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Home My WebLink About08/2012 **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 97040 LB Scale 1 Tare Wt. 36140 LB TICKET GRID WEIGHMASTER 00938585 Steph DATE IN DATE OUT VEHICLE ROLL OFF 08/15/12 08/15/12 11121TC Outbound - Charge ticket Net Wei~lht 60900 LB ~- QTY. UNI~ DESCRIPTION RATE EXTENSION FEE TOTAL 30.45 TON OUTGOMSW 0.000 0.00 0.00 0.00 I ~ , Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! SIGNATURE 0.00 TENDERED CHANGE CHECK NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 97040 LB Scale 1 Tare Wt. 36140 LB Net Wei~ 60900 LB I S01TE TICKET GRID WEIGHMASTER 1 00938585 Steph DATE IN DATE OUT VEHICLE ROLL OFF 08/15/12 08/15/12 11121TC Outbound - Charge ticket )0 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! f QTY. UNrF DESCRIPTION RATE EXTENSION FEE I TOTAL 30.45 TON OUTGOMSW 0.000 0.00 0.00I 0.00 Operating hours 7 ( , ~ ,~, 0.00 TENDERED CHANGE CHECKNO SIGNATURE No. 10686 GENERATOR THIS MANIFESTIS ~ REFERENCE PURPOSES OFJLY. CENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATER ALS SEING SHIPPED ANO OOF~,~NOTAS~I~.,~E ANyr LI~IILI~ AS~OCtAT~ED WITH T~E SHIPMENT OF SUCH MATERIALS. (cu YDS) LOOSE: BALES: (COUNT): TRUCK WEIGHT: -cl. '70 o ROSS I HEREBY CERTIFY THAT THE. ,~OVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART;260.10 OR ANY APPLICABLE STATE LAW; 18 NOT HAZARDOUS WASTE AS DEFINEBEY 40 CFR PART 261 OR ANY APPbicABLE STATE LAW,~HAS BEEN PROPERLY DESCRIBED~ CLASSIFIED AND PACKAGEO.,AND IS IN PROPER CONDITION FOR TRAHSPORTATION ~CCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORI ,ZED AGENT(PRINT NAME) '"~IGNATURE) TRANSPORTATION/FREIGHT CO. TRUCK NO. TRAILER NO. TRANSPORTER I "~_~. LICENSE NO/STATE: /)9 LtCENSE NO/STATE: I HEREBY CERTI~ ~AT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WlT~UT I~IDENT ~ THE DEST~ATION LISTED BELOW. DRIVER: (PRINT NA~) / (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DESTINATION DATE DELIVERED: 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 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers TICKET GRID WEIGHMASTER Steph DATE IN DATE OUT VEHICLE ROLL OFF 08/15/12 08/15/12 11100TC Scale 2 Gross Wt. 95360 LB Scale 1 Tare Wt. 38460 LB 56900 LB 28.45 OUTGO.MSW Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! SIGNATURE Outbound - Charge ticket RATE EXTENSION 0.000 0.00 FEE TOTAL 0.00 0.00 J 0.00 TENDERED CHANGE CHECK NO. **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers '~01TE TICKET GRID 1 00938592 DATE IN DATE OUT 08/15/12 08/15/12 WEIGHMASTER Steph VEHICLE ROLL OFF 11100TC 28,45 )perating hours 7:00 AM to 5: Scale 2 Gross Wt. 95360 LB Scale 1 Tare Wt. 38460 LB Net Wei ht 56900 LB TON OUTGO.MSW Outbound - Charge ticket 0.000 0.00 0.00 0.00 )0 PM 7 days a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! SIGNATURE No. 1O244 ~ G~:;J~RATOR THIS ~..~~RPO~,E$ ONL¥~ GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE RIALS BEING SHII~ED,AN{) ~ ~. -.U ,A~ ITY ASSOCIATED WITI.f~rHE SHIPMENT OF SUCH MATERIALS. LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~/ ~ (., L.D GROSS I HEREBY CERTIFY THAT THE ABOVENAMED MATERIAL DELES NOT CONTAIN.FREE LIQUID AB DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE $~,/~ tllOT ~ RBE)t.~- W~TE AS :DEI~NED'~(,4~ CFR PART:~I OR ANY~ S'~ATE LAW, HAS-BEEI~I PROPERLY DESCRIBED, CI. AS~IF~EO AND PACKAGED, AND IS IN PROPER COHBITION FOR TRARSRORTATION ACCORDING TQ APPLICABLE REGULATION. ~ENE~ATO~ AUTHOR,~ZED AGENT(PRINT NAME) i (S~GNATURE) TRANS PO~TATION/FR RIG HT CO. TRUCK NO. ' 7 / TRAILER NO. /~ ~ LICENSE NO/STATE: ,///~ HERESY ~RT~ ~T THE AB~ ~TER~L WAS PtCKEO UP' AT THE GENERA~R S~E LISTED A~VE, AND THAT IT WAS DEMVE~O ~ ~IDENT ~ ~E ~T~N LISTED ~LOW. DRIVER: (PlaNT NAIVE)~ (SIGNATURE) DESTINATION DISPOSAL LOCATION:. ADDRESS: DATE DELIVERED: I HEREBY CERTIFY 1T4AT 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 DIBI~OSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK '10 G~IERATOR OOI.D TO ~TOR . -~ DISPOB~ LOCATION TICKET NO: **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 86620 LB Scale 1 Tare Wt. 36560 LB Net Weight 50060 LB TICKET GRID WEIGHMASTER Steph DATE IN DATE OUT VEHICLE ROLL OFF 08/15/12 08/15/12 11121TC Outbound - Charge ticket 25.03 TON OUTGO,MSW 0.000 0.00 0.00 0.00 g :lays a week. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! TENDERED CHAN~E CHECK NO. SIGNATURE ~ **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. 86620 LB 36560 LB 1 00938610 Steph DATE IN DATE OUT VEHICLE ROLL OFF 08/15/12 08/15/12 11121TC Outbound - Charge ticket ~ ~ Net Weight 25.03 TON )~eratlng nours/:( ) AM to b: 50060 LB OUTGO.MSW Ju PM F oays a week. 0.000 EXTIENSION 0.00 0.00 0.00 J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED: MONDAY, SEPTEMBER 3, 2012 LABOR DAY! 0.00 TENDERED CHECK NO. SIGNATURE GENERATOR THIS MANIFEST IS FOR REFERENCE PI.~II:~IGES ONLY. G~N~RATOR DOES ~T TAKE POCOSIN OR TITLE ~ ANY C~GO O" ~TERIALS BEING S~EO ~O ~S ~T~ A~ ~ A~Tp ~TH T~E ~I~NT ~ SUCH ~TERIALS. LOOSE: BALES: (COUNT): TRUCK WEIGHT: I HEREBY CERTIFY THAT THE ABOVE. NAMED MATERIAL DOES NOt' CONTAIN FREE LIGUII~ AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,.IS NOT ~WASTE A~ DEFJNED ~¥40 CFR PART 2~10RANY APPUCABEE STATE LAW. HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED.'ANO IS IN PROPER CON(~FION FOR TRANSPORTATION'ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME). ' ' ~,~// - '"'(SIGNATURE) TRANSPORTATION/FREIGHT CO. TRUCK NO. TRAILER NO. TRANSPORTER .~, UCENSE NO/STATE LICENSE NO/STATE: /112 / I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT- THI AND THAT IT WAS DEUVEREO WITHOUT INCIDENT TO THE DESTIf~ATION LISTED BELOW. ~-~ (PRIN'I' NAME) (SIGNATURE) DISPOSAL LOCATION: ADDRESS: DESTINATION DATE DELIVERED: C)-.--/ C :- z~. 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 GREE~ TO ~TER YE LLOW - ~T~ TR[~SPORTE R, PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.