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Home My WebLink About09/2024 SITE TICKET- GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01913123 Will PO`SOX 962/6155 COX Lane C�tchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/03/2 09/03/2 07:1 07:2 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70120 LB Outbound Ticket SCALE 1 TARE WT 36420 LB NET WEIGHT 33700 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.85 OUTGO.MSW •0.000 0.00 0.00 0.0e Ilk Operating hours 7:00 AM to 5:00 PM 7 days a week �;� 0.0e DAOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - RESIDENTS' TENDERED � 5 u CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913123 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 •- CAL: 2 GROSS WT 70120 LB Outbound Ticket SCALE 1 TARE WT 36420 LB NET WEIGHT 33700 LB QTY.=' " UNIT DESCRIPTION' " FRATE, EXTENSION FEE TOTAL 16.85 OUTGO.MSW 0 0.00 0.00 0.0e MINIM SOUP Operating hours 7:00 AM to 5:00 PM 7 days aoweek: � CLOSED HOLIDAYS - NEXT: . MONDAY, FEB. 19 PRE SrIDENTS'm DAY N� , TENDERED CHANGE CHECK NO. f3 MATI IRF f, 'Y NO. 2526 i 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. rSITP-1 TICKET I GRID I WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 0191323.2 Will PO Box 96„a_/6155 Cox Lane CUtCh0gUe, INY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE _ --ROLL OFF 09/03/24 09/03/24 11:11 11:28 11103TC 9316 Town of Babylon REFERENCE •- (ET E 2 GROSS WT 80760 LB Outbound Ticket E 1 TARE WT 35840 LB WEIGHT 44920 LB QTY.-_. UNIT . DESCRIPTION RATE EXTENSION FEE TOTAL 22.46 OUTGO.MSW 0.000 0.00 0.00 0.0e y� 1 t° t a d`ee '` fir-•.-� Toe Oe Operating hours 7:00 AM to 5:00 PM 7 days�a week.`�: - �` CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - RRESIDEN =S' � TENDERED DAY r1 + "t CHANGE CHECK NO. SIGNATURE .DUPLICATE TICKET SITE TICKET ° GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01913232 1 Will PO Box 962/6155'Cox Lane Cutchogue, NY 11935 DATE IN „ DATE OUT TIME.IN,, TIME OUT VEHICLE ROLL OFF L.L..L.Ll L.L;40 L.L.LV�i 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 80760 LB Outbound Ticket SCALE 1 TARE WT 35840 LB NET WEIGHT 44920 LB QTY.',' UNIT :` DESCRIPTION RATE EXTENSION,_ FEE TOTAL 22.46 OUTGO.MSW 0.000 0.00 0.00 me 7 ` Operating hours 7:00 AM to 5:00 PM 7 days a�Week.",�.��*r•.,._... .--' —�, CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ,,PRE I E,NTS� - DAY ' e0u. ° TENDERED CHANGE 1 CHECK NO. SIGNATURE NO. 2527 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(P-RINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION.TICKET NO. SITE I TICKET • I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913562 Dan PO 66X" 96.46155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/04/2 09/04/2 13:1 13:3 19640TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 78420 LB Outbound Ticket SCALE 1 TARE WT 36260 LB NET WEIGHT 42160 LB QTY., . UNIT < DESCRIPTION RATE EXTENSION FEE TOTAL 21.08 OUTGO.MSW 0.000 0.00 0.00 0.0e vo ." Operating hours 7:00 AM to 5:00 PM 7 days;a meek`�; � � 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19gP,RESIDENTS.;, 14Y TENDERED DAY CHANGE CHECK NO. 1 SIGNATURE SITE I TICKET GRID WEIGHMASTER.- , SOUTHOLD TOWN DEPT SOLID WASTE 00 01911162 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE - ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT" 78420 LB Outbound Ticket SCALE 1 TARE WT 36260 LB NET WEIGHT 42160 LB QTY. UNIT.-_; DESCRIPTION = RATE EXTENSION; FEE TOTAL 21.08 OUTGO.MSW 0.000 0.00 0.00 0.0e m A C; 4.,re) �. a Operating hours 7:00 AM to 5:00 PM 7 days�a-w ek`,,-=— - • CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 C= PRESIDENTS'—-- r ��}� *6n t. N DAY u r IR TENDERED CHANGE 11E11 NO. SIGNATURF TRINITY TRANSPORTATION CORPORATION 214'Blydenburgh Road No. 3858 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 01913501 Dan PO,Bdx 962/6155 COX Lane - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/04/2 09/04/2 11:0 11:2 11103TC 9316 Town of.Babylon REFERENCE SCALE 2 GROSS WT 71540 LB Outbound Ticket SCALE 1 TARE WT 35980 LB NET WEIGHT 35560 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.78 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 daysaee w rg� 0.0e CLOSED HOLIDAYS •- NEXT: MONDAY, FEB. 19 - PRESIDENTS' TENDERED DAY ;is CHANGE ' CHECK NO. . SIGNATURE DUPLICATE TICKET SITE I TICKET . GRID 1, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913501 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN- TIME OUT VEHICLE ROLL OFF 'rL;Vj L.L;/_/_j 11110-1 1 L 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 71540 LB Outbound Ticket SCALE 1 TARE WT 35980 LB . 7 NET WEIGHT 35560 LB QTY _` UNIT DESCRIPTION RATE EXTENSION FEE ".TOTAL 17.78 OUTGO.MSW 0.000 0.00 0.00 0.0e '6' er�: Iv ca: r Operating hours 7:00 AM to 5:00 PM 7 days a week."w. DAY TENDERED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-!----- TENDERED CHANG CHECK NO. AWMATI IRr hl J A NO. 2529 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: J "%'' ;,1 °` `�' GROSS -� TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET.NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOU_THOLD TOWN DEPT SOLID WASTE 00 01913424 Dan PO 8o'x 962/6155 Cox Lane Cutchogue, NY 11935 EDATE DATEOUT TIMEIN TIME OUT VEHICLE ROLL OFF 09/04/2 07:2 07:3 11103TC REFERENCE 9316 Town of Babylon ORIGIN SCALE 2 GROSS WT 71140 LB Outbound Ticket SC:ALE TARE WT 36120 LB NET WEIGHT 35020 LB OTY UNIT DESCRIPTION 'RATE - EXTENSION`' "-FEE TOTAL, 17.51 OUTGO.MSW 0.000 0.00 0.00 0.0e of oftn �i is : �✓ ff AMON Operating hours 7:00 AM to 5:00 PM 7 day`-a week.`. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS' � TENDERED DAY V H 1 -CHANGE, CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913424 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 71140 LB Outbound Ticket SCALE 1 TARE WT 36120 LB NET WEIGHT 35020 LB i QTY UNIT '.DESCRIPTION ;' RATE EXTENSION:"} ' FEE ',_ "TOTAL 17.51 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days 'week: ,. • CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS DAY TENDERED CHANGE CHECK NO:::g SIGNATURE NO. 2528 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 'SCt;'.THOLD TOWN DEPT SOLID WASTE 001 01913665 Liz H PO-Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT . .VEHICLE I ROLL OFF . Cutchogue, NY 11935 09/05/24 09/05/24 07:19 07:31 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 72180 LB Outbound Ticket SCALE 1 TARE WT 36940 LB ET WEIGHT 35240 LB ITY.. 