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HomeMy WebLinkAbout10/2011 SRE TICKET GRID WEIGHMASTEla "'DUPLICATE TICKET" - SOUTHOLD TOWN DEPT SOLID WASTE 01 00872828 GS 6155 Cox Lane, PO Box 962 WItE IN DATE OUT TIME dV rfla~ are vEHK:LE ROLL OFF Cutchogue, NY 11935 10/01!11 10/01/11 .07:23 07:35 11100TC 009304 Winters Brothers • , • Scale 2 Gross Wt. 102600 LB Outbound -Char e ticket g Scale 1 Tare Wt. 36500 LB \ , Q UN IpT}L7N FEE , 33.05 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! 3EI~E~tE~q'y' SIGNATURE ER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00872828 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/01/11 10/01/11 07:23 07:35 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 102600 LB Outbound -Charge ticket Scale 1 Tare Wt. 36500 LB . 33.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED CHECK Nth. SIGNATURE No. 3493 GENERATCSR 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 f 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~PPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORI,k710N ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ~ TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENS 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 Ki.Y: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRf~ WEIQHMASTER **DUPLICATE TICKET** _ SOUTHOLD TOWN DEPT SOLID WASTE 01 00872852 GS 6155 Cox Lane, PO Box 962 n~?TE ~ DATE buT nME>H TIMEtWr vEHK;~E ~ OFF Cutchogue, NY 11935 10/01 /11 10101 /11 09:35 10:13 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 96620 LB Outbound -Charge ticket Scale 1 Tare Wt. 36100 LB flT1r. urn ,off _ ~ 30.26 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! TENdERED SIGNATURE SITE TICKET CiRfi7 WEIGHMASTER '*DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00872852 GS 6155 Cox Lane, PO Box 962 ~ ~ ,3~ ~ Cutchogue, NY 11935 10/01 / 11 10101 / 11 09:35 10:13 11100TC 009304 Winters Brothers , . I , Scale 2 Gross Wt. 96620 LB Outbound -Charge ticket I Scale 1 Tare Wt. 36100 LB ~ , _m - , . . , 30.26 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! TEN~E~~o CHiC~C'Nq SIGNATURc r No. 3494 r GENERl4TOR 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 LIflUID 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. r'~ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: _ r TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ` (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD To GENERATOR DISPOSAL LOCATION TICKET NO. Sff~ i'It~' c' G1AIt3 WE1CiHMASTEA SOUTHOLD TOWN DEPT SOLID WASTE 01 00873322 MC 6155 Cox Lane, PO Box 962 ~7~ tr+t ~ t~rr' ~ 1'~ ~ °f",~tT, y>rHlG.ir ~t7u.a~ ~ I Cutchogue, NY 11935 10/03/11 10/03/11 07:29 07:49 11100TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 91060 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB QTY U ~ , A i 26.39 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! 'T~rroEaeu SIGNATURE _ _ _ $ITE TICKET C3RI0 WEIGHMASTER i SOUTHOLD TOWN DEPT SOLID WASTE 01 00873322 MC 6155 Cox Lane, PO Box 962 !CFr ~ 9w. ~ ~ ; r_,_._. Cutchogue, NY 11935 ~ ~ ~ ~ ~ 10/03/11 10/03/11 07:29 07:49 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 91060 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB _ ' W . P~y 26.39 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! tENUERED I ,~tiECK NO i No. 3 4 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 DOtsS NOT ASSUME ANY LIABILITY ASSOCIATED WITN THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I 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 HAZA{ ~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: 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 TD DISPDSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. L SrTE TICKET GRiD WEIGHMASTEA SOUTHOLD TOWN DEPT SOLID WASTE 01 00873459 MC 6155 Cox Lane, PO Box 962 ~ DATE IN DATE OUT ~M~'' "~0i1T YEHKaE ~::.::F„QFF „,;t' Cutchogue, NY 11935 10/03/11 10/03/11 13:36 13:48 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 78040 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB pTY. UN >=EE 'ROFi/J. 20.07 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! TEI`~ERED SIGNATURE SITE TICKET GRID WEIGHMASTER i SOUTHOLD TOWN DEPT SOLID WASTE 01 00873459 MC I 6155 Cox Lane, PO Box 962 p~ a y~ ~e Cutchogue, NY 11935 10/03/ 11 10103/ 11 13:36 13:48 11100TC 009304 Winters Brothers ~ - Scale 2 Gross Wt. 78040 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB i ?TOTAL i 20.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i R 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! RED CHECK MO. SIGNATURE r ' NQ. 3 4 9 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 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. z 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 l DISPOSAL LOCATION: - DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN At;~EPTED AND TU 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 00873708 Steph 6155 Cox Lane, PO Box 962 ~'~ii,~`EIN DATE©UT ~ Td~iEiN T ifEHICLE ROU,( Cutchogue, NY 11935 - 10/04!11 10/04/11 13:31 13:56 11100TC 009304 Winters Brothers - Scale 2 Gross Wt. 100800 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB ~Tr. DES3Tt _ : ~ ~ ° ~ SEE 'COT1~L r - ~ 32.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ~ _ l 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! TEwDERED SIGNATURE - _ - - - _ - - - SITE T1CY<ETT GRID WEIGNMASTER "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873708 Steph ~ 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/04/ 11 10/04! 11 13:31 13:56 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 100800 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB i 32.31 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! #Jt3. ~fGNATURF ~ ~ i No. 3498 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 WEICiHMASTER 'DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873561 Steph 6155 Cox Lane, PO Box 962 ibkt>= IN SATE out ` ~ ~ 'i~+ir . VEHICLE ~ ~ ~Q Cutchogue, NY 11935 10/04/11 10/04/11 07:15 07:33 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 90400 LB Outbound -Charge ticket Scale 1 Tare Wt. 36940 LB QTY. ~ "t~T 26.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,~:y' Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE SrfE TICKET GRID WEIQHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00873561 Steph 6155 Cox Lane, PO Box 962 ~ . ~ ~;p ~ . - Cutchogue, NY 11935 10/04/11 10/04/11 07:15 07:33 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 90400 LB Outbound -Charge ticket Scale 1 Tare Wt. 36940 LB , . z „ . 26.73 TON OUTGO.MSW 0.000 0.00 0.00 0.00 4 ~ ~ a ; ~ „~f 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 ~~fat _ ~ NO. 3497 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} GALES: (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 8Y 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(PRIN7 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 ~ ' (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) SfGNATLfREIDATE KEY' WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SPfE 'TICKET ARID WEIGHMA5TER `DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873829 GS 6155 Cox Lane, PO Box 962 PATE IN PATE plJ"t' TIME ~ T~OUi VEHICLE ROLL CfF Cutchogue, NY 11935 10105/1 1 10/05/11 08:51 09:04 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 92460 LB Outbound -Charge ticket Scale 1 Tare Wt. 36680 LB QTY. U BESCRIRTN7N , - ~ ' FEE. TgITAi. , 27.89 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. .00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! rENOEREO SIGNATURE SITE TICKET' :GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873829 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 r 10/05/ 11 10105/ 11 08:51 09:04 11100TC 009304 Winters Brothers i Scale 2 Gross Wt. 92460 LB Outbound -Charge ticket Scale 1 Tare Wt. 36680 LB o_, I 27.89 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDEHEO CHECK N0. SIGNATURE No. 3499 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: c 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 iDOUS 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 TRANSPORTATIQN ACCORDING TQ APPLICABLE REGULATION. l f GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNAT E) 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: J (PRINT NAME} (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED I> TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) 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 Gfl10 WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873880 GS 6155 Cox Lane, PO Box 962 p;pTEq~t DAi'EOIJT TIME MV TWT VEIiK~.E ROI.LC>FF Cutchogue, NY 11935 10/05/11 10/05/11 11:19 ' 11:51 11111TC 009304 Winters Brothers ~ . - - Scale 2 Gross Wt. 92200 LB Outbound -Charge ticket Scale 1 Tare Wt. 39340 LB p~rv TOTAL 26.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ II CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAYf TENDERED SIGNATURE - _ 51TE TICKET GRID WEIGI~MAASTER "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00873880 GS 6155 Cox Lane, PO Box 962 " IN oATECRIT VEHlCIE Fipu,OFF I Cutchogue, NY 11935 I 10/05/11 10/05/11 11:19 11:51 11111 TC 009304 Winters Brothers • - Scale 2 Gross Wt. 92200 LB Outbound -Charge ticket Scale 1 Tare Wt. 39340 LB 26.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! NK). SIGNATURE I NO. ~~Zb 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 WIfiH 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 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: t (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: 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 1 00873916 GS 6155 Cox Lane, PO Box 962 DATE IN DATE iXlt 1'q~ iN TIt~ OUT VEHK:IE RQLL OFF Cutchogue, NY 11935 10/05/ 11 10/05/11 3:01 13:27 11100TC 009304 Winters Brothers • . - - a Scale 2 Gross Wt. 90580 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB u<. . ~ FEE 6.78 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! RED SIGNATURE _ SITE TICKET GRID wEIt3HMASTER *'DUPLICATE TICKET"` SOUTHOLD TOWN DEPT SOLID WASTE 1 00873916 GS 6155 Cox Lane, PO Box 962 -t'i~l'E 1p~ DATE " Cutchogue, NY 11935 10/05/11 10/05/ 11 3:01 13:2 7 11100TC 009304 Winters Brothers , . Scale 2 Gross Wt. 90580 LB Outbound -Charge ticket Scale 1 Tare Wt. 37020 LB 6.78 TON UTGO.MSW 0.000 0.00 0.00 0.00 s 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! CNECK NO. hAi UHL No. 3 5 0 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 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 TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) 4 (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 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00874057 GS 6155 Cox Lane, PO Box 962 DATE 1N DATE OUT TIME MI TOUT VEHICLE ~ ROLL OFF Cutchogue, NY 11935 10/06/11 1D/06/11 09:29 09:30 11100TH 009304 Winters Brothers ~ . i Scale 2 Gross Wt. 97460 LB Outbound -Charge ticket ` Manual Tare Wt. 47200 LB . _ U DESCRIPTION RATE EXTENSION FEE TOTAL 25.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Y Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TEENDERED_ SIGNATURE SITE TKY(Ef GRID WEN3HMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 00874057 GS 6155 Cox Lane, PO Box 962 - Cutchogue, NY 11935 10/06/11 10!06/11 09:29 09:30 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 97460 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB , TOTAL 25.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 sue.. Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! CHECK NO. ;;iGNA' , r~~i No. 5.5 0 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. ANO THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - ~ SfTE TICKET GRID WEIGHMASTER "DUPLICATE TICKET'S SOUTHOLD TOWN DEPT SOLID WASTE 01 00874162 GS 6155 Cox Lane, PO Box 962 DXTEiN DATfOUT ttMEtN T11~OtJT VEhi#CLE ROLLQFF Cutchogue, NY 11935 10/06/11 ' 10/06/11 13:25 13:25 11100TC 009304 Winters Brothers • , i Scale 2 Gross Wt. 82840 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB ttTY. ~ t1N ~ ~ DESCFS ~ ~ y.",. " E ~ 22.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 II µ 1'~ Operating hours 7:00 AM to 5:00 PM 7 days a week, ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE t s` ' s~' ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00874162 GS 6155 Cox Lane, PO Box 962 e. ~ . Cutchogue, NY 11935 10/D6/ 11 10/06/11 13:25 13:2 5 11100TC 009304 Winters Brothers • , i ~ ~ Scale 2 Gross Wt. 82840 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB -.,E::; ,..E .m .aa~ ,o= TdTAE 22.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ` ~ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TEND RED ~f SIGNATURE NQ. 5503 GENERATOR, THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: I 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 TRANSPORTATIQN ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ~ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f-' TRUCK NO. LICENSE NO/STATE: ~ / ~ ~Li1:' 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 1 ~ ~ 1 1 ,`i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 1 ~-~~'"r~I~~ ~/._,!~t 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 KEV: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _ , _ ~SfTE 71CKET ;~,.,i, tuEIGHM.ASrI SOUTHOLD TOWN DEPT SOLID WASTE 01 00874288 GS 6155 Cox Lane, PO Box 962 ~rE,~Stn` a~~0>~~ Cutchogue, NY 11935 10/07/11 10/07/11 09:32 09:50 11100TC 009304 Winters Brothers • i Scale 2 Gross Wt. 88960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35360 LB Q•!,Y IT UESG t ~s ~ ~ - 26.80 TON UTGO.MSW 0.000 0.00 0.00 0.00 . . , @ I ~ ~ ~o 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 TIgT` CiRtD f ~~giz;~~~.: WEIQHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00874288 GS 155 ox Lane, PO Box 962 ' " ` ~ ~ Cutchogue, NY 11935 10/07/11 10/07/11 09:32 09:50 11100TC 009304 Winters Brothers J Scale 2 Gross Wt. 88960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35360 LB oo - L ~ 6.80 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! I SIGNATURE ~ NQ. 5504 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. f,, . GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~f ~ I ~ JI 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: 4 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 TiCr,r ;R10 4^lE~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE '01 00874403 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME tN .TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/07/11 ! 10/07/11 13:22 13:35 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 90120 LB Outbound -Charge ticket Scale 1 Tare Wt. 36100 LB _ ©SCRtPT10ty ~ ~ 27.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! T'~; `.~IGNATURF i **DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00874403 GS 6155 Cox Lane, PO Box 962 ~ Cutchogue, NY 11935 10/07/ 11 10/07/ 11 13:22 13:35 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 90120 LB Outbound -Charge ticket Scale 1 Tare Wt. 36100 LB ~ . , Q - ~ ~ , 27.01 TON OUTGO.MSW O.DDO 0.00 0.00 0.00 , e~3% 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 No. 5505 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 26) 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 COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~ SITE TICKET 1 GRID WEIGHMASTER "'DUPLICATE TICKET`"' ~ ~ ' - SOUTHOLD TOWN DEPT SOLID WASTE 01 00874518 GS 6155 Cox Lane, PO Box 962 Dil1T~ IN OV1TE oUT nME ~ TIA~ DUT vEHKx,f Rou. oFF Cutchogue, NY 11935 10/08/11 10/08/11 07:25 07:41 11111TC 009304 Winters Brothers • Scale 2 Gross Wt. 94620 LB Outbound -Charge ticket Scale 1 Tare Wt. 38500 LB RAT'S . _ fEE, 'DOTAL 28.06 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! TENDERED SIGNATURE _ - SITE TICKET GRID WEK3HMASTER "'DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00874518 GS 6155 Cox Lane, PO Box 962 ~ oKDEp~ ~ ~ Cutchogue, NY 11935 ~ ~ ~ ~ ~ 10/08/11 10/08/11 07:25 07:41 11111TC 009304 Winters Brothers • Scale 2 Gross Wt. 94620 LB Outbound -Charge ticket I Scale 1 Tare Wt. 38500 LB ..,.w- ~ - ~ w.. ;7 28.06 TON OUTGO.MSW 0.000 0.00 O.DD 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! TENDERf0 CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 0 4 811 NO. Islandia, NY 11749 ~ • (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DdES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~'E'h.~ ,,~~'`~-f7`~? f ^Z ~ ; .~T - SHIP DATE: COMMODITY SHIPPED: j`~" `y ~ 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, lS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 pR 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) (SIGNATUREi TRAN5PORTER TRANSPORTATION/FREIGHT CO. _ ~ ~ - TRUCK NO. Z LICENSE NO/STATE: TRAILER NO. r ~ ~'i ,LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED A80Vf=, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRNER: J (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~-~.~~~-~-'-7r~L~`v ~ DATE DELIVERED: f t ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ! SRE TICKET GRID ~ _ WEIGHMASTER "DUPLICATE TICKET`" ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00874542 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME ~1 TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/08/11 10/08/11 08:56 09:08 11100TC 009304 Winters Brothers 1 Scale 2 Gross Wt. 93860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37400 LB Q DE IPTIOMI FEE TOTAL 28.23 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! SIGNATURE SITE TICKET i° ~~pID WEKiHMASTER "'DUPLICATE TICKET`" SOUTHOLD TOWN DEPT SOLID WASTE 01 00874542 GS 6155 Cox Lane, PO Box 962 p Cutchogue, NY 11935 10/08/11 10/08/11 08:56 09:08 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 93860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37400 LB ~ , ; ; ~ -TOTAL 28.23 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! TEI~ERED ~ ~ SIGNATURE No. 5506 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. 