HomeMy WebLinkAbout03/2025 SITE TICKET GRID WEIGHMASTER
DUPLICATE7,JCKET
SOUTHOLD AWN DEPT SOLID WASTE 00 01950369 Steph -
PO Bo�', 962/6155 COX Lang DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchegue, NY 11935
03/01/25 03/01/2 07:3 07:5 11103TC - .
9316 Town of Babylon
REFERENCE ORIGIN 2 GROSS WT 72940 LB Outbound Ticket
SCALE 1 TARE WT 40300 LB
ET WEIGHT 32640 LB
CITY.• UNIT .''DESCRIPTION RATE EXTENSION FEE' TOTAL
16.32 OUTGO.MSW 0-.000 0.00 0.00 0.0e
l
Operating hours 7:00 AM to 5:00 PM 7 days!,a week: �, _ 0.0e
CLOSED-HOLIDAYS - NEXT: MONDAY FEBRUARY 17-, 2025 R 4, TENDERED
PRESIDENT'S DAYr, �
.'_� ;.
j.'X0i, CHANGE
CHECK NO::�:j
SIGNATURE
DUPLICATE TICKET SITE. TICKET GRID, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950369 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
•-
P.
CALE 2 GROSS WT . 72940 LB, Outbound Ticket
SCALE 1 TARE WT 40300 LB
NET WEIGHT 32640 LB
CITY.• UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'`
16.32 OUTGO.MSW . 0.000 0.00 0.00 0.0e
a•r°r r"k 7 -
�#t t C�:
:• � "tom,
f<. + i • .-r s.t
Operating hours 7:00 AM to�5:00 PM 7 days, a,week, � •
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY�17, "2025 v {
PRESIDENT'S DAY ` ;• { ` TENDERED
I'r
f' CHANGE
CHECK NO.
SIGNATURE
NO. 2755
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS).
SALES: (COUNT):
TRUCK WEIGHT: GROSS
` TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE).
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE,MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO:
-SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950717 Will
p 1 BOX 962/6155 COX Lane DATE IN DATE OUT 'TIME IN TIME OUT ' VEHICLE I ROLL.OFF
tchogue, NY 11935
03/03/25 03/03/2 07:0 07:1: 11103TC
16 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 75100 LB Outbound Ticket
SCALE 1 TARE WT 36500 LB
ET WEIGHT 38600 LB
QTY UNIT DESCRIPTION `: RATE EXTENSION FEE •TOTAL
19.30 OUTGO.MSW 0.000 0.0.0, 0.00 0.0e
Aff,74E."We
i v
Operating hours 7:00 AM to-5:00 PM 7 days,,a`week 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17-1 2025;- r \ sj TENDERED
PRESIDENT'S DAY
.Yyd S CHANGE
CHECK NO,
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950717 1 Will
PO Box 962/6155 Cox Lane,
Cutchogue, NY 11935 DATE IN' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
• 9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT . 75100 LB Outbound Ticket
SCALE, 1 TARE WT 36500 LB ..
NET WEIGHT 38600 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.30 OUTGO.MSW 0.000 0.00 0.00 0.0e
jF
Too
c l
ro�
s
Operating hours 7:00 AM to 5:00 PM 7 days a;,week
CLOSED.HOLIDAYS - NEXT: MONDAY FEBRUARY`.17,.:2025t
PRESIDENT'S DAY " "b" TENDERED
t CHANGE
1 CHECK NO.
SIGNATURE
NO. 2756
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE'POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES' NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPL71CATE TICKET
SOUTI�bLD TOWN DEPT SOLID WASTE 00 01950745 Will
PO_RPx 962/6155 Cox Lane
' DATE IN, DATE OUT TIME IN TIME OUT ,' VEHICLE;. ;' ROLL OFF
Cut4hogue, NY 11935
03/63/2 03/03/2 10:3 10;5 .11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 69980 LB Outbound Ticket
SCALE 1 TARE WT 36680 LB
NET WEIGHT 33300 LB
QTY UNIT DESCRIPTION -- RATE` EXTENSION FEE TOTAL
16.65 OUTGO.MSW 0.000 0.00 0.00 0.0e
r2z
'Ss ' a � "•. ���s Via,
�-y X
# 4 f • r 9 �--#
Operating hours 7:00 AM to 5:00 PM 7 days,-a week's ' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17,, 120,25 h TENDERED: -
PRESIDENT'S DAY `� Ia, („ j
CHANGE
" CHECK NO.
SIGNATURE
ITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET LS
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950745 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 TI "ROLL'OFF•
9316 Town of Babylon
CALE 2 GROSS WT 69980 LB Outbound Ticket
SCALE 1 TARE WT 36680 LB
NET.WEIGHT 33306 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.65 OUTGO.MSW 0.000 0.00 0.00 .0.0e
P �d f✓�f 4.i.
Operating hours 7:00 AM to 5:00 PM 7 days 5 week:'`
CLOSED HOLIDAYS.- NEXT: MONDAY FEBRUARY 1,7.. 2. 5
TENDERED
PRESIDENT'S DAYS r
r CHANGE
CHECK NO.
SIGNATURE
a
9
NO._
2757
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:.
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY 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.
"SITE1 TICKET I GRID IWEIGHMASTER
DUPLICATE.TICKET
yOVTHOLD TOWN DEPT SOLID WASTE 00 01950848 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL,OFF
03/04/2 03/04/2 08:0 08:4 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 69060 LB Outbound Ticket
SCALE 1 TARE WT 36220 LB
NET WEIGHT 32840 LB
QT.Y UNIT DESCRIPTION RATE' EXTENSION FEE - TOTAL
.16.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
f 111
i :,•
Operating hours 7:00 AM to 5:00 PM 7 days�a week:` �� _; 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17,2025 € TENDERED
PRESIDENT'S DAY ,,'+`}
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950848 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE...- ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 69060 LB Outbound Ticket
SCALE -1 TARE WT 36220 LB
NET WEIGHT 32840 LB 1..