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 days as"week_ �. " '� 0.0e DAYBED HOLIDAYS - NEXT: MONDAY, FEB. 19 - P,,RESIDNfTS' TENDERED - 1 l ✓ CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET-„ GRID`- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01913665 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 ORIGINREFERENCE CALE 2�GROSS WT 72180 LB Outbound Ticket SCALE 1 TARE WT 36940 LB NET 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 days CLOSED HOLIDAYS - NEXT: MONDAYI, FEB. 19 PRESIDENTS' DAY � � n "-TENDERED itS S ",:CHANGE `CHECK NO. ° mr_nin-ri Boa NO. 2530 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 } SOUTHOLD TOWN DEPT SOLID WASTE 00 01913749 Liz H. PO Box 962/6155 Cox Lane DATE IN ' I DATE OUT: TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/05/24 09/05/24 11:3 12:15 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 74540 LB Outbound Ticket SCALE 1 TARE WT 36020 LB ET WEIGHT 38520 LB QTY. .;. UNIT DESCRIPTION' RATE EXTENSION•= FEE TOTAL 19.26 OUTGO.MSW 0.000 0.00 0.00 0.0e ; �f Sol/; �..� Operating hours 7:00 AM -to 5:00 PM 7 day s�a w_e�ek,` f., 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENT TENDERED DAY HIM CHANGE • I CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01911749 1 Liz H 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 REFERENCE •- SCALE 2 GROSS WT 74540 LB Outbound Ticket SCALE 1 TARE WT 36020 LB NET WEIGHT 38520 LB 7 QTY. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 19.26 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a ee `4•-=-^~ � • CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRESIDENTS-- , DAY v VN TENDERED 4 CHANGE CHECK NO. ' SIC:NGTIIRF NO.. 2531 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUP ATE TICKET SITE TICKET GRID WEIGHMASTER L%C - `SOUTHOLD TOWN DEPT SOLID WASTE 001 01913998 Liz H PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE . _ ROLL OFF Cutchogue, NY 11935 09/06/24 09/06/24 13:02 13:15 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 83640 LB Outbound Ticket SCALE 1 TARE WT 36460 LB ' ET WEIGHT 47180 LB "QTY- '' UNIT DESCRIPTION .. RATE. EXTENSION FEE 23.59 OUTGO.MSW '0.000 0.00 0.00 0.0e �0� S . � . ',;v=•�.�,.-may'°ti>,.:,, Operating hours 7:00 AM to 5:00 PM 7 days a week ___ 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - BRESIDENTS' TENDERED = DAY6i S CHANGE - CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01913998 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN (NET ALE 2 GROSS WT 83640 LB Outbound Ticket ALE 1 TARE WT 36460 LB WEIGHT 47180 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.59 OUTGO.MSW 0.000 0.00 0.00 0.0e om Operating hours 7:00 AM to 5:00 PM 7 CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 ��PRESI'tDENTS'-------,�'`''� DAY �y � TENDERED ° CHANGE CHECK NO. RMNATI IRF �• tRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 3857 Islandia, NY 11749 N®. (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YOS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 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: d 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. G'�?LICATE TICKET SITE I TICKET GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913944 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/06/2 09/06/2 11:0 11:1 11103TC 9316 Town of Babylon REFERENCE •. SCALE 2 GROSS WT 77940 LB Outbound Ticket SCALE 1 TARE WT 35440 LB NET WEIGHT 42500 LB QTY. UNIT- DESCRIPTION RATE-'- EXTENSION.'" FEE "' TOTAL. 21.25 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days,ar;wee kA 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTSy ti TENDERED DAY b uUMT CHANGE - I CHECK,NO. ' SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01913944 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 77940 LB Outbound Ticket SCALE 1 TARE WT 35440 LB, NET WEIGHT 42500 LB QTY, UNIT DESCRIPTION RATE EXTENSION FEE "_ TOTAL, 21.25 OUTGO.MSW 0.000 .0.00 0.00 0.0e "XIND , Operating hours 7:00 AM to 5:00 PM 7 'days adweek - CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19`��,PRESIDENTS-' - �w . 1� TENDERED DAYtPa �a5 Jr CHANGE CHECK NO. - SIGNATURE NO. 2533 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 -s 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 TQAPPLICABLE 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 01913871 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT 'TIME IN TIME OUT VEHICLE ROLL OFF 09/06/2 09/06/2 07:2 07:3 11103TC 9316 Town of Babylon . i i I REFERENCE ORIGIN SCALE 2 GROSS WT 82640 LB Outbound Ticket SCALE 1 TARE WT 36920 LB NET WEIGHT 45720 LB QTY UNIT' DESCRIPTION RATE EXTENSION;,: FEE' =,;,^ TOTAL 22.86 OUTGO.MSW 0.000 0.00 0.00 0.0e b`. `t t,•-•-�.1 �' ice. Operating hours 7:00 AM to 5:00 PM 7 days,,,,,a✓we'ek. 'r`' • 0.02 ,A x CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 = PRESIDENq�TS' TENDERED , DAY �}' W 1, q t ' CHANGE CHECK'NO. .' SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 00 01913871 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' -_ ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 82640 LB Outbound Ticket SCALE 1 TARE WT 36920 LB NET WEIGHT 45720 LB OTY UNIT. DESCRIPTION RATE :- EXTENSION FEE TOTAL _=`-- 22.86 OUTGO.MSW 0.000 0.00 0.00 0.0e O � f�` r !L r ; Operating hours 7:00 AM to 5:00 PM 7 days a,- u�^ _rr may° ' OM CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ,=PRESIDENTS' a ' DAY � �' �J 3 Y r � TENDERED Irv+ . , �. + u CHANGE - CHECK NO. SIGNATURE NO. 2532 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 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 SOU,TWLD TOWN DEPT SOLID WASTE 001 01914115 Dan P,0-Bost 962/6155 Cox Lane "Cutchogue, NY 11935 DATEIN `DATE OUT TIMEiN, TIME-OUT '-VEHICLE ,; AOLLOFF 09/07/24 09/07/24 07:10 07:20 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 75760 LB Outbound Ticket SCALE 1 TARE WT 36260 LB ET WEIGHT 39500 LB QTY 'UNIT: " DESCRIPTION'-.: ~.. RATE _ ;,_EXTENSION ... FEE-.:r ,,TOTAL',' 19.75 OUTGO.MSW 0.000 0.00 0.00 0.0e °2�� 3 r Operating hours 7:00 AM to 5:00 PM 7 days` a week. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -,7PRESIbENTS'. ,,.. ,; ``'< I" 4e,i ,.;w�„ erg t,t .TENDERED DAY CHANGE CHECK NO. " SIGNATURE SITE _TICKET GRID 1NEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 001 01914115 I Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT` TIMER TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 75760 LB Outbound Ticket SCALE 1 TARE WT 36260 LB NET WEIGHT 39500 LB ='QTY, UNIT_. =:: -0ESCRIPTION :_° _' -:RATE _- EXTENSION , FEE 7dTAL;""' 19.75 OUTGO.MSW 0.000 0.00 0.00 0.0e ' I 0 Operating hours 7:00 AM to 5:00 PM 7 days Ea week`: w..• V -," w p ; CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19'- PRESIDENTS ap7 DAY ->, ¢ 3 s b CHANGE. ��..CHECK=NO:'°: CIlAN DTIIRF NO 2534 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 mODlb RLUATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01914621 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 OATEIN, DATE OUT.,' TIME,N TIME-OUT VEHICLE 'w ROLL OFF ` 09/09/2 09109/2 07:2 07:4 11103TC 9316 Town of Babylon Li REFERENCE ORIGIN SCALE 2 GROSS WT 81080 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 44980 LB OTY UNIT: ;g, DESCRIPTION ,-- :: 'RATE'_ EXTENSION= 'FEE,,' Y, TOTAL, ' 22.49 OUTGO.MSW 0.000 0.00 0.00 0.0e C Operating hours 7:00 AM to 5:00 PM 7 days a week'> . j ?,4 ° ; 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 -,-1PRESID TS', „_,,„ `., kN f —TENDERED:• DAY ` r CHANGE CHECK.NO: SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHNIASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01914621 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,,DATEIN' DATE OUT -TIME'IN,TIMEOUT "VEHICLE;..; ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 81080 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 44980 LB r; =-OTY UNIT 'DESCRIPTION', RATE :.EXTENSION`;; FEE- ,' - TOTAL='_ ~ 22.49 OUTGO.MSW 0.000 0.00 0.00 o.oe �e L- h.. ' ., Operating hours 7:00 AM to 5:00 PM 7 daysba,,-w�eek:`�--r°^.�°,,,� �,,.! CLOSED HOLIDAYS - NEXT: MONDAY FEB. 19 PRESIDENTS'-:- r- a DAY %i� r �•,� ,TENDERED''. ` CHANGE' CHECK NO.. R Ir NATI IRF ' NO. 2535 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, WE'IGHMASTER DUP, ATE TICKET ' SOUT LD TOWN DEPT SOLID WASTE 00 01914710 Liz H 'PO Box 962/6155 Cox Lane ' CUtchogue;' NY 11935 DATE OUT __TIME IN' TIMEbUF - :'VEHICLE ROLL DATE IN, 09/09/2 09/09/2 11:2 11:5 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 78820 LB Outbound Ticket SCALE 1 TARE WT 35880 LB NET WEIGHT 42940 LB QTY UNIT=-' DESCRIPTION '_° RATE "EXTENSION;.'; FEE'. - TOTAj 21.47 OUTGO.MSW 0.000 0.00 0.00 0.0e Aj Tt_ E t i err Operating hours 7:00 AM to 5:00 PM 7 daysfl.a ,Week: �. • 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 =,`.PRESIDENTS.' .> t:� `.:' T9 TENDERED DAY CHANGE„ CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET'': GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01914710 Liz H PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATE IN. DATE OUT TIMEIN° TIME OUT VEHICLE:•` ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 78820 LB Outbound Ticket SCALE 1 TARE WT 35880 LB NET WEIGHT 42940 LB =4TY UNIT DESGRIP.TION ;RATE- "'- EXTENSION-- FEE ._TOTALI 21.47 OUTGO.MSW 0.000 0.00 0.00 0.0e .,,.�• �+F t+,+. ewe' 4 } t i Operating hours 7:00 AM to 5:00 PM 7 dao5 a"week:=;: CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 � P�RESIDENTS'=� �s= } TENDERED DAY ' L` ba s tm> s r✓ ^'s' CH NGE,,. CHECK NO. SIGNATURE NO. 2536 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 I TICKET I GRID I WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01914931 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT': TIME IN TIME OUT , VEHICLE. ROLL OFF Cutchogue, NY 11935 09/10/2 09/10/2 11:0 11:2 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 82540 LB Outbound Ticket SCALE 1 TARE WT 35560 LB NET WEIGHT 46980 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.49 OUTGO.MSW 0.000 0.00 0.00 0.02 rw� Operating hours 7:00 AM to 5:00 PM 7 daysSa 62ek,�' A Ste° ' 0.02 CLOSED HOLIDAYS - NEXT: MONDAY FEB'. 19 PRESIDENTS DAY ` TENDERED j CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01914911 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 82540 LB Outbound Ticket SCALE 1 TARE WT 35560 LB NET WEIGHT 46980 LB QTY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL 23.49 OUTGO.MSW 0.000 0.00 0.00 0.02 y � Av Z. r '• °`�s" : ems .��'•`j �a/ • Operating hours 7:00 AM to 5:00 PM 7 days al"week:�,� -__ .r a m t CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19"-' PRESIDENTS' — DAY r/ i?/JA+p(t3� Y ! TENDERED lf?�Ij CHANGE CHECK 11. j SIGNATURE NO. 2538 s. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS'BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW: DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_ PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01914859 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/10/2 09/10/2 07:1 07:3 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69040 LB Outbound Ticket SCALE 1 TARE WT 36300 LB NET WEIGHT 32740 LB QTY UNIT DESCRIPTION' RAPE EXTENSION` ` FEE, ._'. TOTAL 16.37 OUTGO.MSW 0.000 0.00 0.00 0.0e � 7 Operating hours 7:00 AM to 5:00 PM 7 days'-,.a 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 �=:::PRESIDENTS TENDERED_ --- DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET (SITE-1 TICKET_ IGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01914819 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 69040 LB Outbound Ticket , SCALE 1 TARE WT 36300 LB NET WEIGHT 32740 LB QTY. UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL 16.37 OUTGO.MSW 0.000 0.,00 0.00 0.0e cy i + - 6� Qt . Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19`-<�PRESIDENTS--'-- y rt> DAY vl4ff� ' �" ' i,af TENDERED `- U CHANGE CHECK NO. SIGNATURE 2537 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 s 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 rSITEJ TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915153 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , VEHICLE I ROLL OFF " 09/11/2 09/11/2 11:0 11:2 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70700 LB Outbound Ticket SCALE 1 TARE WT 35780 LB NET WEIGHT 34920 LB QTY. UNIT DESCRIPTION RATE "•- EXTENSION FEE ,:`;" TOTAL 17.46 OUTGO.MSW 0.000 0.00 0.00 0.0e L • Operating hours 7:00 AM to 5:00 PM 7 days',a week.`-,,, r•` 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 *PRESIDENTS' � � � DAY '•-�, �� (�� i& "` TENDERED �" CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915153 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT- TIME IN TIME OUT VEHICLE ;- ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70700 LB Outbound Ticket SCALE 1 TARE WT 35780 LB NET WEIGHT 34920. LB CITY. UNIT DESCRIPTION RATE , __ EXTENSION FEE TOTAL_ 17.46 OUTGO.MSW 0.000 0.00 0.00 0.0e tc r I A Operating hours 7:00 AM to 5:00 PM 7 days E a,.week , _;' �3 �;� • CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS_'_--- y?fi�� 1•T DAY u �j' 3. 3i� ✓' TENDERED CHANGE CHECK NO. SIGNATURE NO. 2540 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT-IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK,TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915079 Steph PO Box 962/6155 Cox Lane CutChO�Uy, NY 11935 DATE IN DATE OUT TIME IN TIME OUT , VEHICLE _ ROLL OFF 09/11/2 09/11/2 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 76520 LB Outbound Ticket SCALE 1 TARE WT 36920 LB NET WEIGHT 39600 LB ITY.°°'. UNIT DESCRIPTION RATE EXTENSION -.FEE TOTAL 19.80 OUTGO.MSW 0.000 0.00 0.00 0.0e `A = , q Operating hours 7:00 AM to 5:OE PM 7 da s�a`w k�7 `_ ' • Foe CLOSED HOLIDAYS NEXT: MONDAY, FEB. 19 `-;`PRESID,ENTS�' , �a TENDERED DAY xI" CHANGE CHECK NO.. SIGNATURE DUPLICATE TICKET rSITE1. TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915079 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 '76520 LB Outbound Ticket SCALE 1 TARE WT 36920 LB NET WEIGHT 39600 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.80 OUTGO.MSW 0.000 0.00 0.00 0.0e IYI� y v � '•+y� "'� �" {�• tom{ • ' l '; D Af Operating hours 7:00 AM to 5:00 PM 7 days a,week.�_ CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 7 PRESIDENTS.'..,_---- Asa DAY ��px r(t P ��, i• TENDERED CHANGE CHECK NO. RIr�N AT[IRF NO. 2539 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES .NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 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 DE'PT SOLID WASTE 00.101915321 Steph PO Box 962/,E155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT > TIME IN TIME OUT I, VEHICLE ROLL OFF,- 09/12/2 09/12/2 10:4 11:1 11103TC 9316` Town of Babylon REFERENCE SCALE 2 GROSS WT 73560 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 37460 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL , 18.73 OUTGO.MSW .0.000 0.00 0.00 0.02 a CA Q� � W _ , Operating hours 7:00 AM to 5:00 PM 7.days�a tnfee "" 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 - PRE=SIDNT�S' � 5 � TENDERED_ DAY CHANGE _ CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 0191-5321 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,`` DATE-OUTa TIMEIN l'(MEOUT VEHICLE'. ROLLOFF_ 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 73560 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 37466 LB CITY.- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.73 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 daysa�weeky CLOSED HOLIDAYS - NEXT: . MONDAY, FEB. 19 PRE�SIDENI°5" TENDERED DAY O NV} CHANGE . CHECK NO CI(-IN ATI IRF NO. 2541 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 1. .d SITE TICKET I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01915535 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE`OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/13/2 09/13/2 11:2 11:5 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 74640 LB Outbound Ticket SCALE 1 TARE WT 35940 LB NET WEIGHT 38700 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL- 19.35 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a 4eek:aZ �q, 0.0e CLOSED HOLIDAYS - w #- NEXT: MONDAY, FEB. 19 - PRESIDENTS' } s„ TENDERED DAY rx ' CHANGE - I CHECK NO. SIGNATURE DUPLICATE TICKET SITE 1, TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915535 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN ITIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •. SCALE 2 GROSS WT 74640 LB Outbound Ticket SCALE 1 TARE WT 35940 LB NET WEIGHT 38700 LB QTY. UNIT DESCRIPTION RATE EXTENSION' - FEE TOTAL 19.35 OUTGO.MSW 0'.000 0.00 0.00 0.0e 13 Operating hours 7:00 AM to 5:60 PM 7 days CDAOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS TENDERED CHANGE CHECK NO, AMNATIIRF NO. 2543 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 I GRID WEIGHMAST.ER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01915459 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/13/2 09/13/2 07:1 07:3 11103TC 9316 Town of Babylon M" REFERENCE SCALE 2 GROSS WT 80200 LB Outbound Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 44060 LB CITY UNIT DESCRIPTION RATE -- EXTENSION FEE ' TOTAL 22.03 OUTGO.MSW r 0.000 0.00 0.00 0.0e I � ;, Operating hours 7:00 AM to 5:00 PM 7 daysA•.a .week. ~ ' 'z~ _ F 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19t= PRESIDENTS', z 1=4 �!✓1 TENDERED DAY Vic' tGL Y a L ,�;A• CHANGE CHECK NO. �) SIGNATURE DUPLICATE TICKET SITE- TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915459 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 80200 LB Outbound Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 44060 LB QT1K UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL 22.03 OUTGO.MSW 0.000 0.00 0.00 0.0e d ' A7 Operating hours 7:00 AM to 5:00 PM 7 days, a;4week•;.._..,••�,,,: =_, CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 ;PRESIDENTS_,_u_. P:�� DAY TENDERED Z CHANGE CHECK NO.::j SIGNATURE NO. 2542 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 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 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 I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01915703 Steph PO BOX 962/6155 COX Lane DATE IN - DATE OUT TIME IN TIME OUT _ VEHICLE _ ROLL OFF Cutchogue, NY 11935 09/14/2 09/1412 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE •� SCALE 2 GROSS WT 76960 LB Outbound Ticket SCALEI1 TARE WT 37160 LB E.T W�16HT 39800 LB QTY. UNIT DESCRIPTION RATE ;` EXTENSION. FEE TOTAL - 19.90 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days,, .we aa ek. `.: , ' M_ 