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 W'AS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _ _ _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DEL IVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANG TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDFU 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 GRIP WEIGHMASTER **DUPLICATE TICKET** - - - " SOUTHOLD TOWN DEPT SOLID WASTE 01 00874581 GS 6155 Cox Lane, PO Box 962 IJATE IN >~,Ti= ptlr r ~l cwr yEt~K~E t~ pFF Cutchogue, NY 11935 10/08/11 10/08/11 10:43 10:56 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 90000 LB Outbound -Charge ticket Scale 1 Tare Wt. 38540 LB RATE EXTENSION FEE TOTAL 25.73 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! SIGNATURE SITE TICKET EiRK7 WEK3HMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00874581 GS 6155 Cox Lane, PO Box 962 I~ pA7~ ~ ~ ' Cutchogue, NY 11935 10/08/11 10/08/11 10:43 10:56 11111 TC 009304 Winters Brothers - Scale 2 Gross Wt. 90000 LB Outbound -Charge ticket Scale 1 Tare Wt. 38540 LB . , ' " F£E TOTAL 25.73 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! REo Ct1EGiCNO. ____...1 r~ur~~ TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road ~ ~ ~ ~ ~ NO. Islandia, NY 11749 (631) 342-9673 _ ' THIS MANIFEST lS FOR REFERENCE PUFlPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOE$ NOT ASSU,M.Fjr ANY L1~1BILffY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: r• -i ~;,--~~,.~I f,~ ~y _ SHIP DATE: COMMODITY SHIPPED: --"'r^~ LOOSE: (CU YDS} BALES: (COUNT): fiRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT 7NE 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, HA5 BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) j~(SIGNATUREi TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ I LICENSE NO/STATE: TRAILER NO. ~ y 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: (PRINT NAME) (SIGNATURE} DESTINATION rl-~~u~,/C~i'?i~ c~j. `r~~. - DATE DELIVERED: ~ ~ ~ ~i ~ DISPOSAL LOCATION: ~ 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 NAh~E) SIGNATUREfDATE 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 00875248 Steph 6155 Cox Lane, PO BOX 962 DATE'IN DutiTEOUT `'TIMEIN TIA~OUT VEHKX.E ROLL OFF Cutchogue, NY 11935 10/11 /1 1 10/11 /11 12:53 13:29 11111 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 75860 LB Outbound -Charge ticket i Scale 1 Tare Wt. 38600 LB txTY. ; , U DESCRIRTION FXTENBION TQTAL 18.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED SIGNATURE _ SITE TICKET ` . GRID WEIGHMASTER SOUTHOLD TOWN DEPT 50LID WASTE 01 00875248 Steph 6155 Cox Lane, PO Box 962 ~ pA~` vetNCLE f~OLLCFF~'`~~ Cutchogue, NY 11935 10/11 /11 10!11 /11 12:53 13:29 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 75860 LB Outbound -Charge ticket Scale 1 Tare Wt. 38600 LB - r w~ r _ ti~~ u_ . . AL 18.63 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! EKED CHECK NO. SIGNATURE NO. 0666 4 GENERATOR THIS MANIFEST iS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUMfy ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ,,r: ' ~ ~ - SHIP DATE: ~ I t / COMMODITY SHIPPED: LOOSE: //Q ~ (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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGEN7(PRINT NAME) (SIGNATURE) TRANSPORTER r, TRANSPORTATION/FR =1GHT CO. ~ / TRUCK NO. a ~ LICENSE NO/STATE: 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. l~ / ~ DRIVER: _ _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,r,,. ~ti 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 70 GENERATOR DISPOSAL LOCAT40N TICKET NO. SITE TICKET GRID wEIGHAAASTER **DUPLICATE TICKET*'' SOUTHOLD TOWN DEPT SOLID WASTE 1 00875203 Steph 6155 Cox Lane, PO Box 962 DuKTE~t ppTE#wT T~IE~i TOttf VEHICLE >~K>r.1.t~F Cutchogue, NY 11935 • 0/11111 10/11/11 1:31 11:31 11100TC 009304 Winters Brothers Manual Gross Wt. 89020 LB Outbound -Charge ticket Manual Tare Wt. 47220 LB ' A"I'V. IT D ~ FEE TOTAL 20.90 TON UTGO.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! TENDERED SIGNATURE _ SITE TICKET GRID WEIG?~AASTEfl `"DUPLICATE TICKET** j SOUTHOLD TOWN DEPT SOLID WASTE 1 00875203 Steph 6155 Cox Lane, PO Box 962 ~ vEHK~..IE E, Cutchogue, NY 11935 e 0/11111 10/11 /11 1:31 1:31 11100TC 009304 Winters Brothers Manual Gross Wt. 89020 LB Outbound -Charge ticket li Manual Tare Wt. 47220 LB e ~ < < b.< , 0.90 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! TEfi10ERE0 GHECK NO. SIGNATURE NQ. 5508 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. / k~ TRUCK NO. ~ LICENSE NOlSTATE: / ~ ~ TRAILER NO.___ LICENSE NOlSTATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: r .1 (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ 1,L ~ ~ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. L - ~SiTE TICKET CaRID WEIGHMASTER .,DUPLICATE TICKET" ~ _ - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00875118 Steph 6155 Cox Lane, PO Box 962 Ek~TE IN oATEt5t1fT ~ 'TIfi~OU'T VEHN)LE ~ OFF Cutchogue, NY 11935 10/11 /11 10/11 /11 09:23 09:45 11111 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 74600 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB ~ 18.35 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 WEICaHMASTER "DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00875118 Steph 6155 Cox Lane, PO Box 962 .DATE tN DATE OUT TiME~I TOUT vEF#Ci.E fiDt.LOFF Cutchogue, NY 11935 10/11/11 10/11/11 09:23 09:45 11111TC 009304 Winters Brothers . - Scale 2 Gross Wt. 74600 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 37900 LB 18.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 „ ; z! Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. RED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 0 4 ~ 1 ~ Islandia, NY 11749 No. (631) 342-9673 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: f~ --ti..-' -t' ~,,>;-;-r j - 4~ ~ - SHIP DATE: ~ ~ ; _ : ~ COMMODITY SHIPPED: ~~'~-~~__e'''°~--- _ LOOSE: ,r ` CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY a0 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. ~ f: _ - TRUCK NO. _ I 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: `j~"~--~ ~'~"'7~ DATE DELIVERED: ~ ~ 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GRip WEIGMMASTER ""DUPLICATE TICKET" - _ _ SOUTHOLD TOWN DEPT SOLID WASTE 01 ~ 00875079 Steph 6155 Cox Lane, PO Box 962 DATE tN DATE OlIT TN~tE Mi TIt+~ WT VEHK~E ROLL OFP Cutchogue, NY 11935 I 10/11/11 10/11/11 08:12 08:23 11100TC 009304 Winters Brothers ~ . r Scale 2 Gross Wt. 89720 LB Outbound -Charge ticket Scale 1 Tare Wt. 38120 LB U ~ - ` , ~ TOTAL 25.80 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 " SIGNATURE _ _ SITE TICKET 'TER "'DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00875079 Steph 6155 Cox Lane, PO Box 962 r~'°~ Cutchogue, NY 11935 10/11/11 10!11!11 08:12 08:23 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89720 LB Outbound -Charge ticket Scale 1 Tare Wt. 38120 LB 25.80 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! TENDERED 1 SIGNATURE No. 5507 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 HAZAfiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: l,~ 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: ~ ,r DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEV WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I ' SnE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00875583 Steph 6155 Cox Lane, PO Box 962 `Oi~tE 1N DATE Otfl" 1'lill~ ~i°'' 'C1N~i~"t vEHK:LE R411.OFF' Cutchogue, NY 11935 10/ 12/11 10112/ 11 12:55 13:09 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88020 LB Outbound -Charge ticket Scale 1 Tare Wt. 37720 LB taTY. ~ l~E9CRIPTION ~ FEE TbTAt 25.15 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! TENDERED SIGNATURE . _ _ _ SITE TICKET GRID WEIGHMASTER "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00875583 Steph 6155 Cox Lane, PO Box 962 ~'CMTE~1 D ~ ~ ROLL'" Cutchogue, NY 11935 10/ 12/ 11 10/12/11 12:55 13:09 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88020 LB Outbound -Charge ticket Scale 1 Tare Wt. 37720 LB 25.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! tEFIDERED CHECK 1~. SIGNATURE No. 5 510 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: ,l _ 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 I IAS BEEN ACCEPTEn AND TO THE BEST OF MY KNOWLEDGE 1"HE 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 00875448 ' GS 6155 Cox Lane, PO Box 962 ?Dl1TE IN DATE OUT TIME ~+F TII# WT VEHICLE ROLL OFF Cutchogue, NY 11935 10/12/11 10/12/11 09:15 09:23 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 80460 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB .,QTY. UN DEt~CRIPTpN ~ ION - , i 21.92 TON OUTGO.MSW 0.000 O.DD 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, 2D11 COLUMBUS DAY! 'TENDERED SIGNATURE ~TK,KET - ~ ~ , o *'DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00875448 GS 6155 Cox Lane, PO Box 962 : _ = _ ~ ~i Cutchogue, NY 11935 10/12/11 10/12/11 09:15 09:23 111 DDTC 009304 Winters Brothers • l Scale 2 Gross Wt. 80460 LB Outbound -Charge ticket Il Scale 1 Tare Wt. 3662D LB ~ ~ n - - { - 21.92 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED NO. ~~NATURE No. 5509 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) (SIGNA~'(1RE} TRANSPORTER TRANSPORTATION/FREIGHT CO. r 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: i y i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: L . ; 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 GOLn TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE TICKET GRID wEIGHMASTER "DUPLICATE TICKET" - SOUTHOLD TOWN DEPT SOLID WASTE 01 00875696 MC 6155 Cox Lane, PO Box 962 DATElIV QATEOUT - TIME MI TIMEOUi VEHICLE ROLL OFF Cutchogue, NY 11935 10/13/11 10/13/11 07:16 07:16 11100TC 009304 Winters Brothers • Manual Gross Wt. 87240 LB Outbound -Charge ticket Manual Tare Wt. 37020 LB QTY.. , U ~ FEE 25.11 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 _ SRE TICKET GRib WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00875696 MC 6155 Cox Lane, PO Box 962 - Cutchogue, NY 11935 10/13/11 10/13/11 07:16 07:16 11100TC 009304 Winters Brothers • , ~ Manual Gross Wt. 87240 LB Outbound -Charge ticket Manual Tare Wt. 37020 LB ,r.. :,e. FEE TOTAL 25.11 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I O r • e atin hours 7:00 AM p g to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! 7ENDEREQ 1 CHECK NO. S!GPJA~~ ~ - - No. 5511 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. 'I I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) I! i~ TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ L ~ 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: c (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 COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID dVEIGHMASTER "DUPLICATE TICKET** ~ - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00875718 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 r. 10/13/11 110/13/11 10:00 10:27 11111 TC 009304 Winters Brothers • . - - - Scale 2 Gross Wt. 85920 LB Outbound -Charge ticket Scale 1 Tare Wt. 38540 LB QTY. IPTION RATE EXTENSION FEE TOTAL 23.69 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! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00875718 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/13/11 10/13/11 10:00 10:27 11111 TC 009304 Winters Brothers • - Scale 2 Gross Wt. 85920 LB Outbound -Charge ticket Scale 1 Tare Wt. 38540 LB QTY. IPTION RATE EXTENSION FEE TOTAL 23.69 i TON I~ OUTGO.MSW i 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! TENDERED HAN E _ CHECK NO. No. 5 7 2 ~ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIAB//ILIT~~Y ASSOCIATED WITH THE SHIrPMENT OF SUCH MATERIALS. COMPANY: ("~Z.~ ,r~o~ r U_i7~C1'Z' SHIP DATE: ~ 1 COMMODITY SHIPPED: ~~i z-~-'C-~- LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS C~~ TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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. G~. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 / TRUCK NO. ~ 1 LICENSE NO/STATE: TRAILER NO. ~ S ~ 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 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/GATE 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 00875764 GS 6155 Cox Lane; PO Box 962 GATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/13/11 10/13/11 13:32 13:43 11100TC 009304 Winters Brothers ~ - _ ~ Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35760 LB QTY. IPTION RATE EXTENSION FEE T~"~I 24.10 TON OUTGO.MSW 0.000 0.00 O.DO 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. EKED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! CHANGE CHECK NO. I SIGNATURE SITE TICKET GRID WEIGHMASTEf; **DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 00875764 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHiCLc ROLL urr Cutchogue, NY 11935 10/13/11 10/13/11 13:32 ~ 13:43 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35760 LB OTV. IPTION RATE EXTENSION FEE TOTAL 24.10 TON ' OUTGO.MSW 0.000 i 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! ERED HAN E CHECK NO. ',GNATURf ~ No. 5 512 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 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 00875765 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/13/11 10/13/11 ' 13:32 13:44 11111TC I 009304 Winters Brothers . - - - I ~ Scale 2 Gross Wt. 102080 LB Outbound -Charge ticket Scale 1 Tare Wt. 39420 LB QTY. S IPTION RATE EXTENSION FEE TOTAL 31.33 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED CHANGE t CHECK NO. SIGNATURE A SITE TICKET GRID WEIGHMASTER '"DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 00875765 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/13/11 10/13/11 ' 13:32 13:44 11111TC 009304 Winters Brothers . - Scale 2 Gross Wt. 102080 LB Outbound -Charge ticket Scale 1 Tare Wt. 39420 LB QTY. DESC IPTION RATE EXTENSION FEE TOTAL 31.33 TON OUTGO.MSW o.oo0 0.00 I 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! TENDERED RANGE CHECK NO. SIGNATURE ~ No. 5705 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES N07 ASSUME ANY LIpBILITY,~4$SOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. , / COMPANY: o~ / Ltf SHIP DATE:~_.T~, COMMODITY SHIPPED: -y~-~"L~ LOOSE: . . - -rte' (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 HAZAS:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) I TRANSPORTER TRANSPORTATION/FREIGHT CO. / ~j TRUCK NO. ~ ~ LICENSE NO/STATE: TRAILER NO. r~ Q 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: ~ _-r~--v'(~--ii~ ~ DATE DELIVERED: / i T 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 i GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _ SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00875846 Dan 6'f 55 Cox'Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ i 10/14/11 10/14/11 09:00 09:10 11100TC 009304 Winters Brothers . - I i Scale 2 Gross Wt. 77600 LB Outbound -Charge ticket Scale 1 Tare Wt. 34200 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 21.70 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! TENDERED RANGE CHECK NO. SIGNATURE ~ SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00875846 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF Cutchogue, NY 11935 10/14/11 10/14/11 09:00 09:10 11100TC 009304 Winters Brothers ~ . ` I Scale 2 Gross Wt. 77600 LB Outbound -Charge ticket Scale 1 Tare Wt. 34200 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 21.70 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! TENDERED RANGE CHECK NO. SI~;NVA~;L.„~ - No. 5513 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT}: TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: ~ , ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ / > {PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO TO THE BEST OF MY KNOWLEDGE 7HE 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 00875842 Dan 6,155 Coy Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/14/11 10/14/11 08:57 09:16 11111TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 92300 LB Outbound -Charge ticket Scale 1 Tare Wt. 38420 LB _ QTY. U DESCRIPTION - _ - RAT( 1 EXTENSION EEE _ i i 26.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED HANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00875842 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/14/11 10/14/11 08:57 09:16 11111TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 92300 LB Outbound -Charge ticket Scale 1 Tare Wt. 38420 LB OTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 26.94 TON ~ OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED N E CHECK NO. :,'vATU~iE No. 5 7 0 6 GENERATOR THIS MANIFEST IS FOR REFERENCE7PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT UME ANY L ~ASS~CIA/TED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: '-'mod' G.~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) (SIGNALU~Ej- TRANSPORTER i TRANSPORTATION/FREIGHT CO. / ( TRUCK NO. ~ 1 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: / j" (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: '~w ` ~ ~ DATE DELIVERED: / 'f ~ ( 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 D15POSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00875924 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/14/11 10/14/11 ~ 12:32 12:55 11100TC 009304 Winters Brothers i Scale 2 Gross Wt. 94520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36900 LB QTY. U IPTION RATE EXTENSION FEE TOTAL 28.81 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. T RED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00875924 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OU7 VEHICLE ROLL OFF Cutchogue, NY 11935 10/14/11 10/14/11 12:32 12:55 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 94520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36900 LB QTY. UN E IPTION RATE EXTENSION FEE TOTAL 28.81 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 DERED HAN CHECK NO. : V ~~A T l_I f~~~ F No. 5 514 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. r' TRUCK NO. LICENSE NO/STATE: / I 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. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 00876018 GS 6155 Cox tans, P O Sox 962 DATE IN DATE OUT TIME IN TIME QUT VEHICLE ROLL OFF Cutchogue, NY 11935 10115111 10/15/11 ~ 06:59 07:29 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91460 t_B Outbound -Charge ticket Scale 1 Tare Wt. 37760 LB QTY PTION RATE EXTENSION FEE TOTAL 26.85 TON OUTGO.MSW 0.000 I 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. r RED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 GOLUMBUS DAY! FIATS CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *'DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00876018 GS 6155 Cox Lane, PO Box 962 PATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 , 10/15!11 10/15/11 06:59 07:29 ~ 11100TC ~ 009304 Winters Brothers • - - - I Scale 2 Gross Wt. 91460 LB Outbound -Charge ticket Scale 1 Tare Wt. 37760 LB OTY. UN IPTION RATE EXTENSION FEE TOTAL 26.85 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 GALL 631-734-7685. T N AED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! A E CHECK NO. SIGNATURE No. 5 5 21 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: - LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED 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: ~ 1 ~ ~ 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: ! HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TNUF AND ACCURATE: IVFD BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE DISPOSAL LOCATION ANSPORTER NSPORTER. R DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876049 GS 6155 Cax Lar+e, PO Box 962 DATE 4N DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i ~ ~ 10115111 10{15/11 ~ 09:35 09:48 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 88080 LB Outbound -Charge ticket Scale 1 Tare Wt. 36940 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.57 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 GOLUMBUS DAY! HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876049 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/15/11 10/15/11 109:35 09:48 ~ 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 88080 LB Outbound -Charge ticket Scale 1 Tare Wt. 36940 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 25.57 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 i~t Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T AED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! C AN CHECK NO. SIGNATURE 5522 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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) (SIGNI~TURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ TRAILER NO. LICENSE NO/STATE: ~ 1 _ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO 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 A(;~;F f'TED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE P.ND ACCURATE: RECEIVED BY: _ _ _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE!DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i R;I~ET ~ Gr . . "DUPLICATE TICKET`" SOUTHOLD TOWN DEPT SOLID WASTE 01 0087652 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/17/11 10/17/11. 07:06 07:44 11100TC 009304 Winters Brothers ~ ~ ~ Scale 2 Gross Wt. 91040 LB Outbound -Charge ticket Scale 1 Tare Wt. 37480 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 26.78 TO 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! TENDERED CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 0087652 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ' Cutchogue, NY 11935 10/17/11 10/17/11 I 07:06 07:44 11100TC 009304 Winters Brothers _ • Scale 2 Gross Wt. 91040 LB Outbound -Charge ticket Scale 1 Tare Wt. 37480 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 26.78 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! TENDERED HA E CHECK NO. No. 5523 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: {CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAi;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ LICENSE NO/STATE: L.- 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 AME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: , 1 E' DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876555 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutcho,ue, NY'11935 10/17/11 10/17/11 09:25 09:50. 11111TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 77800 LB Outbound -Charge ticket Scale 1 Tare Wt. 38700 LB OTY. UN DES RIPTION RATE EXTENSION FEE TOTAL i ~ 19.55 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. T RED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! CHANG CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876555 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/17/11 10/17/11 09:25 09:50 11111 TC 009304 Winters Brothers ~ , Scale 2 Gross Wt. 77800 LB Outbound -Charge ticket Scale 1 Tare Wt. 38700 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 19.55 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. NEXT HOLIDAY CLOSED' MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! EKED HA E CHECK NO. ( ~ No. 5708 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 ASSI.yME ANY lIA ILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: Ems" .-"~1' ~--r7,~--- SHIP DATE: l d~ ~?i COMMODITY SHIPPED: LOOSE: / C"'~ ~ (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. ~ 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: ,`Jr ~-'z'"~' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ?t - ~ .,v. DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - - 71TE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876645 ~ Steph 0155 Cc= Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE Rill I ^F~ Cu~l;hogu~, NY 11935 10/17/11 10/ 17/11 12:09 12:24 11100TC 009304 Winters Brothers ~ ~ . Scale 2 Gross Wt. 86000 LB Outbound -Charge ticket Scale 1 Tare Wt. 35280 LB I' QTY. IPTION RATE EXTENSION FEE TOTAi 25.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00876645 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/17/11 10/17/11 12:09 12:24 11100TC 009304 Winters Brothers I ~ I Scale 2 Gross Wt. 86000 LB Outbound -Charge ticket Scale 1 Tare Wt. 35280 LB QTY. U IPTION RATE EXTENSION FEE TOTAL 25.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED RANGE CHECK NO. SIGNATURE r NQ. 5 5 2 4 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 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 WEIGHMAS!' "DUPLICATE TICKET*" SOUTHOLD TOWN DEPT 50LID WASTE 01 00876788 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 • 10/18/11 10/18/11 09:02 09:15 11100TC 009304 Winters Brothers ~ . `t I Manual Gross Wt. 82820 LB Outbound -Charge ticket Scale 1 Tare Wt. 35880 LB QTY. U S RIPTIO RATE EXTENSION FEE TOTAL 23.47 TON ~ OUTGO.MSW 0.000 I 0.00 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! TENDERED CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00876788 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/18/11 10/18/11 09:02 09:15 11100TC 009304 Winters Brothers • , Manual Gross Wt. 82820 LB Outbound -Charge ticket Scale 1 Tare Wt. 35880 LB QTY. U T DESCRIPTION RATE EXTENSION FEE TOTAL 23.47 TON OUTGO.MSW 0.000 ~ 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~ NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED - N E GHECK NO. ~iGNATURE r ~ No. 5525 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 LI ID A DEFI Y 4 QU S NED B 0 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. L -SITE TK~CE7 GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877023 GS 6155 Cox Lane, PO Box 962 -tia1~'~~N DpTEC~Yf ! "~~Ut' VEHICLE RClLLOFP Cutchogue, NY 11935 10/ 19/ 11 10/ 19/ 11 11:24 11:39 11100TC 009304 Winters Brothers . - I i Scale 2 Gross Wt. 89520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36980 LB Q [SE F~ TIC'>~!i ,j; , NStQN TAL 126.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! -A SIGNATURE r SkTE TICKET GRID WEIGHMASTER t "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877023 GS 6155 Cox Lane, PO Box 962 DATEEIUT t~t!'f yEHICEE'` AOt.LCtFf Cutchogue, NY 11935 10/19/11 10/19/11 11:24 11:39 11100TC 009304 Winters Brothers . - ~ Scale 2 Gross Wt. 89520 LB Outbound -Charge ticket I, Scale 1 Tare Wt. 36980 LB 26.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED CHECK NO. SIGNATURE r No. 5526 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: - 1 t GROSS ~ TARE ~ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS D,EFINEO 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) (SI NATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ TRAILER NO. ~ LICENSE NO/STATE: ~ ~ ~Il I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS OEUVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME] (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE 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. 5rfE TICKET GRIt) WEI(3HMA3TER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877027 GS 6155 Cox Lane, PO Box 962 tbCfEtN DA7EE)ti't '1'IPf T+~JT vEtia~ `t#~G.t.Ot`F Cutchogue, NY 11935 10/19/11 10/19/11 11:44 11:56 i 009304 Winters Brothers ~ _ - Scale 2 Gross Wt. 90300 LB t Outbound -Charge ticket ~I Scale 1 Tare Wt. 35880 LB Lt ` uN , . TflTAt 27.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i o, . 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! TERIGERED SIGNATURE SiFE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877027 GS 6155 Cox Lane, PO Box 962 ~ ~ . ~ vEMfCk.~','`3 Cutchogue, NY 11935 10119/ 11 10/ 19/11 11:44 11:56 009304 Winters Brothers Scale 2 Gross Wt. 90300 LB Outbound -Charge ticket Scale 1 Tare Wt. 35880 LB SIf~U 27.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 b: . u 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! TEI~ERED 'CtiEGIC NO. SIGNATURE _ - 1 NQ. 4 6 3 4 GENFRAT-0R a THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. i COMPANY: ` r~ ~ ~ r ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS -~,--t TARE i ~ NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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. ~ f~ 'r DRIVER: ~ i ~ L_ -1-=-~"~ (PRINT NAME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ii-- ~ DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL FiAS BEEN ACCEPTED AND TO TIME 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 Np. SITE ~ TiCKET GRAD wEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877028 GS 6155 Cox Lane, PO Box 962 t)ATI4 iN DAT£ OUT TIlAE ~+l s!a~atrt vEt~K;tt= ROIL OFF Cutchogue, NY 11935 10J19f 11 10119! 11 11:48 12:00 009304 Winters Brothers 111~7TC Scale 2 Gross Wt. 90040 LB Outbound -Charge ticket Scale 1 Tare Wt. 33900 LB 28.07 TON OUTGO.MSW 0.000 0.00 0.00 O.DO P. w F • • 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! a~ SIGNATURE T . u. **DUPL4CATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877028 GS 6155 Cox Lane, PO Box 962 , DATE IN HATE OUT T1ME Ix 11AAE cxst VEHICLE ROIL OFF Cutchogue, NY 11935 r 10/19!11 10/19!11 111:48 112:00 ~ 009304 Winters Brothers 11107TC Scale 2 Gross Wt. 90040 LB Outbound -Charge ticket Scale 1 Tare Wt. 33900 LB - T ! e T l'3. 28.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00 4 °eA ~ is e. M~ P a0 ~Y , • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TE4~~RELS NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE No. 3795 GENERATbR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS L-` TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTAxION ACCORDING TC; 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: WNITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRIQ WEIGHMASTER '"DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877042 GS 6155 Cox Lane, PO Box 962 DATE_IN DATE oUT 'tom ~N Tq,~ WT vEtacc~..E ROIL OFF Cutchogue, NY 11935 10/19/11 10/19/11 13:11 13:30 009304 Winters Brothers Scale 2 Gross Wt. 91140 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB QTY. ~1`I~V > E~ TQ!TAL 26.62 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! SIGNATURE \ SITE TICKET GflID WEIGHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877042 GS 6155 Cox Lane, PO Box 962 IN PATE TIME MI tx~puT YEHICIE ROl.1.pFF Cutchogue, NY 11935 - 10/19/11 10/19/11 13:11 13:30 009304 Winters Brothers . - I~ Scale 2 Gross Wt. 91140 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB ±E;11'Y. r~ ~ _ 26.62 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! RED u I Nt7 SIGNATURE - NQ. 5709 GENERATOR TH15 MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME At4Y LIABIIJ'fY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ - ~ - - - SHIP DATE: ~ - - ~ , - r COMMODITY SHIPPED: ~ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATIC~fQ ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (5 ATURE) TRANSPORTER _ _ TRANSPORTATION/FREIGHT CO. ~ Z TRUCK NO. I 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 WITIiOUT {NCIDENT TO THE DESTINATION LISTED BELOW. C DRIVER: ~ (PRINT NAME) (SIGNATURE) DESTtNAT10N DISPOSAL LOCATION: DATE DELIVERED: / ' 1 ~ 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 TfCKET NO. SfTE TICKET GRID WEIGHMASTER **DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 00877055 GS 6155 Cox Lane, PO Box 962 DATE IfJ DATE OUT ~1 ' ~ VEFtIC1,B t~OLLIDFF Cutchogue, NY 11935 10/19/11 10/19/11 14:33 14:33 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 96260 LB Outbound -Charge ticket ~ Manual Tare Wt. 47200 LB q lNi PT#~l1+1 ~ , PEE `TOTAL =a _ , 24.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 II 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! TENDERED I `-~r I SIGNATURE SITE TICKET GRID WEIGHMASTEfl "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877055 GS 6155 Cox Lane, PO Box 962 ~ r ~d.E=, ~ t. Cutchogue, NY 11935 10/19/11 10/19/11 14:33 14:33 11100TC 009304 Winters Brothers . - _ ~ i Scale 2 Gross Wt. 96260 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB 24.53 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 ~D i CHEGK NO. SiGNATUF~E NO. 5527 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: l?`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 '~ELIVEREO WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BcST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SrfE TICKET GRID WEIGHMASTER "DUPLICATE TICKET** - _ - - - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00877162 GS 6155 Cox Lane, PO Box 962 'O~ITE tTii GATE 0t1T TIME IN T1Aff dJT VEHICLE ROLL OFF Cutchogue, NY 11935 1012011 1 10/20/1 1 12:06 12:06 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 84540 LB Outbound -Charge ticket Manual Tare Wt. 37200 LB QTY. PTION ~ : ~ ° . ~ ~ E~ FEE 23.67 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! WoEREo ; SIGNATURE _ SITE TICKET GRID WEKiHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877162 GS 6155 Cox Lane, PO Box 962 IN DATE OUT ~ Nd VEH~->•. , _ Cutchogue, NY 11935 ~ ~ ~ 10/20/ 11 10/20! 11 12:06 12:06 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 84540 LB Outbound -Charge ticket Manual Tare Wt. 37200 LB .t~'P~ IPT v.. . '..TOTAL 23.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ' I r~ . ; Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! ~'D CHECK FiO. ~;~~aruRE - No. 5528 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: ~ i 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. : j _ _ _ TRUCK NO. ~ LICENSE NO/STATE: 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 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 GiRID WEILiHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877347 Dan 6155 Cox Lane, PO Box 962 tautElN DATE OUT 't9Fl~IN` TM~1EOUr VEHICLE RQLLOFF Cutch~gue.~ 11935 110/21/11 j 10/21/11 ~ 13:12 14:18 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 91940 LB Outbound -Charge ticket Scale 1 Tare Wt. 36560 LB QTIf. R _ ~ ~ e_ : _ ~ ~ ; ~ ~ -EXTENSION i 27.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I 'j Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TtNDERED SIGNATURE SITE TICKET GRID WEIOHMASTER "`DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00877347 Dan 6155 Cox Lane, PO Box 962 Iii DYKT~ Ot1'fv' VEhNC1,E - . Cutchogue, NY 11935 10/21 /11 10/21 /11 13:12 14:18 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 91940 LB Outbound -Charge ticket Scale 1 Tare Wt. 36560 LB _ ~ T0T11t 127.69 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. ERED NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! CHECK NO ,'v A' i - 5 5 31 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAFtiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ; - - TRUCK NO. LICENSE NO/STATE: i i TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: ! 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 WEtGFIMASTER SOUTHOLC';TOWN DEPT SOLID WASTE 01 00877276 Dan 6155 Cox Lie, PO Sox 962 DATE IN DATE OUT ` "'t`~CIE Mi Tft~OllT VEHICLE ROLL OFF Cutchogue, NY 11935 10/21/11 10/21/11 09:33 09:50 11100TC 009304 Winters Brothers . - I Scale 2 Gross Wt. 101980 LB Outbound -Charge ticket Scale 1 Tare Wt. 37000 LB FEE 'i32.49 ' 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! TENDERED SIGNATURE _ _ _ _ _ _ _ SITE TICKET GRID YYEKitMAABTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877276 Dan 6155 Cox Lane, PO Box 962 ~ Ol1TE, VE Cutchogue, NY 11935 10/21/11 10/21/11 09:33 09:50 11100TC 009304 Winters Brothers . - I I Scale 2 Gross Wt. 101980 LB Outbound -Charge ticket Scale 1 Tare Wt. 37000 LB 32.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I r . Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENpEREO cffECK Na. SIGNATURE t, No. 5530 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 ARID WEKaHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877451 GS 6155 Cox Lane, PO Box 962 I~RTE NJ DATE otrr ' TIME M~ T~AEGIlT vEH~LE ROIL oPF Cutchogue, NY 11935 10/22/11 10/22/11 08 07 08:30 11100TC 009304 Winters Brothers . - 'i Scale 2 Gross Wt. 90860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB QT1' ~ ~ ; . ; TOTAI 126.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED - SIGNATURE _ _ SITE TICKET tiRU7 WEI~HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877451 GS n 6155 Cox Lane, PO Box 962 ~ _ - Cutchogue, NY 11935 ~ ~ ° ~ 10/22/11 10/22/11 08:07 08:30 11100TC 009304 Winters Brothers . - I Scale 2 Gross Wt. 90860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB l .U r - ~ 26.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDERED K NO. (GNAT RE NQ. 5532 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 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: 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 ANO TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. Si?F ' i ~CKET GRID ~ VJHGHMASTER ~ "'DUPLICATE TICKET** - ~ - SOUTHOLD TOWN DEPT SOLID WASTE 01 00878081 Steph 6155 Cox Lane, PO Box 962 GATE MI DArE OUT TIME IN Ttl~ OlR VEHfCLE ROLL OFF Cutchogue, NY 11935 , 10/24/11 ~ 10/24/11 12:49 13:32 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 87520 LB Outbound -Charge ticket Scale 1 Tare Wt. 37560 LB 0 DESCRIPTION ~ :-.~3TAL 24.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! 