HomeMy WebLinkAbout05/2024 DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01882203 Steph
PO Box 962/6155 Cox Lane
CU tChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/01/24 05/01/24 07:47 07:47 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GIROSS WT 75220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
ET WEIGHT 39280 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
01
`1
�:E•.., tF to ��
ALT
Operating hours 7:00 AM to 5:00 PM 7 da a 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 RESD J�IT W TENDERED `
DAY p� €� � 9
----CHANGE
=CHECK'NO. .
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01882203 teph
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 ORIGIN
CALE 2 GROSS WT 75220 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 39280 LB
QTY. UNIT ,,,', DESCRIPTION RATE -EXTENSION ''.FEE ,iT.OTAL
19.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
7-7
AY •
Operating hours 7:00 AM to 5:00 PM 7 days a�t�leel�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'' -�
DAY TENDERED
9
CHANGE
CHECK NO.
RI[:N6TI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3 716
Islandia, NY 11749 NO
(631) 342-96'73
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (Cu YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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 I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01882310 Steph
PO BOX 962/6155 COX Lane Cutchogue, NY 11935 DATE IN- DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/01/2 05/01/2 11:5 11:5 11193TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 77460 LB Outbound Ticket
MANUAL TARE WT 39140 LB
ET WEIGHT 38320 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.16 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysl ek. 0.0e
� x
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ? REb1DE'N-T TENDERED"
DAY ~ 9
CHANGE
_CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN'DEPT SOLID WASTE 00 01882310 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 J DATE IN' DATE OUT TIMEIN-TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
�.
SCALE 2 GROSS WT 77460 LB Outbound Ticket '
MANUAL TARE WT 39140 LB
NET WEIGHT 38320 LB -
f,'--QTY ,UNIT,,. DESCRIPTION RATE .., EXTENSION „ ° "FEE TOTAL ..
19.16 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 - PSI E TS' �
DAYComm
TENDERED
9 �
CHANGE
' CHECK NO.
• SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3717
IC Islandia, Y 11749 NO
{63 ;.34?-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)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 01882480 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF=
05/02/2 05/02/ 07: 7 07: 7 11103TC
9316 1Town of Babylon
REFERENCE ORIGIN
7- -
SCALE 2 GROSS WT 71800 LB Outbound Ticket
SCALE 1 TARE WT 35800 LB
NET WEIGHT 36000 LB
;'CITY.- ..; UNIT°:;, DESCRIRTION . -.- <.• . RATE EXTENSION' '" FEE""- `, ',, " TOTAL. '`">,
18.00 OUTGO.MSW O.00E 0.0 '0.00 0.0
n, ICII k
"✓'' S`_2" /'-. - ,-•.'�., L✓/'pry `'�
7 kl
Operating hours 7:00 AM to 5:00 PM 7 days; a "w'eek: . re. .> y..a '�
_., ram: o .. :.. ,,• -
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `-zPRESIDENTS'
TENDERED=_'
DAY
, CHANG --
C O,�
SIGNATURE
DUPLICATE TICKET SITE "TICKET, GRID- :ViiEIGMM ASTER
_
SOUTHOLD TOWN DEPT SOLID WASTE U11 U166146VI St0pn
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =
T I D T1 N M y H ROLL OFF.-=_,
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 71800 LB Outbound Tic e
SCALE 1 TARE WT 35800 LB
NET WEIGHT 36000 LB
:UNJT 'DESCRIPTION '_ _' 'RA7B :'r"EXTENSION u;:z 'FEE :TOTAL
18.00 OUTGO.MSW O.00E 0.OE 0.00 0.0
ly+�� f�4��` `•+�,�i i'!Jar;i c,n cY�',
Operating hours 7:00 AM to 5:00 PM 7 days"a;;week� -•-%-�:�-=_- � ,,'' u
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19-,;i- PRESIDENTS.- .1
stir TENDERED;"-',:
DAYS
CHECK O. -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3718
Islandla, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) '
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE,DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01882564 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT . VEHICLE ROLL OFF
05/02/2 05/02/2 11:1 12:0 • 11103TC
9316 Town of Babylon
a REFERENCE
•-
SCALE 2 GROSS WT 78220 LB Outbound Ticket
SCALE 1 TARE WT 35920 LB
NET WEIGHT 42300 LB
OTY. UNIT DESCRIPTION RATE 'EXTENSION` FEE TOTAL
21.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
jyi .� r•,.. Ala...s„...•� � I .
Operating hours 7:00 AM to 5:00 PM 7 da ae 0.0e
CLOSED HOLIDAYS - NEXT: MONDAN FEB. 19 - RES IDEDUN"
TtlS�' TENDERED
DAY DES � 9 ,
ti:-CHANGE" '.
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE ' TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01882564 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
ORIGIN
SCALE 2 GROSS WT 78220 LB Outbound Ticket
SCALE 1 TARE WT 35920 LB
NET WEIGHT 42300 LB
QTY. "UNIT DESCRIPTION _ .. RATE :. EXTENSION,' FEE"', TOTAL_ ;
21.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
1
i9l
vVD
x
Operating hours 7:00 AM to 5:00 PM 7 days a eek l S-'`.;—; ,�'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESID I'S'-- , . � TENDERED'
DAY 6�9 '�
CHANGE
CHECK O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3719
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)
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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE 't t3
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
S06THOLD TOWN DEPT SOLID WASTE 00 01882962 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue., NY"`I4-935
` 05/04/2 05/04/2 07:2 07:2 11103TC
9316 Town of Babylon LL
REFERLENCE
•-
SCALE 2 GROSS WT 68820 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 32000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.00 OUTGO.MSW 0.000 0.00 0.00 0.0e
x ` 3u)
Operating hours 7:00 AM to 5:00 PM 7 days aek:� 0.0e
_
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -— PRESIDENTS' TENDERED-'
DAY ¥ yq
? CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01882962 1 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE ROLL OFF
9316 Town of Babylon REFERENCE
GALE 2 GROSS WT 68820 LB Outbound Ticket
MANUAL .TARE WT 36820 LB
NET WEIGHT 32000 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
16.00 OUTGO.MSW 0.000 0.00 0.00 me
�N�` j�
Operating hours 7:00 AM to 5:00 PM, 7 days, a,'week-•�,. `` •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS.' -- --'
DAY Oum `y TENDERED
x 0� CHANGE
HECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3721
Islandia; NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (Cu YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 01882801 Liz H
PO'Box 96R2/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
05/03/2 05/03/2 "1103TC
9316 Town of Babylon
REFERENCE
-
SCALE 2 GROSS. WT 75900 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39360 LB '
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.68 OUTGO.MSW 0.000 0.00 0.00 0.0e
Ay
� .-`
Operating hours. 7:00 AM to 5:00 PM 7 days a week. �.�"--. - � 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESI ENTS TENDERED
9 r
CHANGE
CHE K NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 0188-2801 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY -11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
.-
CALE 2 GSS WT 75900 LB ` Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 39360 LB
CITY UNIT_ DESCRIPTION RATE EXTENSION FEE TOTAL,
19.68 OUTGO.MSW 0.000 0.00 0.00 0.0e
So
}*{ dsV,s
Operating hours 7:00 AM to 5:00 PM 7 days}a,,4week:�`��_
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS
DAY �� g� � TENDERED
I ��4 CHANGE
CHECK NO.
cir_nnT goo
TRINITY TRANSPORTATION CORPORATION
`214'Blydenburgh Road 3720
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 TICKED'° I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01883853 Liz H
PO BrX962/6155 COX Lane
r� . DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
gutcnogue, NY 11935
05/06/2 05/06/2 11:5 11:5 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 73880 LB Outbound Ticket
MANUAL TARE WT 39140 LB ,
NET WEIGHT 34740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.37 OUTGO.MSW 0.000 0.00 0.00 0.0e
:F; u17
n
Operating hours 7:00 AM to 5:00 PM 7 day �weel ' j^ 0.0Q
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -PRESIDENTS.' TENDERED
DAY
CHANGE
CHECK NO.
�)
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01883853 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME I'N`TIME OUT -VEHICLE 'ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 73880 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 34740 LB
QTY. .UNIT;, DESCRIPTION ", RATE EXTENSION FEE Z,TOTAL, "
17.37 OUTGO.MSW 0.000 0.00 0.00 0.0e
Sop` d
VQ
ti
Operating hours 7:00 AM to 5:00 PM 7 day a weed " >_ ,.. :: ,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESTD NTS-'�=�='" TENDERED
DAY
�9 g CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
!T 4 Blydenburgh Road 3723
Isldia, 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)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 01883763 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/06/2 05/06/2 08:1 08:1 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 79000 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 42800 LB
OTY. UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL
21.40 GUTGO.MSW 0.000 0.00 0.00 0.0e
011
Operating hours 7:00 AM to 5:00 PM 7 day a 'meek. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS TENDERED
DAYS!.
`tt
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01883763 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 79000 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 42800 LB
QT7
Y UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
21.40 OUTGO.MSW 0.000 0.00 0.00 .0.0e
y
= Li
Operating hours 7:00 AM to 5:00 PM 7 days aeek,':_�--�^.�`,,,`,.„.."f,�' .
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS`'
DAY f° TENDERED
CHANGE
CHECK NO.
SIGNATURE
r TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3722
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)
SALES:(COUNT):
TRUCK WEIGHT- GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 I GRID WEIGHMASTERI '
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884000 Steph
PO Box 962/6155 Cox Lane
Cut( iogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/07/2 05/07/2 07:2 07:4 11103TC
9316- Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 74860 LB Outbound Ticket
SCALE 1 TARE WT 35880 LB
NET WEIGHT 38980 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.49 OUTGO.MSW 0.000 0.00 0.00 0.Oe
Operating hours 7:00 AM to 5:00 PM 7 da a 5 ek^� _;, 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =`4PRESIDEN_T TENDERED
DAYS
�5
CHANGE-
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884000 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 ORIGIN
SCALE 2 GROSS WT 74860 LB Outbound Ticket
SCALE 1 TARE WT 35880 LB
NET WEIGHT 38980 LB
QTY. UNIT,' DESCRIPTION RATE " EXTENSION FEE TOTAL
19.49 OUTGO.MSW 0.000 0.00 0.00 0.Oe
soup
Operating hours 7:00 AM to 5:00 PM 7 days aI
ek:° �--�,._�. .
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - SZDENTS'--=1'
DAY coup,
TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
14 Blydenburgh Road 3724
NO.
;landia, NY 11749
( 1) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT 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 01884090 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,. DATE.OUT TIME IN TIME OUT VEHICLE, ROLL OFF
05/07/2 05/07/2 11:1 12:0 11103TC
9316 ,Town of Babylon
REFERENCE
SCALE 2 GROSS WT 80220 LB Outbound Ticket
SCALE 1 TARE WT 35860 LB
NET WEIGHT 44360 LB
OTY. UNIT DESCRIPTION RATE EXTENSION . FEE TOTAL
22.18 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 �-,P,RES.IDENTS' ,-� TENDERED
DAY '
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID -WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884090 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 ORIGIN 2 GROSS WT 80220 LB Outbound Ticket
SCALE 1 TARE WT 35860 LB
NET WEIGHT 44360 LB
CITY UNIT DESCRIPTION RATE EXTENSION "' FEE --TOTAL
22.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
-ZZ cam-
Operating hours 7:00 AM to 5:00 PM 7 days a�week:� w^.`A .✓ r
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19� PRESIDENTS-
`�7 ?, , j
DAY TENDERED�5
CHANGE
CHECK1\107�:j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3725
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884258 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/08/24 05/08/2 07:4 07:46 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 80360 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 43440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
rl
.ems •
Me
Operating hours 7:00 AM to 5:00 PM 7 day a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PR6!7DENTS' TENDERED
DAYVuml
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884258 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
�-
SCALE 2 GSS WT 80360 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 43440 LB
7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
21.72 OUTGO.MSW 0.000 0.00 0.00 0.02
�1r
.
�.
Operating hours 7:00 AM to 5:00 PM 7 daysAF
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -,PR'691,DENTS�- ,
DAY TENDERED
CHANGE
CHECK NO.
AIMIATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3726
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFEWENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND GOES 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
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.
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 01884315 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN ITIME OUT "VEHICLES ROLL,OFF
05/08/24 05/08/2 11:4 11:4 11103TC
9316 Town of Babylon
REFERENCE 0
SCALE 2 GROSS WT 69600 LB Outbound Ticket_
MANUAL TARE WT 35940 LB
NET WEIGHT 33660 LB
OTY " UNIT DESCRIPTION RATE EXTENSION FEE TOTAL,
16.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
f;
4 t -
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
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884 15 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'dN . ,.DATE OUT, TIME'IN TIME OUT VEHICLE ROL"L,OFE`
9316 Town of Babylon
ORIGIN
SCALE 2 GROSS WT 69600 LB Outbounri_rketr'
MANUAL TARE WT 35940 LB
NET WEIGHT 33660 LB
QTY.
UNIT DESCRIPTION RATE r, EXTENSION FEE TOTAL.'.
16.83 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."'
CHANGE"
C '
- SIGNATURE HECK NO.
TRINITY TRANSPORTATION CORPORATION
21.4 Blydenburgh Road 3727
Islandia, NY 11749 NO
(631) 342-9673.
So
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 AD CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY dD CFR PART 261 OR ANYAPPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PR1NT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION; DATE DELIVERED:
ADDRESS:
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.
SITE TICKET GRID WEIGHMASTER.
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884487 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE"' ROLL-OFF.
05/09/2 05/09/2 10:1 10:1 ill 03TC
9316 Town of Babylon REFERENCE
SCALE 2 GROSS WT • 71140 LB Outbound Ticket
SCALE 1 TARE WT 38840 LB
NET WEIGHT 32300 LB
QTY UNIT DESCRIPTION', RATE. EXTENSION FEE TOTAL
16.15 OUTGO.MSW �y 0.000 0.00 0.00 0.0e
�f
Q
Operating hours 7:00 AM to 5:00 PM 7 daysf a week."-:-3r y jW 0 0e
- t v<*
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 3-P,RESIDENTS._. „., Za. °'+; '=TENDERED ,-: -
DAY
CHANGE
CHECK NO. '
SIGNATURE
SITE RID,,-:. WEIGHMAS
DUPLICATE TICKET ;' TICKET G TER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884487 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME W TIME OUT VEHICLE ROLL:OFF '
9316 Town of Babylon
REFERENCE
SCALE 2 :GROSS WT 71140 LB Outbound Ticket
SCALE 1 E WT 38840 LB
NET WEIG 32300 LB
--
,QTY_- UNlT ,< `.DESCRIPTION :;. RATE EXTENSION FEE TOTAL
16.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
�"..€'��r^�NrL, '`;1,� �•'.. . �..,r-.._
op
(�{ "' �`: � _ .';:.,SNP' ,y* •'
Operating hours 7:00 AM to 5:00 PM 7 days,a- teekS\~A-,"
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'- � .
ri` "-TENDERED:'
DAY ��, `"£�G,.g
4.e6 Wit' ' CHANGE
CHECK NO:
• cin_ninT roc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3728
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFrRENCE 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.
SITE TICKET,,'_' GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884671 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIME IN,TIMEOUT VEHICLE ROLL -
05/10/2 05/10/2 07:4 07:4 19606TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 77080 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 40880 LB
'.,, QTY.', UNIT DESCRIBTIONs 4',; -' RATE - .. ' EXTENSION .', FEE TOTAL
20.44 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' ;TENDERED
DAY
CHANGE
CHECK-NO.' -
SIGNATURE
DUPLICATE TICKET SITE, ',:.-TICKET GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884671 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
DATE` --DATE-OUT;, TIME iN= TIME OUT VEHICLE ROLL"OFF _ ,-
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GRO55 WT 77080 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 40880 LB
UNIT " , >;DESCRIPTION_ RATE,' EXTENSION, F_EE; TOTAL.
20.44 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"'.'
CHANGE'
CHECK NO.
RIC.NaTI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3738
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: " GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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.
` OIUPACATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884750 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/10/2 05/10/2 11:3 11:3 19606TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 81480 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 44660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.33 0UTGO.MSW 0.000 0.00 0.00 0.0e
NNW
I
•
Operating hours 7:00 AM to 5:00 PM 7 days aFweek. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 '--PRESID,ENTS'. TENDERED
DAY
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884750 Liz H
PO Box 962/6155 Cox Lane
CUtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF -
9316 Town of Babylon
REFERENCE ORIGIN
2 GROSS WT 81480 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 44660 LB
QTY. UNIT DESCRIPTION.' " RATE EXTENSION FEE " TOTAL'
22.33 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day. week:. - - •y
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19`-.PRESIDENTS'
DAY " ' TENDERED
CHANGE
CHECK NO.
car- ATI iaG
17IRRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3737
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY:_ WHITE 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 01884879 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/11/2 05/11/2 07:2 07:2 19606TC
9316 � Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 71300 LB Outbound Ticket
MANUAL TARE WT 36760 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:" =" ;;' L • 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -.' PRESIDENTS "t TENDERED
DAY
CHANGE
CHECK'NO. '
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01884879 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 71300 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34540 LB
". -:QTY; UNIT', pESCRIPTION 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:::w:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 _-.PRESIDENTS' -
DAY TENDERED
CHANGE
CHECK NO.
RIr,NGTI IRF
Iq
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3 7 3 6
IslWrdia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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 OUT SOLID WASTE 00 01885595 Liz H
PO BOX 962/6155 COX Lane DATE IN '' .DATE OUT TIME IN TIME OUT VEHICLE ROj0FF
Cutchogue, NY 11935
05/13/2 05/13/2 11:3 11:3 19606TC
9316 Town of Babylon
REFERENCE ORIGIN
7
SCALE 2 GROSS WT 71140 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 34940 LB
QTY'.:.; UNIT ,,,DESCRIPTION RATE 'EXTENSION ` , FEE TOTAL.
17.47 OUTGO.MSW 0.000 0.00 0.00 0.0e
Aj
Operating hours 7:00 AM to 5:00 PM 7 days a aveek.' _f ": 0.0e
q0
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -rPR'ESIDENTS., , ., "� -.,` ;^,F TENDERED
DAY II' -
4'. :';... CHANGE
CHE=��:l
SIGNATURE
DUPLICATE TICKET TICKET .-;; " GRID.,;.
(SITE
TI W.EIGHMASTER.,
SOUTHOLD TOWN DEPT SOLID WASTE 00 0188,5595 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT "f•IMEIN TIME OUT VEHICLE ROLL OFF ,-
9316 Town of Babylon U I L1;Jj 1�;PbUOIL
REFERENCE
SCALE 2 GROSS WT 71140 LB Outbound Ticket
MANUAL TARE WT 36200 LB
NET WEIGHT 34940 LB
OTY' _ UNfT ;__.DESCRIPTION . RATE.,- ":;EXTENSION FEE TOTAL-
17.47 OUTGO.MSW 0.000 0.00 0.00 0.0e
;. . —
L l` •
Operating hours 7:00 AM to 5:00 PM 7 days a"'week:.='=` --•- '
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19
DAY tix r
� ` 1fR CHANGE
CHECK NO.
CI(]IJATI IMP
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3729
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)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
-- TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-DUPL�CATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01885492 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
05/13/2 05/13/2 07:3 07:3 19606TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 68840 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 32020 LB
QTY UNIT DESCRIPTION RATE. '' EXTENSION FEE TOTAL
16.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
. r
r •
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
CHECK NO. .
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01885492 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 68840 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 32020 LB
QTY UNIT - DESCRIPTION RATE- '., `EXTENSION FEE' _ TOTAI
16.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a -week.l-_
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' -
DAY TENDERED
CHANGE
CHECK NO.
cir_n�nT��aG
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3735
Islandia,-NY 11749 N®.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:. SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
'TRUCK WEIGHT- GROSS
TARE
NET
I HEREBY CERTIFY THAT 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
DISPOSALLOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED-
IS
TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREMATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE , ;",TICKET „+, ' GRID .,, WEIGHMASTER
DUPLICATE TICKET •
SOUTHOLD TOWN DEPT SOLID WASTE 00 01885818 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN. . DATE OUT TIME IN TIME OUT VEHICLE.. ROLL OFF.