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19 PRESIDENTS.; ; ' TENDERED DAY CHANGE, „ CHECK NO. SIGNATURE SITE '-TICKET GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 00 01911703 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 76960 LB Outbound Ticket SCALE 1 TARE WT 37160 LB NET WEIGHT 39800 LB QTY UNIT DESCRIPTION RATE - :. EXTENSION``':, FEE ;'?TOTAL`=; 19.90 OUTGO.MSW 0.000 0.00 0.00 0.0e Nr i j Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19� PRESIDENTS' -' � DAY d Y„ J TENDERED` "4 CHA GE - CHECK NO. SIGNATURE NO. 2545 GENERATOR THIS MANII4�ST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEI14d!SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART'260.10 OR ANY APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED " IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET I GRID I WEIGHMASTER ' S66TMOLD TOWN DEPT SOLID WASTE 00 01916240 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF 09/16/2 09/16/2 11:2 11:3 11103TC 9316 Town of Babylon SCALE 2 GROSS WT 71860 LB Outbound Ticket SCALE 1 TARE WT 35720 LB NET WEIGHT 36140 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.07 OUTGO.MSW 0.000 0.00 0.00 0.0e i , Aj IQff IL Operating hours 7:00 AM to 5:00 PM 7 days,a �ee�k. • � ✓'� 0.0e DAY SED HOLIDAYS - NEXT: MONDAY, OCT, 14 CO'LUM 53 y4V TENDERED { & 5 CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I: TICKET GRID WEIGHMASTER' ? SOUTHOLD TOWN DEPT SOLID WASTE 00 01916240 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 71860 LB Outbound Ticket SCALE 1 TARE WT 35720 LB NET WEIGHT '36140 LB QTY. UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 18.07 OUTGO.MSW 0.000 0.00 0.00 me 4 r,•. nTi Operating hours 7:00 AM .to 5:00 PM 7 days. a�eek��'"��=: �`� • CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14` L%U COMBUS DAY �' .,�„i 14 TENDERED UNII CHANGE CHECK NO. SIGNATURE NO. 2546 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY..GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DL),'xLICATE TICKET SITE I . TICKET GRID WEIGH-MASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01916165 Liz H PO Box 962/6.155 Cox Lane Cutchogue, NY 11935 DATE IN ' 'DATE OUT ' TIME IN TIME OUT VEHICLE I ROLL-OFF 09/16/2 09/16/2 07:1 07:3 11103TC •9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 72760 LB Outbound Ticket SCALE 1 TARE WT 36520 LB NET WEIGHT 36240 LB QTY. ;- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.12 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 days;a week.-' ,P'� 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, .FEB. 19 .PRES-I'DENTS TENDERED DAY r, U i,r CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID• WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1z PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D E IN DATE T TI I IM& UT I ROLL OFF 9316 Town of Babylon REFERENCE •- E ROSS WT 72760 - LB Out oun Tic eARE WT 36520 LB T 36240 LB -_ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL .12 OUTGO.MSW 0.000 0.00 0.00 0.0e S a116 �dR t t Cs% j; l ! Operating hours 7:00 AM to 5:00 PM 7 days a,,,week y_.L� K 3 • CLOSED HOLIDAYS - NEXT: MONDAY, FEB. 19`=° P.RESIDEN•T.S:,'' ,�,.�-- ' DAY </Wnxp} yF_ TENDERED — r? CHANGE CHECK NO. __j CI(�NATI IC7F NO. 2544 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 x 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 HEREBYCERTIFY 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 'SOUTHOLD TOWN DEPT SOLID WASTE 00 01916452 Steph PO Box 962/6155 Cox Lane DATE IN '•DATE OUT° TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 119.35 09/17/2 09/17/2 11:2 11:3 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 72780 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 36680 LB QTY UNIT- DESCRIPTION RATE ,' EXTENSION: FEE .TOTAL 18.34 OUTGO.MSW 0.000 0.00 .0.00 0.0e 9 . Operating hours 7:00 AM .to 5:00 PM 7 days+a�week.``m- � 0.,0e a <� CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COL UMyB S TENDERED DAY U kTj CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET 17 GRID `- WEIGH_MASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01916452 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OU7 TIME IN TIME OUT VEHICLE' ROLL OFF,--"• 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 72780 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 36680 LB QTY. _ UNIT DESCRIPTION RATE EXTENSION —FEE TOTAL 18.34 OUTGO.MSW 0.000 0.00 0.00 0.0e N -.. ? J .3 AY Operating hours 7:00 AM to 5:00 PM 7 days�aek .�^�'m,'.�/4 • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUMBUS`_= -_-_r DAY TENDERED 3 CHANGE CHECK NO. SIr,N AT[IRF NO. 2548 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY 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 WEIGHMAST,ER " DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01916376 Steph PO Box 962/6155 Cox Lane y._Cutc'hogue, NY 11935 DATE IN DATE OU.T=,- , 'TIME IN TIME OUT ; VEHICLE ROLL OFF 09/17/2 09/17/2 07:1 07:3 11103TC REFERENCE 9316 Town of Babylon ORIGIN SCALE 2 GROSS WT 77100 LB Outbound Ticket SCALE 1 TARE WT 36000 LB NET WEIGHT 41100 LB SQTY UNIT, DESCRIPTION - RATE -' EXTENSION,-- FEE ', LL'` TOTAL- 20.55 OUTGO.MSW 0.000 0.00 0.00 0.02 ¢ M uf, ' s2 Operating hours 7:00 AM to 5:00 PM 7 days,a` .week: 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `.,`COLUMBUSA„• ;_:', ' y ' TENDERED DAY ` CHANGE • CHECK•NO. SIGNATURE DUPLICATE TICKET SITE ,TICKET ',;.- GRID-_- -WEIGHMASTER SOUTHOLD TOWN' DEPT SOLID WASTE 00 01916376 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "-DATE IN DATE''OUT TIME'1N TIME OUT VEHICLE 'ROLL OFF_ 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 77100 LB Outbound Ticket SCALE 1 TARE WT 36000 LB NET WEIGHT 41100 LB QTY', :-UNIT. DESCRIPTION -;-,' ;RATE ';EXTENSION FEE TOTAL 20.55 OUTGO.MSW 0.000 0.00 0.00 0.02 r t ..i n'-",` xJa . .: t, - .:�," f' r'�'ti'`.dam" �ire- • • Operating hours 7:00 AM to 5:00 PM 7.days�a week:`;. -' ✓ - t., p, A CLOSED HOLIDAYS, - NEXT: MONDAY, OCT. 14 DAY "'TENDERED`,. ,i CHANGE' CHECK NO',' SIGNATURE .,Y NO. 2547 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 SOUTHOLD TOWN DEPT SOLID WASTE 001 01916653 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF a 09/18/24 09/18/24 10*20 10:58 .11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 72080 LB Outbound Ticket SCALE 1 TARE WT 36680 LB NET WEIGHT 35400 LB ' :--'QTY. 'UNIT DESCRIPTION ",: RATE-- EXTENSION'' FEE TOTAL 17.70 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a week9� 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - C.m6uUS x �t� TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET (SITEJ TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01916653 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 72080 LB Outbound Ticket SCALE 1 TARE WT 36680 LB NET WEIGHT 35400 LB QTY. =.UNIT DESCRIPTION- RATE -_-- EXTENSION FEE - TOTAL : 17.70 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a dweek��r� '`%�f •*� � • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COlUMBUS` r" DAY TENDERED lm CHANGE CHECK NO AMMATI IRF NO. 2549 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 KNOWLEDGETHE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01916866 Steph PO Box 962/6155 Cox Lane Cutchogue, NY i11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 09/19/2 10:5 11:1 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 74800 LB Outbound Ticket SCALE 1 TARE WT 36000 LB NET, WEIGHT 38800 LB OTY. UNIT DESCRIPTION RATE, -,;. EXTENSION,•_ FEE " TOTAL 19.40 OUTGO.MSW 0.000 0.00 0.00 0.0e N � � g Operating hours 7:00 AM to 5:00 PM 7 days "ad,week� " ' f� 0.0e DAOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =• COLUMBfUS QQ pjai TENDERED, iL>, i1 a i - CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01916866 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF r 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 74800 LB Outbound Ticket SCALE 1 TARE WT 36000 LB NET WEIGHT 38800 LB QTY. _UNIT' DESCRIPTION RATE° EXTENSION FEE- TOTAL 19.40 OUTGO.MSW 0.000 0.00 0.00 0.0e 3 14 L� / �4` • Operating hours 7:00 AM to 5:00 PM 7 days a-week,.--'��- CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COL�UMBUS'-- DAY 47err ~r, 1 y� TENDERED. CHANGE CHECK NO. SIGNATURE NO. 2553 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 SOUTHOLD TOWN DEPT SOLID WASTE 001 01916810 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/19/24 REFERENCE 09/19/24 07*19"07*31 9316 Town of Babylon - SCALE 2 GROSS WT 73580 LB Outbound Ticket SCALE 1 TARE WT 35900 LB NET WEIGHT 37680 LB QTY UNIT DESCRIPTION RATE EXTENSION,r FEE TOTAL 18.84 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, OCT. 14 �'t'COL'•UMBUS _ TENDERED -_ DAY CHANGE CHECK NO:::j SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01916810 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME'OUT VEHICLE ROLL OFF 9326 Town of Babylon REFERENCE .- CAL E 2 GROSS WT 73580 LB Outbound Ticket SCALE 1 TARE WT 35900 LB NET WEIGHT 37680 LB QTY 'UNIT DESCRIPTION RATE- EXTENSION_ FEE .- __ TOTAL. 18.84 OUTGO.MSW 0.000 0.00 .0.00 0.0e Z 1 11�� Operating hours 7:00 AM to 5:00 PM 7 days, a weeAl k:�,t�_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14'�--',COLUMBUS-.:_, DAY '-` � � TENDERED " CHMGE • CHECK NO. :• ' NO. 2550 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: 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 I WEIGHMASTER u. _ICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01917005 Liz H PO Box�962/6155 Cox Lane DATE IN DATE OUT. TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/20/2 09/20/2 07:1 07:5 11103TC 9316 Town of Babylon REFERENCE SCALE 2:GROSS WT 76720 LB Outbound Ticket SCALE 1E WT 36260 LB NET WEI 40460 LB OTY UNIT DESCRIPTION— RATE, EXTENSION. FEE TOTAL 20.23 OUTGO.MSW 0.000 0.00 0.00 me ® �< ZZ Operating hours 7:00 AM to 5:00 PM 7 daysTa week. ,--__ '' r°r, 1 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS; .e, `" $ TENDERED DAY i a I CHANGE HECK NO. SIGNATURE DUPLICATE TICKET SITE I - TICKET GRID WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 00 01917001 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 0912012 low/ 9316 Town of Babylon REFERENCE SC:ALE GROSS WT 76720 LB Outbound Ticket SCALE 1 TARE WT 36260 LB NET WEIGHT 40460 LB QTY. UNIT' DESCRIPTION RATE EXTENSION FEE_ TOTAL 20.23 OUTGO.MSW 0.000 0.00 0.00 0.0e i Operating hours 7:00 AM to 5:00 PM 7 day a�week,Z==%'-�`'"ter CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 1416LUMBUS DAY �' U /� ` J C '� TENDERED 1 X f CHANGE CHECK NO. SIGNATURE a NO. 2552 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: 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' I GRID ;WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 00 01917087 Liz H PO Boy, 2,772/6155 Cox Lane PATE IN; DATE OUT ,. t1MEjN-TIME OUT „VEHICLE ROLL OFF Cutchogue, NY 11935 09/20/2 09/20/2 11:3 12:0 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 69160 LB Outbound Ticket SCALE 1 TARE WT 36980 LB NET WEIGHT 32180 LB DESCRIPTION"" RATE', FEE" e,QTY UNIT EXTENSION TOTAL, 16.09 OUTGO.MSW .0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 daysa week 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =;COLUMBUS;., , TENDERED°_,._, DAY ; ,why.r•'.>.i-, ''.CHANGE,-.•` CHECK NO. .° ' SIGNATURE SITEjv! -.,TICKET-.; -_ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917087 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'` DATE OUT,' •TIME.IN TIMEOUT VEHICLE' -ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69160 LB Outbound Ticket SCALE 1 TARE WT 36980 LB NET WEIGHT 32180 LB 1112- 13, 3 1"21d 11 QTY UNIT `DESCRIPTION- RATE EXTENSION ', FEE TOTAL~.' 16.09 OUTGO.MSW 0.000 0.00 0.00 0.0e 1y1 Operating hours 7:00 AM to 5:00 PM 7 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 c`COLUMBUS' DAY "sy 4it ,` TENDERED' c. w t Y2 CHANGE' CHECK NO. SIGNATURE NO. 2551 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: t GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL'DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER,CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF;MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917229 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT_ TIME IN,TIME OUT VEHICLE ROLL OFF 09/21/2 '09/21/2 07:1 07:2 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 71880 LB Outbound Ticket SCALE 1 TARE WT 35840 LB NET WEIGHT 36040 LB, QTY UNIT DESCRIPTION RATE" EXTENSION FEE TOTAL 18.02 OUTGO.MSW 0.000 0.00 0.00 0.0E 4415 p J� Q 4 l4� LSyl't�p�p1 e' I Wl > �a <` • Operating hours 7:00 AM to 5:00 PM 7 days\a`fweek:" mm- rQ >11 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -,COLUMBUS U TENDERED - DAY r CHANGE CHECK NO. _ SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 N D E T TIN;!TIN;!N JTIMg UT i ROLL OFF 9316 Town of Babylon REFERENCE SS WT 71880 LB UutDound Ticket SCALE 1 TARE WT -35840 LB NET WEIGHT 36040 LB ti QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.02 OUTGO.MSW 0.000 0.00 0.00 0.02 "X, t {ad Operating hours 7:00 AM to 5:00 PM 7 days a"-"'eek`s�, f�' a�, �f' ' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�-,-,,,COLUMBUS_.eW ,._ DAY TENDERED r CHANGE CHECK NO:::- RMNGTI IRF NO. 2554 f N 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. �-,5. ITHOLD TOWN DEPT SOLID WASTE 001 01917764 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 09/23/24 09/23/24 10:53 11:10 11103TC 9316 Town of Babylon SCALE 2 GROSS WT 73000 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 37180 LB 18.59 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, OCT. 14 - COLUMBUS DAY SOUTHOLD TOWN DEPT SOLID WASTE 001 01917764 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 09/23/24 09/23/24 10:53 11:10 11103TC 9316 Town of Babylon SCALE 2 GROSS WT 73000 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 37180 LB 18.59 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, OCT. 14 - COLUMBUS DAY NO. 2556 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. ' CWv?_-ICATE TICKET SITE TICKET'., GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917691 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY'11935 r-DATE,IN• `DATEOUT-" TIMEIN<TIMEOUT VEHICLE ROLLOFF 09/23/24 09/23/2 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69720 LB Outbound Ticket SCALE 1 TARE WT 36300 LB NET WEIGHT 33420 LB QTY DESCRIPTION RATE EXTENSION - :='EEE• °`= TOTAL 16.71 OUTGO.MSW 0.000 0.00 0.00 0.0e era i"" ,`. ".% r� .: :'D' • Operating hours 7:00 AM to 5:00 PM 7 days�a:':week: : =' CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14~=".COLUMBUS, fir' TENDERED DAY '^ '�' '"':�::. r .�`:;• •`�, == - s � -CHANGE CHECK NOY SIGNATURE DUPLICATE TICKET SITE TICKET.= GRlO 1NEtGlifvIASTER SOUTHOLD TOWN DEPT SOLID WASTE :. _-. - PO Box 962/6155 Cox Lane Cutchogue, NY 11935 = OFF- 9316 Town of Babylon REFERENCE •• CA E 2 u oun is e SCALE 1 TARE WT 36300 LB NET WEIGHT 33420 LB QTY , z'.UNIT, DESCRIPTION RAlE `' EXTENSIONc= FEE `_' _ TOTAL' 16.71 OUTGO.MSW f Operating hours 7:00 AM to 5:00 PM 7 days 40eek 4. :-> .' _; • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14' - CO,LUMBUS„ DAYTENDERED, CHANGE -r<-`.CHECK NO:. ." QIMMA-ri IPP NO. 2555 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 WASTERS 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 SOUTHOLD TOWN DEPT SOLID WASTE 001 01917989 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/24/2 09/24/2 11:0 11:1 11103TC 9316 _. Town of Babylon ' REFERENCE •- SCALE 2 GROSS WT 74760 LB Outbound Ticket SCALE 1 TARE WT 35640 LB NET WEIGHT 39120 LB QTY UNIT DESCRIPTION ,RATE = EXTENSION FEE TOTAL; 19.56 OUTGO.MSW -0.000 0.00 0.00 0.012 Vie,`;:• t1p �� G Operating hours 7:00 AM to 5:00 PM 7 day.:ai k. - y W " 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =�COLUMBUS. r TENDERED:_ _ DAY N ' ffi CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917989 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 74760 LB Outbound Ticket SCALE 1 TARE WT 35640 LB' NET WEIGHT 39120 LB QTY. UNIT. DESCRIPTION RATE EXTENSION FEE 7TOTAL 19.56 OUTGO.MSW 0.000 0.00 0.00 0.012 _ 3 Operating hours 7:00 AM to 5:00 PM 7 days aweekt � f CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14't--. COLUMBUS DAY 4 ,` e l l TENDERED f 7j . .. .: �a1 `�° 4 qQ CHANGE CHECK NO. SIGNATURE No 2558 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 AN_Y:41'ABILITY 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) _ f (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 C DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED_ BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR ..GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET I GRID I WEIGHMASTER. DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01917915 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/24/24 09/24/24 07:17 07:29 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 68460 LB Outbound Ticket SCALE 1 TARE WT 36180 LB ET WEIGHT 32280 LB QTY., UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.14 OUTGO.MSW 0.000 0.00 0.00 0.0e ~01 b , I 7 Operating hours 7:00 AM to 5:00 PM 7 day�a week.®' ."" 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLFUMBUS. -k'O TENDERED DAYS a e :r CHANGE CHECK'NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917915 Step PO Box 962/6155-Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME Ii TIME OUT VEHICLE -ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 68460 LB Outbound Ticket SCALE 1 TARE WT 36180 LB NET WEIGHT 32280 LB 7 QTY. UNIT DESCRIPTION RATE - EXTENSION_- FEE TOTAL 16.14 OUTGO.MSW 0.000 0.00 0.00 0.6e :. L -t 411 Operating hours 7:00 AM to 5:00 PM 7 days a week .- d^_ _ ,,,, MUSLIM= CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�- CO"LUMBUS ,-- - } DAY r a t'sV�pt TENDERED till, �, s� CHANGE CHECK NO. __j SIGNATURE NO. 2557 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 y 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 LAIN,IS NOT HAZARDOUS WASTE'AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER:_ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION, GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID , WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 00 01918162 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF Cutchogue, NY,11935 09/25/2 09/25/2 07:2. 07:4 .11103TC 9316 � ,Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70000 LB Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 33800 LB QTY. 'UNIT ' "DESCRIPTION' RATE ._:' EXTENSION . FEE TOTAL , 16.90 OUTGO.MSW 0.000 0.00 0.00 .O.K Ulf/ p n P,�fJJ" (nth `j••'! t>f+ ,'-�"+,'�}j 1.1 l�'Y�y1 e ( (-' Operating hours 7:00 AM to 5:00 PM 7 daysKa;week:�.._ �"� " ' me CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 ={;COLUMBUS-. V u c y •TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01918162 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 70000 LB Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 33800 LB QTY. UNIT, . DESCRIPTION RATE EXTENSION_ FEE 7TOTAL , 16.90 OUTGO.MSW y 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a�week: CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�,- 6LUMBUS �.. ` DAY f�v,�, �.. i11 TENDERED V CHANGE . CHECK NO.- SIGNATURE NO. 2559 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01918222 Steph PO Box 962/6155 Cox Lane / DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF Cut(�,�gue,°,NY 11935 09/25/2 09/25/2 11:0 11:2 11103TC 9316 Town of Babylon REFERENCE SC:ALE :2GROSS WT 79040 LB Outbound Ticket SCALE E WT 35900 LB NET WE 43140 LB CITY " :,UNIT' DESCRIPTION RATE '' EXTENSION FEE ., .: ° TOTAL'A'__ - 21.57 OUTGO.MSW 0.000 0.00 0.00 0.0e Pam '"" ? w r:% Operating hours 7:00 AM to 5:00 PM 7 dajrsma.week.'°�..,� ,9 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUMBUS,;, _€_ _ a TENDERED - r ' �C CHANGE - CHECK NO.. ,. ' SIGNATURE DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01918222 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 79040 LB Outbound Ticket SCALE 1 TARE WT 35900 LB NET WEIGHT 43140 LB CITY. UNIT DESCRIPTION RATE ,EXTENSION FEE TOTAL 21.57 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, OCT. 14`�.COLUMBUS',- = - ' _ DAY , e;1 ,,7 a _ i�^ (l TENDERED rvY CHANGE CHECK NO. SIGNATURE AI4 � NO. 2560 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE'TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR" DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOU_THOLD TOWN DEPT SOLID WASTE 00 01918492 Liz H PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT ' VEHICLE ROLL OFF Cutchogue, NY 11935 09/27/2 09/27/2 07:3 07:4 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 74420 LB Outbound Ticket SCALE 1 TARE WT 37000 LB NET WEIGHT 37420 LB CITY. UNIT 'DESCRIPTION RATE EXTENSION FEE TOTAL 18.71 OUTGO.MSW 0.000 0.00 0.00 0.0e - TZ .7 .v r IN, L-. Operating hours 7:00 AM to 5:00 PM 7 daysa twee `' r'' L 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -.,COLUMBUS, .� TENDERED DAY `✓', CHANGE - CHECK NO: SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01918492 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 74420 LB Outbound Ticket SCALE 1 TARE WT 37000 LB NET WEIGHT 37420 LB QTY" UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.71 OUTGO.MSW 0.000. 0.00 0.00 0.0e ry Operating hours 7:00 AM to 5:00 PM 7 days a�week: y ti v CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 � DAY '�71 � TENDERED 7 CHANGE CHECK NO. Air,MAT[IRF NO. 2561 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: w '''' " 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. L. . GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE, LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01918659 Steph PO Box 962/6155 Cox Lane -- Cutchogue,. NY 11935 DATE IN• DATE OUT• TIME IN TIME OUT VEHICLE ROLL OFF 09/28/2 09/28/2 07:1 07:2 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 74900 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 38800 LB QTY. : UNIT DESCRIPTION RATEEXTENSION , FEE TOTAL 19.40 OUTGO.MSW. -0.000 0.00 0.00 0.0e h b / jL Lois Operating hours 7:00 AM to 5:00 PM 7 days,a week.'-- � •_ $` 0.0e >a,•v CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 �="COLUMBUfSY � ��3 TENDERED DAY CHANGE CHECK NO_' SIGNATURE SITE TICKET GRID WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 00 01518659 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 74900 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 38800 LB QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL 19.40 OUTGO.MSW 0.000 0.00 0.00 0.Oe J JJ � vt i Operating hours 7:00 AM to 5:00 PM 7 days a week / c CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14Fk COL�UMBUS__.. DAY a TENDERED CHANGE CHECK NO. - SIGNATIRE -4 NO. 2562 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. DUP'L tATE TICKET SITE I TICKET I GRID WEIGHMASTER " SOUTHOLD TOWN DEPT SOLID WASTE 00 01919043 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY ,11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 09/30/2 09/30/2 07:2 07:3 19606TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 72340 LB Outbound Ticket SCALE 1 TARE WT 35320 LB NET WEIGHT 37020 LB ITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.51 OUTGO.MSW 0.000 0.00 0.00 me \_ v) Operating hours 7:00 AM to 5:00 PM 7 days week. = - 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS, [�� C� ° " {� TENDERED DAY . : c p � CHANGE - CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01919043 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME N TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 72340 LB Outbound Ticket SCALE 1 TARE WT 35320 LB NET WEIGHT 37020 LB OTY. - -UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL 18.51 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a,�wee kt CLOSED HOLIDAYS - NEXT: MONDAY, OCT. DAYS ' !{ r r = � �' TENDERED - CHANGE CHECK NO. SIt;NATI]Rr- 1 NO. 2563 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO 0R'MAT ERIALS 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 . SOUTHOLD TOWN DEPT SOLID WASTE 00 01919130 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT _ VEHICLE ROLL OFF 09/30/2 09/30/2 11:3 11:4 19606TC 9316 Town of Babylon ORIGIN SCALE 2 GROSS WT 74500 LB Outbound Ticket SCALE 1 TARE WT 35240 LB NET WEIGHT 39260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL " 19.63 OUTGO.MSW 0.000 0.00 0.00 0.0e S 44 Operating hours 7:00 AM to 5:00 PM 7 days,a week.` _. M� e ,- c 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - ':COL•UMB,US- TENDERED DAY s, CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET ` GRID - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01919130 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 74500 LB Outbound Ticket SCALE 1 TARE WT 35240 LB NET WEIGHT 39260 LB QTY_` UNIL- -DESCRIPTION RATE EXTENSION' FEE TOTAL 19.^63 OUTGO.MSW 0.000 0.00 0.00 me A� r� ,�r � .,� ✓ram ` ✓ F C br XY C - 1 i ! f* Operating hours 7:00 AM to 5:00 PM 7 days ar4ek,--:7 '" " ��" CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 �COLUMBUs--�--- DAY i ? i t TENDERED t� CHANGE CHECK NO. RMNATHRF NO. 2564 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.