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Home My WebLink About12/2024 DUPLICATE, TICKET °SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935335 Will PO BoxY962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF', 12/02/2 12/02/2 11: 12: _11100TC • 9316 Town of Babylon ORIGINREFERENCE SCALE :2GROSS WT 78520 LB Outbound Ticket SCALE E WT 37440 LB NET WE 41080 LB QW. UNIT DESCRIPTION' " ` RATE EXTENSION , FEE` TOTAL 20.54 OUTGO.MSW 0.000 0.00 0.00 0.0e „f''f��rti��. ik�'<}fs •...1� Sri fr it;tl �� ,.f:., ' l - 4 i y- t •r ,+' '0- 04 1 WwAl • Operating hours 7:00 AM to 5:00 `PM 7 days, a week: _ pvt 0.5e CLOSED HOLIDAYS - NEXT: MONDAY, OCT 14 COLUMBUS v' 'TENDERED DAY ` r 4 . } .-CHANGE CHECK NO. SIGNATURE l DUPLICATE TICKET SITE I `'TICKET GRID • _ WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 00 01935335 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 78520 LB Outbound Ticket SCALE 1 TARE WT 37440 LB NET WEIGHT 41080 LB QTY. UNIT " DESCRIPTION' RATE EXTENSION FEE - TOTAL 20.54 OUTGO.MSW y 0.000 0.00 0.00 0.0e Ay ly i i •r >, 1. i Q tQ eta a.n,�. t`L `• '... • � "1 r�,}� • Operating hours 7:00 AM to 5:00 PM 7 days a week: . CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14N-'""`�COL'UMB�US '� TENDERED DAY ' 'I �� d ) y t' CHANGE CHECK NO., !RIr,NATIIRF / <- NO. 2663 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 KNOWLEDGETHE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935276 Will PO Box.r962/6155 Cox Lane Cu tLI10�t NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE° ROLL OFF I'l 12/02/2 12/02/2 10:4 10:5 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70760 LB Outbound Ticket SCALE 1 TARE WT 36120 LB NET WEIGHT 34640 LB QTY UNIT DESCRIPTION__ ,_ EXTENSION FEE s;' TOTAL 17.32 OUTGO.MSW 0.000 0.00 0.00 0.0e j a ti jl 7 f{ r - � Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 '-=_COLUMBUS - TENDERED DAY 4 F CHANGE CHECK NO SIGNATURE DUPLICATE TICKET SITE TICKET GRID= WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE � 1 PO Box 962/6155 Cox Lane Cutchogue, NY 11935 1 'DA EIN DATEO T ' TIMEIN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •• CALE 2 GROSS WT 70760 LB Outbound Ticket SCALE 1 TARE WT 36120 LB NET WEIGHT 34640 LB OTY UNIT DESCRIPTION= RATE EXTENSION FEE F' ' TOTAL 17.32 OUTGO.MSW 0.000 0.00 0.00 0:0e f oF1 t V Operating hours 7:00 AM to 5:00 PM 7 days, a-week. .� " _`_ % ,. ::., r.1 V. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� CO;LUMBUS -— DAY ��q"� /� lit m 4 fl y, TENDERED j I4', d tS . .1'}�r CHANGE .. CHECK NO'. _g1rNATLJRF NO. ow 2647 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 O THE BEST OF MY KNOWLEDGE_ THE INFORMATION PROVIDE_D IS TRUE AND ACCURATE:. RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL'LOCATION TICKET NO. DUPLICATE TICKET SITE ' TICKET GRID WEIGWMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935190 Will PO Box 962/6155 Cox Lane rutchogue, NY 11935 DATE IN DATE OUT TIME,IN TIME OUT VEHICLE ROLL OFF 12/02/2 12/02/2 07: 07:2 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 77400 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 40660 LB QTY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL 20.33 OUTGO.MSW 0.000 0.00 0.00 me i r} ct s:'� 1s fe a Operating hours 7:00 AM to 5:00 PM 7 days a�week: ' 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ;`�COLUMBUSTENDERED DAY CHANGE CHECK NO:•. SIGNATURE DUPLICATE TICKET SfrE I- TICKET-___, GRID_ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Out 01935190 W,i PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA E N DATE'OUT TIME IN'TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE SS WT 0 LB Outbound Ticket SCALE 1 TARE_ WT 36740- - LB NET WEIGHT 40660 LB 'QTY" UNIT`", :"''" DESCRIPTION =, „RATE r' " -EXTENSION', ;>FEE =' TOTAL " 20.33 OUTGO.MSW 0.000 0.00 0.00 0:0e get � LZ , �� T' q' i4 Operating hours 7:00 AM to 5:00 PM 7 days a week`` ✓f CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14LQ�-, COL�UMBUS ------- a< u DAY r°firr N �kiv, 'i5,f,' i ` TENDERED MrY ram' CHANGE CHECK NO9 cir_nieTi log: NO. 2646 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 O 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 01935683 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE W DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/03/2 12/03/2 11:0 11:1i 11103TC 9316 Town of Babylon , REFERENCE ORIGIN SCALE 2 GROSS WT 62100 LB Outbound Ticket SCALE 1 TARE WT -36580 LB NET WEIGHT 25520 LB QTY ' ,;•`. UNIT DESCRIPTION RATE EXTENSION. FEE ; TOTAL 12.76 OUTGO.MSW '0.000 0.00 0.00 0.0e >♦t� ✓jam � f{ k<..vJ ' C, 1`e { i Operating hours 7:00 AM to 5:00 PM 7 dayssa week M z Me CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ?_,COLUMBUS TENDERED DAY CHANGE CHECK NO- SIGNATURE DUPLICATE TICKET SITE I TICKET 3.; GRID >. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935683 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 62100 'LB Outbound Ticket SCALE 1 TARE WT 36580 LB NET WEIGHT 25520 -LB QTY- _ _ UNIT DESCRIPTION -RATE `•EXTENSION FEE TOTAL 12.76 OUTGO.MSW 0.000 0.00 0.00 0.0e l Operating hours 7:00 AM to 5:00 PM 7 days af,week4:` % - e • CLOSED HOLIDAYS - NEXT: " MONDAY, OCT. 14��, COL'UMBUS TENDERED DAY . Jx s..�;�;E`s ,I:V CHANGE CHECK NO. AI(:NATI IGF 1. NO. 2649 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 1S 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 CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935592 Steph PO Box 962/6155 Cox Lane Cutchodde, NY 11935 DATE IN DATE OUT` TIME IN TIME OUT VEHICLE I ROLL OFF 12/03/2 12/03/2 07:2 07:3 11103TC 9316 Town of .Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 74660 LB Outbound Ticket SCALE 1 TARE WT 37040 LB NET WEIGHT I 37620 LB QTY. UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL 18.81 OUTGO.MSW 0.000 0.00 0.00 0.0e v j r ` Operating -hours 7:00 AM to 5:00 PM 7 days, a week., a 0.0e Y CLOSED HOLIDAYS — NEXT: MONDAY* OCT. 14 ,jCOLUMBUS " 'TENDERED DAY. CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID,` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01935592 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE.OUT TIME Ili-TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 74660 LB Outbound Ticket SCALE 1 TARE WT 37040 LB NET WEIGHT -37620 LB QTY. :, , ", UNIT „f ,DESCRIPTION'., RATE EXTENSION `FEE TOTAL 18.81 OUTGO.MSW 0.000 0.00 0.00 0.0e fit" 1 p Operating, hours 7:00 AM .to 5:00 PM 7 days a,-,week:: �� •..-_.�-•`',i �.�, ,�.• CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 1466LUMBUS DAY / (� F TENDERED s" "r —CHANGE CHECK N SIf:NCTIIRF NO. 2648 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT)- TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01935977 Steph PO 4ox 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN,, : _DATE ; .TIMEaN TIME OUT - VEHICLE ROLLOFF , 12/04/2 12/04/2 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE SC:ALE GROSS WT 74760 LB Outbound Ticket SCALE 1 TARE WT 40580 LB NET WEIGHT 34180 LB QTY_. UNIT DESCRIPTION _ RATE EXTENSION FEE TOTAL 17.09 OUTGO.MSW 0.000 0.00 0.00 0.0e IV �p • Operating hours 7:00 AM to 5:00 PM 7 days a week. _ -i, 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =:COLUMBUS 1 TENDERED DAY "e. CHANGE CHECK O.' - SIGNATURE - — - DUPLICATE TICKET SITE _ TICKET .; GRID WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 00 01935977 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE='OUT :TIME IN TIME OUT VEHICLE ROLL'OFF 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 74760 LB Outbound Ticket SCALE 1 TARE WT 40580 LB NET-WEIGHT 34180 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.09 OUTGO.MSW 0.000 0.00 0.00 0.02 qt t Operating hours 7:00 AM to 5:00 PM 7 days 4a week: r` CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS -.TENDERED DAY !1, >. CHANGE CHECK NO.", SIGNATURF f' NO. 2650 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 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 I TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLQ TOWN DEPT- SOLID WASTE .. 00 01936093 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE''OUT: TIME IN TIME OUT . VEHICLE " '`ROLL OFF 12/04/2 12/04/2 11: 11:35 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 79940 LB Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 43740 LB (ITY. UNIT DESCRIPTION RATE EXTENSION 'FEE TOTAL 21.87 OUTGO.MSW 0.000 0.00 0.00 0.0E q 4 F Operating hours 7:00 AM to 5:00 PM 7 days a week: r 0 0.0E CLOSED HOLIDAYS -NEXT: MONDAY, OCT. 14 `- COLUMBUS TENDERED DAY -sip ✓ CHANGE' CHECK NO. SIGNATURE - - -- - - - DUPLICATE TICKET SITE TICKET . GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01936093 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 SCA LE GROSS WT 79940. - LB Outbound Ticket . TARE WT 36200 LB 43740 LB TY ;`UNIT DESCRIPTION " :RATE "° EXTENSION FEE TOTAL 21.87 OUTGO.MSW 0.000 0.00 0.00 me Operating hours 7:00 AM to 5:00 PM 7 days a week — -. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS TENDERED DAY CHANGE- CHECK NO: CIr NATI loC NO. 2651 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 LAIN,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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. G PINK TO GENERATOR s! GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET° `' GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01936439 Steph PO Box•962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME.IN TIME OUT VEHICLE ROLL OFF 12/05/2 12/05/2 11:0 11:1 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 75780 LB Outbound Ticket SCALE 1 TARE WT 36480 LB NET WEIGHT 39300 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.65 OUTGO.MSW 0.000 0.00 0.00 0.0E umu I _ t • Operating hours 7:00 AM to 5:00 PM 7 days a week: f. CLOSED HOLIDAYS - NEXT:' MONDAY, OCT. 14COLUMBUS � ,� I` —TENDERED DAY t _.. -CHANGE _. . CHECK NO. SIGNATURE DUPLICATE TICKET S[fE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01936439 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE-OUT TIME)W TIME-OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS -WT _75780 LB Outbound Ticket SCALE 1 TARE WT 36480. -LB- NET WEIGHT 39300 LB ,. :.QTY= -UNIT, DESCRIPTION. ,,,RATE_-..,: EXTENSION' FEE = TOTAL 19.65 OUTGO.MSW 0.000 0.00 0.00 0.02 i _ •�fe Operating hours 7:0,0 AM to 5:00 PM 7 da�y'safweek�: ` ; �� }` • c , CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14' - COL`UMB,US rt,' Q. - TENDERED DAY >= N CHANGE im CHECK NO. c�ni n-r ioo 's NO._ 2653 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.. COMPANY SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR'TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO., LICENSE NO/STATE; TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW'. DRIVER (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET.NO. SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE -00 01936393 Steph PO Bgox 962/6155 Cox Lane I . Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF 12/05/2 12/05/2 07:1 07:3 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 75600 LB Outbound. Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 38700 LB QTY. UNIT DESCRIPTION " " _ RATE EXTENSION :_'FEE TOTAL J 19.35 OUTGO.MSW 0.000 0.00 0.00 0.0e f �.✓' 4 fi v Operating hours 7:00 AM to 5:00 PM 7 days a week 3 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -�COLUMBUS - g TENDERED_ DAY J� zw r1.: n ;CHANGE' CHECK NO.. SIGNATURE SITE I TICKET "GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01936393 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE lNr DATE OUT'_'TIME INS TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 75600 LB Outbound Ticket SCALE 1 TARE WT 36900. LB NET WEIGHT 38700 LB QTY UNIT DESCRIPTION _ RATE" EXTENSION,` FEE TOTAL 19.35 OUTGO.MSW 0.000 0.00 0.00 0.0e > 1 - Operating hours 7:00 AM to 5:00 PM 7 days arweek:� • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14,'�R COLUMBUS L, a DAY Ea t" TENDERED. V - �f'_ CHANGE. '1 CHECK NO. AIMMATI IPP r NO. 2652 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 TQAPPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS B€ENACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOU`CHOLD TOWN DEPT SOLID WASTE 00 01936568 Will PO"_Box 962/6155 Cox Lane CAchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF 1 12/06/2 12/06/2 07:2 07:34 11103TC 9316 Town of Babylon REFER ENCE ORIGIN 'SCALE 2'GROSS WT 75840 - LB Outbound Ticket SCALE 1 TARE WT 36120J LB NET WEIGHT 39720 LB QTY UNIT DESCRIPTION;,,.' RATE EXTENSION. FEE TOTAL 19.86 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 .days':�a week.` ' r, 1 Me CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `= COLUMBUS Vr r' � TENDERED DAYh p v L r CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID= WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01936168 Will PO Box 962/6155 Cox. Lane Cutchogue, NY 11935 DATE,IN DATE OUT- „ TIME IN TIME OUT VEHICLE` ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 75840 LB Outbound Ticket SCALE 1 TARE WT 36120 ----LB.- NET WEIGHT. 39720. LB OTY UNIT '`^ DESCRIPTIONS_•: •'RATE "i "' EXTENSION" =-FEE 19.86 OUTGO.MSW 0.000 0.00 0.00 0.0e y _3 Operating hours 7:00 AM to 5:00 PM 7 day��sa`week:� :�` �' ��' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14� COLUMBUS --- a?; 1 ifi k �1 TENDERED ^-^a 1I f°•I DAY § 'rt '. `rr cz � '' CHANGE CHECK"NO• • SIGNATURE `i. 'NO. 2654 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 DESCRIBER CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY:. AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET"` GRID WEIGHMASTER ' DUPLICATE TICKET -SOUTHOLD TOWN DEPT SOLID WASTE 00 01936850 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE.OUT TIME IN' TIME OUT VEHICLE ROLL OFF 12/07/2 12/07/2 07:1 07:3 11103TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 72600 LB Outbound Ticket SCALE 1 TARE WT 36540 LB NET WEIGHT 36060 LB QTY. UNIT DESCRIPTION {_- RATE EXTENSION FEE TOTAL 18.03 OUTGO.MSW 0.000 0.00 0.00 0.0e ' t ° Wit' iv r f l r{ . Wf' ( J-17 i 1 i 4 y '— , Operating hours 7:00 AM to 5:00 PM 7 days�a week:' S°. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ,COLUMBUS ' TENDERED DAY `` �i. �i j s i t: t 1.•, CHANGE CHECK.NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRfD. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01936850 Steph .PO. Box, 962/6155 Cox Lane Cutchogue, NY 11935 ,,BATE IN DATE OUT TIME IN, TIME OUT VEHICLE 'ROLL OFF J/"T 07. 9316 Town of Babylon ORIGIN3: REFERENCE SCALE 2 GROSS WT- 72600 LB Outbound Ticket SCALE 1_.IARE WT 36540 . _LB_... NET WEIGHT 36060 - LB :QTY: .., UNIT;N, DESCRIPTION ;, RATE EXTENSION - »<°FEE TOTAL ' 18.03 OUTGO.MSW 0.000 0.00 0.00 0.0e fir' —• � J } St m z (� Operating hours 7:00 AM to 5:00 PM 7 days a Week CLOSED HOLIDAYS — NEXT: MONDAY OCT. 14 �COLUMBUS >' DAY TENDERED CHANGE `.'CHECK NO: �) • - mr_nier�icc• NO. 2656 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 01937738 Will PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATE IN „DATE OUT -TIME IN TIMER OUT VEHICLE 2 ROLL OFF 12/09/2 12/09/2 10:5 11:1L 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALEE2GROSS WT 72060 LB Outbound Ticket SCALEE WT 35780 LB NET W 36280 LB '. OTYI- UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL 18.14 OUTGO.MSW 0.000 0.00 0.00 0.02 r ,^ w 4 d ° Operating hours 7:00 AM to 5:00 PM 7 days a week. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 :COLUMBUS TENDERED DAYq -CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01917718 -Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEdN DATEOU'i TIME 1N TIME OUT[ VEHICLE', ' ROLL OFF 9316 Town of Babylon REFERENCE �. SCALE 2 GROSS WT 72060. -LB --. Outbound' Ticket SCALE .1. TARE.WT 35780 LB NET WEIGHT 36280 LB CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ` 18:14 OUTGO.MSW 0.000 0.00 0.00 0.0Q u� Operating hours 7:00 AM to 5:00 PM 7 days,a week: CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14,,- COLUMBUS DAY TENDERED. r TG ti ` , '�v is!�r� CHANGE CHECK O. .: c�r_n�eTi icr NO. 2658 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE 'NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY.- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET` GRID WEIGHMASTER •6OUTHOLD TOWN DEPT SOLID WASTE 00 01937638 Will- PO. Box 962/6155 Cox Lane 1utchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF 12/09/2 12/09/2 07:1 07:33 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 69400 LB Outbound Ticket SCALE 1 TARE WT 36640 LB ' NET WEIGHT 32760 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.38 OUTGO.MSW 0.000 0.00 0.00 0.0e -,-7 ,- 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 00 01937638 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "BATE IN DATE OUT TIME IN'TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE CLE :�� •- SCALE 2 GROSS WT 69400 - .LB Outbound Ticket SCALE 1 TARE WT 36640 LB NET WEIGHT 32760 LB QTY UNIT. ; 'DESCRIPTION ";r' RAfE' '' " ' ', EXTENSION -;FEE, .c;;TOTAL' i, 16.38 OUTGO.MSW 0.000 0.00 0.00 0.0e t y tr ^> Operating hours 7:00 AM to 5:00 PM 7 days as week:;` u y_. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMB,US _' •;%'" TENDERED DAY " CHECK NO. RI[:IUGTI IRF NO. 265 '71 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTERS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW',HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE'GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE,DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY 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 01938006 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF _ 12/10/2 12/10/2 07:3 07:4Z 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 66500 LB Outbound Ticket SCALE 1 TARE WT 36620 LB NET WEIGHT 29880 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.94 OUTGO.MSW 0.000 0.00 0.00 me Z'? 7 /-y Q, t Operating hours 7:00 AM_to 5:00 PM 7 days. a week .y �, t p A, 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS TENDERED DAY q. - .. CHANGE; CHECK NO. SIGNATURE - - DUPLICATE TICKET SITE I TICKET GRID: WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 . 01938006 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 66500 LB Outbound Ticket SCALE 1 TARE WT _ 36620 LB _.. . NET WEIGHT 29880 LB QTY. UNIT ;;DESCRIPTION RATE EXTENSION ,'` FEE "TOTAL` `• 14.94 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 Y a'ra DAY }� +�f r r `t .} TENDERED CHANGE ' 1 CHECK NO: RIC.NATI IRF NO. 2659 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION ORTITLE 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 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER_: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED_ BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01938083 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT - VEHICLE ROLL OFF . �12/10/2 12/10/2 11:1 11:2 11103TC 9316 Town of Babylon - ' REFERENCE •- SCALE :2GROSS WT 72840 LB Outbound Ticket. SCALE E WT 36460 LBNET WE -36380 LB ITY. UNIT DESCRIPTION "` RATE .,EXTENSION`- ' FEE TOTAL' 18.19 OUTGO.MSW 0.000 0.00 0.00 0.0e • / \AY L-.:. 1 Operating hours 7:00 AM .to 5:00 PM 7 -days,a,week. 0.0e - CLOSED HOLIDAYS - NEXT: MONDAY;- OCT. 14 .COLUMBUS TENDERED : DAY zz s, -CHANGEr, I CHECK NO. - ---- ---- - SIGNATURE— --- ---- ---- - — - - -- -- -- - -_-- — DUPLICATE TICKET (SITE1 TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01938083 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 Dq E IN DATE OUT TIME IN'TIME OUT . VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 72840 LB Outbound Ticket SCALE 1 TARE .WT 36460 LB. _. NET WEIGHT 36380 LB QTY` UNIT :'. ='" DESCRIPTION w RATE EXTENSION 'I ;FEE TOTAL._. °` 18.19 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 = COLUMBUS � r� ti TENDERED DAY r . CHANGE CHECKNO:::::j cir_nier��oG NO. 2660 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 1S 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/S-PATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVEMATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKED`' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01938285 Steph PO'Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT, VEHICLE ROLL OFF 12/11/2 - 12/11/2 07:1 07:3 11104TC 9316�r I*Town of Babylon REFERENCE •- SCALE 2 GROSS WT 63740 LB Outbound Ticket SCALE 1 TARE WT 37000 LB..- ... NET WEIGHT 26740 LB QTY UNIT_` ` DESCRIPTION .RATE EXTENSION ,;•FEE, ' TOTAL_ 13.37 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 T ; TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET---_; GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D N DA E TI IN TIM UT VE L `I ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN SS WT 63740 LB Outbound is e 7WEIGHT E WT 37000 LB 26740 LB UNIT -` DESCRIPTION RATE EXTENSION -FEE` TOTAL- QTY. OUTGO.MSW 0.000 0.00 0.00 0.0e L_ fri E - L Operating hours 7:00 AM to 5:00 PM 7 days a'week `-Y:'. --- '.' iR` me CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS DAY 4 r TENDERED b � 11. rat§�-� ., _,.Cf; - �' CHANGE CHECK NO. - Air-MATI IQP NO. 2661 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 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED_ IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER., PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01938311 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT" ,w•lIME fN TIME'OUT VEHICLE ROLL OFF 12/11/2 12/11/2 10:5 11:0 11103TC 9316 , -Town of Babylon REFERENCE �. SCALE 2 GROSS WT 80380 LB Outbound Ticket SCALE 1 TARE WT . 36820 LB NET WEIGHT 43560 LB OTY. UNIT DESCRIPTION _ RATE EXTENSION ;FEE TOTAL , 21.78 OUTGO.MSW 0.000 0.00 0.00 0.0e r a IN Operating hours 7:00 AM to 5:00 PM 7 days `a week.,,-," 0.0e .CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 aCOLUMBUS r TENDERED � rr DAY r CHANGE CHECK NO: SIGNATURE DUPLICATE TICKET _$ITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01938311 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN : DATE'OUT• TIME IN TIME OUT VEHICLE= ROLL,OFF ._ 9316 Town of Babylon REFERENCE GALE,2 GROSS WT 80380 .. LB' Outbound Ticket SCALE 1 TARE WT 36820 LB NET WEIGHT 43560 LB CITY.- UNIT DESCRIPTION RATE EXTENSION „FEE TOTAL 21 78- - OUTGO.MSW- 0.000 0.00 0.00 0.0e P . 1 Operating hours 7:00 AM to 5:00 PM 7 days a week.;—='^- w. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14` ,COLUMBUS E,t DAY `� ' ° r n CIE t.;e TENDERED. CHANGE, :.::.CHECK., R1 MIJ AT[IRF NO. 2662 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 WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 00 01942474 Will PO Bax 962/6155 Cox Lane C'satchogue; NY 11935 DATEIN=.:' DATEtOUT, '•71MEIN TIME OUT VEHICLE :ROLL OFF 12/30/2 12/30/2 09:3 09:5 11100TC. 9316 Town of Babylon REFERENCE EEfWEIGHT GROSS WT 69880 LB Outbound Ticket TARE WT 37140 LB 32740 LB 7 IT : ,PESCRIPTION ;•RATE EXTENSION :Y-FEE k, TOTAL 16.37 OUTGO.MSW 0.000 0.00 0.00 0.02 r Z72 �qq::M'-L�a'n, 41 �+ � "yy t d MOW"01 Operating hours 7:00 AM to 5:00 PM 7 days a week: 0 02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS TENDERED- DAY -,,- .,.,CHANGE ,''CHECK'NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID 1NEICaHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01942474 1 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 pgTE 1N DATEOUTj• -T1ME UV°TIME oUT VEHICLE ROLL OFE 9316 Town of Babylon . .. . . ORIGIN CA LE 2 GROSS WT 69880 LB Outbound Ticket SCALE 1 TARE WT 37140 . .LB . . . NET WEIGHT 32740 LB QTY-r ,.,_ ;,•UNIT DESCRIPTION 'RATE EXTENSION s.° x;FEE z TOTAL F? 16.37 OUTGO.MSW 0.000 0.00 0.00 0.0¢ Z AXY t N r C t I ap Operating hours 7:.00 AM to 5:00 PM 7 days a,week: ----- .,�� G� 'j; CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 141 COLUMBUS{ (¢a DAY 01, F �-TENDERED• CHANGE CHECK'NO. ' CIfM ATI IRF - NO. 2664 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 ORANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) . TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET• GRID: WEIGHMASTER ° DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01938361 Steph PO'3dX`92/6155 COX Lang DATE IN DATE OUT. TIME IN TIME OUT -VEHICLE ROLL OFF, Cutchogue, NY 11935 12/12/2 12/12/2 07:2 07:4 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GR05S WT 82040. LB Outbound Ticket j SCALE 1 TARE WT 36540 LB ' NET WEIGHT 45500 LB• QTY UNIT', DESCRIPTION RATE EXTENSION' _.FEE TOTAL 22.75 OUTGO.MSW — 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 da s'l,a�week.---" 0.0e P g Yam, �_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 _ :COLUMBUS v TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TIGKET' GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 00 01938361 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN -DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE CALE• 2-GROSS •WT- 82040 . LB Outbound Ticket SCALE 1 TARE WT 36540 LB NET WEIGHT 45500 LB QTY UNIT, DESCRIPTION RATE EXTENSION_- _`` FEE TOTAL 22.75 OUTGO.MSW 0.000 0.00 0.00 0.0e g i Operating hours 7:00 AM to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14' COL�UMBUS`- v r� I DAY n f, i tii' v }�� TENDERED CHANGE CHECK :...,.>,. SIGNATURE NO. 2669 GENERATOR' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP- DATE:. COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER'. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID .' WEIGHMASTER„ DUPLICATE TICKET ° SOUTHOLD TOWN DEPT SOLID WASTE 00 01938627 Dan PQ Box 952/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT -''VEHICLE ROLL OFF- 12/13/2 12/13/2 07:0 07:1 11103TC REFERENCE9316 Town of Babylon WMILL:SS WT 77640 LB Outbound Ticket MANUAL WT 36660 LB NET WE 40980 _LB . QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.49 OUTGO.MSW 0.000 0.00 0.00 0.0e �- N, 1, r Operating hours 7:00 AM -to 5:00 PM 7 days�a' week. 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 "-_ COLUMBUS TENDERED DAY »1�_7 CHANGE CHECK NO. SIGNATURE SITE TICKET";'[ ` . GRID , ;WEIGHMASTER DUPLICATE TICKET • SOUTHOLD TOWN DEPT SOLID WASTE 00 01938627 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 ORIGIN GALE 2 GROSS WT 77640 LB Outbound Ticket MANUAL TARE WT 36660 LB — NET WEIGHT 40980 LB CITY ' ;_UNIT DESCRIPTION' RATE: EXTENSION - FEE TOTAL 20.49 OUTGO.MSW 0.000 0.00 0.00 me f r 1, y r� i � - • Operating hours 7:00 AM to 5:00 PM 7 days} a, week. ---"':-_- 'CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ',,000UMBUS ti r LL DAY a; r l 1-{ • r„ > TENDERED g i' CHANGE CHECK NO. SIGNATURE NO. 2670 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 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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, ' WEIGHMAST,ER,. DUPLICATE TICKET SOIITHO'LD TOWN DEPT SOLID WASTE 00 01938947 Steph IJb Box-962/6155 Cox Lane CUtChOgUe, NY 11935 DATE IN - DATE OUT TIME IN.TIME OUT VEHICLE :ROLL OFF 12/14/2 12/14/2 07:1 07:3 19606TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 74980 -LB Outbound 'Ticket SCALE 1 TARE WT 35340 LB NET WEIGHT 39640 LB QTY UNIT DESCRIPTION RATE'' EXTENSION FEE TOTAL 19.82 OUTGO.MSW 0.000 0.00 0.00 0.0e 7 y ff j 1 v � "_ 1f l ��•Z {iyj •..: :1\'. ._ � ;; tom, F f q 2 I . e, J 4:+ eY 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - NEXT:. MONDAY, OCT. 14 <,-`COLUMBUS, t �:' TENDERED " DAY CHANGE - 'CHECK NO: SIGNATURE DUPLICATE-TICKET SITE TICKEC GRID :. WEIGHMASTER SOUTHOLD--TOWN DEPT-SOLID WASTE 00 01938947 Steph PO. Box 962/615.5 Cox Lane Cutchogue, NY 11935 - °DATE IN ' DATE-OUT TIME IN_ TIME OUT VEHICLE, ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN ,ALE 2 GROSS WT 74980. - LB -Outbound Ticket SCALE 1:.TARE. WT 35340 _...LB- NET WEIGHT 39640 LB .QTY UNIT: DESCRiPT10N ,'RATE' ' ExTEN,SION" ' FEE TTOTAL 19.82 OUTGO.MSW 0.000 0.00 0.00 0.0e . a:s Operating hours 7:60 AM to- 5:00 PM 7 days, a week:; �. ' .