HomeMy WebLinkAbout04/2025 I SITE TICKET. GRID WEIGHMASTER
UP ,ICATE.,T C ET
OUTHO0 70 N DEPT SOLID WASTE 001 01957031, Steph
j0 Bc-�c 962/ 1 51 Cox Lane
utchogue, 4Y 11935 DATE IN DATEOUT - TIME IN TIME-OUT % -VEHICLE-.-. ROLL OFF
04/01/25 04/01/25 10:52 11:07 11103TC
316 Town of Babylon
REFERENCE
SCALE 2 GROSS`WT 75980 LB Outbound Ticket'
CALE 1 TARE WT 36280 LB
ET WEIGHT 39700 LB
' QTY. :; , UNIT DESCRIPTION RATE EXTENSION FEE TOTAL "
is
19.85 OUTGO.MSW 0.000 0.00 0.00 --me
1• , q z,,,
a �� [.�t c. . •
a dill 1ating hL s 7,00 AM to 5:00 PM 7 days a week: u 0.0e
i rrDSED HOLIDAYS - NEXT: -SUNDAY, APRIL 20TH.q = .; TENDERED
ASTER SUNDAY.1 _
CHANGE'
T
.' ,CHECK NO.
SIGNATURE — —
, ICATEI TtC ET SITE TICKET - GRID WEIGHMASTER
HOLD TO qN DEPT SOLID WASTE 001 1957 31 Ste_pW__
' ox 962/51 5ICox Lane
Jl _ .
i U hogue, Y 1 935 DATE IN DATE OU TIME IN ITIME OUT --VEHICLE - ROLL OFF
316 T wi of Babylon
REFERENCE ORIGIN
GALE. 2 GROSS ��WT 75980 LB Outbound Ticket
, �E 1 TARE WET 36280 LB
ET (WEIGHT ] 39700 LB "
QTY. .:.i,., UNIT DESCRIPTION RATE. EXTENSION FEE "',TOTAL
19.85 OUTGO.MSW 0.000 0.00 0.00 0.0e
CFI I i i• ; <'
perating hou f s 7:00 AM to 5:00 PM 7 days, a week:``
r LOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH., sy�
,ASTER SUNDAYi�' _ f,' TENDERED
CHANGE
it
CHECK NO.
SIGNATURE
-,
NO. 2788
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 TCi APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/S T ATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
'3•• SITE TICKET GRID WEIGHMASTER'
`_DUPLICATE TICKET
%UTHOLD TOWN DEPT SOLID WASTE 001 01956§33 Steph
30 Box 962/6155 Cox Lane
utchogue, NY 11935 DATE IN DATE OUT,.) TIME IN TIME OUT VEHICLE ROLL OFF
I!(�; 04/01/25 04/01/25 . 07:2 07:33 11103TC
T wn of Babylon
r REFERENCE
•-
CALE 2 GRO S WT 77360 LB Outbound' Ticket
GALE 1 TARE WT 36360 LB
ET WEIGHT. 41000 LB
OTY: UNIT -DESCRIPTION RATE. .. EXTENSION_ FEE "TOTAL
20.50 OUTGO.MSW 0.000 0.00 0.00 0.0e
t
� i
.. •
dating h ups 7:00 AM ,to 5:00 PM 7 days a week:
I L6SED HO,LI A S - NEXT: SUNDAY, APRIL 20TFf
ASTER SUND Y 'r L� q y $ `TENDERED
de 1 CHANGE
CHECK Nn:=l
SIGNATURE - ---- -- -
UPCATE TICKET SITE TICKET GRID W AS EIGHM
LI _ER
OUTHOLD TOWN DEPT SOLID WASTE ep
p�0 Box 962/6155 Cox"Lane
utchogue, NY 11935
D TE I D OU T I TI O V ROLL OFF
1 316 Town of Babylon
REFERENCE �.
I' E 2 GROSS 77360 LB Outbound Ticket
GALE 1 TAR 1T� 36360 LB
ET WEIGHT 41000 LB
QTY. UNIT DESCRIPTION RATE ,EXTENSION ' FEE ;TOTAL
20:5 I� OUTGO.MSW 0.000 0.00 0.00 0.0e
i,pelrating hours 7:00 AM to 5:00 PM 7 days a week,.r *'
U SED HOLIDAYS - NEXT: SUNDAY APRIL 20TH.
ER SUNDAY f. ' 1 TENDERED
-:CHANGE
3
' CHECK NO.
J i
SIGNATURE
NO. 2787
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.
,a ... .. ,.SITE JICKET ,... ::<.:.GRID .. '. WEIGHMASTER : "..
UPLICATE TICKET
HOLD ,TOWN DEPT SOLID WASTE 00 01957243 Steph .
� j ox 962/ 155 Cox Lane
Y 11935
•DATE 1N DATE OUT TIME IN TIME OUT _ VEHICLE ROLL OFF"
II' 04/02/25 04/02/25 07:0 07:2 11"TC
�3 T w of Babylon
REFERENCE
CA LE 2 GR0 S IIWT 75180 . LB Outbound Ticket
Cb E 1 TARE OJT 35766 LB
WEIGHT 39420 LB
is QTY.. + j -UNIT DESCRIPTION .RATE EXTENSION ..FEE.- TOTAL
19.71 OUTGO.MSW 0.000 0.00 0.00 0.0e
'
} f 5
Aerating h uIs' 7:00 AM to 5:00 PM 7 days .a week` r 0.0e
CLOSED HOLI A, S - NEXT: SUNDAY, APRIL 20TH " TENDERED
-ASTER SUND�Yll s
CHANGE
�1If CHECK NO.
SIGNATURE
f_.
-!,DUPLICATE TICKET SITE I TICKET GRID, WEIGHMASTER -
lSSOUTHOLD TOWN DEPT SOLID WASTE 00 01957243 Steph
P0'Box 962/6155 Cox Lane
utchogue, NY ,11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF
; I04t02t25 v/ .vj vl .� �vjl�
I i Town of Babylon
rORIGIN
`` {CALE 2 GRO S T .75180 LB Outbound Ticket
SCALE 1 TAR T 35760 LB
SET WEIGHT 39420 LB
QTY. ,-UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
I 19.71 OUTGO.MSW - 0.000 0.00 0:00• 0.0e
I' I /-
II ating h uis 7:00 AM to 5:00 PM 7 days a week:•
j 'L'b ED HOLI A S - NEXT: SUNDAY, APRIL 20TH.-.
ASTER SUND Y TENDERED
f
CHANGE
CHECK NO
l SIGNATURE _
NO. 2789
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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION_
GREEN TO TRANSPORTER'
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
&'I SITE TICKET 'II- 'GRID WEIGHMASTER
ICATEI T C ET .
{ HoOLD TON�DEPT SOLID WASTE 00 01957634 Steph
j
x 962/. 155 Cox Lane
u. ehogue, NY 11935
DATE IN • ' DATE OUT, TIME IN TIME OUT VEHICLE . ROLL OFF. "
04/03/25 04/03/2 11:2 11:3 11103TC
316 Town Of Babylon
- .
REFERENCE
EI.2 GIRO 3S`WT 74620 LB Outbound Ticket
TAR T 36580 LB
EIG T 38040 LB
CITY UNIT DESCRIPTION: - >• F(ATE - EXTENSION :." FEE" TOTAL
t 19.0 z OUTGO.MSW 0:000 0.00 0.00 0.0Q
y S
x, f
tz
Y C q n
Operating hours 7:00 AM to 5:00 PM 7 days.a week`: 0.0Q
OSED HOLI,DAY�S - NEXT: SUNDAY, APRIL 20TH�. TENDER'Etf
ER SUNDAY "
'CHANGE
CHECK NO.
SIGNATURE — _ ------ ---- --
ICATE UPL ,
4 I ET -SITE .TICKET - GRID WEIGHMASTER
OU HOLDiTO T C N DEPT SOLID WASTE 00 01957634 Steph
ox 962/ 1 5 Cox Lane
lj hogue, Y 11935 '`
=DATE IN. DATE OUT TIME IN, TIME OUT , " VEHICLE ROLL OFF
I
I T wn of Babylon
REFERENCE ORIGIN
-_GALE 2 GROSS .WT 74620., LB Outbound Ticket
GALE 1 TARE WT 36580 LB
JWEIGHT 38040 LB
Ilil DESCRIPTION RATE EXTENSION '-FEE TOTAL Q 9.6 .` UNIT. OUTGO.MSW .0.000 0.00 0.00 0.02
I �
1perating hours 7:00 AM to 5:00 PM 7 days a1.week.1
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, #'
FEASTER SUNDAY . TENDERED -'
f+fit CHANGE
1f, � i• I
CHECK NO.`'
SIGNATURE -
NO. 2791
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 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
1 GRID, WEIGHMASTER
UPLICATE TICKET
OUTHOLD TOWN ';DEPT SOLID WASTE 00 01957556 Steph-
!'I ox 962/61515 Cox Lane
h;ogu�, Y 11935 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Ii 04/03/25 04/03/2 07:4 07:5 11103TC
( T w f Babylon
REFERENCE
,CAME 2 GROSS WT 81720 LB Outbound Ticket _
CAE 1 TAR T 36860 LB
- WEIGHT 44860 LB
.QTY.j_ �j UNIT DESCRIPTION RATE, EXTENSION.. FEE TOTAL
22.43 OUTGO.MSW . 0.000 0.00 0.00. 0.02
r '
! II
�'I 1 •
�p dating' h u s 7:00 AM to 5:00 PM 7 days. a=week,. 0.0¢
:CLOSED HOiLI A S - NEXT: SUNDAY, APRIL 20TH-•. ,:" f TENDERED
ASTER SUND Y
CHANGE
I I -
SIGNATURE
S7UPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01957556 Steph
kPO Box 962/6155 Cox Lane
tIutchogue, NY 11935
DATE 1, DATE OUT TIME IN ItIME OUT VEHICLE ROLL OFF
Towni of Babylon
i
REFERENCE •-
GALE 2 G,RO S 81720 LB Outbound Ticket
CAFE 1 ,TAR T 36860 LB
ET,WEIGHT 44860 LB
( ' QTY.! UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
Fr 22.43 OUTGO.MSW 0.000' 0.00 0.00 0.02
�f ��ting h u si 7:00 AM to 5:00 PM 7 days a, week.' �
D HOLI A S - NEXT: SUNDAY, APRIL 20TH
ER SUND Y TENDERED
CHANGE
CHECK NO.
NQ. 2790
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.
I .' $! I
SITE TICKET GRID WEGHMASTER
�l ? CE
OU HOLD TON D -PT SOLID WASTE 00 01957803 _ Liz H
0 ox. 962/ 1 S1Cox Lane
hogu 4Y 1 935 DATE IN DATE OUT TIME IN TIME O.UT VEHICLE " _ ROLL OFF
7
04104/2 04/04/.2 10:2 10:3 11103TC
=� T w ;.of Babylon
REFERENCE
i
f ;ALE 2 GROSSIt T 70520 LB Outbound Ticket
I1�1E- 1 TARE WT, 35520 LB
E #WEIGHT T', 35000 LB
QTY. '=i UNIT DESCRIPTION RATE EXTENSION fEE TOTAL
17I.50 � OUTGO.MSW 0.000 0.00 0.00 0.0e
ting h u' s 7:00 AM to 5:00 PM.7 days a week.; 0.0e
4 E D HO:LI A;IS - NEXT: SUNDAY, APRIL 20THa TENDERED
ER SUND Y.11
# ryry t CHANGE
a I c r1 CHECK NO.
SIGNATURE ----- - - - - ------ -- - - --- -- ---
'I'CATE T C:E SITE TICKET GRID WEIGHMASTER
rytOLD TON D APT SOLID WASTE iz
:cox '96I2/ 1 5 Cox Lane
ij ,l pgu 4Y 1 935 T D TI .14,TIM O T ROLL OFF
� r
. 1" T w _ f Babylon
REFERENCE ORIGIN
I E; 2 G.RO S T 70520 LB Out oun Tic et
1 TAR T 35520 LB
-
$.WEIGHT 35000 LB
QTY i': UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
i 17.50 4 OUTGO.MSW 0.000 0.00 0.00 0.0e
'Ai
ating h u s 17:00-AM to 5:00 PM 7 days a week.
i'. ED HOLI)A VS - NEXT: SUNDAY, APRIL 20TH
1 f ,- IR SUNDY, I TENDERED
CHANGE
'CHECK NO.
NO. 2792
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (_SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE: '
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER:_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.'
SITE TICKET. GRID " EIGHMASTER W
6w 2/ 1 D5 PT SOLL_ID WASTE 00 01958628 Steph
(I xOgU Y 1935 DATE IN: DATE OUT TIME IN TIME' VEHICLE ROLL OFF
11 04/05/2 04/05/2 017:0 07:1 11103TC
t3 T w f Babylon
rl
REFERENCE .-
� 1II
2 GRO S WT 78000 LB Outbound' Ticket
E 1 TAR T 36260 LB
�JEIGHT 41740 LB
1*I QTY,. �;' UNIT DESCRIPTION RATE EXTENSION, ' FEE 'TOTAL ,
20.87 OUTGO.MSW 0.000 0.00 0.00 0.02
�}'; �>
I - .
i
� { d
Per
HOLI u s 7:00 AM to 5:00 PM 7 days a week: � 0•perating h u s 'i 02
- NEXT: SUNDAY, APRIL 20TH,., TENDERED
ER SUND Y
CHANGE
CHECK NO.
•
•
SIGNATURE
SITE TICKET GRID' 1/VEiGHMASTER.
;.
OUTHOLD TOO DEPT SOLID WASTE 00 01958028 Step
{ ,Fox 962/6155 Cox Lane
L dIo.gue, Y;11935
DTE`OUT 'TIME`N TIME OUTVHICLA J ROLL OFF
I I
I T w if Babylon
ORIGIN
,?
CALE 2 G,RO S WT 78000 LB Outbound Ticket
CA E 1 TAR T 36260 LB
if WEIGHT 41740 LB
] OTY UNIT I DESCRIPTION RATE EXTENSION FEE :TdOTAL
I 29.8 OUTGO.MSW 0.000 0.00 0.00 0.02
Ij
II
-I 1 EDHOLI A s 7:00 AM to 5:00 PM 7 day s a
n h u y• ,
S NEXT: SUNDAY, APRIL 20TH, '-
"A ER SUND Y
TENDERED
I CHANGE
rt
CHECK NO..
'I • SIC;NATLIRE -• - ••
NO. 2793
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 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 SITE TICKET GRID WEIGHMASTER
� 3 �IC}ATEHT C ET
WOLD TOfN DEPT SOLID. WASTE 00 01958546 Liz H
r 1 ox 962/
A !1 5 Cox Lane
ho DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
gue, Yl11935
:d o '"y 04/07/2 04/07/2 07.:5 08:0 11103TC
. ,� T Wn of Babylon
•-
_� 4 ' ��"•-� ark 1 t•(} ir! s
77
2Y T 73960 LB Outbound Ticket
TAR T 37100 LB
.7.�,. 36860 LB
UNIT DESCRIPTION RATE — EXTENSION FEE , TOTAL
10
18 4 OUTGO.MSW 0.000 0.00 0.00 0.0e
j yf+ f{4 1 k
t
ii Jj{i _K 4
4S � i�'�t�-Ys'�fa.7' I •
ratil �sh`fur�s 7:00 AM to 5:00 PM 7 day
y's, a week. % .` Me
ED HOLYDAYS - NEXT: SUNDAY, APRIL 20TH
+I Y h 'j TENDERED
ER SUND Y,,
4
�Q I`, CHANGE
T.sr-�F
gr �Alb{�i, CHECK NO.
SIGNATURE
a i I(AT, T+ C E SITE, TICKET GRID WEIGHMASTER
x T ',! , H0`LD TO N D APT SOLID WASTE lz
I F9 2% 1 5ICox Lane
f ogue Y 11935
ff( ' DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i. t r, ET w I of Babylon
y '
REFERENCE
3jI,y{ 1 „ *a •-
IWT 73960 LB Outbound Ticket '.
WT 37100 LB
f EIG T` 36860 LB -
� f,,I Y f
t t 1OTYr ;,x UNIT DESCRIPTION' RATE EXTENSION FEE TOTAL
f i 1 !18�r4 ' OUTGO.MSW 0.000 0.00 0.00 0.6e
F 4 f l A It ,A� -
t
µ xT
if.
-
r'
F. ky t
' p .acing h` u°s 7:00 AM to 5:00 PM 7 days a,'week. - -
�� LO D�sHdL;,i, A S NEXT: SUNDAY, APRIL 20TH "
1 fR'S . SUNDAY j TENDERED
- ..CHANGE
Ap
4g C!
I
'„_ y r v CHECK NO.
r P �
NO._ 2794
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW',HAS BEEN PROPERLY
DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE`
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER-
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.. /�
,:SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET '
<� S&NOLD TOWN DEPT SOLID WASTE 00 01958610 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT _ TIME IN TIME OUT VEHICLE ROLL OFF
04/07/2 04/07/2 11:3 11:5 11103TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77760 LB Outbound Ticket r
SCALE 1 TARE WT 35640 LB
NET WEIGHT 42120 LB
QTY UNIT DESCRIPTION FATE EXTENSION FEE TOTAL
21.06 OUTGO.MSW 9.000 0.00 0.00 0.0e
rF 0
S
J
Operating hours 7:00 AM to 5:00 PM 7 day ,, a week • r.3• 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH° TENDERED
EASTER SUNDAY
CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TJCKET GRID. WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01958610 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN " ' DATE OUT TIME,IN TIME OUT VEHICLE ROLL OFF
9316 Town o Babylon
REFERENCE
•-
CALE 2 GROSS WT 77760 LB Outbound Ticket
SCALE 1 TARE WT 35640 LB
NET WEIGHT 42120 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE: TOTAL`
21.06 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 TENDERED
EASTER SUNDAY
CHANGE
CHECK NO.
cir_ninri ioc
g
NO. 2795
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.
DUPLICATE TICKET SITE TICKET.,: ' GRID WEIGHMAST, '
SOUTHOLD TOWN DEPT SOLID WASTE 00 01958699 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DnTE'ouT, TIME IN TIME OUT VEHICLE r ROLL OFF
04/08/2 04/08/2 07:3 07:5 11103TC
9316 T,bwn of Babylon
REFERENCE •-
SCALE 2 GROSS WT 90020 LB Outbound Ticket
'SCALE 1 TARE WT 36260 LB
NET WEIGHT 53760 LB
OTY, UNIT " DESCRIPTION RATE' _ , EXTENSIONS, FEE t TOTAL:
26.88 OUTGO.MSW 0.000 0.00 0.00 0.02
Pr ;�
A• r'
max ,
Operating hours 7:00 AM to 5:00 PM 7 daystia week: -
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THa- - TENDERED
EASTER SUNDAY ` �
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D T Tiff I TIM I ROLL OFF
9316 Town of Babylon
REFERENCE
•-
UutDound Ticket
SCALE 1 TARE WT 36260 LB
NET WEIGHT 53760 LB
OTY UNIT DESCRIPTION' RATE EXTENSION FEE °. TOTAL,
26.88 OUTGO.MSW 0.000 0.00 0.00 me
j1KNIFT,"Is
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
EASTER SUNDAY TENDERED '
I fr
,CHANGE"
CHECK-NO.
n ,
C I!]KI ATI I RF
' NO. 2796
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 11 WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01958941 Steph
PO Box 962/6155 Cox Lane
Cutchogue, 'NY 11935 DATE IN.' DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF
04/09/2 04/09/2 09:4 10:3 11103TC
9316 _TGwn of Babylon
REFERENCE
SCALE 2 GROSS WT 79140 LB Outbound Ticket
SCALE 1.TARE WT 36900 LB
NET WEIGHT 42240 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL.
21.12 OUTGO.MSW 0.000 0.00 0.00 0.0e
.rr,.
7 ..
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01918941 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 79140 LB Outbound Ticket
SCALE 1 TARE WT 36900 LB
NET WEIGHT 42240 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.12 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 TENDERED
CHANGE
CHECK NO.
cir_ninT goo
NO. 2797
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 WEIGHMA$TER `
SOUTHOLD TOWN DEPT SOLID WASTE 00 01959205 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY-11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/10/2 04/10/2 09:2 09:3 11103TC
.9316 Town of Babylon
REFERENCE
ENCE
•-
F
GROSS WT 70480 LB Outbound Ticket
TARE WT 36400 LB
HT 34080 LB
Y UNIT DESCRIPTION; RATE EXTENSION FEE TOTAL;'
17.04 OUTGO.MSW 0.000 0.00 0.00 0.0e
a
,
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e
CLOSED HOLIDAYS - NEXT`. SUNDAY, APRIL 20TH
EASTER SUNDAY TENDERED•
— CHANGE
CHECK NO.
SIGNATURE'
— LL F
DUPLICATE TICKET SITE TICKET GRID _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE ep
PO Box 962/6155 Cox Lane
Cutchogue, -NY 11935
D D T TI L 'TIM O T - i ROLL OFF9316 Town of Babylon
REFERENCE
•-
CALE 2 GROSS WT 70480 LB Outboun Ticket
SCALE 1 TARE WT 36400 LB
NET WEIGHT 34080 LB
'CITY. ,, UNIT DESCRIPTION - RATE EXTENSION FEE' ' `; TOTAL:.
17.04 OUTGO.MSW _ 0.000 0.00 0.00 0.0e
Vol
f 3 1
i1 "f S
Operating hours 7:00 AM to 5:00 PM 7 days
a p A{
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH,
EASTER SUNDAY "�� ,'" r� r .' TENDERED
CHANGE
CHECK NO.
Clf_nIATI IRC
NO. 2798
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
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) r (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.
T,CATE TICKET rS1TEj TICKET I GRID I WEIGHMASTER
�JLD TOWN DEPT SOLID WASTE 00 01959468 Liz H
/'Pox 962/6155 Cox Lane
/Cutch3gue, NY 11935 DATE IN DATE OUT TIME IN TIME.OUT VEHICLE ROLL OFF
04 11
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 77840 LB Outbound Ticket
SCALE 1 TARE WT 36860 LB
NET WEIGHT 40980 LB
OTY. UNIT DESCRIPTION HATE EXTENSION FEE TOTAL
20.49 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL- 20TH f TENDERED
EASTER SUNDAY
CHANGE
CHECK NO. .
SIGNATURE
DUPLICATE TICKET SITE - . TICKET GRID' WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TI • ) 71 T -ROLL OFF
9316 Town of Babylon
REFERENCE
•-
S IN] M5411 US
DufDound ficket
7WEIGHT
WT 36860 LB
40980 LB
UNIT DESCRIPTION RATE . EXTENSION' FEE 7TOTAL ,'
20.49 OUTGO.MSW
mil.
l'
• 44. .
3
1
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.
CI!`_hIAT11QC
NO. 2799
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 STATELAW,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 PROVIDE_D
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET GRID " WEIGHMASTER
SOUTHOLD TC N DEPT SOLID WASTE 00 01959725 Steph
PO Box. 9621155 Cox Lane
Cutchogue, NY 11935- DATE IN DATE OUT, TIME IN TIME OUT VEHICLE ROLL OFF
04/12/25 04/12/2 07:4 08:22 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 78120 LB Outbound Ticket
SCALE 1 TARE WT 35980 LB
NET WEIGHT 42140 LB
QTY. UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL
21.07 OUTGO.MSW 0.000 0.00 0.00 0.0e
i
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 ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TE I DATE OU TI E IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
�.
CALE 2 GROSS WT 78120 LB Outbound Ticket
SCALE 1 TARE WT 35980 LB
NET WEIGHT 42140 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.07 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 TENDERED
CHANGE
CHECK NO�j
cicniA7110G
4
NO. 2800
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 LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO: LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED-
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT'NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO..
SITE I TICKET I GRID I WEIGHMASTER
DIIf,�ICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01960083 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/14/25 04/14/25 07:0 07:18 11103TC ,
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 83040 LB Outbound Ticket
SCALE 1 TARE WT 36320 LB
NET WEIGHT 46720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION ' ` FEE TOTAL
23.36 OUTGO.MSW 0.000 0.00 0.00 0.02
A
Operating hours 7:00 AM to 5:00 PM 7 days.,a�week: 0.02
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THZ TENDERED
EASTER SUNDAY ;E; 4 r
41
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 - 01960083 Liz H .
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME M TIME OUT VEHICLE ` ROLL OFF
9316 Town of Babylon .
ORIGIN
CALE 2 GROSS WT 83040 LB Outbound Ticket
SCALE 1 TARE WT 36320 LB
NET WEIGHT 46720 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
23.36 OUTGO.MSW 0.000 0.00 0.00 0.02
firms �s 1tj ,
l 1 t 7
Operating hours 7:00 AM to 5:00 PM 7 day"s a'w'eek•. _ - •
CLOSED HOLIDAYS - *NEXT: SUNDAY, APRIL 20TH;
FASTER SUNDAYt TENDERED
r i"x
CHANGE
CHECK NO::::j
RMNATI IRF
1
NO. 2801
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY'
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY_: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER..
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET' GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01960540 Will
PO Box 962/6155 Cox Lane
-Cutchogue, NY 11935 DATE IN DATEOUT •TIME.IN TIME OUT '..VEHICLE I ROLL OFF
04/15/2 04/15/2 10:4 11:0 11103TC
9316 Town of Babylon
i, ORIGINREFERENCE
SCALE 2 GROSS WT 74580 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 38000 LB
OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL`
19.00 OUTGO.MSW 0.000 0.00 0.00 0.0e
- ef'
/ 1
Operating-hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED'
EASTER SUNDAY
CHANGE
• <.--CHEGK-NQm.»-
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE VVt UIVOWD14fo 1 0111
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TE TI I. TIM U ROLL OFF
9316 Town of Babylon
REFERENCE
•-
Outbound is e
SCALE 1 TARE WT 36580 LB
NET WEIGHT 38000 LB
QTY. UNIT DESCRIPTION RATE EXTENSION PEE TOTAL, ,
19.00 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 TENDERED
CHANGE
CHECK NO.
i
NO. 2803
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 01960454 Will
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLL OFF
4 :1 :2 11100TC
9316 Town of Babylon
ORIGINREFERENCE
SCALE 2 GROSS WT 77580 LB Outbound Ticket
SCALE 1 TARE WT 36260 LB
NET WEIGHT 41320 LB
ITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.66 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days 'a week. •
CLOSED 'HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
EASTER SUNDAY TENDERED
CHANGE
CHECK NO:
SIGNATURE
DUPLICATE TICKET SITE I TICKET_ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE vul
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D T T.I J TIM ROLL'OFF
9316 Town of Babylon
ORIGINREFERENCE
SCALE 1 TARE WT 36260 LB
NET WEIGHT 41320 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
• i
Operating hours 7:00 AM to 5:00 PM 7 days
'a week:: •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 26TH
EASTER SUNDAY TENDERED
CHANGE
' i CHECK NO.
NO. 2802
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 TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY'THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01960728 Steph
PO Box 962/6155 Cox Lane
Cutchogue, `NY 11935 DATE IN DATE OUT' .TIME IN TIME OUT . VEHICLE` ROLL OFF
a
04/16/25 04/16/25 07:1 07:3 11103TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 76940 LB Outbound Ticket
SCALE 1 TARE WT 35680 LB
NET WEIGHT 41260 LB
aOTY UNIT :DESCRIPTION RATE EXTENSION FEE TOTAL
20.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
X °`1
Ilk
5 ;
A}� dd a ti i n .,.� l,•i
P f.
Operating hours 7:00 AM to 5:00 PM 7 days a week ' ut
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH " TENDERED
F!'
EASTER SUNDAY +
CHANGE
CHECK NO.
SIGNATURE
SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 T TJW IYJTIKPT ROLL OFF
024
9316 Town of Babylon
REFERENCE
•-
CALE 2 GR03T_WT 76940 LB OutbounaTicket
SCALE 1 TARE WT 35680 LB
NET WEIGHT 41260 LB
`QTY. DESCRIPTION RATE; ,'EXTENSION_' FEE TOTAL'
20.63 OUTGO.MSW 0.000
4•
1
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.
QV_61ATI IOC
NO.
2804
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING-TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER.
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE, LISTED ABOVE', AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01961121 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT . TIME IN TIME OUT VEHICLE... ROLL OFF
04/17/2 04/17/2 09:5 10:3 11103TC
9316 Town of. Babylon
REFERENCE
•-
SCALE 2 GROSS WT 87320 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 51200 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.60 OUTGO.MSW 0.000 0.00 0.00 0.0e
LVLVLVLVLVLVLVLVLVLV
•
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 00 01961121 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
SCALE 2 GROSS WT 87320 LB Outbound Ticket
SCALE 1 TARE WT 36120 LB
NET WEIGHT 51200 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
25.60 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 TENDERED
CHANGE'.,
CHECK NO.
CII-'fJATI Mr-
NO 2805
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.
9
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
i ,
DUPLICATE TICKET SITE' TICKET GRID ', WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01961392 Will
PO. Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN' •DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04 18 2 04 18 2 07:1 07:2 11112TC
f
9316;9 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 79600 LB Outbound Ticket
SCALE 1 TARE WT 40260 LB
NET WEIGHT 39340 LB
QTY UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL
19.67 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days afweek:
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED
EASTER SUNDAY
CHANGE
CHECK NO
SIGNATURE
DUPLICATE TICKET SITE ' TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
D T TIgjN TIM 1 ROLL OFF
9316 Town of Babylon
REFERENCE
u n ou is e
SCALE 1 TARE WT 40260 LB
NET WEIGHT 39340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION . FEE TOTAL
19°67 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 TENDERED
CHANGE
CHECK NO9
en_�fnTf fog
NO. 2806
GENERATOR.
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE).
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER'
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01961790 Steph
PO BOX 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
04/19%2 04/19/2 08:1 08:3 11112TC
9316 Town of Babylon
SCALE 2 GROSS WT 75500 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
NET WEIGHT 39660 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
k' "'` ,i
Operating hours 7:00 AM to 5:00 PM 7 days�a'"w'eek: f� 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH=- TENDERED
EASTER SUNDAY ��
CHANGE
CHECK NO:::g
SIGNATURE
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01961790 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
CALE 2 GROSS WT 75500 LB Outbound Ticket
SCALE 1 TARE WT 35840 LB
NET WEIGHT 39660 LB
QTY. UNIT L,DESCRIPTION RATE EXTENSION FEE TOTAL
19.83 OUTGO.MSW 0.000 0.00 0.00 0.0e
, P
C
Operating hours 7:00 AM to 5:00 PM 7 days, a:,weekti -
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH4
FASTER SUNDAY , TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2807
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
TRANSPORTATIONIFREIGHT 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.
L�UPLI(�9TE TICKET SITE TICKET GRID WEIGHMASTER
. SOUTHOLD TOWN DEPT SOLID WASTE 00 01962270 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF'
04/21/25 04/21/2 07:0 07:1 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 69800 LB Outbound Ticket
SCALE 1 TARE WT _ 35980 LB
NET WEIGHT 33820 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.91 OUTGO.MSW 0.000 0.00 0.00 0.02
T 'tie r �l fm "
t
,,,� ry of l f i• ,'1 f." _ i y"-` £' �`
" A
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
i• r z'z ;, TENDERED
EASTER SUNDAY
CHANGE
i
CHECK NO-
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE iz
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935
I OU T I TI O V ROLL OFF
9316 Town of Babylon
ORIGINREFERENCE
Outbouna IICKet
SCALE 1 TARE WT 35980 LB
NET WEIGHT 33820 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
16.91 OUTGO.MSW 0.000
J
` 3
Operating hours 7:00 AM to 5:00 PM 7 days a`"week:.'_ •
CLOSED HOLIDAYS. - NEXT: SUNDAY, APRIL 20TH
EASTER SUNDAY
, TENDERED
- J CHANGE
CHECK NO:::j
RICANATI IRF
NO. 2808
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 r TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOfb TOWN DEPT SOLID WASTE 001 01962358 Liz H
PO BOX 962/6155 Cox Lane Cutchogue, NY 11935 .DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/21/25 04/21/25 10:17 10:35 ill 12TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 72440 LB Outbound Ticket
SCALE 1 TARE WT 36240 LB
ET WEIGHT 36200 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.10 OUTGO.MSW 0.000 0.00 0.00 0.0e
,
y,t 4 � 1��. f' R.✓. i � i 3-e
i {
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 TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01962358 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 72440 LB Outbound Ticket
SCALE 1 TARE WT 36240 LB
NET WEIGHT 36200 LB
QTY.. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
18.10 OUTGO.MSW 0.000 0.00 0.00 0.0e
I .L
.... ,. ...., `sty 1
Operating hours 7:00 AM to 5:00 PM 7 days
CLOSED HOLIDAYS, - NEXT: SUNDAY, APRIL 20TH-
EASTER SUNDAY ` {,, ';;; TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2899
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(P-RINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962673 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE: ROLL OFF,
04/22/25 04/22/2 07:1 07:3 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 80200 LB Outbound Ticket
SCALE 1 TARE WT 36940 LB
NET WEIGHT 43260 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
21.63 OUTGO.MSW 0.000 0.00 0.00 0.0e
r `
y y f i
21,
4- w
Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH' T.
TENDERED
EASTER SUNDAY1 �
Y > t: ..• CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962673 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE ORIGIN 2 GROSS WT 80200 LB Outbound Ticket
SCALE 1 TARE WT 36940 LB
NET WEIGHT 43260 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL '
21.63 OUTGO.MSW 0.000 O:00' 0.00 0.0e
i
Operating hours 7:00 AM to 5:00 PM 7 da�,s a`�week:' r, •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20�TH
EASTER SUNDAY e TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2810
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 BY40 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
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962763 Steph
PO Box 962/6155 Cox Lane
Cutchogue,, NY 11935 DATE IN DATE OUT TIME IN TIME OUT, VEHICLE ROLL OFF
04/22/2 04/22/2 10:5 11:0 11112TC
9316' Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 77540 LB Outbound Ticket
SCALE 1 TARE WT 35660 LB
NET WEIGHT 41880 LB
Q Ty. UNIT _ DESCRIPTION RATE EXTENSION - FEE TOTAL
20.94 OUTGO.MSW 0.000 0.00 0.00 0.0e
} .1t}.. _....... 1., `
Operating hours 7:00 AM to 5:00 PM 7 days a`we'ek:" • 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED
EASTER SUNDAY
CHANGE
CHECK NO.
SIGNATURE
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962763 Steph
P0. 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 77540 'LB Outbound Ticket
SCALE 1 TARE WT 35660 LB
�NETLWEIGHT 41880 LB
QTY UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
20.94 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 TENDERED
CHANGE
CHECK NO.
CIf:NATI IRF
NO 2811
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
-P E
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 26.1 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 BEEWACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I ' TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962983 Steph
PO BoK .96P/6155 Cox Lane
CutChogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/23/25 04/23/25 07:1 07:3 11112TC
9316 Town of Babylon
REFERENCE
CE
�-
SCALE 2 GROSS WT 78140 LB Outbound Ticket
SCALE 1 TARE WT 36160 LB
NET WEIGHT 41980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.99 OUTGO.MSW 0.000 0.00 0.00 0.0e
yr }
It 7
Operating hours 7:00 AM to 5:00 PM 7 da�s;9a week: ` Me
p g y
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH`=- ,s ,`_'' 'TENDERED
FASTER SUNDAY "t �` r 3 I �
}
.. �s..ti�1• 1 • r .!
u r6, p CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01962983 Step
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
CALF 2 GROSS WT 78140 LB Outbound Ticket
SCALE 1 TARE WT 36160 LB
NET WEIGHT 41980 LB
QTY. UNIT DESCRIPTION RATE EXTENSION"c FEE. '' TOTAL `
20.99 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 ;X;: TENDERED
. , CHANGE
CHECK NO.
SIGNATURE
NO, 2812
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
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
DUPLICATF,: TICKET
SOU_>OLD TOWN DEPT SOLID WASTE 00 01963070 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/23/25 04/23/2 11:0 11:13 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 78880 LB Outbound Ticket
SCALE 1 TARE WT 36080 LB
NET WEIGHT 42800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE -TOTAL
21.40 OUTGO.MSW 0.000 0.00 0.00 0.0e
� �. �.
l t lc
•t�: :ice s �
-_ _— _^- •
Operating hours 7:00 AM to 5:00 PM 7 days a weeks � v 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 201H:�
TENDERED
EASTER SUNDAY , -t "
E • t
x` CHANGE
CHECK NO::::l
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01961070 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 78880 LB Outbound Ticket
SCALE 1 TARE WT 36080 LB
NET WEIGHT 42800 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL'
21.40 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 TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2813
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
TAR _.
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN,PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE'REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER_
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID I IWEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01963302 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY,11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF
04/24/2 04/24/2 01:3 07:5 11112TC
9316 `Town of Babylon
REFERENCE
EEC E
SCALE 2 GROSS WT 76160 LB Outbound Ticket
SCALE 1 TARE WT 36440 LB
NET WEIGHT 39720 LB
OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.86 OUTGO.MSW 0.000 0.00 0.00 0.0e
' ",
I Qv
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 01963ep
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 D TE I DAT OU TIME IN.TINj O, T VEHICLE ROLL OFF
9316 Town of Babylon
REFERENCE
�.
CAL: 2 GROSS WT 76160 LB Out oun Tic et
SCALE 1 TARE WT 36440 LB
NET WEIGHT 39720 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
19.86 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days a' week;:
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
EASTER SUNDAY TENDERED.
CHANGE
CHECK NO.
SIGNATURE
NO. 2 814
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
T-ARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINTNAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO'GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01963605 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
04/25/25 04/25/2 08:1 08:4 11112TC
9316 Town of Babylon
REFERENCE
SCALE 2 GROSS WT 74660 LB Outbound Ticket
SCALE 1 TARE WT 36100 LB
NET WEIGHT 38560 LB
QTY. ' UNIT
DESCRIPTION RATE EXTENSION FEE TOTAL
19.28 OUTGO.MSW 0.000 0.00 0.00 0.0e
' •"�,,.- ' Sri. ,y
`fZ4t
f
T OWN
a
ti
Operating hours 7:00 AM to 5:00 PM 7 days, a week - 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH. s
TENDERED
EASTER SUNDAY
CHANGE
• .CHECK NO.
:)
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01963605 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 74660 LB Outbound Ticket
SCALE 1 TARE WT 36100 LB
NET WEIGHT 38560 LB -
QTY. UNIT DESCRIPTION RAT_E EXTENSION FEE TOTAL
19.28 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 TENDERED
CHANGE
CHECK NO::::l
SIGNATURE
NO.
2818
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY,GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS..
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE:- (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER,
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01963958 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN TIME'OUT VEHICLE ROLL OFF
Gr 04/26/2 04/26/2 08:2 08:4 11112TC
9316� Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 77660 LB Outbound Ticket
SCALE 1 TARE WT 37160 LB
NET WEIGHT 40500 LB
QTY. UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL
20.25 OUTGO.MSW 0.000 0.00 0.00 0.02
.c ifs k�/ !s�'•� �yi � Y`1` �. s
Operating hours 7:00 AM to 5:00 PM 7 days,•a week: ' • 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH:
EASTER SUNDAY ju` t TENDERED
a" .. . :: .. CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01963958 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 T D TI I TI OU H ROLL OFF
9316 Town of Babylon
REFERENCE
•.
Ou oun —Ticket
SCALE.1 TARE WT 37160 LB
NET WEIGHT 40500 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.25 OUTGO.MSW 0.000 0.00 0.00 0.02
Operating hours 7:00 AM to 5:00 PM 7 days a --week. •
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH
FASTER SUNDAY TENDERED
CHANGE
CHECK NO.
sir NO. 2815
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO..
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01964719 Liz H
PO Box 962/6155 Cox Lane DATE IN -DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF
Cutchogue, NY 11935
04/28/25 04/28/25 11:2 11:38 11112TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 76300 LB Outbound Ticket
SCALE 1 TARE WT 35560 LB
ET WEIGHT 40740 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.37 OUTGO.MSW 0.000 0.00 0.00 0.0e
J wsk,
`%X i
,•rya � 7 � --
Operating hours 7:00 AM to 5:00 PM 7 day"!";a week 0.0e
CLOSED HOLIDAYS -. NEXT: SUNDAY, APRIL 20TH TENDERED,
EASTER SUNDAY `
a�Y p ,.-rr;• fr:� f 1 CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SiTE I TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01964719 Liz H
PO' Box 962/6155 Cox Lane
Cutchogue,. NY 11935 --DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
9316 Town of Babylon -
REFERENCE
•-
SCALE 2 GROSS WT 76300 LB Outbound Ticket
SCALE 1 TARE WT 35560 LB
NET WEIGHT 40740 LB
QTY UNIT, DESCRIP.TION "RATE EXTENSION FEE TOTAL
20.37 OUTGO.MSW 0.000 0.00 0.00 0.0e
E
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.
mr_nieTi ioG
NO. 2817
Arf
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.
IN
DUPLICi�fE i ( TICKET rSITEI. , TICKET GRID I WEIGHMASTER
SOUT,'MdLD TOWN DEPT SOLID WASTE 00 01964608 Liz H
PO Boz 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF
04/28/25 04/28/2 07:5 08:1 11112TC
9316 Town of Babylon
REFERENCE ORIGIN
SCALE 2 GROSS WT 80400 LB Outbound Ticket
SCALE 1 TARE WT 40120 LB
NET WEIGHT 40280 LB.
OTY. UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
_ •rr I � }3
J
Operating hours 7:00 AM to 5:00 PM 7 daysa week - ti E: 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH:k „` TENDERED
EASTER SUNDAY
CHANGE
CHECK NO..
SIGNATURE
.DUPLICATE TICKET SITE - TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01964608 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIMEIN.TIMEOUT VEHICLE ROLL-OFF
9316 Town of Babylon
REFERENCE ORIGIN
CALE 2 GROSS WT 80400 LB Outbound Ticket
SCALE 1 TARE WT 40120 LB
NET WEIGHT 40280 LB
CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
20.14 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 7 days, a-week % ='
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, "
EASTER SUNDAY TENDERED
CHANGE
' i CHECK NO.
SIGNATURE
NO. 2816
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: L. ~' ' GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY 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 JI I t II II:Kt I IUHIU W tlUr11VIAb I ttt
.* •SOUTHOLD TOWN DEPT SOLID WASTE 001 01965086 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
04/29/25 -04/29/25 11:58. 12:11 11112TC
9316 Town of Babylon
REFERENCE
•-
(ET
E 2 GROSS WT 71680 'LB Outbound Ticket
E 1 TARE WT 36580 LB
WEIGHT 35100 LB
CITY. UNIT. DESCRIPTION RATE EXTENSION FEE TOTAL
17.55 OUTGO.MSW 0.000 0.00 0.00 0.0e
r
Operating hours 7:00 AM to 5:00 PM 7 days- a week. A , 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH '�� " '� }, TENDERED
EASTER SUNDAY
CHANGE
,CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01965086 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 71680 LB Outbound Ticket
SCALE 1 TARE WT 36580 LB
NET WEIGHT 35100 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ,
17.55 OUTGO.MSW 0.000 .0.00 0.00 0.0e
d
d
r t'i
Operating hours 7:00 AM to 5:00 PM 7 days a' week: ,{ •
CLOSED HOLIDAYS NEXT: SUNDAY, APRIL 20T4.
EASTER SUNDAY TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2820
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS_
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,.AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER'.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE L01 01964968 Steph
PO BOX 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL• OFF
04/29/25 04/29/25 08:23 08:44 11112TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 68480 LB Outbound Ticket
SCALE 1 TARE WT 36520 LB
ET WEIGHT 31960 LB
QTY UNIT bESCRIPTION RATE r -, EXTENSION FEE - TOTAL,
v
15.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
y,
��-.� Ott
Operating hours 7:00 AM to 5:00 PM 7 days)a'week - `5` t w; .0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH�' �?d �� TENDERED
FASTER SUNDAY
..... CHANGE
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET GRID - WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 001 01964968 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 68480 LB Outbound Ticket
SCALE 1 TARE WT 36520 LB
NET WEIGHT 31960 LB
CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
15.98 OUTGO.MSW 0.000 0.00 0.00 0.0e
Operating hours 7:00 AM to 5:00 PM 1 days, a• week
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH. _
FASTER SUNDAY ` TENDERED
CHANGE
CHECK NO.
SIGNATURE
NO. 2819
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 ACCOF3DING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO, LICENSE NO/STATE`
TRAILER NO, LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW'.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE I TICKET I GRID I WEIGHMASTER
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 00 01965427 Steph
PO BCA 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
i 04/30/2 04/30/2 11:2 11:3 11112TC
9316 Town of Babylon
REFERENCE
•-
SCALE 2 GROSS WT 77220 LB Outbound Ticket
SCALE 1 TARE WT 35940 LB
NET WEIGHT 41280 LB
QTY UNIT DESCRIPTION RATE_ EXTENSION FEE ``• TOTAL•'
20.64 OUTGO.MSW 0.000 0.00 0.00- 0.0e
R f 4,
S rf i wr
- � �.,�e } �• } - X,
Operating hours 7:00 AM to 5:00 PM 7 days. a week: f01 0.0e
CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED
EASTER SUNDAY
y- CHANGE.
CHECK NO.
SIGNATURE
DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01965427 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
GALE 2 GROSS WT 77220 LB Outbound Ticket
SCALE 1 TARE WT 35940 LB
NET WEIGHT 41280 LB
OlY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL-,
20.64 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: SUNDAY, APRIL 20TH
EASTER SUNDAY TENDERED
CHANGE
CHECK NO:19
SIGNATURE
NO. 2822
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 01965318 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
;t 04/30/2 04/30/2 08:0 08:1 11112TC
9.316 Town of Babylon
REFERENCE
SCALE 2-GROSS WT 72300 LB Outbound Ticket
SCALE 1 TARE WT -36500 LB
NET WEIGHT - 35800 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL _
17.90 OUTGO.MSW 0.000 0.00 0.00 me
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
SITE I TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 00 01965318 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 72300 LB Outbound.Ticket
SCALE 1 TARE WT 36500 LB
NET WEIGHT 35800 LB
CITY. UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL
17.90 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. TENDERED
CHANGE
CHECK NO.
SIGNATURE
`. NO. 2821
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.