05/14/2 05/14/2 07:5 07:5 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 76840 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 40300 LB
,QTY `'ry,•DESCFiiP,TION :.-EXTENSION,, FEE,,M R TOTAL'
20.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
j.
•
Operating hours 7:00 AM to 5:00 PM 7 days a week. ,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -. PRESIDENTS' TENDERED =<'
DAY
--=GRAN E'r
SIGNATURE
DUPLICATE TICKET $ITE TICKET: fi GRID `,- vy,` WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATSIN DATE OUT:` T1 I TIM V ROLL"OFF :'
9316 Town of Babylon
REFERENCE
SCALE 2 GSS WT 76840 LB Outbound Ticket
MANUAL- TARE WT 36540 LB
NET WEIGHT 40300 LB
:UNIT --_:' = _ .;-DESCRIPTION:"`; ` = t RA_TE __% EXTENSIO_N FEE E, TO7AL
20.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
y
i
Operating hours 7:00 AM to 5:00 PM 7 days a>weekk:, ^ •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19-=_PRESIDENTS'---
DAY aTENDERED'-
H
Y�C
CHECK O:1
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3734
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST`IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 a WEIGH•MASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01885913 Steph
PO Box 42/6155 Cox Lane
Cutchogue, NY 11935 DATE IN= DATE OUT:` TIME'IN TIME OUT ' :VEHICLE": ROLL'OFF
05142 4
9316 Town of Babylon
/2 11:3[ 11:3[ 111031L
REFERENCE
SCALE 2 GROSS WT 76980 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 37840 LB
QTY .,UN DESCRIPTION_.:. _`;, .:-'- "; .RATE. EXfENS10N` . ,FEE. TOTAL-v_
18.92 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a`,week:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'"
4 +aTENDERED'',�<.
DAY
CHECK N=l
SIGNATURE
DUPLICATE TICKET ~SITE TICKET~- GRID WEIGHMASTER=,,
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
TI.._ ijV
ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
Cq Outbound is e
MANUAL TARE WT 39140 LB
NET WEIGHT 37840 LB
QTY.
"UNIT , DESCRIPTION4. G. `RATE ---` �_EXTENSION =_ FEE __. TOTAL'
18.92 OUTGO.MSW FOR 9.
Operating hours 7:00 AM to 5:00 PM 7 days '"a,rweek. .. '.. !; ".- •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 " PRE•SIDENTS,'. .. -
DAY �ZP TENDERED-'
C ANGEy,
CHECK O.
TRINITY TRANSPORTATION CORPORATION
214lydenbnrgh Road 3730
Islandia, NY 11749 No.
(631) 342-9673
THUS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
OPING 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'AC.CORDING 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 I TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886154 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,'DATE OUT TIMEIN' TIME OUT VEHICLE ROLL OFF -
05/15/2 05/15/2 11:4 11:4 11103TC
9316 n'&n of Babylon
REFERENCE
SC:ALE GROSS WT 76520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 39700 LB
QTY., , 'UNIT ,DESCRIPTION RATE EXTENSION FEE TOTAL ;, i
19.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
F
Operating hours 7:00 AM to 5:00 PM 7 dasga<weekp ,: - f y '� : 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRE,SIDENTfS' ,- >°` ;TENDERED-=;'"':_
DAY
MANGE
CHECK NOr
SIGNATURE
SITE TICKET GRID- 1NEI6HMASTER °
SOUTHOLD TOWN DEPT SOLID WASTE 00 01186154 Steph
PO Box 962/6155 Cox Lane
Cut chogue, NY 11935 DATE IN. -=DATE OUT TIME IN TIME OUT VEHICLE ROWOFF
9316 Town of Babylon
REFERENCE ORIGIN
2 GSS WT 76520 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 39700 LB
QTY 11NIT_-'` ''`, <: _- :.DESCRIPTION RATE 'EXTENSION IFEE- TOTAL,
19.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a,meek;` ",' •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19" ., PRESIDENTS,'-
DAY 'C< ''€s r p� ?:fit t'; Yr K TENDERED"+
CHANGE
CHECK NO'<
cir_ninri 10=
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3732
Islan.dia, 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)
SALES:(COUNT):
TRUCK WEIGHT: GROSS
1 TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY a0 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.
"I'T hc,
DUPLICATE TICKET SITE ,'o
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886082 Steph
PO Box 962/6155 Cox Lane VEHICLE v
Cutchogue, NY 11935 E E WE] TIME OUT,
9316 Town of Babylon 05/15/2 05/15/2 07: 8 07:5 11103 C
REFERENCE
SCALE 2 GROSS WT 79740 LB outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 43200 LB *5 11103T
UNIT 'R *UESQF,0RT.IbN,, ,RATE ExrENS104
21.60 OUTGO.MSW O.00E 0, OE 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a Week.' 0 E
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' "Eu
-�NQER
DAY
- __ n QHANUE
SIGNATURE
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE oil (did bo8z S-Eepn
PO Box 962/6155 Cox Lane
777777=
Cutchogue, NY 11935 J
9316 Town of Babylon
REFERIEN.UL ORIQIN
SCALE 2
GROSS WT 79740 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 43200 LB
DESCRIPTION
I I
710N
21.60 OUTGO.MSW O.00E O.OE 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 d6y' s 'a','-Week-. 011 W-11 III Loll,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESID'LENTS"
DAY y,#, 1, ENDEREQV2
r E�
CHECK,1\10.*
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3731
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE-
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) " (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886219 Steph
PO BOX 962/61 COX Lane
Cutchogue, NYC11935 DATE IN DATE OUT TIME IN TIME OUT - VEHICLE I ROLL OFF
AP ' 05/16/2 05/16/2 07:3 07:3 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 77840 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 40920 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.46 OUTGO.MSW 0.000 0.00 0.00 0.0e
sou
Operating hours 7:00 AM to 5:00 PM 7 da s a week.` :� ,; 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -�PRESID.ENT,S'� , ..hr TENDERED -
DAY
r.
S
CHANGE
C ECK' O.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886219 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 77840 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 40920 LB
QTY UNIT' DESCRIPTION - Y;'`RATE EXTENSION, FEE TOTAL
20.46 OUTGO.MSW 0.000 0.00 0.00 0.0e
9 Y .
Operating hours 7:00 AM to 5:00 PM 7 day aoweek: � •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-
DAY . ,� , �,� TENDERED
d
" CHANGE
CHECK NO.
RIMIATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3733
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886540 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
05/18/2 05/18/2 07:3 07:4 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 80540 LB Outbound Ticket
SCALE 1 TARE WT 36320 LB
NET WEIGHT 44220 LB
OTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.11 OUTGO.MSW 0.000 0.00 0.00 0.02
Sao)
Operating hours 7:00 AM to 5:00 PM 7 day, ek '" 0.0e
x _ :von ''
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 RESIDENTS TENDERED
DAY ' a q
p r CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET ,SITE I TICKET I -GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886540 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 80540 LB Outbound Ticket
SCALE 1 TARE WT 36320 LB
NET WEIGHT 44220 LB
QTY.
UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL
22.11 OUTGO.MSW 0.000 0.00 0.00 0.0Q
r h
c `F pyulf
t
t �-� •
Operating hours 7:00 AM to 5:00 PM 7 da s a �eekti',,
`� -�%
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 191� `PRESIDEENTS- =—''' V\
DAY � TENDERED
CHANGE
CHECK NO.
cic:ninn ia�
TRINITY TRANSPORTATION CORPORATION
i
214 Blydenburgh Road 3743
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:__ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 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. D
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 ; 11 GRID WEIGHMASTER
S'PJTHOLD TOWN DEPT SOLID WASTE 00 01886384 Will
Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
�tchogue, NY 11935
05/17/2 05/17/2 11:0 11:0 11103TC
9316 Town of Babylon REFERENCE -
MANUAL GROSS WT 71600 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34840 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
� .
i 0 )
v
Operating hours 7:00 AM to 5:00 PM 7 day a4w.eek. 4m ' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 RES;IDEN S. TENDERED
DAY
CHANGE
CHECK O.
—j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 /11886384 Will
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
MANUAL GROSS WT 71600 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 34840 LB
CITY° UNIT DESCRIPTION ' RATE EXTENSION FEE TOTAL
17.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
v � i
LVA
Operating hours 7:00 AM to 5:00 PM 7 days aeek: ,.� %�
e �,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 'DENTS
DAY
DAY � TENDERED
6I 3 -
HA GE
CHECK NO.
0I!]61A-IOC
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3742
'< Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO."
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE"BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD T0,14N DEPT SOLID WASTE 00 01886329 Will
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN Cutchogbe, NY 11935 TIME OUT VEHICLE I ROLL OFF
05/17/2 05/17/2 07:2 07:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 76920 LB Outbound Ticket
SCALE 1 TARE WT 36640 LB
NET WEIGHT 40280 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
Yi
� IN—
..: b •
Operating hours 7:00 AM to 5:00 PM 7 dal a week. "_ 0.0e
�.`�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESJD,E4TS TENDERED
DAY
' CHANGE
CHECK NO.
--j
SIGNATURE
DUPLICATE TICKET SITE I TICKET`. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01886329 Will
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 76920 LB Outbound Ticket
SCALE 1 TARE WT 36640 LB
NET WEIGHT 40280 LB 7
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
At-
Operating hours 7:00 AM to 5:00 PM 7 day aoweek "��` „�'' �
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. I1 - PREESIDENTS' � -
DAY 3 TENDERED
CHANGE
fCHEC=-::j
mr_nieTi ioG
TRINITY TRANSPORTATION CORPORATION
214 '131ydenburgh Road 3741
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART'260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID i I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLP SOWN DEPT SOLID WASTE 00 01887118 Liz H
POeBox 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT', ,.'VEHICLE`. ,ROLL OFF
05/20/2 05/20/2 07:3 07:3 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 84940 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 50960 LB
i,. QTY= UNIT': DESCRIPTION " ,,.. 'RATE' ,EXTENSION.-'., FEE TOTAL,..
25.48 OUTGO.MSW 0.000 0.00 0.00 0.0e
qPa
Operating hours 7:00 AM to 5:00 PM 7 days'pa" week: -;> 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -= PRESIDENTS,' ' "TENDERED
DAY `a..
CHANGE
CHECK NO:.'
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01887118 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEQUT TIMEtN TIME -' VEHICLE RO(LOFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 84940 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 50960 LB
OIYr;. ,UNIT s DESCRIPTION RATE '`_ "EXTENSION FEE- TOTAL; -
25.48 OUTGO.MSW 0.000 0.00 0.00 0.0e
r 0. Js
Operating hours 7:00 AM to 5:00 PM 7 days. a-%week: - • V.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19^`'4 PRESIDENTS' \ ._
DAY . -:',z1 - „._� a TENDERED,^
.CHANGE'
' I CHECK NO. ^
CI!_MIATI IMP
TRINITY TRANSPORTATION CORPORATION
i.
214',Blydenburgh Road 3744
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR'REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:.
COMMODITY SHIPPED:
LOOSE:, ICU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 00 01887210 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
05/20/2 05/20/2 11:4 11:4 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 70140 LB Outbound Ticket
MANUAL TARE WT 36800 LB
ET WEIGHT 33340 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDEIT S.' TENDERED
DAY $
s CHANGE
CHECK NO.�j
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01887210 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
(7—
SCALE :2GROSS WT 70140 LB Outbound Ticket
MANUAL WT 36800 LB
NET WE 33340 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
no.
Operating hours 7:00 AM to 5:00 PM 7 days aeek:^� AT
"; JAl
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS=" �a
4 TENDERED
DAY "'� �
CHANGE
CHECK NO.
QW-WATI ID=
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3745
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
4 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 A_GENT(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 I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01887381 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
05/21/2 05/21/2 07:4 07:49 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 83540 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 46620 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
CrS
4L-sue,. '�t •d�%'w"°'V,,:� A� �f^ >'Y _` '�" t
Operating hours 7:00 AM to 5:00 PM 7 day a week.` a., _ : �. 1 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDrN S' p TENDERED'DAY
CHANGE
CHECK
SIGNATURE
DUPLICATE TICKET SITE ' TICKET GRID WEIGHMASTER_
SOUTHOLD TOWN DEPT SOLID WASTE 00 01887381 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT I: VEHICLE I ROLL OFF-
9316 Town of Babylon 0512112 F0:0/z.L//q U/;ql Viol I
REFERENCE ORIGIN
SCALE 2 GROSS WT 83540 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 46620 LB
QTY" ,UNIT "- DESCRIPTION RATE., EXTENSION '-' ,FEE "TOTAL
23.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
Mk
coq
K..
'. �.
a a
.;,. .
om
Operating hours 7:00 AM to 5:00 PM 7 days a,;Aek-,' -
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 - PRESIDENTS "-
r �
DAY a (} ': a .� TENDERED
CHANGE .
CH CK NO.
mr_nieri ioc
TRINITY TRANSPORTATION CORPORATION
214,Blydenburgh-Road 3746
Islan&a, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH'MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES* (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFRPART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE 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(PRjNT 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 OOL 01887460 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
4. 05/21/2 05/21/2 11:3 11:3 11103TC
9316 'Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 86520 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 50580 LB
CITY. UNIT DESCRIPTION RATE• EXTENSION FEE TOTAL
25.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
"WiE. e •
Operating hours 7:00 AM to 5:00 PM 7 days week '� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 QRfSIDENITS � � TENDERED
-
DAY
CHANGE
CHECK NO
r
SIGNATURE
DUPLICATE TICKET SITE _:•, _TICKET,,;. .;,;GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 0188746/1 Step h
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN,- DATE OUT" TIMEIN TIME;-OUT VEHICLE, ROLL OFF
9316 Town of Babylon
REFERENCE
(7— -
SCALE 2 GROSS WT 86520 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 50580 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a!wee
PRk � '� A y .s i n P... ,.r";. F
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - ESID NTS,
DAY 8 4 TENDERED
CHANGE
CHECK NO.
e�r_n�nn ioe
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3747
-NYIslandia, Y 11749 No.
(631) 34Z-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)
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:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE.BEST OF MY KNOWLEDGE THE'INFORMATION PROVIDED
IS TRUE AND ACCURATE:.
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY. WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET . I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01887766 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/22/24 05/22/2 11:2 11:2A 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 86240 LB Outbound Ticket
MANUAL TARE WT 39140 LB
ET WEIGHT 47100 LB
QW.. UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL
23.55 OUTGO.MSW 0.000 0.00 0.00 0.0e
eY L' f4
. . `.. e_
Operating hours 7:00 AM to 5:00 PM 7 day a k�`'•a.;,,-, ,',
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - RES2DEN5 TENDERED
DAY p A,
CHANGE
_CHECK,NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE . 00 01887766 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 86240 LB Outbound Ticket
MANUAL TARE WT 39140 LB
NET WEIGHT 47100 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.55 OUTGO.MSW 0.000 0.00 0.00 0.0e
S
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' ,
DAY TENDERED
�t CHANGE
CHECK NO.__j
CI(,PIATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3749
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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 � I GRID " WEIGHMASTER
SOUTHQLD TOWN DEPT SOLID WASTE 00 01887665 Steph
PO_Box 962/6155 Cox Lane
6utchogue,' NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/22/2 05/22/2 07:3 07:3 11103TC
9316 Town of Babylon
REFItRENCE
•-
SCALE 2 GROSS WT 75300 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 41320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.66 OUTGO.MSW 0.000 0.00 0.00 0.0e
�r y
Operating hours 7:00 AM to 5:00 PM 7 day a w e,ek� -.:_ " 0.0e
DAY
HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDEN� Q A„ n2„a TENDERED'.'
t Y 5'0
CHANGE.- -_
" CHECK NO.;_"
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01817665 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 75300 LB Outbound Ticket
MANUAL TARE WT 33980 LB
NET WEIGHT 41320 LB
c: QTY., :,UNIT'„ ;=DESCRIPTION' RATE _-EXTENSION FEE TOTAL„
20.66 OUTGO.MSW 0.000 0.00 0.00 0,0e
011
AT
Operating hours 7:00 AM to 5:00 PM 7 da 5
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESI�DENTV
�,y
DAY �•f TENDERED
9
CHANGE
CHECK NO.
-j
CI('NGTI IRF -
TRINITY TRANSPORTATION CORPORATION
214`Blydenburgh Road 4 8
4gandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE,
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER .
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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.
DUPLT�CATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888017 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/23/2 05/23/2 10:4 11:0 11103TC
9316 Town of Babylon
REFERENCE Elm.
SCALE 2 GROSS WT 77820 LB Outbound Ticket
SCALE 1 TARE WT 36160 LB
NET WEIGHT 41660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
a
Operating hours 7:00 AM to 5:00 PM 7 days a week �_ 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 - RESIDENTS 4 _ y�
4t : TENDERED'
DAY � �� .��"~r .�'
CHANGE- -
CHECK,NO. -,
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888017 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN _DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF=_
9316 Town of Babylon
REFERENCE
•-
FWEIGHT
SS WT 77820 LB Outbound Ticket
E WT 36160 LB
41660 LB
UNIT„ DESCRIPTION RATE' EXTENSION "'FEE' TOTAL < <,
20.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
z
Operating hours 7:00 AM to 5:00 PM 7 days a�week.�.�*.,.._....�_
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS- }
DAY TENDERED
CHANGE
CHECK 11,
s1r.1mAT1 M=
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3750
Islandia, NY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE.NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_ PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER._
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I .TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888196 Will
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/24/24 05/24/2 10:4 11:23 11103TC
9316 Town of Babylon
REFERENCE
7 1.
SCALE 2 GROSS WT 83260 LB Outbound Ticket
SCALE 1 TARE WT 36100 LB
NET WEIGHT 47160 LB
QTY., - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.58 OUTGO.MSW 0.000 0.00 0.00 0.0e
rw
Operating hours 7:00 AM to 5:00 PM 7 days ael k0 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �PRSSJDENRtS`-� n TENDERED
v ` ,
DAY
CHANGE
CHECK NO. .
SIGNATURE
DUPLICATE TICKET 'SITE .. TICKET, I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888196 1 Will
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 83260 LB Outbound Ticket
SCALE 1 TARE WT 36100 LB
NET WEIGHT 47160 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.58 OUTGO.MSW 0.000 0.00 0.00 0.0e
09i
oft5
:� °
Operating hours 7:00 AM to 5:00 PM 7 da rs�ameek :;. .,,, ✓ i
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENT _'_,-'�
DAY �+ �If TENDERED
'CHANGE
CHECK NO.
cir_ninri ioc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3751
Islandia, NY 11749 N°
(631) 342-9673
THIS MAANIFEST 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
DISPOSALLOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE':
RECEIVE_D BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO'TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888395 Dan
PO Box 962/6155 Cox Lane
Cutchog:;e, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE ROLL OFF
05/25/2 05/25/2 07:2 07:2 11103TC
REFERENCE ORIGIN
9316 Town of Babylon
SCALE 2 GROSS WT 79180 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 43240 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.62 OUTGO.MSW 0.000 0.00 0.00 0.0Q
Operating hours 7:00 AM to 5:00 PM 7 day !a eek. 0.0e
®- a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' TENDERED
DAY
CHANGE
HECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01888395 Dan
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 79180 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 43240 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.62 GUTGO.MSW 0.000 0.00 0.00 0.0e
`A
s
S
4z�-- d
Operating hours 7:00 AM to 5:00 PM 7 days a eeki'-==, y� j
/v ES 3, a
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS` �'�'y�'�c*, ,5•
TENDERED
DAYS_
CHANGE •
CHECK NO.
CIC:NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3752
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)
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.FIEGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,_ AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED.
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND,TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE ' TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889390 Will
PO Box 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
05/28/2 05/28/2 11:5 11:5 11103TC
9316 � Town of Babylon
rREFERENCE ORIGIN
MANUAL GROSS WT 79720 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 42900 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.45 OUTGO.MSW 0.000 0.00 0.00 0.0e
4ii jt Ap t�lr l'�,
Operating hours 7:00 AM to 5:00 PM 7 days=_a week. ' _ -' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =}PRES.ID,ENTS,',,-,_,,z ;.?Ca' - TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 - 01889390 Will
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 I
MANUAL GROSS WT 79720 LB Outbound Ticket
MANUAL TARE WT 36820 LB
NET WEIGHT 42900 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.45 OUTGO.MSW 0.000 0.00 0.00 0.0e
_ F .
r
Operating hours 7:00 AM to 5:00 PM 7 days a week:-"--
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19';- PRESIDENTS-'•-
DAY ; ti•" - TENDERED
3 s'.
CHANGE
CHECK NO.
RI CA NATI I R F= '
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3754
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
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 ANDTO 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 01889238 Will
PO BOX 55 COX Lane
Cutchogueue, DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
NY NY 11935
1 05/28/2 05/28/2 07:4 07:4 11103TC
9316 Town of Babylon
REFERENCE
•-
MANUAL GROSS WT 77580 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 40660 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.33 OUTGO.MSW 0.000 0.00 0.00 0.0e
AIIIIIIIIIIIIII2 VA
r .
•
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
CHECK NO..
SIGNATURE
DUPLICATE TICKET SITE I TICKET 1, :GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889218 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
MANUAL GROSS WT 77580 LB Outbound Ticket
MANUAL TARE WT 36920 LB
NET WEIGHT 40660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.33 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,"a'week':= •
i 1016
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =-PRESIDENTS TENDERED
DAY
CHANGE
CHECK NO.
RI[,N AT[IRF
• TRINITY TRANSPORTATION CORPORATION
t, 214 Blydenburgh Road NO 3753
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)
SALES:(COUNT):
TRUCK WEIGHT: _ s GROSS
TARE.
NET
I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PR1NT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE' .. TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889607 Steph
PO Box 962/6155 Cox Lane
Cutchogue, `NY 11935 DATEIN. „DAT.E OUT TIME IN TIME OUT`. : `VEHICLE, ROLL OFF; '
05/29/2 05/29/2 07:1 07:33 19640TC
9316 Town of Babylon
REFERENCE •-
SCALE 2 GROSS WT 79220' LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 42720 LB
QTY UNIT'r ' DESCRIPTIO,N RATE,' :',EXTENSION.°.; FEE, ,', TOTAL',;,.,
21.36 OUTGO.MSW 0.000 0.00 0.00 0.0e
I-e
r
r.'PreR `-:!�F'. :...�".' Fs; is •
Operating hours 7:00 AM to 5:00 PM 7 daysa ;week. 0 0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 aPRESIDENIS a TENDERED'.=`.'-
DAY
CHANGE-.. .
CHECK
SIGNATURE
DUPLICATE TICKET SITE '',,- TI(KET GRID' =, WEIGHMASTER'
SOUTHOLD,TOWN DEPT SOLID WASTE 00 01889607 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY-.11935 DATE IN DATE OUT TiNiEIN T1NIEOUT -'- VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 79220 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 42720 LB
QTY~ UNIT- "',DESCRIPTION.; <-' __' RATE "-EXTENSION ,`- FEE TOTAL
21.36 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 d45, a''w�ek3' -:1-
'
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19` PRE'S.I_DENTS!-,'--, .i
Y-
DAY `.w. ,; P.,. --;:s '`; 'a ,. j¢, TENDERED,,,-
CHANGE '
'CHECK NO.
g1C.'NGTI IRF
TRINITY TRANSPORTATION CORPORATION
214 Plydenburgh Road 3755
Islandia, IVY 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)
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 d0 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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.
TRINITY TRANSPORTATION CORPORATION
1*14 Blydenburgh Road 3756
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR.MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (Cu YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS -
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 01889623 Steph
PO Bsx 962/6155 Cox Lane
Cutchogue, NY 11935 DATE]N DATE OUT TIME IN TIME OUT " VEHICLE ROLL OFF
05/29/2 05/29/2 07:4 07:4 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 69820 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 33880 LB
QTY. . : UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.94 OUTGO.MSW 0.000 0.00 0.00 0.0e
AJ
fo
/ .` re
Operating hours 7:00 AM to 5:00 PM 7 da s week. :
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �PRES�IDENTS � �� TENDERED
DAY ?< ak
CHANGE
C ECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889623 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE ORIGIN 2 GROSS WT 69820 LB Outbound Ticket
MANUAL TARE WT 35940 LB
NET WEIGHT 33880 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.94 OUTGO.MSW 0.000 0.00 0.00 0.0e
p �g
h?
Operating hours 7:00 AM to 5:00 PM 7 daa=week
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS`
DAY �� TENDERED
S
t CHANGE
CHECK NO:::j
. MATI MP
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 6689
Ishxndia, 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):
r
TRUCK WEIGHT: -F 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 I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889706 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• V. 05/219/2 05/29/2 11:2 11:2 19640TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 78600 LB Outbound Ticket
MANUAL TARE WT 35540 LB
ET WEIGHT 43060 LB
QTY , UNIT DESCRIPTION ,., RATE EXTENSION FEE TOTAL
21.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
zms ti.tea
Operating hours 7:00 AM to 5:00 PM 7 da?yka w;'ek 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �P2RSIDEN= S' TENDERED r
DAY UN I
{ > CHANGE ,
CHECK NO.
SIGNATURE
DUPLICATE TICKET ,SITE TICKET,- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889706 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT., TIME IN TIME OUT VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE
�-
SCALE 2 GROSS WT 78600 LB Outbound Ticket
MANUAL TARE WT 35540 LB
NET WEIGHT 43060 LB
QTY. ; UNIT t�ESCRIPTION' ' " RATE' EXTENSION' FEE-' TOTAL
21.53 OUTGO.MSW 0.000 0.00 0.00 0.0e
IS
N�
[ m, }
Operating hours 7:00 AM to 5:00 PM 7 days a--o k
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE,S�IDENfS
DAY n.• a TENDERED
CHANGE
CHECK NO.
RIrNAT11RF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3757
Islandia, NY 11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP'DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FR!E LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANYAPPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE.-
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889721 Steph
PO Box 962�6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
05/29/2 05/29/2 12:0 12:0 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 71140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
ET WEIGHT 34600 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAd
17.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
Fyn
r
Operating hours 7:00 AM to 5:00 PM 7 day5,a wee A\ 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENT- TENDERED
DAY '
�^ CHANGE
CHECK NO.
__�j
SIGNATURE
DUPLICATE TICKET `S_ITE '- TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 @1889721 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN - DATEOUT I TIMEIN`TIME-OUT' VEHICLE ROLLOFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 71140 LB Outbound Ticket
MANUAL TARE WT 36540 LB
NET WEIGHT 34600 LB
QTY UNIT DESCRIPTION- - RATE EXTENSION FEE TOTAL
17.30 OUTGO.MSW 0.000 0.00 0.00 me
�VQ
Wv
Operating hours 7:00 AM to 5:00 PM 7 days a week°"=^° ,_. ;:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS '
"gym v t\ TENDERED - .
DAY 5 °�
L CHANGE
CHECK NO.
CIC:NATI Mr-
SITE I TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889864 Steph
PO Box 962/6155 Cox Lane
Cutchogue,.NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/30/2 05/30/2 07:2 07:2 19640TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 42620 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL
21.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
%\
ah
r�Y" � � id�fs',_;." `� •
Operating hours 7:00 AM to 5:00 PM 7 days'�a �week. � ... � 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ���RESIDENTS' TENDERED.
DAY � ��: r
CHANGE
CHECK NO.-..
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889864 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 GSS WT 79380 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 42620 LB
QTY. UNIT DESCRIPTION` RATE = EXTENSION FEE TOTAL
21.31 OUTGO.MSW 0.000 0.00 0.00 0.0e
ma-
Operating hours 7:00 AM to 5:00 PM 7 da s,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRS,-DE NTS—
DAY TENDERED .
f ' CHANGE
CHECK NO.
_j
- CIf:NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3760
Islandla; 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)
SALES:(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)
a
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE'DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(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 01889863 Steph
PO Box 962/6155 Cox Lane
Cutchogue; NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE ROLL OFF
05/30/2 05/30/2 07:1 07:3 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 68420 LB Outbound Ticket
SCALE 1 TARE WT 36720 LB
NET WEIGHT 31700 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.85 OUTGO.MSW 0.000 0.00 0.00 0.02
j }' SILL
P k` X ~
<��� . .t�,`_ � ` gyp •
Operating hours 7:00 AM to 5:00 PM 7 da s a week..•" 4~��,:'°_ 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - RESIDEN�TS' � TENDERED
DAY
CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE,, ,.; TICKET--= GRID. . _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889863 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN. DATE OUT Tim.EIN TIMEOUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 68420 LB Outbound Ticket
SCALE 1 TARE WT 36720 LB
NET WEIGHT 31700 LB 7
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.85 OUTGO.MSW p 0.000 0.00 0.00 0.02
X
Operating hours 7:00 AM to 5:00 PM 7 days a�weekvmW�•-�:,, � �I
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ` PRESIDENTS',-: -- �
DAY 4A TENDERED
UOUNT1CHANGE
CHECK NO.
sir_ninn Inc:
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3758
Islarldia, 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 YOS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED 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 I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01889937 Steph
PO Box 962/6155 Cox Lane
DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF,
Cutchogue, NY 1i935
05/30/24 05/30/24 11:16 11:47 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 78060 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
ET WEIGHT 42220 LB
OTY UNIT DESCRIPTION „ RATE - EXTENSION FEE TOTAL
21.11 OUTGO.MSW 0.000 0.00 0.00 0.0e
4J
@l Y.
e, ems�.✓`, y,,%e "'""`F:�.� .�.,�
Operating hours 7:00 AM to 5:00 PM 7 day s a Week.
��
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE>S IDENTS', ' TENDERED
DAY
� i- --CHANGE
CHECK NO.':
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01889937 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT_ TIME IN-TIME,OUT` VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 78060 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
NET WEIGHT 42220 LB
OTY'" `; UNIT ` DESCRIPTION,`' RATE ""` EXTENSION FEE' TOTAL
21.11 OUTGO.MSW 0.000 0.00 0.00 0.0e
,_ - .,� tom' •
Operating hours 7:00 AM to 5:00 PM 7 days avweek�.,.�_�,-^•�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PReSIDENTS�
J✓ y l
DAY �}I �. TENDERED
' � � a .
CHANGE ..
CHECK NO.
RIrmATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3759
NYIslandia, Y 11749 No,
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
--
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: . DATE DELIVERED:
ADDRESS:
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 I GRID WEIGHMASTER
,DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01890049 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
05/31/24 05/31/24 07:2 07:29 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 83580 LB Outbound Ticket
MANUAL TARE WT 36760 LB
ET WEIGHT 46820 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.41 OUTGO.MSW 0.000 0.00 0.00 0.0e
Sol
S r
Operating hours •7:00 AM to 5:00 PM 7 days4 axv
r 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 t_PRE'MENT aa �T` ' TENDERED—.
DAY
" 'a CHANGE '
CHECK NO..j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01890049 Liz H
PO Box 962/6155 Cox Lane'
Cutchogue, NY 11935 DATE IN_. DATE OUT -TIME IN TIME OUT VEHICLE 'ROLL OFF_
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 83580 LB Outbound Ticket
MANUAL TARE WT 36760 LB
NET WEIGHT 46820 LB
OTY UNIT DESCRIPTION y, RATE EXTENSION, FEE _'" TOTAL
23.41 OUTGO.MSW 0.000 0.00 0.00 0.0e
,
r .
Operating hours 7:00 AM to 5:00 PM 7 daysva�weel(:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRESIDENTSr- - r TENDERED
DAY
CHANGE
CHECK O.
c1r_KIATI ioc
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3761
Islandia, NY 11749 N®.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT 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.
SITE TICKET GRID WEIGHMASTER
DUPLICA TICKET
SOUTHOL TOWN DEPT SOLID WASTE 001 01890135 Liz H
PO BOX 962/6155 Cox Lane DATEIN I DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
05/31/24 05/31/24 11:08 11:08 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
ETW
GROSS WT 75120 LB Outbound Ticket
ARE WT 36820 LB
HT 38300 LB
Y. UNIT DESCRIPTION RATE_ EXTENSION, FEE TOTAL
19.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
1 r,
Operating hours 7:00 AM to 5:00 PM 7 da ;-`a week. j 0.ee
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRESIDENTS-'
TENDERED
DAY
r<s L CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE' TICKET 1, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01890135 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL-OFF
9316 Town of Babylon
REFERENCE
•-
SCALE 2 :GROSST 75120 LB Outbound Ticket
MANUAL T 36820 LB
NET WEIG 38300 LB
CITUNIT DESCRIPTION RATE EXTENSION FEE TOTA_ L
19.15 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 fdN TENDERED
c
vuW
CHANGE
CHECK NO.
SIGNATURE
TK A,I41TY TRANSPORTATION CORPORATION
2 14 lydri-mburgh Road 3762
Islandia, NY11749 No.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE.SHIPMENT OF'SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO.. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
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.