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HomeMy WebLinkAbout07/2011SOUTHOLD TOWN DEPT SOLID WASTE 61!~5 Cox ~'ane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00848254 07/01/11 07/01/11 12:29 12:58 Dan 11110TC Scale 2 Gross Wt. 98940 LB Scale 1 Tare Wt. 38240 LB Net Weight 60700 LB 30.35 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 Tdnity Transport 01 00848254 07/01/11 07/01/11 12:29 Dan 12:58 11110TC Scale 2 Gross Wt. 98940 LB Scale 1 Tare Wt. 38240 LB Net Weight 60700 LB 30.35 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 .o. "08534 THIS MANIFEST IS FOR REFEREq~ONL¥;~OOEI~ NOT TN(E POrtE. ION ~ TITLE OF A~ CAR~ ORMATERIALS ~)~" ~' (CU YDS) COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: TARE I HEREBY CERTIFY THAT THE ABO~E NAMED M~ DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICA~t.E b~FATE LAW, I~'NOT,HAZARDOU~ WASTE ~t,~ DEFINED BY,,iN)CFR PART261 ORANY APPUCASLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CI..A~IFIED ~ PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGEI'~:~INT NAME) (SIGNATUR~ TRANSPORTATION/FRI:=IGHT C~.~"- TRUCK NO. / /. r L STATE: / // / o gi' TRA,L~R.O. I ~/'~ LICENSE NO/STATE: M'// ~/~'G ~'I I HEREBY CERTIFY THAT THE ABOVE NAMED MKTERIAL~WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATI~ LIS'rED BELOW. DRIVER: (PR'INT NAME) ~S~TURE~ ADDRESS: '/ / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDE D IS TRUE AND A~CI.,IRATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: Wt,TE TO ~ISII~,~,. LOCAT;ON SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. ~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 OO848185 07/01/11 07/01/11 09:59 GS 10:11 11110TC Scale 2 Gross Wt. 101460 LB Scale 1 Tare Wt. 37400 LB Net Weight 64060 LB 32.03 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 Tdnity Transport 01 00848185 07/01/11 07/01/11 09:59 GS 10:11 11110TC Scale 2 Gross Wt. 101460 LB Scale 1 Tare Wt. 37400 LB Net Weight 64060 LB 32.03 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 .o. 085'3:3 GENERATOR THIS MANIF~T: I~F.~ ~ ?t/~RPpSES ~ ,.GENE~TOR ~ES ~T TAKE ~ ~ T~ OF A~ ~ ~ ~ TEfllAL S C~P~: ~'/~ ~ / SHIP ~TE: LOOSE: BALES: (CU YDS) GROSS I HEP.~ Y ~'I'I,JAT THE ABOVE kg~IED MATERIAL DOES NOT CONTAIN F~E L~.~R~D BY 40 ~R PART ~.10 OR A~ Ap~E ~ ~. ~'~ ~ WA~ ~ ~.~ C~ P~?~I ~ ~~E,~TE ~W. ~ P~PERLY DE~. ~D*~PAC~G~; AND IS ~ ~ER C~N F~ T~~TO A~L~E REGU~TION. ~ A~IZED AGENT(~ ~) ~ ~ TRANSPORTATION/FRF:IGHT CO. TRUCK NO. / ~:~ TRAmLER NO. / L E "a, STA,E: //11 0 LICENSE NO/STATE: ~7 ~ //,]7 .~ '~ I HERE~ ~.'~lA'lr THE ABOVE NAMED ~IdATERM~L WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT tT WAS DELIVER[r~B, ~tl~4OUT INCIDENT TO THE DESTINATKIN LISTEDBELOW. DRIVER: (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: "' ....'g C,5 / , ATE DELIVERED: I HEREIJ~ ~ t[~AT TH~ ~BOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDE D IS TRUE/eib ~IOCUIIIW~E: RECEIVED 'BY: ~ AGE~dTIPRINT NAME) KEY: SIGNATURE/DATE DISPOSAL LOCATION ,TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE PO Box {~2 Cutchogue, NY 11935 009304 Wintem Brothers 18.08 Manual Gross Wt. 84880 LB Manual Tare Wt. 48720 LB Net Weight 36160 LB TON OUTGO.MSW O2 07/01/11 848127 OO046544 07/25/11 15:11 15:11 Outbound - Charge ticket Valerie DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 18.08 Manual Gross Wt. 84880 LB Manual Tare Wt. 48720 LB Net Weight 36160 LB TON OUTGO.MSW O2 07101111 848127 OOO46544 07/25/11 15:11 15:11 Outbound - Charge ticke/ Valede DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box Cutchogue, NY 11935 009289 Trinity Transport 01 00848127 07/01/11 07/01/11 07:13 07:48 GS 11110TC 18.08 Scale 2 Gross Wt. 84880 LB Scale 1 Tare Wt. 48720 LB Net Weight 36160 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00848127 07101/11 07/01/11 07:13 07:48 GS 11110TC 18.08 Scale 2 Gross Wt. 84880 LB Scale 1 Tare Wt. 48720 LB Net Weight 36160 LB TON OUTGO.MSW Outbound - Charge ticket 0.OO0 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAYf SOUTI-~LD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 101460 LB Manual Tare Wt. 37400 LB Net Weight 64060 LB 32.03 TON OUTGO.MSW 02 07/01/11 848185 00046545 07/25/11 15:11 15:11 Outbound - Charge ticket Valerie DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 101460 LB Manual Tare Wt. 37400 LB Net Weight 64060 LB 32.03 TON OUTGO.MSW 02 07/01/11 848185 00046545 07/25111 15:11 15:11 Outbound - Charge ticket Valerie DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DURLICATE TICKET** .SOUTH~LD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00848185 07/01/11 07/01/11 09:59 10:11 GS 11110TC 32.03 Scale 2 Gross Wt. 101460 LB Scale I Tam Wt. 37400 LB Net Weight 64060 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! **DUPLICATE TICKE'['** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport 01 00848185 07/01/11 07/01/11 09:59 10:11 GS 11110TC 32.03 Scale 2 Gross Wt. 101460 LB Scale 1 Tare Wt. 37400 LB Net Weight 64060 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAW 0.00 · SOU~OLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 30.35 Manual Gross Wt. 98940 LB Manual Tare Wt. 38240 LB Net Weight 60700 LB TON OUTGO.MSW O2 07/01/11 848254 0O046546 07/25/11 15:13 15:13 Outbound - Charge ticket Valerie DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 98940 LB Manual Tare Wt. 38240 LB Net Weignt 60700 LB 30.35 TON OUTGO.MSW 02 07~01111 848254 0OO46546 07/25/11 15:13 15:13 Outbound - Charge ticket Valerie DeFio 11110TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** , SOU~HOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport 01 00848254 07/01/11 07/01/11 12:29 12:58 Dan 11110TC Scale 2 Gross Wt. 98940 LB Scale I Tare Wt. 38240 LB Net Weight 60700 LB 30.35 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00848254 07/01/11 07/01/11 12:29 12:58 Dan 11110TC 30.35 Scale 2 Gross Wt. 98940 LB Scale I Tare Wt. 38240 LB Net Weight 60700 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue. NY 11935 009289 Trinity Transport 18.08 Scale 2 Gross Wt. 84880 LB Scale 1 Tare Wt. 48720 LB Ne t Weial~ 36160 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 DAY1 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 18.08 Scale 2 Gross Wt. Scale 1 Tare Wt. TON OUTGO.MSW 84880 LB 4872O LB 3616R IR 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~I~ DA~! Outbound ~ Charge ticket 0.00 0.00 SIGNATURE ~,~ 0.00 0.00 .o, -08532 GENERATOR B~T~ I~r I~ ~ R~RF..~O~E~ ON~.y: ~ N~.j~AT~i~ DOES ~T T~ ~ ~ ~E ~ ANY CA~ OR MATERIALS C~: ~ ~ ~'~ ~ [~ ~..~ ~/~ ~/~ ~": /~ SHIP DATE: L~SE: ~ (CU YDS) BALES: ~: · TRUCK ~: ~~ ~S TARE t HEREBY Ce:"'R't'~'Y I~HAT THE ABOVE' NAMED MATERIAL DOE~ NOT CONTAIN FREE LIQUIp AS DEFINED BY 40 CFR PART 260.10 OR ANY ~:C~TL~LAW. ~ NOT H_/b~ WASTE AS B~'INEO BY "C~R.FART E61 OR ~ JrI.~PLICABLE $ TAT E LAW. HAS BEEN, PROPERLY GiL~i~a, TOR AUTHORIZED AGENT(PRINT NAME) &,~rlG NATO RE) mR A N~TA~FR ~ 'G H T CO~ ~ ~''r~ ~ / %  LICENSE NO/STATE: ///// / ~.] TRAILER NO. LICENSE NO/STATE: /~'? ~ 2/6 ~2 ./ I HEREBY ~ .~.~=.[~=~Y "I~dAT THE ABOVE NAMED MATERM, L WAS PICKED UP AT THE GENERATOR SffE LISTED ABOVE, AND THAT IT DELIVERED W~I~HOUT If,~OENT ~ THE DESTINATION LISTED BELOW. DRIVER: - ' ~FRINT NAME) (SIGNATURE) DISPOSAL LOGATION: ADDRESS: DESTINATION [;~;/~ ~' I//../';~':'/'/?~' 'QATE DELIVEF~EO: / I1~ TERR~Y~~ :"rH~ ABOVE MATE RtAL HAS BEEN ACCEPTED AND TO THE BE~T OF MY KNOWLEDGE THE INFORMATION PROVIDED RECEIVED BY: ~,A/t~IEIqlr(PRINT NAME) KEY: DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 615'5 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers r scale 2 Gross wt. 95140 LB Outbound - Charge ticket Scale 1 Tare Wt. 38340 LB Net Wei 56800 LB 28.40 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,~. ^,q,~, ~^,~ : 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 ,v,=Mt~r~,~ ~, SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 38340 LB 56800 LB ~r////lilrl 0.00 0.00 Scale 2 Gross Wt. Scale 1 Tare Wt. Ne W~_ia ht TON OUTGO.MSW Outbound - Charge ticket 0.000 0.00 J 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 -08536 LOOSE; BALES: (COUNT): TRUCK ~: TARE 260.10 OR ANY HASTEN PROPERLY :J TQ &PPLICAIIrE REGULATION. SITE LISTED A~OVE. AND THAT IT WAS ADDRESS: DATE DELIVERED: I HEREBY C~ III~T TI~OV~ MATERIALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDC~E TRE INFORMATION PROVIDED IS TRUE AN~ A~OIIR~TE: ~. RECEIVED BY: KEY: AGENT(PRINT NAME) ~I~JDATE DISPOSAL LOCATION Tf~ NO; , SOUTHOLD T~)WN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Gross Wt. 94160 Manual Manual Tare Wt. 38440 LB LB Outbound - Charge ticket 27,86 )UTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7~5.:; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMoRizE DAY! 0.00 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 94160 LB Outbound - Charge ticket Manual Tare Wt. 38440 LB 7.86 TON )UTGO.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 08535 LOOSE: BALES: TRUCK WEI61HT: '-'J (cu vos) ~~'~ t'~ O TA. RE TRANSPORTATION/FRF IGHT CO. TRUCKNO. / .LICENSENO/STATE: / // / ~ ~-C. I HERESY Ci~ ~ THAT THE ~;)~E NAM~O MATERIAL WAS PICKED UP AT THE GENERATOR SITE LiSTED ABOVE, AND THAT IT WAS 0ELIVEREO ~J~3~&:)lJ~ IN~[N~r ~THE DESTINATION ~.I~TED BELOW. (PRINT NAME) (SIGNATURE) D~TINATION ADDRE~: DATE DELIVERED: I HEIREIP¢~ TI,IAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDE D IS TRUE AHO ACCUI~TE: RECENED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 83340 LB Scale 1 Tare Wt. 37180 LB Outbound - Charge ticket 23.08 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 SIGNATURE 0.00 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 23.08 Scale 2 Gross Wt. 83340 LB Scale 1 Tare Wt. 37180 LB kl~ t Wairshf AR1R~) 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 NO. 1441 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSE~ ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BE,.G S.,PPED ^.O~ES NOT ^S~S~,~ A,~Y.IAB,..~' ASSOCIATE° W,T. THE S.,P~.T O~ SUC. MATE.IA.S. COMMODITY SHIPPED: LOOSE: / (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ ~tJ (-~ GROSS L~,~ / ~ ~ 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 I~W. IS NOT N~-~RDOUS WASTE AS DEFh~ED BY 40 CFR PART 261 OR ANY APPLICABLE STALE I~W, Hh~ BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. "~)_ 2 LICENSE NO/STATE: '~' /-/ LICENSE NO/STATE: TRAILER NO, I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: { 'r' ' (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DESTINATION DATE DELIVERED: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE S E ST~F MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: KEY: AUTHORIZED AGENT(PRINT NAME) WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 2 Gross Wt. 81620 LB Scale Scale 1 Tare Wt. 37120 LB Outbound - Charge ticket 22.25 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 81620 LB Scale 1 Tare Wt. 37120 LB Outbound - Charge ticket 22.25 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week; CLOSED HOLIDAYS- QUESTIONS CALL NEXT HOLIDAY CLOSED'. MONDAY MAY 30 2011 SIGNATURE 0.00 0.00 0.00 ' " 08537 GENERATOR B~_ _M/~..~_ES_~ ~F~_ _RE_FERE_I~. _E~ (~yo ~flATOfl OOES HOT TAKE ~I~ONOR TITLE OF ANY CARGO OR MATERIALS ,.~ ~,.= .op~ ~.*-.,~ ,-~~TED w~ ~sH,,eerr OF SUC. MATERIALS. COMPANY: <*'~[~)/-~/ t' ~' ~6 ,./ , ///1, //! ~ ~/ ? /~,~? ~, SHIP DATE: LOOSE: [ ~ C~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY ~ k_ rl~'l] THE ~VE.~N~D~t~_~_ ~Et~_- ~ _N~).T CONTAIN FREE LIQUID AS DEF. tNED BY 40 CFR PRRT 260.10 OR ANY DPPLICA~-E $ ,"~/~, I~ ,~1~0_1'_~:~1l~ ~ 4ocm PAR~ 2~'10{~le'Jig~ f APPUC~.STATE LAW, HASBEEN PROPERLY ESCRIBEO. CLA*~I~EO AND PACKAGED. ~ tS IN PROPER CONDITION FOR TRANSPORTATION ACCOR~NG TO APPLIOABLE REGULATION. (SIGNATURE) TRANSPORTATION/FRI=IGHT CO. TRUCK NO. / ~' TRAILER NO.. / ? '~ LICENSE NO/STATE: .,DE.SE .O, STA : I HEREBY CERTIFY THAT THE ABOVE NAMED MATERI~C WAS PICKED UP AT THE GENERATOR BITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUI' INCIDENT TO THE DESTINATION LIS'I~O BELOW. 0RIVE.: (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: I HEREBY ~ THAT THE ABOVE MATERIAL HAeJ~EEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED RECEIVED BY: AUTHOFIIZEO AGENT(PRINT HAME) KEY: WHITE TO~OSAL LO~ATION SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 80800 LB Outbound - Charge ticket Scale 1 Tare Wt. 35660 LB 22.57 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 MEM0~IA~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 80800 LB Scale 1 Tare Wt. 35660 LB SIGNATURE Outbound - Charge ticket 22.57 TON OUTGO.MSW Operabng hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOL DAYS - QUEST ONS CALL 631 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 SIGNATURE 0.00 0.00 0.00 NO. 440 / GENERATOR THiS MANIFEST IS FOR REFERENCE PURPOSES~ILY; GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND D~.~OES NOT ASSUME ~ANY.EIABILITY ASSOCIATED W(TI;I T~E SHIPMENT OF SUCH MATERIALS. / . COMMODITY SHIPPED: ~.4 ...: , / LOOSE: BALES: (COUNT): TRUCK WEIGHT: / ' (CU YDS) GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 26040 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLESTATE I. AW. 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, T~A ,N,~~DRTER --7: ! LICENSE NO/STATE: ' '/,/:' f" , LICENSE NO/STATE: .? 1~,.,.~ 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; DISPOSAL LOCATION: DESTINATION / DATE DELIVERED: I HEREBY CERTIFY T'H~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DI~K)~AL LOCATION GREEN TO TR~3I~ORTER YELLOW TO TRIIII~PORTER. · ~,,D TO ~TOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 27.11 Scale 2 Gross Wt. 92140 LB Outbound - Charge ticket Scale 1 Tare Wt. 37920 LB N~ ~t WAinht ,~477D I R TON OUTGO.MSW 0.00 0.000 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 MF_:MORI~ ~A¥! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 92140 LB Scale 1 Tare Wt. 37920 LB SIGNATURE Outbound - Charge ticket 0.00 0.00 27.11 TON OUTGO.MSW 0.000 Operating 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 0.00 0.00 0.00 n nn SIGNATURE ~. "08538 LOOSE: , BALES: (COUNT): TRUCIfWEII~t'T: GENERATOR ~i~NG~__D~iii~~Y- ~_~_~ _ ?OE~N~'T T~~lOlll OR TITLE OF ANY CARGO OR MATE RIALS ~/~/~ 6.oss TARE ~'1~ ~ ~ NE'r TRANB~ ATION/FRI:::IGHT CO. LI~EN~ENOfSTATE: // / LICENSE NO/STaTE: I HEREBY:~ 1~I~'~ A~OVE NAMED MATEPNAL WA~PIGKED UP AT TH~ GENERATOR StTE LISTED ASOVE. AND THaT IT DELIVERED WITNI~T '~T TO THE DEST~IATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) ADDRESS: DESl~ATION DATE DELIVERED: MATERIAL HA~ BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE tNFORM~T~)N~aROViDED ~ATUR~A'I"E ' DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 1~.935 009304 Winters Brothers 25.69 Scale 2 Gross Wt. Scale 1 Tare Wt. TON OUTGOMSW 87940 LB 36560 LB fi13~ IR 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 MEM~ Outbound - Charge ticket 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SIGNATURE 11103TC Scale 2 Gross Wt. 87940 LB Scale 1 Tare Wt. 36560 LB Outbound - Charge ticket 0.00 25.69 TON OUTGO.MSW 0.000 Operatin9 hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - OUESTIONS CALL 631-734-7~85: NEXT HOLIDAY CLOSED: UONDA¥ U^Y 30 2011 u M6hl fi 0.00 0.00 0.00 n nn SIGNATURE 1442 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND OOES NOT ASSUME ANY UABB.I~ ITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. // co PA.V: COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: (CU YDS) GROSS TARE NET I HEREBY CERTIFY THaT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 Off ANY APPLICABLE STATE I~W, 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 TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. / / ~:' C- i GENERATOR AUTHORIZED AGENT(PRINT NAME) ~'~" (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ ~ TRUCK NO. LICENSE NO/STATE: / / ' ~ ~, TRAILER NO. LICENSE NO/STATE: / I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: -"~ DATE DELIVERED: ADDRESS: ~ I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TilANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers. 30.44 Scale 2 Gross Wt. 109120 LB Scale 1 Tare Wt. 48240 LB N~ t Weioht 60880 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 109120 LB Scale 1 Tare Wt. 48240 LB ~ N~ t W~inhf RI3RRI3 I R 30.44 TON OUTGO.MSW Outbound - Charge ticket 0.000 0.00 0.00 Operahng 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 MEM0~IA~ DA~ SIGNATURE NO. 08539 GEBTOR LOOSE: BALES: (COUNT): TRUCK WEIGHT: 6ROSS TARE I HEREBY CERTIFY TI~T THE ABOVE NAMED M&TER[N. DOES NOT CONT,MN FREE LIQUID AS DEFINED BY 40 CFR PART 26~.10 OR ANY ~PPLICAB~?E lalW~. _l~_' _,~?:~ W,aI~E AS~EFINED BY 40 CFR PART 2~1'0~R ~ APPLICABLE STATE LAW. HAS BEEN PROPERLY ESCRIBED, G{.A~FtED ~ND PJ~K'AGE O. AND IS IN PROPER CONOfTION FOR TRANSPORTATION ACCORDIHG TO APPLICABLE ~LATION. GENERATORAkrTHORJZED AGENT(PRINT NAME) (SIGNATURE) TRANSI~IflTER TRANSFORTATION~RFIGHT CO. ~/~/l ~ t/~'~ / q / !/ t o 7 c,- I HEREBY CERT~ ~T ~ ~VE ~ED ~R~ WAS P~KED UP AT THE GENERATOR SITE LISTED ABOVE, A~ ~AT IT WAS DELIVERED ~ I~NT TO T~ D~T~ LIS~D ~L~, (~INT NAME) (SI~ATURE) OISPOBAL LOCATION: ~ t r'l'~/'/~/' ~ ADDRESS: DATE DELNERED: I HEREBY ~ 191AT ~ ABOVE:MATERIAL HA~ BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATtONPFK~VIDEO 18 TRUE Al6) A~:~TE: RECEIVEDBY: KEY: SIGNATURE/DATE DISPOSAL LOCATION TICKET NO, **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 85180 LB 37380 LB Outbound - Charge ticket 23.90 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 85180 LB Scale 1 Tare Wt. 37380 LB N~ W~inhf A7RNN I R 3 90 TON I 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 r~ 0.00 0.00 0.00 J SIGNATURE GENERATOR .o. ' 08540 0ARGO OR MATERIALS SHIP DATE: GROSS )OR ANY TRANSla~RTA~~T CO. TRUCK NO. TRAILER NO. LIO~-I(iO/STATE. LICENSE NO~'~TATE: I HERF_~, G~I~.?IIIaYIYL~T I~IE A:~OVE NAIdED MATERIAL WAS PICKED UP AT THE GENERATOR 81TE LISTED ABOVE, ~ THaT IT WAS OELIVE~ W~ IFICIOENT TO: THE DESTINATION LISTED BELOW. DRIVER: ADDRESS: DATE DELIVER,ED: I't MATERIAl; HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE I'N~'~TION PROVIDE D RECEIVED BY: , AI]TW:]W~E~~ NAME) DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. N~ t Weight 26.53 TON OUTGO.MSW 91260 LB 38200 LB 53060 I ~ 0.000 0.00 Outbound - Charge ticket 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weel<: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685;; NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMORI,~L DAY~ SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 91260 LB Scale 1 Tare Wt. 38200 LB Outbound - Charge ticket 26.53 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL 631-734-~6857;ii NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 SIGNATURE 0.00 0.00 0.00 .o. 08541 LOOSE: BALES:(COUNT): TRUCKWEK~IT: MATERIALS I HEREBY C, ERT:B~ THAT THE-ABOt/'E NAMED MATERIAL D0~,.~;NOT OONT~N FREE-LIQUID A~ DEF~ BY 40. ~'~1PART:_~2~.,,t0 OR ANY : SCRIBED; C, LA3.,fllPIEO AND PACk. ED, AN~ IS tN ~ ~"I'ION t~1 ~ATION ACCOROI~G T~ A.~p f.~ I~t. ATION. GENEF~TOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTATtON/FRF~GHT CO. TRUCKNO. / ~ TRAILER NO. / 7 "~ LICE~E NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY 'THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LI$~ED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINI~TION LISTED'BELOW. DRIVER: ADDRESS: (SIGNATURE) DATE DELIVERED: I HEREBY ~.,EIt3'I~Y. ~!A'I' t'NE':A~I~)V~ MATERIAl,. I,IA8 BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE TIE ~ PROVIDED RECEIVED BY: KEY: DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 29,24 Scale 2 Gross Wt. 95500 LB Scale 1 Tare Wt. 37020 LB Ne: Weiaht §8480 /~ 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 95500 LB Scale 1 Tare Wt. 37020 LB Outbound - Charge ticket :)9.24 DUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week!i ~;:~+ ~. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7;~85/ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL ~¥~ 0.00 0.00 0.00 SIGNATURE '08542 LOOSE: BALES: W, OU~: C) COO (CU YDS) GENERATOR GROSS SHiP DATE: ) OR MATERIALS I HEREBY CER'J~:..'~,. T ~/~VE ~ MATERIAL DOE8 NOT ~TAW ~ ~ ~ ~F~D BY 40 ~ P~T ~10 ~-,~ (SIGNATURE) TRA~ TRANSPORT~ TRUCK NO. NO/STATE: L. TRAILER NO. I' "" UC~E NO/STATE: I HEREBY CERTI~ THAT Tt~ ABOVE NAMED M,~TERIALWAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVEREO ~ INC iDF..~T TO THE DESTINATION LI~rEo BELOW. DRIVER: NAME) ADORES8: (SIGNATURE) DATE DELIVERED.* I ~ ~.l~!t~., 71't~ ABO~/E MATERIAAHAS,~EEN ACC, ElaTED AND TO THE BE,~,r OF MY KNOWLEDGE THE INFORMATION PROVIDED ~s THUE KEY: DISPO,~M. LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. Net We 88760 LB 35780 LB 52980 LB Outbound - Charge ticket 26.49 OUTGO.MSW 0.000 0.00. 0.00 0.00 to 5:00 PM 7 days a CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7585 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~ AL DA~! 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 00849582 MC 07/07/11 07/07/11 11103TC Scale 2 Gross Wt. 88760 LB Scale 1 Tare Wt. 35780 LB Net Wei 52980 LB Outbound - Charge ticket 26.49 TON OUTGO.MSW CLOSED HOLIDAYS - QUESTIONS CALL 631-734~B8~ ::+ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011MEM61~iAL OAy! 0.00 0.00 0,00 J 0.00 SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88760 LB Scale 1 Tare Wt. 35780 LB 52980 LB 26.49 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 MEMORIALDAY! SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88760 LB Scale 1 Tare Wt. 35780 LB 52980 LB 26.49 OUTGO.MSW Outbound - Charge ticket 0.000 0.00 Q00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week : CLOSED HOLIDAYS- QUESTIONS CALL 631-734~68~;; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~iALDAY! 0.00 SIGNATURE .o. 1445 GENERATOR THIS MANIFEST IS FO~ REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS BEING SHIPPED AND DOES NOT ASSUME AY LIABILITY ASSOCIATED WITH· THE SHIPMENT OF SUCH MATERIALS. / COMPANY:,. ~(~" ' ' ' ' ' '" ~ .: : :~ SHIP DATE: COMMODITY SHIPPED: ~"' · . LOOSE: ~ ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ~ ~'~"~ TARE .~'~'d--~? 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 APPMCASLE STATE LAW, HAS sEEN 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, TRANSPORTER / ,~ ,~ LICENSE NO/STATE: TRAILER NO. / ~ LICENSE NO/STATE: ~ /:4 / I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DEMVEREO WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) I (~IGNATURE) DESTINATION DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOGATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 100120 LB Scale 1 Tare Wt. 38200 LB Outbound - Charge ticket 30.96 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 100120 Scale 1 Tare Wt. 38200 LB LB Outbound - Charge ticket 30.96 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 MEM~RI~( DAY~ SIGNATURE .o. 08543 mATOR BALES: (COUNT): TRUCK WEIGHT: TARE ~vn~, ~:u ~ v".,~u,u,:~ u, ~r~ 1'~ I~ PI~3~ER ~ONDITION FO~ TRANSPORTATION ACCOROINGt TQ A~P L~t.~: REGULATION. (SIGNATURE} TRANSF~SRTATION/I=R F K~4T CO. TRUCK NO. TRAILER NO. TRANM RTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY~ THAT. THE A~OVE NAMED MATERfAL WAS PICKED UP AT DELIVEREO~ INCIDENT TO THE DESTINATION ElaTeD BELOW. THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS (PRINT NAME) (SIGNATURE) DATE DELIVERED: I HERESY ~]R4AT lv4~EA~OVE MATER IAL HAS BEEN;ACCEPTED ANDTO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TflUE A~~: S r DISPOSAL LOCATIONTICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 0)9304 Winters Brothers Scale 2 Gross Wt. 97420 LB Scale 1 Tare Wt. 35500 LB Outbound - Charge ticket 30.96 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 ~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~i~ DAy!: 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 952 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 97420 LB Scale 1 Tare Wt. 35500 LB N~ ~t W~.ioht R1 .q2(3 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 MEMORIAI~ DAY.~ Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE .o. 1448 GENERATOR BT~IiNS MANIFEST IS FOR REFERENCE PURPOSES ON~.Y. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS G SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED W1TH THE SHIPMENT OF SUCH MATERIALS. / COMPANY: : " ,/ · ~ ~ ~ ' SHIP DATE: COMMODITY SHIPPED: ~/' LOOSE: /3 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE I HEREBY GERTIFY 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 PACKAGE0,~ND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPL CABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ' ~(~IGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO TRUCK NO. LICENSE NO/STATE: i '-'~ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DESTINATION D ~A:'IT~ DELIVERED: I HEREBY CERTIFY I~IAT 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 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. N~ ,t Weiaht 22.65 TON 83900 LB 38600 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 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 009304 Winters Brothers 22.65 Scale 2 Gross Wt. 83900 Scale 1 Tare Wt. 38600 N~ ,t Wai~ht 45300 TON OUTGO.MSW LB LB LB 0.000 Outbound - Charge ticket 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734~686. :, ~" : NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 ~EM~i.~L DAY! :; 0.00 0.00 0.00 SIGNATURE ~. -08544 GENERATOR ~~I?F~R ~ ~ .~ONLY. (~TOR DOESNOT TAKE ~ ~ TI~ ~ ANY ~R~'~MATERIALS O~P~. ~~ "~' ~ t SH~ DATE. BALES: (COUNT): TRUCK WEIGHT: TARE NET ANO~ .R~iCKAGED. AND ~ IN PROPER CONDITION FOR TRRN~PORTATIGN ACCORDING TQ APPLICABLE REGULATION. AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORT~'t'ION/FR FIGHT CO TRUOK NO. TRAILER !'~. ' / TRANSPORTER L'OE.~.O,~TA~: i///o ?: '? > L.CE. E .O, S TATE: 9 I HEREBY ~RTIFy tTA&T THE A~IOVE NAMED ~4tI~TERIAL WAS ~CKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS D EMVER, EO ~ INCIDENT TO THE'DESTINATION LISTED BELOW. DRIVER: (SIGNATURE) DISPOSAL LOCATION: ~"/1/t/~I/.~ ADDRESS: DESTINATION DATE DELIVERED: ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFOI~4ATION PROVIDED RECEIVEBI~'/: KEY: AUI'I.~3RIZED A~CN"~(~INT ~ s~GNA'ruI~=~ATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 91460 LB Outbound - Charge ticket Scale 1 Tare Wt. 38220 LB 26.62 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~ DA¥i SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 91460 LB Scale 1 Tare Wt. 38220 LB Outbound - Charge ticket 26.62 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week;: : , CLOSED HQLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DA~ 0.00 0.00 0.00 0.00 SIGNATURE No. -o~s45 LOOSE: BALES: (COUNT): TRUCK WEII3iHT: / ~ L,J {CU YDS) GROSS TARE I HEI~'~ 'I~I~T THE A~OVE I~d4ED'M&~'"~FflAL DOr~ NOT OO~T' Al~ ~E ~ ~'L~Q~D A~ DEFI~ED ~f 40 OFfl P~T 2~'10 ~ A~ SCRI~. ~P.,~.,~IFIED 'AlilB~ED, AflfD.l~ tN RROR~.,R OONDITI~N FOR ~TI~N .,~...O{~R DINI~ TO A~q. ICAB[E REGULATION. ~'o~ At,WHO~iZEO ~L'~f{S~t'~e) (S~3NATURE) TRANSPOFR"A~I=IGHT CO. TRUCK.O. . L_~"O'~ATE: ////~, ~'c TRAILER NO. / ~! ~'~ L~E~ ~TATE: ~ // g/r qO '7 I HEREBY CER~ ~AT ~E ~VE ~ ~T~ W~ P~ED UP AT ~ GENE~T~ ~TE LI~TED ABOVE, AND THAT IT W~ DELIVERED W~ I~ID~ TO T~ DES~T~ L~O BELOW. DRIVER: (PRINTNAME) ADDRE~: DATE DELIVERED: I HERE~Y~T THE ABOVE MATERIAI~ HAS ~EEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDEO IS TRUE ~d~DAGI~f(tlIATE~ RECEIVED BY: ~D AOrg~T~glNT NAME) ,?dGNA~ATE KEY: DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWn DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 83700 LB Scale 1 Tare Wt. 48720 LB Outbound - Charge ticket 17.49 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week2 , ,:, , , CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685i NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~0~iAL DAY~ 0.00 0.00 0.00 0.00 SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 83700 LB Scale 1 Tare Wt. 48720 LB ~ N~= t W~.inht 34980 I B 17.49 TON )UTGO.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.t Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE .o. - 08548' GENERATOR THIS I&fddPit~ REYF~.~d~ ~B GHL¥. GENERATOR ODES ~T T~ ~~ TIAE ~ ~ C~ ~ ~TERtALS BEI~ ~ ~~ L~ ~TED WIT~ ~m ~ ~H ~TERIALS. CO~: ~//'/~' ~ SHIP DATE: CO~D~ ~PED: L~SE: / ~-/ (CUYDS) BALES: mUCK ~: H [7~o GROSS TARE I HEREBY ~ ~IMT_*~E~ABOVE NAMED MATERIAL DO~S NOT CONTAIN FREE LIQUID AS BEFINED BY 40 CFR PART 26~t0 OR ANY LP~ LIC~?~T~T_E~--~_ _ o ~ H~f~-ARDO US W~STE AS DEFINED BY 40 CFR PART 261 OR ANY APPUCASLE STATE LAW, ~ PFIOPERLY CRI~F=D~ CLAi~ID. ~o. AND IS1. PROPER CONDITION FOR TRANSPORTATION ACCOWOING TO APPL~ REGULATION. GEI~i~ AUTHORIZED AGENT(PRINT NAME) TRANSPORTATION~RFtGHT CO. ~ · .ucK. . / y' No. /7 TRAN~=ORTER LICENSE NO/STATE: LICENSE NO/STATE: Iill o 7-(.- I HEREB¥*EtERT]I::~ ~ THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WI;FNO~INCI~ENT TO THE DESTINATION LISTED BELOW. DRIVER: - (PRINT NAME) (SIGNATURE) ADDRESS~ DESTINATION DATE DELIVERED: I HEREB~~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE ~/I~CUIM,TE: RECEIVED AUTHORIZED AGENT(PRa~rr I,~e~E) KEY: ~i~I~~TION SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lar~, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88460 LB Outbound - Charge ticket Scale 1 Tare Wt. 37920 LB 25.27 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. :: NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMOR AL DAY~ SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88460 LB Outbound - Charge ticket Scale 1 Tare Wt. 37920 LB _;_ .'- ~1~ ~ - ~~ ~ 25.27 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 DAYI 0.00 SIGNATURE 08549 GENERATOR ~ ~!1~.~~ ONLY. I;~MEl~Tq~ DOE~ NOTTAKE POrtE.ION OR TITLE OF ANY CARGO OR MATERIALS BEIN~ 8t.~ ~Ml~.~]ilr ~ LIABILITY ~.ED WITH TH~$HIPMENT OF SUCH MATERIALS. co~,~': ~,,'~ ~; ' SHIP [:)ATE: LOOSE: / ~' (CU YDS) BALES: (COt~: TRUCK WEIEIHT: I HEREI~Y ~ TI4AT THE ABO~/E NAMED.MATERIAL IX)E8 NOT CONTAIN FREE LIQUID A~ DEFINED BY 40 CFR PART 26~.10 OR ANY APPt.~t,A~/; i~ IfA~ItHKZARDOU~ tl~ A~.DEFINED BY 40 CFR PART 261 O~l ANY APPLICABLE STATE LAW. HAS,BEE~ PROPERLY DESCRI~ ~ Af~)PACKAGED. ANO'IS IN PROPER ~ONDiTION FOR~PORTATION ACCORDING TQ APPLICABLE REGULATION. ~IENER&TOR AUTHORIZED AGENT{.PRI,~.r NAME) (SIGNATURE) TRt~I~=ORTER TRANSPORTATION/FRI:IGHT CO. ~, ~[~' / ?, ' eE. .O,STATE: D 774, ?/ I HEREB~ OE.I~TIFY THAT ~' ABOVE NAMED MATEPJAL WAS`PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED ~ ~T TO THE DESTI~ATIO~Ir*~,~TED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION ADDRESS: DATE DELIVERED: I HEREBYCE~*TTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFO~,MATION PROVIDED RECEIVED (~t'.* KEY: NAME) DISPOSAL LOCATION TICKET NO, SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 90340 LB 37620 LB Outbound - Charge ticket 26.36 OUTGO.MSW 0.000 QO0 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 MEMOR AI~ DAY 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 90340 LB Scale 1 Tare Wt. 37620 LB Outbound - Charge ticket 26.36 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 DAM! SIGNATURE NO. -08550 GENERATOR THIS . .MA~I~I~ ~ REFERB~F~PURI~ ONLY. GEII~IIATOR IX)E~ ~ T~ ~ ~ TITLE ~ A~ ~R~ OR MATERIALS C~: ~- /:~ ~ SHIP DATE: C~ ~I~D:~~ L~SE: / ~- ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~NET I HEREBY GERTIFY THAT ~ ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE .LIQUID AS DEFINED BY 40 CFR PART ~8~.~t~OR ANY . App LICA~LE STATE LJ~¥. I~ NO~ i~tZA~I~TUS WASTE A,~,BEFiNED B~ 4G CFR PART ~ 1OR ANY APPLiCA~.ESTATE ~W, ~~y '~ DESCRIBED, C~IFIED AND ~CKAGED. AN{) IS IN PROPER CONDITfON FOR TRANSPORTATION ACCOROfi~G TQ APPt,aCABL~ RE~GUI. ATION. ~ GENIER~TOR AUTHO4:UZED AGENT(PRINT NAME) TRANSPORTATION/FRI=IGHT CO..~~'~'~ / ~] ,~ ~- TRUCI~'NO. _ / ': " ' .LICENSe' NO/STATE: I HER~B~.~ ~ '~4AT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELtVERED~J~I~'f INCIOENT TO THE DESTINATION LISTED BELOW. DRIVER: / ' '" ' (PRINT NAME) (,~GNATURE) DISPOSAL LO~A~: ADDRESS: DESTINATION DATE DELIVERED: I HEREBY ~T ]~'dE~BOVE MATERIAL HAS BEEN ACCEPTED ANO TO THE BEST OF MY KNOWLEDGE THE INFORMR~N PROVIDED IS TRUE ~ND RECEIVED BY: KEY: WHITE AU-~'AGENT{PRINT NAME) S~ATUhEm~TE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 63060 LB Outbound - Charge ticket Scale 1 Tare Wt. 36960 LB N~ W~iaht 26100 LB ,, 3.05 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 631-734-7685~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 SIGNATURE 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 13.05 Scale 2 Gross Wt. 63060 LB Scale 1 Tare Wt. 36960 LB ~, * W-inht ?R100 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! Outbound - Charge ticket 0.000 0.00 0.00 0.00 0.00 SIGNATURE No. ~457 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 ~ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS, COMPANY: ~ ~?J / ~ ,2 SHIP DATE: COMMODITY SHIPPED: LOOSE: . ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW. IS NOT HAZARDOUS WASTE AS DEFINED BY ~0 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. TRANSPORTER · LICENSE NO/STATE: ~ / LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE :NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRI~IT NAME) DESTINATION DISPOSAL LOCATION: , , / · 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: ~~" 'Y~- AUTHORIZED AGENT(PRINT NAME) ~)ISPOSAL LOCATION ~ TRANSPORTER ~O TRANSPORTER. JBENERATOR / OENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 93920 LB Manual Tare Wt. 48620 LB N~ t Weinh!.~ ~nn .. I: 22.65 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 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 009304 Winters Brothers Scale 2 Gross Wt. 93920 LB Manual Tare Wt. 48620 LB Outbound - Charge ticket 22.65 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 ~M 7 days a wee~i CLOSED HOLIDAYS - OU ESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMO~I~ DAli 0.00 0.00 0.00 0.00 SIGNATURE 0855 B~E_I_I_I~. ~Y. ~TOR O~$ NOT TAKE t~E~ION OR TI ~E OF ~ CA~ OR MA TER~L S C~: ~'//f ~1~' f-/~ SHIP DATE: (cu C~ ~EB: LOOSE: ABOVE _NA_MED M~_ T__ERML ~:)ES HOT CONTAIHFREE LIQUIO AS DEFINED BY' 40 CER PART 26~.10 OR ANY AI~O PACKAC~D. AHD I~'IN ~ CONDITION FOR TRANSPORTATION ACCORDING TO AR~ICABLE REGULATIOH. TRANSR3~rATION/FRr ~.~I-IT CO. TRAILERNO, ~'~ '"~ ,/ I HEREB~:~[;R~tI~ THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE USTED ABOVE, AND THAT IT WAS DELIVERED liggt4OUT INCIDENT*TO THE'DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (S~ATUI~) ADDRESS: DE~/INAIION DATE DELIVERED: I HER E DY ~RI~ ~ ~T~T TH~.;ABOVE MATERIAL HAS BEEN ACCEPTED AN[) TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE RECEIVED BY: KEY: SIGNA~TE DISPOSAL LOCATION TICKET NO; ~ SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 32.03 Scale 2 Gross Wt. 98820 LB Scale 1 Tare Wt. 34760 LB t Weioht 64060 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 98820 LB Scale 1 Tare Wt. 34760 LB Outbound - Charge ticket 32.03 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week:~ ,;,!ii;~ ~ ~,~ , i~i ';~ ~ CLOSED HOLIDAYS - QUESTIONS CALL 631-734-~ili;i;~i; '~i~iiiiiiiiiii}iiiiii~ ~ ~;! NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMoRIAd'DA~!i : 0.00 0.00 0.00 SIGNATURE " ~458 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSF_.~ ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO O? MATERIALS BEING SHIPPED A~ND DOES NOT ASSUME AI~' LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:-.~-";,~ ':.~..Pt ~,.~ i /~ ' ':.~, SHIP DATE' COMMODITY SHIPPED: ' : ~ LOOSE: BALES: (COUNT): TRUCK WEIGHT: *'~ ) (CU YDS) ~ ~ -f;~:::' GROSS /Z~?'~/ TARE /'T/~''~; 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. ISNOT 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 Au'r~IZED AGENT(PRINT NAME) TRANSPORTATION/FREIGHT CO. TRUCK NO. TRAILER NO TRANSPORTER / LICENS~ NO/STATE: LICENSE NO/STATE: i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE (~ENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) ' DESTINATION DISPOSAL LOCATION: ~"f-)'(' ,. / ',,~ ~,,. DATE DELIVERED: ADDRESS: t ~ 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. **DUPLICATE TICKET** S. OUTHO~.D TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00850751 07/11/11 07/11/11 13:07 13:07 MC 11110TC Manual Gross Wt. 96380 LB Manual Tare Wt. 37620 LB Net Weight 68760 LB 29.38 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchegue, NY 11935 009304 Winters Brothers 01 00850751 07/11/11 07/11/11 13:07 13:07 MC 11110TC Manual Gross Wt. 96380 LB Manual Tare Wt. 37620 LB Net Weight 58760 LB 29.38 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 .o. -085'S:2 GENERATOR B~:~!~ ~I,Y. ~TOR DOES NOT T~ Off TITLE OF ANY QARGO OR MA TERIAL~~' UEIIII~ ~I~PEI~~AN~ t. fAB~,ITY AB~IATE~ WITH THE~ ~-I{~I;~EMT OF ~JCH MATERIALS. ~LES: ~: ~~* TARE ,~H~..~EI~?~ ~ ~.T, THE ABOVE NAMED MATERIAL DO~S NOT CONTAIN FR~E LIQUIO AS DErdNED BY 40 CFR PART 260.10 OR ANY SC RIBE~/GIJ~IFIr~.AN D PACKAGED, ANDI~ 'IN PROPER CONDITION FO~ TP, MJ~4~3RTATtON ACCORDING TO APPLIGA~P~E REGULATION. GEI~TOR AUTHORIzED AGENT(PRINT HAME) (SIGNATURE) TRANSPORTA~I::IGHT CO. tR ..o. - / TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREI~";~ '~"~a~T* THE A~OVE NAMED MATERIAL WAS P CKEO UP AT THE GENERATOR SITE LISTED A~OVE, AND THAT IT WAS DELIVEfJO~ ~JClDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DATE DELIVERED: I HE RE,~/' ()ER3'IF~ Tt,~T ~ ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTDF MY KNOWLEDGE THE INFORMATION PROVIDED 18 TRUE AND A~OURATE: RECEIVEDB~ r AUTHORIZED AGENT(PRINT NAME) KEY: WHITE ~C) DI~ LOC~TION GCJ. D TO ~I~NERATOR SIGNATUREJOATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00850801 07/11/11 07/11/11 15:11 15:24 MC 11110TC Scale 2 Gross Wt. 94280 LB Scale 1 Tare Wt. 37420 LB Net Weight 56860 LB 28.43 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00850801 07/11/11 07/11/11 15:11 15:24 MC 11110TC Scale 2 Gross Wt. 94280 LB Scale 1 Tare Wt. 37420 LB Net Weight 56860 LB 28.43 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 531-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! 0.00 .o. 085~3 GENERATOR GROSS ~TARE BALES: (COUNT): TR1)CK WEIGHT: I pH~t.._~__~1~~. ~4AT THE ABOVE NA~D MATERIAi,*B(~ NOT ~T~ FREE L~ ~ ~D BY 40 CFR P~T 2~.10 OR ANY ~ ~~~T~ ~ A~ ~ ~ PART ~1 ~ ANY AP~ STA~ ~W.~S ~EN PROPERLY I, A~*~ ~R C~T~ FOR T~~N ACCORD~G TQ APPL~ABLE ~TI~. ~~D AGENT(~T ~ME) (S~NATURE) TRANSPOR'I~rlON/FRF~GHT CO. TRUCK NO. TRANSPORTER , TE: ~TA ////~ ?~ I HEREBY qE~T~ ]~fAT,THE ABOVE NAMED MATERIAL WAS PICKEO UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED W~ IN(~NT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) ADDRESS: DESTINAYION DATE DELIVERED: RECEIVEDL~Y.' SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155~Cox La. ne, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 32.61 TON Scale 2 Gross Wt. 102320 LB Scale 1 Tare Wt, 37100 LB OUTGOMSW Outbound - Charge ticket 0.000 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weekl : CLOSED HOLIDAYS - QUEST ONS CALL 631-734-;~685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOR AI~ DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 SIGNATURE 009304 Winters Brothers 0.00 Scale 2 Gross Wt. 102320 LB Scale 1 Tare Wt. 37100 LB Outbound - Charge ticket 32.61 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 631-734-7665. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY{ SIGNATURE .o. 08555, GENERATOR BALES: (COUNT): TRUCK WEIGHT: GROSS TARE I HEREBY CERTIFY( THAT Ttq~,jMIO~E ~ M~TEIllilL ~ NOT CONTAIN ~REE UQUID AS DEFINED BY 40 CFR PART 2&0.10 OR ANY SC IBED, ~D AND P~CKAGED. lAND ~Sr INt~OPER CONDITION F~OR~T*RA~PORTATJON AOCORDING TO APPLIGABL E RE GU LATION. O'ENEIRATOR Au~qORI~ED AGENT(P'"'rwNT NAME) (SIGNATURE) TRANSPORTATK~VFRF IGHT CO. TRUCK NO. / ~ LICENSE NO/STATE: / 1 t / 9. Z L./ TRAILER ~. / ~g L~E~E ~,8TATE: '/::] ~ 2 Z ~ 2~ I HEREBY OERT~ ~T ~ ~VE N~D ~[~ ~8 PI~KEO UP AT THE ~ENERATO~ 81~ L~TED ABOVE, &ND THAT IT WAS OELIVEREO ~ I~ ~O T~ ~87~ USTED BELOW. DRIVER: (PRINT NAMe) (SIGNATURE) DISPOSAL LOI~ATION: ADDRESS: DATE DELIVERED: I HEREBY II:~ THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVfDE D IS TRUE AND AC(~dRATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE 10 ~ LOCATION · .,ATE TICKET** , HO.LD TOWN DEPT SOLID WASTE ,55 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 85740 Scale 1 Tare Wt. 37020 ~ , ...... ~. ~,R7?N 24.36 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! LB LB SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 85740 LB Scale 1 Tare Wt. 37020 LB Outbound - Charge ticket 24.36 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-~0$S; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 SIGNATURE .o. ' 08554 GENERATOR THIS MANIFE~r l~ IFO~REF~ P~ ONLY. ~IR~TO~ DOES ~T~ ~ ~ T~ ~ A~ CA~ OR MATE RIALS COMPAq: ~/~' / ~,-~' ,//~"/' ~ ~?~.'"~ *~ ~/~/:~ SHIP DATE: LOOSE: BALES: (~: TRUCK WEIGHT: ~ C? ''''~ (CU YDS) <~~ GROSS ~7~~) TARE GENERATOR AUTHORIZED AGENT(PRiNT NAME} (SIGNATURE) TRAI~SPOI~'ER TRANSPORTATIOI~FRFIGHTCO,/~/ :~//l{ ~ TRUCK NO. / / . LICENSE NO/STATE: TRAILER NO. / ~//~¢""- LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ,k~OVE NAMED-t&KTERIAL ~ PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WIYHOUT INCIDENT TO THE DESTINATION LISTED.BELOW. DRIVER: ~ (P~:UNT NAME) (SIGNATURE) ,/ / ADDRESS: ' DATE DELIVERED: I HERESY CEEITII~Y;TI.~,T TI,~,ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATK)N PROVIDED IS TRUE ANO AC:~,I,IR~TE: RECEIVED BY: Au'mo~zEO ~,[.~¢~rr KEY: WHIT, E ,, ,,~~TION SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00851057 0W13/11 07/13/11 08:49 GS 08:49 1111 OTC Scale 2 Gross Wt. 94180 LB Manual Tare Wt. 48620 LB Net Weight 45560 LB 22.78 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 009304 Winters Brothers 01 00851057 07/13/11 07/13/11 08:49 08:49 GS 11110TC 22.78 Scale 2 Gross Wt. 94180 LB Manual Tare Wt. 48620 LB Net Weight 45560 LB TON OUTGO.MSW Outbound - Charge ticket 0.000 0.00 0.00 0.00 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 NO. 08557 GENERATOR BALES: (COUNT): TRUCK WEIGHT:' L~SE: ~OL.~ (CU YDS) .oss I HEREBY CER~ THAT THE ABOVi:: NAME~ MATERIAL I~S NOT ~IN FREE LIQUID AS DEFINED BY 40 CFR PAR,~ 2~0.10 OR ANY APPLIC..,~B~E ~TE ~ltW, I~l~r~ HAZ..A~I~[~ WA~I'E A~ DIVINED 9Y 40CFR PST261 OR ANY APPLICABLE STATE LAW, HA8 ~Efl PROPERLY DESCRIBED, ~11[~IFIED AM~ F~CKAGED. AND IS IN P[~)PER CONOITION FO~ TRA~ ACCORDING TQ APPLICAO[E REGULATION. TRAN~PORTATION/FRI:: IGHT CO. TRAILER NO. ~ '~ TR~mR LICENSE NOCSTATE: LICENSE NO/STATE: I HEREBY ~ THAT THE ABOVE NAMED MATEFY~AL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITNOU~IN~IDENT TO THE DESTIN~TIOfl LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: DATE DELIVEREO: ADDRE~: I HEREBY ~ t~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORM~TIOII PROVIDED IS TRUE AND AC~RATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: GOI. D TO~ENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935,, 009304 Winters Brothers Manual Gross Wt. Manual Tare Wt. 95060 LB 37620 LB Outbound - Charge ticket 28.72 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~DA¥~, SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 95060 LB Outbound - Charge ticket Manual Tare Wt. 37620 LB 28,72 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 631-734-768§. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE '08558 GEHERATOR ~ i~:1~.~4~1~ __ _ _~_ _ _~ ONi,,Y.,~TI~R~X~E$ I~. _T TAKE~OR TITLE OF ANY CARG~ OR MATE RIALS ~: SHIP DATE: ~ ~M~ ~ED: ~ ~ ~ '~ L~E: ,//' ':~?~'~CU YDS) BALES: (COUNT): TRUCK WEE}FIT: GROSS TARE I HEREBY ~ THAT TH~ ABOVE NAMEDMATERIAL DOES NOT CONTAIN FREE LI~ AS DEFINED-BY 40 CFR PART 260.10 OR ANY A PPLtCA~F,,,~ ~'~E f.~I~w, I~:~HAZARDOUS WAS'TE ~EFINED BY 40 CFR PART 26113~ ANY APPLICABLE STATE LAW. HAS BEEN PROPERLY DESCRII~, ~IED/~ID PACKAGED. AND IS IN PROPER'CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. 13ENEI~YOR AUTHORIZED AGENT(PRINT NAklE) · · i~B GNATURE) TRANSPORTATION/FRI=IGHT CO. TRUCK NO. / ~'~' TRAILER NO. / '~ ~ TRANSI~R 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 LOCA'I~OI~. DATE DELIVERED:. ADDRESS: I HERESY ~. ~I~T THEABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE ~ R~ff~TE: RECEIVED BY: AU~D Ae~rrrPmNT-NAME) SIGNATURE/DATE KEY: WHITE ~'~O D~P4~ [O~.a~'Z~lO~ ~'1~ DISPOSAL LOCATION TICK~ ~. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt, 87760 LB Scale 1 Tare Wt. 37260 LB Outbound - Charge ticket 25.25 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 531-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers '~ 2 Gross Wt. 87760 LB Scale Scale 1 Tare Wt. 37260 LB Outbound - Charge ticket 25.25 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 HOL DAY CLOSED MONDAY, MAY 30, 2011 M~MO~IAL DAY~ SIGNATURE No. 085:59 GENERATOR BALES:(COUNT): TRUCKWEIGHT: NAMED. MATERIAL BOES NOT CONTAJN FREE LIQUID AS DEFINED BY 4D ClR~, ~ .JP~-. --~6~. ~0 OR ANY PAP.,K:~GEO. AND IS iN PROPER CON~ITIO~ FOR TRAN~POJ~rATION ACCORDB~I TIl::~lll~ i~LATION, ;~ ~ (SIGNATURE) TRA~ T,,,.~,,A~o,~.,;~co. ~ ~/~.~;~ ..,cK.o. / ~ [~,~.~: / / / t-~ ~'~ t HE~~~T T~ ~VE NAMEO ~T~AL'~S P~KED UP AT THE GENE~TOR SITE LISTED A~. AND THAT IT WAS ~L~~~T TO ~E ~ST1NA~ LISTED BELOW. T ~ ..... '~SIGNATURE) DESTINATION DISPOSAL'~TION: "''- ' **'/ . /.~,. "- ADDRE~: ,. DATE DELIVERED: t HEREI~¢ ~'~(~T ,THE ABOVE MATERIAl. HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE ~ONPROVI'DED IS TRUE-JIND EECENEg~C A~ AGEMT(PRINT NAME) KEY: SIGNATURE/DATE OISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 84060 LB 37240 LB Outbound - Charge ticket 23.41 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 MEMO~IA~A¥i 0.00 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 84060 LB Scale 1 Tare Wt. 37240 LB Outbound - Charge ticket 23.41 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. -08560 GENERATOR THIS ~ Iro~ - = -_: y.~NERATOR,OOE~ NOT TAKE RO~ION OR TITLE OF ANY CARGO OR MATE RIALS BEIN~ ~ ANEJ,,~OI~ ~ AI~ LI~.ITY A.8~OCIATEI~ WITH THE ~ OF ~JCH MATERIALS. COMPANY: _~L~.>~./i ~L~,~ ,_/ ~.'-'/ I J/1 -~' L/ } ~)~[.'/~j"~ SHIPDATE: COMMODn'Y Sr,'qPPEO: LOOSE: BALES: (COUNT): TRUCK WEIGHT: TARE NET I HEREBY ~ ~-'1~ .ABOVE.,I,~IAMED .MATERI~M. DO~,NOT ~T~N ~E L~ ~ ~F~O BY 40 CFR P~ 2~.10 ~ ANY APP~ ~, ~'~~ ~O ~Y~ C~ ~ ~1~ ~L~ STATE ~, ~$BEEN PROPERLY DE~,~~ P~A~D. ~ ~R C~~~G~ TQ A~E RE~TION. __ ~ A~ AGENT(~T ~) ~ ~ (S~NATURE) TRANSPORTATION/FFIFIGHT CO/ /" TRUCK NO, ~ TRAILER NO.,, ,, / Z S-- TRAI~ LICENSE NO/STATE: LICENSE NO/STATE: I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED W1THOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (SIGNATURE) DE~TINA1tON ADDRESS: ' DATE DELIVERED: I HEREBY,~T THE ABOVE MATERIAL HAS ~EEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE ~ ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: · WHrl~E TO E4MK)~M. LOGATtON DISPOSAL LOCATION TICKET SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 96300 LB Scale 1 Tare Wt. 37920 LB Outbound - Charge ticket 29.19 OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week~ CLOSED HOLIDAYS- QUESTIONS CALL 631 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL~ ~Y! 0.00 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers I Scale 2 Gross Wt. 96300 LB Scale 1 Tare Wt. 37920 LB 129.19 TON !OUTGO.MSW Outbound - Charge ticket 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. + CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY MAY 30 2011 MEMORIA~ DAy 0.00 SIGNATURE .o. 08561 ~EN~RATO~I ~ M&NII~Y~-III~I4~i~EI~:~ ~ . ~O~:~Y. ~ DO~$ NO? TA~E,~8~BIO~ OR 'TITLE OF ANY CARGO OR MATERIAL S COMPANY: ~-.-/ ,~?-"~-'"-'~:- SHIP DATE: COMMODrFY 8HIPPED: LOOSE: BALES: TRUCK WEiI~,R': //J cc,., GROSS  TARE NET AGENT(PRINT'NAME) NAMED ~TERIAL DOES NOT CONTAIN FREE UQUID A~ DEFINED BY 4~?,I~:R P;t~t~T 26g,.10 OR ANY WASTE~ BEi~NED BY 40 OFRPART 2610~ ~NY A~PUCABLE STATE LAW. HAIB ~EEI~ PROPERLY DE ~.~Ct~(~I~IqED ~A~ED. AN{)IS IN PROPER CONDITION FOR ~TATION ACCORDING TQ APPt~,.E REQULATION. LICENSE NO/STATE: LICENSE NO/STATE: //// /v ~.T~ A~OVErNAMED MATERL-~L WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DEL~~fNCIDEHT TO THE DESTINATION LIS'rED BELOW. DRIVER: (PlaINT NAME) (SIGNATURE) ADDRESS: 7 DATE DELIVERED: I HERE~t~.~ !l~AT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEEi~E TH~ INFOJlIItAT. ION PROVIDED IS TRUE ~ RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) ~ 1~ ~ LO~ATION PINK 10 mr:NERATOR QOLD TO ~EHERATOR DISPOSAL LOCATION TICKET NO, SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 104900 LB Outbound ~ Charge ticket Scale 1 Tare Wt. 36380 LB 34.26 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 009304 Winters Brothers Scale 2 Gross Wt. 104900 LB Scale 1 Tare Wt. 36380 LB Outbound - Charge ticket 34.26 DUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weeki; CLOSED HOLIDAYS - QUEST ONS CALL 631-734-7665.; ::; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~M~RiA~OA~!; 0.00 0.00 0.00 SIGNATURE '08562 LOOSE; TRUCK WEIGHT: / ~2-'/(CU YDS) TARE GAR.GO OR MATERIALS SHIP DATE: T~/~tONERRGHT CO. T.UCK.O. ? / LICENSE NO/STATE: I HERESY OERTIFY. THAT THE ABOVE NAMED MAT, ER!ad. WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO THAT IT WAS DELIVERED Wt'IT'IOUT INCIDENT TO THE DESTIFL~TfON LISTED BELOW. DRIVER: NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: ! _H E _R ?. _BY. ?. _~.~_T Tf ~ ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE TH~ ~TION PROVIDED RECEIVED BY: AU'II,,I(N~DAGENT(PRIltT NAMe) KEY: ~.T4) I:~:~AL LO~ATION DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE (~I, 55 ~'o~( Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 85700 LB Manual Tare Wt. 35720 LB Outbound - Charge ticket 24.99 TON OUTGO.MSW 0.000 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~IAL ~A¥~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 SIGNATURE 009304 Winters Brothers 0.00 0.00 0.00 24.99 Scale 2 Gross Wt. 85700 LB Manual Tare Wt. 35720 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 M~M0~I,~Y SIGNATURE Outbound - Charge ticket 0.00 0.00 0.00 NO, 1460 GENERATOR THIS MAHIFEST ~S FOR REFERENCE PURPOSES O~.Y. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS BEING SHIPPED AND D~OES NOT ASSUME A~NY LI~I'~ILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. . / ~i! .,/ /~ ~ ~ SHIPDATE: , /f'/// 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 2~1 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND ISIN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. INT NAMEI TR~ORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. TRAILER NO. I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ' (SIGNATURE)- DESTINATION DISPOSAL LOCATION: "" ' ~ ,' ~ ~ ,' DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEI~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. P~K TO GENERATOR GO~.D TO OENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 8155 Cox Lane, PO Box 982 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 89840 LB Outbound - Charge ticket Scale 1 Tare Wt. 38920 LB 25.46 TON . . Operating hours 7:00 AM to 5:00 PM 7 days a week ;: : CLOSED HOLIDAYS - QUESTIONS CALL 631-734~7685: t NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~I~ DAy! 0.00 SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 89840 LB Scale 1 Tare Wt. 38920 LB Outbound - Charge ticket 25.46 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. 08,563 GENERATOR THIS MANIFE~TI~ FO~ ~ tJq, JRPO~Y. GEHERATOR DOES ~T T~ ~S~ ~ TI~E OF ~ CA~ OR ~TERIALS C~PA~: ~&/~/~ ~,/ /~/ ~'~P'~ .~)~'~ ~ SHIPDATE: CO~ S~ED: ~ ) ~ L~SE: / ~/~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HERES'~:~.L~T ~ ABOVE NAMED MATERIAL, DOES NOT CONTAIN FREE LIQUID A~ DEFINED BY 40 CFR PART 260.10 OR ANY APPL~$TAI~t, I~ NO~t4~R~3t~ WASTE ~,DE~FtHED BY 40 CFR PART ;61 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. ~D_ AND PACKAGED. AND IS tN PROPER CONOITION FOR TR AN~PO.B..TATIO, ACCORD~RG TO APPLICABLE REGULATION: GENERATOR AUTHORIZED AGENt(PRINT NAME) /// I(SIGNATU~E) TRA TRANSPORTATION/FRFIGHT CO. ~.. TRUCKNO. / ~ LICENSENO/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: I )~.~ ~ ], ~, ' (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DESTINATION DATE DELIVERED: I HEREBY'~ ~HAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLE[:)GE THE INFORMATION PROVIDED IS TRUE AND AC~RATE: RECEIVED BY: AUTHORIZED AGENT(PI=UNT ~ ~ TO ~ LOGATK~I oa~ '~0 ~TER GOLD TO ~iENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 96200 LB Scale 1 Tare Wt. 38700 LB Outbound - Charge ticket 28.75 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 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 28.75 Scale 2 Gross Wt. 96200 LB Scale 1 Tare Wt. 38700 LB TON OUTGO.MSW Outbound - Charge ticket 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a wee~i CLOSED HOLIDAYS- QUESTIONS CALL NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 0.00 0.00 0.00 0.00 SIGNATURE .o. -bsa4 GENEIqATOR ~ ~ I~ ~¥* !T~ ~ ~ I~ ~ ~TLE ~ ANY C~GO O R MAT E RIALS COMPANY: ~T ~ *'~ . ~./~/~//~ "'~ /{/~ SHIP DATE: C~ ~PED: ~ LOOSE: / ~/O (CU YDS) BALES: (GOUNT): · TRUCK W~GHT: ~'~.~Z~ GROSS ~ ' ' ' TRA~I~POI'TI~R-~- --'"* TRAI~I;~I~ATK)N/FR;~d4TCO. ~~'~' TRUCK ~.' "" / ~ LI~E~ ~TATE: TRAIL~. / ~ L~SE N~TATE: I ~ ~T ~ ~VE NA~D ~ ~S P~KE~ UP AT T~ GENERATOR SiTE LIS~D A~. ~ T~T IT WAS DELI~RED ~ ~ ~ THE DEST~ LI~ED BEL~. DRIVER: ~ {P~INT N~ME) DESTmTK)N (SIGNATURE) DATE DELIVERED: ADDRESS: I HEREBY GEFIT ~II?Y THaT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWL~ THE fflIFORMATION PROVIDED IS TRUE A~D AOOURATE: RECENED BY: AUTHORIZED AGENT(~iIT~) WH~E ~ ~0~ LOCAT~N ~ TO,~TER GOLD TO I~ENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 27.21 Scale 2 Gross Wt. 88040 LB Scale 1 Tare Wt. 33620 LB . w~inht 54420 LB 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-~685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~Y! Outbound - Charge ticket 0.00 0.00 SIGNATURE 0.00 0.00 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88040 LB Outbound - Charge ticket Scale 1 Tare Wt. 33620 LB 27.21 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 i NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMO~IA~AY! 0.00 SIGNATURE No. 2~5.9 GENERATOR THIS MANIFEST IS FOR RE FERENCE PURPOSES ONLY. GENERATOR DOESNOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS BEING SHIPPED- ~.A~ DOES NOT ASSUME ANy UABILIT~' A~OCIATED WITH THE SHIPMENT OF SUCH MATERIALS ' COMPANY: .... ~ ~* * * SHIP DATE: COMMODITY' SHIPPED: . ' ! ~' ~' LOOSE: ) {CU YDS) BALES: (COUNT): TRUCK WE,6m: ' GROSS ~ ~',~'~' TARE I HEREBY CERTIFY THAT THE ABlE ;l~ddED MATERI&L DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE.STATE LAW; I~ NOT HAZARDOUS WAS~TE~$~EFINEO!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. ,; TRAILER NO. /~ LICENSE ~O/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 INCIOENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SI~RE) DESTINATION DISPOSAL LOCATI(~. ( /; ,f'; , '--~, DATE DELIVERED: ADDRESS: / ~ ,, " I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AI~D 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. **DUPLICATE TICKET** SOUTHOLp TOWN DEPT SOLID WASTE 61~5 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00852281 07/18/11 07/18/11 11:23 11:36 MC 11103TC Scate 2 Gross Wt. 78760 LB Scale 1 Tare Wt. 36840 LB Net Weight 41920 LB 20.96 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 01 00852281 07/18/11 07/18/11 11:23 MC 11:36 11103TC Scale 2 Gross Wt. 78760 LB Scale 1 Tare Wt. 36840 LB Net Weight 41920 LB 20.96 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 2160 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY, GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AMD DOES NOT ASSUME ANY UABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:., ~,~ ~, . SHIP DATE: , i COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: (CU YDS) ? GROSS TARE ~'~/~/~,-~.~ NET I HEREBY CERTIFY THAT THE!ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE L&W. t8 NOT ~DOUS WASTE AS. DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW. HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITI?,:EOR TRANBf~RTATION ~~ APPUCABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) '~'SIGNATURE) ~ 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: ~ / ' '(~I~INT NAME) '~ (SIGNATURE) '~ DESTINATION / DATE DELIVERED: DISPOSAL LOCATION: / ~ / ADDRESS: I HEREBY CERTI~ THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND T© THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE; RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DI~aOSA[. LOCATION GREEN TO ~I;~ORTER YELLOW TO TRAN~TER. 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 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 88720 37800 LB LB Outbound - Charge ticket 25.46 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL631-734-7685: ;: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMOR ALDA~ 0.00 0.00 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 88720 LB Scale 1 Tare Wt. 37800 LB 00852347 MC 07/18/11 07/18/11 11110TC Outbound - Charge ticket OUTGO.MSW 25.46 Operating hours 7:00 AM to 5:00 PM 7 days a CLOSED HOLIDAYS - QUESTIONS CALL 631 NEXT HOLIDAY CLOSED: MONDAY MAY 30, 2011 SIGNATURE 0.00 0.00 0.00 08565 GENERATOR THIS ~ t~ FOIR Rr:FEl~a~iO~ PI flRPOSll~,~lt,.Y. GENERATORDOE~S NOT T~KE ~ ~ T~E OF ANY C~ 0 R ~TE RIAL S BE,~ ~ ~~ ~ ~~o~ ~ ~ OF,~. ~,ALs. L~SE. /~ (CU YDS) BALES: ICOUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY ~ THAT THEA~O~/E NAMED MATERIAL'DOES NOT CONTAIN. FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPEICA~;-~'T&I~,~, I~N(~' HAZAROOUS~E ~ DEFINED BY 40 CFR PART 2~I OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIS~ C~ AND PACKA~I~D. AND IS IN PROPER ~ONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. Q~NERATOR AUTiFiORIZE D AGENT(PRINT NAME) T~TATION/FRF IGHT CO. TRUCK NO. TRAILER NO. TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUTtNClDENT TO THE DESTiNATION LISTED BELOW, DRIVER: (PRINT N~E) (SIGNATURE) DISPOSAL ADDRESS: DATE DELIVERED: I HEREBY ~RTIJFIf TM~T THE ABOVE MATERIAL HASBEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND AOOUR~TE: RECEIVED BY: SIGNATURE~'OATE KEY: WHITE TO DI~P~ ~DC-ATION DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 C~ox Lane, PO Box 962 · Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 91060 LB 38560 LB Outbound - Charge ticket 26.25 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 MEM~I~ DAY! SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Oox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 26.25 Scale 2 Gross Wt. 91060 LB Scale 1 Tare Wt. 38560 LB 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! SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 NO. '08566 GENERATOR THIS MANIFEST J~ ~ I~ PUR. P<~ OI~Y. ~MI~IATOR DOES ~TT~E ~ ~ TI~E OF ANYCARGO OR ~TERIALS . ///,1/~ Y ;' '~ ~ . ./-- Ix .J (cu YeS) LOOSE: BALES: (COUNT): TRUCK WEIGHT: ~ ) C ~d(.,) GROSS ~.~ ~ ~" U C) TARE I HEREBY ~F.R~P¥.THAT THE A~OVE N~IIMED MATERIAL IX)ES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY AUTHORIZED AGENT(PRINT NAME) AP P U CAII~ ~:[&!~J~ll!!t. I~NOT:~ W~liSTE ~1~ DEFINED BY 40 CFR PART 261 OR ANY APPUCABt, EB~rATE LA~/, I.t/~BEEI~ ~ RI~Y DESCRIBEt):. I~ AND PACKAGED, ANO IS IN PROPER CONOITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. (SIGNATURE) TRANSPORTER TRANSP(:IRTATION/FRFt~HT CO..~ ~/~/~,~,/',/'~/ ~ ,.uc,.o. .. TRAILER NI~.,~. ,~-~ ~ LICENSE NO/STATE: ~ I HEREB,¥.C~ 'l'F~'r THE ABOVE NAMED MATERIAL '~S PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERE::D WFt'HO[1T INCIBENT TO THE DESTINATION LISTED BELOW. DRIVER: ( RINT NAME} (SIGNATURE) ADDRESS: / DATE DELIVERED: I HEREBY ~[I~T 1'HE ABOVE MATERIAL HA8 BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ,M~TE~' RECEIVED BY: KEY: SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11~35 009304 Winters Brothers Scale 2 Gross Wt. 102400 LB Scale 1 Tare Wt. 37280 LB I' t Weioht 6512(3 I R TON OUTGO.MSW 32.56 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 Outbound - Charge ticket 0.000 0.00 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 102400 LB Scale 1 Tare Wt. 37280 LB Outbound - Charge ticket 32.56 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~ SIGNATURE NO. 216.1 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONL~(~GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF AI~ CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIAB~.JTY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMMODITY SHIPPED: " / / LOOSE: SALES: (COUNT): TRUCK WEIGHT: (CU YDS) L.~ .)L~ c) GROSS · 3 ) ~ (~ TARE I HEREBY CERTIFY THAT THE ABOVE NA4~IED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW. ISNOT HAT?AROOUS WASTE AS DEFINED BY 40CPR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , £.. ~/.i-I../ 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) (SIGNATO-RE) DESTINATION DISPOSAL LOOATION: ADDRESS: "' /" , '· ,-'~ DATE DELIVERED: i HEREBY CERTIFY TI'~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED ' IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENEF;ATOR GOLD TO GENERATOR sIGNATuRE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 96560 LB Manual Tare Wt. 48620 LB Outbound - Charge ticket 23.97 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SIGNATURE 23.97 Manual Gross Wt. 96560 Manual Tare Wt. 48620 TON OUTGO.MSW 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 Outbound - Charge ticket 0.00 0.00 0.00 SIGNATURE ND. '08568 COMMODITY SHIPPED: LOOSE: BALES:(COUNT): TRUCK WEIGHT: GENERATOR ~T~I?. ~ ~ _1~_ ~ ~F'~J~ ~...~ O~y+ O~?O~l ~ NOT 'r. AI<~.I~ON OR TI~ ~ ANY CA,~ O, MATERIALS / (CU YDS) GROSS TARE NET TRAN~PORTATtON/FRI=IGHT CO. ~~//.. ~ TRAILER NO. LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTtFY 'rt,,~, ~,THE A~OVE NAMED MATERIAL WAS PICI~O UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERE~ WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~(P~INT NAIVE) - "--- '(SI(~IATORE) OESTmAllON ADDRE~: / L~TR~UEB~~.'r~'~ A~OYE MATERLAL HAS BEEN ACCEPTED AND TO THE BEST ~ MY K~LEDGE ~E IN~N ~OVlDED RECEIVEO BY: AUTW)mZEO A(~'~ta~W~T N)ME) KEY: ~ ~ LOCATION SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 W~nters Brbthers Scale 2 Gross Wt. 84540 LB Scale 1 Tare Wt. 35600 LB ~,. N~ t Weiaht 4~40 24.47 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 84540 LB Scale 1 Tare Wt. 35600 LB SIGNATURE Outbound - Charge ticket 0.00 24.47 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 631-734-7085: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMO~I~ DA~! SIGNATURE No. 2158 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES OI~LY; GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS BEING SHIPPED AN,~ES NOT ASSUME ANY Lt~(BIMTY AssOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY . .~ ' ....... ~ SH P DATE: COMMODITY SHIPPED: /~ ~.': LOOSE: BALES: (COUNT): TRUCK WEIGHT: (CU YDS) GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40CFR PART261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED A~) PACKAGED, AND IS IN PROPER CONDITION FOR TRA I~SPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FREIGHT CO. TRUCK NO. 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: "'- -,4'~ d~,~'~, ~ ' - ~ ADDRESS: ? ~/ / ' / / ' ~ I HERESY CERYI~ ~T T~E A~VE ~TE~IAL HA~ ~N ACCEPTED AND TO THE 8EST OF ~ KNOWLEDGE THE INFORMATION P~OVIDED IS T~UE AND AOOU~TE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRMi~PORTER YELLOW TO TRANSI#ORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SO,UTH~)LD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Wintem Brothers 25.74 Manual Gross Wt. 89840 LB Manual Tare Wt, 38360 LB Net Weight 51480 LB TON OUTGO.MSW O2 07/20/11 85272O 00046547 Valerie DeFio 07/25111 15:15 15:15 TRINITY Outbound - Charge ticket 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 89840 LB Manual Tare Wt. 38360 LB Net Weight 51480 LB 25.74 TON OUTGO.MSW O2 07/20/11 852720 00046547 Valerie DeFio 07/25/11 15:15 15:15 TRINITY Outbound - Charge ticket 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** ,SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00852720 07/20/11 07/20/11 13:03 13:25 GS TRINITY 25.74 Scale 2 Gross Wt. 89840 LB Scale I Tare V~. 38360 LB Net Weight 51480 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 per Week CLOSED HOLIDAYS - QUESTIONS ~ Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport 01 00852720 07/20/11 07/20/11 13:03 13:25 GS TRINITY Scale 2 Gross Wt. 89840 LB Scale 1 Tam Wt. 38360 LB Net Weight 51480 LB 25.74 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 27.60 Scale 2 Gross Wt. 93880 LB Scale 1 Tare Wt. 38680 LB ~, ,t w.,iqht fi~?Nn I R TON OUTGO.MSW 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 MEM0~IA~AY! 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 009304 Winters Brothers 27.60 Scale 2 Gross Wt. 93880 LB Scale 1 Tare Wt. 38680 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 ~' 08569 CN~¥; ~TO~ DOE~ N~T?AN.E PO~E~ ~Tt~ ~ ANYCA~ ~ MATERIALS ~~~ ~~ SHIP DATE' T.~~: ~~ ~s TRANSPORTATiON~ R I= IGHT CO. 't ~-.~.o. / '":E.~E.O,S*A~: / / t t ~' · .A,L,..o. t ~5 L,CE.~,O,~TA*E: ~ ~ f 1.2 J I HEREBY CERT~Y THAT THE A~OVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. ANO THAT IT WAS DEUVERED WITHOtJ~r INCIDENT TO THE DESTINATION LI~TED BELOW. DRIVER: (Pratt NAME) (SIGNATURE) / ADDRESS: / DATE DELIVERED: r I HEREBY CER~I~/I~ ~ ABOVE MATERIAL HAs~EE~I ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INF~TION PROVIDED IS TRUE RECEIVED BY:, , PINK1 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. 89840 LB Scale 1 Tare Wt. 38360 LB Outbound - Charge ticket 25.74 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 25.74 Scale 2 Gross Wt. 89840 LB Scale 1 Tare Wt. 38360 LB N, ,t W~inht ,~14R(3 I R TON OUTGO.MSW 0.000 Outbound - Charge ticket Operating hours 7:00 AM to 5:00 PM 7 days a weekl :::: CLOSED HOLIDAYS - QUESTIONS CALL 631-73417685;; ; NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMb~IA~ DA~! 0.00 0.00 0.00 Q00 SIGNATURE .o. -08570 BALES: (COUNT): TRUCK WEIGHT: GROSS I HEREBY C~'[N~T '~l"~i ,~Fi~E ~,~O'l[~'t~l~,l~[ DO~G. NOT C~TNN ~ ~ DERNED ~ 40 ~R PART 2~.I0 ~ ~Y APPL~~, ~~~ ~ ~BY ~ ~PA~I ~ ~ ~ ~ATE ~W, ~ ~EN~ : DES--, ~D. ~--O..~,N ~R ~DIT. ~~~ORD~ TO A~'E ~-- ~'~D AG~T(~ NAME) ~ -- - ~ (SIGNAT~E) ~~A~R~T ~. ~ ~UCK~. ~ ~ *~ L~E~ ~TATE: TRAILER ~. ~' ~ LICE~E ~/~ATE:__ I HE.BY CERTI~ ~T T~ ~ ~TE~L WAS ~CKED UP AT ~E GENERATOR SITE LISTED A~, ~ ~T IT WAS OELI~RED WI~T IN~ TO ~ DEST~T~ L~D BE~W, (SIGNATURE) DISPOSAL LOCATION: f~ ADDRESS: DESTINATION DATE DELIVERED: I HEREBY I~R~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST~OF MY KNOWLEDGE THE INFORMATION PROVIDEO IS TRUE ANO, A~URATE: RECEIVED BY: SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 83200 LB Scale 1 Tare Wt. 36620 LB Outbound - Charge ticket 23.29 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 DAY1 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 23.29 Scale 2 Gross Wt. 83200 LB Scale 1 Tare Wt. 36620 LB Nc 1W~,inht ~.R.~.q~3 I R TON )UTGO.MSW 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: MONDAY, MAY 30, 2011 MEM~)~I~ DA¥~ SIGNATURE 0.00 NO. 08571 ~ ~'~ ~~r~v' ~T~S NOT TAKE I~ssION OR TITLE OF AFf¥ CARGO OR MATERIALS ~ NG ~R~DAMDO()L~I41K)T ~,A~ ~C~*A'~OC~ ~I~D WITH THE~I~NT OF SUCH MATERIALS. COMPANY: ~~/'~ '~/ ~/F "/~' ~ ?".,~'~ ~ SHIP DATE: BALES: (COUNT): TRUCK WEIGHT: ~.~' '~ ,'~-"~ G"(:::~S I HEREBY CER'rlF~ 3'3,~T ~ ABOVE NAM~D.MATEI~I~J, OOES NOT CONTNN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY i~E~sLICA~E STAI'E t~W,~ I~ l~, ~U~ ~ A~INED BY ,IO CFR~PAFff 2~1 OR. ANY APPLICABLE STATE LAW. HAS BEEN PROP ERLY SCRI~EO. CI.~{~cD ~ PACI(AGE~ ~. AND tS IN ~ CONDITION'FOR TRA~CORDING TQ APPLICABLE REGULATION. QENERATOR AUI~IORIZED AGEHT(PRtNT NAME) * ~SiGNATURE) TRANSPORTATION/FR r: IGHT CO. TRAILER NO. .//// ~ LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERmeT THE ABOV~ NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: · ~RIN'T HAME) (SIGNATURE) DISPOSAl, LOCATION: ADDRESS: DATE DELIVERED: Ii~'IET~R uE ~B~ND~iR~ ,.THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PRO~I(~' ~:.:~ RECEIVED BY: AUTHORIZED AGENT(PRk~r NAME) WHITE TO DISPOSAL LOCATION PINK GOLD TOQEN~ATOR SIGNATURE/DATE · DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 24.39 Scale 2 Gross Wt. 86900 Scale 1 Tare Wt. 38120 N~ t W~Jnht 4R7~3 TON OUTGO.MSW LB LB iR Outbound - Charge ticket Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUEST ONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAE ~Yi 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 009304 Winters Brothers Scale 2 Gross Wt. 86900 LB Scale 1 Tare Wt. 38120 LB Outbound - Charge ticket 24.39 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a week, CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76857 NEXT HOLIDAY CLOSED: MONDAY, MAY 30 2011 MEMORI~EDA¥~ 0.00 0.00 0.00 SIGNATURE GENERATOR .o. '08572 THIS MAN~ I,S FO~ RE~IP~j~ Of~¥. ~ENERATO~ DOE'SNOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SMII~ JI~I~'~OJE$ ~AIJ~ LIABKJTY AS~OC ~IFE O WIDTH THE ~iI~NT OF SUCH MAI"EJ~ALS. COMPANY: ~_ ~-' ?i -~ :' *x< _- - SHIP DATE: COMMODITY sHIpPED: LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK GROSS .ET I HEREBY CERTIFY THAT THE ABOVE NRMED MATERIAL ODES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE $T&TE~.~,LAW, I~ NOT HAZ&RQOt~ WASTE ASDEFINED BY 40 CI;R'I~ART ~*OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CL&SSIIFIE D AND PAGKAGED, ~ IS IN iN:IOF'E R CONDITION F~dd~~ ACCORDING TQ APPLICABLE REGULATION. GENERATi0R A~IZED AGENT(PRINT-NAME) ~/~ e~'"'~ (SIGNATURE) TRANSPORTATION/FR FIGHT CO. TRUCK NO. / ~ TRAILER NO. / t~/ ~ LICENSE NOfSTATE: 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.' (,~IG~ATURE) DISPOSAL LOCATION: ADDRESS: DATE DELIVERED: I HEREBY CERTIFY THAT ~AIiOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: A~D AGENT(PRINT NAME) KEY: ~E~DIB~LL~T~ SIGNATURE]DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE Pb Box 9~2 Cutchogue, NY 11935 009304 Winters Brothers 26.72 Manual Gross Wt. 90180 LB Manual Tare Wt. 36740 LB Net Weight 53440 LB TON OUTGO.MSW 02 07/22/11 853082 00046548 Valede DeFio 07/25/11 15:16 15:16 11100TC Outbound - Charge ticket 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 26.72 Manual Gross Wt. 90180 LB Manual Tare Wt. 36740 LB Net Weight 53440 LB TON OUTGO.MSW 02 07/22/11 853082 00046548 Valerie DeFio 07/25/11 15:16 15:16 11100TC Outbound - Charge ticket 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00853082 07/22/11 07/22/11 14:24 14:36 11100TC 26.72 Scale 2 Gross Wt. 90180 LB Scale 1 Tare Wt. 36740 LB Nut Weight 53440 LB TON OUTGO.MSW Outbound - Charge tickut 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport 01 00853082 07/22/11 07/22/11 14:24 14:36 11100TC 26.72 Scale 2 Gross Wt. 90180 LB Scale 1 Tare Wt. 36740 LB NUt Weight 53440 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! · **DUPI.]CATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 82680 LB Outbound - Charge ticket Manual Tare Wt. 36800 LB ~~ 45880 LB ~' 22.94 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 MEMORI~ ~¥I SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6156 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 82680 LB Manual Tare Wt. 36800 LB Outbound - Charge ticket 22.94 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! 0.00 SIGNATURE .o. 08573 BEING ~ ~I~,,~AI~ LIAB~ITY A~BQCIATi~ WITH THE SHIll/NT OF SUCH MATERIAt,~S. COMMODITY SHIPPED: · OOSE: / g~J(CU YDS) BALES: (I~IUNT): TRUCKrI~E~: I HE~I~'~¢~ ¥?NAT ~ ABOVE NAMEDMA. TF~R'~(~. ~ ~T ~ ~E L~ ~ ~F~BY ~ CFa P~ ~0 ~ A~ APPL~~~ ~ ~ ~iY ~.C~ P~ ~ ~ A~ ~P~ ~ATE ~~E~Y DESC~~ PAC~GED, AND IS ~ P~fl ~DIT~ F~ T~AT~N ACC~TQ ~ ~TI~. ~~ATION/~t:~HT CO~/~ ~ [ / ? t / I I ~,~:~T ~ A~VE ~D ~TER~L ~S P~KED UP AT THE GEN~A~OR SITE LISTED A~E, A~ ~T IT WAS DEL~ ~ ~NT TO THE ~TINATI~ LISTED BEL~. DRIVER; (PRINT NAME) (SIGNATURE) ADDRESS: DATE DELIVERED: I HERE~f(~,~T TIE ABOVE MATERIN. HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFQRMATION PROVIOED IS TRUE AMD AC~[MATE: RECEIVED BY: AUTHORIZED AGENT~RINT NAME) KEY: ~ 1~ OBIK)~L LOCATK)N GREE~ TO I~I~ORTER YEU,.OW TO TI~N~PORTER, GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue; NY 11§35 009304 Winters Brothers Scale 2 Gross Wt. 100380 LB Scale 1 Tare Wt. 36380 LB ~-. __ ~,,,.N~ t Weiah'J I~-OOO J.J~ 32.00 TON OUTGO,MSW Operating hours 7:00 AM to 5:00 PM 7 days a weeRi CLOSED HOL DAYS - QUEST ONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~ DAY! Outbound - Charge ticket 0.000 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY t 1935 SIGNATURE 009304 Winters Brothers 0.00 0.00 Scale 2 Gross Wt. 100380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36380 LB 32.00 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 DAYI 0.00 SIGNATURE NO. -08574 GENERATOR THIS k~ ~ REdE ~80N~.V. Q~N~TO~ 0OE$ NOT TAI~ ~ ~ TITLE OF ANY CA RGO OR MATE RIALS BEING ~41PPED ~ i~T/A~,~JME ~ Lt~,BtLITY A~SO~M~TED WITH THE ~ OF SUCH MATERIALS. COMPANY: . ?~ ~- COMMODITY SHIPPED: LOOSE: BALES: (~: TRUCK WEIGHT: ,~ , ,. SHIP DATE: "" (CU YDS) ~ GROSS TRANSF'O~A'rK:~FR; ~m' co. TRUCK.. /~/4,"" TRA~mNO., ,, / ~' ~ LICENSE NO~TATE: LICENSE NO/STATE: I HEREI~ ~ ~'1~ ~ ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED ~ N~ADENT TO THE DESTINATION LISTED BELOW. (PR'iNT N,~) /"- ~* (SIGNATURE) DISPOSA~ LOCA'flON: ADDRESS: DATE DELIVERED: HEREDY ~'TN~T THE ABOVE MATERfALHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE.INFORMRTIG N PROVIDE D TRUE RECEIVED BY: AUTHORIZED AGENT(PRINY NAML~' KEY: W~ '1~ {~IROS&L LOCATION GOU) TO ~ENERATOR DISPO~M. LOGA/~K)N TtCKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 615~,, Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transport Scale 2 Gross Wt. 90180 LB Scale 1 Tare Wt. 36740 LB Outbound - Charge ticket 26.72 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 OHS CALL 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~MO~I~ DA¥~ SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 90180 LB Scale 1 Tare Wt. 36740 LB Outbound - Charge ticket 26.72 OUTGO.MSW 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 M~M0~ ~DAYi SIGNATURE 0.00 0.00 No. 08567 GENERATOR TH~$ ~J~'~q~[~ ~ ONLY. ~TOR~ NOT TAKE PO~E~S1ON OR TITLE OF ANY CA~O OR ~TERIALS ~~~ W~ ~ ~ ~ S~ ~TERIALS. L~E: ~ ~ ? (cu YDS) BAL~: TR~KWEIGHT: ~ GROSS TARE I HEREBY CERTIFY THAT THE ABOVE NAMEDNI~TERfAk ~ NOT CONTAIN FREE LIOUID A~ DEFINED BY 40 CFR PART 260.10 OR ANY APPUCA~E~TATE tJ~f, I~:HOT ~ZAROOUS ~ ASOEFINED~E~f 40.CFR PART ~1 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY OESCRIBED, **CL!~.q~,J),'II~ID PACKAGED, M4D 18 IN PROPER DONoRrloN FOR TRAH~PORTATJON AC~.~.~.~.~.~.~.~.~.~.~ORDING TO APPLICABLE REGULATION. :~ ',C SE" TATE: TRAILERNO. /~ L~ENSENO/STATE: ~ 72 / / ~ ~*~ I HEREBY C~T~ ~ T~ A~VE ~O MATERIAL WAS P~KED ~ AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED ~ ~I~NT TO THE DESTI~T~N LISTED BELOW· DRIVER: / ~PJNT NAME) ~,~'~' .... (SIGNATURE) ADDRESS: ~ I HEREBY C~RT~*'~ ]'NE'ABOVE MATEBtAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AN~ RECEIVED BY: SIGNATURE/DATE KEY: DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6'155 COZ Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport Scale 2 Gross Wt. 89040 LB Scale 1 Tare Wt. 36020 LB Outbound - Charge ticket 26.51 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 MEMORI~J.. DAY] SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transpod  2 Gross Wt. 89040 LB Scale Scale 1 Tare Wt. 36020 LB 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 M~MO~I~ DA~ Outbound - Charge ticket 0.00 0.00 SIGNATURE 0.00 J .o. 08575 G~RATOR LOOSE: BALES: TRUCK WEI(~I~r: //~' (cu TARE HEREBY C~q'U~ TNAT THE ABOVE NAMED MATERIAL DOES NOT CONTAJN FREE LIQUID AS DEF'd~IED BY 40 CFR PART 2~.10 OR ANY ~IP'=P-L-I-*~CA*~/~'-E- ??* 'AT~'~ ?--~-- -* -t~'--K-'~' ~ WASTE AS ~ -D~F- !NED BY -47~ CFR PART aS t OR ANY APPEICAI!LE STATE LAW' HAS'KEN t~ROPERLY *i ;S~;HIB~U~ ~D~D P~i~N3EO, AHO tS IN PRO~ER CON{)IT~ON FO~ TRANSPORTATION ACCORDII'~ TQ APPUCABLE RE~IULATtON, TRAN~I~I:~FATION/FF~ 1GHT CO. T.uCK.O. ~ / T.A..E..o. t 3 LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY ~T TNE ABOVE NAMED M~TERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT JNClDENT TO THE DESTIN~ATION LISTED BELOW. DRIVER: (~e;T NAUE) (SIGNATURE) A~E~: DESTINATION / / DATE DELIVERED: I~'I.~i~U~iD~I~/AT~..'I'HE .~OVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED RECEIVED BY , KEY: SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. ~OUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothem 26.51 Manual Gross Wt. 89040 LB Manual Tare Wt. 36020 LB Net Weight 53020 LB TON OUTGO.MSW O2 07/23/11 853156 00046549 07/2~11 15:16 15:16 Outbound - Charge ticket Valerie DeFio 11100TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 89040 LB Manual Tare Wt. 36020 LB Net Weight 53020 LB TON OUTGO.MSW 02 07/23/11 853156 0O046549 07/25/11 15:16 15:16 Outbound - Charge ticket Valede DeFio 11100TC 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! **DUPLICATE TICKE'P'* S, OUTHQI-D TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 01 00853156 07/23/11 07/23/11 09:43 09:55 11100TC Scale 2 Gross Wt. 89040 LB Scale 1 Tare Wt. 36020 LB Net Weight 53020 LB TON OUTGO.MSW Outbound - Charge ticket Q000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE PO Box 962 Cutchogue, NY 11935 009289 Tdnity Transport 01 00853156 07/23/11 07/23/11 09:43 09:55 11100TC Scale 2 Gross Wt. 89040 LB Scale 1 Tare Wt. 36020 LB Net Weight 53020 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 per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 NEXT HOLIDAY CLOSED: MONDAY, JULY 4, 2011 INDEPENDENCE DAY! SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane., PO Box. 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 83300 LB Scale I Tare Wt. 36720 LB Outbound - Charge ticket 23.29 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 009304 Winters Brothers 23.29 Scale 2 Gross Wt. 83300 Scale 1 Tare Wt. 36720 TON )UTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOL DAYS - QUEST ONS CALL 631-734- 685::: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMO~IAE DA¥i + Outbound - Charge ticket 0.00 0.00 0.00 0.00 SIGNATURE .o, 08577 GENERATQ~I THIS M~M~I~T:I~ FO~I I~FEI~d~E~tI!Ia~OI~Ly. ~T~ ~ ~T T~ ~ OR ~TLE OF ANY CA~ OR ~TERIALS C~: ~~/~ ~;_ ~J { SHIP DATE: C~ ~PED: ~L/ L~: ~ (CU YDS) BALES: (~: NAMED MATERIAL GOES NOT CONTAIN F~ LIQUID AS DEFINED. ,BY 40 CFR PART 260.10 OR ANY HAX. ARBOt~ WASTE, A~ OEtqI~D By 40 CFR pART 2~d OR ANy APPLICA,~UE~$TA:~:t:A~. HA8 B~ EN ~y . AND IS IN PROPER CO~mY1ON FOR TRANSPORTATION ACCOROiNG ~..J~AB~.E RF..~ULATION. ~ (g~il~Ofl~,~lZEO AGENT(PPdNT NAME) TRANSPORTER · (SIGNATURE) (SIGNATURE) TRUCK NO. LICENSE NO/STATE: TRAILER NO. .~07 LICENSE NO/STATE: I HEREBY. CERTIFY 11~kT THE ABOVE NAMED MATIiTRIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVEREO WtTI~/DUT INCADCH~T TO THE DESTINATION LISTED BELOW (PRINT NAME) DATE DELIVEREI~..,~ · DISPOS/~L ~TION: ADDRESS: I HEREBY~ .~T~ T THE A~OVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE T~ II~(~II~R1;IO~VIDED IS TRUE ANDACCUI~TE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) ~ TO ~ LOCATION ·REEN TO TRRI~PORTER Yr~u~(~t~ 1~) ~PORTER. DISPOSAL LOCATION TICKET NO. 08578 GENERATOR ~E~~ ~ REFI~NCE~t,~,SE~ ~y. ~TOR DOES NOT TAKE ~ OR TITLE OF ANY CARGO OR MA TERIAL$ / ~*'"'*') (CU YDS) LOOSE: BALES: (COUNT):. TRUCK WEIGHT: GROSS TARE NET TRANSPORTER I HEREBY O~ ~T ~ ~ ~D ~TE]~L WA~ PI~ED UP AT THE GENERATOR ~ITE LISTED ~VE, AND ~AT IT DELIVE]~ ~ ~ ~E DEST~T~ LISTEDBEL~ DIS~ ~T~: '~' DA~ DELIVERED: ADDRE~: I-HE~ 'R~*-$~UE 11~ ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFOflMATtON PROV O E D RECEIVED By: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 102540 LB 36540 LB Outbound - Charge ticket 33.00 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~F~L DAY! SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale Gross 102540 LB 2 Wt. Scale 1 Tare Wt. 36540 LB Outbound - Charge ticket 33.00 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 MEMORIALDAYI SIGNATURE .o. 08579 GENERATOR ~~ _Rr~ ~.~¥. ~NERATOR D. OES NOT TAKE POrtE,ION OR TITLE ~Y CA~ OR MATERIALS e~ ~~ ~ A~ ~T~'WI~ T~ ~ ~ SUCH ~R ALS ,/ (/& (CU YDS) BALES: (COUNT): TRUCK WEI{~HT: Ross NET I HEREB~ ~ THAT-T~ ABOVE NAMED MATERLN. DOES MOT CONTAIN FREE UQUID AS DEFINED BY 40 CFR PAF~T ;60,10 OR ANY ~sLI~ ~, B~IOT HAZARDOUS WASTE AS DEFINEO BY4OCFR PART~I OR ANY APPLICABLE STATr~E LAW, 8ORI~r, ~L:I~F~D AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPUCABLE REGULA"flON. ~EMER~TOR A~J'tl~ORIZED AGENT(PRINT NAME) (SIGNATURE) TR~ATION/FRF~GHT CO. TRUCKNO. , TRAILE"NO. / LICENSE NO/STATE: LICENSE NO/STATE: I HEREB~ CER~[IFY ?HAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AN~ THAT tT WAS DELIVERED WITHOUT INCII)ENT TO THE DESTINATION LISTED BELOW. DRIVER:. (PRINT NKME) ADDRESS: (SIGNATURE) DATE DELIVERED: I HEREBY CEI~'IF~:THAT THE.ABOVE MATERIAL IRS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFOP41A'I'ION PROVIDED IS TRUE ANO ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WH(~E TO ~ LOCATION SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Manual Gross Wt. 93720 LB Manual Tara Wt. 36040 LB Net Weight 57680 LB 28.84 TON OUTGO. MSW 01 00853543 Dan 07/25111 07/25/11 08:38 08:38 11100TC Outbound ~ Charge ticket 0.000 0.00 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogua, NY 11935 009304 Winters Brothels SIGNATURE Manual Gross Wt. 93720 LB Manual Tare Wt. 36040 LB Nat Weight 57680 LB 28.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS - QUESTIONS CALL 631-734,-7685~ ; NEXT HOLIDAY CLO~ED: MONDAY, ~Y30, 2011 SIGNATURE **DUPLICATE TICKET** SO~TH~[ZL9 TOJ~/N DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transpod Scale 2 Gross Wt. 93720 LB Scale I Tare Wt. 36040 LB N~t N~inhf ~7~R[3 LB 8.84 TON IUTGO.MSW 0.000 Operating hou~ 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 MEMORiAE DAY! Outbound - Charge ticket 0.00 0.00 SIGNATURE ~.~ 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trini~ Transpod Scale 2 Gross Wt. 93720 LB Scale 1 Tare Wt. 36040 LB 8.84 TON )UTGO.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 Outbound - Charge ticket 0.000 0.00 0.00 0.00 SIGNATURE NO. 08576 GEI~RATOR I HEREBY C~ THAT -THE ABOVE NAMED t/ATERIAL IX)ES NOT 10ONTAIN FREE UQUtD/,.,S DEFINED ,BY 40 CFR PART 260.10 OR ANY APPUCABLE S~:LAW, I~ NOT HAZARDOUB~W&~TE ~,~ oEFIflED BY 40 CFR PART ~1-O{11 ANY APPL~E STATE LAW. ~ ~EH p~pE~y DESCRIBE~; C~D AND PACKAGED./~N~ IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENTf~INT NAME) , (SIGNATURE) TRANSPORTATIONJFRI=IGHT CO TRUCK NO. 7 / TRAILER NO, / ~ ' TRANSPORTER LICENSE NO/STATE: LICENSE NO/STATE: //// ora I HEREBY CERTIFY THAT 114EABOVE NAMED MATI~RIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT'TO THE DESTINATION LISTED BELOW, DRIVER: (SIGNATURE} ADDRESS: /' ] DATE DELIVERED: I HEREBY CE R'[II~ ~4AT THE A~:)VE MATERIAL HAS BEEN ACCEPTED AND TO THE BE~T OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCUIIIRTE: RECEIVED BY: AUTaOmZEO ~ ~) KEY: WHITE 1~ J,J:)CATION DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers ~ Scale 2 Gross Wt. 80940 LB Scale 1 Tare Wt. 36300 LB 22.32 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 80940 LB Scale 1 Tare Wt. 36300 LB Outbound - Charge ticket 22.32 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 M~M~i~AY~ 0.00 0.00 0.00 SIGNATURE NO. -08580 LoosE: / BALES: (COUNT): TRUCK WEIGHT: <~ ~'L/ ~..***) GROSS ~ ~_'~ C~ O TARE 260,10 OR ,ANY TRAILER I~D. LICENSE NO/STATE: LICENSE NO/STATE: I HEREB~ ~ 'IT~T 11~ A~)VE NAMED MATER[AL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE~ AND THAT IT WAS DELIVERE. D ~ INCIDENT 1'O THE DESTINATION LISTED BELOW NAME) DISPOSAL: ADDRESS: DESTm TION //' fi- -. I HEREBY CERTI~ "IR'I&T TH~,,ABOVE MATER[AL HAS BEEN ACC EPTED AND TO ~ BEST OF MY KNOWLEDGE THE INFORMATION PROVIDE D IS TRUE AND RCCI~q~TE: RECEIVED BY: A~ AGENT{PRINTNAME) KEY: WHITE TO ~ LOOATION SIGNATLIRE/O~TE DISPOSAL LOCATION TICKET NO; **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 100860 Manual Tare Wt. 48620 LB 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 - QUEST ONS CALL 631-734-7'685 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMO~DA~J 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SIGNATURE Scale 2 Gross Wt. Manual Tare Wt. 100860 LB 48620 LB Outbound - Charge ticket 26.12 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 DA~. 0.00 0.00 0.00 0.00 SIGNATURE .o. '08581 COMMOOR'Y 81.lIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: GENERATOR :=, _~, ~_ _ I?~FOR__I~_E,~___~S ONI-Y. GENF-RATOR DOES-NOT TAHE PO~'SSIO" OR TI.TLE OF ANy CAR~ ~ ~TE RIALS LIABILITY AS~3C~ATED WITH TI4~. ~IIPMENT OF SUCH MATERIALS GROSS TARE TRANSPORTAT~RI=IGHT CO. ~'~ TRA1LER Nl~, = / -. L,CE E ,ST^TE: ?P//? / I HEREBY OER~"~T ~ ABOVE NAMED MATERIAL W~,S PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVL:~O WI~ INCIDI~II' TO THE DESTINATION LI~TED BELOW. DRIVE.: 'i~.-~ vl,~ / (PRINT NAME) (SIGNATURE) mSF~S~ u:~:~: ,~g4/~'/~' ~ ADDRESS: DATE DELIVERED: I HEREBY CERI~"Y ~I~T T~I~ ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AN~ A~.AJI~iATE: RECEIVED BY: KEY: rod SIGNATURE/DATE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Wint;rs Brothers Scale 2 Gross Wt. 87860 Manual Tare Wt. 36800 LB LB Outbound - Charge ticket 25.53 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! 0.00 SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 25.53 Scale 2 Gross Wt. 87860 LB Manual Tare Wt. 36800 LB ~. ~ Woi,,h* 510R0 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 .o. '0'8582 GENERATOR I HEREBY CERTIFY THAT THE ABOVE N&MED: MA,TERI/p. 0OE~S NOT CONTAIN F~ [~ ~ ~FI~D ~ ~ ~ PART 26q.10 OR ANY ~[~cA~;:s~ ~. ~'~~w~ ~eY~ c;; ~A.T .~ ~ A~;;AmE ~; ~ BEEN PROPERLY 8C~D, ~D ~D ~GED. AND ~ ~R ~IT~ ~ T~ATION ACCORDI~ TQ ~PUCABLE R~U~TION. ~ (SIGNATURE) TRUCKNO. " LICENSENO/STATE: / ~/ ~J DO TRAILERNO. ,,/ ~ ~' UCENSENO/STATE '"..~/)','~Z~ -~ 7 I HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS I~ICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INClDEHT TO THE DESTINATION LISTED BELOW. (PRINT NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DELIVERED: I HERESY CERTI~ "rl,~T THE ABOVE MATERIAL HA8 BEEN ACCEPTED*AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACC~: RECEIVED BY:, , . :At~'~i~ED ~(W NM) SIGNATURE/DATE DISPOSAL LOCATION TICKET HO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Wirers Brothers Scale 2 Gross Wt. 82260 Scale 1 Tare Wt. 37620 Net Weiclht ~4~40 TON OUTGO.MSW LB Outbound - Charge ticket LB I 0.000 0.00 Operating 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 MEM~iA~ DAY! 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 82260 LB Scale 1 Tare Wt. 37620 LB SIGNATURE Outbound - Charge ticket 22.32 TON OUTGO.MSW 0.000 Operating hours 7:00 AM to 5:00 PM 7 days a weelC CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7885, NEXT HOL DAY CLOSED MONDAY, MAY 30, 2011 0.00 0.00 0.00 0.00 SIGNATURE .o.. 08'583 GENERATOR I~TOR DOES NOT, TAKE [~O~ OR TITtZEOF ANY CARGO OR MATE RIALS LOOSE: BALES: (GOUNI~ TRUCK WEIGHT: /~/~ (CUYDS) GROSS I HEREBY ~ THAT TflX, ABOVE NAMED MA~ DOES HOT CONTAIN FREE LIQUID AS OEFINED BY. 40 CFR PART 26~.t~ OR ANY A P P U ¢..~E ~TJ~J~ L..M~, 1~ NOT [~ t~ AS ~EFINEO BY 4~ CFR P~I;IT ~t. Off AI~ A~ICABJ:E ~:~;T~ I~, ~I~EIEN PflOPERLY DESCRIBED, ~;) AND PACK~GED, AH{) 1S iN PROPER CONDfTION FOR TRANSPORTATION ACCORDtN~ TQ~E REGULATION. G, EN~ ~IZED AGENT(PRINT NAI~) (SIGNATURE) TRANSPORTATION/FRI:IGHT CO. TRUCK NO. YRAI~t~PbRT~ TRAILER NO. LICENSE NO/STATE: ~ /7 ./ I HEREBY CERTIFY, THAT T'e,IE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS OEUVEREO WITHOUT INCIDENT TO THE DESTINATION LISTEO BELOW. DRIVER: (SIGNATURE) DISPOSAL LOCATION'. ADDRESS: DATE DELIVERED: I HEREBY ~TH~T THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFOflM~TION PROVIDED 18 TRUE .MiO a~Ul~TE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHirTE T~ DJ~eO~M~ LOCATION DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 79520 ScaPe 1 Tare Wt. 37500 ~_ N~ t Weiaht 42~12,ri 21.01 TON OUTGO.MSW Oporatin~ hours 7:00 ~M to 5:00 ~M 7 days a woo~; - QUESTIONS CALL 631-7~-~685. CLOSED HOLIDAYS NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORI~ D~;¢l LB Outbound - Charge ticket LB 0.000 0.00 0.00 SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 79520 LB Scale 1 Tare Wt. 37500 LB 21.01 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! SIGNATURE Outbound - Charge ticket "::: :~:: ,, ::i:i: 0.000 0.00 0.00 0.00 GENERATOR '08584 THiS k, LM~.,~' ~.~ R~r~EN~~~¥. (:~NE'RATOR DOES NOT TAKE PO~,~E~ OR T~E ~ A~ CAR~ OR MATE RIAL S COU~ SHINED: '~ ~ t .... L~SE: ./ / ~2 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: DROSS TARE I HEREBY CERTIFY I'I'~T THE ABOVE NAMED-M~TERIAkrDOE~NOT ~o~rr~j, IN FREE LtOUID A~ DEFINED BY 40 ~ PART 260.10 OR ANY AP PL ICAILES~ATE~V,. I~ NO'~ HAZARO01:~ ~I~T E llt~ BEFINED ~P( 40.CI~R PART. ~61 O~ANY APPLICABLE STATE 'LA~, HA~ BEEN PROPERLY DE SCRIBLrD; ~U~8~ED AND PACKAGED. AND iS IN. PROPER CONDITION FORTRANSPORTATION ACCORDING TO APPLICABLE REGULATION, GENERATOR AUTI-K)RIZED AGENT(PRINT NAME} (SIGNATURE) TRAN~N)RTER T. UCK.O. ., O& 7 :...d TRAILERNO. /t~' "~ LICENSE NO/STATE: ~ /-'/ ~'/,~* .~" ~ ./ I HEREBY CERTIFY THAT THE ABOVE NAMED M~TERIAL WAS PI~KED UP AT THE GENERATOR SITE'LISTED ABOVE, AND THAT IT WAS DELIVERED WlTMOUT INCIDENT ~TO THE DESTINATION I;iSTED BELOW. DRIVER: (SIGNATURE) DISPOS&I.. LOP..,,ATION: ADDRESS: DATE DELIVERED: I HEREBY . .1~,...!~'~?I'HE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE RECEIVED BY: KEY: SIGNATU~RE~)ATE DISPOSAL LOCATION TICKET NO, **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Manual Tare Wt. 91960 L~ 48620 LB Outbound - Charge ticket 21.67 OUTGO.MSW 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: MONDAY, MAY 30, 2011 MEM0~I~L DAY ; SIGNATURE 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 21.67 Scale 2 Gross Wt. 91960 LB Manual Tare Wt, 48620 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 0,8585 GENERATOR ~EI?' ~T_ ? ~..~_ __~ ONLY. ~TO~ ~ NOT TAKE ~$~tON OR TITLE OF ~Y'CA~ OR ~TERIAL S ~ ~TU ~~~ ~ ~~ S~ ~ $~ MATERIALS. C~P~. ~-- ~ ~ ~'~ ~ ~-'-' -[; /-_ --- SHIP DATE: CO~l~ ~PED: ~~ L~SE: ~ (CU YDS) BALES: (C~: TR~K ~: ~ /~'~ ~ '~ ~ NET TRUCK NO. ' ' -- ' - ' 'STATE : TRAILERNO.~uCENSENO/STATE: "_~.~ ,/~// ~ ~ t I HEREBY CERTIFY "~IAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHO[~ INCIDENT TO THE DESTINATION.LISTED BELOW. DRIVER: (SIGNATURE) ADDRESS: / DATE DELIVERED: I HEREBY GERTIFYTJ~T ~ ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: A~Z~D AGE~I'(~m~T WA~'Q SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 94560 LB Manual Tare Wt. 37000 LB Outbound - Charge ticket 28.78 OUTGO.MSW 0.090 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 S~GNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Manual Tare Wt. 94560 LB 37000 LB Outbound - Charge ticket 28.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weel~ ;: CLOSED HOL DAYS- QUEST OHS CALL 631-734~7685: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~M(~i~ DA¥i SIGNATURE ,o. -085.86 6ENER~TO. LOOSE: BALES: TRUCK WEIGHT: GROSS T/dIE NET TRANSPORTATDN~RI:IGHT CO, *.A.LE..O. ¢ LICENSE NO/STATE: LICENSE NO/STATE: I HEREBY CERTIFY THaT THE ABOVE N~MED ~TERIN. WAS PICKED LIP AT THE GENERATOR BITE LISTED ABOVE. AND THAT IT WAS DELIVERED WtTHOt. fl' INCIDENT TO ~ DESTINATION LISTED BELOW (SIGNATURE) ADDRESS: DATE DELIVERED: :sHElr~EB~i~C~C~T~..THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION ,ROV,O~.-.. RECEIVED BY: AUTNORIZEO AGENT(ISMler NAldE) SIGNATURE/DATE DISPOSAL LOCATION TICKET NO. 6S~H~D TOWN DEPT SOLID WASTE ox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 95860 Scale 1 Tare Wt. 37220 LB LB Outbound - Charge ticket 29.32 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 MEMORIA~ DAY! SIGNATURE SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 95860 LB Scale 1 Tare Wt. 37220 LB Outbound - Charge ticket 29.32 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 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEM~IA~ ~AY~ SIGNATURE No. -08588 G~NERATOR OR MATERIALS ~MP~.~ O~~. ~ ~x_:_. , SHIP DA~: ,/ &~ (cu VDS) LOOSE: BALES: (COUNT): TRUCK WEIGHT: ~ ~ F:.~/E2.. NET TnANa~TER TRANSPORTATION/FR;,GHT CO. ~/'~ ,~// T, UCK.O._tL ' .L,C~.~ATE: / / I oo '74_. T,A,L,,,,,O. / ~ "C""~".O'STAT.' ' ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERAT~R SITE USTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DEBTIHATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DISPOSAL* LOC&~: ADDRE.88: DATE DELIVERED: ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PBOVIDED RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE 1"0 (~IK)~tL LOCATION BIGNATUf~TE GOlD TO ~ENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lan'e, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 92500 LB Scale 1 Tare Wt. 36020 LB .~ N~ t Weinht 5~480 I R 28.24 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a weel~ CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7688. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE Outbound - Charge ticket 0.000 0.00 0.00 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 92500 LB Scale 1 Tare Wt. 36020 LB Outbound - Charge ticket 28.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 pM 7 days a week} ' ~)~¢5 ::: CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685; ! NF. XT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 M~M~I~ ~'~', : SIGNATURE NO. 08587 LOOSE: BALES: (C~: TRUCK WIGHT: CERTIFY T~. :~.?~ABOVE .~ MATERIAL DOES NOT CONTAIN FREE UQUtD AS DEFINED BY 40C. FR PART 260.10 OR ANY PPLI(~Ilt~AE~k*~t~ I~;,. ~."~J~I~R~ WA~ ~ D~FINED BY 4OCFR PART ~g~.! O~Pt. IC~l{N.~ ~TATE ~ HAS.BEEH PROPERLY DESCRI~I~O, ~ ,M~ PACKAGED. ANDI~ IN PROPER CONDITION ~ '~R~~ ~ CORDING TQ APPLICABLE REGULATION. QENERATOR AUTHORIZED AGENT(PRINT HAME) ---.-.--w-- ~ TRANSPORTATIOf~FRI::IGHT CO, ~ TRUCK NO. LICENSE NO/STATE: / / / TRAILER NO. / ~/,~ LICENSE NO/STATE: I HEREBY CERTIFY THA'~ THE '~BOVE NAMED ~t4t~'ERIAL WAS PICKED V" AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT DELIVERED WITHOUT INCIDENT TO THE DESTINATION LI~TED BELOW. DRIVER: -ri~,;~.~ ,~ ~ / ~ (PRINT NAME) ' DISPO,?~d_ LOCATION: ADDRESS: (SIGNATURE) DATE DELIVERED: I HEREBY GEIiI'I1FY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE Tt.~ fNFORMATION PROVIDED IS TRUE AN~ ACCUraTE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) WI41TE TO DISPOSM. LOCATION YELLOW TO TF,,AI~PORTER. PINK TO I~a~=RATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 COX L~ane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 96760 LB Scale 1 Tare Wt. 35740 LB Outbound - Charge ticket 30.51 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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 96760 LB 35740 LB Outbound - Charge ticket 30.51 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 SIGNATURE No. ~08590 GENERATOR TRUCK ~IGHT: ~ GROSS =3.v' 7 .':,'o TARE I HEI~.i~RT'IFY THAT THE ABOVE ~ MATERIAL ODES NOT ~ABi I~REE LI~UIO A~.DEFINED BY 40 ~ PART 260.10 OR ANY ~TE I, AW, IS NOT ~ ~rE A~-I)EFiM~D B~ 40 (~R~ 2~t O~R ANY APPLICABLE STATE ~, HAS BEEN PROPERLY DE~CIMB~;.~,,A~IFIED AND PACKAGED. AND I~ IN PR0~R CON~IITION'I=OR ~ATION ACCORDING TO APPLICABLE REGULATION. TRANSPOR TR C..O. /// ?-" TRAILERNO. _.?d-~ LICENSENO/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 LI~TED BELOW. DR,v,,: (P~NT NAME} (~G~ATURE) ADDRESS: DATE DELIVERED: I HEREBY CERTI~':l~t~T THE ,~lJ~/'E MATERIAL HAS BEEN ACCEPTED AND TO 'THE 8E~T OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AtJD~ RECEIVED BY: ~ AGEN~PRINT NAME) KEY: ~ 3'0 ~ ~TKIN GOI.D TO ~ENERATOR SIGNATURE/DATE DISPOSAL LOGATION TICKET NO.