HomeMy WebLinkAbout08/2024 DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01905783 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
08/01/2 08/01/2 11:3 11:5 11103TC
9316 Town of Babylon
REFERENCE
�.
SCALE 2 GROSS WT 86400 LB Outbound Ticket
SCALE 1 TARE WT 35940 LB
NET WEIGHT 50460 LB
QTY. UNIT DESCRIPTION RATE" EXTENSION FEE TOTAL
25.23 OUTGO.MSW 0.000 0.00 0.00 0.0e
dMIC310•
Operating hours 7:00 AM to 5:00 PM 7 daysaweek ,. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDEN TENDERED
CHANGE
CHECK NO.
__j
SIGNATURE
DUPLICATE TICKET -SITE TICKET GRID WEIGHMASTE'R
SOUTHOLD TOWN DEPT SOLID WASTE 00 01905783 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATEOUT TIMEIN TIMEOUT VEHICLE ROLLOFF
9316 Town of Babylon .
REFERENCE ORIGIN
SCALE 2 GROSS WT 86400 LB Outbound Ticket
SCALE 1 TARE WT 35940 LB
NET WEIGHT 50460 LB
CITY. UNIT = DESCRIPTION RATE EXTENSION FE_E. TOTAL_-
25.23 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days. aweek �
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�' PRESIDENTS'E -_ TENDERED
DAY �'(C� ( �
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3852
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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS 'PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THATTHE ABOVE MATERIAL HASBEEN 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
,.SOUTHO`LD TOWN DEPT SOLID WASTE 00 01905707 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
08/01/2 08/01/2 07:3 08:0 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 78180 LB Outbound Ticket
SCALE 1 TARE WT 36920 LB
NET WEIGHT 41260 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,%a �w,eek.-<' 6.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ='PR,ESIDENTS' x TENDERED
DAY ABC 1
CHANGE
' i CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01905707 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 78180 LB Outbound Ticket
SCALE 1 TARE WT 36920 LB
NET WEIGHT 41260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION, FEE _ TOTAL`-
20.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
3
% N ; v
v.
Operating hours 7:00 AM to 5:00 PM 7 days a�week,�z- •� •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'-- �y
DAY hr � ?? TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3851
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:
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 GRID WEIGHMASTER 1
`SOUTHOLD TOWN DEPT SOLID WASTE 001 01905611 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
08/02/24 08/02/24 07:22 07:41 19606TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 81140 LB Outbound Ticket
SCALE 1 TARE WT 35540 LB
NET WEIGHT 45600 LB
QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
22.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
.. 7
�� i ��a •
Operating hours 7:00 AM to 5:00 PM 7 days a week.` - ✓ � 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -€�PRESIDEN.T.$' TENDERED
DAY e' ilJ� ;rn
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE _ TICKET GRID WEIGHMASTER_
SOUTHOLD TOWN DEPT SOLID WASTE 001 01905911 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ""ROLLOFF -
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 81140 LB Outbound Ticket
SCALE 1 TARE WT 35540 LB
NET WEIGHT 45600 LB
QT'. UNIT, DESCRIPTION_ RATE EXTENSION' _ FEE- TOTAL
L-
22.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
E �b
Operating hours 7:00 AM to 5:00 PM 7 da s a�week: - `�- r j •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS'_ _ --' =
DAY N ; TENDERED
CHANGE
CHECK NQ::::j
C 1l�I.IATI IBC
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3882
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 TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01905995 Liz H
PO Box •S•52/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/02/24 08/02/24 11:56 12:14 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 73160 LB Outbound Ticket
SCALE 1 TARE WT 35560 LB
NET WEIGHT 37600 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL
18.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
)�Z-Z
Operating hours 7:00 AM to 5:00 PM 7 days a wgek.°< 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' - r` TENDERED
DAY `ram 1
-CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET' I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01905995 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF a
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 GROSS WT 73160 LB Outbound Ticket
SCALE 1 TARE WT 35560 LB
NET WEIGHT 37600 LB
QTY. UNIT DESCRIPTION PATE - EXTENSION _ FEE -: TOTAL'"'
18.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
t�"Fjbf y\1�41 � f�ffy�''y�
JTJ f'v
Operating hours 7:00 AM to 5:00 PM 7 days' a week �, •
it,a ``•� '-, -�'' n,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 .PRESIDENTSL ,
DAY � TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
114 Blydenburgh Road No. 3883
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:
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 01906104 Dan
PO B'eiK.•962i155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 1 II
08/03/24 08/03/2, 08:0 08:36 11103TC
9316 Town of Babylon
REFERENCE •-
SCALE 2 GROSS WT 82340 LB Outbound Ticket
SCALE 1 TARE WT 38840 LB
NET WEIGHT 43500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION, FEE - .TOTAL
21.75 OUTGO.MSW 0.000 0.00 0.00 0.02
o
�y f AIIIIIIIIIIIIII .
Operating hours 7:00 AM to 5:00 PM 7 days'�a week,,. r`f f` 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY,. FEB. 19 �"P,�RES•IDENTS' ' =TENDERED
DAY
CHANGE'
.CHECK NO.
SIGNATURE
DUPLICATE TICKET JSITE TICKET , GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01906104 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 82340 LB Outbound Ticket
SCALE 1 TARE WT 38840 LB
NET WEIGHT 43500 LB
QTY UNIT DESCRIPTION - RATE = EXTENSION _- FEE TOTAL
. 21.75 OUTGO.MSW 0.000 0.00 0.00 0.02
�Wf Out
f of
-JI
Operating hours 7:00 AM to 5:00 PM 7 days a�week\``- -..\'`` �
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS '"�
DAY `TENDERED
MUNI CHANGE
CHECK NO.:::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
14 Alydenburgh Road No 3884
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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINTNAME) 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 I WEIGHMASTER
DUPLICATE TICKET
SoYrHOLD TOWN DEPT SOLID WASTE 00 01906186 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/05/24 08/05/24 07:2 07:36 11103TC
9316 Town of Babylon REFERENCE
SCALE 2 GROSS WT 74140 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
ET WEIGHT 37560 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.78 OUTGO.MSW 0.000 0.00 0.00 0.0B
� � - L
01 •
Operating hours 7:00 AM to 5:00 PM 7 daysa' week. � _-` g 0.0¢
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -g`RRESIDENTS' g TENDERED
DAY a�4 ` a F.
yam,
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE ,', TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01906586 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN - DATE OUT I TIME IN TIME OUT, VEHICLE'- ROLUOFF
9316 Town of Babylon
CE
REFEREN
•
CALE 2 GROSS WT 74140 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 37560 LB
CITY UNIT DESCRIPTION =-; RATE EXTENSION FEE TOTAL -
18.78 OUTGO.MSW 0.000 0.00 0.00 0.0e
4
gJ'
c # t
Zn
- � •
Operating hours 7:00 AM to 5:00 PM 7 days a Aeek. _„_ . % 1;
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19PRE•SIDENTS nv=- t . kl
DAY ' TENDERED
CHANGE
CHECK NO.
CIr KIATI IRF
;TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N®. 3885
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.
