Loading...
HomeMy WebLinkAbout05/2012 SITE TICKET GRID WEIGHMASTER ~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 D0915958 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05101 /12 05/01 /12 11:13 11:26 11100TC 009304 Winters Brothers . - ~ i Scale 2 Gross Wt. 80340 LB Outbound -Charge ticket Scale 1 Tare Wt. 37460 LB _ QTY. IPTION RATE EXTENSION FEE TOTAL I 21.44 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. TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! I AN E CHECK NO. ~ SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET*` SOUTHOLD TOWN DEPT SOLID WASTE 01 00915958 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01/12 05/01/12 11:13 11:26 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 80340 LB Outbound -Charge ticket ~ Scale 1 Tare Wt. 37460 LB QTY. U PTION RATE EXTENSION FEE TOTAL 21.44 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HA E CHECK NO. 91h~,~ATURF NQ. ^2604 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00915959 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01/12 05/01/12 I' 11:20 11:29 11121TC 009304 Winters Brothers _ ~ ~ _ ~ - - I I~ I ~ Scale 2 Gross Wt. 76800 LB Outbound -Charge ticket Scale 1 Tare Wt. 38020 LB QTY. I IPTION RATE EXTENSION FEE TOTAL i 19.39 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00915959 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01 /12 05101 /12 11:20 11:29 11121 TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 76800 LB Outbound -Charge ticket Scale 1 Tare Wt. 38020 LB QTY. UNI CRIPTION RATE EXTENSION FEE TOTAL 19.39 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED A CHECK NO. ~~It)'•~A?URt= - 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) I 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 00915922 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ' 05/01/12 05/01/12 07:24 07:35 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 82000 LB Outbound -Charge ticket Scale 1 Tare Wt. 37480 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 22.26 TON OUTGO.MSW 0.000 ' 0.00 0.00 ~ 0.00 I i, Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHA E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTEF **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00915922 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01/12 05/01/12 07:24 07:35 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 82000 LB Outbound -Charge ticket Scale 1 Tare Wt. 37480 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 22.26 TON' OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED A E CHECK NO. SIGNATURE NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS 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 00915923 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/(11/12 05/01/12 107:26 07:38 11100TC 009304 Winters Brothers • ~ Scale 2 Gross Wt. 81360 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB QTY. IPTION RATE EXTENSION FEE TOTAL 22.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 . Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN E CHECK NO. SIGNATURE _ _ - /.SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE ~ 01 00915923 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/01 /12 05/01 /12 07:26 07:38 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 81360 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB OTY. D C IPTION RATE EXTENSION FEE TOTAL 22.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HANGE CHECK NO. i ;iCifvtiTURE _ - - C rr~~ NO. 26GL GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) {SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00916030 Steph 6155 Cox Lane, PO BOX 962 _ DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/02/12 05/02/12 07:17 07:45 009304 Winters Brothers Scale 2 Gross Wt. 90560 LB Outbound -Charge ticket Manual Tare Wt. 47000 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00916030 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/02/12 05/02/12 D7:17 07:45 009304 Winters Brothers Scale 2 Gross Wt. 90560 LB Outbound -Charge ticket Manual Tare Wt. 47000 LB QTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 21.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ~ ~ I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE NO. x003 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 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 "DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00916248 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/03/12 05/03/12 07:54 08:14 11100TC 009304 Winters Brothers • . Scale 2 Gross Wt. 78500 LB Outbound -Charge ticket Scale 1 Tare Wt. 38460 LB ON• C PTION RATE EXTENSION FEE TOTAL 20.02 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER `'DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916248 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/03/12 05/03/12 07:54 08:14 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 78500 LB Outbound -Charge ticket Scale 1 Tare Wt. 38460 LB QTY. I D C PTION RATE EXTENSION FEE TOTAL 20.02 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. SIGNATURE r rg ~j NO. L6®". GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD 70 GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916310 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/03/12 05/03/12 12:32 12:46 11101 TC 009304 Winters Brothers • . - - - Scale 2 Gross Wt. 85880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35980 LB QTY. UNI D IPTION RATE EXTENSION FEE TOTAL 24.95 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. TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE _ SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916310 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/03/12 05/03/12 12:32 12:46 11101 TC 009304 Winters Brothers • Scale 2 Gross Wt. 85880 LB Outbound -Charge ticket Scale 1 Tare Wt. 35980 LB OTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.95 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. SIGNATURE ~ ~ _i NQ. 1090 . GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TCt APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00916421 Dan ' 6155 iox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/04/12 05/04/12 10:30 10:41 11101 TC 009304 Winters Brothers • _ Scale 2 Gross Wt. 83340 LB Outbound -Charge ticket Scale 1 Tare Wt. 37460 LB ~ QTY. UNI DESCRIPTION i=iAf ~ EXTENSION FEE c ~ i ~I. 22.94 TON OUTGO.MSW 0.000 0.00 0.00 i 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00916421 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/04/12 05/04/12 10:30 10:41 11101 TC 009304 Winters Brothers • , Scale 2 Gross Wt. 83340 LB Outbound -Charge ticket Scale 1 Tare Wt. 37460 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE Tcrinl 22.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED RANGE CHECK NO. r. NQ. 10 8 8 i GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND GOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 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 00916414 Dan 6155 Cox ~.c'~ne, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/04/12 05/04/12 10:05 10:20 009304 Winters Brothers , _ 11104TC Scale 2 Gross Wt. 79160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35940 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.61 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE _ CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916414 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/04/12 05/04/12 10:05 10:20 009304 Winters Brothers ~ . 11104TC Scale 2 Gross Wt. 79160 LB Outbound -Charge ticket Scale 1 Tare Wt. 35940 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.61 TON OUTGO.MSW 0.000 0.00 0.00 0.00 li Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! ~ TENDERED _ HA CHECK NO. sIGNAruR~ NO. ~®o~ GENERATOR TH15 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 WA5 DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO 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. r SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916399 Dan • 5155 Cex Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/04/12 05/04/12 09:21 09:38 11100TC I 009304 Winters Brothers . - i Scale 2 Gross Wt. 92240 LB Outbound -Charge ticket Manual Tare Wt. 37640 LB QTY U I E C IPTION RATE EXTENSION FEE TOTAL 27.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00916399 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/04/12 05/04/12 09:21 09:38 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 92240 LB Outbound -Charge ticket Manual Tare Wt. 37640 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 27.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! _ TENDERED 'F CHECK NO. `3GNATURE - _ - NO. 266 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 NAMEy (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 GENERarOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916540 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/05/12 05/05/12 07:01 07:17 11100TC 009304 Winters Brothers • , - - Scale 2 Gross Wt. 87860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB QTY. I_ SC PTION RATE EXTENSION FEE TOTAL 25.27 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00916540 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/05/12 05/05/12 07:01 07:17 11100TC 009304 Winters Brothers • i Scale 2 Gross Wt. 87860 LB Outbound -Charge ticket Scale 1 Tare Wt. 37320 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 25.27 TON OUTGO.MSW D.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HANG CHECK NO. c~cn.~nT~!la,~ - 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 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) {SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO 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 ~ FT i;RID ~;VEIG~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00916542 ' Dan 6? 55 Ccx.Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE =~nl ' Cutchoq~le, NY 11935 05/05/12 105/05/12 07:09 07:29 11101TC 009304 Winters Brothers • _ ~ Scale 2 Gross Wt. 87140 LB Outbound -Charge ticket Scale 1 Tare Wt. 35880 LB OTY. UN DE IPTION ~tAiE EXTENSION ~ FEE 25.63 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, MAY 28, 2012 MEMORIAL DAY! TENDERE° RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00916542 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/05/12 05/05/12 07:09 07:29 11101 TC 009304 Winters Brothers • , Scale 2 Gross Wt. 87140 LB Outbound -Charge ticket Scale 1 Tare Wt. 35880 LB i OTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 25.63 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN CHECK NO. SIGNATURE No. 10 8 9 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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, ANO THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: ! HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION it 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 00917286 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutch~gue, NY 11935 05/07!12 05/07/12 10:22 10:35 009304 Winters Brothers ~ . 11104TC Scale 2 Gross Wt. 86720 LB Outbound -Charge ticket Scale 1 Tare Wt. 38060 LB QTY, PTION RATE EXTENSION FEE TOTAL 24.33 TON i OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917286 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/07/12 05/07/12 10:22 10:35 009304 Winters Brothers ~ , _ 11104TC Scale 2 Gross Wt. 86720 LB Outbound -Charge ticket Scale 1 Tare Wt. 38060 LB QTY. L PTION RATE EXTENSION FEE TOTAL _ 24.33 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HA CHECK NO. SIGNATURE ~ '3004 ~ 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, 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 GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTtii **DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE 01 00917227. MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/07/12 05/07/12 07:37 07:55 11100TC 009304 Winters Brothers ' Scale 2 Gross Wt. 74140 LB Outbound -Charge ticket ' Scale 1 Tare Wt. 36920 LB QTY. I PTION RATE EXTENSION FEE TOTAL 18.61 TON OUTGO.MSW 0.000 ' 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TE D RED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917227 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/07/12 05/07/12 07:37 07:55 11100TC 009304 Winters Brothers ~ . ~i Scale 2 Gross Wt. 74140 LB Outbound -Charge ticket ' Scale 1 Tare Wt. 36920 LB QTY. PTION RATE EXTENSION FEE TOTAL 18.61 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. TE RED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! RANGE CHECK NO. SIGNATURE _ _ No. ^ 2668 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE 01= ANY CARGO OR MATERIALS BEING SHIPPED ANO DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: {CU YDS} BALES: {COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED 8Y 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 DESTfNATfON LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINAT{ON 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 TfCKET NO. ~ SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET*"` ' SOUTHOLD TOWN DEPT SOLID WASTE 01 00917708 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/08/12 05/08/12 14:36 14:57 11101TC 009304 Winters Brothers Scale 2 Gross Wt. 76900 LB Outbound -Charge ticket Scale 1 Tare Wt. 37160 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOIAI 19.87 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _ NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED _ j HANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *'DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917708 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/08/12 05/08/12 14:36 14:57 11101 TC 009304 Winters Brothers • I Scale 2 Gross Wt. 76900 LB Outbound -Charge ticket Scale 1 Tare Wt. 37160 LB OTY. UNI SCRIPTION RATE EXTENSION FEE TOTAL 19.87 TON OUTGO.MSW 0.000 0.00 ~ 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, MAY 28, 2012 MEMORIAL DAY! TENDERED A CHECK NO. SIGNATURE - - _ - NQ. 10 9 2 GENERATOR THIS MANIFEST iS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ~SITF j TICKET GRID WEIGHMA+- **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917543 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i 05/08/12 05/08/12 07:44 j 08:11 11100TC 009304 Winters Brothers ~ J Scale 2 Gross Wt. 85040 LB Outbound -Charge ticket Scale 1 Tare Wt. 35840 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 24.60 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: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917543 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/08/12 05/08/12 07:44 08:11 11100TC 009304 Winters Brothers • i I Scale 2 Gross Wt. 85040 LB Outbound -Charge ticket Scale 1 Tare Wt. 35840 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL ~i 24.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. No. 2 612 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 CGNTAIN 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 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 00917821 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05!09/12 05/D9/12 12:26 12:49 11121TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 85080 LB Outbound -Charge ticket Manual Tare Wt. 36980 LB OTY U IPTION RATE EXTENSION FEE TOTAL 24.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID wEIGHMASTER ,1 "'DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00917821 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ~ 05/09/12 05/09/12 ~ 12:26 12:49 11121TC 009304 Winters Brothers ~ . Scale 2 Gross Wt. 85080 LB Outbound -Charge ticket Manual Tare Wt. 36980 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL 24.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHECK NO. i 1 No. ~~47. 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 HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET** - SOUTHOLD TOWN DEPT SOLID WASTE ~ ~ 01 00917823 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/09/12 05/09/12 12:28 12:39 009304 Winters Brothers ~ ~ , I - ~ Scale 2 Gross Wt. 87920 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB OTY. IPTION RATE EXTENSION FEE TOTAL i 24.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HA E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 00917823 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE i HULL OF F Cutchogue, NY 11935 - 05/09/12 ' 05/09/12 12:28 12:39 009304 Winters Brothers • Scale 2 Gross Wt. 87920 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB QTY. UN DESCRIPTION RATE EXTENSION FEE TOTAL _ 24.98 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _ NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. SIGNATURE NO. 2616 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED 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. 3anleN~is **DUPLICATE ICKET** WN DEPT SOLID WASTE 01 00917794 Steph 6155 Cox Lane, PO Box 962 1935 05/09/12 05/09/12 09:08 09:19 11100TC N Brothers ~ • - - i Scale 2 Gr s Wt. 82300 LB Outbound -Charge ticket Scale 1 Tar Wt. 38060 LB Net Weight 44240 LB 22.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I t~ ~t'L01 I 33d NOISN31X3 31Va NOI1dIaOS30 11Nn l~lb I Operating hours 7:00 AM to 5:00 PM 7 days a w~ek. 0.00 I i i i10 ' IOH ~~~IH3~ 1n0 3W11 NI 3W11 ln0 3111Q NI 31b'O - ~ ~ ti315VWHcJ13M Ola`J 13N011 311S 3Hnlb'NJIS `*DUPLICATE ICKET** S N DEPT SOLID WASTE 01 00917794 Steph 6155 Cox Lane, PO Box 962 C 1935 05/09/12 05/09/12 09:08 09:19 11100TC 0(DE~NWinte~ Brothers Scale 2 Gro s Wt. 82300 LB Outbound -Charge ticket Scale 1 Tar Wt. 38060 LB Net Weight 44240 LB I 22.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i _ ~V101 33d NOISN31X3 31Va NOIldIFlOS30 11Nn '1.10 Operating hours 7:00 AM to 5:00 PM 7 days a w ek. ' 0.00 I X30 llOa 3lOIH3A 1f10 3WIl NI 3WIl ln0 31t/O NI 31H0 a31SdWH~J13M did~J 13N011 311S NO. 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 I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED ANO 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 00917785 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/09/12 05/09/12 08:16 08:16 11121 TC 009304 Winters Brothers Manual Gross Wt. 89800 LB Outbound -Charge ticket Manual Tare Wt. 36280 LB Net Weight 53520 LB 26.76 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. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! `*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917785 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/09/12 05/09/12 08:16 08:16 11121 TC 009304 Winters Brothers Manual Gross Wt. 89800 LB Outbound -Charge ticket Manual Tare Wt. 36280 LB Net Weight 53520 LB 26.76 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. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! i NO. ~~r~f~ 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 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: 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 00917916 MC 6155 Cc~x Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/10/12 05/10/12 11:36 11:58 11121TC 009304 Winters Brothers i Scale 2 Gross Wt. 88660 LB Outbound -Charge ticket Manual Tare Wt. 35840 LB QTY. UNI DEC IPTION RATE EXTENSION FEE TOTAL 26.41 TON OUTGO.MSW 0.000 0.00 0.00 I 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~ ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. ~,IGNA.I URF _ - 'SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** 50UTHOLD TOWN DEPT SOLID WASTE 01 00917916 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/10/12 05/10/12 11:36 11:58 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 88660 LB Outbound -Charge ticket Manual Tare Wt. 35840 LB QTY. 1 DESCRIPTION RATE EXTENSION FEE TOTAL 26.41 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! i~ TENDERED AN E I CHECK NO. - - No. ~ 2540 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 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 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. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917868 MC •PO Box'962 Cutchogue, NY 11935 D5/10/12 OS/1D/12 08:11 08:24 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 92760 LB Outbound -Charge ticket Manual Tare Wt. 47000 LB Net Weight 45760 LB 22.88 TON OUTGO.MSW 0.000 0.00 0.00 O.DD Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - GIUESTIONS -Call 631-734-7685 0.00 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00917868 MC PO Box 962 Cutchogue, NY 11935 05/10/12 05/10/12 08:11 08:24 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 92760 LB Outbound -Charge ticket Manual Tare Wt. 47000 LB Net Weight 45760 LB 22.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - G2UESTIONS -Call 631-734-7685 0.00 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ~ TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) 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 30UTHOLD TOWN DEPT 50LID WASTE 01 0091803 Dan _ _ 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i 05/11/12 05/11/12 ; 08:21 08:51 11100TC 009304 Winters Brothers ~ - I Scale 2 Gross Wt. 92100 LB Outbound -Charge ticket Scale 1 Tare Wt. 35320 LB QTY. TION RATE EXTENSION FEE TOTAL 28.39 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. rE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN E CHECK NO. SIGNATURE _ _ SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0091803 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/11/12 05/11/12) 08:21 08:51 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 92100 LB Outbound -Charge ticket Scale 1 Tare Wt. 35320 LB QTY. TION RATE EXTENSION FEE TOTAL 28.39 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 ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHECK NO. I ;IC~fJArIJRE NQ. 2618 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED ANO PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) i TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 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. f SITE TICKET GRID WEIGHMA~' ""DUPLICATE TICKET"' SOUTHOLD TOWN DEPT SOLID WASTE 01 00918284 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 • 05/12/12 05/12/12 ~ 08:20 08:43 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB QTY. PTION RATE EXTENSION FEE TOTAL 29.54 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, MAY 28, 2012 MEMORIAL DAY! TENDERED A E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET"' 50UTHOLD TOWN DEPT SOLID WASTE 01 00918284 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/12/12 05/12/12 I 08:20 08:43 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 95240 LB Outbound -Charge ticket Scale 1 Tare Wt. 36160 LB QTY. TION RATE EXTENSION FEE TOTAL 29.54 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED E CHECK NO. SIGNATURE NO. ~~1~`d GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00918253 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/12/12 05/12/12 07:07 07:19 009304 Winters Brothers • - Scale 2 Gross Wt. 87860 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB I QTY. PTION RATE EXTENSION FEE TOTAL 25.84 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER I **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00918253 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/12/12 05/12/12 07:07 07:19 009304 Winters Brothers . - Scale 2 Gross Wt. 87860 LB Outbound -Charge ticket Scale 1 Tare Wt. 36180 LB QTY. TION RATE EXTENSION FEE TOTAL 25.84 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED AN E CHECK NO. i No. 3 812 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:'LI/}BILITY ASSOCIATED W4TH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: _ _ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LI ID A~ QU 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 IAW, fiAS 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) 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 00918925 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/14/12 05/14/12 09:30 09:52 ~ 009304 Winters Brothers • - I 1 11121TC i Scale 2 Gross Wt. 81340 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB QTY. D TION RATE EXTENSION FEE TOTAL 22.27 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 ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT 50LID WASTE 01 00918925 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROIL OFF Cutchogue, NY 11935 05/14/12 05/14/12 09:30 09:52 009304 Winters Brothers 11121TC Scale 2 Gross Wt. 81340 LB Outbound -Charge ticket Manual Tare Wt. 36800 LB QTY. C PTION RATE EXTENSION FEE TOTAL 22.27 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, MAY 28, 2012 MEMORIAL DAY! T RED HAN CHECK NO. ' Ui'~E NQ. 3813 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`!'-1 - ~ , LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET f 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. `i LICENSE NO/STATE: ' 1 ~ TRAILER NO. ~ I 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) (SIGNATUREj~~ - - DESTINATION i DISPOSAL LOCATION: ~ DATE DELIVERED: } ADDRESS: !HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASI ! ' "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00918914 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/14/12 05/14/12 09:12 09:28 11100TC 009304 Winters Brothers ~ - I Scale 2 Gross Wt. 93520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB QTY. UNI PTION RATE EXTENSION FEE TOTAL 28.35 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, MAY 28, 2012 MEMORIAL DAY! T RED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER `*DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 00918914 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/14/12 05/14/12 09:12 ~ 09:28 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 93520 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB QTY. UNI IPTION RATE EXTENSION FEE TOTAL 28.35 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 RED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN E CHECK NO. SIGNATURE r NO. _ 26~~ 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 DISP A OS L LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HA BEEN A S CCEPTED 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 00919171 Steph 6155 Cox Lane, PO Box 962 DICfE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/15/12 05/15/12 07:20 07:33 11121 TC 009304 Winters Brothers . - Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket Scale 1 Tare Wt. 37460 LB QTY. PTION RATE EXTENSION FEE TOTAL 21.52 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. i SIGNATURE SITE TICKET GRID WEIGHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919171 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/15/12 05/15/12 07:20 07:33 ' 11121TC 009304 Winters Brothers I • - Scale 2 Gross Wt. 80500 LB Outbound -Charge ticket Scale 1 Tare Wt. 37460 LB QTY. PTION RATE EXTENSION FEE TOTAL 21.52 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, MAY 28, 2012 MEMORIAL DAY! TENDERED H CHECK NO. SIGNATURE _ _ _ _ _ ~ No. 3 814 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: i' SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) 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. T- r TRUCK NO. LICENSE NO/STATE: ' i ~ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: r _ (PRINT NAME) ~ (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET''' SOUTHOLD TOWN DEPT SOLID WASTE 01 00919189 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF _ ~ Cutchogue, NY 11935 05/15!12 05/15/12 08:17 ~ 08:39 11100TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 87580 LB Outbound -Charge ticket Manual Tare Wt. 35220 LB J / OTY. U PTION RATE EXTENSION FEE TOTAL 26.18 TON OUTGO.MSW i 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _ TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *'DUPLICATE TICKET*' SOUTHOLD TOWN DEPT SOLID WASTE 01 00919189 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/15/12 05/15/12 08:17 08:39 11100TC 009304 Winters Brothers ~ . i Scale 2 Gross Wt. 87580 LB Outbound -Charge ticket Manual Tare Wt. 35220 LB QTY. PTION RATE EXTENSION FEE TOTAL 26.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. _ _ NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED RANGE CHECK NO. 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 'I TARE I' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ~ TRANSPORTER TRANSPORTATION/FREIGHT CO. II 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 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 it 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 WEIGHMASTFR **DUPLICATE TICKET** ' SOUTHOLD TOWN DEPT SOLID WASTE 01 0091924 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/15/12~ 05/15/12 10:20 10:42 11121TC 009304 Winters Brothers . - Scale 2 Gross Wt. 90300 LB Outbound -Charge ticket Scale 1 Tare Wt. 34860 LB QTY. D TION RATE EXTENSION FEE TOTAL 27.72 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. TE D ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 0091924 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/15/12 05/15/12 10:20 10:42 11121TC 009304 Winters Brothers . - Scale 2 Gross Wt. 90300 LB Outbound -Charge ticket Scale 1 Tare Wt. 34860 LB QTY. D TION RATE EXTENSION FEE TOTAL 27.72 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. TE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! H CHECK NO. SIGNATURE i NO. 3815 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 I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: % - ~ ~ ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: T ~v%% DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME} SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919373 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/16/12 05/16/12 08:18 08:54 009304 Winters Brothers . - Scale 2 Gross Wt. 83740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37140 LB OTY. U I D PTION RATE EXTENSION FEE TOTAL 23.30 II TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE - _ - SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919373 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/16/12 05/16/12 08:18 08:54 009304 Winters Brothers Scale 2 Gross Wt. 83740 LB Outbound -Charge ticket Scale 1 Tare Wt. 37140 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 23.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED ~ HAN E CHECK NO. • NO. 2U~G GENERATOR THIS MANIFEST 1S 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 8Y 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 281 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 DEl1VERE0 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 WEIGHMAS'' ' ~ **DUPLICATE TICKET** ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00919571 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/17/12 05/17/12 10:12 10:41 11100TC 009304 Winters Brothers i - t Scale 2 Gross Wt. 100540 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB QTY. TION RATE EXTENSION FEE TOTAL 26.27 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919571 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/17/12 05/17/12 10:12 10:41 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 100540 LB Outbound -Charge ticket Manual Tare Wt. 48000 LB OTY. TION RATE EXTENSION FEE TOTAL 26.27 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, MAY 28, 2012 MEMORIAL DAY! TENDERED HAN E CHECK NO. -....~~~j 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 LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. it 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: II'~ I ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED I! IS TRUE AND ACCURATE: 'I 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. SITE TICKET GRID `~lEr"HP,IAST~f~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919824 Dan 6' S5 Co < Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL UI f Cutchogue, NY 11935 05/18/12 05/18/12 12:21 12:33 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB QTY. TION RATE EXTENSION FEE TOTAL 30.24 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. TE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE CHECK NO. IGNATURE _ - SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 0091982 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/18/12 05/18/12 12:21 12:33 ~ 11121 TC 009304 Winters Brothers ~ - Scale 2 Gross Wt. 97100 LB Outbound -Charge ticket Scale 1 Tare Wt. 36620 LB OTY. TION RATE EXTENSION FEE TOTAL I 30.24 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! A E CHECK NO. 31GNATURF No. 3 8 3 8 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: .f : - i 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. i LICENSE NO/STATE: ~ { " I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT 1NAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i~ f l DRIVER: ~ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: F~~"~'~i ~ ~ rte.-' DATE DELIVERED: ADDRESS: " I HEREBY CERTIFYTHAT THE ABOVE MATERIAL. HAS BEEN ACCEPTEC 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 0091974 Dan 6155 Coy Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/18/12 05/18/12 09:09 09:26 11101TC 009304 Winters Brothers Scale 2 Gross Wt. 78420 LB Outbound -Charge ticket Scale 1 Tare Wt. 35860 LB OTY. D TION RATE EXTENSION FEE TOTAL 21.28 TON OUTGO.MSW I 0.000 0.00 0.00 0.00 . . Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TE b ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE F_ CHECK NO. SIGNATURE . - - - SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0091974 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/18/12 05/18/12 09:09 09:26 11101TC 009304 Winters Brothers • - Scale 2 Gross Wt. 78420 LB Outbound -Charge ticket Scale 1 Tare Wt. 35860 LB QTY. D TION RATE EXTENSION FEE TOTAL 21.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - • Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN E CHECK NO. ~iC,P~ATUP,E _ No. 10 9 3 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): ~ TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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 WA5 DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED 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 SOITTHOL~ TOWN DEPT SOLID WASTE 01 0091973 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/18/12 05/18/12 08:06 08:47 11100TC 009304 Winters Brothers I 'i Scale 2 Gross Wt. 89900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35960 LB QTY. TION RATE EXTENSION FEE TOTAL 26.97 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. TE ~ ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHAN CHECK NO. SIGNATURE 517E TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0091973 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/18/12 05/18/12 08:06 08:47 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 89900 LB Outbound -Charge ticket Scale 1 Tare Wt. 35960 LB QTY. TION RATE EXTENSION FEE TOTAL 26.97 ~ 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. TE b ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HAN CHECK NO. tiiGNATURF No. 2624 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 pR 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 KEYS 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 00919985 Steph _ _ 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/19!12 X5/19/12 08:39 08:48 11121TC 009304 Winters Brothers • Scale 2 Gross Wt. 82200 LB Outbound -Charge ticket Scale 1 Tare Wt. 36300 LB QTY, TION RATE EXTENSION FEE TOTAL 22.95 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. TE ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00919985 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/19/12 05/19/12 08:39 08:48 11121TC 009304 Winters Brothers • Scale Z Gross Wt. 82200 LB Outbound -Charge ticket Scale 1 Tare Wt. 36300 LB QTY. TION RATE EXTENSION FEE TOTAL 22.95 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 ED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! E CHECK NO. SIGNATURE. - - No. 3 8 4 0 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WI1~H 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, tS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. I GENERATOR AUTHORIZED AGENT(PRINT NAME} (SIGNATURE) TRANSPORTER ~ TRANSPORTATION/FREIGHT CO. ! i ~ , : . • TRUCK NO. ~ LICENSE NO/STATE: _ , TRAILER NO. LICENSE NO/STATE: ij 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: - jet (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 00920790 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cut~hogue; NY 11935 05/21/12 05/21/12 10:13 10:29 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 72800 LB Outbound -Charge ticket Scale 1 Tare Wt. 41200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 15.80 TON OUTGO.MSW 0.000 0.00 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 ND RED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 00920790 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/21 /12 05/21 /12 10:13 10:29 11121 TC 009304 Winters Brothers . - J Scale 2 Gross Wt. 72800 LB Outbound -Charge ticket Scale 1 Tare Wt. 41200 LB QTY. IPTION RATE EXTENSION FEE TOTAL 15.80 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TEND REO CHANGE CHECK NO. NQ. 3839 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 i i 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. i ~ t:. DRIVER: e (PRINT NAME) (SIGNATUA~) DESTINATION DISPOSAL LOCATION: 1 t' % f i-i 1'J~ i~ DATE DELIVERED: ADDRESS: ! HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME} SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID ~ ~"~HMAS'`f; **DU'LICATE TICKET** ~ - _ _ SOU-I-40LD TOWN DEPT SOLID WASTE ~ 01 00920780 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 , 05/21 /12 05/21 /12 09:51 10:11 11101 TC ~i 009304 Winters Brothers • Scale 2 Gross Wt. 79260 LB Outbound -Charge ticket Scale 1 Tare Wt. 3600D LB _ QTY. IPTION RATE EXTENSION FEE TOTAL 21.63 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHAN E CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00920780 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/21 /12 05/21 /12 09:51 10:11 11101 TC 009304 Winters Brothers ~ Scale 2 Gross Wt. 79260 LB Outbound -Charge ticket Scale 1 Tare Wt. 36000 LB QTM• PTION RATE EXTENSION FEE TOTAL 21.63 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, MAY 28, 2012 MEMORIAL DAY! TENDERED AN E CHECK NO. ~~QNA~ URE No. 10 9 5 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 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 HAZAE;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. s:' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: i TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE 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 NEIGHMASTER "DUPLICATE TICKET*"` - SOUTHOLD TOWN DEPT SOLID WASTE 01 00920757 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/21 /12 05/21 /12 08:53 09:22 11100TC 009304 Winters Brothers • Scale 2 Gross Wt. 87640 LB Outbound -Charge ticket Scale 1 Tare Wt. 38300 LB QTY. C PTION RATE EXTENSION FEE TOTAL 24.67 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. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED RANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "'DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 00920757 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/21 /12 05/21 /12 08:53 09:22 11100TC 009304 Winters Brothers • - Scale 2 Gross Wt. 87640 LB Outbound -Charge ticket Scale 1 Tare Wt. 38300 LB QTY. D S PTION RATE EXTENSION FEE TOTAL 24.67 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, MAY 28, 2012 MEMORIAL DAY! TENDERED AN E CHECK NO. ~I!:NATURF 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 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~- TICKE7~ e~tiD "DUPLICATE TICKET" - SOUTHOLD TOWN DEPT SOLID WASTE 01 00920975 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 D5/22/12 05/22/12 08:16 08:40 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88000 LB Outbound -Charge ticket Scale 1 Tare Wt. 36380 LB ~ QTY. PTION RATE EXTENSION FEE TOTAL 25.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 O eratin hours 7:00 AM • p g to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED HANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00920975 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/22/12 05/22/12 08:16 08:40 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 88000 LB Outbound -Charge ticket Scale 1 Tare Wt. 36380 LB QTY I PTION RATE EXTENSION FEE TOTAL 25.81 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE _ CHECK NO, C,iJS'UHE NO. 266 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00921046 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 0/22/12 05/22/12 13:02 13:12 11121 TC 009304 Winters Brothers Scale 2 Gross Wt. 91580 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB Net Weight 53620 LB 26.81 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! "`DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00921046 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/22/12 05/22/12 13:02 13:12 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 91580 LB Outbound -Charge ticket Scale 1 Tare Wt. 37960 LB Net Weight 53620 LB 26.81 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! NO. 3842 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE C.~ 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 j TRANSPORTATION/FREIGHT CO. 'r ; ; TRUCK NO. LICENSE NO/STATE: ~ ' ~ ,i~ ~ ~ TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (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 00921116 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/23/12 05/23/12 07:21 07:32 11121 TC 009304 Winters Brothers - Scale 2 Gross Wt. 87060 LB Outbound -Charge ticket Scale 1 Tare Wt. 33940 LB Net Weight 53120 LB 26.56 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. i CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 i NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! "DUPLICATE TICKET*` SOUTHOLD TOWN DEPT SOLID WASTE 01 00921116 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/23/12 05/23/12 07:21 07:32 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 87060 LB Outbound -Charge ticket Scale 1 Tare Wt. 33940 LB Net Weight 53120 LB 26.56 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. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! NQ. 3843 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 ANYIIAB~LITY 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: ~ 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 Jr~ i' I j ~ i 1 .'i i DRIVER: t' ( ~ ~ l~.~ f, (PRINT NAME) ~i ~i IGNATURE) DESTINATION i DISPOSAL LOCATION: ' i ~L ! ~ -a~~, i I DATE DELIVERED: r 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. **DUPLICATE TICKET' SOUTHOLD TOWN DEPT SOLID WASTE 01 00921181 Steph 6155 Cox Lane, PO Sox 962 Cutchogue, NY 11935 05123/12 05/23/12 10:39 10:55 11100YC 009304 Winters Brothers Scale 2 Gross Wt. 79180 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB Net Weight 42360 LB 21.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! *"DUPLICATE T4CKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 00921181 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 05/23/12 05/23/12 10:39 10:55 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 79180 LB Outbound -Charge ticket Scale 1 Tare Wt. 36820 LB Net Weight 42360 LB 21.18 TON OUTGO.MSW 0,000 D.00 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, MAY 28, 2012 MEMORIAL DAY! 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: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "`DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 00921354 MC _ 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/24/12 05!24!12 07:40 08:02 11121TC ~ 009304 Winters Brothers • ' Scale 2 Gross Wt. 80000 LB Outbound -Charge ticket Scale 1 Tare Wt, 36320 LB QTY. UNI D C IPTION RATE EXTENSION FEE TOTAL 21.84 TON OUTGO.MSW 0.000 0.00 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, MAY 28, 2012 MEMORIAL DAY! HA GE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER *"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 00921354 MC 6155 Cox Lane, PO Box 962 PATE IN DATE OUT TIME IN 71ME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/24/12 05/24/12 07:40 08:02 ~ 11121TC 009304 Winters Brothers Scale 2 Gross Wt. 80000 LB Outbound -Charge ticket Scale 1 Tare Wt. 36320 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.84 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. TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! HA E CHECK NO. SIGNATURE NQ. 3 8 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 L1ABIlITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 1 - r ~s~r= SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~ ` " ~ GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT 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. s ' i r TRUCK NO. ~ ~ LICENSE NO/STATE: ! r t ~ 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. -~`~1~ ~ ~ _ f ' I DRIVER: r ~ ~ \ (PRINT NAME) (SI ATURE) DESTINATION DISPOSAL LOCATION: ~ ,iy'v - ~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 GRID 4VEIGN~'-, "DUPLICATE TICKET** ~ - - - SOUTHOLD TOWN DEPT SOLID WASTE 01 00921416 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/24/12 05/24/12 10:06 10:26 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 76960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36040 LB ~ ON• PTION i RATE EXTENSION FEE_ ___iOlali - _ - 20.46 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, MAY 28, 2012 MEMORIAL DAY! TENOEREO_ CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 00921416 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/24/12 05/24/12 10:06 10:26 11100TC 009304 Winters Brothers I Scale 2 Gross Wt. 76960 LB Outbound -Charge ticket Scale 1 Tare Wt. 36040 LB QTY. I D R PTION RATE EXTENSION FEE TOTAL 20.46 TON OUTGO.MSW 0.000 0.00 0.00 D.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, MAY 28, 2012 MEMORIAL DAY! TENDERED i CHAN E CHECK NO. ;I~.a(`UaIOF~t No. 2s2~ GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY ~ APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMAS~' **DUPLICATE TICKET** SOUTHC~LD TOWN DEPT SOLID WASTE 01 00921653 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/25/12 05/25/12 09:43 110:02 11100TC 009304 Winters Brothers . - Scale 2 Gross Wt. 81440 LB Outbound -Charge ticket Scale 1 Tare Wt. 37780 LB QTY. IPTIO RATE EXTENSION FEE TOTAL 21.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I - Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. - ENDERED i NEXT HOLIDAY CL05ED: MONDAY, MAY 28, 2012 MEMORIAL DAY! CHECK NO. ~;Ii~,^;ATURE SITE TICKET GRID WEIGHMASTER `*DUPLICATE TICKET** ~ SOUTHOLD TOWN DEPT SOLID WASTE 01 00921653 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ' 05/25/12 05/25/12 09:43 10:02 11100TC 009304 Winters Brothers . - _ Scale 2 Gross Wt. 81440 LB Outbound -Charge ticket Scale 1 Tare Wt. 37780 LB QTY. IPTION RATE EXTENSION FEE TOTAL 21.83 ~ TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. TENDERED NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! AN CHECK NO. ?IGNATURE NO. 2630 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, 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 ANO 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 00921911 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/26/12 , 05/26/12 07:23 07:47 11101TC 009304 Winters Brothers ORIGIN REFERENCE i Scale 2 Gross Wt. 85280 LB Outbound - Charge ticket Scale 1 Tare Wt. 35760 LB QTY. IPTIO RATE EXTENSION FEE TOTAL / 24.76 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, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE I SITE TICKET GRID WEIGHMASTER -DUPLICATE TICKET.. SOUTHOLD TOWN DEPT SOLID WASTE 01 00921911 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/26/12 05/26/12 07:23 07:47 11101 TC 009304 Winters Brothers REFERENCE 9 91HRIN 7 Scale 2 Gross Wt. 85280 LB Outbound - Charge ticket Scale 1 Tare Wt. 35760 LB OTY. U DESCRIPTION RATE EXTENSION FEE TOTAL 24.76 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. .00 NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! TENDERED CHANGE CHECK NO. SIGNATURE NO. 1096 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 CG TARE l 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 DFI.IVFRED WITHOUT INCIDENT TO THE DESTINATION LISTFD BFLOW 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. Sn TIOKET . GRID WEIGHMASTER "DUPLICATE TICKET" `r UTHQLD TOWN DEPT SOLID WASTE 01 00921938 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/26/12 05/26/12 08:28 08:45 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 86180 LB Outbound - Charge ticket Manual Tare Wt. 37200 LB OTy.. ON RATE EXTENSION FEE TOTAL 24.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. tCHEK CLOSED HOLIDAY S - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, MAY 28, 2012 MEMORIAL DAY! SIGNATURE *"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 0092193 John 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 05/26/12 05/26/12 08:28 08:45 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 86180 LB Outbound - Charge ticket Manual Tare Wt. 37200 LB OTY umv D ..ION RATE EXTENSION FEE TOTAL 24.49 TO OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. tTED CLOSED HOLIDAYS - Q UESTIONS CALL 631-734-7585. NEXT HOLIDAY CLOSED: MONDAY, MAY 28; 2012 MEMORIAL DAY! SIGNATURE :6 31 GENERATOR THIS )B PURPOSESONLY.GENERATOR DOES NOTTAKE OR TITLE OFANYCAAGOORMATERIALS BEING MFG.M7V YIAIBILITY ASSOCIATED WITH THE SHIPMENT the SUCH MATERIALS. COMPANY. SHIP DATE: COMMODOY t1P1liEp: f LOOSE: (CU YDS) BALES: (COUNT) TRUCK V&*HT I1'b GROSS 2 c~ oo TARE NET I HEREBY CERTIFY4C1-,KT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED gY 40 CFR PART 280.10 OR ANY APPLICABLESTA ,I>O}Tk4ZARDOUSWASTEASDEFINEDBY40CFRPART261MANYAPPLICABLESi`ATBLAW~If)1~i89EN.PROPERLY DESCR , OACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENW AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 4z TRANSP RTER TRANSPORTATIOWFREKGHT CO. TRUCK NO. ? / } LICENSE NO/STATE: ! ~}O :r-- TRAILER NO. I Z S LICENSE NO/STATE: zl -741 -;l/ I HEREBY (9RVY,THAT-THE ABOVE NAND 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 T©THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZfD A13¢ " PRINT NAME) - SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR LOCATION TICKET NO.