORTATION CORPORATION
.214 Blydenburgh Road No. - - 0 2 8 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': 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 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 NOISTATE:
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 rsn-Ej TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826710 Will
PO Bo*c 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIMEdN TIMEOUT VEHICLE ROLL OFF
08/30/2 08/30/2 11:1 11:1 11112TC
9316 Town of Babylon
MANUAL GROSS WT 81360 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 47380 LB
CITY._ - UNIT I I ,DESCRIPTION RATE , `EXTENSION FEE TOTAL
23.69 OUTGO.MSW 0.000 0.00 0.00 0.0e
a �
too
I
r � o
Operating hours 7:00 AM to 5:00 PM 7 da� a week:. --�/'� " 1 Foe
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4`t_INDE 4 NDENCE 1� TENDERED
DAY
`�UUMPl, f
SIGNATURE
DUPLICATE TICKET SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826710 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;'DATE IN, DATE OUT TIME IN.TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
ANUAL GROSS WT 81360 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 47380 LB
CITY. UNIT DESCRIPTION RATE . EXTENSION FEE TOTAL
23.69 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a4week.`�--, ,;--'.,;7 t' L • .
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY INDEPENDENCE--- V
DAY c.� "'i`i f'`.�'u+`p`T��•ud 4�:" •a•i i TENDERED.
� + L
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh Road 0279
Islandia, NY 11749 NQ"
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGOOR 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 KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND.ACCURAT£:
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.
.;,..:x,. GRID-i
DUPLICATE TICKET SR'E TICKET.' `^i .,!N/EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01826837 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 �71,DATEIN', ;DATEOUT;` rTIME,IN,TIMEOUT 'VEHICLE•,1,` ROLL'OFF
08/31/2 08/31/2 08:2 08:2 11100TC
9316 Town of Babylon
MANUAL GROSS WT 84100 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46680 LB
"OTY.. , ,' UNIT Z.;, ,S'p;n 3` ; '^r; =•x DESCRIPTION RATE,, "�,'EX7ENSION' ° '• -FEE:: :`:TOTAL"'. . .
23.34 OUTGO.MSW 0.000 0.00 0.00 me
rf,rQ
,DIY °'•«A yt Pi+ `7'ti. °.t'w} el
S r�ry ,,� tr. j§• 1 M � Y
Operating hours 7:00 AM to 5:00 PM 7 days 'a,week?^` °-^'.� `.1 � ,� 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4,� INDE'PENDENCE t ,a ,;Jf TENDERED
DAY `^c^r:+-. %�1�,�';`� { ': ,• ,r.('i.1'
SIGNATURE
DUPLICATE TICKET ,BITE TICKET, �_ ^'I "'GRID ,,",` . -- •�" VJEIGHMASTER^:, +`
SOUTHOLD TOWN DEPT SOLID WASTE out 0 826837-1 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DA EIN ' ;DATE OUT; 1,TIME IN TIME OUT - VEHICLE OLI OFF',
9316 Town of Babylon
ANUAL GROSS WT 84100 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 46680 LB
-'QTY." 'OMIT;' °',.v : DESCRIPTION'IL ' ''s;r - RATE EXTENSION , - `-FEE,,_ F; „'TOTAL`
23.34 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a:week."a.°'-�„`--"
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�'-1 INDEPENDENCE,,
DAY �'8'' , / -,,TENDERED -
t._b�i�t0,v
TtUNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 414
Islandia, NY 1174.9
(631) 342-9673
THIS MANIFESTO FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR.MATERIALS
,BEING SHIPPED.AND,DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PR1NT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 HERESY 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(PRIN.T 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 TICKETS11E .TICKET "'GRID; ,,'; '�':;WEIGHMASTER" :; °`
SOUTHOLD TOWN DEPT SOLID WASTE 0 01826903 Liz H
PO Box P62/6155 Cox Lane
Cut<hogue, NY 11935 ^DA7EdN„ " GATE OUT `;TIMEIN`TIME OUT VEHICLE;'2', .i- °'.ROLL OFF:
08/31/2 08/31/2 12: 12:0 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 87060 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 50240 LB
QTY." UNIT :" i 1'2P" . •DESCRIPTION x,';'}4 .RATE ":EXTENSION'. "`FEEL';4 :aU° TOTAL
25.12 OUTGO.MSW 0.000 0.00 0.00 0.00
vrir,..✓ -,,
��},��' `f e., f!^,..•"\.-}a� \4 tea, ,
M1'
Operating hours 7:00 AM to 5:00 PM 7 days 'a,week.w '""'•;,,f'r�i's 'p 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'�- INDEPE��NCEE.�4 ;'I-�I',r(� <-TENDEREDDAv
'-Z CHANGE
SIGNATURE
DUPLICATE TICKET 'SITE ;.;';:rlcKEr .:,: a� ;', ofllD?,""' WgIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 00 011126903 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEM .'DATE OUTw ''',,TIMEIN' TIMEOUT < ;VEHICLE;;.':, ,-;,�ROLLOFF.
9316 Town of Babylon
o•
ANUAL GROSS WT 87060 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 50240 LB
.` ,QT,., - `UNIT •' 'DESCRIPTION :. RATE, •EXTENSION- I,FEE";":, >.- , TOTAL "
25.12 OUTGO.MSW 0.000 0.00 0.00 '0.0e
Operating hours 7:00 AM to 5:00 PM 7 days�a week:-, »::"'' a�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4' INDEPEADENCE -",LOB +
DAY ,,ie✓ �j. a F:a ;>.TENDERED:"•."`
a
_ >
t'n.-�' CHANGE,
mr_ueT„cc
TRINITY TRANSPORTATION"CORPORATION
2,14 Blydenburgh 'Road 0 415
N6.
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 266.10 OR ANY
APPLICABLE STATELAW,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 ANOTO THE BEST OFMY 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
GOLWTO GENERATOR DISPOSAL LOCATION TICKET NO.