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
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