HomeMy WebLinkAbout05/2011SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 T~mity Transport
Scale 1 Tare Wt. 35060 LB
Net Weight 40700 LB
~.~erating hours 7:0~1 AM to 5: 0 PM 7 days a week. ..,
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685,
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHQLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PQ Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 1 Tare Wt.
Net Weight
35060 LB
40700 LB
~erating hours 7:(; 3 AM to 5:)0 PM 7 days a week.
;L(Q~,bL) HL)LIUAY 5 - (~ U b;::i
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMoRIA~ ~A~!
SIGNATURE
3994
GENERATOR'
THIS MANIFEST IS FOR REFERENCE PURPOSES ONL.,~ (3ENE~R D~S N~T TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BE,NO S.,P,~O ANO ~OES NOT ~SSU. E A.~ U~L~-~~~*g~f~,~TE~W~ TH~ S.~NT OF SUC. ~TERI~S.
COMPAq: .-~~/~// SHIP DA~:
COM~ SHAPED: X '~ ~ ~
L~SE: / ¢;"~CU YDS)
BALES: (~UN~:
TRUCK ~IG~: ~ T ~ ~ 0 GROSS
~ ~. ~-~ 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 26 $ OR ANY APPLICABLE STATE LAW, HAS BEEN PROP E RLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME)
1 ~ (S~GNATURE)
TRANSPORTATION/FREIGHT CO.
TRUcK"O. ? /
TER
~'~/Y/L~C~E~N~E"~/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.
~- ~PR~NT ~M~)
(SIGNATURE)
DESTINA ~,TK)N
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)
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
O09289'~Trinity Transport
01 00833265
05/03/11 05/03/11
08:09 08:20
Steph
11100TC
Manual Gross Wt. 80440 LB
Scale 1 Tare Wt. 35720 LB
Net Weight 44720 LB
22.36 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833265
05/03/11 05/03/11
08:09 08:20
Steph
11100TC
22.36
Manual Gross Wt. 80440 LB
Scale 1 Tare Wt. 35720 LB
Net Weight 44720 LB
TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
3995
GENERATOR
COMPANY. ~i /'~' "' SHIP DATE:
COM oo, S.,PPED:
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 APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
TRANS PORTATION/FREIGHT CO.
TRUCK,O. .L,CE.SE,O, STATE:/ /
'"AILER"O. V~EEN~A/ . LIOENSENO/STATE: ''~/:::~ 7~. ~"?<~/
I HEREBY CERTIFY THAT THE ABO MED 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)
- iSIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED:
HERESY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DISPOSAL LOCATION
GREEN TO TRaNSPORtER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GEHERATOR
SIGNATURE/DATE
DISPOSAL L~OCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
61,~5 Cox L~ne, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833383
05/03/11 05/03/11
12:19 12:33
Steph
11100TC
25.11
Scale 2 Gross Wt. 87220 LB
Scale 1 Tare Wt. 37000 LB
Net Weight 50220 LB
TON OUTGO,MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833383
05/03/11 05/03/11
12:19 12:33
Steph
11100TC
Scale 2 Gross Wt. 87220 LB
Scale 1 Tare Wt. 37000 LB
Net Weight 50220 LB
25.11 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
3996
GENERATOR
THIS MANIFEST IS FOR REFERENCE PUR POSES,,,~NI.Y. GEJ~E~I~ATOR~O~S NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME AN~Iq, JABI~:~Y~'~,~OCIAT/ED~J~flTH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ~,~2~(,,~ ,f :~! /~/"/~ SHIP DATE:
LOOSE: , ('-' (GU YDU)
BALES: (COUNT):
TRUCK WEIGHT: ~ ~ ~(~ GROSS
77.~/d~ 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 HA~.AROOUS WAS~ 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~ORDING TQ APPLLCABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
RA.SPORTAT.O., REIGHTOO ,
/ · i
TRUOKNO.~__ ~: ~LICENSENO/STATE: / t/D~
'RAILERNO. / ~'~ LIOENSENO/STATE: ~/ ~/~"~ 7
I HEREBY OERTIff ~AT THE A~VE ~D MATE~L ~A~ PI~KED UP AT THE GENERATOR ~IT~ LISTED ABOVE, AND THAT IT
DELIVERED ~THO~ ~ClDENT TO THE DESTINATI~ LISTED BELOW.
DRIVER:
(PRINT NAME)
(SIGNATURE)
DEST~_~TIO"
DISPOSAL LOCATION: //7~ /.1 ,, /
~ ~' ~l_.~c~ DATE DELIVERED:
ADDRESS:
/
I HEREBY CERTIFY THAT T~ A~VE ~IAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KN~EDGE ~E INFOR~TI~ PROVIDED
IS TRUE AND ACC~TE:
RECEIVED BY:
KEY:
AUTHORIZED AGENT(PRINT NAME)
WHITE TO DISPOSAL LOCATION
GREEN TO TRAN~PGRTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL L~)CATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833588
05104111 05/04/11
07:57 08:08
GS
11100TC
Scale 2 Gross Wt. 73940 LB
Scale 1 Tare Wt. 36760 LB
Net Weight 37180 LB
18.59 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833588
05/04/11 05/04/11
07:57 08:08
GS
11100TC
Scale 2 Gross Wt. 73940 LB
Scale 1 Tare Wt. 36760 LB
Net Weight 37180 LB
18.59 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
NO. 3997
/~ GENERATOR
THIS MANIFEST IS,FOR REFERENCE PURPOSES ~IHE f ~T~OR DO. IES/~T TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS
SE,NG S.,PPED AND ~S"OT'~E ANY L~.~.':~/~ TE~H THE ~.,PME.T OF SUON MA,ER,ALS.
COMPANY: -~f,/~/./r ,/////~ ~/~,, ~.. SHIP DATE:
COMMOD~ S.,PPED; ~ 5 ~-~
BALES: (COUNT):
TRUCK WEIGHT:
~¥ O GROSS
~,~ ~ '~)~:20 TARE
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
TRANSPORTATION/FREIGHT CO.
TRUCK NO. "~
TRAILER NO. /
TRANSPORTER
L,cE.SE NO/STATE: / / / ~_~ 7~:-
LICENSE NO/STATE: /2/) ~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:
(SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
~ DESTI~,JATION
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 L(~CATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82800 LB
Scale 1 Tare Wt. 36700 LB
Net Weight 46100 LB
23.05 TON OUTGO.MSW
01 00833715
05/04/11 05/04/1
12:43 12:54
Outbound - Charge ticket
GS
11100TC
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11938
009289 Trinity Transport
01 00833715
05/04/11 05/04/11
12:43 12:54
GS
11100TC
23.05
Scale 2 Gross Wt. 82800 LB
Scale 1 Tare Wt. 36700 LB
Net Weight 46100 LB
TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
3998
GENERATOR
COMMODITY SHIPPED: . .~x'~ ~
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, I$ 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 TRANS~I~N ACCORDING TQ APPLICABLE REGULAT,ON.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ~' ~GNATURE)
TRANSPORTATION/FREIGHT
TRUCK NO.
TRAILER NO.
TRANSPORTER
lE:
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:
NAME)
(SIGNATURE)
ADDRESS:
DESTINATION
DATE DELIVERED:
I HEREBY CERTIF~ THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
I$ 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 L;JiCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 85820 LB
Scale 1 Tare Wt. 36320 LB
Net Weight 49500 LB
24.75 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2'011 MEMORIAL DAY!
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. 85820 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36320 LB
24.75 TON OUTGOMSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
08625
GENERATOR
THIS MA~I~T~I~:I~fl R~'~EN~E PUR~..~ ONL.¥. ~E.RATOfl DOES NOT TAKE ~ ~)flTITLE OF ANY CARGO OR MATERIALS
BEING M"~PI~=D zJr~ND DO~,,~ ~: A,,,~UME ANY' UAJ~,-ITY A~OCIATED WIT'H THE SHIPMENT OF SUCH MATERIALS.
COMPANY: -]0"{~1%.~ O ~' ~OL,~'T ~t,'~ ~ ~ SHIP DATE:
COMMODITY SHIPPED: ~V~ 5~rJ
LOOSE: ~ 0 (/ (CU YOS)
BALES: (COUNT):
TARE
· COt,E) ION FOR TRANSPORTATION ACCORDING TQ ~d~'~E II~'"I3U[ATION,
(3L~ERA.TOR ~O AGEM'T(P~ NAME) (SIGNATURE)
TIRAI~KNI~A~FIM:IGHT CO.
TRA,'E. J fl
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
I HEREBY ~ER"FIF'Y 'tHaT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SI~LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW· /
DRIVER:
,G
{PRINT NAME)
DESTINATION
DISPOSAL U3CATION:
ADDRESS:
iI~T~RuEE ~~~ ~ ~T~T .'I~HE~I'E~ HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
RECEIVED BY:, ,
AUTi~D AGi~NT(PRINT HAME)
? ~KEY: WW~lq~ ~ LOCATION
-- , 'i -,TER.
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
01 00833801 MC
DATE iN I~ATE ~ ~C~LE ROLL O~F
05/05/11 05/05/11 11110TC
Scale 2 Gross Wt. 81980 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35140 LB
23.42 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 952
Cutchogue, NY 11935
009289 Tdnity Transport
Scale 2 Gross Wt. 81980 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35140 LB
23.42 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE
HO. 3999'
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONL..y.~ GENEI~T~)R DOE~ I~OT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LI~.~TY A~TED )ll/~ ,T~ THE SHIPMENT OF SUCH MATERIALS.
CO~PA.V: /,'/,~ ? //'1/~/,~' s.,~ DATE:
LOOSE: / / ~J (cu YDS)
BALES: (COUNT):
T. UCKWE . : G.OSS
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 26t OR ANY APPLICABLE STATE LAW. HAS,BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTO)
(SIGNATURE)
TRANSPORTER~, ~./
TRANSPORTATION/FREIGHT CO.
TRUCK NO, 3
TRA,LER .O./
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
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:
KEY:
AUTHORIZED AGENT(PRINT NAME)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOTCATION 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.
81000 LB
36120 LB
LB
22.44 OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL 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. 81000 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36120 LB
22.44 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
No. - 08626,
COMPN~IY:
COldMoorrY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
GENERATOR
~1~ 18 FOR. REFERENCE PURI~ t3~Y. GENERATOR DOE'] NOT TAKE t~:)I~ OR'TITLE OF ANY CARGO OR MATE RIALS
~ AN{)BOE$ ~T.~ ~ ~1~ ~IA~ ~ ~~ OF ~CH ~TER~LS.
] O o (CU YDS)
~_/~_~~ =T~=__T THE ~ I"~M4ED I/,A'r-~IAL ~ NOT GONT~I ~ LIOU]D A~ DEFINEO:~ 40 C, FR:I~T 260.10 OR ANY
DE~ESORII~';,{~I:R~,It~{~D .,~ PACKAGED, AND I$ IN PROPER COI{iDITION FOR ~ATION ACC(~H~II~3 1~ AI~UOABI~.E REGULATION.
~TOI~lkUTI.IO~IZED AGENT(PRINT NAME)
(SIGNATURE)
DATE DELIVERED: :~)7~. ) I t
I HE FIE~YI(~.RTIFY ~T 1'!~E MATERIAL HAS BEEN ACC EPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE JM~D ACCU~I~E:
_ '- RECEIVEDSY
; AU~H~I~I~'~ AGENT(PRINT NAI~)
SIGNATURE/DATE
DISPOSAL LOCA'F~ TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Tdnity Transport
Scale 2 Gross Wt. 78180 LB
Scale I Tare Wt. 35700 LB
Net We 42480 LB
21.24 OUTGO.MSW 0.000
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685;
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL 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. 78180 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35700 LB
21.24 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
NO. 4000
GENERATOR
THIS MANIFEST ISFOR REFERENCE PURPOSES ON[.Y. GF~NERATpfl Dor:~IQ.T TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED ~ DOES NOT ASSUME ANY UAB~I~ ASSOC~)~'~.D .WI.~'*H THE SHIPMENT OF SUCH MATERIALS.
LOOSE:
SALES: (COUNT):
TRUCK WEIGHT:
/', ¥os>
GROSS
-~"-':~:> TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES'NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR, PART 260.10 O[~ ANY
APPLICABLE STATE I.~, IS NOT HAZARDOUS WASTE AS DEFINED $¥ 40 CFR PART 261 OR ANY APPLIOABLE STATE LAW. HAS BEEN PROPERLy
DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONI~TIQN FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTATiON/FREIGHT CO.
TRUCKNO. 7 r ......
TRAILER NO., 7~,/?
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
I HERESY C~ER~I~'Y THAT THE ABOVE NAMED MATERIAL WAS PICKEO UPAT THE GENERATOR SITE LISTED ABOVE; AND THAT.~J~_ S
DELIVEhED ~(ll~UT INCIDENT TO THE DEST NATION L STED BELOW.
DRInkER: i~..:, IPRINT~NAME} ~'~ ~I /~ ::iSIGNATURE)
DESTINATION
DISPOS~[OCATION: (..,/' b'~-' ''~ '" :/~L, '""-" DATE DELIVERED
/
ADDRESS:
:~TERRuE EBYACHN D~RAT~cc~AT~..TH E ABOVE NIATERIAL.~S BEEN~AOOEPTED AND TO'THE BEST OF MY KNOWLEDGE THE INFC;RMA;~'~'~E D
RECEIVED BY;
~ AUTHORIZED AGENT(PRINT NAME)
KEY: WHITE'~ DISPO6AL LOCATION
YELLt~-TO TI~NSPORTEI~;:.
PiNK TO GEflERATOR, :
GOI.D TO GENERATOR' r~ DISPOSAL LO~ATION TICKET NO.
SIGNATURE/DATE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transpod
Scale 2 Gross Wt. 80920 LB
Scale 1 Tare Wt. 36940 LB
,.. Net Wei,qht 43980 LB
21.99 TON OUTGO.MSW
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
Outbound - Charge ticket
0.000
0.00
0.00
0.00
J
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
/
Scale 2 Gross Wt. 80920 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36940 LB
21.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:
CLOSED HOLIDAYS - QUESTIONS CALL 531-734-7685:
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
.o. 06416
BALES: {COUMT): /'-~/-..'- _
"! ":;~ '('~"~ NET
__
~ENERATOR A~ AOENT(PP, INT NAME) / ~ (SIONATURE)
TRAILER NO,
LICENSE NO/STATE:
LICENSE NO/~TATE: //~
t HERE8~ CERTIFY 114RT ~ ABOVE.NAMED MAT~RIAL WAS PICKED UP AT,THE GENERATOR SITE LISTED ABOVE. AND THATR* WAS ' 1
DELIVE/~EOw'crHob~N¢~INT~TO THE DF.~TINATDN LISTED BELOW.
(PRINT NAME) (SIGNATURE}
/
ADDRESS:
DATE DELIVERED:
I NEI:IEB~,CLRI"RIIq~'TI'IAT TNE ABOVE MATERfAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE 4NFORMARrlONPROVIDED
IS TRUE ANO
A~ AOL=NT(~W~rr RAME!
SIONAT~TE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Tdnity Transport
Scale 2 Gross Wt. 85200 LB
Scale 1 Tare Wt. 37000 LB
Net Wei 48200 LB
OUTGO.MSW
24.10
00834201
05/06/11 05/06/11
GS
11100TC
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL 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. 85200 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37000 LB
24.10 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
064~7
EING SHIPloaD AND DOE8 NOT ~E~JME ANY~[~B~JTY Jll~il~ TIL~ ,~FrH THE ~4~,4ENT OF SUCH~MA~iA~:
COMPANY: /"~c-~'/ / /'~'///~'/~ SHIp DATE:
COMMODITY SHIPPED:.
LOOSE: (~u YDS)
BALES: (COUNT);: ,: "c~
TRUCKWEIGHT: ~ ~ ~_..C:..~ GROSS
IHEREBY O~RTIFTI'~TH&T THIE AIOVE NAMED MAT~ :~a~.r~ MOT:CONTABd FREE rJQUIO A8 DEFihlED: By 40 CFR, PART L~60,10 OR ANy
APPLIGA~LE ~rATELAW. I~ NOT ~ w/~rE~l~ D~FIMEDI¥.40(:::FR4UliI=rr ~: ~~:~ATE ~W, ~ ~E~y ~:
[: - DESCFII~ED, ~D TO APPLICABLE REG[R.ATION,
QENERATOR AUTHOIMZED AGENT(PRiNT NAME) (SIGNATURE)
TRANSPORTATION~RI:IGHT CO.
' ///oo-/
TRUCK NO. . ~) LICENSE NO/STATE: ~-~
TRAILER NO. 2
! HEREBY I~L~TJFYLTHAT THE ABOVE ~ MATERIAL WA~ PICKEO UP AT THE (~ENERATOR $~TE LISTED ABOVE; AND T~AT IT ~ ~:
DELIVERED W1THO~T INCIDENT TOTHE DESTINATION UB~ BELOW.
DRIVER:
(PRINT'N~AME) ' (SIGNATURE)'
DISPOSAl:LOCATION:
ADDRESS:
raTION
DATE DELIVERED
I HEREBY G"E~ THAT TH~ ABOVE MAT~RIAL-HAS:BEENCACOEP~ED AND TO THE BEST OF MM KNOWLEDGE THE INF~TION PROVIDED
RECEIVED
SIGNATURE/DATE
DISPOSAL LOGA'T*~ON TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cut, chog.ue,. NY 11935
009289 Trinity Transpod
Scale 2 Gross Wt.
Scale 1 Tare Wt.
17.54 OUTGO.MSW
82080 LB
47000 LB
35080 LB
Outbound - Charge ticket
0.000 0.00
0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL 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. 82080 LB Outbound - Charge ticket
Scale 1 Tare Wt. 47000 LB
17.54 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
~. 06418
LOOSE: ' ~-~' (GUYOt)
AGENT(PRINT NAME) -
(SIGNATURE)
TRUCK NO. /' LIGEN~E NO/STA~E: f 11 ~ g~/(-
I HEREBY CERT'I~Y. THA1P~THE ABOVE NAMED MATERIAL WAS PICKED' UP AT:THE GENERATOR SITE LISTED ABOVE. AND THAT. IT WAS
DISPOSAL LOCATION:* DATE DELIVERED:
ADDRE~.R:
I HEREBY {~R~'II~' 'TI'~T TI'~ ABOVE MA'TERIAL HA8 ~BEEN ACCEI~:ED AND TO THE BEST OF k~" KNO~VLEDGE THE I~FORMA,'TION PROVIDEO
RECEIVED BY:
A~D AG~NT~FItNT NAM~
INMK TOOEII~TOR
GOL~ TO~EMERATOP. DISPOSAL LOCATION T~.,KET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
· 009289~ Trinity Transport
05/07/11 05/07/1
11103TC
S~le 2 Gross Wt. 86220 LB
S~le 1 Tare Wt. 37800 LB
48420 LB
TON OUTGO.MSW
24.21
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
Outbound - Charge ticket
0.000
0.00 0.00
0.00
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
11103TC
~. N .,~ welam 4~4zu L~ J
24.21 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
S~le 2 Gross Wt. 86220 LB Outbound - Charge ticket
S~le 1 Tare Wt. 37800 LB
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:,,~ .... i' ir ~' ~ ',,.,'" '~ ' SHiP DATE: /~ ~' ,// ~r
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
GROSS
TRUCK WEIGHT:
_~ i ~ ~ ::' 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/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 MATE:RIAL HAS BEEN ~CEPTED 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.
