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HomeMy WebLinkAbout05/2025 DUPLICATE TICKET (SITE1 TICKET I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01965674 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01/25 05/01/2 08:0 08:2 11112TC 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 83580 LB Outbound Ticket SCALE 1 TARE WT 35980 LB . NET WEIGHT 47600 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.80 OUTGO.MSW 0.000 0.00 0.00 0.02 .t Operating hours 7:00 AM to 5:00 PM 7 days,,a week; FoeCLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH F TENDERED EASTER SUNDAY CHANGE • I CH ECK.NO. SIGNATURE • I DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01965674 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 83580 LB Outbound Ticket SCALE 1 TARE WT 35980 LB NET WEIGHT 47600 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.80 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 NO. 2823 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED:, LOOSE: (CU YDS) SALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE 'LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET 5 —SOIJIMOLD TOWN DEPT SOLID WASTE 00 01965966 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN II TIME OUT VEHICLE ROLL OFF 05/02/25 05/02/2 09:1 09:2 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 71520 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 35700 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.85 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days,a week: 0.0e CLOSED HOLIDAYS- NEXT: SUNDAY, APRIL 20TH`.z TENDERED` EASTER SUNDAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01965966 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 71520 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 35700 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.85 OUTGO.MSW 0.000 0.•00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a, week: - u • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, EASTER SUNDAY TENDERED CHANGE CHECK NO. SIGNATURE -u NO. 2824 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY- SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE' HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE,DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE 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 01966049 Liz H PO BOX 962/6155 Cox Lane 'DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF Cutchogue, NY 11935 05/02/25 05/02/25 12:3 12:45 11112TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 78260 LB Outbound Ticket SCALE 1 TARE WT 35700 LB NET WEIGHT 42560 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE' TOTAL" 21.28 OUTGO.MSW 0.000 0.00 0.00 0.02 i :# 1 } ( >u Y S4 Y, i1 • Operating hours 7:00 AM to 5:00 PM 7 dayssa week: f 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH',} -' TENDERED EASTER SUNDAY ` CHANGE CHECK NO:::::j SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01966049 1, Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE CALE 2 GROSS WT 78260 LB . Outbound Ticket SCALE 1 TARE WT 35700 LB NET WEIGHT 42560 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.28 OUTGO.MSW 0.000 0.00 0.00 0.02 r Operating hours 7:00 AM to 5:00 PM 7 days a week-.: CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, EASTER SUNDAY TENDERED CHANGE CHECK NO. SIGNATURE rM NO. 2825 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. . DUPLICATE 1WICKET S rITE TICKET "GRID : ' .WEIGHNIASTER SOUTUfjiD TOWN DEPT SOLID WASTE 00 01966245 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN' DATE OUT. TIME IN TIME,OUT .VEHICLE ' ROLL OFF. 05/03/2 05/03/2 09:4 09:5 11112TC 9316 Town of Babylon REFEREt SCALE 2 GROSS WT 75600 LB Outbound Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 39460 LB QTY :UNIT DESCRIPTION RATE EXTENSIGN FEE_ TOTAL:, . 19.73 OUTGO.MSW 0.000 0.00 0.00 0.0e s 'gip h Operating hours 7:00 AM to 5:00.PM 7 days a Af 91.1 - y ,gam CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH� Z ' 10 .,,.TENDERED..' EASTER SUNDAY U � CHANGE CHECK NO' SIGNATURE DUPLICATE TICKET SITE TICKET F: GRID y iNEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 00 01966 4 ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE►N DATE'OUT `TIMEdN,TIM >O '+ I ROLL OFF ' u 9316 Town of Babylon REFERENCE �. SCALE 2 GROSS WT. 75600 LB Outbound Ticket SCALE 1 TARE WT 36140 LB NET WEIGHT 39460, LB QTY. UNIT . '' DESCRIPTION RATE EXTENSION 'FEE _ TOTAL _ . 19.73 OUTGO.MSW 0.000 0.00 0.00 0. Operating hours 7:00 AM to 5:00 PM 7 days `a week." ' _ v CLOSED HOLIDAYS NEXT: SUNDAY, APRIL 20TH 'r �.. r EASTER SUNDAY � ,1 F` { ,u TENDERED.. CHANGE CHECK NO. NO. 2826 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION_ GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET'NO. DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 001 01967029 Liz H PO .Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN - DATE OUT TIME IN' TIME OUT VEHICLE ROLL,OFF` 05/05/25 05/05/25 10:17 10:39 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 69620 LB Outbound• Ticket SCALE 1 TARE WT 36700 LB ET WEIGHT 32920 LB OTY. ,-, UNIT bESCRIPTION RATE EXTENSION FEE TOTAL 16.46 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days.,a* eek � ,� '�a Me CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH s TENDERED EASTER SUNDAY a (6-�5 �4 j j CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET ` GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01967029 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY. 11935 DATE IN DATE.OUT TIME IN TIMEOUT. VEHICLE ROLL OFF 9316 Town of Babylon . REFERENCE •. CALE 2 GROSS WT 69620 LB Outbound Ticket SCALE 1 TARE WT 36700 LB NET WEIGHT 32920 LB OTY UNIT DESCRIPTION - RATE . ,: EXTENSION_ FEE TOTAL' 16.46 OUTGO.MSW 0.000 0.00 0.00 0.0e • A i-•- �= I I� t S�e�� }g vr< Operating hours 7:00 AM to 5:00 PM 7 days5 a'week: Ufa CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH� 4f ? � EASTER SUNDAY TENDERED _. YVfry rt CHANGE CHECK NO. SIGNATURE NO. 2827 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 1S TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE .1 WHITE_ TO DISPOSAL LOCATION' N TO TRANSPORTER TRANSPORTER. TOR DISPOSAL LOCATION.TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01967134 Steph PO BOX 962/6155 COX Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/06/2 05/06/2 08:3 08:4 11112TC 9316 Town of Babylon REFERENCE SCALE 2 GROSS �or 79000 LB Outbound Ticket SCALE 1 TARE WT 36320 LB NET WEIGHT 42680 