HomeMy WebLinkAbout11/2023 SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET -
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01839732 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY67.1935 DATE IN DATE OUT I TIME IN TIME OUT -,VEHICLE I ROLL OFF
11/01/ 11/01/ 3 08:1
2 08: 2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 80220 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 42800 LB
- - OTT. UNTf DESCRIPTION RATE EXTENSION -,FEE TOTAL
21.40 OUTGO.MSW 0.00 O.OE 0.00 6.0
of s®N
Operating hours 7:00 AM to 5:00 PM 7 da�ys� eek� q� `� • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4�' INDEPENDENCEE �j +"' Sir :TENDERED-
DAY
' "� uUltltltllV�Y111Y �V r
QH
D
SIGNATURE -�
DUPLICATE TICKET SITE TICKET- GRID _ WE_IGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01839732 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN: 'DATE OUP TIME IN TIME OUT VEHICLE' ROLL'OFF ,
9316 Town of Babylon
SCALE 2 GROSS WT 80220 LB Outbound Ticket
MANUAL TARE WT 37420 LB '
NET WEIGHT 42800 LB
" ..QTY. : --UNIT- DESCRIPTION,^- s ',:RATE -- EXTENSION, , 3'-FEE•, - - "TOTAL.
21.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
Ru t
Operating hours 7:00 AM to 5:00 PM 7 days aeek
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 -. IDAY N6EPENDENNppC��E { _ TENDERED
COUN 1 c
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0 4 9 8
Islandia, NY 11749 N°'
('63f) 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 PARTL261 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 KNOWLEOGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENTjPRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO'TRANSPORTER
YELLOW TO?RANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR 'DISPOSAL LOCATION TICKET NO.
SFE TICKET " -GRID WEIGHMASTER
DUPLICATE TICKET _
SOUTHOLD TOWN DEPT- SOLID WASTE 0 1 0183995 Steph
PO BOX ].1935
N 55 Cox Lane
. Cutchogueue, DATE IN DATE OUT' " TIME IN TIME OUT 'VEHICLE " ""ROLL OFF'
N1'
'• 11/02/ 3 11/02/ 3 08: 8 08: 8 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 72220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 36280 LB
CITY UNIT - DESCRIPTION' RATE EXTENSION• FEE TOTAL
18.14 OUTGO.MSW 0.00 0.0 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a;weeR:,.__`-i`" 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, 7ULY 4:=, INDEPENDENCEta '` IL�`� TENDERED
5 B\
DAY �`= ,d�l�gti� � J,Jj✓.
CHANGE
-
SIGNATURE
DUPLICATE TICKET rSRE ." TICKET: _ :GRID_' -,-. WEI_GHMASTEA`„"�
SOUTHOLD TOWN DEPT SOLID WASTE 0 011139913 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,c bATE IN I "DATE OUT TIMEIN TIMEOUT ,VEHICLE., :. .S'.;-ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT _ 72220 LB Outbound Ticket -
MANUAL TARE WT 35940 LB
NET WEIGHT 36280 LB
_
.OTY. -" RATE 'EXTENSION . a ..-:FEE° = „4,r'.T0TAL. - . 'UNIT - DESCRIPTION
18.14 OUTGO.MSW 0.00e 0.00 0.00 0.00
vZZZZ
\a ^ v
Operating hours 7:00 AM to 5:00 PM 7 days•a' eekk�="-
CLOSED HOLIDAYS - NEXT: TUESDAY 7ULY 4— 'INDEPENDENCE-
DAY ` , ' /+a) d TENDERED
AMMATI IRF
TRINITY TRANSPORTATION CORPORATION
214 ]�Tydenburgh Road - 0499
Islindia, NY 11749 NO _
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKEPOSSESStON 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)
BA(_ES:(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 1S 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 MYKNO W LEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENTIPRINT 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 I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01840011 Steph
PO Box 962/6155 Cox Lane - :%DATEIN DATEOOT TIME IN TIME OUT VEHICLE ROLL OFF
Cutc_hogue,•NY ,11935
11/02/ 11/02/ 3 11: 7 11: 7 11100TC- -
9316 ,_Town Of Babylon "-
SCALE 2 GROSS WT 71380 LB Outbound Ticket -
MANUAL TARE.WT 36760 LB
NET WEIGHT 34620 LB - -
-OTY. UNIT DESCRIPTION RATE- EXTENSION - FEE TOTAL i
17.31 OUTGO.MSW O.00E O.OE 0.00 - 0.0
;A..,:
": _ . .." - � .,•N. �.-_f.°;'-.r-�"�l ter(�-..i r:'
Operating hours 7:00 AM to 5:00 PM 7 days abweek,- -: �ti ^_J.� 0.02
CLOSED HOLIDAYS - NEXT: TUESDAY, ]ULY INDEPENDENCE,, �I,� j% _- TENDERED
DAY v,�a`gt � LtJJ{({jr
- SIGNATURE
DUPLICATE TICKET „rSITEI TICKET "-"I GRID•' _ WEIGHMASTEA� --`
SOUTHOLD TOWN DEPT SOLID WASTE 00 01840011 Steph
PO Box 962/6155 Cox Lane '
Cutchogue, NY 11935 ';DATEIN DATEOUT TIME IN, TIME OUT VEHICLE ,,ROLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT 71380 LB Outbound Ticket
MANU_AL TARE -WT _ 36760 LB
NET WEIGHT 34620 LB
%QTY. `, UNIT DESCRIPTION „=': -RATE 'EXTENSION «,rzS FEE, - .TOTAL
17.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
V ��J 5{ re
Ar
Operating hours 7:00 AM to 5:00 PM 7 days afweek--r-' -.--,� ,4
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 '- INDEPENDENCE"- (s:� TENDERED
DAY—.
HANGE
CHECK
-. s�ruen me .•
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh'Road - - 0 5 0 0
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST iS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR R MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITHITHE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLESTATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED BY d0 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN P#OPER'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:
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 THEBEST OF'MY KNOWLEDGE THE I_NFORMATIO_N 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 6srrEj TICKET I GRID WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 901. 01840405 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATEIN DATE-OUT TIMEIN TIMEOUT VEHICLE , _ ROLL OFF
11/04/2 11/04 2 07:2 07:2 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 65640 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 29700 LB -
r', QTY.'. UNIT,, DESCRIPTION .%RATE, ':EXTENSION.. ' FEE, TOTAL
14.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
S
Operating hours 7:00 AM to 5:00 PM 7 days a(week-.,'�"'+... ,- '�. ;7
CCLLOSED AY HOLIDAYS - NEXT: TUESDAY, JULY 4-,INDEPE EN��CffEq^''l TENDERED
rtdltll
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE , . TICKET -. GRID ;.WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TI I TIM -
U V ROLLOFF
9316 Town of Babylon
u oun is e
MANUAL TARE WT 35940 LB
NET WEIGHT 29700 LB
,' '"-; QTY. : UNIT - 'e: ' ' ' DESCRIPTION %" -` -" RATE. 'EXTENSION _ FEE + TOTAL
14.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
SQ r�
Operating hours 7:00 AM to 5:00 PM 7 days ' ,week`.�3,�� �✓ � -
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4}� INDEttPENDENCJ E
ppy _ �d,,/r�Pl�� ' -TENDERED
CHANGE
E K
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - 0441
Islandia, NY 11749 NO"
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:, SHIP DATE:
COMMODITY SHIPPED:
LOOSE': (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE'
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY
DESCRIBED,'CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED,BELOW.
DRIVER"
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL,HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID. 'WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE - 0 1 01841266 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - °DATEIN "DATEOUT. I 71MEIN-TIMEOUT VEHICLE 'ROLLOFF
- 11106/2 11/06/ 11: 4 il: 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 63640 LB _ Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 27100 LB '
'CITY- UN(T„ DESCRIPTION IRATE; 'EXTENSION FEE TOTAL
13.55 OUTGO.MSW O.00E 0.012 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days "aww"ee k. `"V 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4 INDEPENDENCE TENDERED
DAY
CHANGE
ECK NO,
SIGNATURE
DUPLICATE TICKET .SITE .- TICKET GRID `_:!vEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE L2.z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ; 'DAT IN I DATE UT TIMEIN TIME OUT VEHICLE �_ `.:ROLL OFF'
9316 Town of Babylon
CALE 2 GROSS WT 63640 LB Out ound Tic et •-
MANUAL TARE-WT ---- 36540 LB
NET"WEIGHT 27100 LB
UNIT: DESCRIPTION.'- "RATE . EXTENSION -,:'FEET-:TOTAL
13.55 OUTGO.MSW 0.000 0.00 0.00 0.0¢
1
Operating hours 7:00 AM to 5:00 PM 7 days a:week. —
CLOSED HOLIDAYS - NEXT: TUESDAY, 3ULY 4=_- INDEPENDENCE_-`
DAY - ' - TENDERED
ij •
CHANGE
H O
c(ruen(oc
t mi RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3502
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FDA 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 151N 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:
THEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THEANFORMATION PROVIDE_D_
IS TRUE AND ACCURATE:
R_EC_EI_VED 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
SOUTHOLD TOWN DEPT SOLID WASTE 001 01841169 Liz H
^PO ,Box 962/6155 Cox Lane
- Cutchogue, NY 11935 -
11/06/23 11/06/23 08:19 08:19 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 66000 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 29240 LB
14.62 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE,
DAY
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01841169 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
11/06/23 11/06/23 08:19 08:19 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 66000 LB Outbound Ticket
MANUAL TARE-WT 36760 LB- -
NET WEIGHT 29240 LB
14.62 OUTGO.MSW 0.000 0.00 0.00 0.0¢
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, JULY 4 - INDEPENDENCE
DAY
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3501
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.SIZE 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.
DUPLI��^,TE TICKET . SITE :f- TICKET . _ =GRID i.WE1GHMASTER
SG'JTHOLD TOWN DEPT SOLID WASTE 0 1 01841628 Dan
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 ;` DATE)N ; 'DATE OUT ".TIMEIN TIME OUT VEHICLE:,..`,: ._;,;.`:+ROLL OFF,:
_ 11/08/2 11/08/ 11: 0 11-41b, 11100TC -
9316 Town of Babylon
MANUAL GROSS WT 74340 LB Outbound Ticket
MANUAL TARE WT 39140 LB -
NET WEIGHT 35200 LB
UNIT':.i DESCRIPTION"'<,,,; ,',.RATE'-,- EXTENSION,;i':..- °:-FEE%:x";' :.='.' .TOTAL
17.60 OUTGO.MSW 0.09E O.OE 0.00 0.0e
I NY• L,`. .. 4. d
Operating hours 7:00 AM to 5:00 PM 7 days a-week::_ `'- ` ' ..� . 1' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7-;- ELECT-ION'DAY , `�' %{'
?I` `'TENDERED
DAY '=EC
- SIGNATURE
DUPLICATE TICKET ;SITE -.'=TIGKE'T.-i-<" GRID, -<>_WEIGHMASTERV*
SOUTHOLD TOWN DEPT SOLID WASTE 00 01841628 Dan
PO Box 962/6155 Cox Lane '
CutChogue, NY 11935 'DATE IW- s DATEOUT`, 'TIMEIN TIME OUT °%VEHICLE£.`:as =-`-"s- z.a ROLL-OFF;" --
9316 Town of Babylon
ORIGINREFERENCE
MANUAL_GROSS WT - 74340 LB Outbound Ticket - - -
MANUAL TARE.-WT _ 39140 LB_ - _
NET WEIGHT 35200 LB
S OTY ';UNR" ' c - �.,<r.. DESCRIPTION-r':- - RATE': .'EXTENSION` �- .'FEE `>`vTOTAL...':-
17.60' OUTGO.MSW 0.000 0.00 0.00 0.0e
= J�
D
Y siii ♦; w � t r
• y a� � `5 ` s _i ey ��
Operating hours 7:00 AM to 5:00 PM 7 days a`week,-�-^�'�_,:... :�`rv�w,`' ,
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7:', ELECTION DAY'"' <'"
DAY ^� °f$ ^ x' �;?;c,} „{yr rTENDERED
�...
CHANGE
E
- - SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3504
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:,
t
COMMODITY SHIPPED: `
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS'
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUSWASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATELAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED 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) SIGNATUREIOATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -
DUPLZ- ATE TICKET S(IE ', TICKET ER- 'GRID - WEIGHMAST ,.'
yS-JUTHOLD TOWN DEPT SOLID WASTE 0 1 0184159 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 1, bATEIN.; -DATEOUT' ,.gjMk* TIMEOUT VEHICLE..=,=_' ;•ROLLOFF
11/08/ 3 11/08/ 3 10: 8 10: 8 11103TC .
9316 Town of Babylon -
MANUAL GROSS WT 77080 LB Outbound Ticket
MANUAL TARE WT 37420 LB _
NET WEIGHT - -- 39660 LB - -
OTY. UNIT,.. DESCRIF?T10M"-#' . '.;n,.=ff. `.�` •-",'RATE-t - *EXiEN510N i;-' :°-- - FEE e: - TOTAL'.
- 19.83 - OUTGO.MSW 0.001 0.01 O.OE 0.0
to
Operating hours 7:00 AM to 5:00 PM 7 day a�a k� a 0.0
CLO �..
DAY
HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELtE "r�°r s..,.mTENpERED,---
CHANGE -
QHEQKNO.-- .I
SIGNATURE
DUPLICATE TICKET +NEIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01841591 Dan
PO Box 962/6155-Cox Lane
-
Cutchogue, -NY 11935 _ - - - _ _-
_.,
=_DATEIN"- =OATEOUT, T'" IMEIN TIMEOUi =,,�1/E,HICLE�-;,': -= ,'EiOLI OFF'
41,
9316 Town of Babylon
ANUAL GROSS WT - - 77080 LB Outbound Ticket -
MANUAL TARE WT - _ 37420 LB
NET WEIGHT - 39660 LB - l
OTY. -: 'UNIT- `. :;,_--.' DESCRIPTION;,, - ss-.RATE_ - _ 's EXTENSION :FEE:: - TOTAL',-z - \
19.83 OUTGO.MSW O.00E 0.0d 0.00 0.01
CPU
�1 raJ
Operating hours 7:00 AM to 5:00 PM 7 das
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 E1C7ION"DAY-°'"'�� -
DAY_ _ ." GU ,-'= TENDERED-
- CHANGE.' -
EC N
RI/:NATHRE '
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0443
Islandia, NY 11749 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
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,1S NOTHAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE 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 PROVIDE_D
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
- - - - - - "
5 yUTHOED TOWN DEPT SOLID WASTE 0 1 01841525EI Dan
PO Box 962/6155 Cox Lane -
CutChogue, NY 11935 DATN . DATE OUT TIME IN TIME OUT , - VEHICLE ROLLOFF -
11/08/ 11/08/ 3 08: 8 08: 8 11100TC
9316 " Town of Babylon
MANUAL GROSS WT 77820 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 41060 LB
CITY 'UNIT' _ DESCRIPTION RATE EXTENSION -_-FEE'- TOTAL -
20.53 OUTGO.MSW 0.00 0.0 0.00 0.0
- �®f SOU;y�
Eli
R � y�
Operating hours 7:00 AM to 5:00 PM 7 dayyeVe v �:, 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 E-EGYI, Y TENDERED-
DAY ��
CHANGE
C E N
SIGNATURE - --
DUPLICATE TICKET r SITE _nCKE GRID - - WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 0 01841525 Dan
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE'IN DATEOUT`" TIMEIN TIMEOUT 'VEHICLE= ROLLOFF
9316 Town of Babylon
ANUAL GROSS WT - 77820 LB Outbound Ticket ,
MANUAL TARE WT = 36760 LB"
NET WEIGHT 41060 LB
_• OTY. " _. .:UNIT;"-o DESCRIPTION '=RATE EXTENSION. -'i=f.EE` " TOTAL
20.53 OUTGO.MSW 0.0012 me 0.00 0.0e
�®f so&; -
m �a
Operating hours 7:00 AM to 5:00 PM 7 da a week i ,^•—� �
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - Et�E-VION-DA
DAY - - -- '— - `� G® TENDEREDUN I T1�
CHANGE
O
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road 3,503
Islandia, NY 11749 NO.
(63.1) 342=9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY..LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: - (Cu YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED 13Y 40 CFR PART 260.10 OR,ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE,REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE 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:
RECEIVEDBY: _
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.
%)UPLI,CATE TICKET SliE nCKET I GRID - WEIGHMASTER
OUTHOLD TOWN DEPT SOLID WASTE 0 1, 01841497 Dan
PO Box 962/6155-Cox Lane _ _
,
Cutchogue, NY 11935 --`"DATEJW 'OATEOUT JI_MEIN JTIMEOUTJ :VEHICLE'-,., ROLL OFF
- - - - 3 07: 6� 07: 6 11103TC
9316 Town of Babylon 11/08/2 11/08/
ORIGINREFERENCE
MANUAL GROSS WT_ - 69100 LB Outbound Ticket
MANUAL TARE WT 36820 LB _
NET WEIGHT 32280 LB -
` QTY.`, i:%"s` "UNIT .,-. 'DESCRIPTION"_r -'v '- �`.:,' `�.a .FATE --,s', "EXTENSION--:. ,: FEES-- :aTOTALJ� _
16.14 OUTGO.MSW 0.00 O.OE 0.00 0.0
P"Q
Aga ���..•,,e.,.'r�,�',��a.tt .,t
Operating hours 7:00 AM to 5:00 PM 7 days 5,4i ek.�,,;''"-^�„' �, ff 0.0
DAYSED HOLIDAYS - NEXT: TUESDAY, NOV. 7�.-,��E L{EJ TION+DAV },TENDERED
- ��''z2z�2x,����'rJ
CHECK NO.
SIGNATURE
DUPLICATE TICKET -SITE I TIOKET•,'�, GRID-- - `-WEIGHMASTEFt --
SOUTHOLD TOWN DEPT SOLID WASTE an
PO Box 962/6155 Cox Lane
CutChogue, NY 11935 DATE IN - "'DATE UT` TIMEIM TIME OUT VEHICLE'': .`ROLL OFF,:
9316 Town of Babylon
ANUAL GROSS WT - 69100 LB Outbound Ticket -
-MANUAL TARE-WT _- 36820 LB
NET WEIGHT 32280 LB
DESCRIPTION "�:-'.,-.;; ,* >_RATE. ,' .;PEXTENSION°� -r`�:FEE: -_,TOTAL ,;;..
- 16.14 - OUTGO.MSW 0.00 @.Be 0.00 0.0e
r.
Operating hours 7:00 AM -to 5:00 PM 7 da9s a week:.,•-^^"+�.��,,�*W�//
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 E6 C-TION-DAY"'' ^�4 / _ _
DAY TENDERED
CHANGE
CHECK NO.
- ciruen icc
Y`RINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. - - 0 4 4 2
Tslandia, NY 11749
(631) 342=9673
THIS MANIFEST IS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOT TAKE POSSESSION OR',TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENTOF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:,
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP,AT THE GENERATOR SITE LISTED-ABOVE„AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW..
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE,BEST OF MY KNOWLEDGE,THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: - -
RECEIVED 8Y:
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. -
srTEI TICKET I GRID WEIGHMASTER
DUPLICATE TICKET - -
506THOLD TOWN DEPT. SOLID WASTE - 0 1 01842144 Liz H
PO Box 962/6155 Cox Lane
Cut Ch Ogue, NY 11935 - _ DATE IN DATE OUT I TIME IN TIME OUT VEHICLE • ROLL OFF -
11/10/2 11/10/ 3 10: 8 10: 8 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 66660 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 29840 LB
CITY. .UNIT - DESCRIPTION RATE. EXTENSION' - FEE TOTAL
14.92 _ OUTGO.MSW - O.00E 0.012 0.00 0.0¢
� y Lr , I•� 1, 4 7 �.'
Operating hours 7:00 AM to 5:00 PM 7 days`ate week; — ��"'• _ 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY NOV. 7 ELECTION DAY
DAY ti a .,, f;,5' a.�4, < : - TENDERED.-
CHANGE
SIGNATURE
DUPLICATE TICKET rSITEI TICKET, -1 GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01842144 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN " DATE OUT• JIMEIN TIMEOUT VEHICLE,' ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 66660 LB - Outbound Ticket
MANUAL TARE WT - 36820 LB
NET WEIGHT 29840 LB
--UNIT.-, - ,DESCRIPTION;.: ;`.`- .% 'RATE ,:• ,, EXTENSION: ',. 1`�' FEE,'; r .:' "" •TOTAC,�.`,.-
14.92 OUTGO.MSW 0.000 0.00 0.00 0.0¢
f1� r
eye YA r
Operating hours 7:00 AM to 5:00 PM 7days a,week.- .�___�
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7� 'ELECTION-DAY--
-
DAY. . (Q ^Ff 7 g 11�F TENDERED -
s�,
r
_ cirunn iwo
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3507
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 YOS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 46 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: -
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL,LOCATION: DATE DELIVERED'
ADDRESS:,
I.HEREBY CERTIFY THAT THE ABOVE,MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
D�IPLICATE TICKET SD"E TICKET, GRID WEIGH_MASTER
s
SOUt',WLD TOWN DEPT SOLID WASTE 0 1 01841850 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 _DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE "'ROLL OFF
- 11/09/2 11/09/ 3 09:1
0 09: 0 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 67420 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 30880 LB
CITY. UNIT DESCRIPTION RATE EXTENSION :--FEE TOTAL
15.44 OUTGO.MSW . y 0.00 0.0 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a'weeR: ";�'sa' ° ';� 0.0¢
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 .,ELECT3N �,
D �1,q � ,..'a. .' -"TENDERED', :'-
}
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET:_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01841850 Liz H
PO Box 962/6155 Cox Lane
CUt[hOgUe, NY 11935 - DATE IN DATEOUT TIME IN TIME OUT VEHICLE` °ROLLOFF
9316 Town of Babylon -
CALE 2 GROSS WT - 67420 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 30880 LB
OTY.. :' + - -cUNM DESCRIPTION:'; "` ' I RATE . EXTENSION t `>3`'FEE :::' TOTAL,".
15.44 OUTGO.MSW 0.000 0.00 0.00 0.0e
Sty
E
y,
Operating hours 7:00 AM to 5:00 PM 7 days a' week:�'�^. ,�
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7c� EL`E@TION-DAY,
DAY ,`�'A� 7 f ��r TENDERED
:Y oiltI'
SIGNATIIRF
TRINITY TRANSPORTATION CORPORATION
±14 Blydenburgh Road 3505
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 YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLESTATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. `
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED LIP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_, I I _ _ _ _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSACLOCATION: 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/GATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER -
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLDTO GENERATOR DISPOSAL LOCATION TICKET NO..
DUPLICATE TICKET (SnEj TICKET I GRID I "WEIGHMASTER
50UTHOLD TOWN DEPT SOLID WASTE 00 01841954 Liz H
PO Box 962/6155 Cox Lane -
CutchOgue, NY 11935 DATEIN ,'DATEOUT I TIMEIN TIMEOUT VEHICLE ROLL OFF
11/09/2 11/09/2 12:2 12:2 1110OTC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 73760 LB Outbound Ticket
MANUAL TARE WT 37000 LB
NET WEIGHT 36760 LB
CITY. UNIT - DESCRIPTION RATE -- EXTENSION FEE • TOTAL
18.38 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week." 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 '- ELECTION DAY .- d� ,TENDERED. .`
DAY
CHANGE
SIGNATURE
DUPLICATE TICKET SITE TICKET . - GRID - WEIGHM_ASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01841954 Liz H
PO Box 962/6155 Cox Lane
CutchOgUe, NY 11935 •DATE IN DATE OUT TIME IN TIMEOUT VEHICLE c ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 73760 LB Outbound Ticket
MANUAL TARE WT - 37000 LB -
NET WEIGHT 36760 LB
'QTY. - _UNIT, '• .DESCRIPTIONa ."RATE >•; -EXTENSION:• , ', " : FEE TOTAL'%,-.;
18.38 OUTGO.MSW 0.000 0.00 0.00 0.0e
N
Operating hours 7:00 AM to 5:00 PM 7 days a 'week.
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7,- ELECTION DAY-
DAY TENDERED
N
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3506
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 LIA131UTY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (GU YDS),
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT 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:_
(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:
RECEIVE_ D BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE.TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE "TICKET' - GRID � ,WEIGHMASTER"
• - .--
SOUTHOLD TOWN DEPT SOLID WASTE 00 01842952 Liz H -
PO Box 962/6155 Cox Lane _ _
CUtchogue, NY 11935 -:t,DATE IN - :DATEOUT TIME IN- TIME OUT , VEHICLE "'";ROLLOFF, _
11/13/2 11/13/2 07:2 07:2 11103TC - .-
9316 Town of Babylon -- -
ORIGIN
SCALE 2 GROSS WT 69320 LB Outbound Ticket -
MANUAL TARE WT 35940 LB -
_ NET WEIGHT 33380 LB
-:.,CITY-•:.', " UNIT ;,DESCRIPTION ";'-i>- `.;'-> *-:RATE :'EXTENSION' r"FEE::;.: z;;TOTAL
16.69 OUTGO.MSW 0.000 0.00 0.00 0.00
it
K' a_
Operating hours 7:00 AM to 5:00 PM Z days a,_week':.-' �'-: ' °-j .4 '�� - 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7`? ECEGTIONDAY a "•, � ENDERED,'- -
DAY ,_� -f t ;��,�-�qt , g., eye
-.',r_._xwr4'Y'Y;-•`' r _ 77= .CHANGE.-
' CHECK NO. -
SIGNATURE
DUPLICATE TICKET
SOU_THOLD TOWN DEPT SOLID WASTE 00 01842952 - rLiz H -.
PO Box 962/6155 Cox Lane
CutChOgUe, NY 11935 `-
DATEW• ;DATE OUT - TIME TIME OUT `-,:VEHICLE,, ROLL OFF.' ,.:
9316 Town of Babylon
CALE 2 GROSS WT _ _ 69320 LB _ Outbound Ticket _
.MANUAL TARE .W_T _ _. 35940 -LB. - -
NET WEIGHT 33380 LB
r .`OTY.` -, :,= :'UNfT_;?. . ,_3r. i _'_" DESCRIPTION - .'n..•�-„.w, -_ ;.='7"RATE.. ..' -EXTENSION,.P ...FEE . -"',-TOTAL.,`-
.
16.69 OUTGO.MSW 0.000 0.00 0.00 0.00
i�..t L?gg qqyy a• .....
Operating hours 7:00 AM to 5:00 PM 7 days a,week
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7;-, ELECTION-DAY--' A•
DAYS .f .a, :: « .'iY .TENDEREDCHANGE
_
QMMAn MP -
.TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - - 0 4 4 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
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.MAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOAPPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSP-ORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED LIP AT THE GENERATOR SITE LISTED ABOVE; AND THAT 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.
DUPLI@ATE TICKET ;SITE - TICKET GRID I WEIGHMASTER . '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01842968 Liz H -PO Box 962/6155 Cox Lane
-
CUtChOgUe, NY 11935 - "_-DATE IN,;" ='DATE OSfi;,, ,TIME[N TIMEOUT ,;;-:VE.HICLE'b <.=RO'L'L OPF
- ; "li/13/2 11/13/2 -08:0 08:0 - 11100TC -
9316 Town of Babylon _
SCALE 2 GROSS WT 63320 LB Outbound Ticket
MANUAL TARE WT 36540 LB _NET WEIGHT 26780 LB -
.:± ..t;..iCITY: ;`,,i��- -UNIT ":f. •,--"-i"x.: >7`-DESCRIPTION RATE;:'*.." s .
,.FJCfENSiON`" 2G -.EEE :r.',' ".-"'{:.TOTAC-` ='s.
-
13.39 - OUTGO.MSW 0.000 0.00 0.00 0.0e
OperatCLOSED 1ng hours -•00 AM t HOLIDAYS NEXT: TUESDAY,, NOV. 7 �ee _ -
� ��`�
/ :*":TENDERED`.•DAY
.. - UlkYtlu N1 - c HANG
^C EC N
SIGNATURE -
DUPLICATE TICKET -SfTE S:J`'.TICKEC;`;. -: GRID- -E; ::,3::;`:>-`..-{�.WEIGHMABTER
SOUTHOLD TOWN DEPT SOLID WASTE iz
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 -- - --- - - - - - -- _--
„' 'I TIMgmV - �.flOIC OFF=
9316 Town of Babylon _
CALE 2 GROSS WT 63320 LB _ Outbound Ticket _ -
MANUAL TARE_.WT 36540 LB -- - '
NET WEIGHT 26780 LB - -
-' QTY- ,-,'..,`rUNR`.;^ _ - ':'_DESCRIPTION'::= >„•- ,- `1"RATE-;- - .: EXTENSION:;. ' -, =EEB: , '- .S, TOTAL- ;
13.39 OUTGO.MSW - 0.000 0.00 0.00 0.0e
sff& 2
Operating hours 7:00 AM to 5:00 PM 7 da 5 a'.r?`\e`ek����`^��
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. EL�E'�GJ 0®-DA '�gg
DAY ¢� �/e7 Uq�l^ �r" `-TENDERED '
CHA E
H
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3508
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 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) S)GNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO'.
DUPLICATE TICKET SITE - TICKET' I GRID I - WEIGHMASTER
SOUTFPLD TOWN DEPT SOLID WASTE 00 01843101 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 - "'_'DATEW DATEOUT. TIMEIN TI_MEOUT ,EVEJOICLTEC- ROLL'OFF
-
9316 Town of Babylon - REFERENCE •-
MANUAL GROSS WT 66000 LB Outbound Ticket
MANUAL TARE WT. 36820 LB
NET-WEIGHT 29180 LB - - - -
r QTY. UNIT,', '.` ,- DESCRIPTION . �;":. , -RATE - . +EXTENSION. . J FEE TOTAL
- - 14.59- OUTGO.MSW 0.00e 0.0e 0.00 - 0.0¢
.:- ,
Operating hours 7:00 AM to 5:00 PM 7 days'a.week.;:_` -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7�-i ELECTION DAYS V" -
DAY j ��� t;`� ,I�1 TENDERED'
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET ('SITEI TICKET - GRID' WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE L1Z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
4Tic
D T TI IN M U V ROLLOFF
9316 Town of Babylon
ANUAL GROSS WT 66000 LB Out oun _
MANUAL TARE WT - 36820 LB
NET"WEIGHT 29180 LB
-QTY. UNIT -,' DESCRIPTION.- RATE 'EXTENSION '. - -FEE .c" TOTAL-: ,
14.59 OUTGO.MSW 0.000 0.00 0.00 V 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a we
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 ELECTION DAY
DAY - I= TENDERED
CHANGE
SIGNATURE - - '
TRINITY TRANSPORTATION CORPORATION
,' 214 Blydenburgh Road 3509
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:,(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR,PART 261 OR ANY APPLICABLE STATE LAW,HAS BEENPROPERLY
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 NOOSTATE`.
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL",LOCATION: DATE DELIVERED:
ADDRESS:
I,HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST.OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
_RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNA'TUREIDATE
.KEY: WHITE TO DISPOSAL LOCATION
GREEN'TO TRANSPORTER
YELLOW'TO TRANSPORTER.
P[NK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO',
DUPLICATE TICKET SRE TICKET GRID WEIGHMASTER
- - - -
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0184344 Steph "
PO Box 962/6155 Cox Lane -
CutchOgue, NY 11935 - DATE IN DATEOUT" TIMEIN TIME OUT "VEHICLE ROLLOFF
11/14/ 3 11/14/ 3 11: 1. 11: 1 11100TC _
9316 -Town of Babylon
SCALE 2 GROSS WT 74520 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT - 37600 LB - -
CITY. ,UNIT- DESCRIPTION RATE EXTENSION ""FEE ' TOTAL
18.80 OUTGO.MSW 0.00 0.0 0.00 0.0
SoVi y®ate
CA
k.Operating hours 7:00 AM to 5:00 PM 7 days a�ee��k:�.�p /p�, 0.0
DAY
HOLIDAYS - NEXT: TUESDAY, NOV. 74 ELEC f��4/IQY� ���`* TENDERED"
U 1
CHANGE
-
CHECK
SIGNATURE
DUPLICATE TICKET STTE TICKET . GRID _ - - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01843441 - Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF'
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT - 74520 LB Outbound Ticket
MANUAL TARE-WT= - -- - - -36920 LB -
NET WEIGHT _ 37600 LB -
CITY. " UNIT ,- ".'DESCRIPTION - - RATE.* - 'EXTENSION, 7'-,FE=,,,-.`- TOTAL
18.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
so
Operating hours 7:00 AM to 5:00 PM 7 day" a'� ek
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 E4EC TION DAY �` ` TENDERED
DAY- -
CHANGE,
CHECKNO.
-- SIGNATURE "
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3 511
Islanditk,;.NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSEN (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT'THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 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. _ LICENS€.NO/STATE:
TRAILER NO. LICENSE NOlSTATEI.
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBYCERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTEDAND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRlNT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-SITE TICKET , GRID - - WEIGHMASTER,-
DUPL L ICATE TICKET
-SOUTHOLD TOWN DEPT SOLID WASTE _ 0 1 0184335 - _ - Steph --
PO Box 962/6155.Cox Lane . _
Cut Chogue, NY 11935 - DATE IN DATEOUT :`TIMEIN TIMEOUT ., --VEHICLr, -.ROLL OFF
_ _11/14/ 3 11/14/ 3 08: 3 08'. 3 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT - 73260 LB Outbound Ticket
MANUAL TARE WT, 36760 LB
NET WEIGHT 36500 LB — - -
s:QTY.- --.` :UNIT: =-.DESCRIPTION„ >.,.�':". <; RATE r.,` ',EXTENSION ' FEE TOTAL-
18.25 OUTGO.MSW 0.00 0.0 0.00 0:0
r , x
Operating hours 7:00 AM to 5:00 PM 7 days\a-'wee k`:>..� '`„i �qF„,�" 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7�E4ECT3ONDAY iX"Fy,�'� --.aTENDERED =
DAY
--CHANGE'
-CHECK
SIGNATURE
DUPLICATE TICKET -SITE g` _TICKET-r,. :-- GRID- - r` - WEIGHMA§TER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01843353 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 i'=DA7E IN =DATE OUT:j ;TIMEIN TIME"OUT `. VEHICLE=' `?:,�,ROLL OW,
9316 Town of Babylon
SCALE 2 GROSS.WT _. ._-.73260 LB - ._.. _ _ _ Outbound Ticket -,-
MANUAL TARE WT _ 36760 LB _
NET WEIGHT - -36500 LB -
,DESCRIPTION," DESCRIPTION:-n, ""` -F;--RATE- - ["EXTENSION='"-: `_' FEE-, --- >TOTAL"-�^_ ,
18.25 OUTGO.MSW 0.000- - 0.00 0.00 0.00
r
' �\ -
n. .,�
Operating hours 7:00 AM to 5:00 PM 7 days a�$i ee�c:�.=-.�_,,,..�
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7`}� ELEQ.T. N"DAV F�a�h�v
DAY - 7L ' . _TENDERED
-CHANGE
Al
RIGNATIIRF- -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3 510
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:
C01+MODITY'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
APPLKABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE SLAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR,AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO._ LICENSE NO/STATE:,
TRAILER NO. LICENSE'NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER[ - _ _
(PRINT NAME) (SIGNATURE)
'DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-DUPLICATE TICKET (SFMI TICKET I GRID WEIGHMASTER;-- ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01843674 Steph
PO Box 962/6155 Cox Lane
CutChogUe, .NY 11935 '°-DATE IN 'DATEQUT,-= TIMEI_N TIMEOUi' : OLLOFF •.;
.. . - 11/15/2 11/15/2 08: 08: 11100TC _
93fd .Town of Baa bylon
ORIGINREFERENCE
SCALE 2 GROSS WT . . _ 79380 LB _ Outbound Ticket_
MANUAL TARE WT. 36540 LB
NET WEIGHT 42840 LB -
s iOTY:.;=_F:.d' UNIT... -. -. �„ DESCRIPTION.:- °RATE :'.:.EXTENSION, ; =: `FEE=, r::-,'.�2?OTAL';`::;-
21.42 - OUTGO.MSW 0.0012 0.0 - 0.00 " 0.0E
Operating hours 7:00 AM to 5:00 PM 7 da-ys`a-week:- _ - -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7:-, ELECTION DAY TENDERED
-
DAY
C EC N
- SIGNATURE ---
DUPLICATE TICKET •SITE `c' i;TICKET-- `�:GRID'
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 -
-TI
9316 Town of Babylon
GALE 2 GROSS WT - 79380 LB Outbound Ticket
MANUAL TARE°WT 36540 LB
NET WEIGHT - - - ""42840 LB - - - ' - -
=.UNR'S} DESCRIPTION_-`'-`z-...,=a; s;RATE.- TT^EXTENSION,';_ ;,FEE:.,-% =- ": :TOTAL'•. .
21.42 OUTGO.MSW 0.000 0.00 0.00 0.02
Y
Operating hours 7:00 AM to 5:00 PM 7 days ,.'week:- -,� ,;V£•
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 ELECTXON'DAK:--
DAV - - 1TENDERED
• H
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3 512
Islandia, NY 11749
(631) 342-9673
THISMANIFEST tS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANYIIABILITY 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) SIGNATURElDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
E TICKET GRID -vWEIGHMASTER
DUPLICATE TICKET SIT
SOUTHOLD TOWN DEPT-SOLID WASTE _ . 0 1 61844096 Steph
PO Box 962/6155 Cox Lane
' Cutchogue,-NY 11935 - - DATEIN DATE OUT TIME IN TIME OUT I,_ VEHICLE ROLL OFF
11/16/2 11/16/ 3 12: 4 12: 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 74120 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37300 LB
CITY. UNIT DESCRIPTION RATE - EXTENSION FEE. TOTAL
18.65 OUTGO.MSW 0.0012 0.012 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a':week-.-__ = ' 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7:-= ELECTIOtN�,DAY4 ::' %'� •� TENDERED " -
DAY
-'ZZ"i'�ry"µ HA GE
CHEC
SIGNATURE
DUPLICATE TICKET 'SITEJ TICKET _ GRID _ .WEIGHMASTER ;
SOUTHOLD TOWN DEPT SOLID WASTE 00 01844096 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN I DATEOUT TIME IN TIME OUTI ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS.-WT __ __. .74120 LB .. _. . . - Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 37300 LB
•QTY. UNIT =_A. : DESCRIPTION '- ' - , "RATE EXTENSION , =FEE• � '_TOTAL, _
18.65 OUTGO.MSW 0.000 0.00 0.00 0.10e
,.�.h''l`1. 6�{ L O��' •��
Operating hours 7:00 AM to 5:00 PM 7 days•ar eek % �•� 9/,�`
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7�=:�E_L`EC--TIONp'DAY"f.,a��`�a'< f„iJ TENDERED
DAY
� , !r
�' ._,' -vim•,; .✓' CHANGE
CHECK NO,
-- s�runruwc -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3 514
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FeR 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 HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGTO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NOISTATE:
I HEREBY,CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY`.
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
_KEY: 'WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR'
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER -
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01843977 Steph
PO Box 962/6155 Cox Lane _ - - _
Cutchogue, NY 11935 =DATEIN DATEOUT -TIME IN TIME OUT VEHICLE ROLL OFF
11/16/2 11/16/2 .08:2 08:2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 72780 LB - Outbound Ticket _
MANUAL TARE WT 36760 LB NET WEIGHT 36020 LB
'CITY. UNIT DESCRIPTION - -- RATE EXTENSION 'FEE - TOTAL '
18.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,*a"week. - 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 ,- ELECTION DAY TENDERED
DAY
CHANGE
CHECK
SIGNATURE
DUPLICATE TICKET - SITE - °TICKET., - _ GRID t:WEIGHMASTER- -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01843977 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 .,`DATE IN 'DATE OUT TIME IN.TIME OUT VEHICLE ROLL OFF -
9316 Town of Babylon - -
GALE 2 GROSS WT 72780 LB Outbound Ticket
MANUAL TARE WT. -- 36760 LB -
NET WEIGHT 36020 LB
CITY.• UNIT DESCRIPTION .,RATE- EXTENSION _ FEE - "-:=TOTAL
18.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days.a:week.
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY TENDERED
CHANGE -
C E K
.91rNATNRF - -- - - - -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3 5)13
Islandia, IVY 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 THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY aD CFR PART 260.10 OR,ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY dB CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER*
(PRINT NAME) (SIGNATURE)
DESTINATION
'DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 F TICKET I WEIGHMASTER,'. e
SOUTHOL0 TOWN DEPT SOLID WASTE 0 1 01844317 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 `DATEIN DATEO'UT" -TIME IN TIMEOUT , ".-VEHICLE-" `, ;`:RoLI:OFF.;
11/17/2 11/17/ 68: 9 08: 11104TC
9316 Town of Babylon -
SCALE 2 GROSS WT 79180 LB Outbound Ticket
SCALE 1 TARE WT 38320 LB
NET WEIGHT 40860 LB
`..QTY,'z• -UNIT'_;= t;r.`" .. "..>`.'DESCRIPTION;:." p.; g.�,�.- ,.,.. RATE £"' IXTENSION. _: ,.:'' ;.FEE a`..',: ;. o-r TOTAL
20.43 OUTGO.MSW - O.00E 0.00 0.00 0.0E
i
-
_
Operating hours 7:00 AM to 5:00 PM 7 days a;weeki
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7':n,E LECTION,DAY, ieC?ENDERED
DAY
E
SIGNATURE
DUPLICATE TICKET SITE1 f= TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01844317 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,.DATE IN.`. DATE OUT "TIME IN. TIME OUT `-vVEHICI:E", °.ji LLOFT ;'.
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 79180 LB Outbound Ticket
SCALE 1 TARE WT 38320 LB NET WEIGHT 40860 LB
QTY.`': _sr., UNIT- ti's >,i,.--;.-_', DESCRIPTION '`I•RATE`-±`_`� " EXTENSION TOTAL,
.- ..,;FEE:: =' - TOTAL
20.43 OUTGO.MSW 0.000 0.00 0.00 0.0E
55 Jr
Operating hours 7:00 AM to 5:00 PM 7 da
p g
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7�•- rELECTION-DAY•" i°`F"� {p
DAY y't:..a" �`ss9 F,°�:;�i �$ ;\`:'"•`� ep' ,TENDERED
CHANGE
r'
SIGNATURE - .-
TRINITY TRANSPORTATION CORPORATION
2 N Blydenburgh Road NO. - - 0 2 9 4
Islandia,NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WIT14 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.
1
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: _ - _
(P_RINTNAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01844672 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIMEIN TIMEOUT VEHICLE ROLL OFF
11/18/2 11/18/ 07: 7 07: 11103TC
9316 Tpwn•of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72900 LB Outbound Ticket
SCALE 1 TARE WT 35920 LB
NET WEIGHT 36980 , LB
.QTY. UNIT DESCRIPTION RATE" EXTENSION' "'FEE `TOTAL•
18.49 OUTGO.MSW O.00E me 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 dajt5 a�ee�kp\ • 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 EL-EC IONdAYY,A\CL�ssyy 'TENDERED -
DAY
41�� �V N
GE
CHECK
SIGNATURE
DUPLICATE TICKET 6srrEj TICKET=.=: ,GRID-.� ' �" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01844672 Steph
PO Box 962/6155 Cox Lane
CutchogUe, NY 11935 "g DATE IN'. 'DATE OUT TIMEIN TIME OUT VEHICLE . OLL OFF
9316 Town of Babylon
SCALE 2 GROSS WT - -72900 LB ' - Outbound Ticket
SCALE 1 TARE WT - 35920 LB
NET WEIGHT 36980 - LB
"OTY.' UNIT _ .DESCRIPTION •RATE- - , EXTENSION ","FEE TOTAL
18.49 OUTGO.MSW 0.000 0.00 0.00 0.0e
soo y�01�
-- _
Operating hours 7:00 AM to 5:00 PM 7 Qs a`Jee�c�-'2 ``��
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 E-1-1- C7ION-A 0um ��y TENDERED
/Y
DAY
CHANGE
H C N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3527
Tslandia, MY 1174.9 NQ.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY,CARGO 0R MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE 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) (SfGNATURE)A ..._ _.,
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(PR W T NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
'YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUF'LTLATE TICKET SRE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01845473 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935' _DATE IN DATE OUT TIMEIN TIMEOUT VEHICLE ROLLOFF'
- 11/20/ 3" -11/20/ 3 08: 0 08: 0 11100TC
9316 Town of Babylon -
SCALE 2 GROSS WT 70600, LB Outbound Ticket ,
MANUAL TARE WT. 35940 LBNET WEIGHT - 34660 LB
CITY. UNIT DESCRIPTION - RATE- EXTENSION .FEE ' "-TOTAL
17.33 OUTGO.MSW 0.00 0.0 0.0 - . ... 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week. - 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY - TENDERED
DAY
CHANGE
CHECK
SIGNATURE --,
DUPLICATE TICKET rSITEJ TICKET GRID - -WEIGHMASTER:
SOUTHOLD TOWN DEPT SOLID WASTE 0 01845473 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
.?DA ]N DATE OUT TIME IN• TIME OUT VEHICLE ,koLLOFF
9316 Town of Babylon - -
ORIGIN
CA LE 2 GROSS.WT 70600 LB - . Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 34660 LB
`QTY. -UNIT DESCRIPTION, - , RATE-_- _ EXTENSION ^ -FEE ``,TOTAL
17.33 OUTGO.MSW 0.000 0.00 0.00
Operating hours 7:00 AM to 5:90 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY - - -TENDERED .
....... _ .. " -CHANCE
HEC
- c�r_uen ioc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3515
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 CPR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 SITE TICKET GRID WEIGHMASTER `
_
SOUTHOLD TOWN DEPT SOLID WASTE - 0 1 01845623 - - Liz H
PO Box 962/6155 Cox Lane - -
Cutch9gue, NY 11935 - DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE .-,ROLL OFF ---
11/20/2 11/20/ . 12: 9 1219 11100TC .. .
9316 Town of Babylon
MANUAL GROSS WT 65780 LB Outbound Ticket
MANUAL TARE WT 36540 LB .. _
NET WEIGHT - 29240 LB '
QTY. UNIT DESCRIPTION- - RATE. -- EXTENSION '-FEE 'TOTAL
14.62 OUTGO.MSW n - 0.00E 0.012 0.00 0.0e
_ t{
_ _ 1 s•.�
Operating hours 7:00 AM to 5:00 PM 7 days a week...`,,-
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 ELECTI`ON DAY. `TENDERED
DAY
1
CHECK
SIGNATURE
J -
DUPLICATE TICKET f SITE -5 TICKET` GRIO"'- -'.WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE - 00 01845623 Liz H
PO Box 962/6155 Cox Lane -
CUfCflOgUe, NY 11935 DATEIN DATEOUT, TIMEIN TIME OUT VEHICLE .v ROLLOFF
9316 Town of Babylon
ORIGIN
ANUAL GROSS WT - - _- --- 65780 LB - -- Outbound Ticket
MANUAL TARE-WT --- 36540 - LB '
NET WEIGHT 29240 LB
-,QTY.' = ' UNIT-;'. _ - DESCRIPTION . RATE- - EXTENSION - :FEE "TOTAL, ;
14.62 OUTGO.MSW 0.000 0.00 0.00 0.0e
fJ a'9414J•� ;/ •N
Operating hours 7:00 AM to 5:00 PM 7 days.a,,week.=--�r�- -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7. -e1ELEGTION"'DAY` V' {
DAY ''� �fi t '�� "TENDERED
CHANGE
_ 7- 5
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
2 f 4 Blydenburgh Road NO 3 516
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH,MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE`. (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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 F 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.-
- - - (srrEl TICKET I - GRID I WEIGHMASTER
.DUPLICATE TICKET
SD,IITHOLr,TOWN DEPT SOLID WASTE _ 0 111 0184601 - Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - - `b ATE'IN DATE OUT TIMEIN TIME OUT 'VEHICLE ROLL:OFF -
11/21/ 3 11/21/ 3"12: 2 12: 2 11100TC -
9316 Town of Babylon
MANUAL GROSS WT 73980 LB Outbound Ticket - - - - - -
MANUAL TARE WT 35940 LB
NET WEIGHT 38040 LB
QTY. UNIT. DESCRIPTION' -' RATE - EXTENSION FEE TOTAL
19.02 OUTGO.MSW! 0.00 - 0.0 0:00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY 'TENDERED
DAY
-- _ - CHANGE
CHECK O
SIGNATURE
DUPLICATE TICKET - "SITE " TICKET., ? '- GRID... - WEIGHMASTER..-
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01846014 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - ":DATE IN DATEOUT TIMEIN TIMEOUT - "VEHICLE '-ROLL OFF
9316 Town of Babylon
MANUAL GROSS WT - 73980 LB Outbound Ticket -
MANUAL TARE,WT--- - 35940 LB
NET WEIGHT - 38040 LB
"QTY .UNIT� - DESCRIPTION. RATE EXTENSION" - ;FEE' ,__TOTAL
19.02 - OUTGO.MSW 0.0012 0.0e 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - "NEXT: TUESDAY, NOV. 7 - ELECTION DAY TENDERED
DAY ,
- - - CHANGE
H
RIf:MAT1IGF .. -`
w TPUNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3518
Islandia, NY 11749 ""
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: 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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN'PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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
PINKTO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID .WEIGHMASTER
.DUPLICATE TICKET _
SOUTHOLD TOWN DEPT. SOLID WASTE 0 1. 01845862 Steph -
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 - DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLLOFF
- 11/21'/ 11/21/ 3 08: 7 08: 7 11100TC
9326 Town of Babylon -
ORIGIN
SCALE 2 GROSS WT 78000 LB Outbound Ticket - -
MANUAL TARE WT _ 39140 LB _ -
NET- WEIGHT 38860 LB - - - -
- -CITY. UNIT DESCRIPTION RATE EXTENSION,!' - ,,.,FEE .TOTAL
19.43 OUTGO.MSW 0.00 O.OE 0.00 - 0:0
Operating hours 7:00 AM to 5:00 PM 7 days a-`week. -- - 0.00
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 = ELECTION .DAY - - TENDERED-
DAY
CHANGE
--- - --CHECK NO
SIGNATURE
DUPLICATE TICKET SITE TICKET,'_:- GRID., �WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 -01845862 Steph
' PO'B6x-962/6155 Cox Lane _ - -
Cutchogue, NY 11935 - - DATEIN DATE OUT - 'TIME IN TIME OUT VEHICLE ROLL OFF -
9316 - Town of Babylon - -
SCALE 2 GROSS_WT - . ...__78000 - LB -_-_. . ._Outbound TicketMANUAL-TAUNT- 39140.- - _ 39140 _ LB
NET WEIGHT 38860 LB -
CITY. UNIT? ' -DESCRIPTION^ =7, - - RATE EXTENSION FEE _ ..uTOTAL=.'
19.43- OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
'CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY TENDERED
DAY- -CHANGE
-. E
SIGNATURE "
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3 517
Ir0andia, NY 11749 NO
(6 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME,ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: _ (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
'I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40'CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR,TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
1 HEREBY CERTIFY THAT THE ABOVE'NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:'
(PRINT NAME). (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THEABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST Of MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 - Oil 01846314 Steph
PO Box 962/6155 Cox Lane _
CUtchogue, NY 11935 DATE IN DATEOUi I THE IN TIME OUT VEHICLE I ROLL OFF
11/22/ 11/22/ 3' 09: 5 09: 5 11100TC
93A Town of Babylon
SCALE 2 GROSS WT 76280 LB Outbound Ticket
MANUAL TARE WT - 37420 LB
NET WEIGHT 38860 •LEI
.OTy. UNIT . DESCRIPTION RATE' EXTENSION FEE TOTAL
19.43 OUTGO.MSW_ - _ 0.00 -_ _ 0.0 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY TENDERED
DAY
CHANGE
E N '
SIGNATURE
DUPLICATE TICKET S_RE - TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01846314 Steph _
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN 'DATEOUT• TIME IN TIME OUT VEHICLE- ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT - 76280 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 38860 LB
CITY.' UNIT, DESCRIPTION'' "" - RATE_ EXTENSION ' FEE ',TOTAL
19.43 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY TENDERED
CHANGE
mr_u en ioo
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road 3 519
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.'GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES-(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED,MATERIAL DOES NOT CONTAIN FREE.LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TOTRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET - SITE . TICKET I 'GRID ,iVEIGHMAMR
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01846397 Steph -
-PO Box 962/6155 Cox Lane _ _ _ _ _
Cutchogue, NY 11935 _ _
5:`DATEIN"��'-DATE OUi�. ..T1MEINLME�6LT11/24/2 11/24/ 3 08: 08: 8 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT- -_ 79720 LB - _ - -outbound Ticket - - — --- - - -- -- -
MANUAL TARE WT. 39140 LB
NET WEIGHT 40580 LB -
`�QTY.Tr".,. .;UNIT" r°-" r '% .r-.>:OESCRIPTiON?.. "s »,,<,-C,'. .,. .�'ta .RATE' ,---";EXTENSION- TOTAIz'_ -
20.29-- OUTGO.MSW 0.00 0.0 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY ,-,TENDERED._
DAY
- - - CHECKNO7
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01846397 Steph
PO Box 962/6155 Cox Lane
C UtChOgue, NY 11935 %-DATHN�. DATEOUT , MEIN� =TI TIME OUT VEHICLE-=y = ROLCOFP"
9316 Town of Babylon
CALE 2 GROSS.WT- - 79720 LB - _ _ Outbound Ticket
MANUAL TARE_:,WT_ _ ._.__ - - 39140 - LB
NET WEIGHT 40580 LB
✓UNfi` .`. _ _ - DESCRIPTON>-.:..L-- "-'RATE - "` EXTENSION.: . -FEE:+- s.70TAL-_-
20.29 OUTGO.MSW 0.000 0.00 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days a week. - -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY TENDERED
=CFIO. -
. e�n_ninn goo - --
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3520
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFESTIS FOR REFERENCE PURPOSESONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY' SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES:(COUNT):
TRUCK WEIGHT: GROSS'
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 60 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AMC)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
ISTRUE 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 N.O.
DUPLICATE TICKET O; "SEE
1 TICKET1846840 GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 6 Steph
PO Box 962/6135 Cox Lane _ DATEITIMEOUT1
- _
Cutchogue, NY 11935 IN DATE OUT TIME VEHICLE ROLL OFF
11/25/2 _11/25/ -
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74020 LB Outbound Ticket
SCALE 1 TARE WT 35900 LB -
.
NET WEIGHT'.., . - � 38120 LB —
OTY. UNR- DESCRIPTION RATE EXTENSION 'FEE :---TOTAL
- 19.06 OUTGO.MSW 0.00 - 0.0 - 0.00 0.0( -
Operating hours"7:00-AM-to 5:00 PM 7 days-a week.
CLOSED HOLIDAYS "- NEXT: TUESDAY, NOV. 7 - ELECTION DAY " - TENDERED
DAY -. -
- - SIGNATURE
DUPLICATE TICKET ,SITE ',TICKET - *I GRID' , _ „- WEIGHMASTER__ _
-SOUTHOLD TOWN DEPT SOLID WASTE 00 02846840 " Steph -
-P0 Box 962/6155 Cox Lane
i.utchogue, NY- 12935 ' `.DATE IN" "DATE OUT • TIME IN TIME OUT VEHICLE - !'ROLL OFF:
9316_ To Babylon -
CALE 2 GROSS_ 'WT 74020 LB Outbound Ticket - - -
SCALE: 1 TARE WT - 35900 LB - -NET WEIGHT - 38120 LB -
>; pTY.. " _UNIT' DESCRIPTION" RATE. EXTENSIONS - :'FEE-:.,. _ :;°;..TOTAL _
19.06 - "- OUTGO.MSW 0.000 - 0.00 0.00 - '0.00
Operating hours .7:00-AM to 5:00 PM 7 days a week. ._
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY - -
DAY._. - -
.•..TENDERED.
. E
SIrMATIIRE -
TRINITY TRANSPORTATION CORPORATION
214 Blydenb,.ugh Road 3528
Islandia, NY 11749 ND.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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 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) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
''J'DUP LICATE TICKET SRE TICKET GRID WEIGHMASTER"
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01847931 Liz H
PO Box 962/6155 Cox Lane "
Cutchogue, NY 11935 " DATE IN DATE.OUT TIME IN ITIME OUT VEHICLE I ROLLOFP
11/27/ 11/27/ 3 07: 2 07: 2 11103TC
9316 Town of Babylon ORIGIN
SCALE SCALE 2 GROSS WT 74660 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 38120 LB ::I I
"OTY. UNIT -- DESCRIPTION RATE - EXTENSION '-`•FEE• ,.TOTAL
19.06 OUTGO.MSW 0.OOE 0.0 0.00 M
Operating hours 7:00 AM to 5:00 PM 7 days 'a'week:.,_.,
s.<,
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7-- ELECTION DAY*, _}`• `Y ' TENDERED
DAY
CHECKNOt
SIGNATURE
DUPLICATE TICKET SITE TICKET-r-:.' GRID ' , -?:r,WEIGHMASTER;: `
SOUTHOLD TOWN DEPT SOLID WASTE 0 01847931 Liz H
PO Box 962/6155 Cox Lane - -
Cutchogue, NY 11935
PAT IN -DATE OUT TIME IN TIME OUT yVEHICLE: -ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
L 2 RO -WT - 74660 LB - ._Outbound Ticket -
MANUAL TARE. WT. _, 36540 LB
NET WEIGHT 38120 LB
.QTY.'_ .;,UNIT- DESCRIPTION: - ` RATE-' EXTENSION FEEs ' �_TO7AL
19.06 OUTGO.MSW 0.000 0.00 0.00 0.0e
}
t li 1 U
Operating hours 7:00 AM to 5:00 PM 7 days a�Week -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7`- ELECTION-
DAY -�- '��•i �a,: ,,.;.�i `:�.,,' �� TENDERED
CHANGE
CHECK O.
RI[iNAT11RF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh lead No. 3534
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 YQS)
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 PROPERtONDITION 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:'
(PRINT NAME) - (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS-
'I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER_
YELLOW TO TRANSPORTER'.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
� - - - - - -
SO'ITHOLD TOWN DEPT SOLID WASTE 0 01847956 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN• TIME OUT VEHICLE I ROLLOFF
11/27/2 11/27/ 08:1
9 08: 9 11100TC "-
9316 Town of Babylon
SCALE 2 GROSS WT 6748,' LS Outbound Ticket
MANUAL TARE WT. 3594,' LB
NET WEIGHT 3154,1 LS
"CITY., .UNIT - DESCRIPTION RATE EXTENSION FEE' `TOTAL
15.77 0:FGO.MSW O.00E O.OE 0.00 0.0E
Operating hours 7:00 AM to 5 -0 PM 7 days,-a,•week -- ` 0.02
CLOSED HOLIDAYS - NEXT: TUF .DAY, NOV. T= ELECTION DAY
DAY ° �, -TENDERED
� .- 1.7 r A G
CHECK
SIGNATURE ,
DUPLICATE TICKET KSITEJ, .TICKET-'>r" .' GRID.". 'WEIGHMASTER``
SOUTHOLD TOWN DEPT SOLID WA" 00 01847956 1 Liz H _
PO Box 962/6155 Cox Lane
CUYChogue, NY 11935 ,DATE IN DATEOUT TIME IN"TIME OUT .:.VEHICLE :,'ROLLOFF
9316 Town of Babylon
CALE 2 GROSS WT 674f. LB Outbound Ticket -
MANUAL TARE WT 3594 ' LB
NET WEIGHT 3154, LP
^"2OTY.: UNIT • DESCRIPTION' " _ RATE EXTENSION ?FEE - ",'t-TOTAL-•.
15.77 C,"GO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to '+o PrI 7 days a%,*week:
CLOSED HOLIDAYS - NEXT: TUF 1AY, NOV. 7;= E'L'ECTION-^DAV—
DAY i74 g, .:..•' 5 ,r•�`i' TENDERED
H
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3521
Islandia, NY 11749
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SNIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ SHIP DATE: -
COMMODITY SHIPPED:
LOOSE: ICU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.-
TRUCK NO. LICENSE NO/STATE:
TRAILER NO, LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT 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 AG£NT(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 eSITE1 TICKET I GRID I WEIGHMASTER
•-509TUOLD TOWN DEPT SOLID WASTE 0 1 0184807 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN DATEOUT TIME IN TIME OUT VEHICLE - ROLLOFF
- 11/27/ 3 11/27/ 3 -11: 8 11: 8 11100TC
.r 9316 Town-of-Babylon _.. .. _
REFERENCE ORIGIN
SCALE 2 GROSS WT 69680 LB Outbound Ticket
_MANUAL TARE WT _ 37420 LB
NET WEIGHT 32260 LB
QTY. - UNIT' DESCRIPTION RATE . EXTENSION FEE ",TOTAL
16.13 OUTGO.MSW 0.0011 0.011 O.OE 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a-week. - 0.0
CLOSED,HOLIDAYS ---NEXT: TUESDAY,_NOV. 7- - ELECTION DAY• _ _ TENDERED
DAY -
CHANGE
CHECKD
SIGNATURE
DUPLICATE TICKET SITE ., TICKET" " - GRID ` VEIGHMASTER`
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 0184807 Liz H
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 r DATE IN DATE OUT TIMEIN TIME OUT ,.VEHICLE ROLL OFF•
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 69680 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 32260 LB
O7Y... ..UNIT.i_.: . ..a.,t:-_._..;, .. DESCRIPTION r ,-.RATE_...•- - EXTENSION •FEE.- • •.TOTAL• -
16.13 OUTGO.MSW 0.00 O.OE 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY - TENDERED
HA
E
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
4 214 Blydenburgh Road 3522
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 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 26D,10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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/GATE
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 I WEIGHMASTER-
DUPLICATE TICKET -
SOUTHOLD'TOWN DEPT SOLID WASTE'-'"-- -' 0 1 0184842 - Steph - -
PO box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE' S •' ROLLOFF
Cutchogue, NY 11935 -
11/28/ 3 11/28/ 3 10: 5 16: 5 11100TC -
9316 Town of Babylon
SCALE 2 GROSS WT 82820 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 45900 LB - -
- CITY. 'UNIT' - DESCRIPTION - RATE EXTENSION- FEE -TOTAL "
22.95 OUTGO.M5W- 0.001 0.0 0.010 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week. • 0.0
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY TENDERED
DAY
- CHANGE
NOTES: „•, TRAILER 165 y - � -
C K
SIGNATURE
DUPLICATE TICKET SITE " TICKET I GRID - WEIGHMAS TER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01848420 _ Steph
PO Box 962/6155 Cox Lane ,._ ..
Cutchogue, NY 11935 DATE IN DATEOUT TIMEIN TIMEOUT VEHICLE' .,ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 82820----LB-- --- - Outbound Ticket - - - -
MANUAL TARE WT 36920 LB
NET WEIGHT 45900 LB
=CITY., UNR - DESCRIPTION'- RATE -EXTENSION FEE - TOTAL
22.95 OUTGO.MSW 0.000 0.00 0.00 0.08
Operating hours 7:00 AM to 5:00 PM 7 days a week. -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY 'TENDERED
DAY
NOTES: TRAILER 165 CHANCE-
CHEC
SIGNATURE - -
TRINITY TRANSPORTATION CORPORATION
'214 Blydenburgh Road 3536
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 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: -
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE T_HE.INFORMA_T_ION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL'LOCATION TICKET NO.
"- SITE TICKET GRID WEIGHMASTER -
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01848331 Steph -
PO Box 962/6155 Cox Lane
Cutchogu0,- NY 11935 ...... F- DATEIN.- DATE-OUT TIME IN TIME OUT " VEHICLE," ROLCOFF'
11/28/ 11/28/ 3 07: 9 07: 9 11100TC
9316 Town 'o!�Babylon
•.
SCALE-2�GROSS WT _Out Ticket
MANUAL TARE WT - 35940 LB
NET WEIGHT 44540 LB
QTY. UNIT DESCRIPTION RATE EXTENSION. ..FEE :-TOTAL
22.27 OUTGO.MSW - O.00E O.OE 0.00 0.012
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY_ TENDERED' _ .
DAY
CHANGE
^ C
SIGNATURE
DUPLICATE TICKET .SITE TICKET--. GRID. _ - 'WEIGHMASTER, -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01848331 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF = '
9316 Town of Babylon
CALE- 2,GROSS WT _ 80480 LB Outbound Ticket
MANUAL TARE WT - 35940 LB - - - -
44540—LB-
- QTY. _ UNIT DESCRIPTION-"i_' RATE EXTENSION-',' - FEE ,�,TOTAL"''
22.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to- 5:00 PM -7 days a week. -
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 - ELECTION DAY
DAY I TENDERED-
.
E
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3535
Islandia,}NY 11749 NO.
(631 Y342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLEOF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.,
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS W PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) [SIGNATURE]
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NOISTATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS,TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TOOENERATOR DISPOSAL LOCATION TICKET NO,
rSDE • TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01848734 Steph
PO;Box 962/6155 Cox Lane _ -
Cutchogue;• NY 11935--. - .- •--•----• - —
' DATE IN E DATE,OUT. -TIME W TIME OUT ;� VEHICLE^,', •ROLL'OFF
- 11/29/2 11/29/ 10: 1 10: 1 11100TC
9316 Town of Babylon '
}
SCALE 2 GROSS WT 72840 LB Outbound Ticket --- - -
MANUAC'TARE WT"-. ___ . -..35940......LB. - --- - - ._ -' - - -
NET WEIGHT 36900 LB
OTY.- UNIT DESCRIPTION -: RATE EXTENSION "FEE TOTAL
18.45 OUTGO.MSW _ O.00E O.OE 0.00 - 0.0
_ ,,..SPA 1:-...3��`�•'"i % '^.S • _
Operating hours 7:00 AM to 5:00 PM 7 days aweek.�.. 0.0e
DAY �r CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7 , ELECTION �"`"�.U' TENDERED
EE I ; rr
NOTES: TRAILER 115 CHANGE
SIGNATURE -
DUPLICATE TICKET SITE . TICKET I GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01848734 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;DATE IN, DATE OUT. TIME IN,TIMEOUT, VEHICLE ROLLOFF,
9316 Town of Babylon _.
SCALE 2 GROSS WT 72840 LB -- Outbound Ticket
MANUAL TARE WT- - 35940 LB
NET WEIGHT. -- - 36900 LB
-UNIT " ` - - - -DESCRIPTION "' '-- -+ RATE "EXTENSION FEE `TOTAL:_
18.45 OUTGO.MSW 0.000 0.00 0.00 - 0.0e
Soy,
saG fir' ,
Operating hours 7:00 AM to 5:00 PM 7 days a week::—ram_
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7t'- ELECTION-DAY—' �d
DAY �Unqbdmv
TENDERED
_ rNOTES: -- TRAILER 115 N
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3537
Islandia, IVY 11749
(631) 342-9673
THIS MANIFEST IS POA 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 SEEN 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 I TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01849230 Steph
PO BOX 962/6,155 Cox Lane DATE IN DATE OUT TIME IN TIME,OUT VEHICLE ROLL OFF
Cutchogue, NY 119351
11/30/ 11/30/ 3 12: 2 12: 2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 73840 LB Outbound Ticket
MANUAL TARE WT 35540 LB
NET WEIGHT 38300 LB
CITY, - UNIT. DESCRIPTION. - RATE EXTENSION FEE TOTAL•,
19.15 OUTGO.MSW 0.00 0.012 0.00 0.0
t
•° 1
Operating hours 7:00 AM to 5:00 PM 7 dayss,a;-Week: _^ " � '„-:a�\ � , 0.0e
=..CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7' ELECi1ON ,DAYk,,j °;-''.g,''��}' _ TENDERED
DAY '.;.?� :✓{.. N: 4 •� ;' 1r
NOTES: TRAILER 139 _e S� V S�I,xv\� I CHANGE
1 ICI d ,
i
SIGNATURE
DUPLICATE TICKET SITE TICKET - ,GRID I WEIGHMASTER - -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01849230 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT 'TIME IN ITIME OUTI VEHICLE ROLLOFF
9316 Town of Babylon
SCALE 2 GROSS WT 73840 LB Outbound Ticket
MANUAL TARE WT 35540 LB
NET WEIGHT 38300 LB
CITY..: , UNIT a, DESCRIPTION ?,^: RATE EXTENSION FEE- TOTAL.°
19.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
C14,
L
4
Operating hours 7:00 AM to 5:00 PM 7 days a w'eek4";, ^�--:, x\fir :I
CLOSED HOLIDAYS - NEXT: TUESDAY, NOV. 7C1- ELECTION`pD�AY,� _ TENDERED
DAY
NOTES: TRAILER 139 % CHECK NO.CHANGE
SIGNATURE
t
TRINITY TRANSPORTATION CORPORATION
214 Rlydenburgh Road NO, 3539
Islandia, NY 11749
(631) 342-9673
THISMANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKEPOSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
®ALES:(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
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:
THEREBY 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) 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 11 01849096 Steph
PO Box 962/6155 Cox Lane DATE IN - DATEOUT TIMEIN TIME OUT - VEHICLE, ROLLOFF
Cutchog6e—NY h935
11/30/ 11/30/ 3 08: 2 08: 2 11100TC
9316 Town of Babylon
SCALE 2 GROSS WT 77700 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 40280 LB
'" OTY. UNIT DESCRIPTION RATE- EXTENSION 'FEE ' " TOTAL'
20.14 OUTGO.MSW 0.00 0.0 0.00 0.0
c >_
Operating hours 7:00 AM to 5:00 PM 7 days a:week`.''-_.... 0.0
CLOSED HOLIDAYS - NEXT: TUESDAV, NOV. 7`=-ELECTION 6DA
DAYCHANGE
`L J,IY�• TENDERED„
NOTES: TRAILER 181
CHECK NO,
SIGNATURE
DUPLICATE TICKET SRE „ TICKET GRID - - WE_IGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01849096 Steph
PO Box 962/6155 Cox Lane
CUt ChOgue, NY 11935 DATE IN DATE OUi TIME IN ITIME OUT , VEHICLE'.; ' ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77700 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 40280 LB
QTY., / UNIT, - - DESCRIPTION s"L. RATE EXTENSION . =FEETOTAL
RATE -
20.14 OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days asweek•.�
CLOSED HOLIDAYS - NEXT: TUESDAV, NOV, 7 EL'•E�T-IDN-DAV TENDERED
DAY
NOTES: TRAILER 181 st CHANGE
cir_uen ma
TRINITY TRANSPORTATION CORPORATION
214-Blydenburgh Road No. 3538
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 WITHTHE 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 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:
1 HEREBY CERTIFY THAT THE,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE,AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE,
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -