HomeMy WebLinkAbout01/2011SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 813295
01/02/11 01/02/11
06:55 06:55
MC
18371PA
Manual Gros{ Wt. 85740 LB
Manual Tare Wt. 36280 LB
Net Weight 49460 LB
24.73 TON OUTGO.MSW
Outbound - Charge ticket
0.00 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transport
01 813295
01~2/11 01/02/11
06:55 06:55
MC
18371 PA
Manual Gross Wt. 85740 LB
Manual Tare Wt. 36280 LB
Net Weight 49460 LB
24.73 TON OUTGO.MSW
Outbound - Charge ticket
0.00 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAYr
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transpod
TICKET GRID WEIGHMASTER
01 813296
DATE IN DATE OUT
01/02/11 01/02/11
MC
VEHICLE ~OLL OFF
38728TR
Y Scale 2 Gross VVt. 77540 LB
Scale 1 Tare WL 47880 LB
~.. Net Weight 29660 LB
(/' QT~ J UNIT J DESCRIPTION RATE
0~o ~t;,~ ~,~u, ~ 7.~v ^;v~ tu 5.00 ~;v~ 7 ,~y~ ~ w~k.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685~
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
Outbound - Charge ticket
EXTEN~
0.00
FEE
0.00
SIGNATURE
TOTAL
0.00
J
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross VVL 77540 LB Outbound - Charge ticket
Scale 1 Tare Wt. 47880 LB
Net Weight 29660 LB
14.83 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
NO. 06, ?0,
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 ASSQClAT~ED WITH THE SHIPMENT OF SUCH MATERIALS.
s,,P DATE:
COMPANY:
COMMODITYSHIPPED: ~'~.~/~,j/
LOOSE: /~/-~) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:
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. HA~ BEEN PROPERLY
DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
OR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE}
TRANSPORTER
TRANSPORTATION/FRFIGHT CO. ' ~ / ,.,,~.,,
NO. ~ '~ LICENSE NO/STATE: ":~ -~ ~-~-/~
TRUCK
TRAILER NO. ,,~ ~,~ 9 LICENSE NO/STATE: ,~. /_~ ,~__~ _~'X~'
I HEREBY CERTIFY THAT THE ABOVE NAMEO 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)
(SIG NATbI~))
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
:). , /
~,~.q .; I '~ ,.. /
_ / ',/~., (..,' ~-,~ DATE DELIVERED: = - ~: ·
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Sox 962
Cutchogue, NY 11935
009289 Trinity Transport
TfCKET GR]~ WEIGHMASTER
813523 MC
DATE IN DATE OUT ROLL OFF
01/03/11 01/03/11 18371PA
Scale 2 Gross Wi. 77460 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35860 LB
Net Weight 41600 LB
20.80 TON OUTGO.MSW 0.00 0.00 0.00 0.00
(~erati,,u ',,uu,~ 7:0 J AM [u 5.i i0 PM 7 duw u w~ ~
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt 77460 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35860 LB
Net Weight 41600 LB
20.80 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
Ho. 162
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOE~ .I~T TAKE POSSESSION OR TITLE*GE ANY CARGO OR MATE RIALS
BEING SHIPPED AND DOES NOT ASSUME ANY L! ~1[_ ~TED~/I~4 THE SHIPMENT OF SUCH IVlATERIALS.
COMPANY: :;,;;~/"~// /'~ ~'.//'/~. SHIP DATE:
I r/O{cu
LOOSE:
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 APPLICAB~.E REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ~- (SIGNATURE)
TRANSPORTER
TRUCK NO. ~ / LICENSE ~IO/STATE:
TRAILER "O. / ~ ,~ 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)*
(~GNATURE)
DISPOSAL LOCATION:
ADDRESS:
DATE DELIVERED:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS SEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:,
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
GRID WEIGHMA~ER
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 77300 LB
Manual Tare Wt. 35800 LB
Net Weight 41500 LB
20,75 TON OUTGO,MSW
TICKET
813526
DATE IN DATE OUT
01/03/11 01/03/11
MC
VEHICLE q~LL OFF
38728TR
Outbound - Charge ticket
0.00
0.00
000 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAy
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 77300 LB
Manual Tare Wt. 35800 LB
Net Weight 41500 LB
2075 TON OUTGO.MSW
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
Outbound - Charge ticket
0.00 0.00
0.00
0.00
SIGNATURE
GENERATOR
NO.
0657{
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: ~'~ ~ -~/~P '4// SHIP DATE: //' 2~'~//
COMMODITY SHIPPED:
LOOSE: //,d_,2 cA
BALES: (COUNT): ......
TRUCK WEIGHT:
(CU YDS)
GROSS
TARE
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/FR FIGHT CO.
TRUCK NO.
TRAILER NO.
LICENSE NO/STATE:
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)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
/
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
813579
01/03/11 01/03/1
MC
~iC~E ROLLo~
38728T[{ '
Scale 2 Gross VVt.
Scale 1 Tare Wt.
Net Weight
23.35 TON
83080 LB
36380 LB
46700 LB
I
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
Outbound - Charge ticket
;E~IEHJ~3N
0.00
0.00
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transpod
ScaPe 2 Gross Wt. 83080 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 46700 LB
'23.35 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
0.00
No. 0657
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
SLING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOClATF,,D WlT~I ~HE SHIPMENT OF SUCH MATERIALS.
CO PA.¥: DATE: /-
COMMODITY SHIPPED: /~/~/'4:~.~
LOOSE: fQ~ (CU YDS)
BALES: (COUNT): ....
TRUCK WEIGh: ~ ~,~'~ ' 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/FR FIGHT CO.
TRUCK NO. ~ ~
TRAILER NO. ~;7.~ ~ /~
LICENSE NO/STATE:
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:
~ ~RINT NAME)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSALLOCATION
GREEN TOTRANSPORTER
YELLOW TO TRANSPORTER.
PINKTO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTH~,,,~D TOWN DEPT SOLID WASTE
6155 Cox _~ene, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
I ;FrE TICKET GRID WEIGHMASTER
01 813596 MC
DATE IN DATE OUT VEHICLE ROLL OFF
01/03/11 01/03/11
18371PA
Net Weight
/' QTY. u~.~)
2Qll N
Scale 2 Gross Wt. 76480 LB
Scale 1 Tare Wt. 36260 LB
40220 LB
0UTGOMsw ~I~IPTION
Outbound - Charge ticket
RATE EXTENSION
0.00 0.00
0.00
TOTAL
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
SIGNATURE
0.00
~RED
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 76480 LB
Scale 1 Tare Wt. 36260 LB
~ Net Weight 40220 LB
)~p ' ' g '-: ...... :u0 .... daysa ee'.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: THURS, NOV 11TH VETERAN'S DAY
12:00 NOON NOV 24TH & 25TH ALL DAY THANKSGIVING DAY!
Outbound - Charge ticket
0.00 0.00
/
0,00
SIGNATURE
1621
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES O~ILY. GE HER ~T~b~O'E~ TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY/L~ABILITY A~:IATED W~I~H/~HE SHIPMENT OF SUCH MATERIALS.
COMPANY: ~ .,'~/'"'~/../;/ / ~}, /'," ' '"" SHIP DATE:
COMMODITY SHIPPED:
YDS)
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
.~ ¢/~-"~ GROSS
3~/~ .~ 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 ST~c~AW, HAS BEEN PROPERLY
DESCR BED. CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TR~J~PORTAT~N ACCORDiNGlY[ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
oo. /:/ /.,.
3' ' ' it'
TRUCK NO. t LICENSE TATE:
t '. /,) -'
TRAILER NO. (i'., .) LICENSE ~O/STATE: t
I HE~Y CE~TIE THAT THE ~BOVE NAMED ~?ERIA[ W~S PICKE~ UP ~ TH~ GEN~RATO~ SlT~ USTED ~SOVE. AN~ THA~ IT WAS
DEMVER~D WITHOUT INCIDENT TO ~E DESTINATION [IST~ ~ELOW.
DRIVER: ~ IA ~b~ i ~
~ - - ~ ~S~GNATURE)
DESTINATION
DISPOSAL LOCATION: . ;/~)/ , .......
ADDRESS:
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutc~ogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
80980 LB
35300 LB
45680 LB
TICKET GRID
I~ITE
01 813693
DATE IN DATE OUT
01/04/11 01/04/11
Steph
VE~C~E ROLL OFF
38728TR
Outbound - Charge ticket
22.84
UNiT
TON
OUTGO.MSW 0.00
0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 20tl
MARTIN LUTHER KING DAY!
SIGNATURE
J
0.00
~D
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80980 LB
Scale 1 Tare Wi, 35300 LB
Net Weight 45680 LB
TON OUTGO.MSW
'p~r~t:,~,§ hou,o 7:0; AM ~u 5.~ 1O FM 7 d,~y~ ~ w~k.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAYf
Outbound - Charge ticket
0.00 0.00
0.00
0.00
0.00
SIGNATURE
NO. 06574
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.
c /
OMPANY: .~-_-~,~ ~/c).",./.-~' SHIP DATE: /--" /
COMMODITY SHIPPED:
LOOSE: /'~) ~:.~ (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: : ': ~ t ~' ('..-~ GROSS
/ .~ TARE
L~ ~ C:~ 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/FRFIGHT CO. ~--~'-t ~'?!
TRUCK NO. ~ ~,~ LICENSE NO/STATE: ,,,~.~ ~-~'-7'/~~
TRAILER NO. /~ LICENSE NO/STATE: ~ /)7~.~:~: ~.
I HEREBY CERTI~ 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.
(PRINT NAME)
(SIGNATI~J~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED: /' ~/ / /
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
IS0[T E ] TICKET GRID ~MASTER
1 I 813750 Steph
DATE {N DATE OUT VEH~E ROLL OFF
01/04/11 01/04/11 38728TR
Scale 2 Gross Wt. 77080 LB Outbound - Charge ticket
Scale 1 Tare V~. 35760 LB
Net Weight 41320 LB
f QTY. UNIT ;DE~SCR~ RATE: EXTENt~ON ~ 'tOTAL
20.66 TON OUTGO.MSW 0.00 0,00 0.00 0.00
~,~,,,,~ ,,,.,,.,o, .,., , ,-,,v, ,,., ,., .%, ?M 7 daw d w==k.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 2011
MARTIN LUTHER KING DAY!
0.00
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77080 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35760 LB
Net Weight 41320 LB
20.66 TON OUTGOMSW 0.00 0.00 0.00 0.00
'P ....... u ...... , ~,¥," .... ,'.., ..,., ,.~ PM , ~aw ,, week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
NO. 06576
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:
BALES: (COUNT): ~
TRUCK WEIGHT:
(CU YDS)
GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED SY 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)
(SIGRATORE)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
TRUCK NO.
TRAILER NO.
~ ~ LICENSE NO/STATE:
/ -? ~' LICENSE NO/STATE: A ~ '?~2 ~ ?/
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~::~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
GRID WE~MASTER
DATE fN DATI~ OUT
01/05/11 01/05/11
GS
18369PA
/'~ Scale 2 Gross Wt. 75480 LB Outbound - Charge ticket
Scale 1 Tare Wt. 39020 LB
Net Weight 36460 LB
I 8123 ~
TON OUTGO.MSW 0,00 0.00
6~&th ~9 ~uu~ 7J
CLOSED HOLIDAY
- QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 201~
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
0.00
/
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 75480 LB Outbound - Charge ticket
Scale 1 Tare Wt. 39020 LB
Net Weight 36460 LB
18.23 TON OUTGO,MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
NO. 06577
ER OR
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 WlT~ THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -~J/J ~'~'~*~¢ '/~// SHIP DATE: / ~¢ / /
COMMODI~ SHIPPED: //Z F~
L~SE: ~ ~ (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:
· "~ GROSS
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
GENERATOR AUTHORIZED AGENT(PRINT NAME) " /~!;IGNATURE)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
TRUCK NO. ~'~ ~'
TRAILER NO. //t/C, .~
LICENSE NO/STATE:
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:
~(P RINT NAME)
(SIGNATURe)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
/
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO·
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
~,,~rm T~CKET
01 813927
DATEtN DATE OUT
01/05/11 01/05/1
18369PA
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
17.81 TON
74400 LB
38780 LB
35620 LB
ii
OUTGO.MSW
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7085.
NEXT HOLIDAY CLOSED: MONDAY. JANUARY 17 2011
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00
0.00
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt, 74400 LB Outbound - Charge ticket
Scale 1 Tare Wt. 38780 LB
Net Weight 35620 LB
17.81 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
0.00
SIGNATURE
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
NO. 06578
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 WIT~ THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ...--b~ ~:~,., -~ /~:/ SHIP DATE:
BALES: (COUNT):
TRUCK WEIGHT:
COMMODITY SHIPPED:
(CU YDS)
GROSS
TARE
NET
/ .r -'/
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 2C~1~ O~ ANY APPLICABLE STATE LAW. HAS BEEN PROPERLY
DESC.IBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FO. TR ' RTATION>CCO.DING AP 'ICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ~' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FR F ~GHT CO.
TRUCK NO.
TRAILER NO.
LICENSE NO/STATE:
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:
(SIGNATURe'
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
?
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
813948
DATE~N OATEOUT
01/06/11 01/06/11
Scale 2 Gross Wt. 86620 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 48960 LB
GS
ROLL~
18369PA
/' QTY, UNIT , ]DESCR~ RATE EXTEN~
24.48 TON OUTGO.MSW 0,00 0.00 0.00 0.00
~,~ u;,uu,:,7.O}AMiu5 i0PMTdavsaweeK. --~,~.,.,,,.,,,,,,--
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutehogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 86620 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 48960 LB
24.48 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851 0.00
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KiNG DAY!
SIGNATURE
NO. 06579
GEI~_~RAT(~R
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.
cO,PA,,', s.,P DATE: /
(CU YDS)
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
GROSS
TARE
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQLff0'AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PA~I~ 261~ A~.~PPLICABLE STATE LAW, HAS BEEN PROPERLY
O U 0 GE ( E) Z ~ (SIC U )
TRANSPORTER
TRANSPORTATION/FR F-IGHT CO.
TRUCK NO. //~
TRAILER NO. ~7"~ 42/
LICENSE NO/STATE:
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 NA'M E)
(SIGNATU RE)~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE TH E INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
T!C~ET
814085
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transpod
Scale 2 Gross VVt. 77260
Scale 1 Tare VVt. 35620
Net Weight 41640
20.82 TON OUTGO.MSW
~,,~t;,,~ hvu~ 7.£ .~ AM iv 5. )0 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 2011
MARTIN LUTHER KING DAY!
LB
LB
LB
Outbound - Charge ticket
0.00 0.00
0.00
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
/r Scale 2 Gross V~. 77260
Scale 1 Tare VVt. 35620
Net Weight 41640
20.82 OUTGOMSW
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685;
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
LB
LB
LB
0.00
Outbound - Charge ticket
0.00 0.00 0.00
0.00
SIGNATURE
No. 1627
GENERATOR
THIS MANIFEST IS FOR REFEREHCE PURPOSES ONLY. GENE~RAT~,DOE~ N(~ TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AHD DOES NOT ASSUME ANY*LI,~fl~ITY A..~;K~TED ~TH~'HE SHIPMENT OF SUCH MATERIALS.
co. PAN,,: t s..P DATE:
COMMODITY SHIPPED: ;,'~'~ ~ /~
LOOSE: / ~/0 ((~U YDS)
BALES: (COUNT):
TRUCK WEIGHT: ~ 7 ~. ~:~ GROSS
'~ ~ ./'.~ '),'*? TARE
,L I ! ~/A~.? NET
' HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 250.10 OR ANY
APPLICABLE STATE LAW. IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 281 OR ANY APPLICABLE STATE LAW.~I~AS SEEN PROPERLY
DESCRIBED, CLASSlFIEO AND PACKAGED. AND IS IN PROPER CONDITION.~C2BIBR~PORTAT!O~I~, CORDING TQ ~P/~ASLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) '""'- ' / ~rSIGNATURE)
TRANSPORTATION/FREIGHT CO.
TRUCK NO. g i
TRA LERNO. /
TRANSPORTER
L.J / ' ' ' "] '-' .'"'
UCENSENO/STATE: /~; ~ ?//-?/i/
LICENSE NO/STATE: ~/9 7;2 ~ ? /
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENg:RATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
~ (PRIIq'r~KI~E) '
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 71360 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36020 LB
Net Weight 35340 LB
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768§.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 71360 LB
Scale 1 Tare Wt. 36020 LB
Net Weight 35340 LB
Outbound - Charge ticket
17.67 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
0.00
SIGNATURE
1628
GENERATOR
THIS MANIFEST I~ FOR REFERENCE PURPOSES ONLY. GENERATOR DOr~ NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS '
BEING SHIPPED AND DOES NOT ASSUME ANY ~ITY~ ~?~TH THE SH1PMENT OF SUCH MATERIALS.
COMPANY: ./'~ //~_/,,' ~/:/ SHIP DATE:
COMMODITY SHIPPED: ~;/~ ~
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
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 F~ORDING TQ APPLICABLE REGULATION.
~ ~-'~~--._ w (SiGNATuRE)
TRANSPORT^T,O. FRE,G.T OO.
TRUCK NO. /
TRA,'ER.O. /
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
I HERESY 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:
-~ )"~ ~ L~ky[ (
&~ ~-PRIN'I'I~AME)
(SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DEUVERED:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMAT~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.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross VVt. 77460 LB
Scale 1 Tare V~. 37920 LB
Net Weight 39540 LB
19.77 TON OUTGO.MSW
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 2011
MARTIN LUTHER KING DAY!
Outbound - Charge ticket
SIGNATURE
0.00
0.00
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77460 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37920 LB
Net Weight 39540 LB
19.77 TON OUTGO.MSW 0.00 0.00 0.00 0.00
)'r.,oratiih,~ ;,ou,~, 7.0 .1 AM to
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685: : 0.00
SIGNATURE
NO. 0658~
GENERATOR
THIS MANIFEST ISFOR 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:
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
/~_~ C-) (CU YDS)
GROSS
TARE
NET
SHIP DATE: /.. /~_.,:x
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 PROPERCONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
Il /'~ "~ I ~ ·
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGI~ATURE)
TRANSPORTATION/FRF~GHT CO~
TRUCK NO. / 7
TRAILER NO.
TRANSPORTER
LICENSE NO/STATE: //,~_~g ~'/~)i~.
LICENSE NO/STATE: ~ D 7~-Z ?_-'=7
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)
DESTINATION
D,SPOSA'LOCAT,O.: ,,-'.)..,..,,'
_ ,., / ~- .., 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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
814503
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
73420 LB
38000 LB
35420 LB
01/10/11 01/10/11
Steph
18369PA
Outbound - Charge ticket
17.71
OUTGO.MSW
0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~685!iii
NEXT HOLIDAY CLOSED: MONDAY, JANUARY
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
5155 Cox Lane, PO Box 952
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt, 73420 LB Outbound - Charge ticket
Scale 1 Tare Wt, 38000 LB
Net Weight 35420 LB
17.71 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
NO. 06580
GENERATOR
THIS MANIFEST rS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
COMPANY:BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY~,~' ,'''~X~*~ASSOclATED WI~/~,THE SHIPMENT OF SUCH MATERIALS.sHiP DATE: ,//~ ,/~,~ - //'
COMMODITY SHIPPED:
LOOSE: //~ ~ (CU YDS)
BALES: (COUNT): --
TRUCK WEIGHT: 7 ~ ~ O GROSS
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)
TRANSPORTER
TRANSPORTATION/FRFIGHT CO.
TRUCKNO. /Z
TRAILER NO. / _~J~
LICENSE NO/STATE:
LICENSE NO/STATE:
I HERESY CERTIFY THAT THE ASOVE 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)
'~IGNATURE)"'~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
//-./.:p
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)
KEY:
WHITE TO OISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transporl
Scale 2 Gross W1. 75120 LB Outbound - Charge ticket
Scale 1 Tare VVt, 48880 LB
Net Weight 26240 LB
13.12 TON OUTGO.MSW 0.00 0.00 0.00 0.00
C~:;~r~t:,~§ ho,,r~ 7.0 ~ ,~,~, ~u 5.! ;O ?,v, 7 u,=v~~, w~t:,~. /
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685~
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 75120 LB Outbound - Charge ticket
Scale 1 Tare Wt. 48880 LB
Net Weight 26240 LB
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685i ! ' ' ' '"
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
NO. 06582
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 L~;J~ITY ASSOClATE~D ~ITH THE SHIPMENT OF SUCH MATERIALS.
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
/&~;~ ~ (CU YDS)
GROSS
TARE
NET
SHIP DATE: //-///'
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) iSIGNATURE)
TRANSPORTER
TRANSPORTATION/FRFIGHT CO. "'"~ ~ ' ~
TRUCK NO. / ~ LICENSE NO/STATE:
TRAILER NO. //~.~1~ 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~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
/-//-//
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 NA'~IE)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
74480
42100
32380
LB
LB
LB
Outbound - Charge ticket
16.19
TON
0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685~!?
NEXT HOLIDAY CLOSED MONDAY JANUARY
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 74480 LB Outbound - Charge ticket
Scale 1 Tare Wt. 42100 LB
Net Weight 32380 LB
16.19 TON OUTGOMSW 0.00 0.00 0.00 0.00
3~e[aiinu huul~ 7;C o ,~lw io o:Ju ~w t days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685: 0.00
SIGNATURE
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
NO.
06583
GENERATOR
THIS MANIFEST I$ 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 ~IT~ THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _~ c.~-~" c>/L//~/.'~' SHIP DATE:
COMMODITY SHIPPED:
,~) ~,~ (CU YDS)
GROSS
Z/~,"~/'~ TARE
57c-' .ET
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
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 AId'FHORIZED AGENT(PRINT NAME) ' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
/
LICENSE NO/STATE:
TRUCK NO.
TRAILER NO.
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)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED: ,/-/,,,.'~?~.//
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross VVt. 83760 LB
Scale 1 Tare VVt. 38600 LB
Net Weight 45160 LB
814683
01/13/11 01/13/11
Outbound - Charge ticket
18369PA
22.58 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 83760 LB
Scale 1 Tare Wt. 38600 LB
Net Weight 45160 LB
Outbound - Charge ticket
22.58 OUTGO.MSW
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685~
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
0.00 0.00 0,00
SIGNATURE
No. 06584
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEIHG SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS,
co,,,PAN,': s.,P DATE:
COMMODITY SHIPPED: /2~J~ ~..~
LOOSE: ./~O (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:
GROSS
TARE
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 TRANSP~TA~'ION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT 'NAME) ~'"'~/~'~'~~N AT U R E )~
TRANSPORTER
TRANSPORTATION/FRFIGHT CO. "7~./~~ ;-~
TRUCK NO. / ~ LICENSE NO/STATE: ~'~&'~/z~t
TRAILER NO. / ?~ LICENSE NO/STATE: A ~/~.=~_~ A~-~
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)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6~tc'h'~OX Li~ne, PO Box 962
ogu~, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 83180
Scale 1 Tare Wt. 37540
Net Weight 45640
22.82 OUTGO.MSW
LB
LB
LB
Outbound - Charge ticket
0,00 0,00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
814703
01/14/11 01/14/11
Dan
18369PA
Net Weight
22.82 TON
Scale 2 Gross Wt. 83180 LB Outbound - Charge ticket
Scale 1 Tare Wt, 37540 LB
45640 LB
OUTGO.MSW
'p~ratii~0 ho,~r~. 7;O ....... J ~
, ~,v, ~,., ..,., ,., PM 7 do~,o a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7665
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
0.00
0.00
0.00
SIGNATURE
No. 06585
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 UA~ILITY ASSOCIA~TED .WIT~ THE SHIPMENT OF SUCH MATERIALS.
COMPANY -'~'~-P~' J~/z-A///~/~ SHIP DATE: /-'/' ~"":' /'/
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
/~:~:) ~ (CU YDS)
GROSS
575qO 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-A~CORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATU~E.)~~
TRANSPORTER
TRANSPORTATION/FRFIGHT CO. --~ ~,,'
TRUCK NO. '// ~ LICENSE NO/STATE:
TRAILER NO. ~ LICENSE NO/STATE:
I HEREBY CERTI~ THAT THE A~VE ~MEO ~TERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO ~E DESTI~TION LISTED BELOW.
DRIVER:
(PRINT NAME)
(SIGJ~dURE)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transpod
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
29.91
95400
35580
59820
LB
LB
LB
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7885.:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2Oll
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00
0.00
-/
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross WT. 95400 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35580 LB
Net Weight 59820 LB
29.91 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
0.00
SIGNATURE
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
COMPANY: '/'-//~ _-?~"/.,~-~ ~',~*~./"~/ SHIP DATE:
COMMODITY SHIPPED: /,,~ _~'~; ,. '
LOOSE: ,] ~) (CUYDS)
BALES: (COUNT):
TRUCK WEIGHT:
. .EREBY CEST,FY THaT THE ABOVE .AMED MATER.A. DOES NOT CO.TAIN
APPLICABLE STATE ~W, IS ~ H~RDOUS WA~E AS DEFINED BY 40 CFR PART 261 OR ANY APPL~BLE STATE ~W. ~ BEEN PROPERLY
DESCRIBED, C~SSIFIED AND PACKAGED, AND IS ~ PROPER CONDITION FOR T~~TQ APPLICA~E REGULATION.
GENE~TOR AU~ORIZED AGENT(PRINT NAME) ~TURE)
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 3 /
TRAILER NO. '? ./
TRANSPORTER
LICENSE NO/STATE:
/-7 / ) t / '? ~ / :,
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.
(SIGNATURE)
DRIVER:
DISPOSAL LOCATION:
ADDRESS:
DESTINATION ~,
,
' /'~..'j,~. (' F~,X~4; DATE DELIVERED:
I HEREBY CE~ 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)
KEY: WHITE TO DIS~eO~AL LOCATION
G~.r~ TO ~'~a~mTEa
YEU.OW 1~ ~TER.
SIGNATURE/DATE
Pr~To~
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane. PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
814821
01/15/11 01/15/11
GS
18371 PA
Scale 2 Gross Wt. 73420 LB
Scale 1 Tare Wt. 47720 LB
Net Weight 25700 LB
TON OUTGO.MSW
Outbound - Charge ticket
0.00 0.00 0.00 0.00
~crct!c,~ he, ur; 7:,' O AM :c, 5:90 ~M 7 d&ys &
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 73420 LB Outbound - Charge ticket
Scale 1 Tare Wt. 47720 LB
Net Weight 25700 LB
12.85 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
1634
GENERATOR,
~l~ll S MANIFEST I~ FO~ REFERENCE PURPOSES ONLY. GE N F_..~R_~A.T. OR*O~ (~ E S NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
NG SHIPPED ANO DOES NOT ASSUME ANY~OCIAiE~WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ~'>/~///;'! (~ ~i,~/' SHIP DATE:
coM~oD,w S,,PPED: ,..~L.~ f.~'
LOOSE: ///J (cu YDsl
BALES: (COUNT):
TRUCK WEIGHT: -'~ :*L~/-') .t' ~ GROSS
I HERESY 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. C I.IED AND PACKAGED. AND IS IN PROFER NDITION FOR T,, RTATION ACCOROIND TG APPLICABLE RE ULATIO.
( ) · ~ (SIGN, URE) ' '
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~ y ! j /~,.~
TRUCK NO. 3 i LICENSE~O/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)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
I HERESY CERTIF~ 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)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross W1. 74740 LB Outbound - Charge ticket
Scale 3 Tare Wt. 36740 LB
Net Weight 38000 LB
1900 TON OUTGO.MSW 0.00 0.00 0.00 0.00
....... --u hours 7:;, , A,M to 5: C
CLOSED HOLIDAYS - QUESTIONS CALL 531-734-7685 0.00
SIGNATURE
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
$OUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
/~- Scale 2 Gross Wt. 74740 LB
Scale 3 Tare Wt. 36740 LB
Net Weight 38000 LB
19.00 TON OUTGO.MSW
· ~v ....... u ,,,,'-, .... ,,.., ,~,,,, ,.., ,~.,.,,., F'M 7 ,,ay~ a
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00 0.00 0.00 0.00
GENERATOR
.o. 1635
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR [D(~ES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPEO AND DOES NOT ASSUME ANY LIAI~ A~S~_.IAT~[~ WITH THE SHIPMENT OF SUCH MATERIALS:
COMMODITY SHIPPED: -/'~'~ ~.~ ~/t~.~
,..' (CUYDS)
LOOSE:
BALES: (C~:
TRUCK WEIGHT:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.t0 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS SEEN PROPERLY
DESCRIBED, CLASEIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} ; (~IGNATURE)
TRANSPORTATION/FREIGHT CO.
TRUCK NO, .~ ~
TRAILER NO. /,
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
OELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
NAME)
(SIGNATURE)
DATE DELIVERED:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN AGCEPTED AND TO THE 'BEST OF MY KNOWLEDGE THE INFORMATION PflOVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZEO AGENT(PRINT NAME)
SIGNATURE/DATE
KEY:
WHITE TO DIS~L LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOlD TO ~ENERATOR
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
TIC~ET ORID
815012
01/18/11 01/18/11
Steph
ROLL
18371PA
Scale 2 Gross Wt.
Scale 3 Tare Wt.
Net Weight
:4.03
84080 LB
36020 LB
48060 LB
TON OUTGO.MSW
AM [u 5J ;O ~'vl 7 d~y~ a w~uk.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00 0.00
0.00
0.00
0.00
'.. j
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 84080 LB Outbound - Charge ticket
Scale 3 Tare Wt, 36020 LB
Net Weight 48060 LB
24.03 TON OUTGO.MSW 0.00 0.00 0.00 0.00
x
Obe,~ih,u huu~ 7.0 ~ AM iu 5.~ O FM 7 d~va u wu~k.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
163,6
GENERATOR
THIS MAN~I' I~FOR REFERENCE PURPOSES ONLY. GENE~TO~3J~_~S NOT TAKE POSSES~N Off T~E ~ ~Y ~ OR ~TERIA LS
BEI~ ~ ~ ~S ~T ASSU~ ~ ~~T~ ~ THE SHIP~ ~ ~H ~fl~LS. '
BALES: (C~:
TRUCK~,T: ~ ~1 U ~O ~,OSS
~C~ O TARE
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 SEEN PROPERLY
DESC, RIBED, 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,O. ~ i "CE"SE' NO'STATE: / ~' ? ? ..1 / ? '~
TRAILER NO. /7 ~" LICENSE NO/STATE: //,.~? //? ~ / /
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVEREO WITHOUT INClOENT TOTHE DESTINATION LISTED BELOW~
DRIVER:
' ~P'AII~r~AME) ~ ' (SIGNATURE)
DISPOSAL LOCATION: , ;7 ? ;~ ~, ~..;b'J,,'t, ~,/,..,...~, //..~:'/'~-"~J~'~ii~ DATE DELIVERED:
ADDRESS:
I HEREBY CERTtF~T 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)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
~O~D TO (~ENERATGR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01/19/11 01/19/11 18369PA
Scale 2 Gross Wt. 80800 LB Outbound - Charge ticket
Scale 1 Tare Wt. 38820 LB
Net Weight 41980 LB
20.99 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7085
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 20~11
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80800 LB Outbound - Charge ticket
Scale 1 Tare Wt. 38820 LB
Net Weight 41980 LB
20.99 TON OUTGO.MSW 0.00 0.00 0.00 Q00
....... ~ .......... ,~ ....... O PM 7 d ........ k.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685: ~
Q00
SIGNATURE
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
No. 06586
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND OOES NOT ASSUME AI~LLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: - · SHIP DATE: /
COMMODITY SHIPPED: ,/~.;/. r~.b/
LOOSE: y/~5~ ~ (CU YDS)
BALES: (COUNT): ---"- '" '
TRUCK WEIGHT: ~ ~)~ O GROSS
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
GENERATOR AUTHORIZED AGENT(PRINT NAME) Z (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FRI=IGHT 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 ~I~,ME)
~ -(siGNATEk~)
DESTINATION
DISPOSAL LOCATION: ~.., ,/~ ,, ~ /~...-~/:~ c.~-.,~ 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:
KEY:
AUTHORIZED AGENT(PRINT NAME)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 81440 LB
Scale 3 Tare Wt. 37200 LB
Net Weight 44240 LB
TICKET GRID WEbsTER
815087 GS
DATE IN VIEHICLE ROLL OFF
01/19/11 01/19/11 18369PA
Outbound - Charge ticket
22.12 OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 81440 LB Outbound - Charge ticket
Scale 3 Tare Wt. 37200 LB
Net Weight 44240 LB
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
.o. 06587
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GEN~I~TO~ ~OES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPEO AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WtTH THE SHIPMENT OF SUCH MATERIALS.
co PA,¥: s..P DATE:
COMMODITY SHIPPED:
LOOSE: ,/~ F.~ (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ~ ? ~/(~'~( ~ GROSS
~-~ k.' ~ NET
~ J/ ~' (~SIGNATURE)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
TRUCK NO.
TRAILER NO. ' .~,.~,,~,
LICENSE NO/STATE:
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:
(PI~IINT NAME) (SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAl LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
24.06
~arat:,F,9 hour~ 7:[
Scale 2 Gross Wt. 85040 LB
Scale 2 Tare Wt. 36920 LB
Net Weight 48120 LB
TON OUTGO.MSW
0 AM t,., 5.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
'~ Scale 2 Gross Wt. 85040 LB Outbound - Charge ticket
Scale 2 Tare Wt. 36920 LB
Net Weight 48120 LB
24.06 TON OUTGO.MSW 0.00 0.00 0.00 0.00
(~rat:,nc, hour;. 7:0 ~ A,M t,., 5:1 ;O PM 7 d~w ~ w~k. ~,=.,,,~.,,,~,~
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 0.00
SIGNATURE
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
NO. 06588
GENERATOR
THIS MANIFEST S FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ~A?OCgE~ WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: S~::~ ~ "~ O/~4';/~ SHIP DATE: /- .,~-;) --/,/
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT): ~
TRUCK WEIGHT:
(CU YDS)
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. ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
TRUCK NO.
TRAILER NO.
LICENSE NO/STATE:
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)
(SlGNATURE)~~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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:
KEY:
AUTHORIZED AGENT(PRINT NAME)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80100 LB
Scale 1 Tare Wt. 33660 LB
Net Weight 46440 LB
Outbound - Charge ticket
23.22
TON OUTGO.MSW t 0.00
ill,
0.00
0.00
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-768
NEXT HOLIDAY CLOSED: MONDAYi JANUARY 17, 20~ I
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross WT. 80100 LB Outbound - Charge ticket
Scale 1 Tare WT. 33660 LB
Net Weight 46440 LB
23.22 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
1.641
GENERATOR
THIS MANIFEST I~ FOR REFERENCE PURPOSE~ONLy. GENERATOR 00,.F.~ NO'~'AKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUlVI~ ANY~,I&BILITY ~.~IAT~D-~NITH THE SHtPI~NT OF SUCH MATERIALS.
COMPANY: -..~}/..,,J'~'7-~] ,"~/~F,,~' SH P DATE:
COMMODITY SHIPPED: /~. _~ ~
/ ~r) (cu YDS)
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
q [~)1 ~(~ GROSS
'~T_~ TARE
.ET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE ~IQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PAJ~ 26~.~INY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION F~RDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTATION/FREIGHT CO.
TRUCK NO.
TRAILER NO.
TRANSPORTER
LICENSE'~IO/STATE: ./ / / ,,"~ ~' i"'"{:i
L.CE.SE .O,STATE: ~,! , ~.~ '~/'? -,:' ~;;~ ,
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAB
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NA"M~)'
(SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DATE DELIVERED:
I HEREBY C E RTIF~ .]~,.T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCI;~ATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
WHITE TO DISPOSAL [~X~ATION
GREEN TO TR~R
YELLOW TO ~TER,
PINK TO I~TOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80100 LB Outbound - Charge ticket
Manual Tare Wt. 33660 LB
Net Weight 46440 LB
23.22 TON OUTGO.MSW 0.00 0.00 0.00 0.00
C OSED HOLIDAYS - QUESTIONS CALL 631-734-~8~ ;;
NEXT HOLIDAY CLOSED: MONDAY JANUARY 17 ~1
MART N LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80100 LB Outbound - Charge ticket
Manual Tare Wt. 33660 LB
Net Weight 46440 LB
23.22 TON OUTGO.MSW 0.00 0.00 0.00 0.00
3"~c~ih~u iluu~ 7.~ .~ AM iu 5.70 EM 7 '.Jays a wu~k
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 ;:
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
No. 16,42
G.ENER~TO~ '"'
THIS MAHIFEST IS FO~ REFEREHCE PURPOSES (~klLY: ~:~RA ~q~tR DOE~S I~T TAKE POSSESSION ~ TI~E ~ ANY CA~ ~ ~TERIALS
BEI~ S~ ~O ~S ~T ASSU~ ~Y~~TEO~ ~E SHIPME~ ~ SUCH ~ER~LS.
COMPA~: ~,' ./~q ~ ?, '// SHIP DATE:
co oo,
/
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
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 DEFff4ED BY 4~ CFR PART 261 OI:I~M~Y APPLICABLE STATE LAW. HAS BEEN PROPERLY
DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FO~R~INO TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTATION/FREIGHT CO.
TRUCK NO.
TRANSPORTER
TRAILER NO. / / ~' LICENSE NO/STATE:/; ,? ? ~, r ~
I HEREBY OERTI~ ~AT THE ABOVE NAMED ~TERI~ WAS PIOK~ UP AT ~E GENERATOR ~ITE LISTED ABOVE, AND THAT IT
DELIVERE~ WITHOUT INCIDENT TO ~E DESTINAT~ LISTED BELOW.
DEgTINATION
DISPOSAL LOCATION: " DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE M~TERIAL HAS BEENACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross VVt. 74140
ScaPe 1 Tare Wt. 39100
Net Weight 35040
17.52 OUTGO.MSW
LB
LB
LB
815462
01/24/11 01/24/11
MC
11110TC
Outbound - Charge ticket
0,00
0.00
0.00
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 ;
MARTIN LUTHER KING DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 74140 LB
Scale 1 Tare Wt. 39100 LB
Net Weight 35049 LB
Outbound - Charge ticket
17.52
CLOSED HOLIDAY,~
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
OUTGO.MSW 0.00
, AM Iu 5. )0 PM 7 duy~ u wuek.
- QUESTIONS CALL 631-734-7685
0.00
0.00
0.00
0.00
SIGNATURE
NO. 06589
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 A~;SUME ANY LIABILITY ASSOCIATE~) WITH THE SHIPMENT OF SUCH MATERIALS.
· / //
COMPANY. ~,~-'~-"~ ~;~ SHIP DATE: //-,;~// / /
COMMODITY SHIPPED: J~J~//
LOOSE: //O O (CU YDS)
BALES:(COUN~:
TRUCK WEIGHT:
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) ~- - A'~URE)'~
TRANSPORTER
TRANSPORTATION/FR F-IGHT CO. ' /,-/.~'.~//
TRUCK NO. / ~ LICENSE NO/STATE: ,/_.~
TRAILER NO. ./.~.J'-'. 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)
-- (SIGNAT~H~ E)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
19.65
Scale 2 Gross Wt.
Scale I Tare Wt.
Net Weight
76900
37600
39300
OUTGO.MSW
LB
LB
LB
Outbound - Charge ticket
0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734~7686;;
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17 2011
MARTIN LUTHER KING DAyI
SIGNATURE
J
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 76900 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37600 LB
Net Weight 39300 LB
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
19.65 TON OUTGO.MSW 0.00 0.00 0.00 0.00
o,&E,, uu~7.GsAMiuS.ii~r-w~ t dawaweek
SIGNATURE
NO. 06590
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 ASS(~I~TE.D V~TH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _ ~'~.~7~· /~J SHIP DATE:
COMMODITY SHIPPED: /*~,~//'"'z.-c,/
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
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/FRF~GHT CO. ~.~.~.'~; ~
TRUCK NO. ?* '~ LICENSE NO/STATE:
TRAILER NO. //.,~F,~ 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:
(SIGNATURE~
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox~ne, PO Box 962
Cut~hogue, NY 11935
009289 Trinity Transport
19.64
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
TON
76600 LB
37320 LB
39280 LB
OUTGO.MSW
) PM 7 day~ a week.
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
Outbound - Charge ticket
0.00
SIGNATURE
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
C utchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 76600 LB
Scale 1 Tare Wt. 37320 LB
Net Weight 39280 LB
19.64 OUTGO.MSW 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685!
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
Outbound - Charge ticket
0.00 0.00 0.00
0.00
SIGNATURE ~. ..2
NO. 0659~
GENERATOR
THIS MANIFEST I~ 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.
coMP^, : '' s, P DATE:
COMMODITY SHIPPED:
LOOSE:
/O0
BALES: (COUNT):
TRUCK WEIGHT:
(CU YDS)
GROSS
TARE
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/FR ;IGHT CO.
TRUCK NO. //~; LICENSE NO/STATE: ?///~.,~7"'"'(~'
TRAILER NO. ~ LICENSE NO/STATE: .~ p ~ ~/
I HEREBY CERTI~ THAT THE ABOVE ~MED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTI~TION LISTED BELOW.