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.34 OUTGO.MSW 0.000 0.00 .0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 -days' a'week P` -- rY 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH7, 4` TENDERED EASTER SUNDAY ;., ?' CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01967134 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 79000 LB Outbound Ticket SCALE 1 TARE WT 36320 LB NET WEIGHT 42680 LB CITY. UNIT DESCRIPTION RAT_E EXTENSION FEE TOTAL 21.34 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 FASTER SUNDAY ,,, , TENDERED CHANGE CHECK NO. SIGNATURE NO. 2828 GENERATOR THIS MANIFEST IS FOR,'�*FERENCE 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 HASBEEN 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 1NEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01967205 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. DATE.OUT TIME IN TIME OUT VEHICLE ROLL OFF , 05/06/25 05/06/25 12:0 12:18 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 79500 LB Outbound Ticket SCALE 1 TARE WT 35720 LB NET WEIGHT 43780 LB OTY., ` UNIT DESCRIPTION RATE EXTENSION ", ;FEE TOTAL 21.89 OUTGO.MSW 0.000 0.00 0.00 0.02 �r a ` l 41, 1 rr N � � J •k } k, • • Operating hours 7:00 AM to 5:00 PM 7 days-A a`we'ek: -— `; �v 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH- � ' EASTER SUNDAY 4I Pt TENDERED CHANGE CHECK NO. _- SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE , 00 01967205 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D TE IN DAT. & TIME IN TIME OUT MH4QW ROLL OFF- 9316 Town of Babylon ORIGINREFERENCE CALE 2 GROSS WT 79500, LB OutboundTic et SCALE 1 TARE WT 35720 LB NET WEIGHT 43780 LB CITY1 UNIT DESCRIPTION -RATE EXTENSION --FEE TOTAL 21.89 OUTGO.MSW 0.000 0.0.0 0.00 rN A t f ` 3 Q, Operating hours 7:00 AM to 5:00 PM 7 days 'a� 7?ek`W_ y �''�,3 • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 2''H �d FASTER SUNDAY � � y' TENDERED CHANGE CHECK NO. SIGNATURE NO. 2829 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK,TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01967360 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/07/25 05/07/2 11:4 12:0 11103TC 9316 •Town of Babylon ORIGINREFERENCE SCALE IGROSS-WT - 95460 LB-- Outbound TicketSCALE E WT 35980 LB NET WE 59480 LB QTY. UNIT DESCRIPTION RATE EXTENSION .FEE TOTAL 29.74 OUTGO:MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a'week. _ 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED EASTER SUNDAY CHANGE C ECK NO. ' SIGNATURE DUPLICATE TICKET SITE I TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D T D T TIM I TIM O T HC ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 95460 LB Out oun Ticket SCALE 1 TARE WT 35980 LB NET WEIGHT, 59480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.74 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. RIGN AT[IRE NO. 2831 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS: COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE' KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER.. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.. SITE I TICKET I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01967291 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF 05/07/25 05/07/25 08:14 08:28 11103TC 9316 Towry of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 83700 LB Outbound Ticket SCALE 1 TARE WT 40220 LB NET WEIGHT 43480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.74 OUTGO.MSW 0.000 0.00 0.00 0.0e S�" 4 N{ r 1 t i;- f„;P• Operating hours 7:00 AM to 5:00 PM 7 days,a week; ,; leir 1 , • 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THy TENDERED EASTER SUNDAYf r . CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET , GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01967291 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 •- CALE 2 GROSS WT 83700 LB Outbound Ticket SCALE 1 TARE WT 40220 LB NET WEIGHT 43480 LB QTY. UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL", 21.74 OUT GO.MSW 0.000 0.00 0.00 6.0e r 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. 2830 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE' LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY'40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR'AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO, DUPLIUkTE TICKET SITE - TICKET GRIDI. WEIGHMAST,ER 96UTHOLD TOWN, DEPT SOLID WASTE 00 01967470 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 84860 LB Outbound Ticket SCALE 1 TARE, ARE WT 35880 LB NET WEIGHT 48980 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.49 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 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 2 —WVkY 2 Tc.lq! TINQ 1�/ � ROLL OFF 9316 Town of Babylon REFERENCE •- SCALE 1 TARE WT 35880 LB - NET WEIGHT 48980 LB Ty. DESCRIPTION RATE EXTENSION FEE TOTAL Y. U Operating hours 7:00 AM to 5:00 PM 7 days a week. III Q ffAj LTJ Lel CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH EASTER SUNDAY TENDERED '—CHANGE • CHECK NO. SIGNATURE NO. _ 2832 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: s GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) "DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS:. I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINTNAME) 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 01967702 Liz H PO Box•962'/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/09/2 05/09/2 07:0 07:1 11103TC REFERENCE 9316 Town of Babylon ` •- SCALE 2 GROSS WT 86860 LB Outbound Ticket SCALE 1 TARE WT 36240 LB NET WEIGHT 50620 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.31 OUTGO.MSW 0.000 0.00 0.00 0.0e fez .L-`^a ,``• v `` � / ��. �y'�' ..� Operating hours 7:00 AM to 5:00 PM 7 days_ a week: ` ' 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRI"L 20TH �� TENDERED EASTER SUNDAY CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01967702 Liz H PO Box 962/6155 Cox lane Cutchogue, NY 11935 D TE IN DAT OU TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE LCE ) •- CALE 2 GROSS WT 86860 LB Out oun Tic et SCALE 1 TARE WT 36240 LB NET WEIGHT 50620 LB QTY. UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL 25.31 OUTGO.MSW 0.000 0.00 0.00 0.0e t f. � • 1.3 Operating hours 7:60 AM to 5:00 PM 7 days -a'"week:' , CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH EASTER SUNDAY TENDERED - Y}•, ,:art„-,�, t , CHANGE • I CHECK NO. CI!]HIATI IRF r NO. 2833 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 WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01967858 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUf TIME IN .TIME OUT VEHICLE._ ROLL OFF 05/10/25 05/10/25 08:1 08:40 11103TC 9316 Town of Babylon , •- SCALE 2 GROSS WT 85380 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 48920 LB QTY. UNIT" DESCRIPTION -' RATE EXTENSION— FEE- dTOTAL_f 24.46 OUTGO.MSW 0•.000 0.00 0.00 0.0e y Operating hours 7:00 AM to 5:00 PM 7 days a'week: , a 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH ` �� tia TENDERED EASTER SUNDAY { ` r ;w -CHANGE CHECK NO:" SIGNATURE DUPLICATE TICKET SITE I TICKET GRID:' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01967858 Steph PO Box 962/6155 Cox Lane 'Cutchogue, NY 11935 D TEI ,-. D T U TI IN T1 OUT H ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 85380 LB Outbound Ticket SCALE 1 TARE WT 36460 LB NET WEIGHT 48920 LB QTY. UNIT DESCRIPTION' " RATE EXTENSION FEE TOTAL_ 24.46 OUTGO.MSW 0.000 0.00 0.00 0.0e kEu�; Operating hours 7:00 AM to 5:00 PM 7 days a"w'e e'k " • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH , , ` EASTER SUNDAY # � � TENDERED 4 �; s k e m CHANGE CHECK NO. SIGNATURE NO. 2834 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. `:SITE TICKET ',' I GRID WEIGHMASTER DUPLICATE TICKET• SOUTHOLD TOWN DEPT SOLID WASTE 00 01968382 Liz H /�i PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIM. DATE OUT TIMEIN- TIME OUT VEHICLE `ROLL OFF. 05/12/25 05/12/25 07:0 07:31 11103TC 9316 Town 'of Babylon REFERENCE SCALE- 2 2 GROSS WT 85700 LB Outbound Ticket SCALE 1 TARE WT 35780 LB NET WEIGHT 499.20 LB ;QTY " , UNIT i DESCRIPTION' _ ;,'` RATE EXTENSION; FEE ,`a TOTAL,` 24.96 OUTGO.MSW 0.000 0.00 0.00 0.0e } � a J , ; r Rr "u' 6b , ` Ws �£ $ �" z Operating hours 7:00 AM to 5:00 PM 7 daysa week` ;; � � 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20T If ' t �a "iLe ;..TENDERED` EASTER SUNDAY CHANGE ICHECK NOr SIGNATURE DUPLICATE TICKET SITE - . ,TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01968382 Liz PO Box 962/6155 Cox Lane . CUtChOgUe, NY 11935 DATE 1N DAT OU *TIME IN''TIME OUT - °VEHICLE ROLL OFF, 9316 Town of Babylon CAL E 2 GROSS WT 85700 LB Outbound Ticket SCALE 1 TARE WT 35780 LB NET WEIGHT 49920 LB QTY' UNIT, DESCRIPTION" -- ; RATE `:~; . EXTENSION ;` _FEE," ; TOTAL`% ^_, 24.96 OUTGO.MSW 0:000 0.00 0.00 0.0e A �°� 'A f � 5 'q Operating hours 7:00 AM to 5:00 PM 7 days a°week: ' b a • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH: F '" e EASTER SUNDAY ` s` TENDERED �j e i , tC. a q I r � .CHANGE CHECK NO. R1GNATIIRF �i NO. 2 835 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 WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANS PORTATION(FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF_MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .DUPLICATE TICKET SITE I, TICKET- - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01968476 Liz H PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT .VEHICLE ROLL-OFF Cutchogue, NY 11935 05/12/25 05/12/25 10:55 11:06 11103TC 9316 Town of Babylon REFERENCE SCA LE 2 GROSS WT 79100 LB Outbound Ticket LE 1 TARE WT 36000 LB WEIGHT 43100 LB QTY. UNIT 'DESCRIPTION' RATE,. EXTENSION FEE TOTAL' 21.55 OUTGO.MSW 0.000 0.00 0.00 0.0e act � lk t � w Operating hours 7:00 AM to 5:00 PM 7 days;a week. � ` 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH,1 4 e" TENDERED EASTER SUNDAY CHANGE CHECK NO_ SIGNATURE DUPLICATE TICKET SITE ''-,,TICKET GRID 'WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 00 01968476 1 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, DATE OUT, TIME IN',TIME-OUT VEHICLE ROLL OFF ' 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 79100 LB Outbound Ticket SCALE 1 TARE WT 36000 LB NET WEIGHT 43100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.55 OUTGO.MSW 0.000 0.00 0.00 0.0e t".` 1 Operating hours 7:00 AM to 5:00 PM 7 days aweek' ''� �� t`r i • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH•, " `' `,• =LL-- ' ',, FASTER SUNDAY {{ j ` TENDERED ,1 1 i1 it`I �:' CHANGE CHECK NO. CI(:NATIIRF NO. 2836 , 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) S(GNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET• " GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01968697 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE "ROLL OFF- 05/13/25 05/13/25 07:5 08:12 11103TC .9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 86880 LB Outbound Ticket SCALE 1 TARE WT '36480 LB ET WEIGHT 50400 LB CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.20 OUTGO.MSW 0.000 0.00 0.00 0.0e zy ' 'Y • Operating hours 7t00 AM to 5:00 PM 7 days a week: >- °�t� 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH u ,} �( ; � TENDERED EASTER SUNDAY ,Yp CHANGE • C HECK NO. ' SIGNATURE DUPLICATE TICKET SITE TICKET GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01968697 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 •- CALE 2 GROSS WT 86880- LB Outbound Ticket SCALE 1 TARE WT 36480 LB NET WEIGHT 50400 LB "CITY. UNIT DESCRIPTION RATE .EXTENSION FEE •>_-TOTAL 25.20 OUTGO.MSW 0.000 0:00 0.00 Foe ILAILAILAILAILAILAILAILA ILA Operating hours 7:00 AM to 5:00 PM 7 days a week° 3 � CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, TENDERED EASTER SUNDAY of z. 9�r • !CHANGE CHECK NO::9 NO. 2337 y. 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) ,,-- _m.- (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. je"SITEF TICKET GRID VIIEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01968801 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE IN , DATE OUT TIME IN.-TIME OUT "VEHICLE ROLL OFF 05/13/25 05/13/25 11:25 11:36 11103TC 9316 Town of Babylon REFERENCE �. SCALE 2 :GROSS WT 81980 LB Outbound Ticket SCALE 1 WT 35580 LBET WEIG 46400 LB CITY. UNIT DESCRIPTION • RATE EXTENSION FEE -'TOTAL 23.20 OUTGO.MSW 0.000 0.00 0.00 0.0e h 4/"p Operating hours 7:00 AM to 5:00 PM 7 d41 a weeks � � ��� A), 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH11 a _>' -TENDERED EASTER SUNDAY -r �r ..,... CHANGE `CHECK NO. " SIGNATURE DUPLICATE TICKET SITE TICKET GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01968801 Step PO Box •962/6155 Cox Lane Cutcho ue, NY 11935 g DATE IN DATE OUT TIME IN'TIME OUT °VEHICLE, —ROLL OFF , 9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 81980 LB Outbound Ticket7 SCALE 1 TARE WT 35580 LB NET WEIGHT 46400 LB QTY. UNIT DESCRIPTION "'_° RATE EXTENSION "'`,:,FEE ' TOTAL 23.20 OUTGO.MSW - 0.000 0.00 0.00 0.0e ubv t � p J �a.r.3n• 3y Operating hours 7:00 AM to 5:00 PM 7 day{s CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED t FASTER SUNDAY � ��' ` �,f -- ��'��• ,;� LS r.. CHANGE CHECK NO.. cn�nToo NO. 2838 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTERS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) =--(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION' DISPOSAL LOCATION: DATE DELIVERED.- ADDRESS: , I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ' I GRID' WEIGHMASTER ' DUPLICATE TICKET SOUTH06D TOWN DEPT SOLID WASTE 00 01968989 Step PO Box-962/6155 Cox Lane Cet+chogue, NY 11935 DATE IN,, ` DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF. 05/14/2 05/14/2 08:1 08:3e 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 72180 LB Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 35980 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL`` 17.99 OUTGO.MSW 0.000 0.00 0.00 0.0e IQ t j r4y tN r • tv Operating hours 7:00 AM to 5:00 PM 7 days� a wee k '� I 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH� TENDERED EASTER SUNDAY '`ate ;as CHANGE CHECK NO. ' SIGNATURE DUPLICATE TICKET SITE • TICKET, GRID 'WEIGHMASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 00 01968989 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 �. GALE 2 GROSS WT 72180 LB Outbound Ticket SCALE,1 TARE WT 36200 LB NET WEIGHT 35980 LB OTY.. - UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL, 17.99 OUTGO.MSW 0.000 0.00 0.00 0.0e a r 3 Operating hours 7:00 AM to 5:00 PM 7 daysa week.. CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH EASTER SUNDAY '�� ` tird�� �'��" TENDERED ;r CHANGE CHECK NO. NO. 2339 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE _ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) _�_-- (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: 7 RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR a GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE - TICKET I ,GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01969059 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 05/14/2 05/14/2 11:4 11:5 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 77280 LB Outbound Ticket SCALE 1 TARE WT 35600 LB NET WEIGHT 41680 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.84 OUTGO.MSW 0.000 - 0.00 0.00 0.0e fi3 Operating hours 7:00 AM to 5:00 PM 7 days a week: f 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH,. TENDERED EASTER SUNDAY T CHANGE CHECK NO::::l SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01969059 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D TE IN DAT OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE �. CALF 2 GROSS WT 77280 LB Outbound Ticket SCALE 1 TARE WT 35600 LB NET WEIGHT 41680 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.84 OUTGO.MSW 0.000 0.00 0.00 0.0e ff s e r Z Operating hours 7:00 AM to 5:00 PM 7 days a: week:. . _.'.,;' • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH >* FASTER SUNDAY TENDERED " CHANGE HECK NO. CI MW ATI IRF ' e NO. 2840 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 LAIN,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION.. GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION' DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLDoTOWN DEPT SOLID WASTE 00 01969221 Steph PO Box 962/6155 Cox Lane CUtGhOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF 05/15/25 05/15/2 08:3 09:1 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 79820 LB Outbound Ticket SCALE 1 TARE WT 36340 LB NET WEIGHT 43480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.74 OUTGO.MSW 0.000 0.00 0.00 0.0e _•,so-,; � _a�,-, ,. • i z Operating hours 7:00 AM to 5:00 PM 7 days a week: 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY; APRIL 20TH':. TENDERED EASTER SUNDAY ' HE NO ��) SIGNATURE DUPLICATE TICKET SITE I TICKET GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01969221 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 �. CAL: 2 GROSS WT 79820 LB Outbound Ticket SCALE 1 TARE WT 36340 LB NET WEIGHT 43480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL. 21.74 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 CHECKCHANGE F z' NO. 2841 GENERATOR - THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES (COUNT): TRUCK`WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY' DESCRIBED;CLASSIFIED AND PACKAGED,AND 1S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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 01969382 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/16/25 05/16/25 - 08:2 08:40 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 85240 LB Outbound Ticket SCALE 1 TARE WT 36360 LB NET WEIGHT 48880 LB CITY. • UNIT a DESCRIPTION RATE, EXTENSION FEE'`' . TOTAL 24.44 OUTGO.MSW 0.000 0.00 0.00 0.0e 3 d, �F r�} f a AY Operating hours 7:00 AM to 5:00 PM 7 da4 a week: �- '\ ` r CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH � ;� � 'a TENDERED EASTER SUNDAY $� �� CHANGE CHECK NO: SIGNATURE DUPLICATE TICKET SITE jr, TICKET, I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 .01969382 1 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATEAUT TIME IN TIME OUT VEHICLE ROLLOFF .9316 Town of Babylon REFERENCE •- CALE 2 GROSS WT 85240 LB Outbound Ticket SCALE 1 TARE WT 36360 LB NET WEIGHT 48880 LB . CITY. _` UNIT DESCRIPTION RATE EXTENSION FEE, TOTAL 24.44 OUTGO.MSW 0.000 0.00 0.00 0.0e t r � V, Operating hours 7:00 AM to 5:00 PM 7 days a.,week\'` ,, rVIL611 CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THf t -`_- } FASTER SUNDAY TENDERED CHANGE • i CHECK NO ��j C I!_RI Arl IDC 4 NO. 2842 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 APPLI CABLE 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 CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET N.O. :1; SITE TICKET F GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01969609 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF Cutchogue, NY 11935 05/17/2 05/17/2 08:4 08:5 11103TC 9316 _ Town of Babylon •' REFERENCE •- IGIN SCALE 2 GROSS WT 82060 LB Outbound Ticket SCALE 1 TARE WT 36980 LB NET.,WEIGHT 45080 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22:54 OUTGO.MSW 0.000 0.00 0:00 0.0e � Y N) `_ � t • T" Operating hours 7:00 AM to 5:00 PM 7 days,a week: � e 0.02 CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH' ` TENDERED EASTER SUNDAY 5, CHANGE CHECK NO. SIGNATURE :SITE I TICKET. GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01969609 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME-OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE .- GALE 2 GROSS WT 82060 LB Outbound Ticket SCALE 1 TARE WT 36980 LB NET WEIGHT 45080� LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.54 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. RMNATI IRF NO. 2843 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: J 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 11GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01970417 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/19/25 05/19/25 11:56 12:12 11103TC 9316 Town of Babylon L' REFERENCE • SCALE 2 GROSS WT 85240 LB Outbound Ticket SCALE 1 TARE WT 36040 LB ET WEIGHT 49200 LB 7 QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.60 OUTGO.MSW 0.000 0.00 0.00 0.0e {�}��V�4�• � J' •^">tea•-"T• V f Z� figs Operating hours 7:00 AM to 5:00 PM 7 day's`Ia`week. `� # 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH., -- ,„ a - TENDERED FASTER SUNDAY '?! L CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET. GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01970417 iz 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 85240 LB Outbound Ticket SCALE 1 TARE WT 36040 LB NET WEIGHT 49200 LB QTY. `UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.60 OUTGO.MSW 0.000 0.00 0.00� 0.0e IV � E t l• � i { 1 t r� I4+1 Operating hours 7:00 AM to 5:00 PM 7 days a week': f .1 �` • CLOSED HOLIDAYS - NEXT:( SUNDAY, APRIL 20THb, 6> 3 EASTER SUNDAY Z a;'�/, �/ F,�, ; ` 4 y ,a , TENDERED CHANGE " i CHECK NO. cir_nieri iQG NO. 2845 4 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 260J0 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY 'DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01970309 Liz H PO Box 962/6155 Cox Lane Cuficnogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/19/25 05/19/25 07:57 08:19 11103TC 9316 Town of Babylon REFERENCE •. SCALE 2 GROSS WT 74740 LB Outbound Ticket SCALE 1 TARE WT 36240 LB ET WEIGHT 38500 LB ITY. UNIT DESCRIPTION RATE EXTENSION. FEE TOTAL 19.25 OUTGO.MSW 0.000 0.00 0.00 0.0e iq AIIIIIIIIIIII11k ARM Operating hours 7:00 AM to 5:00 PM 7 day;�a week. . -' CLOSED HOLIDAYS - NEXT: SUNDRY APRIL 20TH 'ej ,g ' r t TENDERED EASTER SUNDAY ` P' , ` � _ CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE I TICKET GRID WEIGH MASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 00 01970309 1 L1Z PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OU TIME IN TIME OUT VEHI LE . ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN FNETWEIG]HT SS WT 74740 LB Outbound Ticket E WT 36240 LB 38500 LB TY: UNIT - DESCRIPTION RATE EXTENSION '- FEE TOTAL" 19.25 OUTGO.MSW 0..000 0.00 0.00 0.0e o27 , ly t � Operating hours 7:00 AM to 5:00 PM 7 days a,week:� .•` '=p � � CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THFq ` � w FASTER SUNDAY r, t�s ,� TENDERED q M s r ti YV CHANGE- I CHECK NO. SIGNATURE V NO. 2844 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 1, TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01970600 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT °TIME IN TIME OUT VEHICLE I ,ROLL OFF 05/20/25 05/20/25 07:5 08:1 11103TC 9316 Town of Babylon REFERENCE •. SCALE 2 GROSS WT 74040 LB Outbound Ticket SCALE 1 TARE WT 36180 LB NET WEIGHT 37860 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL- ` 18.93 OUTGO.MSW 0.000 0.00 0.00 0.02 iA- �MMIWI Lois Operating hours 7:00 AM to 5:00 PM 7 day`'�a-week CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20T11 �- Qs TENDERED EASTER SUNDAY ' t CHANGE °CHECK NO. SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962/6155 Cox Lane I. Cutchogue, NY 11935 T D TI 1 TI ROLL OFF 9316 Town of Babylon REFERENCE •- CAL E 2 GROSS WT 74040 Outbound is e SCALE 1 TARE WT 36180 LB NET WEIGHT 37860 LB QTY. UNIT a DESCRIPTION RATE EXTENSION FEE TOTAL -' 18.93 OUTGO.MSW 0.00 � . py ,?-^.� "t ice"I`� '�• 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. SIGNATURE p s NO. 2846 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND 1S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE„AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY:_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE ' TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01970693 Steph PO•Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT 1,TIME IN TIME OUT VEHICLE ROLL OFF 05/20/25 05/20/25 11:43 12:03 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE :GROSS WT 72200 LB Outbound Ticket SCALE' WT 36400 LB ET WE 35800 LB QTY. . _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL; 17.90 OUTGO.MSW 0.000 0.00 0.00 0.0e IN Aj 1 � t Operating hours 7:00 AM to 5:00 PM 7 days',a-- week. p 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY APRIL 20TH' < TENDERED EASTER SUNDAY y ;mom a CHANGE CHECK NO SIGNATURE SITE I TICKET GRID', WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01970693 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 •• CALE 2 GROSS WT 72200 LB Outbound Ticket SCALE 1 TARE WT 36400 LB NET 7 WEIGHT 35800 LB QTY " _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL' 17.90 OUTGO.MSW 0.000 0.00 0.00 0.0e s Operating hours 7:00 AM to 5:00 PM 7 days. a,week:, ✓",/ 't'E • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TW� EASTER SUNDAYj) TENDERED CHANGE CHECK NO. " NO. 2847 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 WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICI'iET SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01970957 Steph PO Box 902/6155 -Cox Lane Cutchogue, NY 11935 DATEIN DATE,OUT I TIMEIN TIMEOUT VEHICLE, ROLL OFF •9316 Town of Babylon 2505 05/21/ /21/25 11:0 11:17 11103TC ' REFERENCE •- SCALE 2 GROSS WT 87380 LB Outbound Ticket SCALE 1 TARE WT 35960 LB ET WEIGHT 51420 LB _OTY UNIT „_ DESCRIPTION = RATE EXTENSION FEE " TOTAL 25.71 OUTGO.MSW 0.000 0.00 0.00 0.0e gym " z t� Operating hours 7:00 AM to 5:00 PM 7 days; week µ a i° 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TWr `� _� } TENDERED` EASTER SUNDAY , kv ' ry CHANGE CHECK NO, SIGNATURE DUPLICATE TICKET SITE TICKET. GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01970957 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ) DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE �. F GROSS WT 87380 LB Outbound 'Ticket TARE WT 35960 LB GHT 51420 LB TY. UNIT DESCRIPTION ;RATE ° EXTENSION, FEE' TOTAL, 25.71 OUTGO.MSW 0.000 0.00 0.00 0.0e y � u " 'k AY 1l r 1 13 r ! r Iph t ,I Operating hours 7:00 AM to 5:00 PM 7 days a week': CLOSED HOLIDAYS - NEXT: SUNDAY APRIL .20TH` EASTER SUNDAY 9� 1 � �{ C s 'TENDERED .._,.... �CHANGE CHICK NO. RIr NATI IRF' NO. 2848 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) --(SIGNATURE) TRANSPORTER _ TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER- (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY'CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r SITE TICKET GRID, WEIGHMASTER •SOUTHOLD TOWN DEPT SOLID WASTE 001 01970873 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 05/21/25 05/21/25 07:28 07:40 11103TC 9316 Town of Babylon REFERENCE •- ' 1 SCALE 2 GROSS WT 72640 LB Outbound Ticket SCALE 1 TARE WT 36020 LB NET WEIGHT 36620 LB OTY UNIT DESCRIPTION RATE' EXTENSION FEE TOTAL 18.31 OUTGO.MSW 0.000 0.00 0.00 0.0e ;v JJ Operating hours 7:00 AM to 5:00 .PM 7 days a �week. � ++� 0.0e CLOSED HOLIDAYS - .NEXT: SUNDAY, APRIL 20TH EASTER SUNDAY � a %K- TENDERED CHANGE CHECK NO: SIGNATURE Arm TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01970873. 4 ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN-< DATE OUT TIME IN TIME OUTn� An VEH CLE ROLL OFF 9316 Town of Babylon REFERENCE •- CAL: 2 GROSS WT 72640 LB Outbound Ticket SCALE 1 TARE WT 36020 LB NET WEIGHT 36620 LB QTY. . UNIT DESCRIPTION RATE EXTENSION` FEE TOTAL 18.31 OUTGO.MSW 0.000 0.00 0.00 0.0e f Operating hours 7:00'AM to 5:00 PM 7 days,a;week: � '. R • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH: FASTER SUNDAY < bi rt'� - tr �*s% ✓" TENDERED CHANGE CHECK NO. CI(]NATI IRF NO. 2849 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: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY:. AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION'TICKET NO.. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01971103 Steph PO Box 162/6155 Cox Lane - CUtChO NY 11935 DATE IN 'DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF g�, 05/22/25 05/22/25 07:3 07:48 11103TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 76080 LB Outbound Ticket SCALE 1 TARE WT 36900 LB ET WEIGHT 39180 LB QTY. 'r:' UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL` 19.59 OUTGO.MSW 0.000 0.00 0.00 0.0e .� ~. • Operating hours 7:00 AM to 5:00 PM 7 days<a week: s a rt ' 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH'� r b TENDERED EASTER SUNDAY CHANGE CHECK'NO. SIGNATURE SITE TICKET"'- GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 001 01971103 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,, DATE OUT' -TIME•IN TIME OUT VEHICLE ROLL OFF '- 9316 Town of Babylon REFERENCE •- GALE 2 GROSS WT 76080 LB Outbound Ticket SCALE 1 TARE WT 36900 LB NET WEIGHT 39180 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.59 OUTGO.MSW 0.000 0.00 0.00 0.0e <c�pe. Operating hours 7:00-AM to 5:00 PM 7 days aWeek „- p • CLOSED HOLIDAYS - NEXT: SUNDAY APRIL TENDERED FASTER SUNDAY art_'° k'r s y, d CHANGE CHECK NO. etr_nieri wr= .� NO. 2850 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: HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _j SITE TICKET GRID , WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01971211 Will a PO BOX ue, NY Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 � 05/23/25 05/23/25 07:4 07:55 11103TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 82620 LB Outbound Ticket SCALE 1 TARE WT 36500 LB NET WEIGHT 46120 LB QTY" UNIT DESCRIPTION' " RATE EXTENSION FEE TOTAL` 23.06 OUTGO.MSW 0.000 0.00 0.00 0.0e - : sv t f4 Operating hours 7:00 AM to 5:00 PM 7 days,, week- 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH EASTER SUNDAY ;� � A� TENDERED CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01971211 1 W1117 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 82620 LB Outbound Ticket SCALE 1 TARE WT 36500 LB NET WEIGHT 46120 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL 23.06 OUTGO.MSW 0.000 0.00 0.00 0.0e �4 CoA Operating hours 7:00 AM to 5:00 PM 7 days a 4eek{:Z: �• CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH. � EASTER SUNDAY 0. `�t ,f,7 -6�� ti '; TENDERED Y � pads? CHANGE CHECK NO. SIGNATURE c t NO. 2851 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) 'BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 001 01971437 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DATE OUT TIME IN,TIME OUT VEHICLE ROLL OFF 05/24/25 05/24/25 07:00 07:31 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 76360 LB Outbound Ticket SCALE 1 TARE WT 35820 LB ET WEIGHT 40540 LB QTY.- UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.27 OUTGO.MSW 0.000 0.00 0.00 0.0e 5.) x r Operating hours 7:00 AM to 5:00 PM 7 days',,a° week 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH, ti "`, �' � � -TENDERED, EASTER SUNDAY CHANGE - —` - - - 1 CHECK NO. SIGNATURE DUPLICATE TICKET SITE .TICKET- GRID . WEIGHMASTER_' SOUTHOLD TOWN DEPT SOLID WASTE 001 01971437 1 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OU7 TIME IN TIME OUT VEHICLE ROLL OFF vile 9316 Town of Babylon REFERENCE ENCE •- CALE• 2 GROSS WT 76360 LB Outbound Ticket SCALE 1 TARE WT 35820 LB NET WEIGHT 40540. LB QTY UNIT DESCRIPTION a' ' RATE EXTENSION FEE ';"`TOTAL" 20.27 OUTGO.MSW 0.000 0.00 0.00 0.0e f a 6br 'a Operating hours 7:00 AM to 5:00 PM 7 days a�week� CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH., EASTER SUNDAY �,, I ,,- 5 ,; F.•' TENDERED Ff CHANGE CHECK NO. r NO. 2852 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF'SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE`. RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER'. YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE - 001 01972362 Will PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 'DATEIN;r DATEOU7 TIIAEIN TIOE06T F • 05/27/25 05/27/25 10:5 11:05 11112TC 9316 Town of Babylon ORIGINREFERENCE (ET LE 2 GROSS WT 76820 LB Outbound Ticket LE 1 TARE WT 35400 LB WEIGHT 41420 LB OTY t._. UNIT.. ' ; DESCRIPTION . ,.p RATE _ EXTENSION FEE 20.71 OUTGO.MSW 0.000 0.00 0.00 0.0e Q �34 ,G VFT e Operating hours 7:00 AM to 5:00 0.0e PM 7 days a leek: r. CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20Tq � � - TENDFRED EASTER SUNDAY Pr , rr • r_d CHECK NO_ SIGNATURE DUPLICATE TICKET sTE T(CKEI ; GRID wEIGHMaSTER+, SOUTHOLD TOWN DEPT SOLID WASTE 00 01972362 1 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN''' , DATE OUT °TIME IN'. TIME OUT '-VEHICLE:':.'_', ROLL OFF 9316 Town of Babylon REFERENCE •- CAL: 2 GROSS WT 76820 LB Outbound Ticket SCALE 1 TARE WT 35400 LB NET WEIGHT 41420 LB QTY.�_- >> UNIT " :' DESCRIPTION• RATE-' ; ;EXTENS)ON` ";,FEE TOTAL'_ ' 20.7.1 OUTGO.MSW 0.000 0.00 0.00 0.0e .! /01 Al Lg cF3s Operating hours 7:00 AM to 5:00 PM 7 days aweek': k CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TP EASTER SUNDAY ` 3 t b � TENDERED, kV " I CHANGE CHECK NO. NO. 2854 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: IHEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_ PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO O DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET .SITE :•:,TICKET ,. GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01972379 Will PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN=,' DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF_,,,__ 05/27/25 05/27/25 11:18 11100TC 9316 Town of Babylon ' f REFERENCE ORIGIN SCALE 2 GROSS WT 70420 LB Outbound Ticket SCALE 1 TARE WT 37440 LB NET WEIGHT 32980 LB QTY ' • UNIT . , 'e DESCRIPTION' RATE `EXTENSION`? FEE TOTAL•. 'LL 16.49 OUTGO.MSW 0.000 0.00 0.00 0.02 t `n w ` r �9 d„¢ 5 l d. s Operating hours 7:00 AM to 5:00 PM 7 daySsa week, °� • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20 TA,. - EASTER SUNDAY ' t � I> TENDERED CHANGE, . CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE i PO Box 962/6155 Cox Lane Cutchogue, NY 11935ROLL OFF 9316 Town of Babylon REFERENCE •- i CAL: 2 GROSS WT 70420 LB u oun is e SCALE 1 TARE WT 37440 LB NET WEIGHT 32980 LB ' UNIT "DESCR,IFTION ;.RATE EXTENSION`- FEE".r - TOTAL" 16.49 OUTGO.MSW 0.000 0.00 0.00 �� 40 u � Av � a _ = Operating hours 7:00 AM to 5:00 PM 7 days ar-week` ' ' • CLOSED HOLIDAYS - NEXT: SUNDAY, AP 20TH � b ' EASTER SUNDAY g , -TENDERED . r•.' CHANGE > CHECK NO.' NO. 2666 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE,POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME 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: 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 I TICKET I GRID WEIGHMASTER DUPLICATE TICKET `OUTHOLD TOWN DEPT SOLID WASTE 001 01972224_, Will 0 Box 962/6155 Cox Lane Jtchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT `VEHICLE ROLL OFF 05/27/25 05/27/25 07:1 07:3 11112TC 9310 Town of Babylon REFERENCE ORIGIN (ET LE 2 GROSS WT. 66280 LB Outbound Ticket LE 1 TARE WT 36320 LB WEIGHT 29960 LB QTY UNIT DESCRIPTION ;,= RATE EXTENSION;. FEE TOTAL- 14.98 OUTGO.MSW 0.000 0.00 0.00 0.0e T L ft�Z v Operating hours 7:00 AM to 5:00 PM 7 daya' week. 0.0e CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20T�f° nos` TENDERED FASTER SUNDAY `%0I CHANGE'. CHECK'NO: SIGNATURE DUPLICATE TICKET SITE 'tTICKET `GRID ;°-WEIGHk48TER SOUTHOLD TOWN DEPT SOLID WASTE 00 01972224 Will PO Box 962/6155 Cox Lane CUtChOgUe, NY 11935 DATEIN.., DATEOUT- TIMEIN TIMEOUT ' VEHICLE .`_ ROLL OFF' 9316 Town of Babylon ORIGINREFERENCE SCALE 2 GROSS WT 66280 LB Outbound Ticket SCALE 1 TARE WT 36320 LB NET WEIGHT 29960 LB QTY. = UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL 14.98 OUTGO.MSW 0.000 0.00 0.00 me NN qZl Operating hours 7:00 AM to 5:00 PM 7 days a week,Z:- CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH� TENDERED EASTER SUNDAY � � °tom •�",��r-�.�'�{^� CHANGE CHECK NO::::j NO. 2853 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 I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01972673 Steph PO Box 962/6155 Cox Lane Cutchwue; NY 11935 DATE IN ��DATEOUT TIME{N TIMEOUT VEHICLE ROLL OFF ` 05/28/2 05/28/2 10: "11:0 12TC 9316 Town of Babylon - SCALE :2GROSIS WT 78480 LB Outbound Ticket SCALE AREWT 35440 LB NET WET 43040 LB QTY. UNIT 'DESCRIPTION'" RATE- ` EXTENSION FEE'_` TOTAL" 21.52 OUTGO.MSW 0.000 0.00 0.00 0.0e f ' tt f f Rq'q 1' t Cc Y A f • Operating hours 7:00 AM to 5:00 PM 7 days 1 weeks: An CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THEi� I� � s TENDERED EASTER SUNDAYYl - ` i ` CHANGE -- CHECK N SIGNATURE DUPLICATE TICKET _SITE -'TICKET ` GRID 1NEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ep PO Box 962/6155 Cox Lane Cutchogue, NY 11935 D EI D T O _ TIM 1 TIM OU I ROLL OFF 9316 Town of Babylon REFERENCE ORIGIN CALE 2 GROSS WT 78480 LB Outbound Ticket SCALE 1 TARE WT 35440 LB NET WEIGHT 43040 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL- . 21.52 OUTGO.MSW 0.000 0.00 0.00 0. Operating hours 7:00 AM to 5:00 PM 7 days a,_week`:`--IP '��- ;�/ � • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20T,, EASTER SUNDAY a`737 ,vl TENDERED �? ? CHANGE CHECK NO. NO. 2856 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE � TICKET GRID WEIGHMASTER ' DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01972582 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN . DATEOUT., TIME IN,TIME OUT VEHICLE ROLL OFF 05/28/25 05/28/2 07:1 07:3 11112TC 9316 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 70220 LB Outbound Ticket SCALE 1 TARE WT . 36100 LB NET WEIGHT 34120 LB QTY UNIT DESCRIPTION' RATE EXTENSION FEE' " ''TOTAL 17.06 OUTGO.MSW 0.000 0.00 0.00 0.0e f.. Vjr �U La L 1r '. J A 3 ,s : : Operating hours 7:00 AM to 5:00 PM 7 days, a week: f CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH ,€ d, ' EASTER SUNDAY ' � Itfr�` � ;TENDERED CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET :SITE ' 'TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1001 0191Z58L Yceph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 T I r D TI •IN TI O T V ROLL OFF 9316 Town of Babylon REFERENCE •- GALE 2 GR SS u oun is e SCALE 1 TARE WT 36100 LB NET WEIGHT 34120 LB QTY. UNIT DESCRIPTION RATE EXTENSION- FEE; TOTAL 17.06 OUTGO.MSW 0.000 0.00 0. F Zy Operating hours 7:00 AM to 5:00 PM 7 days 'a`�weeki:; • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH. EASTER SUNDAY TENDERED CHANGE CHECK NO. _ RICANATI IRF NO. 2855 L,Y GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES'NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET, GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN. DEPT SOLID WASTE 00 019726661 Steph PO Box 962/6155 Cox Lane i I - Cutchogue, NY 11935 DATE'IN DATE OUT TIME IN TIME OUT . , VEHICLE ROLL OFF 05/28/2 05/28/2 10:3 10:4 11100TC 9316 TdWn of Babylon REFERENCE •- SCALE 2 GROSS WT 70320 LB Outbound Ticket MANUAL TARE WT 40060 LB NET WEIGHT 30260 LB QTY UNIT DESCRIPTION RATE, EXTENSION FEE `<. TOTAL 15.13 OUTGO.MSW 0.000 0.00 0.00 0.0e tit ...+ �dt ; 'S; l_+•(,i �2 k _� ` - r �a • Operating hours 7:00 AM to 5:00 PM 7 days a weekkk — r CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THa EASTER SUNDAY �� i` TENDERED CHANGE ' .CHECK NO.- SIGNATURE DUPLICATE TICKET SITE TICKET', GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 00 01972666 Stepn PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT' .TIME IN TIME OUT , VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •. GALE 2 GROSS WT 70320 LB Outboun Tic et MANUAL TARE WT 40060 LB NET WEIGHT 30260 LB QTY. UNIT DESCRIPTION RATE EXTENSION ;FEE TOTAL• 15.13 OUTGO.MSW 0.000 0.00 .0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days a week# i"r' v , • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH .EASTER SUNDAY r - 9 � TENDERED bB � ; UP d � } CHANGE • CHECK NO. AI('lNGTI IRF NO. 2667 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED- ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER , DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01972927 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE'fN DATE OUT TIME IN" TIME OUT VEHICLE`,- ROLL OFF' . 05/29/25 05/29/2 11:4 11:5 11112TC 9316 :t�wn of Babylon REFERENCE •- SCALE 2 GROSS WT 78420 LB Outbound Ticket SCALE 1 TARE WT 36120 LB NET WEIGHT 42300 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.15 OUTGO.MSW 0.000 0.00 0.00 0.0e ` a, • Operating hours 7:00 AM to 5:00 PM 7 days a fweek.,Z,,� a"� c ,1 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 01972927 1 Step PO Box 962/6155 Cox Lane Cutcho ue, NY 11935 g DATE IN DATE OUT' 'TIME IN TIME QUT `VEHICLE ROLL OFF-_` 9316 Town of Babylon REFERENCE �- SCALE 2 GROSS WT 78420 LB Outbound Ticket SCALE 1 TARE WT. 36120 LB NET WEIGHT 42300 LB CITY. `UNIT DESCRIPTION RATE EXTENSION- -FEE TOTAL 21.15 OUTGO.MSW 0.000 0.00 0.00 0.0e . � 4 Y c Operating hours 7:00 AM to 5:00 PM 7 days a week-:.`-t ' r CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH. �, � EASTER SUNDAY f, TENDERED CHANGE f CHECK NO. __j RIANATI IRF NO. 2858 T• GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW" DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER." PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE TICKET s GRID WEIGHMASTER''_ SOUTHOLD TOWN DEPT SOLID WASTE 00 01972860 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT' : TIME IN TIME OUT VEHICLE I km OFF 05/29/25 05/29/2 07:5 08:0 11103TC 9316 Towhv of Babylon REFERENCE •- SCALE 2 GROSS WT 72520 LB Outbound Ticket SCALE 1 TARE WT 36220 LB NET WEIGHT - 36300 LB CITY , UNIT '. DESCRIPTION RATE EXTENSION' FEE TOTAL> 18.15 OUTGO.MSW 0.000 0.00 0.00 me ° u: r, n9 { mod . Avr Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20THi � ?�„* EASTER SUNDAY �� r TENDERED ' CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE -" TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962/6155 Cox Lane Cutchogue, NY 11935 T D TI I TI O ROLL OFF 9316 Town of Babylon . REFERENCE •- SS WT _7252a__ LLS u oun is e SCALE 1 TARE WT 36220 LB NET WEIGHT 36300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL, 18.15 OUTGO.MSW 0. ,ixN Jj lk i Operating hours 7:00 AM to 5:00 PM 7 days :aweekl f ' 3 =Oak CLOSED HOLIDAYS' - NEXT: SUNDAY, APRIL 201Fi ��` FASTER SUNDAY �y 5,, ,'� { TENDERED r f✓ CHANGE ANGE CHECK NO'. SIGNATURE NO. 2857 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 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 I GRID WEIGHMASTER 3OUTHOL'D TOWN DEPT SOLID WASTE 00 01973027 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUT VEHICLE I ROLL OFF 05/30/25 05/30/25 07:1 07:2 11112TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 81080 LB . Outbound Ticket SCALE 1 TARE WT 36200 LB NET WEIGHT 44880 LB QTY. UNIT. DESCRIPTION RATE EXTENSION' FEE TOTAL 22.44 OUTGO.MSW 0.000 0.00 0.00 0.0e Operating hours 7:00 AM to 5:00 PM 7 days. a week: 0.02 CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH TENDERED EASTER SUNDAY 4 f b CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 001 01973027 Liz PO Box 962/6155 Cox Lane Cutchogue,- NY 11935 am IN oAT OU TIME IN VEHICLE ROLL OFF 9316 Town of Babylon REFERENCE •- CAL: 2 GROSS WT 81080 LB Out oun Tic et SCALE 1 TARE WT 36200 LB NET.WEIGHT 44880 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE :Ad 22.44 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 �Iq " � - S_ CHANGE CHECK NO. SIGNATURE f �• NO. 2859 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 I GRID WEIGHMASTER DUPLICATE TICKET SOUTHOLD TOWN DEPT SOLID WASTE 00 01973088 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT` TIME IN TIME OUT VEHICLE ROLL OFF - 05/30/25 05/30/2 10:2 10:4 11112TC 9316 Town of Babylon REFERENCE ORIGIN SCALE 2 GROSS WT 83720 LB Outbound Ticket SCALE 1 TARE WT 35940 LB NET WEIGHT 47780 LB QTY. UNIT _. DESCRIPTION RATE EXTENSION FEE TOTAL 23.89 OUTGO.MSW 0.000 0.00 0.00 0.02 { �=is ' ter- \ i t `r _ • • Operating hours 7:00 AM to 5:00 PM 7 days, a week' �r°� rp 0.02 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 01973088 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 83720 LB Outbound Ticket SCALE 1 TARE WT 35940 LB NET WEIGHT 47780 LB QTY. UNIT DESCRIPTION RATE EXTENSION FE_E TOTAL 23.89 OUTGO.MSW 0.000 0.00 0.00 0.02 Operating hours 7:00 AM to 5:00 PM 7 dayspa° week:' • CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH - \` _4 FASTER SUNDAY TENDERED "F CHANGE CHECK NO. SIGNATURE NO. 2660 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTEAS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND 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 CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY- AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. DUPLICATE TICKET SITE • TICKET, I GRID WEIGHMASTER ' SOUTHOLD TOWN DEPT SOLID WASTE 00 01973271 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN DATE OUT TIME IN°TIME OUT VEHICLE I 'ROLL OFF 05/31/25 05/31/2 08:2 08:3 11112TC 616 Town of Babylon REFERENCE •- SCALE 2 GROSS WT 79160 LB Outbound .Ticket SCALE 1 TARE WT 36280 LB NET WEIGHT 42880 LB QTY UNIT DESCRIPTION RATE ;, •EXTENSION FEE TOTAL 21.44 OUTGO.MSW 0.000 0.00 0.00 0.02 r " a {fir% E SIR 0.0e Operating hours 7:00 AM to 5:00 PM 7 days week: n CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH�4 � � v £ TENDERED EASTER SUNDAY CHANGE " CHECK NO. SIGNATURE DUPLICATE TICKET rSITE1 TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 00 01973271 Step PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN`TIME OUT VEHICLE ROLL OFF 9316 Town of Babylon . REFERENCE •- CAL: 2 GROSS WT 79160 LB Outbound Ticket SCALE 1 TARE WT 36280 LB NET WEIGHT 42880 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ` 21.44 OUTGO.MSW 0.000 0.00 0.00 0.0e U3i S y j I t I CJ L-, 3 1 4..t AT Operating hours 7:00 AM to .5:00 PM 7 days, a.ew ,� • l CLOSED HOLIDAYS - NEXT: SUNDAY, APRIL 20TH +` f e!N EASTER SUNDAY v TENDERED 0',. CHANGE CHECK NO. SIGNATURE NO. 2861 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 LOCATI.ON_ GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.