HomeMy WebLinkAbout09/2011 ""DUPLICATE TICKET'"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00863294 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/01/11 09/01/11 07:00 07:14 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 96760 LB Outbound -Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 60560 LB
30.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
"DUPLICATE TICKET"`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00863294 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/01!11 09/01/11 07:00 07:14 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 96760 LB Outbound -Charge ticket
Manual Tare Wt. 36200 LB
Net Weight 60560 LB
30.28 TON OUTGO.MSW 0.000 O.OD 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. - 4 7 2 2
GENERATOR
THIS MANIFEST 4S 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 DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE IAW, 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: _
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:
(PAINT NAME) (SIGNATURE)
pESTINATION
pISPOSAL 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} SIGNATURElDATE
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 00863398 MC I'i
615b Cox Lane, PO Box 962
Cutchogue, NY 11935
09/01/11 09/01 /11 09:38 09:59 11103TC i
009304 Winters Brothers
Scale 2 Gross Wt. 93860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36080 LB
Net Weight 57780 LB
28.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00863398 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/01/11 09/01/11 09:38 09:59 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 93860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36080 LB
Net Weight 57780 LB
28.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
No. 4 7 2 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 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 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 NAS 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.
t'DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00864224 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/02/ 11 09/02/ 11 13:04 13:15 1110 3TC
009304 Winters Brothers
Scale 2 Gross Wt. 95180 LB Outbound -Charge ticket
Scale 2 Tare Wt. 35540 LB
Net Weight 59640 LB
29.82 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 00864224 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/02/ 11 09/02/ 11 13:04 13:15 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 95180 LB Outbound -Charge ticket
Scale 2 Tare Wt. 35540 LB
Net Weight 59640 LB
29.82 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!
. NQ. 4 728
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, tS 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 REGULATIOtJ_
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 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.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00863979 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/02/11 09/02/11 09:04 09:19 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 97380 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37960 LB
Net Weight 59420 LB
29.71 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~I
I
III
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 00863979 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/02/11 09/02/11 09:04 09:19 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 97380 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37960 LB
Net Weight 59420 LB
29.71 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
7
NO. ~ ~ r
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)
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 SIl"E LISTED ABOVE, AND THAT IT WAS
i~ELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTE~~ 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.
""DUPLICATE TICKET`"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00864551 John
6155 Cox Lane, PO Box 962
Cutchog~ue, NY 11935
. 09103/11 09/03/11 07:03 07:17 11103TC
009304 Winters Brothers
I
Scale 2 Gross Wt. 104000 LB Outbound -Charge ticket
Manual Tare Wt. 37640 LB
Net Weight 66360 LB
33.18 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5. 2011 LABOR DAY'
""DUPLICATE TICKET'"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00864551 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/03/11 09/03/11 07:03 07:17 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 104000 LB Outbound -Charge ticket
Manual Tare Wt. 37640 LB
Net Weight 66360 LB
33.18 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5. 2011 LABOR DAYi
No. 4729
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: f ~ GROSS
7 LCN 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 AN'(
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
. ` ~ ~ . i
GE ERATOR 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.
;.RIVER:
(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.
'"`CUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00864667 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/03/11 09/03/11 09:15 09:27 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 101300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 65700 LB
32.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
"DUPLICATE TICKET"`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00864667 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/03/11 09/03/11 09:15 09:27 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 101300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35600 LB
Net Weight 65700 LB
32.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
No. 4 7 3 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.
.
Vic: ~ iI
GENER~OR ALI~THORIZED 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
GOID 70 GENERATOR DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866067 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/11 09/06/11 13:32 13:47 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 94800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35540 LB
Net Weight 59260 LB
29.63 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 00866067 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/ 11 09/06/11 13:32 13:47 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 94800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35540 LB
Net Weight 59260 LB
29,63 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. 3 4 61
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 HAZAF6DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERL`(
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
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
DEL. iVERED 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.
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866002 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/11 09/06/11 11:17 11:33 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 87600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37900 LB
Net Weight 49700 LB
24.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866002 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/ 11 09/06/ 11 11:17 11:33 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 87600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37900 LB
Net Weight 49700 LB
24.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
a
No. 3 4 6 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 TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ,
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE: -
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
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
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00865913 Steph I
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/11 09/06/11 08:57 09:12 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 80940 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37740 LB
Net Weight 43200 LB
21.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, SEPTEMER 5, 2011 LABOR DAY!
*"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00865913 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/06/11 09/06/11 08:57 09:12 11100TC
009304 Winters Brothers
~I
Scale 2 Gross Wt. 80940 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37740 LB
Net Weight 43200 LB
21.60 TON OUTGO.MSW 0.000 0.00 0.00 D.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, SEPTEMER 5, 2011 LABOR DAY!
No. 3 4 5 9
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL S
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: f i ~ J 6~ ~
(PRIN ~ AME~- (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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) SIGNATURElDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~
- No. 3 4 5 8
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
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE IAW, 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: 1 ~ ~ fJ~__.)
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 WA;;
DEINERED WITHOUT INCIDENT TO THE DESTINATION LISTED 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) SIGNATURElDATE
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 00866143 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 07:53 08:11 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 95640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
Net Weight 58900 LB
29.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CL05ED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
'"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866143 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 07:53 08:11 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 95640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
Net Weight 58900 LB
29.45 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3166
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: 4 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 7o GENERATOR DISPOSAL LOCATION TICKET NO.
"'DUPLICATE TICKET`"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866175 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 09:46 09:46 11100TC
D09304 Winters Brothers
Scale 2 Gross Wt. 105780 LB Outbound -Charge ticket
Manual Tare Wt. 36680 LB
Net Weight 69100 LB
34.55 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, OCTOBER 10, 2011 COLUMBUS DAY!
"DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866175 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 09:46 09:46 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 105780 LB Outbound -Charge ticket
Manual Tare Wt. 36680 LB
Net Weight 69100 LB
34.55 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3463
GENERA70~
THIS MANIFES7IS 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
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 NAZAfiDOUS WASTE AS DEFINED BY AO 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.
s
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ,~f ~ , 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 WAS
OEIIVEREO 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 00866192 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 10:44 11:01 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 103340 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35440 LB
Net Weight 67900 LB
33.95 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866192 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 10:44 11:01 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 103340 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35440 LB
Net Weight 67900 LB
33.95 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 316 5
GENERATOR
THOS 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:
L005E: (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 tAW,1S NOT HAZAS
~DOUS WASTE AS OEFINEQ 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~'
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE}
DESTINATION
DISPOSAL LOCATION: _ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY TNAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AG1rNT(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 00866190 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/ 11 10:43 11:23
009304 Winters Brothers
11121TC
Scale 2 Gross Wt. 100800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36380 LB
Net Weight 64420 LB
32.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
O eratin hours 7:00 AM to 5:00 PM 7 da s a week.
P 9 Y
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. O On
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DA`
.,.~u nvw I OVUN L,~
6155 Cox Lane, PO Box
Cutchogue, NY 11935
n.:; ~
009304 Winters Brothe ~
~11[1i~
Scale 2 Gross Wt. 100800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36380 LE3
Net Weight 64420 l E3
~ TON OUTGO MSW 0.000 0.00 D.00 0.00
~pci ac...g Hours I:UU AM to S:UU NM / days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
NQ. 4 612
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 TRANSPQf(TATIOhf ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ~ LICENSE NO/STATE:
-Y"..
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: j ,,,r~~_.~,r-,
(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.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866214 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 11:2 7 11:50 11100TC
009304 Winters Brothers
s
Scale 2 Gross Wt. 101780 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39900 LB
Net Weight 61880 LB
30.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866214 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/11 09/07/11 11:27 11:50 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 101780 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39900 LB
Net Weight 61880 LB
30.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3394
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 TRApISPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. - j ~
TRUCK NO. ~ LICENSE NO/STATE: I 1 1 t Z
TRAILER NO. i ~ f ~ LICENSE NO/STATE: ; -f ~ I ~ ` ~ c,
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: - ~ k_, ? ,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.
**DUPLICATE TICKET'"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866251 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/ 11 09107/ 11 12:42 13:02 11100TC
009304 Winters Brothers ~
Scale 2 Gross Wt. 114080 LB ~ ' Outbound -Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 76420 LB
38.21 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, OCTOBER 10, 2011 COLUMBUS DAY!
"DUPLICATE TICKET"`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866251 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/07/ 11 09/07/ 11 12:42 13:02 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 114080 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 76420 LB
38.21 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3464
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOE5 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 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.
~ ~s
GENERATOR AUTHORIZED AGENT(PRINT NAME} {SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~ ;
TRUCK NO. LICENSE NO/STATE: / / f
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 00866342 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/08/11 09/08/11 09:11 09:24 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 94420 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37000 LB
Net Weight 57420 LB
28.71 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866342 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/08/11 09/08/11 09:11 09:24 11100TC
009304 Winters Brothers
Outbound -Char e ticket
Scale 2 Gross Wt. 94420 LB g
Scale 1 Tare Wt. 37000 LB
Net Weight 57420 LB
28.71 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3465
GENERATOR.
THOS MAN4FEST 4S FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NO7 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 tAW,1S NOT fiAZAf ~DOUS WASTE AS DEFINED BY 40 CFR PART 26t OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (51GNA URE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE: i° ~
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 AG1rNT(PRINT NAME) SIGNATURElDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN 70 TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866340 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/08/11 09/08/11 09:09 09:25 11110TC
009304 Winters Brothers
Scale 2 Gross Wt. 95680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39800 LB
Net Weight 55880 LB
27.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866340 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/08/11 09/08/11 09:09 09:25 11110TC
009304 Winters Brothers
Scale 2 Gross Wt. 95680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39800 LB
Net Weight 55880 LB
27.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
No_ 3395
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: ? ~ ~ ~ 7 L
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.
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) SIGNATURElDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
i
"`DUPLICATE TICKET""
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866671 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/09/11 09!09111 10:15 10:2 7 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 100060 LB , Outbound -Charge ticket
Scale 1 Tare Wt. 35380 LB
Net Weight 64680 LB
32.34 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, OCTOBER 10, 2011 COLUMBUS DAY!
"`DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866671 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/09/ 11 09/09 / 11 10:15 10:2 7 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 100060 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35380 LB
Net Weight 64680 LB
32.34 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3 4 6 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 TRANSPQRTATION 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 WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED 6ELOW
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
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866759 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/09/ 11 09/09/ 11 12:28 12:46 11100TC
009304 Winters Brothers
i
Scale 2 Gross Wt. 99160 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35180 LB
Net Weight 63980 LB
31.99 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866759 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/09/11 09/09/ 11 12:28 12:46 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 99160 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35180 LB
Net Weight 63980 LB
31.99 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, OCTOBER 10, 2011 COLUMBUS DAY!
NO_ 3467
w
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 AUTHOAIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~ ~ j ~ ~T-, ~ `
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: y _ 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.
1
"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866972 John
~ 6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/10/11 09/10/11 09:59 12:07 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 100280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37360 LB
Net Weight 62920 LB
31.46 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
`"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866972 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/10/11 09/10/11 09:59 12:07 1 1 1 14TC
009304 Winters Brothers
Scale 2 Gross Wt. 100280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37360 LB
Net Weight 62920 LB
31.46 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
T
NO. 4911
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-+4ND 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 WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: I" ' J ` DATE DELIVERED: j _
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.
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866932 John '
6155 Cox Lane, PO Box 962
Cutch~gue, N~` 11935
09/10/11 09/10/11 08:35 09:11 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 97160 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
Net Weight 60420 LB
30.21 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, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET""
SOUTHOLD TOWN DEPT SOLID WASTE 01 00866932 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/10/11 09/10/11 08:35 09:11 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 97160 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
Net Weight 60420 LB
30.21 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, OCTOBER 10, 2011 COLUMBUS DAYS
No. 3468
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: SNIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: I , GROSS
TARE
. C. } NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZ D AGENT(PRINT NAME} ~ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
~ - -
TRUCK NO. LICENSE NO/STATE: 1 _
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 00867121 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/ 10/ 11 09/ 10/ 11 13:31 13:56 11100T C
009304 Winters Brothers
Scale 2 Gross Wt. 90480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36340 LB
Net Weight 54140 LB
27.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00867121 John
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/10/11 09/10/11 13:31 13:56 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 90480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36340 LB
Net Weight 54140 LB
27.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
_...~._..r- -
No. 3469
GENERAT R
O
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: SNIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
j~~ 5 ~1 TARE
_ i ( 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 TQAPPLICABLE REGULATION.
GENER TOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE}
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ~ LICENSE NO/STATE:
TRAILER NO. r LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA;>
!'iEl IVERED WITHOUT INCIDENT TO THE DESTINATION LIS1F~ 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 00867795 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/12/11 09/12/11 12:21 12:38 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 99280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35940 LB
Net Weight 63340 LB
31.67 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00867795 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/12/ 11 09/12/11 12:21 12:38 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 99280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35940 LB
Net Weight 63340 LB
31.67 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 4 912
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: ~ `Y
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 CFF~ 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. r'`~- I ~ J r
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:
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 00867790 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/12/11 09/12/11 12:11 12:40
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 78980 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37700 LB
Net Weight 41280 LB
20.64 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00867790 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/12/11 09/12/11 12:11 12:40
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 78980 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37700 LB
Net Weight 41280 LB
20.64 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. • 3 4 7 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): 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 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: ~
'Y . _'l .7
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 GERTIFY 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"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868168 Steph
6155 Cox Lane, PO Box 962 ~ ,
Cutchogue, NY 11935
09/13/11 09/13/ 11 13:05 13:05
009304 Winters Brothers
11111TC
Manual Gross Wt. 102360 LB Outbound -Charge ticket
Manual Tare Wt. 48620 LB
Net Weight 53740 LB
26.87 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, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET*`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868168 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/13/11 09! 13/11 13:05 13:05
009304 Winters Brothers
11111TC
Manual Gross Wt. 102360 LB Outbound -Charge ticket
Manual Tare Wt. 48620 LB
Net Weight 53740 LB
26.87 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3 4 7 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 AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: r f f / - _
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR 51TE 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.
`*DUPLICATE TICKET"*
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868042 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/13/11 09/13/11 09:47 10:23
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 92620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39140 LB
Net Weight 53480 LB
26.74 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
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
'*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868042 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/13/11 09/13/11 09:47 10:23
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 92620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39140 LB
Net Weight 53480 LB
26.74 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
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3472
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,15 NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS 6EEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TC: APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
TRUCK NO. ~ LICENSE NO/STATE: r~! I' ~ ~ 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 WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
t
DRIVER: i ~ I. 1
(PRINT NAME) (SIGNATURE}
DESTINATION
pISPOSAL 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 D15POSAL 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 00867978 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/13!11 09/13/11 07:20 07:36
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 96940 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38600 LB
Net Weight 58340 LB
29.17 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, OCTOBER 10, 2011 COLUMBUS DAY!
""DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00867978 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/13/11 09/13/11 07:20 07:36
009304 Winters Brothers
11111TC
Scale 2 Gross Wt. 96940 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38600 LB
Net Weight 58340 LB
29.17 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3 4 71
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 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 TCt 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:
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*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868355 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/14/11 09/14/11 08:30 08:43 11111TC
009304 Winters Brothers
Scale 2 Gross Wt. 94480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38220 LB
Net Weight 56260 LB
28.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868355 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/14/11 09/14/11 08:30 08:43 11111TC
009304 Winters Brothers
Scale 2 Gross Wt. 94480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38220 LB
Net Weight 56260 LB
28.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
NO. 3474
GENERATOR
THIS 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
APPLICABLE STATE LAW,1S 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. / ~ 1 /
TRUCK NO. _ LICENSE NO/STATE: f--~~1
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: 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.
""DUPLICATE TICKET*"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868520 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/14/11 09/14/11 13:34 14:13 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 88680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37840 LB
Net Weight 50840 LB
25.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868520 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/14/11 09/14/11 13:34 14:13 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 88680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37840 LB
Net Weight 50840 LB
25.42 TON OUTGO.MSW 0.000 0.00 0.00 ().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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3475
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 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: ~ ~ 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 WAS
DELIVERED 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 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 00868789 GS
6155 Cox Lane, PO Bo~~ ,962
Cutchogue, NY 11935
09/15/11 09/15/11 12:12 12:30 11111 TC
D09304 Winters Brothers
Scale 2 Gross Wt. 90700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37240 LB
Net Weight 53460 LB
26.73 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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868789 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/15/11 09/15/11 12:12 12:30 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 90700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37240 LB
Net Weight 53460 LB
26.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00 li
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, OCTOBER 10, 2011 COLUMBUS DAY!
{ No. 3478
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:
-r
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.
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868714 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/15/11 09/15/11 09:56 10:10 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 93680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38460 LB
Net Weight 55220 LB
27.61 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, OCTOBER 10, 2011 COLUMBUS DAY!
"'DUPLICATE TICKET`'`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868714 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/15/11 09/15/11 09:56 10:10 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 93680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38460 LB
Net Weight 55220 LB
27.61 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, OCTOBER 10, 2011 COLUMBUS DAY!
NO. 3477
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: 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 ANO 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 00868648 MC
6155 rox Lane, PO Box 962
Cutchogue, NY 11935
09!15/11 09/15!11 07:35 07:55 11111TC
009304 Winters Brothers
Scale 2 Gross Wt 96640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38500 LB
Net Weight 58140 LB
29.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00868648 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/15/11 09/15/11 07:35 07:55 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 96640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38500 LB
Net Weight 58140 LB
29.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3476
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: 6,~(; 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 A5 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. 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 LISTEC 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.
TK~tET GRID WEI(3HMASTER -
**DUPLICATE TICKET**
SOL'Tr~'OLD TOWN DEPT SOLID WASTE 01 00869094 Dan
6155 Coy Lane, PO Box 962 a~ri~t oA~'EC~rr tii~~i ~~'1!"[' VEHICLE ,t
C;utchogue, NY 11935
09/16/11 09/16!11 13:35 14:19 11111TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38740 LB
QTY. l3 ~ r
28.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00
t. t.
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! ~
SIGNATURE _
SITE "7K:KE'~ GftO WEIGHMASTER
"'DUPLICATE TICKET"" i -
SOUTHOLD TOWN DEPT SOLID WASTE 01 ~ 00869094 Dan
6155 Cox Lane, PO Box 962 Diu
..w ~ ee , ~ ~,4.~..~ ~ ~ - ~-t
~ -
Cutchogue, NY 11935
09/16/11 09/16/11 13:35 14:19 11111 TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38740 LB
,~e~° - ~ ~ ~ ~ ~ ~ ~ ~ _ ~ - -
28.48 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, OCTOBER 10, 2011 COLUMBUS DAY! 7EI~E~tEq
SIGNATURE
~-r
r
NQ. 4 9 3 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. _ _ _ _ _
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
DEl IVERED 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.
SriE ` TICKET Ql~fld wE1GHMASTER
`"DUPLICATE TICKET**
SOUTHQLD TOWN DEPT SOLID WASTE 01 00869015 MC
6155 Cox Lane, PO Box 962 ~
Cutchogue, NY 11935
• 09/16/11 09/16/11 111:01 11:19 11111 TC
009304 Winters Brothers
I
li Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 40220 LB
i
y.,
24.79 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, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
Srl`E TiGKET ' G#41E3 YVEfQHMASTEA
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869015 MC
6155 Cox Lane, PO Box 962
~F;< v
Cutchogue, NY 11935
09/16/11 09/16/11 11:01 11:19 11111TC ~
009304 Winters Brothers • -
Scale 2 Gross Wt. 89800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 40220 LB
,
s~,
24.79 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.
REp
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
NO:
SIGNATURE
1
No. 3479
GENERATOR
TI-ltS 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
APPLICABLE STATE LAW, iS NOT HAZAf;DOUS WASTE AS ?)EFfN?<0 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 AUTT=IORIZED AGENT(PRINT NAME) (SIGNATURE)
TRAtJSRORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ,1 ~ ~ y/
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
pISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HA5 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 70 DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
~ SITE TICKET C3fiID WEIGHMA3TER
`"DUPLICATE TICKET"
- SOUTHOLD TOWN DEPT SOLID WASTE 01 00869217 ~ John
6155 Cox Lane, PO Box 962 ~ sl~1`Ep+l DATE tJU7` ~ ~i'f ~1- TNrlE ~r YEHK~.E IdOLL tit:
Cutchogue, NY 11935
D9/17/11 09/17/11 07:02 07:23 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 88440 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37180 LB
_ U
- ~ r ~r.<<:
a-.~
a- . _
~I25.63 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, OCTOBER 10, 2011 COLUMBUS DAY! m ~
°5 a''. t~;fN~
SIGNATURE
„
"DUPLICATE TICKET" }3. ~'~TICKET ~ s3~tln w€IC~nsxE6
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869217 John
6155 Cox Lane, PO Box 962 ~
>o,
Cutchogue, NY 11935
09/17/11 09!17/11 07:02 07:23 11111TC
009304 Winters Brothers
Scale 2 Gross Wt. 88440 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37180 LB
, ~ n , ~ z -
.
o..«.,; ~ : , . ~ . ~
125.63 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, OCTOBER 10, 2011 COLUMBUS DAY! T
CHECK NO.
SIGNATURE
No. 4937
GENERATOR
THIS MANIFEST 1S 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: SH1P DATE:
COMMODITY SHIPPED:
L005E: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: " `g ~ ~ 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, ELASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCt 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(PR1NT NAME) SIGNATURElDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRJD wEl(3HMASTER
**DUPLICA:E TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869270 John
6155 Cox Lane, PO Box 962 `t~Ci`E m DATEE1ltT ~N~I Titu~OUT vEHlCIE I~OLI.OFP
Cutchogue, NY 11935
09/17/11 09/17/11 09:19 09:38 11111TC
009304 Winters Brothers . -
~ I
Scale 2 Gross Wt. 80240 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39400 LB
20.42 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.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
=~=r,
SIGNATURE
317E TiG9EET
p . r:
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869270 John
6155 Cox Lane, PO Box 962 9 .
Cutchogue, NY 11935
09/17/11 09/17/11 09:19 09:38 11111TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 80240 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39400 LB
u
~r~u~....
20.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~ tF
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
-
No. 4 9 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
f~- NET
i i T
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.
~1--^ _
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 11' WAS
~FI_'VERED WITHOUT INCIDENT TO THE DESTINATION LISTFC 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. _
soup r1oLD rowN DEPT soLl~ w~,sr~ o-~ uo~6~~zt r~~u;
6155 Cox Lane, PO Box 962
~ Cutchogue, NY 11935
09/19/1 1 09/19/11 07:35 07:53 11 111 TC
009304 Winters Brothers
5c. ,'~c~ ~ C~ rosy `1`Ji, ~a' , _ ~.itbound Charge ticket
Manual Tare Wt. 37060
Net Weight 58000
?ON OUTGO MSW i,i~i U OU J OJ CLCG
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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869821 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/19/11 09/19/11 07:35 07:53 11111TC
009304 Winters Brothers
Scale 2 Gross Wt. 95060 LB Outbound -Charge ticket
Manual Tare Wt. 37060 LB
Net Weight 58000 LB
29.00 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, OCTOBER 10, 2011 COLUMBUS DAY!
r - -
No. 4 9 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 ANO 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) (5IGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY GERTIFY 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 00869882 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/19/11 09/19/11 09:58 10:22 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 72580 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37900 LB
Net Weight 34680 LB
17.34 TON OUTGO.MSW 0.000 0.00 0.00 CJ.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, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00869882 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/19/11 09/19/11 09:58 10:22 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 72580 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37900 LB
Net Weight 34680 LB
17.34 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, OCTOBER 10, 2011 COLUMBUS DAY!
L_
No. 4941
GENERATOR
THIS MANIFEST tS 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, LS 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. ~ ~ / f
TRUCK NO. LICENSE NO/STATE: ~i
f / l f
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 1T WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PAINT NAME) (S4GNATl1RE}
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 AG>rNT(PR4NT NAME) SIGNATURElDATE
KEY: WHITE 70 DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870039 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935 _ '
09/19 / 11 09/ 19/ 11 14:02 14:2 3 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 83460 LB Outbound -Charge ticket
i Scale 1 Tare Wt. 37100 LB
Net Weight 46360 LB
23.18 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870039 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/19/ 1 1 09/ 19/ 1 1 14:02 14:2 3 1 1 100TC
009304 Winters Brothers
Scale 2 Gross Wt. 83460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37100 LB
Net Weight 46360 LB
23.18 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
1
No. 4 9 4 2
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 l1ABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: j j' i
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., ~ ~i ;
TRUCK NO. LICENSE NO/STATE: ~ ~ ~ CJ
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 V`JAS
DEI IVERED WITHOUT INCIDENT TO THE DESTINATION LISTEC BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ' , i.~ 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.
"'DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870207 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
+ 09/20/11 09/20/11 09:43 10:21 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 83600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 45940 LB
22.97 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
"*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870207 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/20/ 11 09/20/11 09:43 10:21 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 83600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37660 LB
Net Weight 45940 LB
22.97 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, OCTOBER 10, 2011 COLUMBUS DAY!
NO. 4 944
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 TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICEN ENO/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: ~ y
(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
tS 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 00870138 Steph
6155 Cox Lane, PO Box 962
~ Cutchogue, NY 11935
' 0'9/20/11 09/20/11 07:18 07:39 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 91600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35460 LB
I Net Weight 56140 LB
28.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
'"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870138 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/20/11 09/20/11 07:18 07:39 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 91600 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35460 LB
Net Weight 56140 LB
28.07 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, OCTOBER 10, 2011 COLUMBUS DAY!
4943
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
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR AN'Y
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. , ' ~ i
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
DEL'VERED WITHOUT INCIDENT TO THE DESTINATION LISTEC E~ELOW.
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 NP,ME1 SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SOU I HOLU i OWN UEP _ . . ,
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
009304 Winters Brothers
Scale 2 Gross Wt. 92060 L_F3 ~~:)~_~tboun~i Charg? ticket
Manual Tare Wt. 48620 LB
Net Weight 43440 LB
Tt~N OUTGO M5W %')00 0.00 0.00 0 00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. -
^•a=xT HOLIDAY CLOSED MONDAY. OCTOBER 10 2011 CnI UMBUS DP`
"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870472 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/21 /11 09/21 /11 07:28 07:39 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 92060 LB Outbound -Charge ticket
Manual Tare Wt. 48620 LB
Net Weight 43440 LB
21.72 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, OCTOBER 10, 2011 COLUMBUS DAY!
I
1
~R
No. 4945
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):
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 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) (S1C3NATURE)
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
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 00870511 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/21 /11 09/21 /11 09:30 09:41 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 82780 LB Outbound -Charge ticket
Manual Tare Wt. 37460 LB
Net Weight 45320 LB
22.66 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870511 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/21 /11 09/21 /11 09:30 09:41 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 82780 LB Outbound -Charge ticket
Manual Tare Wt. 37460 LB
Net Weight 45320 LB
22.66 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
NO. 4 9 4 6
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DQES 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, ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION-
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~ ~Yj
TRUCK NO. 1 LICENSE NO/STATE: rJ / / (:Jt.._/
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.
"*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870589 Steph
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/21 /11 09/21 /11 11:47 12:08 11100TC
009304 Winters Brothers - ~
Scale 2 Gross Wt. 82260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36840 LB
Net Weight 45420 LB
22.71 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, OCTOBER 10, 2011 COLUMBUS DAY!
I
i
I
II "`DUPLICATE TICKET*"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870589 Steph
6155 Cox Lane, PO Box 962
I~ Cutchogue, NY 11935
09/21 /11 09/21 /11 11:47 12:08 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 82260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36840 LB
Net Weight 45420 LB
22.71 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, OCTOBER 10, 2011 COLUMBUS DAY!
No. 4947
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. ~r- ; / ~ [
TRUCK NO. _ LICENSE NO/STATE: f ~ U
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: ~ 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 ~ TtCK~'T' flRID WEIGHMA&T8R
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870739 GS
t
6155 ox Lane, Box 962 -Di~tE ~1 OATEQU'1' ''t'1N ' VEHFG.~' ` ~
Cutchogue, NY 11935
09!22/11 09/22/11 ~ 08:16 08:32 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 82760 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
4TY. ~3 bE~rRb'7 , , . ,
4 ~
.22.99 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, OCTOBER 10, 2011 COLUMBUS DAY! ~ `
i.:~
SIGNATURE
WE4AS7ER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870739 GS
ti-
6155 Cox Lane, PO Box 962
~ . e . . ~ ~
r_ - z : ,
Cutchogue, NY 11935
09/22/11 09/22/11 08:16 08:32 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 82760 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
22.99 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, OCTOBER 10, 2011 COLUMBUS DAY! 'r~NOEaED
SIGNATURE
NQ. 4 9 4 8 ~
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 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) ( NATURE)
I
I
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: tC_~
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: 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 WEIGHMASTER
'"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870809 GS
6155 Cox Lane, PO Box 962
bJ~fE #~t_ DATE b11T ~t i• TNT tStTT VEH~LL ROLL ~ ;
Cutchogue, NY 11935
09/22/11 09/22/11 10:42 10:57 11100TC
009304 Winters Brothers
-
Scale 2 Gross Wt. 89420 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37060 LB
QTY. E3E ~ TE>!Tld.
:26.18 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE _
SITE TICKET t3RID wE1GHMA5TER
**DUPLICATE TICKET*"`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870809 GS
6155 Cox Lane, PO Box 962 ~
~ ~
,
Cutchogue, NY 11935 ~ ~ ~ ~
09/22/ 11 09/22/11 10:42 10:57 11100TC
009304 Winters Brothers • .
_
i
i Scale 2 Gross Wt. 89420 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37060 LB
'C't~ - ' = e ~ ~ ~
26.18 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, OCTOBER 10, 2011 COLUMBUS DAY! 'TEN6ERE~
K NO,
uHF:
• NO. 4949
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: L.- GROSS
~--'TARE
-l
~ ~ ~~IET
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 ORANY 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/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) SIGNATUREfDATE
K.EY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SRE TICKET ARID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870875 GS
6155 Cox Lane, PO Box 962 D,gTE tPI DATE QUT TIME tN TIMf OUT YEHIGIE ROt.I. ~F
Cutchogue, NY 11935
09/22/11 09/22/11 ,13:04 13:27 1 1100TC
009304 Winters Brothers
- - ~
Scale 2 Gross Wt. 92620 LB Outbound -Charge ticket ~'i
Scale 1 Tare Wt. 37960 LB
UT1f. DE RiPTlON E EXTE 7gTiU.
'.27.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED
siGNAruRE
stT~ TK~CET GR' wEKsrrrA
SOUTHOLD TOWN DEPT SOLID WASTE 01 00870875 GS
6155 Cox Lane, PO Box 962 p ~ _
Cutchogue, NY 11935
09/22/11 09/22/ 11 13:04 13:27 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 92620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37960 LB
. r .
- ,
Tt?T,0.t:
27.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00
'i
I
I
4
i
Operating hours 7:00 AM to S:OD PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED
CH
- - ;YGNATURE -
NO. 9 5
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): A
TRUCK WEIGHT: ~ GROSS
~ TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOGS 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
DESCRIED, CLASSIFIED AND PACKAGED..4N0 IS IN PROPER CONDITION FOR TRANS~TATION ACCORDING TQ APPLICABLE REGULATION.
t
_ l;
' GF_NERA70R AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~~T l f
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.
- -
~ SRE TICKET GRID WEIGHMASTER
""DUPLICATE TICKET" f -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871015 GS
6155 Cox Lane, PO Box 962 p,~'~IN aATE'OUT TiMEIN T~p~7 vEHICIE ROLL OFF
Cutchogue, NY 11935
09/23/11 09/23/11 10:07 10:18 11100TC
i
009304 Winters Brothers . -
i
Scale 2 Gross Wt. 94400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35760 LB
taTr. u oESCa rolrN..
29.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! ~
-
>iUNATURE
SITE' TICKET GRID WEKiHMASTEEI
"DUPLICATE TICKET" i
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871015 GS
6155 Cox Lane, PO Box 962 • • •S:
_ : - ~ e
Cutchogue, NY 11935
09/23/11 09/23/11 10:07 10:18 11100TC
009304 Winters Brothers
~ Scale 2 Gross Wt. 94400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35760 LB
,
i ~ M ,
29.32 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, OCTOBER 10, 2011 COLUMBUS DAY! TEf~EREd
SIGNATURE
- ~
No. 4 9 51
GENEAATO'~
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 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 TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: f
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 LISTEC BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
OISi'OSAL 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.
StT£ TICKET GRID wEIGHMASTER
"DUPLICATE TICKET** - - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871113 GS
6155 Cox Lane, PO BOX 962 -OAT6 »I DATE OUT. TIME tN TIME Olti VEHiCI£ ROLL OFF
Cutchogue, NY 11935
09 /2 3/ 11 09/2 3/ 11 13:31 14:01 11100T C
009304 Winters Brothers • ,
I
Scale 2 Gross Wt. 94060 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37500 LB
28.28 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, OCTOBER 10, 2011 COLUMBUS DAY! °
"5.::
SIGNATURE
S~ TK~tET WE
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871113 GS
6155 Cox Lane, PO Box 962
_ _ e ~r,
Cutchogue, NY 11935
09!23/ 11 09/23/ 11 13:31 14:01 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 94060 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37500 LB
x_ .
c TOTAL
28.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
B~'
t'
~ ~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, OCTOBER 10, 2011 COLUMBUS DAY! T~tuo£R~o
CHECK NO.
SIGNAT~~it_ -
I
No. 4 9 5 2
GENERATOR
THIS MANIFEST IS FOR REFE~NCE 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
L. 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 TRANSPORTATIt~ ACC~DING TCt APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGN RE)
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 CERTIFYTHATTHE 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 GRID WEtGHMASTER
- --i
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871162 GS
6155 Cox Lane, PO Box 962 DaT~E)Ut :OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
09/24/11 09/24/11 07:08 07:32 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 90400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
Net Wei ht 5 2 LB
~ m,.... ,
26.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
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, OCTOBER 10, 2011 COLUMBUS DAY!
~s,
SIGNATURE
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871162 GS
6155 Cox Lane, PO Box 962 a
a :
e,
Cutchogue, NY 11935 ~ ~ ~ ~
09/24/11 09/24/11 07:08 07:32 11100TC
009304 Winters Brothers •
I/ Scale 2 Gross Wt. 90400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
r.. _ ~ ,
. ~m ~ ~
- ; - ~ fip'~.
Cs
26.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
M
AFB
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, OCTOBER 10, 2011 COLUMBUS DAY!
CHEGIC'NO.
SIGNATURE
No. 3480
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 LIQU10 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:
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:
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 WEIGHAAASTER
_ _ 1
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871196 GS
6155 Cox Lane, PO Box 962 #~1TE ~ DA7~ . ~ „i(xT YEHICi.E Rau olwF
6
Cutchogue, NY 11935
09/24/11 ' 09/24/11 ~ 10:01 10:24 20795TR
009304 Winters Brothers •
Scale 2 Gross Wt. 92240 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36400 LB
27.92 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. 0
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! L
i
SIGNATURE _
SITE TICKET CiHIE7 WEIQHAM4STER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871196 GS
6155 Cox Lane, PO Box 962
~ °v
Cutchogue, NY 11935
09/24/11 09/24/11 10:01 10:24 20795TR
009304 Winters Brothers •
Scale 2 Gross Wt. 92240 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36400 LB
r
m: ~ ~.a ~ e . , ~ , , - ~ -
_ ~ - _ , t:.
27.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00
k`
....,b K'.~.. .e
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! 7EN€IEREp
`E~Y!f' NO.
SIGNATURE
No. 3481
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 TRANSPORTATIOfJ ACCORDING TQ APPLICABLE REGULATION.
1
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 LISTEC BELOW.
DRIVER: ,
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `i , : 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:
RFCF NFL) BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
kF'~ WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE T(ClCE'T ~it~#G7 WEiGHMASTER ~
"DUPLICATE TICKET"` t r
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871761 Steph
6155 Cox Lane, PO Box 962 - %(~11~it~i, ~ yE~ ~ t
Cutchogue, NY 11935
09/26/11 09/26/11 13:40 13:58 11111 TC
009304 Winters Brothers
Scale 2 Gross Wt. 95220 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38800 LB
DESC ~ FEE. 'tXSTllf.
, ~
28.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
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, OCTOBER 10, 2011 COLUMBUS DAY!
.SIGNATURE
Lifltt3 WEIt~NNAS'fER
*`DUPLICATE TICKET""`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871761 Steph
6155 Cox Lane, PO Box 962
.
Cutchogue, NY 11935 ` '
09/26/11 09/26!11 13:40 13:58 11111 TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 95220 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38800 LB
_
d ,
ri ,
28.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00
j
3
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
{,yt 1+10.
SIGNATURE
- NO. ~~11
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.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871728 Steph
6155 Cod Lane, PO Box 962 `
[3~lTE IN DATE OtJT 1'~1 " 4S5tJT VEHICLE : • -',:Cfl1~
Cutchogue, NY 11935
09!26/11 09/26/ 11 12:32 12:50 11114TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 71660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36620 LB
r..
Gi7Y ~ ~
17.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
x>>;
~~~.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, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
SITE TtCKET_ GRID _ WEIQHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871728 Steph
6155 Cox Lane, PO Box 962
~i t~ 4~iJT .VEHICLE PIOtL UFf g
Cutchogue, NY 11935
09!26/ 11 09/26/ 11 12:32 12:50 11114TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 71660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36620 LB
e
i
I, 17.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~<~o ~
M,
~
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. p
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
NQ. 5403
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ~ t ~ ~ , ~ 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. t r;y, ~ ; _
TRUCK NO. LICENSE NO/STATE: , s~
TRAILER NO. ~ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
~ DRIVER: ~ i
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: `-i 1 ;'``-.I i DATE DELIVERED:
ADDRESS: ~y`;'+ + ! 1 . - ~
~ f
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 70 GENERATOR DISPOSAL LOCATION TICKET NO.
I SITE TICKET GRID WEIGMMASTER
SOUTHOLC TOWN DEPT SOLID WASTE 01 00871667 Steph
6155 Cox Lane, PO Box 962 ''t~i'E tN t)A7E puT' i~~ tIr~C3ut wEwICtE ~,.~.i.+Cs
Cutch~gue, N r 11935
09/26/11 09/26/ 11 10:57 11:44 11110TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 98520 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37800 LB
x
30.36 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, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
SITE TICKET GR#D WEILitiMASTE:R
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871667 Steph
6155 Cox Lane, PO Box 962 v~~pct,~ . ~ - r
. ~.Y ~ „ .
Cutchogue, NY 11935
0912 6/ 11 09/26/ 11 10:5 7 11:44 11110 T C
009304 Winters Brothers • -
Scale 2 Gross Wt. 98520 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37800 LB
30.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
x,-
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 7
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
~ff v
Nf}.
;;IGNATURE - _
No. 3482
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: ~i3
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: , / 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:
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.
SfTE 71CKET'' t3R10 WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871972 Steph
6155 Cox Lane, PO Box 962 oATE IN DATE ouT »t5ttr VEHK:LE ,~1.CaFF
Cutchogue, NY 11935
09/27/11 09/27/11 ~ 10:33 11:13 11110TC
009304 Winters Brothers - . -
Scale 2 Gross Wt. 98360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38940 LB
QTY. UN ~ ' 'OE t ~ , - ~ ~ ~ ~ ~ ~ ~
29.71 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_ _ i
.
~ e-
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, OCTOBER 10, 2011 COLUMBUS DAY! `f~plb~REA
n°
SIGNATURE
1'~F~(ET ' GI?!D WEIGHMASTER
"`DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00871972 Steph
6155 Cox Lane, PO Box 962 "
Cutchogue, NY 11935 ~ ~
09/27/11 09/27/11 10:33 11:13 11110TC
009304 Winters Brothers
I
Scale 2 Gross Wt. 98360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38940 LB
r,~ ~ ~ , ~
Kam- r...
29.71 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, OCTOBER 10, 2011 COLUMBUS DAY! TENDEREp
CHE(~C i'~4').
SIGNATURE
No. 3483
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,1S 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: J~ f /
~3
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: w ~ ~ ~
(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) SIGNATUREfDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
I
SETS TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872058 Steph
6155 Cox Lane, PO Box 962 ~ ~
't'~4TE IN QAI~ OUT ~ VEHIOtE " ~ ~ ~z
Cutchogue, NY 11935
09/27/11 09/27/11 113:32 13:51 11114TC
009304 Winters Brothers , .
r '
r
Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35380 LB
~ ,
<,QTY. , ~ : @
30.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
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, OCTOBER 10, 2011 COLUMBUS DAY! ~
SIGNATURE
SITE TICKET GRtD T~. WEIQMMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872058 Steph
6155 Cox Lane, PO Box 962 'IN pA~ ' ~
_ ~-~..~x ~
Cutchogue, NY 11935
09/27/11 09/27/11 13:32 13:51 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35380 LB
30.86 TON OUTGO.MSW O.ODO 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.
REb
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
_
No. 5404
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 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 !S 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 WA5
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 WEICitiMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872054 Steph
6155 Cox Lane, PO Box 962 r~s~ try DATE OUT ~ T`~~" 'rii~T VEH~IE ~ E
Cutchogue, NY 11935
09/27/11 09/27/11 13:24 13:48 11110TC
009304 Winters Brothers
I
Scale 2 Gross Wt. 95460 LB Outbound -Charge ticket
I Scale 1 Tare Wt. 37020 LB
"~#L,
29.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
s5
t :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, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
SITE TICKET GRtt7 WEtGiFiMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872054 Steph
6155 Cox Lane, PO Box 962 ~
r. ~ t~ttr v~tt~c~ ~ -
a
Cutchogue, NY 11935
09/2 7/ 11 09/2 7/11 13:24 13:48 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 95460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37020 LB
,
_ ..N~ ~ .1
29.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
.
;~.g~
~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, OCTOBER 10, 2011 COLUMBUS DAY! TENtIEtaEO-
Ci~Git Fip.
SIGNATURE
No. 3484
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES-fVOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE:
BALES: (COUNT):
TRUCK WEIGHT:
(CU YDS)
~~ ' GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED 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.
TRAILER NO.
NO/STATE: ~/ / ~ ~ (') ;
NO/STATE: / ~ ~ i
v
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME)
(SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME)
KEY: WHITE TO OI5POSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR
SIGNATURE/DATE
DISPOSAL LOCATION TICKET
_
SITE TICKET GRfp ~ ."IGHMASTER
"DUPLICATE TICKET"` - - ~ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872212 Steph
_ -
6155 Cox Lane, PO Box 962 ~ IN DnlrEpu'~" _ v£BI~
Cutchogue, NY 11935
09/28/11 09/28/11 08:49 09:05 11110TC
009304 Winters Brothers •
I
Scale 2 Gross Wt. 88500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39900 LB
s QTY_ _ " ~ - ~ EEE JIL,
24.30 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, OCTOBER 10, 2011 COLUMBUS DAY! ' TENDERECJ
SIGNATURE
- -
SITE TICK6'T GRID WEKaHMASTER
**DUPLICATE TICKET** ~
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872212 Steph
6155 Cox Lane, PO Box 962 tN ~ w~ , ,
Cutchogue, NY 11935
09/28/11 09/28/11 08:49 09:05 11110TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 88500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39900 LB
24.30 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, OCTOBER 10, 2011 COLUMBUS DAY! RED
~t~CKNO. _ ,I
NAi UNE
No. 3485
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 Lt6UID 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: 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 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.
SffE TICKET GRID WEIGMMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872371 GS
6155 Cox Lane, PO Box 962 ~ Da`~En+i DA7>~~itlrt = ~ A(x.Lt>FF
Cutchogue, NY 11935
09/28/11 09/28/11 13:50 14:04 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 94040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38500 LB
~ 27.77 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, OCTOBER 10, 2011 COLUMBUS DAY!
i
SIGNATURE _
SITE TICKET WEKiHMASTER
**DUPLICATE TICKET** ,r.
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872371 GS
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/28/ 11 09/28/ 11 13:50 14:04 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 94040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38500 LB
27.77 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, OCTOBER 10, 2011 COLUMBUS DAY! T ~a
SIGNATURE
r-
No. 3486
'GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED ANO 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.
f
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 LISTEC 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
FY 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 00872454 MC
6155 Cox Lane, PO Box 962 ~
Cutchogue, NY 11935
09/29/11 09/29/11 08:24 08:25 11100TC
009304 Winters Brothers ~
Scale 2 Gross Wt. 103620 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
Net Weight 56420 LB
28.21 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, OCTOBER 10, 2011 COLUMBUS DAY!
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872454 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/29/11 09/29/11 08:24 D8 25 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 103620 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
Net Weight 56420 LB
28 2 i 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
NE=XT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY'
?l
1
~o. 3 8 7
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERA7QR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NO7 ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: _
LOO5E: (CU YDS)
BALES: tCOUNT):
TRUCK WEfGHT: 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 HAZAFDOUS WASTE AS DEFINED BY 46 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: Ci
_ .~7
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:
ADDRES5: '
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 5OLID WASTE 01 00872522 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
' 09/29/11 09/29/11 11:47 11:47 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 92040 LB Outbound -Charge ticket
Manual Tare Wt. 37260 LB
Net Weight 54780 LB
27.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872522 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
09/29/11 09/29/11 11:47 11:47 11100TC
009304 Winters Brothers
Scale 2 Gross Wt 92040 LB Outbound -Charge ticket
Manual Tare Wt. 37260 LB
Net Weight 54780 LB
27 39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
No. 3488
t
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} ..r~A~
BALES: (COUNT):
TRUCK WEIGHT: = u4~3~_ ,r
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, lS NOT HAZARDOUS WASTE AS DEFINED BY a0 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: ~
~J,l
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 WA5
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
{PRINT NA E) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: (i: _ % ~ 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) SiGNATURI=/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 00872566 GS
6155 Cox Lane, PO Box 962 aN pgTEp~~~~ _ ~ tcx~r y~H~~E t~to~F
Cutchogue, NY 11935
09/29/11 09/29/11 113:46 14:00 11 100TC
009304 Winters Brothers
Scale 2 Gross Wt. 89980 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38020 LB
25.98 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE .
StT6 1`ICKEf GRIq WE1t3h~AA$1?'ER
**DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872566 GS
6155 Cox Lane, PO Box 962
. ~ o
e. - r..~ . ~ . e, . ~
Cutchogue, NY 11935
09/29/ 11 09/29/ 11 13:46 14:00 11100TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 89980 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38020 LB
ue..
, ~ ~ , w v
25.98 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TEt#~EREO
CHECK Nb.
SIGNATURE
NQ. 3489
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOS TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATEClWITH 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'sDOUS 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. 6~~
TRUCK NO. LICENSE NO/STATE: (rte'
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 GRID WEICiHMABTER
"DUPLICATE TICKET*`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872619 GS
6155 Cox Lane, PO Box 962 DATE ~J OWTE OUT TIME IN TIME out VEHICLE ROLL OFF
Cutchogue, NY 11935
09/30/11 09/30/11 07:39 07:56 11100TC
009304 Winters Brothers • _
Scale 2 Gross Wt. 98640 LB - ~ Outbound -Charge ticket
Scale 1 Tare Wt. 35800 LB
Net Wei ht 62840 LB
^t!tf ~e~~~° ...:;I~CI~IYSIOPI TGTAL " .
OTY. UNIT ,
31.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! -TENDERED
SIGNATURE
SITE WENi6NAA$TER
**DUPLICATE TICKET** ' ' " "
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872619 GS
6155 Cox Lane, PO Box 962 _ _
Cutchogue, NY 11935
09/30/11 09/30/11 07:39 07:56 11100TC
009304 Winters Brothers • .
I
Scale 2 Gross Wt. 98640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35800 LB
31.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! ~REd
CHECK NO.
SIGNATURE
No. 3 4 91
GENER:ITOR
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.
j'
GENERATOR AUTHORIZED AGENT(PRINT NAME) IGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. _
TRUCK NO. LICENSE NO/STATE: f
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 _ 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 ARID WEKi#NAIISTER
**DUPLICATE TICKET'*
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872728 GS
6155 Cox Lane, PO Box 962 ~ ~ ~
DATE C3tPt" ~ 141 ' li~11T +~E'HlCIE ROLL OfF
Cutchogue, NY 11935
09/30/ 11 09/30/ 11 12:55 13:16 11100TC
009304 Winters Brothers - . -
Scale 2 Gross Wt. 96960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35240 LB
ti uN ~ , ~ ,
30.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY!
SIGNATURE
SITE TICKET GRID YVEW31'ER
'*DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00872728 GS
6155 Cox Lane, PO Box 962 _
~ .
- - ~ ~ r-.o~
. , ,
Cutchogue, NY 11935
09/30/ 11 09/30/ 11 12:55 13:16 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 96960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35240 LB
~ ~ ~ s .
30.86 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, OCTOBER 10, 2011 COLUMBUS DAY! T
C f~i0.
SIGNATURE -
r _ _ _ _
NQ. 3492
y
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): j
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 Oil 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) 6 (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.