24,25 OUTGO,MSW
83680
35180
48500
LB
LB
LB
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
0,00
J
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 83680 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35180 LB
24.25 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
- 064~9
THI~. f,~MII~I'~.FOR ~ {I~URI~E~OI~'"'z~,~ i~ ~MOT TAKE ~ OFI TITLE OF AN~ CARC-K) OR MATE RIALS
BEING ~4~ED ~N~IX~SNO~ ~ME ~ L~~TEO ~H'THE S.,PUEtrr OF SUCH MATERIALS.
COMPANY: ~rj.~/ ~ -- SHIP DATE:
COMMOOITY SHIPPED:
LOOSE:
BALES: (COUNT):, .
TRUCK WIGHT:'
{CU YDS)
TARE
I ~ ~BRT~n/':.~T:TH~'~,BQ~J~ ~NA~E~ m'L~ER~I..~OE~ NOT ~ {I;REEI.~{:~IO ~ DEFINED BY 40 DFR PART 260.1,0 OR ANY
GENERATO~ AU'TH~IZED AGENT~:~RINT N. Mi~E) (SIGNATURE)
////// ,,
TRANSPORTATION/FRF ;GHT CO.
I ~Y' C~ ~T ~ ~-~D ~ ~S ~ED ~ AT ~ rOE~RA~R SITE LISTED A~VE, ANO T~T ~ WAS
~LWE~.~ ~CID~*TO ~E:D~T~ LISTED
' (~ ~) (S~RE)
DISPO~M,. LOCATION:
ADDRESS:
DATE DELIVERED:
/
I HEREBY ~ tt"I'f~T'THE ABOVE MATERIAL ~ BEE~AGCEPTEDAND TO 'THE BEST OF MY KHOWLE DGE THE IMFO~IM~TION PROVIDED
IS TRUE AND ACCIJR~I~:
RECEIVED B't': ~ A~ENT(PRINT NAME)
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 72920 LB
Scale 1 Tare Wt. 36760 LB
Net Wei 36160 LB
Outbound ~ Charge ticket
18.08 TON OUTGO.MSW 0.000
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
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. 72920 LB Outbound - Charge ticket
;cale 1 Tare Wt. 36760 LB
18.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00
C)neratinn hours 7:nn AM fo B:~3~3 pM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685~
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAYI
SIGNATURE
.o. 06420
GENERATOR
' ~ '~/ '~ SHIP DATE:
L~SE: ~ (CU Y~)
~8: ~
TR~K ~: ~
I H~FI~'~ -~14E A~ N~t~ ER3E~-NOt' ~OI~rAINFIREE LII~JtO* ~ I:~r, FINF_,D. BY 40 CFR PART ,~180,'t0 OR 'ANY
TRANSPORTATK~RF~GHT CO. _
TRUCK NO. ~'~
TRAILER NO.
~ N~TATE:
LICENSE NO/STATE:
I HEREBY CERltFY :THAT THE ABOVE NAMED~TERbt, L WAS PICKED UP AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS
DELIVEREI) W1THOUT JNClD~ TO THE DESTI~TI~ LISTED
(PRINT
(SIGNATURE)
DISPOSAL LOCATION: '/'~ ~ DATE DELIVERED:
ADDRESS:
I HEREBY ~ ~ THEABOVE MATERIAL HAS BEEHA~-CERTED ~ TO THE BEST OF MY KNOWLEDGE :file INFC~MikTIONPROVIDEO
I$ TRUE AND ACCURATE:
RECEIVED BY'.*
SlGNATURE/~TE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trihit~Transport
00835372
Scale 2 Gross Wt. 80880 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35180 LB
N
22.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
' i
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 982
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80880 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35180 LB
~. IN at Wei(~ht 45700 L[~ .~
i 22.85 TON OUTGO.MSW 0.000 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; 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY.~
SIGNATURE
06421
,GWATOR
8ET~iNM~IIFi~T]8~FOR ~~Y. ,NOT TAKE PO88~NOR TI~E ~ ~ ~ ~ ~TER~S
~- ~/ ~ S~P DATE:
(CO
BALES: {COUNT):
TRUCK WEIQHT:
TAaE
q %700
I ~.~GEttlllR' 11'IRT TIlE ABOVE I~,MED MATERIAt.' ~ NOT O0~rAIN FREE LIQUID AS DEFINED BY4~ :0FIR ~ ~IO,OR-ANY
APlat.~t.&tM. ]I~,M:)T H,~a!~RD(X~ W&~STE AS I:)EF~I~ED~40 OFR pART2~I O~ ANy ApPUCASLESI'AT~:~i~iOi~R~.y
*Ol~aCRl~rO. ~/JI,,~B~IqF. D &l~9 PA(~,A~ED. At'JO I~ 1N PRO~R.CONOITtON FO~ TR/d~ISP'JORTATIO~ RCCORDINI~ TO, AP;I~tC&Bt.E REGULATION..
~I~IIATOR Atfll'IOI~ZED A~ENT(I~I~I' NAIdE)
(SIGNATURE) '
TRANSPORTATION/FRI=IGHT CO.
TRUCKNO.
TRAI~ER NO.
LICENSE NO/STATE:
LICENSE NO/STATE'
I HERE~Y OERltFY-'THAT 'TILE ABOVE N~MED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ~:)VE. ANO THAT IT WAS
DEUVERL=D~/~NOUTINCdDENT TO THE DESTINATION LISTED BELOW,
DRIVER:
(SIGNATURE)
DISPOSAL LOCATION:
ADD~:
DATE DELIVERED:
I HEREBtt~*C;EffrlFY 11,~T THE ABOVE MATERIAL HAS'BEEN ACC~EPTED AND TOTHE BEST OF MY KNOWLEDG~ THE "INF~:)RMATION PROVIDED
RECEIVED BY:
KEY:
AUll'K)~IZED AGENT(PRINT NAIEE)
Tt &qlT[ TO, OI~ItOGAL LOCATION
SIGN~"TuRE/DATE
(~0[D I~.~MER~TOR OISPO~IM. LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6165 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 'R'inity T~'ansport
Scale 2 Gross Wt. 78660 LB
Scate 1 Tare Wt. 34700 LB
43960 LB
00835557
DATE~
05/10/11 05/10/11
11100TC
Outbound - Charge ticket
21.98
TON OUTGO.MSW
0.000
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00 0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 982
Cutchogue, NY 11935
009289 Trinity Transport
SIGNATURE
Scale 2 Gross Wt. 78660 LB Outbound - Charge ticket
Scale 1 Tare Wt. 34700 LB
21.98 TON OUTGO,MSW 0,000 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~ 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAy!
SIGNATURE
06422
TARE
NET
i VK~E~Y.~RTJP~ ~T THE:ABOVE MAMEB~JI~ DOE~ NOT GOI~lr, JuM Fgr~f, JQUR~ ~I~..OEFINEO ~ ~'-~R P~T'~O OR ANY
AP~~. ~~~A~ ~ ~ ~~ ~~ ~T~E ~ ~ ~ ~Y
.... ~'~~ P~D. ~ ~ ~ ~ ~ ~RT~~ ~ TQ A~LE ~T~.
GENERATOR AUTI40~[ZED AGENT(PRINT NAME)
TRANSI~ORTAT~I=tGHT CO~
TRUCK NO.
TRAILER NO.
LICENSE NO/STATE:
LICENSE NO/STATE:
/
I HEREBY GERTIFY THATTH~ A~BOVE NAMED'MATERIAL WAS PICKED UP A,T THE GENERATOR*61TE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT ~NCtOENT TO THE DESTI~ATIOI~LI~TED BELOW,
DRIVER:
(PRINT NAME)
(SIGNATURE)
DISPOSAL LOCATION:
ADORE. SS:
DATE DELIVERED:
INERE~'Y GERTIF~ 1'trOT TIlE ABOVE MATERIAL HAS BEEN ACCEPTED ANDTO TIlE BEST OF MY KNOWLEDGE THE INFOflMATIOI~PROVIDED
IS TRUE ;I~D ACCUflATE:
AUTHORIZED AGENT{PRINTNM~)
SIGNATURE,/OATE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82460 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36740 LB
Net We 45720 LB
f~ Q'r¥. ~ · ~; PATE ~O1~ FEE ~OT~L ~,
22.86 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82460 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36740 LB
45720 LB
22.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 531-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DA'(!
SIGNATURE '" '"
06423
"- '~m r ~ . '- SHIP DATE.
LOOSE: " ~' ~"~ (CU Y~)_ '
~S::~
~ ~ ~ TARE
DRIVER:
(PRINT NAME)
(SIGNATURE)
DISPOSAL.: LOCATION:
ADDRESS:
IHEREB'f OER'T~F~ '~i~J~T THE ABOVE MA*TERIA4. HAS BEEN AC;~PTEO AND TO THE BEST OF MY,KNOWLEDGE THE INFORMATiON'PROVIDED
18 TRUE
Aummlm~o
$1GNATURE~ATE
GOU~IO]g,~IIERATO~ ~ LOCA~ TI~(ET: NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
20.33 TON
Scale 2 Gross Wt, 78440 LB
Scale 1 Tare Wt. 37780 LB
40660 LB
OUTGO.MSW
Outbound - Charge ticket
0.000
i
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAy!
0.00 0.00 0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Tdnity Transpo~
SIGNATURE
Scale 2 Gross Wt. 78440 LB Outbound - Charge ticket
Scale 1 Tare Wt, 37780 LB
20.33 TON OUTGO,MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week,
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685, 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
No 06424
GENERA'r~
I~ ~ ~*,R~IR RF. FEIIIENO~ i ~, J~l~ 3 ~{ ~1L%~~ NOT T&~E'I~O~S~$ON OR TI~ ~'AN~ ~ OR ~ TERIA~
C~ ~ ~" * SHIP DATE:
I HERI~YGERTIIIY~"[HKT'~O~E RL~IEi~-I~IE& NOT~OOI~r&I~FREE LIQUID AS OEFINED-BY dO CFR PART ~60.10 Off ANY . =
AP~~.b~, J~ ~~e~TE ~I~ ~FBIEO ~BY ~ CFR PR'R'~2~ t O1~ ~ :~TATE~-H~ ~EEM ~qO~ERL¥ ~
DE~K~IB~, ~t~FIED ~P'~"K~G~ED. AND:ISfl~.PROP~R~ONDITION FOR~. AC:CORDINGTQ APPLIGABLE R~EGULATION.
Grd~-lt~TOfl AUlD AGENT~PRINT NAME) ~ ,~IGNATURE)
TRANSPOflTATION/FRFIGi. fl' CO. ~
TRUCK NO.
DRIVER:
DISPOSAL LOCATION:
ADDRESS:
(SIGNATURE)
DATE DELIVERED:, .
I HE4:IEBY CER'RP~ THAT THE ABOVE MItTERIAL HAS BEEN ACCEPTED AN[YTO THE BEST OF MY'KNOWLEDGE THE iNFORMATiON ~VtDED ,
IS TRUE ANO ACOUflATE:
RECEIVED BY:
^UTROR ZED .m'(eaen
$1GNATUR~:/DATE
DISPOSAL LOCATION TICKET
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80820 LB
Scale 1 Tare Wt. 46880 LB
Net Wei,qht
16.97
TON OUTGO.MSW
Operating hours 7:00 AM to 5:00 PM 7 days a weeK.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY MAY 30, 2011 MEMORIAL DAY!
00836041
05/12/11 05/12/11
11100TC
Outbound - Charge ticket
0.000 0.00
0.00 0.00
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 80820 LB Outbound - Charge ticket
Scale 1 Tare Wt. 46880 LB
~ k et W~inht 33940 LB
16.g7 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to ,~ :00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06425
LOOSE: ! ~ ~ {CO YDS)
TRUCK WEIGHT:
TARE
I HEREBY.CERTIFT THAT THE JkgOVE'NAMED,MATER1RL BOE$ NOT_CONTAIN FREE 'LIQLaD A$*DEFINEO BY ~10 CFR ,PART LN~LI0-OR ANY
APPUC, ABI, E ~lrAl~E tAW. I~ NOT H/iZRROOUS WAS"T,E A~LDEFJNEDBY 40~CFRPAI~2~I:OR~NY ~E STATEL~.~EER ~¥ * -
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTA~RF ~[-rT. CO.
TRUCK HO.
TRAILER HO..,_
R
LICENSE NO/STATE:
LICENSE NO/STATE:
I HEflE~,Y GERTIP~ 31{AT 11'1E ~ NAMED MItTERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WI31'IOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
NAME)
ADDRESS:.
(SIGNATURE)
DATE DELIVERED:
I HERF..B~ CERTIFY THAT TH~ ABOVE MATERIAL HAS BEEN ACCEPTED ANDTOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE ANO ACCURATE:
RECEIVED BY:
KEY:
AUTHORIZED AGEHT(~IINT NAME)
StGNATURF~DATE
D~qaOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
11100TC
20.65
Scale 2 Gross Wt.
Scale 1 Tare Wt.
76900
35600
41300
LB
LB
LB
Outbound - Charge ticket
OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
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. 35600 LB
i~~t W~inht 41300 LB /
20.65 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE ~' ~/
06426
THI~ ~'REFEtRltN~ I~U~P~'"~ ' :. -- - - II~T TAKEPO~SE,~,~ON4~R T~TLE OF ANY CAR~iO OR MATERIALS
COMPAI~: SHIP DATE~
L~::· - - / ~'L*"/ (CU"'~ YDS)vr~'
GROSS_
*THAT,THE'ABO~E ~AMIIEB,-~ ~ NOTGOMI~INFREE,[~(iU~O A~- DEF';fJED BY*40 CFR PART ~80.~00~ ANY
AINN3P..,A~,E~ITE tAW, I~NOT ~~ ~I~IRN~I~'4~I~ J~RT ~!~1 ~II~AMY ~Ai~ESTATE t~4W, t.IAS.~NPROPER~Y
(~:NERATOR AUTHORIZED A~i~NT(PRINT NAME) (SIGNATURE)
TRANSPORTATION/FRFIGHT iCO.
TRUCK NO.
TRAILER NO.
TATE:
LICENSE NO~TATE:
I HEREBY ,G~R'~B:Y THAT THE !ABOVE NAMED MATERIAL WA~ PICKED UP 'AT THE GENERATOR S1TE I:I~ITED-ABOVE.· ANO THAT IT WAS
DELIVERE~ WI*TkX~JT INCIDENT TO 'THE DESTINATION LI~"I~D B~LOW.
DRIVER:
(SU3NATURE)
ADORERS:
DATE DELIVERED:
IHEREBY ~...,ERTIF~ TROT 'T~E .,~BO'~E MATERIAL I'IA~BEENACCEPTED AND TOT*HE BEST OF MY KNOWLED(3E THE INFORMATION PROVIDED
SIGNAT~ATE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transport
Scale 2 Gross Wt. 75700 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37080 LB
Net Wei, 38620 LB
19.31 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Tdnity Transport
Scale 2 Gross Wt. 75700 LB Outbound ~ Charge ticket
Scale 1 Tare Wt. 37080 LB
~ ~-t Weioht 38620 LB ~
19.31 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
06427
BALES: (I~N.INT): --
TRUCK WEIGH~:
TARE
I ~L'~ THAT THE ABO~:~,MATERIN~ ~:NOT CONTNN FREE, LIQUID AS DEFINEO BY 40 CFR PART ~60.10',OR ANY
APflUCAB[E ~ I~Mff, I~ ~~: ~-40:1~R~.2~ 'I~OI~MI~ ~ ~ATE ~ ,:~ ~ ~ERLY
~ AU~DAG~(P~T~) (S ~ URE) -
TRANSPORTATION/FRF IGHT CO.
TRUCK NO.
TRAILER NO.
~R
LICENSE NO/STATE:__
LICENSE NO/STATE:
J HEREBY CERTIFY THAT THE ABOVE NAMED MA~TERIAL WAS PICKED UP AT THE 'GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIOENT TO'THE DESTINATION U8TE~ BELOW',
DRIVER:
(SIGNAT'URE)
DISPOSAL LC)~,ATION:
DATE DELIVERED:
/
ADDRESS:
I HEREBY~g~filI=~ *'R~i~T THE ABOVE MATERtA-L HAS BEEN ACCEPTED ANOTOTHE BEST OFMY KNOWLEDGE THE INFORMATION PROVIDED
S~4AYURE/OATE ' '
QOU~I~ENEI~TO~ DISFO~AL LOCATION TIGKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Tdnity Transport
Scale 2 Gross Wt. 77960 LB
Scale 1 Tare Wt. 37000 LB
Net We 40960 LB
20.48 OUTGO.MSW
00837493 MC
05/16/11 05/16/11 11100TC
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL 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. 77960 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37000 LB
20.48 TON OUTGO.MSW 0.000 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06428
mA/OR
~'.
.- - GENEI~ AUTHORIZEBAGEt'~r(PRIffr nME) ' -- (StGNATUi~E)
DATE DEUVERED:.
ADDRESS:
I I.IEflE'~Y*~I~J'II~/'ER*T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED ' ~
SI(~NATUflE/~AT'E ' '
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
21.25 OUTGO.MSW
79660
37160
42500
LB
LB
LB
00837598
05/16/11 05/16/11
MC
11100TC
Outbound - Charge ticket
0.000 0.00 0.00 0.00
Operating
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL 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. 79660 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37160 LB
Net Wei 42500 LB
21.25 TON OUTGO.MSW 0.000 0,00 0.00 0.00 !
Ooeratin(~ hours 7:00 AM to 5: )0 PM 7 days a week ...................
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685,
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAE DAY!
SIGNATURE
NO. 06429
GENERATOR
THIS M~NIIIIE~r I~ ~ ~ Pt~qflO~.ONLY.~TO~D~ NOT T~ ~S~ ~ ~E ~ ~ ~Ofl ~TERIALS
8Hm D~TE:
~LES:
~.~ TARE
I HERE~Y (UERT'~ :I~RT THE ~O't~E/NMIE~M/LTEI~L D~:NOT,COI~"AJN'FREE UClUID ~i~ DEFINED'BY 40~CFR PART,~. ~ O~ ANY
. AppLK~BI~S~TE LAW, IS~ ~V~I~E~A~S ~INL~ By 40CFI~ PAI~/,~S,I ORANY ~ BTKI'E ~f/~ HAS ~ ~E~y
OESGRIBED.:C4alK.q~EqED-,~ND P~. AND:,~-:IN PROPLI~,~oNDrt'ION ~ ~AT~ ~ TQA~REt~ULATION.
(SIGNATURE)
C NO. n ~" LICENS=NOtSTATE:
TRAIl:ER NO,~ LICENSE NO/STATE: ~ /
I HEREB~r OEBllFY -11t4AT THE ~MIOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE L1STED ~OVE. ANDTHAT 'IT WAS
DELIVERED WI~'t4OUT INCIDENT TOTHE DESTINATION.IJSTED BELOW.
DRIVER:
CPRINT NAME) (SK~ATURE)
ADDRESS:
DATE ,DELIVERED:
I ~~ ~ THE ABOVE MATERIALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE IflFORMATION PROVIDED . '
RECEIVEDBY:
A~O RGENT(PRINT
SIGNATURE/DATE
~ TO ~iENEI~TOR 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, 85400 LB
Scale 1 Tare Wt. 36200 LB
LB
Outbound - Charge ticket
24.60 OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
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. 85400 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36200 LB
~. F, ~t W~inhf 492D0 LB
24.60 TON OUTGO.MSW 0.000 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06431
· ' I HEREBY ~ ~I',IAT ,11~'kgOVE ~r ~ .~:~T CQI~AIN'FREE:LI~II~ T~ OEFINED B¥'4~ :Ct~R FART ~6~.tO OR. ANY
GENEI:~TOR A~IZED AGENT(PRINT NAME) iSIGNATURE)
TFIANSPORTATION/FRF:IGHT CQi,~ ~'// / //t~y
TRICK HO. ~'~ .,,.~ LICENSE N(~TATE:
TRAILER NO. / L/"'7 LIC~NO/~TATE:
I:~ (~:I;~FY:THAT THE..NM3VE'NAI/IEO MATERIAL',WA~-PICKED UP AT-THE (3ENERATOR SITE ·LISTED 'ABOVE; AND THAT IT WAS
DELIVEI~IEO ~rlNCIO~q~ TO THE:DESTINaTiON LISIqED BELOW. -
(PRINT,NAME) (SIGNATURE)
DISPOSAL LOCATION: /~/:/ DA~i~'E DELIVERED:
ADDRESS:
I ~:;~RI'4IW-I~H~T THE ABOVE MA~ERIAL. HASBEEN AIP. A"...EPTE D AND TO THE BEST OFMY KNOWLEDGE THE tNFOfliHATION PROVIDED
RECEIVEO~¥:
Si~IA~TE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
r scaie 2 Gross wt. 75620 LB
Scale 1 Tare Wt. 36840 LB
Net Wei 38780 LB
19.39 OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL 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. 75620 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36840 LB
~_ N ~t Weioht 3~7{~9 LB
19.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06432
rotOR
BALES:
TRUCKWER31~r~:
NET
~ A~IZED A~(~ ~ ...... (S~NAT~E)
/
//
I ~ ~ ~T~ ~E ~'~R~.WAS PI~ED~'~ AT ~ G~R SITE LISTED A~VE. ~D ~T ~ WAS
~L~ ~~E~ ~ ~ ~T~ L~TEO ~
DRIVER:
DE~'iN~TION
-
ADDRESS:
(SIGNATURE)
DATE DELIVERED:
I HER_r--~Y"I~IT*&~Y~T IR4E ABOVE MATERIAL ~ BEEN'~EPTED ANO TO THE BEST OF MY KNOWLEDGE TH~ ~T~ON PROVIDED
IS TRUE ~ AC~JRATE:
RECEIVED B~': '
-SIGNAT~TE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77280 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36620 LB
Net Wei 40660 LB
20.33 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77280 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36620 LB
40660 LB
20.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weekl
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06433
s~.~ ~ ,au mms,,o~ ,,,.~ ~w ,,sp)~T .~n m ~,.~ s,~p,s~r o~ s~
~: .~ L SHIP DATE:
./( L? (CU yos)
TARE
TRAN~PORTA~F~3HT CO~ /
Ta^ R No.
LICENSE NO/STATE:
LICENSE NO/STATE:
I HEREBY Cel~nF'f' I~AT TH~:ABOVENAMED MATERIAL WAS PICKED UP 'AT THE GENERATOR SITE LISTED ABOVE, AND THAT tTWAS
DELIVERED WITHOUT INCIDENT*TO THE DESTINATION LI~TED BELOW.
DATE DELIVERED:
I HE RE~ OE:J~IPt"~ THE ~'~BOVE MATERtALHAS 8EENACCEPTEDAND TO THE BESTOF MY KNOWLED~,,~E THE JNPORMATK)N PROVIDED
IS TRUE N~ID .AC~,NIATE:
SIGNATU~TE
GI3~DIOO~M~,ATO~ DISPOSAL LOGATIONTI~KET 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 Wei
25.49 OUTGO.MSW
86920
35940
50980
LB
LB
LB
00837883
05/18/11 05/18/11
GS
11100TC
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 86920 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35940 LB
50980 LB
25.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685,
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
06434
co P,,en,: .
LOOSE: , / [ (CU YDS)
t HEREBY GERTJFY' TN~T. THE ABOVE, NAMED MATERI~L ,.IX)ES NOT P.,ONTAIN FREE 'LIQ~S~r AS DEPINED BY 40 .~-'FR. PART ~ID' O~ ANY
GENERATOR AUTHORIZED AGENT(P{~NT NAME) - (SIGNATURE)
TRANSPORTATION/FR;~GHT C~.,.~
LICENSE NO/STATE:
LICENSE NO/STATE:
I HERE~y~I;RllF~ Tt4~T THE A~K)VE NA,~EDr M~'TE~A~'~VAS IHGKED UP AT THE GENERATOR SITE USTED-ASOVE. AND THAT IT WAS;
DELIVERED ~-INCID~=NI? TOTHE DESTINATION LISTED~ELOW.
DRIVER:
(PRINT NAME)
(SIGNATURE)
~LOCATION:
ADDREI~
DATE DELIVERED:
I HEREiI~{~e*'I~T 'file ABOVE I,i~TEfllAL HAS BEEN~,CCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVfl~ED
R~:C~Y: - AUTHORI~EO AGENT(PRINT NAME)
SIGNAT~=/OATE '
DISPOSAL LOCATION ~T NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transpod
Scale 2 Gross Wt. 87420 LB
Scale 1 Tare Wt. 35480 LB
Net Wei, 51940 LB
25.97 OUTGO.MSW
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
Outbound - Charge ticket
0.000
0.00
0.00
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. 87420 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35480 LB
25.97 TON OUTGO.MSW 0.000 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06435
LOOSE:.
BALES: (~OUN'~: .
TRI.K~K WEIGHT: * GR. O~S
,,... TARE
! HEREBY~ERTIF¥-THAT ~HE ABOVE NAIr=~ M~TERIM. {X)ES-MQT-OONTNN ~r L~ AS'DEFINED BY 40GFR PART 2~0.t00~ANY
(~"RATOR AUTHOI~ZED AGENT(PlaNT.NAME) (SIGNATURE)
TRANSPCX~A~~ CO.
LICENSE NO/STATE:
LICENSE NO/STATE:
1 HERE~Y:~rTIF~ THaT THET.,M~X:)VE NAMED.,MA~ MfAS: PICKE~ UP AT THE .GENERATOR SITE LISTED ,ABOVE:, ~ THAT IT WAS
DELIVERED W~I"IOUT INCIDENT TO THE DESTIHA't~ON Lt~TED BELOW.
o.,VE.: f~ t l/i ~
ADDRE~:
DATE DELIVERED:
t ~,C~RTIPY TMRT THEABOVE MATERIAL HAS ~_EN ACC, EPTED AND TO THE ~EST OFMY KNOWLEDGE THE ~T~ ~¥~D
IS TRUE AND ACCU~iTE:
SIGNATURE/DATE ....
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82440 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35440 LB
23.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transport
Scale 2 Gross Wt. 82440 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35440 LB
23.50 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06436
NO.
THIS M~NI~=EE~I~I~I~R~~y. t~IE~TORDOE~MOT TAKE F{:)~ION Off TIT;LE OF ANY CARGO OR laATER I~8
COMPAMY: ~' SHIPOATE.
LOOSE: (CU YDS) . ~ .
BALES: (OOUNT).~
TRUCK WEIGHT~
DE ~l~.~,.t~llR~ AI~ PACKAGED. AF~) ~*l~ iI~R(~'R CONOITIO~~~CCOROING TQ~.~M~PLICABEE ~TION.
GBi[~l~TOlt NJTHORIZEO AGEI~IT(I~III~r N/tI~E) (SIGNATURE)
TRANSPORTA~I:IGHT CO. ~
TRUCK NO. NO/STATE:
! HEREBY C~RTIF~ THAT THE ~BOVE NAMED M&TERIAL WA~ PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND T~T IT WAS '
DELIVER~D'W~IOUT INCIDENff'.TO:'~I~ DE~'Ir~TION I:ISTED';BELOW.
{PRINT NAM~ (SIGNATURE)
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS: ,
_ I HEREItY~ ~Hl~T ,THE-&~JtE MATERIAL~ H~ BEEN ACCEPTED ANOTO THE BEST O~ M~t~ KNOWLEDGE THE II~'.-O(rlMATION PRO¥1DE 0
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 84520 LB
Scale 1 Tare Wt, 36700 LB
47820 LB
00838133
DATE ;;
05/20/11 05/20/11
11 IOOTC
Outbound - Charge ticket
23.91
TON OUTGO.MSW
i0.000
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
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. 84520 LB
Scale 1 Tare Wt. 36700 LB
23.91 TON OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06437
m;NE~TO~
8NIIqrlmEI) ~'O~ES NOT ~:ANY UAB~I~ ~l'~O ~ THE ~IF~t,A~NT ~ SUCH MATER AIlS.
COMPANY: ~' ~ cq ~ / SHIP DATE:
COMMODITY ~tlPPED:
LOOSE:
8ALES:
TRUCK~: '-
TARE
"' :'-~ '~'/~ NET
GENERATOR AUTHORIZED 'AGEHT(PRtNT NAME) (SIGNATURE)
TRANSPORTATION/FRFIGHT CO. ' " ~ ~/'
T. ,NO. ,CE.SE TAT :
TRAILER NO. J ~ /'~ LICENSE NO/STATE:/~/ '~) / [ //~ ~
I HEREBY CERTIF~ T,I,M,T ?HEABOVE NAMED MATEIMAt. WA~ PICKEO UP AT THE GENERA1OR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED ~qTNOUT- INCIDENT TO THE DESTINATION LISTED BELOW.
(PRa? ~E) (S~TU~E)
-~//~' 7/~' ~' DATE DELIVERED:
/
ADDRESS:
I HERE~Y ~ERT$~TH~T THE A~DVE MATERIAL HAS SEEN ACCEPTED ANO TO THE BEST OF MY KNOWLEDGE THE INFOHM~TION'PROVtDED
IS TRUE ~ ~TE:
RECEIVED BY:
'AUTHORIZED-AC-~NT(PRII~ NAMe)
KEY: WHITE T~ ~,t. LOGATION
SIGNATURE/DATE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
05/20/11
Scale 2 Gross Wt.
Scale 1 Tare Wt.
Net
28.96 OUTGO.MSW
94880
36960
57920
LB
LB
LB
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 94880 LB
Scale 1 Tare Wt. 36960 LB
LB
28.96 OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE
06438
mTO~
~'1~ ~F~I~ I~JI~O~i~Y.~'~'~ t~O'FT~I~'(~ONOI~I ~r ITLEOF ANY c~ ~ MATER ~Ls
COMPANY: /~ ~ ~ ~/ SHIP DATE:
BALES: (~:. ~
TRUCK WEIGHT:-: ~ ~
.~ TARE
(3ENEIRA:roR AU~ED AGENT(PRINTNAIi~E) - (SIGNATURE)
TRUCK NO. LICENSE NO/STATE:
TRAILER NO, LICENSE NO/STATE: //// !/'~' ~:~ ~'~ !
I HEREBY:CERTIF~ :THAT ~r~ ~ ;MATER[~I~ ~ P~KED UP AT THE GENERATOR ~TE':USTED A~OVE, AI,~) THAT ITrWAS
DELIVERr=~IffI?HOUT WOIOENT TOTH~ OE~TII~TIO~ U~TED GLOW.
~" '/'~'(PR~T~ (SIGNATURE)
DISPO~L LO~ATION:
ADDRESS:
DATE DELIVERED:
HEREBY ~ ;I"H~T TH~ ABOVE MATERIAL HAS ~EEN. ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDEO
IS TRUE ~ A~,UI!~E:
RECEIVED BY:
SIGNATURE/DATE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 88020 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37600 LB
50420 LB
25.21 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIA,. 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. 88020 LB
Scale 1 Tare Wt. 37600 LB
Outbound - Charge ticket
25.21 OUTGO.MSW
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE
06439
COMPANY: SHIP DATE.;
COMMODITY 8HIPPED:
LOOSE: (1.GU YDS)
BALES: (COUNT):
I HERE~Y CERI1F'Y THaT THE
APPLICA~LE~fATE ~, I~ N~lr H~ZM~I~I/i~[E~ DEFIIrr. Q~f4~C~Bp~d~T ~ICA~..E ST~,TE LAW; ~p~E~y
DESCRIBED' C~"~F~D &ND*I~I~(RGE~' ~AND 1~ INPROPER(R:~IRON FO~-~CORDING TO APPLk~t~B~'E REGULATe'GENERATOR AUTHOIm,~tl AGE*[rCT~
.. TRANSPORTATIONfFRI=IGHT CO~
TRUCK NO. ~ /
TRAN~IN:NtTER ..~
/
TRAILER NO.
.LICENSE NO/STATE:
LICENSE NO/STATE:
I HEREOf OERT1FY THAT TH~ ~BOVE NAMED MATERIAL, W~ PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT tT WAS
DELIVERED WITHOUT iNCIDENT *TO THE, DESTff~T~N 1,LSTED BELOW
_.._ , ! ',:...- -,
DRIVER:
(PRatT NAME) (SIGNATURE)
DISPOSAL LOCATION:
ADDRESS:
DATE DELIVERED:
I HEREBY~ ~l~l~T TelE~ABOVE MATERIAL HA~ BEEN AO~I'E D AND 'TO THE BEST OF MY KNOWLEDGE THE INFORMATIONPROVIDED
IS TRUE AND ~TE:
RECEIVED
SIGa~"TUBE~ATE
DISPOSAL LOCA':~ON TIOKETNO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 71380 LB
Scale 1 Tare Wt. 35600 LB
35780 LB
00838962
05/23/11 05/23/11
MC
11100TC
Outbound - Charge ticket
17.89 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scare 2 Gross Wt. 71380 LB
Scale 1 Tare Wt. 35600 LB
I~ .~t Weioht
17,89 TON OUTGOMSW
Operating hours 7:00 AM to 5:00 PM 7 days a week~
CLOSED HOLIDAYS - QUESTIONS CALL 631~734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
Outbound - Charge ticket
0.000 0.00
SIGNATURE
0.00 0.00
0.00
.o. 06441
GE~W
CO~. ~' / .~ - SHIP DATE.
L~E: ' / / ~2 (CU~)
BALES: (COUNT):
TRICK *WEIGHT:
TARE
NET
I HEREBY ~ERTI~ ~T THE &BOVE HM~ED M~TER~M.- DOE~ NQT CONTAIN FREE LI~UJD AS DEFIED B~ ~0 CFR:PART 260. t0 OR ANY
TRANSPORTA~FmGHT ~.;;
TRUCK NC).
TflAILERNO... ) ~ ~
(SIGNATURE)
DRIVER:
DISPOSAL LOCATION:
" /, DATE DELIVERED:
/
ADDRESS:
I HF_REBY~!qFY~TI~AT THE ABOVE MA?E RtAL HAS ~EEN&C~EPTE D AHD ~) THE BEST OFMY KNOW~EDGE THE fl~IFOR~T~ON: PROVIDED
RECEIVED BY:
~ AUTI,,IO~ AGEN3~INT HAME)
(]~U~)~IDIIlI~IO~i. . ~ LOCAT~/~N TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 73800 LB Outbound - Charge ticket
Manual Tare Wt. 37140 LB
N it W,,,~rht 36660 LB
8.33 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
0.00
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 73800 LB Outbound - Charge ticket
Manual Tare Wt. 37140 LB
18.33 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE ~" ~
06442
TI,IlS #IN~IJ:E~TJ~'RgIIII~I~IIIBtCE RURPO~Iij~ONLY;~TOR ~ NOT TAKE ~ OR: TITLE O,F;~I~NY CARGO OR~RIALS
C~~: ~ , ....
L~E: ~ / ~ ' (GU
BALES: (COUNT)::
TA.E '
IX)ES NOT GONTA~N FREE LIQUID A8 DEF*IMED BY 40=CF:R PART
QENERATOR A~ED AGENT(PRINT NAMe) (SIGNATURE)
LICENSE NO/STATE:
TRAILER NO. -~
LICENSE NO/STATE:
I HERE~Y.G~RT~Y THAT-TRE ABO~E NAMED M~ W&S PtOKED UP AT THE GENEP. ATO~ 'SITE LISTED A~OVE, AND THAT IT WAS
DELIVERED ~ INOIDENT TO TT4EDESTINAT"ION LI~TED =BELOW.
DRIVER:
(PRINT NAME)
DISPOSAL LOCATION: '~// DATE
ADDRESS:
t HEREBY GE, RI~IJI~-THAT ~ABOV~ MATERIAL HAS BEEN ACCEPTED AND TO LTH~ ~ OF;~Y KNOWLEDGE THE JNFORMA,'I:ION PROVIDE0 '
RECEDED BY:
DIgPO,SAL LOCAll~N TICKETNO.
SOUTHOLD TOWN DEPT SOLID WASTE
61,~,Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transpod
Scale 2 Gross Wt.
20.87
ScalelTare Wt.
OUTGO.MSW
89060
47320
41740
LB
LB
LB
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
00839160
05/24/11 05/24/11
Steph
11100TC
Scale 2 Gross Wt. 89060 LB
Scale 1 Tare Wt. 47320 LB
Outbound - Charge ticket
20.87 OUTGO.MSW 0.000
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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06443
GENERATOR
COMPAI~: SHIP DATE:
LOOSE: ~ {CU YOS)
BALES: (COUNT):
TRUCK.W~3HT:.
TARE
~r. NEFIATOR AUTHO~IIZED AGENT(PRINT NAME) (SIGNATURE)
_ TRANSPO~TATK~FR;IGHT CO. ,.~
:. TRUCKte.
TRAUR'.O. t ~/~
TRAN~N)RI*ER
LICENSE NO/STATE:__
LICENSE NO/STATE:
I t'~REBY ~ THAT THE ABOVE NAMED M~TERIAI. WAS INCKED UP AT :THE GENERATOR SffE LISTED ABOVE:, 'AND THAT IT
DELIVE'I~:D.WffHOUT;INClDENT TO THE DF-~I'INATION LISTED S~ELO~.
DRIVER:
(p~rr N,U~)
DISPOSAL' LOCATION:
ADDRESS:-
, DEgTINATK~
/
DATE DELNERED:
I HEREBY GERTff:Y THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF IdY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND AG(RJP, ATE:
RECEIVED BY:
81~NATuFiF../DAT~ ' T ,
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt, 90900 LB
Scale 1 Tare Wt. 37040 LB
Net We 53860 LB
OUTGOMSW
26.93
00839227
05/24/11 05/24/11
Steph
11100TC
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30,2011 MEMORIAL 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. 90900 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37040 LB
Net 53860 LB
26.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 day
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685,
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06444
;:- 1 ~ ~R131~:'~,T"I3~'.t~I~ON~ I,~,IiIED'MAI'~RNM. ~ NOT,CONTAIM ¢-:REE UQUIO.A~ D~'J~IEO BY 40 CFR P&FIT--~6Oo:IO~!O~I. AN~ ":,
"~IGNATURE)
T~ATIONIFRFIGHT CO~
TRUCKNO., LICENSE.NO/STATE:
TRAILER NO., / '? ~ LICENSE NO/STATE:
I'HEREBY GEI~?LrI~ TIAA? THE ABOVE ~ MATEIMA. L, WAS PICKEO UP AT THE GENERATOR SITE t. ISTED ABOVE. 'AND -T~AT tT ~
DELIVERE~ WITHO~r INCIDENT TO TI;IE DE~TINATION LI~TED BELOW.
(PRINT NAME) 1~;/' (SIGNATURE)
DIS~L'LOCATION: i/"
. ' ' DATE DELIVERED:,
ADDRE~:
I HEFJEBYt~[~F~ THA?TH~ ~OVEMATERIAL HA~BEEN ACCEPTED AND TO THE ~T ~'~ K~E ~ ~T~N P~V~ED
IS TRUE M~D N:~URATE:
KEY:
SIGNATUREfOATE
.~I~NEI~TOR . DI,~oOSAL LOCATIO~TIG~E~ NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transport
Scale 2 Gross Wt. 86120 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35820 LB
50300 LB
25.15 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAYt
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 86120 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35820 LB
25.15 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
.o. 06445
~,EI~ATOR
' I HEREBy (~[R~J~'~:T~4AT *~'HE*A~OVE .NAMED MI~rER~,L DOE'~ NOT P_.,ONTAIN. FREE LIQUID
~TO~ ~ED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTA~FRI=IGHT CO,
TRUCK NO.
LICENSE NO/STATE
TRAILER NO. / ~ ''~ LICENSE NO/STATE:
*1 HEiI~-~cR'~EIt~f I~AT T~ ~ ~ ~TE~ W~ PIGK~ ~ AT THE ~RATOR
DIS POSAJ.: U:~CATK:N~.
ADDRE88:
DATE DELIVERED:
I HEREBY CERTIFYTJM~T leHE~ABOVE MATE RIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDE Di
IS TRUE AND
AuTHORIZEO AGENT(PRINT KV~ilE)
$1GNATURFJO~.TE
LOCATION
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 97680 LB
Scale 1 Tare Wt. 35920 LB
Net 61760 LB
30,88 OUTGO.MSW
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 831-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
Outbound - Charge ticket
0.000 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. 97680 LB
Scale 1 Tare Wt. 35920 LB
Outbound - Charge ticket
30.88 OUTGO.MSW 0.000
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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE
06447
GENERATOR
~ ~ 18.I~R~FE'R~NCE ~ ONEY.,IJ~JI~E~,ATOI~ NOT TAKE ~ION OR ~ITLE OF ~ GAR~ OR ~TERIALS
L~: . ~ ~ ~.(CUY~)
TR~K ~: _ ~ ,
N~
O, ENERATOR AUTI4ORIZED AGENT(PRINT NAMe)
(SIGNATURE)
TRANSPORTAT~RF~GHT CO-.-.m_ ' /
TRUCK NO. ~, ~ . LICENSE NO/STATE:
TRAILERNO. ~/-0 / LICENSE NO/STATE:
/2 // ? t
I HEREBY CERTIFY THAT.THE ABOVE MAMBO MATERLM.:W,~ PICKEO'UP AT THE GENERATOR SiTE LISTED ABOVE. AND THAT IT WAS
DEEIVERED WITHOUT INCIDENT TO THE DESTtNAff'K)N LISTED BELOW,
DRIVER: - -
; (PRINT NAME)
DATE DELIVERED:
DISPOSAL 'LOCATION:
ADDRESS:
1 HF. REBY ~l~kT THE ABOVE'MATERIAL HAg BEEN ACCEP;rED ANO TO THE BE~STOF MY KNOWLEDGE THE tNFORMATtONPRO~IDED
IS TRUE ANO ACCURATE:
AGENT(PRINT NAME)
SI~NATUR~DATE
~ LI~,~A'TIQN TK~KET NO.,
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
00839529
Scale 2 Gross Wt. 88120 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37240 LB
Net Wei 50880 LB
25.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week,
CLOSED HOLIDAYS - QUESTIONS CALL 831-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
i~E ~ ii~i~ii! i
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 88120 LB Outbound - Charge ticket
Scale 1 Tare Wt. 37240 LB
Net Wei 50880 LB
25.44 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
.o. 06448
GENERATOR
BALES: {COUNT):
TRUCKWEIGHT:" ' *:
TARE
~;~ ~ '. I HEt~IF~' ~T TH~O~EMAMEO Mi~.~ WAS' PICKEO UP ~&T THE GENEP~TOR SITE t.k~TEO ABOVE~ ANO THAT IT WAS : ~
OELIVEI~W~"t,IOt, JT:~ TO Tt,~ OESTINATION L~TED BELOW.
DRIVER:
.... (SIGNAT~IRE)
~ LOC~TION: DATE DELIVERED: ,
ADDRE~:
_ I HEREBY-~;EI~JT'II~t'THAT THE ABOVE MATERIAL HAS BEEN 'ACCEPTED ANO TO THEBESTOF-MY KNOWLEDGE THE INFORI~ATION PROVIDED
IS TRUE AMD',~CUI~TE:
D~SPO~ LOC~TJON TIC~(ET MO;
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 82460 LB
Scale 1 Tare Wt. 35800 LB
Net Wei, 46660 LB
Outbound - Charge ticket
23.33
TON OUTGO.MSW
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.000
0.00 0.00
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. 82460 LB
Scale 1 Tare Wt. 35800 LB
LB
Outbound - Charge ticket
Operating 0 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
23.33 TON OUTGO.MSW 0.000 Q00 0.00 0.00
.o, 06449
GENERATOR
TI'I~ MdMdlI~'E~3'~I~ ~OR R~J~i~E:I~ONLY.~EN~T~ E~ E $ HOT TA~ ~,~ TITLE ~ ~ C~R~
MA~RIALS
~A~ ~ ~~ SHIP ~TE:
/ / ~
~ (CU YDS)
BALES: (~ ~. , ~ ~
TRAN~3RTATION/FRI=IGHT CO. ~) / ('*'"'//~/*/// 4'
TRI.~K NO.: , LICENSE NO/STATE:__
TRAILER NO., , ~/ [/ /~ LICENSE NO/STATE:
:~ ' .. I HEREB~ ~ T~ke, T ~THE ABOVE NAMED_MATERIAL W&S P1C~ED UP AT THE G'ENERATOR~ITE LISTED
DELIVERED MKfl~I~JT 1N(~DENT TO THE DESTINATION LISTED BELOW.
DRIVER:
DISPOSAL LOCATION:
ADDRESS:
(SIGNATURE)
DATE DELIVERED:
I HERI~¥ (~rR'IlI~.ll'~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF MY KNOWLEDGE THE INFORMATIONPROVIOED
IS TRUE AND ACCrJRATE:
RECEIVED BY:
AUTHO~I~ED AGENT(PRINT NAMe)
SIGNATURE/OATE '
DI~DS~L LOCATIONTICKET NO.
. ?
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutohogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 85280 LB Outbound - Charge ticket
Manual Tare Wt. 36460 LB
24.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
0.00
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAy!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Manual Gross Wt. 85280 LB Outbound - Charge ticket
Manual Tare Wt. 36460 LB
24.41 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
NO. 06594
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: -~V~IJ~J 01: . OU.l h SHIP DATE: S/ ;~7/ , l
COMMODITY SHIPPED: J~ ~ ~J
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
~0 0 (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)
TRANSPORTATION/FR FIGHT CO.
TRUCK NO. .~5
TRA LER "O. )
TRANSPORTER
LICENSE NO/STATE: J t I ~ .x~(
LICENSE NO/STATE: A I) *! ~_ [,, <~v~
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.
/~~TURE)
(PRINT NAME)
DISPOSAL LOCATION:
ADDRESS:
DESTINATION
DATE DELIVERED: 5)Z'~ /
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
05/27/11 05/27/11
MC
~i~E
11100TC
21.80 TON
Scale 2 Gross Wt. 80040 LB
Scale 1 Tare Wt. 36440 LB
43600 LB
OUTGO.MSW 0.000
Outbound - Charge ticket
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: MONDAY, MAY 30, 2011 MEMORIAL 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. 80040 LB
Scale 1 Tare Wt. 36440 LB
LB
21.80 OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06451
TH~I~OB REFERENCE I~u~(~)~8.~ONL¥~OR~NOTTAKEPO~,E~4ON O~ TITLE OF ARY ~ARGO OR MATERIALS
COMPANY: /~)~// ~'"~/ SHiP DATE:
COMMODITY SHIPPED: '~ dr~' ~
LOOSE: / ~' ' .¢CUYDS)
BALES: (COUNT):
TRUCK WEIGHT:
.- I HEIREB~:~TJ,~T THE ABOVE NAIleD MKTEIRM~L DOESNT CON?AIM FREE LIQUID ~ DEFINED BY 4~CFR PART ~0..l~g OR' ANY
AUTHORIZED AGENT(PRINT NAME} (SIGNATURE)
TRANSPORTATION~RFIGHT CO,7 !
TRUCK NO.
