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HomeMy WebLinkAbout12/2011 SITE TICKET GRID WEIGHMASTER ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00888285 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLE OFF I Cutchogue, NY 11935 12/01/11 12/01 /11 07:48 07:59 11100TC 009304 Winters Brothers i i I Scale 2 Gross Wt. 80860 LB Outbound -Charge ticket Scale 1 Tare Wt. 35640 LB QTY. iPTION RATE EXTENSION FEE TOTAL 22.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - - Operating hours 7:00 AM to 5:00 PM 7 days a week. ' ~i i~LOSED 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. S~Ihh,A~URE ' SITE TICKET GRID WEIGHMASTER 4 SOUTHOLD TOWN DEPT SOLID WASTE 01 00888285 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ i 12/01/11 12/01/11 07:48 07:59 11100TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 80860 LB Outbound -Charge ticket Scale 1 Tare Wt. 35640 LB QTY. l DE C IPTION RATE EXTENSION FEE TOTAL ~ 22.61 ' 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. NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED _ FRI, NOV 11, 2011 VETERAN'S DAY. RANGE CHECK NO. SIGNATURE No. 612 5 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. i 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 A5 DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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: t 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. SITE TICKET GRID WEIGHMASTER SOU THOLD TOWN DEPT SOLID WASTE I 01 00888298 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ~utchogue, NY 11935 i 12/01 /11 12/01 /11 I 08:22 08:53 11111 TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 89640 LB Outbound -Charge ticket Scale 1 Tare Wt. 37980 LB QTY. UNI DESCRIPTION RATE EXTENSION + FEE TOTAL i - 25.83 I TON' OUTGO.MSW 0.000 ~i 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. _ HANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00888298 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - 12/01/11 12/01/11 08:22 08:53 ' 11111TC 009304 Winters Brothers ~ _ Scale 2 Gross Wt. 89640 LB Outbound -Charge ticket Scale 1 Tare Wt. 37980 LB ' QTY. UNI I DESCRIPTION RATE EXTENSION FEE TOTAL 25.83 TON, OUTGO.MSW 0.000 ~ 0.00 0.00 0.00 ~ ' Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • 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. SIGNATURE NQ. 5566 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR GOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: J-~----~~-~~.. ' SHIP DATE: ' 1 ~ / ) COMMODITY SHIPPED: LOOSE: ~ - (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. T TRUCK NO. y ~ 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: •'`7` ~ ""~-t/`~- DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/GATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TD GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER '*DUPLICATE TICKET"" ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00888331 GS ' 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12l01 !11 12101 /11 09:59 10:10 I 009304 Winters Brothers . - 11121TC Scale 2 Gross Wt. 92340 LB Outbound -Charge ticket Scale 1 Tare Wt. 35380 LB QTY. UNI DESCRIPTION RATE EXTENSION- FEE TOTAL 28.48 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. HAN E CHECK NO. SIGNAT UHE 'SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET" + SOUTHOLD TOWN DEPT SOLID WASTE 01 00888331 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/01!11 12/01/11 ~ 09:59 10:10 009304 Winters Brothers , . 11121TC Scale 2 Gross Wt. 92340 LB Outbound -Charge ticket Scale 1 Tare Wt. 35380 LB OTY. _ ___U__NI DESCRIPTION RATE EXTENSION FEE TOTAL 28.48 I 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 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. - CHANGE CHECK NO. Arul~~- No. 5934 GENI±RATOR 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 UOES 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 TRANSPORTATIONJFREIGHT CO. TRUCK NO. LICENSE NOJSTATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GEI~jEf#AtOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. L 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 0088854 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/02/11 12/02/11 08:14 08:46 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 90080 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL I 27.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0088854 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/02/11 12/02/11 08:14 08:46 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 90080 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 27.15 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHECK NO. SIGNATURE I No. 6126 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TD GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID ~ WEIGHMASTER ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00888864 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/03/11 12/03/11 09:13 09:13 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95640 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. UNI - DESCRIPTION RATE EXTENSION FEE TOTAL 24.22 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE SITE TICKET GRID wEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 0088886 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - - 12/03/11 12/03/11 09:13 09:13 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 95640 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.22 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. _ N E CHECK NO. SIGNATURE ---r T No. 6127 GENERATOR, THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE ~ ~ ' 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 KFY: 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 00888875 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/03!11 ~ 12/03/11 09:35 09:59 11111TC 009304 Winters Brothers • i Scale 2 Gross Wt. 85280 LB Outbound -Charge ticket Scale 1 Tare Wt. 38900 LB QTY. TION RATE EXTENSION FEE TOTAL 23.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENb ED NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. cHAN E CHECK NO. SIGNATURE - - _ SITE TICKET GRtD WEIGHMASTER ""DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 0088887 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/03/11 12/03/11 09:35 09:591 11111TC 009304 Winters Brothers • - Scale 2 Gross Wt. 85280 LB Outbound -Charge ticket Scale 1 Tare Wt. 38900 LB QTY. D TION RATE EXTENSION FEE TOTAL 23.19 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TeNDEReo NEXT HOLIDAY CLOSED' TUES, NOV 8, 2011 ELECTION DAY FRI, NOV 11, 2011 VETERAN'S DAY. CHECK NO. SIGI'vAT URE - No. 5568 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES 1VOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT~F SUCH MATERIALS. COMPANY: r: ~ L ~.'~`P t__ ~ ~L , ~IIP DATE: ~ f ~ COMMODITY SHIPPED: / f' 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, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I / _ _ TRUCK NO. ~ ~ LICENSE NO/STATE: TRAILER NO.__ ~ n ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: (PRI NAME) ~ (SIGNATURE) DESTINATION _ _ - ~ DISPOSAL LOCATION: ~ DATE DELIVERED: i - ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERiAI_ HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE 7HE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAMEI 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 00889595 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ~ ROLL OFF Cutchogue, NY 11935 12/05/11 12/05/11 09:26 09:53 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 79340 LB Outbound -Charge ticket Scale 1 Tare Wt. 38040 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 20.65 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. CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0088959 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/05/11 12/05/11 09:26 09:53 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 79340 LB Outbound -Charge ticket Scale 1 Tare Wt. 38040 LB Net Wei ht 41300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.65 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HA G CHECK NO. SIGNATURE No. 6128 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 51TE LISTED ABOVE, AND THAT IT W'AS DFUVERED WITHOUT INCIDENT TO THE DESTINATION LISTED RELOVV DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRIO WEIGHMA5TER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00889881 Steph 6155 Cox Lane, PO Box 962 DATE IN' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/11 12/06/11 10:19 10:40 11111 TC 009304 Winters Brothers - - Scale 2 Gross Wt. 86380 LB Outbound -Charge ticket Scale 1 Tare Wt. 38640 LB N W i h 4774 LB OTY. UNn' DESCRIPTION RATE EXTENSION FEE TOTAL 23.87 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 TENDEREp FRI, NOV 11, 2011 VETERAN'S DAY. ANGE CHECK NO. SIGNATURE ""DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00889881 5teph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/11 12/06/11 10:19 10:40 11111 TC 009304 Winters Brothers Scale 2 Gross Wt. 86380 LB Outbound -Charge ticket Scale 1 Tare Wt. 38640 LB Net Wei ht 47740 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL / 23.87 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. E CHECK NO. SIGNATURE i No. 5569 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: c-vr,... ~ SHIP DATE: COMMODITY SHIPPED: -!`mow ' LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I ~ [ TRUCK NO. ( LICENSE NO/STATE: 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 DEIIVEREO WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: h- - 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 00889859 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/11 .12/06/11 09:05 09:18 11119TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 89960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35980 LB QTY. I SC PTION RATE EXTENSION FEE TOTAL 26.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. p ~ NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. CHANGE HECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 0088985 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/11 12/06/11 09:05 09:18 11119TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 89960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35980 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 26.99 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN CHECK NO. SIGNATURE a No. 5937 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAi;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) {SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r 9 / 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: 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 WEIGHMAS' ' **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00889877 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/ 11 12/06/ 11 10:07 10:07 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Manual Tare Wt. 48200 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 17.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 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 0088987 Steph 6155 Cox Lane, PO Box 962 BATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/06/ 11 12/06/ 11 10:0 7 10:0 7 11100TC 009304 Winters Brothers i Scale 2 Gross Wt. 83960 LB Outbound -Charge ticket Manual Tare Wt. 48200 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 17.88 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. 31GN.4TURE ` No. 5 5 9 0 GENERATOR THUS MANIFEST 1S FOR REFERENCE PURPOSES ONLY. GENERATOR DOES N07 TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N07 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT GO. ~ / TRUCK NO. ~ LICENSE NO/STATE: ~ / TRAILER NO. LICENSE NO/STATE: f / 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRfNT NAME) SIGNATURE/GATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GEidERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00890016 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/07/ 11 12107/ 11 08:31 08:43 11119TC 009304 Winters Brothers Scale 2 Gross Wt. 87660 LB Outbound -Charge ticket Scale 1 Tare Wt. 37540 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.06 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. ~ i CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. I HAN E CHECK NO. SIGNATURE No. 5939 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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) ( GNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. C~ LICENSE NO/STATE: T~ _ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT !T WA DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~ r I _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: '~'r'v I DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTEH - SOUTHOLD TOWN DEPT SOLID WASTE 01 00890041 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/07/11 12/07/11 11:32 11:42 11119TC 009304 Winters Brothers • I, Scale 2 Gross Wt. 87460 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB N i 12 L QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.64 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. E CHECK NO. i SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00890041 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ~ Cutchogue, NY 11935 12/07/11 12/07/11 11:32 11:42 11119TC 009304 Winters Brothers I ~ Scale 2 Gross Wt. 87460 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB Net Wei ht 51280 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.64 TON OUTGO.MSW 0.000 ~ 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. H NGE CHECK NO. ~~C;iP.~A~ UF3F_ - - - - - - NO. 5941 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: I• SHIP DATE: ~ COMMODITY SHIPPED: LOOSE: (CU YDS) GALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT{PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: -t (PRINT NAME) , 4~f/' (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HA ;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 00890052 GS 6155 Cox Lane, PO BOX 962 DRTE iN DATE OUT TIME iN T1ME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/07/11 12/07/11 112:35 12:47 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 83800 LS Outbound -Charge ticket Scale 1 Tare Wt. 36080 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. H E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00890052 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/07/11 12/07/ 11 12:35 12:47 11100T C 009304 Winters Brothers ~ Scale 2 Gross Wt. 83800 LB Outbound -Charge ticket Scale 1 Tare Wt. 36080 LB Net Wei ht 4''720 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY_ HA CHECK NO. ' SIGNATURE No. 5592 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 ANl' 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. t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f TRUCK NO. LICENSE NO/STATE: , ~ / TRAILER NO. LICENSE NO/STATE: ' i' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL. WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DFL IVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 1 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KFY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID .'dEIGHMASTEF; - ; SOUTHOLD TOWN DEPT SOLID WASTE D1 00890009 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/07/11 12/07/11 07:34 07:49 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 78600 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 20.64 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED _ FRI, NOV 11, 2011 VETERAN'S DAY. HANGE CHECK NO. SiGNAi . ~ i_ _ - _ SfTE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00890009 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFi Cutchogue, NY 11935 12/07/11 12/07/11 07:34 07:49 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 78600 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB Net Wei h 412 L QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL _ 20.64 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. A CHECK NO. SIGNATURE No. 5591 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR GOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NqT 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 UR 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 aF L' ~ ^ TION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT wAS I"?ELIVEREO WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ , - ~ DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE PEST 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 00890144 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/08/11 12/08/11 11:14 11:53 11100TC 009304 Winters Brothers ~i Scale 2 Gross Wt. 88060 LB Outbound -Charge ticket Scale 1 Tare Wt. 36520 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 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 0089014 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12108/ 11 12/08/ 11 11:14 11:53 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88060 LB Outbound -Charge ticket Scale 1 Tare Wt. 36520 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.77 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED _ FRI, NOV 11, 2011 VETERAN'S DAY. CHAN CHECK NO. `~:IGfvi;.`UHE • No. 5593 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 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: ! HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ~i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) 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** I SOUTH,OLD TOWN DEPT SOLID WASTE 01 00890333 Dan 6155 Co`x Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Gutchogue, NY 11935 12/09/11 12/09/11 ~ 09:33 09:33 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 87300 LB Outbound -Charge ticket Manual Tare Wt. 36600 LB OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL I 25.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TUES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. H E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *"DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00890333 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF Gutchogue, NY 11935 12/09/11 12/09/11 09:33 09:33 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 87300 LB Outbound -Charge ticket Manual Tare Wt. 36600 LB i QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.35 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. 0.00 NEXT HOLIDAY CLOSED: TOES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HAN E CHECK NO. SIGNATURE No. 5 5 9 4 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ,~L~ ' TRAILER NO. LICENSE NO/STATE: ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ~ DATE DELIVERED: ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00890574 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/10/11 12/10/11 08:33 08:46 11119TC 009304 Winters Brothers Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB Net Weight 59080 LB 29.54 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 00890574 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/10/11 12/10/11 08:33 08:46 11119TC 009304 Winters Brothers Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB Net Weight 59080 LB 29.54 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. NO. 7456 GENERQTOFt ' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: _ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT 'VAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r` DRIVER: _ _ {PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: v ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ _ AUTHORIZED AGENT{PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I SITE TICKET i GRID I ~Hr~~til,'-~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00890585 L GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/10/11 12/10/11 08:55 09:29 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 86920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36300 LB QTY. UN T DESCRIPTION RATE EXTENSION FEE TOTAL 25.31 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 00890585 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/10/11 12/10/11 08:55 09:29 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 86920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36300 LB Net Wei ht 50620 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.31 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 7ENDEREO FRI, NOV 11, 2011 VETERAN'S DAY. HA CHECK NO. ;;I ~NA~ uHE - - - - - No. 5595 GE~RATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT tT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KE-Y WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089120 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/ 12/11 12/12/11 11:25 11:50 11110TC 009304 Winters Brothers I Scale 2 Gross Wt. 87420 LB Outbound -Charge ticket Scale 1 Tare Wt. 38060 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.68 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. CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089120 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/12/11 12/12/11 11:25 11:50 11110TC 009304 Winters Brothers l Scale 2 Gross Wt. 87420 LB Outbound -Charge ticket Scale 1 Tare Wt. 38060 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.68 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. SIGI~iAi URt _ No. 5 5 7 8 GENERATOR THIS MANIFEST IS FQ€f~FERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANq D ES NOT ASS ANY LI BILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t;'>--_. SHIP DATE: ~ ~ ~ ~ ~ COMPANY: ~-i., T ' COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. ~I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ~I TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ TRUCK NO. ~ LICENSE NO/STATE: TRAILER NO. ~ LICENSE NO/STATE: I' I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS OEIIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ~J``-~ DRIVER: l (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION:t..~~-L;1~1--1 DATE DELIVERED: ~ ) 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE k'EV. WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMA°. **DUPLICATE TICKET** - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00891141 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/12/11. 12/12/11 08:27 09:01 ' 11100TC 009304 Winters Brothers • , Scale 2 Gross Wt. 72920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36600 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 18.16 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. CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00891141 Steph 6155 Cox Lane, PQ BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/12/11 12/12/11 08:27 09:01 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 72920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36600 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 18.16 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 CHECK NO. ~IGN~"~f l_!RC _ - . - NO. X129 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT' ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ ~ i TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE ANb ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY WNITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD To GENERaroR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00891427 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/13/11 12/13/11 i 10:36 10:51 11100TC 009304 Winters Brothers - Scale 2 Gross Wt. 85840 LB Outbound -Charge ticket Scale 1 Tare Wt. 35440 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.20 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. AN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER ~ **DUPLICATE TICKET** ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00891427 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/13/11 12/13/11 10:36 10:51 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 85840 LB Outbound -Charge ticket Scale 1 Tare Wt. 35440 LB Net Wei ht 50400 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.20 TON OUTGO.MSW o.oo0 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. CHECK NO. . ~~'~T~IRE NO. 7455 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET i HEREBY CERTIFY THAT 7HE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS OEFiNED 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: ~t~i ~ ~ - ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER '*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00891392 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/13/11 ! 12/13/11 09:26 09:26 11100TC 009304 Winters Brothers _ ~ . Manual Gross Wt. 91020 LB Outbound -Charge ticket Manual Tare Wt. 36680 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL r 27.17 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 CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00891392 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/13/11 12/13/11 09:26 09:26 11100TC 009304 Winters Brothers Manual Gross Wt. 91020 LB Outbound -Charge ticket Manual Tare Wt. 36680 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL ~I 27.17 TON OUTGO.MSW i 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. HAN CHECK NO. SIGNATURE ~ ~ No. 6130 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSES:iION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT C)F 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 '~i 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. I GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ TRUCK NO. LICENSE NO/STATE: ~ ~ ~ _ -T.~,~ TRAILER NO.__ r' LICENSE NO/STATE: s~ 7 'i`, --7 f HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERA'~OR 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 Ml' 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 TL-~<,i i - GRID - --,;vE-ir;,.• ""DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00891629 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIIAE IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/14/11 12/14/11 09:10 09:24 009304 Winters Brothers Scale 2 Gross Wt. 84960 LB Outbound •-Charge ticket Scale 1 Tare Wt. 35780 LB N t Wei ht 49180 LB _ QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.59 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 00891629 GS 6155 Cox Lane, PO Box 962 _ DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/14/11 12/14/11 09:10 09:24 ~ 009304 Winters Brothers Scale 2 Gross Wt. 84960 LB Outbound -Charge ticket Scale 1 Tare Wt. 35780 LB Net Wei ht 49180 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.59 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 CHECK NO. SIGNATURE No. 7 4 5 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 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: 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 00891657 GS 6155 Cox Lane, PQ BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/ 14/11 12/ 14/11 10:12 10:12 11100TC 009304 Winter, Brothers ~ _ Manual Gross Wt. 94160 LB Outbound -Charge ticket 1 Manual Tare Wt. 47200 LB i QTY. U IT DESCRIPTION RATE EXTENSION FEE TOTAL. .23.48 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. CHA CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00891657 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/14/ 11 12/14/11 10:12 10:12 11100TC 009304 Winters Brothers • Manual Gross Wt. 94160 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB LB OTY U T DESCRIPTION RATE EXTENSION FEE TOTAL 23.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TOES, NOV 8, 2011 ELECTION DAY TENDERED FRI, NOV 11, 2011 VETERAN'S DAY. HA CHECK NO. SIGNATURE NQ. 6131 ' GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE. (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: r TRAILER NO. LICENSE NO/STATE: f` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET Np. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00891897 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/15/11 12/15/11 08:48 08:48 11100TC 009304 Winters Brothers • . ' Scale 2 Gross Wt. 85380 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 18.69 ~ TON OUTGO.MSW 0.000 0.00 ~ 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~I CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HA CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00891897 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/15/11 12/15/11 08:48 08:48 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 85380 LB Outbound -Charge ticket i Manual Tare Wt. 48000 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 18.69 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S A CHECK NO. SIGNATURE NQ. b133 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: ~ U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ ~ , f _ TRUCK NO. LICENSE NO/STATE: T~ ~ _ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED :1P AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAMES (SIGNATUR€) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE A80VE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROV;DEG 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 00891894 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/15/11 12/15/11 08:41 08:50 009304 Winters Brothers • 11121 TC Scale 2 Gross Wt. 85240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.26 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089189 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/15/11 12/15/11 08:41 08:50 009304 Winters Brothers 11121TC Scale 2 Gross Wt. 85240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36720 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.26 TO 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HA E CHECK NO. , ~'GNATURE ~r T T No. 7 4 5 3 GENERATOR ~ THIS MANIFEST IS FOR REFERENCE PURPOSES ON4Y. 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: 1 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 HAZAFDOUS 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 SOUTH04D TOWN DEPT SOLID WASTE ' 01 00892101 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/16/ 11 12116/ 11 09:49 10:03 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 79920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36660 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S ' J HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00892101 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/16/ 11 12/16/ 11 09:49 10:03 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 79920 LB Outbound -Charge ticket Scale 1 Tare Wt. 36660 LB 43260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.63 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH rENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHECK NO. SIGNATURE NQ. 6134 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: r. TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED 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 SOUTP~ 2D TOWN DEPT SOLID WASTE 01 00892074 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME Ol1T VEHICLE ROLL OFF Cutchogue, NY 11935 12/16/11 12/16/11 08:07 08:20 11100TC 009304 Winters Brothers - - Scale 2 Gross Wt. 84500 LB Outbound -Charge ticket Scale 1 Tare Wt. 36400 LB DTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.05 TON OUTGO.MSW 0.000 0.00 0.00 ~ 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. ~ SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089207 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME tN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/16/11 12/16/11 08:07 08:20 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 84500 LB Outbound -Charge ticket Scale 1 Tare Wt. 36400 LB LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL _ 24.05 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S H N CHECK NO. ~IGi~lA?Lii3L No. 745 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: z 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: ` ~ . 1 TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. t fl t DRIVER: r t (PRINT NAME) l (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. 51TE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOL,D TOWN DEPT SOLID WASTE 01 00892263 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/17/11 12/17/11 08:30 08:39 11121 TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 78660 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB _ QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL ~ 21.25 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HA CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00892263 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/17/11 12/17/11 08:30 08:39 11121TC 009304 Winters Brothers ~ - - Scale 2 Gross Wt. 78660 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.25 TONS 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHECK NO. SIGNATURE No. 7 4 51 GEN~fiAT"vR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: f 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) s= (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 11 TRUCK NO. t~. LICENSE NO/STATE: ~ f ~ i TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: " (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ~ ADDRESS: i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE 1!;:Y: 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 00892275 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/17/11 12/17/11 09:09 09:09 11100TC 009304 Winters Brothers i - ~ Scale 2 Gross Wt. 80160 LB Outbound -Charge ticket Manual Tare Wt. 36620 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.77 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i i ~ _ _ Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. i SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089227 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/17/11 12/17/11 09:09 09:09 11100TC 009304 Winters Brothers • ~ ~ Scale 2 Gross Wt. 80160 LB Outbound -Charge ticket Manual Tare Wt. 36620 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.77 TO OUTGO.MSW 0.000 0.00 0.00 0.00 1 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S A E CHECK NO. ' "r,_ No. 6135 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 [`ELiVERED WITHOUT INCIDENT TO THE DES fINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/GATE KFY 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 00892714 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/19/11 12/19/11 ~ 09:44 09:44 11100TC 009304 Winters Brothers ~ . Manual Gross Wt. 69280 LB Outbound -Charge ticket Manual Tare Wt. 37560 LB QTY. DESCRIPTION RATE EXTENSION FEE TOTAL 15.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN CHECK NO. SIGNATURE ' SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00892714 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/19/11 12/19/11 09:44 09:44 11100TC 009304 Winters Brothers Manual Gross Wt. 69280 LB Outbound -Charge ticket Manual Tare Wt. 37560 LB QTY. U 1 DESCRIPTION RATE EXTENSION FEE TOTAL 15.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S A CHECK NO. ~ -,`I I `F" NQ. 6136 ' L ~ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE c' C~ NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 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 00892768 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/19/11 12/19/11 12:26 12:37 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 76740 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 20.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00892768 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/19/11 12/19/11 12:26 12:37 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 76740 LB Outbound -Charge ticket Scale 1 Tare Wt. 36200 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL _ 20.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHECK NO. SIGNATURE No. 7 4 5 0 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED ANO DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ~ ~ : ~ ~ ? 1 TRAILER NO. LICENSE NO/STATE: f-~ J~~~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: i. v (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 WEIGHMASTFF+. "DUPLICATE TICKET** - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00892913 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12,'20/ 11 12/20/ 11 10:38 10:38 11100TC 009304 Winters Brothers • . ~ Manual Gross Wt. 94120 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB QTY. I D SCR PTION RATE EXTENSION FEE TOTAL 23.46 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. .0 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SIT~TICKET GRID WEIGHMASTER **DUPLICATE TICKET** I - SOUTHOLD TOWN DEPT SOLID WASTE 01 00892913 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/20/ 11 12/20/ 11 10:38 10:38 11100T C 009304 Winters Brothers Manual Gross Wt. 94120 LB Outbound -Charge ticket Manual Tare Wt. 47200 LB _ OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 23.46 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT. DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S AN CHECK NO. SIGNATURE No. 613 7 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;000S WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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: I ICI RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ~I 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** SOUTHOLD TOWN DEPT SOLID WASTE 01 00892893 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/20/11 12/20/11 09:47 10:05 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 78440 LB Outbound -Charge ticket Scale 1 Tare Wt. 36540 LB QTY. U I DESCRIPTION RATE EXTENSION FEE TOTAL 20.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH rENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00892893 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/20/11 12/20/11 09:47 10:05 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 78440 LB Outbound -Charge ticket Jl Scale 1 Tare Wt. 36540 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 20.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S A CHECK NO. ^,irni~Ti ~rzF No. 7449 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: 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. J 1: DRIVER: _ y (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED 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 WEIGHMASif **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893067 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE r-.n~ ~~c Cutchogue, NY 11935 - 12/21 /11 12/21 /11 08:20 08:47 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 78100 LB Outbound -Charge ticket Scale 1 Tare Wt. 35760 LB OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.17 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ _ Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 , NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893067 GS 6155 Cox Lane, PO Box 962 DATE IN OATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 , 12/21/11 12/21/11 08:20 08:47 11100TC I 009304 Winters Brothers Scale 2 Gross Wt. 78100 LB Outbound -Charge ticket Scale 1 Tare Wt. 35760 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL i 21.17 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHECK NO. SIGNATURE r - No. 613 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 1 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 TC<APPLICABLE REGULATION. _ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEV: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMAS i **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893071 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/21/11 12/21/11 08:35 08:49 11121TC 009304 Winters Brothers • . Scale 2 Gross Wt. 77080 LB Outbound -Charge ticket Scale 1 Tare Wt. 36600 LB TY. O UNI DESCRIPTION RATE EXTENSION FEE TOTAL_ 20.24 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893071 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/21 /11 12/21 /11 08:35 08:49 ~ 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 77080 LB Outbound -Charge ticket Scale 1 Tare Wt. 36600 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 20.24 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S A E CHECK NO. SIGNATURE No. 7448 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 ,QNY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (91GNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. i r ~ ' TRUCK NO. ~ LICENSE NO/STATE: ~ ~ = I TRAILER NO. ~ LICENSE NO/STATE: ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: I (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ ; ~ ii DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ _ _ _ AUTHORIZED AGENT(PRINT NAME; SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I sirE'I **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893234 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/22/11 12/22/11 08:36 08:36 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91660 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB i OTV. _ DESCRIPTION RATE EXTENSION FEE TOTAL 21.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893234 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/22/11 12/22/11 08:36 08:36 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91660 LB Outbound -Charge ticket I\ Manual Tare Wt. 48000 LB Qn'~ U DESCRIPTION RATE EXTENSION FEE TOTAL 21.83 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S C N E CHECK NO. ~~1;,.., J'r3t ~ - NQ. 613 9 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 2.61 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOA T~'ANSPORTATION 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: GATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE xEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID `JEIGHMAR' *'DUPLICATE TICKET** - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00893366 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 1 ROLL OFF Cutchogue, NY 11935 12/23/11 12/23/11 07:24 07:35 11121TC 009304 Winters Brothers • , i Scale 2 Gross Wt. 81300 LB Outbound -Charge ticket Scale 1 Tare Wt. 37740 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 21.78 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 li NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00893366 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - JI 12/23/11 12/23/11 07:24 ~ 07:35 11121 TC ~ 009304 Winters Brothers Scale 2 Gross Wt. 81300 LB Outbound -Charge ticket Scale 1 Tare Wt. 37740 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S E CHECK NO. SIGNATURE No. l 4 4 7 ~ ' GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r TRUCK NO. LICENSE NO/STATE: 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. j.: _ ~f DRIVER: i i , . II (PRINT NAME) / l' (SIGNATURE) DESTINATION III I 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 GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTF'", SOUTHOLD TOWN DEPT SOLID WASTE 01 00893369 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/23/11 12/23/11 i 08:06 08:49 11100TC , 009304 Winters Brothers Scale 2 Gross Wt. 76860 LB Outbound -Charge ticket Scale 1 Tare Wt. 35920 LB QTY. SC IPTION RATE EXTENSION FEE TOTAL 20.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00893369 GS 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/23/11 12/23/11 08:06 08:49 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 76860 LB Outbound -Charge ticket Scale 1 Tare Wt. 35920 LB (]TY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 20.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S RANGE CHECK NO. SI~aNAf~iHc r No. 6140 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 LIABIItTY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: T 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 GRIi? WEIGHMAi SOUTHOLD TOWN DEPT SOLID WASTE 01 00893477 ' GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/24/11 12/24/11 07:45 07:45 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 85600 LB Outbound -Charge ticket Manual Tare Wt. 36660 LB _ QTY. DESCRIPTION RATE EXTENSION FEE TOTAL 24.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. D.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00893477 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/24/11 12/24/11 07:45 07:45 11100TC 009304 Winters Brothers , . Scale 2 Gross Wt. 85600 LB Outbound -Charge ticket Manual Tare Wt. 36660 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL ~ 24.47 TON OUTGO.MSW ~ 0.000 0.00 0.00 OAO 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S I j HAN E ` CHECK NO. SIGNATURE _ I _ No. 6141 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) (SIGjr1ATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ' - 1 - TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: < DATE DELIVERED:_ ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION 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 00893712 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/27/11 ~ 12/27/11 07:14 07:27 11121 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 75240 LB Outbound -Charge ticket Scale 1 Tare Wt. 35220 LB QTY. IPTION RATE EXTENSION FEE TOTAL 20.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00893712 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/27/11 12/27/11 07:14 07:27 11121 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 75240 LB Outbound -Charge ticket Scale 1 Tare Wt. 35220 LB OTY. PTION RATE EXTENSION FEE TOTAL 20.01 TON OUTGO.MSW 0.000 0.00 0.00 ~ 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. ~I~~f~if1TURE No. 7446 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: - COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ LICENSE NO/STATE: ! ~ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERfAL WAS PICKED UP AT 7HE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ i ~ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I SITE TICKET GRID WEIGHMASTER '"`DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00893727 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 12/27/11 12/27/11 08:41 08:41 11100TC 009304 Winters Brothers Manual Gross Wt. 94420 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB QTY. IPTION RATE EXTENSION FEE TOTAL 23.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HANGE III CHECK NO. I SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 00893727 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/27/11 12/27/11 08:41 08:41 11100TC 009304 Winters Brothers • - Manual Gross Wt. 94420 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB QTY. DESCRIPTION RATE EXTENSION FEE TOTAL 23.21 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S f_ r__ CHAN E CHECK NO. SIGNATURE NQ. 6142 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 8Y 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND !S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) i~ TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. I, I DRIVER: (PRINT NAME) (SIGNATURE) - ~I DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: i 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 TflANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - - - I SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00893767 Steph 6155 Cox Lane, PO Box 962 4gTE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/27/11 12/27/11 10:06 10:18 11121 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 82000 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 23.40 TON OUTGO.MSW 0.000 0.00 0.00 i 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S F--- CHANGE i~ CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00893767 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/27/11 12/27/11 10:06 10:18 11121 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 82000 LB Outbound -Charge ticket Scale 1 Tare Wt. 35200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 23.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HANG CHECK NO. ~ NO. 7445 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: L ~ ~ ~ r SHIP DATE: _ COMMODITY SHIPPED: ' ! ~ f. 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 HAZAEtiDOUS 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. rr t- ~ l ~ ~ _ 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 THA"i IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -s r DRIVER: _ ~ b~- (PRINT NAME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: li~~~i ~ • ~ i DATE DELIVERED:,' ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED I TRI,E 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 00893936 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/28/11 12/28/11 08:14 08:32 11100TC 009304 Winters Brothers II • l' Scale 2 Gross Wt. 76880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37520 LB QTY. IPTIO RATE EXTENSION FEE TOTAL ~ 19.68 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S E CHECK NO. I- SIGNATURE _ _ - ~ SITE TICKET GRID WEIGHMASTER '*DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00893936 GS 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/28/11 12/28/11 08:14 08:32 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 76880 LB Outbound -Charge ticket Scale 1 Tare Wt. 37520 LB QTY. DESC IPTION RATE EXTENSION FEE TOTAL 19.68 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHANGE CHECK NO. _;i~iNATURF NQ. 614 3 GENERAaOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION pR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) {SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00894115 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL nFF Cutchogue, NY 11935 12/29!11 12/29/11 ~ 08:54 09:07 11100TC 009304 Winters Brothers . - ~ - Scale 2 Gross Wt. 73620 LB Outbound -Charge ticket Scale 1 Tare Wt. 38420 LB QTY. IPTION RATE EXTENSION FEE TOTAI 17.60 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHANGE CHECK NO. SIGNATURE - ~ SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00894115 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/29/11 12!29111 08:54 09:07 11100TC 009304 Winters Brothers J Scale 2 Gross Wt. 73620 LB Outbound -Charge ticket Scale 1 Tare Wt. 38420 LB QTY. PTION RATE EXTENSION FEE TOTAL 17.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~ CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S _ HA E CHECK NO. SIGNATURE . _ _ _ _ J~ No. 6144 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. !i TRUCK NO. LICENSE NO/STATE: ,~I TRAILER NO. ~ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: . DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00894120 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/29/11 12/29/11 09:39 09:49 009304 Winters Brothers . - 11121TC ~ Scale 2 Gross Wt. 68680 LB Outbound -Charge ticket Scale 1 Tare Wt. 36440 LB OTY. C IPTION RATE EXTENSION FEE TOTAL 16.12 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:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HANGE f CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00894120 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/29/11 12/29/11 09:39 09:49 009304 Winters Brothers . - 11121TC Scale 2 Gross Wt. 68680 LB Outbound -Charge ticket Scale 1 Tare Wt. 36440 LB QTY. PTION RATE EXTENSION FEE TOTAL 16.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - - - Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN E CHECK NO. ~IGN;;~Uf~E No. 5 9 4 0 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED 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 f HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO THAT IT VVAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ! ~ (PRINT NAME) i~~' (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE A80VE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: _ _ AUTHORIZED AGENT(PRINT 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 TIl'Ki i GRID :"JF!(i'-1PJIi'.' SOUTHOLD TOWN DEPT SOLID WASTE 01 0089427 MC , 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/30/11 12/30/11 I 07:51 08:00 11121 TC 0093D4 Winters Brothers • , Scale 2 Gross Wt. 84200 LB Outbound -Charge ticket Scale 1 Tare Wt. 35700 LB OTY. I D PTION RATE EXTENSION FEE TOTAL 24.25 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0089427 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/30/11 12/30/11 07:51 08:00 11121 TC 009304 Winters Brothers • i Scale 2 Gross Wt. 84200 LB Outbound -Charge ticket j Scale 1 Tare Wt. 35700 LB OTY. N DESCRIPTION RATE EXTENSION FEE TOTAL 24.25 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S ANGE i CHECK NO. =,Ila ~l r"~TURE No. 7383 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: w ~ 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. ~ r - ~r TRUCK NO. LICENSE NO/STATE: ~ ? fr i i ~ ~ ~ ~ r ~ ~ ~ i , TRAILER NO. i LICENSE NO/STATE: ~ . %:~T"~~_ , ~ y I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. l ~ ~ DRIVER: ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ~ it 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 00894273 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE 'ROLL OFF Cutchogue, NY 11935 12/30/11 12/30/11 07:58 08:17 i 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 79940 LB Outbound -Charge ticket Scale 1 Tare Wt. 33540 LB OTY I D PTION RATE EXTENSION FEE TOTAL - - 23.20 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. NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 0089427 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 12/30/11 12/30/11 07:58 08:17 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 79940 LB Outbound -Charge ticket Scale 1 Tare Wt. 33540 LB QTY. D TION RATE EXTENSION FEE TOTAL 23.20 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH TENDERED SAT. DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S HAN CHECK NO. ~~iaNAl URF - - No. 6147 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 fS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f TRUCK NO. LICENSE NO/STATE: ~ ~ i 1 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. **DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 00894511 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/31/11 12/31/11 09:22 09:33 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 83360 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB Net Weight 46900 LB 23.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00894511 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/31/11 12/31/11 09:22 09:33 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 83360 LB Outbound -Charge ticket Scale 1 Tare Wt. 36460 LB Net Weight 46900 LB 23.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN. JAN 1ST NEW YEAR'S No. 7442 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: ! ' TRAILER NO. LICENSE NO/STATE: ~ ~ I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i'~ ~ DRIVER: (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 "`DUPLICATE TICKET*"' 'i SOUTHOLD TOWN DEPT SOLID WASTE 01 00894495 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 ' 12/31/11 12/31/11 08:30 08:30 11100TC i 009304 Winters Brothers Manual Gross Wt. 84200 LB Outbound -Charge ticket Manual Tare Wt. 35400 LB Net Weight 48800 LB 24.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S ""DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00894495 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/31 /11 12/31 / 11 08:30 08:30 11100TC 009304 Winters Brothers Manual Gross Wt. 84200 LB Outbound -Charge ticket Manual Tare Wt. 35400 LB Net Weight 48800 LB 24.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S 1 - ~ No. 6148 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 °t~ ' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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 CERTIFYTHATTHE ABOVE MATERIAL. FiAS BEEN ACCEPTED AND TO TfiE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVF_D BY. _ _ AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 00894489 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/31 /11 12/31 /11 08:13 08:25 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 75100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36120 LB Net Weight 38980 LB 19.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S SOUTHOLD TOWN DEPT SOLID WASTE 01 00894489 GS 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 12/31/11 12/31/11 08:13 08:25 11103TC 009304 Winters Brothers Scale 2 Gross Wt. 75100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36120 LB Net Weight 38980 LB 19.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED:SAT, DEC 24TH 12:00 NOON, SUN, DEC 25TH SAT, DEC 31TH, 12:00 NOON AND SUN, JAN 1ST NEW YEAR'S NO. r::; GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND 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 TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. _ _ TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/GATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.