� Ay � CLOSED HOLIDAYS - NEXT: MONDAY, -OCT. 14` COLUMBUS DAY ` ;' , +„ TENDERED CHECK NO. SIGNATURE NO. 2671 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE 'TICKET" :� ; :, ,ARID -,WEIU`HMASTER• r DUPLICATE TICKET S.OUTW;t!) TOWN DEPT SOLID WASTE 00 01939745 Liz H PO Box 962/6155 Cox Lane - Cutchogue,� NY 11935 PATE 'IN,; DATEOU7 TIMEIN TiMEOUT VEHICLE' . ,.'ROLL OFF 12/16/2 12/16/2 07:3 07:50 19606TC 9316 Town of Babylon .. ORIGINREFERENCE SCALE 2 GROSS WT 65240 LB Outbound Ticket SCALE 1 TARE WT 35420 LB NET WEIGHT 29820 LB :. `QTY, - ti ..UNIT DESCRIPTION, RATE, " :. EXTENSION'. FEE • .`;. "TOT 14.91 OUTGO.MSW 0.000 0.00 0.00 0.0e f k t 2T _ ym 1 Operating hours 7:00 AM to- 5:00 PM 7 daysNa week: 0 0e CLOSED HOLIDAYS -.NEXT: MONDAY,_OCT. 14 -w-`COLUMBUS �' TENDERED• DAY a:. c � ," CHANGE;, . .. . CHECK,N577771 - SIGNATURE DUPLICATE TICKET :S17E TICKET GRi 1NEiGHMASrER SOUTHOLD TOWN DEPT SOLID WASTE 00 01939745 1 Liz H PO Box 962/6155 Cox-Lane - Cutchogue, NY 11935 V DATE , N TME;OUT EHICLE _ ROLL OF.F 9316 Town of Babylon .. REFERENCE •- SCALE 2 GROSS WT 65240 LB Outbound Ticket - SCALE 1 TARE WT 35420 LB NET WEIGHT 29820 LB QTY .UNIT DESCRIPTION RATE ,;;EXTENSION FEE ;t TOTAL?` =' 14.91 OUTGO.MSW 0.000 0.00 0.00 0.0e bpr v } a_ Operating hours 7:00 AM to 5:00 PM 7 days,l.a�,week:; CLOSED HOLIDAYS - NEXT: M0NDAY, 0CT. 14 COLUMBUS DAY i 't TENDERED 0 �f r ^^aa s SIGNATURE NO. 2672 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. r r• GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW', DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS:. I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_ _ PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO. SITE TICKET, GRID,: ^• WEIGHMASTER. DUPLICATE TICKET `t5i�-"#HOLD TOWN DEPT SOLID WASTE 00 01939788 Liz H . PO Box_962/6155 Cox Lane.. Cutchogue, NY 11935 ,DATE IN DATE OUT°.. ,TIME;IN'TIME OUT UEHICLE `ROLL OFF. .' 12/16/2 12/16/2 12:2 12:3 11104TC 9316 Town of Babylon _ REFERENCE •- SCALE 2 GROSS WT 71700 LB Outbound Ticket SCALE 1 TARE WT '36680 LB NET WEIGHT 35020 LB 1.QTY €. UNIT `' AESCRIPFION "RATE.' r,EXTENSION;.:,, aFEE °TOTAL' 17.51 OUTGO.MSW 0.000 0.00 0.00 0.0e J n - "C d .t � Y `r l � 5 Operating hours 7:00 AM to 5:00'PM 7-days,,a week` Foe CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =. COLUMBUS TENDERED c DAY r f r CHANGE; CHECK NO. ----- SIGNATURE - --- — -- -- -- -- DUPLICATE TICKET SITE TICKET ;GRID. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01939788 Liz H PO Box 962/6155 Cox -Lane ,. Cutchogue, NY 11935 DATEIN t DATE OUT 71NIEIN,'TIMEOUT _ UEHICLE .' ROLLOFE 9316 Town of Babylon ORIGINREFERENCE CALE-2 GROSS WT 71700 - LB Outbound Ticket SCALE 1 .TARE WT 36680_-. LB_ _ NET WEIGHT -35020 LB DESCRIPTION ., RATE„w`' EXTENSION :, FE£_ TOTAL 17.51 OUTGO.MSW 0.000 0.00 0.00 0'.0e nt y } 44 ! L 4m3 _ 3 ; a t n� Operating hours 7:00 AM to 5:00 PM 7 days-°a week':; CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS � ; DAY � "��, �r � ��s3,�y� i-�; ?}� � � - TENDERED a z nY CHANGE- ... QIl-MIATLIMP NO. 2673 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO ORWATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS 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. SITE "TICKET GRID; " .WEIGHMAsTE'R ' 771) DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01939825 Steph PO Box 962/615.`.Cox Lane Cutchogue, NY 11935 DATE IN u , DATE',0QT ". TIME IN TIME OUT VEHICLE °_' ROLL OFF r _ 12/17/2 12/17/2 07:2 07:3 11103TC . 9316 Town of Babylon . REFERENCE ORIGN 2 GROSS WT 79500 LB Outbound Ticket 'SCALE 1 TARE WT 36440 LB NET WEIGHT 43060 LB `"UNIT, ? DESCRIPTION?„a<. .. '`RATE ExTENS10N' EE"' TOTAL F 21.53 OUTGO.MSW 0.000 0.00 0.00 0.02 1;4 Operating hours 7:00 AM to 5:00 PM 7 da s ,a week.' _ 0.02 P g Y r. CLOSED HOLIDAYS NEXT: . MONDAY,_ OCT. 14 = COLUMBUS '4 „xTENDERER DAY ;y H f`e _ CHANGE= CHECK NO., SIGNATURE DUPLICATE TICKET SITE TICKET =, GRID:`. WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE_ 00 '01939825 Steph PO Box §62/6155 Cox Lane Cutchogue,- NY 11935 DATE oUT, TIME,IN TIME OUT VEHICLE -:ROLL OFF 9316 Town of Babylon REFERENCE �. CALE 2 GROSS WT 79500. LB Outbound Ticket SCALE i TARE WT 36440 LB NET WEIGHT 43060 LB QESCRIPTION RATE EXTENSION FEE " TOTAL 21.53 OUTGO.MSW 0.000 0.00 0.00 0.02 t P 'pb i �� E r d" 1 :. 3 Y >� , Operating hours 7:00 AM to 5t00 PM 7 daysoa week: CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14e- COLUMBUS .r= = 1 t �i TENDERED ' ,CHAN E. CHECK'NO J SIGNATURE No. 2674 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 1S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.. TRUCK NO LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE:DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORM_ ATIO_N 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 ;" WEIGH MASTER., DrPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01939872 Steph PO Box 962/6155 Cox Lane • 154 IN,' DATE OUT ' :TIME tN TIME OUT VEHICLE ROLL OFF; Cutchogue, NY 11935 _. : ._ w ., 12/17/2 12/17/2 10:4 11:0 11103TC 9316 Town• of Babylon REFERENCE •- SCALE 2 GROSS WT 73180 LB Outbound Ticket SCALE 1 TARE WT 35740 LB NET WEIGHT 37440 LB A) IT = DESCRIPTION NAME M EXTENSION;.' :FEE., nTOTAL.',, , 18.72 OUTGO.MSW 0.000 0.00 0.00 0.0e - t`y, F,- ` 1 Operating hours -7.:00 AM to 5:00- PM 7 days,.,a week 0.0e CLOSED HOLIDAYS - NEXT: •MONDAY, OCT. 14 "COLUMBUS TENDERED DAY CHECK N0 . : ., DUPLICATE TICKET ;StfE ,.TICKET ." GRID.: e WEIGHMASTER _ • SOUTHOLD TOWN DEFT SOLID WASTE 00 01939872 Steph ' PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN:'. DATE OUT ; .T1MErIN"TIME OUT VEHICLE .: ' ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CALF 2 GROSS WT 73180 LB Outbound Ticket SCALE 1 TARE WT 35740 LB NET WEIGHT 37440 LB UNIT DESCRIPTION, RATE EXTENSIO[V 18.72 OUTGO.MSW 0.000 ° 0.00 0.00 0.0e s � iS r x,ri • Operating hours 7:00 AM .to 5:00 PM 7 days a week_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS r DAY „ 7ENDERED: , '°' �_.. y CHANT i :CHECK NO'r' SIGNATURE NO. 2675 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. rSITIE1 TICKET I GRID I WEIGHMASTER - DUPLICATE TICKET SCATHOLD TOWN DEPT SOLID WASTE 00 01940095 Steph PO Box 962/6155 Cox Lane DATE Its DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ,Cutchogue, NY 11935 '12/18/2 12/18/2 07:2 07:4i 11103TC 9316 Town of Babylon ORIGINREFERENCE .SCALE 2 GROSS WT 80300 LB Outbound Ticket SCALE 1 TARE WT 36840 _LB NET WEIGHT ..43460 LB QT .. °I- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.73 OUTGO.MSW 0.000 0.00 0.00 0.0e 1y (�✓ ` �'y _ — � ^}•may F IN Operating hours 7c00 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 00 01940085 Steph PO Box'962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN T IMEOUTI VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CAL: 2 GROSS WT 80300 LB Outbound Ticket SCALE 1 TARE WT 36840 LB NET WEIGHT 43460 LB CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.73 OUTGO.MSW 0.000 0.00 0.00 0.0e 4 f Operating hours 7:00 AM to 5:00 PM ,7 da s a week`` CLOSED HOLIDAYS —NEXT: MONDAY, OCT. 141,COLUMBUS , } DAY '. yr'Jr; ! \`- TENDERED i.✓*. 1'�v{l to y ,.�y,f". e CHANGE CHECK NO. SIGNATURE NO., 2676 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,JS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_ PROVIDED IS TRUE AND ACCURATE: RECEIVED BY AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER 'YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. rDUP LI SITE TICKET GRID. WEIGHMASTER ° CATE TICKET _ SOUTHOLD TOWN DEPT SOLID WASTE 00 01940433 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/19/2 12/19/2 07:2 07:5 11103TC 9316. Town of Babylon - REFERENCE •- SCALE 2 GROSS WT 80160 LB Outbound Ticket SCALE 1 TARE WT 36620 LB NET WEIGHT 43540 LB CITY. UNIT DESCRIPTION _' RATE- EXTENSION FEE TOTAL 21,77 OUTGO.MSW 0.000 0.00 0.00 0.0e - Operating hours 7:00 AM to 5:00 .PM7daysa week: ' f 0.0e CLOSED HOLIDAYS -- NEXT: MONDAY, OCT. 14 - COLUMBUS, � ' TENDERED DAY CHANGE CHECK NO. - - - - -SIGNATURE_.— - --- DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01940433 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIMEIN,TIME OUT , , VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CAL: 2 GROSS WT 80160 LB Outbound Ticket SCALE 1 TARE WT 36620 LB NET WEIGHT 43540 LB nCTYC „UNIT. DESCRIPaTtON., RATE r EXTENSION., FEE TOTAL>.vA,. 21.77 OUTGO.MSW 0.000 0.00 0.00 0.0e kil 7�_ } r 7 b. f ; Operating hours 7:00 AM to 5:00 PM 7 days, a Sweek—- ` �` � ' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT.• 14 COLUMBUSR €_ .r { ; TENDERED DAY w.t. CHANGE` CHECK NO. AIMIATI IRF Y NO., 2677 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER FCUTH14-1) TOWN DEPT"SOLID WASTE 00 _ ' 01940708 Liz H PO BOX 962/6155 Cox Lane CutchogUe, NY 11935 DATE IN DATE-OUT TIME IN`TIMEOUT VEHICLE AOLLOFF 12/20/2 12/20/2 07:1 07:3 11103TC 9316 Town of Babylon REFERENCE •. SCALE 2 GROSS WT 75600 LB Outbound Ticket SCALE 1 TARE WT 36460 . LB NET WEIGHT 39140 LB QTY. 'UNIT DESCRIPTION'` RATE EXTENSION ;` ',-,FEE' . 'TOTAL 19.57 OUTGO.MSW 0.000 0.00 0.00 0.0e 4 } f } Operating hours 7:00 AM to 5:00 PM 7 da ' a week",Z '"fi 0.0e P g Y>�, {,' _ 1V CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14''-2,,t6 UMBUSE TENDERED: DAY ' .CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET GRID_` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01940708 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN`_= DATE OUT -TIMEIN'•TIMEOUT VEHICLE:_; ROLL OFF 9316 Town of Babylon REFERENCE •. CALE.:2-GROSS WT 75600 LB -Outbound Ticket SCALE1._TARE.WT 36460.-.-. LB NET WEIGHT -39140 LB QTY. UNIT m DESCRIRTION RATE EXTENSION FEE ",-TOTAL A" 19.57 OUTGO.MSW 0.000 0.00 0.00 0.0e r ' J 1 a a a 55 k Operating hours 7:00 AM -to 5:00 PM 7 days a week. T CLOSED HOLIDAYS - NEXT: MONDAY,- OCT. 14 CO�LUMBUS �<< 'TENDERED DAY a �.. 1- ` CHANGE- - CHECK NO. SIGNATURE NO. 2678 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 517E LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE- 00 01940996 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE•.OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/21/2 12/21/2 08:5 09:1 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70220 LB Outbound Ticket SCALE 1 TARE WT 36360 LB, NET WEIGHT 33860 LB QTY UNIT, DESCRIPTION RATE EXTENSION " FEE.- -TOTAL 16.93 OUTGO.MSW •0.000 0.00 v 0.00 0.0e Af f Operating hours 7:00 AM to 5:00 PM 7 days',"aweek. ;d 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 `= COLUMBUS p p DAY j l W TENDERED CHANGE " CHECK NO:' SIGNATURE DUPLICATE TICKET SITE " TICKET , GRID° WEIGHMASTER` SOUTHOLD TOWN DEPT SOLID WASTE 00 01940996 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATE°OUT TIME IN.TIME OUT VEHICLE ROLL'OFF 9316 Town of Babylon REFERENCE •. CALE 2 GROSS WT 70220 LB Outbound Ticket SCALE 1 TARE WT 36360 LB ""- NET WEIGHT 33860 LB QTY "'UNITVI' "'y.q DESCRIPTION RAT_&, EXTENSION FEE TOTAL 16.93 OUTGO.MSW 0.000 0.00 0.00 0.0e t' - f4 �J4 U U U 7. ,r Operating hours 7:00 AM to 5.:00 PM 7 days a�week�� -> �� '� �� Y • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�COLU,M�B. US —� :,"n, DAY �' "(r j'``';' x} ri TENDERED r z CHANGE - .. I CHECK NO. �j - RIMNGTI IRF '- NO: 2679 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW: DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE-INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD• TOWN DEPT SOLID WASTE 00 01941246 Liz H PO Box. 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATEOUT TIME IN TIMEOUT VEHICLE ROLL`OFF 12/23/2 12/23/2 07:0 07:1 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 64580 LB . Outbound Ticket SCALE 1 TARE WT 36040 LB NET WEIGHT -28540 LB QTY. UNIT ;,. : '- :"DESCRIPTION RATE = EXTENSION FEE TOTAL 14.27 OUTGO:MSW 0.000 0.00 0.00 0.02 , j y ?07 4 , Operating hours 7:00 AM .to 5:00 PM 7 days.a week - �' � 0.0e CLOSED HOLIDAYS - NEXT: MONDAY,- OCT. 14 '- COLUMBUS f# s TENDERED DAY C T CHANGE ._. CHECK NO. SIGNATURE DUPLICATE TICKET, SITE TICKET;;;; GRID WEIGHMAST.ER SOUTHOLD TOWN DEPT SOLID WASTE 0 6 L1Z PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA EI DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF, 9316- Town of Babylon REFERENCE CALE 2 GROSS WT 64580.• LB Outbound Ticket SCALE-1.TARE WT .. ._.._. -.360.40 _ LB. ,.....".. NET WEIGHT, 28540 LB OTY _ ' ' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL_ 14.27 OUTGO.MSW 0.000 0.00 0.00 0.02 uii h� E% ? +- f 1 J� two=. r'„w^•-.'i t i / `v ,+ } Operating hours 7:00 'AM 'to 5:00 "PM 7 days aA;weeK: �y e/` � 3f • 151 CLOSED HOLIDAYS— NEXT: MONDAY, OCT.-- 14 COL�UMBUS _ '' r" DAY '��J � r �Z x' TENDERED `$ '2':.t { CHANGE CHECK NO. NO. 2680 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: 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 • 3004*iOLD TOWN DEPT SOLID WASTE 00 01941300 Liz H PO Box §62/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF 12/23/2 12/23/2 10:3 11:01 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 73280 LB Outbound Ticket SCALE 1 TARE WT 36420 LB NET WEIGHT 36860 LB OTY. UNIT '_ DESCRIPTION Z RATE EXTENSION FEE TOTAL 18.43 OUTGO.MSW 0.00,0 0.00 0.00 0.0e s . � e r - - Operating hours 7:00 AM to 5:00 PM 7 days�a week. r >V CLOSED HOLIDAYS - NEXT: MONDAY, OCT: 14 `=a COLUM SUSI TENDERED DAY r CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET - _ GRID WEIGHMASTER:- SOUTHOLD TOWN DEPT'SOLID WASTE _ 00 0194130/1 1 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,. DATE IN. DATE OUT TIME IN TIME OUT VEHICLE . . :='ROLL'OFF 9316 Town of Babylon REFERENCE •- GALE 2. GROSS WT, 73280' - LB Outbound Ticket SCALE 1 TARE•WT. '36.420 LB. NET WEIGHT 36860 LB QTY. NIT- ' "'DESCRIPTION, ; RATE, ,EXTENSION FEE '.`�:TOTAL 18.43 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM. to.5:00 PM 7 days a- week. •`�._.__._- .� -•�. r�� . CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 CO\LUMBUS'�--- fr _ ,Y,? � TENDERED DAY ,i, �� FI y� ,u , . , CHANGE' CHECK NO. Clf.`.PI ATI IRF NO. 2681 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 APPLICABLEREGULATION. 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 01941434 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF _ . .- 12/24/2 12/24/2 07:2 07:3 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 71220. LB Outbound Ticket SCALE 1 TARE WT 36360 LB NET WEIGHT 34860 LB QTY UNIT. DESCRIPTION RATE EXTENSION r _ FEE`- TOTAL 17.43 OUTGO.MSW 0.000 0.00 0.00 0.0¢ ID _ �� to e }fifi} ? J Operating hours 7:00-AM. to. 5:00 PM 7-daysa week. ' 1 0.0¢ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 =IACOL�UMB,1US$ TENDERED DAY `� t r I$�14 �n CHANGE . CHECK NOi� SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01941434 1 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ROLL OFF 9316 Town of Babylon CALE-2 GROSS WT 71220 LB Outbound Ticket SCALE; 1' TARE WT. 36360 LB NET WEIGHT 34860 LB QTY. UNIT_ DESCRIPT_ION RAT_ E - EXTENSION -FEE TOTAL 17.43 OUTGO.MSW 0.000 0.00 0.00 0.0¢ ; y . Operating hours 7:00 AM to 5:00 PM 7 days. a,-,wee 4„ yu ' r CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COeUMBUS--_._ DAY TENDERED CHANGE CHECK NO. RIANATIJRF NO. 2682 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: SNIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) 'DESTINATION DISPOSAL LOCATION: DATE DELIVERED:: ADDRESS: THEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE. KEY:_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET' GRID „ WEIGH MASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE- 00 01941486 Steph PO Box 962/6155 .Cox Lane . CUtChOgUe, NY 11935 ",'DATE IN DATEOUT TIME.IN°TIME OUT VEHICLE -ROLL OFF 12/24/2 12/24/2 10:4 10:5 11103TC 9316 Tow'•,,- of Babylon - REFERENCE •- SC:ALE GROSS WT 65620 LB Outbound Ticket SCALE 1 TARE WT 35940 LB NET WEIGHT 29680 LB QTY UNiT Y.. DESCRIPTION ''RATEk EXTENSION;. FEE. = TOTAL ,. .:.< 14.84 OUTGO.MSW 0.000 0.00 0.00 0.0e ERql, ti 3 Operating hours 7:00 AM to 5:00 PM days,�a week.--_�-: 0 0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT: 14 " CCOOLUMBUSDAY 3 q s � P $ TENDERED:: r s j j; 0 �CHANGE,u . CHECK,NO:,. 'SIGNATURE DUPLICATE TICKET ,SITE TICKET , GRID: WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE 00 01941486 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935- - DATEIN;•, DATE , TIMEIN'TIME,OUT VEHICLE :" ROLLOFE 9316 Town of Babylon REFERENCE t CALE 2 GROSS_ WT 65620 LB Outbound Ticket SCALE 1 TARE WT. 35940 LB. NET WEIGHT 29680 LB 7 QTY UNIT DESCRIPTION. = RATE. '... :.EXTENSION-:: >:FEE TOTAL 14.84 OUTGO.MSW ' . 0.000 0.00 0.00 0.0e e 9 r,fie1 ; tv Operating hours 7;00 AM to 5:00 PM 7 days a�weAl ek CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ORLUMBUS` f �° DAY � 3rl TENDERED ,CHANGE,. CHECK NO. A1f:NATI IRF ' No. 2683 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 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. DUPL` CATE TICKET SITE ' . TICKET,. G RID r WEIGHMASTER SO�*OLD TOWN DEPT"SOLID WASTE 00 01941522 Liz H PO Box,962/6155 Cox Lane _ CUtChogUe, NY 11935 DATE IN : ' DATE OUT ..TIME;IN TIME OUT VEHICLE ROLL OFFt 12/26/2 12/26/2 07:1 07:3a 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT `..69740 LB, Outbound Ticket SCALE 1 TARE WT 36560 - LB NET WEIGHT 33180 LB OTY , UNIT . . DESCRIP_TION .. - "RATE :EXTENSION,'s; ":FEE .,.'`. . , . .`,TOTAL'_`; 16.59 OUTGO.MSW 0.000 0.00 0.00 0.0e to . � itx d r r A r • Operating hours 7:00 AM to 5:00 PM 7 days� a week �� 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 °=" COLUMBUS V' TENDERED,, r �r � . DAY `�'.� � .� -_CHANGE" r CHECK NO,,,, , SIGNATURE DUPLICATE TICKET SITE TIGKET GRID; WEIGHtv1ASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01941522 Liz H PO Box 962/6155 Cox Lane - Cutchogue,. NY .11935 °DATE tN DATE'OUT TIME IN=TIME`OUT 'VEHI4164 CLE ROLL OFfi 9316 Town of Babylon ORIGINREFERENCE CALE 2-GROSS WT 69740 LB:: Outbound Ticket " SCALE• 1-TARE WT 36560 LB NET WEIGHT -33180 LB QTY UNi7.. n DESCRIPTION_-"" RATE. ,._. , "r EXTENSION'. FEE :'.TOTAL,<_ .z 16.59. 1 OUTGO.MSW ,0.000 0.00 0.00 0.0e e" Zz C w< . Operating hours 7:00 AM-to 5:00 PM 7 days a4weekf CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14yCOLUMBUS '! 4 DAY ` t , TENDERED;,,' ` CHANGE' 'CHECK O:> NO. 2684 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: 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 SOUTI;:OLC.:.TOWN DEPT-SOLID WASTE 00 01941590 Liz H PO Box 962/6155 Cox Lane - } Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/26/2 12/26/2 11:0 11:1 11103TC 9316 Town of Babylon REFERENCE �. SCALE 2 GROSS -WT 73100' LB ' -Outbound Ticket SCALE 1 TARE WT 36200 -LB ' NET WEIGHT 36900 LB OTY UMT DESCRIRTION; RATE EXTENSION FEE TOTAL 18.45 OUTGO.MSW 0.000 0.00 0.00 0.0e e a: Operating hours 7:00 AM to 5:00 PM 7 days-,a w eek.`� 0.0e .. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS \ TENDERED DAY ''>Q j it Ili CHANGE - - CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE_ 00 01941590 1 Liz H PO Box 962/6155 Cox- Lane - Cutchogue, NY 11935 „DATE IN DATE OUT TIME IN TIME OUT VEHICLE, _, `ROLL OFF 9316 Town of Babylon REFERENCE •- CAL: 2 GROSS WT 73100 LB Outbound Ticket SCALE• 1".TARE-WT: 36200 LB NET WEIGHT -36900 LB QTY. _,' UNIT. : ' DESCRIPTION,v ;' RATE EXTENSION ;FEE TOTAL., 18.45 OUTGO,MSW •0.000 0.00 0..00 0.0e Aj y 1 Operating hours 7:00 AM-to 5:00 PM 7 days aweek.,,- CLOSED HOLIDAYS - NEXT: MONDAY, OCT: 14 � COLUMBUS` = -'` r{} t ry y r TENDERED DAY �1SP to` v ', 'a CHANGE CHECK NO ; RIMIATI IRF NO. 2685 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 CERT'IFY'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 5E6THOLZ) TOWN DEPT SOLID WASTE 00 019417§0 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE;OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/27/2 12/27/2 071 07:3D 11103TC 9316 Town of. Babylon REFERENCE �- "SCALE. 2 GROSS WT 67180 LB : . Outbound Ticket SCALE 1..TARE WT 36320 LB NET WEIGHT .30860 LB OTY " ''' , ;' UNIT DESCRIPTION `:_ RATE' EXTENSION' FEES TOTAL 15.43 OUTGO.MSW. 0.000 0.00 0.00 0.0 f Zi Operating hours 7:00 AM to•5:00 PM 7 days,la week _ sty 0.0Q Gr,�� CLOSED HOLIDAYS - NEXT: MONDAY,_ OCT. 14 ;COLUMBUS,� , �, , �y � - �TENDERED DAY "_." . CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE 'TICKET,.�'" GRID' WEIGHMASTER ;- SOUTHOLD-.TOWN DEPT- SOLID WASTE 00 01941790 Liz H PO Box'962/6155 Cox Lane Cutchogue, NY 11935 — - - - DATE IN "DATE'oUT` TIME IN TIME OUT VEHICLE % "' ROLL'OFF 9316 Town of-Babylon ORIGINREFERENCE CALE 2 GROSS WT 67180 LB Outbound Ticket SCALE 1 TARE WT 36320 LB NET WEIGHT 30860 LB OTY UNIT " - DESCRIPTION RATE EXTENSION FEE TOTAL' 15.43 OUTGO.MSW 0.000 0.00 0.00 0.02 "4;t f fin, Ajr - / r' r Operating hours 7:00 AM to-.5:00 PM 7 days -a,week•:4 CLOSED HOLIDAYS - NEXT: MONDAY, .00T. 14 CO BUS ^a�* TENDERED DAY itf � CHANGE CHECK NO ` RIANATl1RF i NO. 2686 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 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 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 SOUTHOLD TOWN DEPT.SO.LID WASTE .00 01942085 Dan . PO Bd)(-962 6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT Cutchogue, NY 11935, VEHICLE ROLL OFF 12/28/2 12/28/2 07:1 07:4 11103TC 9316 Town of Babylon SCALE 2 GROSS .WT 72580 LB Outbound Ticket SCALE 1 TARE WT 36860 LB NET WEIGHT 35720 LB QTY. UNIT , DESCRIPTION RATE EXTENSION. FEE TOTAL 17.86 OUTGO.MSW 0.000 0.00 0.00 0.0e r pAj '`� 1 t4l' 5 MUSH• Operating hours 7:00 AM to 5:00 PM 7 daysta week:' 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 ��COLUMBUS TENDERED,. r DAY CHANGE-: CHECK NO. SIGNATURE SITE TICKET__ GRID; WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01942085 Dan PO Box 962/6155 Cox Lane Cutchoue, NY 11935 g DATE IN ' DATE19YUT� OL)TTIME IN.TIME ,• VEHICLE ROLL OFF ' 9316 Town of.Babylon REFERENCE •- CALE_ 2 GROSS WT ._..... ... 72580.._ .LB. .- Outbound Ticket SCALE 1:.TARE WT 36860 LB NET WEIGHT 35720 LB QTY UNIT` °' _ DESCRIPTION, € RATE,--, 7 EXTENSION '- - "FEE - - TOTAL 17.86_ OUTGO.MSW 0.000 0.00 0.00 0.0e E f k, f Operating hours 7:00 AM to 5:00 PM 7 days asweek`` LL 1' • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 1 OL 4�= CUMBUS „ � rr DAY f TENDERED ' • t } f -a ti t i" CHANGE ' CHECK NO. Pir-MATI IRF NO. 2687 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 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 01942490 Will PC Box 962/6155 Cox Lane ,._Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME'OUT VEHICLE ROLL OFF 12/30/2 12/30/2 10:3 10:4 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 66940 LB Outbound Ticket SCALE 1 TARE WT 36580 LB NET WEIGHT 30360 LB QTY%' UNIT " ' DESCRIPTION RATE xf EXTENSION FEE, TOTAL 15.18 OUTGO.MSW 0.000 0.00 0.00 0.0e At NO rE Operating hours 7:00 AM to 5:00 PM 7 dys a week. _ '��,� 0.0e mot,, � CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14`NCOLUMBUS TENDERED DAY CHANGE _ CHECK NO. SIGNATURE DUPLICATE TICKET ,SITE , "TICKET-'- GRID', _ WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTEw1ii PO Box 962/6155 Cox Lane Cutchogue, NY 11935 N' PA E T TI 1 TIM U I '.ROLL OFF 9316 Town of Babylon . REFERENCE ORIGIN Outbound is e SCALE 1 TARE WT 36580 .."LB NET WEIGHT 30360 LB QTY_ UNIT ':' DESCRIPTION AT RE EXTENSION' FEE TOTAL 15.18 OUTGO.MSW 0.000 0.00 0.00 6.0e J' n0 ti �a �x p' Operating hours 7:00 AM to 5:00 PM 7 days 'asweek`:�_ � h- • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14,`,-COLUMBUS DAY TENDERED CHANGE CHECK NO. SIGNATURE NO. 2688 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: i HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICAI� TICKET SITE I TICKET GRID WEIGHMASTER• SGi1T',JLD TOWN DEPT SOLID WASTE 00 01942454 Will PO Box 962/6155 Cox Lane Cutchogue; NY 11935 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 12/30/2 12/30/2 07:0 07:1 11103TC . 9316 Town of Babylon SCALE 2 GROSS WT 67300_ LB Outbound Ticket SCALE 1 TARE WT 37000 LB NET.WEIGHT 30300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. 15.15 OUTGO.MSW 0.000 0.00 0.00 0.02 ? `+ E -, s �. >. • Operating hours 7:00 AM to 5:00 PM 7 days,a week.: ' ti� f 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14v=C0LUMBUS f {h� y qp TENDERED DAY XL CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKEf F, GRID .WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 00t 01942454 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 1.DA DATE UT TIME I TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- T - 67300 LB Outbound Ticket E TARE WT 37000 LB GROSS HT 30300 LB. 'UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.15 OUTGO.MSW 0.000 0.00 0.00 0.02 t v � C• N`•:, Operating hours 7:GO AM to 5:00 PM 7 .days a we}ek!� CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�COLUMBUS ;. DAY C:> P;' ' e° ` TENDERED t, �..n s{ r: CHANGE CHECK NO. wt NO. 2689 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 r TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT .SOLID WASTE 00 01942675 Steph . PO Box 962/6155 ,Cox Lane Cutchogue, NY 11935 DATE,IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF �.; "12/31/2 12/31/2 07:1 07:2 11103TC 9316" Town of Babylon ORIGINREFERENCE SCALE GROSS WT 67640 LB Outbound Ticket SCALE 1 TARE WT 36720 LB NET WEIGHT 30920 LB :QTY UNIT - DESCRIPTION RATE EXTENSION ,'. FEE TOTAL 15.46 OUTGO.MSW 0.000 0.00 0.00 0.02 Ilk ti a a Operating hours 7:00 AM to 5:00 PM 7 days a 'week: " �` , • CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14-,m COLUMBUS R 5,3E l' s -TENDERED' ' DAY a { s CHANGE; CHECK-NO. SIGNATURE DUPLICATE TICKET SITE TICKET . GRID WEIGHMASTER; SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962/6155 Cox Lane Uut ultil+zb/t), 5-cepn Cutchogue, NY 11935 imlb- D Ti IN TIM ROLL-OFF 9316 Town of Babylon SS 01 6/640 US SCALE 1 TARE WT _ 36720 _ LB NET WEIGHT 30920 LB QTY. UNIT . '. DESCRIPTION RATE EXTENSION ,.FEE , ;F. . TOTAL. — � i I �• I Operating hours 7:00 AM to 5:00 PM 7 days a;." ;. e'k �� ;° ; a .` ,t • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 141�.- CO�LUMBUS DAYa ' TENDERED CHANGE CHECK N . SIGNATURE 1 � NO: 2690 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01942739 Steph PQ Box 962/6155 Cox Lane - t - - Cutchogue, NY 11935 . DATE IN, DATE~OUT - TIME1N TIMEOUT -VEHICLE I. ROLCOFF 12/31/2 12/31/2 10:2 10:4 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 77980 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 41880. LB QTY. UNIT DESCRIPTION RATE "" 'EXTENSION' ' FEE TOTAL 20.94 OUTGO.MSW 0.000 0.00 0.00 0.0e A �_ " • Operating hours 7:00 AM to 5:00 PM 7 days a week�� CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�z COLUMBUS c' ` DAY e �.° �)r5 _4 TENDERED I �'.L 'a..^�-'' ,� CHANGE.' CHECK NO. SIGNATURE DUPLICATE TICKET rk-E,j TICKET GRAD WEIGHMASTER`. " SOUTHOLD TOWN DEPT SOLID. WASTE vul STepn PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D E' , TI I TIM 1 ROLL OFF 9316 Town of Babylon REFERENCE �. .. .. C 5S WT _779807 LB_ outbouna Ticket SCALE 1 TARE WT 36100 LB- NET WEIGHT 41880 LB QTY. . UNIT DESCRIPTION `RATE EXTENSION' -FEE °:'TOTAL 20.94 OUTGO.MSW 0.000 0.00 0.00 0.0e . _ .- - of i ( °�A��'��`4• ..-.. i !,F � �?Y� l Operating hours 7:00 AM to 5:00 PM 7 da`s "a week`: CLOSED HOLIDAYS -'NEXT: MONDAY, OCT. 14� COLUMBUS _ . DAY ;� " TENDERED ,,° ,fi 'I �� , "'w<�%'" v°r-:yt• CHANGE CHECK NO, . RIfMAT[IRF .. NO. 2691 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO O_R MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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: 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._