TRA .ER
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
I HEREBY,P..,~R~ THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP AT THE-GENERATOR SITE LISTED ABOVE. AND THAT IT WA~
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED SEI:OW,
DRIVER:
(PRINT NAME) iSIGNATURE)
DISPOSAL
ADDRE88:
DATE DELIVERED:
I HEREBY' ~ THAT TH~ ABOVE MATERIAL HA~ BEEN ACCEPTED 'AND TO THE BEST OF MY KNOWLEDGE THE INFORIdATIO~ Iq~OVtOEO
IS TRUE AND ,~JDOURATE:
RECEIVED BY:.
AUTHOFUZEO A~ENT(PRIN~r NAME)
SiGNATURF_/OATE '
DISPOSAL LOOATION TIOKET NO.
· SOUT~N~)LD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 94840 LB
Scale 1 Tare Wt. 36000 LB
Net Wei, 58840 LB
OUTGO.MSW
00840034
05/28/11 05/28/11
John
11100TC
Outbound - Charge ticket
29.42 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
0.00
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
r scale 2 Gross wt. 94840 LB
Scale 1 Tare Wt. 36000 LB
58840 LB
29.42 OUTGO.MSW
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE
06452
"rHI;~IIIRNIFE~r~ F. QI;I REFERENCE I;,URIaQ~"r.~~ ~rlOE~NOT~',AKE f~E.,R~iON QRTm. E OF ANy CARGO OR MATE RIALS
COMPANY: SHIP DATE:
I ~ ~ 11~IAT THE A~OVE NM4ED,14~I~I~I~ OOE~NOZ ~DQNI'AIN FREE-L~ ~ ~ BY ~ ~R P~T 2~;I0 ~ ANY
A~~~~.~~ ~ ~t.~ ~E ~ATE ~, ~ ~MP~Y
~R~.~~ ~. ~:~ ~:~R ~~R ~~ ~ TQ A~L~E REG~.
~~ (S~NA~E)
TRANSPORTATION/FR FIGHT ~C~
TRUCK NO.
TRAILER NO,
HEREBY OFdIITIF~ THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOfl ~TE LISTED ABOVE. AND THAT IT WAS
DELNERED ~NITHOUT INCIDENT TO ~ DESTINATION LISTED BELOW,
(PRINT NAME) (SIGNATURE)
DRIVER:
DISPOSAL LOCATION:
ADDRESS:
DATE DELIVERED
~ I HEREBY GERTIFY THaT THE ABOVE MATERtAL HAS BEEN .~GCEPTED AN~TO THE BEST OFMY KNOWLEDGETHE INFORMATION PROVIDED
IS TRUE AND AOG'UP, ATE:
RECEIVED BY: .
SIGHATURE/DATE
~TO~IER~TO~ DISPOSAL LOCATION TICKET
~C~TH,OLD TOWN DEPT SOLID WASTE
~;155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
21.48 TON
perating hours 7:( ) AM to 5:
Scale 2 Gross Wt. 78020 LB
Scale 1 Tare Wt. 35060 LB
42960 LB
OUTGO.MSW
~0 PM 7 days a week,
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.000
Outbound - Charge ticket
0.00
0.00
0.00
SIGNATURE
4983
GENERATOR
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BE'"G W,T. T.E BN,PME.TOF sue. MATER,ALS.
COMPANY: ~ .?~ '-! ~;~ ~.2~ .-./.~. SHIP DATE: ~'~ / ~'
/ [/~-? (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 BEEIq PROPERLY
DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
,~,.~AME)
TRANSPORTATION/FREIGHT CO.
TRUCK NO.
(SIGNATURE)
TRANSPORTER
TRAILER NO. ~ LICENSE NO/STATE: ~ ~ .? ,' "
i HEREBY CERTI~ ~T~E A~VE NAMED MAT~WA~ PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WlTHO~ INCIDENT TO ~E DESTINATION LISTED BELOW.
(PRIN~ME)' ' (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: '_~ .A'~.. · '-~"~ '~ h'::' ~ t ~ '~ ~ ~ ' DATE DELIVERED:
ADDRESS: ', .~I ''ri ~
, HEREBY CERT~ ~T THE ~VE MATERIAL ~'~E~N A;~'~ TO tHE BEST OF My K~WLEDGE THE i~TiON PROViDEO
'IS TRUE A~ ACC~TE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY:
WHITE TO DI~PO~L lOCATION
GREEN TO TRANSPORYER
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
Cutcho~e, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 97560 LB
Scale 1 Tare Wt. 35240 LB
Net Weight 62320 LB
31.16 OUTGO.MSW
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
Outbound - Charge ticket
0.000
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. 97560 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35240 LB
Net Wei, 62320 LB
31.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operatin~ hours 7:00 AM to 5:, )0 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
NO. 06595
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: &t~k~ ~toL ~) SHIP DATE:
COMMODITY SHIPPED: /~
LOOSE: j 00 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT:
q 7,~-~' ~:) GROSS
.~ ~'J~/~{~ TARE
~-.--~'-~ NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINE_~Y 40 CFR ~60.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY AP P,[~I.,~TAT E LA~'B E EN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FO.~AI~PORTATIO~-~C~DING TQ~J~I. ICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ,
TRANSPORTATION/FRFIGHT CO.
TRUCK NO. ,~..~
TRAILER ~O. ~ -'~ C~
. ANSPORYER
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
DESTINATIO~
DISPOSAL LOCATION: ~0 V~A/'~ "r (,,~~:'''' 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
~)ISI~,SAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE
6155 [;ox La'~e, PO Box 962
Cut~hogue,-NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 81420 LB Outbound - Charge ticket
Scale 1 Tare Wt. 47160 LB
Net Wei~]ht 34260 LB
17.13 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 81420 LB Outbound - Charge ticket
Scale 1 Tare Wt. 47160 LB
17.13 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
06453
~NERATOR
COMPANY:__ ~'~lc~r{~ SHIP DATE:
CO~ SHIPPED: '~"'/~ ' ~' """*'~'
LOOSE: / (~ ~ (CU~S)
TRUCK WEK~: '
TARE
(SIGNATURE)
I H~REBY'C~R'flFY 'I~IAT TH~ ABOVE NAMEDM~TEFUAL WAS R~D ~ AT ~ ~E~TOR ~TE L~D A~E:, A~ THAT IT WAS
~WERED ~ ~'~ ~ ~ L~TEO ~.
(~ ~)
(SIGNATURE)
DIS'POS*M. LOCATION:
ADDRESS:
DATE DELIVERED: .....
I MEREBYOERTIFY TI~T THE' ABOVE MATERIAL HA8 BEEN ACOEPTED AND'TO THE BEST OF MY KNOWLEDGE THE tNFORM~TIGN PROVIDED
RECEIVED BY:.
AUTHO~tZ~O AGENT~qlMTNAME)-
DISPO~ LOGATION TICKET
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
~[~tcho~, NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 77980
Scale 1 Tare Wt. 36580
41400
20.70 OUTGO.MSW
LB
LB
LB
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009289 Trini~ Transpo~
Scale 2 Gross Wt. 77980 LB Outbound - Charge ticket
Scale 1 Tare Wt. 36580 LB
41400 LB
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685
NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY!
20.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
0.00
SIGNATURE
.o. 06596
GENERATOR
COMPANY:
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
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.
i 0 0 Icu Yos)
GROSS
TARE
.ET
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~PORTA/~.~N~DING TQ.,~ICABLE REGULATION.
TRANSPORTATION/FRFIGHT CO.
TRUCK NO. 2_~
TRAILER.O. }4
DISPOSAL LOCATION:
ADDRESS:
TRANSPORTER
LICENSE NO/STATE:
LICENSE NO/STATE:
J ~$14,'TC
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR/'SJ~E LISTED
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DESTINA
;7. ..
ABOVE. AND THAT IT WAS
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)
WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET NO
DEPT SOLID WASTE
PO Box 962
Cutchogue. NY 11935
009289 Trinity Transport
Scale 2 Gross Wt. 76560 LB
Scale 1 Tare Wt. 35740 LB
40820 LB
20.41 OUTGO.MSW
00840965
05/31/11 05/31/11
11100TC
Outbound - Charge ticket
0.000 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: MONDAY, MAY 30, 2011 MEMORIAL 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. 76560 LB Outbound - Charge ticket
Scale 1 Tare Wt. 35740 LB
20.41 TON OUTGO.MSW 0.000 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: MONDAY, MAY 30, 2011 MEMORIAL DAY!
0.00
SIGNATURE k,,.. .,~
06.454
GENERATOR,
coMPA.~. ' //t --~ / - - s.~. DATE:
C~: .(CU.Y~)
BALES: (C, OUN~:
TRUCK WEIGHT:'
! HEREB~ ~ I'i~T THE ~iSOVE NAMED' klkYt~g..~3E~ :MOT C~ITAIN FREE.~ ASDEFINED'BYJ~O CFR la;M~T-~SOJO OR ANY
OENER~TOR AUTHORIZED AGENT(PRINT NAME} {SIGNATURE)
TRANSPORTATIONIFRFIGHT CO~ ~ ' -"
TRUCK NO. , LICENSE NOISTATE~
TRAILER NO. LICENSE HO/STATE:
I HEREBY CERTIFY THAT TNE ABOVE NAMED MATEtqI~L WAS ;'ICI(ED UP AT~ THE'GENERaTOR SITE LISTED ABOVE. AND THAT IT WAS
(~LIVERED WITHO~dT INGI~L~rr TO THE DESTI~IATION LLSTED BELOW.
DRIVER:
O~ LOCATION:
ADDRESS:
(SIGNATURE)
DATE DELIVERED:.
i HEREBY GERllI~:lNAT THE ABOVE MAIERIRL HAS BEENACCEP~I'ED ANOTO THE BEST OF MY KNO~At. EDGE THE INFORMATION PROVIDED
RECEIVED BY: