HomeMy WebLinkAbout03/2024 BITE .TICKET; GRID_; -WEIGHMASTER
DUPLICATE TICKET
S?UTHOLD TOWN DEPT SOLID WASTE 00 01866125 Liz H
PO Box 962/6155 Cox Lane - .
Cutchogue, NY 11935 DATE IN IN' DATE'OUT TIMEIN TIME OUT " `VEHICLE_' flOLLQFF
03/01/2 03/01/2 11:2 11:2 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 71500 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32360 LB
OTY . _= UNIT- DESCRIPTION RATE "EXTENSION a. .;FEE` =i' TOTAL=' •`"'
16.18 OUTGO.MSW 0.000 0.00 0.00 me
i3 l
A,
Operating hours 7:00 AM to 5:00 PM 7 days a' we6k.', Y 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ;PRESIDENTS', _- TENDERED
DAY
eCHEC N
SIGNATURE
DUPLICATE TICKET -.SITE TICKET GRiD maGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01866125 Liz H
PO Box 962/6155 Cox Lane
Cutcho ue NY 11935 ,4.
g DATE IN: DATE OUT `TIME IN„TIME OUT 'VEHICLE ROLL OFF
9316 Town of Babylon REFERENCE ORIGIN
11
ANUAL GROSS WT 71500 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32360 LB)
UNIT DESCRIPTION ;-.RA FE TE s__: r: ;EXTENSION ? E _ TO L'fit':`
TA
16.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
1,.
'1
Operating hours 7:00 AM to 5:00 PM 7 days.a<Week.: t�,-
CLOSED HOLIDAYS - NEXT:, MONDAY, FEB. 19 '-',PRESIDENTS''=.;... .. ,; °;,' #>'
DAY
CHANGE
-:91JECK NO.
QW---n�Ari Tca
C •� _s
NO. 2448
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 PROVIDE_ D
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
=SITE • _TICKET'-`-'` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01866237 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN, DATE OUT, TIME IN TIME VEHICLE,= =ROLL OFF
03/02/2 03/02/2 07:0 07:18 11103TC
9316 } Town of Babylon
REFERENCE ORIGIN
MANUAL GROSS WT 71120 LB Outbound Ticket
SCALE 1 TARE WT 35980 LB
NET WEIGHT. 35140 LB
-QTY""` P UNIT" . =`<DESCflIPTION'"'"' RATE EXTENSION� 'FEE"'; ? TOTAL~"
17.57 OUTGO.MSW 0.000 0.00 0.00 0.0e
i =-- tv
Operating hours 7:00 AM to 5:00 PM 7 days_,a'week."-: ; ' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =c-PRESIDENTS', "' ". _<TENDERED.
DAY ,fir
:"CHE K O-
SIGNATURE
:SITE _ TICKET'_'= G_RiD W_E_IGHMAS_TE
SOUTHOLD TOWN DEPT SOLID WASTE 00 01866237 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N DATE OUT •.TIME IN_TIME OUT `VEHICLE' ROLL`OFF
9316 Town of Babylon
-ORIGINREFERENCE
tM
N AL GROSS WT 71120 LB Outbound Ticket
SCALE 1 TARE WT 35980 LB
NET WEIGHT 35140 LB
QTY UNIT „'=DESCRIPTION - " FIATS - ;.'.- •"EXTENSION`~ -w,FEE,,; " TOTAL'.';'
17.57 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days;,a :weeka --_ �t `~' •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19``=>,PRESIDENTS',
DAY TENDERED,i '
• K'- Or .
cr_r.nn goo
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road ^ 0 4 4 6
Islandia, NY 11749 N°
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR' DISPOSAL LOCATION TICKET NO.
NO. 2449
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): rr �
TRUCK WEIGHT: tJ GROSS
TARE 1 %S
3 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:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST 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.
NO. 2450
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: �7�J GROSS
t7"a v! TARE
To 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 AC COR ING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/S 1 ATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:_
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE ' ''TICKET` "GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01866827 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE but TIME IN I TIME OUT. ' ,:VEHICLE i ROIL'OFF
03/05/2 03/05/ 08:1
2 08: 2 11100TC
Town of Babylon
REFERENCE
SCALE 2 GROSS WT 82940 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 43800 LB
QTY ;• UNIT DESCRIPTION. RATE z,
EXTENSION`` FEE„ `" TOTAL
21.90 OUTGO.MSW 0.OOE O.OE 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a weeK. 0.0
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS'. TENDERED;
DAY
CHANGE:,'
CHECK
SIGNATURE
DUPLICATE TICKET ;SITE TICKET GRID_ 1NEIGHMA5TER -
SOUTHOLD TOWN DEPT SOLID WASTE 0 0186 827 Step
PO Box 962/6155 Cox Lane T
Cutchogue, NY 11935 ,�' DATEIN�,_' DATE"OUT ' '�TIME-1N TIME OUT `__VEHICLEx ^ ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 82940 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 43800 LB
-_ 'FEE '
TOTA3E LCTENSLON L:DECRITIONUNiT .,
21.90 OUTGO.MSW 5.65e 5.5e 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a.-,week: `-}
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19` PRESIDENTS_'_ c
DAY - 4, 1,- rt%(; r, t:'< a TENDERED':,:
HECK O .,
RMIKIATI Inn:
NO. 2451
y
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 01866935 Steph
PO Box 962/6155 Cox Lane
Cutchoguq, NY 11935 #'•^DATE;IN- _ DATE OUT 'r .TIME;IN' TIME OUT ." VEHICLE ROLL;OFF".,-.
03/06/2 03/06/2 08: 08: 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 76360 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 39600 LB
OTY,_ _ UNIT DESCRIPTION-`; RATE EXTENSION - _'FEE _ TOTAL_
19.80 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days a .Week'. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 '-, PRESIDENTS' TENDERED:::`,_'.
DAY
-CHANGE ,
CK O.
SIGNATURE
DUPLICATE TICKET =$ITE __ TICKET GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
"ROLL OFF,
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 76360 LB OutboundTicket
MANUAL TARE WT 36760 LB
NET WEIGHT 39600 LB
QTY -__`.. 'UNIT- -_DESCRIPTION :_- RATE. E_XTENSI.ON ->_ - FEE TQTAL
19.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a wee k:° _, = 1:0 •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�., PRESIDENTS'
DAY ' "';",f,y; r' ,TENDERED
-. . CHANGE ,:
CHECK O
SIGNATURE
NO. 2452
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 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 CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(P-RINT 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 01867018 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE,.IfJ. ; DATE=OUT TIME IN, TIME OUT VEHICLE , ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
MANUAL GROSS WT 88120 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 51200 LB
=CITY _-UNIT
DESCRIPTION „ - , FWTE EXTENSION. ::., -'FEE„ ;,,,70TAL
25.60 OUTGO.MSW 0.00 0.0 0.0e 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a,,week.LL_ . ' • Uk
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS'
'TENDERED
DAY
J k,," .,CHANGE,
C CKNO.=- =
SIGNATURE
DUPLICATE TICKET SITE "TfCKEF :,; .GRID,' WEIG_HMASTER.
SOUTHOLD TOWN DEPT SOLID WASTE 10TPO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T q. D TI N M _ ' ROLL OFF,_
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL TARE WT 36920 LB
NET WEIGHT 51200 LB
QTY UNIT, = DESCRIPTION DSTENSfON,, ._FEE „ - TOTAL
1
Operating hours 7:00 AM to 5:00 PM 7 days a`.week•.1.,_ `-__. s;_: 4 •
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19;-LRRESID'ENTS'''" '
DAY TENDERED
—CHANGE
CHECK N
SIGNATURF
NO. 2453
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 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.
-DUPLTChTE TICKET .SITE >`,TICKET,,. aGRID WEIGHMASTER;,,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01867152 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE°IN, "}DATE OUT TIME IN; TIMEOUT " VEHICLE,. ROLLOEE"
03/08/2 03/08/2 09: 09:5 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
7
FWEIGHT
SS WT 79920 LB Outbound Ticket
E WT 38820 LB
41100 LB
uNrr DESCRIPTION; RATE EXTENSION a FEE.°. " TOTAL"
20.55 OUTGO.MSW 0.00e 0.0e 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a'.week: ._ ''..
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ,_PRESIDENTS'- " Y •". TENDERED" ''-`z'
DAY
�.. :.:. -CHA GE
,;ZHECK NO.
SIGNATURE
DUPLICATE TICKET _'SITE _TICKET _Y GRID - • wEIGH_MAS7ER
SOUTHOLD TOWN DEPT SOLID WASTE L1Z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE UT TI IN TIME lJT V H 'ROLL OFF
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 79920 LB Outbound Ticket
SCALE 1 TARE WT 38820 LB
NET WEIGHT 41100 LB
QTY 1 - UNIT�• _ DESCRIPTION ' "RATE " EXTENSION=, 'FEE _ TOTAL-,
20.55 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days la=week:;-,- T..,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19'' PRESIDENTS'_'_.
DAY " ° :TENDERED.
CHANGE
CH CK NO
CIf1-m ATI Inc:
NO. 2413
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 I TICKET GRID WEIGHMASTER. .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01867338 Steph
PO Box 962/6155 Cox Lane
CUtEhOgUe, NY 11935 DATE IN DATE OUT TIME IN.T�MEOUT VEHICLE ROLL'OFF
03/09/2 03/09/2 07:0 07:1 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74820 LB Outbound Ticket
SCALE 1 TARE WT 35800 LB
NET WEIGHT 39020 LB
QTY UNIT , +DESCRIPTION`_: _, RATE''
19.51 OUTGO.MSW 0.000 0.00 0.00 0.02
-
;r
r , iqj
Operating hours 7:00 AM to 5:00 PM 7 days`-.a week.'" me
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -,'PRESIIDENTS' TENDERED' = ".
DAY
CHECK,NO.,,s�
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Ste
ph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
9316 Town of Babylon
REFERENCE
Uutnouna Ticket
SCALeE WT 35800 LB
NET 39020 LB
UNIT _ DESCRIPTION,." RATE _EXTENSION'' FEE' :TOTAL.''
Operating hours 7:00 AM to 5:00 PM 7 days a"week,.,' _ _ •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19i',,PRESIDENTS
DAY �<47` tad -- A '`: ;' �r TENDERED,,'
.,."a`..:'... CHANGE'.
C O -;,
cir_tieTi icier
NO. 2 412
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:
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 I -TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01867762 Liz H
PO Box'962/6155 Cox Lane
Cutchogue,- NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE`_- _ROLL OFF,
03/11/2 03/11/2 07:3 07:3 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74080 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 37320 LB
=_QTY. UNIT -° =`DESCRIP1fON -' RATE EXTENSION"=`, 'FEE - ",TOTAL-y`
18.66 OUTGO.MSW 0.000 0.00 0.00 0.0e
•
Operating hours 7:00 AM to 5:00 PM 7 days a"week.'' :r -
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS _IENDERED-
DAY
•.CHECK NO.'':_
SIGNATURE
DUPLICATE TICKET SITE ''TICKET `' GRID WEIGHIWAS7ER
SOUTHOLD TOWN DEPT SOLID WASTE L1Z
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _
1 `T TI O V ROLLOFF
9316 Town of Babylon
REFERENCE ORIGIN
MANUAL TARE WT 36760 LB
NET WEIGHT 37320 LB
QTY UNIT' S _ ;_ _`:DESCRIPTION=, :t .,
_ RATE .`'-EXTENSION,.- i FEE;-r -.-TOTAL.,
Operating hours 7:00 AM to 5:00 PM 7 days: a°week.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �7, PRESIDENTS.'
DAY ;x'= 1` TENDERED
'•C.EC NO.
cir_�inTi goo
NO. 2454
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.
DUPL-T,rATE TICKET rSIT'El TICKET, GRID` WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01867812 Liz H
PO Box 962/6155 Cox Lane
CUtChogUe, NY 11935 DATE IN `. DATEOUT•;: TIME IN T{ME OUT :VEHICLE ,,; ROLL OFF r„
03/11/2 03/11/2 10:5 10:5 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 70120 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 33580 LB
QTY UNIT _ _ `DESCRIPTION-F RATE ._EXTENSION -_ FEE TOTAL-=
16.79 OUTGO.MSW 0.000 0.00 0.00 me
I._ -
Operating hours 7:00 AM to 5:00 PM 7 day"sx_a`week: Me
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' _ .TENDERED
DAY ;f}
HE O -. ,.
SIGNATURE
DUPLICATE TICKET SITE 77CKET GRID INEIGHMA_STER _
SOUTHOLD TOWN DEPT SOLID WASTELiz
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 T OU T1ME'I 'T1ME O "':VEWIGCE`;c' • ",'"ROLL OFF
9316 Town of Babylon
5 WT 120 LB Out oun Tic et
FMANUALTARE WT 36540 LB
GHT 33580 LB
TY U_NIT -DESCRIP-
TION-1- _ -RATE =_�SiON FEE-:
16.79 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,a<week:'- f ' r - ``' `_ •
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 =f PRESIDENTS'
;1, ' r :"TENDERED.
DAY `'c- `{ f, "�'?tl, "(k i'E�.ii :t;`iv`�,,:.f R-: ;,,,
SIGNATURE
NO. 2455
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 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.
DUPLICATE TICKET SITE . TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01867952 Steph
PO Box 962/6155 Cox Lane
Cutchogue,,NY 11935 DATE IN. DATE OUT TIME TIME OUT VEHICLE flOLLOFF ti-..
_ 03/12/2 03/12/2 11:5 11:5 11100TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 82680 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 45260 LB
QTY. UNIT' :'DESCRIPTION-'- RATE  --EXTENSION _ -- r FEE- = TOTAL -`,
22.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
5, w
7
.i. .. - ram,. '1� •
Operating hours 7:00 AM to 5:00 PM 7 day's�a' week.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 --'PRE SIDENT5.',V- ?°' :,.TENDERED_''
DAY
CHANGE
--,CHEC NO:�-<,
SIGNATURE
DUPLICATE TICKET SITE -TICKET-0,,_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 /11867952 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 >' DATEdN�, DATEOUT 6 TIMEiN'?TINIEOUT � VEHICLE . ROLLOFE
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 82680 LB Outbound Ticket
MANUAL TARE WT 37420 LB
NET WEIGHT 45260 LB
QTY `- UNIT -DESGRIPTIOM= RATE , __IXTENStON FEE _ =-TOTAL==--,
22.63 OUTGO.MSW 0.000 0.00 0.00 0.Oe
E -
� tY
Operating hours 7:00 AM to 5:00 PM 7-day,, a,week',,,-- ,, ,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'
TENDERED.;,":.
DAY
", � t•,t`..�I", a L�',.�;.#'
CHANGE,
-CHECK NO; ''•'
cirnrJATI iaa
mom-
NO. 2456
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.
SITE . TICKET, GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01868087 Steph
PO Box 962/6155 Cox Lane e
Cutchogue, 'NY 11935 DATE IN DATEOUTe:` TIME,IN TIME OUT VEHICLE=,:, ROLLOF,F
03/13/24 03/13/24 08:49 08:49 11100TC
9316 Town of Babylon
l` REFERENCE •
CALE 2 GROSS WT 73120 LB Outbound Ticket
ANUAL TARE WT 36760 LB
ET WEIGHT 36360 LB
QTY UNIT _-DESCRIPTION `= RATE -.F)CTENSION z- FEE TOTAL.
18.18 OUTGO.MSW 0.000 0.00 0.00 0.02
.- --- - f ,
T oil
Operating hours 7:00 AM to 5:00 PM 7 days,a week. me
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS.' ..,:TENDERED
DAY
CHECK-NO.-
SIGNATURE
DUPLICATE TICKET SITE TICKET- ; GRID W_ EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01868087 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 BATE IN°:"- DATE QUT -TIME IN TIME OUT VEHICLE
9316 Town of Babylon ffe
REFERENCE
•.
CALE 2 GSS WT 73120 LB Outbound Ticket
ANUAL TARE WT 36760 LB
�ET WEIGHT 36360 LB
QTY UNIT ` = DESCRIPTION; RATE ,EXTENSION r= FEE-_; .; TOTAL';
18.18 OUTGO.MSW 0.000 0.00 0.00 0.02
K S
Operating hours 7:00 AM to 5:00 PM 7 days`'a week '^ :` %F `'+ ` -"-� •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS' -
DAY a ir.y TENDERED,:a7.:
CHECK NO
can_wnTi ono
> 2457
AL NO.-
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
TRANS PORTATION%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 01868338 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 DATE IN 1, DATEOUT . TIME IN=TIME OUT, VEHICLE ROLL OFF
03/14/2 03/14/2 09:5 10:2 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 87740 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 51180 LB
QTY`. UNIT- DESCRIPTION' RATE EXTENSION =FEE TOTAL
25.59 OUTGO.MSW 0.000 0.00 0.00 0.0e
' x
Operating hours 7:00 AM to 5:00 PM 7 days a week.-". 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'
TENDERED.,
DAY
-CHANGE
SIGNATURE
DUPLICATE TICKET $►TE -.,, TICKET WEIGHMASTER_- .`
SOUTHOLD TOWN DEPT SOLID WASTE 00 01868 38 stepn
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN 'DA7E`0'UT ,TIMEM 71ME0UT "`VEHICLE ,` ROLL OFF"
9316 Town of Babylon
REFERENCE
�-
SCALE 2 GROSS WT 87740 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 51180 LB
°..QTY DESCRIPTION %EXTENSION'.:`,"` FEE,, hTOTAL,
25.59 OUTGO.MSW 0.000 0.00 0.00' 0.0e
tru {
Operating hours 7:00 AM to 5:00 PM 7 days a,,Week:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19'S PRESIDENTS'..-
;"3 r TENDERED
DAY �� � ;, ;-,� ;�- .,��'
H GE.
°CNE K O
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 0447
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
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.
DUF/!,;CATE TICKET SITE ," TICKET•._,' ', GRID ;. ' WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 1111 /11868164 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 rDATEIN DATE_OUT TIMEWTIMEOUT VEHICLE- ROLL OFF
9316 Town of Babylon 01/:L!)/1 4 UUT 06T 1111dVIL I
REFERENCE ORIGIN
SCALE 2 GROSS WT 70520 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 33980 LB
0TY UNIT :DESCRIPTION: RATE EXTENSION 6=FEE. TOTAL .
16.99 OUTGO.MSW 0.00 0.0 0.00 0.0
• _ i tY1_ ;J!
1 •
Operating hours 7:00 AM to 5:00 PM 7 days 'a.`week:"`~' -.; 10.lot
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -. PRESIDENTS''
DAY 'nC4``:. -:TENDERED
CHANGE
5_QHEQKNO
SIGNATURE
DUPLICATE TICKET BETE TICKET __` GRID_ _ 1NEIGHMASTER'
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
RQLL OFF. ,
9316 Town of Babylon
REFERENCE =6m�- �M
MANUAL TARE WT 36540 LB
NET WEIGHT 33980 LB
DESCRIP710N
wRATE 'r; r:EXTENSION', FEE',' :T07AL 'j4, iu,
• •- rtf,s
Operating hours 7:00 AM to 5:00 PM 7 days `a;''week'. j .' tiY; IVA•
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�c PR ESIDENT,S''
DAY L":.., "rG` �iy"��-;t 2 r r}'-��r "n', " .;�.� TENDERED'
CHANGE
CHECK O.
e�r_�inT�roe
No 2458
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 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.
D `ICATE TICKET SITE TICKET GRID WEIGHMASTER
-•• UNL - -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01868656 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT` ,TIMEIN TIME OUT :,.VEHICLE , ROLL00,'_ ,
03/15/2 03/15/2 12:1 12:1 11100TC
9316 Town of. Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 70740 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 34540 LB
QTY', UNIT DESCRIPTION_= RATE EXTENSION' -. FEE _ TOTAL
17.27 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,.a week.` � i' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =-PRESIDENTS,' 3 '' ~_''TENDERED _
DAY
AGE"
�f HECK-NO
SIGNATURE
DUPLICATE TICKET SITE_; TICKET`-, -GRIDr WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01868616 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;DATE IN;; DA7EOUT _- TIMEIN,TIME OUT VEHICLE,`, ROLL,OFF
9316 Town of Babylon -
REFERENCE ORIGIN
CALE 2 GROSS WT 70740 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 34540 LB
QTY.
a UNIT -__- =, DESCRIPTION RATE -EXTENSION _-_`FEE TOTAL__;_'- ,
17.27 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: MONDAY, FEB. 19 `= •.,PRESIDENTS - n f}' TENDERED`"r::7
DAY14
CHANGE
CHECK0:_,
AIf%NATI I R F
rt�
NO. 2459
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._
DUPLICATE TICKET SI E ', „!.TICKET ' " w GRID- t WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01868788 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATE IN AATt<AUT TIME IN TIME OUT VEHICLE 80LL OFP_
6 1 03/16/2 03/16/2 07:3 07:3 11103TC
' 9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72280 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 36340 LB
Q1Y UNIT , .. , -,., DE$CHIP_TION, -` ,': , _ HATE;, _.>.`_ =:fXFENS10Ns: ' FEE TOTAL:- --
18.17 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' F TENDERED:- `_
DAY
CHECK N=l
SIGNATURE
DUPLICATE TICKET SITE TICKEE GRIP. WEIGfiMA_STE_R_
SOUTHOLD TOWN DEPT SOLID WASTE 00 01868788 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .i DA7E;OUT TIME1N-7iN1E0U7 VEkIIGLE ,`s FiOCLOFF "`
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 72280 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 36340 LB
.:4TY UNIT - r,; ;' ,DESCRiPT10N - _ RA{E `EXTENSION.;_ > . aF,EE . ".TdTAL r
18.17 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days 6`.week:':
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19° aPRiE.SI�D:€ER.N T:S'•,:_i--
DAY
' TENDERED am;,pr.
AIMIATIMP
F11.
NO: 2414
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 TICKET''W, GRID•. WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01869387 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, "NY 11935 DATE'IN _ DA_TEOUT, TIMEIN TIMEOUT _ =VEHICLE ROCLOFF
03/18/24 03/18/24 08:36 08:36 11100TC
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 GROSS WT 60260 LB Outbound Ticket
ANUAL TARE WT 36540 LB -
ET WEIGHT 23720 LB
QTY. =UNIT DESCRIPTION RATE'` "EXTENSION" - FEE" TOTAL
11.86 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days:'a week, _ 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS.',_ TENDERED
t' l"
DAY
CHANGE_
HE
SIGNATURE
DUPLICATE TICKET SITE „TICKET -__: _ _ "GRID, „ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01869387 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN; DATE OUT`., TIMEIN'TIMEOUT %EHICLE ROLL'OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 60260 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 23720 LB
ITY =UNIT ,DESCRIPTION` RATE_ EXTENSION FEE ' , TOTAL;
11.86 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,,a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `-PRESIDENTS'
DAY TENDERED
'^`• . 't; X CHANGIET
CHECK-NO.', a:
SIGNATURE
1
NO. 2460
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 TICKET -'GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01869462 Liz H
PO Qbx 962/6155 Cox Lane
Cutchogue, NY 11935 DATE�N: DATE OUT `t E'IN TIMEOUT VEHICLE ROLCOFF
03/18/21 03/18/ 12: 9 12: 9 11100TC
9316 Town of Babylon -
REFERENCE
SCALE 2 GROSS WT 65140 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 28320 LB
OTY JUNIT = ,; DESCRIPTION, : . 'RATE =>,EXTEN$ION;!,'. TOTAL -
14.16 OUTGO.MSW 0.OOE O.OE 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a`;week: f =' 0.0
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' ;., =_, -,TENDERED
DAY
f 777 7,CHANGE
CHECK-NO..'
SIGNATURE
DUPLICATE TICKET SITE _ -TICKET- GRID;,; WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 7 62 Liz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DAT`iN.a DATE UT TINIEIN TIME OUT .VEHICLE ROLLOFF,
9316 Town of Babylon
REFERENCE
GALE 2 GROSS WT 65140 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 28320 LB
QTY -' ' UNIT D_ ESCRIPTION 'RA_T_E . EXTENSION-- �;.FEE TOTAL__
14.16 OUTGO.MSW 0.000 0.00 0.00r 0.0e
Operating hours 7::00 AM to 5:00 PM 7 days a;%week,::,--'"`;Y'— ".=',%
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS.'__a < "-
DAY �� a' TENDERED
CHECK N09
�n_einT goo
a
NO. 2428
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 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(P-RINT 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,
SOUTHOLV-TOWN DEPT SOLID WASTE 0 1 ' 01869706 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DQTEIN DATE OUT TIME IN`TIME OUT VEHICLE -ROLL OFF
03 19 2 03/19 12: 3 12: 3 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 71620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32480 LB
__QTY UNIT' =.- DESCRIPTION RATE_ - EXTENSION' =>FEE =TOTAL'
16.24 OUTGO.MSW O.00E 0.0 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days. afweek`. 0.0
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS" TENDERED
DAY f,
" _ :- -,-'CHANGE-
r,,,°., E K. O
SIGNATURE
DUPLICATE TICKET S_(TE ',-, .TICKET .WEIGHMASTER_---
SOUTHOLD TOWN DEPT SOLID WASTE Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935UT'` ' `.TIME INS TIME OUT VEHICLE4Z2 ROLL'OFF..
9316 Town of Babylon
REFERENCE ORIGIN
SS WT 71620 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 32480 LB
v`QTY "=UNIT DESCRIPTION EXTENSION'`.:'<, FEE
RATE.
16.24 OUTGO.MSW 0.000 0.00 0.00 0.02
fCr 'j
Operating hours 7:00 AM to 5:00 PM 7 days a,-.week; ' ' a' •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19'ti- PRESIDENTS..'^_.. l+^, -''a'• ('
DAY '— ```•t4i``r,r^,+R• F ``;; is rr TENDERED
* '
CHANGE
CHECK NO
SI(�NATI IRF —
No 2462
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 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.
DUPLICATE TICKET SITE TiGKET GRiD W
EIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Of 01869629 Steph
PO Box 962/6155 Cox Lane
VEH Cutchogue, NY 11935
RATE -T! 0jI4 T-0�1
jf-
U?j
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 72100 LB 'Outbound Ticket
i MANUAL TARE WT 36760 LB
NET WEIGHT 35340 LB
OTY- -TIQN :.,EXTENSION- ,,` :FEB
RATE
17.67 OUTGO.MSW O.00E 0.0 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 days'a-',week..-`,'—
CLOSED HOLIDAYS NEXT: MONDAY, FEB. PRESIDENTS',
TENDERED
DAY
—CHEQK'NO`
SIGNATURE
DUPLICATE TICKET - -----
SOUTHOLD TOWN DEPT SOLID WASTE LvPII
PO Box 962/6155 Cox Lane
Cutchogue,, NY 11935
9316 Town of Babylon
REFERENCE
eeAt-l��83 NT 12100 to UULUUUIIU IJ.L&CL
MANUAL TARE WT 36760 LB
NET WEIGHT 35340 LB
OTY -UNIT ;;DESCRIPTION :RATE FEE :TOTAL TTAL UU I UU.11Z)VY 0.(JU 0(d fft
Ilk
Operating hours 7:00 AM to 5:00 Pm- 7 days a" eeik-,`� TAL9111L
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�,, PRESIDENTS-i,..�-
DAY ,.r
:TENDERED
lry 1
`CHANGE-
1 CHECK NO
oV]KlAvl Inv �-!l
NO. 2461
,. 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
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE 'TICKET VVEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01869888 Steph,
PO Box 962/6155 Cox Lane
Cutchogue; N 11935 DATE IN - DATE OUT . TIME IN TIME OUT VEHICLE ROLL OFF
` 03/20/2 03/20/2 10:0 10:OZ 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SC:ALE GROSS WT 73540 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 36780 LB
QTY... -UNIT `:' _ ' DESCRIPTION ; ' RATE, `,.`'' ' EXTENSION:.- FEE r TOTAL° ,'-`,-=,
18.39 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 days` a week. '` a 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 : -PRESIDENTS' TENDERED;'
DAY
f CHANGE
ECK N :°
SIGNATURE
DUPLICATE TICKET SITE .TICKET ', GRID --W_ EIGHNIASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01869888 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT - TIME IN TIME OUT '=' VEHICLE " ROLL`OFF'
9316 Town of Babylon �i Vj/Z-V/
REFERENCE OR. �7 -1
IGIN 2 GROSS WT 73540 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NLT ,WEIGHT 36780 LB
Qly., -UNIT__ ; -DES_G_RIPTIOM' =_RATE EXTENSION: FEE TOTAL'_
18.39 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 da 5 a 5week:'==='r-, -_f-- , •
Y S - _` (v
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 '=�-PRESIDENTS'--__� ',-_`1 I"
DAY ',X t1 TENDERED'. -_
CHECKNO:9
AIRMATI IRF
NO.
2415
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
SOUTHOLD TOWN DEPT SOLID WASTE 001 01870173 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT, TIME IN TIMEOUT VEHICLE 'ROLLOFF
03/21/24 03/21/24 12:1 12:14 11100TC
9316 ° Town of Babylon
REFERENCE
�.
0
SCALE 2 GROSS WT 68440 LB Outbound Ticket
MANUAL TARE WT 37420 LB
ET WEIGHT 31020 LB
QQTY UNITS'; DESCRIPTION"' _. . RATE::_ EXTENSION'.._ -F,EE•' TOTAL'-'
15.51 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 -`PRES°IDENTS' _ ~„ w``> TENDERED_
DAY
i e ' CHANGE,'-'
CHE NO 9
SIGNATURE
DUPLICATE TICKET „SITE G EIGHMASTER
- SOUTHOLD TOWN DEPT SOLID WASTE 001 01870173 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE:IN " DATE-OUT_ TIME-IN TIME OUT VEHICLE "FIOLL-OFF '=
9316 Town of Babylon
REFERENCE -ORIGIN
(NET
LF 2 GROSS WT 68440 LB Outbound Ticket
UAL TARE WT 37420 LB
WEIGHT 31020 LB
QTY DESCRIPTION= _RATE :. EXRENSION,:-_ FEE TOTAL``_ =_
15.51 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day' a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-:----`'
DAY ��" ( u�rc " } TENDERED":
CHECK O:
CIMMATI I979=
NO. 2464
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 KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE'
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION.TICKET NO.
DUPLICATE TICKET SITE TICKET GRID ,_., F''' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01870113 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT Tl[v1EIN'TIMEOt1T VEHICLE".` ROLL OFF
03/21/2 03/21/2 08:3 08:3 11100TC
93i+6 Town of Babylon
FNETWEIGHT
GROSS WT 72460 LB Outbound Ticket
ARE WT 36540 LB
35920 LB
Y, UNiT•, DESCRIRTION;.,'i,,,`s, .. :. ` _ RATE'.., EXTENSION;:" FEE TOTAL.>.; ',..
17.96 OUTGO.MSW 0.000 0.00 0.00 0.0e
* Yv : — i}`•�°...n ..' ifs -' Xy.�"
Operating hours 7:00 AM to 5:00 PM 7 da a~week.4 • 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -`PRESIDENT5'-- ._ w.-.,.
DAY ,1 TENDERED
' CHANGE.
SIGNATURE
DUPLICATE TICKET SITE :TICKET =' GRID WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE 00 01870113 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE iN `DATEiOUT TIME IN TIME'O"' VEHICLE r ROLL,OFF t.
9316 Town of Babylon
REFERENCE
•-
�55 WT
460 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 35920 LB
OTY UNIT " .DESGRIFT_ION' . . -- RATE.'•. ,EXTENS_I.ON- =-.FEE. : TOTAL_
17.96 OUTGO.MSW 0.000 0.00 0.00 me
`"JlWf�
Operating hours 7:00 AM to 5:00 PM 7 days`.aweek: =•-,: ';;-Er. ar�` {��
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 t44PRESIDENTS`_,
DAYS 7�r - s 134 ,i.t1 TENDERED'
CHANGE
-CHECK NO
SIGNATURE
NO. 2463
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." 1NEIGHI�AASTER'
SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01870541 Steph
PO Box 962/6155 Cox Lane
Cutchogge, NY 11935 DATE IN [7ATEOUT 1iMEIN 7IMEOUT VEHICLE FibLLOFF
03 23 03 23 4 07: 2 07: 2 11103TC
9314i�� Town of Babylon ,.
ORIGINREFERENCE
FNETWEIGHT
OSS WT 70360 LB Outbound Ticket
E WT 35940 LB
34420' LB
:';. .•UNIT-- z DESCRIPTION--
RATE '>s�XTEN51ON =FEERa;..'':, :TOTAL:.
17.21 OUTGO.MSW 0.00 0.00 0.00 0.0
•
Operating hours 7:00 AM to 5:00 PM 7 days a";week:.-
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -,PRESIDENTS' CENDEREDs °:';`
DAY
CHECK NOm
SIGNATURE
DUPLICATE TICKET SiT_E T#_CKET GRID WEtGHMA8TER
SOUTHOLD TOWN DEPT SOLID WASTEUTp
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
T I D ',TI N IM �'.ROLLOl:F==
9316 Town of Babylon
REFERENCE ORIGIN
UUIDOund licket
MANUAL TARE_ WT 35940 LB
NET WEIGHT 34420 LB
OTY . UNIT,' DESCRIPTION. • ,''.., .. RATE. `.:;:EXTENSION „ FEE °TOTAL
0.0012 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days `a w'ee'k ,' •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19"t, PRESIDENTS'°°:.4;`_^'y. .
DAY „ ,'TENDERED
H GF,
,CHECK O-,.,u J
�rn�nT goo
NO. 2416
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.
t SITE TICKET `-GRID-° WEIGHMASTER
L PLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01870288 Liz H
PO Box 962/6155 Cox Lane ,
Cutchogue, NY 11935 DATEJN DAIEOUT TIMEIN TIMEOUT VEHICLE _ :'ROLtOFF"
03/22/2 03/22/2 08:4 08:4 11100TC
9316 Town of Babylon I f t
REFERENCE
SCALE 2 GROSS WT 71420 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 37440 LB
QTY.--. UNIT 6 °,DESCRIPTION,,,-,' RP E EXTENSION'-`,- FEE. ;_; _ JTOTAL
18.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
N�
. � #..
Operating hours 7:00 AM to 5:00 PM 7 days,a.aw ek.` t' ' 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS' i_�S TENDERED
DAY
AGE
HEC :NO:
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID ,u WEiGHIAASTER Y,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01870288 Liz H
PO Box 962/6155 Cox Lane
Cutcho ue NY 11935 "2
6' DATEiN; DATE OUT TIME IN,,TIME.OUT VERICLE,` - ROLL OFF
9316 Town of Babylon REFERENCE
SCALE :GROS' S WT 71420 LB Outbound Ticket
MANUAL WT 33980 LB
NET WE 37440 LB
Q UNIT' DESCRIPTION RATE _ EXTENSION __-_`FEE•. = = .TOTAL'-
18.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day9s,a�'week:� =" -•- f j' v }
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ' PRESIDENTS''- f '��`• y`
TENDERED
DAY
✓ ��I
CHECK NO.
. MATHRF
e
NO. 2465
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 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 01870840 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -,DATE IN_' DATE OUT TIME IN TIME OUT VEHICLE -ROLL OFF
03/25/2 03/25/2 08:5 08:57 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
C— 1 —1
SCALE 2 GROSS WT 69000 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 29860 LB
QTY UNIT ` «`-DESCRIPTION' _ RATE. EXTENSION' '` FEE TOTAL,'
14.93 OUTGO.MSW 0.000 0.00 0.00 0.0e
r7:I _
41
Operating hours 7:00 AM to 5:00 PM.7 days.a.week - v. . 0..0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ;;.PRESIDENTS''. TENDERED
DAY =it ,,,- ,}
�CHAN E'-
CHECKO'
SIGNATURE
DUPLICATE TICKET SfTE TICKET GRID WEIGHMASTER
_-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01870840 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DATE-OUT TIME 1N:TIME OUT VEHICLE '' ROLL OFF' "
9316 Town of Babylon
ORIGINREFERENCE
1
SCALE 2 GROSS WT 69000 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 29860 LB
RATE FEE DESCRIPTION OTAL;;:,,"'
14.93 OUTGO.MSW 0.000 0.0e 0.00 0.0e
k:
Operating hours 7:00 AM to 5:00 PM 7 days a wee
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19N;7 PRESIDENTS'•'y~ '':�
TENDERED
DAY `�?.'�,. :� j;� J';,,`�:,,.�-.r r;=::st,,
C 1/�hl ATI I�G
„ y
NO. 2466
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 AUTHOR IZED,AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY.KNOWLEDGE THE INFORMATION_ PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR' DISPOSAL LOCATION,TICKET NO.
DUPLICATE TICKET SITE . `TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 0 01871137 Steph
PO!Box 964p-/6155 Cox Lane t I-
CUtChogUe, NY 11935 .DATE IN DATE OUT TIMEIN TIME OUT VEHICLE " ROLL OFF"
03. 26 2 03 6 12:
9316 Town of Babylon
REFERENCE ORIGIN
FWEIGHT
SS WT 79200 LB Outbound Ticket
WT 36820 LB
42380 LB
UNIT _:- DESCRIPTION' <' _`_RATE EXTENSION. FEE,, `
21.19 OUTGO.MSW O.00E 0.0 -0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ,-,PRESIDENTS'"
- - :,,TENDERED,,
DAYCHANGE
SIGNATURE
DUPLICATE TICKET SITE `_`TICKET GRID'=- 1_NE_I_GWMA$TE'R
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 TAlp,
iN D Tk' 1N IME UT _ H ROCtOFF=`''
9316 Town of Babylon
ORIGINREFERENCE
GALE 2 GROSS WT 79200 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 42380 LB
QTY= '_UNIT ,- DESCRIPTION ' ' :'_` "RATE.-'--' =' EXTENSION :;FEE `. TOTAL_-
21.19 OUTGO.MSW 0.00e O.OE 0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a.-�week:,'- __
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19; , PRESIDENTS-'-, °',
DAY 4 a•. ,y , '-TENDERED
CAGE.`
CHECK NO -
cir_n�eTi roc
t
NO. 2468
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.
DUPLICATE TICKET SITE I': :-TICKET GRID ` "`WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01871067 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN • DATE.OUT „TIMEIN TIME,OUT . VEHICLE POLLg1F,
03/26/2 03/26/2 08: 2 08: 11100TC
9316 Town of Babylon
REFERENCE ORIGIN
FWEIGHT
SS WT 72340 LB Outbound Ticket
WT 36540 LB
35800 LB
' UNIT'• DESCRIP710N''' " "RATE' EXTENSION" FEE TOTAL•'
17.90 OUTGO.MSW O.00E 0.0 -0.00 0.0
Operating hours 7:00 AM to 5:00 PM 7 days a week'.''_: 0.012
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19'7' .PRESIDENTS' ;TENDERED.'
DAY DAY
CHANGE
_ 1 CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE _ iICKEI ,"` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01871067 Sep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE-` . •,.,`,ROLL OFF. ;
no. 11-11
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 72340 LB Outbound Ticket
MANUAL TARE WT- 36540 LB
NET WEIGHT 35800 LB
QTY - :UNIT ., :DESCRIPTION R _ RATE .EXTENSION FEE ="'.TOTAL` *,
17.90 OUTGO.MSW 0.00e o.oe 0.00 0.0E
Operating hours 7:00 AM to 5:00 PM 7 da`ys, a-week°,,:.-.'-: :
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�° PRESIDENT-S-'- -
DAY ` �ti "' TENDERED
l� %' `?fir`
C ECK O '
. MATIIRE
NO.
2467
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 01871274 Steph
PO Box 962/6155 Cox Lane R9LL-OFF-=-
Cutchogue, NY 11935 DA7EJN DATE OUT, ,TiME;IN TIME-OUT VEHICLE,
03/27/2 03/27/2 07:5 07:5 11100TC
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 69560 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35580 LB
%! :QTY UNIT , '_..,DESCRIPTION ,_,. RATE,,; ,,,F; EXTENSION ' -_ =,FEE,,,, _ _',TOTALz
17.79 OUTGO.MSW 0.000 0.00 0.00 0.02
�y
Operating hours 7:00 AM to 5:00 PM 7 days*a 'week. 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - -PRESIDENTS' ., '-TENDERED',—,-
DAY
SIGNATURE
DUPLICATE TICKET SITE WTICKET" GRID 1NEIGHM_ ASTER m_
SOUTHOLD TOWN DEPT SOLID WASTE 00 01871274 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,;DATE IN' DATE OUT '_ 'TIMEIN TIME OUT _`VE .~°HICLE "ROLL OFF
;9,1214";
9316 Town of Babylon
REFERENCE
EA LE 2 GROSS WT 69560 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 35580 LB
QTY zUNIT _' €. _ "''-"DESCRIPTION.°'' RATE„ EXTENSION:-."» TOTAL '.
17.79 OUTGO.MSW .0.000 0.00 0.00 0.02
r
fr
Operating hours 7:00 AM to 5:00 PM 7 day�'s'%a meek:,,v f r°� •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 +1PRESI•DENTS'
DAY c•. ' '" g•~ (tv; '; •TENDERED.
CHECK NO. `
RI[.'NAT[IRF
NO. 2469
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.
' TICKET` -<;; - .GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01871541 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT:-' -TIME IN TIME OUT VEHICLE ROLL OFF'
_ 03/28/2 03/28/2 11:0 11:0 11100TC
9316 Town of, Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77100 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40280 LB
OTY � UNIT-' DESCRIPTION - RATE `, EXTENSION FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 me
:�
Operating hours 7:00 AM to 5:00 PM 7 days•a'-week. x."1:,`: ' -"J `" roa 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' ?``' '
_ ,. =TENDERED`
DAY
:u d- CHANGE--
CHECK NO.—
SIGNATURE
DUPLICATE TICKET SITE TICKET`;, GRID - - WEIGHM,ASTER771
SOUTHOLD TOWN DEPT SOLID WASTE 00 01871541 1 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
•-
GALE 2 GROSS WT. 77100 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 40280 LB
QTY- °.UNIT D.ESCRIFTION .'„-:, RATE EXTENSION, „FEE- -,TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day' aj,week: �=�� `"" g, •
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 ,PRESIDENTS' ;---" '' A �•J`
DAY �i T ski Pt n .i TENDERED '°
CHECK NO.
SIGNATURE
NO. 2471
��.. GENERATOR
THIS MANIF}ES_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 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.
$ITE TICKET` ` GRID" UVEIGHMASTER`.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01871503 Steph
PO Box 962/6155 Cox Lane
CUtCho Ue, NY 11935 DATEIN DATE OUT TIME IN„TIME'OUT -.VEHICLE,`. ROLL OFF, -k
�., -
03/28/24 03/28/24 07:29 07:29 11100TC
9316 Town of:Babylon
REFERENCE
ORIGIN
SCALE 2:GROSS WT 80360 LB Outbound Ticket
MANUAL WT 36760 LB
ET WEI 43600 LB
QTY, : UNIT, 3. =DESGR[PTION : ;, -RATE--, EXTENSION TOTAL
21.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
`4�A�f�r".q{. 'e JY�p '�J`}.•.�t"f�£ �4 3,.\
Operating hours 7:00 AM to 5:00 PM 7 days;,' week.' '` ;a 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =".,PRESIDENTS' C';";">' 3;3' > _w.'.7ENDERED<" X:.
DAY
"CHANGE'"
CHECK NO.• ',
SIGNATURE
DUPLICATE TICKET SITE TICKET-`` GRID iNE1GHMASTE_R
SOUTHOLD TOWN DEPT SOLID WASTE 001 01871503 Sep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935DATE OUT TIME'IN'TIME'UT 'VEHICLE' "'ROLL OFF
9316 Town of Babylon
REFERENCE
GALE 2 GROSS WT 80360 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 43600 LB
'D_ESCRIPTION;X .a:'>RATE - FXTEN_SION' FEE-- °TOT_AL_.
21.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week,�� ``" ='r •- ;
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19\ -.,.PRESIDENTS
}t ,$ ,J `-TENDEREDDAY
'; .
s
C CISNO.
SIGNATURE
NO. 2470
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.
SITE I --TICKET, GRID. WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 0 01871833 Steph
PO.Box 962/6155 Cox Lane - -
CUtChOgUe, NY 11935 ;DATEIN__ DATEOUT TIMEIN TIME OUT VEHICLE = POLLOFF,-
03/30/2 03/30/ 07: 9 07: 9 11103TC
9316 Town of Babylon
s •-
s
FNETWEIGHT
OSS WT 77460 LB Outbound Ticket
E WT 36760 LB
40700 LB
UNIT =DESCRIPTION RATE EXTENSION';_ FEE TOTAL
20.35 OUTGO.MSW 0.OOE O.OE 0.00 0.0
Aj
Operating hours 7:00 AM to 5:00 PM 7 days a-week • - 0.0
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19`=.._PRESIDENTS.'_ °_" ``'
� _ TENDERED`:
DAY
CHE K,NO:r"-
SIGNATURE
DUPLICATE TICKET SRE __._TICKET• GRID_: WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0 01871833 Steph
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE;OLIT" TIME IN TIME OUT VEHICLE: ROLL OFF"-
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 77460 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 40700 LB
4TY UNIT DESCRIPTION .', _, RATE,,„ .,: ,-'EXTENSION';.::, FEE +="' TOTAL
20.35 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a-week' -_ = y , y
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. lid PRESIDENTS--,,--,
DAY
DAY i ;� ^, TENDERED'.,
' CHECK
e�r_n�eT�we
NO. 2417
s
,r
J 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.