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Home My WebLink About06/2013 `DUPLICATE TICKET' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01003315 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 06/01/13 06/01/13 07:01 07:16 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 89740 LB Outbound - Charge ticket Scale 1 Tare Wt. 36580 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! N E CHE K SIGNATURE **DUPLICATE TICKET' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01003315 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VFHICLE ROLL OFF Cutchogue, NY 11935 06/01/13 06/01/13 07:01 07:16 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 89740 LB Outbound - Charge ticket Scale 1 Tare Wt. 36580 LB Net Wpiaht 53160 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.58 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE i CHECK NQ.~ '.;iGfJAI Ul i E NO. 4787 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) I DESTINATION DISPOSAL LOCATION: DATE DELIVERED: I ADDRESS: I HEREBY CERTIFY TiiAT 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. bvEIf~FIrn.~srER SITE TICKET Steph **DUPLICATE TICKET** 01 01003328 VEHICLE ROLL OFF SOUTHOLD TOWN DEPT SOLID WASTE DATE IN DATE ou TIME IN TIME OUT 6155 Cox Lane, PO Box 962 08'.01 08'.24 11100TC Cutchogue , W 11935 p61~1113 06101113 - ORIGIN 009304 Winters Brothers REFERENCE ;Net ale 2 Gross Wt. 92800 LB Outbound - Charge ticket ale 1 Tare Wt. 37780 LB W I FEE TOTAL UNIT DESCRIPTION RATE EXTENSION 0.000 0.00 0.00 0.00 TO 27.51 N OUTGO.MSW 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 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE N . CHECK SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01003328 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/01/13 06/01/13 08:01 08:24 11100TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 92800 LB Outbound - Charge ticket Scale 1 Tare Wt. 37780 LB Net Wei ht 55020 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 27.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE NO. 4949 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) ~I 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" SITE TICKET GRID WEIGHMASTEP SO•'JTHOLD TOWN DEPT SOLID WASTE 01 01003395 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/01/13 06/01/13 10:10 10:33 11114TC 009304 Winters Brothers REFERENCE O- Scale 2 Gross Wt. 96380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36800 LB Net Weiaht 59580 LB QTY. UNIT DFSCRIP"TION RATE EXTENSION FEE TOTAL 29.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHEcK NO SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET- SOUTHOLD TOWN DEPT SOLID WASTE 01 01003395 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/01/13 06/01/13 10:10 10:33 11114TC 7 - 009304 Winters Brothers REFER I Scale 2 Gross Wt. 96380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36800 LB Net Weiaht 59580 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE FOTAL 29.79 TON OUTGOWSW 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! A I CHECK 1111,~j SIGNATURL NO. 4757 t ' GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT" AKE 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. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01003982 MC 6156 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUj --F- T VEHICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03/13 08:17 08:38 11114TC 009304 Winters Brothers REFERENCE .ORIGIN 2 Gross Wt. 82780 LB Outbound - Charge ticket Manual Tare Wt. 37600 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I O eratin hours 7:00 AM to 500 PM 7 d • p 9 ays a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! HAN CHECK NO. SIGNATURE **DUPLICATE TICKET** (SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01003982 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03/13 08:17 08:38 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 82780 LB Outbound - Charge ticket Manual Tare Wt. 37600 LB Net Wei ht 45180 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! HANGE CHECK NO. _~li=:Nl:i 111;E NO. 4606 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01004012 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/03/13 06/03/13 REFERENCE Scale 2 Gross Wt. 68660 LB Outbound - Charge ticket Scale 1 Tare Wt. 36640 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.01 TON UTGO.MSW 0.000 0.00 0.00 0.00 \1 I I I i Operating hours 7:00 AM to 5:00 PM 7 days a week. Ammign-im • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHECK CHANGE N . SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01004012 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/03/13 06/03/13 9:59 10:09 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 68660 LB Outbound - Charge ticket Scale 1 Tare Wt. 36640 LB Net Wei ht 32020 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 116.01 TON UTGO.MSW 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHECK NO. SIGNATURE • NO. 4950 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. *"DUPLICATE TICKET" rSITE TICKET GRID WEIGHMASTER SOUTHOI_-D TOWN DEPT SOLID WASTE 01 01004046 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEI IICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03113 11:42 11:59 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 71220 LB Outbound - Charge ticket Scale 1 Tare Wt. 35900 LB Net Weiaht 35320 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.66 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004046 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03/13 11:42 11:59 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 71220 LB Outbound - Charge ticket Scale 1 Tare Wt. 35900 LB N Weiqbl 35320 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 "I - j 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE NO. 4607 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 liCKCi GF.ID WEIGHMASTER "DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 01 01004060 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03/13 12:34 12:48 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 72880 LB Outbound - Charge ticket Scale 1 Tare Wt. 37360 LB Net Weight 35520 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.76 TON OUTGO.MSW 0.000 0.00 0.00 0.00 i i I I Operating hours 7:00 AM to 5:00 PM 7 days a week. AIIIIIIIIIIIIIIIIIIION • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO-::::~ SIGNATURE: ""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004060 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/03/13 06/03/13 12:34 1248 11100TC 009304 Winters Brothers ~ REFERENCE ORIGIN Scale 2 Gross Wt. 72880 LB Outbound - Charge ticket Scale 1 Tare Wt. 37360 LB Net Wei ht 3552 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.76 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. AERWE&T • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK O. SIGNATURE NO. 4951 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 1 DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THHAT 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" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004240 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE: OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 12:47 12:59 11114TC 009304 Winters Brothers REFERENCE • c Scale 2 Gross Wt. 87400 LB Outbound - Charge ticket Scale 1 Tare Wt. 36000 LB Net Wei ht 51400 QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. 25.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHECK NO SIGNATURE -DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004240 Steph 6155 Cox Lane, PO Box 962 , NY 11935 DATE IN DATE OUT TIME IN TIME OU i VEHICLE ROLL OF=F Cutchogue 06/04/13 06/04/13 12:47 12:59 11114TC 009304 Winters Brothers ( Scale 2 Gross Wt. 87400 LB Outbound - Charge ticket Scale 1 Tare Wt. 36000 LB Net Wei ht 51400 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.70 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE i CHECK NO. SIGNATURE NO. 5172 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: 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. J i -DUPLICATE TICKET" r-1 ITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004165 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 08:57 09:10 11REFERENCE Scale 2 Gross Wt. 82000 LB Outbound - Charge ticket Scale 1 Tare Wt. 36600 LB Net Weight 45400 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE 0TAL. 22.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 f ! 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK N . SICNAiUI;E "DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004165 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 08:57 09:10 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 82000 LB Outbound - Charge ticket Scale 1 Tare Wt. 36600 LB Net Weight 45400 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! AN E CHECK NO, SIGNATUHL NO. 5080 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. I DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004226 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE: OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 11:47 11:57 11110TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 93220 LB Outbound - Charge ticket Scale 1 Tare Wt. 38520 LB N Weiaht 54700 LB QTY. UNIT DESCRIPTION RAIL EXTENSION FEE TOfAi_ 27.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE I, CHECK N . SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004226 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 11:47 11:57 11110TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 93220 LB Outbound - Charge ticket Scale 1 Tare Wt. 38520 LB N Weiaht 54700 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 27.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 IOperating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHECK NO. St,NATURE NO. 4953 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. "-DUPLICATE TICKET"' SITE TICKET GRID WEIGHMASTER SGUTHOLD TOWN DEPT SOLID WASTE 01 01004269 Steph 6155 Cox Lane, PO Box 962 DATE, IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/04/13 06/04/13 14:03 14:24 11100TC 009304 Winters Brothers - REFERENCE Scale 2 Gross Wt. 87280 LB Outbound - Charge ticket Scale 1 Tare Wt. 36040 LB Net Weiaht 51240 LB OTY, UNIT DFSCRIPTION RATE EXTENSION FEE TC?rAl. 25.62 TON OUTGO.MSW 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO-~:j SIGNAL UHL "DUPLICATE TICKET` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004269 Steph 6155 utc Cox Lane, Lane NY , 119 1935 Box 962 C DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF utc 06/04/13 06/04/13 14:03 14:24 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 87280 LB Outbound - Charge ticket Scale 1 Tare Wt. 36040 LB Net i OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.62 TON OUTGO.MSW 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! H N HECK N SIGNATURE NO. 4954 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE 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 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004375 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 08:22 108:41 11117TC 009289 Trinity Transport REFIEFENCE • c 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 69740 LB Outbound - Charge ticket Scale 1 Tare Wt. 35540 LB NJ Wpinht 142nn I R 7 CITY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 17.10 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO- SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004375 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 08:22 08:41 11117TC 009289 Trinity Transport 214 Blydenburg Road REFERENCE ORIGIN Islandia NY 11749 Scale 2 Gross Wt. 69740 LB Outbound - Charge ticket Scale 1 Tare Wt. 35540 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE :TOTAL 17.10 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! I CHECK N . SIGNAI URE t NO. 5189 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 01004429 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 11:08 11:21 11117TC 009289 Trinity Transport - REFERENCE e 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 67960 LB Outbound - Charge ticket Scale 1 Tare Wt. 36180 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.89 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! AN I CHECK NO-~:::j SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004429 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 11:08 11:21 11117TC 009289 Trinity Transport 214 Blydenburg Road REFERENCE Islandia NY 11749 Scale 2 Gross Wt. 67960 LB Outbound - Charge ticket Scale 1 Tare Wt. 36180 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.89 TON OUTGO.CONST-CONTRACT 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO. SIGNATURE NO. 5190 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. i DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. '-DUPLICATE TICKET` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004459 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 12:17 12:32 11100TC 009304 Winters Brothers - REFERENCE e Scale 2 Gross Wt. 88860 LB Outbound - Charge ticket Scale 1 Tare Wt. 36940 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. 25.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK SIGNATURE '*DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004459 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/05/13 06/05/13 12:17 12:32 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 88860 LB Outbound - Charge ticket Scale 1 Tare Wt. 36940 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.96 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO SIGNATURE NO. 4955 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. *TUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004735 Steph 6155 Cox Lane, PO Box 962 - DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ' 06/06/13 06/06/13 13:13 13:13 11100TC 009289 Trinity Transport 214 Blydenburg Road REFERENCE • - Islandia NY 11749 Manual Gross Wt. 80500 LB Outbound - Charge ticket Manual Tare Wt. 37680 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTA!_ 21.41 TON Com Plas, Glass, Can 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004735 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 13:13 13:13 11100TC REFERENCE 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Manual Gross Wt. 80500 LB Outbound - Charge ticket Manual Tare Wt. 37680 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 21.41 TON Com Plas, Glass, Can 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHAN E CHECK NO_~:::j SIGNATURE NO. 4956 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 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. **D,UPL:CATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004584 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 07:37 07:55 11117TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 73440 LB Outbound - Charge ticket Scale 1 Tare Wt. 36300 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.57 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! -Ti C H7 NG- -E I CHECK NO.9 SIGNATURE SITE TICKET **DUPLICATE TICKET*' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004584 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 07:37 07:55 11117TC 009289 Trinity Transport ORIGIN REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 73440 LB Outbound - Charge ticket Scale 1 Tare Wt. 36300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.57 TON OUTGO. CONST-CO NTRACT 0.000 0.00 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: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANGE CHECK NO. SIGNATUR!_ NO. 5192 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. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER S-DUTHAD TOWN DEPT SOLID WASTE 01 01004657 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 10:25 10:50 11117TC 009289 Trinity Transport • 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 66880 LB Outbound - Charge ticket Scale 1 Tare Wt. 35620 LB QTY. UNI DESCRIPTION RATE EXTENSION FEE TOTAL 15.63 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004657 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 10:25 10:50 11117TC 009289 Trinity Transport ORIGIN REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 66880 LB Outbound - Charge ticket Scale 1 Tare Wt. 35620 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.63 TON OUTGO.CONST-CONTRACT 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! ANGE CHECK NO. SIGNATURE NO. 5193 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: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004600 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 08:05 08:24 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 81940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.84 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! CHANQE CHECK N SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004600 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 ;;06/06/13 08:05 08:24 Fil 114TC 009304 Winters Brothers REFER ENCE Scale 2 Gross Wt. 81940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.84 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ANIMMY • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED MONDAY, MAY 27, 2013 IN OBSERVANCE OF MEMORIAL DAY! HANGE CHECK NO. SIGNATURE NO. 5082 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 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. **DUPLIEATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004694 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 11:39 12:01 11114TC - REFERENCE 009304 Winters Brothers Scale 2 Gross Wt. 87320 LB Outbound - Charge ticket Scale 1 Tare Wt. 35760 LB Net Weiaht 51560 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HANGE CHECK NO.--j SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01004694 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/06/13 06/06/13 11:39 12:01 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87320 LB Outbound - Charge ticket Scale 1 Tare Wt. 35760 LB Net Weiaht 51560 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N NO. SIGNATURE NO. 5173 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. iC4' IuKET SOUk DEPT SOLID WASTE •ilUTh TRANSFh TATION t- PO Box 962 !v 11935 Wei g' De. , BILL lu: 9304 Winters Brothers Vehicle 1D: 111171C Reference: DATE IN: 06/06/2013 TIME IN: 13:22:41 DATE OUT: 06/05/2013 TIME OUT: 13:33:19 OUTBOUND TICKET Number: 01-01004740 SCALE 3 GROSS WT. 78260 LB SCALE 1 TARE WT. 35380 LB NET WEI6HT 42880 LB Oty Description Amount 21.410 OUTGO.MSW 0.00 NET CHARGE AMOUNT: 0.00 X NO. 51 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 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 I 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. **DUF><.ICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004921 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 12:30 12:46 11114TC 009289 Trinity Transport REFERENCE ORIGIN 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 75640 LB Outbound - Charge ticket Scale 1 Tare Wt. 37200 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.22 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN E CHECK NO. SIGNATURE 9 **DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004921 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 12:30 12:46 11114TC • 009289 Trinity Transport REFERENCE - 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 75640 LB Outbound - Charge ticket Scale 1 Tare Wt. 37200 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.22 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! -CHANGE I CHECK NO SIGNATURE NO. 2725 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 T iAT 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004939 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 13:45 14:00 11100TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 66260 LB Outbound - Charge ticket Scale 1 Tare Wt. 36620 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.82 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE **DUPLICATE TICKET** GRID WEIGHMASTER 9[1 ICKET SOUTHOLD TOWN DEPT SOLID WASTE 01004939 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL. OFF Cutchogue, NY 11935 06/07/13 06/07/13 13:45 14:00 11100TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 66260 LB Outbound - Charge ticket Scale 1 Tare Wt. 36620 LB - Net Weiaht 29640 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.82 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 L 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE SIGNAI URE NO. 4958 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: 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" SITE TICKET GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004840 MC -6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 07:17 07:36 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 81660 LB Outbound - Charge ticket Scale 1 Tare Wt. 37520 LB Net Wei ht 44140 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.07 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ANINEAT • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! H CHECK NO__~j SIGNATURE "DUPLICATE TICKET " SITE TICKET GRID WEiGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004840 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 07:17 07:36 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 81660 LB Outbound - Charge ticket Scale 1 Tare Wt. 37520 LB Net Wei ht 44140 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.07 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN CHECK Ng__~ SIGNATURE NO. 2730 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 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** SITE TICKET GRID WEIGHMASTER SE)UTHOI_-D TOWN DEPT SOLID WASTE 01 01004874 MC 6155 Cox Lane, PO Box 962 DATE fN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06107/13 06/07/13 09:50 10:18 11114TC 009304 Winters Brothers REFERENCE - Scale 2 Gross Wt. 85900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36500 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HANGE CHECK SIGNATURE - **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004874 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 09:50 10:18 11114TC 009304 Winters Brothers 7' m Scale 2 Gross Wt. 85900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36500 LB Net Weiaht 4A400 LR Q-ry UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN CHECK N SIGNATURE No. 273.. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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 TtiAT 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** FS1jT TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01004889 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF • 06/07/13 06/07/13 10:58 11:14 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 83520 LB Outbound - Charge ticket Scale 1 Tare Wt. 36940 LB L M4 Wpiriht 46."n IR QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.29 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004889 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/07/13 06/07/13 10:58 11:14 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 83520 LB Outbound - Charge ticket Scale 1 Tare Wt. 36940 LB t QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.29 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK CHANGE SIGNATURE NO. 4957 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NQT;A-KfIsOSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPFn 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 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" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005020 Steph 6155 Cox Lane, PO Box 962 DATE W DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/08/13 06/08/13 11:28 11:43 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 73940 LB Outbound - Charge ticket Scale 1 Tare Wt. 35840 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.05 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO SIGNATURE '"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005020 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/08/13 06/08/13 11:28 11:43 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 73940 LB Outbound - Charge ticket Scale 1 Tare Wt. 35840 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.05 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! H HE NO. SIGNATURE NO. 12706 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. I DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: it 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. ""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004964 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/08/13 06/08/13 07:03 07:17 11100TC 009304 Winters Brothers ORIGIN 2 Gross Wt. 83580 LB Outbound - Charge ticket Manual Tare Wt. 37940 LB Net Wpiaht 45640 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.82 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET- SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004964 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OU r TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/08/13 06/08/13 07:03 07:17 11100TC 009304 Winters Brothers REFERENCE .ORIGIN 2 Gross Wt. 83580 LB Outbound - Charge ticket Manual Tare Wt. 37940 LB Net Weight 45640 QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.82 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE HE SIGNATURE NO. 49 59 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- 01 TOWN DEPT SOLID WASTE 01004979 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEFIICLE ROLL OFF Cutchogue, NY 11935 r 06/08/13 06/08/13 08:49 09:06 11114TC 009304 Winters Brothers REFERENCE =NCE • Scale 2 Gross Wt. 82020 LB Outbound - Charge ticket Scale 1 Tare Wt. 35980 LB Net Weight 46040 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.02 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01004979 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/08/13 06/08/13 08:49 09:06 11114TC 009304 Winters Brothers - REFER I ENCE 077 Scale 2 Gross Wt. 82020 LB Outbound - Charge ticket Scale 1 Tare Wt. 35980 LB Net Weiaht 46040 LB 07Y UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.02 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK o. SIGNATURF NO. 12705 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01005567 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/10/13 6110/13 9:48 0:01 11114TC 009304 Winters Brothers REFERENCE ".11CIN Scale 2 Gross Wt. 72120 LB Outbound - Charge ticket Scale 1 Tare Wt. 38020 LB Net Weiaht 34100 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.05 TON UTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" rSITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01005567 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/10/13 6/10/13 9:48 0:01 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 72120 LB Outbound - Charge ticket Scale 1 Tare Wt. 38020 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.05 TON UTGO.MSW 0.000 0.00 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: ' TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! N CHECK NO.=j SIGNATURE NNW r NO. 12702 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 01005648 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/10/13 06/10/13 12:32 12:49 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 82940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CCHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005648 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/10/13 06/10/13 12:32 12:49 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 82940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE NO. 12708 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. **DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005801 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 12:10 12:26 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 70280 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE `01AL 16.92 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE i CHECK NO-:::I SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005801 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 12:10 12:26 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 70280 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.92 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO. SIGNATURE NO. 2723 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 To iAT 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" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005743 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 07:40 07 53 11100TC 009304 Winters Brothers REFER ENCE Scale 2 Gross Wt. 85080 LB Outbound - Charge ticket Scale 1 Tare Wt. 37460 LB Net WeiQht 47620 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.81 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN E CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005743 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 07:40 07:53 11100TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 85080 LB Outbound - Charge ticket Scale 1 Tare Wt. 37460 LB Net Wei ht 47620 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.81 TON OUTGO.MSW 0.000 0.00 0.00 0.00 "I I J_ I j Operating hours 7:00 AM to 5:00 PM 7 days a week. AIELWAV • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE NO. 4963 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: 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005764 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11113 09:48 10:02 11114TC 009304 Winters Brothers REFERENCE iW Scale 2 Gross Wt. 88980 LB Outbound - Charge ticket Scale 1 Tare Wt. 37940 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.52 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. .00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE E SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005764 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11 /13 06/11/13 09:48 10:02 11114TC 009304 Winters Brothers 7 Scale 2 Gross Wt. 88980 LB Outbound - Charge ticket Scale 1 Tare Wt. 37940 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.52 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN I CHECKM-j SIGNATURE NO. 2732 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 PROVIDFD IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZE 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"' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005770 Steph 6155 Cox Lane, PO Box 962 . DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 10:01 10:14 11100TC 009304 Winters Brothers FERENCE RE77 2 Gross Wt. 99700 LB Outbound - Charge ticket Scale 1 Tare Wt. 36660 LB QT'. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 31.52 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! RANGE CHECK N . SIGNATURE "DUPLICATE TICKET"' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005770 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 10:01 10:14 11100TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 99700 LB Outbound - Charge ticket Scale 1 Tare Wt. 36660 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 31.52 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. AIIIIIIII&MIZAT • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! A E CHECK N SIGNATURE NO. 4964 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 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** SITE TICKET GRID WEIGHMASTER SOUTJ-TOLD TOWN DEPT SOLID WASTE 01 01005861 Steph 6155 Cox Lane, PO BOX 962 - PATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 --f- 06/11/13 06/11/13 15:00 15:10 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 88000 LB Outbound - Charge ticket Scale 1 Tare Wt. 35740 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.13 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1-1 - 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO: SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005861 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/11/13 06/11/13 15:00 15:10 11114TC 009304 Winters Brothers 7mm - Scale 2 Gross Wt. 88000 LB Outbound - Charge ticket Scale 1 Tare Wt. 35740 LB Net W h QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.13 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE NO. 2727 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: HEREBY CERTIFY Ti iAT 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005992 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 11:59 12:14 11117TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 78380 LB Outbound - Charge ticket Scale 1 Tare Wt. 35540 LB N t Weiaht 42840 I-R : QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.42 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! N CHECK NO. SIGNATURE -DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005992 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 11:59 12:14 11117TC 009289 Trinity Transport • _ 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 78380 LB Outbound - Charge ticket Scale 1 Tare Wt. 35540 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.42 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE i CHECK NO. SIGNATURE NO. 3316 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. i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) 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" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005966 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 10:59 11:14 11100TC 009289 Trinity Transport 214 Blydenburg Road REFERENCE • Islandia NY 11749 Scale 2 Gross Wt. 84720 LB Outbound - Charge ticket Manual Tare Wt. 47480 LB N -t Weiaht 37940 LR : QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.62 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I OHECK N09 SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005966 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 10:59 11:14 11100TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 84720 LB Outbound - Charge ticket Manual Tare Wt. 47480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.62 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK O. SIGNATURE NO. 496? GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY ThAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. `*DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005918 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 , ' 06/12/13 06/12/13 08:25 08:39 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 108160 LB Outbound - Charge ticket Scale 1 Tare Wt. 38260 LB i- IN t VVPi(iht Rqqon IR QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 34.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005918 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 08:25 08:39 11100TC 009304 Winters Brothers REFERENCE /1 7 1 Scale 2 Gross Wt. 108160 LB Outbound - Charge ticket Scale 1 Tare Wt. 38260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 34.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO SIGNATURE NO. 4966 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. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005926 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 08:57 09:12 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.66 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005926 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 08:57 09:12 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 11.1 1 1 1 j 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO. SIGNATURE p NO. 2728 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. ""DUPLICATE TICKET'' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005935 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 09:14 09:32 11117TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 95820 LB Outbound - Charge ticket Scale 1 Tare Wt. 37100 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN CHECK NO. SIGNATURE **DUPLICATE TICKET'S SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005935 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 09:14 09:32 11117TC 009304 Winters Brothers ORIGIN REFERENCE Scale 2 Gross Wt. 95820 LB Outbound - Charge ticket Scale 1 Tare Wt. 37100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE NO. 2726 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: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLTCATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005978 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 11:27 11:47 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 93940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36060 LB Net Weiaht 57880 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.94 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! RANGE CHECK NO. SIGNATURE ""`DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01005978 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/12/13 06/12/13 11:27 11:47 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 93940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36060 LB Net Weiaht 57880 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.94 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HA E I ! HECK NO. SIGNATURE NO. 02079 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: ~`f LT COMMODITY SHIPPED: LOOSE: r (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 APPLICABL'- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER t TRANSPORTATION/FR=IGHT CO. TRUCK NO. LICENSE NO/STATE: t i TRAILER NO. I 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) (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`" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006155 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/13/13 06/13/13 08:54 08:55 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 72240 LB Outbound - Charge ticket Manual Tare Wt. 37560 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.34 TON OUTGO. CONST-CONTRACT 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! I CHECK NC-~:::j SIGNATURE 'DUPLICATE TICKET"' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006155 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/13/13 06/13/13 08:54 08:55 11114TC 009289 Trinity Transport • REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 72240 LB Outbound - Charge ticket Manual Tare Wt. 37560 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.34 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. 4MINVU9151 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO,-~~j SIGNATURE NO. 12740 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 *DUPL~ ATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01006213 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 1 06/13/13 06/13/13 10:59 11:12 11100TC • - 009304 Winters Brothers REFIERENPE t Scale 2 Gross Wt. 96720 LB Outbound - Charge ticket Scale 1 Tare Wt. 38420 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 \1 I I I j 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN E H N . SIGNATURE **DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006213 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/13/13 06/13/13 10:59 11:12 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 96720 LB Outbound - Charge ticket Scale 1 Tare Wt. 38420 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK NO. SIGNATURE NO. 4969 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 I DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER • SOUTHOLD TOWN DEPT SOLID WASTE 01 01006235 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/13/13 06/13/13 12:07 12:37 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 90240 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.90 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006235 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/13/13 06/13/13 12:07 12:37 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 90240 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.90 TON OUTGO.MSW 0.000 0.00 0.00 0.00 \1 - 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN CHECK NO__~ SIGNATURE r NO. 12741 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. ""DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006298 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 07:21 07:55 11100TC • 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 71560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36340 LB QTY. UNIT DESCRIPTION RATE EXTENSION FF_E TOTAL 17.61 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAINGE SIGNATURE SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET'" SOUTHOLD TOWN DEPT SOLID WASTE 01 01006298 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 07:21 07:55 11100TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 71560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36340 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL i 17.61 TON OUT CANS/PLAST-CONTR 0.000 0.00 0.00 0.00 I i Operating hours 7:00 AM to 5:00 PM 7 days a week. ANNE[ alaff-dur • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE i CHECK NO-71 SIGNATURC NO. 4970 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. `*DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01006363 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/14/13 6/14/13 2:15 2:37 11114TC 009289 Trinity Transport _ REFERENCE 214 Blydenburg Road Islandia NY 11749 7- Scale 2 Gross Wt. 65220 LB Outbound - Charge ticket Scale 1 Tare Wt. 36500 LB Ne Weiaht 28720 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.36 TON UTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK CHANGE SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01006363 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/14/13 6/14/13 2:15 2:37 11114TC 009289 Trinity Transport REFERENCE OORIGIN 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 65220 LB Outbound - Charge ticket Scale 1 Tare Wt. 36500 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 14.36 TON UTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE • NO. 5141 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: 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. e~ **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER Z,OUTHOLD TOWN DEPT SOLID WASTE 01 01006297 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 07:12 07:31 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 93760 LB Outbound - Charge ticket Scale 1 Tare Wt. 36360 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. 0 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006297 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 07:12 07:31 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 93760 LB Outbound - Charge ticket l Scale 1 Tare Wt. 36360 LB / QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.70 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! NGE CHE SIGNATURE r II NO. 12770 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" SITE TICKET GRID WEIGHMASTER tOUTAOLD TOWN DEPT SOLID WASTE 01 01006321 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 09:44 10:06 11114TC 009304 Winters Brothers a• I Scale 2 Gross Wt. 86540 LB Outbound - Charge ticket Scale 1 Tare Wt. 38160 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE KN SIGNATURE ""DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006321 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/14/13 06/14/13 09:44 10:06 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 86540 LB Outbound - Charge ticket Scale 1 Tare Wt. 38160 LB N Weiaht 48380 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.19 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • •5 " CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N SIGNATURE r NO. 12703 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. "DUPLICATE TICKET" rSITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006612 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/15/13 06/15/13 11:49 12:11 11114TC 009289 Trinity Transport REFERENCE c 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 70320 LB Outbound - Charge ticket Scale 1 Tare Wt. 38220 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.05 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! H CHECK No. SIGNATURE ""DUPLICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006612 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/15/13 06/15/13 11:49 12:11 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 7- Scale 2 Gross Wt. 70320 LB Outbound - Charge ticket Scale 1 Tare Wt. 38220 LB Net Weiaht 32100 LB L' UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.05 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO,__j SIGNATURE --~f NO. 12757 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. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006558 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/15/13 06/15/13 10:36 10:49 11117TC _ 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92420 LB Outbound - Charge ticket Scale 1 Tare Wt. 35240 LB QTY: UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006558 Steph 6155 COX Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/15113 06/15/13 10:36 10:49 11117TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92420 LB Outbound - Charge ticket Scale 1 Tare Wt. 35240 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 28.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHE K SIGNATURE 8632 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01006493 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 i 06/15/13 06/15/13 08:25 08:38 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92620 LB Outbound - Charge ticket Scale 1 Tare Wt. 37380 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 27.62 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I'll - j 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01006493 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/15/13 06/15/13 08:25 08:38 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92620 LB Outbound - Charge ticket Scale 1 Tare Wt. 37380 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 27.62 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO__~ SIGNATURE E NO. 4976 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. ""DUr'ILICATE TICKET"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01006486 Steph 6155 Cox Lane, PO Box 962 ~ DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/15/13 6/15/13 8:08 8:18 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92980 LB Outbound - Charge ticket Scale 1 Tare Wt. 35560 LB Net Wei ht 57420 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 8.71 TON UTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN N . I I SIGNATURE SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 1 01006486 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 6/15/13 6/15/13 8:08 8:18 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92980 LB Outbound - Charge ticket Scale 1 Tare Wt. 35560 LB N Wih 42 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 8.71 TON UTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! NGE CHA CHECK SIGNATURE NO. 12756 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS- COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING 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. 9OUTWiILD TOWN DEPT SOLID WASTE 01 01006763 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/16/13 06116/13 07:01 07:11 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91520 LB Outbound - Charge ticket Scale 1 Tare Wt. 38380 LB Net Weight 53140 LB 26.57 TON OUTGO.MSW 0.000 0.00 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: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 01006763 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/16/13 06/16/13 07:01 07:11 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 91520 LB Outbound - Charge ticket Scale 1 Tare Wt. 38380 LB Net Weight 53140 LB 26.57 TON OUTGO.MSW 0.000 0.00 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: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! NO. 4983 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. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLLD TOWN DEPT SOLID WASTE 01 01007131 Valerie DeFio 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 06/17/13 06/17/13 12:29 12:47 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 69040 LB Outbound - Charge ticket Scale 1 Tare Wt. 35920 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.56 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO-~~j SIGNATURE **DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007131 Valerie DeFio 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 12:29 12:47 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 69040 LB Outbound - Charge ticket Scale 1 Tare Wt. 35920 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.56 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO.~~ SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 4234 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007007 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 06:58 07:12 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 75800 LB Outbound - Charge ticket Scale 1 Tare Wt. 37240 LB Net Weiaht 38560 LB QTY, UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.28 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE `*DUPLICATE TICKET- SITE TICKET GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007007 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 06:58 07:12 11114TC 009304 Winters Brothers REFERENCE 0. Scale 2 Gross Wt. 75800 LB Outbound - Charge ticket Scale 1 Tare Wt. 37240 LB Net Weight LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.28 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK SIGNATURE I NO. 12707 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. *"DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER rOUTHOLD TOWN DEPT SOLID WASTE 01 01007013 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 07:35 07:50 11117TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 77720 LB Outbound - Charge ticket Scale 1 Tare Wt. 35100 LB Net Wejaht 49690 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007013 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 07:35 07:50 11117TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 77720 LB Outbound - Charge ticket Scale 1 Tare Wt. 35100 LB N t Weiaht 42620 LB 7 QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.31 TON OUTGO.MSW 0.000 0.00 0.00 0.00 \1 I I I j 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK CHANGE SIGNATURE NO. 8633 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. '*DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SGUTHOLD TOWN DEPT SOLID WASTE 01 01007053 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/17/13 06/17/13 09:29 09:49 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 88280 LB Outbound - Charge ticket Scale 1 Tare Wt. 38000 LB (0) Ty. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE i CHECK NO-~:::j SIGNATURE 'DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01 DATE 007053 MC 6155 Cox Lane, PO Box 962 IN 06/1 7/1 DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 3 06/17/13 09:29 09:49 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 88280 LB Outbound - Charge ticket Scale 1 Tare Wt. 38000 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.14 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I I j Operating hours 7:00 AM to 5:00 PM 7 days a week. ANIMUT • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HA SIGNATURE L I NO. 1273. 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. _ -r TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE. AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 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 4 SOUTHOLD TOWN DEPT SOLID WASTE 01 01007234 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 07:00 07:10 11114TC 009304 Winters Brothers REFERENCE 0. Scale 2 Gross Wt. 77000 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I i Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007234 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 07:00 07:10 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 77000 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.55 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N SIGNATURE NO. 12800 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) i BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007244 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 08:05 08:14 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 92820 LB Outbound - Charge ticket Scale 1 Tare Wt. 38140 LB OTY. UNIT DESCRIPTION RATE EXrENSION FEE TOTAL 27.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I I I Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO,--j SIGNATURE tf~' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007244 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 08:05 08:14 11100TC 009304 Winters Brothers REFERENCE ORIGIN Scale 2 Gross Wt. 92820 LB Outbound - Charge ticket Scale 1 Tare Wt. 38140 LB Net Weiaht 54680 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 27.34 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN i CHECK N09 SIGNATURE NO. 4985 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 :30UTHOLD TOWN DEPT SOLID WASTE 01 01007268 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 09:18 0934 11114TC 009304 Winters Brothers REFERENCE ORIGIN Scale 2 Gross Wt. 87160 LB Outbound - Charge ticket Scale 1 Tare Wt. 38280 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.44 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! H SIGNATURE _ SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007268 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 09:18 09:34 11114TC 009304 Winters Brothers - REFERENCE ORIGIN 7 Scale 2 Gross Wt. 87160 LB Outbound - Charge ticket Scale 1 Tare Wt. 38280 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.44 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE SIGNATURE _ ~ t NO. 4884 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 v 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 01007343 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEIAICLE ROLL OFF Cutchogue, NY 11935 06/18/13 i 06/18/13 ;12:59 1 1328 11100TC 009304 Winters Brothers I - Scale 2 Gross Wt. 82840 LB Outbound - Charge ticket Scale 1 Tare Wt. 35820 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHE?!K NO~:::l SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007343 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/18/13 06/18/13 12:59 13:28 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 82840 LB Outbound - Charge ticket Scale 1 Tare Wt. 35820 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK I SIGNATURE ----Oman NO. 4986 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01007477 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 09:21 09:38 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 94080 LB Outbound - Charge ticket Scale 1 Tare Wt. 36040 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.02 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN E SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007477 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 09:21 09:38 11114TC 009304 Winters Brothers ORIGIN REFERENCE Scale 2 Gross Wt. 94080 LB Outbound - Charge ticket Scale 1 Tare Wt. 36040 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.02 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. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! H I CHECK NO SIGNATURE • T NO. 5232 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 01007558 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 13:03 1318 11100TC 009304 Winters Brothers REFERENCE • - Scale 2 Gross Wt. 95260 LB Outbound - Charge ticket Scale 1 Tare Wt. 36360 LB Net Weiaht 58C)00 ILB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN E CHECK NO, SIGNATURE SITE TICKET GRID WEIGHMASTER ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01007558 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 13:03 13:18 11100TC 009304 Winters Brothers ORIGIN REFERENCE Scale 2 Gross Wt. 95260 LB Outbound - Charge ticket Scale 1 Tare Wt. 36360 LB t Wpiaht 58900 L- A QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! N H SIGNATURE NO. 4988 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) SIGNATUR E/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 01007446 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06119/13 07:01 07:12 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87520 LB Outbound - Charge ticket Scale 1 Tare Wt. 36380 LB Ni-t \A/Pinht 51140 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.57 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007446 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 07:01 07:12 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87520 LB Outbound - Charge ticket Scale 1 Tare Wt. 36380 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.57 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK N SIGNATURE NO. 5231 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. SIIF TICKET GRID VVEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007525 Steph -6155 Cox Lane, PO Box 962 DATE IN DAIS OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 11:46 12:04 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 89380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36460 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N . SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007525 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/19/13 06/19/13 11:46 12:04 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 89380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36460 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! A I CHECK NO. SIGNATURE NO. 5233 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 Ta 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. I SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007764 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 11:58 12:17 11114TC 009289 Trinity Transport 214 Blydenburg Road REFERENCE Islandia NY 11749 Scale 2 Gross Wt. 82660 LB Outbound - Charge ticket Scale 1 Tare Wt. 36020 LB N~t Weight 46640 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. 23.32 ON OUT CANS/PF LAST-CONTR 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. AMILILM • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN CHECK NO TURE ~-f) SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007764 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 11:58 12:17 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 82660 LB Outbound - Charge ticket Scale 1 Tare Wt. 36020 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.32 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE NO. 5254 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"" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007788 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 13:02 13:15 11100TC 009289 Trinity Transport • _ REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 74340 LB Outbound - Charge ticket Scale 1 Tare Wt. 35800 LB N, A Weiaht 38540 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.27 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" rSITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007788 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 13:02 13:15 11100TC • 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 74340 LB Outbound - Charge ticket Scale 1 Tare Wt. 35800 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.27 TON OUT CANS/PLAST-CONTR 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE HCHECK NO. SIGNATURE NO. 4990 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" SITE TICKET GRID WEIGHMASrER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007704 MC 6155 Cox Lane, PO Box 962 DATF IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 09:20 09:35 11114TC 009289 Trinity Transport • 214 Blydenburg Road REFERENCE Islandia NY 11749 Scale 2 Gross Wt. 72740 LB Outbound - Charge ticket Scale 1 Tare Wt. 38020 LB N Weiaht 34720 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.36 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK NO. SIGNATURE "DUPLICATE TICKET"` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007704 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06120113 06/20/13 09:20 09:35 11114TC REFERENCE 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 72740 LB Outbound - Charge ticket Scale 1 Tare Wt. 38020 LB N Weiaht 34720 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.36 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE O. SIGNATURE NO. 5255 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 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: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007665 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 07:01 07:11 11114TC 009289 Trinity Transport REFERENCE • 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 69800 LB Outbound - Charge ticket Scale 1 Tare Wt. 36320 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.74 TON OUTGO. CON ST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NQ--~~j SIGNATURE **DUPLICATE TICKET- SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007665 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 07:01 07:11 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 69800 LB Outbound - Charge ticket Scale 1 Tare Wt. 36320 LB t Weiaht 33480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 16.74 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN CHECK NO. SIGNATURE NO. 5235 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 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 01007716 MC 615. Cox Ldne, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 10:12 1039 11100TC 009304 Winters Brothers i- REFERENCE ORIGIN Scale 2 Gross Wt. 88120 LB Outbound - Charge ticket Scale 1 Tare Wt. 38000 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.06 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. kq 1 :1 W-1 A 1011110 11 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HANG CHECK NO SIGNATURE `*DUPLICATE TICKET"' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007716 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/20/13 06/20/13 10:12 10:39 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 88120 LB Outbound - Charge ticket Scale 1 Tare Wt. 38000 LB Net Weiaht 50120 LR QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.06 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN ~=ECK NO.-j SIGNATURE i NO. 4989 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: 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** SITE TICKET GRID WEIGHMASTER SOUTI-COLD TOWN DEPT SOLID WASTE 01 01008003 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE. OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 12:05 , 12:19 11117TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 74680 LB Outbound - Charge ticket Scale 1 Tare Wt. 36920 LB Net Weiaht 37760 LB O1Y UNIT DESCRIPTION RATE EXTENSION FEE do 18.88 TON OUTGO. CONST-CO NTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 7 A NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008003 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 12:05 12:19 11117TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 74680 LB Outbound - Charge ticket Scale 1 Tare Wt. 36920 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 18.88 TON OUTGO. CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. dIEW311111AT "01 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANU-E I CHECK N . SIGNATURE - NO. 864 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 01008007 Steph 6155 Cox Lane, PO Box 962 DATE IN DAI - OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 12:12 12:32 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 84700 LB Outbound - Charge ticket Scale 1 Tare Wt. 37720 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE ---CRECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" li SOUTHOLD TOWN DEPT SOLID WASTE 01 01008007 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 12:12 12:32 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 84700 LB Outbound - Charge ticket Scale 1 Tare Wt. 37720 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 23.49 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. 41111111111111111== I CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK NO. SIGNATURE NO. 5 2 7 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 'SITE TICKET GRID WEIGHMASTER -DUPLICATE TICKET*" SQUTHOL.D TOWN DEPT SOLID WASTE 10, 01007926 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 09:07 09:27 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 80040 LB Outbound - Charge ticket Scale 1 Tare Wt. 36240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.90 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO.-~j SIGNATURE "DUPLICATE TICKET`"` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01007926 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/21/13 06/21/13 09:07 09:27 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 80040 LB Outbound - Charge ticket Scale 1 Tare Wt. 36240 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.90 TON OUTGO.MSW 0.000 0.00 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: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK HANGE NO. SIGNATURE NO. 5 2 71.. 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. SOUTHOLD TOWN DEPT SOLID WASTE 01 01008161 John 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/22/13 06/22/13 07:04 07:18 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 86380 LB Outbound - Charge ticket Manual Tare Wt. 34820 LB Net Weight 51560 LB 25.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SOUTHOLD TOWN DEPT SOLID WASTE 01 01008161 John 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/22/13 06/22/13 07:04 07:18 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 86380 LB Outbound - Charge ticket Manual Tare Wt. 34820 LB Net Weight 51560 LB 25.78 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! NO. €643 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. "'`DUPLICATE TICKET*" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008177 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/22/13 06/22/13 08:00 08:00 11100TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 88940 LB Outbound - Charge ticket Manual Tare Wt. 36180 LB Net Wei ht 52760 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! QHjkNQE CHECK N i SIGNATURE "'DUPLICATE TICKET" ` SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008177 John 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/22/13 06/22/13 08:00 08:00 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 88940 LB Outbound - Charge ticket Manual Tare Wt. 36180 LB N i OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. AMILUMSE CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! ffij A-NQ F CHECK NO. SIGNATURE NO. 4992 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: 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 01008172 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/22/13 06/22/13 07:46 08:02 11114TC 009304 Winters Brothers REFERENCE 2 Gross Wt. 86900 LB Outbound - Charge ticket Scale 1 Tare Wt. 38260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL. 24.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ii 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! AN E K NO. SIGNATURE *"DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008172 John 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/22/13 16/22/13 07:46 08:02 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 86900 LB Outbound - Charge ticket Scale 1 Tare Wt. 38260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL 24.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 "I I I I j Operating hours 7:00 AM to 5:00 PM 7 days a week. AMILVA" • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK UH-ANGE SIGNATURE 52?4 NO. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01008228 John (;'155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/22/13 06/22/13 09:37 09:50 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 78900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36680 LB Net Weight 42220 LB 21.11 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01008228 John 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 06/22/13 06/22/13 09:37 09:50 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 78900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36680 LB Net Weight 42220 LB 21.11 TON OUTGOWSW 0.000 0.00 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: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! NO. -8642 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 BEENACCEPTED 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. SOUTHOLD'TOWN-DEPT SOLID WASTE 02 00057246 Valerie DeFio PO Box 962 Cutchogue, NY 11935 06/22113 07/01/13 1610 16:10 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 1008240 Manual Gross Wt. 75180 LB Outbound - Charge ticket Manual Tare Wt. 36440 LB Net Weight 38740 LB 19.37 TON OUTGO.MXD CANS/PLAST 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-7347685 0.00 NEXT HOLIDAY CLOSED: SOUTHOLD TOWN DEPT SOLID WASTE 02 00057246 Valerie DeFio PO Box 962 Cutchogue, NY 11935 06/22/13 07/01/13 16:10 16:10 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 1008240 Manual Gross Wt. 75180 LB Outbound - Charge ticket Manual Tare Wt. 36440 LB Net Weight 38740 LB 19.37 TON OUTGO.MXD CANS/PLAST 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS - QUESTIONS - Call 631-734-7685 0.00 NEXT HOLIDAY CLOSED: rows of Biuokhaven Ticket No :2961571 150 HORSEBLOCK RD Cus Ticket No: Date :622/13 3rookhaven,NY 11719 :ustomer: 2590 Order No : 110 TOWN OF SOUTHOLD RECYCLE MIXED iolid Waste District Loads : 57 ~.O. Box 962 Miles : 0 :utchogue,N.Y. 11935 Tons: 996.82 rruck 11114TCJ TRINITY-SOUTHOLD Gross: 75020 lb Scale 1 Out 1:25 pm trailer AH45826J Tare: 36480 lb Scale 2 In 1:52 pm daterial: 50X `RECYCLE MIXED -ovation: REC RECYCLE COMMERCIAL Net: 38540 lb M.00/tn 19.270 to Neigh Master: SR OPER 4 Material $ 0.00 Delivery $ 0.00 )river: Misc $ 0.00 Tax $ 0.00 2emarks: 500.00 TONS MAX +50% (750 TONS) Total $ 0.00 TO 39Vd SNCal AiINRIl 9L96ZbETE9T bT:TT ETOL/tZ/90 **DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLDSTOWN bEPT SOLID WASTE 01 01008240 John 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/;22/13 06/22/13 09:59 10:10 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 75180 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB OTY. UN OESCRIPTION RATE EXTENSIONFEE. TOTAL 19.37 TON -6~~ 0.000 0.00 0.00 0.00 CO- 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE **DUPLICATE TICKET" SITE : TICKET . GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008240 John 6155 Cox Lane, PO BOX 962 E M DATE OUT TIME IN TIME OUT VEHICLE .`ROLL OFF Cutchogue, NY 11935 ;06;/22/13 06/22/13 09:59 10:10 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 75180 LB Outbound - Charge ticket Scale 1 Tare Wt. 36440 LB QTY. UNIT- DESCRIPTION RATE EXTENSION:.' FEE TOTAL 19.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE NO. 5264 GENERATOR THIS MANIFEST IS FOR REFE NCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO MATERIALS BEING SHIPPED AND DOES NO ME ANY LIABILITY ASSOCI D-WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 1 L SHIP DATE: 1 I COMMODITY SHIPPED: W LOOSE: I ; N (CU YDS) BALES: (COUNT): ~rl TRUCK WEIGHT: O GROSS TARE NET I HEREBY CERTIFY THAT THE. ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY40 CFAPART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFRPART2SkGRANY APPLICABLE STATE AW HAS#Q& PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TOAPPLICASLE'REGULATION. - yt c GENERATOR AUTHORIZED AGENT(PRINTNAME) (SIGNATURE) - - TRANS RTER k= TRANSPORTATION/FREIGHT CO. TRUCK NO. ~ I ICEN E NO(STATE: I I I f TRAILER NO. I 2 LICENSE NO/STATE: I HEREBY CERTIFY. THAT. THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE iI ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: n4 ~y - (PRINT NAME) (SIGNA7URE) DESTINATION DISPOSAL LOCATION: y 1 i" l DATE DELIVERED: ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED' IKRUE AND ACCURATE: r 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008772 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 07:00 07:16 11114TC . 009289 Trinity Transport REFERENCE - 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 67580 LB Outbound - Charge ticket Scale 1 Tare Wt. 36540 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE :TOTAL 15.52 TON OUTGO. CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 000 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01008772 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 07:00 07:16 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 67580 LB Outbound - Charge ticket Scale 1 Tare Wt. 36540 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 15.52 TON OUTGO. CONST-CONTRACT 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. 000 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK CHANGE NO. SIGNATURE NO. 5266 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** SITE TICKET GRID WEIGHMASTER SOUT-HOLD TOWN DEPT SOLID WASTE 01 01008803 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06!24/13 06/24/13 08:57 09:07 11100TC 009304 Winters Brothers i Scale 2 Gross Wt. 73460 LB Outbound - Charge ticket Scale 1 Tare Wt. 37480 LB N, A Weiaht 35980 LB CITY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01008803 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 08:57 09:07 11100TC 009304 Winters Brothers REFERENCE I Scale 2 Gross Wt. 73460 LB Outbound - Charge ticket Scale 1 Tare Wt. 37480 LB Net Weiaht 35980 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HA CHECK SIGNATURE _ NO. 4993 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. ""DUPLICATE TICKET' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008817 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 09:55 10:10 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 75060 LB Outbound - Charge ticket Scale 1 Tare Wt. 36000 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO~~) SIGNATURE "DUPLICATE TICKET" rSITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008817 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 09:55 10:10 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 75060 LB Outbound - Charge ticket Scale 1 Tare Wt. 36000 LB Net Weiaht 3pn6o LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HAN I CHECK NO.=~ SIGNATURE NO. 5265 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. **DUPLICATE TICKET** SITE TICKET GRID WEfGHMASTER '~OUTHOLD TOWN DEPT SOLID WASTE 01 01008829 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 10:20 10:35 11117TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 80580 LB Outbound - Charge ticket Scale 1 Tare Wt. 35260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ANIMMY • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. .00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO., SIGNATURE *"`DUPLICATE TICKET*' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008829 MC 6155 Cox Lane, PO Box 962 DATE IN 06/24 DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 /13 06/24/13 10:20 10:35 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 80580 LB Outbound - Charge ticket Scale 1 Tare Wt. 35260 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 22.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1-1 1 1 1 1 j 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK SIGNATURE ppp- NO. 8641 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01008886 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24/13 06/24/13 12:16 12:37 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 87240 LB Outbound - Charge ticket Scale 1 Tare Wt. 36400 LB Net Weiaht 50840 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.42 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE H SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01008886 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/24113 06!24/13 12:16 12:37 11114TC 009304 Winters Brothers REFERENCE .ORIGIN 7 2 Gross Wt. 87240 LB Outbound - Charge ticket Scale 1 Tare Wt. 36400 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.42 TON OUTGO.MSW 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK CHA GE SIGNATURE NQ. 5267 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. **DUPLICATE TICKET** :SITE TICKET RID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009115 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 12:38 13:14 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 79900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36540 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.68 TON OUT CANS/PLAST-CONTR 0.000 0.00 0.00 0.00 "I L -1 1 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HANGE CHECK NO sl<~raATURF. -IN SITE TICKET GRID WEIGHMASTER "*DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01009115 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 12:38 13:14 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 79900 LB Outbound - Charge ticket Scale 1 Tare Wt. 36540 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.68 TON OUT CANS/PLAST-CONTR 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 4253 NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. J **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009052 Steph 5155 C(3x Lane, PO Box 962 DATE IN DAIS OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06125/13 06/25/13 10:00 10:16 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 63940 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 13.02 TON OUTGO. CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! UH-ANGE CHECK SIGNATURE SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01009052 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 10:00 10:16 11114TC 009289 Trinity Transport REFERENCE 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 63940 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB QTY. UNIT DESGRIPI""ION RATE EXTENSION FEE TOTAL 13.02 TON OUTGO.CONST-CONTRACT 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! F=ECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 5 NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009017 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 07:36 07:51 11114TC 009304 Winters Brothers ~e Scale 2 Gross Wt. 75160 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! HANGE CHECK NO- ~IGNATUPE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009017 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 07:36 07:51 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 75160 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 19.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK N09 SIGNATURE NO. 5269 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 PROVIDE[ 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"' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009056 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEI-IJCLE ROLL OFF Cutchogue, NY 11935 06/25113 06/25/13 10:07 10:22 11100TC 009304 Winters Brothers REFEREN CE Scale 2 Gross Wt. 78620 LB Outbound - Charge ticket Scale 1 Tare Wt. 36100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.26 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! ANG i CHECK NO SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009056 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 10:07 10:22 11100TC 009304 Winters Brothers REFERENCE 7 Scale 2 Gross Wt. 78620 LB Outbound - Charge ticket Scale 1 Tare Wt. 36100 LB 01 Y. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.26 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE CHECK N SIGNATURE NO. 4994 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** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009112 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/13 06/25/13 12:32 13:05 11100TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 79180 LB Outbound - Charge ticket Scale 1 Tare Wt. 35840 LB QTY. UNIT DESCRIPTION RATE. EXTENSION FEE TOTAL 21.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHANGE I CHECK NO~~ SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009112 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06!25/13 06/25/13 12:32 13:05 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 79180 LB Outbound - Charge ticket Scale 1 Tare Wt. 35840 LB N -t Wpinht 43340 [-R OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! CHECK NO.~:::j SIGNATURE • NO. 4995 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: 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" srrE TICKET GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009296 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;096/;2611 3 06/26/13 11:49 12:05 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 77980 LB Outbound - Charge ticket Scale 1 Tare Wt. 35440 LB CITY UNIT DESCRIFTON RATE EXTENSION FEE TOTAL 21.27 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01009296 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;;0;6/26/13 06/26/13 11:49 12:05 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 77980 LB Outbound - Charge ticket Scale 1 Tare Wt. 35440 LB QTY. UN. -DESCRIPTION '....RATE :.EXTENSION FEE. TOTAL:.. 21.27 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: D THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE TRINITY 'T'RANSPORTATION CORPORATION 214 Blydenburgh Road NO. 4237 Islandia, NY 11749 (631) 342-9673_ THIS MANIFESTISFORREFERE E RPOSESONLY.GENERATOR DOES NOT.TAKE POSSESSIONORTlTLEYrANYCARGO 9R MATERIALS BEING. SHIPPED ANO DOES NO SLIME ANY LIABILITY ASSOCIATED WITN`THE, SHIPMENT OF SUCH MATERIALS. COMPANY: L SHIP DATE: L j COMMODITY SHIPPED: LOOSE: V (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE ' NET 1 HEREBY! CERTWY THAT THE ABOVE NA40 Mi1TEpDOES NOT GAIN FREE LIOUID AS DEFINED-BY 40 CFR PART ,T90.10 OR ANY APPLK;1~11z STYCTE LAW.ISNOT HAZARDOUS WASTE AS , FINED BY W CFIIFAltT2E1,ORANY AP% AWL pku LAW, lMS BEEN PROPERLY DESCRIM CLAWED AND PACKAGED, AND ISYN PROPER CONDITION Ffil itAN$POA ION AC `Tb APPLICABLE REGULATION. AUFTOORIZED AGENT(PRINT NAME) (SIGNA 1 ' ~.TRANSPOfITE~ TRANSPORTA'Fft'>1OREIGHT CO. ' TRUCK NO. Z LICENSE NO/STATE: TRAILER NO: LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SIT $TED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) Y: M, ,DESTINATION DISPOSAL LOCATION: t \ y DATE DELIIFEREDsr' } ADDRESS: . IHERVOYCERTIFYTHATTHEABOVEMATERIALHASBEENACCEPTEDANDTOTHEBESTOFMYKNOWLEDGE *IkIW IS TRUE AND ACCURATE: - RECEIVED BY:. - - AUTHORIZED AGENT(PRINT NAME) ' SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION - GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. - PINKTOGENERATOR - GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPI JCATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009201 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/26/13 06/26/13 07:00 07:12 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 79900 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB QTY. UNIT DESCRIPTION RATE EXTENSION ..FEE TOTAL 21.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 000 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" srrE TICKET GRID r WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009201 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/26/13 06/26/13 07:00 07:12 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 79900 LB Outbound - Charge ticket Scale 1 Tare Wt. 37900 LB QTY. UN DESCRIPnON RATE EXTENSION FEE TOTAL 21.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. Ono NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE ' -TRINITx TRANSPORTATION. CORPORATION Z 14 B lydenburgh Road 4223 Islandia, NY 11749 NO. (631) 342-9673 THIS MANIFEST IS FOR REFS NCE PURPOSES ONLY. GE~y"$~°~' ATOR DOES NOT TAKE POSSESSION OR TITLEOF ANYCOM OR MAT RIALS BEING SHIPPED AND DOE T ASSUME ANY LIABILITY rcS.S(ifiIATED WITH THE SHIPMENT OF SUCH MAT;SRIALO, COMPANY: U LA : L SHIP DATA: COMMODITY SHIPPED: LOOSE: V L] (CU YDS) i BALES: (COUNT): TRUCK WEIGHT: I (JQ GROSS TARE UGC U NET j is IERREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTA@URUID AS DEFINED Y 40CFR PART 260.10 OR ANY. • APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PAFffAl OR ANY APPLICABLGS TE LAW. HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR ANSPORTATION "NOTO APPLICABLE REGULATION. tkENERATOR AUTHORIZED AGENT(PRINT,NAME) (SIGNATURE) + TRANSPOR ER TTRANK NPOEIfATIONIFREIG CO. LICEt- Y NSE N&$TATE: TRAILER NO. LICENSE NO/STATE:,. c x; I HEREBY CERTIFY THAT THE ABOVE NAMED MAfBRIAL WAS PICKED UP AT THE GENERATOR SITE D ABOVE, AkD THAT IT WAS *DELIVERED WITHOUT INCIDENT^^^T~~~OYHE DESTINATION LIS'ktb9 BELOW. f DRIVER: (PRINTNAME) (SI TURF) g ' iz DESTINATM DISPOSAL ILOCA e DATEbEL REp ADDRESS: I HEREBY CERTIFY THAT THE ABOV@ MATERIAL HAS BEEN AOCEPTED AND TO THE BEST OF MYwNOWLEDGE' ie*iimF ' D711PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED #GENT(PRINTNAME) SKINATURE/DATE ~ . KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER _ YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION **DUF ^ATE TICKET** SrrE TICKET GRID WEIGHMASTER SOUTh(D TOWN DEPT SOLID WASTE 01 01009241 Steph 6155 COX Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 4 06/26/13 06/26/13 09:23 09:35 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 94120 LB Outbound - Charge ticket Scale 1 Tare Wt. 35960 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 29.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. .0 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009241 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUF VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/26/13 06/26/13 09:23 09:35 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 94120 LB Outbound - Charge ticket Scale 1 Tare Wt. 35960 LB OTY. UNIT r DESCRIPTION RATE !EXTENSION.. FEE -TOTAL'.' 29.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE 6NITY TRANSPORTATION CORPORATION 214 Blydenburgh Road " No. 4236 Islanda, NY 11749 (631) 342-9673 THlsl>bANIFESTIS FOR REFER E PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSfSS10N OR TITLE OF ANY CARGO MATER ALS SEM SHOPPED AND DDES ASSUME ANY LIABILITY ASSOCIATED W11H THE SHIPMENT OF SUCH MATERIALS. COMPANY: TUlf I (Q ( 0 SHIP DATE: ~ G Ci ~ 1 COMMODITY SHIPPED: J LOOSE: 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 i i ? G GROSS C U TARE U NET I HEREBY CERTIFY THAT THE ABOVFy,:.NAMED MATERIAL GOES NOT CONTAIN FREE LIQUID AS DEFINED SYs CfRrQ/1(3Tj G ANY R} STATE LAW. IS ND1' HAZARDOUS WASTE AS DEFINEOBY w CFR PART 261 OR ANY APPLICABLE STAVC W, *,40 ~RLS{ DESCRIS CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO AP.PtX R~j~L*TNN,V, TGEKVPATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 4-7 - TRANSPORTE TRANSPOATA °K*VFREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILEf4NO. LICENSE NO/STATE: . I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR.SITE 1.1 ABOVE.: d4ND. THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. .DRIVER.. (PRINT-NAME) DESTINATION DISPOSAL LOCATION: I " I +c P~ DATE DELIVEREfl y, ADDRESS: tt` IHEREBYCERTIFYTHATTHEABOVEMATERIALHASBEENACdEPTEDANDTOTHEBESTOFMYKNOWLEbGETK4NFpI1IA4! VIOEp IS TRUE AND ACCURATE: RECEIVED BY: F AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION _ GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR - 4'- GOLD TO GENERATOR DISPOSAL LOCATIOITTICKET NO, "DUPLICATE TICKET" srrE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009265 Steph 6155 Cox Lane, PO Box 962 DIM IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/26/13 06/26/13 10:27 10:50 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 87860 LB Outbound - Charge ticket Scale 1 Tare Wt. 38220 LB Net Weiaht 4964n LB QTY. UNIT- I DESCRIPTION RATE EXTENSION FEE TOTAL 24.82 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "*DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009265 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE' ROLL OFF Cutchogue, NY 11935 ;0;6/26/13 06/26/13 10:27 1050 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 87860 LB Outbound - Charge ticket Scale 1 Tare Wt. 38220 LB OTY. UNIT DESCRIPTION RATE 'EXTENSION FEE TOTAL 24.82 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ~Immffi CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE NO. 4997 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES O U. n OR DOES NOT T KE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASS ANY ILITY IATED WITH TITMHEIPMENT OF SUCH MATERIALS. COMPANY: ~ SHIP DATE: COMMODITY SHIPPED: LOOSE: f/ (CU YDS) r BALES: (COUNT): TRUCK WEIGHT:i GROSS 2 7 t. TARE 9 /L " NET - I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 M PART OR ANY APPLICABLESTATE LAW, IS NOT HAZARDOUS WASTE-AISDEFINED BY 40 CFR PART 261,0R'ANY APPLICABLE STAT91 W, W miiel ROPERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINGTQJIPPLICABLE REGULATION.. GENERATOR AUTHORIZED AGENT(PRINT NAMEr' (SIGNATURE) T PORTER TRANSPORTATION/FREIGHT CO, _01 '00~ _ TRUCK NO. f -LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: F2 2? /1 9 I HEREBY>rERTIFY THAT THEABOVE NAMED MATERIAL- WAS'PICKED UP AT THE GENERATOR SITE 4ISTE6 ASOVE.'AND'THAT IT WAS DELIVERED' WITHOUT INCIDEE\NTTO THE DESTINATION LISTED BELOW. y - DRIVER: (PRINT NAME) -CTS (SIGNATURE) DESTINATION I f f DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" sITE TICKET GRID WEIGHMASTER %ODUTHOLD TOWN DEPT SOLID WASTE 01 01009523 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/27/13 06/27/13 12:10 12:26 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 57820 LB Outbound - Charge ticket Scale 1 Tare Wt. 38100 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 9.86 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" srrE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009523 MC 6155 Cox Lane, PO BOX 962 DATE IN < DATEOUT TIME IN TIME OUT VEHICLE :ROLL OFF Cutchogue, NY 11935 ;06/27/13 06/27/13 12:10 1226 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 57820 LB Outbound - Charge ticket Scale 1 Tare Wt. 38100 LB Net Wpinht 19720 LR QTY. UNIT DESCRIPTION RATE EXTENSIONS FEE ...:TOTAL 9.86 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENOERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Rlydenburgh Road NO. 4 217 Islabdia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFE NCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSIk$, T1jL f ANY CANM11p, ; MAT IALS BEING SNIPPED AND DOES ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMNL~NT 1 tALS. COMPANY: T) v L N L'A SHIP DATE: 4- COMMODITY SHIPPED: c~ LOOSE: ? (CU YDS) BALES: (COUNT): s TRUCK WEIGHT: GROSS TARE t NEz y, I HEREBY THAT:THE ABOVE NAMED- MATERIAL- DOES NOT CONTAIN 0AE LIOUID AS DEFINED BY X10 CFR -PART 260.1.0 OR ANY l• APPF,iLdiE 0 ..SNOTHAZARDOUS WASTE ASDEFINED BYiOCFRi+AAT281ftANYAPPLICABI,&ST#TE4iH11,1~U4ENPFiOPERtY 'F DESCROtD. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO AFP1 K ABLF REGULATION. # z GENERATOR AUTHORIZED AG PAW NAME) (SIGNATURE) TR PORTER 1 TRANSPORTATION/FREIGHT CQ." TRUCINO. ~ LICENSE NO/ST'ATE: + A TRAILER NO.^ I S 5 LICENSE NO/STATE: 5 L4 1 HERESY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE. ABOVE. AAD THAT IT WAS DELIVE&D WI?MOUT1NCiDENT TO THE DESTINATION..LNS O SELG}W. ~J V DRIVER: (PRINT NAME) (SIGNATURE) T6 s' "ooe DESTIN\A' N DISPOSAL LOCATION: 1`-tJ k v C /\J DATE DELIVERED: - lo~ ADDRESS:, I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOW LEDGE THE INfORMA710N'PR0VIDE0 IS TRUE AND ACCURATE: RECEIVED BY: - AUTHORIZED AGENT(PRINT NA E) - SIGNATURENDA KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. - PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009436 MC 61'55 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06127/13 06/27/13 09:02 09:33 11114TC 009304 Winters Brothers REFERENCE ORIGIN Scale 2 Gross Wt. 81040 LB Outbound - Charge ticket Scale 1 Tare Wt. 36280 LB CITY UNIT DESCRIPTION. ....RATE EXTENSION FEE ,,.'.TOTAL 22.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 9.09 NEXT HOLIDAY CLOSED: D THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" arTE TICKET -GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009436 MC 6155 Cox Lane, PO Box 962 L06/27/13 N DATE OUT TIME IN TIME OUT VEHICLE `ROLL OFF Cutchogue, NY 11935 06/27/13 09:02 09:33 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 81040 LB Outbound - Charge ticket Scale 1 Tare Wt. 36280 LB OTY UNIT' DESCRIPTION RATE EXTENSION FEE TOTAL 22.38 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE • T*YT RAtiM1'S ' ("~QRAT ~ T X a+.A 1- 2.14'Ql$denbur6 R e, NY 11749' w ?~~23 (631) 34219673 T THIS_ ~tENCEPURPOW46NLY d~TORDOESNOTTAKE TERIA BEND{ T RIME ANY L( ILITY X46*1ATED-WITH THE 3HIPME " , COMP . J li to lL > 1 = SHIP " '4~~• ~ rt i~ 1 R d 9-- C~ *A+__?L; 4•d stir +ep'~i, LOCYSE 'u rDs> BALZCV(CO~NT) F w. TRUCIr"yIIQHT`''~' DESCD. LED' ISJN TRANSPORT~1 x a i +x {r° 'fit 4k ' TRA IIGHf CO. TRUCM) t(f• LICENSE p F` TRAILER. LICENSE NO/Ts HEREBY 1F`F ' THti ABOVE :NAl1(1 MATERIAL WAS-PICKED . UR AT THE GENERATM. DELIVERED I' 1Q )tiGIDENTTOTHEDE TIONLISTED B€LOW.:.- fl` ^uF DRIVER' P N ME) ~S } r FT DESTINATION •~ipu yips ~f~r~1 y i+..YE ~a DISPQBAt ( DATE DIEL ADDRESS,- ";P r"A • IHEiTp = AYIFY_.THATT*AB&jMA1T IS TRUE AQCURATE: OR*. r++ `EEN AB,CEPTED TD _ 97' OF-MY IcNO r no . ,ty t' I t~)( *rf RECEIVED BY: ` AU?NORIZED~llk3 i )NT NAME) - - SIGNATURWPJi {RE KEY: WHITE TO DISPOSAL LOCATION ? 'f GREEN TO TRANSPORTER sr 9 YELLOW TO TRANSPORTER. PINK TO GENERATOR 'ki. GOLD TO GENERATOR - ; - DISP_QSAL LOCATIONIGKET NO. - "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER &OUTHOLD TOWN DEPT SOLID WASTE 01 01009496 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLoFF Cutchogue, NY 11935 06/27/13 06/27/13 11:12 11:20 11100TC 009304 Winters Brothers REFLRLNG~ ORIGIN Scale 2 Gross Wt. 80900 LB Outbound - Charge ticket Manual Tare Wt. 36700 LB QTY. UNIT :DESCRIPTION FJATE "EXTENSION : FEE TOTAL 22.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID VJEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009496 MC 6155 COX Lane, PO Box 962 DATE IN DALE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/;27/13 06/27/13 11:12 11:20 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 80900 LB Outbound - Charge ticket Manual Tare Wt. 36700 LB olY. t1Nrr DESCRIPTION RATE EXTENSION FEE TOTAL 22.10 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE r NO. 4998 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 A91Y LIA Iyjy ASSOCIATED,WITH THE SHIPMENT OF SUCH MATERIALS. t. COMPANY: G.~:'Y ?t r (it/1 t`~ _t SHIP DATE: COMMODITY SHIPPED: !YY? S GJ LOOSE: (CU YDS) BALES: (COUNT): CC TRUCK WEIGHT: (7C~ fr' GROSS TARE G 4f = NET I HEREBY CERTIFY, THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUIDAS DEFINED BY 40 GFR-PART "Q.10 OR ANY APPLICA13LE STATE LAW. IS-NOT HAZARDOUS WASTE AS DEFINED,BY 40 CFR. PART 261 OR ANY APPLICABLE'STATEL AIWINI11946MOROPERLY DESCRIBED;-CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDINaTQ A00tM X&REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)- - (SIGNATURE) TRANSPORTER TRANSPORTATION/F_ REIGHT CO: r TRUCK NO. LICENSE NO/STATE: TRAILER NO. ' LICENSE NO/STATE: oO"7 ~ 7 Z!a S 1-HEREBY CERTIFY THAT-THE.ABOVE NAMED MATERIAL WASPICKED UP AT THE.GENERATOR SITE LISTED ABOMj AND THAT 4T' WAS - DELIVERED.WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: ff ,r a (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 TJ4E INFORWTION 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" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009618 Dan 61455 Cox Cane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/28/13 06/28/13 07:03 07:11 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 81360 LB Outbound - Charge ticket Scale 1 Tare Wt. 36020 LB OTY. UNIT- I DESCRIPTION RATE EXTENSION FEE TOTAL 22.67 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE *"DUPLICATE TICKET" SITE TICKET GRID WEIGHMAS EA SOUTHOLD TOWN DEPT SOLID WASTE 01 01009618 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/28/13 06/28/13 07:03 07:11 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 81360 LB Outbound - Charge ticket Scale 1 Tare Wt. 36020 LB OTY. uNrr- - DESCRIPTION RATE EXTENSION FEE TOTAL 22.67 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE TRINITY TRANSPORTATION CORPORATION 21'4 Blydenburgh Road 4221 Islandia, NY 11749 No. (631) 342-9673 THIS MAFIFFESTIS FOR REFERE E I URPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING $HIPP@0 AND DOES NOT A UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: CA~ r L-- 1 SHIP DATE: Li 1 COMMODITY SHIPPED: !U1 t LOOSE: J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~S 5 ' GROSS TARE 6 5ctf~ NET t I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED 40 C'FR PAF}T' , 10 OR ANY - APPLICASLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY d0 CFR PART 231 OR ANY APPLICABLErSTATE 1.4w. F O OPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDI'l*t 7NSPORTAIRN - OROING TO APPLIGA ULATION.._. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE, t TRANSPORTER TRANSPORTATIOWREIGHT CO. N + TRUCK NO. LICENSE NO/STATE: TRAILER NO. t LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVgc' 1T WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. R, DRIVER: (PRINT NAME) (SIGNATURE) 1 Y DESTINATION DISPOSAL LOCATION: ^ l r ' r ev DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFO~PWWDED 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 WEItlWMASTER SOUT,40LD TOWN DEPT SOLID WASTE 01 01009634 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT :TIME IN TIME Gur vEHICLE ROLL OFF Cutchogue, NY 11935 06/28/13 06/28/13 07:55 08:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36740 LB QTY. UNIT DESCRIPTION RATE -EXTENSION FEE " TOTAL 26.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE SITE TICKET GRID WEIGWMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009634 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIMEOUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06;/28/13 06/28/13 07:55 08:16 11100TC 009304 Winters Brothers Scale 2 Gross Wt. 89940 LB Outbound - Charge ticket Scale 1 Tare Wt. 36740 LB OTY, UNIT DESCRIPTION RATE EXTENSION FEE: TOTAL 26.60 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENOEREO THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE NO. 4999 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GEN RATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT A UME ANY,ILIABILITYIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ylt (f' Gl+! L'1 G Y SHIP DATE: COMMODITY SHIPPED: /1'YI /rJ LOOSE: O (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 9 t 141 ti TARE .l.,c.' NET I HEREBY CERTIFY THAT THE ABOVE NAMED. MATERIAL: DOES NOT CONTAIN FREE LIOUID AS DEFINED BY, 40tFR`PARtM.10 OR ANY- APPLK3ABLESTATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BYdOCFRPART261,ORANYAPPLICASL£STATELAW4 A96EEAPROISERLY DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FSaTRANSPORTATION ACCORDLNd TQ APPLIbABLE REGULATION. ` GENERATOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTER TRANSPORTATION/FREIGHTCO. G~ TRUCK NO. -LICENSE NO/STATE: TRAILER NO._ LICENSE NO/STATE:-/Y 21 4!:~ I HEREBY CERTIFY THAT THE ABOVE: NAMED MATERIALsWAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND'THAT IT WAS - DELIVERED WITHOUT INCIDENT, TO THE DESTINATION LISTED BELOW. - DRIVER: (AAA (PRINT NAME) (SIGNATURE) D TINATION 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 WOOHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01009657 Dan 6155 Cox Lane, PO BOX 962 TE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06;/28/13 06/28/13 09:16 09:28 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 88440 LB Outbound - Charge ticket Scale 1 Tare Wt. 35500 LB QTY. UNIT DESCRIPTION RATE EXTENSION` FEE. TOTAL 26.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE WEIGNMA5TEFt "DUPLICATE TICKET" SITE TICKET "GRID SOUTHOLD TOWN DEPT SOLID WASTE 01 01009657 Dan 6155 Cox Lane, PO Box 962 DATE W DATE OUT TIME IN TIME WT VEHIGIE ROLL OFF Cutchogue, NY 11935 06/28/13 06/28/13 09:16 09:28 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 88440 LB Outbound - Charge ticket Scale 1 Tare Wt. 35500 LB CITY UNIT- DESCRIPTION RATE ;.EXTENSION,:. FEE TOTAL 26.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 L-- Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 4222 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR ATERIALS BEING SHIPPED AND DOE OT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY:V SHIP DATE: C COMMODITY SHIPPED: `j LOOSE: 1 `v} J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS _,;0 TARE _ 3 c NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL. DOES NOT CONTAIN FREE LIQUID AS DEFINEO; V 40 CFR -PAAT.260.10,16R ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED. BY 40 CFR PART 261 OR ANY APPLICABLL~. AT LAW.._ EN PR RLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CONDITION_FFOiiTRANS RTATION ACCORDING T15 E REOUlATI GRNMTOR AUTHORIZED AGENT(PRINT NAME) a (SIGNATURE-7 7k- ` RANSPAO+RTER TRANSPORTATION/FREIGHT -7CO. 4 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,,kNO THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. - DRIVER: To C. y (PRINT NAME) (SIGNATUAE) 4 _ DESTINATION (j`~/ ) 1 DISPOSAL LOC A) ATION: DATE DELIVERED: .ADDRESS: I HERESYCERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: MiECE1VED BY: AUTHORIZED AGENT(PR1NT'NAME) SIGNATUREMATE - - KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. - PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" slrE TicKEV' GRID wE1GHMAST€R SOUTHOLD TOWN DEPT SOLID WASTE 01 01009719 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT 11ME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/28/13 06/28/13 11:46 12:05 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 77920 LB Outbound - Charge ticket Scale 1 Tare Wt. 35560 LB CITY. UNIT DESCRIPTION' RATE '.:EXTENSION FEE TOTAL 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. NEXT HOLIDAY CLOSED: D THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" SITE TICKET GRID WEU3WWEa SOUTHOLD TOWN DEPT SOLID WASTE 01 01009719 Dan 6155 Cox Lane, PO Box 962 DATE IN DATEQUTTIME IN TIME OUT VEHICLE `ROLL OFF Cutchogue, NY 11935 ;06;/28/13 06/28/13 11:46 12:05 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 77920 LB Outbound - Charge ticket Scale 1 Tare Wt. 35560 LB CITY. UNrc DESCRIPTION RATE EXTENSION FEE TOTAL 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: TT ED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE TRINITY TRANSi O qr.A It} i CORPORATION 214 Blydenburgh Ro ` f44 /~24 ,ix 4K NO,, _49. Islandia, NY 11749 ! . (631) 342-9673 THISMANIFEST IS FOR REFERE E PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALt BEING SHIPPED AND DOES NO SLIME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. / SHIP DATE: COMPANY: G COMMODITY SHIPPED: i ki LOOSE: 1 J c7 (CU YDS) BALES: (COUNT): TRUCK WtIGHT: 7 714 GROSS TARE NET I HEREBY CPTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE. LIOUID AS DEFINED BY #!ART 280 ,10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CPR PART 261 OR ANY APPLICABLE Vr TAT I t 'UEN PROPERLY DESCR83ED.:CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION. FORT PORTATION ACCORDING TO A L tAHLE REGULATION. TOR AUTHORIZED AGENT(PRINT NAME) (SIG TRANSPORTER " TRANSPORTATION/FREIGHT CO. TRUCK NO. 2-5 LICENSE NO/STATE: TRAILER NO. I 5 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ASOVE,'AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. J~ t DRIVER: is `J y I (PRINT NAME) GNATURE) DESTINATION s DISPOSAL LOCATION: 2 _ l 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 OISPOS LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR - GOLD TO GENERATOR DISPO LOCATION TICKET NO. - r N SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009893 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/29/13 06/29/13 09:35 09:54 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 70080 LB Outbound - Charge ticket Scale 1 Tare Wt. 34920 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 17.58 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE SRE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009893 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/29/13 06/29/13 09:35 09:54 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 70080 LB Outbound - Charge ticket Scale 1 Tare Wt. 34920 LB OTY UNR DESCRIPTION RATE EXTENSION FEE : TOTAL 17.58 TON OUT CANS/PLAST-CONTR 0.000 0.00 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: TEN THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE NQ. 5343 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: 3,__ . , ' t 11 SHIP DATE: COMMODITY SHIPPED: k LOOSE: )t.? > (CUYDS) 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 R'MID.OR ANY APPLICABLE"STATE LAW IS NOT HAZARDOUS WASTE ASDEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STA* AW, I PAOPLRLY~' T DESCRIBED. CLASSIFIED,AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQAPPLICABLt AEGULAT40N. - GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 'T 1 7 iC TRUCK NO. LICENSE NO/STATE:: 11 TRAILER NO. 'a LICENSE NO/STATE: f') ' N f, i0 I HEREBY CERTIFY .THi1T°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: A*w IHEREBY CERTIFY THAT THEABOVE MATERIAL HASBEEN ACCEPTED ANDTOTHEBEST OFMYKNOWLEDGE THEINFORMATIONPROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNA URE/DATE r~ KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. a- PINK TO GENERATOR ' GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009830 Steph 6155 COX Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/;29 /13 06/29/13 07:01 07:13 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 76320 LB Outbound - Charge ticket Scale 1 Tare Wt. 35300 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 20.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" SrrE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009830 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/29/13 06/29/13 07:01 07:13 11117TC 009304 Winters Brothers Scale 2 Gross Wt. 76320 LB Outbound - Charge ticket Scale 1 Tare Wt. 35300 LB OTY UN. -...DESCRIPTION RATE EXTENSION FEE TOTAL 20.51 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENURED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE NO. 5344 GENERATOR THIS MANIFEST ISFORREFERENCE PURPOSES ON Y GENERATOR DOES NOT TAKE POSSESSION OR TITLE OFANY 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: a_? G GROSS TARE U7 h NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APRLIGOLE4TRTE.LAW, IS-NOTHAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW: k "j3EEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQAPPLICABLE REGULATION. - GENERA "AUTHORIZED AGENT(PRINT NAME). (S(GNATURE) - - TRANSPORTER TRANSPORT_ATION/FREIGHT CO. TRUCK NO. S LICENSE NO/STATE ! 1 rl ~'iC TRAILER NO, L( LICENSE NO/STATE: A 11 ? 2 I HEREBY CERTIFY THATTHE.ABOVE NAMED..MATERfAL WAS PICKED UP AT THE GENERATOR SITE LISTf D ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME (SIGNATURE) DESTINATION DISPOSAL LOCATION: f DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATIOJ1/ GREEN TO TRANSPOEB~/ - YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -DUPLICATE TICKET"* sr E TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009864 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/;29/13 06/29/13 08:28 08:44 11100TC 009304 Winters Brothers Manual Gross Wt. 107720 LB Outbound - Charge ticket Scale 1 Tare Wt. 36140 LB QTY. UNIT- DESCRIPTION RATE EXTENSION FEE TOTAL 35.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDEREGZ' THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET"* SITE ncKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01009864 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 ;06/29/13 06/29/13 08:28 08:44 11100TC 009304 Winters Brothers Manual Gross Wt. 107720 LB Outbound - Charge ticket Scale 1 Tare Wt. 36140 LB OTY. UNIT. DESCRIPTION RATE EXTENSION ..FEE TOTAL 35.79 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE • - NO. 500a GENERATOR y THIS MANIFEST IS FOR REFERENCE PURPOSES., NLY. G TOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT UME ANY ~BIL,ITS CIATED WITH THE HIPMENT OF SUCH MATERIALS: " COMPANY:, J a+ V Gy l y 1 A L_ SHIP DATE: COMMODITY SHIPPED: S t"'J LOOSE: _ UV(CU YDS) BALES: (COUNT): TRUCK WEIGHT: C? GROSS C,.' TARE o NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE' LIOUID.AS DEFINED BY 4D.CFR.PAIW'M.10 OR ANY APPLICABLE STA# LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 GFR.PART 261 OR ANY APPLICABLE STATEIAW3. ROPERLY. fz.;;z DESCRIBED, CLASSIFIED AND PACKAGED. AND IS IN PROPER. CONDITION FOR TRANSPORTATION ACCORDING Ta APPLtCA mAEZ'11ULATIONs' if GENERATOR AUTHORIZED AGENT PRINT NAME - ( ) - - (SIGNATURE). TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: d d TRAILER NO. mfr/ LICENSE NO/STATE: I HEREBY: CEBTJFY THAT THE ABOVE NAMED MATERIAL-: WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE. AND`T14AT IT WAS DELIVERED WITHOUTINCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ( S (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYKNOWLEDGE THEINFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY:' AUTHORIZED AGE T(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. - y SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01009887 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/29/13 06/29/13 09:27 09:43 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 84620 LB Outbound - Charge ticket Scale 1 Tare Wt. 36620 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE "DUPLICATE TICKET" siTE TICKET GRID WEIGHMASTE9 SOUTHOLD TOWN DEPT SOLID WASTE 01 01009887 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/29/13 06/29/13 09:27 09:43 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 84620 LB Outbound - Charge ticket Scale 1 Tare Wt. 36620 LB OTY. UNrr- > DESCRIPTION RATE EXTENSION . FEE TOTAL 24.00 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: TENDERED THURSDAY, JULY 4TH, IN OBSERVANCE OF INDEPENDENCE DAY! SIGNATURE r TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Island a, NY 11749 No. 4254 (631) 342-9673 THISMANIFESTISFORREFEREN EPURPOSIESONLY.GENERATORDOESNOTTAKEPOSSESSION'ORTITLEOFANYCARGO R. MAT RIALS* BEING SHIPPEO.(?ND DOES N ASSUME ANY UASILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERKS. COMPANY: _2>Q C T 1-I U L i) SHIP DATE: 14 . 1 ' 5 COMMODITY SHIPPED: LOOSE: _ t (CU YD§) BALES:. (COUNT): TRUCK WEIGHT: ? GROSS M • r "t: JG TARE f } C i, f t) NET I HEREBY C RTIFY THAT THE ABOVE NAMED MATERIAk.'DOES NOT CONTAIN FREE LIQUID AS. DEFINED- BY 40 CM PART 260.10 OR ANY APPLICAKE STATE LAW.4NOT HAZARDOUS WASTE AS.DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, 44$FEWPROPERLY DESCRIBED; CF,'ASSIF"AND'PACKAGfD. AND IS'•IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APP{. ,E,REGULATION. ERATQR AVT,"O IZED AGENT(PAINT NAME) ( GNP ft- _ j(•:p~~Nt'4!!`.,ER.' TRANSPaRTATK)NlFREIGHT O. TRUCK NO. L(CEI~SE NOI$TAtE: 4 .TRAILER NO; - ^LICENSE N0/STATE:- THE 1 RBY'iifiRTIFY•~HAT A80VE NAMED''MATERIAL WAS RICKED UR AT THE,'GENEBATOR 81~~ !„r 4pyE• AND THAT IT iNAS DELIYEpEO W17}I(1UT INCIDENT TO THE DESTINATION LIST.EO.BELOW. DRIVER ~.-231 U + (PRINT NAME) ~I P r "G t y ~S~ 7 !1F' a1 ,yak' . •„i s.(e r} 1yr, r; !r~ 1 L Vii. DA G f O~W A } . ' t i~TL! 1 IHEREBYt' T HE.(Y~OV~MbAi'ERI Y R`gBEST OkMV:)C~FORk1A'fPROVIDED IS TRUE AND ACCURATE: RECEIVED BY ,`AIPI'gtvT(P INT NAB ME).. , IGNA I TE L..' f A- , Ala TION 4 , 1•:. GREEN TO KEY: Ydll 'Tb ONERATOR YEL40yY: PORTER s-..--s.. PMNSIa OR sY D It [ WPOSAL LOCATION