HomeMy WebLinkAbout02/2024 DUPLICATE TICKET SITE ' TIGKET. GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01862193 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT; .TIME IN TIME OUT VEHICLE _ ROLL OFF
1 2 02 01 T
09:1 09:1 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 69440 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 32680 LB
aTY UNIT DESCRIPTION._ :;RATE` `EXTENSION_,-- FEE _: TOTAL, -
16.34 OUTGO.MSW 0.000 0.00 0.00 0.0e
v�3tda:a
Operating hours 7:00 AM to 5:00 PM 7 days a week. _-,4; ,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'. *•q
DAY .� TENDERED _
-":--:CHANGE . ,
-CHECK NO
SIGNATURE
DUPLICATE TICKET zSI`OE �_flC_KEf _ GRID< WEIGflMASTER= _
SOUTHOLD TOWN DEPT SOLID WASTE _ S-Eepn
_
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D _ TI I TIM ROLL OFF
9316 Town of Babylon
REFERENCE
•.
Outbound is e
MANUAL TARE WT 36760 LB
NET WEIGHT 32680, LB
CITY'- UNIT—, " DESCRIPTION_- e RATE'- EXTENSION:= -FEE j TOTAL
Operating hours 7:00 AM to 5:00 PM 7 dais; a,� eek` ``-� •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS.'_...
DAY � p g � '�, TENDERED
-CHANGE
CHECK NO.
Air-IMAT11RF
NO. 2499
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID` WEIGHMASTER .
SdbTHOLD TOWN DEPT SOLID WASTE 00 01862327 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE DATE OUT- TIME 114 TIME OUT ' VEHICLE'- ROLL OFF
[02/02H/24 02/02/2 08:3 08:36 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 87240 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 48100 LB
QTY- LL = UNIT DESCRIPTION `: =• RATE__" `_ '-EXTENSION_` FEE .`-- TOTAL
24.05 OUTGO.MSW 0.000 0.00 0.00 0.0e
ov
,�-- ^ �
Operating hours 7:00 AM to 5:00 PM 7 days a�Week.� ��� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS"" �a
DAY a = TENDEREDMul
—GHEGK,NO. .
SIGNATURE
DUPLICATE TICKET S TICKET_=. GRID WEI_GHM fTEASTER _
SOUTHOLD TOWN DEPT SOLID WASTELiz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
A I AT TIME N.Tim.
E,OUT - VEHICLE,; ROLL'"OF.F
9316 Town of Babylon
REFERENCE
OutbounO Ticket
FMANUAL TARE WT 39140 LB
WEIGHT 48100 LB
QTY UNIT DESCRIPTION `IRATE - -"'EXTENSION' FEE 70TAL=
. 0.000 0.00 0.00 0.0e
.,
Operating hours 7:00 AM to 5:00 PM 7 day` a' ek:,,``�? `� _. •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS.
DAY M1 TENDERED
Uri
CHANGE
CHECK NO:
SIGNATURE
r�
NO. 2410
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET ;SITE "",,TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01862460 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 71800 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 34980 LB
QTY . -. UNIT _ `DESCRIPTION.` '- RATE -_ EXTENSION'. FEE" TOTAL:
17.49 OUTGO.MSW 0.000 0.00 0.00 0.0e
z )Je-
operating hours 7:00 AM to 5:00 PM 7 days a rhfeek.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRES'IDENTS'" .
� u ,-"_TENDERED:`'='_ .'LL
DAY � $ �S�
CHANGE
CH
tf EGK NO.
SIGNATURE
DUPLICATE TICKET SITE =_.TICKET GRID WEIGH
MASTER
SOUTHOLD TOWN DEPT SOLID WASTE `
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =
I� TIM U ROLL OFF
9316 Town of Babylon
OutboundREFERENCE .-ORIGIN'
1 e
MANUAL TARE WT 36820 LB
NET WEIGHT 34980 LB
CITY.' UNIT DESCRIPTION„ N,RATE " EXTENSION_: FEE TOTAL
IN 1�p
t }
Operating hours 7:00 AM to 5:00 PM 7 da"s a�week: •
.+'m�a ��
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE3IDENCS- •� AJr
DAY A TENDERED
LOW ,
CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3600
Islandia, NY 11749
(631) 3442-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE'NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,.AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
MLICATE TICKET SITE "' Tt'CKET GRID WEIGHMA$TER
s') THOLD TOWN DEPT SOLID WASTE 00 01862893 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEaOUT, TIME IN. TIME 0U7 VEHICLE. ROLL QFF`
02 05 2 02 05 2 11:5 11:5 11100TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 71900 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 35700 LB
QTY *UNIT DESCRIPTION _..,._ 4 „ u,RATE EXl ENSIQN.= FEE:, TOTAL,,
17.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
CIA
Operating hours 7:00 AM to 5:00 PM 7 days ae�ek '' '- �• 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 � PRESIDENTS" _TENDERED ; "=
DAY q � # g
CHANGE
SIGNATURE
DUPLICATE TICKET 5_ITE " 'TIOKET - ` GRID z yVEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00f 018628931 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - pATE U7`: „7lMEfN,TIMEOUT VEHI LE ROLL-OFF;
9316 Town of Babylon
ORIGINREFERENCE
SS WT 71900 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 35700 LB
QTY.
=UNIT DESGRIB710N :. �_ RATE - EXTENSION. _ -_,FEE, TOTAL,
17.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
Sol/;
Operating hours 7:00 AM to 5:00 PM 7 days a�weekv � �^ ^' •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - -RESIDENTS-.1
DAY � n&gyp _ TENDERED.
�} CHANGE
CHECK NO j
c.nwnr e�
NO. 2433
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE'
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER
SOU`Fr10LD TOWN DEPT SOLID WASTE 00 01862829 Liz H
PO Box 962/6155 Cox Lane
•Cutchogue, NY 11935 DATEIN._ -DATEOUT `TIMEIN TIMEOUT' VEHICLE ROLL OFF
9316 Town of Babylon
CE
REFEREN
•-
SCALE 2 GROSS WT 64840 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 28080 LB
.QTY- UNIT - -. DESCRIPTION,` c_ RATE ;EXTENSION FEE TOTAL -
14.04 OUTGO.MSW 0.000 0.00 0.00 0.08
01
C,CI
Operating hours 7:00 AM to 5:00 PM 7 day�"s�a eek\-----, �� •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS`
DAY ,
V � � 5 <=.,.TENDERED=:
il
il
CHANGE_.
CHECK,NO:l
SIGNATURE
DUPLICATE TICKET SITE TICKET ,_ GRID`= ",WEIGHMASTER _-
SOUTHOLD TOWN DEPT SOLID WASTE Ll
_
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _
T jTl'" TIM `ROL`L OFF"'."
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL TARE WT 36760 LB
NET WEIGHT 28080 LB
QTY UNIT = DESCRIPTION RATE _'EXTENSION FEE_ =TOTAL;
.. �
js
Operating hours 7:00 AM to 5:00 PM 7 day's ar eek _' ;;j � - � •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS'-:.
DAY �10 M = TENDERED
CHANGE
CHECK O
NO. 2411
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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(PRINTNAME) (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..
DUP.I TCATE TICKET SITE -. ;•TICKET.' GRID ` WEIGHMASTEA
SG. D TOWN DEPT SOLID WASTE 00 01863010 Steph
Ptrw 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN -, ,-.DATE OUT TIME.IN TIME OUT =" VEHICLE,; ROLL OFF,
2 0 11100TC
9316 Town of Babylon
REFERENCE
SC:ALE GROSS WT 74540 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 37120 LB
QTY DESCRIPTION'__, RATE-. "•EXTENSION`" '= FEE = .:: ,-',TOTAL
18.56 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: MONDAY FEB. 19 PRESIDENTS'`" s
DAY ° $ ffi � TENDERED
�C -CHANGE...',
-*'2",�'CHECKNO.�Lj
SIGNATURE
DUPLICATE TICKET ;SITE TICKET = GRID WEIGHMA6TER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D TI i T]M ROLL OFF
9316 Town of Babylon F—7
REFERENCE
u oun d 11CKet
MANUAL TARE WT 37420 LB
NET WEIGHT 37120 LB
,= QTY 3'UNIT„ ,.4DESCRIPTION RATE „EXTENSION,j - FEE "TOTAL;`=
•MIR 0.00 0.000.0e
• A
CAP
Operating hours 7:00 AM to 5:00 PM 7 dad l;P week! �` T •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19
DAY 11 TENDERED_
CHANGE-,
UUM
-CHECK NO.
•ate
NO. 2434
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
1S TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY:, WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ,
DUPLICATE TICKET SITE TICKET ,GRID; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01863178 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN = DATE OUT TIME IN TIME OUT = VEHICLE 1ROLL OFF
02/07/2 02/07/2 08:4 08:4 11100TC
9316 -Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74320 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38380 LB
'QTY. <<' UNIT; s >` ;,.. DESCRIPTtON'it RATE ., ,' EXTENSION: '`„ FEE,_ TOTALt `x,
19.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
65
eek� �-a �JAl
• e.ee
Operating hours 7:00 AM to 5:00 PM 7 days a � h .,. .,-mayON
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS'" -TENDERED., .`
DAY
:CHANGE
HEG Ot^,» .,
SIGNATURE
DUPLICATE TICKET $( E TICKET _: ` _GRID. IN_ EIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE v- ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
DA E TI IN TIME UT _ VEHI LE
9316 Town of Babylon
REFERENCE
SS WT 74320 LB Out oun —Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38380 LB
QTY.
' UNIT' = = DESCRIPTION= RATE r- '"- EXTENSION ==FEE;: -�TOTAL-
19.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysweek ��-- ` h •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - P.RESIDENIS�__�_.-
DAY 0nm � : TENDERED
CHANGE • ""
CHECK
�n_an•r goo
NO. 2435
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ICU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL"DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION_
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE'LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE r 7 TICKET; GRID,. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01863231 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ;,DATE,OUT, TIME 1N TIME OUT VEHICLE ROLL OFF,
02 07 2 02 07 2 12:0 12:0 11100TC
9316 Town of Babylon
-O
ORIGINREFERENCE
f
SCALE 2 GROSS WT 66700 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 29940 LB
OTY UNIT _".: 4 DESCRIPTION- RATE - EXTENSION; - }='FEE` TOTAI
14.97 OUTGO.MSW 0.000 0.00 0.00 0.02
ohs
` - - •
Operating hours 7:00 AM to 5:00 PM 7 days a week. , 0.06
CLOSED HOLIDAYS - NEXT: MONDAY, a FEB. 19 WISID NT5 °� .'TENDERED::: :.
DAY 3 a
- '-:CHA GE°
.y, ,,;q.,-.; HECK NO •,;:;,
SIGNATURE
DUPLICATE TICKET SITE -'TICKET < _ GRID' VVEIG_H_MASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D 71 t TIM V ' ROLL°OFF
9316 Town of Babylon
REFERENCE
eCKIF-2-MUSS WT 66700 LB u oun Tic e
MANUAL TARE WT 36760 LB
NET WEIGHT 29940 LB
aTY NIT I, ,,, , „•DESCRIPTIONa '. RATE - EXTENSION ;:FEE" TOTAL
14.97 OUTGO.MSW 0.000 0.00 0.00 6.0t?
`� n�
Operating hours 7:00 AM to 5:00 PM 7 days week.° > ` - �'r. •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PKESIDENTS ✓
DAY � m� � -TENDERED'
�V 9
C ANGE"
CHECK N
o—1 ear•.ov
NO. 2436
GENERATOR
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 TQ 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. .
DUPLICATE TICKET SITE I TICKET GRID. WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01863363 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 79880 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 43060 LB
CITY. "'UNIT _ DESCRIPTION `-RATE - EXTENSION'- FEE"- TOTAL
21.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
�D.
Operating hours 7:00 AM to 5:00 PM 7 days�a w6ek`:.,,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19s=\PRESIDENTS"-
DAYil3=TENDERED"
CH GE
�^•�CHEC NO.
SIGNATURE
DUPLICATE TICKET SITE =TICKET = GRID 1NEIGHMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE `
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -.
D 5 T1 I TIM ROLL OFF
9316 Town of Babylon
u oun is e
MANUAL TARE WT 36820 LB
NET WEIGHT 43060 LB
QTY r :, : ' UNIT,, „ ,;: D,ES,CRIPTION' RATE EXTENSION '. FEE 70TAL=_ -.`
Operating hours 7:00 AM to 5:00 PM 7 days a-weekl 'i / AY •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS' `�"
DAYd S ,TENDERED .-
6�}CfBu CHANGE
CHECK NO
.. NO.
2437
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES'ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
- TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET£; GRID:: WEIGHMASTER
.SOUTHOLD TOWN DEPT SOLID WASTE 00 01863481 Liz H
PO Box 962/6155 Cox Lane L
Cutchogue, NY 11935 DATE IN, DATE OUT .-TIME IN TIMEOUT VEHICLE, ,, ROLL,OFF s
02/09/2 02/09/2 08:4 08:4 11100TC
9316 Town of Babylon REFERENCE ORIGIN
SCALE 2 GROSS WT 75580 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39040 LB
dTY UNIT DESCRIPTION ".". "RATE EXfENS10N -'FEEw`:'`' TOTAL°
19.52 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days-a week.' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS"
DAY ° -- TENDERED-
'w== "
RANGE
,,CHEC NO..,.,.;
SIGNATURE
DUPLICATE TICKET SITE z'TICKET* GRID 1NEIGHAiIA$TER =
SOUTHOLD TOWN DEPT SOLID WASTE 01011 VIESSMI L1Z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
1 ROLL`OFF
9316 Town of Babylon
REFERENCE
Outbound is e
MANUAL TARE WT 36540 LB
NET WEIGHT 39040 LB-
QTY, ;, :; UNIT DESCRIPTION s, ;. . ,. . ;`, RATE, _f7CTENSION", FEE;, . - TOTAL =a.
a
0 ,
Operating hours 7:00 AM to 5:00 PM 7 day..s. alweek,.�-� �:v--i' " •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRE-SSDENTS'
DAY �c/06�� � TENDERED
CHANGE,
CHECK NO.
NO. 2438
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION -
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE `TICKET' „ GRID , '" ; 1,_ WddHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01863637 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY V�935 DATE IN_= DATE OUT_ TIME IN TIME OUT VEHICLE .^ ROLL OFF '
02 10 2 02 10 2 07:3 07:3 11103TC
9316 'Town of Babylon
REFERENCE ORIGIN
SCALE :GROSS WT 69700 LB Outbound Ticket
MANUAL WT 35940 LB
NET WE 33760 LB
OTY ; w t1NIT DESCRIPTION,,,, RATE "EXTENSION.: '>L FEE„ TOTAL'.`;"
16.88 OUTGO.MSW 0.000 0.00 0.00 0.0e
09
Operating hours 7:00 AM to 5:00 PM 7 days aw ek:�� rki
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'"`
DAY � � Vu 5� TENDERED
HEC
SIGNATURE
DUPLICATE TICKET SITE TICKET' GRID 1NEIGHMA$TER
SOUTHOLD TOWN DEPT SOLID WASTE fe
pn
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ T- Q ROLL-OFF
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL TARE WT 35940 LB
NET WEIGHT 33760 LB
OTY„- UNIT, ;` DESCRIPTtON ,- RATE t�CTENSION_` FEE . i-TOTAL =
ry
up
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ` PRESIDENTS
'
DAY S TENDERED
CHA GE '?:'0 1
C ECK NO:
SI[:NATIIRF
TRINITY TRANSPORTATION CORPORATION
214 Bl4enburgh Road 3530
Islandia, iW 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 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(PRWT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED`
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01863646 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 <-DATE IN_ DATEOUT TIMEIN°TIMEOUT VEHICLE _ ROLL OFF_
02/10/2 02/10/2 08:0 08:0 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE:2GR:OSS WT 71100 LB Outbound Ticket
MANUAWT 36760 LB
NET W 34340 LB
QTY L'-
=- 'UNIT .` ='DESCRIPTION RATE EXTENSION;" ___FEE TOTA_-
17.17 OUTGO.MSW 0.000 0.00 0.00 0.0e
M )-jQ
Operating hours 7:00 AM to 5:00 PM 7 days`ae:k.`�7 - 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 _ PRESTDENTS'
DAY ' =TENDERED`
Vu
a"4`'CH NGE'
HECK°
SIGNATURE
DUPLICATE TICKET E IICKEr GRD=, WEG_HMAS7_ER
SOUTHOLD TOWN DEPT SOLID WASTE 0011 01863646 StepF_
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DAT O TIME IN TIME-OUT VEHICLE_-_ -ROLL;OFF
9316 Town of Babylon
ORIGINREFERENCE
S WT 71100 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34340 LB
CITY.— =` UNIT `DESCRIPTION`;; rRATE ,".',`EXTENSION.; FEE - TOTAL :"
17.17 OUTGO.MSW 0.000 0.00 0.00 0.0e
.
Operating hours 7:00 AM to 5:00 PM 7 days aGweek: �--%` r
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS,-'
DAY g .TENDEREDOu
' ? s
CHANGE-!,5r.,
CHECK NO., ..
NO.
2420
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR.PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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.
DIVA!?-tICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864037 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE `,,bATE'OUT- 31MI l_N.]TIMEOUT1VEH
ICLE ROLL OFF1
02/12/2t 02/12/2 08: 6 08: 6 11100TC
9316 Town of Babylon
REFERENCE ORIQIN
SCALE 2 GROSS WT 70180 LB Outbound Ticket
C MANUAL TARE WT 39140 LB
NET WEIGHT 31040 LB
QTY �,UNIT
-1 - - ,,,� v�_ RATE 'EXTENSION;,4:, ',�,IFEE" TOTALJ�F �
QTY, A� ffION�' 1�_
15.52 OUTGO.MSW 0.00e 0.0 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days aW6ek.`- 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -.;.PRESIDENTS'- TENDERED
DAY
---CHANGE
li CHECK,NO.,
SIGNATURE
-WEIGM
DUPLICATE TICKET PKET.11— b k
SOUTHOLD TOWN DEPT SOLID WASTE VW[ 018b4WJ/j L1Z H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
INr
bff:
xTNI V i
9316 Town of Babylon
RLFERENCE
SS WT 70180 LB autbouna-T=1cet
MANUAL TARE WT 39140 LB
NET WEIGHT 31040 LB
QTY..,
QTV wUNIT "J --�:.DESCRIPTION TE RA - ExTENSI[QN FEE TJOTAL,,' "'.
15.52 OUTGO.MSW 0.000 0.00 0.00, 0.0e
ij
Operating hours 7:00 AM to 5:00 PM 7 days '-'weeks:` "01
CLOSED HOLIDAYS NEXT: MONDAY, FEB. 19,,,-. PRESIDENTS'
DAY ",TENDERED,
CHANGE-
CHECK NO. j
QW2111AY1 10= �f
NO. 2421
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK,TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET s,.., GRID ,° 'WEIGHMASTER, ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864115 Liz H
PO Box 962/6155 Cox Lane
Cutch,gg6e, NY 11935 v ,DATE IN DATE OUT TIME IN I TIMEOU_T VEHICLE ROLL,OFF
02 12 2 02 2 12:2
931'b' Town of Babylon
REFERENCE
MANUAL GROSS WT 74000 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 36580 LB
CITY =- UNIT '_'_ DESCRIPTION ;` 4`. RATE :'-EXTENSION;= -FEE,' TOTAL-'; "
18.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
^ �
Operating hours 7:00 AM to 5:00 PM 7 days aw�e'ek."'-�" —K-^' = fife
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 Wes,IDEN.TS''"`•'~
DAY ` Um
-TENDERED:"
9
ANGE."
C ECK-NO-- =
SIGNATURE
DUPLICATE TICKET BITE TICKET GRID' `. WEIG'- NMASTER
SOUTHOLD TOWN DEPT SOLID WASTE vul F0160411-1)
_ iz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - -
D .. T TI I "TIM I aROLL-OFF
9316 Town of Babylon
ORIGINREFERENCE
u oun is e
MANUAL TARE WT 37420 LB
NET WEIGHT 36580 LB
QTY 'UNIT,' },' " - DESCRIPTION, R_ATE,. -_ EXTENSION= 'FEE,, TOTAL'
O.MS 0.000 0.00 0.00 0.0e
soil;
*< ' •
Operating hours 7:00 AM to 5:00 PM 7 day Aj
a�week.
TENDERED
rN
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRE�IDENTS,- ,_.r.;-
DAY � �A
CHANGE
CHECKNOE�l
,r NO. 2422
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE 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 l WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864262 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DAfEIN DATE•oUT' _TIME IN' TIME OUT VEHICLE `= ROLL,OFF
02/14/2 02/14/2 11:3 11:3 11100TC
9316 s Town of Babylon
rrREFERENCE ORIGIN
i'
FNETWEIGH:T
SS WT 79980 LB Outbound Ticket '
WT 39140 LB
40840 LB
Y '`:,,; 'UNIT ,,` DESORIPTION :RATE, ,,,:EXTENSION,; "FEE,. .' - TOTAL'
20.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
Alz
, I
Operating hours 7:00 AM to 5:00 PM 7 days a week: � 0.0e
- a. ..: ::.�' �a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 %PRESIDENTS' =_7-TENDERED: =:
DAY
` CHANGE -
HE K`NO.�•,., '.
SIGNATURE
DUPLICATE TICKET SITE - ;TICKET_ !_ `_ - GRID �,•_ rWEtGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864262 Steph `
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
DATE'IN' DATE OUTa, TiME'IN TIME OUT VEHICLE "-ROLLOF.F:
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 79980 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 40840 LB
QTY.;� UN .DESCRIRTION A_TE, :-_'•EXTENS_K)N _=_.FEE - : TOTAL
20.42 OUTGO. SW 0.000 z 0.00 0.00 0.0e
t
Operating hours 7:00 AM to 5:00 PM 7 day a,w,eeeek: •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PR.ESTDENTS'-
DAY d ko- TENDERED
fi
CHANGE
HE K NO.
SIGNATURE
NO: 2424
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH'THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART.261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I-HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE 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.
y_.._,,„,,,
KET, GRID"" WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864234 Steph
PO Box 962/6155 Cpx Lane _
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT =VEHICLE _ ROLL OFF
02/14/2 02/14/2 07:4 07:4 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 80960 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 45020 LB
QTY.
:; : UNtT '' DESGRIPTION _ :RATE .. EXTENSION -=FEE TOTAL,
22.51 OUTGO.MSW 0.000 0.00 0.00 0.0e
w
u.
V
Operating hours 7:00 AM to 5:00 PM 7 days week �x--�: � � 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'
DAY � --."TENDERED,.-='==
S CHANGE,-
CHECKNO-11111-
SIGNATURE
DUPLICATE TICKET SITE fiCKET GRID._. '1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE -Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TE I DAT'ON TIME IN TIME OUT VEHICLE .ROLL OFF
9316 Town of Babylon
REFERENCE
0960 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 45020 LB
QTY. zUNIT_='-- DESCRIPTION RATE__- EXTENSION=` FEE TOTAL
22.51 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a,,W'e.ek.��'----. -- •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRE IDENTS' _
DAY TENDERED:5
i
CHA r:,0"& ;,
C O.-
SIGNATURE
i
NO. 2423
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT'CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET'-+` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864330 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN BATE oUT TIME IN TIME OUT VEHICLE :ROLL OFF,
02 15 2 02 15 2 11:3 11:3 11100TC
9316 Towrr of Babylon
REFERENCE
SCALE 2:GROSS WT 77040 LB Outbound Ticket
MANUAL WT 36820 LB
NET WEI 40220 LB
QTY. UNIT .' -- DESCRIPTION, =-RATE- EXTENSION FEE TOTAL
20.11 OUTGO.MSW 0.000 0.00 0.00 0.0e
w
Operating hours 7:00 AM to 5:00 PM 7 days,a we
e � �@ y 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRSSDENTS""`- ~' s
DAY d " >=.`:TENDERED:"a".
CHANGE
saCHEC NO. ?'
SIGNATURE
DUPLICATE TICKET $T_E TICKET____ GRIRc ='t 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 'ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 . ....,
A I T -ROLL'OFF----,
9316 Town of Babylon
REFERENCE
uuioouna 11CKet
MANUAL TARE WT 36820 LB
NET WEIGHT 40220 LB
QTY"„ 'r DESCRIPTION ': FfATE EXTENSION'' , FEE''',:'' 4';TOTAL'`
0.00 0.00 0.0e}
r
Operating hours 7:00 AM to 5:00 PM 7 day`•s aweek:� IV •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PR_ESIDENTS!�f
DAY t �°ab TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2425
• GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
, TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE 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 _SOWN DEPT SOLID WASTE 00 01864672 Steph
PO Bgx'962/6155 Cox Lane i -.
Cutchogue, NY 11935 DATE IN DATE OUT TIME'IN TIME OUT VEHICLE ROLL OFF
02/20 2 02 20 2 08:3 08:3 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 75920 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 39000 LB
QTY `- UNIT"". - :DESCRIPTION `RATE EXTENSION_ FEE-:`; : TOTAL
19.50 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysa week. 0.0e
�-., ur d e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRES'IDENTS-'`_ TENDERED;
DAY
CHANGE,' >zrt
CHECKNO
SIGNATURE
DUPLICATE TICKET SITE TICKET __ _ -, GRID. WEIGHMASTER `
SOUTHOLD TOWN DEPT SOLID WASTE 00 U18 4672 ST—eph
PO Box 962/6155 Cox Lane t I
Cutchogue, NY 11935 DA E IN _-,DATE UT TI E I TIME OUT =`VE I vL ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
GALE 2 GROSS WT 75920 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 39000 LB
CITY _ _ `-ONIT DESCRIPTION__ ' `RATE EXTENSION FEE __ TOTAL -
19.50 OUTGO.MSW 0.000 0.00 0.00 0.02
ate. a' _/'' / e •
Operating hours 7:00 AM to 5:00 PM 7 days aweek`� ...�. / "�
CLOSED HOLIDAYS —NEXT: MONDAY, FEB. 19 - PRESIDENTS'_
DAY TENDEREDNil
`
S
UU
CHANGE .
CHECK NO
SIGNATURE
NO. 2426
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW',HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:.
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS.
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
6
DUPLI��TE TICKET SITE - TICKET - GRID; VilE1GHNIASTER
,900THOLD TOWN DEPT SOLID WASTE 00 01864734 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT TIME IN TIME:OUT VEHICLE " ROLL OFF. ,
02/20/2 02/20/2 12:0 12:0 11100TC
9316 Town of Babylon
'REFERENCE ORIGIN
SCALE 2 GROSS WT 75780 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 38360 LB
OTY' .c. UNIT.'. DESCRIPTION `_" ="'', RATE __ ; ''EXTENSION TOTAL•
iY
19.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
�..�m�'•r�,=mow+, _ 'd x
Operating hours 7:00 AM to 5:00 PM 7 days?,a week Foe
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 --PR ESIDENTS'
DAY TENDERED=�-
C AN E-'-Y. --
CHEC O:.'-r
SIGNATURE
DUPLICATE TICKET SITE_ i:TICKET. :'GRID -�1NEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01864734 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 t DATE IN' DATE OUT `. JTIMEIfV iiMEO_UT '`- VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
GROSS WT 75780 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 38360 LB
QTY.' ;:.UNIT,; " DESCRIPTION,',' RATE: EXTENSION_ TOTAL
rr
19.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
S
4�
; :.
Operating hours 7:00 AM to 5:00 PM 7 day`s a,week �
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE IDENTSN�
DAY
d Mum TENDERED =.
1
CHANGE
eQECK NO�--
s
NO. 2427
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE ,TICKET SITE TICKET'; GRID WEIGHMASTER
SOUTHOLD-TOWN DEPT SOLID WASTE 00 01864812 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE-OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 70400 LB Outbound Ticket
MANUAL TARE WT 36280 LB
NET WEIGHT 34120 LB
OTY.- UNIT` DESCRIPTION- :; :. -;RATE EXTENSION -:FEE.` TOTAL° `=
17.06 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week- i
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' -
DAY � {a TENDERED--
Y. CHANGE
„y.,.,rC NOp;.,,,r,
SIGNATURE
DUPLICATE TICKET SITE TICKET 'GRIb. , WEIGHMASTER _-
SOUTHOLD TOWN DEPT SOLID WASTE _
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
1 2 RT 2 TI TIM ROLL OFF
9316 Town of Babylon
REFERENCE
WT 70400 EB 16Z T. -1
MANUAL TARE WT 36280 LB
NET WEIGHT 34120 LB
CITY. ,-UNIT.- DESCRIPTION aR E EXTENSION = FEE TOTAL
10.laic
sot/;-N
Operating hours o ays a-wee w� kz,. r.:�L •
t+l it ..'.T- .,.+.'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 P,RESIDENTS +.:
DAY ` �� � TENDERED
�p • C GE' -
CHECK N09
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
L"
214 Blydenburgh Road 'NO. 3529
Is'landia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY. SHIP DATE:
COMMODITY SHIPPED:
LOOSE.- (CU YDS)
BALES- (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFYTHAT THE ABOVE 'NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFA PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. -LICENSE NO/STATE:,
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE:BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATIONTICKET NO.
DUPLI9ATE TICKET LSITE 716KET> GRID WEIGHK4A§TER
�SOUTHOLD TOWN DEPT SOLID WASTE 00 01864838 Steph
PO Box 962/6155 Cox Lane
Cutcho ue NY 11935 „DATEIN DATE'OUT TIMEIN: TIPAE_OUT VEHICLE_ ROLLOFF-
02 21 2 02 21 2 10: 2 10: 11103TC
9316 Town of Babylon
fREFERENCE bRIGIN 2 GROSS WT 75480 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 39540 LB
UNIT, -. -- aj DESCRIPTION _ ' _ -. - _PATE. EXTENSION_ '_FEE ;TOTAL_
19.77 OUTGO.MSW 0.00e 0.0e 0.00 0.0e
tv
Operating hours 7:00 AM to 5:00 PM 7 da s a" 0.0e
P g Y
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 PRESIDENTS—'
71
DAY ;F,h u `` , - TENDERED=_-,;;.,z
R
CH NGE": :,;:.CHECK NO
SIGNATURE
DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
p 'T1 1N T(ME- UT VEHICLE n,* ROLL OEF, -
9316 Town of Babylon
REFERENCE
u oun is e
MANUAL TARE WT 35940 LB
NET WEIGHT 39540 LB
,;`QTY ::- UNIT <DESGRIPT[ON '.,. RATE 4= E_X_TENStON.« ,!FEE
0.000 0.00 0.00 0.0e
ell
`aoil
Operating hours 7:00 AM to 5:00 PM 7 days 6';Week�k ',) ��,r •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PR'ESIDENT5.,:•_ ;✓;�,�� -��� 1
DAY µ `TENDERED "
k'A b Qk
Y �
CHECK N0.::j
TRINITY TRANSPORTATION CORPORATION
E 214 Blydenburgh Road
NO. 3531
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAM£) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET . GRID WEIGHMASTER
SOUTHOLD T-`WN DEPT SOLID WASTE 00 01864846 Steph
PO Bo_x.:9407'-6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
3 1110 TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 83400 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 46480 LB
STY ;, UNIT DESCRIPTION _RATE-= EXTENSION`,'_' _=.FEE TOTAL >_
23.24 OUTGO.MSW 0.00e 0.00 0.00 0.0E
f ;
Operating hours 7:00 AM to 5:00 PM 7 daysa
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 RP E�tID.ENTS'DAY '.TENDERED°::".'
� ;
Fri Y( CHANGE'. .":'_
1 ��:,',`CHECKNO:9
SIGNATURE
DUPLICATE TICKET SITE TICKET _ 'GRID _ VVEIGHMASTER ;
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D TI I TIM =-_-VE ROLL OFF
9316 Town of Babylon
REFERENCE
u oun is e
MANUAL TARE WT 36920 LB
NET WEIGHT 46480 LB
OTY -UNIT DESCRIPTION
DESCRIPTION =RATE' - EXTENSION- FEE' -TOTAL, =
0.000 0.00 0.00 0.0Q
� }
4L
Operating hours 7:00 AM to 5:00 PM 7 days a�Wek = �`�-�% •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' . ;k
DAY O �E TENDERED
9
CHANGE
CHECK NO.
NO. 2439
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID;" YVEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865185 Steph
PO Box 962/6155 Cox Lane
Cutchogde, NY 11935 ,DATEtN = DATE OUT --'T)- TIME OUT VEHICLE ROLL OFF;
02/24/2 02/24/2 07: 07:2 11103TC
9316 Town of Babylon
RErERENCE
SCALE 2:TARE
SS WT 77100 LB Outbound Ticket
MANUAL WT 36820 LB
NET WEI 40280 LB
:t OTY ;_, UNIT DESCRIPTION ';; RATE, EXTENSION :FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
s
Operating hours 7:00 AM to 5:00 PM 7 days,a ,,week.- � 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 7-PRESIDENTS' _ = 'TENDEREDc--:, _._
DAY
SIGNATURE
DUPLICATE TICKET SITE TICKET 1 GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -D SIN y DATE OUT TINIEIIV TtNIE,OUf VEHICLE ROLL QFF
9316 Town of Babylon
REFERENCE
CAL- 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40280 LB
v4TY «`UNIT D_ESGRIPTION ._. . _ EXTENSION-,':.. ._ E ., .:
FE
20.14 OUTGO.MSW 0.000 0.00 0.00' 0.0e
1,' I
Operating hours 7:00 AM to 5:00 PM 7 days 'a.•tweek " •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. RRES,IDENTS.' .. „4,
DAY
.CHECK O:,'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0445
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260A0 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE.GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
1S 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 TI&9T,r ''''GRID
WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865099 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN -DATE OUT-. ;TIME IN TIME OUT VEHICLE--._,_� ROLL OFF-
02/23/2 02/23/2 11:5 11:5 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE :TARE
SS WT 74180 LB Outbound Ticket
MANUAL WT 36540 LB
NET WE 37640 LB
' DESCRIPTION y,µ,
RATE UNIT FEE _ TOTAL:.
18.82 OUTGO.MSW 0.000 0.00 0.00 0.0e
®.•
Operating hours 7:00 AM to 5:00 PM 7 da s a"Week. r rFt 0.0e
,�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�PRESI'DENTS"`"__
DAY sir �' 5 s TENDERED;
CHANGE:,
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE a. TICKET ;GRiD WEi_GHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE foul 01 Es 5 50 9 9 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
TI 0, V ROLLOWF `-
9316 Town of Babylon
REFERENCE
Outbouna Ticket
MANUAL TAW WT 36540 LB
NET WEIGHT 37640 LB
OTY 'DESCRIPTION _ RATE, 'EXTENSION_:!:. FEE- - _ -TOTAL-`.- ;---
its ZSL . e.000 0.00 0.00 A 0.Oe
SION'.
Operating hours 7:00 AM to 5:00 PM 7 days aweek:a` �ti %r •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRES'IDENTSa.- >>
DAY d TENDERED
1.� CHANGE
Own
CHECK NO.
NO. 2441
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED.-
ADDRESS'
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF 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.
v
,DUPLICATE TICKET SITE TICKET. GflIR'"r GHMA8
-�kUTROLD TOWN DEPT SOLID WASTE 00 01865064 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _pA I;:(� '64L-'OuI t,---�� Mt--ff�7
-1M VEHICLE
EHIC ROLL OFF-,,-.
02/23/2A 02/23/2z 08:3 y 08:3 11100TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 71760 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32620 LB
-E SI N �F
UNIT��
16.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
5z'
Y
Operating hours 7:00 AM to 5:00 PM 7 days-ka wpek.-,-,, 0.0e
CLOSED HOLIDAYS NEXT: MONDAY, FEB. 19 -,-PRESIDENTS, 3� DEREO�
DAY
-i'La ii
' r :`"' `
Q -= 4 CHANGE'
SIGNATURE
DUPLICATE TICKET SITE s
SOUTHOLD TOWN DEPT SOLID WASTE 1865 64 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -
L_4 I&
A
9316 Town of Babylon
REFERENCE ORIGIN
eCn-rTMUSS WT 71760 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32620. LB
-�QTY NIT DESCRIPTI
ON- x _ _ M .FATE _ -.EXTENSION 93E TOTAL
16.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
Tld�a
Operating hours 7:00 AM to 5:00 PM 7 da a Week,.
CLOSED HOLIDAYS - NEXT: MONDAYj FEB. 19 RESIDER'
k
DAY ll
TENDERED
i
CHANGE W"4
1 CHECK NO.
NO. 2440
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE 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.
DUPLICA,L'-TICKET
SITE TICKET~ GRID = " `= WEIGHMASTER`"
SOUTHOLO TOWN DEPT SOLID WASTE 00 01865604 Liz H
PO Box-;962/6155 Cox Lane
Cutch'o .le, NY 11935 DATE 1N,... PATE OUT_ TIME;IN TIME-OUT ° VEHICLE ROLL OFF.,
02/26/2 02/26/2 12:0 12:0 11100TC
9316 Town of Babylon t I -
REFERENCE ORI
GIN
MANUALS WT 70320 LB Outbound Ticket
WT 39140 LB
31180 LB
UNIT,' DESCRIPTION-` „•- :RgTE_ = EXTENSION• FEE TOTAL'
15.59 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
Operating hours 7:00 AM to 5:00 PM 7 days.a week'. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -.' PRES,IDENTS' - TENDERED" '-
DAY
CHAN E
�C ECK'. O
SIGNATURE
DUPLICATE TICKET SITE -s:TiCKET GRID 1NEIGHIb1ASTER;
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865604 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 :•DAT6N `: "MTE:OUT TIME,IN TIMEQUT ,;'VEHICLE: ROLLAFF:
9316 Town of Babylon
REFERENCE
tAANUAL GROSS WT 70320 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 31180 LB
QTY ,:UNIT - - DESCRIPTION :, ,RATE - '-,EXTENSION ;FEE
15.59 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: MONDAY, FEB. 19 ' "PRESIDENTS' ` :, '
DAY `' -TENDERED'
HANGE
'CHEO ..-
K NO,u
SIGNATURE
i
4
NO. 2443
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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.
DRIV_ER:_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION, DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE
DUPLICATE TICKET ID ,WEtqHMAST
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865545 Liz H
PO Box 962/6155 Cox Lane
Cutchogue,' NY 11935 --f
02/26/2, 02/26/24 08:3 08:3 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
7;
MANUAL GROSS WT 64700 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 27940 LB
MANUAL
MANUAL
W
N,RAPE . EXTENSION',,� ;TOTAL TDr- :SCRIPT-ION,,13.97 OUTGO.MSW 0.000 0.00 0.00 0.0e
3.
Ilk
Operating hours 7:00 AM to 5:00 PM 7 days,'a week:L 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 TENDER z''
DAY
SIGNATURE
DUPLICATE TICKET SITE_
SOUTHOLD TOWN DEPT SOLID WASTE 00t 01865545 LIZ H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
9316 Town of Babylon
RE�ERERQE
ANUAL GROSS WT 64700 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT. 27940 LB
EXTENSM�jV��"EE��1'-DES 131"
13.97 OUTGO.MSW 0.000 0.00 0.00' 0.0e
2-
Operating hours 7:00 AM to 5:00 PM 7 days a:"i�eek,'�'�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB.
19 7,PRESIDENTS'
DAY
HE
.192C
w
NO. 2442
GENERATOR
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO.
SITE `u '=TICKET GRID .WEIGH MASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865697 Steph
PO Box 962/6155 Cox Lane
CUtchOgUe, NY 11935 7 DATE IN, DATE'OUT 71ME IN� TIME VEHICLE FALLOFF
02/27/2 02/27/2 08:3 08:3 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 74480 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38540 LB
'-;OTY ; _, UNIT `.DESCRIPTION.. RATE _,. ;=EXTENSION:;;,. . TOTAL>' -
19.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
r .h
Operating hours 7:00 AM to 5:00 PM 7 days a week. - Me
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19
-,PRESIDENTS,--..TENDERED.
DAY
CHANGE
CHECK NOf s'
SIGNATURE
DUPLICATE TICKET7I6KET GRID
X
SOUTHOLD-TOWN DEPT SOLID WASTE 00 01865697 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE OUT, TIME IN. TIME OUT VEHICLE,' :ROLL,OFF
9316 Town of Babylon
REFERENCE
ANUAL GROSS WT 74480 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 38540 LB"
UNIT ,DESCRIPTION,. RATE EXTENSION .;, :FEE`
19.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
r�t
Operating hours 7:00 AM to 5:00 PM 7 days,4 a,:week:'.,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19
DAY ,.TENDERED, ..
CHANGE
- QHEQK NO��)
cir_ue`r'�ioc
NO. 2444
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE "' ',`TICKET -�,bRID `' WEIGHMASTER ".
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865851 Steph
PO Box 962/6155 Cox Lane
Cutchogue, IbY 11935 `.DATEI4;1' ',DATE�OQT' TIMEIN TIME OUT[--�`VIEHICLE =' .ROLL'OFF
02/28/2 02/28/2 08:0 08:0 11100TC
9316 Town of Babylon
REFERENCE PRIGIN
FWEIGHT
S WT 72540 LB Outbound Ticket
WT 36820 LB
35720 LB
<- ,., ",UNIT s DESCRIP-TIONi, a _• .,., .'._RATE. EXTENSION FEE " TOTAL
17.86 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a"WLek.-- U.fie
-
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -'.PRESIDENTS' TENDERED.z
DAY
CHANGE-, ..,,,.
CHECK.NO.•'=
SIGNATURE
DUPLICATE TICKET SITE -�TI_CKET"' `'•- GRID_= WEIGH_MASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane 1
Cutchogue, NY 11935 DAE'1 -i DATE-0LIT ?IMEIN TIM UT ".VEH ROLL'OFF
9316 Town of Babylon
REFERENCE ORIGIN
ANUAL GROSS WT 72540 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 35720 LB
^QTY-- :'-UNITr ':. ' = DESCRIPTION -,:' RATE`'`.. a" EXTENSION_':";. :_F_EE ':: TOTAL
17.86 OUTGO.MSW 0.000 0.00 0.00 0.0e
,
operating hours 7:00 AM to 5:00 PM 7 da 's
P g Y�,,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 {-•,PRESIDENTS-'-= - i '.�'w {;�`
DAY r .z f,.TENDERED
CHECK N
Rlf]NATI IFiF
r'
NO.
? 445 -
GENERATOR
THIS MANIFEST 1S FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE'POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES'NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED.-
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260:10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IMPROPER CONDITION FOR TRANSPORTATION ACCORDING TQ,APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION:' DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER•
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
:�' �;;-.�,.. - .WEIGHAi1PiSTER':;�s�?;:'�•'s""':`-...
DUPLICATE TICKET _ GRID;,. ,}�•,;;;:.-"``°:.`-0 _
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865883 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 x.,.'DATEIN':,:_= DATE OUT,; TIME,'IN; TIME OUT-;`'aVF_IiICLE k ROLGOFF
02/28/2 02/28/2 11:4 11:4 11100TC
9316 Town of Babylon
MA:WEIGHT
GROSS WT 78000 LB Outbound Ticket
MATARE WT 35940 LB
NE 42060 LB
"OTY UNIT +,T_';= + ,r ._ °DESCRIPTION - ==DCTENSION: _s =FEE tx__ .TOTAL
21.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
z.
ti
1,.�,=-. (` �''-fit{ --'• :.i y.'._:�} 4j3
Operating hours 7:00 AM to 5:00 PM 7 days'-a .week. Fly 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -PRESIDENTS`' :TENDERED- =_
Fy
DAY Z7 V':'J11 :$
CHECK-NO
SIGNATURE
DUPLICATE TICKET .SITE ; aTICKET _.; _ GRID-_x _ 1NEIGHMASTER ''.
SOUTHOLD TOWN DEPT SOLID WASTE 00 `01865883 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN' pATEOUIe� TIMEaIN'TIME OUT =VEHICLE ' x ROLLOFE
9316 Town of Babylon
o-
ANUAL GROSS WT 78000 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 42060 LB
OTY UNIT- r DESCflIPTION'_' :RATE- '" ._EXTENSIO[1': :;FEEE,'-- TOTAL e, ':-
21.03 OUTGO.MSW 0.000 0.00 0.00 me
''t',' `.
i?'} Q�lc� IS. i5�•,. e'l�V f4.M1i
Operating hours 7:00 AM to 5:00 PM 7 daysk
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 'N PRESIDENTS'_ ',
DAY P j ti: l :;%� ?41' TENDERED;:',,;
AMNAMJRF
NO. 2446
GENERATOR
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 TQ 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 TOTHE 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.
I
$ITE ° TICKET; GRID`. WEIGHMASTER"
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865976 Steph
PO Box 962/6155 Cox Lane
Cutchogue;"NY 11935 DATEIN- ' DATE OUT,_- TIME IN TIME OUT VEHICLE- _ R°OLLOFF>
02/29/2 02/29/2 10:0 10:10 11100TCe
9316 Town of Babylon
ORIGINREFERENCE
MANUAL GROSS WT 70720 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 33800 LB
'QTY + UNIT'.'?`:, DESCRIPTION RATE _,EXTENSION--_ FEE TOTAL
16.90 OUTGO.MSW 0.00e 0.012 0.00 0.0e
1. t
Operating hours 7:00 AM to 5:00 PM 7 dais a 'week. 0.0e
p g Y �.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -'PRESIDENTS' `<: =TENDERED. =
DAY ;,'
QHANQE%,
U CHECK-til
SIGNATURE
DUPLICATE TICKET SITE TICKET. , ' :`GRID'" WE_IG_NM_ASTER.,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01865976 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN`•' DATEOUT" TIMEIN-TIME OUT `': VEHICLE ROLL,OFE'-
9316 Town of Babylon
REFERENCE ORIGIN
ANUAL GROSS WT 70720 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 33800 LB
UNIT„ .:,,, .a` '!,DESCRIPTION.. a";, ;RATE - i'.'EXTENSION_ FEE
16.90 OUTGO.MSW 0.000 0.00 0.00' 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week?. :.•' ;` i'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ;•,PRESIDENTS'
DAY
TENDERED:
CHANGE
-C NO: ':, .
mr_�inT roe
NO. 2447
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY: '
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE =-_z
KEY_: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.