(--SITEI TICKET I GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01906664 1 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/05/24 08/05/2 11:1 11:36 11103TC
9316 Town of Babylon REFERENCE •-
SCALE 2 GROSS WT 82700 LB Outbound Ticket
SCALE 1 TARE WT 35580 LB
ET WEIGHT 47120 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.56 OUTGO.MSW 0.000 0.00 0.00 0.0e
2Z
F ; pc 1p
. �
Operating hours 7:00 AM to 5:00 PM 7 day�a week. `
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `,,PRESIDENTS' TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE, TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01906664 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 GROSS WT 82700 LB Outbound Ticket
SCALE 1 TARE WT 35580 LB
NET WEIGHT 47120 LB
CITY -'. UNIT DESCRIPTION ". RATE. "= EXTENSION FEE-<. TOTAL
23.56 OUTGO.MSW 0.000 0.00 0.00 0.0e
�6'hi,,
yy e1
Operating hours 7:00 AM to 5:00 PM 7 days,,,, "ek\" =- ^.... _ =
y .'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS-'
TENDERED
DAY UUNu
CHANGE
' I CHECK NO.
cir_nieTi iaG
-TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3886
Islandia, NY 11749
(631) 342-9673
THUS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YOS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLQ TOWN DEPT SOLID WASTE 001 01906897 Steph
PO Box 962/6155 Cox Lane DATE IN -DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/06/24 08Z06/24 11:06 11:31 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 88340 LB Outbound Ticket
SCALE 1 TARE WT 36760 LB
ET WEIGHT 51580 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL _
25.79 OUTGO.MSW 0.000 0.00 0.00 0.0e
arif Sao;
}
- , _
Operating hours 7:00 AM to 5:00 PM 7 days a week. ` ,_ f� 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19zP-RESI6ENTS' F TENDERED-
DAY r
5
CHANGE
CHECK NO
SIGNATUREDUPLICATE TICKET' SITE TICKET_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01906897 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
CALE 2 GROSS WT 88340 LB Outbound Ticket
SCALE 1 TARE WT 36760 LB
NET WEIGHT 51580 LB
ol
OTY. UNIT DESCRIPTION -RATE EXTENSION = FEE TOTAL-
25.79 OUTGO.MSW 0.000 0.00 0.00 0.0e
•1 1 ( l 2-^
.Operating hours 7:00 AM to 5:00 PM 7 days a4week.- ..---��-.._._..-�f,✓'
DAYSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =-,PRE DEENTTS'-�l�y TENDERED
CHANGE
CHECK NO.
• mr_ni n•roe
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3881
Islandia, ICY 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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME,) SIGNATURE/DATE
KEY: 'WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET. GRID WEIGHMASTER,
DUPLICATE'TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01906825 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/06/24 08/06/24 07:20 07:34 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 78700 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 42580 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
� �5� Soo
Operating hours 7:00 AM to 5:00 PM 7 daysa week.�`�, ✓ 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =�PRE`SIDENTS' � � ` TENDERED
DAY
CHANGE
CHECK NO-
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01906825 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
CALE 2 GROSS WT 78700 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 42580 LB
OTY. UNIT DESCRIPTION 'RATE- EXTENSION . FEE TOTAL
21.29 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, 6. eek��_,.�.,�"_�tl,':
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRES'IDENTS-'
DAY { TENDERED
CHANGE '.
CHECK NO.
Qlapd ATI IQC
TRINITY TRANSPORTATION CORPORATION
2 f4 Blydenburgh Road 3887
Islandla, NY11749 No.
(631) 342-9673
THIS MAAIIFE ST 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 TRANSPORTATIONLACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE'NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:'
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBYCERTIFY 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
SOUTHO M TOWN DEPT SOLID WASTE 00 01907136 Steph
PO Box-962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/07/2 08/07/2 11:2 11:3 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 82540 LB Outbound Ticket
SCALE 1 TARE WT 35900 LB
NET WEIGHT 46640 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL
23.32 OUTGO.MSW 0.000 0.00 0.00 0.0e
1
Operating hours 7:00 AM to 5:00 PM 7 days a meek. �� r r 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRfS[[DENTS' TENDERED
DAY .m.� � a �
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I .. TICKET I GRID WEIGHM_ASTER„- -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907136 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
SCALE 2 GROSS WT 82540 LB Outbound Ticket
SCALE 1 TARE' WT 35900` LB
NET WEIGHT 46640 LB
CITY. UNIT _DESCRIPTION RATE EXTENSION '-FEE- - TOTAL
23.32 OUTGO.MSW 0.000 0.00 0.00 0.0e
'
Doi
,I;
{ � J-7
� t
Operating hours 7:00 AM to 5:00 PM 7 days aee ''�_ —!,✓
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-'—�""
DAY TENDERED
� � _ �
CHANGE
CHECK NO.
9
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
4
214 Blydenburgh Road NO. 3873
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 261-08,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 001 01907076 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN_ DATE OUT TIME IN TIME OUT VEHICLE_ ROLL OFF
08/07/24 08/07/24 07:23 07:35 11103TC
9316 Town of Babylon
REFERENCE
•-
.SCALE 2 GROSS WT 69500 LB Outbound Ticket
SCALE 1 TARE WT 39200 LB
ET WEIGHT 30300 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.15 OUTGO.MSW `0.000 0.00 0.00 0.0e
0 UM
.. .
��yy 's-e }
Operating hours 7:00 AM to 5:00 PM 7 days�a wek,`'�,.: yf . �� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - 'PRESIDENTS3 TENDERED
DAY ~ , '
CHANGE"
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE -jICKET_- GRID WE_IGHMASTER --
SOUTHOLD TOWN DEPT SOLID WASTE 001 01907076 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
•-
CALE 2 GROSS WT 69500 LB Outbound Ticket
SCALE 1 TARE WT 39200 LB
NET WEIGHT 30300 LB
QTY. UNIT DESCRIPTION• "` RATE- EXTENSION= FEE' TOTAL "
15.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
_J l �.
Operating hours 7:00 AM to 5:00 PM 7 days+ %✓�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENT-S.' .._...._--'
DAY
TENDERED
,
� I 'i
CHANGE
CHECK NO.
TRINITY TRANSPORTATION CORPORATION
r�
214 Blydenburgh Road NO. 3872
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)
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), PT SOLID WASTE 00 01907307 Steph
PO Box 962/6159,.Cok Lane
Cutchogue,AY 11935 DATE IN DATE OUT TIME IN.TIME OUT VEHICLE -ROLL OFF
08/08/2 08/08/2 11:2 11:4 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 81560 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 45440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
41-3
Q?:,
Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 RES'IDEff TENDERED
DAY tti 3 , v
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID_ -WEIG_HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907307 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 81560 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 45440 LB
QTY.,,' UNIT „,DESCRIPTION' RATEEXTENSION'_ "FEE TOTAL
22.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 day asweek:�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'
DAY w�� TENDERED
CHANGE.
CHECK NO.
SIGNATURE
TRINIY TRANSPORTATION CORPORATION
214 Blydenburgh Road N® 3875
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR.REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TARE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO-APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS-
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907243 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 1a1935
DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/08/2 08/08/2 07:3 07:4 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 71280 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
NET WEIGHT 34420 LB
ITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.21 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysNa j ek. 4 ,�1 0.0e
CDAOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =:3PR'ESID N;T h o��� TENDERED
" e CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET.` GRID" WEIGHMASTE_R
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907243 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 71280 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
NET WEIGHT 34420 LB
QTY UNIT ;DESCRIPTION RATE EXTENSION,= FEE _, TOTAL=...
17.21 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days aweek -^ . AJ
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 191 49IDENTS!" ,
DAY TENDERED
Mini
CHANGE
CHECK NO.
.91r,MAT[IRF
IMUNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3874
Islandia, ICY 11749 NO.
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
IBE1NG SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER '
-DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907449 Liz H
PO BOX 962 6155 Cox Lane DATE I,N DATE,OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/09/2 08/09/2 11:0 11:3 11103TC
9316 Town of Babylon
REFERENCE
�-
SCALE 2 GROSS WT 85000 LB Outbound Ticket
SCALE 1 TARE WT 35780 LB
NET WEIGHT 49220 LB
QTY.
UNIT_ -DESCRIPTION RATE EXTENSION FEE , TOTAL
24.61 OUTGO.MSW 0.000 0.00 0.00 0.0e
608�
I
Operating hours 7:00 AM to 5:00 PM 7 days,a�week.� � C 0.0e
1'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -�P_RESIDENTS'.;
DAY ,� i��'_ � TENDERED
a+
,.x ITW �
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET _"• GRID WEIGHMASTER "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907449 1 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN i 'DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF,
9316 Town of Babylon --08109124 -0810912 11; 11TU3-rC—T
REFERENCE
SCALE 2 GROSS WT 85000 LB Outbound Ticket
SCALE 1 TARE WT 35780 LB
NET WEIGHT 49220 LB 7
OTY._ UNIT DESCRIPTION '- RATE' EXTENSION FEE7
` TOTAL
24.61 OUTGO.MSW 0.000 0.00 0.00 0.0e
Ilk
N, d
. ` L_S
Operating hours 7:00 AM to 5:00 PM 7 days•
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19t PRESIDENTS-'=____�
DAY qT F TENDERED
9 CHANGE
CHECK NO.
RIMIATI IRF
TRINITY TRANSPORTATION CORPORATION
21413lydenburgh Road N®. 3877
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:
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 GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907398 Liz H
�PO 'Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT_ VEHICLE ROLL OFF
08/09/2 08/09/2 07:1 07:2 11103TC
9316 Town of Babylon REFERENCE
SCALE 2 GROSS WT 82000 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 45440 LB
QTY. UNIT DESCRIPTION RATE EXTENSION _ FEE 7TOTAL -
22.72 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
U',✓ ,r
CLOSED HOLIDAYS —NEXT: MONDAY, FEB. 19 - PRESIDENTS' } TENDERED
DAY
UU W
CHANGE '
_ CHECK NO.
SIGNATURE
DUPLICATE TICKET tSITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01907198 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 82000 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 45440 LB
CITY. UNIT' w` DESCRIPTION , -' RATE EXTENSION FEE, TOTAL_"
22.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
c a —r {�
4
Operating hours 7:00 AM to 5:00 PM 7 days a�week:�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19��'-,�PRE� ,ENTS'
DAY ly TENDERED
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
` '214 Blydenburgh Road No, 3876
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:
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 ' 01907606 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE FZOLL OFF
Cutchogu�iv, NY 11935
e 08/10/24 08/1O/2 07:1 07:27 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 88720 LB Outbound Ticket
SCALE 1 TARE WT 39300 LB
ET WEIGHT 49420 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.71 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 days�a week. � '', �� fl. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ``RRESIDENTS'. TENDERED
DAYe' " a -
a � ' t� CHANGE
CHECK NO.
:)
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMA_STER
SOUTHOLD TOWN DEPT SOLID WASTE 00 019076/16 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 88720 LB Outbound Ticket
SCALE 1 TARE WT 39300 LB
NET WEIGHT 49420 LB
:1
QTY.,
. UNIT DESCRIPTION RATE :° EXTENSION :FEE" TOTAL
24.71 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
Q�
Operating hours 7:00 AM to 5:00 PM 7 days,a=week. ---- , <-
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 .PRESIDENTS' -- <
DAY �; � r fi TENDERED
CHANGE
CHECK NO.
cr_nnT goo
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3878
Islan&ia, 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 SKIPPED 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(PRNT 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(PRWT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908159 Will
PO BOX.,962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.
08/12/24 08/12/24 07:13 07:28 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77640 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
ET WEIGHT 40780 LB
QTY UNIT DESCRIPTION RATE; EXTENSION FEE TOTAL
20.39 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days- week9`;__.��� :� Z 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -!;PRESIDENTS'., .i, c X TENDERED
DAY ''
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908159 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 ORIGIN
CALE 2 GROSS WT 77640 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
NET WEIGHT 40780 LB
QTY. UNIT -- DESCRIPTION RATE EXTENSION_ FEE "TOTAL
20.39 OUTGO.MSW 0.000 0.00 0.00 0.0e
'1 f
tw
Operating hours 7:00 AM to 5:00 PM 7 days�a 6weekI:�V��._`
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 '`�PRESID.ENTS-' _.----''r� J
DAYr 7}F , �' TENDERED
mij
,CHANGE,' .
CHECK NO.:j
cn_wnT goo
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3879
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:
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 01908248 Will
PO BOX 562/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue,�NY 11935 -
08/12/24 08/12/ 110:5 11:1 11103TC
9316 Town of Babylon REFERENCE CEL
0-
SCALE 2 GROSS WT 76700 LB Outbound Ticket
SCALE 1 TARE WT 35380 LB
NET WEIGHT 41320 LB
OTY. UNIT DESCRIPTION RATE` EXTENSION FEE. TOTAL
20.66 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 PRESI N S'" TENDERED
DAY
; $ CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET ,'S GRID, WEIGHMASTER .
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908248 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
LCE
�.
SCALE 2 GROSS WT 76700 LB Outbound Ticket
SCALE 1 TARE WT 35380' LB
NET WEIGHT 41320 LB
CITY. •._ UNIT' DESCRIPTION RATE EXTENSION FEE'-' TOTAL
20.66 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`-_' PRE-S�I�DENTS �- 4
DAY �Jy � TENDERED
CHANGE
CHECK NO.:::l
RI(.NATI IRF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3880
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:
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 AGEN.T(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER. i ` t`-k .,.
PINK TO GENERATOR
GOLD TO GENERATOR :=-s',`' .?, DISPOSAL LOCATION TICKET NO.
l SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908503 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchoguet NY 11935
c,- 08/13/2 08/13/2 11:2 11:4 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 75060 LB Outbound Ticket
SCALE 1 TARE WT 35400 LB
NET WEIGHT 39660 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days,-,,a week,. �41, `'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =` PRESIDENTS ,
DAY `-
6,7 74 ^aa
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET- I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908103 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 75060 LB Outbound Ticket
SCALE 1 TARE WT 35400 LB
NET WEIGHT 39660 LB
7
QTY UNIT DESCRIPTION - RATE- EXTENSION :FEE ;TOTAL
19.83 OUTGO.MSW 0.000 0.00 0.00 me
oil,
9
Operating hours 7:00 AM to 5:00 PM 7 days a week.,�-:--- ?'p •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS-
DAY Nl7/i TENDERED
CHANGE
• 1 CHECK NO.
clranieTi iRG
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3821
, landia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION 08 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 :z.; .^. -•f1ISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908411 Steph
PO Box 962/6155 Cox Lane DATE IN DATE_OUT' TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
A'W 08/13/2 08/13/2 07:3 07:4 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 84380 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
ET WEIGHT 47820 LB
QTY.' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.91 OUTGO.MSW 0.000 0.00 0.00 me
un
Operating hours 7:00 AM to 5:00 PM 7 daysla week.~ �'h <,i" 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `- P.RESIDENT�S' _,° TENDERED
DAY4
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908431 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 84380 LB Outbound Ticket
SCALE 1 TARE WT 36560 LB
NET WEIGHT 47820 LB
QlY UNIT - DESCRIPTION :_'<-.'e: RATE EXTENSION FEE '.TOTAL
23.91 OUTGO.MSW .0.000 0.00 0.00 0.0e
I
+
1 '
Operating hours 7:00 AM to 5:00 PM 7 days a week�� �%' �` ;" .
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE�SIDENTS
DAY � 1' j $ & TENDERED
CHANGE
CHECK NO.
mr_n+AT+IGC
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 3820
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(PRINTNAME) (SIGNATURE)
'TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER,NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:,
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE "TICKET GRID, WEIGHMASTER,
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908744 1 Steph
PO Box 962/6155 Cox Lane ;.DATE'IN T DATE OUT'- `.TIML IN' TIME Util, VEHICLE' i ROLL OFF '.
Cutchogue, NY 11935
08/14/24 08/14/24 10:54 11:07 11100TC
9316 Town of Babylon
+ REFERENCESCA
LE 2 GROSS WT 86800 LB Outbound Ticket
LE 1 TARE WT 36200 LB
WEIGHT 50600 LB
"OTY UNIT. DESCRIPTION RATE- -u s';.EXTENSION'
FEE- - •_TOTAL,-
25.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
R/,(i.3flt
Operating hours 7:00 AM to 5:00 PM 7 days.-.a wee-K. ` • 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 "-PRESIDENTS',. -,, !':' -_ '''TENDERED'-
DAY3'tp.
CHANGE:
CHECK.NO.'
i Y
SIGNATURE
DUPLICATE TICKET SITE TICK ,; GRiD WEIGHMAST_ER
ET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908744 Steph
PO Box 962/6155 Cox Lane
Cutcho ue, NY 11935 DATE IN, DA ME IN T g TE_OUT TIIME OUT VEHICLE t: RdLL OFF _
9316 Town of Babylon
ENCE
REFER
•-
GALE 2 GROSS WT 86800 LB Outbound Ticket
SCALE 1 TARE WT 36200 LB
NET WEIGHT 50600 LB
OTY UNIT „_ ", DESCRIPTION. ,;:' RATE >EXEENSION' - FEET
-''- TOTAL>
25.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
9
Operating hours 7:00 AM to 5:00 PM 7 days�a:-week: .= T;:_ .'- - '" ;� •
CLOSED HOLIDAYS - NEXT: MONDAYj FEB. 19 -=-.PRESSIDENTS'=--
TENDERED J.
DAY
.. C6 CHANGE
`,CHECK,NO.' r;
SIGNATURE
TRINITY TUANSPORTATION COTIO�_1
3823
NO.
`631) 34
... s
THIS MAWEST"IS FOR REFERENCE PUR .._. E OF ANY CARGO)OR MATERIALS
BEING SWIPED AND DOES NOT ASSUM__ tALS.
COMPAW: �� .., ;:;DATE:
COMMODITY SHIPPED:
LOOSE: :; • . „, 4.
BALES:(COUNT):
TRUCK WEIGHT:
HEREBY CERTIFY THAT THE ABOVE . rR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZ, `: VV,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACFOAG*Jft• APPLICABLE REGULATION.
GENERATOR AUTHORi"; emu'
� 5
TRANSPORTATION/FREE x: �r
TRUCK NO.
,R NO. t� : TA
RTIFY THAT THE ABpW >F z P1�Ai s>=NERATOR SITE LISTED ABOVE, AND THAT IT WAS
E ##VNOUT INCIDENT Tp x n ' c (PRINT NAM5) {" . (SIGNATURE)
DESTINATION
f DATE DELIVERED:
VE'MATERIAL HAS BEEN At6o PTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
;.; ., SIGNATURE/DATE
OSAL LOCATION TICK
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908675 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT :VEHICLE ROLL OFF
Cutchogue, NY 11935
08/14/24 08/14/24 07:30 07:30 11103TC
9316" � Town of Babylon
REFERENCE
SC:ALE GROSS WT 78500 LB Outbound Ticket
MANUAL TARE WT 35540 LB
ET WEIGHT 42960 LB
OTY.' UNIT -- DESCRIPTION RATE EXTENSION FEE - TOTAL'
21.48 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days"-,,a week. � �.. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 --`?'P,RE`S,IDENTS' g � TENDERED
DAYg
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET. GRID -` WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 0011 01908675 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 78500 LB Outbound Ticket
MANUAL TARE WT 35540 LB
NET WEIGHT 42960 LB
OTY. -,UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.48 OUTGO.MSW 0.000 0.00 0.00 0.02
;. I �� �
Operating hours 7:00 AM to 5:00 PM 7 daystia.,week.,�._ �-� _�.�,�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19`-= PRESIDENTS'
DAY I TENDERED
f
CHANGE,
' 1 CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 3822
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 SKIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET, GRID WEIGHMASTER
DUPLICATE TICKET
SOUTNJLD TOWN DEPT SOLID WASTE 001 01908945 Liz H
PO Box 962/6155 Cox Lane DATE IN t)ATE CUT ,TIME IN TIME OUT VEHICLE 'ROLL OFF"'
Cutchogue, NY 11935
08/15/24 08/15/24 11:0 11:18 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 81120 LB Outbound Ticket
SCALE 1 TARE WT 36040 LB
ET WEIGHT 45080 LB
�:QTY.` -.;`- `UNIT - .". - ,DESCRIPTION= RATE- ",.' EXTENSION: FEE : TOTAL,`::'
22.54 OUTGO.MSW 0.000 0.00 0.00 0.0e
Sv
,'y, •`'4 ,. y:. *ram ,� �,.R� g}�
Operating hours 7:00 AM to 5:00 PM 7 days.'a week. 711' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -` PRESIDENTS,'. _TENDERED_I" -.TENDERED" �.;
DAY
,,CHANGE
CHECK NO:::::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01908941 Liz H
PO Box 962/6155 Cox Lane
Cutcho ue NY 11935
g ;`.DATE IM DATE OUT _ ":TIME'IN,TIME OUT VEHICLE ROLL,OFF
41+ lots,
9316 Town of Babylon
REFERENCE
�-
SCALE 2 GROSS WT 81120 LB Outbound Ticket
SCALE 1 TARE WT 36040 LB
NET WEIGHT 45080 LB
QTY - _ UNIT pE$CRIPTION : A,- RATE EXfENSIQN.'- FEE w: :- TOTAL.
22.54 OUTGO.MSW 0.000 0.00 0.00 0.0e
£f
Operating hours 7:00 AM to 5:00 PM 7 days-,a,-Week: _-:2."•._.-m_.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. .19= PRESIDENTS�--:1-�=
DAY �"��.. "r'�,` � �R Y-w°:
y ' y`� 'p% TENDERED`
CHANGE
CHECK'NO:
SIGNATURE
'TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 89
NO. 38
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 YOS)
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:--
I HEREBY CERTIFY L 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.
rSITEJ TICKET - ' I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD6'TOWN DEPT SOLID WASTE 00 01908878 Liz H
PO BOX 962/6155 Cox Lane DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF
Cutchogue, NY 11935
08/15/2 08/15/2 07:2 07:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 74360 LB Outbound Ticket
SCALE 1 TARE WT 36300 LB
NET WEIGHT 38060 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
J�� A l •
Operating hours 7:00 AM to 5:00 PM 7 day SS i week. m 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 —PRESIDENTS'
TENDERED
DAY
' CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01908878 1 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 74360 LB Outbound Ticket
SCALE 1 TARE WT 36300 LB
NET WEIGHT 38060 LB
QTY. `UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
19.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
ISO ��
- -�- i` f
Operating hours 7:00 AM to 5:00 PM 7 day-s a.. ek�..� .. �.._ ' •
IRS-
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 PRESIDENTS'-=
DAY J `�vwr TENDERED
;�"X:.�• CHANGE- '
CHECK NO'.
SIGNATURE
f
TR3NITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3888
Islandia, NY 11749
(631) 342-9673
BEING SHIPPEDIAND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WI HES OTHEASH SHIPMENT OF
KE S off MATERIALSR TITLE OF .
CARGO OR 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: (SIGNATURE)
(PRINT NAME)
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) SIGNATUREDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR DISPOSAL LOCATION TICKET NO.
GOLD TO GENERATOR
DUPLICATE TICKET SITE 'TICKET GRID WEIGHMASTER
SOL!TVOLD TOWN DEPT SOLID WASTE 001 01909139 Liz H
PO' Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN..TIME OUT ;VEHICL.E, ROLL OFF
08/16/24 08/16/24 10:19 10:38 11104TC
9316 Town of Babylon -F REFERENCE
SCALE 2 GROSS WT 75560 LB Outbound Ticket
SCALE 1 TARE WT 36960 LB
NET WEIGHT 38600 LB
QTY '-,'' UNIT c,DESCRIPTION RATE „ EXTENSION - FEE TOTAL .
19.30 OUTGO.MSW 0.000 0.00 0.00 0.02
w�
0
Operating hours 7:00 AM to 5:00 PM 7 daysy,a'week. ` 0.0Q
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -""PRESIDENTS
_" TENDERED=
DAY
CHANGE
CHECK•NO.r"',.
SIGNATURE
DUPLICATE TICKET __SITE ,JCKET_ GRID INEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01909139 Liz
H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN., ,�DATEOUT T1ME.IN> TIME-OUT VEHICLE.., ROLL OFF
93,16 Town of Babylon
CALE 2 GROSS WT 75560 LB Outbound Ticket
SCALE 1 TARE WT 36960 LB
NET WEIGHT 38600 LB
CITY _'`__ -:`."UNIT -,DESCRIPTION.'._'• RATE EXTENSION'- FEE
19.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
ry
. �r A. 2 ���} �Ae •
Operating hours 7:00 AM to 5:00 PM 7 days. a,week.,.i
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 '-,PRESIDENTS-'.W%
"i ` h3 ay d TENDERED,!
DAY N,
v ,, }°� ,
���{a, q 'q ` t
' cis ga f
e ,,CHANGE '
:.CHECK NO:,.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N®. 3890
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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01909286 Dan
PO Box 962/6155 Cox Lane
CUtQ`+0gUe,lNY 11935 DATE IN , 'DATE OUT TIME IN TIME OUT - VEHICLE ROLL-OFF
08/17/24 08/17/24 07:14 07:27 11104TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 74020 LB Outbound Ticket
SCALE 1 TARE WT 36980 LB
NET WEIGHT 37040 LB
ITY "UNIT. DESCRIPTION ;; RATE EXTENSION FEE ,,:"TOTAL
18.52 OUTGO.MSW 0.000 0.00 0.00 0.0e
��' .
Operating hours 7:00 AM to 5:00 PM 7 daya wee
la :- 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 001 01909286 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
•-
CALE 2 GROSS WT -74020 LB Outbound Ticket
SCALE 1 TARE WT 36980 LB
NET WEIGHT 37040 LB
QTY. UNIT DESCRIPTION '- RATE EXTENSION FEE TOTAL: -=-
18.52 OUTGO.MSW -0.000 0.00 0.00 0.02
%11 S 4 t
Operating hours 7:00 AM to 5:00 PM 7 days�arweek:Q�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19
DAY SSA TENDERED
CHANGE .
CHECK NO:
CIn KIATI mr-
TRINITY TRANSPORTATION CORPORATION
21.4 $lydenburgh Road No. 3891
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 SKIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOTHAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID' WEIGHMASTER.
,_DUP-b4 TE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01909840 Liz H
PO Box 962/6155 Cox Lane ,DATE IN .DATE OUT . ;TIME_IN TIME OUT '" .VEHICLE.° ROLL OFF
Cutchogue, NY 11935
08/19/24 08/19/2 07:1 07:25 11104TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 78420 LB Outbound Ticket
SCALE 1 TARE WT 37620 LB
NET WEIGHT 40800 LB
QTY :, ~:UNIT DESCRIPTION_.-- "'RATE EXTENSION' FEE__.
20.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
qt c -z A
4
g t. 4•
Operating hours 7:00 AM to 5:00 PM 7 days,°,,a week. " 0.oe
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `' P,RESIDENTS,;,;__ ,:' TENDERED::- =`
DAY
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE TICKET° GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01909840 Liz H
PO Box 962/6155 Cox Lane
Cutchogue; NY 11935 DATEIN, , DATE OUT ; :TIME IN`-TIME OUT VEHICLE,. ROL'LOFE
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 78420 LB Outbound Ticket
SCALE 1 TARE WT 37620 LB
NET WEIGHT 40800 LB
:QTY `UNIT" >' - "',:,AESGRIPTION_ - .a. :,_RATE -EXTENSION<;' FEE
20.40 OUTGO.MSW 0.000 0.00 0.00 me
Operating hours 7:00 AM to 5:00 PM 7 days-,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRESIDENTS'
DAY s";r .4 5»^g.'- tl ��,�a :,� `'TENDERED,
CHANGE..-,,`:
CHECK NO.
SIGNATURE
° TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N®. 3892
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:
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.
DUt SITE TICKET GRID WEIGHMASTER 1
,SGUU`I.ICATE TICKET
OLD TOWN DEPT SOLID WASTE 00 01909891 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/19/24 08/19/2 10:4 10:58 11104TC
9316 Town of Babylon
REF ERENCE
•-
SCALE 2 GROSS WT 91700 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 55200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.60 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
f ��Z ,..--�c--"-�.., `.. ✓yam �
�F
NOW Z
AIIIIIIIIIIIIII0 -11 Lo"..
d-n
Operating hours 7:00 AM to 5:00 PM 7 days�:a week.. �� ! `�Q, 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `,-PRESIDENTS-'3 .f *�{ -.TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER-_
SOUTHOLD TOWN DEPT SOLID WASTE 001 01909895 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' DATE OUT TIMEIN TIMEOUT VEHICLE, ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 91700 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 55200 LB
QTY. _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.60 OUTGO.MSW 0.000 0.00 0.00 0.0e
F ``
t \ .7
W a+vim, �`t '�, t. 4°<.7"� " •
Operating hours 7:00 AM to 5:00 PM 7 days'k a4week:
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS'---=
S mar > -a TENDERED
DAY
� `�I; .-
CHANGE
CHECK NO.
SIGNATURF
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 3893
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAME POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910039 Will
'PO BOX 962/6155 Cox Lane DATE IN' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/20/24 08/20/2 07:2 07:33 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 71620 LB Outbound Ticket
SCALE 1 TARE WT 36340 LB
NET WEIGHT 35280 LB
ITY. UNIT DESCRIPTION. RATE EXTENSION FEE• TOTAL
17.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
44l*}
^� ,,�1 f 7 C-"ea f\F
Operating hours 7:00 AM to 5:00 PM 7 days a week. . 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PR
DAY
TENDERED
DAY u �
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 001 01910039 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 ORIGIN
CAL: 2 GROSS WT 71620 LB Outbound Ticket
SCALE 1 TARE WT 36340 LB
NET WEIGHT 35280 LB
CITY. UNIT DESCRIPTION RATE _'__'-' EXTENSION FEE,'" TOTAL
17.64 OUTGO.MSW 0.000 0.00 0.00 0.0e
�u !77—
A
f{ {
f
Operating hours 7:00 AM to 5:00 PM 7 days;a week •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRE�S"IDENTS,'.�..�---"
DAY 'TENDERED
i
CHANGE
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3894
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 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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910087 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN, TIME OUT ° VEHICLE ROLL OFF
08/20/2 c08/20/2 10:5 11:2 11103TC
9316 " Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 76620 LB Outbound Ticket
SCALE 1 TARE WT 35640 LB
NET WEIGHT 40380 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL-
20.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
ze
w
Aj •
Operating hours 7:00 AM to 5:00 PM 7 dayska week. l.w�. `., 0.0e
CLOSED HOLIDAYS NEXT: MONDAY, FEB. 19 tiPRES.IDENTS TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910087 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 76020 LB Outbound Ticket
SCALE 1 TARE WT 35640 LB
NET WEIGHT 40380 LB
CITY., "_ UNIT - -DESCRIPTION '_ RATE "' EXTENSI.ON' FEE
TOTAL
20.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysaweeki •
CLOSED HOLIDAYS. - NEXT: MONDAY, FEB. 19",'_PRESIDENTS._'_. .:. A
DAY p Aj
TENDERED
CHANGE"
CHECK NO.
SIGNATURE
TRf LAITY TRANSPORTATION CORPORATION
y
214 'Blydenburgh Road N®. 3895
Islandia, STY 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:
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 (SITE1 TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910346 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .DATE IN DATEOUT TIME IN TIME OUT VEHICLE T •ROLL OFF
08/21/2 08/21/2 11:3 11:5 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 91440 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
NET WEIGHT 55600 LB
OTY..- UNIT DESCRIPTION_. RATE EXTENSION FEE- TOTAL
27.80 OUTGO.MSW 0.000 0.00 0.00 me
�4
� _,..ram r.
Operating hours 7:00 AM to 5:00 PM 7 days a week.t, �—'" :�� `� ; 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 01910346 1 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
ORIGIN
CALE 2 GROSS WT 91440 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
NET WEIGHT 55600 LB
QTY.
UNIT DESCRIPTION' RATE EXTENSION "FEE;- TOTAL
27.80 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week.L. % `4'-- •
CLOSED HOLIDAYS - NEXT: MONDAY,. FEB. 19 - PRESIDENTS�..- r -
DAY 71 ��„m � TENDERED
sr� CHANGE
CHECK NO:::::j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N® 3 3 7
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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVE_D BY:
AUTHORIZED AGENT(PRINT NAME) 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 1
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01910260 Dan
^O�BoX.962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/21/24 08/21/24 07:19 07:36 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SC:ALE GROSS WT 82960 LB Outbound Ticket
SCALE 1 TARE WT '36640 LB
ET WEIGHT 46320 LB
QTY _ UNIT F DESCRIPTION RATE EXTENSION FEE TOTAL
23.16 OUTGO.MSW 0•.000 0.00 0.00 0.0e
. ,\%
_ .,/
Operating hours 7:00 AM to 5:00 PM 7 days- week. 0.02
CLO �., war. a, ,`"-•::_..-_.._-->`' �� �
DAYSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -rPRESDEN $,;: TENDERED
CHANGE
CHECK NO-
SIGNATURE
DUPLICATE TICKET SITE TICKET-- GRID"' "WE MAST
SOUTHOLD TOWN DEPT-SOLID WASTE 001 01910260 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE AROLE OFF
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 82960 LB Outbound Ticket
SCALE 1 TARE WT 36640 LB
NET WEIGHT 46320 LB
CITY. UNIT - DESCRIPTION RATE -. E_XTENSION FEE -TOTAL
23.16 OUTGO.MSW 0.000 0.00 0.00 0.0e
/�p''�^/ ,,max'` -� "•, ,.e
"� ` > 1
Operating hours 7:00 AM to 5:00 PM 7 days�a sweek.'�,._.....� ,,.a,�`'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 --\PRESIDENTS' "-
DAY � TENDERED
"UHl "q CHANGE,
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214131ydenburgh Road 3 8 9 6
N®. _
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
APPLICABLE8TATE 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
DUPG;?CATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910534 Liz H
PO Box 962/6155 Cox Lane - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/22/24 08/22/2 11:0 11:3 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 74320 LB Outbound Ticket
SCALE 1 TARE WT 35640 LB
NET WEIGHT 38680 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.34 OUTGO.MSW 0.000 0.00 0.00 0.0e
221
Operating.hours 7:00 AM to 5:00 PM 7 day°s.a week. r±� , " 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ="'PRES'IDENTS TENDERED
DAY �b -
^' CHANGE
fICHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910534 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME INTIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 74320 LB Outbound Ticket
SCALE 1 TARE WT .35640 LB
NET WEIGHT 38680 LB
.• QTY.
-- ., , UNIT,: r ",`.`,. DESCRIPTION ' �� ` RATE"., .
EXTENSION FEE -TOTAL ,
19.34 OUTGO.MSW '0.000 0.00 0.00 me
• ��"'�...,y�-ems•�,-c..
A _
Operating hours 7:00 AM to 5:00 PM 7 days�a__week`:'.\ rM '„
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PPR.,E.SIDENTS�� ---` 0. :
DAY `cE6� t�� ��I �w� a1 A, �?f TENDERED
-'CHANGE
CHECK NO::::l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road N®
3899
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION 08 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 CERTIFYTHAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE• TICKET
4SOUTI-16!&D TOWN DEPT SOLID WASTE 00 '01910473 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT° TIME IN TIME OUT °"VEHICLE- ROLL`-OFF
Cutchogue, NY 11935
08/22/24 08/22/2 07:2 07:42 '11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 93500 LB Outbound Ticket
SCALE 1 TARE WT 37080 LB
NET WEIGHT 56420 LB
QTY.- UNIT DESCRIPTION RATE EXTENSION -...FEE TOTAL
28.21 OUTGO.MSW .0.000 0.00 0.00 0.0e
% �
r 6 ly }£{ t' 1 �a
70
Operating hours 7:00 AM to 5:00 PM 7 days'-�a week, 4 "' r� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 P.�RE5IDENTISt e � _ TENDERED
D
=
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET,'_. ., GRID 1 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 0191047/ 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 93500 LB Outbound Ticket
SCALE 1 TARE WT 37080 LB
NET WEIGHT 56420 LB
QTY. - UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
28.21 OUTGO.MSW 0:1000 0.00 0.00 0.0e
Z;ZZ
�-Z�
Operating hours 7:00 AM to 5:00 PM 7 days aXweek. �wr. ! � ,7
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = .PRESIDENTS'- �� ,�`
TENDERED
DAY drL�,X p��Z u� �
U
CHANGE
CHECK NO.
�)
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 3898
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:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
`"' -DUF?!.ICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910757 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN DATEOUT TIMEIN TIME'OUT VEHICLE ROLL OFF
08/23/24 08/23/2 11:3 11:5 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 83100 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 46980 LB
QTY.__-- UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
23.49 OUTGO.MSW 0.000 0.00 0.00 0.0e
Rp
Operating hours 7:00 AM to 5:00 PM 7 days',a w_eek.,•,._ _ 4 "'� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19.- PRESIDENTS � � J TENDERED
r
DAY
W I
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET;=_;', , GRID WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01910757 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
••
CAL: 2 GROSS WT 83100 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 46980 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.49 OUTGO.MSW 0.000 0.00 0.00 0.0e
•ti -y
' oT �g at z:�tl�f tip
hj; ati ' Z
t}
Operating hours 7:00 AM to 5:00 PM 7 da s,,aweek•.� ` — ^" •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENTS' v
DAY '�` ` i,q(q � TENDERED
CHANGE
CHECK NO.
SI['�NATI IRF
NO. 2501
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
nLff-.`S'rD TOWN DEPT SOLID WASTE 00 01910673 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN'
DATE OUT TIME IN TIME OUT ` VEHICLE ROLL OFF
08/23/24 08/23/24 07:25 07:40 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 :GROSS WT 85380 LB Outbound Ticket
SCALE 1 E WT 36680 LB
NET WEIG 48700 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.35 OUTGO.MSW 0.000 0.00 0.00 0.0e
51
f
�• ,,,3;� ?f $� -�,fir.
sJ �.•..� - p 1 Ymine
Operating hours 7:00 AM to 5:00 PM 7 days a week !' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRESIDENS' � Y TENDERED
DAY *� 5�v
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE
TICKET-GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 1910673 Liz H
PO Box 562/6155 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 85380 LB. Outbound Ticket
SCALE 1 TARE WT 36680 LB
NET WEIGHT 48700 LB
7
OTY UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL
24.35 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a week. t -- '6' •
P ES - �
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -�,PRESID,ENTS'
DAY �:�•.� �It� ��.l�tt�*�� 'TENDERED
T� CHANGE--
CHECK NO.-
SIGNATURE
TRINITY TRANSPORTATION CQ :..., .
214 Blydenburgh Road ��: F
a � S
3900
t NO
'Islandia, NY 11749
(631) 342-9673 T : Y� ,; ;i
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. ', NY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILi .
COMPANY: :,AT
COMMODITY SHIPPED. °' ``;..
LOOSE: f `'
4
SALES:(COUNT):
-1•u- .�rx���. � k �ti. cP�k�a�" t -
TRUCK WEIGHT;
ml
e v4"'r
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAi= ?,.__ I: 'AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS D ' h`!
Y q APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPEL _- JTlON ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRlNT NAME) rY" ,` '
(SIGNATURE)
n au — =
.. E
TRANSPORTATION/FREIGHT CO.
TRUCK NO. .L.IO,ENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
THEREBY CERTIFY THAT THE ABOVE 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
SOUTPOLD"TOWN DEPT SOLID WASTE 00 01910910 Dan
PO BOX 932/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/24/24 08/24/24 07:17 07:32 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 72360 LB Outbound Ticket
SCALE 1 TARE WT 37060 LB
NET WEIGHT 35300 LB
QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL
17.65 OUTGO.MSW 0.000 0.00 0.00 0.0e
r14 }
_ • A
Aj
.. gym'~~♦ •
Operating hours 7:00 AM to 5:00 PM 7 day`sla week. �. r t 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -�,PRESIDENTS' �,` �". ;`";j TENDERED
DAY ,
CHANGE ,
CHECK NO. '
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01910910 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
CALE 2 GROSS WT 72360 LB Outbound Ticket
SCALE 1 TARE WT 37060 LB
NET WEIGHT 35300 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE _ TOTAL
17.65 OUTGO.MSW 0.000 0.00 0.00 0.0e
a• tit? 1 . t j Jt tti�� "
Operating' hours 7:00 AM to 5:00 PM 7 days a;week:---', ,• ,' �� _
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19�'- PRESIDENTS_'
DAY .. e�� ,1 r• �'�� { TENDERED
CHANGE
EC NO::::l
SIGNATURE
NO. 2502
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: - GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40.CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01911435 Will
.a_PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE _ ROLL OFF
Cutchogue, NY 11935
08/26/24 08/26/2 07:0 07:21 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 69400 LB Outbound Ticket
SCALE 1 TARE WT 36700 LB .
NET WEIGHT 32700 LB
-Qrl. UNIT- DESCRIPTION ' ' RATE' EXTENSION` FEE 'TOTAL""
16.35 OUTGO.MSW ,0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week.` s�4 �,jj� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 =" P.RESIDENTS' +" TENDERED
DAY
. CHANGE'
CHECK NO::j
SIGNATURE
,17
DUPLICATE TICKET SITETICKET_ - GRID- WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01911435 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 ORIGIN
SCALE 2 GROSS WT 69400 LB Outbound Ticket
SCALE 1'TARE WT 36700 LB
NET WEIGHT 32700 LB
CITY. UNIT, DESCRIPTION RATE EXTENSION ` "FEE TOTAL`:
16.35 OUTGO.MSW 0.000 0.00 0.00 0.0e
Z r
'a1`r e� 't;•{r ��'+°ri f f1 is ''a `�..?'w^,
• }i� � .' �f _�� .fit .� P�
t f
Operating hours 7:00 AM to 5:00 PM 7 daysyyaw'eek �^a •
11
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �z�PRESIDENTS-'•
DAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
i
NO. 2503
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY 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 01911511 Will
PO BOX 962/6155 COX Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
08/26/24 08/26/24 10:3 10:53 11103TC
93r6 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79080' LB Outbound Ticket
SCALE 1 TARE WT 36760 LB
NET WEIGHT 42320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.16 OUTGO.MSW 0.000 0.00 0.00 0.0e
�..I
�P<:P tea. � ,---9.I �• _ 1 '� ��
Operating hours 7:00 AM to 5:00 PM 7 days,,aA week y` '"` ".� ' `' ':;� 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =,:PRESIDENTS'. R_e. ,d> - J TENDERED.
DAY
-CHANGE
.CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET--' GRID- WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01911511 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 79080 LB Outbound Ticket
SCALE 1 TARE WT 36760 _ LB
NET WEIGHT 42320 LB
QTY. UNIT DESCRIPTION RATE „' " EXTENSION FEE TOTAL
21.16 OUTGO.MSW .0.000 0.00 0.00 0.02
Ctit 1
J.��/ � ��}� "'.D y✓T by. 'G''f".�, „y�'�
Operating hours 7:00 AM to 5:00 PM 7 days, aoweek .__y `
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 1951 PRESIDENTS-'—
DAY ( TENDERED
c '1. •CHANGE
CHECK NO.
SIGNATURE
NO. 2504
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SC-&-rHOLD TOWN DEPT SOLID WASTE 00 01911899 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL'OFF
Cutchogue, NY 11935
09/28/2 08/28/2 07:2 07:3 11103TC
9316 Town of Babylon
REFERENCE
�.
SCALE 3 GROSS WT 75800 LB Outbound Ticket
SCALE 1 TARE WT 36380 LB
NET WEIGHT 39420 LB
CITY.. UNIT DESCRIPTION RATE _ EXTENSION FEE TOTAL
19.71 OUTGO.MSW i .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 PRESIDENTSFa "���' TENDERED"I
DAY .
- CHANGE
CHECK NO"
SIGNATURE
DUPLICATE TICKET _SITE TICKET GRID WEIGHMASTER_ -
SOUTHOLD TOWN DEPT SOLID WASTE 00 01911899 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 3 GROSS WT 75800 LB Outbound Ticket
SCALE 1 TARE WT 36380 LB
NET WEIGHT 39420 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL
19.71 OUTGO.MSW' 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, a meek• :�` s✓ '
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 Ll,PRESIDENTS,__ '- �F
DAY °j �, -; `TENDERED
4 �i iP
CHANGE
' CHECK NO.
SIGNATURE
4 -
NO. 2507
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR R MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED 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.
r`
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
�r '-'-Xf1THOLD TOWN DEPT SOLID WASTE 001 01911986 Liz H
PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL'OFF
08/28/24 08/28/24 11:32 11:56 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 75320 LB Outbound Ticket
SCALE 1 TARE WT 35480 LB
ET WEIGHT 39840 LB
QTY UNIT - DESCRIPTION RATE EXTENSION - FEE TOTAL
19.92 OUTGO.MSW 0.000 0.00 0.00 0.0e
so
)Z: t7,,
Operating hours 7:00 AM to 5:00 PM 7 days-a week.` { � 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' . �Ys TENDERED
DAY
CHANGE
CHECK NO.
:)
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEI,GHMASTER':
SOUTHOLD TOWN DEPT SOLID WASTE 001 01911986 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N , DATE OUT TIME'IN TIME OUT VEHICLE' ROLL OFF
9316 Town of Babylon
REFERENCE
CA:LE ]GROSIS WT 75320 LB Outbound 'Ticket
SCALE E WT •35480 LB
NET WE 39840 LB
7
QTY. - UNIT --- DESCRIPTION RATE EXTENSION FEE TOTAL -
19.92 OUTGO.MSW 0.000 0.00 0.00 0.0e
6i _
Operating hours 7:00 AM to 5:00 PM 7 days a¢ee `-' ' , � •
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS �
DAY � � TENDERED' '
CHANGE
CHECK O.:
SIGNATURE
NO. 2509
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
D':F,,�ICATE TICKET
sOUfHOLD TOWN DEPT SOLID WASTE 001 01911987 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 --DATE IN DATE OUT TIME.IN'TIME OUT VEHICLE ROLL OFF
08/28/24 08/28/24 11:33 11:57
9316 Town of Babylon
• 102016R REFERENCE •
SCALE 2 GROSS WT 72100 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
ET WEIGHT 35240 LB
QW.. UNIT DESCRIPTION RATE EXTENSION-' FEE " TOTAL
17.62 OUTGO.MSW 0.000 0.00 0.00 0.0e ,
Operating hours 7:00 AM to 5:00 PM 7 dayka week.
0.0e' Al 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ->�PRESIDENTS' 3 a` TENDERED
DAY
s4 x 1
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID 1NEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01911987 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
102 ORIGIN
CALE 2 GROSS WT 72100 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
NET WEIGHT 35240 LB
QTY. UNIT ':, DESCRIPTION ? RATE EXTENSION (.. FEE TOTAL_'-'r
17.62 OUTGO.MSW 0.000 0.00 0.00 0.0e
�r
Operating hours 7.:00 AM to 5:00 PM 7 days a�Week:�--�re�
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19PRESIDENTS-
DAY A �� TENDERED "
CHANGE
CHECK NO.
NO. 2508
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
' TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE),,
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE•NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER_:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOU THOLD TOWN DEPT SOLID WASTE 00 01911678 Will
PO Box 962/6155 Cox Lane DATE IN -,DATE OUT TIME IN TIME OUT VEHICLE ROLL�OFF,
Cutchogue, NY•11935
08/27/24 08REFERENCE
/27/2 07:1 07*27�111113�TC
9316 Town of Babylon
SCALE 2 GROSS WT 77060 LB Outbound Ticket
SCALE 1 TARE WT 36080 LB
NET WEIGHT 40980 LB
QTY.' 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.49 OUTGO.MSW 0.000 0.00 0.00 0.02
.7� .t pjjjY7
Operating hours 7:00 AM to 5:00 PM 7 daysl,a week."�; �' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ,PRESIDENTS' TENDERED
DAY �q ` � �'i 16�
r CHANGE
CHECK NO.
9
SIGNATURE
DUPLICATE TICKET SITE TICKET = GRID WEIGHMASTER '
SOUTHOLD TOWN DEPT SOLID WASTE 00 • 01911678 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
•.
GALE 2 GROSS WT 77060 LB Outbound Ticket
SCALE 1 TARE WT 36080 LB
NET WEIGHT 40980 LB
QTY.:_ UNIT DESCRIPTION RAT_E EXTENSION FEE TOTAL
20.49 OUTGO.MSW 0.000 0.00 0.00 0.0Q
4 v�� r ? ,
r
E
Operating hours 7:00 AM to 5:00 PM 7' dakrs a„week.,,,
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19� 1,PRESIDENTS�.._
DAY '16
m $
"� -•TENDERED
�
CHANGE
CHECK NO:
-.�-1
SIGNATURE
r
NO. 2505
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOU THOLD TOWN DEPT SOLID WASTE 00 01911744 Will
PO'Box 9(i2/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE` ROLL OFF
Cutchogue, NY 11935
08/27/2 08/27/2 11:1 11:4 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 73040 LB Outbound. Ticket
SCALE 1 TARE WT 36680 LB
NET WEIGHT 36360 LB
QTY. UNIT DESCRIPTION, RATE EXTENSION, FEE - dTOTAL
18.18 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 daysa`we 5 ek..`` 0.0e
A
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `-ePRESII,DENTS' ;4� TENDERED
DAY
r
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE_ TICKET GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 00 01911744 Will
PO Box 962/6155 Cox Lane
Cutthogue, NY 11935 DATEl N • DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 73040 LB Outbound Ticket
SCALE 1 TARE WT 36680 LB
NET WEIGHT 36360 LB
QTY UNIT DESCRIPTION " RATE EXTENSION FEE "TOTAL
18.18 OUTGO.MSW 0.000 `0.00 0.00 0.0e
A r,a�~t�j
Operating hours 7:00 AM to 5:00 PM 7 days a=week.�,�—'.�.,.,•�j;.f'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -11,PRESIDENTS'---_-' '
DAY W D # TENDERED
}U, 1°
a CHANGE
'CHECK NO.
SIGNATURE
NO. 2506
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID ,AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED-
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DQP-LICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01912105 Liz H
PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF'
08/29/2 08/29/2 07:3 07:4 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 77340 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 40840 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE-_ TOTAL
20.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.` _ w� g 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 `- PRESIDENTS C
� � C'�����" TENDERED.
,.��
DAY $ dui
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID . 1N_EIG_ HMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01912105 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 77340 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 40840 LB
Q_TY. UNIT DESCRIPTION, RATE- EXTENSION -'FEE' TOTAL
L
20.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 dayas aGweek,L
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS'_ -
DAY TENDERED
TENDERED
�`aa CHANGE
- CHECK NO. j
SIGNATURE
NO: 2512
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE', AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK,TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SObTHQLD TOWN UEPT SOLID WASTE 00 01912175 Liz H
PO BOX %2/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/29/2 08/REFERENCE
29/2 11:3 11:4 11103TC
9316 Town of Babylon
SCALE 2 GROSS WT 81940 LB Outbound Ticket
SCALE 1 TARE WT 35880 LB
ET WEIGHT 46060 LB
QTY. UNIT DESCRIPTION RATE EXTENSION' FEE' TOTAL
23.03 OUTGO.MSW 0.000 0.00 0.00 0.0e
- U' �' .
Operating hours 7:00 AM to 5:00 PM 7 days-�a weekv� _ f 0.0e
:.
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 P.RESIDENTS',.. ,F TENDERED
DAY
CHANGE
CHECK NO:::::j
SIGNATURE
DUPLICATE TICKET SITE I TICKET, GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01912175 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 81940 LB Outbound Ticket
SCALE 1 TARE WT 35880. LB
NET WEIGHT 46060 LB
QTY. _ UNIT DESCRIPTION- RATE EXTENSION FEE, TOTAL
23.03 OUTGO.MSW .0.000 0.00 0.00 me
• .y-r
Operating hours 7:00 AM to 5:00 PM 7 days a we`ek�=- •'==- � a
rti T'E q n'p.?'
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENhT�S'- ```
DAY t'{Ul 's 1 TENDERED
ti
C..�Al&- CHANGE
CHECK NO.
SIGNATURE
l._
NO. 2513
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
i
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 I WEIGHMASTER
_ DUPI-.ICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01912158 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
08/29/2 08429/2 11:1 11:3
9316 Town of Babylon
REFERENCE
•-
10201BR
SCALE 2 GROSS WT 79400 LB Outbound Ticket
SCALE 1 TARE WT 37380 LB
NET WEIGHT 42020 LB
QTY° - UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL
21.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
.
l/,' �•. � J C mob•. H� �•-
Operating hours 7:00 AM to 5:00 PM 7 d_ay%aa ek�.°`�� r 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = ;PRESIDENTS' ,a TENDERED
DAY �t p" 4
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01912158 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
•-
SCALE 2 GROSS WT -19400 LB Outbound Ticket
SCALE 1 TARE WT 37380 LB
NET WEIGHT 42020 LB
QTY UNIT D_ESCRIPTION- RATE EXTENSION FEE TOTAL
21.01 OUTGO.MSW 0.000 0.00 0.00 0.0e
k
Operating hours 7:00 AM to 5:00 PM 7 day<s, aoweek.._
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS --
H TENDERED
DAY
CHANGE
CHECK NO.
SIGNATURE
NO. 2510
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS_
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL,LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SCUTNOL0.TOWN DEPT SOLID WASTE 00 01912307 Liz H
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT - VEHICLE ROLL OFF
Cutchogue, NY 11935
08/30/24 08/30/24 07:22 �07-:36 11103TC
REFERENCE
9316 Town of Babylon
SC:ALE GROSS WT 75660 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 39080 LB
OTY.' UNIT DESCRIPTION RATE` EXTENSION FEE TOTAL
19.54 OUTGO.MSW 0.000 0.00 0.00 0.0e
/'rr , �
Operating hours 7:00 AM to 5:00 PM 7 days,a week °• `� 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS' TENDERED
DAY ' 9
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01912307 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
•-
GALE 2 GROSS WT 75660 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 39080 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE '' TOTAL
19.54 OUTGO.MSW 0.000 0.00 0.00 0.0e
�'�MWLS�Gv;
Operating hours 7:00 AM to 5:00 PM 7 days a�week
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-
DAY TENDERED
N1 5
CHANGE
HECK NO.
SIGNATURE
NO. 2524
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET, GRID WEIGHMASTER
DUPLICATE TICKET
SOU_THOLD TOWN DEPT SOLID WASTE 001 01912554 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
08/31/24 08/31/24 07:13 07:26 11103TC
9316 Town of Babylon
REFERENCE
•.
SCALE 2 GROSS WT 78480 LB Outbound Ticket
SCALE 1 TARE WT 36040 LB
NET WEIGHT 42440 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE - - TOTAL
21.22 OUTGO.MSW 0.000 0.90 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a wee 0.02
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 'i RESSTDENTS' W"
DAY �v TENDERED
Vumr+ CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I `TICKET... GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01912554 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
•-
CALE 2 GROSS WT 78480 LB Outbound Ticket
SCALE 1 TARE WT 360140 LB
NET WEIGHT 42440 LB
;.;QTY. UNIT DESCRIPTION
" RATE '_ EXTENSION_r " FEE," „ TOTAL_ "
21.22 OUTGO.MSW 0.000 0.00 0.00 0.0e
® Soul
�, xx
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS', .!'J
DAY �4 Oe,��3H ; •� 'TENDERED
3� CHANGE
` �QHECfKNO.
SIGNATURE
NO. 2525
GENERATOR
THIS MANIFEST IS IPjOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,_ AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.