'fE1~EREO SIGNATURE SCTE' TK~CCEr WElfif~M~TER '"DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00878081 Steph 6155 Cox Lane, PO Box 962 ~ [x~rE ~ , : ~ vEwCL~ RoU.-~ , Cutchogue, NY 11935 10/24/ 11 10/24/ 11 12:49 13:32 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 87520 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 37560 LB 24.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t~ 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! rENOEREo C SIGNAT~_ r 5536 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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 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 wE1GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877982 Steph 6155 Cox Lane, PO Box 962 L1ATE tN HATE OUT Tlb~ q+? TRH OUT VEHICLE ROLL @FF Cutchogue, NY 11935 10/24/11 10/24/11 09:39 10:25 11111 TC 009304 Winters Brothers - • Scale 2 Gross Wt. 89840 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB AL 25.97 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TENDER>rD SIGNATURE SrTE TICKET GRID WEIGtiMA3TER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877982 Steph 6155 Cox Lane, PO Box 962 RAPE IN DATE r vE Cutchogue, NY 11935 10/24/11 10/24/11 09:39 10:25 11111 TC 009304 Winters Brothers • _ Scale 2 Gross Wt. 89840 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB s~,~ ; ~ - EEE TOTAL 25.97 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. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! TEMDEREO G NO. ~ No. 5 712 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES O LY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT AS~U~AE AN LI ILI A7SS,OCI~ED WI HE SHIPMENT OF SUCH MATERIALS. COMPANY: - ~ ~ ' ~ `w - ~,-~.~~/L'(J-Z~ 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 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: TRAILER NO. Z ~ ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ~ . DRIVER: (PRI NAME) (SIGNATURE) DESTINATION `s o DISPOSAL LOCATION: - L-.1. ,1 DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PRCVIDFD 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 SRE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00877987 Steph 6155 Cox Lane, PO BOx 962 DATE IN DATE OUT TIME ~V Tfi~ OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 10/24/11 10/24/11 09:49 10:02 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 77940 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB Q . ' U !T DESCRIPTION RATE! F TOTAL 20.02 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CL05ED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE - WE SOUTHOLD TOWN DEPT SOLID WASTE 01 00877987 5teph 6155 Cox Lane, PO Box 962 ~ vE ~#F , _ Cutchogue, NY 11935 10/24/ 11 10/24/ 11 09:49 10:02 11100T C 009304 Winters Brothers ~ . Scale 2 Gross Wt. 77940 LB Outbound -Charge ticket 1 Scale 1 Tare Wt. 37900 LB ' .r; z ze, ; _ _ „ z: r FEE TOTAL 0.02 TON UTGO.MSW 0.000 0.00 0.00 0.00 e~ . t Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! RED - _.-_a SIGNATURE NQ. 5535 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 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. / L,i f/ TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 00878330 Steph 6155 Cox Lane, PO Box 962 DATE M1 DATE pUT 1>M~E ~I TROUT'` VEHK:LE ROLL OPF Cutchogue, NY 11935 • 10/25/11 10/25/11 12:42 13:02 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 91940 LB Outbound -Charge ticket Scale 1 Tare Wt. 36280 LB . - _ _ AL= _ , 27.83 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! TENDERED SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878330 Steph 6155 Cox Lane, PO Box 962 ~ Ot1T y~ - Cutchogue, NY 11935 10/2 5/ 11 10 /2 5/11 12:42 13:02 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 91940 LB Outbound -Charge ticket I Scale 1 Tare Wt. 36280 LB ..TM.,, PTIGH+I ~~,~~r~ ..PEE TOTAL 27.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r v~ ,f 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! TEI~ERED CHECK Nf). ~ SIGNATURE i No. 5538 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. LICENSE NO/STATE: !T f TRAILER NO. LICENSE NO/STATE ~ ~ ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT ?HE GENERATOR SITE LISTED A80VE, 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 Gftip WEitiHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878302 Steph 6155 Cox Lane, PO Box 962 !'?~1TEtN [?AT~OI~t' ~ ~ s ~ vEf~HCLE Cutchogue, NY 11935 ` 10/25/11 10/25/11 11:28 11:38 11111TC 009304 Winters Brothers Scale 2 Gross Wt. 88080 LB Outbound -Charge ticket Scale 1 Tare Wt. 31980 LB QTY. i. ~ ~ ~~.ti , TQTiAL, 28.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! T~ND~RiD SIGNATURE SITE TICKET GRID WEI~HMASTEA SOUTHOLD TOWN DEPT SOLID WASTE 01 00878302 Steph 6155 Cox Lane, PO Box 962 ~ ~ ° iN QAY~ ..t.~. WEHICLE ~ a~ ~ , Cutchogue, NY 11935 10/25/11 10/25/11 11:28 11:38 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 88080 LB Outbound -Charge ticket Scale 1 Tare Wt. 31980 LB ~ 28.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,T~ ,tip Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T Ea NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! Nd, SIGNATURE _ - ' 5714 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 ASSUrAA~ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ~ ~ ~ COMPANY: ~ ` ~_:.t iti' ~'ic ~ _ SHIP DATE: ~ '~1' e COMMODITY SHIPPED: ~ LOOSE: r c.1-"r1 (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 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_ TRUCK NO. ~ J LICENSE NO/STATE: TRAILER NO. ~ C~ ~ 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~ _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED 15 TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TiGK~1'~'" ~ [3AIp WEICiHMA5TEfi "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00878217 Steph 6155 Cox Lane, PO Box 962 ;jam Its pgT~t'° ? yEMIGtE Rcx,L~fi Cutchogue, NY 11935 10/25!11 10/25/11 08:28 08:40 11100TC 009304 Winters Brothers r Scale 2 Gross Wt. 95260 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB _ , . - TOTi4t- QTY ~ i , 29.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAYI Tra~c~ SIGNATURE - .SITE TICKET GRID wEIOHMASTER ~*DUPLICATE TICKET"" ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00878217 Steph 6155 Cox Lane, PO Box 962 ~ , . Cutchogue, NY 11935 10/25/11 10/25/11 08:28 08:40 11100TC 009304 Winters Brothers • . i Scale 2 Gross Wt. 95260 LB Outbound -Charge ticket Il Scale 1 Tare Wt. 36460 LB , 29.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~3 ~ ~ ~ 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~wR~flira CHECK t+10: _:r~~a~u1~E ~ _ No. 5537 GENERATOR THiS MANIFEST IS FOR REFERENCE PUflPOSES 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 SEEN 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: --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: ~ 1 (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. 3TTE TICKET C3RID WEiCiHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00878215 Steph 6155 Cox Lane, PO Box 962 D~irE ~ QATE ~ - yEW floe o~F Cutchogue, NY 11935 1 10/25/11 10/25/11 08:25 08:33 ~ 11111TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 85420 LB Outbound -Charge ticket Scale 1 Tare Wt. 38040 LB QTY. CtE ~ z , ,z . 23.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 a.. Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! SIGNATURE SITE TICKET CifllQ WEIC~IiMASTEfl **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00878215 Steph 6155 Cox Lane, PO Box 962 ` ~ !rK)Lt.OFF - . Cutchogue, NY 11935 10/25/11 10/25/11 08:25 08:33 11111TC 009304 Winters Brothers . - Scale 2 Gross Wt. 85420 LB Outbound -Charge ticket Scale 1 Tare Wt. 38040 LB 23.69 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ,~f NEXT HOLIDAY CLOSED: MONDAY, OCTOBER 10, 2011 COLUMBUS DAY! C1#t~C AID. SIGNATURE ? ~ 5713 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 ASSLMAE 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 IAW, 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: TRAILER NO._ r- l ~f LICENSE NO/STATE: _ _ _ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANG THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (P NT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: f^ l' %s , ~ i DATE DELIVERED: / ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. S17E TICKET GRID WEIGHMASTER **DUPUCATE TICKET** - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00878486 GS 6155 Cox Lane, PO Box 962 oNTE la pA~ pUT TIME MI TiMEOUf y~~ Rou o~ Cutchogue, NY 11935 10/26/11 10/26/11 08:33 09:13 11100TC 009304 Winters Brothers ~ 1 Scale 2 Gross Wt. 87200 LB Outbound -Charge ticket Scale 1 Tare Wt. 35520 LB QTY. U <,!DE RIPTKYN ~ . Its F TQTAt. 25.84 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE a"ITE TK,KET WEtQ#iMASTER .3 ""DUPLICATE TICKET" - SOUTHOLD TOWN DEPT SOLID WASTE 01 00878486 GS 6155 Cox Lane, PO Box 962 ~ ~ ~ Cutchogue, NY 11935 10/26/11 10/26/11 08:33 09:13 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 87200 LB Outbound -Charge ticket Scale 1 Tare Wt. 35520 LB ` ~1f , . , 25.84 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: TUES, NOV 8, 2011 ELECTION DAY TEt~ERED FRI, NOV 11, 2011 VETERAN'S DAY. CHECK td0. SIGNATURE _ No. 5539 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ~ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 1~ / / C/ 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: ~ L 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 1 GRID WEIGHMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00878599 GS 6155 Cox Lane, PO BOx 962 DIME IN DATE OUT TIME IN TOUT YEHKX.E FiOLLOFF Cutchogue, NY 11935 i 10/26/11 ~ 10/26/11 13:24 13:24 11100TC 009304 Winters Brothers , . / I Scale 2 Gross Wt. 100740 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB i ctTV 26.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ;t` I Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. i SIGNATURE _ SITE TICKET GRID WEIOHMASTEFT "'DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00878599 GS 6155 Cox Lane, PO Box 962 9 Cutchogue, NY 11935 10126/ 11 10/26/11 13:24 13:24 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 100740 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB o. - r , 26.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T flED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. 1 C NO. SIGNATURE _ - No. 5540 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) if {SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: l ~ ` ' TRAILER NO. LICENSE NO/STATE: f i ~ - IHEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT I i WAS CEI IVERED WITHOUT INCIDENT TO THE DESTINATION LISTED HELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE TI1E 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 GENERarOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00878701 MC 6155 Cox Lane, PO Box 962 BATE IN DATE OUT Tlt%AE IN Tom' OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/27/11 10/27/11 08:49 09:09 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 69960 LB Outbound -Charge ticket ~ i Scale 1 Tare Wt. 36440 LB 16.76 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. NO, SIGNATURE _ _ I SITE TICKET GRID WEIGNMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878701 MC 6155 Cox Lane, PO Box 962 IN Dq~ r„ vEHI _ _ Cutchogue, NY 11935 10/27/11 10/27/11 08:49 09:09 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 69960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36440 LB I : ~ ~ - ,Tf~,: 16.76 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. T RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHECK NO. SIGNATURE NO. 5541 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAiiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. 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 ('iFLIVERED WITHOUT INCIDENT TO THE DEST'NATION LISTED RELUW 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 C3RID WEIGliMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878750 GS 6155 Cox Lane, PO Box 962 EA4TE IN DATE (3UT TIME ~f ' TS$FTiT VEHiCIE RflL.L OFF Cutchogue, NY 11935 10/27/11 10/27/11 11:57 12:11 11100TC - 009304 Winters Brothers Scale 2 Gross Wt. 75620 LB Outbound -Charge ticket Scale 1 Tare Wt. 36920 LB QTY U , ~ - i~ - E .TOTAL 19.35 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: TUES, NOV 8, 2011 ELECTION DAY TEI~ERED FRI, NOV 11, 2011 VETERAN'S DAY. I >IGNATURE - - - - - SITE TICKET :~°t',~dRID WEKdHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878750 GS 6155 Cox Lane, PO Box 962 ~ vE _ ~ Cutchogue, NY 11935 10/27/11 10/27/11 11:57 12:11 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 75620 LB Outbound -Charge ticket Scale 1 Tare Wt. 36920 LB ro . a , ,,a ~.p~ , 19.35 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: TUES, NOV 8, 2011 ELECTION DAY TEt+IdEREo FRI, NOV 11, 2011 VETERAN'S DAY. CHEQK AiO. SIGNATURE No. 5.5 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 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: ,E IHEREBY 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 THATTHE 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/DA.TE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SIT€ TICK'=1` GfliEJ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00878809 GS 6155 Cox Lane, PO Box 962 pp~ iN t~A~'~ ~ y~ .ptrF Cutchogue, NY 11935 10/28/11 10/28/11 08:16 08:34 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 77380 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 47420 LB ~ ~ ~ ` FE! 14.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i. * x,~ n.~ 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: TUES, NOV 8, 2011 ELECTION DAY TENDEFIED FRI, NOV 11, 2011 VETERAN'S DAY. 1 SIGNATURE _ 91TE TICKET GRIR WEiGHMA$T~R SOUTHOLD TOWN DEPT SOLID WASTE 01 00878809 GS 6155 Cox Lane, PO Box 962 -~s. a ~ o~. Cutchogue, NY 11935 ~ ~ . ~ _ _ 10/28/11 10/28/11 08:16 08:34 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 77380 LB Outbound -Charge ticket Scale 1 Tare Wt. 47420 LB 14.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 .f::... g~ 3 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECT?ON DAY ' 7ENt~REo FRI, NOV 11, 2011 VETERAN'S DAY. CHECK ND. ~iGNA~i~li~i'r - I No. 5543 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;000S WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR 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/GATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR C',OLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SfTE~ TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00879036 GS 6155 Cox Lane, PO Box 962 QAS`E-!N ' ppTEOUT TIME IN T~gJT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ 10/29/11 10/29/11 07:43 07:43 11100TC 009304 Winters Brothers ~ . i Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB 24.25 TON OUTGO.MSW D.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: TUES, NOV 8, 2011 ELECTION DAY 'i'ENdERED FRI. NOV 11, 2011 VETERAN'S DAY. SIGNATURE SrTE 'TICKET _ VYEK3HMA3TER "DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 00879036 GS ~ e 6155 Cox Lane, PO Box 962 ~ DICI'ECH1T , _ ; . Cutchogue, NY 11935 , r 10/29/11 10/29/11 07:43 07:43 11100TC I 009304 Winters Brothers . - Scale 2 Gross Wt. 95700 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB .r a w s.. r 'fU3l1t 124.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I i i I I . _ i I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENOERE~ FRI, NOV 11, 2011 VETERAN'S DAY. CHECK SIGNATURE No. 5544 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) ($IFNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 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 NA E) (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 ?iCKET QREQ WEit3HMA5TER ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00879353 MC 6155 Cox Lane, PO Box 962 C1AT~ IN t~aT~ ouT 1~~''~ > ~fEHtCL~ " " ~ ~ ~'Fif)t1. Cutchogue, NY 11935 10/31/11 10/31/11 07:57 08:13 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 105500 LB Outbound -Charge ticket Scale 1 Tare Wt. 38160 LB . 33.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I _ :~s i . • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY r..; FRI, NOV 11, 2011 VETERAN'S DAY. NO. ,:;irrJATURE - J - SITE TICKET GflID WEfGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00879353 MC 6155 Cox Lane, PO Box 962 ICI ~ '3~Fi. 1`~ " Cutchogue, NY 11935 10/31!11 10/31/11 07:57 08:13 11100TC 009304 Winters Brothers l Scale 2 Gross Wt. 10550D LB Outbound -Charge ticket Scale 1 Tare Wt. 38160 LB , 33.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I ~ F- jr • • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. '1°Et+IC~E NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. ''€3HEG~C~+Kl. I SIGNATURE No. 5 5 4 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): TRUCK WE{GHT: 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 OESCRIBEO. CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. l / I 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: t 1 L~ i L (PRINT NAME) (SfGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERI=D: 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. 5rfE TICKET,' ~ GRiO~~~-~~~~ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00879413 ~ MC 6155 Cox Lane, PO Box 962 [wtTE~r~_ ~ ; ~ u>=rucl~ i~uoFF Cutchogue, NY 11935 " 10/31 /11 ' 10/31 r 1 1 11 07 11:36 11100TC 009304 Winters Brothers • _ i Scale 2 Gross Wt. 81300 LB Outbound -Charge ticket Scale 1 Tare Wt. 36760 LB AL i 22.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 , r~;-. Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY "C~t~lERED FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE SITE TtCtCE7 GRID ASTEfi SOUTHOLD TOWN DEPT SOLID WASTE 01 00879413 MC 6155 Cox Lane, PO Box 962 ~~_r Cutchogue, NY 11935 10/31 /11 10131 /11 11:07 11:36 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 81300 LB Outbound -Charge ticket I` Scale 1 Tare Wt. 36760 LB ~ ~ . ~ f ~ ~ ~ _ ; . n 1F~L . _ 22.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY ~ ' - REp FRI, NOV 11, 2011 VETERAN'S DAY. 'OtiEGK N(?. i ~_;NATUHE _ No. 5 5 4 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. Lf , - TRUCK NO. LICENSE NO/STATE: 1` 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 VJAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCAT"ION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO.