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Home My WebLink About06/2011SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport Manual Gross Wt. 91560 LB Outbound - Charge ticket Manual Tare Wt. 34900 LB Net Weight 56660 LB ~' QTY. ~ : ~ ~; E~ FEE 28.33 TON 0 U T C-:-:-:-:-:-:-:-:-:~ 3. M S VV 0.000 0.00 0.00 0.00 ~ma ~oum/:l IU ~ ~o 5:~ PM 't ~vs D~ W~ CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 28.33 Manual Gross Wt. 91560 LB Outbound - Charge ticket Manual Tare Wt Net Weight TON 0.00 34900 LB 56660 LB OUTGO. MSW 0.000 ~,t,,,g hours 7: Ju ~ To :u0 Piti 7 ~ays pe~ Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! SIGNATURE 86/82/2811 14:38 16313429676 TRINITY TRANS PAGE 81 TRINITY TRAN~,PORTATION CORPORATION 214 BLYI~ENBURGH ROAD ISLANDIA, NY 11749 (631) 342-9673 FAX (~3~) 0G/82/281~.14:38 16313429676 O092ng Tr~nR¥ Tmn~po~ 9~.~6D LB TRINITY TRANS O&'O 1111 O~x,u~d. Cherge flcl~m PAGE 82 2.2,3~ OtJTGtO.MSW 00'30 C'perardng houm 7:00 AM tc B:O0 mM 7 dey$ a wee~L,. Ct.O~ED HOLi~A¥~. QU~,T)ON$ CALL l NEXT HOL DAY CLO~ED: MONDAY, MAY ~0, 201' 0.00 J L uee.[ T~ I , SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transpod Scale 2 Gross Wt. Scale 1 Tare Wt. Net 27.01 OUTGO.MSW 91760 37740 54020 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 MEM~3~iA~ DAY! ;: SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpod Scale 2 Gross Wt. 91760 LB Scale 1 Tare Wt. 37740 LB ~, Net Weight 54020 LB 27.01 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 Outbound - Charge ticket 0.00 0.00 0.00 0.00 SIGNATURE ~" J .o. 06456 COMPANY: .~?,j~_t~. '; :~ ':. .SHIP DATE: L~SE: / ( ~U yDS) BALES: {COUNT): TRUCK WEIGHT~ I I,,IERE~ OE~ITIF':Y:,'R4~T THE A~OVENAMED 14RTER~,,~ NOT ~OON~r.R~I:R~EE ,LKR,BO AS. DEIqNED BY 40 C,FR PAR-T: L~10 OR ANY ARRLI~R~I.E~.-~MI/, I~ NOT V~a~R,R~OU~.~ ~ ,~l~ ~ I~.l~'~r..~l ~l~Id~;,R~l~l.~ STATE ~I,.AW, ~.II~EN PROPERLY TI~Na~3Wl'ER TRUCKNO. XJ LIOENSENO/STATE: ///~ 7C TRAILERNO.~ LICENSENO/STATE: ~ ~ //2 ~ / I HEREBy CERTIF~ THAT THE 'ABOVE HAld~O MATERIAl. WAS PICKED UP &T THE ~ENERATOR SITE lISTED -ABOVE. AND THAT DEUVEBED WITHOUT INCIO~NT TO THE-OESTINATION{ISTED BE[OW. DRIVER: (PR."~IT NA~3 (SIGNATURE) ADDRESS: ' DATE DELIVERED: - J HEREBY~EI~TIFY TMAT THE ABOVE MATERIAL HAS BEEN AGCEPTED AND TO THE BEST OF MY KNOWLEOGE:THE WFORMATIONFROVIDED RECENl[D BY: LOCATION TICKET)iCI. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 88920 LB Scale 1 Tare Wt. 36440 LB Outbound - Charge ticket 26.24 TON OUTGO,MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-g685; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 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. 88920 LB Scale 1 Tare Wt. 36440 LB ~..,~ Net Weic~ht........... ~24~) LB 26.24 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! 0.000 Outbound - Charge ticket 0.00 0.00 0.00 0.00 SIGNATURE ,o. 06597 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS COMPANy:BEING SHIPPED AND DOES NOT ASSUME~,)(,~jANY ~LIABILITY~, (~ k. I=~ASSOClATED WITH THE SHIPMENT OF SUCH MATERIALS.sHiP DATE: ~'Ii I ti '[ ] O ~ (CU YDS) 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 FOR T~PORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER T"A.SPORTAT,O F,m.T CO. TRUCK NO. ~-~ LICENSE NO/STATE: TRAILER NO. ) ~ LICENSE NO/STATE: i HEREBY CERTI~ THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENE~OR SITE LISTED ABOVE, AND THkT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. // ~ - DESTINATIO~ 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 GOCD 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. 91560 LB Scale 1 Tare Wt. 46900 LB 44660 LB 22.33 3perating hours 7:~ TON OUTGO.MSW 0 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7686. NEXT HOLIDAY CLOSED: MONDAY, MAY 30. 2011 MEMORIAL DAY! SIGNATURE Outbound - Charge ticket 0.000 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. 91560 LB Scale 1 Tare Wt. 46900 LB 44660 LB Outbound - Charge ticket 22.33 OUTGO.MSW 0.000 0.00 0.00 g hours 7:00 AM to 5:00 PM CLOSED HOLIDAYS - QUESTIONS CALL 631-734:7685;; NEXT HOLIDAY CLOSED: MONDAY MAY 30 2011 ME.RIAL DAY[ 0.00 0.00 SIGNATURE 06457 THIS MANIFEST IS'l;O~ REFEI;IENC~ ~ON~ Y. ~ ~C)~SHO*~ T~K'E ~ OR TITLE OF ANY CARGO OR MATERIAL S COMPANY: '-~-'?L('_ ?4/ / ~,/_ ' SHIP DATE: COMMODITY SHIPPED: ~ LOOSE: -~(GU TRANSPORTATION~Rr:IGHT CO. "7 ~ TRUCK NO. TRAILER NO. / -~ f I HEREBY CEflTIF~ THAT THE ABOVE~NAME~MA'I~ERIAf~ WAS PICKED UP AT Tt'IE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE ~DESTRKKTtOJq LIS*~ED BELOW. DRIVER: NAME) (SIGNATURE) DISPOSAL'LOCATION: ADDRESS: D_ATE DEUVERED: I HEREBY GER'llI~F'fl4~T THE ABOVE MATERIALHAS BEEN ACCEPTED AND;TO'THE BEST OF MY KNOWLEDGE THE INFORMATION PROV1DED DISPOSAL I~OCATJ(~ TICKET NO; SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transport Scale 2 Gross Wt. 81300 LB Scale 1 Tare Wt. 37340 LB Outbound - Charge ticket 21.98 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 631-734-768& 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. 81300 LB Scale 1 Tare Wt. 37340 LB Outbound - Charge ticket 21.98 TON OUTGO.MSW 0.000 Operating hours 7.00 AM to 5.00 PM 7 days a wee. CLOSED HOL DAYS - QUESTIONS CALL 631-73427685' NEXT .OUDAY CLOSED UONDAY UA¥ 30 2011 0.00 0.00 0.00 0.00 SIGNATURE 06458 THIS~- - - ~y~jIIATCg~I~I~S;I~TTAKEI~E~E, iONORTrrLEOFANYC~,RGOOflMATERIALS COMPANY: ~ SHIP DATE: LOOSE.. ~ / ~'/" ~'' (CU yOS) TRUCKWEK~T: ~ ~ ~./GROSS I HEreBy ~;~T.'.~*~ NAMED:~ID~C-~ #0*T-CQ~TAINFREE UQUJD'A$ ~ IW 40-~'~FR PART 260JtO OR ANY QEIIEI~TO~ ~ D'AEIENT(Iq~qT IM~) (SIGNATURE) I ~:~ "I~AT THE A~:)VE NAMED t~ATERIAL WAS PICKEO UP A~T THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIV~ ~ INCIDENT TO TIlE DE$~ LI~TED ~ELOW. (SIGNATURE) DISPOSAL LOCATION: ADDRESS: ; /? DEST~IATION DATE DELIVERED: '~ · * I-HEIllE~ ~~A~;)VE MATERIAL RAS BEENACCEPTED AND TOTHE BEST OF'MY KNOW%EOGETHE INFORMATIONPflOVIDED SlGNATUREA~TE DISPO~AE LOCATION- TIGK. ET 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 99140 35620 63520 LB LB LB Outbound - Charge ticket 31.76 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 Scale 2 Gross Wt. 99140 LB Scale 1 Tam Wt. 35620 LB ,. N~ ,t Weiaht 63520 LB 31.76 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 MEMORIALDAY! Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE NO. 0659 8 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATER;ALS COMMODITY SHIPPED: Y~ ~'*J LOOSE: ) I~ O (CU Yes) BALES: (COUNT): TRUCK WEIGHT: 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 PROI?ERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGUt~ATION. GENERATOR AU~-IORI~E~) AGENT(PRINT NAME) ( TRANSPORTATION/FRFIGHT CO. TRUCK"O. ,~5:~' TRAILER NO. -)._~ ~ TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTI~ THAT THE ABOVE NAMED MATERIAL ~S~ED UP AT DRIVER' ' ~NT~ME) : 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 ACC[IRATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GO~D TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ TranspoA 21.43 Manual Gross Wt. Manual Tare Wt. Net OUTGO.MSW 90220 47360 42860 LB LB LB Outbound - Charge ticket 0.000 0.00 0.00 0.00 O~erating hours 7:00 AM to 5:00 ~M 7 days a week; : CLOSED HOLIDAYS- QUESTIONS CALL 631-734~768~i; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOR~ OAy! SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity TranspoA I; Manual Gross Wt. 90220 LB Manual Tare Wt. 47360 LB N, ~ W~iclh~ 42{1~9 LB I 43 TONI 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 Outbound - Charge ticket 0.00 0,00 0.00 0.00 SIGNATURE 06460 GOMPANY. ~ ~ SHIP DATE: LOOSE: ' ~ ·?~- / h (cu YDS) BALES: TARE NET GiL~I~ATOP, ~D .N~ENT(PFBNT NAME) (SIGNATURE) TRANSPORTATI~F~.) ~, TRAILERNO. ,, 9.2. ~'// LICENSE NO/STATE: /"~ /? //7 ~ / ! H~FI~¥-.OF~J'TII~ 'TI, f~T THE ABOVE WED M~I'E:RIAL;W~ PIOKEO URAT THE GENERATOR SITE II, TED. AGOVE. AND THAT tT WAS DEliVERL~ W~'tCOU~ID~NT TO THE DEDTINAT1ON lISTED BELOW. (PRINT NAME) (SIGNATURE) ADDRESS: / , · ' . I HEFIr=~GEI~RI~,~TTHE-ABOVE MATERIAL HAS BEEN AOCEIVTED AND TO THE BEST OF MY KNOWLEDGETHE INFOflM~:;rION~ROVIDED I$ TRUE AlilD RECEIVED BY: AIJI'HORiZED.~(~ NAME) SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 87620 LB Scale 1 Tare Wt. 36240 LB k. Net Weight ~1380 LB 25.69 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 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 87620 LB Scale 1 Tare Wt. 36240 LB k. N, t Weioht 51380 L" 25.69 TON OUTGO.MSW Outbound - Charge ticket 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weeE CLOSED HOLIDAYS- QUESTIONS CALL 631-734~7685,;;, '" ~!:, ;;~;~ :: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 0.00 0.00 SIGNATURE .o. 06600 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE (:~F-ANY- CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.sHiP DATE: ~ j &'' t / i COMPANY: -~OU~r ~,.\d~ ~ COMMODITY SHIPPED: ~-~ ~) LOOSE: ~ ~ O (CU YDS) GROSS BALES:(COUN~:~ TRUCK WEIGHT: ~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~.ARDOUS 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 REGULATI~. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER T PORTATION/FRFIGHT CO. J*/~ I L~/ TRUCK Nb. ~_5 LICI~NSE NO/STATE: J I t I TRAILER NO. ~.-~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE N~IED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. (PRINT NAME) ATURE) DESTINATIO~ DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: ~-~' ~.. ' I I. I HEI~EBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE NFORMATION 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 ~ransport Scale 2 Gross Wt. 84680 LB Scale 1 Tare Wt. 37240 LB 23.72 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week. ; CLOSED HOL DAYS - QUEST ONS CALL 631-734-7685 ;; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDA~I Outbound - Charge ticket 0.00 0.00 SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 23.72 Scale 2 Gross Wt. 84680 LB Scale 1 Tare Wt. 37240 LB hll[ ~";"ht ¢"/,a~n I R 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 - 0646~ GENERATOR ~ I&M~IFE~TI~ FOJII R~ PURP~Y~I~i~ ~E9 NOT T~ ~ TI~E ~ ANY C~ C~ ~TERtA LS C~P~: ~ [ r t~ ~ >' SHIP DATE: L E: [ [ ' (CU ) BALES: (COUNT): TRUCK WEIGHT: GROSS' TARE' (SIGNATURE) TRANSPORTATION/FRI::IG"T CO~ [ TRUCK NO. :'~ ' TRAILER NO. LICENSE NO/STATE: , .LICENSE NO/STATE: I HEREB~ CERTIFY THAT THEABOVE NAMED M~TERM~ WAS PIGKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT tNC;IOENT TO THE DESTINATION LISTED BELOW. DRIVER: DISPOSAL'LOCATION: ~' /" " / ,, / ADDRESS: DATE DELIVERED: 1 HEREBY ~ ~T THE A~OVE MATERJAL HAS BEEN ACCEPTED AMD TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCUI~,TE~. RECEIVED BY: SIGNATURE/DATE" LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 87920 Scale 1 Tare Wt. 35680 26.12 TON OUTGO.MSW Outbound - Charge ticket 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 M~MO~IAI. 0.00 0.00 SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 87920 LB Scale 1 Tare Wt. 35680 LB Outbound - Charge ticket 26.12 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 06462 BALES: (~: TRUCK WEII~IT:-' GROSS I HEREBY {~=RT,~Y,~[~T TN~ ,ABOVE NAMED MA~I'ERIAL DOES N~T ~.,ON'TAIN FREE LIQJ;J~ ,~. DEFINED BY 40 CFR PART MO:*IO OR ANY GENERATOR ~ A(~ENT(PRINT NAME) (SIGNATURE) TRUCK NO. ~ LICEI~ NO,STATE: ' TRAILER NO. 7(/) lICENSE NO/STATE: ///~'~ 77 ~;"~'i; 7" -: ' ,., I HEREBY CERTIFY *'R4AT THE A~OVE NAMED MI~TEPAAL:WAS.PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANDTHAT IT WAS DELIVERE~ WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. (PRII~F NAM~ (SIGNATURE) DATE DELIVERED: I I'EFE-~¥ .C;I~R/FYTI,It, T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO'THE'BESTOF MY KNOWLEDGE THE INFOFt MAT. ION PROVIDED RECEIVED BY: AUTHOIiIZED'AGB, t'r(PRINT NilE) SIGNATURE~DATE 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. 77860 47620 30240 15.12 OUTGO.MSW LB LB LB Outbound - Charge ticket 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 J 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 77860 LB Outbound - Charge ticket Scale 1 Tare Wt. 47620 LB 15.12 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 GENERATOR .o. 06'4L:6 3 BALES: (COUNT): TRUCK WEIGHT:. r HERE~Y ~ I~AT THE A~OVE trU~ED MATE.RIAL' ~* ~ ~AIN FREE *I:IQUID ~ DI~FINED BY 40 OFR PART L~tO~ ~ ~ .~ ~~1~R~/;~.M~T~.~ZAR~N~w~i~:~E`~Y4~CFRP~T~1~A~iWAP~:~G~d~L1E~TATE/~¥~~Y :.., AMD M ~ ~ COllaTION'FOR: TR~%ISIN:~ITATION AC GN3RDING~ RPI~I~-AB~E.REGLP,..ATION, ~EN~O~I.~ AGENT(PR~IT NAME)' TRAILER NO. (SIGnATUrE) I la~i~F.~Y:~:~I~rllr~IR.4AT.TME A~3¥E .NAMED MATERfAL'W.~.~ PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AMD -THAT IT WAS" DELIV~ wm*ou~-.~=~EN~ TO'THE ~S~.AT.:.*L~T~O BELOW. DRIVER: L,~ ~ ~V,~, / ~1 ADDRE88: (SIGNATURE) DATE DELIVERED: I HEREBY~IlI~f THaT THE:~BOVE.MATERIALHA$ BEEN ACOE PTED AND TO THE'BEST OF MY KNOWLEDGE.THE INFORI~TION PROVK)E D ~D AGENT('PfllNT NAME) LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transport Scale 2 Gross Wt. 88120 LB Scale 1 Tare Wt. 35140 LB Net We 52980 LB Outbound - Charge ticket 26,49 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, 88120 LB Outbound - Charge ticket Scare 1 Tare Wt. 35140 LB ~. N at Weioht 52980 LB .~ 26.49 TON OUTGO.MSW Q000 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! 06464 GENERATO~ LOOSE: BALES: (COUNT): TRUCK' WEIG~JT: ~A~noN~q=R~c,a. rr co. ~ ~ TRUCKNO. TRA~E..O. 20~ LIC EI~""E NO/STATE: LICENSE NO/STATE: //o o/C I HEREBY.'(~MTIF~ Tli~T.THE.ABOVE NAMEO MATERIAL WAS f~7.-KEDUP AT THE GENERATOR $fl'E LISTED ABOVE, AND THAT IT WAS DEUVERED WFZHOU~rtNCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: DISPOSAL LOCATe. ADDRE~: (SIGNATURE) DATE DELIVERED: I t'IE~EBY~IITIIm~ ~I~IT I~IE/~OVE MATERIAL NASBEENAGCEPTEO AND'lO THE BE~I~' MY KNOWLEOGE THE INFORMATION PROVIDED RECEFdED BY: KEY: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00842636 06/07/11 06/07/11 07:52 08:03 Steph 11100TC Scale 2 Gross Wt. 93220 LB Scale 1 Tare Wt. 36600 LB Net Weight 56620 LB 28.31 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 00842636 06/07/11 06/07/11 07:52 Steph 08:03 11100TC Scale 2 Gross Wt. 93220 LB Scale 1 Tare Wt. 36600 LB Net Weight 56620 LB 28.31 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 - ' 06465 NO. GENERATOI~ THIS IAMJIFEST:I~-F:O~ FIEFEI~=NOE IRJRP,J~ONi~:~R~TOR/DO~sNOT T,M(E ~ ~ TI~E ~ A~ CA~*~ALS C~: ~ ' ~ SHIP DATE: LOOSE: / ~'' ~' / (CU YDS) BALES: ~COUN'!~' _~, . · U ,"?0 NET GENEI~TOFI AUTNORIZEDAOENT(PRINT kT~&IE) (SIGNATURE) ' r ~R TRANSPORTATtON~RF IGHT CO. TRUCK ~. L[CE~ gTATE: TRA~ER ~. '~ ~ ~ LICE~E ~TATE: I ~ ~ ~T~ ~E ~D:,~ ~'Pl~ ~ AT ~ ~AT~ ~TE USeD ~. A~~ ~T ~ WAS DEUVEI~O t/~R40~b~ IN~DF_NT. TO THE DESTINATION LISTED' BELOW, DRIVER: DE~'I'mTtON ADDRE~: / DATE DELIVERED: I HEflEI~ ~ I~TAT ~ ASO~EMATERIAL HAS.BEEN ACCEPTED AND TO THE EF_ST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND JM)C[~RATE*: ~ECEh~ED ~': AUTHO(RrZED'AOEm'IfmMT ~E) SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue,. NY 1.1935 009289 Trinity Transport Scale 2 Gross Wt. 81500 LB Scale 1 Tare Wt. 37940 LB Outbound - Charge ticket 21.78 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 Trinity Transport Scale 2 Gross Wt. Scale 1 Tare Wt. 81500 LB 37940 LB Outbound - Charge ticket 21.78 OUTGO.MSW Ope at ng hours 7.00 AM to 5.00 PM 7 days a week, CLOSED HOLIDAYS- QUESTIONS CALL 631-734-:/685:~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMORIAL~ 0.00 0.00 0.00 0.00 SIGNATURE .o. 06466 GENER&TOR THIS~I~FORREFEF~d~CE I~IllI~Q~E~'~IJI~[OR I~ NOTT~NE ~OR TT;'LE OF~Y~OR ~TERIALS C~~: ~ED: fit-? ~L .... SHIP DATE: / (CU BALES: TRUCK TARE 1 HEI~I~, (~[~F'lf *'rt~T TH~ ~EWI~'I~4~D:*M&TEI~M_ DOE,S NG~T C,~3NT&IN ~.~e~,..L.IGU~ ~-DERNED BY40 C~R PART 2~0.10 OR 'ANY. .- 1 - APPUCkBtt~'~I~ I~NOT H~I~IJIDOUS~I~ &~DBI~IED ~,Y.4~ GFI~'P~RT ~BT OR.NY J~I~P~'STATE *LAW, I~S BEE N PRO~ER[:Y (S~ATURE) TRANSPORTA _11ON~=R F K~HT CQ~ TRUCKNO. TRAILER NO. ~/¢/ ~ LICENSE NO/STATE: / / / 0u~ '~-- LICENSE NO/STATE: . /~ /') //'~ ~ ~ I HERE~C~RTIPf *t'~ltT THE ABOVE~NN~) M~K'[ERIAL WAS f:~CKED ~ AT ~E ~RAT~ SITE USeD A~VE~ ~ T~T IT WAS - ' (~ ~ (S~RE) DISPOSAL LOC.~: ADDRE~: DATE DELIVERED: :1 HEREBY:~J~' TI'~T THE ABOVE MATEfllAL HAS BEEN.ACCEPTED ~ND TO THE BEST OF MY KNOWLEDGE THE INFORMATION RRO'v~DED ~TURE/DATE DISPOSAL LOCAll~N TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 00842890 06/08/11 06/08/11 GS 11110TC Scale 2 Gross Wt. 97000 LB Scale 1 Tare Wt. 37280 LB LB Outbound - Charge ticket 29.86 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 6:00 PM 7 days a week. , CLOSED HOLIDAYS- QUESTIONS CALL 531-734~7685:: NEXT HOLIDAY CLOSI:D: MONDAY, MAY 30, 2011 MEM~i~¥~ 0.00 0.00 SIGNATURE 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. 97000 LB Outbound - Charge ticket Scale 1 Tare Wt. 37280 LB Net W, LB 29.86 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 MEMORIALI3AY! 0,00 SIGNATURE 06467 ~ IB~I.~IIREFEI:I~J~ ~y. ~ [X:~T TAKE IN)E~SSION OR TiTLE OF ANy CARGO OR MATERIALS COMPANY: ~-_,,~/£/ / , / '~' ~ SHIP DATE: COMMODIT~ $~O: ,OOSE: ' / aN,ES: TRUCK W~I~I.I~.'. · . I HEREBY~OERTIF~ 1t4AT ~ ~ NIMaEO MATEWaM. '~'r~ ~ F~EE L~R,qo* AS OEF~IED BY 4O-GFR PART 260,10 OR ANY . _ - DESCRI~'I~,,~.~I~IED ANO- P~D. AND 1~ IN PROPER CON~qION FOR~;A~COR(NK~ TQ*~cPPLIOA~,.~; GENERATOR AUTHORIZED AGENT(PRINTNAM~) {SIGNATURE) A HEREBY C~IFY THAT THE ABOVE NAMED Vd[TERtAL WAS PICKEO UP~ AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT W~ DEUVERED WITHOUT INCIDENT TO THE DESTINATION USTED BELOW. DRIVER: , (PRINT NAME) {SIGNATURE) SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. Scale 1 Tare Wt. Net Wei 80020 LB 37180 LB LB Outbound - Charge ticket 21.42 OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. i: CLOSED HOLIDAYS - QUESTIONS CALL 631-734~768~: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIA[DA~!; SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 TriniW Transpod Scale 2 Gross Wt. 80020 LB Scale 1 Tare Wt. 37180 LB ,. Ntt Weiaht 42840 LB 21.42 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDA¥! Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE .o. 06468 BALES: (COUNT): TRUCK WEIGHT; TARE DRIVER: TRANSPORTATION/FRFIGHT CO./ ,~ -//'~'~//'// t ~BY ~T~:~T T~ ~ ~D.~TERI~ WAS P~ED'UP AT ~ ~NE~T~ SITE L~TED'~VE. A~ T~T IT WAS D~IVERED ~ ~ TQ~E DESTI~N LIS~D ~. (~ ~ ~ - ~S~URE) DI$~' LOCATION: _ ~ .~-?' "~'~'"'- DATE DELIVERED: ADDRESS: / I'HERE~N':~D~I~IFY ~';~I[T THE ABOVE- MATERIAL HAS BEEN ACCEPTED AN D TO THE BEST OF MY KNOWLEDGE TH E INFORMATION PROVIDED RECEIVED B~: ' A~D AGENT(PRINT SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transport Scale 2 Gross Wt. Scale 1 Tare Wt. 81420 LB 38020 LB Outbound - Charge ticket 21.70 TON OUTGO.MSW 0.000 Operating hours 7.00 AM to 5.00 PM 7 days a week. CLOSED HOL DAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~MO~IA~- ~AYi 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. 81420 LB Scale 1 Tare Wt. 38020 LB Outbound - Charge ticket 21.70 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 631-734-768§. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOR~L DA¥~ SIGNATURE .o.-0646§ COMPANY: ,. .,-,~~ :~'t[? SHIP DATE: LOOSE. . ' ~ :'*~'~ (CU ,YDS.) BALES: (OOUNT): TRUCK WEE;iHT: ~JP. RAT~R AUTHOJ:UZED AGENT~PRIN~ t~e~,IE ] (SIGNATURE) *- "' 4 ~~:'ltV~T-THE ~MIOVE NAMEO, M~FEf~tE WASPIGKED'UP AT THE GENERATOR SITE LISTED ABOYE. AND THAT IT WAS - DEU~ql~q~INII~MOUT INCIDENT TO THE DESTINATION USTED BELOW. ADORESS:' (~ATURE) DATE DELIVERED: I HERESY ~ERtRE'~."R, IAT THE ~ABOqE MATE RIAL ~ BEENACCEPTED AND TO THE BEST~OF MY KNOY~ ;: r~3E'THE~TION P'ROYIDED IS TRUE SOUTHOI~D TOWN DEPT SOLID WASTE 6~'55 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 85420 LB Scale 1 Tare Wt. 37360 LB Net Weight 48060 LB 24.03 TON OUTGO.MSW / 0.000 0.00 Operating hours 7:00 AM to 5:0~-PM 7 days a week, CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7;085. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM6~ Outbound - Charge ticket 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. 85420 LB Scale 1 Tare Wt. 37360 LB 48060 LB 24.03 OUTGO.MSW Outbound - Charge ticket 0.000 0.00 0.00 0.00 Operating hours CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDA¥! SIGNATURE No 06470 THIS ~ I~FOI~R~ilEMCE~ ONly. ~i~IA]~:S NOT TAKE I~'S~ON~OR TITLE OF ~Y ~OR~TE~LS C~: ~ ~;~ U~ ~" SHIP DATE: C~~: -/'/ ~ TRUCK W~I~I4TL ' ~ TARE (SIGNATURE) (SIGNATURE) DATE DELIVERED: I HEREBY J~;.ltl~l~ 3:R~T T[.~;ASO~E M~TERtAL HA~ BEEN ACCEPTED ANOTO THE BEST OFMY KNOWLEDGE THE INFORMATIONPROVIDED RECEIVED B~:. D~ LOOA,T~ ~ 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. 20.37 TON 79740 LB 39000 LB 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 MEMORIALDAY! SIGNATURE Outbound - Charge ticket 0.000 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. 79740 LB Outbound - Charge ticket Scale 1 Tare Wt, 39000 LB 20.37 TON 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 0.00 0.00 0.00 SIGNATURE ~-- No. 06471 COMPANY: ' ~//~//~/.,~'/~ SHIP DATE: LOOSE: ! /'"/~"~ (CU.YDS) ~~: ~ ~LWE~D ~-~ TO T~ ~ST~T~ ~TED, BEL~. ~T ~) (SIGNATURE) _DE~TION {)ATE DELIVERED~ , , I~RE~ CL~'II~t'~T THE ABOVEMATERIAL HAS BEENACCEPTEDAHO TO THE' BEST OF MY KNOW~EDGE THE #~lq:)IM~TIQN F'ROVIDED DISPO~. LOCATION:Tt~KETNO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 89340 LB Outbound - Charge ticket Scale 1 Tare Wt. 37460 LB Op~,,~[i,,g 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 OA¥I SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpod Scale 2 Gross Wt. 89340 LB Outbound - Charge ticket Scale 1 Tare Wt. 37460 LB 25.94 OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week:: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76S51, ? NEXT HOL DAY CLOSED MONDAY, MAY 30, 2011 0.00 0.00 0.00 SIGNATURE 06472 GENERATOR THIS MANJI~ST~.F'O~ REFERENCE ~:IPC)S~ONLY,~'I~IIERAT~DOE8 HOT T~~ ~ ~ ~ ~Y CA~ ~ ~ERI~$ TRUCK WEIGHT: I HERE~Y CERTIF~ 'It~T THE A~O~E'NAMED MA*TERi&L IX)ES NOT GONTAIN .FREGUQUID A~ DEFINED-BY 40 CFR PART L~0;tO.OR ANY A~;~rA, I'E LAW;.'I~ ~~l~ll~E AS GIEFINED BY ;Ig ~ PART g~t 0~ ANY APPLICABLE STATE-lAW. HAS BEEHpROPERLY QENERATO~ AUTHORIZED AGENT(PR4NT NAME] (SIGNATURE) TRANSPORTAllONfl~RGHT CO, . ~*. TRAILER NO. /.. L E.SE.O/STATE: O LICENSE HOP3TATE: 1HEREBY'GERTg~'Y THAT THE ABOVE NAMED MATERIAL WAS I:qOKED UP AT THE GENERATOR SITE' LLeJTED ABOVE. ANO THAT IT WAS DELIVERED WITHOUT INCIOENTTO THE DESTINATION LISTED BELOW. DRIVER: (PRAT NAME) (S~NAT~RE) DISPOSAL LOCATK)N: ADDRE88: DATE DELIVERED: HEREBY ~ 1tHaT THE ABOVE MATEFIIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNCYWLEDGE THE INFORMATION PROVIDEO IS TRUE N40 A(}OUflATE: RECEIVED BY: AUTHORIZED AGENT{I~INT NAME) SIGNATURE/DATE DI~ LCX~ATION TICKE~ NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 C~chogu~,~NY 11935 009289 Trini~ Transport 2 Gross Wt. 84420 LB Scale Scale 1 Tare Wt. 49000 LB Outbound - Charge ticket 17.71 DUTGO.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 Scale 2 Gross Wt. Scale 1 Tare Wt. 17.71 84420 LB LB 49000 TO~ 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 MEMOR1AL ~A~Y~ Outbound - Charge ticket 0.00 0.00 0.00 0.00 SIGNATURE 06473 COMPANY:~ ~ SHIP DATE: LOOSE. /' ~" ~ _(CU YOS) BALES: TRUCKWEI~,~IT: I3~IERATOFI At,Ill. K~IZED ~(PIW~ ~ - (SIGNATURE) TRANSPORTATION/FRFIGHT CO. , TRUCK NO. / /~ LICENSE NO/STATE: ~/~ / O l~//t ~ .~ ,~" TRAILER NO. + LICENSE NO/STATE: '-- I HEREBY G~ THAT-THE ABOVE NAML~D MATERtAL~WA8 PICKED UP AT .THE GENERATOR SITE LIS'rED ABOVE, AND THAT IT WAS DELIVEREO Wllq4OUT INCIDENT TO THE DESTINATION USTED BELOW. o.,v..: - -(SIGNATURE) " r DISPOSAL LOCATION: ////~'~[ DATE DELIVERED: - tHEI:IF.~Y ~z~.~t' ~ ~ ABOVE MATERIAJ. I~S ~EEN ACCEPTED AND.TO THEBEST OF MY KNOWLEDGE THE tNFORMATK)N PROVIDED RECEIVED ~Y: SIGNATURE/DATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport ~.4.93 Scale 2 Gross Wt. 87060 LB Scale 1 Tare Wt. 37200 LB TON )UTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7665. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpo~ Scale 2 Gross Wt. 87060 LB Scale 1 Tare Wt. 37200 LB Outbound - Charge ticket 24.93 3UTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734~768fi. NEXT HOLIDAY CLOSED: MONDAY, MaY 30, 2011 MEM~iA~A¥~ 0.00 0.00 0.00 0.00 SIGNATURE 06474' co,,.,~: ~;.~,~ _,.,,- ;- ~,,. DATE: LOOSE: , (CU YOS) aN. ES: (coum):, --1~~ TARE ~ ~ AGENT{PRINTNAME) (SIGNATURE) TRANSFOm'ATK)NA~R;IGHT CO. · ~,~ TRUCK HO. , TRAI~IN:~'ER LICENSE NO/STATE: TRAILER NO.. "/ .,~ ~ LICENSE NO/STATE: I .HEREB~ g~RTIIW' t'HAT THE ~VE-~-~*.W~ ~ ~ ATTHE (D~AT~ ~TE UST~ A~. A~ TH~ IT ~NE~ ~ ~ TO ~,DES~T~ LtS~D BELOW. ~/ ~¢ g'~(/: .... DATE DELIVERED: DISPOSAL LOC.,ATION~ ADDRESS: I$ TRUE ~ND~:OUR~TE.' SK~NAT~TE LOCATION TICKET NO. . ;:~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutohogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 75220 LB Outbound - Charge ticket Scale 1 Tare Wt. 36960 LB Operating hours 7:00 AM to 5:00 PM 7 days a week.; CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7~85 NEXT HOLIDAY CLOSED: MONDAY, MaY 30 2011 MEMoRIALlY! ~ ~---.... ~ ~ I 19.13 TON I OUTGO.MSW 0.000 0.00 0.00 0.00 SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11936 009289 Trinity Transport Scale 2 Gross Wt. 75220 LB Outbound - Charge ticket Scale 1 Tare Wt. 36960 LB 19.13 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-~665 ; ' 0.00 NEXT HOLIDAY CLOSED: MONDAY MAY 30 2011 M~M(~ SIGNATURE .o. 06475 TARE GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TI:I~A~R ~T CO. TRUCKMO. TRRILER NO.: LICENSE NO/STATE: LICENSE NO/~TATE: DISPOS~L'~L~TK)N: (SIGNATURE) DATE DELIVERED: ADDRE~: I ~ O~t~I~.~TIi~-TNE A~:)VE MATERIAL HAS BEENACCEPTED AND TO THE BEST OFMY KNOWLEDGE THE INF(N:IMATION 'PiqOVIDED IS TRUE AN~ AC~JRATE: S ~ NAT ~OAT~ ar DISPOSAL LOG~TION TICKET ['~K). SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 27,74 Scale 2 Gross Wt. 92780 LB Outbound - Charge ticket Scale 1 Tare Wt. 37300 LB TON OUTGO.MSW 0.000 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weeK. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7665. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDAY! 0.00 SIGNATURE 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 27.74 Scale 2 Gross Wt. 92780 LB Outbound - Charge ticket Scale 1 Tare Wt. 37300 LB ION Operating hours 7:00 AM to 5:00 PM 7 days a week:, CLOSED HOLIDAYS - QUESTIONS NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~ 0.00 0.00 SIGNATURE 06476 GROSS TARE ~.~f,~~~ ~~ BY 4OCl;~ BAIilT~61 Oft M4~ A.~q.I~J~t,E'~I'&TE LAW, HAS~EENPROPERLY TRANSPORTA~FIGHT ~ TRAILER NO. DRIVER: LICENSE NO/STATE: LICENSE NO/STATE: t HEREB'f ~ 'I~IAT THE AEOVE NAMED M~TERIAL WAS PICKED'UP AT THE-GENERATOR SITE LISTED ABOVE. ANO THAT IT WAS : DELIVERED ~ INC~ENT TO THE DESTINATION i~fSTEB SELOW. (PRINT NAME) (SIGNATURE) mYION / DATE DELIVERED: I HER~ff.{~IJ~*3~t~T I"#E~,ili~/E MATERIAL HAS ,BEEN ACCEPTED AN~ TO.HE BEST OF MY KNOWLEDGE THE tNFORMATION PFIOVIOED IS TRUE'~MD~I~II~T~: · DISflQ~M. LOC, ATK~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 "009289 Trinity Transport Scale 2 Gross Wt. 81240 LB Scale 1 Tare Wt. 38900 LB 21.17 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 SIGNATURE Outbound - Charge ticket 0.000 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. 81240 LB Scale 1 Tare Wt. 38900 LB Operat ng hours 7 00 AM to 5 00 PM 7 days a weeE CLOSED HOL DAYS - QUEST OHS CALL 631-734-7685' NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOi~I~DA¥! Outbound - Charge ticket 0.00 0.00 0.00 I J 0.00 SIGNATURE 'AAO*I~80.~.:Srl I~K:~£~NIIS~G ~HI O£.ZN~:]IOI~ J:I'IOHJ.LM Q~I~AI*I~G : S¥~ :1.I .ILVHI .ONV '3AO~V ~Og*J.Slq 3115 I:JO£¥U~I39 3141 1¥ di"l 03~OId S¥~.q¥tlel3 L?~Pl O'~qP.~'N.~A. OG¥-.~ikql JaVI,.U.,X,dtkk~ ~ I (3qn.kVN~a) (soA-n0) :-asoo-i LL~90_'~_ 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. 23.11 TON OUTGO.MSW 83000 36780 LB 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 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. 83000 LB Scale 1 Tare Wt. 36780 LB Outbound - Charge ticket 23.11 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a wee~ CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. ~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOEIA[~¥. ' 0.00 0.00 0.00 0.00 SIGNATURE CORPORATION 21, Blydenburgh Road NY'11749 (63'i) 3t}2-9673 NO. 04853 THIS MANIFEST 1~ FOI~REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE {~OSSESSION OR TITLE OF ANY CARGO OR MATE RIALS j 0 ~ (CU YDS) COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THEIBOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED' BY 40 CFR PART 260.10 OR ANY ~ APPL~cA~-E$TATELAW~$N~THAzARD~US~ASTEASDEF~NEDBY4~cFRPART261~RANYAPPL~cABLESTATELAw~HASBEENPR~PERLY ,~ DESCRIBED CLA~IFIEID AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTAT ON ACCORD NG TO APPLICABLE REGULATION, ~ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FREIGHT CO. TRUCK NO. .~-~ T.A,LER.O. iq 5 TRANSPORTER LIC&SE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATQR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. (PRINT NAME) _. NATURE) DESTINATION DISPOSAL LOCATION: (~ ~J V~¢~I ~, .{4~ DATE DELIVERED: i ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) , ; SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO ~RANSPORTER YELLOW TO TRANSPORTER. GOLoPtNK TOToGENERATORGENE. RATOR i DiSi~0SAL LOCATION TICKET NO. .~..~ ~,~.: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Tr~i~Tr~spod Scale 2 Gross Wt. 86100 LB Scale 1 Tare Wt. 36620 LB 49480 LB 24.74 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 0.00 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. 86100 LB 36620 LB LB 24.74 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 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~DA¥! 0.00 SIGNATURE 06478 BALE$:~COUNT): ' TARE I HEREBY .CEI~I]I~ TNRT TI.~ ,~IO~VE* I~IMED M~TERIAL DOE~ NOT ~0¢~rI*AIN FREE U¢~I~D ASDEFINED BY 40, CFR .PART 280.10 OR ANY - . DESCRIBED,;GtA~qED. AND PACKAGED, AHB tS IN I~ROJaER COI~DmoH F~ ~TATK)N ACCORDING TQAPPUCABLE REGULATION. - G~NERATOR A~ AG~PRI~T NAME) TRAm (SIGNATURE) TRUCK NO. LICENSE NO/STATE: -I HEI~ ~".rl~rY 'I~,tAT THE ABOVENAMED~MAT;EIIAL~ WAS PI~KED:UP AT THE GENERATOR SITE LISTED AI~)VE. AND THAT IT WAS DELIVERED ~ INCIDENT TO THE D~$TINATIO~ LISTED ;BELOW. DISPOSAL LOCATION: ADDRESS: DESTINATION / DATE DELIVERED: I HEREBY ~ THaT ~ A~OVE MATERIAL HA~ SEEN ACOEPTED AND TO THE BESTOFMYKNOWLEDGE THE INFORMATK:~ PROVIDED IS TRUE AND AO~URATE: RECEIVED BY: SIGNATURE/DATE Dt~:)~M. LO~&TION TICKET NO , .: :.~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. ' 94900 LB Scale 1 Tare Wt. 38040 LB Outbound - Charge ticket 28.43 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 DAYI 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. Scale 1 Tare Wt. 94900 LB 38040 LB Outbound - Charge ticket 28.43 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 631-734-768~.; ~: NEXT HOLIDAY CLOSED: MONDAY1 MaY 30, 2011 ~NIO~I~ ~AYr 0.00 SIGNATURE 06479 GENERATOR COMPANY:. "'"'~-~ / Yt t~'~'// SHIP DATE: / NET ~ENERATOR ~UTHORIZED AGENTIPRINT NAME) -~ (S;GNATURE) · .~HERE~/'.4:~L~-~T-T~"(~ .A~OVE NAMED ~M, TERIAL :WAS F~ICKED'UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT iq' WAS ~ DEUVEII~'~T'J"#~UT INCI~I*TO'T'HE DESTINATION L{$TED BELOW. LICENSE NO/STATE: LICENSE NO/STATE: (~NT NAME) ' ' (SIgNaTuRE) I ' ' ADDRESS: ~', ; I HEREBY*~'~R~d~f 'I~I~T-'L'HE ~BOVE MATERIALHA~9 BEEN A~CEP'FEDAND TO'THE BEST OF MYKNOW:LEDGE THE INFORMAT~3,N PROVIDED IS TRUE ANO AOOUI~TE: RECEIVED BY: KEY: L LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 105760 LB Scale 1 Tare Wt. 37000 LB 34.38 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7686. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDAY! SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transport Scale 2 Gross Wt. Scale 1 Tare Wt. 34.38 TON 105760 LB 37000 LB Outbound - Charge ticket 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a wee~i CLOSED HOLIDAYS - NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 ' 0.00 0.00 SIGNATURE ,~. 06480 OENER~TOR ~: ~ ~ ~ ~ W SHIP DA~: C~ ~PED:~ L~: / , ~F~U GENERATOR AUTHORIZED AGENT(PRINT NAME) . (SIONATURE) ~ TRAmR LICENSE NO/STATE: TRAILER NO. ~'~ ~'~/ LICENSE NO~TATE: /l lo';c ..),)// ~'1 trHE~,~Y CERTUrt' THAT .THE ABOV~ NAMED Ii~TEIRIAL WAS PICKED UP.AT',THE GENERATOR SITE'LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DE~TINA33ON USTEO SELOW. DRIVER: {~mRAu~) .(m~NATURE) ADDRESS: DATE DELIVERED: I HEREIW'OEJ~;~I~. 11~IRT THE A~OVE MATEI:UAL NAS BEEN AC:CEPTED ANO TOTHE BEST OF MY KNOWLEDGE THE INFOFIMATIOH PROVIDEO RECEIVED BY: SIGNATURE/BATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 86240 Scale 1 Tare Wt. 38940 LB LB Outbound - Charge ticket 23.65 OUTGO.MSW Operating hours 7:00 AM to 6:00 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 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport r--- scale 2 Gross wt. 86240 LB Scale 1 Tare Wt. 38940 LB Outbound - Charge ticket 23.65 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 631-734-768& NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIALDAY! 0.00 SIGNATURE '-06481 NO. THI~ I&tkNIF~ I~ FOIIR~F~I~Ii~ ~,~.~TO~I 0~i NOT :IrAi(~'FO~S~ON OFi ;'I1TL~ OF,~N~ ~ ~TER~$ COMPANYf ~ SHIP DATE: LOOSE: '/ ~ '- ' ~CU YDS) TRUCK ~:~'"~-""'" ': .~ TARE (SIGI~'nJ~E) I )4EI;IEBY;~ THAT THE ABOVE NAMEO MATERiAL'WAS PICKED UP AT THE GENERATOR SITE=LISTED ABOVE. AHO THAT tTWA$ (SiONATU~)' ' ' DATE DELIVERED:. , DELIVERED WITHOUT INC:U)EN'f TO THE DESTINATION USTED ADDRE~. I HEREBY OEflTIF~;INP. T TI4E ~8OVE MATERIAL HAS BEENAOOEPTED AND TO THE 'BEST OF MY KNOWLEDGE THE INI=ORMATtON PROVIDED .~m(~R~ZED ~ENT(PAINT IMME) DIIIPOSAL LOC~ TICKETNO: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 26.85 Scale 2 Gross Wt. 90400 LB Scale 1 Tare Wt. 36700 LB 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 SOUTHOLD TOWN DEPT SOLID WASTE 6156 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transpod Scale 2 Gross Wt. 90400 LB Scale 1 Tare Wt. 36700 LB 26.85 TON OUTGO.MSW to Operating hours 7:00 AM 5:00 PM 7 days a week~ CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 Outbound - Charge ticket 0.00 0.00 0.00 J SIGNATURE .o. 06482 · COMMODrP~ SHIPPED:. LOOSE: GENERATO~ f' L (¢UYOS) I HEI~Y ~ "F,~II,T- THE:~IOII~ N~I~,D'II~TE~IAL ~t~T ~O~"q~MN ~ U~FJI~ ~,DEFtNED BY 4,0 CFt~ ~ 2~0.1OOfl ANY GL~IE P,A'~ A~O AGENT~NT NAME) TRUCK NO. LICENSE NO/STATE: TRAILER NO.- / ~ ~ LICENSE NO/STATE: f~~ THaT THE ABOVE I~'M~D M~TEf~AL 'W~ ~CKEO UPAT THE GENERATOR:SITE LISTED ABOVE, ANO THAT IT WAS DELIVERE~ ~ INC4OENT TO THE DESTINATION LISTED BELOW. DRIVER: (SIGNATURE) DISPOSAL'LOGATION'. ~ DATE DELIVERED: I HERE~ '~LeR~III~f '~AT THeE,ABOVE MAI*ERIAL HAS BEEN ACOEPTED AND TO THE BEST OFMY KNOWLEDGE THE INFORMATION PROVIDED SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 26.22 Scale 2 Gross Wt. Scale 1 Tare Wt. TON OUTGO.MSW 89540 LB ' 37100 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 631-734-7685: NEXT HOLIDAY CLOSED: MONDAY1 MAY 30, 2011 MEMorIAL ~¥i SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 89540 LB Outbound - Charge ticket Scale 1 Tare Wt. 37100 LB ~lr,~,' ..... ~ ~ .,.,~l!'~ 26,22 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, 06483 BALES'. TRUCK WEIGHT: {~EN~RATOR ~ZE"O AGEI~rf'IPllIWT NAME) (SIGNATURE) TRUCK _NO..,,, LICENSE NO/STATE: TRAILER,NO. ' ? LICENSE NO/STATE: I HEREB~-'CER'flFY ~T THE'ABOME NAMEO MATE~A['WAS P~CKED Up AT ~ GENERATOR SfTE LISTED ABOVE. AN~ THAT IT WAS DELIVEREDwI~I~3U'F~ 'FO THE DESTINATIO~ LISTED BELOW. DRIVER: (PRIN~ NAI~) DISPOSAL LOCATION: ' ADDRESS: (SIGHATURE) DATE DELIVERED: , I REREBY ~ta,'Y THAT THE ABOVE MATERiAl,. HA~BEEN ACC EP~TED AND TO THE BE~TOF MY KNOWLEDGE THE INFORMATION PROVIDEO IS TRUE AND ACCURATE: RECEIVED BY: SIGNATURE/OATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 22.99 Scale 2 Gross Wt. 83780 LB Scale 1 Tare Wt. 37800 LB ~1¢' W¢inht ~fiqflfl 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 83780 LB Scale 1 Tare Wt. 37800 LB Outbound - Charge ticket 22.99 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 ~ 0.00 0.00 0.00 0.00 SIGNATURE .o. '06484 GENERATOR AP~.I~,BLE ~ LAW,.~NelT~,2~M~O(~WAS'TEA5 ~EFINEDSY 4~ C~fPAI;~&t ~q.~ICABLE STA~ ~W, ~ ~N p~y GENERATOR AUTHORIZEO AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FRFIGHT CO ~ .o. ~__~ = _ UCE.SE.O~S'rA~: / / , / ~ / '- - I NERE~ C~ THAT THE ABOVE NAILED M~TERIAL'~A~'PICKEO UP AT THE.~ENERATOR ~iTF.. I.IS'TED ABOVE,~ ANO Tf'~T IT DELIVERED~ INC1DENT TO THE DESltNATIO~ LISTED BELOW, (~RINT NAME) (SIGNATURE) DISPOSAL LOCATIC~: ADDRESS: l DATE DELIVERED: . ~HEREBY~E~1FYT1M*T*TH~AB~VEMATER~ALHA~E~NACCEPTEDANDT~THEBE$1~FMYK~E~E~~V~D ~ RECEIVED BY: ~ull~m~ a~r~ ~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. ScaPe 1 Tare Wt. 94040 37520 LB LB Outbound - Charge ticket 28.26 OUTGO.MSW 0.000 0.00 0.00 0.00 Ope abng 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 MEMoI~IA~ bA~ SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 94040 LB Scale 1 Tare Wt. 37520 LB TON OUTGO.MSW 28.26 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 GENL~RATOR THIS MANIFEST IS FOR REI~ERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO O~R MATERIALS BEING SHIPPED AND DOES NOT ASSU~E ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ' //' · ~, ~// /~ ~:/ ~,, , SHIP DATE: COMMODITY SHIPPED: '~" ~ '" LOOSE: BALES: (COUNT): TRUCK WEIGHT: (CU YDS) q OWO GROSS '~"7 ~ ~ 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 NOTHAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26,~)Rj)INY APPLICABLE STATE LAW. HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR~CCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER / ,q · .?.~ .... TRANSPORTATION/FREIGHT CO. '/~ ~ ~i TRUCK NO. -T .~, LICENSE NO/STATE: TRA,'ER.O. L,CENSE NO/STATE: / I HEREBY CERTIFY THAT THE ABOVE NAMED M~TERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW~ DRIVER: ~ (~1T NAME) [ (~f~I~TUR E) 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: KEY: AUTHORIZED AGENT(PRINT NAME) WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO ~RTER. 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 25.33 Scale 2 Gross Wt. 89140 LB Scale 1 Tare Wt. 38480 LB ~u, ~ WPinht 513RR~ I R 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 25.33 Scale 2 Gross Wt. Scale 1 Tare Wt. All f ~^l~i~hf TON OUTGO.MSW 89140 LB 38480 LB Outbound - Charge ticket 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768~; i ; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 ME~M0~IA~ DA~! 0.00 0.00 0.00 SIGNATURE -- 06485 140. BE~N~ 8~,,ilI~D: ~ NOT ~ ~J~IL~~ WiTH THE SHIPMENT- ~H MA~Rm~, C~~: ,. ~ ~ ~ ' BALE~: Tm.ICK ~ ~EI~,I'OJ~~ AGENT{PRJNT NAME) (SIGNATURE) TflUGK ~. LICENSE NO/STATE: TRAILER NO. '~/? ~ LICENSE NO/STATE: I HEREBY C, ER*]~tF~ 1;,~,AT~HE:ABOVE NAMEO M~TERIAt. WAS PiCKED'UP AT THE GENERATOR $~TE LISTED ABOVE. AN~ THAT IT WA~ DEL;VERED WlI'HOUT' WCIDENT TOTHE DESTINATION LISTED BELOW, (~NT NAME) ADDRESS:. DATE DELIVERED: HEREBY (~ERt'IF~INAT THE*ABOVE M~TERtALHASBEEN AC:CEPTED AND TO THE BEST OF MY,KNOWLEDGE THE INFORMATR~N-PROgH)ED TRUE ~ ACCURATE: RECEIVED KEY: MJTt,K)RIZEO AGENT(PRiNT NMIE) SIGNATURF-J'DATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox L~ne, PO Box 962 Cutci'~ogue, NY 11935 009289 Trinity Transport ScaleGross Wt. 83540 LB 2 Scale 1 Tare Wt. 38560 LB ,^,~;~,~.~ ~'_ . ~,~o~n _~ ~ _. ~._ J 22.49 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! 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 Trini~ Transport Scale 2 Gross Wt. 83540 LB Outbound - Charge ticket Scale 1 Tare Wt. 38560 LB 22.49 TON OUTGO.MSW 0.000 0,00 0.00 0.00 ~'- ; ~, ': !:~ ~ ~'~!:~ ';: r'" Operating hours 7:00 AM to 5:00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~IA~A¥! SIGNATURE 06486 mTOR ~A~: ~ ~f~ ~- ''/" ~IP DATE: BALES: (COUNT): TRUCK WEIGHT: - "ET GENERATOR AU~ iGENT(RRINT NAME) (SlG URE) TRANSPORTATION/FRF IGHT CO. TRUCK NO. TRAILER NO. LICENSE NO/STATE: .I HEREBY CERTIFY ~H~T THE ABOVE NAMED MATERIAkWAS PICKED UP AT THE QENERATOR S~/E LI~TED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE OESTINATE)N LISTED BELOW. DRIVER: \. ._ L"L, ' '., ~ (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: I HE RE~'V GEB'TIF?t' ~ THE AIIO~E MATERL4L HA8 BEEN ACGEPTED AND TO TNESESTOF MY:KNOWLEDGE THE INFORMATION PROVIDED ~GNATURE~ATE DIS~ LOCATION T~it~r NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 79980 LB Scale 1 Tare Wt. 38460 LB ~ ~ 41520 LB 20.76 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_ SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport Scale 2 Gross Wt. 79980 LB Scale 1 Tare Wt. 38460 LB LB Outbound - Charge ticket 20.76 OUTGOMSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weekl CLOSED HOLIDAYS QUESTIONS NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIA~ [TAY~ 0.00 0.00 0.00 0.00 SIGNATURE 06487 LOOSE: BALr=8: TRUCK WEIGHT:- TARE. (SIGNATURE) 1~,~4~A"l~O~ AUTHI~IJIIIZE O AGENJl'( RRINT NAME) TRIJ~K NO. /' I HER, r:BY GERT(~f I~HAT-THE ABOVE NAILED M&TERIRL ,W~S PIGKED UP AT THE GENERATOR SITE LISTED' ABOVE.. AND THAT IT WAS DELIVERED VWTHOUT INCIDENT TO '13.1E DESTINATfON LISTEO BELOW. DRIVER: ~$1GI~'rURI:~ DISPOSAL LOCA'RON: ADDRESS:. DATE DELIVERED ,,, -.. ~HEREBYC'~RT~.'reN~`*TTH~AB~VEMATER~AL~A~8EENA(~CEPTEDAND~TOTH~BEST~FMYKN~LEDGETHE~NF~P'MAT~NPR~V~ED ,. RECEIVED ~V: A~'A~ENTO~wr~) SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 90660 LB Outbound - Charge ticket Scale 1 Tare Wt. 38700 LB .... .~ ~ ...._~. _~ 25.98 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpo~ Scale 2 Gross Wt. 90660 LB Scale 1 Tare Wt. 38700 LB Outbound - Charge ticket 25.98 OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week; HOLIDAYS- QUESTIONS CALL 631-734-~68~: CLOSED : NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 M~MORIA~AYi 0,00 SIGNATURE '~- ~' --, .o. 06488 GENERATOR LOOSE: BALES: ~' ! HERrr~I~,/~I&TFTN~:A, BOVE NAMED. MA~ DOES MOT CONTAINFREE*UOMU) A~ DEFINED BY 40 CFR PART2~O.IO OR JU~IY GENERATO~ AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRAILER NO. / ~'~ LICENSE NO/STATE: LICENSE NO/STATE: l HEREBY'~.I:HAT THE'ABOVE NAMEO MATERIAL WAS PICKED UP AT THE GENERATOR S~TE LISTED ABOVE, AND THAT IT WAS DELIVEflEO ~'NO[~ R~ICI DE NT TO THE DESTINATION USTEOBELOW, DRIVER: (SIGNATURE) ADDRESS: DATE DELIVERED: I HEREBY C-.ER'flFY 1 ~l~,T THE ABOVE MATERfAL HAS BEEN ACCEPTED 'AND TO THE SEST OF MY KNOWLEDGE THE INFORMA~ ~I~OV~,E D RECEIVED SIGNATL~RF--./DATE DISPOSAL LO~P~TIC)N TIGKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 84040 LB Scale 1 Tare Wt. 48160 LB ~et~ 35880 LB 17.94 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 0.00 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. 84040 LB 48160 LB 35880 LB Outbound - Charge ticket 17.94 OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 CLOSED HOLIDAYS QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED. MONDAY, MAY 30, 2011 MEMO~IAI~ DA~. ; 0.00 0.00 0.00 0.00 SIGNATURE 06489 COMPANY: ~' ~ '~ SHIP DATE: COMMODR'Y SHIPPED: ' ~ (CU YDS) LOOSE.' BALES: (COUNT): TRUCK WER3HT: TARE ~ ~D AGENT(PR~,~I' NAME) ($1GNATIJRE) ~ ,* ,, I ~.~ ~f ~ A~E NA~D BTEB~ W~ P~- UP AT THE ~NERAT~ SITE L~TED A~VE. AND TBT ~N~ ~ ~ TO ~E DE~INA~ LIS~D BELOW (PR~ NA~) (SIGNATUE) r DIS~ ~A~: ~p'~ DATE DEUVERED. I ~ ~ ~'f~T THE ABOVE MATERIAL HAS BEEN ACCEPT?D AND TO THE BEST OF MY KNOWLEDGE THE INFORM~TIONPROVIDED RECEIVED BY: r SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 26.97 Scale 2 Gross Wt. 90300 Scale 1 Tare Wt. 36360 N~ ~ W~in~ 5,'~,(:j4(~ TON OUTGO.MSW LB LB 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAYJ Outbound - Charge ticket 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 90300 LB Scale 1 Tare Wt, 36360 LB Outbound - Charge ticket 26.97 OUTGQMSW Operating hours 7:00 AM to 5:00 PM 7 days a weeEi~ ? iii;~ CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.1 ? NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~)~IA~DA~.~ t, 0.00 0.00 0.00 0.00 SIGNATURE 06490 T~SM~aL~ES~ R:~a REPERE~.~ ~uP. PO~S OWJ~~ ~ NOT T~,KE . ~: SHIP DA~: C~ ~: /~/ ''~', ~ ~LES: ~ ' ~.. HEREBY ~ ~HA, T I~E.A~VE NAJ4EO MA~TET~'OOE, S NC~ GOi~IrABJ.FR~E);A~ ~'IN~D BY 40 ,CFR PART 260..1.0 OR ANY G~IERATOR AU:TI.IO~IZED AGENT(PRINT NAME) (~GNATURE) TaUCK.O: I ) TRAILEFI NO. ..~/C ) LICENSE NO/STATE: LICENSE NO/STATE: I flEREBY.C~'RTiF'Y THAT THE ABOVE NAUED M~TEfllAL'WAS. PICKED UP AT THE G~NERATOR SITE-LISTED AI~)VE. ~ THA~T,IT WAS DELIVERED ~ INCIDENT TO THE DESTINATION LISTED BEIgOW, DRIVER: (PRINT NAME) ($tGN/~TURE) DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: I HEREBy Gr~RTIJ~f TI]~T THE.ABOVE MATEfliAL HAS B~EN AGOE PTED AND TO-THE BEST O~F My KNOWLEDGE TH~ iNFOjRMATIQN pROViDED .-: RECEIVED BY: :G~:~TOR_ . Olb~O~L I SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 901 40 LB Scale 1 Tare Wt. 37100 LB Outbound - Charge ticket 26.52 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 DAYI SIGNATURE 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. TON OUTGO.MSW 9O140 LB 37100 LB ~- ~1¢) I R 26.52 / 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week : CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~85.:; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~MO~I~ ~'¢ Outbound - Charge ticket 0.00 0.00 SIGNATURE 0.00 0649~, GENERATOR LOOSE: TRUCK WEIEiHT: , TARE. I HEREBY O~R~TIa~f ~T ~-ABOVE:NAME~ ~TERt~r, ODE8 :NOT CO~I~:FREE LIQUID ~ DERNEO, BY-40 CFR PART 260.10 OR' ANY (IENEI~Te~ ~ AGL=NT(~mT N~U~E) (S~GNATURE) TRANSPORTATK)N/FRF:K~.,IT CO. TRUCK NO. TFIAILER NO. / 2 LICENSE NO/STATE: L~ENSE NO/STATE:.. I HEREBY CERt'IF~. THAT THE ABOYE ~:M~TERMP~ WAS'PICI~D UP AT THE GENERATOR..SITE LISTED ABOVE. AND THAT I? WaS ! - i~, DELIVERED WITHOUT INOIOEHT'TOTHE OESTINATIC~ LISTED ~BE. LOW., DRIVER: DISPOSAL LOCATION: ADDRESS: ' (S~G~ATORE) "~:~ ~/,~, :f/~'" DATE DELIVERED: 1HEREBY~ER-TII~ 11,1~T THE ABOVE MATERIAL HAS BEENACCEP TED AND TO THE BEST.OF MY KNOWLEDGE THE tNFORMATIONPROVIDED IS TRUE AMD ACCI. J~,ATE: RECEIVED BY: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 86020 LB Scale 1 Tare Wt. 36140 LB 24.94 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7085::` NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL~ DAYI Outbound - Charge ticket 0.000 0.00 0.00 SIGNATURE 0.00 J SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 86020 LB Scale 1 Tare Wt. 36140 LB 24.94 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 631-7347%5;: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIA~ ~, 0.00 SIGNATURE 0.00 06492 TARE AGENT(PRINT HAME) (SIGNATURE) LICENSE NO/STATE: LICENSE NO/STATE: '1 ~~I~TTr,4E.i~OVE NAMED. M~TERI~L W~S PICKED UP AT THE GENERATOR ~EUVE : .~ -~ --_-_------ -; "TO-THE DF,~TI~ATfON U:~O BELOW. SITE LISTED ABOVE, ANO' THAT,.IT'WAS raTION DISPOSAL LOCATION: L/, ~,, . ,,,,..*' ADDRESS:. (SIGNATURE) _DATE DELIVERED i EREBY(~.RTII~ TH~TTHEA~'E K'IA;~'~LN. HAS BEEN ACCEPTED AND TO THE BEST OF My KNOWLEDGETHE ~F~ ~Vi~D I$ TRUE AND ACCURATE: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 . Cutcho~t,,Je, NY ii 1935 009289 Trinity Transport Scale 2 Gross Wt. Scale 1 Tare Wt. 104140 37580 LB LB Outbound - Charge ticket 33.28 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week : ; CLOSED HOLIDAYS- QUESTIONS CALL 631-734-~8~'. ; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAli SIGNATURE 0.00 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transpod Scale 2 Gross Wt. 104140 LB Outbound - Charge ticket Scale 1 Tare Wt. 37580 LB 33.28 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 06493 COMPANY: SHIP DATE: LOOSE: I (CU YDS) TRUCK ~-IGHT:. ~ ' ' "'~"~ TARE A TRUCK MO. / '~1:'/ ,/ LICENSE NO/STATE: TRAILER NO. '/ {-/ ' LICENSE NOfSTATE: I H~REBY CEBTBrY THAT THE'A~3N~ NAMED MATEPJAL WAS-PICKEO' UP AT THE ~G~ENERATOR SITE LISTED ABOVE, AND:THAT IT WAS DELIVEFIED'W~4OUT INCIDENT TO THE DESZ1NATION.U~CrEB'BELOW, DRIVER: (PRINT NAME) (SIGNATURE) DIS~LOCATION: ,- DATE DELIVERED: ADDFIE~'; .... I'HERE~Y CEI~IIE~ ~T THEABOVE MATER l&l_ HAS BEEN ACCEPTED' AND TO THE BEST OFrMy KNOWLE~X~E THE INFC~#4ATION PROVIDED RECEIVED BY:. KEY: DISPOS&L LOCATION TICKET NO. SOUTHOL,D TOWN DEPT SOLID WASTE 61§5 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 11109TC Scale 2 Gross Wt. 96500 LB Outbound - Charge ticket Scale 1 Tare Wt. 33380 LB 31.56 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 MEMO~I~ DAY SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 11109TC 31.56 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 Scale 2 Gross Wt. 96500 LB Outbound - Charge ticket Scale 1 Tare Wt, 33380 LB 1432 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 LIABIUTY ASSDOIATED WITH THE SHIPMENT OF SUCH MATERIALS. ~/ / COMPANY: COMMODITY SHIPPED: LOOSE: 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. ....... ~b~GNATURE) RATOR AU,~=D AGENT(PRiNT NAME) TRANSPORTATION/FREIGHT CO. TRUCK NO. q.~ TRAILER NO. } -'~ ~1 TRANSPORTER LICENSEE 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) DESTINATION DISPOSAL LOCATION: ~ (~ 'J/i i'~--~ ~, ADDRESS: (SIGNATURE) 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. RINK 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. 82200 LB Scale 1 Tare Wt. 36980 LB Outbound - Charge ticket 22.61 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 631-734-768§ 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. 82200 LB Outbound - Charge ticket Scale 1 Tare Wt. 36980 LB 22.61 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 SIGNATURE .o.1436 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 W TH THE SH PMENT OF SUCH MATERIALS. / ~ COMPANY: ~- SHIP DATE: ~ ~,..' i / (CU YDS) COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: GROSS TARE y ~-Z"7._ ~ 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. TRANSPORTATION/FREIGHT CO. TRUCK NO. TRAILER NO. / TRANSP~TER LICENSE N(~/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: INT NAME) / (SiGNATuRE) DISPOSAL LOCATION: ADDRESS: DESTINATION / x' / 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 SIGNATUREJOATE ': :~ 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. 103360 LB Scale 1 Tare Wt. 38460 LB Outbound - Charge ticket 32.45 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weekl ; ; CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~8~ : NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMOhlA~ ~¥I: SIGNATURE 0.00 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 32.45 Scale 2 Gross Wt. 103360 LB Scale 1 Tare Wt. 38460 LB TON OUTGO.MSW ~ 0.000 Outbound - Charge ticket 0.00 0.00 Ope atlng hours 7.00 AM to 5.00 PM 7 days a week~ CLOSED HOL DAYS - QUEST OHS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL ~A:Y! 0.00 SIGNATURE .. .o. 06494 B~LES: {CO~:' TRUCK WEIGHT: f 'C' .7~.~ ~ O I HERE~Y ~ ~¢,T TH~ ABOVE 1¢~4~D MATERL~I..~.~3~ .NOT OONT. AIN ~ t.#~l~ AS DE~'M~ BY 40'~-.R PART 2~.10 OR ANY QENE(RATO~ ALr'fHORIZED AGENT(PRINT NAME) T~ANSPO~TA~~T.CO. TRUCK NO: TRAILER ~o. · ,OE.S"' TATE: ?] //7 :1N~~ TI'~T THE ABOVE NAMED II&kTERIAL WA8 PICKED UP AT THE GENERATOR SITE LISTED ABOVE, KHD THAT IT' WAS DELIVEREDMffTHOUT INCIDENT TO THE DESTII~ATION LISTED BELOW. DRIVER: (PRINT HAME) ADDRESS: (SIGNATURE) DATE DELIVERED:, , iT I H~ I~RTII~THI~T '31t~-~VE t~I~T~IAL ~ BEEN ACCEPTED AND, TOTHE 8EST OF MY KHOWLEDGt~ ~ :INFO~RM~TtON~N3V1DE D IS TRUE AND AC~,J~ATE: RECEIVED $1GNA~TE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 31.36 Scale 2 Gross Wt. 99200 LB Scale 1 Tare Wt. 36480 LB 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt, 99200 LB Outbound - Charge ticket Scale 1 Tare Wt. 36480 LB Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - Q NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~I~I~ ~i SIGNATURE NO. 0'6495 GENERATOR THIS~I~ ~IE~I~EPURPO~DIIL~. GEI~I~TOR DOE~NOT ~ ~~ TITLE ~ ~ C~ OR MAT~ C~A~: )~ '/ [/~ ~': ~/ SHIP DA~: C~l~ ~PPED: ~ {' ~ ~LES:~,(~: ~ . TR~K ~:~ / ~ ~ ~ ~ ;~' ~ ~' ~ ~ TARE AUTHORIZED AGENT(P~IINT NAME) (SIGNATURE) ~'.~'O~Am.~ ,~'co. ~ ~ ~/ ////~( I ~~T ~'~ ~D~TER~ W~ PI~ ~ AT ~ G~RATOR BITE LISTED A~VE, AND T~T~ WAS ' ~LIV~~ ~TO ~ ~ MS~D ~LOW/ (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS~: DATE DELIVERED: I HEREIIY, ~EIIF/IFY;IH~T THE ~BOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEBT OF MY KNOWLEDGE THE INFOIM,4A-TION PROVIDED lB TRUE AND ACCURATE: RECEIVED BY:, SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity TranspQrt - Scale 2 Gross Wt. 96460 LB Scale 1 Tare Wt. 38260 LB Net Wei 58200 LB Outbound - Charge ticket 29.10 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 631-734-7~8~ : NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~I~ 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. 96460 LB Outbound - Charge ticket Scale 1 Tare Wt. 38260 LB Net Wei LB Operating hours 7:00 AM to 5:00 PM 7 days a weel(i :: CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 :::: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIA~ DAY! 29.10 TON QUTGO.MSW 0.000 0.00 0.00 0.00 0.00 SIGNATURE .o. 06496 ~ATIO~/FRI=IGHT CO. ~ TRUCK NO. ' / _~ LICENSE NO/STATE: ~"--~ TRAILER NO. ~. f-/ / _ ~ UGENSE NO/STATE[: I HEREB~ (~RT. IP( TNAT'A~HE ABOVE MAMED I~,TERIAL W~S PICKED UP AT THE.GENERATOR SITE Lt~TED ABOVE( AND. THAT IT WAS~ -- :'~ DELIVERED WITNOUT ~ ,TO THE DESTINATION U~TED BELOW. :. DRIVER: DISPOSAL'LOCATK)N:. DATE DELIVERED: ADDRESS: ! NE REBYt~'RT$1~r THAT THE A~:)VE MATERtAL, HAS ~ ACCEPTE~ AND TO THE BEST OF MY KNOWLEDGE THE IN~OP, M&TION PROVIDED IS TRUE AND/U:~I~ATE: ' RECEIVED BY: AUTHOI~ZED A~NT(PmN'r WME) SIGI,~(rUR~A~ ~ LOCA110~ TICKET SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 76180 LB Scale 1 Tare Wt. 34600 LB Outbound - Charge ticket 20.79 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weeki CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~85 : NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL:DAYI: 0.00 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpod ~ Ne 20.79 Scale 2 Gross Wt. 76180 LB Outbound- Charge ticket Scale 1TareWt. 34600 LB IR 0.000 0.00 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! 0.00 0.00 0.00 SIGNATURE .o. ~433 GENERATOR THIS MANIFEST IS FOR R-","-"RENCE 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: ,_,~ (.,/(~ j [ C~ j,.[~ SHIP DATE: ~-~/ ~'~/ }J') L~ (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 DEFtNEO BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR A~IY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULi~TION. GENERATOR AUTHORIZED AGENT(PI~AME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. _ J ./k) t TRUCK NO. LICENSE NO/STATE: J j TRAILER NO. ~ ~ LICENSE NO/STATE: I HEREBY CERTI~ THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR ~E LISTED ABOVE, AND THAT IT WAS DELIVERED WlT~UT INCIDENT TO THE DESTI~TION LISTED BELOW. / DRIVER: ~. ~ (PRINT NAME) // ~ (81GNATURE) DESTINATIO~ DISPOSAL LOCATION: f~X~ ~ DATEDEUVERED: ~/: '~ /'~ 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. 100900 LB Scale 1 Tare Wi. 38560 LB Outbound - Charge ticket H .17 TON OUTGO.MSW 0.000 0.00 Operating hours 7:00 AM to 5:00 ~M 7 days a week i CLOSED HOL DAYS - QUESTIONS CALL 631-734-7685; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~MOF~I~ DA¥i SIGNATURE 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 31.17 Scale 2 Gross Wt. 100900 LB Outbound - Charge ticket Scale 1 Tare Wt. 38560 LB 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! 0.00 0.00 SIGNATURE 06497 ~ENERATOR TI,IRT'THE ABOVE NAMED-MAI'ERIRL ~ NOT ~)MI'~ill FREE LK:RJIO A~ DEFINED~Y 40' e..~F~ PP~T'~60.10 OR ANY DESCRI~L'GI~FIED ~a~DI~ACKAGED. ANDIS II~et~IOPER CoNomo~FOR ~ATION ACCORDING T~:APPL~r, ABLE Rr~ULATION. GENERATOR AUTRORIZED AGENT(PRINT .~..~.~.~ ) ~- ~' (SIGNATURE) mANSPOm'AT~3~HT CO./, zi- , tt i TRUCKNO. " LICENSE NO/STATE: TRAILER NO; //~ ~' LICENSE NO/STATE: , I HERL=I~!(:~RTIFY.THAT THE:&BOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE USTED ABOVE,'RND THAT IT WAS DEUVEREDWITHOUT INOIDENT TO'THE DESTINATION LISTED DRIVER: (SIGNATURE) DATE DELIVERED: ~ I HE~,IN~TI'NE ABOVEMATERIAL HAS BEEN:ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMA~ PROVIDED SOUTH,OLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. Scale 1 Tare Wt. 75700 LB 34360 LB Outbound - Charge ticket 20.67 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 MEM0~I~ DAy1 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. 75700 LB Scale 1 Tare Wt. 34360 LB 20.67 TON OUTGOMSW Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL 631 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOR AJ_ DAY Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE NO. 1427 GENERATOR THIS MANIFEST IS 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 ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS' / / COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: } 0 0 (CU YDS) GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 280.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WAS'rE 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, TRUCK NO. '~ '~ .~ TRAILER NO. ~ c ~-- TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR DELIVERED WITHOUT INCIDENT TO THE DESTINATION MSTED BELOW. ~ DR,VER: (PRINT NAME) 'E LISTED ABOVE, AND THAT IT WAS IGNATURE) DESTINATION DISPOSAL LOCATION: ~V~ ~ t ¥. (~ X(. 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 r"' Scale 2 Gross Wt. 80140 LB Scale 1 Tare Wt. 35140 LB Outbound - Charge ticket 22.50 OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week~ CLOSED HOL DAYS - QUEST ONS CALL 631-734~7685: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~ DA¥i SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 80140 LB Scale 1 Tare Wt. 35140 LB Outbound - Charge ticket 22.50 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 DAYI 0.00 SIGNATURE .o. 1434 GENERATOR COMPANY: COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: THIS MANIFEST ~ FOR REFERENCE PURPOSES ON[.Y, GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIARIMTY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ] ~O~AT )~ Q L ~') SHIP DATE: ~ ~'~ i/ ~ O 0 (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 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 AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ TRAILER NO. 2 0 ~ TRAHSPORTER LICENSE NO/STATE: LICENSE NO/STATE: Iii Oq-T( DR,VE.: (PRINT NAME) ///~ ~/(SIG~ATURE) DESTINATION DISPOSAL L~ATI~: I I~ ( V DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR OOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Bpx 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 89640 LB Outbound - Charge ticket Scale 1 Tare Wt. 36180 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 MEMORIALDAY! 26.73 TON OUTGO.MSW 0.000 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 Transpo~ Scale 2 Gross Wt. 89640 LB Scale 1 Tare Wt. 36180 LB Outbound - Charge ticket 26.73 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7085: ; : NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMORIAL DAY!: 0.00 0.00 0.00 0.00 SIGNATURE 06498 · COMPANY: SHIP DATE: ~LOO~: / ~'~'~ (~uYosl TARE AGENT~MI'~ NAME) (SIGNAl) TR~TATION/FRFIGHT CO. TRUCK NO. TRAILER NO. TRANSPORTER LICENSE NO/STATE: LICENSENO/STATE: __ I HEREBY CERTIFY :'Tt.~T TI,,IE:A~O's~'NAMED iM. TERIA~ W&S PICKED UP AT THE GENERATOR SI*TE I:ISTEO'ABOVE, AND'THAT IT WAS : DELIVERED WT~40~ 1N01EI~NT*TO 3HE DESTINATION USTEO BELOW. DISPOSAL LOCATION:. ADDRESS: DATE DELIVERED: I HEREBY:Or=RT#mt' lt4~Tll.lE,ABOVE MATERIAL HAS BEEN ACCEPTED AND' TO THE BESTOF MY KNOWLEDGE THE tNFOR MA'TNDN PROVIDED IS TRUE AND AO~URATE: AUTHO~ZED AGENT(PRiNT SK)NATURE/OATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, P? Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 93420 LB Outbound - Charge ticket Scale 1 Tare Wt. 38520 LB Net Weioht 27.45 TON OUTGO.MSW 0.000 0.00 0.00 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. 93420 LB Outbound - Charge ticket Scale 1 Tare Wt. 38520 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! ~. Ne : Weiaht 54900 LB ~' : ~ ~ - ;~ 27.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 0.00 SIGNATURE ~" 06499 COMPANY: __ SHIP DATE:. LOOSE: TRUCKwEI~NT: .-,t -2 (;:~Is . -~- (~=NERATOR AUTHORIZED AGENT(PtRtNT NAME) (SIGNATURE) TRANSPOffiTATtON/FRI= ~4"IT CO. TRUCK l~X:). I LICENSE NO/STATE: LICENSE NOtSTATE: IT WAS DRIVER: ADDRESS: / i r (SIGNATURE) DATE DELIVERED: I I'I~U~IE~f-~II~' ~IM~'I' THE ABOVE M~TEfUAL.HA~ BEEMAGCEPTED AND TO THE BEST OF MY KNOWLEI~THE il~'Offfi&ATlON PROVIDE O SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 90560 LB Outbound - Charge ticket Scale 1 Tare Wt. 33860 LB Net Wei 5670 LB g 7 days a week. :} + CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851; : NEXT HOE DAY CLOSED MONDAY, MAY 30, 2011 MEMO~!IA~ DA~. : :: II . T ~ ::::~ ~ ~,~ 28.35 TON OUTGO.MSW 0.000 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 28.35 Scale 2 Gross Wt. 90560 LB Scale 1 Tare Wt. 33860 LB Ne Weiclht ~§700 LB 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 MEMOR;IAL DAY! Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE .o. ~435 GENERATOR THIS MANIFEST IS FOR ~IE FER~NCE PURPOSES ONLY: GENERATOR OOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS COMPANy:BEING SHIPPED AND DOES NOT ASSUME~o(~,~_ ~ I, O L [~ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF.. SUCH MATERIALS.sHiP DATE: (~1/ 2 ~! / t~ 'COMMOmTY SH PPED: W LOOSE: (cu YDS) BALES: (COUNT): TRUCK WEIGHT: C/0 ~- (~p O GROSS ~ '-~S~ ("") 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) TRANSPORTATION/FREIGHT CO. TRUCK NO. ~, q~ TRAILER NO. I "~ C~ TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE N~MED MATERIAL WAS PICKED UP AT THE GENERATOR.~i~LISTED ABOVE. AND DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. · (PRINT NAME) ~ / ' ' ATURE) DESTINAltON DISPOSAL LOCATION: /~ l' J~- C ~/, DATE DELIVERED: ~ 2q /1 ADDRESS: THAT IT WAS 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 GOI.D 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 31.46 Scale 2 Gross Wt. 99860 Scale 1 Tare Wt. 36940 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- QUEST ONS CALL 631-734-¢685;; ; : ' ; ;, NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~DA¥1 ' 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Sox 962 Cutchogue, NY 11935 009289 Trinity Transport 31.46 Scale 2 Gross Wt. 99860 Scale 1 Tare Wt. 36940 TON OUTGO.MSW LB LB 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weel~i: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~685: , NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMORIAJ-~¥~ 11110TC Outbound - Charge ticket 0.00 0.00 0.00 SIGNATURE , ' 06500 -. ~ NO. THIS ~E~T t~ FOR REFERENCE PURPOSE~J~JI:Y. GENErr~iXOR DOE~ NOT TAKE POSSESSION OR TITLE OF ANY CAR~ OR ;ATERIAL$ ~ s.,PPE. AND ~E$ NOT ASS.ME 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 HAZAROI~JS WASTE AS DEFINED BY 40 OFR PART 26~ OR ANY APPLICABLE S~ATE LAW, HAS BEEN PROPERLY DESCRIBED, CI. AS~IRED AND PACK~AGED~AND IS IN PROPER CONDITION FOR TRANSPORTATION AOCORDI~G TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ($.I~GNATUBE) TR~.NSPORTATION/FR FIGH,T CO. TRI ? '"" ~'~'- DRIVER: T~PORTER .',CE.SE.O, STATE: tttL. o 7 LICENSE NO/STATE: ~ P~KED UP AT THE GE~RATOR SITE L~TED A~VE. AND THAT DISPOSAL LOCATION: ~,'~ ~ DATE DELIVERED: ADDRESS: / ~. . ~,,~i~, ,~r~ '1~ TE RR L~ EB ~CN~R~T4 cFYu~ .TH E ABOVE MATERIAL HA$ BEEN ACCEPTED AND 'I:~T~ I~EBEST OF MY KNOWLEDGE THE INFORMATION PROVIDED RECEIVED BY: SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 80340 LB Outbound - Charge ticket Scale 1 Tare Wt. 38240 LB ~- Nc t W~,inhf 42100 I 21.05 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-'~685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM0~ A~ DAY SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 TriniW Transport 21.05 Scale 2 Gross Wt. 80340 LB Scale 1 Tare Wt. 38240 LB 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! Outbound - Charge ticket 0.000 0.00 0.00 0.00 SIGNATURE NO. 085'31 GENERATOR THIS blAHIFE~T:I~i~IR REFEIRI~ICE PURPQ~E~ ~NLY.~T~S ~T~~ ~TI~E ~ ANY CARGO OR MATE RIALS BEI~ ~~ ~ ~ ~~~D ~ ~ ~ OF ~H ~TERIAL8. C~: ' ~ ~,~ /~ ~ ~ 7' SHIP DATE: ~4'(C~S) - BALES: (COUNT): TRUCK WEIGHT: GROSS TARE I HEREBY ~ THAT THE MIOVE ~ M~TERIN~ ~ NOT CONTAIN [ri~..,E LIQU~) ~ DEFIED BY 40 CFR P~T ~.t0 OR ANY ~~, B*~~W~W ~R P~ ~I-~AN~ ~ STATE ~W. ~ ~N ~RLY ~SC~;~C~D ~ ~ ~ ~ ~ ~ F~ ~AT~OR~G TO APPL~E REGULAT~N ~ AU~I~D AGE~(PR~ ~ (SIGNATURE) TRANSPORTER TRANSPORTATION/FR FIGHT CO. TRUC No. / TRAILER NO. / ~ -.~ NO, STATE: / / / LICENSE NO/STATE: '//~/A/ ///)~:~ ,~ / I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCt DENT TO'THE*DESTINATION LISTED BELow. DRIVER: (PRINT NAME) (SIGNATURE) DES~TtNAI~ION ADDRE88: -/ DATE DEL~ERED: I HEREBY~ "~!,111~ THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE ~ A{~.,UI~I~'E: ~ ~(~wr N~UE) DI~L LOCATION TICKET NO.