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HomeMy WebLinkAbout11/2011 - 517E TICKET GgID WEIGHMASTEq 'i SOUTHOLD TOWN DEPT SOLID WASTE 01 00879715 Steph 6155 Cox Lane, PO BOX 962 aATE IN DA7E OUT TIME ~I TIA1E OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /01 /11 11 /01 /11 13:21 13:48 11100TC 009304 Winters Brothers , . Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 37640 LB C3TY. ~ D ION ~ ~7ClENSION 'TOTAL I 28.80 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. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY r.' Tt~VaEt4ED ' ~ FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE SITE tiRlCt II~J~Q#ii,'{Eli s~ ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00879715 Steph 6155 Cox Lane, PO Box 962 ~ ~ ~ F . Cutchogue, NY 11935 11 /01 /11 11 /01111 13:21 13:48 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 37640 LB ~ ~ ~ ~ TOTAL 28.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00 •:~b. Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY rEaoEREa FRI, NOV 11, 2011 VETERAN'S DAY. w Cf~ECI@~10. SIGNATURE No. 5548 ' GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 4D CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 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 THATTHE ABOVE MATERIAL HAS BEEN ACCEPTED AND 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. SfTE TICKET GflID WEtGHMASTEfl SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00879673 Steph 6155 Cox Lane, PO Box 962 'i~A1'EIN - oAx~f~'f `71~" 't'~tlUr` vt=trtct.E ` .~C':. , Cutchogue, NY 11935 t 11/01/11 11/01/11 11:44 11:57 009304 Winters Brothers . - I I Scale 2 Gross Wt. 94700 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB QTR. s . TOT15L_ 129.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE SrrE TICKET GRID WEIGHMASTEfl SOUTHOLD TOWN DEPT SOLID WASTE 01 00879673 Steph 6155 Cox Lane, PO Box 962 ~ DATA` +~ir AFB Cutchogue, NY 11935 11 /01 /11 11 /01 /11 11:44 11:57 009304 Winters Brothers • - Scale 2 Gross Wt. 94700 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB ~ 1 :I 29.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i it ~ ~ M. - - 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 ~ 's' TENl~EflEf3 FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE I 5947 t NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS i ` TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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 TRANSPORTATIONIFREIGHT 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 VJAS 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 PROS IDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GE NERaTOR DISPOSAL LOCATION TICKET NO. 517E KET GRID WEIGHMASTEA `DUPLICATE TICKET'" - _ SOUTHOLD TOWN DEPT SOLID WASTE 01 00879586 Steph 6155 Cox Lane, PO Box 962 tip [>ua~ C~u"t ` TIME trt "C~'r vEMtCLE HOLLc3~ Cutchogue, NY 11935 - 11 /01 /11 11 /01 /11 08:21 08:31 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 83640 LB Outbound -Charge ticket Scale 1 Tare Wt. 37520 LB i 23.06 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 . FRI, NOV 11, 2011 VETERAN'S DAY. I SIGNATURE TICKET ,;I GR1D WEIdtiMftSTER "`DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00879586 Steph 6155 Cox Lane, PO Box 962 tN pAT~ vE~aC~~ Cutchogue, NY 11935 11 /01 /11 11 /01 /11 08:21 08:31 11100TC 009304 Winters Brothers 1 Scale 2 Gross Wt. 83640 LB Outbound -Charge ticket Scale 1 Tare Wt. 37520 LB , QTY. - 23.06 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 ~ TEREa FRI, NOV 11, 2011 VETERAN'S DAY. 'i'! ='CHECK NO. SIGNATURE - 1 - NO. 5547 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND 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 TIGKEY GRID WEIGHMASTER , **DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00879644 Steph 6155 Cox Lane, PO Box 962 tMTE it1 D74TE f~ti'T~ ~ ~ ~ vErtlCt.E r~.t t3Fg I Cutchogue, NY 11935 11 /0.1 /11 11 /01 /11 .10:47 11:30 11110TC 009304 Winters Brothers Scale 2 Gross Wt. 96280 LB Outbound -Charge ticket Scale 1 Tare Wt. 37420 LB 29.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~ ~ Ti*t3p6RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. SIGNATURE SITE TICKET GRtD WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00879644 Steph 6155 Cox Lane, PO Box 962 Ire [~chE Cutchogue, NY 11935 11 /01111 11 /01/11 10:47 11:30 11110TC 009304 Winters Brothers • - ~~I Scale 2 Gross Wt. 96280 LB Outbound -Charge ticket Scale 1 Tare Wt. 37420 LB 29.43 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ns 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 FRI, NOV 11, 2011 VETERAN'S DAY. t+~. SIGNATURE NQ. 5721 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANO DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. -r COMPANY: ~ - a - SHIP DATE: ~ ~ I COMMODITY SHIPPED: - ~ LOOSE: ~ ~ ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PAGKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TC. APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. rr.~. ~ ` ~ LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i ~ DRIVER: ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: /`f~--y--"~ DATE DELIVERED: I j , 1 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 Tp TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SRE TICKET QAID WEIGHAAASTER "`DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00879826 GS 6155 Cox Lane, PO Box 962 ~ DATE iN D0.TE C3UT TIME ~I Ti~IE CKlf VEHICLE ROLL (3FF Cutchogue, NY 11935 ~ • 11/02/11 ~ 11102!11 08:27 08:54 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 86220 LB Outbound -Charge ticket Scale 1 Tare Wt. 35660 LB QTY.' CRIPTI(3~1 fEE 25.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O eratin hours 7:00 AM to 5:00 PM 7 da s a week. P 9 Y CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI. NOV 11, 2011 VETERAN'S DAY. sic NATURE - _ - - _ _ - ' "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00879826 GS 6155 Cox Lane, PO Box 962 ~ _ ~ ~ ~ a s Cutchogue, NY 11935 11/02/11 11!02/11 08:27 08:54 11100TC 009304 Winters Brothers . - C Scale 2 Gross Wt. 86220 LB Outbound -Charge ticket I Scale 1 Tare Wt. 35660 LB J / r. ~ ~ . _ - 25.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDEREQ~ FRI, NOV 11, 2011 VETERAN'S DAY. CHE NQ. ' No. 5549 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. ~ , TRUCK NO. ~ LICENSE NO/STATE: 1 TRAILER NO. i! ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ; _ ~ (PRINT NAME) ~ S (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURElDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ..DUPLICATE TICKET'"~ ;~~_I r;l ~ c;Nlo ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00880112 I GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/03/11 11 /03/11 10:22 10:50 11100TC 009304 Winters Brothers - Scale 2 Gross Wt. 83020 LB Outbound -Charge ticket 1~ Scale 1 Tare Wt. 35520 LB Net Wei ht 47500 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE ""DUPLICATE TICKET"` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00880112 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11 /03/11 11 /03/11 10:22 10:50 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 83020 LB Outbound -Charge ticket Scale 1 Tare Wt. 35520 LB Net Wei ht 47500 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.75 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO !~'L . T_~-_ _ NQ. 5552 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): II TRUCK WEIGHT: GROSS TARE i 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 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. I I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ,~f TRAILER NO. ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMAST!r:is SOUTHOLD TOWN DEPT SOLID WASTE 01 00880311 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/04/11 11/04/11 i 09:04 09:20 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 87560 LB Outbound -Charge ticket Scale 1 Tare Wt. 36500 LB OTY UN DESCRIPTION RATE EXTENSION FEE TOTAL 25.53 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. t;IGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00880311 MC 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/04/11 11/04/11 09:04 09:20 11100TC 009304 Winters Brothers • - - Scale 2 Gross Wt. 87560 LB Outbound -Charge ticket Scale 1 Tare Wt. 36500 LB pTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.53 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI. NOV 11.2011 VETERAN'S DAY. HA GE CHECK NO. !C;?•irSUF~E . NQ. 5 9 21 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH TKE 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 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(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: v-` ~ _ (PRINT NAME) (SIGNATURE) III DESTINATION f DISPOSAL LOCATION: ~ ~ ` DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED ' 15 TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~ SITE TICKET GRID , WEIGHMASTER "DUPLICATE TICKET" - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00880368 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutcho5;re, NY 11935 - 11 /04/11 11 /04/11 10:56 10:56 11100TC 009304 Winters Brothers t • - Scale 2 Gross Wt. 78200 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB 40580 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.29 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: TUES, NOV 8, 2011 ELECTION DAY ~ ~ TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00880368 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /04/11 11 /04/11 10:56 10:56 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 78200 LB Outbound -Charge ticket Manual Tare Wt. 37620 LB 4 LB QTY. ~ U T DESCRIPTION RATE EXTENSION FEE TOTAL 20.29 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE No. 5553 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: (COUNTY: TRUCK WEIGHT: GROSS " TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF~DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ TRUCK NO. LICENSE NO/STATE: % TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: j (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 00880570 GS 6155 Cox Lane, PO Box 962 I DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~i- ' - - 11/05/11 11/05/11 09:31 09:48 ' 11100TC 009304 Winters Brothers ~ . _ Scale 2 Gross Wt. 80460 LB Outbound -Charge ticket I Scale 1 Tare Wt. 35940 LB UNI DESCRIPTION RATE EXTENSION FEE ~ TOTAI 22.26 TON I 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. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY - RI NOV 11, 2011 VETERAN'S DAY CHANGE CHECK NO. ~iGNATUHE _ SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00880570 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 _ - 11/05/11 11/05/11 09:31 ~ 09:48 11100TC 009304 Winters Brothers ~ . Scale2 Gross Wt. 80460 LB Outbound -Charge ticket Scale 1 Tare Wt. 35940 LB Net W i QTY. UNIT i DESCRIPTION RATE EXTENSION FEE TOTAL - ~ I - - 22.26 TON OUTGO.MSW ~ 0.000 0.00 0.00 0.00 i ~i i _ _ _ _ _ _ i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED N[=XT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY RI NOV 11, 2011 VETERAN'S DAY, CHAN E CHECK NO. al - No. 5554 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND 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!, 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 I~' 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 ~I IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE i KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICr:CT GRID ~ JVEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881251 I MC E~ 55 pox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE R(~I f t~FF Cutchogue, NY 11935 11 /07/11 11 /07/11 112:20 12:35 11111 TC 009304 Winters Brothers I Scale 2 Gross Wt. 82760 LB Outbound -Charge ticket Scale 1 Tare Wt. 38400 LB OTY IPTION RATE EXTENSION FEE TC-,-~. 22.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~~.;4: T N ERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881251 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /07/11 11 /07111 112:20 12:35 11111 TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 82760 LB Outbound -Charge ticket Scale 1 Tare Wt. 38400 LB QTY IPTION RATE EXTENSION FEE TOTAL 22.18 TON ~ OUTGO.MSW 0.000 i 0.00 0.00 0.00 I fa ~ ~O apt Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-76$5. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN CHECK NO. No. 5 718 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANO DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: -~.t~~~~te-k-ci - - ~ ~ SHIP DATE: ~ COMMODITY SHIPPED: LOOSE: ~ tJ"~..,/ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED B'~' ~0 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: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GErJERATOR :;ITE LiiTEl'+ AF30VE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ ~ _ (PRINT NAME (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATUREiDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD 70 GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881246 MC 615E Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i 11/07/11 11/07/11 12:10 ' 12:10 11100TC 009304 Winters Brothers • - I Scale 2 Gross Wt. 90540 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 21.67 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. T N RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE 'SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881246 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /07/11 11 /07/11 12:10 12:10 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 90540 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 21.67 f TON ~I 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 631-734-76$5. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. AN E CHECK NO. CIi~NATUNE - . . No. 5556 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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) i 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. i DRIVER: ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881146 MC 6155 Cox Lane, PO Sox 962 DATE 4N DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/07/11 11107/11 08:29 08:48 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 75160 LB Outbound -Charge ticket Scale 1 Tare Wt. 37840 LB QTY. IPTION RATE EXTEN510N FEE TOTAL 18.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~Q w - - - Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T N RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRi, NOV 11, 2011 VETERAN'S DAY. ANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881146 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/07/11 11/07/11 08:29 08:48 11100TC 009304 Winters Brothers • • " I Scale 2 Gross Wt. 75160 LB Outbound -Charge ticket Scale 1 Tare Wt. 37840 LB OTY. IPTION RATE EXTENSION FEE TOTAL 18.66 TON OUTGO.MSW D.000 0.00 0.00 0.00 - • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED 4-40L4DAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. H NGE CHECK NO. SIGNATURE _ - ~ NQ. 5555 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. ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 > , ; TRUCK NO. LICENSE NO/STATE: / % TRAILER NO. LICENSE NO/STATE: J I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA5 DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT N ME)~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: f_~ : DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR COLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00881433 GS 6155 Cox Lane, PO Box 962 DATE 7N DATE OUT TIME VSS TIME OtST VEHICLE ROLL OFF Cutchogue, NY 11935 11109111 11/09/11 08.35 09:03 11100TC 009304 Winters Brothers • I Scale 2 Gross Wt. 85160 LB Outbound -Charge ticket Scale 1 Tare Wt. 36320 LB QTY. D SCRIPTION RATE EXTEN510N FEE TOTAL 24.42 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ? _ - - - Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *'DUPLICATE TICKETY* SOUTHOLD TOWN DEPT SOLID WASTE 01 00881433 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/09/11 11/09/11 08:35 09:03 11100TC 009304 Winters Brothers ~ ~ Scale 2 Gross Wt. 85160 LB Outbound -Charge ticket Scale 1 Tare Wt. 36320 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 24.42 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. TENgEAED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRi, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE No. 5557 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 2 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FQR TRf`,fJSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ ~ TRUCK NO. LICENSEfNO/STATE: TRAILER NO. ;f ~ LICENSE NO/STATE: t' 'I I HEREBY GERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS I', DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ ~ ~ ~ I (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME] SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMAS" **DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00881528 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/09l11 11!09/11 11:08 11:38 ~ 11111TC 009304 Winters Brothers , . Scale 2 Gross Wt. 79900 LB Outbound -Charge ticket Scale 1 Tare Wt. 38100 LB OTY. IPTION RATE EXTENSION FEE TOTAL 20.90 TON OUTGO.MSW 0.000 li 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. RANGE _ CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00881528 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /09/11 11!09/11 11:08 11:38 11111 TC 009304 Winters Brothers ~ . i Scale 2 Gross Wt. 79900 LB Outbound -Charge ticket Scale 1 Tare Wt. 38100 LB QTY. IPTION RATE EXTENSION FEE TOTAL 20.90 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 631-734-76$5. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHAN E CHECK NO. slUl`~AiURE --T ~ _ No. 5 716 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: ~-'fy.~~ ~ SHIP DATE: ~ ' ~ I COMMODITY SHIPPED: _ ~2' LOOSE: ~ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET t 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. ~ ~ C'" TRUCK NO. I LICENSE NO/STATE: TRAILER NO. ~ ~ l 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: r r ~ ~ ~ ~ ~ ~7 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND Tp 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 00881556 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 , 1,1 /09/11 11 /09/11 11:53 11:53 009304 Winters Brothers ~ 11119TC Scale 2 Gross Wt. 85420 LB Outbound -Charge ticket Manual Tare Wt. 37000 LB OTY. U T ES RIPTION RATE EXTENSION FEE TOTAL 24.21 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00881556 GS 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /09/11 11 /09/11 11:53 11:53 009304 Winters Brothers , . 11119TC Scale 2 Gross Wt. 85420 LB Outbound -Charge ticket Manual Tare Wt. 37000 LB QTY. U T DES RIPTION RATE EXTENSION FEE TOTAL i 24.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE - _ NQ. 5 9 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) GNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ f~ ~ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. % ~ . . DRIVER: (PRINT NAME) (SIGNATURE} DESTINATION DISPOSAL LOCATION: - DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTEH SOUTNr7LD TOWN DEPT SOLID WASTE 01 00881833 Dan 6155 Cox 4.ane, PO BOX 962 DATE 1N DATE OUT TIME IN TIME OtST VERtCLE ROLL OFF Cutchogue, NY 11935 I 11/10111 1iJ1011i 13:11 13:45 11100TC ' 009304 Winters Brothers • Scale 2 Gross Wt. 74020 L8 Outbound -Charge ticket Scale 1 Tare Wt. 36540 LB OTy ~ IPTION RATE EXTENSION FEE TOTAL 18.74 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. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FR1, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881833 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/10/11 1 i/10/11 13:11 13:45 111DOTC 009304 Winters Brothers Scale 2 Gross Wt. 74020 LB Outbound -Charge ticket Scale 1 Tare Wt. 36540 LB QTY. UNI DES RIPTION RATE EXTENSION FEE TOTAL 18.74 I TON ~ OUTGO.MSW ~ 0.000 0.00 0.00 0.00 L . 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. CHAN E CHECK NO. SIGNATURE No. 5 5 5 8 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ - _ _ _ _ _ TRUCK NO. LICENSE NO/STATE: / % f -r-~ TRAILER NO. LICENSE NO/STATE: ~ ' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP Ar THE GENERATOR SITE FISTED ABOVE, AND THAT IT 1^dAS DFI IVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 101 00881705 MC 6155 Cox Lane, PO Box 962 ~ DATE IN ~ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFD Cutchogue, NY 11935 - - - - - ' 11/10/11 11/10/11 j07:01 .07:20 11111TC 009304 Winters Brothers . - I Scale 2 Gross Wt. 81200 LB Outbound -Charge ticket Scale 1 Tare Wt. 38760 LB OTY RIPTIO RATE EXTENSION FEE TOTAL - _ - _ 21.22 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. TENDERED NEXT HOLIDAY CLOSED: TOES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. I ;~-C ' ~ GRID - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881705 MC 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF C,Itchogue, NY 11935 - !11/10/11 11/10/11 07:01 '07:20 11111TC 009304 Winters Brothers . - Scale 2 Gross Wt. 81200 LB Outbound -Charge ticket Scale 1 Tare Wt. 38760 LB QTY. S RIPTIO RATE EXTENSION FEE TOTAi - - - - I 21.22 ' 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. C:~OSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0 OD _ - rEraDEREo NEXT HOLIDAY CLOSED: TOES, NOV 8, 2011 ELECTION DAY Fhl NOV 11 2011 VETERAN'S DAY. CHANGE CHECK NO. ,i~a ~L~rLt - - ~ _ _ _ No. 5583 ~I i GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME~ANfY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ , _ 2+--".-0( ~ ~ ~w : , r' SHIP DATE: 1 ~ r~ / COMMODITY SHIPPED: ~~'-~''C--'~ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAi:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ~ _LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: / / (PRINT NA ) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ~ y DATE DELIVERED: / ~ / ~ ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ( GRID WEIGHMASTER 1 i SOUTHOLD TOWN DEPT SOLID WASTE 01 00881723 MC 6155 COX Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutcho ue, NY 11935 11/10/11 11/10/11 08:35 08:47 009304 Winters Brothers • - 11119TC - - - Scale 2 Gross Wt. 83880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35740 LB ~ C f v IPTION RATE EXTENSION FEE TOTAL 24.07 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ` TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI. NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. ~;I'F ~;E~ ~ GRID I- "J~7UHA~!ASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00881723 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - ~ - - - - - - 11/10/11 11/10/11 08:35 08:47 009304 Winters Brothers • - 11119TC Scale 2 Gross Wt 83880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35740 LB - UTY, i IPTION RATE EXTENSION FEE TOTAL 24.07 TON ! OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~;LOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. n nn TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY ~ FRI. NOV 11, 2011 VETERANS DAY. CHANGE CHECK NO. ~ICiN~U'~!RE- No. 5 ~9 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 GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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: r (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 WEIGHMA~ - SOUTHOLD TOWN DEPT SOLID WASTE 101 00882768 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ ' 11/14/11 11/14/11 10:32 10:51 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91040 LB Outbound -Charge ticket Scale 1 Tare Wt. 36060 LB Net Wei ht 54980 LB OTY UNIT DESCRIPTION RATE _ _ _ EXTENSION FEE TOTAL 27.49 ~ 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. ~ 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. ~i!;NAI URE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00882768 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/14/11 11,`14111 10:32 10:51 11100TC D09304 Winters Brothers I Scale 2 Gross Wt. 91040 LB Outbound -Charge ticket Scale 1 Tare Wt. 36060 LB _ Net Wei ht 54980 LB _ OTY UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL I ' 27.49 TON OUTGO.MSW 0.000 I 0.00 0.00 I 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. No. 5560 - ~ 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 !N 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: HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEf`! AC~:.EPTEC AfJD TO THE BEST OE 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 s°:'E'GHMAF '"DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00882741 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 11 /14/11 11 /14/11 09:18 09:38 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 77960 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB Net Wei ht 39680 LB qTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.84 TON ~ OUTGO.MSW 0.000 0.00 0.00 0.00 i I I, . ~ I, . 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER '"DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 00882741 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /14/11 11 /14/11 ' 09:18 09:38 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 77960 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB Ne Wei ht 39680 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.84 ~ TON OUTGO.MSW ~ 0.000 0.00 ~ 0.00 0.00 I ! I i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. No. 5562 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND [JbES NOT A~SIJME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: "~',h,~ _ 1 ~/,~-•-~Z, 1 ~ /Z-cT--.~.. SHIP DATE: I / . COMMODITY SHIPPED: ~ , ~ LOOSE: i ~ (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. ~ 1 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: ~ Lt-- ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SITE TICKET ~ ;HMASTFR SOUTHOLD TOWN DEPT SOLID WASTE 01 00882709 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 ~ DATE IN DATE OUT TIME IN TIME OUT VEHICLE ~ ~ ! 11/14/11 11/14/11 07:44 07:57 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 79180 LB Outbound -Charge ticket Manual Tare Wt. 37200 LB Net Wei ht 41980 L_B_ _ _ _ _ QTY. UNIT DESCRIPTION !;A1E ~XTENS~ON =k=.: 20.99 TON OUTGO.MSW 0.000 0.00 ! 0.00 0.00 ~ t V_~ Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 ~ TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY ~t~," _ FRI, NOV 11, 2011 VETERAN'S DAY. H N CHECK NO. SIGNATURE "DUPLICATE TICKET"'' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00882709 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 11/14/11 11/14/11 .07:44 07:57 ! 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 79180 LB Outbound -Charge ticket Manual Tare Wt. 37200 LB Net Wei ht 41980 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELEC710N DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. v'' , ' 55 59 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 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. ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ / r ~ ~ TRUCK NO. j LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ ' (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 70 GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00883213 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 11 ! 15/11 11115111 11:18 11:32 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89320 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB Net Weight 53120 LB 26.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00883213 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 1 1115/11 11 /15/11 11:18 1 1:32 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89320 L6 Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB Net Weight 53120 LB 26.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8 2011 El_ECTICN DAY FRI, NOV 11, 2011 VETERAN'S DAY. No. 5585 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: ~ 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 L15TEL` BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ' t~f ~ ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL FIAS BEEN ACCEPTED ANU TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURElDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00883067 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 11/15/11 11/15/11 07:26 07:45 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 78640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LE3 QTY. IPTION IsP.fi EXTENSION t i E - ~L~ - 21.72 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. CHAN E - CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00883067 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/15/11 11/15/11 07:26 07:45 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 78640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LB QTY. IPTION RATE EXTENSION FEE T~ ; „I 21.72 TON i OUTGO.MSW 0.000 0.00 0.00 ~i 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-76$5. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHAN CHECK NO. No. 5 5 8 4 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: , LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE i i~ 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 LiSTE~ BELOW. DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER -`DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00883461 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME DUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/16/11 11/16/11 i 09:02 09:02 11100TC 009304 Winters Brothers . - ~ i Scale 2 Gross Wt. 95680 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB OTY. UNI D SC PTION RATE EXTENSION FEE TOTAL 24.24 I TONS OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 RM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI. NOV 11, 2011 VETERANS DAY. CHANGE CHECK NO. ';IGNATL!RE SITE TICKET GRID WEIGHMASTER `"DUPLICATE TICKET' SOUTHOLD TOWN DEPT SOLID WASTE 01 00883461 GS (1155 Cox Lane. PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/16/11 11/16/11 ~ 09:02 09:02 11100TC 009304 Winters Brothers . - i Scale 2 Gross Wt. 95680 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. U I D S IPTION RATE EXTENSION FEE TOTAL 24.24 I TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. - TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI NOV 11, 2011 VETERAN'S DAY. - CHANGE CHECK NO. >ICdi'JATUF3L _ _ . NQ. 5 5 8 6 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS 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"' 50UTHOLD TOWN DEPT SOLID WASTE 01 00883603 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /17/11 11 /17111 07:48 07:59 11100TC 1)09304 Winters Brothers . - I , - - i Scale 2 Gross Wt 84560 LB Outbound -Charge ticket Scale 1 Tare Wt. 35860 LB QTY. D C PTION RATE EXTENSION FEE TOTAL 24.35 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI. NOV 11, 2011 VETERAN'S DAY. I CHANGE CHECK NO. '~GrJal i)NE SITE TICKET GRID WEIGHMASTER - 1- "`DUPLICATE TICKET'S SOUTHOLD TOWN DEPT SOLID WASTE 01 00883603 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/17/11 11/17/11 07:48 07:59 i 11100TC 009304 Winters Brothers . . - Scale 2 Gross Wt. 84560 LB Outbound -Charge ticket Scale 1 Tare Wt. 35860 LB OTY. D C PTION RATE EXTENSION FEE TOTAL - - - ~ i 24.35 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. TENDEFiED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY R1 NOV 11.2011 VETERAN'S DAY HAN E CHECK NO. >:IGN<a7URF_ - No. 5587 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE i 01 00883680 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /17/11 11 /17/11 11:30 11:46 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 77000 LB Outbound -Charge ticket Scale 1 Tare Wt. 36240 LB QTY. I D PTION RATE EXTENSION FEE TOTAL . - 20.38 ~ TONI~i 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. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY RI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. ?IGN:1TlJRE ,SITE TICKET GRID ~ WEIGHMASTER "DUPLICATE TICKET"` SOUTHOLD TOWN DEPT SOLID WASTE 01 00883680 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ i 11/17/11 I 11/17/11 11:30' 11:46' 11100TC 009304 Winters Brothers . - I - - _ - Scale 2 Gross Wt. 77000 LB Outbound -Charge ticket Scale 1 Tare Wt. 36240 LB QTY. D C TION RATE EXTENSION FEE TOTAL 20.38 TONj OUTGO.MSW ~ 0.000 D.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. TENDERED NEXT HOLIDAY CLOSED TUES, NOV 8, 2011 ELECTION DAY SRI NOV 11.2011 VETERAN'S DAY. CHANGE i CHECK NO. aIGNATUHE - ~I No. 5588 ~I E 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 !S 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, APJD THAT IT WAS DELIVERED WITHOUT INCIDENT Tp 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 WEIGHMASI SOUTHOLD TOWN DEPT SOLID WASTE 01 00883805 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ 1 1 /1811 1 1 1 /1811 1 07:47 08:01 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 77360 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB QTY. I IPTION RATE EXTENSION FEE TOIAI~ 20.79 TON OUTGO.MSW 0.000 0.00 0.00 i 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T N RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. HANGS CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00883805 Dan 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i 11/18/11 11/18/11 07:47 08:01 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 77360 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB QTY. U IPTION RATE EXTENSION FEE TOTAL 20.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY i FRI. NOV 11.2011 VETERAN'S DAY. _ A CHECK NO. ;ii_a~dr~iU~zE . . NQ. 5589 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): t TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ~I TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ I~ TRUCK NO. LICENSE NO/STATE: ~ ~ " J TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 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. 1 SITE TICKET GRID WEIGHMASTER `DUPLICATE TICKET"` j SOUTHOLD TOWN DEPT SOLID WASTE 01 00884083 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - ' 11 /19/11 ~ 11/19/11 08:21 08:57 11110TC 009304 Winters Brothers ~ . - - - ~ Scale 2 Gross Wt. 81440 LB Outbound -Charge ticket Scale 1 Tare Wt. 37420 LB J QTY. D TION RATE EXTENSION FEE TOTAL ~ 22.01 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. TE bE ED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. --I SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET*` - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00884083 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/19/11 11/19/11 i 08:21 08:57 11110TC 009304 Winters Brothers . . Scale 2 Gross Wt. 81440 LB Outbound -Charge ticket ' Scale 1 Tare Wt. 37420 LB QTY. D TION RATE EXTENSION FEE TOTAL 22.01 TON OUTGO.MSW 0.000 ' 0.00 ~ 0.00 0.00 i 1 ~ _ Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY - FRI, NOV 11, 2011 VETERAN'S DAY. HANGE CHECK NO. ;1 ;NATURE NQ. 5596 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: 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 1NAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET"` SOUTHOLD TOWN DEPT SOLID WASTE 01 00885095 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/21!11 11/21/11 10:57 i 10:57 11110TC 009304 Winters Brothers . - I Manual Gross Wt. 102980 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. U IPTION RATE EXTENSION i FEE _ TOTAL ~ 27.89 TON OUTGO.MSW 0.000 III 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 NDEHED~ NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. C ;u_;NArURE SITE TICKET GRID WEIGHMASTER '"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00885095 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /21111 11 /21 /11 ~ 10:57 10:57 11110TC 009304 Winters Brothers . - I Manual Gross Wt. 102980 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. U IPTION RATE EXTENSION FEE TOTAL - i - 27.89 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 TENDERED FRI NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. i•;id~~loF;E - - - - 5597 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF~DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 7Q APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER ~i i 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 T _ , _ ~ WEIGHMASTER "DUPLICATE TICKET" I SOUTHOLD TOWN DEPT SOLID WASTE 01 00885011 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/21/11 11/21/11 08:18 - 08:35 11110TC 009304 Winters Brothers ~ . i ~ J Scale 2 Gross Wt. 80680 LB Outbound -Charge ticket 1 Scale 1 Tare Wt. 39200 LB r QTY _ IPTION RATE EXTENSION FEE TOTAL 20.74 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: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. _ CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET'"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00885011 Steph 6155 Cox Lane, PO Box 962 i DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue. NY 11935 - _ - - 11/21/11 11/21/11 08:18 08:35 11110TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 80680 LB Outbound -Charge ticket Scale 1 Tare Wt. 39200 LB QTY. IPTION RATE EXTENSION FEE TOTAL - - 20.74 TON OUTGO.MSW 0.000 it 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 ~--~D FRI, NOV 11, 2011 VETERAN'S DAY. j CHANGE CHECK NO. ~;,(;PvA[ UHL No_ 5563 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. - I COMPANY: . _ t-;"~ r,.. _ SHIP DATE: . COMMODITY SHIPPED: ' LOOSE: / (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND 15 IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER ' TRANSPORTATION/FREIGHT CO. / ~ TRUCK NO. . ~ LICENSE NO/STATE: TRAILER NO. t- 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?tJ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ~ / f ADDRESS: ~ P HEREBY CERTIFY THAT THE A80VE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD 70 GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEiGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00885462 Steph 6155 Cox Lane, PO BOX 962 DAT._E IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/22/11 11/22/11 'I 11:00 ' 11:10 009304 Winters Brothers i Scale 2 Gross Wt. 99080 LB Outbound -Charge ticket !I Scale 1 Tare Wt. 37440 LB QTY. U IPTION RATE EXTENSION FEE TOTAL 30.82 TON', OUTGO.MSW ~ 0.000 0.00 0.00 0.00 I j i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~n,~ RE~ p -1 NEXT HOLIDAY CLOSED: TUES. NOV 8, 2011 ELECTION DAY ~ FRI, NOV 11, 2011 VETERAN'S DAY. I CHANGE CHECK NO. SIGNATURE _ SITE TICKET GRID _ WEIGHMASTER _J SOUTHOLD TOWN DEPT SOLID WASTE 01 00885462 _ ~ Steph I 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /22/11 11 /22/11 11:00 11:10 009304 Winters Brothers ~ . Scale 2 Gross Wt. 99080 LB Outbound -Charge ticket ~i Scale 1 Tare Wt. 37440 LB QTY- UN IPTION RATE EXTENSION FEE TOTAI 30.82 TON OUTGO.MSW i 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. T~N ERFD NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE T No. 5942 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): 'I TRUCK WEIGHT: ~ GROSS TARE NET i 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 TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ~ ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ~ DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE 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 00885388 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /22/11 11 /22/11 ~i 08 49 09:28 11110TC 009304 Winters Brothers . - - - _ - Scale 2 Gross Wt. 85400 LB Outbound -Charge ticket I' Scale 1 Tare Wt. 35460 LB J OTY. IPTION RATE EXTENSION FEE TOTAL 24.97 TON j 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 IV RED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. HANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00885388 Steph li 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - _ - - - 11/22/11 11122!11 08:49 09:28 11110TC 009304 Winters Brothers i Scale 2 Gross Wt. 85400 LB Outbound -Charge ticket Scale 1 Tare Wt. 35460 LB OTY. IPTION RATE L EXTENSION FEE _ TOTAL I 24.97 TON ~ OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HANGE CHECK NO. SIGNATURE ' No. 5598 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. _ TRUCK NO. LICENSE NO/STATE: ----r-~--T7 TRAILER NO. LICENSE NO/STATE: i I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00885725 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF _ - L- Cutchogue, NY 11935 11 /23/11 11 /23/11 08:39 .08:51 009304 Winters Brothers , - - - Scale 2 Gross Wt. 90420 LB Outbound -Charge ticket Scale 1 1-are Wt. 36500 LB OTY IPTION RATE EXTENSION FEE TOTAL 26.96 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: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00885725 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ~ ROLL OFF Cutchogue, NY 11935 - - 11/23/11 11/23/11 08:39 08:51 009304 Winters Brothers - - ~ Scale 2 Gross Wt. 90420 LB Outbound -Charge ticket Scale 1 Tare Wt. 36500 LB OTY. IPTION RATE EXTENSION FEF TOTAL x-- 26.96 TON OUTGO.MSW 0.000 0.00 0.00 I 0.00 I 1 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T NDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE No. 5943 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS it BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: ' LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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: r' " I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: i : r ; DATE DELIVERED: ADDRESS: F" I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEV 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"` 00885723 GS ~ SOUTHOLD TOWN DEPT SOLID WASTE 101 , - - - 6155 Cox Lane, PO Box 962 i DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 r- ~ 11/23/11 11/23/11 08:32 08:32 11110TC 009304 Winters Brothers . - - - Scale 2 Gross Wt. 77320 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB QTY. IPTIO RATE EXTENSION FEE TOTAL 20.26 TON OUTGO.MSW ~ 0.000 0.00 ' 0.00 I~ 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. Ci OSED HOLIDAYS -QUESTIONS CALL 631-734-7685. EKED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY I FRI, NOV 11, 2011 VETERAN'S DAY. ~ CHANGE ~ CHECK NO. ~„iwa i : i ri f SITE t TICKET GRID JJEIGHR4ASTER - - - "DUPLICATE TICKET"" S~~UTHOLD TOWN DEPT SOLID WASTE 01 00885723 GS 6' 55 Cox Lane, PO BOx 962 DATE LN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ 11/23/11 11/23/11 08:32 ~ 08:32 I 11110TC 009304 Winters Brothers . - Scale 2 Gross Wt. 77320 LB Outboun d -Charge ticket Manual Tare Wt. 36800 LB QTY. tPTlO RATE EXTENSION FEE TOTAL 20.26 TON IOUTGO.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. ~I~~9~0 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY ~ I NOV 1 1 , 2011 VETERAN'S DAY. HAN E CHECK NO. IGNATURE , No. 5599 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 GOES 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. i ! i 1 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 DEUVFRED 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 I WEIGHMASTER *"DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00885733 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ I 11 /23/11 11 /23/11 09:06 09:22 ~ 11111 TC 009304 Winters Brothers ~ . - Scale 2 Gross Wt. 87320 LB Outbound -Charge ticket Scale 1 Tare Wt. 36840 LB OTY. E IPTION RATE EXTENSION FEE TO"rA~ 25.24 ! 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. I CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8. 2011 ELECTION DAY !-R1 NOV 11, 2011 VETERAN'S DAY. CHAN E CHECK NO. :~r;I:RI LIf1E NQ. 5 5 6 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: ~ " . ~ s:, yF.:, r SHIP DATE: ~ . COMMODITY SHIPPED: C,.~- 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: 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: f ~~a'., ' ° ~ 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) ~ 5IGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TiCKEI GRID ;nlFIG"iMP.~7F~~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00885869 ~ GS 6155 Cox Lane, PO Box 962 - CUtChOgUe, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHIi:~ ; lay n , ~ 11 /25/11 111 /25!11 10:42 11:21 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 92300 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB _ Net Weight 54400 LB C~IY _ _ { UNIT DESCRIPTION - IiAiE _ EXTENSION FEE -~~~)~1-'.'- - 27.20 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00885869 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT I VEHICLE ROLL OFF Cutchogue, NY 11935 _ _ _ 11 /25/11 11/25/11 10:42 11:21 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 92300 LB Outbound -Charge ticket Scale 1 Tare Wt. 37900 LB _ _ Net Wei ht 54400 LB ~~T~ UNIT DESCRIPTION RATE EXTENSION _ FEE TOTAL 27.20 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE r NQ. 5 6 0 0 GENE~3ATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. ANO IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATI:JRE) TRANSPORTER TRANSPORTATIOR/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: rr 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 INrORMATION 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 00885824 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 11 /25/11 11 /25/11 09:13 ' 09:34 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 89300 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB Net Wei ht 51020 LB _ _ CJiY UNIT DESCRIPTION RATE EXTENSION i FEE lUi~l I - - - 25.51 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED F ill. NOV 11, 2011 VETERAN'S DAY. _ CHANGE ' CHECK NO. ,'~~NATURE _ ~ '"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00885824 ~ GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF C,~tchogue, NY 11935 - 11 /25/11 11 /25/11 09:13 09:34 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 89300 LB Outbound -Charge ticket Scale 1 Tare Wt. 38280 LB Net Wei ht 51020 LB ~ QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.51 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. ~ • Ci OSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED Ff~l NOV 11.2011 VETERAN'S DAY. CHANGE CHECK NO. ,,i:!'~1flTURL NO. 5574 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND-DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: -;-t. c:'~_::.'_ 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. ~'{/~1 LICENSE NO/STATE: TRAILER NO. ~ KJ LICENSE NO/STATE: t 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: _ (PRIN NAME) ( GNATURE) 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 KEV: 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 WAS1 E 01 00885832 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE P,t'~i_: ~~f"+ Cutchogue, NY 11935 - 11 / X5/11 `11 /25/11 09:29 09:44 009304 Winters Brothers 11121TC Scale Gross Wt. 86120 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB Net Wei ht 49660 LB QT`! UNIT DESCRIPTION RATE EXTENSION FEE TOTAL - - i 24.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • C! OSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ' 0.00 NEXT HOLIDAY CLOSED'. ? UFS NOV 8 2011 f-l FC rION DAY TENDERED FF"~ N(:)V 11, 2011 VETS=i:AN'S [1A`r" ' CHANGE CHECK NO. ~iGNATURE / SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 101 00885832 GS 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 1 1935 - - - - 11 /25/11 11 /25111 09:29 09:44 009304 Winters Brothers 11121TC Scale 2 Gross Wt. 8ii120 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB 49660 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.83 it 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. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHAN E CHECK NO. ~iGNATURE No. 5929 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: - LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND iS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 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. r~ DRIVER: (PRINT NAME) (SIGNATURE} DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY_ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "`DUPLICATE TICKET"" SITE TICKET GRID WEIGHMA.S" h SOUTHOLD TOWN DEPT SOLID WASTE 01 00886182 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN ,TIME OUT . VEHICLE ROLL OFF Cutchogue, NY 11935 J - 11 /26/11 11 /26/11 07:47 07:47 11110TC 009304 Winters Brothers Scale 2 Gross Wt. 97020 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB I Net Wei ht 49020 LB C? i ~ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.51 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. ~,IGNATURE SITE TICKET GRID WEIGHMASTER '"DUPLICATE TICKET` 50UTHOLD TOWN DEPT SOLID WASTE 01 00886182 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - 11/26/11 11/26/11 07:47 07:47 11110TC 009304 Winters Brothers Scale 2 Gross Wt. 97020 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB N Wei ht 49020 LB - i UNIT DESCRIPTION RATE EXTENSION I FEE TOTAL 24.51 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: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI. NOV 11, 2011 VETERAN'S DAY. I CHANGE CHECK NO. 51GNArURE NO. 6120 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 ODES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/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 KEV: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUT.HOL~ TOWN DEPT SOLID WASTE 01 00887308 Dan 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11 /28/11 11 /28/11 10:48 11:11 11111 TC 009304 Winters Brothers • - Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB i QTY. _ IPTION RATE _ _EXTENSION FEE i TOTA 23.57 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 NDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. tiiGNATURF _ ~~SITE TICKET GRID ~ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00887308 ~ Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ~L OFF Cutchogue, NY 11935 - - ' - - 11 /28/11 11 /28!11 10:48 11:11 11111 TC 009304 Winters Brothers , . Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB QTY. E IPTION RATE EXTENSION FEE TOTAL 23.57 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. NEXT HOLIDAY CLOSED. TUES, NOV 8, 2011 ELECTION DAY TENDEr~En FRI, NOV 11, 2011 VETERAN'S DAY. CHAN E CHECK NO. ~lil'!,1l'~ ItF _ _ ------T--~--- i NQ. 5580 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 AS~1ME ANY LIABILITY ASSOCIATED WI.,TLH THE SHIPMENT OF SUCH MATERIALS. COMPANY: i ``C-t ~ c;.'~ ~ ~--r_=r' ' _ SHIP DATE: ! I ~ c ~ ~ 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 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. %:t' J 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. DRIVER: f P INT~NAME f ( ) (SIGNATURE) DESTINATION DISPOSAL LOCATION: , ~ 1 DATE DELIVERED: / ' ~ ~ ~ ~ t / ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS 1"RUE 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 '`DUPi~CATE TICKET" '~OUTHOLD TOWN DEPT SOLID WASTE 01 00887241 Dan 61 ~5 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - i 11 /28/1 1 1 1 /28/11 08:19 08:24 1 1 100TC OL'9304 Winters Brothers. Scale 2 Gross Wt. 76060 LB Outbound -Charge ticket I Manual Tare Wt. 39160 LB QTY. IPTION RATE EXTENSION FEE TOTAL _ / 18.45 TON ~ OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI. NOV 11.2011 VETERAN'S DAY. HANGE CHECK NO. ~~l~l`i~' JRE - _ SITE TICKET GRID WEIGHMASfEH "DUPLICATE TICKET" ~ ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00887241 Dan ~ 55 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ i _ - i 11 /28/11 11 /28111 ~ 08:19 08:24 11100TC 009304 Winters Brothers i Scale 2 Gross Wt. 76060 LB Outbound -Charge ticket 11 Manual Tare Wt. 39160 LB QTY. U D SCRIPTION RATE EXTENSION FEE TOTAL 18.45 i 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. ~;LOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY rENOEREo I ICI NOV 11, 2011 VETERAN'S DAY. HAN E i CHECK NO. -~I~ ~",Af l~Fif= _ _ _ _ _ No. 6121 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 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 70 GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER ' "'DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00887746 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - 11 /29/1 1 1 1 /29/1 1 1 1 25 11:38 1 1100TC 009304 Winters Brothers- Scale 2 Gross Wt. 80320 LB Outbound -Charge ticket Scale 1 Tare Wt. 37640 LB QTY. IPTION RATE EXTENSION FEE T ~1 'ti 21.34 TON OUTGO.MSW 0.000 ~ 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. _ CHANGE CHECK NO. SIGNATURE - SITE TICKET GRID WEIGHMASTER "`DUPLICATE TICKET'"` - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00887746 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL UFE Cutchogue, NY 11935 I 11 /29/1 1 11 /29/11 11:25 11:38 11100TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 80320 LB Outbound -Charge ticket Scale 1 Tare Wt. 37640 LB QTY. UN DESCRIPTION RATE EXTENSION i FEE I TOTAL_ 21.34 TON ' OUTGO.MSW 0.000 ~ 0.00 0.00 0.00 - - Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _4,00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TEN°Er'1_~' FRI, NOV 11, 2011 VETERAN'S DAY. _ CHAN~;E CHECK NO NQ. 6123 r GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW. HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00887645 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue; NY 11935 - _ - - 11/29/11 11/29/11 08:34 08:34 ~ 11100TC 009304 Winters Brothers . - Manual Gross Wt. 97460 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB QTY. IPTION RATE EXTENSION FEE TOlA;_ 30.33 ! TON ~ OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ II CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI. NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. ~~C;NAT~IF;F SITE TICKET GRID ! WEIGHPAASTER '"DUPLICATE TICKET** - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00887645 ~ Steph 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 _ _ 11/29/11 11/29/11 j 08:34 08:34 11100TC 009304 Winters Brothers . - Manual Gross Wt. 97460 LB Outbound -Charge ticket Manual Tare Wt 36800 LB QTY. DE CRIPTION RATE EXTENSION FEE TOTAL 30.33 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. .-Q.44_____ NEXT HOLIDAY CLOSED: TUES. NOV 8, 2011 ELECTION DAY TENDERED f RI NOV 11, 2011 VETERAN'S DAY. _ CHAN E CHECK NO. ,iGN=tTUfiE I No. 6122 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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 ANO ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET" I SOUTHOLD TOWN DEPT SOLID WASTE 01 00888005 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 11/30!11 ~ 11!30/11 08:06 ' 08:29 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 76640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35820 LB i QTY UNI DESCRIPTION RATE EXTENSION FEE TOTAL i 20.41 TONI OUTGO.MSW 0.000 0.00 I 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~LOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. Q.Il~__-_ NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI. NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "`DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00888005 GS t~155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - - 11 /30/1 1 1 1 /30/11 i 08:06 08:29 11100TC J09304 Winters Brothers ~ . I Scale 2 Gross Wt. 76640 LB Outbound -Charge ticket Scale 1 Tare Wt. 35820 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL I 20.41 TON OUTGO.MSW 0.000 0.00 i 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. • L;LOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED RI NOV 11, 2011 VETERAN'S DAY. CHANGE CHECK NO. SIGNATURE No. 6124 GENERATOR THIS MANfFEST 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 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(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 AG1rNT(PR1NT NAME) SfGNATUREfDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _