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HomeMy WebLinkAbout11/2024 DUPLICATE TICKET SITE TICKET GRID' WEIGHMASTER I SOUTHOLD TOWN DEPT SOLID WASTE 00 01926034 Will .PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN • - DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF 1,: 11/01/2 11/01/2 11:0 11:1 11103TC y 9316 Town of Babylon REFER_ ENCE ORIGIN SCALE 2 GROSS WT 67920 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET WEIGHT 31520 LB OTY UNIT._ - DESCRIPTION , RATE EXTENSION FEE . TOTAL 15.76 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 ."COL"UMBUS, - „ ` f :r TENDERED, > DAY CHANGE CHECK NO._-- SIGNATURE DUPLICATE TICKET SITE; TICKET ,.- GRID_ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01926014 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN 'DATE OUT TIME9N TIME OUT VEHICLE '. ROLL'OF.F ' 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 67920 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET WEIGHT 31520 LB OTY UNIT"! DESCRIPTION-' RATE-- EXTENSION _" -FEE_' = TOTAL 15.76 OUTGO.MSW 0.000 0.00 0.00 0.0e _ ram,`^?�•�'s, --- Operating hours 7:00 AM to 5:00 PM 7 days a':week: CLOSED HOLIDAYS- NEXT: MONDAY, OCT. 14`N,COLUMBUS`-_. DAY v ,; t ,,`, ;__,` ., '.f F TENDERED e. :s CHANGE CHECK NO: __j SIGNATURE a NO. 2 610 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. DUPLICATE TICKET SITE ' TICKET GRID WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 00 01926203 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 11/02/2 11/02/2 07:2 07:4 11103TC 3313% Town of Babylon REFERENCE E E 2 GROSS WT 72940 LB Outbound TicketE 1 TARE WT 36800 LB WEIGHT 36140 LB QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.07 OUTGO.MSW 0.000 0.00 0.00 0.0e Wit✓ <, } h} 4g ?4 Operating hours 7:00 AM to 5:00 PM 7 days.,a:week: 1'd.. Me X CLOSED•HOLIDAYS - NEXT: MONDAY, OCT. 14 `k COLUMB,US. . ' ;v.",.`-.; ,` TENDERED,' DAY ' CHANGE: CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID F WEIGHMASTER-: SOUTHOLD TOWN DEPT SOLID. WASTE 0 019262031 1 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE•W' DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF_ 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 72940 LB Outboun d Ticket SCALE 1 TARE WT 36800 LB NET WEIGHT 36140 LB QTY. UNIT .; DESCRIPTION RATE EXTENSION FEE TOTAL _ 18.07 OUTGO.MSW 0.000 •0.00 0.00 0.Oe Operating hours 7:00 AM to 5:00 PM 7 days a week t-___-.,,- --- • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14V'_, COLUMBUS.-,_- '"• `''# DAY TENDERED ) -'�r'•Q-^ � ..ate'�.�" CHECK NO. SIGNATURE ram- NO. 2611 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 --�;8GUJ HOLD TOWN DEPT SOLID WASTE 00 01926914 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE,OUT TIME,IN TIME OUT , VEHICLE ROLL OFF 11/04/2 11/04/2 07:1 07:3 11103TC 9316 Town of'Babylon REFERENCE SCALE 2 GROSS WT 73340 LB Outbound Ticket. SCALE 1 TARE WT 37320 LB NET WEIGHT 36020 LB QTY UNIT DESCRIPTION ='- RATE EXTENSION_ FEE TOTAL 18.01 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 day's�a .week.' Foe CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14'=_;.COLUMBUS^ TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID-, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01926914 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATEAUT . TIME;IN TIME OUT VEHICLE' ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 73340 LB Outbound Ticket SCALE 1 TARE WT 37320 LB ' NET WEIGHT 36020 LB s :OTY.' - -UNIT _ ""D_ESCRIPTION EXTENSION- FEE �:_ `'TOTAL� 18.01 OUTGO:MSW 0.000 0.00 0.00 0.0e F"r •� ` ti•t;, Operating hours 7:00 AM to 5:00 PM 7 days a'_.Week,,.­­` `Atf" • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� , COLUMBUS DAY `<T ; 'i,`=7,' ,s ;'.`� TENDEREDCHANGE - r, CHECK NO. RIC,NATI IRF NO. 2612 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY 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: A 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(PRI.NT 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. PLICATE TICKET SITE . GRID WEIGHMASTER TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01927002 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME _IN TIME OUT` VEHICLE ROLL OFF 11/04/2 11/04/2 10:5 11:1 11103TC 9316 Town of Babylon t - REFERENCE •- -SCALE 2 GROSS WT 65220 LB Outbound Ticket SCALE 1 TARE WT 35860 LB NET WEIGHT 29360 LB QTY. UNIT DESCRIPTION RATE EXTENSION _ FEE TOTAL 14.68 OUTGO.MSW 0.000 0.00 0.00 0.0e 4. f 1-...-�V ,}•: :tom e�.;T�,iJr •'¢�` ed Operating hours 7:00 AM to 5:00 PM 7 days-,a week: °` 0.0e CLOSED HOLIDAYS`- NEXT: MONDAY OCT. 14 `k'-COLUMBUS DAY , ~_ Y TENDERED CHANGE - CHECK NO. SIGNATURE DUPLICATE TICKET -SITE. , . TICKET GRID WEIGHMASTER s, SOUTHOLD TOWN DEPT SOLID WASTE 00 01927002 Liz H' PO Box 962/6155 •Cox Lane Cutchogue, NY 11935 DATE IN DATE bUT TIME IN TIME OUT - VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 65220 LB Outbound Ticket SCALE 1 TARE WT 35860 LB NET WEIGHT 29360 LB QTY. - _ UNIT. DESCRIPTION '- RAT_E EXTENSION_ FEE TOTAL 14.68 OUTGO.MSW 0.000 0.00 0.00 0.0e ..f Operating hours 7:00 AM to 5:00 PM 7 days. a-week{:`.-.---, CLOSED HOLIDAYS - NEXT: MONDAY, .00T. 14�', COLOMBUS-- DAY TENDERED CHANGE CHECK NO. SIGNATURE Vrlw: ti NO: 2613 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01927366 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/06/2 11/06/2 11:2 112 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 67280 LB Outbound Ticket SCALE 1 TARE WT 35740 LB NET WEIGHT 31540 LB OTY. UNIT DESCRIPTION` RATE - EXTENSION - FEE TOTAL - 15.77 OUTGO.MSW 0.000 0.00 0.00 0.0e IV �.- AIIIIIIIIIII0 Loll]ON Operating hours 7:00 AM to 5:00 PM 7 days',,a'p,week.``:."� f s• 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ` °COL"UMBUS-., TENDERED. DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01927166 Steph PO Box 962/6155 Cox Lane Cut chogue, NY 11935 DATE IN- DATE OUT'° TIME IN TIME 9, VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE CAL: 2 GROSS WT 67280 LB Outbound Ticket SCALE 1 TARE WT 35740 LB NET WEIGHT 31540 LB CITY., ' UNIT DESCRIPTION RATE - EXTENSION ' FEE TOTAL -. 15.77 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ,=..COLUMBUS -P_ _ _ - ' �;;;• DAY RENDERED CHECK NO: SIGNATURE NO. 2615 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 ,4 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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'_ I WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01927215 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN;"- 'DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF " 11/06/2 11/06/2d. 07:2 07:36 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 68140 LB Outbound Ticket SCALE 1 TARE WT 35880 LB NET WEIGHT 32260 LB QTY' UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL' 16.13 OUTGO.MSW 0.000 0.00 0.00 0.0e � v:��yi ,ti..l it....,v„ •'ri .. R�% Operating hours 7:00 AM to 5:00 PM 7 days`-a` week. 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14;_:;,COLUMBUS:. TENDERED DAY - r CHANGE � i CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET — GRID — WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 00 01927215 Steph PO Box 962/6155 Cox Lane CUtChOgUe,.NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE „ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 68140 LB Outbound Ticket SCALE 1 TARE WT 35880 LB NET WEIGHT 32260 LB CITY. _ UNIT. = DESCRIPTION RATE EXTENSION-. FEE TOTAL- 16.13 OUTGO.MSW 0.000 0.00 0.00 0.02 r • Operating hours 7:00 AM to 5:00 PM 7 days, a. week,:. : CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14'-- COLUMBUS ---•-- =•z` `'' DAY ,rf TENDERED s c- 1-7 �'. CHECK NO: . SIGNATURE NO. 2614 �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 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK _ TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET - GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01927650 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/07/2 11/07/2 10:5 11:2 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 77740 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 41640 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE,,- TOTAL 20.82 OUTGO.MSW 0.000 0.00 0.00 0.0e it Operating hours 7:00 AM to 5:00 PM 7 days;a ;week_' l 3 0.0e CLOSED HOLIDAYS - NEXT: . MONDAY, OCT. 14 -,COLUMBUS,rR TENDERED DAY •,`,r ;tF ``J'I'I't`' '; L s.,, ;e; CHANGE CHECK NO::j SIGNATURE DUPLICATE TICKET SITE =- .TICKET,` , -GRID_. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01927650 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 77740 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 41640 LB ,QTY. 'r., - UNIT, CRIPTION_:•.' ,r, RATE EXTENSION FEE,,- DES ' . _TOTAL 20.82 OUTGO.MSW 0.000 0.00 0.00 0.0e PI Operating hours 7:00 AM to 5:00 PM 7 days, a;wee kv;:,_::' CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 a=,COLUMBUS" <" '• DAY t,' :` TENDERED wd�%c.,�.,':1,:�7.-•' CHANGE CHECK 1\101:� SIGNATURE NO. 2616 J GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.. DUPLICATE TICKET SITE I TICKET . I GRID I WEIGHMASTER'- SOUTHOLD TOWN DEPT SOLID WASTE 00 019275,70 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/07/2 11/07/2 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 74120 LB Outbound Ticket SCALE 1 TARE WT 36560 LB NET WEIGHT 37560 LB QTY. "UNIT "DESCRIPTION " RATE EXTENSION FEE TOTAL- 18.78 OUTGO.MSW 0.000 0.00 0.00 0.0e ,M ,r Operating hours 7:00 AM to 5:00 PM 7 days,a ,we-ek: _. {' • 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS. TENDERED DAY ! - CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE -TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01927570 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 74120 LB Outbound Ticket SCALE 1 TARE WT 36560 LB NET WEIGHT 37560 LB QTY UNIT DESCRIPTION RATE - - EXTENSION- FEE• TOTAL 18.78 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days, `a.yweek- CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14, COLUMBUS- DAY t` TENDERED CHANGE ' CHECK NO.:q g1r,NATI IRF NO. 2617 �3 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 ;S011THC*_D TOWN DEPT SOLID WASTE 00 01927863 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/08/2 11/08/2 07:2 07:5 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 73980 LB Outbound Ticket ' SCALE 1 TARE WT 36440 LB NET WEIGHT 37540 LB QTY.. UNIT'." DESCRIPTION RATE EXTENSION FEE TOTAL 18.77 OUTGO.MSW 0.000 0.00 0.00 0.0e .r i i t jj t q ..... Operating hours 7:00 AM to 5:00 PM 7 days'•.a week. �• -` h"� > } 0.0E CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -,--COLUMBUSi. I ;`er` . = f f TENDERED ' DAY CHANGE CHECK NO: SIGNATURE DUPLICATE TICKET SITE TICKET GRID- `WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01927863 1 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 J DATE IN -DATE"OUT•� TIME IN TIME OUT VEHICLE:, ROLL OFF 9316 Town of Babylon REFERENCE C E 2 GROSS WT 73980 LB Outbound Ticket SCALE 1 TARE WT 36440 LB NET WEIGHT 37540 LB Q_TY UNIT s', DESCRIPTION r RATE EXTENSION- "FEE TOTAL 18.77 OUTGO.MSW 0.000 0.00 0.00 0.0E Operating hours 7:00 AM to 5:00 PM 7 da s a'week`: _ :' �- -% • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 141 :, COLUMBUS DAY �., TENDERED Z TM rr CHANGE HECK NO. SIGNATURE 'J NO. 2618 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 PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/S T ATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,_.AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE W TICKET GRID . EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01928184 Dan PO Boy M2/66.55 Cox Lane Cutchogue, .NY 11935 DATE IN `' DATE OUT TIME IN,'TIME OUT VEHICLE ROLL OFF ° 11/09/2 11/09/2 07:0 07:3 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT -70380 LB Outbound Ticket SCALE 1 TARE WT 37080 LB NET WEIGHT 33300 LB QTY. UNIT `` DESCRIPTION RATE EXTENSION FEE TOTAL 16.65 OUTGO.MSW 0.000 0.00 0.00 0.0e .1 e Operating hours 7:00 AM to 5:00 PM 7 days'+,,a week.,..;` - = r.z{ - .; CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 -;.,COL'UMBUS TENDERED DAY CHANGE. CHECK NO. SIGNATURE DUPLICATE TICKET SITE _TICKET _ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01928184 1 an PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN .DATEOU TIMEIN TIME OUT VEHIC ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 70380 LB Outbound Ticket SCALE 1 TARE WT 37080 LB NET WEIGHT 33300 LB QTY., --UNIT DESCRIPTION' `'RATE ' `-'EXTENSION:=-' FEE =TOTAL., 16.65 _ OUTGO.MSW -0.000 0.00 0.00 0.0 t 1 � {SS j• P� ��, 4G ; Operating hours 7:00 AM "to 5:00 PM 7 days a;week.`-—) 1 vMIMI ME• CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS•.__ DAY ��+r.%yf o-'' 4,fa TENDERED CHANGE CHECK NO. cirnien iu� NO. 2619 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. r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE- TICKET SITE I TICKET GRID I WEIGHMASTER, SOUTHOLD. TOWN DEPT SOLID WASTE 00 019290331 Dan PO Box 962/6155 Cox Lane Cu Cohoj i;r', NY 11935 DATE IN - DATE OUT TIME IN TIME OU7 - 'VEHICLE ROLL OFF 11/12/2 11/12/2 07:1 07:2 11100TC 9316 Town of Babylon " REFERENCE •- SCALE 2 GROSS WT 63660 LB Outbound Ticket SCALE 1 TARE WT 36560 LB NET WEIGHT 27100 LB QTY, = UNIT ,-. DESCRIPTION RATE EXTENSION = FEE = TOTAL - 13.55 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 'TENDERED" " DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEP.T SOLID WASTE 00 01929033 Dan PO Box-962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 63660 LB Outbound Ticket SCALE 1 TARE WT 36560 LB NET WEIGHT '27100' LB QTY. I 'UNIT `_ 'DESCRIPTION RATE - EXTENSION FEE• TOTAL ,- 13.55 OUTGO.MSW '0.000 - 0.00 0.00 0.0e t "`�l •r _ AZT._•.' I l'� • Operating hours 7:00'AM -to 5:00 PM 7 days a,=week:-====`-. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 �',COLUMBUS------ DAY "; r, TENDERED THANGE CHECK NO. SIGNATURE NO. 2620 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. DUPLICATE TICKET SITE F TICKET • GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01929188 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT_ TIME IN•TIME OUT VEHICLE ,ROLL OFF 11/12/2 11/12/2 11:0 11:1 11103TC 03T(5 = Town of Babylon REFERENCE SCALE 2 GROSS WT 70860 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 34400 LB CITY. UNIT_ DESCRIPTION.' RATE EXTENSION FEE.:, TOTAL 17.20 OUTGO.MSW '0.000 0.00 0.00 0.0e �a,�, _» � • 3t'; .%it t°, �`;''q i `•.��, ., {, { ' rid 1 " C . �� (do- �� ;,�',, f�€ � � �� • _ 0.0e Operating hours 7:00 AM to 5:00 PM 7 days'•..a .week:4=.;;�. -- �,,' CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14'='4COLUMBUS- TENDERED DAY CHANGE CHECK NO. - SIGNATURE DUPLICATE TICKET - SITE TICKET ,' GRID' WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 00 01929188 Dan PO Box 962/6155 Cox Lane Cut chogue, NY 11935 DATE IN DATE OUT, TIME IN, TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 70860 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 34400 LB CITY UNIT DESCRIPTION RATE EXTENSION r FEE': =TOTAL, 17.20 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 day G/i4 _ `t° • :., CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS---- DAYS y = ^; :' TENDERED i r,:.. . CHANGE CHECK'NO. RMINATI IRP NO. 2621 GENERATOR THISMANIFEST 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: '"f LOOSE- 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 01929530 Steph PO Box 962/6155 Cox Lane- Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/13/2 11/13/2 11:5 12:03 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 76520 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET W,?GHT 39620 LB QTY. '"` UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL 19.81 OUTGO.MSW- 0.000 0.00 0.00 0.0e .s'. Operating hours 7:00 AM.to 5:00 PM 7 days. a.week: - 0.0e CLOSED HOLIDAYS - .NEXT: MONDAY, OCT. 14 `-?COLUMBUS. TENDERED DAY t f; r CHANGE r CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01929130 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT', TIME IN TIME OUT VEHICLE ROLL OF 9316 Town'of Babylon REFERENCE •- CALE 2 GROSS WT 76520 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 39620 LB CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.81 OUTGO.MSW 0.000 0.00 0.00 0.0e i Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. DAY ,. {, ',t 'rl,�, TENDERED `'k ', "„;,;i •. CHANGE CHECK NO. __j SIGNATURE NO. 2623 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. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01929444 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/13/2 11/13/2 07:4 07:4 9316 Town of Babylon REFERENCE •' SCALE 2 GROSS WT 71960 LB Outbound Ticket MANUAL TARE'WT 36500 LB NET WEIGHT 35460 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.73 OUTGO.MSW 0.000. 0.00 0.00 0.0e fix: f F Operating hours 7:00 AM to 5:00 PM 7 days' a week ,' ' — . t`' r�. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14"'sCOLUMBUS -"" :",'' s' TENDERED DAY 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 D E T TI 1 TIM U 'VEHICLE ROLL OFF 9316 Town of Babylon u oun is e MANUAL TARE WT 36500 LB NET WEIGHT 35460 LB QTY.. - UNIT DESCRIPTION '_RATE . EXTENSION FEE TOTAL 17.73 OUTGO.MSW 0.000 0.00 0.00 .t wj-f i •� ,� 7 �. Operating hours 7:00 AM to 5:00 PM 7 days. 'a-week:'~_ ' w • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS_ _ r "' DAYS' ,f -- ;a rr`jw a t'. ;p��� ��i� - j �� r;'� TENDERED •tea^y � ��1 J'•�ulu ] L S d���"` CHANGE CHECK NO. SMNATIIRF - NO. 2622 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 I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01929800 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF:11/14/2 11/14/2 11:0 11:1 11103TC 9316 ���'` 1�wn of Babylon REFERENCE •- SCALE 2 GROSS WT 70560 LB Outbound Ticket SCALE 1 TARE WT 36440 LB NET WEIGHT 34120 LB OTY.'. UNIT DESCRIPTION RATE EXTENSION - FEE - TOTAL„ 17.06 OUTGO.MSW 0.000 0.00 0.00 0.0e IV _ Operating hours 7:00 AM to 5:00 PM 7 'days_Aa 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 '='`'COLUr.Y TENDEREDDAY - CLO O MBUS>+..,;47 -CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET " GRID WEIGHMASTER = SOUTHOLD TOWN DEPT SOLID WASTE 00 01929800 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _ ,.DATE OUT, .TIMEIN TIME OUT] VEHICLE ROLL OFF 9316 Town of Babylon tt/1412 JL.L/.L'+/41 JL.L;Vj LJL;.Ll 111W_11L REFERENCE ORIGIN SCALE.2 GROSS WT 70560 LB Outbound Ticket SCALE 1 TARE WT 36440 LB NET WEIGHT 34120 LB OTY; UNIT DESCRIPTION - RATE EXTENSION FEE- TOTAL 17.06 OUTGO.MSW 0.000 0.00 0.00 0.0e �,� °, .\ :'• - s'`.t fie. f t 'Y Operating hours 7:00 AM to 5:00 PM 7 days,,a'week:` =­ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14`�gCFOLUMBUS` TENDERED' DAY . toCHANGE � f CHECK NO. SIGNATURE NO. 2625 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 01929715 Steph PO Box 962/6155 Cox Lane Cut chogue, NY 11935 DATE IN , DATE OUT . TIME IN TIME OUT VEHICLE ROLL OFF 11/14/2 11/14/2 07:1 07:2 11103TC 9316 Town of Babylon ' ORIGINREFERENCE r SCALE 2 GROSS WT 70160 LB Outbound Ticket SCALE 1' TARE WT 40540 LB NET WEIGHT 29620 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.81 OUTGO.MSW 0.000 0.00 0.00 0.02 t Operating hours 7:00 AM to 5:00 PM 7 daysSa ,week.`1=. " l� -- f`,' 0.0Q CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 `-;,COL'UMBUS. a ~ "'},`4.` `,^' TENDERED DAY CHANGE CHECK NO" SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01929711 Steph PO Box 962/6155 Cox Lane ! Cutchogue, NY 11935 DATE IN DATE OUT. TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 70160 LB Outbound Ticket SCALE 1 TARE WT 40540 LB NET WEIGHT 29620 LB QTY UNIT DESCRIPTION ' RATE EXTENSION- FEE _ TOTAL 14.81 OUTGO.MSW 0.000 0.00 0.00 0.02 ib'A" + ZJa Operating hours 7:00 AM to 5:00 PM 7 days a�week:`_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS --- •--'" _{r. ;., r4'` DAY `> "i. t*.y TENDERED y 1 e d CHANGE " 1 CHECK NO. SIGNATURE NO. 2624 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANS PORTATION%FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE,DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUB .:FCATE TICKET SITE I TICKET GRID ,. . WEIGHMASTER SOI TOLD TOWN DEPT SOLID WASTE 001 01929999 Liz H °'PO 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF 11/15/2 11/15/2 07:2 07:3 11103TC 9316 Town of- Babylon REFERENCE ORIGIN E 2 GROSS WT 70900 LB Outbound Ticket 1 TARE WT 36560 LB EIGHT 34340 LB QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.17 OUTGO.MSW 0.000 0.00 0.00 0.02 111t y w., i'Pl t i t S 1Y t d • Operating hours 7:00 AM to 5:00 PM 7 dags, a=.week. 0.0E CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14`:-.,COLUMBUS., DAY _ Jr' { TENDERED �:. = CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET _ GRID' WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 00f 19299991 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 1 DATE'IN DATE OUT TIMIE`IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 70900 LB Outbound Ticket SCALE 1 TARE WT 36560 LB NET WEIGHT 34340 LB QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL 17.17 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 days a=-•week:- =t " ' ' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14`�" COLUMBUS DAY t ;` y'U;:: ;._, ,: TENDERED CHANGE CHECK NO SIGNATURE �r NO. 2626 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. 9 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 01930085 Liz H PO Box`962/'6155 Cox Lane Cutchogue, NY 11935 -DATE-IN DATEOUT, TIME IN TIME,OUT VEHICLE ROLL OFF 11/15/2 11/15/2 11: 9 •12: 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 66620 LB Outbound Ticket SCALE 1 TARE WT 37000 LB NET WEIGHT '29620 LB CITY. ,'- UNIT „ DESCRIPTION- RATE EXTENSION,- FEE ;TOTAL, 14.81 OUTGO.MSW 0.00 0.00 0.00 0.0e t 4} i-ia t `:Ir Operating hours 7:00 AM-to 5:00 PM 7 days. a;,week., - 0.0e CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14'=gCOLUMBUS i" . � .. °� 'TENDERED DAY CHANGE CHECK NO::::l SIGNATURE DUPLICATE TICKET SITE TICKET GRID: WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01930085 Liz H PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 °DATE IN DATE OUT TIMEIN' TIME'OUT'-' 'VEHICLE` ROLLOFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 66620 LB Outbound Ticket SCALE 1 TARE WT 37000 LB NET WEIGHT 29620 LB CITY., UNIT• - `DESCRIPTION--". _ `RATE-' EXTENSION ' FEE TOTAL'' 14.81 OUTGO.MSW 0.000 0.00 0.00 J 0.0e _ A i f~ fir• '\ Operating hours 7:00 AM to 5:00 PM 7 days aT�weekr'==^t' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14,�-,,CO,LUMBUS---- DAY ` TENDERED CHANGE CHECK NO. SIGNATURE NO. 2627 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 HAZARDOUSWASTE 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 I WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01930318 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN TIME OUT VEHICLE- 'ROLL-OFF 11/16/2 11/16/2 07:2 07:4 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 69940 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET WEIGHT 33540 LB CITY.`;' UNIT '- DESCRIPTION - RATE EXTENSION FEE TOTAL`," 16.77 OUTGO.MSW 0.000 0.00 0.00 0.0e nua { )14 z Operating hours 7:00 AM to 5:00 PM 7 days,,a" W'e k�:� _' `.4M1E - • 0.0e CLOSED .HOLIDAYS - NEXT: 'MONDAY, OCT. 14',.,-COLUMBUS:. -' TENDERED' ,n,. DAY �. CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID.. WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 00 01930318 Steph PO Box 962/6155 Cox Lane L Cutchogue; NY 11935 , DATE IN, DATE-OUT . TIME IN TIME OUT, VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT -69940 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET WEIGHT 33540 LB OTY. .UNIT DESCRIPTION _ sRATE .- —EXTENSION- FEE TOTAL., 16.77 OUTGO.MSW 0.000 0.00 0.00 0.0e ` .. t. Operating hours 7:00 AM to 5:00 PM 7 dak's_ a'week`:`-- CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� COL`UMBUS' ---T rr,,; , :• ,� ' DAY a:& " TENDERED r !1'k: f' a ,z CHANGE CH CK NO. SIGNATURE NO. 2628 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. NO. 2629 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. DU?LICATE TICKET SITE TICKET GRID WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 00 01931256 Liz H PO' Box 962/6155 Cox Lane CAchogue, NY 11935 DATE IN • DATE OUT TIME 1N TIME OUT VEHICLE ° - ROLL OFF°._. 11/18/2 11/18/2 10:4 11:2 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 67800 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 31060 LB QTY "° UNIT _ DESCRIPTION RATE EXTENSION -FEE TOTAL 15.53 OUTGO.MSW 0.000 0.00 0.00 0.0e ;u Operating hours 7:00 AM to 5:00 PM 7 days a ,week.­^ Y_. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -:COLUMBUS TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE[ `-TICKET ''P GRID f WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01931256 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935- DATE IN . DAT6OUT ' TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 67800 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 31060 LB QTY.', .--UNIT '-' DESCRIPTION „_ '` °,RATE EXTENSION '::FEE r, TOTAL-. 15.53 OUTGO.MSW 0.000 0.00 0.00 0.0e )" is Operating hours 7:00 AM to 5:00 PM 7 days a`week:\` -. 'J ,` • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� COLUMBUS ''. DAY TENDERED CHANGE CHECK NO::j SIGNATURE DUPLICATE TICKET SITE TICKET .` I GRID WEIGHMASTER - �OUTHOL'D TOWN DEPT SOLID WASTE 00 01931501 Steph Box 6 62/6155 Cox Lane NogVje, NY 11935 DATE IN 'DATE OUT- TIME IN.TIME OUT ' -- VEHICLE• ROLL•OFF 11/19/2 11/19/2 07:0 07:1 11103TC y Town of Babylon ORIGINREFERENCE LEE 2 GROSS WT 63100 LB Outbound Ticket TARE WT 36940 LB IGHT 26160'= LB TY -'- UNIT DESCRIPTION' RATE _ EXTENSION FEE TOTAL'': 13.08 OUTGO.MSW '0.000 0.00 0.00 0.0e .�per' i.±�`�i 3 . v• •"•it.��% { u ��Z il•....3` ' x4i t Operating hours 7:00 AM to 5:00 PM 7 days;a`,week:~: " 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�, ;COLUMBUS, TENDERED 'DAY CHANGE , CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET ' GRID_` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00f 19315 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN -- DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 63100 LB Outbound Ticket MANUAL TARE WT 36940 LB NET WEIGHT 26160 LB 4TY UNIT DESCRIPTION „ ,`.: RATE . EXTENSIO_N ;; FEE T,OTAL,,a. 13.08 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days• a,week':._-_'- CLOSED HOLIDAYS - NEXT: MONDAY, OCT COLUMBU. 14`;= S-- DAY ! ,%'r'c•r TENDERED i' .t CHANGE CHECK NO. " AMZMATI mr: No. 2637 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: I 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 DUPLICATE TICKET SOUTHOLD-TOWN DEPT SOLID WASTE 00 01931586 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN" DATE OUT , TIME IN TIME OUT VEHICLE, ROLL OFF 11/19/2 11/19/2 11:1 11:4 11103TC 9316 Town of Babylon REFERENCE •- r • SCALE 2 GROSS WT -65940 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 29200 LB QTY.l UNIT: DESCRIPTION .F RATE EXTENSION FEE TOTAL ' 14.60 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-, VTENDERED DAY • 'r ° CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET_ : --__GRID, : WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 _ 01931586 Steph PO Box 962/6155 Cox Lane CUtchogue, NY 11935 DATE IN' DATE OUT - TIME IN TIME-OUT VEHICLE ROLL OFF 9316 Town of Babylon • SCALE 2 GROSS WT 65940 LB Outbound Ticket " SCALE 1 TARE WT -36740 LB NET WEIGHT 29200 LB CITY. UNIT DESCRIPTION RATE EXTENSION '' FEE TOTAL 14.60 OUTGO.MSW 0.000 0.00 0.00 0.0e ; rtiAIIIIIIIIIIIIII 2 1 q • Operating hours 7:00 AM to 5:00 PM 7 da(ys a`'week: - CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14` .c,.aCOLUMBUS DAY TENDERED CHANGE CHECK NO SIGNATURE NO. 2630 -" GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER:,PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01931943 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN-TIME OUT VEHICLE ROLL OFF 11/20/2 11/20/2 10:5 11:1 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 72920 LB Outbound Ticket SCALE 1 TARE WT 36320 LB NET WEIGHT 36600 LB QTY UNIT _ _DESCRIPTION RATE - EXTENSION__- FEE' ,_ TOTAL 18.30 OUTGO.MSW 0.000 0.00 0.00 0.0e .;y Operating hours 7:00 AM-to 5:00 PM 7 days:4,a,week.' J» '-,,a 0.0e CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 TENDERED. DAY „. .,..y'= t: CHANGE­ I CHECK NO. j SIGNATURE DUPLICATE TICKET SITE TICKET" ;' GRID t WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 00 01931943 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 72920 LB Outbound Ticket .SCALE 1 TARE WT 36320 LB NET WEIGHT 36600 LB QTY UNLT s ," DE$CRIP_TION m "=; °. RATE EXTENSION '' , 'FEE "cTOTAL` 18.30 OUTGO.MSW 0.000 0.00 0.00 0.0e r , Operating hours 7:00 AM to 5:00 PM 7 days; 5 i CLOSED HOLIDAYS - NEXT: - MONDAY, OCT. 14� `,C�OL`UMBUS DAY TENEERED' >�p ; CHANGE ' I CHECK NO. SIGNATURE NO. 2632 P 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 TRANS PO RTATION'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 I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER` (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. . DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01931849 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN_TIME OUT VEHICLE ROLL OFF 11/20/2 11/26/2 07: 8 07: 11103TC 9316 Town of Babylon REFERENCE •• SCALE 2 GROSS WT 71320/ LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 35220 LB QTY. - UNIT =DESCRIPTION RATE EXTENSION`' t-FEE" TOTAL 17.61 OUTGO.MSW 0.00e 0.0e 0.00 0.0Q Operating hours 7:00 AM to 5:00 PM 7 days,'a week: ` �A • Foe CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUMBUS yF`;;,sa% TENDEREDDAY CHANGE`'„ CHECK NO. SIGNATURE DUPLICATE TICKET `SITE I ->TICKET -µ' GRID' WEIGH MASTER. SOUTHOLD TOWN DEPT SOLID WASTE 00 01931849 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 71320 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 35220 LB CITY. UNIT -DESCRIPTION. °. : RATE EXTE NSION,` . :-FEE '.TOTAL:'_i'. 17.61 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 days a­*Week;` CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14`° COLUMBUS-- --~'-` DAY v TENDERED CHANGE CHECK NO. SIGNATURE NO. 2631 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL'S 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 WHITE TO DISPOSAL LOCATION EN TO TRANSPORTER r TRANSPORTER. OR DISPOSAL LOCATION TICKET"NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01932290 Steph PO Box 962/615.5 Cox Lane Cutchoguue',' INY"111935 DATE IN DATE OUT TIME IN TIME OUT.• VEHICLE,% ROLL OFF, . 11/21/2 11/21/2 11:0 11:2 11103TC 9316 Town of Babylon SCALE 2� GROSS WT 64860 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 27960 LB QTY. UNIT DESCRIPTION RATE EXTENSION - FEE _ TOTAL 13.98 OUTGO.MSW 0.000 0.00 0.00 0.0e -x j t AI Operating hours 7:00 AM to 5:00 PM 7 days.,aweek.`" r; Me CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 '4-.COLUMBUS. `ir"�?` :* `",t`3= TENDERED- DAY CHANGE CHECK NO SIGNATURE DUPLICATE TICKET SITE TIC_KET I -GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE S ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA E IN -DATE OUT,,11 TIME IN. TIME OUT VEHICLE'. ROLL OFF 9316 Town. of Babylon REFERENCE ORIGIN (5=77-WSS WT 64860 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 27960 LB QTY UNIT D_ESCRIPTION RATE EXTENSION FEE TOTAL 13.98 OUTGO.MSW 0.000 01.00 0.00 •,0.0e Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS-� x' to DAY �dJ' '11,. ;.a,';?e� +'ti iPF TENDERED z CHANGE CHECK NO. SIGNATURE NO. 2634 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 01932253 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE`OUT _ -TIME_IN., TIME OUT- VEHICLE-, ROLL OFF,',--- 11/21/2 11/21/2 07:2 07:3 11103TC 9316 Town of Babylon - ORIGINREFERENCE SCALE 2 GROSS WT 73800 LB Outbound Ticket SCALE 1 TARE WT 36740' LB NET WEIGHT 37060 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL _ 18.53 OUTGO.MSW 0.000 0.00 0.00 0.02 f AMOUR Operating hours 7:00 AM to 5:00 PM 7 days a`week:' — 0.02 W CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS aya ... , •' TENDERED .- DAY 'J �f' ." ''� 1 CHANGE � CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET.,- GRID WEIGHMASTER -- SOUTHOLD TOWN DEPT SOLID WASTE- 00 01932253 Steph PO Box 962/6155 Cox- Lane Cutchogue, NY 11935 DATEdN DATE OUT,-AITIMBIN,TIME"OUT . .' VEHICLE .; ROLL'OFF,.", 9316 Town of Babylon REFERENCE •- CALF 2 GROSS WT 73800 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 37060 LB QTY.- UNIT DESCRIPTION, RATE EXTENSION FEE TOTAL 18.53 OUTGO.MSW 0.000 0.00 0.00 . 0.02 r `_ .•.,i+, �t` .,�'It,�1 t- i....w Operating hours 7:00 AM to 5:00 PM 7 days 'a ;week:'-- a'' iq`*` 4} .i • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. DAY TENDERED CHANGE CHECK NO. CIC:NATI IRF NO. 2633 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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT'THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER_: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01932606 Steph PO Bgxr-962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/23/2 11/23/2 07:4 08:4 11103TC 9316 Town of Babylon REFERENCE 'Weilklm SCALE 2 GROSS WT 69620 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 33160 LB QTY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL 16.58 OUTGO.MSW 0.000 0.00 0.00 0.0e I Loll, Operating hours 7:00 AM to 5:00 PM 7 days;aj.week:-:-:—` 'fi 0.0E CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `- COLUMBUS t;,` `' TENDERED DAY CHANGE HECK NO. �) SIGNATURE DUPLICATE TICKET SITE ';_- TICKET. GRID- -WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01932606 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 •� CAL- 2 GROSS WT. 69620 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 33160 LB 'QTY UNIT DESCRIPTION' RATE "- EXTENSION `FEE ` TOTAL 16.58 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 days a�week,t,a ::` ,_>'.'°` #"k' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14- CO'EMBUS-- DAY TENDERED CHANGE C ECK N sir_nieTi Ana NO. 2638 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 �'TICKETS "' GRID ".'_`;" WEIGHMASTER' ,SOUTHGLLD TOWN DEPT SOLID WASTE 00 01932345 Liz H 1PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATECUT TIME IN TIME OUT VEHICLE1. ROLL OFF 11/22/2 11/22/2 07: 7 07: 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT -68800 LB Outbound Ticket SCALE 1 TARE WT 36600 LB NET WEIGHT MOO LB OTY. -UNIT DESCRIPTION' RATE ` EXTENSION FEE - TOTAL 16.10 OUTGO.MSW o.00e o.oe 0.00 0.0E �a - ' 1 !r Operating hours 7:00 AM to 5:00 PM 7 days•-a week.= ; :` L;' 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14` ,COLUMBUS _..-- TENDERED DAY `'�.�, � �''-�� ". CHANGE _ CHECK NOJ SIGNATURE DUPLICATE TICKET SITE TICKET --'-- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01932345 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -7 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 68800 LB Outbound Ticket SCALE 1 TARE WT 36600 LB NET WEIGHT 32200 LB ITY. UNIT_ DESCRIPTION -RATE EXTENSION FEE TOTAL 16.10 OUTGO.MSW .0.000 0.00 0.00 0.0e Operating hours 7:00 AM -to 5:00 PM 7 days a^week:�M CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14t-- COLUMBUS._•`---- DAY �'Z ,r C i?:;srr :y l ':..i>"} ., TENDERED N ;`'I;i'.i It Cc s? d CHANGE CHECK NO. RMIUGTI IRF NO. 2635 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) 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. .,DdPLkICATE TICKET SITE I TICKET GRID WEIGHMASTER y SOUTHOLD TOWN DEPT SOLID WASTE 0 01932410 Liz H PO Box 962/6155 Cox Lane + I I 'r r Cutchogue, NY 11935 DATE IN DATE.OUT•' TIME IN TIME-OUT VEHICLE ROLLOFF 11/22/2 11/22/2 10: 8 11: 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 71020 LB Outbound Ticket SCALE 1 TARE WT 40460 LB NET WEIGHT 30560 LB QTY UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL 15.28 OUTGO.MSW 0.000 0.00 0.00 0.0e t t dY c:.;' rlr• r✓r' r` °l \ �1'`r�; l Operating hours 7:00 AM to 5:00 •PM 7 days_ ay,w- k `. • 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14-1,COLUMBUS DAY y TENDERED S LR�"';.. ^' t•t,;'`sit -+F,.,3'J CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET '-••� ; =_.GRID �, =-_.. WEIGHMASTER >..., SOUTHOLD TOWN DEPT SOLID WASTE 00 01932410 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN DATE.OUT TIMEIN TIME UT- ROLL OFF 9316 Town of Babylon REFERENCE I ON •- CALE 2 GROSS WT 71020 LB Outbound Ticket SCALE 1 TARE WT 40460 LB NET WEIGHT 30560 LB QTY. UNIT = DESCRIPTION RATE EXTENSION FEE TOTAL 15.28 OUTGO.MSW 0.000 0.00 0.00 0.0e it j' .��• '4i;,`':y .. t..t�+r fiy,' �ti Pip! _.fd 1 J '-'f .,�. $'•� Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14'\7,CO,LUMBUS �4? TENDERED DAY L, � '�� --._- '�.�.:.. -fir , - 'Xa.,`t, le vt1�'i �•'1'Sl�'gl � �{... CHECKCHANGE NO. RIGNATI IRF .4N NO. 2636 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 DUPLI( \TE TICKET SOUTHG�D TOWN DEPT SOLID WASTE 00 01933295 Will PO Box 662/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATEOUT , ,TIMEIN TIME OUT VEHICLE ROLL OFF +' 11/25/2 11/25/2 10:5 11:1 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 67520 LB Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 31320 LB (ITY• ` UNIT DESCRIPTION.: RATE - EXTENSION ,- FEE TOTAL 15.66 OUTGO.MSW 0.000 0.00 0.00 0.0e �.l ram'', .. ✓^'' � ✓� �y b � i "N Operating hours 7:00 AM to 5:00 'PM 7 days;a� k: `� 1_, �� r°," 0.0e wee CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14''=$,COLUMBUS: • :`: 'w r'r TENDERED DAY CHANGE CHECK NO. 9 SIGNATURE DUPLICATE TICKET rSITE7 TICKET GRID_ -. _WEIGHNIASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01933295 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 ORIGINREFERENCE SCALE 2 GROSS WT 67520 LB Outbound Ticket SCALE .1 TARE WT 36200 LB NET WEIGHT 31320 LB QTY. UNIT +' "-.`DESCRIPTION'' RATE' EXTENSION" FEE' ' TOTAL ' 15.66 OUTGO.MSW 0.000 0.00 0.00 0.0e J, Operating hours 7:00 AM to 5:00 PM 7 da , ay weeR`;=y, r CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 wCOLUMBUS` TENDERED DAY CHANGE CHECK NO. A1r.NATI I R F NO. 2639 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. DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER SOUTHOCD TOWN DEPT SOLID WASTE 00 01933199 Will P0, Box 962/6155 Cox Lane CLfv• hogue, NY 11935 DATE IN ' DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 11/25/2 11/25/2 07:1 07:23 11103TC 9316 Town of Babylon REFERENCE SC7 ALE 2 GROSS WT 72340 LB Outbound Ticket SCALE 1 TARE WT 36980 LB NET WEIGHT 35360 LB QTY UNIT .:'- DESCRIPTION RATE EXTENSION FEE, - TOTAL 17.68 OUTGO.MSW 0.000 0.00 0.00 0.0e -'°r°fit,-?�z•-; Operating hours 7:00 AM to 5:00 PM 7 days,a-week:`,: "rf' 4;V. 2 Me CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `L�COLUMBUS "IN TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01933199 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN., • DATE.OUT TIME,IN TIME OUT VEHICLE- ROLL OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT _72340 LB Outbound Ticket SCALE 1 TARE WT 36980. - LB NET WEIGHT 35360 LB QW `` ` UNIT -DESCRIPTION " ;' RATE` 'EXTENSION FEE' _ TOTAL " 17.68 OUTGO.MSW 0.000 0.00 0.00 0.0e �a ,, JV t� t •• 1t i _•t 77 Operating hours 7:00 AM to 5:00 PM 7 days Es ,r 55-•L.e. W CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COL'UMBUS`-- --- =' 4., DAY .. TENDERED CHANGE CHECK NO. SIGNATURE v NO.- 2640 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 01933600 Steph PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATEIN DATE"OUT TIME IN TIMEOUT VEHICLE ROLL OFF" - 11/26/2 11126/2 07:1 07:3 11104TC 9316 Town of Babylon ..<� SCALE 2 GROSS WT 76780 LB Outbound Ticket SCALE 1 TARE WT 40500 LB NET WEIGHT 36280 LB CITY " UN1T DESCRIPTION RATE _. EXTENSION.' FEE.` TOTAL. 18.14 OUTGO.MSW 0.000 0.00 0.00 0.0e ��tt Zip,.� s' -.;`.. rf'y.: C°• � - :� o`t=,`s"o i`.ld� `S _.., 'f ,'" .�'_"ter: ,�:� • Operating hours 7:00 AM to 5:00 PM 7 day s�,a swee k.' `` ,: 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -�,,COL'UMBUS'. TENDERED DAY K,J `• ."fsr ,'{; ",i CHANGE r.: CHECK NO. SIGNATURE DUPLICATE TICKET _'SITE_ `'TICKET GRID = 'WEIGH SOUTHOLD TOWN DEPT SOLID WASTE 00 01933600 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'. N DATE OUT" 'TIME IN TIME OUT "`" VEHICLE ROLL OFF' 9316 Town of Babylon REFERENCE •• SCALE 2 GROSS WT 76780 LB Outbound Ticket SCALE 1 TARE WT 4050.0 LB NET WEIGHT 36280 LB CITY UNIT DESCRIPTION RATE EXTENSION- FEE TOTAL 18.14 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days, a.:week�."_�-:•'�`_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� COCUMBUS: DAY TENDERED CHANGE CHECK NO --j RMINATI IRF y NO.. 2641 'r 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. e 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 01933704 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA7EIN DATE`dUT TIME IN: TIMEOUT VEHICLE ''ROLLdFF`' 11/26/2 _11/26/2 11:0 11:1 11103TC 9316' Town of Babylon •. SCALE 2 GROSS WT 71260 LB Outbound Ticket SCALE 1 TARE WT 36940 LB NET WEIGHT 34320 LB Q7Y= UNIT :DESCRIPTION "` .RATE.' EXTENSION,--- :FEE TOTAL 17.16 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 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 TENDERED,'.":.; DAY _ ;'CHANGE', a ,,„'.,CHECK'NO:' SIGNATURE DUPLICATE TICKET SITE TICKET F: GRiD_ uVEiGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01933704 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;x,UATEIN DATE'OUT TIMEIN: TIME,OUT VEHICLE ', ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 71260 I LB Outbound Ticket SCALE 1 TARE WT 36940 LB NET WEIGHT 34320 LB QTYDESCRIFT#ON.;,,: ` -, :.RATE. EXTENSION + FEE TOTAL' - 17.16 OUTGO.MSW '0.000 0.00 0.00 0.0e •} r �4 it Operating hours 7:00 AM to 5:00 PM 7 days. a week': CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 _,COLUMBUS'-- DAY. 'rr, r..•}i.:,...,r; 3{;` i` k ;Y .. .; TENDERED HECK NO.' - ' SIGNATURE -� NO. 2642 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 PART261 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 iAWN DEPT SOLID WASTE 00 01933739 Steph PO Box%52/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/26/2 11/26/2 12:4 13:0 11100TC 9316 Town of Babylon REFERENCE 7 - SCALE 2 GROSS WT 70560 LB Outbound Ticket SCALE 1 TARE WT 36220 LB NET WEIGHT •34340 LB QTY. `UNIT- DESCRIPTION, T RATE EXTENSION FEE TOTAL -_- 17.17 OUTGO.MSW 0.000 0.00 0.00 0.0e 1 Operating hours 7:00 AM to 5:00 PM 7 days�,a'week',',�'---`,- - -j' n:' ° r'y 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `- �COLUMBUS, �`�;w _ TENDERED DAY .l+h :w� r.>'•`' CHANGE HECK NO. SIGNATURE DUPLICATE TICKET SITE I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01933739 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 70560 LB Outbound Ticket SCALE 1 TARE WT 36220 LB NET WEIGHT 34340 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.17 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days ajw`eek �.t--- ;_',�" .;` 3lyjAv • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS-� DAY TENDERED a k CHANGE HECK NO. RHIZMAT11gF NO. 2603 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 SOUTHO.LD TOWN DEPT SOLID WASTE 00 01933828 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT _ TIME N TIME OUT VEHICLE, -,,' ROLL OFF-, 11/27/2 11/27/2 07:1 071 11103TC 9316 Town of Babylon " REFERENCE •- SCALE 2 GROSS WT 74960 LB Outbound Ticket SCALE 1 TARE WT .36140 LB NET WEIGHT 38820 LB QTY.- UNIT DESCRIPTION - RATE EXTENSION FEE - TOTAL 19.41 OUTGO.MSW -0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 dayss,a(iaeek: r' r,,� A 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `%,COLUMBUS TENDERED ' DAY `.: CHANGE CHECK NO. - SIGNATURE DUPLICATE TICKET SITE . TICKET -GRID. _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01933828 1 Steph 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 74960 LB Outbound Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 38820 LB QTY. UNIT DESCRIPTION -?' RATE EXTENSION FEE TOTAL - 19.41 OUTGO.MSW 0.000 0.00 0.00 0.0e `r�' r:y5'ti c f 41; Operating hours 7:00 AM to 5:00 PM 7 days° a,weeki:"'= '-^=,_::- ','' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� ?,COLUMBUS''-- f; s DAYz_> Ord �xp 'S,?y, 4„" TENDERED CHANGE CHECK O. . SIGNATURE NO. 2643 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 WASTEAS 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' SOUTHq 0 TOWN DEPT SOLID WASTE 00 01933913 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN TIME OUT VEHICLE " " ROLL OFF 11/27/2 11/27/2 10:4 11:0 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 78260 LB Outbound Ticket SCALE 1 TARE WT 36060 LB NET WEIGHT 42200 LB QTY ,` UNIT - DESCRIPTION ;_ RATE _ :EXTENSION FEE TOTAL ' 21.10 OUTGO.MSW 0.000 0.00 0.00 me ✓%.d'�n�+" i%1��5 .vxi IM.!�'f `gyp �°..�'y IN- Operating hours 7:00 AM to 5:00 PM 7 days• a,week.`' .w - f; °.Y 'V ,;;' 0.02 �`1 F , CLOSED'HOLIDAYS - NEXT: MONDAY, OCT. 14 '= COLUMBUSs.r r ,,i ) TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE _-' 'TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 019.33913 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 78260 LB Outbound Ticket SCALE 1 TARE WT 36060 LB NET WEIGHT -42200 LB QTY> UNIT DESCRIPTION RATE, EXTENSION FEE TOTAL- 21.10 OUTGO.MSW 0.000 0.00 0.00 0.0E Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 141Z--,,,COLUMBUS`'---"'" >k;: ' TENDERED DAY CHANGE C ECK NO. SM .NATHRIF NO. 2644 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 I TICKET I GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01934401 Steph PO Box 962/6155 Cox Lane Cutchogue,_.1VY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ..ROLL OFF 11/30/2 11/30/2 07:0 07:11 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 73980 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 37080 LB QTY. UNIT DESCRIPTION RATE EXTENSION -=FEE TOTAL 18.54 OUTGO.MSW 0.000 0.00 0.00 0.0e its;. �' spay".: - ___- •!, C,, Operating hours 7:00 AM to 5:00 PM 7 days,a week: . "'-- Me >•,. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ',COLUMBUS „ ,-'°'" •` '' TENDERED` DAY = i CHANGE HECK NO. SIGNATURE DUPLICATE TICKET S►TE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ep PO Box 962/6155 Cox Lane_ Cutchogue, NY 11935 E N 21 DATE T TIM IN'-TIM U vE ROLL OFF 9316 Town of Babylon REFERENCE CAL: 2 GROSS WT 73980 LB Outbound Ticket SCALE 1 TARE WT 36900 =. LB NET WEIGHT 37080 LB QTY,• UNIT,.' DESCRIPTION „ .', RATE. , EXTENSION ?:>FEE TOTAL 18.54 OUTGO.MSW 0.000 0.00 0.00 me IN r 1 Operating hours 7:00 AM to 5:00 PM 7 days a,.week.•�, -✓%/'I ,;a' J� • CLOSED HOLIDAYS -. NEXT: MONDAY, OCT. 1C,,; COLUMBUS DAY � r, iz 1,11; TENDERED ,4 `J}.d ' CHECK NO. —j CIl:NATI IRF NO. 2645 GENERATOR ..f 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.