DRIVER:
(PRINT NAME)
(SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
/- m j<- ,//
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
,%
004289 Trinity Transport
Scale 2 Gross Wt. 75680 LB
Scale 1 Tare Wt. 38300 LB
Net Weight 37380 LB
815606
01/26/11 01/26/11
Steph
11110TC
Outbound - Charge ticket
1869 TON OUTGO.MSW 0.00 0.00 0.00 0.00
~Op~r~t;n~ ~hc, u,-s 7.C AM i~ $.' ;0 F,'vl 7 daw a .... ;.. ::: .~
CLOSED HOLIDAY - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 COX Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 75680 LB
Scale 1 Tare Wt. 38300 LB
Net Weight 37380 LB
Outbound - Charge ticket
18.69 OUTGO.MSW
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-76851
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
0.00 0.00 0.00 0.00
0.00
SIGNATURE
.o. 06592
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND IX)ES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS,
COMPANY: .. ~,/ , ; SHIPDATE: / r~ ~'
/ ~ ;~) (CU YDS)
COMMODITY SHIPPED:
LOOSE:
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
DESCRIBEO. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FR FIGHT CO.
TRUCK "O. / ~
TRAILER NO. / ~"",~"',
LICENSE NO/STATE: ///.//~/
LICENSE NO/STATE: ~_
I HEREBY CERTIFY THAT THE AE~OVE 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)/
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transpod
Scale 2 Gross Wt. 77880 LB Outbound - Charge ticket
Scale 1 Tare Wt. 38380 LB
Net Weight 39500 LB
19.75 TON OUTGO.MSW 0.00 0.06 0.00 0.00
CLOSED OL DAYS - QUEST ONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY JANUARY 17 2011
MARTIN LUTHER KING DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77880 LB Outbound ~ Charge ticket
Scale 1 Tare Wt. 38380 LB
Net Weight 39500 LB
19.75 TON OUTGO.MSW 0.00 0.00 0.00 0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
.o. 2963
GENERATOR
THIS MANIFEST I~ FOR REFERENCE P~$ONLY. OENERA~'OR DO~S NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY I~ ~I~.ITY ,A ,A ,A ,A ,A ,A ,A ,A ,A~C~ ~TH THE ~*'IIPMENT OF SUCH MATERIALS.
COMPANY: ~,I,''/ ~ ~r S~P DATE:
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
(CU YDS)
GROSS
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)
TRANSPORTATION/FREIGHT CO.
TRUC .O. % ?
TR^,LER .0. I{2
TRANSPORTER
/
LICENSE NO/STATE:
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)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
, ~ .!~-~.
DATE DELIVERED:
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)
KEY:
WHITE TO DISPOSAL LO~ATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue. NY 11935
009289 Trinity Transport
26.07
Scale 2 Gross Wi. 88740 LB
Scale 1 Tare Wt. 36600 LB
Net Weight 52140 LB
TON OUTGO.MSW
,~0 DM 7 day~ u wuuk.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
SIGNATURE
Outbound - Charge ticket
0.00 0.00
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 88740
Scale 1 Tare Wt. 36600
Net Weight 52140
LB
LB
LB
Outbound - Charge ticket
28.07 OUTGO.MSW
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17,2011
MARTIN LUTHER KING DAY!
0.00
0.00
0.00
0.00
SIGNATURE
2964
GENERATOR
THIS MANIFEST IS FO~ REFERENCE PURPOSES ONLY. GENEraTOR D~OE,~ NOT TAKE POSSESSION'OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LI,~IT¥ A~X;'IATF~ W;TH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ,~.~'~:: : ) ~ ~,: SHIP DATE:
// / :' (CU YDS)
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
GROSS
TAR E
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS OEFINED 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)
~' (SI~IATURE) L_;
TRANSPORTATION/FREIGHT CO.
TRUCK NO.
TRAILER NO.
TRANSPORTER
-////'//
LICENSE NO/STATE:
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)
DISPOSAL LOCATION:
DESTINATIO~
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)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net Weight
23.70 TON
82740 LB
35340 LB
47400 LB
OUTGO.MSW
0 FM 7 duy~ a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17. 2011
MARTIN LUTHER KING DAY!
Outbound - Charge ticket
0.00 0.00 0.00 0.00
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82740 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35340 LB
Net Weight 47400 LB
23.70 TON OUTGO.MSW 0.00 0.00 0.00 0.00
Dp~dliH~ huu~ 7.0i, AM iu 5:£ 0 PM 7 daw a week ...............
CLOSED HOLIDAYS - QUESTIONS CALL 631- 734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 17, 2011
MARTIN LUTHER KING DAY!
SIGNATURE
GENERATOR
THIS MANI~ ~/R~E PURPO~$ ONLY; ¢~I~N~R~TOR DOE~CNOT TAKE ~OSSESSION ~ T~ ~ ANY CAR~ ~ MATERIALS
COMPANY: ~ ~ ~f ~ - SHIP DATE:
COMMOD~ SHIED: ~ ~
/ ~ ~cu YDS~
LOOSE:
BALES: (COUNT}:
TRUCK WEIGHT:
GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE N~MED MATERtAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE A~ DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS SEEN PROPERLY
DESCRIBED. CLA,e'~IFIED AND PACKAGED; AND IS IN;PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
TRANSPORTATION/FREIGHT CO.
TRUCK.O. J/
TRAILER NO. ~
TRANSPORTER
,,. /r;//l/
L,OE.SE.O, STATE:
',CE.SE.O/STATE: /~:W ,? ? '
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED A~OVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTEO BELOW.
DRIVER: ~ 1; ~ { ' ~ r
/(~IINT NAME) (S E
DISPOSAL LOCATIC.'N:
ADDRESS:
DESTINATION
h~", .,..~ ~.~; / .. -
I'
DATE DELIVERED:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDC. d~ THE INFOR~TION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DISPOSAL lOCATION
GREEN TO ~R
YELLOW TO TRANSPORTER.
PINK TO ~ENERATOR
GOCD TO ~ENERATON
S.~AVUSE;OATE
DISPOSAL LOCATION TICKET NO.