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HomeMy WebLinkAbout08/2011 SITE ~ `t~K~ QF1iL1 WE1GkMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 00854973 MC 6155 Cox Lane, PO Box 962 mate ~u t~iE+€~r ~ t~ iwr veHtc~€ ' ~ta.l. a~F Cutchogue, NY 11935 08/01/11 ~ 08/01/11 07:27 07:38 11100TC 009304 Winters Brothers j Scale 2 Gross Wt. 84080 LB Outbound -Charge ticket I~~ Scale 1 Tare Wt. 36860 LB 23.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEt+~RE0 SIGNATURE _ MITE TICKET ' CaF1~,T` tNlat3NMA5TER - SOUTHOLD TOWN DEPT SOLID WASTE 01 00854973 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/01 /11 08/01 /11 07:27 07:38 11100TC 009304 Winters Brothers , . I Scale 2 Gross Wt. 84080 LB Outbound -Charge ticket Scale 1 Tare Wt. 36860 LB 23.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I i Mme,. Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~ 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! '~~NU~REE3 CHECK NO SIGNATURE - Np. 08591- GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AN)a'I~OES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ GRO5S 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 A5 DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE tAW, 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/FR=IGHT CO. TRUCK NO. LICENSE NO/STATE: ~ TRAILER NO. LICENSE NO/STATE: `t ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR D4SPOSAL LOCATION TICKET NO. SITE TICKET t3RIQ WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855022 MC 6155 Cox Lane, PO Box 962 yE~~ ~~C~,F Cutchogue, NY 11935 08/01 /11 08/01/11 10:42 10:56 I 11100TC ' 009304 Winters Brothers ~ . I Scale 2 Gross Wt. 89100 LB Outbound -Charge ticket Scale 1 Tare Wt. 37720 LB QTY. , T(~T#11,. 125.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE SITE TICKET GRID WEiGNMASTER **DUPLICATE TICKET** - - , SOUTHOLD TOWN DEPT SOLID WASTE 01 00855022 MC 6155 Cox Lane, PO Box 962 ~ ~ Cutchogue, NY 11935 ' 08/01 / 11 08/01 /11 10:42 10:56 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 89100 LB Outbound -Charge ticket Scale 1 Tare Wt. 37720 LB _ . :fr~ , 3.. e~.. ~ . _ ~ 25.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i _ bye ~ 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! G>^K NO. NO. 08532 - GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FR =1GHT CO. TRUCK NO. ~ LICENSE NO/STATE: f / i TRAILER NO. LICENSE NO/STATE ~I 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: li ADDRESS: ~ I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GRIQ WEIGHMASTER "*DUPLICATE TICKET** - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00855141 Dan 6155 Cox Lane, PO Box 962 'U~1'~ Ity vAT~ Cre~T ` `~t7ia~H~f ; 7N~" VEHICt.~ sw'flbLL tXEf Cutchogue, NY 11935 08/01 /11 08/01 /11 15:19 15:31 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 85520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36920 LB `fit : ~ ~ ~ Fi~iTF ~ i i TC~TAt.' 24.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ,~s,~ _ i I I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE SITE TICKET LAID wEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855141 Dan 6155 Cox Lane, PO Box 962 r. s ,.a ~ r . ~ ti~Htt*a.~ Cutchogue, NY 11935 ~"'°Y 08/01 /11 08/01 /11 15:19 15:31 11100TC 009304 Winters Brothers • . i Scale 2 Gross Wt. 85520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36920 LB - ~ ; 24.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ Vaµ M~ ~ ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. - • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEt+fi~f3 ro0: ~~:cal~aruHE No. 0853 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: i COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS - TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FRIGHT CO. t a F U TRUCK NO. LICENSE NO/STATE: ~ ~ f TRAILER NO. 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW- DRIVER: ? s i (PRINT NAME] (SIGNATURE) DESTINATION DISPOSAL LOCATION: { ~ _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00855176 I Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TMAE DItT VEH~LE FALL OFF Cutchogue, NY 11935 , 08/02/11 08/02/11 07:16 07:38 11100TC 009304 Winters Brothers , . Scale 2 Gross Wt. 84780 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB ~]TY.., U ~ ~ - PTIC>rl . _ . TOTi1l 23.88 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! TEroDERED SIGNATURE SITE ~ TICKET = CiRil7 ! WEKiHR **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855176 Steph 6155 Cox Lane, PO Box 962 OIATE IN D/1TE VE - Cutchogue, NY 11935 08/02/11 08/02/11 07:16 07:38 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 84780 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB y r t , 123.88 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! TENDE~IED CHECK N0. SIGNATURE NQ. 08594 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FR=IGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: r, I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I SrrE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 ~ 00855270 Steph 6155 Gox Lane, PO Box 962 ~~t`" ' ' oAT~o" ttWt: vEH~c+~. Rou-oFF Cutchogue, NY 11935 + 08102/11 08/02/11 11:51 12:05 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket Scale 1 Tare Wt. 35660 LB fsEE~ ~ 7tG1~1- 27.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. Er ~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE F. «~~y SOUTHOLD TOWN DEPT SOLID WASTE 01 i 00855270 ~ Steph 6155 Cox Lane, PO Box 962 ~A7E IN DATE ouT TIME t~ TIME ouT ve»icLE ROLL OFF Cutchogue, NY 11935 ~ ~ ~ 08/02111 08!02111 i 11:51 12:05 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket Scale 1 Tare Wt. 35660 LB 27.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f .x ~ ~ 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. 08595 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 LIABIL?TY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FR =~?GHT CO. k TRUCK NO. ~ LICENSE NO/STATE: ~ f ~ CJI` TRAILER NO. 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: (PRINT NAME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. Sn'E TICKET GRID WEIC;HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00855326 Steph 6155 Cox Lane, PO Box 962 DATE ~I UATE OUT TM~IE ~i TRr~OtTr VEHICIE ROLLdFF Cutchogue, NY 11935 08/02/11 08/02/11 14:30 14:30 11100TC ' 009304 Winters Brothers ~ . i • 1 Manual Gross Wt. 95620 LB Outbound -Charge ticket Manual Tare Wt. 48620 LB Net Wei ht QTY "TOTAL 23.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE SITE TICKET GflID WEIGNMASTEfl SOUTHOLD TOWN DEPT SOLID WASTE 01 00855326 Steph 6155 Cox Lane, PO Box 962 ~ , y~ ~ z,, t Cutchogue, NY 11935 08/02/ 11 08/02/ 11 14:30 14:30 11100TC 009304 Winters Brothers ~ . Manual Gross Wt. 95620 LB Outbound -Charge ticket Manual Tare Wt. 48620 LB ~ 23.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEI+IDE~i~D f~1EGK I'043 SIGNATURE NO. 08596 GENERATOR THIS MANIFEST IS FOR REFER?=NCE PURPOSES ONLY. GENERATOR DOES N07 TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: ~ r " LOOSE: ~(GU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE / NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE tAW, 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/FR=IGHT 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) DESTINATION DISPOSAL LOCATION: ~ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. Siif~ .r~..~ t>RID VJEIGHMASTER `*DUPLICATE TICKET** - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00855412 GS 6155 Cox Lane, PO Box 962 E7ATE IN ~i1TE QLrT TIME 1N 'TIME OUT VEH{CLE ROIL OFF Cutchogue, NY 11935 08/03/11 08/;J3/11 09:37 09:50 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 90140 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB i QTY. ~ _ ~i ~ESORtF'TION _ ~ - 26.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! "~Y` SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855412 GS 6155 Cox Lane, PO Box 962 ~ malt, - _ - , Cutchogue, NY 11935 08/03/11 08/03/11 09:37 09:50 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 90140 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB r . E TOTAL 26.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 x 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! TENpEREt7 C !~(a: siGNAruAr_ 08598 N O. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIF?ED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. 1 4 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SI ATURE) TRANSPORTER TRANSPORTATION/FRrIGHT CO. TRUCK NO. - ' LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: .t -r I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KE.Y: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~ S'~'"~ KET GRID WEIGHMASTER .,DUPLICATE TICKET** _ _ - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00855465 GS 6155 Cox Lane, PO Box 962 npTe N i~nrE our Tln~te tN TIME OllT VEHICLE ROLL OFF Cutchogue, NY 11935 08 /03/ 11 08/03/ 11 12:04 12 :17 11100TC 009304 Winters Brothers - - - II Scale 2 Gross Wt. 93480 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB f ~ 28.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . ~E Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! .p SIGNATURE **DUPLICATE TICKET** ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00855465 GS 6155 Cox Lane, PO Box 962 ~ ~ ~ e Cutchogue, NY 11935 08/03/ 11 08/03/ 11 12:04 12:17 11100 T C 009304 Winters Brothers ~ ~ Scale 2 Gross Wt. 93480 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB ~q . T~1'`gE. 28.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ ~ a " ' u'°- s, Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! sEREo SIGNATURE NO. 0899 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR GOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FR =1GHT CO. ' TRUCK NO. LICENSE NO/STATE: ~`f' TRAILER NO. LICENSE NO/STATE: r I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED W{THOUT INCIDENT TO THE DESTINATION l4STED 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 pF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855514 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/03/11 08/03/11 14:26 14:37 11100TC 009304 Winters Brothers Scale 2 Gross Wt 89600 LB Outbound -Charge ticket Scale 1 Tare Wt. 36640 LB Net Weight 52960 LB 26 48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT 50LID WASTE 01 00855514 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/03/11 08/03/11 14:26 14:37 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89600 LB Outbound -Charge ticket Scale 1 Tare Wt. 36640 LB Net Weight 52960 LB 26 48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! NO. 08600 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID A5 DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. , , 6- GENERATOR AUTHORIZED AGENT(PRINT NAME) SIGNATURE) TRANSPORTER TRANSPORTATION/FR=IGHT CO. TRUCK NO. .LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE 'N MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA, DELIVERED WITHOUT INCIDENT TO THE DES1 I~JATION LISTED BELOW. t i • ~ a DRIVER: t ~ (PRINT NlFME) (SIGNATURE) DESTINATION 1~~, ` DISPOSAL LOCATION: DATE DELIVERED: ~ i ADDRESS: ~ I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~ j $rtE ~'IGK~"{' ~ GRI© W~IGHMASTER I SOUTHOLD TOWN DEPT SOLID WASTE 01 00855630 GS 6155 Cox Lane, PO Box 962 ~ DATE ~ aa7~ our 11r~ earn vErrtt , a~€ Cutchogue, NY 11935 08/04/11 08/04/11 10:45 11:28 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 95200 LB Outbound -Charge ticket Scale 1 Tare Wt. 35260 LB N , , _ , i ' 29.97 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I it s ' 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! 7END~r~EfJ SIGNATURE SItE TiCK~' GRID WEfQtiMA5TE`pt,~". SOUTHOLD TOWN DEPT SOLID WASTE 01 00855630 GS 6155 Cox Lane, PO Box 962 z ~ , , VEH ~ - ~ = Cutchogue, NY 11935 08/04/ 11 08/04/11 10:45 11:28 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 95200 LB Outbound -Charge ticket Scale 1 Tare Wt. 35260 LB - - - r~~ ~ ~ 29.97 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Y~ 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! o ' SIGNATURL No. 3402 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPQfaTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f~ i 1 ; TRUCK NO. LICENSE NO/STATE: / / ~ t,~ TRAILER NO. ~ 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: f (PRIN NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ?1 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - ~ TiCKEI' GRtD wE1GHMASTER SITE **DUPLICATE TICKET** i - - ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00855654 GS 6155 Cox Lane, PO Box 962 ' IF! DATA t11JT~ ~ ' tN -C3tJ`r VEHICt.>~ ' ~~1 ~?FF ?Ye....n Cutchogue, NY 11935 08 /04/ 11 08/04/ 11 11:53 11:53 11100T C 009304 Winters Brothers ~ #855592 Manual Gross Wt. 81520 LB Outbound -Charge ticket Manual Tare Wt. 35440 LB ~1~Y. tJki C~E~fi:RkPTkC~1 ~ 23.04 TON OUTGO.MSW 0.000 0.00 0.00 0.00 g 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~wDe~~D ~_-w NOTES: REDONE SIGNATURE _ _ Ct TICKET CiFMD WEIC~1tiMASTEfl r< *"DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855654 GS 6155 Cox Lane, PO Box 962 . m.~ r. Cutchogue, NY 11935 08/04/11 08/04/ 11 11:53 11:53 11100T C 009304 Winters Brothers . - #855592 Manual Gross Wt. 81520 LB Outbound -Charge ticket Manual Tare Wt. 35440 LB 23.04 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! NOTES: REDONE CMtEGfC Nf)- SIGNATURE I .j401 ~ . GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGH~~ GROSS Cj ~ ~ ~ .S? 5~~ - TARE J~/0 r v" NET ~ ? ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR /~~~T f60' 90 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 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) DESTINATION DISPOSAL LOCATION: _ ~ i /'i,', DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEV: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. FINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SrTE TICKET GRID ' WEIGNMAS7ER **DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00855764 MC 6155 Cox Lane, PO Box 962 !15U4t'E IN DATE ~T' ~ ~1". ~ < t~1T_ VEHK:LE 4 Cutchogue, NY 11935 08/05/11 08/05/11 ~ 07:14 07:30 11100TC 009304 Winters Brothers • . ~ ~ Scale 2 Gross Wt. 95720 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB X128.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 `s Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENbEREt3 SIGNATURE SITE TICKET GRlD WEIdNMASTER **DUPLICATE TICKET`" SOUTHOLD TOWN DEPT SOLID WASTE 01 00855764 MC 6155 Cox Lane, PO Box 962 _ e. ~ . _ ~e .,F~=, Cutchogue, NY 11935 08/05/11 08/05/11 07:14 07:30 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 95720 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB , 28.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 3 , F 4} sx =r'+ Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TE~D~ctEO - i qY~K NC? SIGNATURE NQ_ 3 4 0 3~ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAf;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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGEN (PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: _ TRAILER NO. 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: ~ ~ ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,f~/r ~ / j 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(PRIPJT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _ i SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00855801 MC 6155 Cox Lane, PO Box 962 `E7u4`fE-~W D,ezl=ot~t' ~'~~t T~aEOU~ vEt~tctE 1ao~t~oFF Cutchogue, NY 11935 08/05/11 08/05/11 09:37 09:51 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket Scale 1 Tare Wt. 36880 LB uN ' CSESGRIPTif,~IV TE ~tl+i 26.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 s; 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! `TEBEA , SIGNATURE - - GRIQ WEIQF~AASTEfl SOUTHOLD TOWN DEPT SOLID WASTE 01 00855801 MC 6155 Cox Lane, PO Box 962 ° : ~ Cutchogue, NY 11935 08/05/11 08/05/11 09:37 09:51 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket Scale 1 Tare Wt. 36880 LB . .g . ~ < 26.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 3-~ ~ a~. , s i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENClERE© ~Gt M0. SIGNATURE < ~ No. 3404 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: 1 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET f HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ _ TRUCK NO. ~ LICENSE NO/STATE: ~ ~ C~JU ~ TRAILER NO. LICENSE NO/STATE: / ~ ~ ~ r 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: ~ a`~ - ! DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GR{~ WEIGMMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00855917 MC 6155 Cox Lane, PO Box 962 ppTE ~ @ATE OUT ' 1 fl#~ 41tFT VENIClE F'~LL OFF Cutchogue, NY 11935 08/05/11 08/05/11 14:22 14:32 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 82460 LB Outbound -Charge ticket Scale 1 Tare Wt. 35500 LB QTY FEE TOTAi. 23.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i I ~ ~ - Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ _ SITE TICKET GRi[1 WEIdNMASTER **DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00855917 MC ~ , 6155 Cox Lane, PO Box 962 ~ , Cutchogue, NY 11935 08/05/11 08/05/11 14:22 14:32 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 82460 LB Outbound -Charge ticket Scale 1 Tare Wt. 35500 LB ~ TOTAL 23.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Y d~ Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEMQEREa CHECKt~. SIGNATURE No. 3406 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ' ' SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR. AUTHORIZED AGENT PRINT NAME SIGNATURE c ) ( ) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ . , TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: f ? 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: 3 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~ - SITE TICKET GRID WEIGHMAS7ER **DUPLICATE TICKET** - - _ SOUTHOLD TOWN DEPT SOLID WASTE 01 00855999 GS 6155 Cox Lane, PO Box 962 C>~"tE tN UATE CN1T i'tME tN TMdE E7lT ' vEH~ClE 'RC3t.L OPF Cutchogue, NY 11935 08/06/11 08/06/11 08:48 09:26 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 88540 LB Outbound -Charge ticket Scale 1 Tare Wt. 36780 LB 25.88 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. D.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! Nt~ER SIGNATURE _ SITE TICKET. wEiGHN **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00855999 GS 6155 Cox Lane, PO Box 962 .4,r ~ Cutchogue, NY 11935 08/06/11 08/06/11 08:48 09:26 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 88540 LB Outbound -Charge ticket Scale 1 Tare Wt. 36780 LB 25.88 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. HED; NEXT HOLIDAY CLOSED: MONDAY, MAY 3D, 2011 MEMORIAL DAY! CM6CK NO. SIC;NATUNf= - - - i i No. 3408 r GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANp DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: ~ ~ LOOSE: 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r ~ - TRUCK NO. i LICENSE NO/STATE: } TRAILER NO. ? LICENSE NO/STATE: l ~ ~ ~ ,T I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: + d 1 (PRINT NAME) (SIGNATURE} DESTINATION t DISPOSAL LOCATION: ~,~'i ~"t ' DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GRID WEIGHMA57ER ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00856379 MC 6155 Cox Lane, PO Box 962 'tb1TEIN n~;rEqu~r ` °~t~l ~ vEHiCE.~ ~ ROLI.OFI= Cutchogue, NY 11935 08/08/11 08/08/11 07:08 07:21 11100TC ' 009304 Winters Brothers . - Scale 2 Gross Wt. 90980 LB Outbound -Charge ticket Scale 1 Tare Wt. 38120 LB 26.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ~ ~eEroC~EFtEC] SIGNATURE "DUPLICATE TICKET"" ~ wElQHFAASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856379 MC 6155 Cox Lane, PO Box 962 ~ ~ ~ = ~ r f. , . . r ~a _ ~ . Cutchogue, NY 11935 08/08/11 08/08/11 07:08 07:21 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 90980 LB Outbound -Charge ticket Scale 1 Tare Wt. 38120 LB , ~ _ ~r•~~ ~ I~ K p. 26.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 F e I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEtJt3E8ED CttECK Nt}. SIGNATURE No. 3411• GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAi;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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. / GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , - TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATIGN LISTED BELOW. URIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 01 00856404 MC 6155 Cox Lane, PO Box 962 ~vre l~ DAT(r~~ ~~f , 'Fittir~ u>`rtla.E Rt~.OFF Cutchogue, NY 11935 08/08/ 11 08108 / 11 0 9:21 0 9: 3 3 11100 T C 009304 Winters Brothers . - I Scale 2 Gross Wt. 94880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37080 LB _ ; L1'f'~! U ~ 28.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 s.=.`-_: NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ SITE TICKET s~` fiRID WEIQHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856404 MC 6155 Cox Lane, PO Box 962 ,t~C1LiOF~ Cutchogue, NY 11935 08/08/11 08/08/11 09:21 09:33 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 94880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37080 LB ~ ~ e. 28.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ i Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! iTF~lbERED CHECK: SIGNATURE No. 3407 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: r~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r ~ / 1 ~ c' i TRUCK NO. ~ LICENSE NO/STATE: ~ ~J t~- 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: i ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET f8F1H! WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856451 Steph 6155 Cox Lane, PO Box 962 Eh~TE I~ DArEOU~`"~ ' .`~~j' vEMiCt.E w., ~ . Cutchogue, NY 11935 08/08/11 08/08/11 11:54 12:33 ~ 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 83880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35640 LB fyE ~ ~ : ~3C7~1f '1•'C,11~kL 24.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a 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! REp SIGNATURE SITE TICKS? GRtD wE1t3HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856451 Steph 6155 Cox Lane, PO Box 962 ~ Cutchogue, NY 11935 08/08/ 11 08/08/ 11 11:54 12:33 11100TC 009304 Winters Brothers • I Scale 2 Gross Wt. 83880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35640 LB 24.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I s,» • s 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! 7~rtnEA~n Kt~. SIGNATURE No. 3 412 GENERATOR THIS MANIFEST lS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' • GROSS TARE NET I HEREBY 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 PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) Tf3ANSPORTER TRANSPORTATION/FREIGHT CO, TRUCK NO. LICENSE NO/STATE: TRAILER NO. ' ; p LICENSE NO/STATE: , / ' ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA5 pELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: i ~ f ! _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY GERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACGEPTEO AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED iS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRVNT NAME} SIGNATUREfDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ARID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856510 MC 6155 Cox Lane, PO Box 962 DATE ~t ogTE ouT > T IN TIA~ OttT vE~E RQLL aFF Cutchogue, NY 11935 08/08/11 08/08/11 14:35 14:47 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 83020 LB Outbound -Charge ticket Scale 1 Tare Wt. 35700 LB NtWih :QTY. UN Ram f~ s TtXfllt. 23.66 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! TEivoEREa SIUNATURE _ _ _ _ SITE. TICKET GRtO WEKdHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856510 MC 6155 Cox Lane, PO Box 962 ~ ~ ~ ~ ;y ~x~,. Cutchogue, NY 11935 ~ ~ ? ' 08/08/11 08/08/ 11 14:35 14:47 11100TC 009304 Winters Brothers ~ . r Scale 2 Gross Wt. 83020 LB Outbound -Charge ticket Scale 1 Tare Wt. 35700 LB , ~ ~ , ~ ~ ~ F~ 23.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r. 1+- 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! 7t'}EFIEU cr+ECK sl~r~AruRE -~r_ - - T_ _ - _ NQ. 3413 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS} BALES: (COUNT): TRUCK WEIGHT: ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: a (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION::- DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I SOUTHOLD TOWN DEPT SOLID WASTE 01 00856588 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 - 08/09/11 08/09!11 09:06 09:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB Net Weight 58680 LB 29.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00856588 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/09!11 08!09!11 09:06 09:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB Net Weight 58680 LB 29.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! No. 3414 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ _ - TRUCK NO. LICENSE NO/STATE: f i i TRAILER NO. LICENSE NO/STATE: r 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: _ L i<' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET QRIp WEIGHMASTER "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856635 Steph 6155 Cox Lane, PO Box 962 DATE ~ DATEUUT T°~`' °our vEHIpt,E Cutchogue, NY 11935 • 08/09/11 08/09/11 111:23 11:38 11100TC 009304 Winters Brothers ~ . - - Scale 2 Gross Wt. 87660 LB Outbound -Charge ticket Scale 1 Tare Wt. 37920 LB Q7Y. - PTI©N FEE 24.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ~ Operating hours 7:D0 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 _ _ _ _ _ SITE TICKET CaRlp WEIQHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856635 Steph 6155 Cox Lane, PO Box 962 =a ~ ~~31f4' VEHICLE r. r.~C1t,L.~FP Cutchogue, NY 11935 08/09/11 08/09/11 11:23 11:38 11100TC 009304 Winters Brothers . _ ~ Scale 2 Gross Wt. 87660 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 37920 LB 24.87 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! 7ENDEREO CHECK NO. SIGNATURE No. 3415 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANq.~00ES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: t J ~ SHIP DATE: COMMODITY SHIPPED: / _ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE ~-r 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 HAZAF~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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ / ' TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: i 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) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SRE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856682 Steph 6155 Cox Lane, PO Box 962 - pATEiw pATEOUT '1~ 'tOlTT vEHK:LE ; RO1.L.e~F Cutchogue, NY 11935 08/09/11 08/09/11 13:57 15:52 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 95420 LB Outbound -Charge ticket Scale 1 Tare Wt. 36700 LB ttTV urn or€ ~ ~ ~ 29.36 I TON OUTGO.MSW 0.000 0.00 0.00 0.00 a,. - - 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! 4; SIGNATURE _ - SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856682 Steph 6155 Cox Lane, PO Box 962 IN bAt~Er ~ , ~ Cutchogue, NY 11935 08/09/11 08/09/ 11 13:57 15:52 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 95420 LB Outbound -Charge ticket Scale 1 Tare Wt. 36700 LB 29.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! E#C SIGNATURE - - No. 3 41.6 _ l GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: ~ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR AIVY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATICiN. 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 Wf~S DFl IVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ L DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE A80VE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME1 SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. /SITE TICKET GRED wFiGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00856752 Steph 6155 Cox Lane, PO Box 9E42 ~ #'~i'E IN DATE OUT T~utE Ml TIME OuT YEH~LE ' ROLC C~ Cutchogue, NY 11935 08/10/11 08/10/11 08:09 08:09 11100TC 009304 Winters Brothers . - ~ Manual Gross Wt. 87860 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB N ih ~1'!`Y~ UNi3 ~ -_DESCRIf'Tit?i+! r - - TOTAL 25.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! '~'ENDEREa IG~iATURE _ - _ r. s. i ` . _ , ASTER t "'DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00856752 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/10/11 08/10/11 08:09 08:09 11100TC 009304 Winters Brothers • - l Manual Gross Wt. 87860 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB - r . 125.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i r s~„ e Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEI~EREp :CHECK NO. SIGNATURt - No. 3417 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND.DOE5 NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) HALES: (COUNT): TRUCK WEIGHT: GROSS TARE ` NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, VS NOT HAZAiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ ' TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA5 DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ G E (PR1N 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) SIGNATURElDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I"hr. _ GRID _ WEIGHMASTEf? 'DUPLICATE TICKET"" - t - _ SgUTHOLD TOWN DEPT SOLID WASTE 01 00856812 Steph 6 i 55 Cox Lane, PO Box 962 DATE tN DATE OUT TIME iN TIME OUT VEHICLE ROLL pFF Cutchogue, NY 11935 - 08/10/11 08/10/11 11:51 12:03 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 96880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB ~ ~ , - 29.49 ~ TON OUTGO.MSW 0.000 0.00 0.00 0,00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685: 0,00 NLXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ,y c;rvnrur~E - "DUPLICATE TiCKET~" SOUTHOLD TOWN DEPT SOLID WASTE 01 00856812 Steph I 6155 Cox Lane, PO Box 962 DATE Mt DATA OUT TIME ~+1 TIME puT VEHICLE RCN.I OFF Cutchogue, NY 11935 108/10/11 08/10/11 111:51 112:03 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 96880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 L8 . 29.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , e ~ ;t Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 831-734-76$5. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENiDEffECt No. 3 418 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND 15 IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. j l TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: ~ i 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: , ~ ~ C (PRINT AME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTEfl **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856855 Steph 6155 Cox Lane, PO Box 962 ~4T~ Irv pAT~ 4)Ut ~ 'i~tTf VEHICLE ~ ~ ~.l. Cutchogue, NY 11935 ' ~ 08/10/11 08/10/11 14:10 14:29 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 100160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35800 LB = . , . FE£ TOThi. 32.18 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! TEI~ERED ' SIGNATURE _ SITE TICKET GRID WEICaHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00856855 Steph 6155 Cox Lane, PO Box 962 - ~ Cutchogue, NY 11935 08/ 10111 08/10/11 14:10 14:29 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 100160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35800 LB - > ~mlrA~ 32.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 !I i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! IVC3. SIC NATURE - - No. 3419 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f ~ ~ GROSS TARE j 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 HAZAi:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: / ~ ! U C--~ _ TRAILER NO. LICENSE NO/STATE ,f 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 AME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ®f41D WEI4HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00856928 MC 6155 Cox Lane, PO Box 962 CbATE DATE OUT T~~ , TfME01tf vEH~LE ~ou.ofF, Cutchogue, NY 11935 08/11/11 08/11/11 07:57 08:13 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 96940 LB Outbound -Charge ticket Scale 1 Tare Wt. 35280 LB I Net Wei ht 61660 LB _ a . - TQ~~L 'UNIT ° . ~CF{i~?'f,'f~N ; 30.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . >-a. µ w~5 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! RED. SIGNATURE 'T ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00856928 MC 6155 Cox Lane, PO Box 962 ~ ~ Cutchogue, NY 11935 08/11/11 08/11/11 07:57 08:13 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 96940 LB Outbound -Charge ticket Scale 1 Tare Wt. 35280 LB i773f. . , , e ~ . ; Q #C3T~1 ~ ~ 30.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ..e Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ' ' TENDERED SIGNATURE r NO. 3420 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATO E) 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 PROVIDE[) IS TRUE AND ACCURATE: RFCF!VED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~IT~ °,ET ~ gRiD 'dEIGHMASTER ~ "DUPLICATE TICKET** ~/y - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00856973 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE Ol1T TIME iN TIME t31JT VEHICLE ROLL OFF Cutchogue, NY 11935 08/11 /11 08111 /11 10:18 10:58 11100TC 009304 Winters Brothers ~ t Scale 2 Gross Wt. 86900 LB Outbound -Charge ticket Scale 1 Tare Wt. 36340 LB ~Tt' (1 z~ DESGRk~k3N _ ~ ~ ~ ~ . 25.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ r~ ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! . SIGNATURE **DUPLICATE TICKET** ~ 50UTHOLD TOWN DEPT SOLID WASTE 01 00856973 MC 6155 Cox Lane, PO Box 962 f Cutchogue, NY 11935 08/11 /11 08/11 /11 10:18 10:58 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 86900 LB Outbound -Charge ticket Scale 1 Tare Wt. 36340 LB 25.28 TON O TOTAL UTGO.MSW 0.000 0.00 0.00 0.00 ~ b . Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEFlED SIGNATURE _ No. 3 4 21 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: _ COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. _ TRUCK NO. LICENSE NO/STATE: ~ ~ ~ r TRAILER NO. LICENSE NO/STATE: y 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. JRIVfR: (PRINT NAME (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. S1TE TICKET ARID WEIGHMASTEfl **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00857021 MC 6155 Cox Lane, PO Box 962 't~fE1N DATA f~J't' "°'~~9'"' " VEH ~ • Cutchogue, NY 11935 08/11 /11 08/11/11 13:00 13:25 11100TC 009304 Winters Brothers r I Scale 2 Gross Wt. 87060 LB Outbound -Charge ticket Scale 1 Tare Wt. 36140 LB QTl! ~ ~ ? ~ TC71'F,41.` 25.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Ii ~ ' %:i- i Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ SITE TtGKET GRiQ WEIGHMASTER **DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 00857021 MC 6155 Cox Lane, PO Box 962 ° ; Cutchogue, NY 11935 08/11 /11 08/11 /11 13:00 13:25 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 87060 LB Outbound -Charge ticket Scale 1 Tare Wt. 36140 LB 25.46 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! T~t+~EflEr1 GHECk SIGNATURE NO. 3422 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR AN'f APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERL'f DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ ~ r TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATETICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 _ 00857130 ' John I 6155 COx Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF Cutchogue, NY 11935 ~ 08/12/11 08/12/11 08:52 09:13 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 93480 LB Outbound -Charge ticket Scale 1 Tare Wt. 36880 LB _ QTY DESCRIPTION _ RATE EXTENSION FEE TOTAL 28.30 i TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~I I I 1 - ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.0 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENDERED Ck1ECK NO. I SIGNATURE SITE TICKET GRID. WEiGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00857130 John 6155 Cox Lane, PO Box 962 GATE IN DATE OUT TIr+~W TM~OUT VEHICLE ROIL OFF Cutchogue, NY 11935 ' 08/12/11 08/12/11 08:52 09:13 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 93480 LB Outbound -Charge ticket Scale 1 Tare Wt. 36880 LB OTY. IPTI RATE EXTENSICi1 FEE TOTAL 28.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENDERED I CHECK NO. SIGNATURE NG. 3 4 23 GENERATOR THIS MANIFEST IS FOR REFERENC€ PURPOS S ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND~OES NO#-gSSUME A~ LIABILITY ASSOCI/)TED WITH THE SHIP"~M.E/NT OF SUCH MATERIALS. COMPANY: ~'7/x . { L /1~,, ,rig-~! ~ " "l ~G- %L`v-~_ SHIP DATE: COMMODITY SHIPPED: ' 1 ~ j~ LOOSE: ~ `'r (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ I GROSS TARE Sze (1n0 NET I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 280.10 OR ANY APPLICABLE STATE LAW, ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY - DESCRIBEO, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. //mod / - ~R UTHORI ED AGENT( RINT NAME) SIGNATURE) T ORTER TRANSPORTATION/FREIGHT CO. ~ TRUCK NO. 2 LICENSE NO/STATE: G,/ f!~ TRAILER NO. ~(J`7 LICENSE NO/STATE: ~ ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: l/~IiY Lf ~ ~ „%~,.r~.J,;L~".___, (PRINT N ME) ~ ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ' ~ I- ~ ` • DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOV E MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. /SITE TICKET GRID WEIGHMASTEP "DUPLICATE TICKET** - - - ~SOUTHOLD TOWN DEPT SOLID WASTE 01~ 00857257 John 6155 COx Lane, PO Box 962 DATE IN DATE OUT TIME HJ TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 08/12/11 08/12/11 14:23 14:43 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 99400 LB Outbound -Charge ticket Scale 1 Tare Wt. 36740 LB Net Wei ht i OTY. UNIT DESCRIPTION... RATE EXTENSION fEE .TOTAL 31.33 TON OUTGO.MSW I 0.000 0.00 0.00 0.00 I ~ ~ ! I i it i I i i i - - _ . I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENOEREO CHECK NO. SIGNATURE "DUPLICATE TICKET" e>ttE. TtcICET.. GRID wEXaHM~sTEg SOUTHOLD TOWN DEPT SOLID WASTE 01 ! 00857257 John 6155 COx Lane, PO BOx 962 I7AffEtN DATEDUT' TIA~W TNAECUT. vEHTCL.E Ra.LOff Cutchogue, NY 11935 ~I 08/12/ 11 08/ 12/ 11 14:23 14:43 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 99400 LB Outbound -Charge ticket Scale 1 Tare Wt. 36740 LB OTY. U DESCRIPTION RAT£ ' EXTENSKNI FEE TOTAL 31.33 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 i I I I - - 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 MEMORIAL DAY! TENDERED CHECK NO. SIGNATURE - _ • i.t t3l~MERATtN1. THIS MANM~T 18'Ft711 ONLY. TOR DOES Nk)T TAKE POSS€SSWMOR TkTIE OF ANY'GARAO OR MATERIALS BEMI(i 9lNP'Al~!'" . A8~OCUITED WITH ~ OP SUCH MATERIAL. . "t coMP~Ny: ~ C/ " c ~ ~ P~ ~ S /r~~ SHIP DATE: COMAtOiDiTY SHIPPEDt LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: Q GROSS TARE t'iD NET 1 HEREBX GERTIFY THAT Tk1E, ABQVENAMED:MAT@R1Al DOES NOT GOAkTd~'FAEE LK~UIO-AS 0EFMIED BY 40 CFR PART 2.10 OR ANY APPLM>iASTATE17YA/,q:Nt~T ITE~06AMlBlSBY4@C}~t~'Q61~tAftYiIARL`1Q71~I:ESTA7ELAW.HA3BEENPROPERLY DESCRkSEO;.CUUIEDA1RkPA1;:k~ED,ANOfSB/PAACtMiDITIONFORTR~>~N$R15ATATkOOE/ItDNJGTOAPPLICA9LERE6ULATION. t~~ RATOR AU _NA (S GNATURE) TRAN'~PQ#tTEf1 TRANSPORTA7iON/FREIGHT • ~ , TRUCK NO. LIC NO/STATE: +C../ TRAILER NO. ~ ~ ~ LICENSE NOlSTATE: t„ 1 HEREBY CERTIFY TRtAT THE ABOYE~NAkIl86iMATER1Al WAS PIGKED UP AT THE GENEAATORSITE LISTED ABOVE. AND THATIT WAS DELIVERED WtTWOU'f IF~IDENT TO THE ~TkHW11~fED BELOW. DRIVER: ~~~f/ ( Ni'f E) - (SIGNATURE) DE3TMtATiLiM DISPOSALLOCATKMI: F Y ~ DATE REL)VERED: ADDRESS: IHEREBYCEATIFYTHATTMEABOVfMATEAIALHASBEENACCEPTEDANDTOTkkEBESTOFMYKNOWLEDGETHfINFORMATIONPROVIDED IS TRUE AND ACCURATE: ' RECEIVED BY: AU7IWRIZEDAGENT(pRIN'[i4AME) SKiNATURE/DATE KEY: WHITE TO DKIROSAL LOCATION 6NEENTO TRANSPORTER YELLOW TOTMNSPORTEA. PMT( TAD S- OOLO'HD ;TOR DISPOSlN: #~"rlkl TICKET N0. SITE TICKET CiFtl~ WEIGHMASTER "'*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00857325 Steph 6155 Cox Lane, PO BOX 962 PATE IN QATE C?UT TIME IN TtA1E OtlT VEHICLE ROLL OFf' Cutchogue, NY 11935 08/13/11 ~ 08/13/11 08:02 08:15 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 94960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35980 LB ~ Net Wei ht 58980 LB UNIT DESCRf RATE EXTENSION FEE TOTAL 29.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENaEREo 3 F,- SIGNATURE 8tT~ TK~CET , WEK~iFNdlt$TER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00857325 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/13/11 08/13/11 08:02 08:15 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 94960 LB Outbound -Charge ticket ' Scale 1 Tare Wt. 35980 LB ~ Net Wei ht 5898 Q~., , ~ . ~ ~,-a,: ToraL ~ 29.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! Tin CHECK N0. - SIGNATURE No. 3425 GENERATOR THtS MANIFEST lS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260,10 OR ANY APPtiCABLi= STATE tAW, iS NOT IiAZAF~DOUS WA5TE AS DEFINED BY 40 CFR PART 261 OR ANY APPLIOABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _ 1 ~ ~i (PRINT NAM~k (51GNATURE) 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(PR1NT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TD TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GRID WEIGHMASTER '*DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00857649 John 6155 Cox Lane, PO Box 962 ~ DA7E oUT T~' ~ Cutchogue, NY 11935 08/15/11 08/15!11 07:29 07:41 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB " DE , fEE TOTAL 30.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ SfTE TICKET GR1D WEIGHMASTER. "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00857649 ~ John 6155 Cox Lane, PO Box 962 ~ ~ ~ ~ ~ Cutchogue, NY 11935 08/15/11 08/15/11 07:29 07:41 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB ,TOTAL 30.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 rt'` Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ~ CtfECK NO. SIGNATURE _ - No. 3426 GENERATOR I THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ ~ ~ ~ GROSS ~ TARE ~ NET i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TC! APPLICABLE REGULATION. GEN ATOR AUTHORIZED AGENT(PRINT NAME) { (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ! 1,,~ II 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) i DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. ' PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SffE TICKET QRid WEKiHMASTEp '"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00857667 John 615 Cox Lane, PO Box 962 Oi1TE IN [b1TE 4tS'1' T'AE` ~U7 vE1i '4 r _ Cutchogue, NY 11935 08/15/11 08/15/11 09:37 09:51 11100TC 009304 Winters Brothers • _ Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket Scale 1 Tare Wt. 37140 LB i Gi7Y , - ~ : TpTAb 22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 II i I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! , SIGNATURE SITE 7tCKET==- tiRID WEIGHMASTER "'DUPLICATE TICKET`" - SOUTHOLD TOWN DEPT SOLID WASTE 01 00857667 John 6155 Cox Lane, PO Box 962 } - Cutchogue, NY 11935 08!15!11 08/15/11 09:37 09:51 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket Scale 1 Tare Wt. 37140 LB _ 22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ I i i ro~.f, ~ s: s d ~y ~ - Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. D.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! T.~fA~p si~rv.aruRF I No. 3 4 2 7 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i < - GROSS ~ ~ ~O 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 HAZAF: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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION i ~ A !3 l._ ~ GENERATO 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} SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 'DUPLICATE TICKET`" ~ ~ ~ ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00857708 John 6155 Cox Lane, PO Box 962 ~ - ~ - . ~M~~ Cutchogue, NY 11935 08/15/11 08/15/ 11 11:54 12:11 11100TC 009304 Winters Brothers • _ Scale 2 Gross Wt. 103340 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB Net Wei ht 67160 LB / t~F7Y UNIT ~ ' ' ~ E 33.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 _ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE ~ T___._.____ "DUPLICATE TICKET` ~i~F~~_ ! GRtt~ ~aai-~asr~>a SOUTHOLD TOWN DEPT SOLID WASTE 01 00857708 John 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08 / 15/ 11 08/ 15/ 11 11:54 12:11 11100T C 009304 Winters Brothers • Scale 2 Gross Wt. 103340 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB Net Wei ht 67160 LB _ ~n~~ '.33.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 s~ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! T~i+tCl~i~~t7 SIGNATURE NO. 3428 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: /~~33 7 ~ GROSS 3 ~f ~ //?f~'' 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, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. v~ GENERATOR AUTHOfi12E0 AGENT( R NAME) (SIGNATURE) TRANSRORTER TRANSPORTATION/FREIGHT CO. i TRUCK NO. LICENSE NO/STATE: ~ TRAILER NO. LICENSE NO/STATE: ~ 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" TiGK~T Gain WEIGHMASTEfl SO:;'fHOLD TOWN DEPT SOLID WASTE 01 00857744 John 6 s 55 Cox-Lane, PO Box 962 ~ pA~ C~FT ~ ~ T~IEOUT V£HiCLE Ra.L oFF Cutchogue, NY 11935 08/15/11 08/15/11 14:30 15:00 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 106740 LB Outbound -Charge ticket Scale 1 Tare Wt. 35520 LB Net Wei ht 71220 LB 'C~7Y, tJN1T } ~ ;FEE ;;TQTi1i.' 35.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE - ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00857744 John 6155 Cox Lane, PO Box 962 ..v9 ma.< r, t Cutchogue, NY 11935 ~ 08/15/11 08/ 15/ 11 14:30 15:00 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 106740 LB Outbound -Charge ticket ' Scale 1 Tare Wt. 35520 LB Net Wei ht 71220 LB 35.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' • , Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! 7Iw~~o CFTC tVV; _ SIGNATURE _ ~ NQ. 3429 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAiiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. • GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: G~~ ' TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SRE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOL.n TOWN DEPT SOLID WASTE 01 00857854 Steph 6155 Cox Lamle, PO Box 962 BATE tN (]ATE OUT TIME IN TN/E DUT VEHICLE ROLL #F Cutchogue, NY 11935 08/16/11 08!16/11 11:50 12:10 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 97940 LB Outbound -Charge ticket Scale 1 Tare Wt. 35920 LB Net Wei ht 2 2 LB ~ QTY.. _ t)E t 'E)CI'ENS?GN °'~OTAL 31.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! rESVOeaEq I SIGNATURE _ _ _ SITE TICKET GRIb WEIGI~AASTER **DUPLICATE TICKET** I SOUTHOLD TOWN DEPT SOLID WASTE 01 00857854 Steph 6155 Cox Lane, PO Box 962 ds ~ t~KTE , , Cutchogue, NY 11935 08/16/11 08/16/11 11:50 12:10 11100TC 009304 Winters Brothers ~ , i ~ Scale 2 Gross Wt. 97940 LB Outbound -Charge ticket 1 Scale 1 Tare Wt. 35920 LB a o ~ K ~ ~ ~ : ~ RAt1L~ 31.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEPIbEP{ER CHECK NO. I SIGNATURE - No. 3 4 31 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ GROSS i 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 HAZAE;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 CONDITION FOR TRANSPORTATION ACCORDING TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) i TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ TRAILER NO. ~ LICENSE NO/STATE: ! ~ I HEREBY GERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SRE TICKET GfiIQ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00857905 Steph 6155 Cox Lane, PO Box 962 'bl~f'EtN t)ArEtN11`"" 1`qA~`"'" VEHICLE ' Cutchogue, NY 11935 08/16/11 08/16/11 ~ 14:14 14:30 11100TC 009304 Winters Brothers ~ . - Scale 2 Gross Wt. 90220 LB Outbound -Charge ticket Scale 1 Tare Wt. 35560 LB ,R~ tP71~N ! i~AtTE . 27.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ 'I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 ,.t• NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ' SIGNATURE SITE TICKET GA[D WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00857905 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08 / 16/11 08/ 16111 14:14 14:30 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 90220 LB Outbound -Charge ticket Scale 1 Tare Wt. 35560 LB . k~~h: ~ ~v~ ~ - 27.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i ~~xY. w ym '4' <si'' rc$ " Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0. 0 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! N0. >>UrvA1uHL No. 3 4 3 2 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: / ~ % LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE ~ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 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) (SIGNATURE) DESTINATION DISPOSAL LOCATION: y( ~ 4 DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SRE TICKET G~ii€. ' wfiGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00857803 Steph 6155 Cox Lane, PO Box 962 t3ATf fN DAT6QUT TtME1N 11MEQi1T VEHICLE ROLL OFF Cutchogue, NY 11935 08/16/11 08/16/11 09:22 09:47 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 104080 LB Outbound -Charge ticket Scale 1 Tare Wt. 37740 LB Net Wei ht 66340 LB .QTY. UNiT DESCRtPTIQN RATE fXTfNSiON FEE TOTAL R 33.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ _ _ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE ~~.i: SOUTHOLD TOWN DEPT SOLID WASTE 01 00857803 Steph 6155 Cox Lane, PO Box 962 =e~ Cutchogue, NY 11935 08/16/11 08/16/11 09:22 09:47 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 104080 LB Outbound -Charge ticket Scale 1 Tare Wt. 37740 LB Net Wei ht 6 4 . . F. . " ' ,TOTAL 33.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f Operating hours 7:00 AM to 5:00 PM 7 days a week. . ~ / CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! 'C~ND;~taEo SIGNATURE ~ NO. 3430 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL: BEING SHIPPED AryD DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ; f TRUCK NO. ~ ~ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: ~f 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: t 1 (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: t~ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLC-DGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 87TE TICKS _ t#A1iI Yv~K3»~n~+tn "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 ~ 00857991 _GS _ 6155 Cox Lane, PO BOX 962 OATf IN DATE OUT TIME iN TIME 4U7 VEHICLE ROLL OFF Cutchogue, NY 11935 J 08/17/11 08!17!11 08:16 08:45 11100TC 009304 Winters Brothers Scaie 2 Gross Wt. 89580 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB _ 26.56 TON OUTGO.MSW 0.000 0.00 D.DD D.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 y i aQ **DUPLICATE TICKET** SOUTHOLD TOWN bEPT SOLID WASTE 01 ~ 00857991 GS 6155 Cox Lane, PO Box 962 DATE I>v ~ oAtEntrr~'rjr~fns T - Cutchogue, NY 11935 08/17/11 08/17/11 ~ D8:16 08:45 i 1100TC 009304 Winters Brothers Scale 2 Gross Wt. 89580 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB K~ T r_~ _ - ~x~~. ION ~.._r.m. ~ ~ ~ .,~...a~: 26.56 TON OUTGO.MSW o.oo0 0.00 0.00 0.00 s,~ ~k Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. REO NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE No. 3433 _ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAf;000S 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 TRANSPOR?ATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ` TRAILER NO. ~ LICENSE NO/STATE: L,. ` 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) SIGNATURElDATE KEV: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD 70 GENERATOR DISPOSAL LOCATION TICKET NO. SI'Z'E 'Tt~lfi ("sRlp VYEIGHM/?3tER `*DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00858028 GS 6155 Cox Lane, PO Box 962 a~iN DATEf5i7i` ~ i~r v~ict.ir '"11.t.oFF Cutchogue, NY 11935 08/17/11 ~ 08/17/11 10:47 10:58 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 88160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LB Net Wei ht ~ r.~ . - Z'Y = tiNrC = ~.o.,~; ~ _ o 26.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE - **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858028 GS 6155 Cox Lane, PO Box 962 g~~ Cutchogue, NY 11935 08/17/11 08/17/11 10:47 10:58 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LB • r ~ , r~~ _ ,q . _ ~ , . 26.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 x . ~ .ro f ri~ Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ,a ` tea SIGNATURE No. 3434 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID A$ DEFINED BY 40 CFR PART 250.10 OR ANY' APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY' DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. ~ ~ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: -T~~ U 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) DESTINATION / DISPOSAL LOCATION: ~ f 'f DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 81TE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858129 GS 6155 Cox Lane, PO Box 962 ~ Otlt TIME ~ - ROLL OFF Cutchogue, NY 11935 08/18/11 08/18/11 07:56 08:09 11100TC 009304 Winters Brothers ~ ( Scale 2 Gross Wt. 82300 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB ~tTY. UN - ~ . x . 22.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I _ Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE &i(E TiCICET WE **DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00858129 GS 6155 Cox Lane, PO Box 962 s _ l C1FF Cutchogue, NY 11935 - 08/18/11 08/18/11 07:56 08:09 11100TC 009304 Winters Brothers ~ J Scale 2 Gross Wt. 82300 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB QTY, - ~~tt 22.79 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! TEn~Reo CIiFCK NO. - SIGNATURE r No. 3435 ~ENEI~ATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AidD DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY.APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCt APPLICABLE REGULATION. j GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE} TRANSPORTER TRANSPORTATION/FREIGHT CO. a~- ~ ` - TRUCK NO. J LICENSE NO/STATE: ~ TRAILER NO. LICENSE NO/STATE: 1 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: (PRINT NAME) (SIGNATURE} DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r _ SITE TICKET ARID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858164 GS 6155 Cox Lane, PO Box 962 QATE IN .ATE OtJT 11~ m 'riA~Ot1T vEHK~.E ,F~.OFF Cutchogue, NY 11935 0 /18/11 08/18/11 10:22 10:53 11100TC 009304 Winters Brothers ~ . / I ~ Scale 2 Gross Wt. 102740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37260 LB QTY. U RATE TOTAL . 32.74 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 SITE TICKET GRID WEIflHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858164 GS 155 ox ane, P Box 962 ~1~~t ~ vEHSCL~ ~ Cutchogue, NY 11935 08/18/11 08/18/11 10:22 10:53 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 102740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37260 LB ~~i'Y P , b , ~ FEE A{. 32.74 TON OUTGO.MSW 0.000 0.00 0.00 0.00 e~~k x,.,. 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! TIfD C NO. ;~ur~A'u~tE - - - - ~ i NO. 3436 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID hS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY'APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORT4lTION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ . TRUCK NO. 'T LICENSE NO/STATE: ~ f / U (.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: y (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION:. DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - (~51TE TICKET GRID WEIGHMASTER ..DUPLICATE TICKET** ~ _ _ _ - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00858308 John . 6155~ox Lane, PO Box 962 rkCiE IN DATE puT Tfkt~ w TH+~OF1T vEMro~ Rota O~ Cutch gue, NY 11935 08/19/11 08/19/11 08:30 08:49 11100TC 009304 Winters Brothers • _ Scale 2 Gross Wt. 96880 LB Outbound -Charge ticket Scale 1 Tare Wt. 36980 LB QTY. F ' Imo, 29.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 9 ~ . I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! T~HOE~eo SIGNATURE - SETE "T'tCKET ''?s.;= _ C3fitq ~ ~ V1~EKa1 *.DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858308 John 6155 Cox Lane, PO Box 962 ° n Cutchogue, NY 11935 08/19/11 08/19/11 08:30 08:49 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 96880 LB Outbound -Charge ticket Scale 1 Tare Wt. 36980 LB . , - m r 29.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 k•' ~ ' 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! TE ~ C 'Nf}. - is r ~F?c NQ. 3438 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION- GENERs4TOR AU OR'IZED AGENT(PRINl`NAME) ('SIGNATURE) TRANSPORTER f TRANSPORTATION/FREIGHT CO. ,f'~ t f ! 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 INFURMATIUN PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SrtE TICKET GRfU WEIC3HMA57ER **DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00858357 John 61b5 Cox Lane, PO Box 962 ',oAtelN DAT>il3vT '`i~d' ve~rc~ `,._'3.L.C Cutchogue, NY 11935 08/19/11 08/19/11 10:49 11:07 11100TC 009304 Winters Brothers . - ~ Scale 2 Gross Wt. 92900 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 35540 LB 28.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00 _t 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! =4 SIGNATURE SiTlw TICKET tiRID wEIt3HM,4STER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00858357 John 6155 Cox Lane, PO Box 962 , „ „ , r t.~ „f~i~.i. Cutchogue, NY 11935 08/19/11 08/19/11 10:49 11:07 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 92900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35540 LB z_ 28.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i i ~,a a' 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~q SIGNATURE No. 3439 i GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS ~ BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: I! COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): r q TRUCK WEIGHT: / ~ / ~ GROSS 7~U TARE 1~1~~ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY ~ DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. I i GENERATOR AUTHORIZED AGENT(PRINT NAME) f (SIGNATURE) ~ TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ / 0 , ~ TRUCK NO. LICENSE NO/STATE: ~ ~ / Cf, TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: r DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ARID WEIC~tiMASTEA **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 OD858486 Steph 6155 Cox Lane, PO Box 962 ~t~ lk DaTEOUr Tii~~l Tour vEHKx.E ACL;I.OFF Cutchogue, NY 11935 08/20/ 11 08/20/11 07:11 07:30 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 83280 LB Outbound -Charge ticket Scale 1 Tare Wt. 35960 LB QTV. U ' De IPTtoN 'RATE EXTENSIOFI FEE Toriu. 23.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ _ SITE TICKET t3A1D WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858486 Steph 6155 Cox Lane, PO Box 962 ~ - ~ ~ Cutchogue, NY 11935 08/20/ 11 08/20/ 11 07:11 07:30 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 83280 LB Outbound -Charge ticket Scale 1 Tare Wt. 35960 LB E , - 23.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~r 1 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEkD~t~D° CHECK NO. ~ Sid-1 ,_!fiE NQ. 3 4 4 0 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ + TRUCK NO. LICENSE NO/STATE: ~ / r. 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 15 TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SFTE TICKET ARID WEICiHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858516 Steph 6155 Cox Lane, PO Box 962 Y .DATE IN DATE OUT TIME ~I ' T~frt11Ti vEHICIE FiQLI OfF Cutchogue, NY 11935 08/20/11 08/20/11 09:20 09:38 11100TC 009304 Winters Brothers . - ~ Scale 2 Gross Wt. 101640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35660 LB _ t?TY. ; TpTAt , i 32.99 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ SITE TICKET 4RID WEK3HMASTER `*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858516 Steph 6155 Cox Lane, PO Box 962 '~It~t DATA _ . ~ E- . ~ j _ _ ~.1. t~FF Cutchogue, NY 11935 08/20/11 08/20/11 09:20 09:38 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 101640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35660 LB ~ ~ ...r a 32.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ` ' Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENDEREp CIf t+i0. SIGNATURE _ - - - I No. 3441 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY ~ESCRIBEO, CLASSIFIED AND PACKAGED. AND iS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r / t f TRUCK NO. J~ -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: E< I ~ , (PRINT NAME) (SIGNATURE} DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SrTE TICKET QRIO WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00858957 Steph 6155 COx Lane, PO BOx 962 t7ATE IN DATE OUT '1"I~~t'` 't~i~#T VEHiCtE AOLLOFF Cutchogue, NY 11935 ~ - 08/22/11 08/22/11 107:53 08:04 11100TC 009304 Winters Brothers . - ~I - - Scale 2 Gross Wt. 85700 LB Outbound -Charge ticket Scale 1 Tare Wt. 36800 LB 24.45 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 517E TICKET iiRID WE1dHMASTEFI "DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00858957 Steph 6155 Cox Lane, PO Box 962 YEl~CLL' Cutchogue, NY 11935 08/22/11 08/22/11 07:53 08:04 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 85700 LB Outbound -Charge ticket Scale 1 Tare Wt. 36800 LB . . - . ~r , . ~ _ _ 24.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 n a~.. 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. 3442 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: _J GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: ` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEC ABOVE. AND THAT IT VJAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: f HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 5RE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00858986 Steph 6155 Cox Lane, PO BOx 962 GATE IN PATE OUT T~tE~I Tl1~:fytTt vENICIE fi01.LOF'R Cutchogue, NY 11935 ' 08/22/11 08/22/11 10:00 10:16 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 86420 LB Outbound -Charge ticket Scale 1 Tare Wt. 35300 LB QTY. ~ _ 25.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ _ 317E TICKET GRID wEIGHMA$TER **DUPLICATE TICKET*` ~ - - " SOUTHOLD TOWN DEPT SOLID WASTE 01 00858986 Steph 6155 Cox Lane, PO Box 962 ~ OATS ~h 'vetuct,l~ RpLt, Cutchogue, NY 11935 08/22/ 11 08/22/11 10:00 10:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 86420 LB Outbound -Charge ticket i Scale 1 Tare Wt. 35300 LB 25.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENt)Et~D ~ ..CHECK Imo. ~ ti- Ufit ~ NQ. 3443 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANp DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ; SHIP DATE: COMMODITY SHIPPED: / ; LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT{PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ TRUCK NO. LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: ~ ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. I DRIVER: ~ T (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WNITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID wEIGHMASTER SO~1TFiOLD TOWN DEPT SOLID WASTE 01 00859028 Steph 6155 Cox Lane, PO Box 962 HATE IN DATE OUT TIME pd TOUT VEHICLE `ROt.LOFF Cutchogue, NY 11935 08/22/ 11 08/22/11 12:27 12:40 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 98900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35080 LB 31.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TEHoERE1) SIGNATURE _ SITE TICKET GRICf WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 I 00859028 I Steph 6155 Cox Lane, PO Box 962 IN bAy'E p~ E - Cutchogue, NY 11935 08/22/11 08/22/11 12:27 12:40 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 98900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35080 LB IF'TfiL1iV ~ s ~ ~ e r s 31.91 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! TEtJUERED HANUE i CHECK ND. - SIGNATURE ~ NQ. 3444 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ; _ TRUCK NO. LICENSE NO/STATE: f / TRAILER NO. LICENSE NO/STATE: / . -7-' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME} (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 00859152 Dan 6155 Cox, Lang, RO Box 962 Cutchogue, NY 11935 08/23/11 08/23/11 09:33 09:50 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 99140 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB Net Weight 62420 LB 31.21 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. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY' SOUTHOLD TOWN DEPT SOLID WASTE 01 00859152 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/23/11 08/23/11 09:33 09:50 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 99140 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB Net Weight 62420 LB 31.21 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. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30. 2011 MEMORIAL DAY! No. 3 4 4 7 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: / i -TT TRAILER NO. ~ LICENSE NO/STATE: j ~ - 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) 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 8Y: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE rICKE7 GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00859269 Dan 615 Cox Lane, PO Box 962 ~~a4T~lar t~tr'r ~ ti~i` vEH?ct.~ Cutchogue, NY 11935 08/23/11 08/23/11 14:48 14:48 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 99160 LB Outbound -Charge ticket Manual Tare Wt. 48620 LB ~ ~ ~ _ . F " A4= 25.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i ~r ' 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 - - - - _ SITE TlCK£T GRI[3 w£IC3HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00859269 Dan 6155 Cox Lane, PO Box 962 Y.~' Cutchogue, NY 11935 08/23/ 11 08/23/ 11 14:48 14:48 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 99160 LB Outbound -Charge ticket Manual Tare Wt. 48620 LB ~ n v 25.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! K SIGNATURE No. 3448 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS} BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ , TRUCK NO. LICENSE NO/STATE: ~ : , TRAILER NO. ~ LICENSE NO/STATE: - ~ ~ i I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 00859123 Dan 6155_~ox LGhe, PO Box 962 Cutchogue, ~!Y 11935 08/23/11 08/23/11 07:12 07:28 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 94420 LB Outbound -Charge ticket Scale 1 Tare Wt. 37420 LB Net Weight 57000 LB 28.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00859123 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/23/11 08/23/11 07:12 07:28 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 94420 LB Outbound -Charge ticket Scale 1 Tare Wt. 37420 LB Net Weight 57000 LB 28.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week, CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! NQ. 3446 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4D CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ LICENSE NO/STATE: / ~j 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 V1~'AS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT N'AMF) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BES T OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 51TE TfCKET GRI© WEIGHMASTEA "DUPLICATE TICKET''` ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00859341 GS 6155 Cox Lane, PO Box 962 ' iadC'i'EFN r~ATrAtaU`t' t"~'` Gtrr vEHlt~ ~'+~pLt.C3Ff Cutchogue, NY 11935 08/24/ 11 08/24/ 11 09:57 10:26 11100T C 009304 Winters Brothers - - ~ Scale 2 Gross Wt. 91900 LB Outbound -Charge ticket 1 ~ Scale 1 Tare Wt. 35940 LB L1TY_ , ; ?C'C£N ~ TpiI1t;. 27.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! ~ ~b ~ SIGNATURE i ,_w______.-- ~SITE TICI(ET GRIO WEIGHMASTEA *'DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00859341 GS 6155 Cox Lane, PO Box 962 ~ ~ w- ~°a° Cutchogue, NY 11935 08/24/11 08/24/ 11 09:57 10:26 11100TC 009304 Winters Brothers , . Scale 2 Gross Wt. 91900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35940 LB 127.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i ' ' ' Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! Tr~eo NQ. ic,L~,~ruR~ - i~ NQ. 3449 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) _ ~ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ ~ (/~_1 TRAILER NO. ~ LICENSE NO/STATE: I ~ `r 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 J _ (PRINT NA E (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMAS7ER "`DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00859397 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT ` T~4AElH ` "I'flllT veHIC~ RdtLOFI+ Cutchogue, NY 11935 08/24/11 08124/ 11 12:43 12:54 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 90780 LB Outbound -Charge ticket Scale 1 Tare Wt. 37260 LB QTY. ~ ~ i ~ ~ ' TCTT1~. 26.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ~h`~ ti ~r 4:: 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 _ SITE TICKET GiRID WEIOHMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00859397 GS 6155 Cox Lane, PO Box 962 ve_ ,,p Cutchogue, NY 11935 08/24/ 11 08/24/ 11 12:43 12:54 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 90780 LB Outbound -Charge ticket Scale 1 Tare Wt. 37260 LB se.,,. 26.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a, ~t~ 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! TE ERED Cl1EG)t NO. ,;_;r~~nruF~E ~ I NO. 3450 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR AiJY APPLICABLE STATE LAW, HAS BEEN PROPEP,LY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPOfiTATION ACCORDING ?Q APPLICABLE REGULATIO~d. GENERATOR AUTHORIZED AGENT(PRINT NAME} IGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ , -T . TRUCK NO. LICENSE NO/STATE: / TRAILER NO. - ~ LICENSE NO/STATE: ~ IHEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA`.> DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTEC BELOW. DRIVER: (PRINT NAME} (SIGNATURE} DESTINATION DISPOSAL LOCATION: f DATE DELIVERED: _ ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET LAID WEfGHMASTER '"DUPLICATE TICKET' SOUTHOLD TOWN DEPT SOLID WASTE 01 00859496 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT .TIME 1N ` TIME 4UT VEHICLE ROLL OFF Cutchogue, NY 11935 08f25f11 08125/11 07.24 08:01 11100TC 009304 Winters Brothers ' ' Scale 2 Gross Wt. 88960 LB Outbound -Charge ticket I Scale 1 Tare Wt. 36620 LB Ftf - _ t s EX#'ENSt(~t I:EE 70TA1 4TY. tl 26.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,r Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE "*DUPLICATE TICKET"* SOUTHOLD TOWN DEPT 50LID WASTE 01 00859496 GS 6155 Cox Lane, PO Box 962 MATE IN DATE pUT TMAe tN TIME OllT vEHrc~E MOLL OFF Cutchogue, NY 11935 08/25/11 08/25/11 07:24 08:01 11100TC 009304 Winters Brothers • ' ~ Scale 2 Gross Wt. 88960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB e r.a_ , 6.17 TON UTGO.MSW 0.000 0.00 0.00 0.00 ~~r.. Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. REf3 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! RN}., SIGNATURE I ' NO. 3451 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND OpES NOT ASSUME ANY LIABILITY ASSOCIATED WITH TH€ SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE IAW, IS NOT HAZAi;DOUS WASTE AS DEFINED BY 40 CFR PART 261 ORf1NY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSP(,A~RTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~T~/ TRAILER NO. ~ LICENSE NO/STATE: ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - SITE TICKET GRIO WEIGHMASTER **DUPLICATE TICKET** ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00859552 GS 6155 Cox Lane, PO Box 962 t~FITE IN QATE OUT TIME iN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 08{25/11 ' 08125/11 10:05 ~ 10:32 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89440 LB Outbound -Charge ticket Scale 1 Tare Wt. 36420 LB PST. : MStC1N EEC 'fGiTAI 26.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ i's, . ~ 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 **DUPLIGATE TlCKE7** SOUTHOLD TOWN DEPT SOLID WASTE 01 I 00859552 I _L G5 6155 Cox Lane, PO Box 962 oATe IN pATE ouT Tli~e Irv l'1ME cxrr veHtcL~ Rots o~F Cutchogue, NY 11935 ~ ~ ~ 08/25/11 08/25/11 `10:05 ~ 10:32 11100TC 009304 Winters Brothers • - { Scale 2 Gross Wt. 89440 LB Outbound -Charge ticket 1 Scale 1 Tare Wt. 36420 LB : . m 26.51 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 CL05ED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE i . No. 3 4 5 2 f GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: ~ ' LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DF,.FINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ~ICCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ; ~ f TRUCK NO. LICENSE NO/STATE: / ~ ~ ~ --r-T~ TRAILER NO. LICENSE NO/STATE: r` T I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW, DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMA57ER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00859731 GS 6155 Cox Lane, PO Box 962 :;DATE IN pAT~ou`t` `116~f~(13' VEHICLE', " ° Cutchogue, NY 11935 08/26/11 08/26/11 08:19 08:32 11100TC 009304 Winters Brothers . - I Scale 2 Gross Wt. 82740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37240 LB 122.75 TON OUTGO.MSW D.000 0.00 0.00 0.00 i q` ~l 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! i SIGNATURE .SITE 7lCKET GR1Q WEIOHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00859731 GS 6155 Cox Lane, PO Box 962 ` Vt=H - Cutchogue, NY 11935 ~ 08/26/11 08/26/11 08:19 08:32 11100TC 009304 Winters Brothers ~ . - - ~ Scale 2 Gross Wt. 82740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37240 LB , . ~ ~ ~ s _ ~ 22.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! TENE9ERED ;r~: w SIGNATURE • 3453 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: _ COMMODITY SHIPPED: LOOSE: (CU YDS} BALES: (COUNT): TRUCK WEIGHT: ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAfiDOUS 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 CORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ LICENSE NO/STATE: J TRAILER NO. LICENSE NO/STATE: i ~ - I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE T~KET GRit? WEiGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00859745 GS 6155 Cox Lane, PO Box 962 DATE-lN DATE {5tJ'{' ' TAE ~i 1 OllT VEHI C?FF Cutchogue, NY 11935 08/26/11 08/26/11 09:01 09:18 009304 Winters Brothers 11~02TC Scale 2 Gross Wt. 80220 LB Outbound -Charge ticket Scale 1 Tare Wt. 36260 LB QTY.. U ` bE KN1 ' E~tEI'Eg1pN FEE ' 3K7TAL 21.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 TENDEREp~ NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE - SITE TICKET GRID WEIt~HMASTER "`DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00859745 GS 6155 Cox Lane, PO Box 962 ~ _ ~1 - YEWI Cutchogue, NY 11935 08 /26111 08/26/ 11 09:01 09 :18 009304 Winters Brothers . _ 11102TC Scale 2 Gross Wt. 80220 LB Outbound -Charge ticket Scale 1 Tare Wt. 36260 LB 21.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ` . . k ~ ~k. w 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! ` TEt~IW~tEo I CHECK SIGNATURE ' I No. 3254 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ r ~ SHIP DATE: COMMODITY SHIPPED: - LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR,ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: _ TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. a DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - "ET GRID WEiGHMASTER *`DUPLICATE TICKET** _ - - - 3 SOUTHOLD TOWN DEPT SOLID WASTE 01 00859834 GS 6155 Cox Lane, PO Box 962 DA'r~IN DATE OUT ~ tilr~ii+t'"" °e vEHICt.E Rr'3t.L OEF Cutchogue, NY 11935 08/26/11 08/26/1111:51 12:07 ~ i 009304 Winters Brothers • 11102TC Scale 2 Gross Wt. 93060 LB Outbound -Charge ticket Scale 1 Tare Wt. 35140 LB hI ' ~ '"q RATE EXTEN EOPI FEE TQTAL 28.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ ~ ~ ~ "A ..aa r~, ` Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE _ - SITE ~ ~ rag1D ~ \ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00859834 GS 6155 Cox Lane, PO Box 962 ~,5,~ . _ •s e: Cutchogue, NY 11935 08126/ 11 08/26/ 11 11:51 12:07 009304 Winters Brothers 11102TC - - Scale 2 Gross Wt. 93060 LB Outbound -Charge ticket Scale 1 Tare Wt. 35140 LB QTY !~I s.: EX'fEN81C~1' `SEE TE~TTAL. - 28.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 h ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. J • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7665. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! 0 SIGNATURE - i No. 3538 GENE~iATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: 'I LOOSE: (CU YDS) BALES: (COUNT): i TRUCK WEIGHT: ~ ~ GROSS - - TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLIG/~BLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTA~fON I~CORDING TO APPLICABLE REGULATION. r 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 i OSAL LOCATION: E 1 _ DATE DELIVERED: THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED ME) SIGNATURE/DATE &tTE TICKET GRID wEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00859873 BM 6155 Cox Lane, PO Box 962 ~ to 4ATE ~ T ~xrr rtstttcte Rota. o~~ Cutchogue, NY 11935 08126/11 08126/ 11 13:02 13:21 11100T C 009304 Winters Brothers • - Scale 2 Gross Wt. 95040 LB Outbound -Charge ticket ~I Scale 1 Tare Wt. 35040 LB J QTY.. #f'Ttt7Tt FIA1"E'' EXTEt~ FEE TOTAL 30.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 z,, ~ ,g' ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SIGNATURE TICKET GRtD WEIGHMASTER **DUptfCATE TICKET** ---T SOUTHOLD TOWN DEPT SOLID WASTE 01 00859873 BM 6155 Cox Lane, PO Box 962 t~A1'E ~+1 bIATE OUT 71ktE iN TfMEOUT VEHiGLE r~l OFf Cutchogue, NY 11935 08/26/ 11 08/26/ 11 13:02 13:21 11100T C 009304 Winters Brothers • - - Scale 2 Gross Wt. 95040 LB Outbound -Charge ticket Scale 1 Tare Wt. 35040 LB Q z.r ~ , t~ - ~ ~UTEi 30.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 k ~ey_~ e• Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! REt~ ' ' SIGNATURE No. 3454 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: i ~ 7 ~ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR AN'( APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ! TRAILER NO. ` LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKEC UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. l SITE TICKET GRIP WEIGHMASTER i, SOUTHOLD TOWN DEPT SOLID WASTE 01 00860096 j GS 6155 Cox Lane, PO Box 962 DATE iN pATE OUT TNN~`~~1 TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 08/27/11 ,08/27/11 09:07 09:18 38728TR 000000 Cash Customer . - Cash Customer Scale 2 Gross Wt. 82920 LB Outbound -Cash ticket Scale 1 Tare Wt. 35680 LB OTY.' U IPTION ~ °EXTEf+ISiON FEE TOTAL 23.62 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 MEMORIAL DAY! t30ERED SIGNATURE _ _ _ F SITE T3GKET GRiD WEtGHMASTEFi r SOUTHOLD TOWN DEPT SOLID WASTE 01 00860096 GS 6155 Cox Lane, PO Box 962 p,~ ur C~,?T1z vtFt"° ~ T~6otrr VEHICLE Rou (~F Cutchogue, NY 11935 08/27/11 08/27/11 09:07 09:18 38728TR 000000 Cash Customer ~ . Cash Customer Scale 2 Gross Wt. 82920 LB Outbound -Cash ticket Scale 1 Tare Wt. 35680 LB 9; QT1C 23.62 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 MEMORIAL DAY! EKED NO. >ic~n,n.i uRE - ~ No. 3264 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ,`i`~~,t-~ .L,. ~ i' ~-'t-:' ~rir J;'r v~-~3HIP DATE: ~ ~ COMMODITY SHIPPED: 1 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLI~A~LE ~tEGULATION. _ j ~ _ 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ' r TRUCK NO. ~ ~ LICENSE NO/STATE: Ir~ TRAILER NO. I 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. 1 i DRIVER: ~ ~ (PRINT NAME) (SIGNATURE) DESTINATION , DISPOSAL LOCATION: ~ L ` DATE DELIVERED: ~ ~ I ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TiCK~' _ GFtlt3 WEIGHMA37EA **DUPLICATE TICKET'`" SOUTHOLD TOWN DEPT SOLID WASTE 01 00860021 GS 6155 Cox Lane, PO Box 962 "E~iEIN oATECx~T ~i v~r±rc~._.'; + Cutchogue, NY 11935 08/27/11 08/27/11 07:29 09:31 11100TC DD9304 Winters Brothers , . Scale 2 Gross Wt. 91880 LB Outbound -Charge ticket Scale 1 Tare Wt. 38000 LB ,QTY ~ , . s ` , , 't'©TAL. c _ _ I 26.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 M 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 'SCTE TlCKET~-__~ f3Rlp wE~HMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00860021 GS 6155 Cox Lane, PO Box 962 ~ ~ f . <; . ~r , Cutchogue, NY 11935 08/27/11 08/27/11 07:29 09:31 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 91880 LB Outbound -Charge ticket Scale 1 Tare Wt. 38000 LB - ~ _ ~ i 126.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! 1'~ND~R~D H~Cfe No: SIGNATURE No. 3455 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4p CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: % } TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA`„ 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 ,4CCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PRC'JIDEC IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD 70 GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00860168 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/2 7/ 11 08/2 7/11 10:34 10:46 009304 Winters Brothers 11109TC Scale 2 Gross Wt. 81760 LB Outbound -Charge ticket Scale 1 Tare Wt. 35580 LB Net Weight 46180 LB 23.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00860168 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/2 7/ 11 0812 7/11 10:34 10:46 009304 Winters Brothers 11109TC Scale 2 Gross Wt. 81760 LB Outbound -Charge ticket Scale 1 Tare Wt. 35580 LB Net Weight 46180 LB 23.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! I No. 4605 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR QOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME A~JY LI*BILITY'AS$OCIAT~D WITH THE SHIPMENT OF SUCH MATERIALS. f COMPANY: ~ ~ ' / ~ _ _ _ _ SHIP DATE: _ COMMODITY SHIPPED: LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAI?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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER i TRANSPORTATION/FREIGHT CO. ° I' ' " TRUCK NO. ` ~ ~ LICENSE NO/STATE: ~ ~J_%r~ 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. _ I _ ' i ---ter DRIVER: ~ f %i ~ (PRINT NAME) / (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ y ! ! t V ~I+~~ i T ~ 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: FECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00860247 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/27/11 08/27/11 11:53 12:06 38728TR 009304 Winters Brothers Scale 2 Gross Wt. 87280 LB Outbound -Charge ticket Scale 1 Tare Wt. 35380 LB Net Weight 51900 LB 25.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O er in h at ours 7:00 AM to 5:00 PM 7 da s a week. P 9 Y CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! '*DUPLICATE TICKET*` SOUTHOLD TOWN DEPT SOLID WASTE 01 00860247 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/27/11 08/27/11 11:53 12:06 38728TR 009304 Winters Brothers Scale 2 Gross Wt. 87280 LB Outbound -Charge ticket Scale 1 Tare Wt. 35380 LB Net Weight 51900 LB 25.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! No. 3457 GENERATBR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT,PcSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: , SHIP DATE: ~ ~~I f COMMODITY SHIPPED: ~ LOOSE: ~ U'" ~U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;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 CONDITION FOR TRANSlnORTATION ACCORDING TQ APPLICABLE REGULATION. .r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. L_f TRUCK NO. ~ LICENSE NO/STATE: ~ - TRAILER NO.__ ~ G1 LICENSE NO/STATE: f'}' ~ ~ > I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 00860283 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/27/ 11 08/2 7 / 11 13:02 13:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95800 LB Outbound -Charge ticket Scale 1 Tare Wt. 33420 LB Net Weight 62380 LB 31.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00860283 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/27/11 08/27/11 13:02 13:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95800 LB Outbound -Charge ticket Scale 1 Tare Wt. 33420 LB Net Weight 62380 LB 31.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! NQ. 4 6 0 6 _ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: ~ ' _ COMMODITY SHIPPED: _ LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I TRUCK NO. LICENSE NO/STATE: ~ i ! c i ! t - 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 ANO TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SC7UTHOLD TOWN DEPT SOLID WASTE 01 00860439 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/29/11 08/29/11 09:41 09:41 009304 Winters Brothers 11103TC Manual Gross Wt. 80340 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB Net Weight 43540 LB 21.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00860439 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/29/ 11 08/29/ 11 09:41 09:41 009304 Winters Brothers 11103TC Manual Gross Wt. 80340 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB Net Weight 43540 LB 21.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! r No. 116 3 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: {PRINT NAME) {SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i _ _ _ ' r r ' Date l~ ~ ~ .1 ~ . Received From ~ ~ Address ~ i s- r, ~ For • ~ AMT OF CASH ~ ACCOUNT ~ ~ y AMT PAID CHECK ~ BALANCE MONEY DRDER? B~l . ' SUE CREDiTCARO? - I **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00860438 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 ' Scale 1 tare Wt. 369W Net Weight 45840 22.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00860438 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/29/11 08129/1 1 09:39 10:01 1 1 103TC 009304 Winters Brothers Scale 2 Gross Wt. 82740 LB Outbound Charge ticket Scale 1 Tare Wt. 36900 LB Net Weight 45840 LB 22.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! No. 1164 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND 1S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS CELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00861982 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/30/ 11 08/30/11 12:32 13:05 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 98020 LB Outbound -Charge ticket Scale 1 Tare Wt. 36040 LB Net Weight 61980 LB 30.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY! I "DUPLICATE TICKET*` SOUTHOLD TOWN DEPT SOLID WASTE 01 00861982 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/30/11 08/30!11 12:32 13:05 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 98020 LB Outbound -Charge ticket Scale 1 Tare Wt. 36040 LB Net Weight 61980 LB 30.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY! No. 1462 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT pF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED 8Y: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. s SOUTHOLD TOWN DEPT SOLID WASTE 01 00861579 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/30/11 08/30/11 08:23 08:37 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 100600 '~u±bo.ind Charge ticket Scale 1 Tare Wt. 37120 Net Weight 63480 31.74 TON OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00861579 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/30/11 08/30/11 08:23 08:37 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 100600 LB Outbound -Charge ticket Scale 1 Tare Wt. 37120 LB Net Weight 63480 LB 31.74 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 NFXT HOLIDAY CLOSED: MONDAY, MAY 30, 2011 MEMORIAL DAY! - No. 14 4 7 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF: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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY. WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 00862491 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/31/11 08/31/11 07:03 07:12 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 86140 LB Outbound -Charge ticket Manual Tare Wt. 35980 LB Net Weight 50160 LB 25.08 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, SEPTEMER 5, 2011 LABOR DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 00862491 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/31 /1 1 08/31/11 07:03 07:12 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 86140 LB Outbound -Charge ticket Manual Tare Wt. 35980 LB Net Weight 50160 LB 25,08 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, SEPTEMER 5, 2011 LABOR DAY! NO. 4723 GENERATQR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SNIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 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 HAZAF: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 CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA;~ E?EI IVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER _ _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ADDGPTED AND TO THE BEST OF MY KNOW. LEDGE THE INFORMATION PROVIDE IS TRUE AND ACCURATE: RECE!VFD BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ' **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00862622 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/31 /11 08/31 /11 09:21 09:36 11103TC 009304 Winters Brothers ~ t Scale 2 Gross Wt. 92100 LB Outbound -Charge ticket Scale 1 Tare Wt. 34360 LB Net Weight 57740 LB 28.87 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, SEPTEMER 5, 2011 LABOR DAY! 1 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00862622 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08131 /11 08/31 /11 09:21 09:36 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 92100 LB Outbound -Charge ticket Scale 1 Tare Wt. 34360 LB Net Weight 57740 LB 28.87 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, SEPTEMER 5, 2011 LABOR DAY! i NQ. 4 7 2 4 _ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 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 IS IN PROPER CONDITION FOR TRA~SPf'~RTA.TlON ACCORDING TO APPLICABLE REGULATIOIJ_ 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 PROVIDEC! IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. `"DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00862849 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/31/11 08/31 /11 11:52 12:04 11103TC 009304 Winters Brothers r Scale 2 Gross Wt. 95720 LB Outbound -Charge ticket Scale 1 Tare Wt. 36740 LB Net Weight 58980 LB 29.49 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, SEPTEMER 5, 2011 LABOR DAY! **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00862849 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 08/31/11 08/31 /11 11:52 12:04 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 95720 LB Outbound -Charge ticket Scale 1 Tare Wt. 36740 LB Net Weight 58980 LB 29.49 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, SEPTEMER 5, 2011 LABOR DAY! No. 4725 GENE~OR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ` TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. _ TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME} (SIGNATURE} DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.