HomeMy WebLinkAbout10/2023 DUPLICATE TICKET SRE I TICKET I GRID WEIGHMASTER
'�-,OUTHOLD TOWN DEPT SOLID WASTE 00 01833302 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' DATE OUT TIMEIN TIMEOUT VEHICLE ;ROLL OFF
I
9316 Town of Babylon
ORIGIN
MANUAL GROSS WT 76200 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39440 LB
CITY. UNIT DESCRIPTION - RATE . EXTENSION --FEE TOTAL
19.72 OUTGO.MSW 0.00e O.OE 0.00 0.0e
a SOU)y
�cc
®
Operating hours 7:00 AM to 5:00 PM 7 days a'�Week•.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 It�D�PNDEGv`b - TENDERED
DAY tt!!J!7)((LL bb
= GRAN E
CHECK
SIGNATURE
DUPLICATE TICKET SITE ' TICKET., ' ' GRID -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
JUKDjV TI I' IM i--ROLL OFF
9316 Town of Babylon
MANUAL TARE WT 36760 LB
NET WEIGHT 39440 LB
_ OTY.-_ UNIT .., - - DESCRIPTION - ,RATE EXTENSION - '=FEE;
`TOTAL
.0
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY INDEPENDENCE
DAY <�/Z®e TENDERED
CH
ANGE
CHECK
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 4 6 2
Islandia, NY 11749 NO,
(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 YOS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE,
NET
I HEREBY CERTIFY THAT TI4E 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:
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 P-ROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01833378 Will
,PO Box 962/6155 Cox Lane
r utchogue, NY 11935 DATE IN DATE OUT TIMEIN TIMEOUT VEHICLE ROL OFF
10/02/2 10/02/ 11: 1 11:1
1 11100TC
9316 Town of Babylon
REFERENCE ORIGIN ANUAL GROSS WT 86700 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 49280 LB
O7Y.-; '.UNIT' DESCRIPTION• ,RATE, tE)TENSION `°FEES :_TOTAL •
24.64 OUTGO.MSW 0.OOE O.OE 0.00 0.0
ov
j
Operating hours 7:00 AM to 5:00 PM 7 da s aCwee```,�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDE DEN E, > TENDERED • "
DAY
CHECK
NGE
NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET. =." GRID WEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 0 01833378 Wi
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - - -
DATEIN DATE OUT TIMEIN TIME OUT VEHICLE ROLC OFF
9316 Town of Babylon
ORIGINREFERENCE
ANUAL GROSS WT 86700 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 49280 LB
OTY_' UNIT' _ _ DESCRIPTION RATE EXTENSION "FEE --TOTAL
24.64 OUTGO.MSW 0.0012 0.Fe 0.00 0.0c
Souj
_ )t-QE
Operating hours 7:00 AM to 5:00 PM 7 days a!*eek`-�
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDENC-E
DAY �� �I'C]� TENDERED
CHANGE
((JJCHNO
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0463
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES'WOT 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,Z61 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 LISTEDBELOW,
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(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 _ TCKEi GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 11 01833555 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 '-DATE IN - I)ATEbUT I TIMEIN TIMEOUT VEHICLE' I ROLLOFF
10/03/ 10/03/ 3 08: 1 08: 1 11100TC
9316 - Town of Babylon
SCALE 2 GROSS WT 78380 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 42440 LB
'CITY. 'UNIT DESCRIPTION .RATE - EXTENSION .--FEE, .TOTAL
21.22 OUTGO.MSW 0.0012 6.012 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days meek. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 NDEPE gN�D� ,CyEy.1' ' TENDERED
�d ---
DAY ` UWt
C A GE
CHECK
SIGNATURE
DUPLICATE TICKET SITE .' •TICKET'-- -. GRID YVEIGHMASTER".
SOUTHOLD TOWN DEPT SOLID WASTE 00 01813555 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 %DATEA " DATE-OUT. TIMEIN TIMEOUT `VEHICLE +, =ROLL'OFF -
9316 Town of Babylon
SCALE 2 GROSS WT 78380 LB Outbound Ticket
MANUAL TAREWT 35940 LB
NET WEIGHT 42440 LB
" --,CITY. UNIT - DESCRIPRON 'RATE',-' EXTENSION ° - FEE °._TOTAL
21.22 OUTGO.MSW 0.000 0.00 0.00 0.0e
01
Operating hours 7:00 AM to 5:00 PM 7 da s a weelr .`v�
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 1 INOEPENDEEN�CgE- TENDERED
DAY ry
CHANGE
QHErK NO,
RI[:NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 4 6 4
Islandia, NY 11749 ND.
(631),s342-9673
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 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: _
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 ACCEPT.EDAND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS'TRUE AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEN: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET (`Sn-Ej TICKET I GRID WEIGHMASTER '
-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833613 Steph
PO Box 962/6155 Cox Lane -
CUtchOgUe, NY 11935 '_'DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
10/03/2 10/03/2 11:5 11:5 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 84280 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 47740 LB
CITY. UNff� - 'DESCRIPTION "RATE- EXTENSION -'FEE =TOTAL
23.87 OUTGO.MSW 0.0013 0.00 0.00 6.0e
S00
Operating hours 7:00 AM to 5:00 PM 7 days ia44wee`k`'�:� -.� ,!.```a` 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4� INDEPENDENCE DAY TENDERED..
GU�9�+ �\V
CHANGE
C EC
SIGNATURE
DUPLICATE TICKET SIfE TICKET _ '=.GRID., ';`'WEIGHMASTEk�
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833613 Steph
PO Box 962/6155 Cox Lane
CUtchogUe, NY 11935 DATE IN •DATE OUT TIMEIN, TIME OUT "VEHICLE _ `.,ROLLOFF
9316 Town of Babylon
4,Lei ORIGIN
CALE 2 GROSS WT 84280 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 47740 LB
. - 't•CITY ' '-UNIT°" � - ^'- DESCRIPTION RATE-. EXTENSION �'`FEE-. -'TOTAL
23.87 OUTGO.MSW 0.000 0.00 0.00 0.0e
ou j
Operating hours 7:00 AM to 5:00 PM 7 days a w4k,��'----,///
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'- INDEPEN j
/Dy[EjNGE_✓ TENDERED
DAY :O/V,�j
L CH
HE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road _ 0465
Islandia, NY 11749 No.
`631,) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE (CU'YDS)
BALES:.(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY
APPLICABLE 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
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO�DISPOSAL LOCATION
GREEN TO'TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TOGENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET `STfE • TICKET ,- GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833899 Steph
PO Box 962/6155 Cox Lane ,
CUYChogue, NY 11935 >`'DATE IN SDATEOUT 71MEIN -firkoUi •'' VEHICLE
10/04/2 10/04/2 12:4 12:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 77380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40620 LB
QTY.'-r3'. 'EUNIV'' -'_.; DESCflIPUOM %i;">:4::: +`;a.' ..RATE,,. .": EXTENSION;'i 't.>FEEL ; •.;-,'-TOTAL`.'
20.31 OUTGO.MSW 0.000 0.00 0.00 0.0¢
�4! per. vs �/6 }(//,•s� {� �1✓di ��
1
_ tt ice,
'
f t "
Operating hours 7:00 AM to 5:00 PM 7 days a week:e..,'; 'a
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4rt;, INDEPENDENCE e ._sTENOERED:.='
DAY +.s Up r~
C ANG -
SIGNATURE
DUPLICATE TICKET "SfTE >TICKET,<_ ,- ;''`'.GfiID'5'�•..' -- �•-:Vd_E_IGHMASTER`-:';=-°-`
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833899 Steph
PO Box 962/6155 Cox Lane
Cut Chogue, NY 11935 �;r DATE IN ': 'DATE OUT ^TIMEIN"TIMEOUT VEHICLE.;, ',
9316 Town of Babylon
CALE 2 GROSS WT 77380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40620 LB
•'.-QTY.= 5-,- `-UNITS.= `.`.RATE ....EXTENSION.: FEE<- "- %.TOTAL; ..--,-
20.31 OUTGO.MSW 0.000 0.00 0.00 0.0¢
,� .y.'Z .---•_._, ski
)
Operating hours 7:00 AM to 5:00 PM 7 days a eek ",✓`f 4 )
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 INDEPENDENCE.--'/
DAY S6� ."ir � ++ , TENDERED '
�t zCHANGE
7. C
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0467
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST iS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP- DATE:'
COMMODITY SHIPPED:'
LOOSE:, (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE.NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOTHAZARDOUS 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:
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 TOTRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833805 Steph
PO Box 962/6155 Cox Lane -
Cutcho&je, NY 11935 DATEIN I DATE-OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
10/04/2 10/04/2 08: 08:5 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72660 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 33520 LB
CITY UNIT. . DESCRIPTION RATE ' - EXTENSION FEE' TOTAL
16.76 OUTGO.MSW 0.0012 0.012 0.00 0.0e
r
om�� SON y�
Operating hours 7:00 AM to 5:00 PM 7 days� week �'�e1� '� • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4' Z� IND>PE((Njj6'1ErNppCE� TENDERED
DAY
CHANGE
EC
SIGNATURE
DUPLICATE TICKET SITE TICKET- __ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01833805 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN, DATEOUT TIME IN.TIME OUT VEHICLE ROLLOFF= -'
9316 Town of Babylon
ORIGIN
CALE 2 GROSS WT 72660 LB Outbound Ticket
MANUAL TARE WT 39140 LB -
NET WEIGHT 33520 LB
CITY.': UNIT" DESCRIPTION: .. ' RATE: EXTENSION. =<-::EEE.? .TOTAL ,
16.76 OUTGO.MSW 0.000 0.00 0.00 0.0e
E SOUS
Operating hours 7:00 AM to 5:00 PM 7 da'Sjs'aeek: a`a, ,,�
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4~= IND*�ENDENCE TENDERED
DAY C®U��,�
CHANGE
C O. "
TRINITY TRANSPORTATION CORPORATION
2�4 Rlydenburgh Road - - 0 4 6 6
' Islandia, NY 11749 N°
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND'DOES'NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP'DATE:,
COMMODITY SHIPPED:
LOOSE; (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT:, _GROSS
TARE
NET
I HEREBY CERTIFY THAT'T14E,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 TOAPPL.ICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER'NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_: 11 1
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THEANFORMAT_ION,PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATUREOATE
KEY. WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
06LO TO GENERATOR DISPOSAL LOCATION TICKET NO..
