HomeMy WebLinkAbout03/2012 SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901229 GS
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 j
03/01 /12 03/01 /12 12:10 12:22 11100TC
009304 Winters Brothers , .
Scale 2 Gross Wt. 75120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36360 LB
QTY. IPTION RATE EXTENSION FEE TC!~-1',_
r---
19.38 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.
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 D1 00901229 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/01/12 03/01/12 12:10 12:22 11100TC
009304 Winters Brothers ~ ,
Scale 2 Gross Wt. 75120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36360 LB
QTY. ES IPTION RATE EXTENSION FEE TOTAL
19.38 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.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
A
CHECK NO.
~Ti, ~oF
I
No. 1702
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: {COUNT}:
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. _ _ _
TRUCK NO. LICENSE NO/STATE: ; { r _
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 5IGNATURE/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 00901205 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 I
03/01/12 03/01/12 ~ 08:59 09:15 11100TC
OOi304 Winters Brothers
Scale 2 Gross Wt. 81400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36700 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
22.35 TON OUTGO.MSW 0.000 ~ 0.00 0.00 0.00
` .
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED
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 00901205 MC
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 li
03/01/12 03/01/12 08:59 09:15 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 81400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36700 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
22.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 T N RED
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE - - _
No. 1701
GENERATOR
TH15 MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: {CU YDS)
BALES: {COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAFIDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND 15 IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. i ! i E
TRUCK NO. LICENSE`NO/STATE: cJ;:.i'
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: I,
{PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: 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-iMASTER
""DUPLICATE TICKET** ~ -
SOUTHOL^ TCWN DEPT SOLID WASTE ' 01 I 00901263 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~
03/02/12 03/02/12 07:40 08:04 11100TC
009304 Winters Brothers
- - I
Scale 2 Gross Wt. 79640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36160 LB
QTY. IPTION RATE EXTENSION FEE ~ TOTAL
21.74 TON OUTGO.MSW 0.000 0.00 0.00 I 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY! _
HAN E
CHECK NO. _ _
I
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901263 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/02/12 03/02/12 ~ 07:40 08:04 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 79640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36160 LB
QTY• IPTION RATE EXTENSION FEE TOTAL
21.74 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!
H
CHECK NO.
SIGNATURE
No. 17 0 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 LIQU10 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 TQAPPLICABLE REGULATION.
r d
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 00901296 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/02/12 03/02/12 10:55 11:08 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 83500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
OTY IPTION RATE EXTENSION FEE TOTAL
23.36 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!
HAN E
CHECK NO.
SIGNATURE - - _ _
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901296 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/02/12 03/02/12 10:55 11:08 11100TC
009304 Winters Brothers • -
I
Scale 2 Gross Wt. 83500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
_ QTY. PTION RATE EXTENSION FEE TOTAL
I
23.36 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!
H
CHECK NO.
SIGNATURE
- ~
J
NO. 1705
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(PRNJT-NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ~ ~~1
TRAILER NO. LICENSE NO/STATE: I
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r~ ' 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.
517E TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901393 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/03/12 03/03/12 ~ 09:00 09:17
009304 Winters Brothers
Scale 2 Gross Wt. 86560 LB Outbound -Charge ticket
Manual Tare Wt. 37200 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
24.68 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
C A
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901393 GS
6155 Cox Lane, PO Box 962 DATE IN GATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/03/12 03/03/12 09:00 09:17
009304 Winters Brothers
Scale 2 Gross Wt. 86560 LB Outbound -Charge ticket
Manual Tare Wt. 37200 LB
OTY. _ f IPTION RATE EXTENSION FEE TOTAL
24.68 i TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
E
CHECK NO.
SIGNATURE
NO. ~ 1 O y
GEtvERATOR
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 X10/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 00901642 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/05/12 03/05/12 ~ 07:01 07:22 11100TC
009304 Winters Brothers . -
' Scale 2 Gross Wt. 81060 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37880 LB J
QTY. IPTION RATE EXTENSION FEE TOTAL
21.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_ I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .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 00901642 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/05/12 03/05/12 07:01 07:22 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 81060 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37880 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
21.59 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
i
CHECK NO.
i
i
NO. 1709
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF~DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
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) 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 00901666 Steph
6155 Cox Lane, PO Box 962 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
' 03/05!12 03!05/12 10:08 10:23 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 77400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
20.44 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 00901666 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/05/12 03/05/12 10:08 10:23 11100TC
009304 Winters Brothers . -
I
Scale 2 Gross Wt. 77400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
QTY. PTION RATE EXTENSION FEE TOTAL
20.44 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. 1710
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, HA5 BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. f~ ,
TRUCK NO. ~ LICENSE NO/STATE:
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:
1
(PRINT NAME) ~ (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED: i
ADDRESS: II
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMAS
**DUPLICATE TICKET** ~ -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901745 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROl L OFF
Cutchogue, NY 11935
03'106/12 03/06/12 I 08:19 08:32 11100TC
009304 Winters Brothers ~ _
I
Scale 2 Gross Wt. 87720 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37400 LB
QTY. U PTION RATE EXTENSION FEE i! ~I;'.',
25.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHANGE
CHECK NO. _ i
SIGNATURE
SITE TICKET GRID WEIGHr,In~ ~ i-
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901745 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLE UFf
Cutchogue, NY 11935
03/06/12 03/06/12 i 08:19 08:32 11100TC
009304 Winters Brothers I ~ .
- ~
Scale 2 Gross Wt. 87720 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37400 LB
QTY. PTION RATE EXTENSION FEE TOTAL
25.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
,r,i1TUF'
No. 1711
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 HAZAi:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TC! APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: / / r 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 TFiE 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
TOLD To GENERATOR DISPOSAL LOCATION TICKET NO.
r SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901848 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/07/12 03/07/12 07:44 08:05 11100TC
009304 Winters Brothers
r
Scale 2 Gross Wt. 95020 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
23.91 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!
HAN
CHECK NO.
SIGNATURE ~
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00901848 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/07/12 03/07/12 07:44 08:05 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 95020 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
QTY. U PTION RATE EXTENSION FEE TOTAL
23.91 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. 1712
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES P{OT 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) r'" (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
1
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT 7HE 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 WEIGHMASTF F<
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090188 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/07/12 03/07/12 11:00 11:34 11100TC
009304 Winters Brothers
~ i
~
~ Scale 2 Gross Wt. 79600 LB Outbound -Charge ticket
Manual Tare Wt. 37560 LB
QTY. U D 1 TION RATE _ EXTENSION FEE TOTAL ~
21.02 TO OUTGO.MSW p.000 0.00 I 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.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
I
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090188 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/07/12 03/07/12 i 11:0 11:34 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 79600 LB Outbound -Charge ticket
Manual Tare Wt. 37560 LB
QTY. U D RI TION RATE EXTENSION FEE TOTAL
21.02 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!
AN E
CHECK NO.
SIGNATURE
i
No. 1713
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:
f 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 WEIGHMA5tLl'
'*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090195 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE and I nFF
Cutchogue, NY 11935
03/08/12 03/08/12 07:02 07:15 11100TC
009304 Winters Brothers ~ .
I
Scale 2 Gross Wt. 77800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36480 LB
QTY. D TION _ I RATE EXTENSION FED
20.66 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. Otl_
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090195 MC
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/08/12 03/08/12 07:02 07:15 11100TC
009304 Winters Brothers ~ .
I
- I
Scale 2 Gross Wt. 77800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36480 LB
QTY. U D I TION RATE EXTENSION FEE TOTAL
20.66 TO OUTGO.MSW o.oo0 0.00 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. 1714
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL GOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT 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 WEIGHMA~''
**DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090198 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/08/12 03/08/12 ~ 10:25 10:44 11100TC
009304 Winters Brothers ~
i
Scale 2 Gross Wt. 80120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37000 LB
OTY. D TION RATE EXTENSION FEE TOTAL
21.56 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!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090198 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/08/12 03/08/12 10:25 10:44 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 80120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37000 LB
OTY. D TION RATE EXTENSION FEE TOTAL
21.56 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!
AN E
CHECK NO.
SIGNATURE
NO. 1715
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 HAZAiiDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
r
TRUCK NO. ~ LICENSE NO/STATE:
TRAILER NO. 1 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.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902135 Dan
6155~Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/09/12 03/09/12 11:19 11:40 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 81840 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37300 LB
QTY. D TION RATE EXTENSION FEE TOTAL
22.27 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
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 0090213 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/09/12 03/09/12 11:19 11:40 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 81840 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37300 LB
QTY. D TION RATE EXTENSION FEE TOTAL
22.27 TO OUTGO.MSW 0.000 0.00 0.00 0.00
I
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED I
PRESIDENTS DAY!
A E
CHECK NO.
SIGNATURE
NO. 1717
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.
r
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WA5 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
SnUTHO~D TOWN DEPT SOLID WASTE 01 00902073 Dan
6'!.55 Cox. mane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/09/12 03/09/12 07:31 08:14 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 80000 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35960 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
22.02 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
r CHECK NO.
SIGNATURE - - _
SITE TICKET GRID WEIGHMASTER
I
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902073 Dan
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/09/12 03/09/12 07:31 08:14 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 80000 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35960 LB
QTY. I E C IPTION RATE EXTENSION FEE TOTAL
22.02 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 _ _
r
No. 1716
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: I~
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY I!
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ICI
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE: ~ I!
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
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 00902234 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROI L OFF
Cut~hogue, NY 11935
r 03/10/12 03/10/12 I 08:19 08:45 11100TC
009304 Winters Brothers ~ _
Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37340 LB
QTY. D ION RATE EXTENSION FEE TOTAf
' 21.58 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 TENDERE°
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090223 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME DUT VEHICLE ROLL OFF
Cutchogue, NY 11935 -
03/10/12 03/10/12 08:19 08:45 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37340 LB
QTY• _ D TION RATE EXTENSION FEE TOTAL
21.58 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!
CHECK NO.
SIGNATURE
` 1719
NO.
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY i
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.
I
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE}
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) 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 00902594 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
r 03/12/12 ~ 03/12/12 ~ 07:01 07:21 I 11100TC
009304 Winters Brothers , .
Scale 2 Gross Wt. 98380 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
QTY. IPTION RATE EXTENSION FEE 1'
30.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID LvEIG!+M1,1A:7~' F'
"'DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902594 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHI~I_E ROLL '.1FF
Cutchogue, NY 11935
03/12/12 03/12/12 07:01 07:21 11100TC
009304 Winters Brothers • _
Scale 2 Gross Wt. 98380 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36880 LB
QTY. _ E IPTION RATE EXTENSION FEE T i„
30.75 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
inn ~ ~~zr
1720
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 NA E) (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 Tp 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 00902607 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 '
03/12/12 03/12/12 'I 08:27 08:43 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 76040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
OTY IPTION - 3AIE- - EXTENSION GEE - j' ~i,C- -
19.65 TON OUTGO.MSW 0.000 0.00 0.00 I 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
T NDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
C CHANGE
t CHECK NO.
SIGNATURE '
~ SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902607 Steph
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/12/12 03/12/12 08:27 08:43 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 76040 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
19.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! _
HA
CHECK NO.
`.SIGNATURE . _ - '
Np. 10 7 3
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPpSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAiiDOUS WASTE AS DEFINED BY 40 CFR PART 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 00902639 Steph
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/12/12 03/12/12 10:51 11:10 11100TC
009304 Winters Brothers ~ ~ .
I I
Scale 2 Gross Wt. 96460 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
24.63 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.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
E
CHECK NO.
~,P.iA,ll'~R~
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET*'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902639 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE RO~~ t)FF
Cutchogue, NY 11935
03/12/12 03/12/12 10:51 11:10 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 96460 LB Outbound -Charge ticket
Manual Tare Wt. 47200 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
24.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
~,i. J .
No. 17 21
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 IAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ~
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: fir- ` ~ t f` DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902676 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/12/12 03/12/12 12:21 12:42 11100TC
009304 Winters Brothers ~ . -
I
Scale 2 Gross Wt. 75680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36340 LB
QTY. PTION RATE EXTENSION FEE Ti i
19.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! ANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTEf?
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902676 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE RULE ::FF
Cutchogue, NY 11935
03/12/12 03/12/12 12:21 12:42 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 75680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36340 LB
OTY. PTION RATE EXTENSION FEE. TOTAL
- -
19.67 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.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
A
CHECK NO.
SIGNATURE - - - -
- - - ~
. NO 1074
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/GATE
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 00902829 Steph
ii155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
C~ficnoguc, NY 11935
03/13/12 03/13/12 11:58 12:15 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 82220 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36940 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
22.64 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T NDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902829 Steph
6155 Cox Lane, PO BOX 962 DATE IN GATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/13/12 03/13/12 11:58 12:15 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 82220 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36940 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
22.64 I TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY! HAN
~ CHECK NO.
SIGNATURE -
NQ. 1723
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SNIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ~ /
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 101 00902793 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/13/12 03/13/12 08:35 09:04 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 85540 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38400 LB
QTY. ES IPTION RATE EXTENSION FEE TOTAL
23.57 TON OUTGO.MSW 0.000 0.00 i 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 WEIGHMAST R
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902793 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLi= ROLL uF~
Cutchogue, NY 11935
03/13/12 03/13/12 ~ 08:35 09:04 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 85540 LB Outbound -Charge ticket
Scale 1 Tare Wt. 38400 LB
~ .
QTY. UN DESCRIPTION RATE EXTENSION FEE ToTa
23.57 TON OUTGO.MSW 0.000 0.00 ~ 0.00 I 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
AN E
CHECK NO.
`~IGNATIIRE
No. 17 2 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 A5 DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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 CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
!SITE TIC-~~~f ~ GR1~- WEIGHMAS' ~_I
**DUPLICATE TICKET** - -
SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00902916 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/14/12 03!14/12 07:46 08:21 11100TC
009304 Winters Brothers ~ -
~ '
Scale 2 Gross Wt. 79400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35440 LB
QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
21.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
O eratin hours 7:0 AM
p g 0 to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 rENDEaED
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE II
I
SITE TICKET GRID WEIGHMASTER
'*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00902916 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/14/12 03/14!12 07:46 08:21 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 79400 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35440 LB
OTY. UNI DESCRIPTION FJ1TE EXTENSION FEE TOTAL
i
21.98 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. 0.00
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
CHECK NO.
S I G f,. - -
No. 1724
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) --~StGNATURE)
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 rl GRif?
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903127 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/15/12 03/15/12 08:07 08:07 11100TC
009304 Winters Brothers , .
Scale 2 Gross Wt. 77180 LB Outbound -Charge ticket
Manual Tare Wt. 37740 LB
_ _ QTY. IPTION RATE EXTENSION FEE TOTAL
19.72 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!
HANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903127 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF '
Cutchogue, NY 11935 ~
03/15/12 03/15/12 08:07 08:07 11100TC
009304 Winters Brothers ~ ,
I
~ III
Scale 2 Gross Wt. 77180 LB Outbound -Charge ticket
Manual Tare Wt. 37740 LB
aTY• IPTION RATE EXTENSION FEE TOTAL 'I
19.72 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!
A E
CHECK NQ_
1
NO. 1725
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS i
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ~ ~ SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAiiDOUS WASTE AS DEFINED BY 40 CFR PART 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 :^JEIGHMASTf !i
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903182 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
' 03/15/12 03/15/12 i 10:54 11:18 11100TC
009304 Winters Brothers ~ .
i
Scale 2 Gross Wt. 74860 LB Outbound -Charge ticket
~ Scale 1 Tare Wt. 36960 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
I
18.95 TON OUTGO.MSW 0.000 ~ 0.00 0.00 D.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!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903182 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/15/12 03/15/12 10:54 11:18 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 74860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36960 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
18.95 ~ TON OUTGO.MSW 0.000 0.00 ~ 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
A
CHECK NO.
51~~~~^~ATUR
' No. 1726
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: l ~
{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 00903346 GS
6155 Cox Lane, PO Box 962 PATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/16/12 03/16/12 11:26 11:44 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 87560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37280 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
25.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
RANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903346 GS
6155 Cox Lane, PO Box 962 DATE IN GATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/16/12 03/16/12 11:26 11:44 11100TC
009304 Winters Brothers ~ _
Scale 2 Gross Wt. 87560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37280 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
25.14 TON OUTGO.MSW 0.000 0.00 I 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
T N RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
A
CHECK NO.
SIGNfiiURE
No. 1727
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: o ,
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
J
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 00903440 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/17/12 03/17/12 07:19 07:31
009304 Winters Brothers ~ _
~ %
Scale 2 Gross Wt. 74480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
OTY. UNI ES IPTION 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 i
PRESIDENTS DAY!
E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903440 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/17/12 03/17/12 07:19 07:31
009304 Winters Brothers ~ ,
1
Scale 2 Gross Wt. 74480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36780 LB
QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
i
18.85 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.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
SIGNATURE
NQ. 9439
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF~DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
i HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00903466 GS
6155 Cax Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OU7 VEHICLE ROLL OFF
Cutchogue, NY 11935
03/17/12 03/17/12 09:20 09:38
009304 Winters Brothers •
•
Scale 2 Gross Wt. 83620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36500 LB
QTY. UNI IPTION RATE EXTENSION FEE TOTAL
23.56 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. T RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY! C}{A E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903466 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/17/12 03/17/12 09:20 09:38
009304 Winters Brothers ~
Scale 2 Gross Wt. 83620 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36500 LB
QTY. UN E IPTION RATE EXTENSION FEE TOTAL
23.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
CHAN E
CHECK NO.
' ~ SIGNATURE
No. 17 2 8
.r
a
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. ~ ~ i/
TRUCK NO. LICENSE NO/STATE: ~ {
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
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) 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 T?CKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090401Q Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~
03/19/12 03/19/12 11:31 11:58 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 77860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
oT~'~ IPTIO RATE EXTENSION FEE TOTAL
20.56 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
N EREO
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 00904010 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/19/12 03/19/12 11:31 11:58 11100TC
009304 Winters Brothers • _
Scale 2 Gross Wt. 77860 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36740 LB
QTY_ IPTIO RATE EXTENSION FEE TOTAL
20.56 TON OUTGO.MSW ~ 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
HA
CHECK NO.
tinr.~ ^.T. t:: r-
No. 1730
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. -
~
TRUCK NO. ~ LICENSE NO/STATE:
f
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 NAi\AE) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: r 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 00903939 MC `
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/19/12 03/19/12 108:09 08:46 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 82640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36760 LB
QTY. U IPTION RATE EXTENSION FEE TOTAL
22.94 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.
T NDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET** -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00903939 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL C+r r
Cutchogue, NY 11935 - ~
03/19/12 03/19/12 108:09 08:46 I' 11100TC
009304 Winters Brothers ~ ,
Scale 2 Gross Wt. 82640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36760 LB
QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL
22.94 I TON OUTGO.MSW 0.000 i 0.00 0.00 D.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.
til aNATURF _ _
V
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
l
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: / ~ ~
~l
TRAILER NO. LICENSE NO/STATE: I ~
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
I
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 00904267 Steph
6155 Cox bane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/20/12 03/20/12 12:02 12:17 11100TC
009304 Winters Brothers ~ .
_
Scale 2 Gross Wt. 72840 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37200 LB
aT~' IPTION RATE EXTENSION FEE TOTAL
I
17.82 TON OUTGO.MSW 0.000 ~ 0.00 0.00 0.00
I
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
ERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
CHANG
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMAc ! !
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904267 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/20/12 03/20/12 12:02 12:17 11100TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 72840 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37200 LB
QTY. S IPTION RATE EXTENSION FEE TOTAL
17.82 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
NQ. 17 3 2
GENERATOR
TH15 MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: {CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
f
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
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.
i SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904197 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/20/12 03/20/12 09:02 09:14 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 84800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36400 LB
QTY. IT RIPTIO RATE EXTENSION FEE TOTAi
24.20 TON OUTGO.MSW 0.000 I 0.00 0.00 ~ 0.00
i
I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012 TENDERED
PRESIDENTS DAY!
RANGE
CHECK NO.
;IGNATURE
- -
I~SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET*" -
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904197 Steph
6155 Cox Lane, PO BOx 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 i
'03/20/12 03/20/12 09:02 09:14 11100TC
009304 Winters Brothers • .
Scale 2 Gross Wt. 84800 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36400 LB
QTY. U IT DESCRIPTION RATE EXTENSION FEE TOTAL
24.20 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!
A
CHECK NO.
51
GNATURE
No. 1731
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.
X
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER ~
TRANSPORTATION/FREIGHT CO. ~ ;
TRUCK NO. LICENSE NO/STATE: f ~(J '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.
i
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
1 ~
DISPOSAL LOCATION: ! ~ ~..~r~,~;, ~::e; DATE DELIVERED: ~i
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
I
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
i
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904408 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/21/12 03/21/12 08:02 08:36 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 88820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36620 LB
OT~'~ IPTION RATE EXTENSION FEE TOTAL
26.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00
- I
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
HAN E
CHECK NO.
51GNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904408 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~
03/21 /12 03/21/12 108:02 08:36 11100TC
009304 Winters Brothers ~ _
- -
Scale 2 Gross Wt. 88820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36620 LB
' QTY. IPTION RATE EXTENSION FEE TOTAL
26.10 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.
^,I~ .n;~^,Ti !ICE
NQ. 1733
E,ENERATOR
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 HAZA~;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) " ~ (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ,f
TRUCK NO. LICENSE NO/STATE: /j
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ! DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WNITE 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 00904491 GS
6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/21 /12 03/21 /12 ~ 11:24 11:36 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 97720 LB Outbound -Charge ticket
Manual Tare Wt. 48000 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
24.86 TON OUTGO.MSW 0.000 ~ 0.00 ~ 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
HANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904491 GS
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/21 /12 03/21 /12 11:24 11:36 11100TC
009304 Winters Brothers •
_ ~
Scale 2 Gross Wt. 97720 LB Outbound -Charge ticket
Manual Tare Wt. 48000 LB
OTY. U I IPTION RATE EXTENSION FEE TOTAL
24.86 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
CHECK NO.
SIGNATURE
No. 1734
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. /
TRUCK NO. LICENSE NO/STATE: J /
TRAILER NO. 3 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 BELOVY.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ! f DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
3anltlN~ls
S N DEPT SOLID WASTE 01 00904676 MC
6155 Cox Lane, O Box 962
Cu 4i 1935
03/22/12 03/22/12 08:22 08:43
OO~i1V~'~nters Brothers
' _ . 11
Scale 2 Gro s Wt. 2420 LB Outbound -Charge ticket ~
Scale 1 Tare Wt. 5180 LB
Net Weight 7240 LB
23.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00
1tl101 33d NOISN31x3 31tl4i NOIld1aOS3a 11Nn 'AlD
Operating hours 7:00 AM to 5:00 PM 7 days a we k.
0.00
PRESIDENTS AY!
dd0 1104! 3lOIH3A 1n0 3Wil NI 3WIl ln0 31tl0 NI 31tl0
d31StlWHrJ13M 014l~J 13H011 311S
3afllb'NJIS
S kid TO N DEPT SOLID WASTE 01 00904676 MC
6155 Cox Lane, O Box 962
1935
03/22/12 03/22/12 08:22 08:43
a 111 ers Brothers
' 11101TC
Scale 2 Gro s Wt. 2420 LB Outbound -Charge ticket
Scale 1 Tare Wt. 5180 LB
Net Weight 7240 LB
23.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
111101 33d NOISN31X3 31tl4d NOI1dIHOS30 llNn X110
Operating hours 7:00 AM to 5:00 PM 7 days a week.
0.00
PRESIDENTS QAY!
d301104! 3lOIH3A 1n03W11 NI3WIl 1n031tlO NI31tl0
t131StlWH'JI3M pla°J 13N011 3115:
No. 1079
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND TNAT 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 00904682 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
' 03/22/12 03/22!12 08:30 08:47 11100TC
009304 Winters Brothers . • -
I
Scale 2 Gross Wt. 76320 LB Outbound -Charge ticket
Manual Tare Wt. 37600 LB
OTY. PTION RATE EXTENSION FEE TOTAL
19.36 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 00904682 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/22/12 03/22/12 08:30 08:47 11100TC
009304 Winters Brothers . -
-
Scale 2 Gross Wt. 76320 LB Outbound -Charge ticket
Manual Tare Wt. 37600 LB
aTY. UNI S IPTION RATE EXTENSION FEE TOTAL
19.36 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!
H N
CHECK NO.
r
No. 17 3 6
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: s" 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 ~!+'D r `JVEIGHMASTER
"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904743 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/22/12 03/22/12 ~ 11:43 11:59 11100TC
009304 Winters Brothers . - l
- - - - - /
Scale 2 Gross Wt. 77080 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37000 LB
OTY. PTION RATE EXTENSION FEE TOTAL
20.04 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
T RED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904743 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
i
03/22/12 03/22/12 j 11:43 11:59 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 77080 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37000 LB
QTY. PTION RATE EXTENSION FEE TOTAL
20.04 TON OUTGO.MSW 0.000 0.00 0.00 0.00
i
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
TENDERED
NEXT HOLIDAY CLOSED: MONDAY, FEBRUARY 20, 2012
PRESIDENTS DAY!
_.h~~i.K,
• ,"•,Ar~ IUF
r
No. 1.7 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 LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: _
(PRINT NAME) (SIGNATURE)
DESTINATION ~
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904744 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
03/22/12 03/22/12 11:44 12:02 11101TC
009304 Winters Brothers ~
Scale 2 Gross Wt. 83680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
Net Weight 47860 LB
23.93 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
it
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!
I
`"DUPLICATE TICKET'* I',
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904744 MC
6155 Cox Lane, PO Box 962
Cutchogue, NY 11935
03/22/12 03/22/12 11:44 12:02 11101 TC
009304 Winters Brothers
Scale 2 Gross Wt. 83680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
Net Weight 47860 LB
23.93 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
PRESIDENTS DAY!
No. 10 ~ 0
i
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME 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, HA5 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 WEIGHMA~'
*"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904887 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE. ~ RnI_~ oFr
Cutchogue, NY 11935 ~
03/23/12 03/23/12 07:52 08:31 11100TC
009304 Winters Brothers • ,
Scale 2 Gross Wt. 83640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
OTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL
23.91 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
RANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER II
*"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00904887 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/23/12 03/23/12 07:52 08:31 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 83640 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL
i
23.91 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HA E
CHECK NO.
;IGNA?URE
i
No. 17 4 0
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AU ORIZED AGENT PRINT NAME SIGNATURE'
( ) ( i
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ~
TRUCK NO. LICENSE=.NO/STATE: T~j
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: i }
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET C'~I+! ' :NEIGHMA>~
""DUPLICATE TICKET"* '
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905139 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ,
03/24!12 03/24/12 i 07:02 07:21 11103TC
009304 Winters Brothers
Scale 2 Gross Wt. 82280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
oTY 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. 0.00
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHANG
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
`'DUPLICATE TICKET""
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905139 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/24/12 03/24/12 07:02 07:21 11103TC
009304 Winters Brothers
I
Scale 2 Gross Wt. 82280 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36520 LB
OTY. D C TION RATE EXTENSION FEE TOTAL `
22.88 TO OUTGO.MSW 0.000 0.00 0.00 0.00 ~
Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ •
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHECK NO.
_
No. 9549
l
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAf;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
_~ELNERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME} (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEV WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
~iNK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET ;RID WEIGHMAS'
SOUTHOLD TOe;~N DEPT SOLID WASTE 01 00905209 Dan
61;55 Cox ! ane, PO Box 962 DATE IN DATE OUT TIME iN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/24/12 03/24/12 09:30 10:10 11100TC
009304 Winters Brothers , -
Scale 2 Gross Wt. 91120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35920 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
27.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00
I
~I
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. ~
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHAN E ~
CHECK NO.
SIGNATURE
I
SITE TICKET GRID WEIGHMASTER ~
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905209 Dan
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/24/12 03/24/12 I 09:30 10:10 11100TC
009304 Winters Brothers
~ i
Scale 2 Gross Wt. 91120 LB Outbound -Charge ticket _,1
Scale 1 Tare Wt. 35920 LB
QTY. TION RATE EXTENSION FEE TOTAL
27.60 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HAN E
CHECK NO. ~
SIGP~ATURL
No. 1741
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: ' l
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED A80VE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ;~z' ~ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER ~
**DUPLICATE TICKET** "
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905763 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/26/12 03/26/12 07:39 08:05 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 74780 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
19.48 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
H N E
L CHECK NO.
SIGNATURE .
%~SITE TICKET GRID WEIGHMASTER
""DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905763 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/26/12 03/26/12 07:39 08:05 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 74780 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35820 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
19.48 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
1 H N
CHECK NO.
J'.:Fir\TURE
No. 1742
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} {SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. i ~ ;
TRUCK NO. LICENSE NO/STATE: ~ ~ 1
TRAILER NO. LICENSE NO/STATE: I ~ } ~
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: ~
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ~ ~ DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEV WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID ~ WEIGHti:?,rSTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905821 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/26/12 03/26/12 10:53 11:11 11100TC
009304 Winters Brothers . -
I
Scale 2 Gross Wt. 73560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
18.48 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHANGE
CHECK ND.
SIGNATURE ~
SITE TICKET GRID WEIGHMASTER
'*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905821 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 ~
03/26/12 ~ 03/26/12 10:53 11:11 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 73560 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
QTY. PTION RATE EXTENSION FEE TOTAL
18.48 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHECK NO.
SIGNATURE ~
r
No. 17 4 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 LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ~ ~ =-1;~
TRAILER NO. 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
COLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
i
"DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090601 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
- 03127/12 03!27/12 11:07 11:23 11100TC
009304 Winters Brothers •
Scale 2 Gross Wt. 85480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35980 LB
QTY. D TION RATE EXTENSION FEE TOTAL
24.75 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. TE 6 ED
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
C ANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"DUPLICATE TICKET"'
SOUTHOLD TOWN DEPT SOLID WASTE 01 0090601 Steph
6155 Cox Lane, PO Box 962 DATE IN GATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/27/12 03/27/12 11:07 11:23 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 85480 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35980 LB
QTY. D TION RATE EXTENSION FEE TOTAL
24.75 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.
TEND RED
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
H N
CHECK NO.
SIGNATURE _ _ _
- ~ NQ. 17 4 5
GENERATOR
TNIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAF;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: f' ~ ; _
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905974 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
~ 03/27/12 ~ 03/27/12 j 07:59 08:15 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 87460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37240 LB
DTY. U PTION RATE EXTENSION FEE TOTAL
25.11 ' 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
CHAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00905974 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/27/12 03/27/12 07:59 08:15 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 87460 LB Outbound -Charge ticket
Scale 1 Tare Wt. 37240 LB
QTY. PTION RATE EXTENSION FEE TOTAL
25.11 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HA
CHECK NO.
SIi;NATUNE _
No. 17 4 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: ~ l
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ' `r ; 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 00906216 Steph
6155 Cax Lane, PO BOX 962 DATE 4N DATE OUT TOME IN TOME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
~ • jJ3/28112 03/28/12 ~ 11:17 11:29 11100TC
009304 Winters Brothers •
Scale 2 Gross Wt. 88120 L8 Outbound -Charge ticket
Scale 1 Tare Wt. 36220 LB
OTy I PTION RATE EXTENSION FEE TOTAL
25.95 TON OUTGO.MSW 0.000 0.00 0.00 ` 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. T REo
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
C A
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DtSPLVCATE TVCKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906216 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/28/12 03/28/12 11:17 11:29 11100TC
009304 Winters Brothers ~
I Scale 2 Gross Wt. 88120 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36220 LB
i
~ '
QTY, UNI DESCRIPTION RATE EXTENSION FEE TOTAL
25.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TEND>=RED
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
C N E
CHECK NO.
' ~ SIGNATURE -
No. 1747
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. ANO 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 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 00906161 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935 '
03/28/12 03/28/12 08:16 08:34 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 81820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35720 LB
i
/ QTY. U S PTION RATE EXTENSION FEE TOTAL ~
23.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 II
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HAN E
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906161 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/28/12 03/28/12 08:16 08:34 11100TC
009304 Winters Brothers ~ .
Scale 2 Gross Wt. 81820 LB Outbound -Charge ticket
Scale 1 Tare Wt. 35720 LB
QTY. UNI DESCRIPTION RATE EXTENSION FEE TO?Ai
23.05 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HA
CHECK NO.
SIGNATURE
No. 1746
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, HA5 BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED. ANU IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE)
TRANSPORTER
TRANSPORTATIONIFREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT 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 00906379 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/29/12 03/29/12 ~ 10:07 10:25 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 84680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36960 LB
O7Y. IPTION RATE EXTENSION FEE TOTAL
23.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
"*DUPLICATE TICKET*`
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906379 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/29/12 03/29/12 10:07 10:25 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 84680 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36960 LB
QTY. PTION RATE EXTENSION FEE TOTAL
23.86 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week.
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8.2012 EASTER SUNDAY! reNDEReD
' HAN
_ CHECK NO.
SIGNATURE
I
NO. 1748
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. ! ~ F:
TRUCK NO. LICENSE lVIO/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 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 00906397 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF.,
Cutchogue, NY 11935
03/29/12 03/29/12 10:39 10:50 11121TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 84300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36100 LB
QTY. PTION RATE EXTENSION FEE TOTAL
- i
24.10 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
CHANGE
CHECK NO.
SIGNATURE - - -
SITE TICKET GRID WEIGHMASTER
`"DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906397 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/29/12 03/29/12 10:39 10:50 11121TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 84300 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36100 LB
QTY. I D PTION RATE EXTENSION FEE TOTAL
24.10 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
H N E
CHECK NO.
~'~C~~'JFaI'~JHE -
_ NO. 9507
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 1IA91LITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: ~
COMMODITY SHIPPED:
I
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. i
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. ~ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
a`
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 00906554 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE R(JLL OFF
Cutchogue, NY 11935 ~ i
03/30/12 03/30/12 07:54 08:09 11100TC
009304 Winters Brothers
Scale 2 Gross Wt. 75660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36680 LB
QTY. IPTION RATE EXTENSION FEE TOTAL
19.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685.
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
RANGE
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
**DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906554 MC
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/30/12 03/30/12 07:54 08:09 11100TC
009304 Winters Brothers . -
Scale 2 Gross Wt. 75660 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36680 LB
QTY. PTION _ RATE EXTENSION FEE TOTAL
i
19.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week. '
CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY CLOSED: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
HA
CHECK NO.
51GNATURE _
No. 1749
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 LIOUIp AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZA{;DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION,
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: / ,
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, ANO THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(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.
SITE TICKET GRID WEItHG"1ASr~.R
**DUPLICATE TICKET**
50UTHOLD TOWN DEPT SOLID WASTE 01 00906775 Steph
6155 Cox Lane, PO Box 962 ~ DATE IN DATE OUT TIME IN TIME OUT VEHICLE NULL OFf=
Cutchogue, NY 11935
03/31/12 03/31/12 07:22 07:33 11100TC
009304 Winters Brothers • -
- \
Scale 2 Gross Wt. 87360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
OTY. IPTION RATE EXTENSION FEE TOTAL
25.38 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
H NGE
CHECK NO.
SIGPJATURE
SITE TICKET GRID WEIGHMASTER
"*DUPLICATE TICKET**
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906775 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/31 /12 03/31 /12 07:22 07:33 11100TC
009304 Winters Brothers • -
Scale 2 Gross Wt. 87360 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36600 LB
DTY. UN IPTION RATE EXTENSION FEE TOTAL
25.38 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY!
E
CHECK NO.
NO. 1752
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: A DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
i`
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906784 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF
Cutchogue, NY 11935
03/31 /12 03/31 /12 08:22 08:34 11121 TC
009304 Winters Brothers . -
~ Scale 2 Gross Wt. 83840 LB Outbound -Charge ticket
Scale 1 Tare Wt. 36320 LB
QTY. U IPTION RATE EXTENSION FEE TOTAL
23.76 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
_ CHAN E
I
CHECK NO.
SIGNATURE
SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 00906784 Steph
6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
03/31 /12 03/31 /12 08:22 08:34 11121 TC
009304 Winters Brothers
i
Scale 2 Gross Wt. 83840 LB Outbound -Charge ticket ICI
Scale 1 Tare Wt. 36320 LB
QTY. U D IPTION RATE EXTENSION FEE TOTAL
23.76 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: SUNDAY, APRIL 8,2012 EASTER SUNDAY! TENDERED
H
CHECK NO.
SIGNATURE ~
I
I
No. 9505
GENERATOR
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW, IS NOT HAZAi:DOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY
DESCRIBED, CLASSIFIED ANO PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. i ,
TRUCK NO. _ j LICENSE NO/STATE: ~ _
TRAILER NO. ~ LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT iT wAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) (SIGNATURE}
DESTINATION
DISPOSAL LOCATION: ~,~,7 s 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
GO! D TO GENERATOR DISPOSAL LOCATION TICKET NO.