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.42 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, a �week:� ' s`- •
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARYt17,''2025" -- 'y-r•? '_
PRESIDENT'S DAY �'' , t,� TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01950978 Steph
PO BOX 962/6155 COX Lane DATE IN DATE OUT- TIME IN TIMEOUT VEHICLE +. :. ROLL OFF
Cutchogue, NY 11935
03/05/25 03/05/25 07:1 07:30 11103TC•
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 78760 LB Outbound Ticket
SCALE 1 TARE WT 36460 LB
ET WEIGHT 42300 LB
QTY UNIT DESCRIPTION'• RATE EXTENSION FEE TOTAL
21.15 OUTGO.MSW 0.000 0.00' 0.00 0.0e
�fsP
Operating hours 7:00 AM to 5:00 PM 7 days�,a week.- 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 171 2025 , TENDERED
PRESIDENT'S DAY
z gr ` mt CHANGE
CHECK NO.
SIGNATURE - — - - - - — — -- -- -
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER-
SOUTHOLD TOWN DEPT SOLID WASTE 001 01950978 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 78760 LB Outbound Ticket
SCALE-1 TARE WT 36460 LB
NET WEIGHT 42300 LB
QTY UNIT ', DESCRIPTION -, RATE °EXTENS.ION', FEE TOTAL'„
21.15 OUTGO.MSW 0.000 0.00 0.00 0.0e
P
Operating hours 7:00 AM to 5:00 PM 7 day's� a" week,: ' _ •
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY"�17, "2025 v f,
PRESIDENT'S DAY ,tE . : . TENOEREO
-CHANGE
CHECK NO.
SIGNATURE
NO. 2758
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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW„HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING ta'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 -
SOUTJiOLD TOWN DEPT SOLID WASTE 00 01951022 Steph
PO BOX 962/6155 COX Lane DATE'IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/05/25 03/05/2 11:0 11:2 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 72200 LB Outbound Ticket
SCALE 1 TARE WT 36340 LB
ET WEIGHT 35860 LB
QTY. UNIT -DESCRIPTION RATE EXTENSION FEE' TOTAL
17.93 OUTGO.MSW 0.000 0.00 0.00 0.0e
a "
rv, t q 73
}
r .. 's -
3 d !
Operating hours 7:00 AM to 5:00 PM 7 days' a"weeks 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17,, 202'54 � TENDERED
PRESIDENT'S DAYS
tic,aJ CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01951022 1 Steph
PO Box 962/6155 ,Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL-OFF
9316 Town of Babylon
REFERENCE
•-
CALE•2.-GROSS WT . 72200 LB Outbound Ticket
SCALE 1 TARE WT 36340 LB
NET WEIGHT 35860 LB
OTY UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
17.93 OUTGO.MSW yy� 0.000 0.00 0.00 0.0e
.. iJd
3 J ¢
J �4`
Operating hours 7:00 AM to 5:00 PM 7 days,
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY`1-7,, 202.5
PRESIDENT'S DAY s } rr „ _ w 7' r+ TENDERED
n CHANGE
CHECK NO.
SIGNATURE
NO. 2760
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 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:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
NO.
2759
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 M_ Y 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 T?CKET
SOUTHOLD. TOWN DEPT SOLID WASTE 00 01951112 Steph
PO Box'962/6155 COX Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT'- . VEHICLE ROLL OFF
03/06/25 03106/2 07:3 07:4 11103TC
9316 Town of Babylon
REFERENCE
r
2 GROSS WT 73680 LB. Outbound Ticket
1 TARE WT 36040 LB
EIGHT 37640 'LB -
QTY- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18:82 OUTGO.MSW 0.000 0.00 0.00 0.0e
}
t.�.7 U1t;�
- ....
r i _
Operating hours 7:00 AM to 5:00 PM 7 days a !week` s 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17, 2g025 �� ' TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO-::::j
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01951112 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
•-
CALE 2 GROSS WT 73680 LB Outbound Ticket
SCALE 1 TARE WT 36040 LB
NET WEIGHT 37640 LB
7
QTY - UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL
18.82 OUTGO.MSW- 0.000 0.00 0.00 me
2
' tf
l
Operating hours 7:00 AM to 5:00. PM 7 days, a week•' •
CLOSED HOLIDAYS - NEXT: . MONDAY FEBRUARY', .., 2025
PRESIDENT'S, DAY ,;' TENDERED
0 4 j r.1�.'Y.. .
CHANGE
CHECK NO.
SIGNATURE
NO. 2761
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 001 01951359 Steph
PO BOX 962/6155 COX Lane ,-,DATE IN - DATE OUT TIME IN'TIME OUT VEHICLE-- ROLL-OFF
Cutchogue, NY 11935
03/08/25 03/08/25 07:57 08:08 1"C� ,
9316 , Town of Babylon
REFERENCE
(EET
LE 2 GROSS WT 86700 LB Outbound. Ticket
LE 1 TARE WT `36160 LB
WEIGHT 50540 LB
0TY UNIT DESCRIPTION RATE EXTENSION " FEE' TOTAL
25.27 OUTGO.MSW 0.000 0.00 0.00 0.0e-
tw
` f
Operating hours 7:00 AM to 5:00 PM 7 days`1a week: 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 1.7, 2021,5 � TENDERED'
PRESIDENT'S DAY
7`
CHANGE
CHECK-NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01951359 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 86700 LB outbound Ticket
SCALE .I.,TARE WT 36160 LB
NET WEIGHT 50540 LB
QTY UNIT DESCRIPTION RATE EXTENSION• FEE ,, "TOTAL" -
25.27 OUTGO.MSW • 0.000 0.00 0.00 0.02
�+ 1
Operating hours 7:00 AM to 5:00 PM 7 days, a week:'
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY'17, 2025 si
PRESIDENT'S DAY TENDERED
iF:
CHANGE
CHECK NO
. MATURF
NO. 2762
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH'THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED.-
LOOSE- (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE-
TRAILER NO. LICENSE NO/STATE-
[HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01951764 .Will
F4}BUX 962/6155 COX Lane DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/10/2 03/10/2 08:4 09:0 11103TC
9316 Town of Babylon
REFERENCE
SCALE 2. GROSS WT 87020 LB Outbound Ticket
SCALE 1 TARE WT 35660 LB
NET WEIGHT 51360 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE _. '. TOTAL
25.68 OUTGO.MSW 0.000 0.00 0.00 0.0e
f.
Ay
Operating hours 7:00 AM to 5:00 PM 7 days+a week.-'-. r ` 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY '1 7 w�2025 N fl�, w � } � „fie �' -TENDERED
PRESIDENT'S DAY
a '1
;:CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET 51TE I "TICKET I GRID ' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE -00 01951764 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 03110125 037T@775 0b:4 0V:Uj 111U i I L
REFERENCE
•-
CALE 2 GROSS WT 87020 LB Outbound Ticket
SCALE 1 TARE WT 35660 LB
NET WEIGHT 51360 LB
OTY. UNIT DESCRIPTION RATE EXTENSION` FEE, ", TOTAL
25.68 OUTGO.MSW - 0.000 0.00 0.00 0.0e
Y}
Operating hours 7:00 AM to 5:00 PM 7 days, a week-'-11-41 U.
•
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY'17,'2025 TENDERED`
PRESIDENT'S DAY r
y,
CHANGE
CHECK NO.
SIGNATURE
NO._ 2763
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY'LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS:
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL-LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER-
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01951835 Will
PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/10/2 03/10/2 12:2 12:3 11103TC
9316 Town of Babylon
REFERENCE
L
ROSS WT 73080 LB Outbound Ticket'
ARE WT 35460 LB
T 37620 LB UNIT DESCRIPTION RATE EXTENSION FEE - TOTAL"'
18.81 OUTGO.MSW 0.000 0.00 0.00 0.02
rZZ-
h � `N+g4i
5; c 1 ,
Operating hours 7:00 AM to 5:00 PM 7 daysa week: 0.02
CLOSED HOLIDAYS --_NEXT: MONDAY FEBRUARY 17., 2025,E ;` TENDERED'
PRESIDENT'S DAY ' , ;ttt {
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID. WEIGHMASTER' "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01951835 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
CALE 2 GROSS WT -73080 LB Outbound Ticket
SCALE 1 TARE WT 35460 LB
NET WEIGHT 37620 LB
QTY UNIT „DESCRIPTION RATE EXTENSION FEE TOTAL'.
18.81 OUTGO.MSW 0.000 0.00 0.00 0.02
Ilk
ff-TA Lois]
Operating hours 7:00 AM to 5:00 PM 7 days a Week-:
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 117, 2025
TENDERED
PRESIDENT'S DAY £ �'�, n �.
;. CHANGE
CHECK NO.
SIGNATURE
NO.
2764
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 TOTHE 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 001 01951959 Steph
PO•F,ox 962/6155 Cox Lane-
Cutchogbe; NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE n ROLL OFF
03/11/25 03/11/25 07:43 07:58 11103TC
9316 Town of Babylon REFEREN'CE ORIGIN
SCALE :2GROSIS WT 77080 LB Outbound Ticket
SCALE TARE WT 40060 LBET WEHT 37020 LB
CITY. UNIT DESCRIPTION • RATE EXTENSION FEE TOTAL
18.51 OUTGO.MSW 0.000 0.00 0.00 0.0e
t
z—
2
f
Pt
jd7
?�OFF 4 t
Operating hours 7:00 AM to 5:00 PM 7 days�,a° week.° 0.0e
�x a
CLOSED HOLIDAYS - NEXT: MONDAY F.EBRUARY 17-r, 2025 a s�F„ ,` TENDERED
PRESIDENT'S DAY IV
. CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01951959 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 77080 LB Outbound Ticket
SCALE 1 TARE WT 40060 LB
NET WEIGHT 37020 LB
QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.51 OUTGO.MSW 0.000 0.00 0.00 0.0e
.r
t
Operating hours 7:00 AM to 5:00 PM 7 days a,week',
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY'17, 2025
PRESIDENT'S DAY TENDERED ,
S �' ;�: °i;.t`�:�`,','' ,P
CHANGE
' I CHECK NO.
SIGNATURE
NO. 2765
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 260AO 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.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952153' Steph
PO Box 962/6155 Cox Lane --
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/12/2 03/12/2 07:1 07:2 11103TC
.9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT. 68820 LB Outbound Ticket
SCALE 1 TARE WT 36680 LB
NET WEIGHT 32140 LB
QTY. ' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL,
16.07 OUTGO.MSW 0.000 0:00 0.00 0.0e
,J
" 1
+ E
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17, 2025 TENDERED
PRESIDENT'S DAY
CHANGE
:CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET •,, GRID WEIGHMASTER ,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952153 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
REFERENC E. ORIGIN
CALE 2 GROSS WT 68820 LB Outbound Ticket
SCALE 1 •TARE WT 36680 LB
NET WEIGHT 32140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION -FEE.. : TOTAL._
16.07 OUTGO.MSW 0.000 0.00 0.00 0.0e
1
Operating hours 7:00 AM .to 5:00 PM 7 days a week-.'
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17, 2025
PRESIDENT'S DAY TENDERED.
CHANGE
CHECK NO.
SIGNATURE
No. 2766
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
DUPLICAT,E TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952202 Steph
PO•Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
03/12/25 03/12/2 10:3 10:4 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 84740 LB Outbound Ticket
SCALE 1 TARE WT 35480 LB
ET WEIGHT 49260 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
24.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
'y � 4 ��f J 1T _ •
Operating hours 7:00 AM to 5:00 PM 7 day sa3a week. 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17,, 2025ti ,�`� .: :TENDERED
PRESIDENT'S DAY
CHANGE
CHECK NO: '
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952202 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 —0_3712M 031 1212 lu J I IV d4l 111U.5 I L
REFERENdE
SCA
LE 2 GROSS WT 84740 LB Outbound Ticket
ALE 1 TARE WT 35480 LB
WEIGHT 49260 LB
QTY UNIT _ DESCRIPTION RATE EXTENSION FEE` ,TOTAL.
24.63 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 FEBRUARY 17, 2025
PRESIDENT'S DAY TENDERED
CHANGE
CHECK'NO.'
�)
SIGNATURE
r
NO.
2767
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID j 'WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952365 Steph .
PO Box 962/6155 Cox Lane
Cutchogue, NY, 11935
DATE IN DATE OUT• TIME'IN TIME OUT VEHICLE-, ROLL OFF,
03/13/25 03/13/25 07:1 07:3 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 74520 LB Outbound, Ticket
SCALE 1 TARE WT -35940 LB
ET. WEIGHT 38580 LB
ITY. UNIT DESCRIPTION = RATE ..EXTENSION FEE ;TOTAL-
19.29 OUTGO.MSW 0.000 0.00 0.00 0.02
Z "
i
� i
�� ram" � • " �i , i J �`�- � .
e"1� �� �^.�. ,art=, J,'.� ��,,� Y�� - •
Operating hours 7:00 AM to. 5:00 PM 7 days\a week. { ' 0.02
CLOSED ,HOLIDAYS - NEXT: MONDAY FEBRUARY 17, 2025s;� 1 �` TENDERED
PRESIDENT'S DAYa I
4, CHANGE.
t" CHECK-NO. .
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER=,
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952365 1 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE"OUT TIMEIN TIME OUT VEHICEE`• ROLL OFF"
9316 Town of Babylon
ORIGINREFERENCE
CALE 2 -GROSS WT 74520 LB Outbound Ticket
SCALE 1 TARE WT 35940 LB
NET WEIGHT 38580 LB
.QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19,29 OUTGO.MSW 0.000 0.00 0.00 0.0e
i t i
ii
Operating hours 7:00 AM to 5:00 PM 7 days a week::
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY`17, 2025 {-r {'"
PRESIDENT'S'DAY ' ��� " ;�r -, P TENDERED
•CHANGE.
• CHECK NO.
AM MAT[IRP
NO. 2768
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 260.1.0 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.
SITE TICKET GRID WEIGHMASTER "
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 0195.2586 Will
-PO fox 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF`
03/14/25 03/14/25 07:4 07:5 11103TC
.,9316 Town of Babylon
REFERENCE ;jFC 2 GROSS WT .67100 LB Outbound Ticket
SCALE 1 TARE WT 36200 LB
ET WEIGHT 30900 LB
QTY.
UNIT - DESCRIPTION ' `, RATE • EXTENSION FEE,;` TOTAL
15.45 OUTGO.MSW 0.000 0.00 0.00 0.0e
L
ay , Yl .a
Operating hours 7:00 AM to 5:00 PM 7 days'Na week'`<:. ' 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17., 2025 no TENDERED
PRESIDENT'S DAY sv p _
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE TICKET I- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952586 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
CALE 2 GROSS WT 67100 LB Outbound Ticket
SCALE•1 TARE WT 36200 LB
NET WEIGHT 30900 LB
QTY.
UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.45 OUTGO.MSW '0.000 0.00 0.00 0.0e
-
5 �t r >
�`�s' "�'
$iAf 5 r�
r
I' it
operating hours 7:00 AM to 5:00 PM 7 days- a,-week\ .�
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17�,,`20�2,5
PRESIDENT'S DAY r aS " ,y` f'f",`[, 'j '' a;? TENDERED
sa, y' CHANGE
CHECK-NO:
• CIlI.IATI IOL
i
No.
2769
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 26108 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 01952829 Steph .
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 '_DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/15/25 03/15/25 08:5 09:0 11103TC
9316 1J . Town of Babylon
ORIGINREFERENCE
SCALE ]GROSS WT 70760 LB Outbound Ticket
SCALE WT 35820 LBET WE 34940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.47 OUTGO.MSW . 0.000 0.00 0.00 0.0e
Na,U
/ '�
3 •.
{ G ;'tom ti
Operating hours 7:00 AM to 5:00 PM 7 days-,a week. ; 0.0e
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17, 202'S;
J � 3 � TENDERED
PRESIDENT'S DAY ��` fl";
- �-• ��t'.?u�' -CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET. GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01952829 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 70760 LB Outbound Ticket
SCALE 1 TARE WT -35820 LB
NET WEIGHT 34940 LB
QTY UNIT,- DESCRIPTION RATE EXTENSION FEE TOTAL
17.47 OUTGO.MSW 0.000 0.00 0.00 0.0e
j.
Operating hours 7:00 AM-to 5:00 PM 7 days, a week �_ •
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY-117,`2025 by i
PRESIDENT'S DAY __ x_ #% TENDERED
�,•w
ex, -CH NGE
CHECK NO.
SIGNATURE
NO. 2770
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 001 01953388 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME-IN TIME OUT VEHICLE I ROLL OFF
03/17/25. 03/17/25 08:53 09:16 11103TC
'.9316 Town of Babylon
REFERENCE
�.
SCALE 2 GROSS WT 80740 LB Outbound Ticket
SCALE 1 TARE WT 37000 LB
NET WEIGHT 43740 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.87 OUTGO.MSW 0.000 0.00 0.00 0.0e
rr
Operating hours 7:00 AM to 5:00 PM 7 days a"'week:� 0.02
AI
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 1'7 2025 TENDERED
PRESIDENT'S DAY r r { p t ry
CHANGE - _
CHE K'NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01953388 1 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
DATE IN DATE OUT TIME IN TIME OUT VEHICLE- : ROLL-OFF .
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 80740 LB Outbound Ticket
SCALE 1 TARE WT. 37000 LB
NET WEIGHT 43740 LB
QTY _ UNIT DESCRIPTION RATE EXTENSION " FEE TOTAL
21.87 OUTGO.MSW 0.0'00 0.00 0.00 0.0e
q
r
tom'
t n�
4:
Operating hours 7:00 AM -to 5:00 PM 7 days ad week-.',' y---- `> 4f
CLOSED HOLIDAYS - NEXT: MONDAY FEBRUARY 17,,/2025 --_ --
PRESIDENT'S DAY TENDERED-
-CHANGE
CHECK NO.
C I!`_M1I ATI 1 O C
NO.
2771
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 01953435 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN, TIME OUT VEHICLE ROLL OFF
03/17/25. 03/17/25 12:3 12:49 11103TC
9316 Town of Babylon
REFERENCE
•-
L
SCALE 2 GROSS WT 73440 LB Outbound Ticket
SCALE 1 TARE WT 36000 LB
NET WEIGHT 37440 LB
QTY:. UNIT DESCRIPTION:. `RATE EXTENSION FEE TOTAL
18.72 OUTGO.MSW 0.000 0.00 0.00 0.0e
I,
7 F i
Operating hours 7:00 AM to 5:00 PM 7 dayks
a week: o 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH br TENDERED
EASTER SUNDAY
CHANGE
CHECK-NO. '
SIGNATURE
DUPLICATE TICKET SITE TICKET i GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01953435 1 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 ' Town of Babylon
REFERENCE ORIGIN
CALE 2 ,GROSS WT 73440 LB Outbound Ticket
SCALE 1 TARE 'WT 36000 LB
NET WEIGHT 37440 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.72 OUTGO.MSW 0.000 0.00 . 0.00 0.0e
a
! �z sl}
Operating s hours 7:00 AM to 5:00 PM 7 da . a�week: %¢t I` •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH ^ `' x'
EASTER SUNDAY r '�,' ,fps}et�r, -i .;' '"' j r TENDERED
a
i; CHANGE.