'.� SITE TICKET GRID WEIGHMASTER
DUPLIC,'� TICKET - -
SOUTH(_", TOWN DEPT SOLID WASTE 00 01834029 Steph
PO 8�2 i2/6155 Cox Lane -
Cutr „ NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE- . ROLL OFF
10/05/2 10/05/2 08:3 08:3 11100TC
9316 Town of Babylon ORIGIN
SCALE 2 GROSS WT 77020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 41080 LB
OTY. UNIT "• DESCRIPTION - RATE EXTENSION FEEL TOTAL
20.54 OUTGO.MSW 0.000 0.00 0.00 0.08
fi I LT�:3
Ay
Operating hours 7:00 AM to 5:00 PM 7 days a week 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY Wk DE�NDbtIICE, 5 '•TENDERED
V IR9t 1 CHANGE-
E N
SIGNATURE
DUPLICATE TICKET srTE - TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01834029 Steph
PO Box 962/6155 Cox Lane
CUYChOgUe, NY 11935 RATE-IN DATE OUT TIME IN TIMEOUT "VEHICLE .ROLL OFF'
9316 Town of Babylon
77020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 41080 LB
CITY' ; - UNR.,_•'> _ ` DESCRIPTION' '. _ HP.TE- EXTENSION -_FEE'�-.; TOTAL -
20.54 OUTGO.MSW 0.000 0.00 0.00 0.02
JF S0(Jj �
h
Operating hours 7:00 AM to 5:00 PM 7'- da` s a4eek
CLOSED HOLIDAYS NEXT: TUESDAY, 7ULY 4 INDPENDENCE--�'
DAY TENDERED
CHANGE
:INITY TRANSPORTATION CORPORATION
Blydenburgh Road - - 0 4 6 8
slaindia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE': (CU YDS)
BALES:(COUNT):
TRUCK,WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL ,DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER'
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.. LICENSE NO/STATE:
l 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(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SRE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE OOL 01834010 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIMEOUT .VEHICLE _ROLLOFF
9316 Town of Babylon
i
SCALE 2 GROSS WT 77860 LB Outbound Ticket
SCALE 1 TARE WT 37120 LB
NET WEIGHT 40740 LB
OTY. - UNIT - DESCRIPTION RATE EXTENSION - " 'FEE TOTAL
20.37 OUTGO.MSW 0.000 0.00 0.00 0.02
®��OF SON;
Operating hours 7:00 AM to 5:00 PM 7 d .5
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY - T<rJD6PEfIDEN®C�E q 7ENDERED. -
DAY L�9 B10 Y ��
-CH
ANGE
E K
SIGNATURE
DUPLICATE TICKET SITE TICKET' 1GRID'. ="` `°WEiGHMA$iER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
r�. D TI T059 ",ROLL OFF
9316 Town of Babylon
SCALE 1 TARE WT 37120 LB
NET WEIGHT 40740 LB
--`-OTY.t _ 'UNIT, Z. DESCRIPTION - • RATE EXTENSION '�-'°TOTAL
If SON,
Ptl
Operating hours 7:00 AM to 5:00 PM 7 s•a'wee
CLOSED HOLIDAYS - NEXT: TUESDAV, JULY -IIVDE ENDNCE
DAY 4 COUNTIp,[�, TENDERED
`® CHANGE,
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 _ 0 2 8 4
Islandia, NY 11749 NQ.
(631) 342-9673
THIS MANIFEST fSFOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING,SHIPPEO 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 RY 40 CFR PART 260.10'flR ANY
APPUCABLESTATE'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 IS1N PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE,GENERATOR_SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW:
DRIVER: _
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:, DATE'DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOW LEDGETHE 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.
rSrTEI TICKET . GRID ;WEIGHMASTER"
DUPLIG�g,TE TICKET
SOUTHOCD TOWN DEPT SOLID WASTE 00 01834358 Will
P.O Box 962/6155 Cox Lane - - - -
CutChOgue, NY 11935 ;t DATEIN'] `'.DATEOUT, TIME IN TIMEOUT ".VEHICLE ":'ROLLOFF '
10/06/2 10/06/2 12:4 12:4 11100TC
9316 Town of Babylon
MANUAL GROSS WT 77520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40700 LB
-'OTY. 'rUNR:.: - DESCRIPTION.." ..;f", "";:' + ,:RATE -'EXTENSION.:': + ';,FEE::.-"+.' ":,!TOTAL
20.35 OUTGO.MSW 0.000 0.00 0.00 0.02
,,u ngo \t '
Operating hours 7:00 AM to 5:00 PM 7 days"a`Week.* 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4'-INDEP.ENDENCE t�i'<' "„e�' :-.rTENDERED
DAY "
:CHANGE ..
CHECK NO.
SIGNATURE
DUPLICATE TICKET -SRE TICKET r '-GRID_- -` ",,-49IGHMAMLR,.,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01834358 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -:DATEOUT' mMEIN TIME OUT 4.,VEHICLE,'e',,;
9316 Town of Babylon
NUAL GROSS WT 77520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40700 LB
-UNK. - w` DESCRIPTION.' ,,, - - ;-`RATE " EXTENSION.`1- "FEE- `*:-TOTAL :-°+-
20.35 OUTGO.MSW 0.000 0.00 0.00 0.02
t
Operating hours 7:00 AM to 5:00 PM 7 d ys"a-week:_•�-�.:'."`!'
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4— INDEPENDENCE--'
DAY `", .x a y;<.� w ",TENDERED
"-�,�{;�^>•.Cr-" AGE-
N
eFr_nien sec
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road , ' 0 47 0
Islandia, NY 1.1749 No.
(631) 342-9673
'THIS MANIFEST ISFOR REFERENCE'PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY,LIABtLITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I'HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW„IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINTTNAME) (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
DISPOSALIOCATION: _ 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 - I GRID _ ,WEIGHMASTER _
DUPLICATE TICKET
SOUTHOLD '[OWN DEPT SOLID WASTE 00 01834257 Will
PO Box 962/6155 Cox Lane - - -' - -
CutchOgue, NY 11935 "DATE IN
,BATE OUT TIME IN TIMEOUT VEHICLE,: ROLC OFF
10/06/2 10/06/2 08:3 08:3 11100TC
9316 Town of Babylon
MANUAL GROSS WT 73660 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36840 LB
"' „QTY."- .•'7^..'UNIV= `,: "'-':;:'- -4='--DESCRIPTION.`x''- , 5= --` +:,RATE , -:-- ..c"_EXTENSION: ".`::REEF= ":; >•;TOTAL-.
18.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
b r. -
a � m
w w �
e I yL.aF' et ,
Operating hours 7:00 AM to 5:00 PM 7 days a oWeek_. _�""'_`, ;% - me
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4' INDEPENDENCE . t�;a.%"ft'-!�'� ."=TENDERED'-'t
DAY �.vi.`'s.r Jy Q Died t"^ 1 4,e�it'dt-
�C7%; r �
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE r.�,_?tTICKE{ "s;;--` .GRID >•,`" `-`= `- WEIGHMASTER-<-s%='.'t'-: .-
SOUTHOLD TOWN DEPT SOLID WASTE 00 /11834257 1 Will
PO Box 962/6155 Cox Lane
-
Cutcho ue, NY 11935 - " ` "
LL g 'DATE INp :.DATE OUT; cTIME1N.TIMEOUT VEHICLE;",': �-,"RO OFF,`.
9316 Town of Babylon
NUAL GROSS WT 73660 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36840 LB
"•, ,DESCRIPTION4.`: :,."D RATE'.:' -`.'.EXTENSION
18.42 OUTGO.MSW 0.000 0.00 0.00 0.ee
Operating hours 7:00 AM to 5:00 PM 7 days a week:,.'r=%.;'�.`!�'j, =a,"
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4%- INDEPENDENCE---
DAY 'Ci,.-•,+fi ,•. a a.S2 t+i�, -(,T ".TENDERED
lyZ , 1
QHANGE
•, C
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0469
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE':
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 01834491 Steph
PO Box 962/6155 Cox Lane
CutchoguCt,*NY 11935 DATEIN - _DATEOUT TIMEIN TIMEOUTJ EVEHOIE ROLL OFF
• 10/07/2 10/07/2 07:0 07:1 TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 78060 LB Outbound Ticket
SCALE 1 TARE WT 36320 LB
NET WEIGHT 41740 LB
CITY. UNIT - DESCRIPTION RATE - EXTENSION _=FEE TOTAL
20.87 OUTGO.MSW 0.000 0.00 0.00 0.0e
f a;r
I
Ly •6, A � ��
Operating hours 7:00 AM to 5:00 PM 7 days 'afweekLE... 7 � )
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41 IN61F I?ENDENCE , �• ,{r' . _ TENDERED
DAY4' 4 f//�U(1pVOg1�19 Irt
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET!, I GRID . _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/61SS Cox Lane
Cutchogue, NY 11935 - - -
D TI I TIM U 'ROLL OFF-palm
9316 Town of Babylon
u oun c e
SCALE 1 TARE WT 36320 LB
NET WEIGHT 41740 LB
' OTY.:: .;UNIT- ;, 'DESCRIPTION a` -+ :RATE,. ., - EXTENSION 'JEE`?.c . TOTAL
20.87 0 TGO.MSW 0.000 0.00 0.00 0.0e
0
Y N'
Operating hours 7:00 AM to 5:00 PM 7 day`s-`,Z'w�eek
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4DAY '`- IN PENDENCE TENDERED
A G
TRINITY TRANSPORTATION CORPORATION
21,q.,Blydenburgh Road - - 0 4 3 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 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
INEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CPR PART 260.10 OR ANY
APPLICABLE,STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED 8Y40 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) F
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 $I7E I `TICKET . GRID _ r WE1dHMASfER. "
SOUTHOL6 TOWN DEPT SOLID WASTE 0 11 01835161 Steph
Pb Box 962/6155 Cox Lane - - -
CUtChOgUe, NY 11935 ;?`DATE IN r' DATE OUi '•_TIME IN, TIMEOUT •,VEHICLE„'":3� --ROLL OFF'
10/10/ 10/10/ 3 12: 3 12: 3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 67540 LB Outbound Ticket
MANUAL TARE WT 39140 LB NET WEIGHT 28400 LB
. f5:z'gT.Y.'-pd . ,,UNIT'-r; > . "13 ''.,DESCRIPTION.,.::>` ,.; 9;',%;:] iri;•RATE�,-- i1 ..,_'.EXTENSION:e-' ::„*.�.'',FEE" v;:' °<TOTAL"r=r'�
14.20 OUTGO.MSW 0.00E O.OE 0.00 0.0e
-=" -S f3
"1 oxx�, 't t � `•s--_...�� s4.a.+P+s7
Operating hours 7:00 AM to 5:00 PM 7 days a?Week:+.. __� •,r ` � 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4`�.,- IINDEPENiiNCE
DAY t7ENDERED-_"-`;-
r
{ �\�2.!`✓'_!Y;�'" .':-CHANGE. '
ECK NO.
SIGNATURE
DUPLICATE TICKET .SITE
SOUTHOLD TOWN DEPT SOLID WASTE 00 01835161 sSteph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 '-`,DATE IN DATE'OUT!.�_,,7ME IN TIMEOUT VEHICLE" -"�ROLLOFF"-`.
9316 Town of Babylon ORIGIN
SCALE 2 GROSS WT 67540 LB Outbound Ticket -
MANUAL TARE WT 39140 LB
NET WEIGHT 28400 LB
'OTY,•'--`"=?;- •UNR.-.'- `3 - -. --= >:-DESCRIPTION - - --,• '`..RATE FEE -- - d-TOTAL :�'.
14.20 OUTGO.MSW 0.000 0.00 0.00 0.0e
+ + I
Operating hours 7:00 AM to 5:00 PM 7 days a'+week:-.-- •_,_. -�
CLOSED HOLIDAYS - NEXT: TUESDAY I 3ULY 4 NDEPEADENGE'L "f4k +f _
TENDERED
DAY ��r8" `' '- -
TRINITY TRANSPORTATION CORPORATION
1
.214 Blydenburgh Road - 0 4 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 SHIPPEO AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE':
COMMODITY SHIPPED:
'LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE'
NET
I HEREBY CERTIFY THAT THE.ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART'260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART261 OR ANY 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:
HEREBY CERTIFY THAT THE,ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR;SITE LISTED ABOVE„AND`THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS: _
I,HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR,
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET ' GRID - - 4EIGHMAEh ER .
DUPLIrATE TICKET
SOUTH TOWN DEPT SOLID WASTE 0 1 01835060 Steph
do
PO Bo::y /6155 Cox Lane --- - - -
CutChOL NY 11935 `,.'DATEIN' .,DATE OUT ' ,TIMEIN TIME OUT.�= VEHICLES
10/10/ 10/10/ 3 08: 1 0S: 1 11100TC
9316. -- Town of Babylon
ORIGIN
SCALE 2 GROSS WT 83860 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 47040 LB
=G1TY.?'' ::.;'; .UNIT'i.:' ,d >.`:- -. DESCRIPTION:::,<•.,•`! ;;><',:.3. , : -„-...RATE -ti.- `iEXTENSION •.-- -....FEE::`.: t,,.;."-TOTAL.J
23.52 OUTGO.MSW 0.00 0.0 0.00 0.0
� a
}- ,�� .�.--•; , r�+�f« it
`�. `��it�\4:-�..f��''"r •2l a Aj
Operating hours 7:00 AM to 5:00 PM 7 days a`week:, ✓ i '' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 - INDEPENDENCE I '., � - :cTENDERED."`: =`
DAY
CHECK NW-
SIGNATURE
DUPLICATE TICKET -SITf .,-TICKET- ,--; -GRID;> .:
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0183-1060 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 isDATE.IN, 'DATEOUT-.`TIMEIN TIME OUT + .' VE EROLLOFR :`-
9316 Town of Babylon
SCALE 2 GROSS WT 83860 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 47040 LB
-UNfC'.= . -.-`. :'.1:„9ESCRIPTION",,.r'.: ':: -T,:7 ir, "..''RATE -- _,EXTENSION.,- - .; FEE,-, •r',-IL".TOTAL
23.52 OUTGO.MSW 0.0012 0.00 0.00 0.0e
.r'u✓-'-22 CS?
tb
/y';Q�d ♦�s--,ter-_'\'V� �UJM'
Operating hours 7:00 AM to 5:00 PM 7 days-a`++week:=,,-._-e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4.�� NDE fPE^NDjEyNgGE''- r TENDERED
DAY
4N CHANGE
NO.
c,ruan icc
TRINITY TRANSPORTATION CORPORATION
2liBlydenburgh Road .' 0471
•Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND.DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT-OF SUCH MATERIALS.
COMPANY:- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINEDBY 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(P,RINT 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) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO.
DUPLICATE TICKET rSITE TICKET GRID WEIGHMASTFR
SOUTHOLD TOWN DEPT SOLID WASTE 00 01835023 Steph
PO Box 962/6155 Cox Lane _
Cut ChOgUe, NY 11935 ' DAT_E'IN; J. DATEOUT:` JIMEIN TIME OUT --:VEHICLE'=,✓;, -%C,ROLL OFF:%""
10 10 2 10 10 2 07:2 07:2 111031L
9316 _ town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 75240 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 38480 LB
':--.'c-OTY.--"--, : UNR'. l - e°•..p -DESCRIPTION"E.,-`--t - --`*'="RATE^_;- -."EXTENSION'-:'. --'r-F.EE'.
19.24 OUTGO.MSW 0.00e 0.00 0.00 0.0e
ese• �'3 1. � a
h� yq• J Jf a{., l ,..sY
t, 1
1J
Operating hours 7:00 AM to 5:00 PM 7 days
/ CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDENCE' 5toz` �e` r'i
- TENDERED =
DAY �' �.ae enwe t Ts�°' •}t'
g� wt�j opi ti f/L
�'!_.>�.,•.—rLN`� ^-CHANGE - _
C E K NOT"
SIGNATURE
DUPLICATE TICKET .SITE ;: TICKET"=�l - QAiD-.; - - -
�.WEIGHMASTER?," :.,-;;."„7'
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - - - -�,-_; - • = .- -
-"rROLLOFF ,.
9316 Town of Babylon
11CKez
MANUAL TARE WT 36760 LB
NET WEIGHT 38480 LB
=s' CITY --` UNIT+ f`. DESCRIPTION:.; .:RATE .`�„ EXTENSION':;- -:'F.EE-�3 -:� , -r,-,TOTAL,',
�� }ky* 'ill✓^M ��
t' 3
Operating hours 7:00 AM to 5:00 PM 7 day ,agweeky..,._S,'
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41,
INDEPENDENCE�'`.���al�
DAY '�6: $,>, F e`m'L •{� TENDERED
O
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 437
Islandia, NIY 11749 No"
(631) 342-9673
THIS MANIFEST IS FOR REFERENCEE PURPOSES ONLY.GENE RATORDOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR 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 LAWyIS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE LAW.HAS BEEN'PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
.GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NOISTATE:
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_
ISTRUE AND ACCURATE`.
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE_ TICKET , I GRID, _ WEIGHMASTER"
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01
1 0183535 11Steph
PO Box 962/6155 Cox Lane - - =
CUt Chogue, NY 11935 "A)ATEIN: - DATEOUT;- .TIMEIN,TIMEOUT -=. VEHICLE}�;� ,"ROLLOFF
10/11/ 3 10/11/ 3 08: 5 08: 5 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73440 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36620 LB
-,RATEEXTENSION:, " - ,FEE='--_ - :;TOTAL-=s-
18.31 OUTGO.MSW 0.00 0.0 0.00 0.0
13
Operating hours 7:00 AM to 5:00 PM 7 days a week. `"s„'c'� r 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4T'�. INDEPE� 2,'k `� N^' ',`,TENDERED---
>-
DAY ' F.
HEC O
SIGNATURE
DUPLICATE TICKET SITE <<, -TiCKt?=;.; GRID- -, :JWEIGHMASTFFi ---3z
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01835351 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOLIT- 1,T1MEIN TIME OUT :;'VEHICLE`S+
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73440 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 36620 LB
z OTY.; ;UNIi':'�- •_.;°4,'='-DESCRIfnIDN ;= s-- - 2.RATE --"EXTENSION::; --'5FEE. - '-`TOTALI'—
18.31 _ OUTGO.MSW 0.0012x 0.00 0.00 0.0e
f{ tom,
Operating hours 7:00 AM to 5:00 PM 7 da} a�+ eek�`,:�'n. � �i'���
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�- 'INDEPENDENCE
DAY '°/�a��t'�5�r TENDERED,
2y� CHANGE
K
ciruen iec
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0473
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:
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 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 DEUVERED:
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.
11
SffE :L TICKET GRID - 'WEIGHMASTER,
DORLICIATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 01835423 Steph'
PO Box 962/6155 Cox Lane - - -
"=`DATEVIN DATE OUT TIME IN" TIME OUT •-f<VEHICLE`-_ ;, 3•�`yROLL OFF.-3.
Cutchogue, NY 11935 - -
10/li/2 10/11/ 12: 5 12:0 11103TC
9316 Town of Babylon
MANUAL GROSS WT 78340 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41520 LB
OTY; -�UNTT DESCRIPTION:.^-, - d -RATE- " EXTENSION--' '_.,FEE';'•`-' ®S>-';TOTALe
20.76 OUTGO.MSW 0.00 0.00 0.00 0.0e
non F�LS �a9��A d,. QU
Operating hours 7:00 AM to 5:00 PM 7 days a ,week: r,.,.-',�Z�\ 0.Be
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4`'7- INDEPENDENCE�T ci s n, -'=—TENDERED:
DAY G IIa W t
CHANGE
CH C ' O.
SIGNATURE
DUPLICATE TICKET :SITE = ;``="'VEIGHMASTER';
SOUTHOLD TOWN DEPT SOLID WASTE 00 01115423 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 "DATEIN.'` AMtOUT,- .TIMEIN TA EOOT - VEHICLE : '. `- =�AOLLOFF"."' :
9316 Town of Babylon
MANUAL GROSS WT 78340 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 41520 LB
;,07Y.=: ''✓, .�UNfT ;",. - i"r DESCRIPTION -`m ''RATE - -;EXTENSION:,,,. FEE - _ :TOTAL
20.76 OUTGO.MSW 0.000 0.00 0.00 0.02
zez
.;
Operating hours 7:00 AM to 5:00 PM 7 da�jsd.a`�eek�- ��"�, nY
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4?-. INDEPENDEgNCyE— erg ".=:TENDERED
DAY
dE q�'t'.r
EC N
cirn�en Gov
w TfUNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 4 7 4
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE'OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO._ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENER_ ATOR,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 SrrEl TICKET GRID WEIGHMASTER
SOUTHOLD TOWk5EPT SOLID WASTE 0 1 01835613 Steph
PO Box 9&V6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT "VEHICLE ROLL OFF
10/12/2 10/12/ 11: 0 11: 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 36080 LB
CITY. UNIT! DESCRIPTION •-RATE EXTENSION ""TEE TOTAL,
18.04 OUTGO.MSW O.00E 0.0e 0.00 0.0E
saU), � z
Operating hours 7:00 AM to 5:00 PM 7 days a„week. Qa �i'J 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�= INDEPENDE`NCYE b { TENDERED.
-
DAY
G
CHECK NO,
SIGNATURE
DUPLICATE TICKET rSITEJ TICKET-1- I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01835613 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN 'DATEOUT TIME IN TIMEOUTI VEHICLE ROLLOFF� -
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT - 72020 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 36080 LB
OTV.: "°UNIL: DESCRIPTION - 2 RATE- EXTENSION •z-:FEE, dTOTA
18.04 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 da�.s ilweek
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDENCE TENDERED
DAY ` cOUITII 1� '4-
ANGE
CHECK
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 2 9 3
Islandia, NY 11749 No.
(631) 342-9673
THISMIANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOESNOT 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 26010 OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
)HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: --
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN,TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
r DUPLICATE TICKET SITE 'TICKET , I GRID 1,
— ".WEIGHMASTER
-
SOUTHOLD TOWN DEPT SOLID WASTE 0 01835761 Liz H
PO Box 962/6155 Cox Lane -
CutChOgUe, NY 11935 ';:DATE IN'; -.DATE OUF� TIME IN'TIME OUT ,. VEHICLE "--�sROLL
10/13/2 10/13/2 08: 08:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 77460 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40640 LB _
.. OIY,::,q 'UNIT--, '.=OESCRIPTIONa;% -,-,,RATE- -"EXTENSION FEE,,'-,, -:TOTAL: :..
20.32 OUTGO.MSW 0.000 0.00 0.00 0.0e
wive .--•�-:-'°^.� � e ♦i
r
Operating hours 7:00 AM to 5:00 PM 7 days asweek...: 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4\r. INDEPENDENCE ieV•`�` nj� - •:TENDERED _-
DAY ` a tJ $gbh aS; 1v }Y
C E
SIGNATURE
DUPLICATE TICKET ,SITE =`_,TICKET=';'^;
SOUTHOLD TOWN DEPT SOLID WASTE 00 01835761 Liz H
PO Box 962/6155 Cox Lane
CUtChogue, NY 11935 ., DATEIN "�DATEOUT -TIME IN TIME OUT VEHICLE= "„,ROLUOFF-;`•,-
9316 Town of Babylon
SCALE 2 GROSS WT 77460 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40640 LB
-k_QTY ", - , UNI -,=,-. ,Y-a;aS';.[,l=r.",.;DESCRIPTION ::._ ;..rs;..-' 1`. =RgTE=>:; EXTENSION=r s;<FEE--=c _ >.TOTAL"%?•.
20.32 OUTGO.MSW 0.000 0.00 0.00 0.ee
y
Operating hours 7:00 AM to 5:00 PM 7 days aInweek._...'•.... .,,:1, y ,�
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 - INDEPE°N�DENC E-•"' 4�j {•r
DAYy�"`f ',` t{R• �r ' TENDERED:
CHECK N
SIGNATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 4 7 5'
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING'SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
' TARE
NET
1 HEREBY CERTIFY THAT THE.ABOVE'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW„IS NOT HAZARDOUS WASTE AS DEFINED BY 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'
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED U_P 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.
7-7
DUPILICAYE TICKETSfrE I TICKET I GRID .•.WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01835844 Liz H
PO Box 962/6155 Cox Lane - -
CUt ChOgUe, NY 11935 -DATE IN DATE OUT"..1 ,TIMEIN TIME OUT ., VEHICLE;> %g °�„',ROLL OFF;
_ 10/13/2 10/13/2 12: 12:0 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 71500 LB Outbound Ticket
MANUAL TARE WT -36760- LB-
NET WEIGHT 34740 LB
- �.`.QTY.. 'z'- ''UNIT,* . - ,?"DESGRIP_TION. `s:,-*'^'z*.;' e...RATE - ?ExTEN510N;..� .:;.FEE',-;;,:a' _.',;f,'°TOTAL
17.37 OUTGO.MSW _ 0.0010 0.00 0.00 0.00
�y✓ ,fib.i,•• SJ_..-._..^i. •fpp���, {\
Operating hours 7:00 AM to 5:00 PM 7 da s a<weeka:. ' y *�` „ ' 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4-y,,INDEPENDENCE t;yT s` ^ TENDERED'-%
DAY ti�,,
SIGNATURE
DUPLICATE TICKET SITE `TICKET;i>'r o-"%;-`GRID_' ;t '''.`t',. '�-'z'YVEIGHMASJER��.,�<,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01835844 Liz H
PO Box 962/6155 Cox Lane
CUtChOgDe, NY 11935 =,DATEIN,, ` _'DATEOUT . , iMEIN TIMEOUT ', ;VEHICLE;; s�: :'ROLL OFF':;
1011-1311-91,
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT _ 71500 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34740 LB
3 QTY,;` UNfCz" ° •--,'r -•DESCWPTION-d:4` -�"+"'�x .;RATE`- EXTENSION'.;.- .`SFEE;f, , —TOTAL,, M
17.37 OUTGO.MSW 0.000 0.00 0.00 0.00
r
y ' .7ff 1 � llwvd�
Operating hours 7:00 AM to 5:00 PM 7 days a'Tweek�.—
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 INDEPENDENCE-'`' wa
DAY `yb{ 9ds,) p� f C,1a�"-0 t,rr) =-TENDERED
ko
- - d i�T HANGED
ciruen Svc
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 47 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 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 JN PROPER,CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO'. LICENSE NO./STATE:
t HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE GENERATOR SITE'LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE,DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED,
ADDRESS:
(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.
I SflE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01836003 Steph
PO Box 962J- p`{Cox Lane
CUtchogue', l935 DATE IN DATE OUi - TIME IN TIME OUi VEHICLE ROLL OFF,
'-. 10/14/207: 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
m
74480 LB Outbound Ticket
36280 LB
38200 LB
UNR - DESCRIPTION =. =RATE EXTENSION ' s=FEE TOTAL OUTGO.MSW 0.00 0.00 0.00 0.0E
S�U�,
e
CO-
cLz )—
Operating hours 7:00 AM to 5:00 PM 7 days amweek. �� �. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4`'' INDEPEND,Ef1E", \ + °'TENDERED' = -
DAY �i fill
E
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET j--; GRID -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01836003 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ' DATEIN DATE our - TIME dN TIME OUT .VEHICLE ROLLOFF-
9316 Town of Babylon
CALE 2 GROSS WT 74480 LB Outbound Ticket
SCALE 1 TARE WT 36280 LB
NET WEIGHT 38200 LB
OT1: . UNIT _ :OESCRIP.710N " ' .- _ RATE . EXTENSION " :zFEE•<w'; " TOTAL'
19.10 OUTGO.MSW 0.000 0.00 0.00 0.0e
zF So W y
,Nr
I
Operating hours 7:00 AM to 5:00 PM 7 dA7s a`4eek•
CLOSED HOLIDAYS - NEXT: TUESDAY, JULYINDEPENDENCE
DAY Q�^ TENDERED
V A
TRINITY TRANSPORTATION CORPORATION
214 Bdyl.enburgh Road - ` 0 4 3 8
Islandia;NY 11749 No..
(631.) 342-9673
THIS MANIFEST IS.FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 280.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY,APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED;CLASSIFIED AND PACKAGED.AND IS INPROPER CONDITION,FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO., LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION,LISTED BELOW.
DRIVER:
(PRINT NAME), - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE 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.
SfTE -TICKET ' I GRID'- ; - — - WEIGHMASTER-
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0183643 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' *DATE - - IM ) TMEO ;.'`-
VEHICLE'
_ 10/16/ 3 10/16/ 3 08: 7 08:1
7 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 67420 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 31480 LB
;'-- QTY UNIT': - --'-_DESCRIPTION. :== ".-°::.",,:`- ';FATE - EXTENSION.;` -
15.74 OUTGO.MSW 0.00 0.0 1 0.00 0.0
r_ �p
�N
S/ I i .
Operating hours 7:00 AM to 5:00 PM 7 days, a,,W4jek.� r =,i 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 ``--.INDEPENDENCEre "q�yh r 'TENDERED:="
DAY
CH K N
- - SIGNATURE
DUPLICATE TICKET SITE TICKET_'_ `; GRID _ :. WE_IGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01836437 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 ,:'-DATEdNiDATEOUT=' :=TIMEIN- TiMEOUT;;'fVEHICI.E,;is:. ^`p"ROCLOFF
9316 Town of Babylon
SCALE 2 GROSS WT - 67420 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 31480 LB
;"-QTV." aUNIT':' I _' DESCRIPTIONS - -_RATE EXTENSION.:.` =-;TOTAL-
15.74 OUTGO.MSW 0.000 0.00 0.00 0.00
1 1 _
`l.
Operating hours 7:00 AM to 5:00 PM 7 days a'o'we" eSk:v
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 INDEPENDENCE R} '� _
DAY f� 11�d° TENDEREDL
�j CHANGE ,
CHEQK NO,
SIGNATURE
TRINITY TRANSPORTATION CORPOIaATION
214 Blydenburgh Road - 0477
Islandia, NY 11'749 NQ.
(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:
l 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 ASOVEMATERIAL HAS BEEN ACCEPTEDAND TO THEBEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL,LOCATION TICKET NO,
DUPLICATE TICKET SITE * TICKET I -• y GRID:. ' WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0183649 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 " 64EIN , -DATEOUT_• -TIMEIN TIMEOUT VEHICLE -`'ROLLOFF '
10/16/ 3 10/16/ 3 11: 2 11: 2 11100TC -
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 76860 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 37720 LB
-Q'[Y.>.';:- UNIT,'.--.- - - ',-, DESCRIPTION sr';•-'s=' ^_�°' =RATE- '-.= _''-EXTENSION-r; :'f,-FEE=- -s TOTAL`-
18.86 OUTGO.MSW 0.00 0.0 9.012 0.0
ll g� Fd
Operating hours 7:00 AM to 5:00 PM 7 days a week.- =,/ �,� r' 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY I JULY 4 NDEBEND�gNCE < �='�iti _,_-7ENDERED'a'--
DAY ` Cr�Jt
5
- SIGNATURE
DUPLICATE TICKET "SITE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 1z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ -- - - -- " -- -
s ROL40FF'
9316 Town of Babylon
ut boun is Fe
MANUAL TARE WT 39140 LB
NET WEIGHT 37720 LB
OTY.'- ; , UNIT- - _ - "-DESCRIPTION'- 'RATE -_:.'EXTENSION"--: `<-F_EE: _ TOTAL,
18.86 OUTGO.MSW O.00E 0.012 0.00 0.0E
yg� $ u ,�oo
Operating hours 7:00 AM to 5:00 PM 7
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4r� INNEPENDENCE-- z
DAY ® JEd� ,ay^�(5 TENDERED -.
CHANGE
CHE
cir_n�nri Gov
TRINITY TRANSPORTATION CORPORATION
214 Blydenhurglh Road - - 0 4 7 8
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
,BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS'
TARE
NET
I,HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE,LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR,PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE,REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (StGNATURE)
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 ACCEPTEDAND TO O 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 SITEI TICKET -GRID - WEIGHMASTER,
SOUTHOLD TV.4N DEPT SOLID WASTE 0 1 0183664 Steph
PO Box.962/6155 Cox Lane
CutcKogue, NY 11935 DATE IN , DATE OUT TIMEIN TIMEOUT -VEHICLE ROLL OFF
10/17/ 3 10/17/ 3 08: 5 08: 5 11100TC
9316 � Town of Babylon
ORIGIN
SCALE 2 GROSS WT 69480 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 32940 LB
QTY..- UNIT-: DESCRIPTION RATE EXTENSION -FEE - 'TOTAL
16.47 OUTGO.MSW O.00E O.OE 0.00 6.0
m ee 0.0¢
✓:�/
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 INDEPENDENCE TENDERED
b �p
DAY _ LE NTI I
i
CHECK N
SIGNATURE
DUPLICATE TICKET .__SITE TICKET'.'.,- GRID- 'WEIGHMASTER-'
SOUTHOLD TOWN DEPT SOLID WASTE 00 01836647 Steph
PO Box-962/6155 Cox Lane
Cutchogue, NY 11935 :'DATE IN '.DATEOUT - TIMEIWTIMEOUT r WHICLE' 'zROLLOFF
9316 Town of Babylon
T 69480 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 32940 LB
=flTV, ; UNIT;' DESCRIPTION .RATE. . _ .EXTENSION .- .`FEE- 'r-TOTAL-
16.47 OUTGO.MSW 0.000 0.00 0.00 0.0¢
vg
0.
Operating hours 7:00 AM to 5:00 PM 7 da.a5 a> eek�
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4 INDEPENDENCE
DAY Q� jQ� TENDERED
\� CHANGE
C E
TRR41TY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0479
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 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
APPUCABLE 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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) 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 _ GRID WEIGHMAST_ER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01836724 Steph
PO Box So2/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATEOUT I TIMEIN" TIMEOUT - 'VEHICLE _ -ROLL OFF
10/17/2 10/17/ 12: 2 12:t 11100TC
9316 Town of Babylon
MANUAL GROSS WT 75440 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 39500 LB '
'QTY. .UNIT DESCRIPTION RATE EXTENSION ;'FEE' TOTAL
19.75 OUTGO.MSW 0.90e 0.0e 0.00 0.0¢
VX-
� �
Operating hours 7:00 AM to 5:00 PM 7 days a�week. _e, 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDE�ENDENp E t�\��°� TENDERED
DAY
CHANGE
`CH
SIGNATURE
DUPLICATE TICKET ),s E TICKET::--- 61IID.11 _wEIGHMASTEH, '
SOUTHOLD TOWN DEPT SOLID WASTE 001 01836724 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 1',.DATE IN -`DATE'OUT ` TIME IN' TIME,OUT. VEHICLE ,ROLLOFF :.
9316- Town of Babylon
ANUAL_GROSS WT 75440 LB Outbound Ticket
MANUAL TARE WT - 35940 LB
NET WEIGHT 39500 LB
'.UNIT-. "DESCRIPTION;: ,RATE ,'EXTENSIONS ^'FEE,' - = =TOTAL '
19.75 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a eek.k:�,._
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41- INDEPEND�E/NnCi'E�-} � �� . TENDERED
DAY 5��
CHANGE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 4 8 0
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:-(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFRPART 261 OR ANY APPLICABLE STATE LAW.HASBEEN,PROPERLY
DESCRlBfD,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 HERESY.CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE,BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
'YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET
-TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01836918 Steph
-U1-Box%962/6155 Cox Lane -
CUYCFIOgUe, NY 11935 -0ATE IN D_ATEOUI`f- `TIME IN TIME OUT VEHICLEr,��` .,,z',_ROLL'OFF
10/18/2 10/18/ 3 12: 4 12: 4 11100TC
9316 Town of Babylon
REFERENCE •-
MANUAL GROSS WT 79960 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 43140 LB
. '.-;UNIT,.-F; s-: DESCRIPTION: RATE - sE7(TENSION " -.:FEE-,'E - Ts70TAL;".-`-
21.57 OUTGO.MSW O.00E 0.012 0.00 0.0
K
Operating hours 7:00 AM to 5:00 PM 7 dayt 5 t5"yeek�� '�-y `� ,( 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�INDEPENDENCE
"TENDERED?;
DAY cR {•or�}� 5� .,�'{-'
C
SIGNATURE
DUPLICATE TICKET - _ SITE ", GR1D WEIGHMA_STE'R,
SOUTHOLD TOWN DEPT SOLID WASTE our 0183b9lul stepn
- PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 I .,DATE UT= "TIMEIN TIME OUT VEHICLE ,; S" ROLL OFF ;: ,
9316 Town of Babylon
ANUAL CROSS WT - 79960 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT - 43140 LB
'+OTY. 4 - UNIT--`-. - DESCRIPTION"- `RATE - EXTENSION - FEE'' s,^TOTAL ' -
21.57 OUTGO.MSW 0.000 0.00 0.00 0.0e
r lz
Operating hours 7:00 AM to 5:00 PM 7 day5 aeweek-,
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4' INDE,P,.ENDENCE
DAY - cFr /.'p'�q�„ �dl `a1.(}J TENDERED'.. .
c a
E K
TRINITY TRANSPORTATION CORPORATION
..- 2 Y'4 Blydenburgh Road
Islandia, NY 11749 No. 0 4 8 2
(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 WEIGHTa 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
APPLICABLESTATE LAW„IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRWT'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:
(PAINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIALHAS BEEN ACCEPTED AND'TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 'SIGNATURE/DATE
IK_EY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR
GOLD TO GENERATOR' DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET sn-E TICKET GRID WEIGHMASTER
SOUTHOLD+TOWN DEPT SOLID WASTE 0 01836851 Steph
PO Box 962/6155 Cox Lane
CUt,C gue, NY 11935 DATE IN'.. "DATEOUT- TIMEIN TIMEOUT : VEHICLE ROLL OFF
10/18/2 10/18/ 08: 5 08: 5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 72520 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 35100 LB
QTY. . UNrr DESCRIFTON .RATE EXTENSION FEE' TOTAL -
17.55 OUTGO.MSW O.00E 0.0e 0.00 9.OE
SOU} ®�
r
Operating hours 7:00 AM to 5:00 PM 7 daays 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4 - INDePENjD�ENpC TENDERED
E q
DAY
CHANCE
SIGNATURE
DUPLICATE TICKET rsn-Ej TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE bbtepn
PO Box 962/6155 Cox Lane
C utchOgUe, NY 11935 I DA OUT TIM IN TIMEOUT - VEHICLE ROLL OFF- :
9316 Town of Babylon
KORMEMN
T 72520 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 35100 LB
CITY', 1UNT DESCRIPTION t _°RATE" i• EXTENSION • ".:s.-FEE .,TOTAL
17.55 OUTGO.MSW 0.000 0.00 0.00 0.ee
Operating hours 7:00 AM to 5:00 PM 7 day;
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4� I®DEPENDENCE TENDERED
DAY OUIV 11 1
CHECK NO.
TRWITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0481
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 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:
-
I HEREBY CERTIFY THAT THE ABOVE MATERIAL,HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE,INFORMATION PROVIDED_
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO'GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE . TICKET; - I GRID - a WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01837035 Steph
PO Box 962/615S Cox Lane _ ,
Cutchogue, NY 11935 :"DATE IN?z;,DATE OUT TIME IN TIMEOUT _• VEHICLE'-`-s;" ROLLOFF
10/19/ 10/19/ 3 09: 2 -09: 11100TC
9316 _'�Town of Babylon '
•'
SCALE 2 GROSS WT 77540 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40780 LB
_UNIT-`_ .- - ,.g:.:, DESGRIPTION'<% 5=:` - =ERATE" EXTENSION. FEE�-: �;=FEE.=!.r; ?' - 7TOTAL'..••,,>_
OTYi `7- -
20.39 OUTGO.MSW 0.00e o.oe 0.00 0.0¢
2
4(UI M.� iri j:
P� i •,l y t
Operating hours 7:00 AM to 5:00 PM 7 days ayWeek: " .--_"`.Y' 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4"��YNDEPENDENCE ��" •<v:"� TENDERED ,,
DAY
CHECK O
SIGNATURE
DUPLICATE TICKET '4VEIGHMASTER"-='i-'`_�-%s
SOUTHOLD TOWN DEPT SOLID WASTE 51 5 ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - _ "• "
FDA O`T" sTIMEINTIME OUT 'a `VEHICLE-y�e�`:=`��+`;RQLLOFFy--^
9316 Town of Babylon
ORIGINREFERENCE
/1540 LB Outbound nc et
MANUAL TARE WT 36760 LB
NET WEIGHT 40780 LB
s;<"OTY. '.- <n ;UNIT',  DESCRIPTION F- Y'.„";s ..•-PATE "''EXTENSIONTOTAL->1
T O.MSW 0.000 0.00 0.00 0.0¢
n�r Qap gp
kt 'k:lt� �id3B� 0
X
_Zit,
Operating hours 7:00 AM to 5:00 PM 7
CLOSED HOLIDAYS - NEXT: TUESDAY 7ULY 44''� INDE.PENDENCE---'
DAYa�}tl Y�}�g .:TENDERED
`-
cir_unTnov
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0483
Islandia, NY 11749 "�
(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
APPLICABLESTATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO:._ LICENSE NO/STATE:
TRAILER NO., LICENSE NO/STATE
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.
7 LZCATE TICKET 'sn-E TICKET" GRID .,MIGHMASTER:
SOUTHOLD TOWN DEPT SOLID WASTE 00 01837222 Liz H
PO Box 962/6155 Cox Lane
CUt ChOgue, NY 11935 :`DATE IN DATE OUT- , TIME IN ITIME OUT .' VEHICLE;:;,;. '•�.ROLL OFF `
10/20/2 10/20/2 08:5 08:5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 78520 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41980 LB
'<;QTY.-� UNIT---r' - "DESCRIPTION°mitt:=s. -a: r RATE's-.'„ .. " EXTENSION-
20.99 OUTGO.MSW ,gyp 0.000 0.00 0.00 0.0e
Ail '
h 1
Operating hours 7:00 AM to 5:00 PM 7 days a"week:-"� 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4� INDEPENf}DENCE-, -'TENDERED'--:-
DAY �C.+.•r isy6i,`?,".ae ;x''�.n_%
HE KN
SIGNATURE
DUPLICATE TICKET SITE -_`TICKET , -GRID - - �_ ;IWEIOHMASTER
SOUTHOLD TOWN DEPT SOLID WASTELiz
PO Box 962/6155 Cox Lane
Cut ChOgUe, NY 11935 - 'TIMEIN TIME OUT '=VEHICLE. `= +,ROLLOFF.
9316 Town of Babylon
L R WT 78520 LB Out oun Tic et
MANUAL TARE WT 36S40 LB
NET WEIGHT 41980 LB
'UNIT a,: R,-- „ "DESCRIRTIONi.,'v "--'.;RATE- EXTENSION-
20.99 OUTGO.MSW 0.000 0.00 0.00 0.0e
i�
Operating hours 7:00 AM to 5:00 PM 7 days a+week'}_, QZ u%
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41�, INDEpPENDENCE_- .L �!
DAY Z'Y9 �`3v,L18wpyy' 3n�a^ a TENDERED
: f
O'
RINITY TRANSPORTATION CORPORATION
2.14 Blydenburgh Road - 0 4 8 4
Islandia; NY 11749 NQ.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE.PURPOSES ONLY.GENERATOR'DOES NOT,TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS
BEING SHIPPED AND DOES NOT ASSUMEANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE; (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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) - {SiGNATUREI
DESTINATION
DISPOSAL LOCATION: DATE,DELIVERED:
ADDRESS:
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE'INFORMATION PROV IDEO
IS TRUE AND ACCURATE:
RECEIVED BY: _ _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
_KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR 'DISPOSAL LOCATION TICKET'NO.
DUPLICATE TICKET SRE " TICKET I GRID' �.WEIGHMASTER,''
500THOb TOWN DEPT SOLID WASTE 00 01837300 Liz H
PO Box 962/6155 COX Lane -
CUYChOgue, NY 11935 >.'DATEIN' `DATEOUT,�. TIMEJN TIME OUT VEHICLE" -
10/20/2 10/20/2 12:2 12:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 73760 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 36840 LB
e=: QTY. DESCRIPTION- -"',UNIT,>�. •",t-. - -,_:c_.. ,-RATE '%` ;':'EXTENSION.' ',r , -FEF__ - %TOTAL; ":, . -
18.42 OUTGO.MSW 0.000 0.00 0.00 0.02
a ,fi`w ti 1 -�'
1
Operating hours 7:00 AM to 5:00 PM 7 days a,week:', 0.Be
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4�' INDEPENDENCE -`-.TENDERED -.-
DAY =L �.�.e:4 k . �"'✓J.at
E KNO. -
SIGNATURE
DUPLICATE TICKET .SRE `.TICKE'f-r, 3'6RID - :.-YVE1GHtdASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01837300 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 54TE;IN" `DATE`OUi'-. TIMEIN TIMEOUT' ;;`.VEHICLE^''=:.
9316 Town of Babylon
GALE 2 GROSS WT 73760 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 36840 LB
OTY.z UNIT,-,,,- -..-� ,. _`.- "',DESCRIPTION 'RATE ,'.-EXTENSION� e."-'FEE i>,;-.TOTAL
18.42 OUTGO.MSW 0.000 0.00 0.00 0.02
j
1 ! 7 Y
t v, ', ..�� 1 �4ra• i i
Operating hours 7:00 AM to 5:eo PM 7 days as weekS,Z_•*;,,�,,�i
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'� INDEPENDENCE--"'
DAY `�- 'rrw�A} 1 ta` � TENDERED.
CHANGE
O.
TRINITY TRANSPORTATION CORPORATION
2:14 Blydenburgh Road 1 0485
'Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO. OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE.-
COMMODITY SHIPPED:
'LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR"PART 260,10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE'AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE'LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: _
TRAILER NO. - LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR'SITE LISTED ABOVE', AND THAT IT WAS
'DELIVERED WITHOUT INCIDENT TO'THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: __ DATE DELIVERED:
ADDRESS-
1 HEREBY CERTIFY THAT THE'ABOVE MATERIAL HAS BEEN ACCEPTED AND;TO THE BEST OF MY'KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY.:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL.LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET. GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01837382 Steph
PO Box 962/6155 COX Lane _
Cutchogue, NY 11935 " DATE IN 'DATEOUT; TIME IN TIME OOTJ; ,VEHICLE_ -_ .. .-ROLL OFF"
. 10/21/2 10/21/2 07: 07:3 11103TC
9316 Town of Babylon
REFERENCEORIGIN
SCALE 2 GROSS WT 79920 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 43360 LB
CIT.Y.A`',.y UNITiis-;: ,„S-I % _ " DESCRIP,TION `-.,a„':l'. •.-RATE "` EXTENSION<; -. -'FEE,"7;' ..'. :: >•.;TOTAL_
21.68 OUTGO.MSW O.00E 0.0e 0.00 0.0E
WJ
� b
Operating hours 7:00 AM to 5:00 PM 7 days a .week..;' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY 7ULY 4. INDEPENDENCE`-
C,S ?44•� '„�, TENDERED r --
DAY r �.t �i�liwtiTsT yea
C N .
SIGNATURE
DUPLICATE TICKET 0,Srml':_ -TICKET ';`GRID - ;�,WEfGHMASTEA. _
SOUTHOLD TOWN DEPT SOLID WASTE 00 018 7382 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT"' `,TIME IN TIMEOUT=?�`:VEHICLE=-`"=h:
9316 Town of Babylon
ORIGIN
CALE 2 GROSS WT 79920 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 43360 LB
O'A'-_'.- _- �UNIT =- t -"--RATE ,_E - '� _„, EXTENSION' ,
21.68 " OUTGO.MSW 0.000 0.00 0.00 0.oe
° Z.:
1� '�•48 a,jS L ! �J �
'•3i5+ter^-^`.,` �SR
7
r L
-1 �
I 1
Operating hours 7:00 AM to 5:00 PM 7 days a�week�4
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'",�INDEPENDENCE
ii
Y
DAY �a' "T �S r"; �r •TENDERED
'-c3"r rJpy-�'r CHA G
H N
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 1 0439
Islandia, NY 11749 No.
(631) 342-9673
THI,*MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY CARGO OR MATERIALS
SS AG S41:PPED 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 40CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) '(SIGNATURE)-'
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE'NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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
DISPOSALLOCATION: 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) SIGNATURFJOATE
KEY: WHITE TO DISPOSAL,LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO,
.. SITE TICKET ..WEIGHMABTER `'., .
DUPLICATE TICKET
AITHOLD TOWN DEPT SOLID WASTE 0 01837791 Liz H
PO BOX 962/6155 COX Lane �`s•DATE IN' --_DATE OUP`s ,TIMEIN_ TIME OUT . VEHICL.E=;�': i'=_ROLL-•OF.F;,, -
Cutchogue, NY 11935
10/23/2 10/23/2 08: 08: 11100TC
9316 Town of Babylon -
SCALE 2 GROSS WT 77800 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41260 LB
� UNIT::e : <<pz;.,.°:•.::r '- DESCRIPTION".;•:a-<';a: :;.` ;'c'-.: 'a, :'RAM'-' ':. �;. -EXTENSION'.. �:FEE C��o�_: :.��',°JOTAL`
20.63 OUTGO.MSW 0.00 0.00 0.00 0.0e
fJU � �[• &y�Nd F9f "��l
Operating hours 7:00 AM to 5:00 PM 7 days a_�week~=:, y_ e" gg, „t? 0.0e
Sti u
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4'C-t.,INDEPENDENCEvm h�•ty ru TENDERED.•'
DAY
CHANGE'= =
"CH
SIGNATURE
DUPLICATE TICKETSRE
SOUTHOLD TOWN DEPT SOLID WASTE 00 /1837791 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;'DA E-w_' ;.DATEOUr-' `TIMEIN TIME OUT
9316 Town of Babylon
SCALE 2 GROSS WT 77800 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 41260 LB
"`';'QTY.:: ".UNR';�-,.` ;":=- `i Y -a.„DESCRIPTION:- °;ic'>c%,:.-s:� '. ^L"'RATE'. `- ' ---EXTENSION.•0,"•;ac,.FEE •5" -`TOTAL`-.;',.
- 20.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
-.r7.s' -
�J
Operating hours 7:00 AM to 5:00 PM 7 days a�wee ".:'"`k: ^, ,,o
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4ir� NDsEPENDENjGE'4zTENDERED
DAY
EG
--TRINITY TRANSPORTATION CORPORATION
214 Rlydenburgh Road - - 0 4 8 6
Islandia, NY 11'749 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 WRH 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(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: - DATE DELIVERED:'
ADDRESS:
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 SRE T16KEi GRID - `-'".U/EIGHMASTER
SOIANULD TOWN DEPT SOLID WASTE 0 01837841 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN;" '-D_ATE Ot1T" ,TIMEIN:TIMEOUT _`-,�YEHIGCE;;3_=; -=y,;'ROLLOFF-'
10/23/2 10/23/2 11: 11:5 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 64220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 28280 LB
, <QiY,�::..•=s . UNRa:,.,° �.• ,c ;.".r :-;_'::DESCRIPTION>.z:=`,��;>�`---= E-.": - RATE :,.'EXTENSIONi:" `"-. FEE.:`. ,` %`;TOTAL
14.14 OUTGO.MSW 0.000 0.00 0.00 0.00
°A 1 i�.y !1 i • 1 n
f
Operating hours 7:00 AM to 5:00 PM 7 days `af"weeB:..__ 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 INDEPENDEN-Cp- Pam , ,°+J °F`-TENDERED-
Y c�
- - •lrt7A- jJ a-DAY
CHANGE
--
-CH K
SIGNATURE
DUPLICATE TICKET <SIfEk�rc.T10KEi ." ' "y64b -``---
SOUTHOLD TOWN DEPT SOLID WASTE 00 01837841 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ?z.-DATE IN, cDATEOUT "TIME IN TIME-OUT ;` .VEHICLEE�.:' ".- "ROLL,OFF
9316 Town of Babylon
CALE 2 GROSS WT 64220 LB Outbound Ticket
MANUAL TARE WT _ 35940 LB
NET WEIGHT 28280 LB
- - :.: RATE.>.., ,-.EXTENSION-:`._ ; -'FEE;-:;>�.r,';';t TOTAL'.;;.'.;
---,OTY.,c:---�' : UNIT:',-��. �'�.�_;._'-�.. - zDESCRIPTION:-;F_ �_- � .r,�,
14.14 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:--,- `--_f" `{a
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4e,, INDEPENDENCE--•°'"�9,,<yh< �,+✓
DAY ,z„.,,,f+°7 F�,°As;1y1T><." ylL• .+�" = .TENDERED
` -2-=21�wYJF C
- E
SVONATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0487
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 ASSUMEANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE,LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY d0 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:
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 01838042 Steph
PO Box 962/6155 Cox Lane - - - - 'O -
Cutch_Ogue, NY 11935 _`=:DATE IN'" "DATE OLIT;'- >TIMEIN TIME OUT ,VEHICLE 'i
10/24/2 10/24/2 08: 08:3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 81920 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 45100 LB
:v.QTY:'f.'i. 11NIT5y. DESCRIPTION'>,'? "'.a.>•4:=^.`r :'IRATE= EXTENSION' :` FE@`h r ; ':TOTAL"s_.,; -
_ 22.55 OUTGO.MSW 0.00e 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a°week:-�__
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 41-, EPENDENCE., aa? 4 yJ'N = '- TENDERED-—
DAY
.'CH
SIGNATURE
DUPLICATE TICKET
-SITE -TICKET "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838042 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 bATEIN',. cbATEOUfl TIME IN TIME OUT;•":VEHICLEa ,:,; ':�,.';';ROLL0'-'`..'
9316 Town of Babylon
SCALE 2 GROSS WT _ 81920 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 45100 LB
QTY.'c ,:..:.. >UNITr-'"'., �.:;:=:`.. ^'.i '..._DESCRIPRON %;'.. ":::'r';G,=:. 'h:,1,RATE....`--- . '';EXTENSION. ,.FEE-' „.;TOTAL
22.55 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'' �i4,a`°�*$ { 'TENDEREDDAY
-
h a
SICNATIIRF_
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. - - 0 4 8 8
-_
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR.TITLE OF ANY CARGO Oft MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANYLIABILITY 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 I3Y 40 CFR PART 260110 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. LICENSE NOISTATE:
1 HEREBY 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 SEEN 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
PREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SrrE TIOKET ,1, I WEidHMASTEW '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838321 Steph
PO Box 962/6155 Cox Lane _ _
CUChogU@, NY 11935 °iDATEIN• , ;DATEOUT:� TIMEIN 77MEOUT VEHICLE x -°,ROLL-OFF.;,
10/25/2 10/25/2 12:1 12:1 11100TC
9316 Town of Babylon
MANUAL GROSS WT 72720 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 36180 LB
-
"UNIT;.'; .-` .;::DESCRIPTION ?.ggTE- - . -,:EXTENSION•- ;`FEE" =-"
18.09 OUTGO.MSW 0.000 0.00 0.00 0.0¢
rv54 �
Operating hours 7:00 AM to 5:00 PM 7 days apw'eek:,. 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4V1, INDEPENDE(NCE' tl'�t+rr= -'-TENDERED',
DAY
�.
�C E KN
SIGNATURE
DUPLICATE TICKET SrfE ,fncMFr�:;,., _.;':. "GRID"., ,-� -: .: ,°;,`- ":-s WEiGHMASTEA"=•w�,,4=;.`,.-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838321 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 ypAtE IN '- DATEOUT_` +iMEIN'TIME OUT :VEHICLE i' `, "-AOLh'OFF
9316 Town of Babylon
ANUAL GROSS WT 72720 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 36180 LB
-UNR ; ":,:%";. :,^ti: .DESCRIPTION;=- ;,::AATE --"EXTENSION;�za? TOTAL',,%,
- 18.09 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days aiSweek:^-.:�-ea.•-,- �' ^,,,'�j
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4•t:- INDEPENDENCE— q�a�R4°• .t;'
^ -.�•'}' /'9, °«?y: '1 "�-fr}} .TENDERED .
DAY
H N .
- c�r_uemco
TRINITY TRANSPORTATION CORPORATION
'-214'Blydenburgh Road No. , " 0 4 9 0
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE,PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE-OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS),
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE,
NET
1 HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,1S 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 NOISTATE:
TRAILER NO. LICENSE,NOIST.ATE: '
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 .Sn'E I nckET 1, GRID 1, _ ' ,WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838276 Steph
PO Box 962/6155 Cox Lane _
CutChogUeJ NY 11935 =_:_-DATEIM 'DATE OUT;' TIMEIN. TIME OUTVEHICLE;�.; �;-;;. ROLL:OFF
10/25/2 10/25/2 08:4 08:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 77420 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40660 LB
d:,QTY. ; ,.':r,,'.UNIT- = „'. c=,,'-"-,'-x:. DESCRIPTION,? :-"'..RATE.>. --'-EXTENSION r,:. ;`, - FEE,-:, ;TOTAL'-`
20.33 OUTGO.MSW 0.000 0.00 0.00 0.0e
41
PohV —T.J S
S
4
t 1 r
Operating hours 7:00 AM to 5:00 PM 7 days aiweeki:= _ 3 0.
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4: INDEPENDrrENCE® vl^'` � ,< r ^TENDERED
DAY 2:z:.n.� is 1, Zr`y.0`,a�i, 0
CHANGE -
CHEC N .
SIGNATURE
DUPLICATE TICKETSRE ' -TICKET GRID- -_- `- ---",WEIGHMASTEN
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838276 Steph
PO Box 962/6155 Cox Lane
CUt ChOgUe, NY 11935 �=;(?DATEIN - DATE OUT, -TIME IN TIMEOUT ?VEHICLE .a,ROLL OFF:
9316 Town of Babylon
CALE 2 GROSS WT 77420 LB Outbound Ticket
MANUAL TARE WT - 36760 LB
NET WEIGHT 40660 LB
UNIT.,. _ - C DESCRIPTION 'RATE--,;,,,- EXTENSION-;- `FEE: ,-,,TOTAL, -,
20.33 OUTGO.MSW 0.000 0.00 x 0.00 0.0e
T-7, <, f e =E: ,i J{._7'`t'i
Operating hours 7:00 AM to 5:00 PM 7 d ys aK'week '.'�-%^.;_
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY'4-, INDEPENDENCE ty� „ +
DAY 1.,- .1'n '�""f t;} �`i} ia'*>' - TENDERED
iv
0
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etruen tcc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0489
Islandia, NY 11749, No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF 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
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NOISTATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP- AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY 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 01838502 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ' DATE OUT TIMEIN TIME OUT VEHICLE ROLLOFF
10/26/2 10/26/2 11:0 11:0 11100TC
9316 Town of Babylon
�.
SCALE 2 GROSS WT 71600 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 35660 LB
QTY.- UNIT DESCRIPTION .RATE" -"EXTENSION 'FEE TOTAL..
17.83 OUTGO.MSW 0.0012 0.00 0.00 0.0e
40", S� �
t z;)
C� ` a^ tLE 3 ✓,
Operating hours 7:00 AM to 5:00 PM 7 days 'a,Week,:,;g""•— � r 0.0e
a
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4' INDE®A- r CE � .TENDERED
DAY VV �A[}�
iV 1 ; C AGE
E NO.
SIGNATURE ,
DUPLICATE TICKET rsiTrl > TICKET— GRID .,WEIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE U bs8buzi Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D INS DATEOUT TIMEIN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
71600 LB Out oUn Tic et
h1ANUAL TARE WT 35940 LB
NET WEIGHT 35660 LB
CITY.. UNIT DESCRIPTION ' ^^ - RATE - EXTENSION FEE "" TOTAL_
17.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
l �Operating hours 7:00 AM to 5:00 PM 7 days arweek,ti—
,�
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4�'- INDEPENDENCE.��
DAY 4FJ' � TENDERED
gum#
CHECK
O
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0491
Islandia, NY 11749 No,
(631)342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS,)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FRE IGHT 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 srrE TICKET GRID WEIGH-MASTER
"SOUTHOLD TOWN DEPT SOLID WASTE 00 01838713 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATE OUT TIMEIN TIMEOUT VEHICLE" 'ROLL OFF
10/27/2 10/27/2 11:4 11:4 11100TC '
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 82260 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 43120 LB
OTl..;- UNIT- .- •,DESCRIPTION ' RATE, - . cEXTENSION - - =-FEE .. TOTAL
21.56 OUTGO.MSW 0.000 0.00 0.00 0.02
r :
0_r� SOF f
I.
Operating hours 7:00 AM to 5:00 PM 7 da s a 'Wee }r'
DAYIf
BED HOLIDAYS - NEXT: TUESDAY, JULV 4 u IND EPEN7aDENCE h3 TENDERED
sr 1d`� a
HA GE
CHECK NO
SIGNATURE
DUPLICATE TICKET srrE .TICKET GRID 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01838713 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `DATEIN DATE'OUT TIMEIN TIMEOUT VEHICLE' FROLLOFF
9316 Town of Babylon
CALI: 2 GROSS WT 82260 LB Outbound Ticket
[NET
ANUAL TARE WT 39140 LB
WEIGHT 43120 LB
°',QTY., --' 'UNIT DESCRIPTION RATE --- EXTENSION, '=FEE TOTAL
21.56 OUTGO.MSW 0.000 0.00 0.00 0.02
�° ; �
8
Operating hours 7:00 AM to 5:00 PM 7 dads
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4U INDEPENDENCE DAY �.,? fl pO�!}�\A i,ai'�1
TENDERED
CHANGE
R C ,
ciruen Ewa
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 4 9 2
Islandia, NY 11749 N°`
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING,SHIPPED AND DOES NOT ASSUME.ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART'.260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE.LAW,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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: __
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS-
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND.ACCURATE:
RECEIVED BY;
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
'YELLOW TO TRANSPORTER',
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DYPLI*IiATE TICKET STIE I, .,TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838850 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,. 'DATEIN- , ["DATEO `UT TIMEtN TIMEOUT :, tYEHICLE v'`,ROLL OFF'
10/28/2 10/28/2 07:4 07:4 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73340 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 36580 LB
r QTY. :.;.". UNIT, ['. RATE=r;s.: - EXTENSION.'-_ ' PEE'.=;_., `-.Si`:..
18.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
r.
Operating hours 7:00 AM to 5:00 PM 7 days a WeekN. e.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, DULY 4—, INDEPENDENCE-
z`-,TENDERED: -
DAY
'. CHECK NO.
SIGNATURE
DUPLICATE TICKET "SITE : ';TICKET -": -'•_ts`�r.GRID.=
SOUTHOLD TOWN DEPT SOLID WASTE Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
I .DATE OUT- TIME IN TIME OUT !'"'p VEHICLE,,;,. OLLOFF`
9316 Town of Babylon
GALE 2 GROSS WT 73340 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 36580 LB
v`UNR''_z - `, --'DESCRIPTION RATE.: _...,-EXTENSION.'- � :FEE:=' r ,_;`C,v`TOTAL.I'^
18.29 OUTGO.MSW 0.000 0.00 Y 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a�,week°,
CLOSED HOLIDAYS - NEXT: TUESDAY, IULY 4z`c, INDEPENDEN,CE'--'� ,.y�U { }
DAY \;y E:r' 3y{•�p g,.qq '4w,.y"' I'i)` -TENDERED
5r
ZHANQE
�,�--GHEQKNO,
SIGNATURE
. TYtINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO' 0493
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¢0 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO.. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: y
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE, LISTED ABOVE. AND THAT T 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 ACCEPTEDANOTO THE,BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRI_NT 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 SME TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01838847 Dan
PO box 962/6155 Cox Lane =10/28/210/28/2
Cutchogue, NY 11935 TIME IN TIME OUT VEHICLE ROLL OFF
07:2 07:2 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 73720 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 36800 LB
.Ott " UNIT DESCRIPTON , - RATE EXTENSION FEE TOTAL
18.40 OUTGO.MSW 0.000 0.00 0.00 0.Be
✓ 4�S®U1;
r �
If
"" Y
ef,
-�.1� I I Q�--
Operating hours 7:00 AM to 5:00 PM 7 days a week`:,^ ���.5r _ • 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4S1,_� INDEPENDENCE�n .{{.Y "TENDERED
DAY �Ifl1p J
SIGNATURE
DUPLICATE TICKET Srm TICKET_, GRID •wE1GHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
D T -nkWjqjTIM UT 'EVE-I LE �ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
Outoouna TICKet
MANUAL TARE WT 36920 LB .
NET WEIGHT 36800 LB
°.OTY." ,UNIT." - +, " DESCRIPTON: -, RATF-�: .EXTENSION- ."",,FEE> TOTAL"."
18.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
-r S
4f 7
\1
Operating hours 7:00 AM to 5:00 PM 7 days <week.t-3�.�`"
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4'`}�- ZNDEPENDENaE
DAY " 'tM1 yT'/'3fp�,,,.,�e ,OO�„ TENDERED
QHANGE
RMNATI IRF
TRINITY TRANSPORTATION CORPORATION
. 214 Blydenburgh Road - - 0 4 4 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 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 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 NOISTATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW'.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:,
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO 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
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SRE ,,• TICKET" GRID WEIGHMASYER _.
SOU,THOLD TOWN DEPT SOLID WASTE 00 01839370 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE IN _,DATE OUT S ,TIMEIN- TIME OUi ?=",.VEHIGLEy ROLLOFF;
9316 Town of Babylon
SCALE 2 GROSS WT 73420 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 36880 LB
<"a RATE'-r. EEXTENSION"",'°
18.44 OUTGO.MSW 0.000 - 0.00 0.00 0.0E
.iY g�,A' 4341 -.tom
IS
y a
a.
v v'�3 ...yii kT
Operating hours 7:00 AM to 5:00 PM 7 days a week:--• --_._" .`�, �e
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4-,- INDEPENDENCE-
DAY '�' 'f ,' e•,t � �� r�}r TENOEREO"
HAN
CHECKNO,
SIGNATURE
DUPLICATE TICKET -SfTE r..,TICKET+= ?,-_="GflID *- '' - - - ,:•.--zWEIGHMASTER<':.:,<`` '..
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 . ..
Ti.;-flOLL OFF, ^t-
9316 Town of Babylon
MANUAL TARE WT 36540 LB
NET WEIGHT 36880 LB
- OTY. ',i°`,.r .UNIT; _I2.:---.'.DESCRIPTION ,.`RATE,`:"* .,EXTENSION- ."GEEE> ,,':° :r :::,"%-:TOTAL='
rrr�� F T• yam:4i _3 d' A � .
18.44
U ! ^ S
Operating hours 7:00 AM to 5:00 PM 7 days a,Week;,,,i
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4%-'INDEPENDENC6'i'
DAY `` >(y i'uq $ S,',�,�'H.1'f}' "'TENDERED
C O.
RIrmATI IMP
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - ` 0 4 9 4
I$landia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:,
COMMODITY SHIPPED:
LOOSE'. (CU YDS)
BALES:,(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE'DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFYTHAT THE ABOVE'MATERIAL HAS BEEN ACCEPTED AND TO THE.BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN'TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET e7SITE1 TICKET-., - GRID- , -, �WEIGHMASTER-
SOUTHOLE.JOWN DEPT SOLID WASTE OOL 01839436 Liz H
PO Box 962%6155 Cox Lane _ _ _
Cutchogue, NY 11935
';i%;DATE IN;= ' DATE OUT-" TTIMEIN TIME OUT"'..:VEHICLE ,=='� -_�-.ROLL OFF-�-`'>
10/30/2 10/30/2 13:2 13:2 11100TC
9316 Town of Babylon
ORIGINREFERENCE
MANUAL GROSS WT 68620 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 31800 LB
SeQTY--' :.UNITrt=.' . "".r' DESCRIPTION:'; -v =z.' .RATE.'.r. *"%:EXTENSION. FEE,F"5` ':.TOTAL
15.90 OUTGO.MSW 0.000 0.00 0.00 0.0e
r, f
v
r
43 mo w. u.� Al
Operating hours 7:00 AM to 5:00 PM 7 days atweek '"' ;� 'ti r' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�� INDEPENDENCE' ; :TENDERED">�,`.
DAY ��"+
CHE K O:
SIGNATURE
DUPLICATE TICKET SITE :" TICKET,- _' >.'=GRIO----` >- _ i1NEIGHIn1ASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01839436 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,'.DATBIN DATE OUT: TIME INI TIME OUT Y.-,-VEHICLE ;,-{.`'_` 'ROLL..
9316 Town of Babylon
ORIGINREFERENCE
ANUAL GROSS WT 68620 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 31800 LB
EXTENSION ,: FEE - -=:70TAL- %•-
15.90 OUTGO.MSW 0.000 0.00 " 0.00 0.0e
M
N
Operating hours 7:00 AM to 5:00 PM 7 days a.Week:.�%.:
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 44- INDEPENDENCE..._ '
DAY ',�TENDEREO�- '
^r v
E O '
TR JNITY TRANSPORTATION CORPORATION
;.
214 Blydenburgh Road 0495
Islandia, NY 11749 No.
(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 OFSUCH MATERIALS.
COIuiPANY; 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 AO CFR PART 260..10 OR ANY
APPLICABLE STATE LAW;IS NOTHAZARDOUS 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(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 THATIT 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 KNOW LEDGE THE INFORMATION PROVIDED
1S TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/GATE
KEYS WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO.TRANSPORTER.
PINK TO GENERATOR
Gol, TO GENERATOR' DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHO- D TOWN DEPT SOLID WASTE Oil 01839570 Steph
PO BOX 962/6155 COX Lane ,`,bAr IN DATEOUT TIME IN TIME OUT VEHICLE -ROLL OFF
Cutchogue, NY 11935 - -
10/31/2 10/31/ 12:1
5 12: 11100TC .-
9316 - Town of Babylon
MANUAL GROSS WT 78440 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT - 41620 LB
':OTY. UNIT, DESCRIPTION RATE EXTENSION FEE; . TOTAL
20.81 OUTGO.MSW 0.90E 0.00 0.00 -- 0.0e
Hof 011) y®
CA
Operating hours 7:00 AM to 5:00 PM 7 days a?i^'eek. " 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4? INDEPENDENCEii�( TENDERED
DAY `uull k 1 y�
= C A GE
CHECK
SIGNATURE
DUPLICATE TICKET SITE , TICKET-", I GRID+`•'t ' _ rvWEIGHMASTER•- _
SOUTHOLD TOWN DEPT SOLID WASTE - 00 01839570 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .;;nDATE IN , DATE OUT TIMEIN TIMEOUT ,VEHICLE; „ .%'.,:;AOLL OFF ,
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 78440 LB Outbound Ticket
MANUAL TARE--WT - 36820 LB
NET_WEIGHT 41620 LB
_�OTY,- "UNIT - DESCRIPTION !°' ,-'RATE'; .EXTENSION =FEE. '<TOTAL
20.81 OUTGO.MSW 0.000 0.00 0.00 0.0e
- ® �U/I
G
rt ., -
Operating hours 7:00 AM to 5:00 PM 7 days a`t°vieek a!/
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4'- INDEPENDENCE-"
DAY F G'/9[ 1 y TENDERED
[[//[[ - HE
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0 4 9 7
Islandia, NY 11749 NO
(631) 342-9673
'MIS 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 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 NOISTATE:
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:
(PRfNTNAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THEABOVE MATERIAL HAS BEEN ACCEPTED ANDTO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRfNT 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 01839510 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 .DATE IN DATE OUT TIMEIN TIME OUT VEHICLE I ROLL OFF
10/32/2 10/31/2 081 08:4 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 83000 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 47060 LB -
---r QTY. UNIT DESCRIPTION' - .RATE 'EXTENSION .;.FEE -' TOTAL
23.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
n' ..
tr
Ar
Operating hours 7:00 AM to 5:00 PM 7 days a�Wee k'.` `� (4' 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY 4 =, INDEPENDENCE' \ �j TENDERED
DAY Zi:-�.°� L, �[ p° 5\u u
mac^ cd e - CHANGE
SIGNATURE
C ECK
- .- SIGNATURE
.DUPLICATE TICKET SITE ' TICKS-f GRID',•, ,WEIGHMASTER',-,
SOUTHOLD TOWN DEPT SOLID WASTEF4Step
PO Box 962/6155 Cox Lane '
Cutchogue, NY 11935 `bA IN `DATEOUT 'TIMEIN nMEOUT VEHICLE •;'ROLL OFF. fi
9316 Town of Babylon
A_ E 2 S WT 83000 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 47060 LB
., ov .UNIT, - DESCRIPTION - -RATE EXTENSION -.FEE ° ` ".;TOTAL
- - 23.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
V ) ' �
{' i 911
L .
- F"`-.• y sue. � I' / ��
Operating hours 7:00 AM to 5:00 PM 7 days 52eekt-�...`,` ff ��r • .
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�1-�INDEPENDENCE--
DAY - ':7� f✓ 6Di,„� ,0`� TENDERED
-.r- Qf ii9 lV NG
C O
TRINITY TRANSPORTATION CORPORATION
214 3lydenburglh Road NO. - - 0 4 9 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 AO'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINTNAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE,LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND'TO THE BEST OF MY KNOWLEDGE,THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.