The URL can be used to link to this page

Home My WebLink About01/2025 SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DE-PT SOLID WASTE 00 01942831 Steph PO Box 96V 155 Cox Lane DATE'IN DATE OUT, "TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - - 01/02/2 01/02/2 07:0 07:1 11103TC' 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT _76220 -LB Outbound Ticket SCALE 1 TARE WT 36640 ' LB NET WEIGHT39580 LB QTY UNIT DESCRIPTION RATE EXTENSION' FEE "'TOTAL 19.79 OUTGO.MSW 0.000 0.00 0.00 0.0e a P WD �z ss AIIIIIIIIIII 0q I W-1-11 • Operating hours 7:00 AM to 5:00 PM 7 days-,a week.--•--,,... � �� ' 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14= C�OLUMBUS � dr�$ TENDERED. DAY $ WN9g CHANGE CHECK NO.. SIGNATURE DUPLICATE TICKET SITE `TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01942831 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oATE'IN' DATE OUT_ TIME IN; TIME OUT VEHICLE ROLL OFF, 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 76220 LB Outbound Ticket SCALE 1 TARE WT 36640 LB NET WEIGHT 39580 -LB "'QTY UNIT" ' '" DESCRIPTION '- RATE r EXTENSION-> FEE. TOTAL 19.79 OUTGO.MSW _0.000 0.00 0.00 0.0e 4zz-tzzz---'-- C% if c Operating hours 7:00 AM to 5:00 PM 7 daysweek� �` CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14)�-, BUS DAY GA r }� 3' a ��lJ } TENDERED s �3r CHANGE CHECK NO. SIGNATURE NO._ 2692 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: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. . SITE I -TICKET GRID WEIGHMASTER. DUPLICATE TICKET SOUTHOLD TOWN DEPT"SOLID WASTE 00 01942897 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OUT ' TIME IN TIME OUT VEHICLE'' ROLL-OFF 01/02/2 01/02/2 10:2 10:41 11103TC 9316- Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 69820 LB Outbound Ticket SCALE 1 TARE..WT 36280 LB NET WEIGHT 33540 LB OTY UNIT DESCRIPTION ` RATE EXTENSION FEE TOTAL' 16.77 OUTGO.MSW - 0.000 0.00 0.00 0.0¢ . 20FRE We Operating- hours 7:00 AM.to 5:00 PM 7 days a week. ��- '� 0.0¢ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 �OLUMBUSrr - TENDERED DAY (` y , CHANGE'. CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID , WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE O.Of 01942897 Sep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA E IN DATE OUT .± TIME IN JfIME.OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT -69820 LB Outbound Ticket SCALE 1 TARE WT 36280 LB NET WEIGHT 33540 LB QTY.- UNIT, , :, .- DESCRIPTION - „-, " RATE '-EXTENSION.; FEE TOTAL 16.77 OUTGO.MSW 0.000 0.00 0.00 0.0e " I rr, ,e , e 'a f Operating hours:7:00 AM to 5:00 PM 7 days a week:_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUM_BUS°-- fl ark DAY � 1�(,�?Ali�-iI \�E TENDERED I< " rx 4 c is r i � }` �j 1 CHANGE CHECK NO. �) AMNATURE NO. 2693 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 I GRID I WEIGHMASTER DUPLICATE TICKET ,OUTLIOLD TOWN DEPT SOLID WASTE 00 01943121 Liz H PO Box.962/6155 Cox Lane Cutchogue, NY 11935 DATE IN." DATE'OUT TIME IN TIMEOUT VEHICLE ROLLOFF 01/03./2 01/03/2 07:2 07:3 11103TC . 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT .77920 LB Outbound Ticket SCALE 1 TARE WT 36260 LB NET WEIGHT 41660 LB - C1TY UNIT -0DESCRIPTION RATE EXTENSION ''' .' "FEE.,'` :TOTAL 20.83 OUTGO.MSW 0.000 0.00 0.00 0.0e ry ouvC't /� L t Operating hours 7:00 AM to.5:00 PM 7_days a week. z 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COLUMBUS? } TENDERED` DAY CHANGE .- 1. HECK NO. - SIGNATURE - DUPLICATE TICKET SITE TICKET =- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01943121 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 ORIGINREFERENCE CALE- 2, GROSS WT . 77920 LB Outbound Ticket SCALE., 1.-TARE WT 36260 . LB . NET WEIGHT 41660 LB CITY UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL 20.83 OUTGO.MSW 0.000 0.00 0.00 0.0e It, " z Operating hours 7.:00 AM to 5:00 PM 7 days. a-�week: A CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 � COLUMBUS 4� DAY _.. � �i�� TENDERED e F =st a CHANGE CHECK NO. .. .. CI!_MI ATI I or - NO. 2694 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/S T ATE 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 01943164 Liz H. , PO Box 962/6155 'Cox Lane Cutchogue, NY 11935 - DATE IN DATE OUT TIME IN TIME OUT •°VEHICLE .` ' ROLL OFF 01/03/2 01/03/2 10:4 11:0 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 74320 LB Outbound Ticket SCALE 1 TARE WT 35900 LB NET WEIGHT 38420 LB QTY UNIT = DESCRIPTION' RATE EXTENSION FEE TOTAL 19.21 OUTGO.MSW 0.000 0.00 0.00 0.0Q ss '15 8 r l^ _ . Operating hours 7:00 AM to 5:00 PM 7 days,a week. �, 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 �COLUMB,US s � TENDERED - DAY g � CHANGE lr CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01943164 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 ORIGINREFERENCE CAL: 2 GROSS WT 74320 LB Outbound Ticket . SCALE 1..TARE.WT 35900 LB NET WEIGHT -38420 LB CITY. 'UNIT ,; DESCRIPTION RATE EXTENSION ;,'FEE TOTAL 19.21 OUTGO.MSW 0.000 0.00 0.00 0.0E r- c �, s < Operating hours 7:00 AM .to 5:00 PM 7 days a�wee�k, ..,�--.,�_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COL<UMBUS DAY �� `'p" �" TENDERED CHANGE CHECK NO. =u NO. 2695 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/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 °e WEIGHMASTER. . DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01943314 Steph PO Box 962/6155 Cox Lane 'Cutchogue, NY 11935 . . DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 01/04/2 01/04/2 07:0 07:1 11103TC 9316" Town of Babylon REFERENCE ORIGIN 1 SCALE 2 GROSS WT 82060 . LB Outbound Ticket SCALE 1 TARE.WT 36100, LB NET WEIGHT •45960 LB QTY UNIT, _DESCRIPTION;' RATE' EXTENSION FEE TOTAL 22.98 OUTGO'.MSW 0.000 0.00 0.00. 0.0e � 1 � tR i Operating hours 7:00 AM to 5:00 PM 7 days:a <week.`-e_ 0.0E CLOSED HOLIDAYS = NEXT: MONDAY OCT. 14 COLUMBUS•. r ' , TENDERED DAY1 �` . CHANGE CHECK NO_""`'. SIGNATURE — DUPLICATE TICKET SITE I TICKET g; GRID WEIGHMASTER SOUTH OLD. TOWN DEPT SOLID WASTE 00 01943314 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF , 9316 Town of Babylon REFERENCE CALE 2 GROSS WT 82060 LB Outbound Ticket SCALE 1 TARE WT 36100 LB NET WEIGHT 45960 LB QTY. x' UNIT -DESCRIPTION 'RATE EXTENSION FEE TOTAL` 22.98 OUTGO.MSW 0.000 0.00 0.00 0.0e t ` Operating hours 7:00 AM to 5:00 PM 7 days a week : -- /�tl ^� 1 ¢CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COL DAY DAY -� �� `III TENDERED a CHANGE • I CHECK NO�j QIGPIATI IMF V NO. 2696 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: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL.LOCATION TICKET NO. j 1 No. 2697 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(PRI_NT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY 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 DUPI--ATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01949756 Liz H PO' BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME.OUT VEHICLE ROLL OFF CUtchogue, NY 11935 - 01/06/2 01/06/2 07:0 07:1 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 71300 LB' Outbound Ticket SCALE 1 TARE WT 36500 LB NET WEIGHT 34800. LB QTY UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL 17.40 OUTGO.MSW 0.000 0,00 0.00 0.0e Sm_ Operating hours 7:00 AM to 5:00 PM 7 days a 4week. � �� ro 0.0e SED'HOLIDAYS - NEXT: MONDAY, OCT: 14`= O`LUM CBBU� � �� DAY TENDERED- ," 5 CHANGE 'CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET'? GRID` WEIGHMASTER ; SOUTHOLD -TOWN DEPT SOLID WASTE. 00 01943756 Liz H PO Box 962/6155•Cox Lane CUtchogUe, NY 11935" `DATEIN DATE OUT TIME IN TIME OUT VEHICLE ;ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE_? GROSS WT 71300 LB Outbound- Ticket SCALE -1 TARE WT 36500 LB• NET WEIGHT 34800 LB OTY ; :`UIVIT,n,.. ll„ :;• ' "DESCRIPTION `RATE•° "EXTENSION:, "FEE. a :..T,OTAL 17.40 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a �week .r DAY HOLIDAYS - NEXT: MONDAY, OCT. 14 `- COS U SUS 3 ,- TENDERED CHANGE- I CHECK NO. G1I•.•IATI IOG - NO. 2698 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR'MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUT14OLD TOWN DEPT SOLID WASTE 00 01943814 Liz H PO Brix 962/6155 Cox Lane Cutc rogue, NY 11935 DATE IN I DATE OUT TIME IN- TIME OUT VEHICLE 'ROLL OFF ' 01/06/2 01/06/2 10:3 10:4 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 70120 LB Outbound Ticket SCALE 1 TARE WT 35920 LB NET WEIGHT 34200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.10 OUTGO.MSW 0.000 0.00 0.00 0.0e week. `""✓`te r, 0.0e Operating hours 7:00 AM to 5:00 PM 7 da3R,11 e ?- " CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -COLUMBUS ; '--TENDERED' DAY _CHANGE CHECK NO. .• SIGNATURE SITE TICKETZ GRID WEIGHMASTER DUPLICATE TICKET - SOUTHOLD TOWN DEPT SOLID WASTE 00 01943814 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 '-' DATE IN' DATE OUT TIME IN;TIME OUT VEHICLE . ;ROLL OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 70120 LB Outbound Ticket SCALE-.1,TARE WT 35920 LB NET WEIGHT -34200 LB STY ITp,. • , DESCRIITION , - v RhTE " E?fPENSION: FEE :-e ;' T_OTAL; 17.10 OUTGO.MSW 0.000 0.00 0.00 0.0e 116 'v �. , . N ' Operating hours 7:00 AM.to 5:00 -PM 7 days a-weeR` CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - CO�LUMBUS TENDERED DAY o �.. -CHANGE CHECK NO. G.1II.1I1T1 I�G NO. 2699 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ,GRID VVEIGHMASTER' ' '- DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01943939 Steph PO Box 962/6155 Cox Lane a Cutchogue, NY 11935 DATE W,`i? •DATEOUT TIME IN,71MEpUT VEHICLE 01/07/25 01/07/2 07:0 07:1 11100TC 9316 Town of Babylon .rREFERENCE ORIGIN SCALE 2 GROSS WT 64000 LB Outbound Ticket SCALE 1 TARE WT 36620 .., LB NET WEIGHT 27380 LB -UNIT' -' . .DESCFIIPTION ':`, -•:RATE , ..°,:_< < EXTENSION.d'_f FEE, TOTAL 13.69 OUTGO.MSW 0.000 0.00 0.00 0.0e ' '( Operating hours 7:60 AM-.to 5:00 PM 7 days,,a week 0 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 = COLUMBUS �� r ENDERED- DAYY "CHECK NO.-" SIGNATURE DUPLICATE TICKET SITE „TICKET GRID: WEfGHMASTER " - SOUTHOLD TOWN DEPT. SOLID WASTE 00 01943939 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN=' . DATE OUT <TIME IN TIME OU7 VEHICLE ROLL OFF' 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 64000 . . LB Outbound Ticket. SCALE . TARE WT 36620 .. LB.... _ NET WEIGHT 27380 LB _. . QTY , UNIT DESCRIPTION _ RATE 'EXTENSION=,::. 'FEE TOTAL':': .° 13.69 OUTGO.MSW 0.000 0.00 0.00 0.0e 7d z=3v Operating hours 7:00 AM to 5:00 PM 7 days `a4eek: ` n CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COL MBUS� r � DAY � s,ia TENDERED'" �. CHANGE CHECK NOt .- CirvUATI IRF r NO. 2700 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 TOIGENERATOR DISPOSAL LOCATION TICKET NO.. SITE TICKET"',- GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01943951 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 01/07/2 01/07/2 10:2 10:3 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 :GROSS WT 76860 LB Outbound Ticket SCALE 1 E WT 35800 LB NET WEIG 41060 LB . . QTY UNIT _; DESCRIPTION RATE EXTENSION --FEE 7TOTAL 20.53 OUTGO.MSW 0.000 0.00 0.00 0.0e N d { IJ p. �yP 1 y »5 Operating hours 7:00 AM to 5:00 PM 7 day-,a week: ' 0.0e CLOSED HOLIDAYS - NEXT: - MONDAY, OCT. 14 COLUMBUS��}}pp TENDERED DAY CHANGE` CHECK NO., SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMAST£R SOUTHOLD TOWN DEPT SOLID WASTE 001 01945951 Steph PO Box- 962/6155 Cox Lane Cutchogue, NY 11935 DA E IN_ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon •- CALE .2 GROSS WT 76860 LB Outbound Ticket SCALE 1 TARE WT 35800 LB NET WEIGHT 41060 LB., - .. UNIT_ -DESCRIPTION 'RATE'_ EXTENSION FEE TOTAL 20.53 OUTGO.MSW 0.000 0.00 0.00 0.0e one ' nu7 { Operating hours-7:00 AM to 5:00 PM 7 days 'a week: J'`,� -� �. • CLOSED HOLIDAYS - NEXT: MONDAY OCT: 14 - COL-UMBUS---.— l _ `�.", DAY � ,4 � 5� � ( � ;� , TENDERED CHANGE" CHECK NO. DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER SOUTHOLD.TOWN DEPT SOLID WASTE 00 01944022 Steph PO Box 96?/6155 Cox Lane Cutchogue, NY 11935 DATEIN DATE OUT TIMEIN TIME OUT VEHICLE .ROLL OFF 01/08/2 01/08/2 07:0 07:1 11104TC 9316 Town of Babylon REFERENCE �. SCALE.2 :GROSS WT 78180 LB Outbound Ticket SCALE 1 E WT 36360 LB NET WEIG 41820 LB CITY. UNIT .DESCRIPTION RAT,E EXTENSION. ,,FEE dTOTAL 20.91 OUTGO.MSW 0.000 0.00 0.00 0.0e b(i9v -,� Operating hours 7:00 AM to 5:00 PM 7 days- a week. _- 0.0e 'o a __ ry CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 --,COLUMBUS TENDERED DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE = TICKET,,Z GRID WEIGH, ASTER SOUTHOLD TOWN DEPT SOLID WASTE ep PO Box-962/6155 Cox Lane CUtChOgUe, NY 11935 DATE OUT TIME I TIME `E I ROLL F 9316 Town of Babylon ORIGINREFERENCE i CALEFQTY SS WT 78180. LB Outbound Ticket SCALEE WT 36360 LB NET W 41820 LB UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.91 OUTGO.MSW 0.000 . 0.00 0.00 0.0e ®r ,2,. 16 f l I s L. Operating hours 7:00. AM to 5:00 PM 7 days a�,wee k';� • CLOSED_.HOLIDAYS NEXT: •MONDAY, OCT. .14 - COLUMBUS DAY TENDERED `yeti na I� i ' ( t CHANGE CHECK NO. AlrMATI IRF No. 2701 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,:IS'NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - w�_(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 01944131 Steph PO Box 9i2/E155 Cox Lane CUtChOgUy, NY 11935 DATE I N `r DATE OUT is TIME IN TIME OUT VEHICLE ROLL OFF; 01/09/2 01/09/2 07:0 07:1 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 77320 LB Outbound-Ticket SCALE- 1 TARE WT 36540 LB A. NET WEIGHT '40780 LB OTY UNIT DESCRIPTION , . RATE,. _-EXTENSION TOTAL° 20.39 OUTGO.MSW '0.000 0.00 0.00 0.0E � t �' IS hp a __ ° ma's w+,. ,;,�' ��.`. r - • Operating hours 7:00 AM -to 5:00 PM 7 days�a oweek. - 0 0¢ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14= COLUMBUS w:.TENDERED "' DAY is VA v / rICHANGE CHECK NO" SIGNATURE DUPLICATE TICKET SITE TICKET GRID` WEIGHMASTER , SOUTHOLD TOWN DEPT SOLID WASTE . 00 01944131 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935, . . r;`DATE IN..', DATE+OUT` z TIME l'N`,TIME`OUT . ..VEHICLE. , ROLL OFF 9316 Town of Babylon , ORIGINREFERENCE C A L E 2 GROSS WT 77320 LB Outbound Ticket SCALE 1 TARE WT 36540 LB _ NET WEIGHT 40780 LB QTY UNIT, 'i. = DESCRI?TION , .RATE = ;k .;.EXTENSION: FEE TOTAL 20.39 OUTGO.MSW 0.000 0.00 0.00 .0.oe , 3 a x A _ fit*: 4�°-��`r. � r"�.� ,t � ➢{ d `,�d" t;� Operating hours 7:00 AM to 5:.00 PM 7 days aoweek, CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14N!�, OLUMBUS . K' TENDERED DAY CHANGE,., CHECK NO. NO. 2702 r. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE;GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER` (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER 'SOUTHOLD TOWN DEPT SOLID WASTE 00 01944248 Liz H PO Box 962/6155 Cox" Lane Cutchogue, NY 11935 DATE IN DATEOUT I TIME,IN TIME OUT VEHICLE `- ROLL OFF 01/10/2 01/10/2 07:0 07:1 11103TC 9316 Town of Babylon - REFERENCE O SCALE 2 GROSS WT 75360 LB' Outbound Ticket SCALE 1 TARE WT 36520 LB NET WEIGHT 38840 LB" aTY -': UNIT' • „"DESCRIPTION "". - RATE .'EXTENSION,,. FEE TOTAL 19.42 OUTGO..MSW 0.000 0.00 0.00 0.0e 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 ` C ECK NO SIGNATURE DUPLICATE TICKET SITE , TICKET,;;; GRID" k' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 019442 Liz 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. 75360 LB Outbound Ticket SCALE 1 TARE WT -36.520 LB. NET WEIGHT 38840 LB QTY. -' UNIT 'DESCRIPTION - RATE EXTENSION =.-'FEE -- TOTAL 19.42 OUTGO.MSW - 0.000 0.00 0.00 0.0e �-�� L ti & Operating hours 7:00-AM to. 5:00 PM 7 days a week` Y CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS DAY '� d !aj 5 TENDERED CHANGE,. CHECK NO. CIl-'NATI IRS NO. 2703 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 260a0 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) (S'IGNATURE) 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: VVEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 001 01944426 Steph PO Box 961/6155 Cox Lane CUtChOgUe, NY 11935 pATEIN DATEOUT,v TIMEIN~TIME OUT VEHICLE ROCLOFF .01/11/2 01/11/2 07:,0 07:2 11103TC 9316 Town of Babylon I t REFERENCE •. SCALE 2 GROSS WT 72420 LB Outbound Ticket SCALE 1 TARE WT 36600 LB NET WEIGHT 35820 LB QTY, UNIT DESCRIPTION ,t ":RATE EXTENSION fEE TOTAL 17.91 OUTGO.MSW 0.000 0.00 0.00 0.02 - V�N4 ;. Y. # J,, 3: 3 Operating hours 7:00 AM to 5:00 PM 7 days,a week: ' Me CLOSED HOLIDAYS - NEXT: MONDAY OCT. 14 COL_ BUS ' °TENDERED; # � 1VA,� DAY �; ",CHANGE :CHECK NO . _ - - SIGNATURE -SfTE �„TICKET =; GRID; "WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01944426 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' TIM DATEOUT EINTIMEOUT VEHICLE ROLL OFFt, 9316 Town of Babylon ORIGINREFERENCE SCALE. 2 GROSS WT 72420 LB Outbound Ticket SCALE '1 TARE WT 36600 LB NET WEIGHT 35820 LB QTY UNIT ; , <<DESCRIP7ION , _ ` "RATE :' EXTENSION.` FEE,U' TOTAL- ;_. 17.91 OUTGO.MSW 0.000 0.00 0.00 0.0Q �r 1 I r :_' �.° • Operating hours 7:00 AM to 5:00 PM 7 .days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COILUMBUSI , DAY 7 s TENDERED',, "CHANGE CHECK NO .` QW-IMAY1 icc NO. 2704 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: 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 TICKS GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 0194475'2 Liz H -VO,-Box-962/6155 Cox Lane Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 01/13/2 _ 01/13/2 07:0 07:2 11103TC 9316 Town of Babylon REFERENCE E LE 2 GROSS WT 71780 LB 'Outbound Ticket LE 1 TARE WT 35980 LB WEIGHT 35800 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.90 OUTGO.MSW 0.000 0.00 0.00 0.0e ic I - Operating hours- 7:00 AM to 5:00 PM 7 day,, week.``�� • 0.oe CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS DAY TENDERED,._ - 5 CHANGE ^' CHECK NO: SIGNATURE DUPLICATE TICKET SITE I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01944712 Liz H PO Box'962/6155 Cox Lane Cutchogue, NY 11935 •DATE IN DATE OUT . TIMEIN TIME OUT -VEHICLE .- ROLL.OFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 71780 LB Outbound Ticket SCALE 1 TARE WT 35980 LB NET WEIGHT '35800 LB- . QTY. UNIT' DESCRIPTION RATE" EXTENSION FEE TOTAL 17.90 OUTGO.MSW .0.000 0.00 0.00. 0.0e zn I � Operating hours 7:00 AM-to 5:00 PM 7 days CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COL�UMBUS--._.,. —,--- DAY n �� TENDERED CHANG �QHEQKO. - NO. 2705 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE 'LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER. TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) . SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL.LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET . SOUTHOLD TOWN DEPT SOLID WASTE . .00 01944798 Liz H PO',Box 962/6155 Cox Lane CUtghOgUe, NY 11935 DATE IN .' DATE TI OUT MbN E TIM OUT VEHICLE ROLL OFF. 01/13/2 01113/2 10:3 10:4 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 71300 LB Outbound Ticket SCALE 1 TARE WT 36220 LB NET WEIGHT 35080 LB QTY . UNIT DESCRIPTION RATE EXTENSION =::FEE, TOTAL. 17.54 r OUTGO.MSW 0.000 0.00 0.00 0.02 I Operating hours 7:00 AM to 5;00 PM 7 days a dwe4ek� _ 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COLUMBUS TENDERED DAYS 7 � CHANGE ' 1 CHECK NO.. SIGNATURE DUPLICATE TICKET SITE TICKET WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 019447981 Liz PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA E IN DATE OUT TIME IN TIME OUT -VEHICLE' ROLL OFF, 9316 Town of Babylon REFERENCE •- T 7130 LB . Outbound Ticket SCALE 1 TARE WT 36220 LB NET WEIGHT 35080 LB . QTI( UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL 17.54 OUTGO.MSW 0.000 0.00 0.00 Foe Q" h fm Operating hours 7:00 AM to 5:00 PM 7 days week. �� CLOSED HOLIDAYS _ NEXT:- MONDAY, OCT. 14 COLUMBUS. , DAY t�� ,II TENDERED CHANGE CHECK NO. `F NO. 270 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 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. SITE. TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 0.1944938 Steph PO Box 962/6155 Cox Lane " Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN.TIME OUT, VEHICLE, ROLL OFF 01/14/2 01/14/2 08:0 08:2S 11112TC 9316 Town of Babylon SCALE 2 GROSS WT 78820 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 42360 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.18 OUTGO.MSW 0.000 0.00 0.00 0.0e An Operating hours 7:00 AM to 5•:00 PM. 7 daa week-" 0.0e � CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COLUMBUS c TENDERED DAY "t q CHANGE CHE K NO. SIGNATURE DUPLICATE TICKET SITE I TICKET , I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01944938 1 Steph P70 Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIMEIN TIMEOUT VEHICLE =-ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 78820 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 42360 LB OTY UNIT; „,' DESCRIPTION. RATE EXTENSION'. ,FEE -. ,TOTAL 21.18 OUTGO.MSW 0.000 0.00 0.00 0.0e day l 3 { ' Operating hours 7:00 AM to 5:00 PM 7 days week 'r,�' DAYSED HOLIDAYS NEXT: MONDAY, OCT. 14 COS MBUS�—�— TENDERED CHAN E CHECK NO. NO.. 2707 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR'DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL_S BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR ,PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR 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 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 SOUTHOLD TOWN DEPT SOLID WASTE 00 01945069 1 Steph PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 lo 01/15/2 01/15/2 07:0 07:1 11112TC 9316 - Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 78520 LB Outbound Ticket SCALE 1 TARE WT. 37040 LB NET WEIGHT 41480 LB QTY. UNIT DESCRIPTION- RATE EXTENSION- _FEE . _ TOTAL 20.74 OUTGO.MSW 0.000 0.00 0.00 0.0e ON (ce • � 17 Operating hours 7:00 AM to 5:00 PM 7..days i _week: 0.0e a� CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 kCOLUMBUS ' _ "TENDERED DAY u VO 5 CHANGE CHECK NO: SIGNATURE SITE TICKET,_ - GRID WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 00 01945069 1 Steph , PO Box 962/6155 Cox- Lane Cutchogue, NY 11935• FDATEIN •DATE OUT TIME IN_TIME OUT UEHIOLE ROLL OFF 9316 Town of Babylon REFERENCE �- CALE .2 GROSS WT 78520 LB Outbound Ticket SCALE, 1 TARE WT 37040 LB NET WEIGHT 41480 LB DESCRIPTION ;RATE EXTENSION ;.,FEE _,-II TOTAL; 20.74 OUTGO.MSW 0.000 0.00 0.00 0.0e l/ All re? , Operating hours 7:00 AM to 5:00 PM 7 day LVA CLOSED HOLIDAYS, - NEXT: MONDAY, OCT. 14 - CO.LUMBUS- w DAY , J TENDERED C,»� . CHANGE CHECK NO. NO: 2708 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS: COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:-(COUNT) TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATION,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 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 01945109 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN , DATE OUT TIME IN TIME OUT VEHICLE, ROLL OFF 01/15/2 01/15/2 11:0 11:1 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69800 LB Outbound Ticket SCALE 1.TARE WT 36400 LB NET WEIGHT 33400 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE-- TOTAL 16.70 OUTGO.MSW 0.000 0.00 0.00 0.0e tip �.. Operating hours 7:00 AM to 5:00 PM 7 das a week." °''-� ° 0.0.2 e� � CLOSED HOLIDAYS - NEXT: - MONDAY, OCT. 14 - COLUM US. � a TENDERED. DAY CHANGE CHEC NO:., -- --- SIGNATURE --- -------- ---- - --- - - DUPLICATE TICKET SITE I TICKET._, GRID WEIGH-MASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01945109 Steph PO Box-962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT : TIME,IN ITIME.OUT VEHICLE* ROLL OFF_ 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 69800 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET WEIGHT 33400 LB QTY_ UNIT DESCRIPTION. RATE EXTENSIONFEE TOTAL 16.70 OUTGO.MSW 0.000 0.00 0.00 0.0e S �. - ly Operating hours 7:00 AM to 5:00 PM 7•days a;�weel :�` � � , CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COMBOS DAY IrTENDERED,' coum CHANGE EC N NO. 2709 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 LOOSEN (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE' NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR' PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,,AND THAT IT WAS. DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE,INFORMATION'PROV_IDED 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 SOUTHOO TOWN DEPT. SOLID WASTE 00 01945214 Steph PO P6x 962/6155 Cox Lane Cutchogue, NY 11935 DATE`fW ' DATE'OUT TIMEIN TIME.OUT VEHICLE ROLLOFF, 01/16/2 01/16/2 07:0 07:1 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 80060 LB Outbound. Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 43920 LB QTY = UNIT' ,DESCRIPTION 'RATE, r EXTENSION FEE TOTAL 21.96 OUTGO.MSW 0.000 0.00 0.00 0.0e 0 Operating hours 7:00 AM to 5:00 PM 7 days a �eR' —�' ° 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -4CO.LUMBUS CL TENDERED CHANGE _ C ECK.NO. -- -- - - -- SIGNATURE DUPLICATE TICKET SITE TICKET GRID '. WEIGHMAST„ER ;. _. SOUTHOLD TOWN DEPT SOLID WASTE 00f 01945214 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA EIN )ATE'OUT TIME IN TIME-OUT VEHICLE. . ' . ROLL OFF 9316 Town of Babylon REFERENCE •- CAL_ 2 GROSS WT .80060 _ LB ...Outbound Ticket SCALE 1 TARE WT 36140 LB �NELTWEIGHT "43920 LB: QTY. UNIT`' DESCRIPTION RATE EXTENSION =FEE TOTAL" 21.96 OUTGO.MSW 0.000 0.00 0.00 0.0e o Operating hours 7:00 AM to 5:00 PM 7-days aweek, — • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUMBUS. �V,.,. TENDERED DAY ""1N, RTf q t CHANGE CHECK NO. .`.? 4 NO, 2710 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY 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. SITE TICKET":' GRID WEIGHMASTER DUPLICATE TICKET SQQTFtOLD TOWN DEPT SOLID WASTE 00 01945362 Liz H ' PO Box:962/6155 Cox Lane ) DATE IN DATE'OUT TIME IN TIME OUT VEHICLE ROLL OFF . Cutchogue, NY 11935 1- 1 01/17/2 01/17/2 08:1 08:3 11112TC 9316 Town of Babylon REFERENCEMGM 2 GROSS WT 68960 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 33140 LB QTY UNIT DESCRIPTION . RATE EXTENSION FEE TOTAL' 16.57 OUTGO.MSW 0.000 0.00 0.00 0.0e , a )Ae av a ;'a� xs p t w.ri .y e c um k, iZ e'Ay . Operating hours 7:00 AM to 5:00 PM 7 daysa week: . ' J 0.0E CLOSED HOLIDAYS _ NEXT: MONDAY, OCT. 14 `--XC`6`UMBUSS TENDERED- DAY + CHANGE CHECK NO'-- SIGNATURE DUPLICATE TICKET SITE I TICK ET",F a GRID _. WEIGHMAST.ER. SOUTHOLD TOWN DEPT SOLID WASTE 00 01945362 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE -.. ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN GALE 2 GROSS WT 68960 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 33140 LB QTY UNIT` DESCRIPTION RATE EXTENSION FEE TOTAL _. 16.57 OUTGO.MSW 0.000 0.00 . 0.00 0.0e �-y S Operating "hours 7:00 AM.to 5:00 PM 7 dayswekt ""� _✓ ! CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COL'UMBUS:__��.�•- DAY g' TENDERED 11 CHANGE HECK NO. eir_MA71lop s - NO. 2711 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 CF_R 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 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 SOU9"HOLD TOWN DEPT SOLID WASTE 00 01945514 Steph : -PO BOX 962/6155 COX Lane DATE IN• DATE'OUT I TIME IN TIME'OUT VEHICLE ROLL'OFF ;"Cutchogue, NY 11935 01/18/2 01/18/2 08:0 08:4 11112TC 9316 Town of Babylon - - - • REFERENCE •- SCALE 2 GROSS WT 72780 LB Outbound Ticket SCALE 1 TARE WT 36520 LB NET WEIGHT 36260 LB QTY .,.;, UNIT - DESCRIPTION RATE EXTENSION.` :."FEE` TOTAL 18.13 OUTGO.MSW 0.000 0.00 0.00 0.0e : r T Operating hours 7:00 AM to 5:00 PM 7 daysa �w,eek. •�,��•,,.� � �� 0.0E CLOSED HOLIDAYS - NEXT: MONDAN OCT. 14 -" COLUMBUS TENDERED DAY CHANGE ' CHECK NO. SIGNATURE SITE ,s -;TICKET'_; GRID ;, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01945514 1 Steph PO Box '962/6155 Cox Lane Cutcho ue, NY 11935 g DATE OU HICLE L OFF 9316_ Town of Babylon, REFERENCE �. GALE 2 GROSS WT 72780 LB Outbound Ticket SCALE 1 TARE WT 36520 LB NET WEIGHT 36260 LB QTN. _ UNIT tZDESCRIPTION RATE 'EXTENSION FEE TOTAL,_ 18.13 OUTGO.MSW 0.000 0.00 0.00 0.0e L I Operating hours 7:00 AM to 5:00 PM 7 days.aweek� CLOSED HOLIDAYS - NEXT: . MONDAY, OCT. .14 - GOUMBUS DAY TENDERED !�l11 u a �w^ CHANGE CHECK NO. mr_nieri iac Y t. No. 2712 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: 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 BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER._ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I TICKET - I GRID WEIGHMAST,ER SOUTHOLD TOWN DEPT SOLID WASTE 00 01945906 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN°TIME OUT VEHICLE ROLL OFF 01/21/2 01/21/2 "1017: 207: 11103TC 9316 Town of Babylon 1— 0 REFERENCE •- SCALE 2 GROSS WT 67540 LB Outbound Ticket SCALE 1 TARE WT 36800 LB NET WEIGHT 30740 LB QTY- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.37 OUTGO.MSW •0.000 0.00 0.00 0.0e f R a � s v - � _ r , i Operating hours 7:00 AM"to 5:00 PM 7 days a 4 eek.,-... 0.0e CLOSED HOLIDAYS-- NEXT: MONDAY, OCT. 14 COLUMBUS DAY TENDERED �j §= CHANGE HE K NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID. WASTE 00 01945906 Steph PO Box 962/6155 Cox Lane Cutcho ue, NY 11935 g "' "'F DATE'IN DATE'OUT TIME IN`TIME OUT VEHICLE' -'ROLL OFF' 9316 •Town of Babylon REFERENCE •- GALE 2 GROSS WT 67540 LB ..Outbound Ticket SCALE 1 TARE WT 36800 LB - NET WEIGHT 30740 LB QTY' UNIT. DESCRIPTION. RATE EXTENSION :'FEE "_-TOTAL , 15.37 OUTGO.MSW 0.000 0.00 0.00 -0.0e _j t *` Operating hours 7:00 AM to 5:00 PM 7 _days.a.<week�. �,,. CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COL`UMBUS— 1,: DAY ( / ., �� TENDERED CHANGE CHECK NO SIGNATURE NO. 2713 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 AGCORD1NG 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: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY:: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE. KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE 'TICKET = GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE .00 01945941 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE NI� DATE OUT TIMEIN" TIME OUT VEHICLE .ROLL OFF 01/21/2 01/21/2 10:5 11:1 11103TC 9316 Tom of Babylon REFERENCE •- SCALE 2 GROSS WT 69900 LB Outbound.Ticket SCALE 1 TARE WT -35900 LB NET'WEIGHT 34000 LB QTY. ,r,. :' UNIT` DESCRIPTION RATE•, EXTENSION; F,EE TOTAL' 17.00 OUTGO.MSW • 0.000 0.00 0.00 0.02 t Operating hours 7:00 AM to 5:00 PM 7 days a Gweek:`� ,? 0.0e a �- CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COLUMB,US _ TENDERED DAY u 1 i `4 CHANGE`. CHECK NO:::l SIGNATURE DUPLICATE TICKET SITE TICKET ;,• GRID y WEIGHMASTER ,."`: SOUTHOLD TOWN DEPT SOLID WASTE 00 01945941 Steph. PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN'_ DATE OUT ;TIMEIN TIME-PUT VEHICLE ROLLOFF 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69900 LB Outbound Ticket . SCALE 1 .TARE WT 35900 LB NET WEIGHT 34000 LB QW. UNIT DESCRIPTION RATE 'EXTENSION: FEE TOTAL'=. 17.00 OUTGO'.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 days Meek: •� ' , • CLOSED HOLIDAYS NEXT: MONDAY, OCT. 14 ' COLUMBUS --'—�- " ,r TENDERED DAY , 4 `li - m CHANGE • - CHECK NO: E KNO. RlrMATIIRF NO. 2714 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 w NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT 1T WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVE_ D BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 'SITE TICKET.'.' I GRID " WEIGHMASTER " DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01946006 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ! 01/22/2 01/22/2 07: 1 07: 11103TC 9316 4own of Babylon REFERENCEti . SCALE 2 GROSS WT 76580 LB Outbound Ticket SCALE 1 TARE WT 36580' LB NET WEIGHT 40000 LB EQTY ; UNIT,` ` . DESCRIPTION. RATE`" EXTENSION =--FEE TOTAL 20.00 OUTGO.MSW 0.00 0.0 0.00 0:0 _ 41 vm Operating hours 7:00 AM to 5:00 PM 7 .days. a week 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 UMBU DAY S, ; TENDERED`` ' ,CHANGE - CHECK NO.'..:. .. —- -- - --- — - SIGNATURE — - DUPLICATE TICKET SITE._ -TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946006 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE ItV DATEQUT . TIME IN TIME OUT VEHICLE >• ROLL"OFF , 9316 Town of Babylon REFERENCE SCALE 2 GROSS WT 76580 LB Outbound Ticket SCALE 1 TARE WT 36580 LB NET WEIGHT 40000 LB . EE 10N ATE FOTY 20.00 OUTGO.MSW 0.000 0.00 0.00 0.0e 1+ 'V Operating hours 7:00 AM to 5:00 PM 7 days ar week-'�....---',,.,_::�_��, CLOSED-HOLIDAYS - NEXT: MONDAY, OCT. 14 '- �S TENDERED DAY IV -----CHANGE CHECK NO. _g1rMATI IRF f NO. 2715 T..f GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS'. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW: DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - SITE ;TICKET '+. GRID . mEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 0 1 01946030 .- Steph PO Box 962/6155 Cox Lane DATE IN DATE PUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 01/22/2 01/22/ 5 11: 1 11: 3 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 71820 LB Outbound Ticket SCALE 1 TARE WT 35900 LB NET WEIGHT 35920 LB QTY UNIT---" DESCRIPTION RATE_. EXTENSION: FEE', TOTAL' 17.96 OUTGO.MSW 0.00e 0.0e 0.00 0.0 ry ZPS ' r •._ .', Operating hours 7:00 AM to 5:00 PM 7 days a 4eekk t` c 0.0E CLOSED HOLIDAYS - NEXT: MONDAY, OCT.- 14 t; COLUMBUS � TENDERED DAYy "J 5 r CHANGE- - •CHE K NOS• •, ... - - - --- - - - - SIGNATURE —-- -- - -71 DUPLICATE TICKET SITE TICKET _ _ ., GRID ;" .. WEIGHMgSTER _ SOUTHOLD TOWN DEPT SOLID WASTE 00 01946030 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATEOUT TIME IN TIME OUT VEHICLE__ ROLL OFF 9316 Town of Babylon REFERENCE �. SCALE 2 GROSS WT 71820 LB Outbound Ticket SCALE -1 TARE WT 35900 LB NET WEIGHT 35920 LB QTY U131T DESCRIPTION- -` -RATE' EXTENSION .., FEE`' TOTAL =' ` -17.96 OUTGO.MSW 0.000 0.00 0.00 0.08 Operating hours 7:00 AM to 5:00 PM 7 days a week: 7 ,<.__._,-� - , V.VIC CLOSED HOLIDAYS - NEXT: MONDAY OCT.- 14 COLUMBUS`-- dA DAY v¢j tt TENDERED -CHANGE CHECK NO.:q SIGNATURE NO. 2716 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 I GRID WEIGHMASTER ` DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01946084 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE-PUT TIME IN TIME OUT VEHICLE " `ROLLOOFF 01/23/2 01/23/2 07:3 07:4 -.11103TC 9316 Town of Babylon REFERENCE •- SCALE :GGROSS WT 74960 LB Outbound Ticket SCALE E WT 36740 LB NET WE 38220 LB ..CITY UNIT.° _ :"DESCRIPTION RATE .` EXTENSION "FEE'` :TOTAL 19.11 GUTGO.MSW 0.000 0.00 0.00 0.0e s \, gy Operating hours 7:00 AM to 5:00 PM 7 days-, week.` 0.0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMB,US DAY { TENDERED CHANGE -CHECK NO. SIGNATURE DUPLICATE TICKET SITE ". TICKET, _,`;, „-"GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946084 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN, DATE OUT, TtMpIN TIME OUT VEHICLE ROLLOFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 74960 LB Outbound Ticket SCALE 1 TARE WT 36740 LB NET WEIGHT 38220 LB QTY. UNIT DESCRIPTION. "' RATE EXTENSION. FEE TOTAL 19.11 OUTGO.MSW 0.000 �0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days �eek � , r CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - C LL�UMBUS _— DAY TENDERED. Cow CHANGE CHECK NO. NO. 2717 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,1S NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26.1 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 BELOM DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET t': GRID " WEIGHMASTER SOV 4OLD TOWN DEPT SOLID WASTE 00 01946172 Will PO ox 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATEOUT TIME IN TIME OUT VEHICLE ROLL OFF 01/24/2 01/24/2 07:3 07:5 11103TC 9316 Town of Babylon ORIGIN- REF ERENCE SCALE 2 GROSS WT 71080 LB Outbound Ticket SCALE 1 TARE WT 36600 LB NET WEIGHT 34480 LB CITY UNIT DESCRIPTION; ., RATE EXTENSION . "_FEE TOTAL 17.24 OUTGO.MSW 0.000 0.00 0.00 0.0e ol ZZT ¢ ti \ 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 � ' ' �.� CHANGE CHECK NO: SIGNATURE DUPLICATE TICKET SITE TICKET ' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE " 00f 019462 w1ii PO Box-962/6155 Cox Lane Cutchogue, NY 11935 oA E IN . DATE oUT TIME IN TIME OUT VEHICLE.31 07. ROLL OFF 9316 Town of Babylon ORIGIN CALE 2 GROSS WT - 71080 LB ( Outbound Ticket SCALE 1 TARE WT 36600 LB NET WEIGHT 34480 LB CITY UNIT_ DESCRIPTION RATE EXTENSION FEE - TOTAL 17.24 OUTGO.MSW 0.000 0.00 0.00 0.0e 7 rV Operating hours 7:00 AM to 5:00 PM 7 days, a�--week:�1` %/ AJ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 , COLUMBUS <Sl tC a TENDERED' DAY �f ,,��r; f';`,$ �5 CHANGE CHECK NO cn_r.nr Inc NO. 2718 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL_S BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR 'SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. $ITE TICKET „,`: GRID " WEIGHMASTtR DUPLICATE TICKET SOUTHDLD TOWN DEPT SOLID WASTE 0 1 01946566 Liz H . PO Box 962/6155 Cox Lane Cut�:hogue, NY 11935 DATE IN- DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 01/27/2 01/27/ 07: 4 07: 9 11103TC 9316 Town of Babylon REFERENCE �. FWEIGHT SS WT 68740 LB Outbound Ticket E WT 36460 LB 32280 LB UNIT- _ DESCRIPTION ,. RATE `. EXTENSION FEE . TOTAL, 16.14 OUTGO.MSW 0.00E 0.0e 0.00 0.0 14 Operating hours 7:00 AM to 5t00 PM 7 days- a�.week:� '� 0.0 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COLUMBUS � TENDERED== - DAY ou -C ANGE CIIECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET _ GRID _1NEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946566 Liz H. PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN. TIME OUT VEHICLE- ROLL OFF,° 1 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 68740 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 32280 LB QTY UNIT DESCRIPTION RATE._ • EXTENSION -_ ;=;FEE' TOTAL- "-; 16.14 OUTGO.MSW 0.000 0.00 0.00 0.02 ss n Operating hours 7:00 AM to 5:00 PM 7.days aeek��`�•_ CLOSED HOLIDAYS - 'NEXT: MONDAY, OCT. 14 COLUMBUS t DAY �j - ' TENDERED Op� ��ti�� a5 ''.;� .. - CHANGE CHECK NO. AWMATI IRE a NO. 2719 ' 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. l r ' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER � _. SOUTHOLD TOWN DEPT SOLID WASTE 00 01946287 Dan PO Box"962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN 'DATEOUT `' TIME IN TIME IOUT VEHICLE ROLL OFF 01/25/2 01/25/2 107:0 07:2 .11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 71540 LB Outbound Ticket SCALE 1 TARE WT 37460 LB NET WEIGHT 34080 LB _ OTY ,_ ,, UNIT DESCRIRTION _;_ ;' .RATE EXTENSION' FEE,-,. TOTAL 17.04 OUTGO.MSW 0.000 0.00 0.00 0.0e r On Ut) . Operating hours 7:00 AM to 5:00 PM 7 days a w eeek` ter¢` ° 0.0e ms CLOSED HOLIDAYS - NEXT: MONDAY, OCT.. 14 - COLUMBUS -TENDERED, DAYsf t CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET..;:- ,GRID; WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946287 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oATEIN= DATE-OUT'' TIME IN TIME OUT VEHICLE ROLL.OFF 9316 Town of Babylon ORIGIN CALE 2 GROSS WT 71540 LB Outbound Ticket SCALE 1 TARE WT 37460 LB NET WEIGHT 34080 LB QTY„ a.,, UNIT . .< ". DESCRIPTION, RATE EXTENSION`, > __FEE,.: TOTAL 17.04 OUTGO.MSW 0.000 0.00 0.00 0.0e .l Operating hours 7:00 AM to 5:00 PM 7 days a we�eky -'�;' f • CLOSED'HOLIDAYS - NEXT: MONDAY, OCT. 14 -�COLUMBUS DAY � r! TENDERED CHANGE CHECK N0. QWWAIN IRC No. 2720 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY_: WHITE TO DISPOSAL LOCATION_ GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION,TICKET NO. SITE TICKET I GRID I WEIGHMASTER DUPLICATE TICKET SOUTHOL,D TOWN DEPT SOLID WASTE 00 01946681 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN'TIME OUT VEHICLE I ROLL OFF 01/28/2 01/28/2 07:0 07:1 11100TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 80740 LB Outbound Ticket SCALE 1 TARE WT . 36260 LB NET WEIGHT -44480 LB Q.N. UNIT DESCRIPTION RATE EXTENSION - . FEE` TOTAL+-= 22.24 OUTGO.MSW 0.000 0.00 0.00 0.0e Sod Z, �` • Operating hours 7:00 AM to 5:00 PM 7 days- eew � 0.0¢_ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 - COL,UMBUS, TENDERED 6 ' DAY I N § ` CHANGE'' CHECK NO.•= SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 019466 . Steph PO Box 962/6155 Cox Lane 11 IL Cutchogue, NY 11935 DATEIN` DATEOUT TIME IN:TIME OUT 'VEHICLE'ti =ROLLOF.F 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 80740 LB Outbound Ticket SCALE I TARE WT 36260 LB NET.WEIGHT 44480 LB QTY UNIT "=DESCRIPTION RAT E° EXTENSION'=, FEE, ti TOTAL., 22.24 OUTGO.MSW 0.000 0.00 0.00 0.0e soy Operating hours 7:00 AM to 5:00 PM 7 days f-w"eek��- • ..�a ti CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 GOL"UMBUS ' DAY CSC , TENDERED � » CHANGE ' i CHECK NO. er_nien.�oc NO.. 2721 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946721 Steph PO Box 9EJ2%6155 Cox Lane DATE IN,,• DATE OUT TIME IN. TIME OUT VEHICLE ROLL'OFF Cutchcgue, NY 11935 01/28/2 01/28/2 10:3 11;2 11103TC 9316 Town of Babylon REFER ENCE SCALE 2 GROSS WT 75500 LB Outbound Ticket SCALE 1 TARE WT 36360 LB ET WEIGHT 39140 LB QTY UNIT DESCRIPTION ,i: RATE EXTENSION "FEE °"' TOTAL`" 19.57 OUTGO.MSW 0.000 0.00 . 0.00 0.02 33 t ' . All Operating hours 7:00 AM to 5:00 PM 7 daysa week 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 -COL=UMBUS, TENDERED DAY H ;":.CHANGE CHECK NO - - - -- -- - --- -- — -- - -- - ----- SIGNATURE SITE TICKET GRID WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 00 /11946721 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATEIN- DATE'OUT TIME IN TIMEOUT UEH'ICLE �ROL'LOFF 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 75500 LB Outbound Ticket SCALE -1 TARE WT 36360 LB NET WEIGHT 39140 LB QTYUNIT'., -;DESCRIPTION RATE EXTENSION;- "FEE TOTAL " 19.57 OUTGO.MSW 0.000 0.00 0.00 0.02 P Operating hours 7:00 AM to 5:00 PM 7 days aeek�`.` _ . ,r/In O CLOSED HOLIDAYS - NEXT: MONDAY; OCT. 14 - COLUMBUS"•--- DAY TENDERED. X CHANGE. CHECK NO. SIGNATURE NO. 2722 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. A r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO: LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION. DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID " 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946794 Steph PO Box 962/6155 Cox Lane ;u DATE IN" DATE OUT •„TIMEIN TIME OUT "VEHICLE° ", ' �` ROLL-,OFF Cutchogue, NY 11935 - 01/29/2 01/29/2 07:3 08:06 11103TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 80040 LB Outbound Ticket SCALE 1 TARE WT 35860 LB NET WEIGHT -44180 LB QTY UNIT DESCRIPTION RATE EXTENSION -,FEE ; ,. TOTAL, 22.09 OUTGO.MSW 0.000 0.00 0.00 0.02 41 _ ' Operating hours 7:00 AM to 5:00 PM 7 'days,\a week: 0.02 CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 OLUMBU, TENDERED DAYa � . CHANGE CHECK NOr ' SIGNATURE DUPLICATE TICKET SITE ;;;TICKET ;� r- GRID = WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01946794 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN , DATE OUT TIME IN TIME OUT VEHICLE ,x' ' IOLLOFF 9316 Town of Babylon REFERENCE •- (NET ALE 2 GROSS WT 80040 LB Outbound Ticket ALE 1 TARE WT 35860 LB WEIGHT 44180 LB QTY UNIT '' DESCRIPTION RATE EXTENSION FEE TOTAL 22.09 OUTGO.MSW 0.000 0.00 0.00 0.02 . q Operating hours .7:00 AM to 5:00 PM 7 days a, k' .-- 4 __ CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14 CO�UMBUS1- TENDERED DAY n:7 - uf ,ry c: •? k G X CHANGE CHECKNO. QI!`_ wrl IOC NO. 2723 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 01946914 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OUT TIME IN'TIME OUT VEHICLE ROLL-OFF 01/30/2 01130/2 07:2 07:5 11103TC 9316 Town of Babylon _. REFERENCE ORIGIN SCALE 2 GROSS WT 74780 LB Outbound Ticket SCALE 1 TARE WT 36360 LB NET WEIGHT 38420 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.21 OUTGO.MSW . 0.000 0.00 .. 0.00 0.0E f � ` -'' r • Operating hours 7:00 AM to 5:00 PM 7 days a week: 0 02 CLOSED HOLIDAYS NEXT: MONDAY, OCT. 14 COLUM BUS6. S _.TENDERED" - DAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE " TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 0 01946914ep . PO Box 962/6155 Cox Lane CutchO ue, NY 11935 VEHICLE, ROLL OFF g -'D TE IN: DAT'-0U TIME IN'TIME OUT 9316 Town of Babylon REFERENCE CALE 2 GROSS WT 74780 LB Outbound Ticket SCALE 1 TARE WT 36360 LB NET WEIGHT 38420 LB d QTY. _ UNITM': 'DESCRIPTION - •, RATE EXTENSION;! ;';FEE:°: TOTAGr,;,,«^, 19.21 OUTGO.MSW., 0.0 0 ! J )�f Operating hours 7:00 AM to 5:00 PM 7 da`"s zr%4eek.` �� • 0 P g y .� .4, .� .r �`,� � � CLOSED.HOLIDAYS - NEXT: MONDAY, OCT. 14 COLUMBUS. DAY a`S � n TENDERED !YRm ' CHANGE CHECK NO. • cir_nieTi ioa NO. 2724 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY 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: `'DJPLI-ATE TICKET SITE . `TICKET° '' ' GRID WEIGHMA_ R SOUTHOLD TOWN DEPT SOLID WASTE 00 01947045 Liz H - PO Box 962/6155 Cox Lane Cut chogue, NY 11935 DATE IN>" DATE OU7 :TIME IN`,TIME OUT VEHICLE ROLL OFF F 01/,31/2 01/31/2 07:1 071 11103TC 9316 Town of Babylon REFERENCE •- 1 SCALE 2 GROSS WT 69520 LB Outbound Ticket SCALE 1 TARE WT 37260 LB' NET WEIGHT 32260 LB DESCRIPTION.. ':'t . v' RATE_ EXTENSION,y i,.FEE - 16.13 OUTGO.MSW 0.000 0.00 0.00 0.0e `"ft QJ tr LOIN] Operating hours 7:00 AM to 5:00 PM 7 days a",-'wee 0 0e CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14COLUMBUS �. =TENDERED;' DAY k aa CHANGE HECK NO'.�" SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER,. .. _ _ SOUTHOLD TOWN DEPT SOLID WASTE 00 01947045 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DQTEIN- DATE OUT. : .TIMEIN'' TIME OUT ,VEHICLE, ROLL OFF 9316 Town of Babylon ORIGINREFERENCE CALE. 2 GROSS WT . 69520 LB Outbound .Ticket SCALE 1 TARE WT 37260 LB NET WEIGHT 32260 LB ; UNIT .,.. _:. DESCRIPTION '. RATE :EXTENSION ' FEE ,TOTALy=`j 16.13 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a meek, • CLOSED HOLIDAYS - NEXT: MONDAY, OCT. 14�' COLUMBUS .j1 DAY ` ` �i t �t €#' TENDERED._; 5"L, 3f lu r -�` 'CHANGE .CHECK NO.9 SIC,NATt]RE NO. 2725 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 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 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.