CHECK NO.
---j
c�r_n�n-ri roe
No.
2772
GENERATOR
THIS MANIFEST 1S 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
'` GOLl7-TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID, WEIGHMASTER'Y
DUPLICATE TICKET "
SOUTHOLD TOWN DEPT SOLID WASTE 00 01953524 Steph
PO Box 962/6155 Cox Lane DATE IN" DATE OUT- TIME IN TIME OUT VEHICLE ROLL OFF.
CutchogVe, NY 11935
03/18/25 03/18/2 09:3 10:2 11103TC
9316 Town of Babylon
REFERENCE .
SCALE 2 GROSS WT 100100 LB Outbound Ticket
SCALE 1 TARE WT 36060 LB
NET WEIGHT 64040 LB
QN.. UNIT' ,,' :.r. ' '-'DE , RATE:, EXTENSION FEE -:'.TOTAL
32.02 OUTGO.MSW 0.000 0.00 0.00 0.0e
1d((
�� '.�y�r�4a��✓t�p�,'�g"cam
pp
W
t
Operating hours 7:00 AM to 5:00 PM 7daysa week. 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH t '
TENDERED`
FASTER SUNDAY
CHANGE
CHECK-NO.-
SIGNATURE
. DUPLICATE TICKET SITE TICKET GRID _ ;; WEIGHMASTER N
SOUTHOLD TOWN DEPT SOLID WASTE 00 01953524 1 Steph
PO Box 962/6155 Cox Lane
CUtChOgUe, NY 11935 Nr"DATE I DATE OUT TIME•IN TIME OUT VEHICLE ROLL-OFF
9316 Town of Babylon
REFERENCE
�.
GALE 2..GR0SS WT . 100100 LB Outbound Ticket
SCALE 1 TARE WT 36060 LB
NET WEIGHT 64040 LB
QTY; UNIT DESCRIPTION. `', _. ., ' RATE. EXTENSION _. '• .FEE ;`';n _ TOTAL.'_
32.02 OUTGO.MSW 0.000 0.00 0.00 0.0e
o&
Operating hours 7:00 AM to 5:00 PM 7 days,_ af�Week
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH� r� r ��^a�
EASTER SUNDAY f TENDERED
t`P"J7 x r^ k
CHANGE-
CHECK NO.
SIGNATURE
NO, 2773
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.
DUPLICATE TICKET
SITE I TICKET. I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01953713 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 .DATE IN DATE OUT TIME IN'TIME OUT VEHICLE • . ROLL OFF
03/19/25 03/19/2 10:0 10:2 11103TC
9316 . Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 89780 LB Outbound Ticket'
SCALE 1 TARE WT 36380 LB
NET WEIGHT 53400 LB
ITY. UNIT - DESCRIPTION RATE EXTENSION FEE TOTAL
26.70 OUTGO.MSW 0.000 0.00 0.09 0.0e
n� i
-0. $
Vt o �. f •
Operating hours 7:00 AM to. 5:00 PM 7 days, a week:°z._— - l°¢ e ' Me
CLOSED HOLIDAYS, - NEXT: SUNDAY APRIL 20TH � '
" TENDERED
EASTER SUNDAY r41
g fiq +osr
fN^"r -CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE 001 0195371 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TEIN DAT OU TIME IN TIME OUT VEHICLE "ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALEFQF
2-GROSS WT. 89780 LB Out oun •Tic et
SCALE WT 36380 LB
NET W 53400 LB
UNIT DESCRIPTION - ,." RATE EXTENSION FEE 7:.TOTAL,'
26.70 OUTGO.MSW 0.000 0.00 0.00 4 me
S
/ S L
\
Operating hours 7:00 AM to 5:00 PM 7 days a, week: •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH FASTER SUNDAY :`r,'~j' S .y'f' �. TENDERED
„CHANGE
CHECK NO.
SIGNATURE
NO. 2774
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 ANYAPPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND1 IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID `WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01953893 Steph
PO Box 962/6155 Cox Lane
Cut chogue, NY 11935 DATE IN I DATE OUT I TIME IN TIME'OUT --VEHICLE ROLL OFF
03/20/25 -03/20/25 07:0 07:18 11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 81440 LB Outbound Ticket
SCALE 1. TARE WT 37060 LB
NET WEIGHT 44380 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
22.19 OUTGO.MSW 0.000 0.00 0.00 0.0e
a"'=.�
rt
r t
i
�• z
ttm l
Af
rV
Operating hours 7:00 AM to 5:00 PM 7 days a week
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
EASTER SUNDAY
1 t} r TENDERED
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE rJul 0195.31193 1 -"Zesph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TE'1 D TI I ' TI ROLL OFF
9316 Town of Babylon
REFERENCE
•.
CALE 2 GROSS WT 81440 LB Outboun Tic et
SCALE 1 TARE WT 37060 LB
NET-WEIGHT 44380 LB
QTY.. UNIT, DESCRIPTION - RATE,, EXTENSION FEE.; TOTAL•
22.19 OUTGO.MSW 0.000 0.00 0.00
t. y}
Operating hours 7:00 AM to 5:00 PM 7 days a week:. - �` v •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH.,
FASTER SUNDAYTENDERED
CHECK NO.
. NAT[IRF '
NO. 2775
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 TO.APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO LICENSE NO/STATE: °
TRAILER NO: LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT'NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER._
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 001 01954148 Will.
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
03/21/25 03/21/25 07:18 07:32 11103TC
316 Town of Babylon
ORIGINREFERENCE
r
SCALE 2 GROSS WT 78360 LB Outbound Ticket
SCALE 1 TARE WT 36140 LB
ET WEIGHT 42220 LB
QTY UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL
21.11 OUTGO.MSW 0.000 0.00 0.00 . 0.0e
F .57
✓ 51
r ` s' r ��• 4a�
Operating hours 7:00 AM to 5:00 PM 7 days 'a week.` 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH= TENDERED, ,
EASTER SUNDAY _ - ��
-CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE I TICKET , GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01954148 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
•-
CALE. 2 GROSS WT- 78360 LB ..Outbound Ticket
SCALE 1 TARE WT 36140 LB
NET WEIGHT 42220 LB
QTY UNIT DESCRIPTION °RATE EXTENSION "FEE - TOTAL'
21.11 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: SUNDAY, APRIL 20TH., _
EASTER SUNDAY a TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2776
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(PRINTNAME) (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.
UPLICATE TICKET SITE TICKET GRID WEIGHMASTER
pp
SOUTHOLD TOWN DEPT SOLID WASTE 00 01954988 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE .ROLL-OFF
03/24/2 03/24/2 07:4 07:5 11103TC
9316 Town of Babylon
REFERENCE
•.
SCALE 2 GROSS WT 71380 LB Outbound Ticket
SCALE 1 TARE WT 36440 LB
NET WEIGHT 34940 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
17.47 OUTGO.MSW 0.000 0.00 0.00 0.0Q
iV
Operating hours 7:00 AM to 5:00 PM 7 days a week: �' p>
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH
TENDERED
EASTER SUNDAY � �� J
.s
�0,, �. ,
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET_ -GRID WEIGHMASTER,
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 MD
DA E T TI l4 TIM U ROLL'OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 71380: LB Out oun 'Tic e
SCALE 1 TARE WT 36440 LB
NET WEIGHT 34940 LB
QTY. UNIT DESCRIPTION RATE EXTENSION_ FEE,; - TOTAL-
17.47 OUTGO.MSW 0.000 0.00 0.
I �
� • � 4 a " ti . t
3
Operating hours 7:00 AM to 5:00 PM 7 days a,:week:;
CLOSED HOLIDAYS, - NEXT: SUNDAY, APRIL 20TH„
FASTER SUNDAY • -,, TENDERED
CHANGE
CHECK NO.
RIANATIIRF '
r
NO. 2777
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 I . TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01955036 Will
PO Box 962/6155 Cox Lane
IGutchogue, NY 11935 DATE IN DATE OUT TIME,IN TIMEOUT . VEHICLE ROLL OFF
03/24/25 03/24/2.5 11:1 11:2 11103TC
9316 Town of Babylon
REFERENCE
•.
SCALE 2 GROSS WT 86700 LB Outbound Ticket
SCALE 1 TARE WT 35900 LB
NET WEIGHT 50800 LB
QTY. UNIT ' DESCRIPTION RATE EXTENSION FEE'` TOTAL
25.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
c ?i Z ,
r. 4nn - -- - -
UV1�
.. r�� s � � F ��c• S'y;i .
Operating hours 7:00 AM to 5:00 PM 7 days�,a` week:,-- 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH--• - � '
FASTER SUNDAY � � f 17r' �£t ` . �{'.�� :..,.TENDERED
ii
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE F TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE' 00 01955036 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
•-
CALE 2 GROSS WT 86700 LB Outbound Ticket
SCALE 1 TARE WT 35900 LB
NET WEIGHT 50800 LB
CITY. UNIT. DESCRIPTION RATE EXTENSION . FEE . .. : TOTAL
25.40 OUTGO.MSW 0.000 0.00 0.00 0.oe
r
1
Operating hours 7:00 AM to 5:00 PM 7 days a Wee k immlam, •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH ';•`
TENDERED
EASTER\ SUNDAY 1
t ;.> CHANGE
CHECK NO.
SI[.N AT[IRF
NO.
2778
i
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY..GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED.--
ADDRESS:
1 HEREBY CERTIFY THATTHE ABOVE MATERIAL 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.
D;;UPLICATE TICKET SITE TICKET GRID WEIGHMASTER
':S,OUTHOLD TOWN DEPT SOLID WASTE 001 01955101 Will
PO Box 962/6155 Cox Lane
it`utcho ue, NY 11935 03/TE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
�i g 25/25 •
03/25/25 07:25 07:45 11103TC
:#31� Town of -Babylon
REFERENCE
ry,ry
CALE 2 GROSS WT 76500 LB Outbound Ticket
,,SCALE 1 TARE WT 36220 LB
i ET WEIGHT 40280 LB
QTY. UNIT DESCRIPTION" RATE• EXTENSION FEE: TOTAL
' .y 20.14 OUTGO.MSW" 0.000 0.00 0.00 0.0e
r
I ,' a •� sit i z J'`'v' 7 i -
�h' - )I' i.'y421 j t `�..� if•�gi ly \...I
v< ' C- h3
�._-.
Operating hours 7:00 AM to 5:00 PM 7 days4aaweek
CLOSED HOLIDAYS - NEXT: SUNDAY' APRIL 20TH'- — ga
TENDERED
FASTER SUNDAY i it
CHANGE
!fi CHECK NO.
SIGNATURE
h.,
DUPLICATE TICKET SITE' TICKET , GRID WEIGHMASTER-
:SOUTHOLD TOWN DEPT SOLID WASTE 1
"i
.;_PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DA IN• D T UT' T TI O
V ROLL OFF
?s9316 Town of Babylon
{. REFERENCE •-
FGROSS WT 76500 LB Out oun Tic e...TARE WT 36220 LB
GHT 40280 LB
;,• QTY. UNIT DESCRIPTION RATE EXTENSION FEE:. ' TOTAL_
20.14 OUTGO.MSW 0.000 0.00
�N-
YII4
;;bperating hours 7:00 AM to 5:00 PM 7 days a`_we-ek •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THe
16'ASTER SUNDAY ? TENDERED
�A
CHANGE
Dr1 CHECK NO.
L I RMKIATI IRF
� NO.
2779
i
(GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT).
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.40 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANS PO 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 W.EIGHMASTER
UPLICATE TICKET
HOUTHOLD TOWN DEPT SOLID WASTE 00 01955255 Steph
PO Box 962/6155 Cox Lane
Cutch�'}aue, NY 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF
03/26/25 03/26/25 07:2 07:36 -11103TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 76220 LB' Outbound Ticket
SCALE 1 TARE WT 36880 LB
ET WEIGHT 39340 LB
QTY UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
19.67 OUTGO.MSW 0.000 0.00 .0.00 0.02
A g
s
Operating hours 7:00 AM to 5:00 PM 7 days•,a'week:` Y 0.0e
CLOSED HOLIDAYS - NEXT: "SUNDAY, APRIL 20TH a TENDERED-:
EASTER SUNDAY
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE . TICKET,:— GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01955295 Steph
PO Box 962/6155 Cox Lane
I(utchogue, NY 11935 DATE IN' - -•pATE'OUT ` ,TIME..IN• TIME.OUT VEHICLE , " ROLL OFF
1 .
9316 Town of Babylon
REFERENCE
CALE 2 GROSS WT 76220 LB Outbound Ticket
SCALE 1 TARE WT 36880 LB
NET WEIGHT 39340 LB
QTY. UNIT DESCRIPTION RATE
E EXTENSION FEE TOTAL
19.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
F -
�{ •.fit. - - .
v
Operating hours 7:00 AM to 5:00 PM 7-days `a- week.:,.,: `^-
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH .`' .
EASTER SUNDAY ,` TENDERED
- CHANGE
CHECK NO.
SIGNATURE
NO: 2780
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)r
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER "
DUPLICATE TICKET
SOUTHO.LD TOWN DEPT SOLID WASTE L
0 01955383 Steph
PO BOX 962/6155 COX Lang Cutchogue, NY 11935 ,DATE IN DATE OUT -TIME IN TIME OUT VEHICLE ROLL OFF
'
03/26/25 03/26/25 11:1 11:2 11103TC
9316 ° Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 76120 LB Outbound Ticket
MANUAL TARE WT 36860 LB -
ET WEIGHT 39260 LB
QTY UNIT :DESCRIPTION "-" RATE_' EXTENSION"" : ' `. ` FEE, "TOTAL
19.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
• � tttS
r
•
Operating hours 7:00 AM to 5:00 PM 7 .daysa° we kJ 0.02
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH= , , ~ j _ TENDERED
EASTER SUNDAY 3 4t '
CHANGE
CHECK NO.
j SIGNATURE
DUPLICATE TICKET SITE TICKET ' ` GRID WEIGHMASTER_
SOUTHOLD TOWN DEPT SOLID WASTE 00 01955383 Steph
PO Box.962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME4N TIME OUT. VEHICLE - ROLL.OFF
9316 Town of Babylon
REFERENCE
•-
CALE 2. GROSS WT 76120, LB Outbound Ticket
MANUAL TARE WT 36860 LB
NET WEIGHT 39260 LB
QTY :. UNIT DESCRIPTION RATE ' EXTENSION FEE TOTAL
i 19.63 OUTGO.MSW 0.000 0.00 0.00 0.02
,Operating hours 7:00 AM to 5:00 PM 7 days a=week - i` •
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH
EASTER SUNDAY
TENDERED
1.-W( > ' Axe -•, °"d CHANGE
CHECK NO.
SIGNATURE
NO. 2781
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP'DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART.261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET µ' GRID WEIGHMASTER
OUTHOLD TOWN DEPT SOLID WASTE. - 001 01955562 Steph-
0 Box 962/6155 Cox Lane
utchogue, NY 11935 :DATEI_N' DATE OUT TIME IN TIME`OUT • VEHICLE``" 'ROLL OFF '
03/27/25 03/27/25 07:3 07:55 11103TC
9316 Ti,4n of Babylon
REFERENCE
SCALE 2 'GROSS WT 77840 LB Outbound:'Ticket
SCALE 1 TARE WT -36460 LB
ET WEIGHT 41380 LB
s . CITY UNIT DESCRIPTION ;.;, RATE.. EXTENSION- FEE '., TOTAL
20.69 OUTGO.MSW- 0.000 0:00 0.00 0.02
Z_Affzz? ..
u ;
pt,
A •
Operating hours 7:00 AM to 5:00 PM 7 days-,,.a"week. `- 0.02
....
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH ! *�� - -'�
FASTER SUNDAY G' i}{(i TENDERED,' "'
q^y {I f{ 5 b
CHANGE
F
-C ECK NO.
SIGNATURE
DUPLICATE TICKET SITE ''-. TICKEL GRID .:WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01955562 Step -' -
PO Box 962/6155 Cox Lane
CUtchogu2, NY 11935 DATE)N DATE OUT ' "•TIME,IN-TIME OUT VEHICLE ;; ROLL'OFF
5 0311-1-
1316 Town of Babylon
REFERENCE
�.
GALE 2 GROSS WT 77840 LB ..Outbound Ticket
SCALE 1.,TARE WT 36460' LB -NET WEIGHT _41380 LB
CITY -. UNIT DESCRIPTION' RATE EXTENSION• _ FEE - TOTAL
20.69 OUTGO.MSW 0.000 _ 0.00 0.00 -me,
}}
1N
perating hours 7:00 AM to 5:00 PM 7 day�s�a week��� ' `� x
LOSED HOLIDAYS' - NEXT: SUNDAY, APRIL 20TH, ¢' F �, .A
EASTER SUNDAY ` r TENDERED'
CHANGE
CHECKNO.
SIGNATURE
NO. 2782
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 61955768 Will.
Pb Box 962/6155 Cox. Lane
Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN TIME OUT - VEHICLE. ROLL OFF
t 03/28/25 03/28/2 07:3 07:5 11103TC
93.16- Town of Babylon
isREFERENCE �.
CALE 2 GROSS WT - 77020 ; LB Outbound Ticket
SCALE 1 TARE WT 40320 LB
ET WEIGHT 36700 LB
QTY ,.' UNIT DESCRIPTION RATE EXTENSION FEE ."TOTAL'
18.35 OUTGO.MSW 0.000 0.00 0.00 0.0e
perating hours 7:00 AM to 5:00 PM 7 days a�week 0.0e
LOSED HOLIDAYS - NEXT: *SUNDAY, APRIL 20TH° � . �
ASTER SUNDAY ti ( � ; ; TENDERED `
f AI
i
` CHANGE
HECK NO.
SIGNATURE
DUPLICATE TICKET SITE L , TICKET GRID WEIGHMASTER.
ISOUTHOLD TOWN DEPT SOLID WASTE 00 01955768 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN . DATE OUT TIME IN;TIME OUT VEHICLE_ '°`ROLL•OF.F
9316 Town of Babylon
REFERENCE
�.
'GALE 2-GROSS WT 77020 LB Outbound Ticket
CALE 1 TARE WT 40320 LB
ET WEIGHT 36700 LB
I CITY. E'• UNIT DESCRIPTION - RATE• 'EXTENSION FEE z' TOTAL
18.35 OUTGO.MSW 0.000 0.00 0.00 0.0e '
Y 2zz-r .
[ T, ;t re
Operating hours 7:00 AM to 5:00 PM 7 days,a�week: ' 4 � ' j
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20THt,
EASTER SUNDAY i TENDERED
".U��'5 l
r CHANGE
CHECK 110.
SIGNATURE
• NO. 2783
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:.
COMMODITY SHIPPED:
LOOSE: (CU YDS)
SALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01956104 Steph
PO Box 962/6155 Cox Lane
Utchogue, .UY 11935 DATE,IN ' DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF
I 03/29/25 03/29/25 09:33 09:42 11103TC
31 ` Town of Babylon-
REFERENCE
SCALE 2 GROSSI'WT 75080 LB outbound Ticket
SCALE 1 TARE WT' 36320 LB
,ET WEIGHT 38760 LB
I QTY. UNIT DESCRIPTION RATE EXTENSION - . FEE. TOTAL `
19.38 OUTGO.MSW. 0.000 0.00 0.00 0.0e
t
Av
Y
I r �
T
I�pl rating hbu�s;7:00 AM to 5:00 PM 7 days,.a `week f `°
CLOSED HOLIDAYS'' - NEXT: SUNDAY APRIL- 20TH
p i ' TENDERED
ASTER SUNDA Yt!
CHANGE
CHECK NO.
I ' SIGNATURE
DUPLICATE TICKET SITE GRID WEIGHMASTER
5 Steph
TICKET GRID
TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
I T I TI O V ROLL`OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALF 2 GROSSI;WT 75080 LB Out oun is e
•CAL'E 1 TARE WT 36320 LB
SET WEIGHT 38760 LB
�j
QTY° .! UNIT ;DESCRIPTION RATE ` EXTENSION FEE TOTAL'
19.38 OUTGO.MSW 0.000 0.00 0.0
,.
per,ating hours 7:00 AM to 5:00 PM 7 days* a ;week:.
L1O ED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH.
AS ER SUNDAY TENDERED'
I 1 - CHANGE
CHECK NO.
SIGNATURE
ti. NO. 2784
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.
kDUPLICATE TICKET $ITE ,, TICKET, • GRID WEIGHMASTER ,
k�OUTHOLD TOWN DEPT SOLID WASTE ' 001 01956717 Will
0� Box 962/6155 Cox Lane
utChOgUe, NY 11935 DATE IN" DATE OUT TIME IN' TIME OUT ,' VEHICLE ROLL OFF
03/31/25 03/31/25 07:41 07:52 11103TC
Town' of Babylon
REFERENCE I[cc]I
! I
I
GALE 2 GRO S��T
WT 71660 LB Outbound Ticket
i
CALE 1 TARE 36760 LB
ET WEIGHT �i 34900 LB
I
QTY- :j UNIT DESCRIPTION - - RATE EXTENSION'' FEE :. TJOTAL
i 17.45 j OUTGO.MSW 0:000 0.00 0.00 0.0e
dy
t I .-,
IIating h u s17:00 AM to 5:00 PM 7 days�,a`week:` 0.0e
L 1SED HO_LI AISI - NEXT: SUNDAY APRIL 20TH Y
AS I ER SUND Y '�; ! n�°�:¢ s4, m? TENDERED
y�7{ i ; ✓ CHANGE
i
III
CHECK NO.
j 4 i SIGNATURE
UPLICATE TI
CKET SITE TICKET -' GRID WEIGH MASTER
OUTHOLD TOWN DEPT SOLID WASTE 00 01956717 Wi
RO Box 962/6155 Cox Lane
ICUtchogue, NY 11935
DATE IN DATE OUT .,TIME IN TIME OUT VEHICLE ROLL OFF
1
'9316 Town of Babylon
REFERENCE
i •.
E 2 GROSf
T 71660 , LB .Outbound Ticket
lCb E 1 TAR 36760 LB
ET WEIGHT 34900 LB
`. QTY UNIT DESCRIPTION RATE _ EXTENSION'"' =FEE _.''`TOTAL
17.4 OUTGO.MSW 0.000 0.00 0.00 0.0e
3� n
s
perating hours 7:00 AM to 5:00 PM 7 days a week` �rJ •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH `� r �� �
ER SUNDAY «� vy�{t.% TENDERED
CHANGE
a
CHECK NO.
J SIGNATURE
l NO. 2785
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.,
#UPLICATE TICKET 611LI HUM1:1, -1 UHIU WEIGHMASTER .
OUTHOLD TO�' N bEPT SOLID WASTE 001 01956800 Will
Oi 6ox 962/6155 Cox Lane
DATE IN DATE OUT TIME IN T
ut chogue, NY i11935 IME OUT; VEHICLE I ROLL OFF
03/31/25 03/31/25 .11:19 11:31 11103TC
316 Town of Babylon . -
`.. REFERENCE .
CALE 2 GROSS WT 73860 LB Outbound Ticket
oKALE 1 TARE WT 40040 LB
Ift WEIGHT 33820 LB
hI� I;- QTyi- I UNIT DESCRIPTION , . RATE EXTENSION, '• FEE. TOTAL
'1 16.9 OUTGO.MSW .0.000 0.00 0.00 me
h
j f 1
#Operating hours 7:00 AM to 5:00 PM 7 days ;a'"week: 4 V "}3 • 0.0
G,LOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH °
i nx + e ? . TENDERED
FASTER SUNDAYf
r CHANGE
I
j I CHECK NO.
SIGNATURE
UPLICATE TIC ET rSITE7 TICKET GRID WEIGHMASTER'"
OUTHOLD TOWNiDEPT SOLID WASTE 00 01956800 Will
PO Box 962/�l 5 Cox Lane
}utchogue, IVY,'11935 DATE]N DATE OUT' TIME IN TIME OUT "VEHICLE ROLL OFF
3 6 Town of Babylon
I � REFERENCE •.
CALE 2 GROSS WT 73860 LB Outbound Ticket
GALE 1 TARE WT 40040 LB
NET WEIGHT 33820 LB
QTY. UNIT DESCRIPTION RATE- EXTENSION FEE TOTAL
j
16.91 i OUTGO.MSW - 0.000 0.00 0.00 0.0e
I erating hourjs 7:00 AM to 5:00 PM 7 days a week:`
LOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
TENDERED
ASTER SUNDAY r r,r
c a CHANGE
q} "CHECK NO.
r�' SIGNATURE
NO. 2786
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.