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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. _