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.