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. _