HomeMy WebLinkAbout02/2012 SITE TICKET GRID WEIGHMASTi
_ -
SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00898056 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~ I
02!01/12 02/01/12 ~ 08:05 08:40 11106TC
009304 Winters Brothers ~ .
- -
Scale 2 Gross Wt. 79880 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36680 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
~ 21.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 16, 2012 TENDERED
MARTIN LUTHER KING DAY!
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898056 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/01/12 02/01/12 08:05 08:40 11106TC
009304 Winters Brothers
~ Scale 2 Gross Wt. 79880 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36680 LB
OTY. 0 TION RATE EXTENSION FEE TOTAL
21.60 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: MONDAY, JANUARY 16, 2012 TENDERED
MARTIN LUTHER KING DAY!
A
CHECK NO.
SIGNATUNE
No. 618 3
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAFsDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SI NATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. _
TRUCK NO. LICENSE NO/STATE: -
TRAILER NO. LICENSE NO/STATE:
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.
DHIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
/
DISPOSAL LOCATION: _j. 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 1'~~~I~,
"DUPLICATE TICKET" ~ - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898163 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/D2/12 02!02/12 08:36 08:36 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 83560 LB Outbound -Charge ticket
Manual Tare Wt. 36780 LB
QT'S IPTION RATE EXTENSION FEE TOTAL
23.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 16, 2012 TENDERED
MARTIN LUTHER KING DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"'DUPLICATE TICKET'"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898163 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/02/12 02/02/12 08:36 08:36 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 83560 LB Outbound -Charge ticket
Manual Tare Wt. 36780 LB
OTY. PTION RATE EXTENSION FEE TOTAL ~
23.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 16, 2012 TENDERED
MARTIN LUTHER KING DAY!
E
CHECK NO.
~,IGr;ATURE-
No. 6184
GENERATOR ~I
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: 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 rHE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEV: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID wEIGHMASTER
"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898162 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
02/~2/12 02/02/12 08:35 08:37 20795TR
009304 Winters Brothers ~ .
-
Scale 2 Gross Wt. 76340 LB Outbound -Charge ticket
Manual Tare Wt. 36420 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
19.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, JANUARY 16, 2012 TENDERED
MARTIN LUTHER KING DAY!
RANGE
CHECK NO.
9iGl`iATURF
f _
No. 1042
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 i
TRANSPORTATION/FREIGHT CO. it
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 00898263 MC i
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME DUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/03/12 02/03/12 09:17 09:17 11110TC
009304 Winters Brothers , .
Scale 2 Gross Wt. 81160 LB Outbound -Charge ticket
Manual Tare Wt. 38560 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
21.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898263 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~
02/03/12 02/03/12 ~ 09:17 09:17 11110TC
009304 Winters Brothers ~
- i
Scale 2 Gross Wt. 81160 LB Outbound -Charge ticket
Manual Tare Wt. 38560 LB
QTY. PTION RATE EXTENSION FEE TOTAL
21.30 TON i OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
SIGNATURE
i
No. 6185
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ~ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: '
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
COLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
f' SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898314 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/03/12 02/03/12 12:02 12:18 11110TC ,
009304 Winters Brothers ~ .
i
- - J
Scale 2 Gross Wt. 85360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37480 LB
OTY• E IPTION RATE EXTENSION FEE TOTAL
23.94 TON OUTGO.MSW 0.000 0.00 j 0.00 0.00
_ _ _
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN E
CHECK NO.
SIGNATURE
51TE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898314 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME DUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/03/12 02/03/12 12:02 12:18 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 85360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37480 LB
QTY. D C PTION RATE EXTENSION FEE TOTAL
23.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 _
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN E
CHECK NO.
SIGNATURE _
No. 618 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.
TRUCK NO. LICENSE NO/STATE: T~ f
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED AE30VE, AND TRAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
CRIVER:
(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 00898394 GS
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
0?.f04/12 02/04/12 .08:28 08:40 11110TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 84640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36640 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
24.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRI? WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898394 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/04/12 02/04/12 i 08:28 08:40 11110TC
009304 Winters Brothers
~ Scale 2 Gross Wt. 84640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36640 LB
~ QTY. U IPTION RATE EXTENSION FEE TOTAL
24.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
E
CHECK NO.
SIGNATURE
No. 6190
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 LIpUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 O,R ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION A000RDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
iS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-SITE TICKET GRID MEIGHMASI
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898677 MC
6155 Cor„ Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/06/12 02/06/12 09:57 10:18 11110TC
009304 Winters Brothers • ,
i
Scale 2 Gross Wt. 76800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39100 LB
< QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
18.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 2.0, 2012 TENDERED
PRESIDENTS DAY!
CHANGE ~
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898677 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/06/12 02/06/12 09:57 10:18 11110TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 76800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 39100 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
18.85 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
'ti: - -
,r
No. 6191
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, 1S NOT HAZAf ~t)OUS 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(PRIN7 NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: '
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ( 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) 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 00898832 Dan ~
6155 fox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue,tidY 11935
02/07/12 i 02/07/12 12:54 13:03 11121 TC
009304 Winters Brothers ~ _
Scale 2 Gross Wt. 74620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36640 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
18.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOID TOWN DEPT SOLID WASTE 01 00898832 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/07/12 02/07/12 12:54 13:03 11121TC
009304 Winters Brothers
Scale 2 Gross Wt. 74620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36640 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
18.99 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
A
CHECK NO. _ i
SIGNATURE
r 1 '
No. 1547
GENERATOR
TfifS 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 OE7=fNED 8Y 44 CFR PART 261 OR ANY APPLICABLE STATE LAW. hIAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
' TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 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) SSGGNATURE}
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} SIGNATUREfDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-
SITE TIC:K~'~ GRID WEIGFI''
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898803 Dan
6155•Cox I~~'~e, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cuff ~gue,'NY 11935
02/07/12 02/07/12 10:44 10:57 11110TC
009304 Winters Brothers •
Scale 2 Gross Wt. 93920 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37820 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
28.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898803 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/07/12 02/07/12 10:44 ' 10:57 11110TC ,
009304 Winters Brothers • ,
Scale 2 Gross Wt. 93920 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37820 LB
OTY UNI DESCRIPTION RATE EXTENSION FEE TOTAL
28.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
;iGiNA-LURE - - - -
i
-
NO. 6193
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 LIOU10 AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE IAW, IS NOT HAZA`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 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
15 TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD 70 GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898774 Dan
6155 Cox Lane PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cctchogue, NY 11935
02/07/12 02/07/12 07:55 08:06 11121TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 76820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. U DE CRIPTION RATE EXTENSION FEE TOTAL
20.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ~
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANG
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
`*DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898774 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/07/12 02/07/12 07:55 08:06 11121TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 76820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
20.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
G,~~dAi UHC
No. 1548
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) {SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOL'D TOWN DEPT SOLID WASTE 01 00898770 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/07/12 02/07/12 07:06 07:17 11100TC
009304 Winters Brothers
III
~I Scale 2 Gross Wt. 81420 LB Outbound -Charge ticket ~
Scale 1 Tare Wt. 38980 LB
OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
21.22 TON OUTGO.MSW 0.000 0.00 i 0.00 0.00
i
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. ' li
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0089877 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/07/12 ~ 02/07/12 07:06 07:17 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 81420 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38980 LB
OTY, U I DESCRIPTION RATE EXTENSION FEE TOTAL
21.22 TON OUTGO.MSW 0.000 i 0.00 0.00 0.00
I ,
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
E
CHECK NO.
SIGNATURE
No. 6192
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. LICEN5'E 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 8Y:
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 0089888 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/08/12 02/08/12 07:36 08:11 11110TC
009304 Winters Brothers
I
Scale 2 Gross Wt. 80660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38100 LB
QTY. D TION RATE EXTENSION FEE TOTAL
21.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~QO-
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
I
SITE TICKET GRID WEIGHMASTER i
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0089888 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/08/12 02/08/12 07:36 08:11 11110TC
009304 Winters Brothers • .
~ Scale 2 Gross Wt. 80660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38100 LB
QTY. D PTION RATE EXTENSION FEE TOTAL ~
21.28 TO OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
A
CHECK NO. ~
~'GNATURF
- No. 619 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 TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ~ (SIGNATURE)
TRANSPOB?,'; cA~
TRANSPORTATION/FREIGHT
i
TRUCK NO.__ LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: '
~'EREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE ANO ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
`*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898940 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ~
Cutchogue, NY 11935
02/08/12 02/08/12 12:07 12:07 11110TC
009304 Winters Brothers • _
j Scale 2 Gross Wt. 93960 LB Outbound -Charge ticket '
Manual Tare Wt. 48200 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
22.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGS
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET"`"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00898940 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/08/12 02/08/12 12:07 12:07 11110TC
009304 Winters Brothers •
~ Scale 2 Gross Wt. 93960 LB Outbound -Charge ticket
Manual Tare Wt. 48200 LB
QTY. I IPTION RATE EXTENSION FEE TOTAL
22.88 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.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERS°-
PRESIDENTS DAY!
H,~>~~ : -
No. 6195
1
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 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) GNATURE)
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 PROVID[D
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 00898998 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/09/12 02/09/12 10:34 10:52 11106TC
009304 Winters Brothers . _
I
Scale 2 Gross Wt. 75760 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35400 LB
OTY. U IPTION RATE EXTENSION FEE TOTAL
20.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E 'I
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0089899 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/09/12 02/09/12 ~ 10:34 10:52 11106TC
009304 Winters Brothers
Scale 2 Gross Wt. 75760 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35400 LB
QTY. D TION RATE EXTENSION FEE TOTAL
20.18 TO OUTGO.MSW 0.000 0.00 0.00 0.00
i
- -
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~ 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
31Gi~ATURF - - _ -
I
No. 6196
GENERATOR
THIS MANIFEST tS 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 Q14 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) F (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 LIST>-D 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 1 RUE AND ACCURATE:
RECEIVED BY: _
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DOTE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GR ; WEIGHMASTER
l
i
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899049 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/10/12 02/10/12 09:02 09:02 11106TC
I
009304 Winters Brothers • .
t
-
Scale 2 Gross Wt. 85900 LB Outbound -Charge ticket
Manual Tare Wt. 46800 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
19.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 ~
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN E
CHECK NO.
SIGNATURE
I
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899049 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/10/12 02/10/12 09:02 09:02 11106TC
009304 Winters Brothers
Scale 2 Gross Wt. 85900 LB Outbound -Charge ticket
Manual Tare Wt. 46800 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
19.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
SIGNATURE
No. 6197
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 TRAN$PORTATfpN 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 uSTED 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 ACCEP 1 ED AND TO THE BEST Of= MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAMF1 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 00899085 BM
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/10/12 02/10/12 12:14 12:14 11106TC
009304 Winters Brothers • ,
Manual Gross Wt. 82860 LB Outbound -Charge ticket
Manual Tare Wt. 36980 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
22.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
I
I
i
I
~
- -
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0089908 BM
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
02/10/12 02/10/12 12:14 12:14 11106TC
009304 Winters Brothers
I
Manual Gross Wt. 82860 LB Outbound -Charge ticket
Manual Tare Wt. 36980 LB
QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL
22.94 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE
No. 6198
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND !S IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: /
~F'~
TRAILER NO. r` LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WA5
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT 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
!S 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 00899301 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchoeue, NY 11935
02/13/12 02/13/12 09:14 09:40 11106TC
009304 Winters Brothers
•
- I
i
it Scale 2 Gross Wt. 88040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 32700 LB
4 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
27.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED _
PRESIDENTS DAY!
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899301 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/13/12 02/13/12 09:14 09:40 11106TC
009304 Winters Brothers
Scale 2 Gross Wt. 88040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 32700 LB
ei ht 55340 LB
QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
27.67 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
Il~:~iNSURE
No. 6199
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT): _
TRUCK WEIGHT: GROSS
TARE
NET
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
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 RELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY GERTIFY 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 00899334 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/13/12 02/13/12 ~ 12:17 12:42 11106TC ~
009304 Winters Brothers
I
Scale 2 Gross Wt. 74860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 34960 LB
QTY. S RIPTION RATE EXTENSION FEE TOTAL
19.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
51GNATURE
SITE TICKET GRID WEIGHMASTER
*`DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899334 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/13/12 02/13/12 12:17 12:42 11106TC
i
009304 Winters Brothers • .
i
Scale 2 Gross Wt. 74860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 34960 LB
QTY. I DESCRIPTION RATE EXTENSION FEE TOTAL
~ 19.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
\ _ _
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 reNDEReD
PRESIDENTS DAY!
CHECK NO.
. ~ Ott -
*~i
NQ. 6 2 0 0
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOTTAKE 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: ;Cl.) YDS)
BALES: (COUNT):
TRUCK WEIGHT: I ' 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. ,f _ _ _
TRUCK NO. LICENSE NO/STATE: i % i
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT W'AS
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 8Y:
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 00899385 Steph
6155 Cox Lane, PO Box 962 GATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ,
Q2/14/12 02/14/12 08:10 08:24 11106TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 88260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 46100 LB
QTY. D IPTION RATE EXTENSION FEE TOTAL
21.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET'*
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899385 Steph
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 i
02/14/12 02/14/12 i 08:10 08:24 11106TC
009304 Winters Brothers
Scale 2 Gross Wt. 88260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 46100 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
21.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE
No. 16 3 2
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899383 Steph
6155 Cox Lane, PO Box 962 ,DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/14/12 02/14/12 07:49 08:04
009304 Winters Brothers
11101TC
Scale 2 Gross Wt. 82300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
23.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899383 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/14/12 02/14/12 07:49 08:04
009304 Winters Brothers
~ 11101TC
Scale 2 Gross Wt. 82300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
23.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN
CHECK NO.
. SIGNATURE
No. 10 5 6
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
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:
TRAfLER 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 j ~ ,f~tD ~ VJEIGHtv1ASTER
'*DUPLICATE TICKET** ~ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899523 Steph
6155 Cox Lane, PO Box 962 DATE IN DArE OuT ' tIME ~+t TIME t'r vEHlcl~ ROt.t OFF
Cutchogue, NY 11935
02/15/12 02/15/12 11:08 11:24 11106TC
009304 Winters Brothers ~ ~ .
Scale 2 Gross Wt. 75480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
eta! _ u ____--_S t ~ . ~'r'~ -~~s~c~t ; 7Crrru;~>
' - -
19.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00
ii
I
3u ~
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
SIGNATURE
SITE
,
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899523 Steph
6155 Cox Lane, PO Box 962 ~ :I~ pp~ ~
F
Cutchogue, NY 11935
02/15/12 02/15/12 11:08 11:24 11106TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 75480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
~F ~ ~r. - ,
- t
19.30 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.
w , mod.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
Ct1ECK N0.
5il3NAi URE -
r-
NQ. 1634
GENERATOR
I
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
i HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEV: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
-
%
Sr" KET _ ~~iz iJ :EIIGHMASTFR
`"DUPLICATE TICKET*' - ~ '
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899490 Steph
6155 Cox Lane, PO Box 962 ,DATE !td t)ATE OUT riME 1N T~a+E our vEH~cLE ROLL OFF
Cutchogue, NY 11935
02/15/12 02/15/12 08:06 08:24 11106TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 79140 LB Outbound -Charge ticket
Scale 1 Tare Wt. 34840 LB ~i
U ~ DESCRI ~ _ ~ s ,
22.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
a
an
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! ~
SIGNATURE
""DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899490 Steph
6155 Cox Lane, PO Box 962 ~ ~:.~,;,,~idt.LL)FF
Cutchogue, NY 11935 - - -
02/15/12 02/15/12 08:06 08:24 11106TC
009304 Winters Brothers •
Scale 2 Gross Wt. 79140 LB Outbound -Charge ticket
Scale 1 Tare Wt. 34840 LB
, , . -
22.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~~~n
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 ~reNOe~t>=0
PRESIDENTS DAY!
SIGNATURE
NO. ~
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
' COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS !Iv 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 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 ,NMASif i+
**DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899595 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLI. OFF
Cutchogue, NY 11935 - -
02116l12 02/16/12 07:51 08:12 11106TC
009304 Winters Brothers ~ .
~I
- - - - _
Scale 2 Gross Wt. 86800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 45700 LB
OTY. D S PTION I RATE EXTENSION FcE
- _ -,,7q,
20.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
- 1
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. pp
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NO.
81GNATUHE -
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899595 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/16/12 02/16/12 07:51 08:12 11106TC
009304 Winters Brothers •
Scale 2 Gross Wt. 86800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 45700 LB
OTY. I DESC PTION RATE EXTENSION FEE TOTAL
20.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
?'r:
No. 1635
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
1
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899642 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE RO(I OFF
Cutchogue, NY 11935 - I
02/16/12 02/16/12 I 12:34 12:34 11106TC
009304 Winters Brothers • .
I .
-
Scale 2 Gross Wt. 83600 LB Outbound -Charge ticket
Manual Tare Wt. 36840 LB
QTY. PTION RATE EXTENSION FEE TOTAL
23.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 -
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899642 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/16/12 ' 02/16/12 12:34 12:34 11106TC
009304 Winters Brothers •
- ~
Scale 2 Gross Wt. 83600 LB Outbound -Charge ticket
Manual Tare Wt. 36840 LB
aT~'~ D PTION RATE EXTENSION FEE TOTAL
- -
23.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00
~i
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
No. 16 J P~
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SRE TICKET GRID WEIGHMASTER
""DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE , 01 00899692 MC
6155 Cox Lane, PO BOx 962 DATE 1N DATE OUT TIME iN TIME OUT VEHICLE ROLL OAF
Cutchogue, NY 11935 '
02/17/12 02/17112 08:12 08:33 11106TC
009304 Winters Brothers • '
Scale 2 Gross Wt. 77620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36220 LB
OTY. U S IPTION RATE EXTENSION FEE TUTAL
20.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00
•
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TEN~EREO
NEXT HOLIDAY GLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! HA E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"`DUPLICATE TICKET'"
SOUTHOLD TOWN DEPT 50LID WASTE 01 00899692 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ;
02/17/12 02/17/12 08:12 08:33 11106TC
009304 Winters Brothers
Scale 2 Gross Wt. 77620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36220 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
20.70 TON OUTGO.MSW 0.000 0.00 ~ 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS - OUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
E
CHECK NO.
SIGNATURE
4
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTEF
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899735 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/17/12 02/17/12 12:17 13:02 11106TC
009304 Winters Brothers •
Scale 2 Gross Wt. 84500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35480 LB
OTY. I D PTION RATE EXTENSION FEE TOTAL
' 24.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDEREO__
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899735 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/17/12 02/17/12 12:17 13:02 11106TC
009304 Winters Brothers • -
~
Scale 2 Gross Wt. 84500 LB Outbound -Charge ticket
i
Scale 1 Tare Wt. 35480 LB
QTY. U I D SCRIPTION RATE EXTENSION FEE TOTAL
24.51 TONI OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED -
PRESIDENTS DAY!
HANG
CHECK NO.
• r,~ ,,FBI:
NO.
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATt'RIALS
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:
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 TIC GRID - ;^J!=I-,7r:q,°
'*DUPLICATE TICKET'" -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899800 GS
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE Rill I OF ~
Cutchogue, NY 11935 ~ i
02/18/12 02!18/12 08:20 08:36 ~ 11106TC
009304 Winters Brothers ~ ,
i
Scale 2 Gross Wt. 82960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
OTY. U SC PTION RATE EXTENSION FEE TOT:ai
23.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED _
PRESIDENTS DAY!
RANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00899800 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/18/12 02/18/12 08:20 08:36 11106TC
009304 Winters Brothers ~ ,
Scale 2 Gross Wt. 82960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
QTY. UNI D SCRIPTION RATE EXTENSION FEE TOTAL
23.22 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN E
CHECK NO.
SIGNATURE
NQ. 16 3 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.
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 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.
r SITE TICKET GRID WEIGHMASTER
`*DUPLICATE TICKET** - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 O(f~J00142 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE Rnl I nor
Cutchogue, NY 11935
02/21/12 02/21/12 ~ 10:49 11:10 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 87920 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36120 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE Tc.~u,,
i
25.90 ~ TON OUTGO.MSW 0.000 i 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED -
PRESIDENTS DAY!
RANGE
CHECK NO. ~
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090014 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/21 /12 02/21 /12 10:49 11:10 11100TC
009304 Winters Brothers • _
Scale 2 Gross Wt. 87920 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36120 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
25.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED -
PRESIDENTS DAY!
A E
CHECK NO.
>!.~NAiUfiL - - - - - -
~
NO.
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
:SITE TICKET GRID WEIGHMA!-'
""DUPLICATE TICKET" - - - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900085 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE Rnl I nor
Cutchogue, NY 11935
02/21/12 02/21/12 07:38 07:58 11100TC
009304 Winters Brothers • .
i
Scale 2 Gross Wt. 80300 LB Outbound -Charge ticket ~
Scale 1 Tare Wt. 37340 LB
QTY. UNI DE IPTION RATE EXTENSION FEE TOTAL
21.48 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE .
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET""
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900085 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/21/12 ~ 02/21/12 07:38 07:58 11100TC
009304 Winters Brothers •
Scale 2 Gross Wt. 80300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37340 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
21.48 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.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
SIGNATURE _
No. 164
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
'`*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 DD900304 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 02/22/12 11:54 12:04 11100TC
009304 Winters Brothers , _
- i
Scale 2 Gross Wt. 102320 LB Outbound -Charge ticket ~
Manual Tare Wt. 48360 LB
} QTY. IPTION RATE EXTENSION FEE TOTAL
26.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET*`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900304 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 02/22/12 11:54 12:04 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 102320 LB Outbound -Charge ticket
Manual Tare Wt. 48360 LB
QTY UNI DESCRIPTION RATE EXTENSION FEE TOTAL
26.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY! ANG£
i
CHECK NO.
~IGNATUHE ~
• No. ~ ~ 4~ 3
GENERATOR
THfS MANfFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: {CU YDS)
BALES: {COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, 15 NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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)
pESTINATION
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/HATE
KEY: WHITE 70 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 0090025 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 02/22/12 07:54 08:06 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 76000 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. I DES R PTION RATE EXTENSION FEE TOTAL
20.11 ~ 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090025 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 02/22/12 07:54 08:06 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 76000 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35780 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
20.11 TO OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
iGf~~iiUHF
No. 1b42
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900260 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 ' 02/22/12 09:25 09:45 11114TC
009304 Winters Brothers • ,
- ~ r ~
Scale 2 Gross Wt. 79960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. I D C PTION RATE EXTENSION FEE TOTAL
21.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
'*DUPLICATE TICKET*'`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900260 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/22/12 ~ 02/22/12 09:25 09:45 11114TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 79960 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
21.68 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE _ _
NO. ~ r
GENERjATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQU10 AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900381 MC
6155 Cox Lane, PO Sox 962 DATE VN DATE OUT TIME IN T4AAE OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/23112 02/23112 08:05 08:05 11100TC
009304 Winters Brothers • -
Manual Gross Wt. 99060 LS Outbound -Charge ticket
Manual Tare Wt. 4$000 l_B
QTY. U IPTION RATE EXTENSION FEE TOTAL
25.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00
• .
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00
TENDERED
NEXT HOLIDAY GLOSED: MONDAY, FEBRUARY 20, 2012
PRESfDENTS DAY! ANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
*"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900381 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/23/12 02/23/12 08:05 08:05 11100TC
009304 Winters Srathers . •
Manual Gross Wt. 99060 LB Outbound -Charge ticket
Manual Tare Wt. 48000 LB
OTy, D SCR PTION RATE EXTENSION FEE TOTAL
25.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED I-40L1DAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY?
H N E
CHECK NO.
SIGNATURE
I
w
No. 1'6 4 ~
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 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.
T--
~ SITE ~ Tlt'r,i ~ GRID
**DUPLICATE TICKET** _ - •
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900408 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/23/12 02/23/12 10:42 10:59 11100TC
009304 Winters Brothers •
Scale 2 Gross Wt. 86800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36060 LB
\ QTY. U C IPTION RATE EXTENSION FEE TOTAL
25.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID wEIGHMASTER
'*DUPLICATE TICKET** - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900408 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/23/12 02/23/12 10:42 10:59 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 86800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36060 LB
QTY. U C IPTION RATE EXTENSION FEE TOTAL
25.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HANGE
CHECK NQ
~S,(~NAiURE
NO. 16 4 5
GENERATOR
THIS MANfFEST iS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT 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 7HE 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 4D 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 WA5
DEL{VERED 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 D4SPOSAL LOCATION TICKET NO.
SITE TICKET CiHIU vnc~unm~w~cn
'*DUPLICATE TICKET"*
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900499 MC
6155 Cox Lane, PO 8Dx 962 DATE 1N DATE OUT TIME tN TIME BUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/24112 02/24/12 ~ 08:14 08:27 11100TC
009304 Winters Brothers '
Scale 2 Gross Wt. 76460 L8 Outbound -Charge ticket
Scale 1 Tare Wt. 37280 LB
QTY IPTION RATE EXTENSION FEE TOTAL
19.59 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. RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! HA
CHECK NO.
SIGNATURE
SITE 71CKE7 GRID WEIGHMASTER
**DUPLICATE TICKET'`"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900499 MC
6155 Cox Lane, PO Box 962 DATE tN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/24/12 02/24/12 08:14 08:27 11100TC
009304 Winters Brothers •
Scale 2 Gross Wt. 76460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37280 LB
OTy. IPTIO RATE EXTENSION FEE TOTAL
19.59 ~ 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. EN EflED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! HAN E
CHEGK NO.
SIGNATURE
J" f'
NO.
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, 15 NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
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 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 TICKET GRID WEIGHMASTER
**DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900502 MC ~
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/24/12 02/24/12 08:42 08:57 11114TC
009304 Winters Brothers
Scale 2 Gross Wt. 80460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
21.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900502 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/24/12 02/24/12 08:42 08:57 11114TC
009304 Winters Brothers •
Scale 2 Gross Wt. 80460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
QTY. N DESC IPTION RATE EXTENSION FEE TOTAL
21.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED _
PRESIDENTS DAY!
CHECK NO.
,PJa1 LIRA=_
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 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 _ WEIGHMASTFR
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900527 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT CEHICIE ROLL OFF
Cutchogue, NY 11935
02/24/12 02/24/12 11:13 11:33 11100TC
009304 Winters Brothers ~ .
I
Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35940 LB
On'• PTION RATE EXTENSION FEE TOTAL
22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED J
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTFR
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900527 GS
6155 Cox Lane, PO Box 962 DAFE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
02/24/12 02/24/12 11:13 11:33 11100TC
009304 Winters Brothers ~ _
i Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35940 LB
OTY. D PTION RATE EXTENSION FEE TOTAL
22.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN
CHECK NO.
SIGNATURE
NO. ~~4~1
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.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID i ~NEIGHMASTF_1~
-
SOUTHOLD TOWN DEPT SOLID WASTE _ 01 00900576 GS
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/25/12 02/25/12 08:26 08:39 11100TC
009304 Winters Brothers , _
~I Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38180 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
21.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900576 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/25/12 02/25/12 08:26 08:39 11100TC
009304 Winters Brothers , .
Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38180 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
21.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
;I ;ivgl JRE
NQ. 16 4 9
GENERATOR
THiS MANfFEST fS 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 tAW, 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(PRIN7 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 00900850 MC
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/27/12 02/27/12 08:47 09:06 11100TC
009304 Winters Brothers
~
Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
22.46 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900850 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/27/12 02/27/12 08:47 09:06 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 81700 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
22.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
`~I('~NATI iRE
16 8
NO.
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (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) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
*"DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900896 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
' 102/27/12 02/27/12 12:02 12:19 11100TC
009304 Winters Brothers
- - ~
Scale 2 Gross Wt. 79400 LB Outbound -Charge ticket ~
Scale 1 Tare Wt. 35220 LB
QTY. U T DESCRIPTION RATE EXTENSION FEE TOTAL
i
i 22.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN
CHECK NO.
SIGNATURE
SffE TICKET GRID wEIGHMASTER
*"DUPLICATE TICKET" -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900896 MC
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/27/12 02/27/12 12:02 12:19 11100TC
009304 Winters Brothers ~ ,
I
Scale 2 Gross Wt. 79400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35220 LB
QT~'~ DESCRIPTION RATE EXTENSION FEE TOTAL
22.09 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED -
PRESIDENTS DAY!
E
CHECK NO.
~i(~wAiURF
No. 16 9 0
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SRE TICKET QRtD WElGNMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901023 Steph
6155 Cox Lane, PO Box 962
t~J?TE IN Di4TE t3tli' T ~t VEHICLE
Cutchogue, NY 11935
- 02/28!12 02/28/12 11:39 11:53 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 84560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38200 LB
~ QTY. - ~ ~ ~ Al.;
23.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 `'rEND~t~ED
PRESIDENTS DAY!
SIGNATURE - _ _ _
SITE TICKI=`f f3RfD' WEIG#iMAS1'ER ".r
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901023 Steph
,4
6155 Cox Lane, PO Box 962 ~:~~~N pq- ,
M , T ~f ~i
Cutchogue, NY 11935
02/28/12 02/28/12 11:39 11:53 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 84560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38200 LB
23.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
m
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
GhfEGK NA.
SIGNATURE
r--
I
- No. 5 518
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 2fi0.10 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.
it
--T
SITE TICKET GRID WEIGHMAS' !
**DUPLICATE TICKET** _ - -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900970 ' Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/28/12 ~ 02/28/12 ~ 07:59 08:12 11100TC
009304 Winters Brothers • .
I
Scale 2 Gross Wt. 75040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37380 LB
QTY. E IPTION RATE EXTENSION FEE TOTAL.
18.83 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00900970 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/28/12 02/28/12 107:59 08:12 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 75040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37380 LB
QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL
18.83 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: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
SIGNATURE
GENERATOR
' THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
"`DUPLICATE TICKET**
SOIITNOI_C', TOWN DEPT SOLID WASTE 1 00901133 Dan
6155 C ~x Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
2/29/12 02/29/12 h 0:55 1:27 11100TC
009304 Winters Brothers ~ .
_ ~
Scale 2 Gross Wt. 80520 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. I RIPTIO RATE EXTENSION FEE TOTAL
1.96 TON UTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANG
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901133 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/29/12 02/29/12 10:55 11:27 11100TC
009304 Winters Brothers ~ .
~ Scale 2 Gross Wt. 80520 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. IT DESCRIPTION RATE EXTENSION FEE TOTAL
21.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
..;I iF c:~.
,~:,aT~_~q~ -
r
NO. 5520
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ~
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY. WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTFF
SOU1"~10LD TOWN DEPT SOLID WASTE 01 00901103 BM
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/29/12 02/29/12 07:49 08:03 11100TC
009304 Winters Brothers ~ .
~
Scale 2 Gross Wt. 84260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37740 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
23.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE _
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901103 BM
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
02/29/12 02/29/12 07:49 ~ 08:03 11100TC
009304 Winters Brothers ~ .
/
Scale 2 Gross Wt. 84260 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37740 LB
QTY. DE CRIPTION RATE EXTENSION FEE TOTAL
23.26 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA E
CHECK NO.
SIGNATURE
t
No. 5519
GENERATOR
THIS MANIFEST 1S FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE P05SESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION; DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN 70 TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. _